comprehensive community assessment 2011 sherman hospital

Comprehensive Communit y Assessment 2011

Sherman Hospital

2 3

TA B L E O F C O N T E N T S

F rOm ShE rmAN hOSpiTAL

Community Profile

influenCes on HealtH

siX toP tHreats to Community HealtH in Kane County

Community HealtH imProvement Plan Priorities & strategies

suPPort HealtH BeHaviors tHat Promote Well-Being & Prevent Disease

inCrease aCCess to HigH Quality, HolistiC Preventive & treatment serviCes aCross tHe HealtH Care system

suPPort & Create HealtH- Promoting neigHBorHooDs, toWns & Cities

Promote soCial, eConomiC anD eDuCational environments tHat oPtimize HealtH

C O m m U N i T Y p r O F i L E

Sherman hoSpital Service area by race/ethnicity1b

White - Not Hispanic

Black or African American - Not Hispanic

Asian - Not Hispanic

Two or more Races - Not Hispanic

Hispanic or Latino Alone

0% American Indian - Not Hispanic

0% Native Hawaiian and other Pacific Islander - Not Hispanic

0% Some Other Race - Not Hispanic

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Sherman hoSpital Service area by age1b

under 5yeArs

5-14yeArs

15-24yeArs

25-34yeArs

35-44yeArs

45-54yeArs

55-64yeArs

65-74yeArs

75+yeArs

70,000

60,000

50,000

40,000

30,000

20,000

10,000

0

Pgs. 3-5

Pg. 6

Pgs. 7-9

Pgs. 10-11

Pgs. 12-13

Pgs. 14-15

Pgs. 16-17

Pgs. 18-19

30,680

63,151

53,623

63,387

21,019

15,052

This year, for the first time, Sherman Hospital

collaborated with the Kane County Health

Department, the four other hospitals serving

Kane County, the United Way of Elgin, the Fox

Valley United Way and the INC Board to conduct

a comprehensive community assessment. Over

the past year, these partners have collected the

most recent data about our social, economic and

health environments to better understand the

challenges facing our county in 2012 and beyond.

The assessment included input and information

from residents in Elgin and throughout the

county as well as the health and human service

providers who serve our communities every day.

The assessment results highlight the significant

social and economic changes we have seen in Kane

County over the last decade. While we have one

of the youngest populations in the Chicago area,

we also have a rapidly growing older population.

The number of Latino or Hispanic residents in Kane

County has tripled since 1990 and is currently the

largest Latino population by proportion in Illinois.

Across the county, the number of residents living

in poverty increased by 18% from 2009 to 2010.

The current economic recession is the deepest

the United States has experienced in more than

70 years. We have seen and felt the impact

the downturn of the economy has had on our

quality of life. More and more residents are

seeking help from food pantries, free clinics

and other social service organizations while the

agencies serving our communities have fewer

and fewer resources available. So now, more

than ever, we must focus our limited resources

on strategies that are supported by evidence

and will return the most benefit. This report

provides a summary of the key findings from

the community assessment as well as a synopsis

of the Community Health Improvement Plan.

The health of our residents is directly related

to the strength of our local economy and our

ability to make the Fox Valley one of the most

vibrant regions in Illinois. Whether you support

Sherman Hospital through the donation of

time or resources, or use these findings and

recommendations in your own way, we hope

you will help make Kane County a better place

to live, work, and play for all residents.

2%

4%

62%

25%

7%

The Sherman Hospital service area

comprises Crystal Lake, Algonquin,

Bartlett, Streamwood, Carpentersville,

Dundee, Elgin, Gilberts, Huntley, Lake

in the Hills and South Elgin, with a total

population of 390,045. The largest

municipality is Elgin, making up about

28% of the service area. It is racially/

ethnically diverse, with 62% of the

population White, 25% Hispanic and Asian

and African Americans comprising 7%

and 4% of its population respectively.

48,458

56,492

38,183

* Kane County schools only

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Select cauSeS of Death in the Sherman hoSpital Service area6e

HEART

CANCER

STROKE

DIABETES

ACCIDENTS

INFLUENzA & PNEUMONIA

ALzHEIMERS

CHRONIC LOWER RESPIRATORy DISEASE

SEPTICEMIA

NEPHRITIS, ETC.

SUICIDE

0 20 40 60 80 100 120 140 160

shermAn hospitAl KAne

Crude Rate Per 100,000

live birthS in Sherman hoSpital Service area by race/ethnicity6d

Asian/PI Non-Hispanic

Black Non-Hispanic

White Non-Hispanic

Other Non-Hispanic

Hispanic of any Race

Sherman* Northern Kane Kane

Smoking 11.1 15.3 12.0

Binge Drinking 12.3 13.7 18.2

Obesity 26.5 28.4 29.4

Diabetes 9.8 9.1 8.7

General Health Excellent or Very Good

59.6 49.9 54.8

Mental Health Not Good 14 + Days

7.6 8.1 9.2

Health Insurance Coverage 95.6 88.1 89.1

Sherman Kane Illinois

Total births 3,197 8,212 176,634

Adequate Prenatal Care (Kessner Index)

62.6% 71.7% 73.0%

Infant mortality (deaths per 1,000 live births)

* 6.0 7.2

Low birth weight (live births less than 2,500g)

6.3% 6.9% 8.4%

Teen birth rate (per 1,000 females 15 to 19 years)

* 43.5 38.0

Prematurity (gestastional age <37 weeks)

9.8% 10.2% 10.4%

Primary C-section 18.9% 22.1% 20.8%

Repeat C-section (excludes primip)

88.0% 92.9% 93.0%

behavioral riSk factorS - % of aDult population 5a

birthS6d

* Data suppressed due to small numbers

3.0%

6.0%

7.1%

35.4%51.2%

C O m m U N i T Y p r O F i L E ( c o n t i n u e d )

Kane Illinois

Primary Care Physicians (per 100,000 population)9b

46.3 129.6

Preventable Hospitalizations (Num-ber per 1,000 Medicare enrollees)9b

75.0 77.3

Immunization Coverage (Percent of children 24 to 35mths) 6b

56.0% 59.0%

Kane Illinois US7e

All Deaths 714.5 760.3 760.2

Cardiovascular Deaths (age-adjusted per 100,000 population)

171.8 192.9 190.9

Cancer Deaths (age-adjusted per 100,000 population)

164.5 186.0 178.4

Stroke Deaths (age-adjusted per 100,000 population)

41.9 43.9 42.2

health acceSS inDicatorS mortality6e

* Unweighted frequencies

C O m m U N i T Y p r O F i L E ( c o n t i n u e d )

eDucation4a

U-46 D 300 Illinois

High school graduation rate

88.0% 88.9% 83.8%

Chronic truancy rate 1.9% 6.1% 3.2%

Percent receiving free/reduced lunch*

62.1% 47.7% 51.7%3a

ISAT 3rd Grade Reading: meets or exceeds standards

68.4% 72.3% 74.7%

ISAT 3rd Grade Math: meets or exceeds standards

86.5% 87.9% 87.3%

ACT Scores - composite

19.9 20.8 20.6

eDucational attainment in kane county1c

0% 5% 10% 15% 20% 25% 30%

usKAne County

GRADUATE OR PROFESSIONAL DEGREE

BACHELOR’S DEGREE

ASSOCIATE’S DEGREE

SOME COLLEGE, NO DEGREE

HIGH SCHOOL OR GED

9TH TO 12TH, NO DIPLOMA

LESS THAN 9TH GRADE

Like most other communities, this area was

affected by the economic downturn. All the

large municipalities in the service area had

their unemployment rates in 2010 increase to

more than double the rate in 2000. Similarly,

poverty status in Elgin increased to 15.9%. It

is estimated that a one-parent family with a

preschooler and school-age child will need

at least $60,472 to be self sufficient in Kane

County. About 89% of high school students

graduated in the major school districts serving

the area (U-46 and D300), with a composite

ACT score of 20.4. Of the 35,124 homes in

Elgin, about a quarter are renter-occupied,

with half of the renters spending 35% or more

of their income on rent.

houSing1b

Elgin Kane

Monthly owner cost >=35% of household income (homes with mortgage)

32.5% 33.2%

Gross rent >=35% of household income

50.6% 46.4%

poverty StatuS in kane county1

ALL AGES

UNDER 18 yEARS

UNDER 5 yEARS

0% 2% 4% 6% 8% 10% 12% 14% 16% 18%

20102000

kane county economic Development

Elgin Kane

Median Household Income1b $54,607 $65,712

Unemployment Rate2b 12.4% 10.3%

Poverty1b 15.9% 11.1%

Self-sufficiency wage for a one-parent family with a preschooler and school-age child, 20113c

N/A $60,472

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1 . o B e s i t yObesity is defined as having a Body Mass Index (BMI) equal to or greater than 30. For adults, the calculation for BMI uses a person’s height and weight. For children and teens, the calculation is more precise, using height, weight, age, and gender.

Why is it important for us to focus on obesity?

The problem of obesity in the United States has reached epidemic levels and Kane County is experiencing equally high rates for adults and children.

The current percentage of adults in Kane County who are overweight (BMI between 25 and 29.9) is 34.5. Those who are obese make up 29.4% which means, together, 63.9% of Kane County adults are considered overweight and/or obese. According to the Centers for Disease Control and Prevention, being overweight or obese can increase the risk for health problems including heart disease, type 2 diabetes, high blood pressure, cancer, stroke, and osteoarthritis. With a large young population, it is critical that this issue be addressed now to prevent future health problems which affect residents’ quality of life and worker productivity.

S i x T O p T h r E AT S T O C O m m U N i T Y h E A LT h i N K A N E C O U N T Y

2 . C H r o n i C D i s e a s eChronic disease refers to those illnesses that are not spread

from person to person and instead are caused by a person’s

behavior or genetics. Examples of chronic diseases include

stroke, heart disease, cancer, diabetes, and arthritis. The

Centers for Disease Control and Prevention identifies four

common risk behaviors that cause chronic disease:

✿ Lack of physical activity

✿ Poor nutrition

✿ Tobacco use

✿ Excessive alcohol consumption

Why is it important for us to focus on chronic disease?

Chronic disease is costly to health care providers and

insurance companies and puts an undue strain on the entire

health system. The cost of heart disease and stroke in the

United States is estimated to be $444 billion for 2010.

As seen in the pie chart, these diseases account for 80%

of all deaths in Kane County. With the rapidly growing

older population in the county, these diseases will become

more prevalent unless preventative action is taken.

Without proper insurance, people are unable to keep

their conditions under control and will end up in hospital

emergency rooms for issues that could be more effectively

managed by regular visits to a physician with regular visits

to a physician.

Mortality Distribution, Kane County6e

Non Communicable (Chronic) Diseases

Accidents

Influenza and Pneumonia

Nephritis, etc.

Alzheimer’s Disease

Septicemia

Overweight/Obesity for WIC Population

2 to 5 years old12b

17.0

16.5

16.0

15.5

15.0

14.5

14.0

13.5overweight oBese

perC

ent

of

wiC

po

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tio

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illinois usKAne

Trends in Diabetes Hospitalization, 2002 to 20096

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per

100,

000

popu

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180

160

140

120

100

80

60

40

20

02002 2003 2004 2005 2006 2007 2008 2009

KAne illinois

80%

70%

60%

50%

40%

30%

20%

10%

0%north CentrAl south KAne illinois7b us7b

overweightoBese

28%

18%

37% 29% 29% 28%

37% 33% 33% 35% 35% 36%

2%3%

4%4%

6%

81%

Obesity

Chronic Disease

Infant Mortality

Childhood Lead Poisoning

Communicable Disease

Poor Social & Emotional WellnessHealth is shaped by many influences,

including age, sex, genetic make-up, medical

care, individual behaviors and other factors

not shown in this diagram. Behaviors, as

well as receipt of medical care, are shaped

by living and working conditions, which in

turn are shaped by economic and social

opportunities and resources.

Medical care and personal responsibility

for behaviors are important. But finding

promising strategies to reduce disparities

will require broadening the focus to include

the social and economic contexts in which

we live.

“A nation’s health is its most precious asset. And while America has seen great gains

in improving health overall, some Americans face much poorer prospects for good

health and long life than others. Despite what many believe, a person’s health is not

only a product of good medical care and genes. In fact, in many cases, these may only

be small pieces of a much larger picture. A person’s health and likelihood of becoming

sick and dying prematurely are greatly influenced by powerful social factors such as

levels of education and income and the quality of neighborhood environments.” 11

i N F L U E N C E S O N h E A LT h

broaDening the focuS11

EC

ON

OM

IC &

SO CIA L O PP O R TU NITIES & RESOU

R

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LIV

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& W

ORKIN

G CONDITIONS IN HOME & C

OM

MU

NIT

yPERSONAL

BEHAVIOR

MEDICAL

CARE

HEALTH & WELL-BEING

Policies to promote economic

development and reduce poverty

Policies to promote child and

youth development and education,

infancy through college

Policies to promote healthier

homes, neighborhoods, schools

and workplaces

Adult Overweight/Obesity 20115a

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Infant mortality has long been known to be the best single measure of the health of a population, group or community. This is measured as the rate of babies who die before their first birthday per 1,000 live births. Women who have access to and begin prenatal care in their first trimester of pregnancy can improve their chances for having a healthy baby. With prenatal care, potential pregnancy and delivery problems are found early and treated as soon as possible.

Lead is highly toxic, especially to young children. Lead exposure can result in lasting impairment of a child’s development and behavior such as decreased IQ and attention span and increased risk for delinquent behavior.

A communicable disease such as a cold is a disease that spreads from person-to-person. Communicable diseases are diseases that you can “catch” from someone or something else.

Why is it important for us to focus on communicable diseases?

People in the United States continue to get diseases that are vaccine preventable. Viral hepatitis, influenza, and tuberculosis (TB) remain among the leading causes of illness and death in the United States and account for substantial spending on the related consequences of infection. Because the U.S. health care system focuses on treatment of illnesses, rather than health promotion, patients do not always receive adequate information about prevention and healthy lifestyles.

Vaccines are among the most cost-effective clinical preventive services and are a core component of any preventive services package. Childhood immunization

Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships, and the ability to contribute to community or society.

Mental health and physical health are closely connected. Mental health plays a major role in people’s ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect people’s ability to participate in health-promoting behaviors. In turn, problems with physical health, such as chronic diseases, can have a serious impact on mental health and decrease a person’s ability to participate in treatment and recovery.

5-Year Infant Mortality Rates for Kane County By Race/Ethnicity6

Kane County Prematurity Rates By Race, 2003 to 20086

S i x T O p T h r E AT S T O C O m m U N i T Y h E A LT h i N K A N E C O U N T Y

Why is it important for us to focus on infant mortality?

In Kane County, there is a disparity in the infant mortality rate when compared by race/ethnicity; the rate is two times higher for African-Americans than for Hispanic and White residents. Looking at the current trend, which is improving, it will still take another two generations to close the gap in rates. However, by implementing various strategies, like increasing the number of African-American women who enter prenatal care in the first trimester, that gap can be closed by 2030.

Why is it important for us to focus on childhood lead exposure?

Lead poisoning is entirely preventable. The key is stopping children from coming into contact with lead and treating children who have been poisoned by lead. Unfortunately, Illinois leads the nation in the number of lead poisoned children. Outside of Cook County, Kane County has the highest rate of childhood lead poisoning in the state. Nearly 1,500 children in Kane are documented to have elevated blood lead levels and need to have their homes evaluated for lead hazards and have the lead hazards reduced or eliminated.

5 . C o m m u n i C a B l e D i s e a s e

3 . i n fa n t m o r ta l i t y 4 . C H i l D H o o D l e a D

programs provide a very high return on investment. For example, for each birth cohort vaccinated with the routine immunization schedule society:

✿ Saves 33,000 lives.

✿ Prevents 14 million cases of disease.

✿ Reduces direct health care costs by $9.9 billion.

✿ Saves $33.4 billion in indirect costs.10

Unfortunately, only 56% of 2 year olds in Kane County received the recommended vaccinations in 2010.

Outbreaks of communicable disease lead to increased absenteeism in workplaces and schools and increased healthcare costs. A robust healthcare system in Kane County working to prevent, identify early, and treat communicable diseases is critical to reducing the burden of communicable disease.

Why is it important for us to focus on poor social and emotional wellness?

Mental disorders are among the most common causes of disability. The resulting disease burden of mental illness is among the highest of all diseases.

6 . P o o r s o C i a l & e m o t i o n a l W e l l n e s s

Adequate Immunization for 24 - 35 Month Olds6

80

70

60

50

40

30

20

10

02005 2006 2007 2009 2010

KAne illinois

perC

ent

of

reC

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sess

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KAne illinois us

Elevated Blood Lead Levels in Children6

7

6

5

4

3

2

1

02004 2005 2006 2007 2008 2009

perC

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of

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1998-2002

1999-2003

2000-2004

2001- 2005

2003- 2007

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Kane Adults Reporting Their Mental Health Was Not Good 14 or More Days in Last 30 Days5a

14

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Kane Adults Reporting Usually or Always Getting Social/Emotional Support5a

86

85

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83

82

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( c o n t i n u e d ) Tuberculosis Trends, 2000 to 20106

7

6

5

4

3

2

1

02000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

KAne illinois

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100,

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C O m m U N i T Y h E A LT h i m p r O v E m E N T p L A N p r i O r i T i E S & S T r AT E g i E SThe Kane County Community Health Improvement Plan is a comprehensive set

of policy and program recommendations for our community based on the most up

to date information. It identifies areas where we can have the largest impact on

improving the quality of life for all Kane resi dents — particularly the most vulnerable

residents of our community — by reducing preventable sickness and death. Each

priority area is equally important in improving our health and well-being. All priorities

have goals and measures for improvement over the next five years. These will be

tracked and reported each year.

Support health behaviorS that promote Well-being anD prevent DiSeaSe

1. Reduce tobacco use and exposure to environmental tobacco smoke.

2. Increase access to, and consumption of, fresh fruits and vegetables.

3. Coordinate the effective communication of tailored, accurate and actionable health information to Kane County residents across their lifespan.

4. Create environments that prevent excessive consumption of alcohol.

1P r i o r i ty

increaSe acceSS to high Quality, holiStic preventive anD treatment ServiceS acroSS the health care SyStem

1. Increase the proportion of residents of all ages that have regular, ongoing sources of medical and dental care.

2. Increase the proportion of residents of all ages who receive appropriate, evidence-based clinical preventive services.

3. Focus culturally appropriate outreach and engagement efforts to eliminate racial disparities in health outcomes, especially in infant mortality.

4. Enhance systems to support the prevention, early identification and treatment of communicable diseases in the community.

5. Enhance systems to support the prevention, early identification and evidence-based treatment of mental health conditions.

2P r i o r i ty

Support & create health promoting neighborhooDS, toWnS & citieS

promote Social, economic anD eDucational environmentS that optimize health

1. Increase the availability and variety of high quality, safe and affordable housing and compact, mixed use developments.

2. Institute “complete streets” types of policies to ensure that roadways are designed and operated with all users in mind - including bicyclists, public transportation vehicles and riders, and pedestrians of all ages and abilities.

3. Assure access to safe playgrounds, parks, trails and open space.

4. Assure access to safe food and clean and safe water and air.

1. Increase the proportion of children who have high-quality early developmental support, especially in child care and education.

2. Increase the proportion of Kane County young people that complete high school education.

3. Increase the job skills and readiness of Kane County residents that are unemployed.

3P r i o r i t y

4P r i o r i t y

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S U p p O r T h E A LT h B E h Av i O r S T h AT p r O m O T E W E L L-B E i N g & p r E v E N T D i S E A S E1

P r i o r i ty

Obesity, diabetes, and heart disease are

serious national health issues shared by

persons of all ages, ethnicity, and income.

A holistic and natural approach to a more

active lifestyle, including changes in what

we eat and how it’s prepared, will promote

an overall healthy way of living.

The Sherman Natural Prairie and

Community Garden, on the grounds of

Sherman Hospital in Elgin, supports health

behaviors that promote well-being by

increasing access to and consumption of

fresh fruits and vegetables, which helps

people follow healthy diets.

Hospital employees, volunteers, and

physicians now grow fresh, chemical-free

food for themselves and their families.

Gardening encourages physical activity, as

well as promoting healthy eating habits.

All levels of gardeners are welcome to

participate in growing their own food in

this natural environment while making

new gardening friendships that will grow

from season to season. Sherman Health is

honored to be committed to the health of

its employees, volunteers, physicians and

their families, as well as the members of

the community which it serves.

Gardeners choose their plots and

vegetables, which they will tend to during

the entire growing season. Gardeners

learn how to prepare and maintain the

soil and how to plant and care for crops.

They also learn to control insects, weeds

and plant diseases without the use of

chemicals. Staff, volunteers and physicians

from Sherman Hospital provide leadership,

education, coordination and support

for the gardening activities. Sherman’s

Dieticians bring balance to the table with

meal plans, recipes, food preparation

techniques, and weight loss ideas. By

being an active gardener, participants gain

strength and mobility by following the

gardening body mechanics provided by

Sherman’s Physical Therapists.

The Sherman Natural Prairie and

Community Garden is chemical free.

The use of herbicides, pesticides, and

fertilizers is not permitted. By maintaining

a natural landscape, we ensure that nature

is in balance, which provides a healthy

habitat for the wildlife. If nature is in a

healthful balance, so are we.

B r i g ht S p o tShErmAN gArDENS FOr STAFF, vOLUNTEErS, AND phYSiCiANS

reduce tobacco use and exposure to environmental tobacco smoke.

The percentage of the adult population

who are current smokers represents the

extent of health risk in a community related

to tobacco use. Measuring the prevalence

of tobacco use in the population can alert

communities to potential adverse health

outcomes in the future and can be valuable

for assessing the need for cessation

programs or the effectiveness of existing

programs.

Measure: Percentage of Kane County adults

(over age 18) who report being current

smokers. Current smoking was defined as

having smoked at least 100 cigarettes in a

lifetime and still smoking some days or

every day.

2011 Baseline: 12% of Kane County adults

2016 Goal: 9% of Kane County adults

increase access to, and consumption of, fresh fruits and vegetables.

Access to and availability of healthier foods

can help people follow healthful diets. For

example, better access to retail venues that

sell healthier options may have a positive

impact on a person’s diet; these venues

may be less available in low-income or rural

neighborhoods.

Measure: Percentage of Kane County adults

and children who report eating at least five

servings of fruits and vegetables per day.

2011 Baseline: 14.4% of adults

25.5% of children

2016 Goal: 17.3% of adults

30.6% of children

Coordinate the effective communication of tailored, accurate and actionable health information to Kane County residents across their lifespan.

Effective use of communication and

technology by health care and public

health professionals can bring about an

age of patient- and public-centered health

information and services. By strategically

combining health IT tools and effective

health communication processes, there is the

potential to:

✿ Improve health care quality and safety.

✿ Increase the efficiency of health care and

public health service delivery.

✿ Improve the public health information

infrastructure.

✿ Support care in the community and

at home.

✿ Facilitate clinical and consumer

decision-making.

✿ Build health skills and knowledge.

Create environments that prevent excessive consumption of alcohol.

Excessive drinking is a risk factor for a

number of adverse health outcomes such

as alcohol poisoning, hypertension, acute

myocardial infarction, sexually transmitted

infections, unintended pregnancy, fetal

alcohol syndrome, sudden infant death

syndrome, suicide, interpersonal violence,

and motor vehicle crashes.

Measure: The percent of the adult

population that reports consuming more

than 4 (women) or 5 (men) alcoholic

beverages on a single occasion in the

past 30 days.


2016 Goal: 22% of adults

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iNCrEASE ACCESS TO high QUALiTY, hOLiSTiC prEvENTivE & TrEATmENT SErviCES ACrOSS ThE hEALTh CArE SYSTEm

B r i g ht S p o tBrighT SpOTS –AmEriCAN CANCEr SOCiET Y/CANCEr CArE CENTEr

At The Center for Cancer Care at Sherman

Health, we come together every day to

build powerful partnerships — with patients,

clinicians and community — to provide

leading-edge clinical services, and the

invaluable emotional support that guides

patients through every aspect of care.

We’ve joined forces with the American

Cancer Society (ACS) to provide our

patients and their families with powerful

resources and support that help them

navigate their journey through treatment

and beyond. Together, the people and

programs that make this partnership

possible make an incredible impact on the

lives of those they touch.

Our American Cancer Society-sponsored

services include:

•SunriseLifeCenter—Inpartnership

with the Sherman Hospital Auxiliary,

they provide free wigs, hats, turbans

and scarves to patients, along with

complementary fitting and styling by

trained ACS beauticians in the Sunrise Life

Center at The Center for Cancer Care at

Sherman Health.

•VolunteerNavigators—Inpartnership

with the Volunteer Department at Sherman

Hospital, volunteer navigators connect

patients and families with important

cancer education and resources.

•PatientResourceCenter—Aroom

designed for patients, caregivers and their

families that’s equipped with a lending

library stocked with information on all

types of cancer and local support services,

along with computers for members of the

community to use in their research.

focus culturally appropriate outreach and engagement efforts to eliminate racial disparities in health outcomes, especially in infant mortality.

Health disparities are differences in health

outcomes experienced by racial, ethnic

or socioeconomic groups in a population.

Health disparities reflect social conditions

and inequities experienced by these groups.

Infant mortality has long been known to be

the best single measure of the health of a

population, group or community because it

is associated with maternal health, quality of

and access to medical care, socioeconomic

conditions, and public health practices.

Measure: African American infant

mortality rate per 1,000 live births

(5-year average)

2011 Baseline: 12.2 deaths per 1,000

live births (2003-2007)

2016 Goal: 9.8 deaths per 1,000

live births

increase the proportion of residents of all ages who receive appropriate, evidence-based clinical preventive services.

Hospitalization for diagnoses amenable to

outpatient services suggests that the quality

of care provided in the outpatient setting

was less than ideal. The measure may also

represent the population’s tendency to

overuse the hospital as a main source of

care.

Vaccine-preventable diseases have a

costly impact, resulting in doctor’s visits,

hospitalizations, and premature deaths. Sick

children can also cause parents to lose time

from work. Vaccines are among the most

cost-effective clinical preventive services

and are a core component of any preventive

services package. Childhood immunization

programs provide a very high return on

investment.

Measures: Hospitalization rate for diabetes

per 100,000 residents

The percent of two-year olds who receive

age-appropriate immunizations

2011 Baseline: 138 hospitalizations

for diabetes per

100,000 residents

56% of two-year olds

received age-appropriate

immunizations

2016 Goal: 100 hospitalizations for

diabetes per 100,000

residents

75% of two-year olds

receive age-appropriate

immunizations

enhance systems to support the prevention, early identification and evidence-based treatment of mental health conditions.

Mental health and physical health are closely

connected. Mental health plays a major role

in people’s ability to maintain good physical

health. Mental illnesses, such as depression

and anxiety, affect people’s ability to

participate in health-promoting behaviors. In

turn, problems with physical health, such as

chronic diseases, can have a serious impact

on mental health and decrease a person’s

ability to participate in treatment and

recovery.

Measure: Percentage of adults reporting

poor mental health. Data represent adults

who reported having poor mental health for

14 or more of the last 30 days.

2011 Baseline: 9% of adults


enhance systems to support the prevention, early identification and treatment of communicable diseases in the community.

The infectious disease public health

infrastructure, which carries out disease

surveillance at the federal, state, and local

levels, is an essential tool in the fight against

newly emerging and re-emerging infectious

diseases.

Measure: The number of new cases

(Incidence) of Tuberculosis in Kane County

per 100,000 residents.

2011 Baseline: 6 confirmed cases


2016 Goal: 2 confirmed cases


increase the proportion of residents of all ages that have regular, ongoing sources of medical and dental care.

Improving health care services depends in

part on ensuring that people have a usual

and ongoing source of care. People with

a usual source of care have better health

outcomes and fewer disparities and costs.

Measure: The percent of adult population

that reports having a personal doctor or

health care provider.



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S U p p O r T & C r E AT E h E A LT h- p r O m O T i N g N E i g h B O r h O O D S , T O W N S & C i T i E S

B r i g ht S p o tShErmAN hOSpiTAL – gEOThErmAL L AKE & WALKiNg pATh

Distance marker signs have been posted

around the lake (distance around the

entire lake is 3/4 mile) to help track how

far you’re walking. you can also use a free

online MyStart! Tracker tool from the AHA.

Here’s instructions on how to sign up.

www.startwalkingnow.org/registration.jsp

Sherman is proud to be recognized as

a Fit-Friendly Company. Fit-Friendly

Companies are recognized by the

American Heart Association as employers

who go above and beyond when it comes

to their employees’ health.

increase the availability and variety of high quality, safe and affordable housing and compact, mixed use developments.

Lead exposure can result in lasting

impairment of a child’s development and

behavior such as decreased IQ and attention

span and increased risk for delinquent

behavior.

Measure: Percent of children under

six years with elevated blood lead levels

2011 Baseline: 1.0% of children less than 6

years old tested have elevated

lead levels in their blood

2016 Goal: 0.65% of children less than

6 years old tested will have

elevated lead levels in

their blood

institute “complete streets” types of policies to ensure that roadways are designed and operated with all users in mind - including bicyclists, public transportation vehicles and riders, and pedestrians of all ages and abilities.

Most weight loss occurs because of

decreased caloric intake. However, evidence

shows the only way to maintain weight loss

is to be engaged in regular physical activity.

Most importantly, physical activity reduces

risks of cardiovascular disease and diabetes

beyond that produced by weight reduction

alone.

Measures: The percent of Kane County adults

who meet the recommended level of physical

activity. The percent of Kane County adults

who are considered obese as measured by

their Body Mass Index (BMI).

2011 Baseline: 53.5% of adults meet physical

activity recommendations

29.4% of adults are

considered obese

2016 Goal: 64% of adults meet physical

activity recommendations

26% of adults are considered

obese

assure access to safe playgrounds, parks, trails and open space.

Physical activity is an important part of

regular family life. Studies have shown that

lifestyles learned as children are much more

likely to stay with a person into adulthood.

If sports and physical activities are a

family priority, they will provide children

and parents with a strong foundation for a

lifetime of health.

Measure: The percentage of Kane County

children considered obese as calculated by

their BMI.

2011 Baseline: 21.8% of children

are considered obese

2016 Goal: 18.5% of children

are considered obese

assure access to safe food and clean and safe water and air.

Foodborne diseases affect tens of millions

of people and kill thousands in the United

States each year. They also cause billions of

dollars in healthcare-related and industry

costs annually.

Measure: The number of foodborne

outbreaks identified in Kane County.

2011 Baseline: 3 confirmed foodborne

outbreaks in 2011

2016 Goal: 0 confirmed foodborne

outbreaks

Step your way into fitness... Sherman’s new

beautiful geothermal lake and walking path is

a perfect location to take a walk. Sherman has

teamed up with the American Heart Association’s

(AHA) Start! program to promote improved health

through walking.

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p r O m O T E S O C i A L , E C O N O m i C A N D E D U C AT i O N A L E N v i r O N m E N T S T h AT O p T i m i z E h E A LT h

a) 2011 b) 2010 c) 2009 d) 2008 e) 2007

Success, as they say, breeds success. The

Kane County Home Visitation Collaborative

(HVC) is proving itself to have all the right

ingredients to really make a difference. This

is how it works: The HVC came to life in Kane

County in 2000 to build coordination among

home visitation programs serving low income

families. This was a time of great system

development in Kane County, spurred by the

success of the Perinatal Committee and the

All Our Kids (AOK) Network.

The HVC has become a collaborative group

that pools efforts and resources at the

system level. It promotes social, economic

and educational environments that optimize

health and increases the proportion of

children able to receive early developmental

support. A centralized referral process uses

Family Case Management (FCM) intake

appointments with expectant mothers as a

key point through which 95% of Medicaid-

eligible mothers enter the Early Childhood

System.

Since the need for home visitation is so great

and the resources so few, the HVC goal is

to assure that all home visitation programs

receive adequate referrals to always stay full

and to avoid any duplication of services. The

success of the HVC led it to be an awardee of

a Maternal, Infant and Early Childhood Home

Visiting Program (MIECHVP) grant. Through

funding from the U.S. Department of Health

and Human Services and Health Resources

and Services Administration (HRSA), the

Illinois Department of Human Services is

implementing MIECHVP in six communities

across the State, including Elgin in Kane

County.

MIECHVP is designed to use evidence-

based home visitation as a strategy to (1)

strengthen and improve the programs and

activities carried out under Title V; (2) to

improve coordination of services for at-risk

communities; and (3) to identify and provide

comprehensive services to improve outcomes

for families who reside in at-risk communities.

The grant is jointly administered at the

federal level by HRSA and the Administration

for Children and Families (ACF). Illinois

agencies are required to implement one

of the following federally approved home

visiting models: Early Head Start – Home

Based, Healthy Families America, Parents as

Teachers and Nurse Family Partnership.

The HVC is formed by Healthy Families, Nurse

Family Partnership, Parents as Teachers

programs in Elgin and Aurora, Early Head

Start, the Day One Network Child and Family

Connections, FCM, and High Risk Infant

Follow Up Program. By uniting efforts,

members achieve more than any one program

could working alone

B r i g ht S p o thOmE viSiTATiON COLL ABOrATivE

1) US Census Bureau

2) IL Department of Employment Security

3) Heartland Alliance

4) IL State Board of Education

5) Kane County Health Department

6) IL Department of Public Health

7) Centers for Disease Control and Prevention (CDC)

8) Woodstock Institute

9) County Health Rankings

10) “Immunizations and Infectious Diseases” HealthyPeo-ple.gov http://www.healthypeople.gov/2020/topicsob-jectives2020/overview.aspx?topicid=23

11) Overcoming Obstacles to Health. Report From the Robert Wood Johnson Foundation to the Commission to Build a Healthier America

12) CDC Pediatric Nutrition Surveillance

N/A - Data not available

increase the proportion of children who have high-quality early developmental support, especially in child care and education.

Evidence shows that experiences in the first

years of life are extremely important for a

child’s healthy development and lifelong

learning. How a child develops during

this time affects future cognitive, social,

emotional, and physical development, which

influences school readiness and later success

in life. Research on a number of adult health

and medical conditions points to predisease

pathways that have their beginnings in early

and middle childhood.

Measure: This measure is not finalized and is

under development. The intended measure

will be based on the kindergarten readiness

assessment currently being developed in

Illinois.

increase the proportion of Kane County young people that complete high school education.

The relationship between more education

and improved health outcomes is well known,

with years of formal education correlating

strongly with improved work and economic

opportunities, reduced psychosocial stress,

and healthier lifestyles.

Measure: High school graduation rate,

reported as the percent of the county’s

ninth-grade cohort in public schools that

graduates from high school in four years.

2011 Baseline: 87.1%

Range: 68.7%-96%

2016 Goal: 90%

increase the job skills and readiness of Kane County residents that are unemployed.

While employment has been associated

with health improvements, unemployment

has been linked with declines in health

status. Unemployment may lead to physical

health responses ranging from self-reported

physical illness to mortality, especially

suicide. It has also been shown to lead to

an increase in unhealthy behaviors related

to alcohol and tobacco consumption, diet,

exercise, and other health-related behaviors,

which in turn can lead to increased risk for

disease or mortality.

Measure: The percent of the civilian labor

force, age 16 and older, in Kane County that

is unemployed but seeking work. Data is the

most recent calendar year annual estimate

for unemployment.

2011 Baseline: 10.3% (2010 annual estimate)

2016 Goal: 5.4%

Comprehensive Communit y Assessment 2011

KaneCoHealthwww.facebook.com/kanehealth

This report was created by the Kane County Health Department for Sherman Hospital.

Data was collected and analyzed by the health department. The 2011 Community Health

Assessment was jointly funded by Delnor Hospital, Provena Mercy Medical Center, Provena

Saint Joseph Hospital, Rush-Copley Medical Center, Sherman Hospital, the United Way of

Elgin, the Fox Valley United Way and the INC Board.

years of service

For more information about the Kane County Health Department, please visit our website: www.kanehealth.com

Sherman Hospital, 1425 N. Randall Road, Elgin, IL 60123

Main: 847-742-9800 | Class Registration & Physician Referral: 800-397-9000

www.ShermanHealth.com

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comprehensive community assessment 2011 sherman hospital

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