KDMC CHNA.indd - King`s Daughters

Transcription

Community
Health Needs
Assessment
2013
COMMUNITY HEALTH NEEDS ASSESSMENT
KING’S DAUGHTERS MEDICAL CENTER
CONTENTS
Executive Summary ................................................................................................................3
Background History of Assessment ......................................................................................4
Description of CHNA Study and Supplementary Data .......................................................5
Participant Profile/Defining Community ...............................................................................8
Snapshot of Concerns and Strengths Identified – All Data Sources ................................12
Detailed Findings by Study..................................................................................................13
Prioritized Community Health Needs to Be Addressed ...................................................17
Addendum ............................................................................................................................18
Mission: To Care. To Serve. To Heal.
2
EXECUTIVE SUMMARY
About King’s Daughters Medical Center
More than 252,000 people (U.S. Census Bureau) live in the
five-county primary service area. With the exception of
two cities with populations around 20,000, the area is very
rural, covering more than 2,000 square miles with a population density of 126 people per square mile. KDMC also
included two Kentucky counties that are in its secondary
market area — Floyd and Johnson as potential areas for
future growth.
King’s Daughters Medical Center is a locally controlled,
not-for-profit, 465-bed regional referral center, covering
a 150-mile radius that includes southern Ohio, eastern
Kentucky and western West Virginia. KDMC offers cardiac,
medical, surgical, maternity, pediatric, rehabilitative, bariatric, psychiatric, cancer, neurological, pain care, wound
care and home care services. KDMC operates more than
50 offices in eastern Kentucky and southern Ohio.
King’s Daughters Medical Center is the largest employer between Charleston, West Virginia and Lexington, Kentucky, with more than 3,500 Team Members.
Other large private sector employers include Southern
Ohio Medical Center (2,200), Our Lady of Bellefonte
Hospital (1,270), AK Steel (970), Marathon Petroleum
(1,483) and Walmart (950). Public sector employers include Boyd County Schools (572), Ashland Independent
Schools (510) and Greenup County Public Schools (475).
KDMC’s primary service area encompasses six counties in
two states:
In Kentucky
1.
2.
3.
4.
5.
6.
Boyd
Carter
Floyd (secondary)
Greenup
Lawrence
Johnson (secondary)
Mission and Vision
The mission of King’s Daughters Medical Center is:
To Care. To Serve. To Heal.
In Ohio
Our vision is: World-Class Care in Our Communities.
7. Lawrence
8. Scioto
KDMC DISCHARGES BY COUNTY FY12
County Code
21019
39087
21089
21043
39145
21127
21115
21071
TOTAL
OHIO
8
7
4
1
2
KENTUCKY
5
WEST
VIRGINIA
County
Boyd, KY
Lawrence, OH
Greenup, KY
Carter, KY
Scioto, OH
Lawrence, KY
Johnson, KY
Floyd, KY
Discharges
6,925
3,901
2,658
2,371
1,179
849
630
389
18,902
6
3
3
Vision: World-Class Care In Our Communities
BACKGROUND HISTORY
OF ASSESSMENT
Purpose
The purpose of the Community Health Needs Assessment
(CHNA) is to document compliance with the Affordable
Care Act, section 501 (r) that requires not-for-profit hospitals to conduct a CHNA every three years and adopt an
implementation strategy to meet the identified community health needs. The information from these assessments
is used to guide the strategic planning processes of the
organization. This assessment was conducted from January
to June 2013.
Chronology of events
• Advisory committee established
• Focus groups conducted (representative of broad
interests in the community) March – May 2013
• Web-based survey conducted with links from kdmc.com
and Facebook, April – June 2013
• Public health secondary data collected,
March – June 2013
Advisory committee members:
•
•
•
•
Jim Berton, Director, Strategic Planning
Tom Dearing, Director, Integrated Communications
Debbie Miller, Manager, Community Relations
Travis Sanders, Associate Counsel, Insurance
Management, Legal Services
• Regina Stout, Director, Kentucky Heart Foundation
4
DESCRIPTION OF STUDY &
SUPPLEMENTARY DATA
Community Health Needs Assessment
Focus Groups
The goals of the research were to:
• Determine what various agencies are doing to meet
and/or improve healthcare needs in the communities
KDMC serves.
• Learn more about what healthcare needs are not being
met and why.
• Determine strengths and weaknesses of current
resources.
• Investigate what else can be done to improve the
health of the community.
King’s Daughters conducted focus groups in eight counties — six in Kentucky and two in Ohio. The population of
the counties surveyed totals approximately 310,000.
In Kentucky
1.
2.
3.
4.
5.
6.
Boyd
Carter
Floyd
Greenup
Lawrence
Johnson
An advisory committee provided oversight of the study,
reviewing data and prioritizing the health needs for
defined communities.
Eight focus groups were conducted from March 26 – May
9, 2013 to better assess the health needs of the region.
A total of 39 schools, social service agencies and/or businesses were represented. Participants included libraries,
local health departments, senior citizens centers, youth
services, mental health agencies, city administrators,
media, Hospice, American Red Cross, state government
representatives and a variety of businesses.
In Ohio
7. Lawrence
8. Scioto
OHIO
8
7
4
1
2
KENTUCKY
Bringing people from nonprofits, education and business
together helped some of them learn about services they
weren’t aware of and make job referrals.
5
Participating organizations/individuals included:
WEST
VIRGINIA
Ashland-Boyd County Health Department
Ashland Youth Development
American Red Cross
Boyd County Senior Center
Community Assistance and Referral Services (CAReS)
City of Ashland Parks Department
Community Hospice
Fairview High School Resource Center
Marathon Petroleum
Pathways
Lawrence County School District
Premier Therapy
Greenup News
PrimaryPlus
Kentucky State Senator Robin Webb
6
3
5
Carter County Schools
Carter County Senior Center
FIVCO Area Development District
Grayson Rural Electric Cooperative
Kentucky Automotive
Kentucky Christian University
Area Agency on Aging
Center for Appalachian Philanthropy
Daymar College
Portsmouth Health Commission
TSHD Architects
Brown’s Food Service
Lawrence County Schools Adult Education
Lawrence County Schools Superintendent
Johnson County Schools Resource Center
Johnson County/Paintsville Chamber of Commerce
Prestonsburg Funeral Home
Floyd County Extension Office
University of Wisconsin Population Health Institute. The
County Health Rankings show the rank of the health of
nearly every county in the nation looking at a variety of
measures that affect health such as rate of people dying
before age 75, high school graduation rates, unemployment, access to healthy foods, water quality, income, rates
of smoking, obesity and teen births.
The county-level estimates based on the Behavioral Risk
Factor Surveillance System (BRFSS) data are calculated
for the County Health Rankings by staff at the Centers for
Disease Control and Prevention. They use seven years of
data (wherever possible), thus their estimates represent
an average over the seven years. The BRFSS measures in
the 2013 County Health Rankings are based on data from
2005-2011. Except for 2011, the public use final weight
variable was used to produce estimates. These weights
ensure state level estimates reflect the age-sex-race distributions of the state. These weights might not always
provide accurate county level estimates; particularly when
county age-sex-race distributions vary greatly from that
of the state. For 2011 BRFSS data, a post stratification
weight was calculated using the aforementioned approach
for landline respondents only. Other publically available
BRFSS data for 2011 include cellphone respondents and
are based on a revised weighting methodology—consequently these estimates should not be compared to data
from prior years nor to the estimates produced for the
County Health Rankings.
Community Health Needs Assessment Web Survey
In addition to the focus groups, KDMC conducted a webbased survey from kdmc.com and also linked through
Facebook. The survey was promoted through press releases to the region’s media outlets as well as on the hospital’s
website and on Facebook.
There were 282 respondents to the online survey.
A copy of the survey questionnaire is provided in the addendum to this report.
Details about the methodology used for calculating ranks
in the charts provided in this report can be found at:
http://www.countyhealthrankings.org/ranking-methods/
calculating-scores-and-ranks.
Data from Supplementary Sources
Leading Causes of Death/Kentucky
Kentucky Health Issues Poll
KDMC examined leading causes of death in Kentucky
counties using the most recent data collected by the Kentucky Cooperative Extension Service, Health Education
through Extension Leadership (HEEL) Program.
In late 2012, the Foundation for a Healthy Kentucky and
The Health Foundation of Greater Cincinnati sponsored
the Kentucky Health Issues Poll (KHIP), a telephone survey
of a random sample of 1,680 adults from throughout Kentucky. Of these, 343 respondents resided in the Eastern
Kentucky Development District that included, but was not
limited to, the six Kentucky counties in King’s Daughters
Medical Center’s service area (Boyd, Carter, Floyd, Greenup, Johnson and Lawrence).
Leading Causes of Death/Ohio
KDMC also examined leading causes of death in the Ohio
counties it serves using the most recent data available
from The Ohio Department of Health (ODH).
County Rankings and Roadmaps
The ODH receives death certificates for all deaths occurring in the state and also for deaths to Ohio residents that
occurred outside the state. These reports are combined
into annual statistical data files which are used to calculate
the statistics contained in this section of the ODH website.
In addition, KDMC reviewed data from The County Health
Rankings and Roadmaps program, a collaboration between the Robert Wood Johnson Foundation and the
6
Mortality data are usually presented as counts or population-based rates. Mortality statistics are an important component of public health surveillance and assessment.
Detailed findings and charts related to primary and secondary data sources are provided in the addendum to this
report.
Scioto County, Ohio Community Health Improvement
Plan - 2013
The Scioto County, Ohio Community Health Improvement
Plan for 2013 was developed by the Scioto County Health
Coalition with input from representatives from KDMC
Ohio. The Scioto County Health Coalition was formed in
2012 in response to health rankings and health outcomes
contained in the Robert Wood Johnson Foundation annual report that revealed Scioto County ranked last out of
all Ohio counties.
The Scioto County Health Coalition developed the improvement plan after a year of compiling public health and
hospital community needs assessments as well as assessments conducted through Mobilizing for Action through
Partnership and Planning (MAPP) Process.
7
PARTICIPANT PROFILE/
DEFINING COMMUNITY
For the purposes of this assessment, community is defined
as the geographical area based on recommendations from
the Kentucky Hospital Association (KHA) which states that
hospital data analysis should be at the county level and
include counties in which 75 percent of the provider’s inpatient population resides.
The CHNA advisory committee for KDMC identified the
community to include eight counties:
In Kentucky: Boyd, Carter, Floyd, Greenup, Johnson, and
Lawrence
In Ohio: Lawrence and Scioto
Demographic breakdown by county:
(See following charts from the 2012 The Nielsen Company)
Boyd County
Carter County
DEMOGRAPHIC CHARACTERISTICS
Selected
Area
53,368
$51,350
2012
26,666
26,702
9,543
7.9%
7.8%
7.8%
USA
313,095,504
$67,315
2017
26,973
26,926
9,222
% Change
1.2%
0.8%
-3.4%
2017
9,690
1,867
4,374
6,963
14,225
7,570
9,210
53,899
% of Total
18.0%
3.5%
8.1%
12.9%
26.4%
14.0%
17.1%
100.0%
USA 2012
% of Total
20.2%
4.2%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
2012 Adult Education Level
Less than High School
Some High School
High School Degree
Some College/Assoc. Degree
Bachelor's Degree or Greater
Total
Pop Age
25+
1,956
4,141
13,453
11,895
6,323
37,768
% of Total
5.2%
11.0%
35.6%
31.5%
16.7%
100.0%
USA
% of Total
6.3%
8.6%
28.8%
28.5%
27.8%
100.0%
2012 Household Income
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
HH Count
4,143
3,087
6,120
3,855
1,956
2,246
% of Total
19.4%
14.4%
28.6%
18.0%
9.1%
10.5%
USA
% of Total
13.0%
10.7%
26.7%
19.5%
11.9%
18.2%
21,407
100.0%
100.0%
% of Total
93.7%
2.7%
1.5%
0.5%
1.6%
100.0%
USA
% of Total
62.8%
12.3%
17.0%
5.0%
2.9%
100.0%
2012 Total Population
Average Household Income
Total Male Population
Total Female Population
Females, Child Bearing Age (15-44)
% Unemployment Sept 2012
% State Unemployment Sept 2012
% USA Unemployment Sept 2012
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
9,484
1,881
4,235
7,300
15,384
7,019
8,065
53,368
% of
Total
17.8%
3.5%
7.9%
13.7%
28.8%
13.2%
15.1%
100.0%
Total
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
Asian & Pacific Is. Non-Hispanic
All Others
Total
2012 pop
50,006
1,426
795
284
857
53,368
Selected
Area
26,139
27,085
27,501
1.5%
$41,552
2012
13,325
13,760
5,626
10.0%
7.8%
7.8%
USA
281,421,906
313,095,504
325,256,835
3.9%
$67,315
2017
13,520
13,981
5,380
% Change
1.5%
1.6%
-4.4%
2017
5,442
1,039
2,812
3,509
7,255
3,568
3,876
27,501
% of Total
19.8%
3.8%
10.2%
12.8%
26.4%
13.0%
14.1%
100.0%
USA 2012
% of Total
20.2%
4.2%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
Some High School
High School Degree
Total
Pop Age
25+
2,058
2,484
7,171
4,108
2,111
17,932
% of Total
11.5%
13.9%
40.0%
22.9%
11.8%
100.0%
USA
% of Total
6.3%
8.6%
28.8%
28.5%
27.8%
100.0%
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
HH Count
2,562
1,824
3,014
1,702
805
645
% of Total
24.3%
17.3%
28.6%
16.1%
7.6%
6.1%
USA
% of Total
13.0%
10.7%
26.7%
19.5%
11.9%
18.2%
10,552
100.0%
100.0%
% of Total
96.9%
0.6%
1.2%
0.2%
1.0%
100.0%
USA
% of Total
62.8%
12.3%
17.0%
5.0%
2.9%
100.0%
% Change 2012 - 2017
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
5,398
1,096
2,659
3,814
7,638
3,461
3,019
27,085
Total
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
All Others
Total
14 8
% of
Total
19.9%
4.0%
9.8%
14.1%
28.2%
12.8%
11.1%
100.0%
2012 pop
26,251
163
337
52
282
27,085
15 KING’S DAUGHTERS MEDICAL CENTER
Floyd County
Greenup County
Selected
Area
42,343
39,135
38,764
-0.9%
$37,365
2012
19,316
19,819
7,736
11.1%
7.8%
7.8%
USA
281,421,906
313,095,504
325,256,835
3.9%
$67,315
2017
19,137
19,627
7,159
% Change
-0.9%
-1.0%
-7.5%
2017
7,380
1,331
3,217
5,090
10,486
5,311
5,949
38,764
% of Total
19.0%
3.4%
8.3%
13.1%
27.1%
13.7%
15.3%
100.0%
USA 2012
% of Total
20.2%
4.2%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
Some High School
High School Degree
Total
Pop Age
25+
4,062
4,357
9,377
5,886
3,329
27,011
% of Total
15.0%
16.1%
34.7%
21.8%
12.3%
100.0%
USA
% of Total
6.3%
8.6%
28.8%
28.5%
27.8%
100.0%
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
HH Count
5,367
2,666
4,237
2,045
926
905
% of Total
33.2%
16.5%
26.2%
12.7%
5.7%
5.6%
USA
% of Total
13.0%
10.7%
26.7%
19.5%
11.9%
18.2%
16,146
100.0%
100.0%
% of Total
98.0%
0.7%
0.5%
0.2%
0.6%
100.0%
USA
% of Total
62.8%
12.3%
17.0%
5.0%
2.9%
100.0%
% Change 2012 - 2017
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
7,264
1,528
3,332
5,448
11,363
5,096
5,104
39,135
Total
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
All Others
Total
% of
Total
18.6%
3.9%
8.5%
13.9%
29.0%
13.0%
13.0%
100.0%
2012 pop
38,349
260
210
70
246
39,135
Selected
Area
34,760
34,777
35,201
1.2%
$50,036
2012
16,734
18,043
6,185
7.7%
7.8%
7.8%
USA
281,421,906
313,095,504
325,256,835
3.9%
$67,315
2017
16,931
18,270
6,095
% Change
1.2%
1.3%
-1.5%
2017
6,006
1,347
2,952
3,689
8,951
4,885
7,371
35,201
% of Total
17.1%
3.8%
8.4%
10.5%
25.4%
13.9%
20.9%
100.0%
USA 2012
% of Total
20.2%
4.2%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
Some High School
High School Degree
Total
Pop Age
25+
1,868
2,980
9,412
7,094
3,352
24,706
% of Total
7.6%
12.1%
38.1%
28.7%
13.6%
100.0%
USA
% of Total
6.3%
8.6%
28.8%
28.5%
27.8%
100.0%
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
HH Count
2,477
2,160
4,053
2,668
1,258
1,370
% of Total
17.7%
15.4%
29.0%
19.1%
9.0%
9.8%
USA
% of Total
13.0%
10.7%
26.7%
19.5%
11.9%
18.2%
13,986
100.0%
100.0%
% of Total
96.7%
0.8%
0.8%
0.5%
1.3%
100.0%
USA
% of Total
62.8%
12.3%
17.0%
5.0%
2.9%
100.0%
% Change 2012 - 2017
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
6,164
1,377
2,530
3,947
9,655
4,546
6,558
34,777
Total
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
All Others
Total
16 9
% of
Total
17.7%
4.0%
7.3%
11.3%
27.8%
13.1%
18.9%
100.0%
2012 pop
33,644
267
263
163
440
34,777
17 Vision: World-Class Care In Our Communities
Johnson County
Selected
Area
24,393
24,381
24,640
1.1%
$42,674
2012
11,821
12,560
4,817
8.9%
7.8%
7.8%
% Change 2012 - 2017
USA
281,421,906
313,095,504
325,256,835
3.9%
$67,315
2017
11,960
12,680
4,644
Age Distribution
Selected
Area
15,201
15,669
16,172
3.2%
$37,667
2012
7,783
7,886
3,108
9.5%
7.8%
7.8%
% Change 2012 - 2017
% Change
1.2%
1.0%
-3.6%
% of
Total
19.2%
4.4%
8.4%
13.6%
28.5%
12.6%
13.4%
100.0%
USA
281,421,906
313,095,504
325,256,835
3.9%
$67,315
2017
8,020
8,152
2,998
% Change
3.0%
3.4%
-3.5%
2017
3,179
583
1,411
2,006
4,350
2,179
2,464
16,172
% of Total
19.7%
3.6%
8.7%
12.4%
26.9%
13.5%
15.2%
100.0%
USA 2012
% of Total
20.2%
4.2%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
% of Total
18.7%
3.7%
8.6%
12.5%
26.8%
14.1%
15.5%
100.0%
USA 2012
% of Total
20.2%
4.2%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
Some High School
High School Degree
Total
Pop Age
25+
2,287
2,915
6,054
3,886
1,623
16,765
% of Total
13.6%
17.4%
36.1%
23.2%
9.7%
100.0%
USA
% of Total
6.3%
8.6%
28.8%
28.5%
27.8%
100.0%
Some High School
High School Degree
Total
Pop Age
25+
1,823
1,470
3,913
2,540
913
10,659
% of Total
17.1%
13.8%
36.7%
23.8%
8.6%
100.0%
USA
% of Total
6.3%
8.6%
28.8%
28.5%
27.8%
100.0%
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
HH Count
2,641
1,576
2,844
1,433
666
678
% of Total
26.8%
16.0%
28.9%
14.6%
6.8%
6.9%
USA
% of Total
13.0%
10.7%
26.7%
19.5%
11.9%
18.2%
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
HH Count
1,939
1,095
1,660
840
333
369
% of Total
31.1%
17.6%
26.6%
13.5%
5.3%
5.9%
USA
% of Total
13.0%
10.7%
26.7%
19.5%
11.9%
18.2%
9,838
100.0%
100.0%
6,236
100.0%
100.0%
% of Total
98.2%
0.2%
0.5%
0.2%
0.9%
100.0%
USA
% of Total
62.8%
12.3%
17.0%
5.0%
2.9%
100.0%
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
4,671
938
2,007
3,302
6,995
3,309
3,159
24,381
% of
Total
19.2%
3.8%
8.2%
13.5%
28.7%
13.6%
13.0%
100.0%
Lawrence County Kentucky
2017
4,611
914
2,107
3,088
6,609
3,485
3,826
24,640
Total
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
All Others
Total
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
Total
Race/Ethnicity Distribution
USA
2012 pop
% of Total
% of Total
23,907
98.1%
62.8%
57
0.2%
12.3%
102
0.4%
17.0%
104
0.4%
5.0%
211
0.9%
2.9%
24,381
100.0%
100.0%
2012
3,003
688
1,319
2,129
4,462
1,976
2,092
15,669
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
All Others
Total
18 10
2012 pop
15,386
36
76
30
141
15,669
Scioto County
Lawrence County Ohio
Selected
Area
62,355
62,416
62,042
-0.6%
$43,080
2012
30,076
32,340
12,310
7.0%
6.5%
7.8%
% Change 2012 - 2017
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
11,633
2,452
5,008
8,438
17,397
7,905
9,583
62,416
2017
11,354
2,367
5,237
7,820
16,225
8,287
10,752
62,042
% of Total
18.3%
3.8%
8.4%
12.6%
26.2%
13.4%
17.3%
100.0%
Some High School
High School Degree
Total
Pop Age
25+
2,088
5,771
18,437
11,308
8,719
46,323
% of Total
4.5%
12.5%
39.8%
24.4%
18.8%
100.0%
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
HH Count
5,466
4,088
7,713
4,255
1,773
1,637
% of Total
21.9%
16.4%
30.9%
17.1%
7.1%
6.6%
24,932
100.0%
2012 pop
59,403
1,291
460
266
996
62,416
% of Total
95.2%
2.1%
0.7%
0.4%
1.6%
100.0%
Total
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
All Others
Total
% of
Total
18.6%
3.9%
8.0%
13.5%
27.9%
12.7%
15.4%
100.0%
USA
281,421,906
313,095,504
325,256,835
3.9%
$67,315
2017
29,905
32,137
11,722
Selected
Area
80,658
81,002
81,124
% Change 2012 2017
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
15,209
3,329
7,444
11,518
21,649
9,530
12,323
81,002
Less than High
School
Some High School
High School Degree
Total
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
Total
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
All Others
Total
20 11
% of
Total
18.8%
4.1%
9.2%
14.2%
26.7%
11.8%
15.2%
100.0%
USA
281,421,906
313,095,504
325,256,835
0.2%
$42,685
2012
39,682
41,320
15,763
9.7%
6.5%
7.8%
3.9%
$67,315
2017
39,817
41,307
15,054
% Change
0.3%
0.0%
-4.5%
2017
15,436
2,960
7,351
11,175
20,419
10,313
13,470
81,124
% of Total
19.0%
3.6%
9.1%
13.8%
25.2%
12.7%
16.6%
100.0%
USA 2012
% of Total
20.2%
4.2%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
Pop Age
25+
% of Total
USA
% of Total
3,319
6,612
21,792
15,504
7,793
55,020
6.0%
12.0%
39.6%
28.2%
14.2%
100.0%
6.3%
8.6%
28.8%
28.5%
27.8%
100.0%
HH Count
7,523
5,236
9,609
4,918
2,193
2,075
% of Total
23.8%
16.6%
30.5%
15.6%
6.9%
6.6%
USA
% of Total
13.0%
10.7%
26.7%
19.5%
11.9%
18.2%
31,554
100.0%
100.0%
% of Total
93.7%
2.6%
1.2%
0.3%
2.2%
100.0%
USA
% of Total
62.8%
12.3%
17.0%
5.0%
2.9%
100.0%
2012 pop
75,913
2,066
964
265
1,794
81,002
SNAPSHOT OF CONCERNS AND STRENGTHS
IDENTIFIED - ALL DATA SOURCES
Summary of key findings from Focus Group, Web
Survey, Kentucky Health Issues Poll, County Health
Rankings and Roadmaps, Leading Causes of Death in
Kentucky (UK Cooperative Extension Service, Health
Education through Extension Leadership (HEEL)
Program) and Leading Causes of Death in Ohio (Ohio
Department of Public Health report).
Perceived Region/Community Strengths:
•
•
•
•
•
•
•
•
•
People living in the region
Faith-based communities
Good healthcare/hospitals
School support among residents
State parks
Reduced cost prescriptions for those without insurance
Meals on Wheels programs in some communities
Tourism in parts of the region
Good collaboration/partnerships with social
service agencies
• Good places for business/corporations to locate
• Businesses/sponsors involved in community
Top Regional Health Concerns:
All eight counties shared many similar health problems.
Key findings from all data analyzed included the following
health-related concerns:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Obesity
Tobacco use
Respiratory ailments, including COPD and asthma
High rates of diabetes, cancers and cardiovascular
disease
Substance abuse, including alcohol, prescription
drugs and illegal drugs
Inactivity
Poor diet
Poverty, unemployment, homelessness
Hunger
Mental illness, including in children
Lack of transportation
High cost of healthcare/health insurance
Access and cost of healthy foods, including produce
Lack of education in general and specifically related
to healthy living/eating and knowledge of resources
available for assistance
Poor parenting/children being raised by grandparents
Lack of integrated medical and mental health
programs including substance abuse/addiction
facilities
Poor dental health
Uninsured or underinsured for health and/or
dental care
Low birth weight
Leading Causes of Death:
The following leading causes of death were found among
counties in KDMC’s service area in both Kentucky and
Ohio.
•
•
•
•
•
•
•
•
Cancers
Cerebrovascular diseases
Heart disease
Diabetes
Chronic lower respiratory disease
Motor vehicle accidents
Suicide
Homicide
See data summary table per county in next section of
report.
12
SUMMARY OF FINDINGS –
ALL DATA SOURCES
Boyd County •
•
•
•
•
•
•
Leading causes of death (compared to US, age adjusted rate, per 100,000) Lack of • heart disease – free/low cost 258/269.6 dental care • All cancers – Substance 247.4/191.7 abuse • Stroke – Poor air quality 107.2/55.9 Obesity • COPD – 57.4/42.9 Lack of transportation • Unintentional injury – Lack of mental 57.5/36.0 health and • Diabetes – substance abuse services 32.4/24.8 for adolescents smoking Behavioral Risk Factors (local % compared to nation) Barriers from Focus Group •
•
•
•
•
Adult smoking – 25%/26% Adult obesity – 36%/33% Physical inactivity – 34%/31% Excessive drinking – 8%/12% Teen birth rate – 56%/50% Environmental Concerns Identified •
•
•
•
•
Vulnerable Ways to improve Populations (local % health (from focus compared to groups) nation) Fine particulate matter/air quality 1 Drinking water safety Access to recreational facilities Limited access to healthy foods Too many fast food restaurants – •
•
•
•
•
Low birth weight – 10.8%/9.1% Uninsured 17%/18% High school graduation – 83%/78% Unemployment – 9%/9.5% Children in poverty – 30%/27% •
•
•
•
•
•
Need to reach people, take services to people Business encourage healthy lifestyles More mental health services More substance abuse services More church involvement in food pantries Healthy foods (Whole Foods/Trader Joe’s) Strengths as defined by focus groups •
•
•
•
•
•
Generous people Partners work well together to meet needs Good location for industry and other economic development Good corporate donors, partners Good hospitals YMCA Survey Respondents top 10 Issues (rank order) Obesity (1) Substance abuse (2) Cancer (3) Diabetes (3) Heart Disease (5) Tobacco (6) Breathing disorders (7) Poverty (8) Alcohol (9) Back pain (9) Greenup County Barriers from Focus Group •
•
•
•
•
•
•
•
•
•
•
•
Too much time spent with technology Time consuming to prepare healthy food Costs more to eat healthy Tobacco use Drug use Lack of activities No inpatient facilities for adolescents with behavioral issues Transportation Distance to care Working poor without insurance Doctors perceived as not good No afterschool programs Leading causes of death (compared to US, age adjusted rate) • heart disease – 282.4/269.6 • All cancers – 234.2/191.7 • Stroke – 73.0/55.9 • COPD – 59.1/42.9 • Unintentional injury – 43.9/36.0 • Diabetes – 38.1/24.8 •
•
•
•
•
•
Behavioral Risk Factors (local % compared to nation) Adult smoking – 25%/26% Adult obesity – 35%/33% Physical inactivity – 34%/31% Excessive drinking – 10%/12% Teen birth rate – 44/50 Violent crime – 91/264 Environmental Concerns Identified Ways to improve health (from focus groups) •
None listed on focus group information •
•
•
•
Vulnerable Populations (local % compared to nation) Fine • Low birth particulate weight – matter/air 9.1%/9.1% quality • Uninsured Drinking 17%/18% water • High school safety graduation – Access to 83%/78% recreational • Unemployment facilities – – 9.6%/9.5% Limited • Children in access to poverty – healthy 24%/27% foods Too many fast food restaurants Strengths as defined by focus groups •
•
•
•
•
•
•
Survey Respondents top 10 Issues (rank order) Faith-‐based Substance community abuse (1) Cancer (2) Extended Obesity (3) families Support of Tobacco (4) Diabetes (5) schools Breathing Sliding disorders (6) scale fee for mental Heart Disease healthcare (7) Poverty (8) Reduced cost Rx for Alcohol (9) Mental illness those (10) without Oral Health (10) insurance Good home health services Meals on wheels 13
Carter County Barriers from Focus Group •
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Leading causes of death (compared to US, age adjusted rate, per 100,000) Drug abuse – no inpatient facilities Unemployment Generational poverty Lack of school nurses Lower health dept. funding Mental health services – only one using sliding scale fee schedule Lack of transportation Only one referral service for free or reduced cost services Working poor overuse the ER Poor dental care Smoking Lack of availability of fresh foods Obesity Too much fast food Teen pregnancy rising •
•
•
•
•
•
Heart disease – 288.9/239.6 All cancers – 252.3/191.7 Stroke – 76.4/55.9 COPD – 66.3/42.9 Unintentional injury – 73.3/36.0 Diabetes – 25.1/24.8 Behavioral Risk Factors (local % compared to nation) • Adult smoking – 34%/26% • Adult obesity – 35%/33% • Physical inactivity – 43%/31% • Excessive drinking – 7%/12% • Teen birth rate – 52%/50% Environmental Concerns Identified •
•
•
•
•
Fine particulate matter/air quality Drinking water safety Access to recreational facilities Limited access to healthy foods Too many fast food restaurants Vulnerable Populations (local % compared to nation) •
•
•
•
•
Low birth weight – 9.4%/9.1% Uninsured 19%/18% High school graduation – 74%/78% Unemployment – 12.2%/9.5% Children in poverty – 33%/27% Ways to improve health (from focus groups) •
•
•
•
•
•
Safer areas for walking Improve education about drugs, smoking, healthier lifestyles Healthier choices in restaurants Group activities for adults and kids to encourage exercise More parent involvement in schools Better transportation Strengths as defined by focus groups Survey Respondents top 10 Issues (rank order) Family/roots, closeness of the people Location – close to state parks (those without transportatio
n cannot take advantage of trails, lakes) Substance abuse (1) Obesity (2) Diabetes (3) Cancer (4) Heart Disease (4) Breathing disorders (4) Tobacco (7) Back pain (8) Arthritis (9) Stress (9) •
•
Floyd County Barriers from Focus Group •
•
•
•
•
•
•
Dental care Lack of mental healthcare Obesity Poor nutrition Lack of transportation Home health services cut Reputation of hospital and doctors not good Leading causes of death (compared to US, age adjusted rate, per 100,000) • heart disease – 322.0/269.6 • All cancers – 271.9/191.7 • Stroke – 67.9/55.9 • COPD – 90.2/42.9 • Unintentional injury – 76.4/36.0 • Diabetes – 41.5/24.8 Behavioral Risk Factors (local % compared to nation) • Adult smoking – 30%/26% • Adult obesity – 37%/33% • Physical inactivity – 41%/31% • Excessive drinking – 8%/12% • Teen birth rate – 72/50 • Violent crime – 54/264 Environmental Concerns Identified •
•
•
•
•
Vulnerable Ways to improve Populations (local health (from % compared to focus groups) nation) Fine • Low birth • Better particulate weight – medical care matter/air 11.4%/9.1% • Build YMCA quality • Uninsured or other Drinking 17%/18% place for water sports • High school safety graduation – • Improve Access to 80%/78% communicati
recreational • Unemployment on about facilities opportunities – 10.2%/9.5% for kids Limited • Children in access to poverty – healthy 38%/27% foods – Too many fast food restaurants Mission: To Care. To Serve. To Heal.
14
Strengths as defined by focus groups •
•
•
•
•
•
•
•
Survey Respondents top 10 Issues (rank order) Substance abuse Close knit (1) families Cancer (2) Safe Large number Obesity (3) of sr. centers Breathing disorders Zumba classes (3) Alcohol (4) Upward Poverty (4) basketball Tobacco (4) Second Arthritis (4) Sunday Bike club Parks KING’S DAUGHTERS MEDICAL CENTER
Lawrence Co., KY Barriers from Focus Group •
•
•
•
•
•
•
•
•
•
•
•
•
Drug abuse Poor air quality Unhealthy lifestyles – tobacco use, obesity, uneducated about healthy foods Lack of places for exercise No public transportation Generational poverty Working poor w/o health insurance Unemployed & under employed Mistrust – intimidated by hospitals Fatalistic attitude Child neglect Seniors with limited money must choose between food, utilities, medicine Kids go hungry on weekends & summer Leading causes of death (compared to US, age adjusted rate, per 100,000) • heart disease – 347.6/269.6 • All cancers – 257.6/191.7 • Stroke – 64.2/55.9 • COPD – 80.3/42.9 • Unintentional injury – 67.9/36.0 • Diabetes – 38.1/24.8 Behavioral Risk Factors (local % compared to nation) •
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Get parents more involved in school Cut use of drugs, alcohol, tobacco among children Increase access to healthcare for kids Improve communicatio
n about social services Strengths as defined by focus groups Survey Respondents top 10 Issues (rank order) Good healthcare, good relationship between local hospital and larger ones Doctors involved in the community Tobacco free schools and businesses High school track open for community use Church workout area Obesity (1) Substance abuse (1) Diabetes (1 Heart Disease (1) Breathing disorders (5) Alcohol (5) •
•
•
•
•
Johnson County Barriers from Focus Group •
•
•
•
•
•
•
Transportation No school nurses Won’t ask for help Drugs Too much fast food Meals on wheels has waiting list Too many grandparents raising grand kids Leading causes of death (compared to US, age adjusted rate, per 100,000) • heart disease – 336.4/269.6 • All cancers – 254.8/191.7 • Stroke – 46.2/55.9 • COPD – 59.0/42.9 • Unintentional injury – 74.3/36.0 • Diabetes – 38.1/24.8 Behavioral Risk Factors (local % compared to nation) •
•
•
•
•
•
•
•
•
•
•
•
•
Ways to improve health (from focus groups) Low birth •
weight – 10.8%/9.1% •
Uninsured 18%/18% High school graduation – 79%/78% Unemployment – 10.0%/9.5% Children in poverty – 36%/27% School nurses Improve welfare system for working poor Strengths as defined by focus groups Survey Respondents top 10 Issues (rank order) Sense of community Great tourism Good collaborations/ partnerships among social service agencies Good law enforcement UNITE Good access to mental health services Schools with daycare & after school programs City adding more festivals, activities Walking club Recreation center Summer food program at schools Good library Low crime rate – safe place to walk Diabetes (1) Cancer (2) Back Pain (2) Alcohol (4) Domestic violence (4) Obesity (6) Heart Disease (7) Substance abuse (8) Tobacco (8) Breathing disorders (8) •
•
•
•
•
•
•
•
•
•
•
•
•
15
Scioto County Barriers from Focus Group •
•
•
•
•
•
•
•
•
•
Poor parenting – healthy eating, sleep habits Lack of jobs Lack of medical homes Loss of mobile food pantry Lack of public transportation Unhealthy lifestyles Not enough resources – case management, funding Drugs Crime related to drugs No psychiatric, detox or adolescent counseling centers Leading causes of death (compared to US, age adjusted rate, per 100,000) • heart disease – 273.6/269.6 • All cancers – 242.4/191.7 • Stroke – 43.7/55.9 • COPD – 73.7/42.9 • Unintentional injury – 75.6/36.0 • Alzheimer’s – 13.9/29.7 Ohio Behavioral Risk Factors (local % compared to nation) • Adult smoking – 33%/22% • Adult obesity – 34%/30% • Physical inactivity – 31%/27% • Excessive drinking – 14%/18% • Teen birth rate – 54%/38% Environmental Concerns Identified Ways to improve health (from focus groups) •
•
•
•
•
•
Vulnerable Populations (local % compared to nation) Fine • Low birth particulate weight – matter/air 9.4%/8.6% quality • Uninsured Drinking 17%/14% water • High school safety graduation – Access to 89%/78% recreational • Unemployment facilities – 8.4%/8.6% Limited • Children in access to poverty – healthy 37%/24% foods Too many fast food restaurants •
•
•
Promote •
local, whole foods Smoking •
cessation Exercise •
programs – community-‐
wide programs that work Strengths as defined by focus groups Location, landscape beautiful Two good hospitals A community health improvement plan is in development Survey Respondents top 10 Issues (rank order) Substance abuse (1) Obesity (2) Cancer (2) Heart Disease (4) Diabetes (5) Alcohol (6) Poverty (7) Tobacco (8) Breathing disorders (8) Back pain (10) Mental illness (10) Lawrence Co., Ohio Barriers from Focus Group •
•
•
•
•
Leading causes of death (compared to US, age adjusted rate, per 100,000) Lack of • heart disease – education about 225.5/269.6 healthy eating • All cancers – Too much fast 178.7/191.7 food • Stroke – Lack of 59.4/55.9 transportation • COPD – Cost of 46.6/42.9 healthcare • Unintentional Parents expect injury – free food, etc. 59.3/36.0 • Alzheimer’s – 13.2/29.7 Ohio Behavioral Risk Factors (local % compared to nation) •
•
•
•
•
Adult smoking – 25%/22% Adult obesity – 40%/30% Physical inactivity – 37%/27% Excessive drinking – 12%/18% Teen birth rate – 50%/38% Environmental factors •
•
•
•
•
Vulnerable Populations (local % compared to nation) Fine particulate matter/air quality Drinking water safety Access to recreational facilities Limited access to healthy foods Too many fast food restaurants •
•
•
•
•
•
•
•
•
•
16
Strengths as defined by focus groups None listed in Limit food focus group report stamp purchase to healthy foods Teach kids healthy choices Free or reduced cost services for senior citizens More walk-‐in clinics Teach young mothers healthy lifestyles Go where people are, teach about healthy foods Survey Respondents top 10 Issues (rank order) Obesity (1) Diabetes (1) Cancer (3) Substance abuse (4) Tobacco (5) Breathing disorders (5) Heart Disease (7) Alcohol (8) Arthritis (8) Back pain (10) Poverty (10) KING’S DAUGHTERS MEDICAL CENTER
PRIORITIZED COMMUNITY HEALTH
NEEDS TO BE ADDRESSED
The health and wellbeing of the communities it serves has
always been a priority for King’s Daughters Medical Center.
Recognizing the diverse and pressing health needs of the
people living in this largely rural and sprawling eightcounty service area is the driving force behind everything
we do.
These health needs were prioritized based on five factors:
• The ability of King’s Daughters to evaluate and
measure outcomes
• The prevalence of the issue throughout
King’s Daughters service areas
• Existing programs and partnerships that address the
specific needs
• The degree to which King’s Daughters can influence
long-term change
• Alignment with King’s Daughters strategic plan
KDMC regularly collects surveys and feedback from
patients to enhance the healthcare it provides. The medical
center also regularly reviews local, regional and national
healthcare data to ensure its strategic direction matches
the community’s needs and any projected state or national
changes/trends.
Detail regarding the strategies to address the needs
identified in this report, as well as resources for needs
King’s Daughters cannot feasibly address, are outlined in
the 2013 Implementation Plan.
The Community Health Needs Assessment conducted by
King’s Daughters in 2013, combined with the supplemental
data that was analyzed, revealed to us that the primary
health concerns of the community that the hospital can
continue to reasonably and realistically address include:
•
•
•
•
Obesity and diabetes
Cardiovascular disease
Cancer
Financial assistance and charity care
17
ADDENDUM
FOCUS GROUP FINDINGS
Barriers/Challenges to Boyd County residents’ health
• Lack of education
• Lack of free or reduced-cost dental care – There are discussions about bringing this to the health department.
• Substance abuse – This was the top finding the health
department’s research.
• Too many municipalities, counties and states make it
hard to coordinate services and raise funds.
• Aging, declining population – Young people leave for
college or to find jobs. Older people “retire to sunny
places and come home to die.”
• Environment – Poor air quality
• Unemployment
• Obesity — Health department has a new program for
childhood obesity. The grant was for 500 children but
only 37 enrolled. Some have already dropped out.
There was a discussion about the overwhelming number of obese children. It is so prevalent that some people who have children of normal weight believe them to
be underweight.
• Lack of transportation — no car, no money for gasoline, no bus service in rural areas, bus stops not convenient, some stops don’t have seats, which is an issue for
seniors. Some said there is a lack of transportation for
medical services, but there is a service in Carter County
that takes seniors to and from senior centers.
• Lack of adolescent services, mainly mental health and
substance abuse. No long-term treatment. A large
number of grandparents are raising grandchildren because parents are in prison for drugs. No role models.
One participant said a study showed 240 homeless children, but she believes that number is higher.
• Limited emergency shelters.
• Lack of good child care, particularly after-school care
• Smoking
Community Health Needs Assessment Focus Group
Findings by County:
Group 1 » Boyd County, Ky.
Ten agencies or businesses were represented at this
breakfast focus group on March 25 at KDMC. They were:
Ashland-Boyd County Health Department
Ashland Youth Development
American Red Cross
Boyd County Senior Center
CAReS (Community Assistance and Referral Services)
City of Ashland Parks Department
Community Hospice
Fairview High School Resource Center
Marathon Petroleum
Pathways (substance abuse and mental health services)
Boyd County’s median household income is $39,000 with
19 percent of its residents living below poverty. The population is 50,000.
Characteristics of a healthy community
• Parks
• Bike trails
• Outdoor activities available
• Good sidewalks
• Availability of health food – This comment created a
nice discussion about the topic. Some said fresh food
is available but people believe it is too expensive and
they don’t know how to prepare it. One participant said
cooking classes are available at the Community Kitchen.
Someone mentioned that schools were now serving
smaller portions and healthier options but kids don’t
like them.
Ways to improve the health of the community
• Need to learn best ways to reach people. Need to
go where they are. One person suggested kiosks at
Walmart offering healthy foods and recipes.
• Businesses could do more to encourage healthy lifestyles.
• More mental health services
• More substance abuse services. Hospice is seeing an
increase in the number deaths of people under 60.
Much of this is related to drug and alcohol abuse.
• More church involvement for food pantry programs.
• Need Whole Foods/Trader Joe’s
Strengths of the community
• Generous people
• Partners work well together to fill needs
• Good location for industry and other economic
• development
• Good corporate donors/partners
• Good hospitals
• YMCA – Some said cost is a barrier. Others said scholarships are available.
18
Group 2 » Lawrence County, Ohio
Group 3 » Greenup County, Ky.
A bank loan officer
A minister
Lawrence County School District Health Nurse
Vice President of Premier Therapy
Former teacher
Greenup News editor
KDMC Community Relations
Pathways
PrimaryPlus
Four people attended a lunch group at noon at the
Methodist Church in Ironton, Ohio, on March 25. Those
who attended were:
Five people attended the breakfast session on March 26
at the Greenup County Health Department. 20 were expected. Organizations represented in this session were:
Lawrence County, Ohio’s median household income
is $39,000 with 17 percent of its residents living below
poverty. The population is 62,000.
Greenup County’s median household income is $41,902
with 16 percent living below poverty level. The population
is 37,000.
• Parks
• Good climate
• Places to go where people can do things outside
• Community centers
• Fresh food choices
• Outdoor activities
• Good drinking water
• A mindset for health choices
Lawrence County has none of these. Minister said his
church tries to help with healthy snacks for backpacks and
a soccer league. Church offers healthy breakfast before
games, teaches about portion control, rewards good behavior.
• Faith-based community/good moral foundation
• Extended families
• Support of schools
• Sliding scale fee for mental healthcare
• Reduced cost prescriptions for those without insurance
• Good home health services and Meals on Wheels
Barriers/Challenges to Lawrence County residents’
health
• Lack of education about healthy eating habits
• Too many people eating fast food because it’s cheap
and easy
• Lack of transportation/cost of gasoline
• Cost of healthcare
• Parents expect children to get free food, toiletries,
clothing, etc.
Barriers/Challenges to Greenup County residents’
health
• Technology – people don’t talk to each other because
of texting, email, social media
• Time consuming to prepare healthy food
• Costs more to eat healthy/can’t compete with $1 menu
• Tobacco use
• Drug use
• Lack of activities
• No inpatient facilities for adolescents with behavioral
issues
• Grandparents or other relatives raising children because
parents are on drugs; custody suits by aunts, uncles and
grandparents are on the rise.
• Transportation
• Lack of knowledge of resources available
• Too proud to ask for help
• Elderly won’t go even a short distance (to Ashland or
Portsmouth) for care
• Working poor don’t have insurance so don’t receive
healthcare
• People perceive doctors are not good
• No good after-school programs, which are critical to
keeping kids out of trouble
• Education
• Limiting food stamp choices to healthy foods
• Teaching kids about healthy choices. Too late for parents.
• “Real” welfare reform – too many taking advantage of
current system
• Free or reduced cost services for senior citizens
• More walk-in clinics
• Teach younger mothers about healthy lifestyles
• Go where people are, like grocery stores, to teach them
about healthy foods.
19
Group 4 » Carter County, Ky.
• Unemployment – There are few employers in the county
and most jobs are service industry positions that pay low
wages.
• Generational poverty – Some people chose this because
it’s easy to “draw a check.” The school nurse relayed a
story about a child who said his ambition was to draw.
His teacher thought he wanted to be an artist and commented on that being a nice career. He then let her know
that he meant draw a government check. Because Carter
County, like many other Appalachian counties, is family
oriented people don’t want to leave to search for better
opportunities. Some feel an obligation to stay and take
care of sick or elderly parents.
• Healthcare needs of children compromised because
there are no school nurses. In some cases school administrative personnel are overseeing students’ needs by
performing duties such as testing blood sugar.
• Managed care has eliminated funding for health departments.
• Mental health issues – Only one agency provides a sliding fee scale.
• Seniors have transportation needs. They can’t get to doctor or physical therapy appointments. Some home health
services have been cut because funding has been cut.
• There is only one referral agency for those who need free
or reduced cost services.
• Working poor overusing emergency rooms.
• Poor dental care – One dentist told a participant that
he’d treated people in Third World countries that had
better teeth than some in Carter County.
• Smoking is acceptable.
• Obesity – Too many eating fast food.
• Lack of availability of fresh foods. Lack of interest in purchasing it. Some think they can’t afford it. The Senior
Center provides vouchers for use at the local farmers’
market but many seniors have no transportation to get
there.
• Teen pregnancy is on the rise.
Nine people attended this breakfast session, which was
held April 24 at the Carter County Senior Center. Those attending represented the following businesses or agencies.
A bank
A law firm
A state senator
Carter County Schools
Carter County Senior Center
FIVCO Area Development District
Grayson Rural Electric Cooperative
Kentucky Automotive
Kentucky Christian University
The population of Carter County is 27,500. The county has a
median household income of $35,000 with 18 percent living
below the poverty level.
• Recreation opportunities, such as walking and bike trails
– The community began building a trail a few years ago
but it was caught up in city/county bureaucracy and was
never completed.
• Access to healthcare – Transportation was the main barrier to healthy lifestyles in this community, which is largely
rural. Additionally, many services are not available locally
and residents have to leave the county for care. Without
gas money, or sometimes without a car, residents cannot
get to where the care is offered. There is a rural transportation system but it does not do medical transport.
Medicaid has limited transportation options and many
people do not know about it.
• Family/roots, closeness of people in the community – The
community comes together to help those in need.
• Location – close to state parks. Further discussion disclosed that even though three state parks are within close
proximity, those without transportation can’t take advantage of trails and lakes.
• Safer areas for walking. More lighted sidewalks or a
track/trail.
• Improve education regarding drugs, smoking, healthier
lifestyles in general. One participant suggested a community-wide program encouraging healthy lifestyles.
• Healthier choices in local restaurants.
• Group activities for adults and kids to encourage exercise
• More parental involvement in schools
• Better transportation
Barriers/Challenges to Carter County residents’ health
• Drug abuse – There are no inpatient facilities. The closest is in the next county and it is for men only. One participant said even though the problem still exists, it is
better. The community has been receiving grants for the
last five years and has research that shows drug use is on
the decline. She also said teens are still using alcohol and
marijuana but prescription pill use is not as prevalent.
Another participant said with the drop in the availability
of prescription medication, people are turning to heroin.
20
Group 5 » Scioto County, Ohio
Group 6 » Lawrence County, Ky.
Area Agency on Aging
Center for Appalachian Philanthropy
Daymar College
Portsmouth Health Commission
TSHD Architects
A bank
A library
Brown’s Food Service
Lawrence County Schools Adult Education
Lawrence County Schools Superintendent’s office
The population of Scioto County is 79,000. The median
household income is $34,000 with 22 percent living below
poverty level.
The Population of Lawrence County is 16,000 with a median
household income of $32,000 and 26 percent of the population living below the poverty level.
• Plentiful jobs
• People who exercise
• Walkways
• Bike trails
• Healthy lifestyles frame of mind
• Ability to work
• Access to healthcare
• Good infrastructure – This provides people a place to
walk and run. People in Lawrence County sometimes run
on US 23, which is heavily traveled by coal trucks and
other traffic.
Five people attended the lunch session that was conducted
at the KDMC Training Center in Portsmouth on April 24.
Those attending represented the following.
Five people attended a lunch session on May 8 at the
University of Kentucky Agriculture Cooperative Extension
Service in Louisa. Those attending represented the following:
• Location/landscape is beautiful
• Two good hospitals – There’s a need for more primary
care physicians and specialists. One priority would be an
endocrinologist because of the large number of people
with diabetes.
• Good healthcare – Local hospital has good relationships
with larger hospitals in the area.
• Doctors are involved in the community – Some have returned to Lawrence County to practice and are involved
in the community. People like to see their doctors at
sporting events, church, grocery store. They like to have
a relationship with their healthcare providers.
• Tobacco free schools and businesses
• Track at high school football field is well used by the
community. One local church has workout area.
Barriers/Challenges to Scioto County residents’ health
• Poor parenting – Children don’t have healthy eating or
good sleeping habits
• Lack of jobs.
• Loss of mobile food pantry.
• Lack of “medical homes” (a primary care physician office
that oversees all care).
• Lack of public transportation.
• Unhealthy lifestyles that cause medical problems.
Seeing Type 2 diabetes in middle school students.
• Not enough resources: funding, case management
• Drugs. Like Carter County, Ky., Scioto County has seen
a reduction in the abuse of prescription medications.
A statewide push in Ohio has shut down pill mills. Now
people are turning to heroin.
• Crime related to drugs.
• No psychiatric, detox or adolescent counseling centers
close by.
Barriers/Challenges to Lawrence County residents’
health
• Drug abuse – Many unemployed can’t pass drug screen.
• Industry produces poor air quality
• Unhealthy lifestyles – tobacco use, obesity, people uneducated about healthy foods
• Lack of places for exercise – No YMCA
• No public transportation so people can’t get to doctors’
appointments, lakes, parks
• Generational poverty – Large percentage on government aid. 600 students fit homeless designation. 70 percent receive free lunch.
• Growing number of working poor with no health insurance coverage.
• Too many unemployed and under employed.
• Mistrust. Intimidated by hospitals.
• Fatalistic attitude
• Too proud to ask for help/don’t know where to seek help
• Promote local, whole foods.
• Smoking cessation programs.
• Exercise programs. Community-wide programs work.
• A community health improvement plan is being developed with the assistance of the Scioto County Health
Coalition.
21
Barriers/Challenges to Johnson County residents’
health
• Transportation – No car, car doesn’t run well, no gas money
• No school nurses – funding cut so now there are no nurses or one nurse has several schools. Teachers having to
do nursing duty, dispense medications. Many kids with
asthma (30 students in one school on inhalers), diabetes
and some with feeding tubes.
• People don’t want to admit they need help.
• Drugs
• Too much fast food
• Meals on Wheels has waiting list
• Too many grandparents raising grandchildren. School
has support group for them.
• Child neglect
• Too many seniors choosing between buying food/
utilities and medicine.
• School system has grant to provide fresh produce at one
school, but no evidence yet that it is changing eating
habits.
• Kids going hungry on weekends and during summer
because no access to backpack programs.
• Get parents more involved with schools
• Cut use of drugs, alcohol and tobacco among children.
Research shows 6th, 8th and 10th graders have access
and are using.
• Increase access to healthcare for children – KCHIP applications on the rise, but many children are neglected.
County is large and rural so there are pockets of isolation.
• Improve communication about social services – where/
how to get help
• Get school nurses back in every school.
• Improve welfare system for working poor. Some families
could have two incomes but would lose medical card
and food stamps. Develop program that allows them to
keep benefits and work.
Group 7 » Johnson County, Ky.
Three people attended a breakfast session at the Paintsville
Recreation Center on May 9. Attendees represented school
resource centers and the local Chamber of Commerce.
Group 8 » Floyd County, Ky.
Two people participated in the lunch session on May 9
at the University of Kentucky Agriculture Cooperative
Extension Service in Prestonsburg. They were a retired
nurse who now works at a funeral home and an employee
of the Extension Service.
The population of Johnson County is 23,000. The median
poverty level.
The population of Floyd County is 16,000. The median
poverty level.
• Good places for exercise, like a YMCA
• Fresh food available
• Good transpiration system
• Close knit families
• Safe
• Large number of senior citizen’s centers
• Many participating in Zumba classes
• Upward basketball program
• Second Sunday – 300 attended last year’s exercise event
on the second Sunday in October.
• Bike club
• Several parks
• Sense of community. People support each other.
• Great tourism
• Good collaboration/partnerships with social services
agencies
• Good city police and sheriff’s office
• Operation UNITE program (Unlawful Narcotics Investigation Treatment and Enforcement - county anti-drug
coalition)
• Good access to mental health care
• Daycare at schools and good after school program
• City adding more activities and festivals
• Walking club
• Recreation Center
• Summer feeding program at schools – many don’t take
advantage of it
• Good public library
• Low crime rate – safe to walk
Barriers/Challenges to Floyd County residents’ health
• Dental care needed. Most dentists won’t accept Medicaid
• Lack of good mental healthcare
• Obesity
• Poor nutrition
• Lack of transportation
• Home health services have been cut
• Reputation of doctors and hospital not good. People
who can get healthcare go elsewhere.
22
• Better medical care
• Build a YMCA or other place for sports. Some kids will
play in Y leagues but not at school.
• Improve communication about opportunities for kids
Community Health Needs Assessment
Web Survey Findings
There were 281 total respondents to KDMC’s online survey.
Result breakdown:
23
24
25
26
27
28
29
30
3A. Are there any children under age 18
currently residing in your home?
__ Yes
__ No
3B. If yes, how many?
__ 1
__ 2
__ 3
__ 4
__ 5
__ More than 5
4. What is your race/ethnic origin?
Choose all that apply:
__ White/Caucasian
__ Asian
__ African American
__ Hispanic or Latino
__ American Indian or Alaskan Native
__ Native Hawaiian or Other Pacific Islander
__ Other: ___________
5. Do you or any member of your household have
health insurance?
__ Yes
__ No
Online Public Survey Questions
5A. If yes, please specify type. Choose all that apply.
__ Employer-provided commercial insurance
__ Private insurance
__ Medicare
__ Medicaid
__ CHIP
__ None
Thank you for participating in King’s Daughters’ Community
Needs Assessment. We appreciate your help in understanding the unique needs of the communities we serve.
All responses are anonymous; your answers will be combined with those of othersto provide us with powerful information to improve our community outreach efforts.
6. Employment status. Are you:
__ Currently employed full time
__ Currently employed part time
__ Self-employed
__ Unemployed and receiving unemployment benefits
__ Unemployed and not receiving benefits
__ Disabled / Unable to work
__ Retired
1. Are you:
__ Male
__ Female
2. Your Age:
__ 18 – 24
__ 25 – 44
__ 45 – 64
__ 65 – 74
__ Over 74
7. How would you describe your overall health?
__ Excellent
__ Good
__ Fair
__ Poor
3. Total household size:
__ 1
__ 2
__ 3
__ 4
__ 5
__ More than 5
31
8. How would you rate your satisfaction with your
current health? Are you:
__ Very satisfied
__ Somewhat satisfied
__ Neither satisfied nor dissatisfied
__ Somewhat dissatisfied
__ Very dissatisfied
10C. What are the most important reasons you visit
your primary care provider? Check all that apply.
__ Care for routine illnesses like colds, flu, fever, coughs
__ Treatment of minor injuries
__ Preventive services, such as immunizations
__ Annual physical
__ Care for chronic condition
__ Referral to specialists
__ Other: __________
9. Do you have a primary care provider such as a family
doctor, nurse practitioner or physician assistant?
__ Yes
__ No
11. Have you used a hospital emergency room in the
past 24 months?
__ Yes
__ No
9A. If no, what is the main reason you don’t have a
primary care provider?
__ Can’t afford it
__ No insurance
__ Not sick / don’t need one
__ Provider retired / left area
__ No one taking patients in my area
__ Not convenient
__ Other: _______________________________
11A. If yes, what was the reason for your visit?
__ Serious illness, such as heart attack, stroke,
pneumonia, heart failure
__ Serious injury, such as automobile accident, workplace
injury, broken bone, deep laceration, uncontrollable
bleeding
__ Exposure to toxic substances, chemicals
__ Other: ______________________
10. If you have a primary care provider, how long do
you usually have to wait for an appointment to see
him/her?
__ Less than a day
__ 2 to 3 days
__ 4 to 7 days
__ 8 to 14 days
__ More than two weeks
12. Have you used a free-standing urgent care facility
in the past 24 months?
__ Yes
__ No
12A. If yes, what was the reason for your visit?
__ Care for routine illness
__ Care for simple injury
__ Immunization
__ Treatment of allergic reaction, such as poison ivy,
bee sting, etc.
__ Care for sprain, strain
__ Removal of foreign object
__ Other: ____________________
10A. How often do you seen your primary care
provider?
__ Once a year
__ Twice a year
__ Four times a year
__ Monthly
__ Other: _________
13. Have you been admitted to a hospital or had surgery at a hospital in the past 24 months?
__ Yes
__ No
10B. How far is your primary care provider’s office
from your home?
__ 0 to 5 miles
__ 6 to 14 miles
__ 15 to 29 miles
__ 30 to 59 miles
__ More than 60 miles
32
13A. If yes, which hospital(s) did you use? Choose all
that apply:
__ King’s Daughters Medical Center, Ashland, Ky.
__ Our Lady of Bellefonte Hospital, Russell, Ky.
__ Three Rivers Medical Center, Louisa, Ky.
__ Highlands Regional Medical Center, Prestonsburg, Ky.
__ Paul B. Hall Regional Medical Center, Paintsville, Ky.
__ Pikeville Medical Center, Pikeville, Ky.
__ Cabell-Huntington Hospital, Huntington, W.Va.
__ St. Mary’s Medical Center, Huntington, W.Va.
__ King’s Daughters Medical Center Ohio, Portsmouth,
Ohio
__ Southern Ohio Medical Center, Portsmouth, Ohio
__ Holzer Hospital, Gallipolis, Ohio
__ Holzer Medical Center, Jackson, Ohio
__ Other: ___________________________
16. What are the Top 10 health issues faced by your
community? Rank them in order, with 1 indicating the
most important concern, 2 the second-most important
concern and so on.
__ Alcohol use
__ Arthritis
__ Back Pain
__ Breathing problems (COPD, emphysema, asthma etc.)
__ Cancer
__ Clean water
__ Diabetes
__ Domestic violence
__ Drug / substance abuse
__ Education
__ Heart disease
__ Housing
__ Immunizations
__ Mental illness
__ Obesity
__ Oral health
__ Pollution
__ Poverty
__ Preventive services / wellness
__ Stress
__ Violence (other than domestic)
__ Workplace safety
__ Other: _______________
14. During the past 24 months, have you been seen
by a specialist physician, other than your primary care
provider?
__ Yes
__ No
14A. If yes, what kind of specialist did you see?
Choose as many as apply.
___ Cardiologist
___ Endocrinologist
___ Gastroenterologist
___ General Surgeon
___ Heart Surgeon
___ Nephrologist
___ Neurologist
___ Neurosurgeon
___ Ob/Gyn
___ Orthopedic Surgeon
___ Pediatrician
___ Other: ______________________
17. What are the Top 5 challenges people in your
community face in getting healthcare?
__ There aren’t enough primary care physicians / providers
__ There aren’t enough specialist physicians
__ There aren’t the right kinds of physicians
__ Healthcare is too expensive
__ No insurance
__ Can’t get to the doctor’s office / transportation
__ Lack of education
__ Can’t afford medications
__ It’s not convenient
__ Poor quality
__ Other: _________________
15. How far did you travel to see this specialist?
(If you saw more than one specialist, answer this
question based on the specialist who was farthest
from your home.)
__ Less than 5 miles
__ 6 to 15 miles
__ 16 to 30 miles
__ 31 to 60 miles
__ 61 to 90 miles
__ More than 90 miles
18. Over the past three years, would you say the
health of your community, in general, has:
__ Gotten much better
__ Gotten somewhat better
__ Stayed about the same
__ Gotten worse
__ Gotten much worse
33
Overview from Kentucky Health Issues
Telephone Survey/Poll
19. What is the highest level of education you
personally completed:
__ Some High School
__ High School Graduate / GED
__ Technical School
__ Some College
__ College Graduate
__ Post Graduate Degree
In late 2012, the Foundation for a Healthy Kentucky and
The Health Foundation of Greater Cincinnati sponsored
the Kentucky Health Issues Poll (KHIP), a telephone survey with a random sample of 1,680 adults from throughout
Kentucky. Of these, 343 respondents resided in the Eastern Kentucky Development Area that includes but is not
limited to the six counties in KDMC’s primary market area.
20. What is your household’s total annual income?
__ Less than $15,000
__ $15,000-$25,000
__ $26,000-$35,000
__ $36,000-$45,000
__ $46,000-$55,000
__ $56,000-$65,000
__ $66,000-$75,000
__ $76,000-$85,000
__ $86,000-$100,000
__ $101,000-$150,000
__ $151,000-$250,000
__ More than $250,000
In eastern Kentucky, the majority of respondents:
• Favored integration of mental health and medical
services (69%)
• Found health care costs to be a financial burden (62%)
• Put off getting needed healthcare (53%)
• Needed more information about how the Patient
Protection and Affordable Care Act would affect them
personally (61%)
• Favored a statewide, smoke-free law (58%)
In addition, adults in eastern Kentucky were more likely
(in comparison to the rest of the state) to:
Thank you for your help. If you would like to receive a copy
of the needs assessment when it’s complete, please provide
your email address here: ___________________________
(optional)
• Rely on home remedies or over-the-counter drugs instead
of going to the doctor
• Know someone who experienced problems as a result
of abusing prescription pain relievers
• Recognize that drug poisonings/overdoses were the
leading cause of unintentional death in the state
• Avoid filling a prescription for medicine
• Cut pills in half or skip doses of prescribed medicine
And, adults in eastern Kentucky were less likely (in comparison to the rest of the state) to:
• Have dental insurance or go to the dentist
• Describe their health status as “excellent” or “very good”
34
Findings from County Health Rankings and
Roadmaps Program by County
The County Health Rankings Model (Data collected through a collaboration between the
Robert Wood Johnson Foundation and the University of
Wisconsin Population Health Institute.)
KDMC reviewed data from The County Health Rankings
and Roadmaps program, a collaboration between the
Robert Wood Johnson Foundation and the University of
Wisconsin Population Health Institute. The County Health
Rankings show the rank of the health of nearly every county in the nation looking at a variety of measures that affect
health such as rate of people dying before age 75, high
school graduation rates, unemployment, access to healthy
foods, water quality, income, rates of smoking, obesity and
teen births.
The county-level estimates based on the Behavioral Risk
Factor Surveillance System (BRFSS) data are calculated
for the County Health Rankings by staff at the Centers for
Disease Control and Prevention. They use seven years of
data (wherever possible), thus their estimates represent
an average over the seven years. The BRFSS measures in
the 2013 County Health Rankings are based on data from
2005-2011. Except for 2011, the public use final weight
variable was used to produce estimates. These weights
ensure state level estimates reflect the age-sex-race distributions of the state. These weights might not always
provide accurate county level estimates; particularly when
county age-sex-race distributions vary greatly from that
of the state. For 2011 BRFSS data, a post stratification
weight was calculated using the aforementioned approach
for landline respondents only. Other publically available
BRFSS data for 2011 include cellphone respondents and
are based on a revised weighting methodology—consequently these estimates should not be compared to data
from prior years nor to the estimates produced for the
County Health Rankings.
20 Details about the methodology used for calculating ranks
in the charts provided in this report can be found at:
http://www.countyhealthrankings.org/ranking-methods/
calculating-scores-and-ranks.
See following charts.
35
Access to recreational facilities
8
8
16
Limited access to healthy foods**
11%
5%
1%
Fast food restaurants
64%
54%
27%
* 90th percentile, i.e., only 10% are better.
** Data should not be compared with prior years due to changes in definition.
Note: Blank values reflect unreliable or missing data
Boyd
County
Error
Kentucky
Margin
National
Trend
Benchmark*
88
Mortality
74
10,006
9,03310,978
8,768
5,317
Poor or fair health
25%
22-28%
21%
10%
Poor physical health days
5.6
4.9-6.3
4.7
2.6
Poor mental health days
5.4
4.6-6.3
4.3
2.3
Low birthweight
10.8%
9.9-11.8%
9.1%
6.0%
Premature death
Morbidity
98
Health Factors
38
Health Behaviors
49
Adult smoking
25%
22-28%
26%
13%
Adult obesity
36%
32-40%
33%
25%
Physical inactivity
34%
30-37%
31%
21%
Excessive drinking
8%
6-11%
12%
7%
Motor vehicle crash death rate
17
13-22
20
10
Sexually transmitted infections
305
377
92
Teen birth rate
56
52-61
50
21
Uninsured
17%
15-19%
18%
11%
Primary care physicians**
902:1
1,588:1
1,067:1
Dentists**
1,732:1
1,855:1
1,516:1
Preventable hospital stays
99
91-106
103
47
Diabetic screening
86%
81-92%
84%
90%
Mammography screening
65%
58-71%
62%
73%
Clinical Care
22 46
High school graduation**
83%
Some college
60%
Unemployment
9.0%
Children in poverty
30%
Inadequate social support
Boyd
Children in single-parent
County
households
19%
16-22%
Error
Kentucky
Margin
35%
29-42%
20%
14%
National
Trend
Benchmark*
33%
20%
Violent crime rate
78%
268
264
55-65%
23-37%
56%
70%
9.5%
5.0%
27%
14%
66
Physical Environment
Rank
(of
120)
21 111
Daily fine particulate matter
12.7
13.1
8.8
Drinking water safety
65%
11%
0%
8
8
16
11%
5%
1%
64%
54%
12.5-12.9
27%
2013
9
Social & Economic Factors
Rank
(of
120)
Health Outcomes
2013
36
Error
Kentucky
Margin
Carter
County
National
Trend
Benchmark*
Rank
(of
120)
Health Outcomes
91
Mortality
87
10,825
9,45612,194
8,768
5,317
Poor or fair health
32%
28-37%
21%
10%
5.6
4.7-6.6
4.7
2.6
5.2
4.2-6.2
4.3
2.3
Low birthweight
9.4%
8.3-10.5%
9.1%
6.0%
Premature death
Morbidity
90
Health Factors
87
Health Behaviors
103
Adult smoking
34%
29-39%
26%
13%
Adult obesity
35%
30-40%
33%
25%
Physical inactivity
43%
38-49%
31%
21%
Excessive drinking
7%
5-11%
12%
7%
36
28-45
20
10
170
377
92
Teen birth rate
52
47-58
50
21
Uninsured
19%
16-21%
18%
11%
5,541:1
1,588:1
1,067:1
Dentists**
3,542:1
1,855:1
1,516:1
85
74-95
103
47
Diabetic screening
83%
75-91%
84%
90%
50%
43-58%
62%
73%
Clinical Care
61
83
74%
Some college
50%
Unemployment
12.2%
Children in poverty
33%
23%
19-28%
Error
Kentucky
Margin 17-31%
24%
20%
14%
National
Trend
Benchmark* 20%
33%
Violent crime rate
69
264
12.7
13.1
8.8
37%
11%
0%
7
8
16
2%
5%
1%
64%
54%
27%
Carter in single-parent
Children
County
households
24 78%
44-57%
24-43%
56%
70%
9.5%
5.0%
27%
14%
66
Rank
(of
120)
25 62
12.6-12.9
2013
37
2%
5%
64%
54%
1%
27%
2013
26 Mission: To Care. To Serve. To Heal.
27 38
28 Access to recreational facilities
0
Limited access to healthy foods** 2%
8
16
5%
1%
KING’S
DAUGHTERS
MEDICAL
CENTER
66%
54%
27%
Floyd
County
Error
Kentucky
Margin
National
Trend
Benchmark*
120
Mortality
116
14,472
13,11615,827
8,768
5,317
Poor or fair health
38%
34-42%
21%
10%
8.1
7.2-9.0
4.7
2.6
6.2
5.3-7.0
4.3
2.3
Low birthweight
11.4%
10.4-12.4%
9.1%
6.0%
Premature death
Rank
(of
120)
Health Outcomes
Morbidity
118
Health Factors
97
Health Behaviors
108
Adult smoking
30%
26-34%
26%
13%
Adult obesity
37%
33-41%
33%
25%
Physical inactivity
41%
36-45%
31%
21%
Excessive drinking
8%
6-12%
12%
7%
32
25-39
20
10
238
377
92
Teen birth rate
72
66-77
50
21
Uninsured
19%
17-21%
18%
11%
1,360:1
1,588:1
1,067:1
Dentists**
1,676:1
1,855:1
1,516:1
203
189-217
103
47
Diabetic screening
77%
71-83%
84%
90%
54%
47-61%
62%
73%
Clinical Care
85
84
80%
Some college
41%
Unemployment
10.2%
Children in poverty
38%
Floyd
County
households
32%
28-37%
Error
Kentucky
Margin
35%
27-44%
20%
14%
National
Trend
Benchmark* 20%
33%
Violent
crime rate
78%
54
264
12.4
13.1
8.8
95%
11%
0%
0
8
16
5%
1%
54%
27%
36-47%
28-47%
56%
70%
9.5%
5.0%
27%
14%
66
30 Rank
(of
120)
29 112
66%
12.2-12.5
2013
2013
39
Johnson
County
Error
Kentucky
Margin
National
Trend
Benchmark*
Rank
(of
120)
Health Outcomes
108
Mortality
111
13,396
11,61815,175
8,768
5,317
Poor or fair health
30%
25-35%
21%
10%
6.3
5.2-7.4
4.7
2.6
6.1
4.9-7.3
4.3
2.3
Low birthweight
10.8%
9.5-12.1%
9.1%
6.0%
Premature death
Morbidity
105
Health Factors
66
Health Behaviors
75
Adult smoking
27%
22-33%
26%
13%
Adult obesity
38%
33-44%
33%
25%
Physical inactivity
35%
31-41%
31%
21%
Excessive drinking
5%
3-7%
12%
7%
23
16-32
20
10
60
377
92
Teen birth rate
51
45-57
50
21
Uninsured
18%
16-20%
18%
11%
1,463:1
1,588:1
1,067:1
Dentists**
3,990:1
1,855:1
1,516:1
206
188-225
103
47
Diabetic screening
82%
74-91%
84%
90%
63%
54-73%
62%
73%
Clinical Care
66
32 74
79%
78%
Some college
41%
Unemployment
10.0%
Children in poverty
36%
Johnson
Children
County in single-parent
households
23%
19-29%
Error
Kentucky
Margin
28%
20-36%
20%
14%
National
Trend
Benchmark* 20%
33%
Violent
crime rate
59
264
12.5
13.1
8.8
0%
11%
0%
9
8
16
5%
1%
54%
27%
35-47%
27-44%
56%
70%
9.5%
5.0%
27%
14%
66
Rank
(of
120)
33 7
53%
12.3-12.6
2013
40
8
16
9
5%
1%
54%
27%
53%
2013
34 36 35 41
0
8
16
6%
5%
1%
60%
54%
27%
Lawrence
County
Error
Kentucky
Margin
National
Trend
Benchmark*
100
Mortality
94
11,211
9,45312,968
8,768
5,317
Poor or fair health
27%
22-32%
21%
10%
5.4
4.2-6.6
4.7
2.6
4.8
3.6-5.9
4.3
2.3
Low birthweight
15.8%
13.9-17.6%
9.1%
6.0%
Premature death
Rank
(of
120)
Health Outcomes
2013
Morbidity
112
Health Factors
99
Health Behaviors
106
Adult smoking
34%
28-41%
26%
13%
Adult obesity
36%
31-42%
33%
25%
Physical inactivity
37%
31-43%
31%
21%
Excessive drinking
6%
3-11%
12%
7%
37
27-50
20
10
101
377
92
Teen birth rate
60
53-68
50
21
Uninsured
18%
16-20%
18%
11%
1,589:1
1,588:1
1,067:1
Dentists**
5,333:1
1,855:1
1,516:1
213
191-236
103
47
Diabetic screening
78%
68-87%
84%
90%
56%
45-66%
62%
73%
Clinical Care
97
38 95
58%
78%
Some college
40%
Unemployment
11.2%
Children in poverty
35%
Lawrence
County
households
18%
14-24%
Error
Kentucky
29%
18-39%
Margin
20%
14%
National
Trend
33%
Benchmark* 20%
Violent
crime rate
70
264
12.6
13.1
8.8
0%
11%
0%
0
8
16
6%
5%
1%
60%
54%
27%
32-47%
25-44%
56%
70%
9.5%
5.0%
27%
14%
66
Rank
(of
120)
37 72
12.4-12.7
2013
42
Greenup
County
Error
Kentucky
Margin
National
Trend
Benchmark*
Rank
(of
120)
Health Outcomes
54
Mortality
45
9,047
7,94410,151
8,768
5,317
Poor or fair health
25%
21-29%
21%
10%
5.5
4.7-6.3
4.7
2.6
4.3
3.3-5.3
4.3
2.3
Low birthweight
9.1%
8.0-10.1%
9.1%
6.0%
Premature death
Morbidity
63
Health Factors
31
Health Behaviors
29
Adult smoking
25%
21-29%
26%
13%
Adult obesity
35%
31-39%
33%
25%
Physical inactivity
34%
30-38%
31%
21%
Excessive drinking
Greenup
County
10%
8-13%
Error
Kentucky
Margin
16
12-22
12%
7%
National
Trend
Benchmark*
20
10
119
377
92
Teen birth rate
44
39-48
50
21
Uninsured
17%
15-18%
18%
11%
1,678:1
1,588:1
1,067:1
Dentists**
3,396:1
1,855:1
1,516:1
127
117-137
103
47
Diabetic screening
84%
77-90%
84%
90%
62%
55-70%
62%
73%
Clinical Care
18
83%
Some college
57%
Unemployment
9.6%
Children in poverty
24%
78%
51-62%
56%
70%
9.5%
5.0%
18-30%
27%
14%
20%
16-24%
20%
14%
households
29%
24-34%
33%
20%
Violent crime rate
91
264
66
13.1
8.8
40 41 31
Rank
(of
120)
110
12.8
12.6-13.0
29%
11%
0%
3
8
16
8%
5%
1%
71%
54%
27%
2013
Greenup
County
Error
Kentucky
Margin
National
Trend
Benchmark*
Health Outcomes
54
Mortality
42 45
9,047
7,94410,151
8,768
5,317
Poor or fair health
25%
21-29%
21%
10%
5.5
4.7-6.3
4.7
2.6
4.3
3.3-5.3
4.3
2.3
Low birthweight
9.1%
8.0-10.1%
9.1%
6.0%
Premature death
Rank
(of
120)
Morbidity
63
43
43 Lawrence
County
44 Error
Ohio
Margin
National
Trend
Benchmark*
Health Outcomes
87
Mortality
Premature death
78
8,994
8,172-9,816 7,457
5,317
Poor or fair health
28%
20-37%
15%
10%
7.0
4.7-9.2
3.6
2.6
6.6
4.7-8.5
3.8
2.3
Low birthweight
11.4%
10.5-12.3%
8.6%
6.0%
Morbidity
44
Health Factors
Rank
(of 88)
88
81
Lawrence
County
Error
Ohio
Margin
National
Trend
Benchmark*
Rank
(of 88)
Health Outcomes
87
Mortality
Premature death
78
8,994
8,172-9,816 7,457
5,317
Poor or fair health
28%
20-37%
15%
10%
7.0
4.7-9.2
3.6
2.6
6.6
4.7-8.5
3.8
2.3
Low birthweight
11.4%
10.5-12.3%
8.6%
6.0%
Morbidity
88
Health Factors
81
Health Behaviors
86
Adult smoking
25%
18-34%
22%
13%
Adult obesity
40%
34-45%
30%
25%
Physical inactivity
37%
31-42%
27%
21%
Excessive drinking
Lawrence
County
12%
7-18%
Error
Ohio
Margin
15
11-19
18%
7%
National
Trend
Benchmark*
11
10
159
422
92
Teen birth rate
50
46-53
38
21
Uninsured
15%
13-17%
14%
11%
2,312:1
1,348:1
1,067:1
Dentists**
3,943:1
1,928:1
1,516:1
105
98-113
79
47
Diabetic screening
79%
74-84%
83%
90%
63%
56-69%
63%
73%
Clinical Care
Rank
(of 88)
45 73
61
82%
Some college
47%
Unemployment
8.4%
Children in poverty
29%
78%
61%
70%
8.6%
5.0%
21-37%
24%
14%
28%
20-37%
20%
14%
Children in single-parent households 37%
31-42%
34%
20%
332
66
13.4
8.8
Violent crime rate
43-51%
121
64
12.8
12.6-12.9
0%
2%
0%
5
10
16
6%
6%
1%
71%
55%
27%
47 2013
46 45
Scioto
County
Error
Ohio
Margin
National
Trend
Benchmark*
Rank
(of
88)
Health Outcomes
88
Mortality
88
11,798
10,92312,673
7,457
5,317
Poor or fair health
24%
17-32%
15%
10%
6.8
4.9-8.8
3.6
2.6
5.9
4.0-7.8
3.8
2.3
Low birthweight
9.4%
8.7-10.1%
8.6%
6.0%
Premature death
Morbidity
87
Health Factors
88
Health Behaviors
48 87
Adult smoking
33%
26-42%
22%
13%
Adult obesity
34%
28-40%
30%
25%
Physical inactivity
31%
26-37%
27%
21%
Excessive drinking
Scioto
County
14%
9-22%
Error
Ohio
Margin
16
12-19
18%
7%
National
Trend
Benchmark*
11
10
Sexually
transmitted infections
284
422
92
54
51-58
38
21
Uninsured
17%
15-18%
14%
11%
1,893:1
1,348:1
1,067:1
Dentists**
3,465:1
1,928:1
1,516:1
120
113-127
79
47
Diabetic screening
80%
75-84%
83%
90%
53%
48-58%
63%
73%
Teen birth rate
Clinical Care
Scioto
County
Error
Ohio
Margin
National
Trend
Benchmark*
Rank
(of
88)
Health Outcomes
88
Mortality
88
Premature death
11,798
10,92312,673
7,457
Morbidity
87
Poor or fair health
24%
17-32%
15%
10%
6.8
4.9-8.8
3.6
2.6
5.9
4.0-7.8
3.8
2.3
Low birthweight
9.4%
8.7-10.1%
8.6%
6.0%
88
Health Behaviors
87
Adult smoking
33%
26-42%
22%
13%
Adult obesity
34%
28-40%
30%
25%
Physical inactivity
31%
26-37%
27%
21%
Excessive drinking
14%
9-22%
18%
7%
16
12-19
11
10
89%
Some college
49%
Unemployment
12.1%
Children in poverty
37%
78%
45-52%
61%
70%
8.6%
5.0%
30-44%
24%
14%
27%
20-37%
20%
14%
households
33%
27-38%
34%
20%
Violent crime rate
224
332
66
13.4
8.8
68
13.0
12.9-13.1
0%
2%
0%
3
10
16
7%
6%
1%
61%
55%
27%
Health Factors
49 84
5,317
Rank
(of
88)
85
2013
49 46
51 47
52 Leading Causes of Deaths in KDMC Kentucky County Service Areas The following data is taken from the Kentucky Cooperative Extension Service, Health Education through Extension Leadership (HEEL) Program. These profiles use the most current data to assist Extension Agents in understanding the health status of their county. The overall age-‐adjusted rate* in Kentucky is 970.5 people per 100,000. However, disparities exist across the Commonwealth in the number of deaths from various causes. To create this profile, death rates for select causes were compiled by county. Within each category, county death rates were divided into five groups (quintiles). These quintiles are numbered 1 through 5, where counties in Quintile 5 have the highest death rates for a specific cause of death and those in Quintile 1 have the World-Class
In Our
Communities
lowest death rates. For eVision:
xample, Lawrence County Care
is in Quintile 5 for Diabetes. That means it is among the Kentucky counties with the highest death rates for diabetes. COMMUNITY HEALTH NEEDS ASSESSMENT
Leading Causes of Deaths in KDMC Kentucky County Service Areas
The following charts contain quintile assignments by
county, county death rates, as well as state and national
death rates for comparison.
The following data is taken from the Kentucky Cooperative
Extension Service, Health Education through Extension
Leadership (HEEL) Program. These profiles use the most
current data to assist Extension Agents in understanding
the health status of their county.
*Since each county has a different breakdown of agegroups, actual numbers of deaths cannot be compared.
Thus, the numbers are “adjusted” for age to allow for
comparison.
The overall age-adjusted death rate* in Kentucky is 970.5
people per 100,000. However, disparities exist across the
Commonwealth in the number of deaths from various
causes. To create this profile, death rates for select causes
were compiled by county. Within each category, county
death rates were divided into five groups (quintiles). These
quintiles are numbered 1 through 5, where counties in
Quintile 5 have the highest death rates for a specific cause
of death and those in Quintile 1 have the lowest death
rates. For example, Lawrence County is in Quintile 5 for
Diabetes. That means it is among the Kentucky counties
with the highest death rates for diabetes.
All data was compiled and calculated by Ashley Bostic.
All age-adjusted rates were adjusted to the 2000 standard population. U.S., Kentucky and county age-adjusted
rates were calculated from CDC Wonders mortality data.
ICD-10 Codes were used to define each cause of death.
Rates calculated using number of deaths less than 20 are
unstable because a small change in the number could
greatly impact the rate. Unstable rates are unreliable due
to their high variability.
define each cause of death. Rates calculated using number of deaths less than 20 are unstable because a small change in the humber could greatly impact the rate. Unstable rates are unreliable due to their high variability. Boyd County Carter County Mission: To Care. To Serve. To Heal.
48
Carter County Floyd County 54 Greenup County 49
Greenup County Johnson County Lawrence County Mission: To Care. To Serve. To Heal.
55 50
Lawrence County 56 51
Leading Causes of Deaths in KDMC Ohio County Service Areas
Data below is taken from the Ohio Department for Public
Health.
files which are used to calculate the statistics contained in
this section of the ODH website. Mortality data are usually
presented as counts or population-based rates. Mortality
statistics are an important component of public health surveillance and assessment.
The Ohio Department of Health (ODH) receives death
certificates for all deaths occurring in the state and also for
deaths to Ohio residents that occurred outside the state.
These reports are combined into annual statistical data
Scioto County Community Health Improvement Plan
Introduction In 2013, Scioto County ranked last out of all Ohio counties in health rankings and health outcomes, according to the Robert Woods Johnson Foundation annual report. Scioto County’s reaction to this crisis was to form the Scioto County Health Coalition in 2012. After a year of organization, initial projects, compiling of the public health and hospital community needs assessments, as well as assessments done through the Mobilizing for Action through Partnership and Planning (MAPP) Process, the Coalition has defined its path forward for 2013 through this Community Health Improvement Plan. While not traditional in the field of public health, this plan also address economic development issues, in acknowledgement of the strong link between income and health outcomes. 2013 Vision Scioto County, Ohio Community Health Improvement Plan Scioto County being a healthy economically vibrant community in which to live, work and prosper. Mission To improve the health outcomes and health factors of the citizens of Scioto County. Organization This Community Health improvement Plan is organized around the Scioto County Health Coalition’s committee structure. The Coalition consists of six committees with associated sub-‐
committees. For detailed information see appendix 1. The committees are as follows: 1. All Hands Committee: Responsible for coalition administration and planning. 2. Wellness Committee: Responsible for fitness, nutrition, and tobacco cessation. 3. Medical Committee: Responsible for medical screenings and access to health care. 4. Economic Development Committee: Responsible for job creation and land reutilization. 5. Community Initiatives Committee: Responsible for volunteer coordination and code enforcement. 6. Drug Action Team Alliance: Responsible for illegal drug and alcohol abuse. DRAFT The Scioto County Community Health Improvement Plan may be found on the Scioto County Heath Coalition’s website at www.sciotohealth.org. Questions and comments can be sent to Chris Smith at [email protected] or call 740-‐352-‐2560. Page 2 of 21
52
Scioto County Health Department POC: Dr. Aaron Adams Portsmouth City Health Department POC: Chris Smith Ohio River Valley Chapter American Red Cross POC: Eli Allen Economic Development Com Scioto County Government and the Southern Ohio Port Authority POC: Todd Book (Chair) City of Portsmouth POC: David Malone POC: Kevin Johnson POC: Crystal Weghorst POC: Tracy Shear Village of New Boston POC: Jim Warren Holiday Inn Breakfast Group POC: Zach McCoy Joint Econ Development Initiative POC: Jim Morgan Shawnee State University POC: Don Washburn American Family Insurance/Rotary POC: Sean Boldman Portsmouth Metropolitan Housing POC: Peggy Rice Main Street Portsmouth POC: Susan Surina Appaphil POC: Mandy Hart Land Reutilization Sub-‐Committee Portsmouth City Health Department POC: Andy Gedeon (Chair) Members: All Tax Districts Neighborhood (Ward) Representatives Jobs Sub-‐Committee Scioto County Counseling Center POC: Susan McComas (Chair) Community Action Organization POC: Lou Ann Valentine Goodwill Industries POC: Kyle Davis Bike Path Sub-‐Committee Scioto County Counseling Center POC: Gabriel Brown (Chair) Community Initiatives Committee Southern Ohio Medical Center POC: Craig Gilliland (Chair) Page 20 of 21
Chamber of Commerce Scioto County Community Health Improvement Plan
Priority One: Improve Lifestyle Choices: Nutrition, Physical Activity and Tobacco Use Reduction Responsible Committee: Wellness Committee (Fitness, Nutrition, and Tobacco Sub-‐Committees) Churches Salvation Army Red Cross Goal
Increase awareness
of the impact of
lifestyle choices
Objectives
1.
2.
3.
4.
5.
Seek non-profit
status and search for
grants to support
programs under
good nutrition,
physical activity,
and tobacco use
cessation
Improve school
health classes and
physical education
classes
1.
1.
2.
3.
Establish logo/campaign name.
example “Act Now” Base on
the simple messages related to
good nutrition, recommended
physical activity, and tobacco
use cessation
Launch media campaign.
Organize speaking group/Power
point
Speak to various local groups
Encourage corporate workforce
to develop wellness committees
in an effort to initiate change.
Example: BWC Grants
Begin information gathering
Identify programs in other states
that had an effect on policy at a
state level
Develop an advocate plan based
on the success of the drug action
team
Plan Family Fun Nights at local
schools to encourage healthy
lifestyles changes.
Person
Responsible
1. TBD
2. TBD
3. TBD
4. TBD
5. TBD
Timeline
1.
2.
5.
By 6-10-13
Begin by 712-13
By 6-10-13
Begin by 712-13
By 12-13-13
3.
4.
Benchmarks/ Evaluation
Measures
1. Logo/Campaign
established
2. Campaign launched and
active through 12-13-13
3. Speaking group
organized/ Power point
finished
4. Spoke to at least 4
groups per month
through 12-13-13
5. Program created to
implement in 2014
1.
TBD
1.
Begin 7-1-13
1.
Collaboration with nonprofit entity for grant
potentials
1.
2.
3.
TBD
TBD
TBD
1.
2.
3.
By 6-10-13
By 7-12-13
By 8-9-13
1.
2.
3.
Programs identified
Plan developed
Plan implemented
Progress
Page 4 of 21
53
Goal
Encourage citizens
to develop a more
active lifestyle
Objectives
1.
2.
3.
4.
Encourage citizens
to develop a
healthier diet based
on controlled
portions and
balanced food
groups
1.
2.
3.
4.
Decrease tobacco
use in Scioto County
1.
2.
3.
4.
5.
6.
7.
Work toward uniting fitness
facilities to communicate and
offer opportunities and programs
to interest all community sectors
Organize and promote existing
exercise opportunities (Calendar,
Directory, Website, Flyers)
Seek to provide fitness
opportunities at minimum or no
cost to participants
Seek to provide fitness
opportunities throughout the
community to engage more of
the county in these events.
Implement restaurant menu
option program based on a
Healthy Plate Club and Act Now
campaign
Increase access to fresh fruits
and vegetables with Farmer’s
Markets
Increase access to fresh fruits
and vegetables by Community
Gardens
Outreach to Food Banks and
community pantries
Implement separate media blitz
Promote smoking cessation
classes for adults and teens
Implement a tobacco prevention
program in schools.
Promote maternal cessation
programs.
Promote smoke free campuses
Research a program for reducing
underage sales
Research additional tax on
Person
Responsible
1. Wendi
Waugh
2. Wendi
Waugh
3. Wendi
Waugh
4. Wendi
Waugh
1.
Timeline
Nicki
Welch
2.
Sharon
Carver
3.
4.
TBD
TBD
1.
2.
3.
4.
5.
6.
TBD
TBD
TBD
TBD
TBD
TBD
1.
2.
3.
4.
Ongoing
Ongoing
Ongoing
Ongoing
1.
Launch by 614-13
In place
coordination
by 6-14-13
In place
coordination
by 6-14-13
In place
outreach
program by 712-13
Launch by 712-13
Ongoing
Launch by 913-13
Complete by
9-13-13
Complete by
9-13-13
Complete by
9-13-13
2.
3.
4.
1.
2.
3.
4.
5.
6.
Measures
1. At least one multi-gym
event per year. No less
than 10 community
fitness events per year.
2. Consolidated Calendar
that is known to all
gyms and businesses,
churches, etc. for
advertisement of fitness
event
3. At least one free fitness
event per year.
4. At least six community
fitness events in the city
and four in the county
1. At least 20 participating
restaurants by 11-8-13
2. List compiled and a line
of communication
established
of communication
established
of communication
established
1.
2.
3.
4.
5.
6.
Progress
Media blitz
implemented
Classes promoted
Smoke Free Campuses
promoted
Research completed
Research completed
Research completed
Page 5 of 21
Goal
Objectives
8.
tobacco products
Research work place penalties
through health care employee
contributions
Person
Responsible
Page 6 of 21
54
Timeline
Measures
Progress
Priority Two: Confront Illegal Drug and Alcohol Abuse
Responsible Committee: Drug Action Team Goal
Increase
Community
Collaboration
Objectives
By 9-29-2014, the Coalition will
have strengthened its internal
capacity as well as increased
overall community collaboration
to reduce alcohol and Rx drug use
among youth, as evidenced by the
retention of a minimum of 60
members who are actively
engaged in coalition activities
which are designed to build and
enhance leadership,
organizational management,
resource attainment,
collaboration, and sustainability.
Strategy 1: Assessment: Increase
data to define the problems,
contributing factors, resources,
needs, and gaps that is contributing
to youth substance use.
Strategy 2: Capacity: Increase
coalition participation, membership,
capacity, leadership, and
organizational management. Ensure
coalition cultural competency and
representation.
Strategy 3: Planning: Educate and
engage the Steering Committee,
Sector Members, Fiscal Committee,
and Coalition Members in the goals
and objectives of the program and
assure that the Action Plans are
implemented and the roles are
Person Responsible
1. Coalition
Coordinator
2. Steering
Committee
3. Sector Members
4. Coalition
Members
1.
DFC Program
Staff/ School
Liaisons
Timeline
1. By 929-13
2.
By 1129-13
3.
By 629-13
1. Coalition
Coordinator
2. Steering
Committee
3. Sector Members
4.
4. Coalition Members
1.
By 329-13
1.
Benchmarks/ Evaluation Measures
Maintenance of a minimum of 60 members
to include 12 Sector Representation/
coordinate with other groups working to
reduce substance use (SOLACE, GMF,
FTSCPDAMA ADAMHS Board)
2.
PRIDE Surveys completed on 600 High
School Students with Analysis
3.
Member attendance at Conferences,
Challenge Days, and CADCA Academy
Completion
4.
Review and Approval of Action Plans
5.
Maintain community presence through
social media, internet, and community
events to include “Rally4Recovery”
Progress
DFC Program
Staff
5.
By 12-
Page 7 of 21
Goal
Reduce youth
substance use in
Scioto County
Objectives
understood.
Strategy 4: Implementation: Assure
widespread community awareness
and engagement in coalition
activities and strategies.
By 9-29-2014, the coalition will
have implemented a communitywide effort to reduce youth
substance use and addressed local
youth substance use problems,
especially Underage Drinking and
Rx drugs (Pain Pills and
Anxiolytics), as evidenced by the
establishment of systems and
environmental strategies designed
to reduce substance use among
youth.
Strategy 1: Implementation:
Provide opportunities designed to
develop youth leadership and to
enhance youth refusal skills.
Provide public opportunities for
youth to engage in activities that
promote a substance free lifestyle.
Strategy3: Implementation:
Increase environmental strategies to
reduce access and enhance barriers,
change consequences, change the
physical design, and enhance
policies designed to decrease youth
substance use.
Enhance adult and caregiver drug
and alcohol detection skills and
promote disincentives and the
imposition of negative consequences
Person Responsible
1.
All Coalition
Members
1.
Coalition
Coordinator
Steering
Committee
Sector Members
Coalition
Members
2.
3.
4.
1.
DFC Staff/
Youth Sector/
School Liaisons
2.
Coalition
Members
1.
Coalition
Coordinator
Steering
Committee
Sector Members
Coalition
Members
2.
3.
3.
1.
Timeline
30-13
1.
By 41-13
1. Develop a School resource Manual for
School Liaisons
2. Core Youth-Led Group located within 10
Scioto County High Schools
3. Increased counter-messaging to youth
4. Completion of the “Rise Above” Video
1. Completion of “Challenge Day” for 300 High
School Youth
2.
By 51-13
1.“Battle of the Bands” Event at Rally for
Recovery
1.Work within Schools to adopt/enforce
policies
2.Conduct Training with Alcohol Outlets
3.
By 829-13
4.
By 929-13
5.
By 1230-13
Progress
1.Partner with local groups doing parenting
with families of substance using teens/
provide free Drug Test Kits
1.Show “Rise Above” video in High
Schools/signage displayed by School Youth
Groups
1. Analyze PRIDE Surveys and prepare a
report for Schools (aggregate data for Scioto
County only).
Coalition
Coordinator
Page 8 of 21
55
Goal
Increase
Community
Collaboration
Objectives
for youth drug and alcohol use.
Increase educational media
messages that provide a countermessage to youth and adults.
Strategy 6: Evaluation: Establish
systems to measure, support, and
report data collection, baselines, and
DFC compliance.
By 9-29-2014, the Coalition will
have strengthened its internal
capacity as well as increased
overall community collaboration
to reduce alcohol and Rx drug use
among youth, as evidenced by the
retention of a minimum of 60
members who are actively
engaged in coalition activities
which are designed to build and
enhance leadership,
organizational management,
resource attainment,
collaboration, and sustainability.
Strategy 1: Assessment: Increase
data to define the problems,
contributing factors, resources,
needs, and gaps that is contributing
to youth substance use.
Strategy 2: Capacity: Increase
coalition participation, membership,
capacity, leadership, and
organizational management. Ensure
Person Responsible
2. Steering
Committee
3. Sector Members
4. Coalition
Members
1.
DFC Program
Staff/ Media
Sector
Representative
1.
DFC Program
Staff
5.
Coalition
Coordinator
Steering
Committee
Sector Members
Coalition
Members
6.
7.
8.
Timeline
6.
By 111-13
7.
By
12-3113
6.
By 929-13
7.
2.
DFC Program
Staff/ School
Liaisons
8.
1. Coalition
Coordinator
2. Steering
Committee
By 1129-13
Progress
6.
Maintenance of a minimum of 60 members
to include 12 Sector Representation/
coordinate with other groups working to
reduce substance use (SOLACE, GMF,
FTSCPDAMA ADAMHS Board)
7.
PRIDE Surveys completed on 600 High
School Students with Analysis
8.
Member attendance at Conferences,
Challenge Days, and CADCA Academy
Completion
9.
Review and Approval of Action Plans
By 629-13
10. Maintain community presence through
social media, internet, and community
events to include “Rally4Recovery”
Page 9 of 21
Goal
Objectives
coalition cultural competency and
representation.
Strategy 3: Planning: Educate and
engage the Steering Committee,
Sector Members, Fiscal Committee,
and Coalition Members in the goals
and objectives of the program and
assure that the Action Plans are
implemented and the roles are
understood.
Strategy 4: Implementation: Assure
widespread community awareness
and engagement in coalition
activities and strategies.
Person Responsible
Timeline
3. Sector Members
9. By 34. Coalition Members
29-13
2.
DFC Program
Staff
10. By 1230-13
2.
All Coalition
Members
Page 10 of 21
56
Progress
Priority Three: Increase Access to Affordable Health Care Responsible Committee: Medical Committee Goal
Increase the number
of insured through
the new exchanges
Increase the number
of insured through
the Medicaid and
Medicaid Expansion
Encourage proper
use of clinic,
primary care, urgent
care and emergency
rooms
Objectives
1.
2.
1.
2.
3.
1.
2.
3.
Investigate and plan a way
to assist our citizens with
using the new exchange
Implement plan
Create a program to sign up
qualified individuals
Promote program to all
appropriate outlets
Monitor progress of
Medicaid Expansion
Make very simple directory
Separate media blitz, joint
publication, very simple
Investigate medical homes
model and look for ways to
promote
Person Responsible
1.
2.
TBD
TBD
1.
2.
3.
TBD
TBD
TBD
Timeline
1.
2.
1.
2.
3.
1.
2.
3.
TBD
TBD
TBD
1.
2.
3.
Complete by 712-13
Implement by
10-11-13
Complete by 712-13
Implement by 89-13
Ongoing
Measures
1. Plan competed
2. Plan implemented
1.
2.
3.
By 6-14-113
Started by 7-1213
Completed by 89-13
1.
2.
3.
Progress
Program developed
Program promoted to
appropriate outlets
Progress monitored
Directory finished
Media blitz launched
Investigation
completed
Page 11 of 21
Priority Four: Coordinate Community Health Screenings Responsible Committee: Medical Committee (Mobile Screenings Sub-‐Committee) Goal
Coordinate 20 monthly
health fairs per year
through out the county
alternating between
SOMC and KDMC.
Objectives
1.
2.
Coordinate 2 joint health
fairs per year (SOMC
and KDMC Present)
1.
Coordinate community
health information
booths at local festivals
and events such as Deer
Festival, River Days,
School Fairs
Coordinated Screening
Data Collection
1.
Improve patient follow
up with family health
care provider and
2.
2.
1.
2.
1.
2.
Person Responsible
Compile schedule of
screenings, locations, and
providers
Implement monthly
schedule
1.
Conduct May 2013
Screening
Conduct an additional
screening
1.
Compile schedule of
events, and providers
Implement schedule
1.
2.
Belinda
Leslie and
Andy Pierron
Belinda
Leslie and
Andy Pierron
Belinda
Leslie and
Andy Pierron
Belinda
Leslie and
Andy Pierron
TBD
TBD
Create robust data
collection system which
evaluates age, school
district, existing disease
states, if resident is
currently being adequately
treated and compliant. If
patient is employed, if
patient is enrolled in health
insurance plan
Implement system
Develop procedure
Implement procedure
1.
2.
TBD
TBD
1.
2.
TBD
TBD
2.
2.
Timeline
1.
2.
1.
2.
1.
2.
1.
2.
1.
2.
Completed by 712-13
Implemented by
8-9-13
Benchmarks/
Evaluation Measures
1. Schedule
completed
2. 8 screenings
completed
Conducted by 614-13
Conducted by 1213-13
1.
Completed by 614-13
Implemented by
7-12-13
1.
System created by
7-12-13
System
Implemented by
8-9-13
1.
Competed by 614-13
Implemented by
1.
2.
2.
2.
2.
Progress
Screening
completed
Screening
completed
Schedule
completed
Schedule
implemented
System
complete
System
implemented
Procedure
developed
Procedure
Page 12 of 21
57
Goal
Objectives
Person Responsible
compliance with
treatment
recommendations
Benchmarks/
Evaluation Measures
implemented
Timeline
7-12-13
Progress
Page 13 of 21
Priority Five: Decrease Unemployment
Responsible Committee: Economic Development Committee Goal
Increase
communication and
cooperation between
the existing economic
development groups
and the public,
governmental agencies,
the private sector and
NGOs
Expand the Portsmouth
Land Reutilization
Program to the County
Objectives
1.
2.
1.
2.
Establish a
GPS/mapping/property
inventory system
(example: Ohio One)
Coordinate with
Chamber of Commerce
to provide more
3.
1.
2.
3.
1.
2.
Person Responsible
1.
2.
TBD
TBD
1.
2.
Complete by 6-14-13
Ongoing after 6-14-13
1.
2.
3.
TBD
TBD
TBD
1.
2.
3.
Complete by 7-12-13
Compete by 8-9-13
Implement by 1-10-14
Outreach to Chamber
of Commerce
Conduct expanded
1.
2.
58
Benchmarks/
Evaluation Measures
1. All groups
addressed
2. All groups
attending
monthly
meetings
1.
2.
3.
1.
2.
3.
TBD
TBD
TBD
1.
2.
3.
Complete by 7-12-13
Train on 8-9-13
Start input by 9-13-13
1.
2.
3.
TBD
TBD
Page 14 of 21
Timeline
Identify economic
development groups
and ask that they
assign a liaison
Each month, each
group will provide an
update and answer
questions from the
group
Make site visit to
Cincinnati Port
Authority to learn
about their program
Make and present a
proposal for the
Southern Ohio Port
Authority, the County
Commissioners and
the SC Prosecutor’s
Office
Implement for 2014
Investigate what other
groups are working on
Provide training to the
Coalition
Begin to input data
1.
2.
Initiate by 7-12-13
Begin by 8-9-13
1.
2.
Visit conducted
Proposal
compiled and
presented
Program
implemented at
a county level
Report
presented on
investigation
Training
provided
Data input
started
Outreach
complete
Training
Progress
Goal
Objectives
education to businesses
Person Responsible
Benchmarks/
Evaluation Measures
conducted
Timeline
trainings
Improve Coordination
between educational
institutions and
employers
Create an assessment of
the Scioto County
Workforce
Develop Bike Path
Sub-Committee
1.
2.
Develop plan of action
Implement Plan
1.
2.
TBD
TBD
1.
2.
Complete by 6-14-13
1.
2.
Plan developed
Plan
implemented
1.
2.
1.
2.
Develop plan for
assessment
Complete assessment
Develop plan
Implement plan
1.
2.
TBD
TBD
1.
2.
Complete by 6-14-13
Complete by 8-9-13
1.
2.
1.
2.
TBD
TBD
1.
2.
Complete by 6-14-13
1.
2.
Improve Scioto
County’s image
(Example: Wikipedia,
News stories, media
campaign)
1.
2.
Develop plan
Implement plan
1.
2.
TBD
TBD
1.
2.
Complete by 6-14-13
1.
2.
Plan developed
Assessment
completed
Plan developed
Plan
implemented
Plan developed
Plan
implemented
Progress
Page 15 of 21
Priority Six: Cleanup our Neighborhoods Responsible Committee: Community Initiatives Committee Goal
Reclaim 2013
Objectives
1.
2.
3.
4.
June 1, 2013
City Clean Up
1.
Reclaim 2014
1.
2.
Community
Service Project
Database
1.
Improve appearance of
area by trash pickup along
‘gateways’ and other areas
Contact/motivate local
businesses, churches and
civic groups to get involved
in area’s appearance
Record man hours and
activities to build
momentum
Plan and coordinate a fall
event to complement the
spring kick-off
a. Incorporate sermon/
potluck lunch/
homecoming event at
local churches
Improve appearance of city
of Portsmouth
Expansion of 2013 Reclaim
program to include
‘mission trip’ experience
Double the number of
participants
Create an application
process for homeowners
needing assistance with
exterior painting, yard work
or other items to improve
Person Responsible
1.
2.
3.
4.
1.
1.
2.
1.
2.
Coalition
Coordinator
Community
Initiatives
committee
Community
Initiatives comm
chair
Community
Initiatives
committee
a. Scioto Co
Ministerial
Association
City of
Portsmouth &
Judge Mowery
Community
Initiatives
committee
Community
Initiatives
committee
Community
Initiatives
committee
City Health Dept
for city
Timeline
1.
2.
3.
4.
1.
2.
1.
2.
1.
2.
3.
Started 3/28/13 to
end of 2013
Began in Sept 2012
– ongoing
3/29/13 for spring
event ongoing
thereafter
Planning Apr-Jun
2013, event Oct
2013
Measures
1. Kick-off event
completed.
Awareness of
activities.
2. Number of
participants in
spring Reclaim
2013 event
3. Recorded man
hours and bags of
trash collected
4. Plan and complete
a fall event
Communication of
event Apr-May
Event – June 3
Planning Apr 2013
– May 2014
Complete by June
2014
1.
Completed Feb
2013
Feb 2013 ongoing
March 2013
ongoing
1.
1.
2.
2.
3.
Progress
# of dumpsters
filled during the
event
Number of
participants event
Recorded man
hours, bags of
trash collected,
projects completed
Returned
applications
Plan implemented
Database created
and monitored
Page 16 of 21
59
Goal
Objectives
2.
3.
Church
Neighborhood
POC & area
map
1.
2.
3.
Gateway
Project
1.
2.
3.
outward of the property and
the ‘gateway’ and/or the
community the house is a
part of
Evaluating and posting
returned applications
Develop a database of
‘qualified’ service projects
to be housed on coalition’s
website for churches and/or
civic groups to select from
Create/update a countywide listing of churches
with a point of contact
Create a map of with a 0.5
to 1.0 mile radius around
each church
Obtain ‘buy-in’ from
churches to ‘claim’ this
area for their church with
regard to appearance/needs
Improve appearance of
‘gateways’ (US 23 & US
52) in city of Portsmouth
Demolish 50 additional
blighted houses
Explore possibilities to
expand to commercial land
re-utilization
Person Responsible
3.
1.
2.
3.
1.
2.
3.
Timeline
properties, CAO
of Scioto Co for
county properties
Community
Initiatives
committee
Community
Initiatives
committee
Community
Initiatives
committee
Community
Initiatives
committee
1.
2.
Community
Initiatives
committee
Portsmouth City
Health Dept
Community
Initiatives
committee
1.
3.
2.
3.
By July 1, 2013
By September 1,
2013
Ongoing
1.
2.
3.
Completed task
Completed task
Service projects
completed and
recorded in master
service database
March 2013 –
ongoing
By December 31,
2013
By December 31,
2013
1.
Tasks completed
(demolitions and
service projects)
Plan implemented
Plan created
Appendix 1: Scioto County Health Coalition Membership Public Relations Sub-‐Committee Data Sub-‐Committee Wellness Committee Nutrition Sub-‐Committee Scioto County Counseling Center POC: Dr. Terry Johnson (Chair) POC: Ed Hughes (VChair) Scioto County Health Department POC: Dr. Aaron Adams Portsmouth City Health Department POC: Chris Smith Chamberlin CPA Services, Inc POC: Tim Chamberlin (Chair) Scioto County Counseling Center POC: Beth Dunlap (VChair) Ohio Valley Chapter Red Cross POC: Eli Allen Scioto Co Joint Vocational School POC: Stan Jennings Scioto County and Portsmouth City Health Departments POC: Josh Sherwood Center for Appalachian Philanthropy POC: Sharon Carver (Chair) Southern Ohio Medical Center POC: Wendy Waugh King’s Daughters Medical Center POC: Kari Riegle Scioto County Health Department POC: Ruth Montavon Portsmouth City Health Department POC: Nursing Director Southern Ohio Medical Center POC: Wendy Waugh (Chair) King’s Daughters Medical Center POC: Kari Riegle Scioto County Health Department POC: Ruth Montavon Portsmouth City Health Department POC: Nursing Director Fitness Sub-‐Committee Tobacco Sub-‐Committee Medical Committee Shawnee State University Portsmouth Daily Times Southern Ohio Medical Center King’s Daughters Medical Center Scioto County Schools Portsmouth City Schools Mobile Screening Sub-‐Committee OSU Extension Office Medical Reserve Corps Sub-‐Com Page 18 of 21
2.
3.
Progress
Page 17 of 21
IMPORTANT: Membership is based on participation on the Coalition Email list and/or attending the monthly Coalition meeting. The Coalition consists of Citizens, Governmental Agencies, the Private Sector and Non-‐Governmental Agencies. The following list is not inclusive, but lists the essential agencies involved in the Coalition. Committee/Sub-‐Committee Essential Agencies Needed Agencies All Hands Committee Benchmarks/ Evaluation
Measures
Southern Ohio Medical Center POC: Wendy Waugh (Chair) King’s Daughters Medical Center POC: Kari Riegle Scioto County Health Department POC: Ruth Montavon Portsmouth City Health Department POC: Nursing Director Southern Ohio Medical Center POC: Wendy Waugh (Chair) King’s Daughters Medical Center POC: Kari Riegle Scioto County Health Department POC: Ruth Montavon Portsmouth City Health Department POC: Nursing Director Scioto County Health Department POC: Dr. Aaron Adams (Chair) Scioto County Counseling Center POC: Andy Peirron (VChair) Portsmouth City Health Department POC: Nursing Director Community Action Organization POC: Chris Eaton Southern Ohio Medical Center POC: Wendy Waugh (Chair) King’s Daughters Medical Center POC: Kari Riegle Care Source POC: Sandy Bryant Heartland of Portsmouth Belinda Leslie (Chair) Scioto County Health Department POC: Ruth Montavon Scioto County Counseling Center POC: Andy Peirron Portsmouth City Health Department POC: Nursing Director Southern Ohio Medical Center POC: Wendy Waugh (Chair) King’s Daughters Medical Center POC: Kari Riegle Care Source POC: Sandy Bryant Southern Ohio Medical Center POC: Angie Hodge King’s Daughters Medical Center POC: Kari Riegle Page 19 of 21
60
LIFE Center Ports Spartan Kettle Bell Club 24 Hour Fitness Preferred Fitness Shawnee State University VA Clinic Shawnee Mental Health Community Action Organization SC Emergency Management Agcy KING’S DAUGHTERS MEDICAL CENTER
Scioto County Health Department POC: Dr. Aaron Adams Portsmouth City Health Department POC: Chris Smith Ohio River Valley Chapter American Red Cross POC: Eli Allen Economic Development Com Scioto County Government and the Southern Ohio Port Authority POC: Todd Book (Chair) City of Portsmouth POC: David Malone POC: Kevin Johnson POC: Crystal Weghorst POC: Tracy Shear Village of New Boston POC: Jim Warren Holiday Inn Breakfast Group POC: Zach McCoy Joint Econ Development Initiative POC: Jim Morgan Shawnee State University POC: Don Washburn American Family Insurance/Rotary POC: Sean Boldman Portsmouth Metropolitan Housing POC: Peggy Rice Main Street Portsmouth POC: Susan Surina Appaphil POC: Mandy Hart Land Reutilization Sub-‐Committee Portsmouth City Health Department POC: Andy Gedeon (Chair) Members: All Tax Districts Neighborhood (Ward) Representatives Jobs Sub-‐Committee Scioto County Counseling Center POC: Susan McComas (Chair) Community Action Organization POC: Lou Ann Valentine Goodwill Industries POC: Kyle Davis Bike Path Sub-‐Committee Scioto County Counseling Center POC: Gabriel Brown (Chair) Community Initiatives Committee Southern Ohio Medical Center POC: Craig Gilliland (Chair) Chamber of Commerce Scioto County Community Health Improvement Plan
Code Enforcement Sub-‐Com Portsmouth City Health Department POC: Andy Gedeon (Chair) Looking for replacement Scioto County Health Department Brent Rollins Scioto County Drug Action Team Portsmouth City Health Department POC: Lisa Roberts R.N. (Chair) Backup: Rebecca Miller M.S. Ed Board of Directors: Portsmouth City Board of Health Steering Committee: Lisa Roberts R.N. Dr. Terry Johnson Chris Smith Dr. Aaron Adams Churches Salvation Army Red Cross Volunteer Organizations Portsmouth Police Portsmouth Service Dept Portsmouth Municipal Court Portsmouth Com Development Law-‐Scioto Solid Waste Man Dist New Boston Code Enforcement Scioto County Sherriff’s Office Ohio Highway Patrol Law Enforcement Page 20 of 21
Page 21 of 21
61
2012 Outreach
Community Report
2012
Lives
Touching
STORY INSIDE
Taking care
of Julie
“I want so
many good
things to come
out of what I
went through.”
Provider locations
Screening locations
We perform screenings
at provider and other
locations.
Bringing Great Health to you.
62
Community: A Key
Priority at KDMC
2
Taking care of Julie
3
4
Skin Cancer: Helping
people find it early
Taking
care of
COMMUNITY:
INSIDE:
A swift, generous
response to tornado
relief
5
KDMC Team
Members: Giving
at work, in the
community
6
Team Member
Volunteers: Getting
the job done
7
Helping kids grow
up healthy and safe
8
The Workplace:
Health’s new frontier
10
Team KDMC shows
the spirit of Christmas
11
Achieving Change:
Coalition works to
improve lives, health
12
KDMC’s commitment
to care runs deep
13
Statistics
• Screenings
• Education
• Results
14
Outreach Map
16
A Key Priority at KDMC
The health and well-being of the community is vitally
important to us at King’s Daughters. We owe our very
existence to forward-thinking community members, to
volunteers who helped shape King’s Daughters, and to
the patients and families who come to us for care.
For more than a
year, Louisa resident
Julie Lumberg dealt
with a series of mysterious and
random health problems that
baffled doctors, robbed her of
energy and made it virtually
impossible to see, drive or
enjoy life.
On Oct. 31, 2011, no longer
able to work and unable to
afford COBRA coverage, Julie
lost her health insurance. Two
weeks later, an MRI performed
at King’s Daughters Medical
Center revealed Julie had a
tumor in the front of her brain
the size of a orange.
Julie is extremely grateful for what happened
next.
“They admitted me to the hospital that day,”
Julie remembers. Within two hours of admission,
she met neurosurgeon Ondrej Choutka,
M.D., who explained
her choices. “I was
on my way to a vegetative state, or death,
without surgery,” Julie
says.
Whether she had
insurance – or didn’t
– was never a factor
Ondrej Choutka, M.D. in the decision to take
neurosurgeon
care of Julie. “No one
at King’s Daughters ever treated me like I didn’t
have insurance,” she says.
Julie didn’t qualify for Medicaid, but KDMC’s
financial counselors determined she was
eligible for assistance through the First Source
Disproportionate Share Hospital Program – or
DISH. “I’m grateful to First Source for their help,”
she says, “but it pales in comparison to what
King’s Daughters did.”
Julie’s surgery the next day was nearly five
hours and required specialized equipment,
Our commitment to community drives us to give back. During the
past year, King’s Daughters team members, physicians and health
professionals provided free screenings to nearly 7,000 individuals.
More than half of these were designed to help people understand
their risk for heart disease and diabetes. We also:
• provided nearly 1,100 free sports physicals for student athletes
throughout the region
• performed 605 screening carotid ultrasounds to look for blockages
that can lead to stroke
• performed slightly more than 230 screenings for prostate cancer
In addition to free screenings, KDMC team members teach
about nutrition, heart health, tobacco use, cancers, diabetes, stroke,
poison prevention, hand washing, first aid, CPR and just about every
health topic.
While King’s Daughters Community Relations department is
tasked with the responsibility to plan and organize many of our
outreach activities, it is KDMC team members who donate their
personal time to conduct the events in areas as far from Ashland
as Flat Gap, Ky., Gallipolis, Ohio, and beyond. Last year, 2,781 team
members gave nearly 33,000 hours toward these efforts. The value of
their labor alone, conservatively calculated, approaches $1 million.
We hope you will enjoy reading about the people we reached
and the programs we provided last year. We look forward to hearing
your comments and feedback on this, our Community Annual
Report for Fiscal Year 2012.
2 | Touching LIVES
63
Lumberg
Julie
which was brought in from Cincinnati, where Dr.
Choutka completed a fellowship and taught.
The minute Julie came out of the anesthesia,
she knew she was OK. “I could tell immediately it
was gone. I could see. I was tired, but so excited
to know that it was over, that I was OK.”
She went home on Saturday, her vision back,
the mysterious symptoms gone. Within 14 days,
she was driving again.
Today, she tells her story whenever she can and
encourages people to be their own healthcare
advocates. “It makes me humble to think I was
the only person who was pushing to find out what
was wrong with me. If I’d let it go – if I’d accepted
the general assertion there was nothing wrong
with me – I wouldn’t be here,” Julie says.
Julie is back to work, but it will be several years
before she’ll be able to get healthcare coverage.
Recently, KDMC reached out to her with Susan
G. Komen for the Cure grant funds so she could
receive a screening mammogram.
Says Julie, “I want so many good things to
come out of what I went through. There is no
way I can repay people for all they did
for me. All I can do is pay it forward.”
2012 Community Report | 3
Helpingpeople
SKIN CANCER:
A swift, generous
response to
During the March event,
Dr. Strader performed 70
screenings – and she estimates that 70 percent of
those had a precancerous or
cancerous lesion. Three patients had the most serious
form of skin cancer, melanoma, which she removed at
later appointments.
Risks for skin cancer include fair skin, childhood
sun exposure, blistering sunburns, use of tanning beds
and any frequent, unprotected or prolonged exposure to
UV light, Dr. Strader said.
People who develop new
moles, a mole that is growing
or changing color, red patches, sores or pimples that
won’t heal should have those
checked by a physician.
“If you have one mole or
place on your skin that stands
out, that’s not like anything
else, you really need to have
it looked at,” she said.
KDMC offers skin cancer
screenings annually in May
and at various times throughout the year. To learn about
upcoming screening events,
visit our website at kdmc.
com, or call 1-888-377-KDMC.
find it
early
With more than
3.5 million new cases
diagnosed each year, skin
cancer is the most common
form of cancer in the U.S.
Nearly 12,000 people die
of it each year, according
to the American Cancer
Society.
The seeds of skin cancer
lip Stephens of
ian, and Phi
Russ
y physic
are often sown early in life –
ell
., famil
, M.D
as children swimming in the
ader
r
t
S
pool, playing in the sun or
Jane
abnormalities but no cancer,” he said. At a folbaking on the beach. Those
low-up appointment, Dr. Strader removed three
serious sunburns can come
precancerous lesions, called actinic keratosis.
back to haunt us, which is why King’s Daughters
“It is good that Mr. Stephens came to see us,”
offers free screenings for skin cancer.
Dr. Strader said. “Anyone who has a prior history
“Since statistics show that one in five Americans
of skin cancer, we expect them to develop more
will develop skin cancer during their lifetime, we
skin cancers as time goes by.”
think hosting these free screenings is important
Skin cancer detection and treatment is a
to early intervention and treatment,” said Trish
special passion for Dr. Strader, who herself had
Lewis, a community outreach coordinator in
three skin cancers removed before age 30.
King’s Daughters cancer program.
“I got a blistering sunburn every summer as a child
KDMC’s volunteers performed nearly 360 skin
when I visited my grandparents at the beach,”
cancer screenings and educated another 4,000
she said, “We didn’t know about sunscreen back
about skin cancer last year.
then.”
Last March, Philip Stephens of Russell took
As a medical student, Dr. Strader knew she
advantage of a screening at King’s Daughters
wanted to be a family physician, but “skin always
Medical Specialties – Russell. Family physician
interested me.” So she placed special emphasis
Jane Strader, M.D., performed the screening.
on dermatology during her training, learning how
The avid golfer spends a lot of time in the sun
to perform skin biopsies and remove cancerous
and had a basal cell cancer removed from his
lesions.
nose several years ago. “Dr. Strader found some
When several southeastern Kentucky communities were
devastated by severe storms and a tornado on March 2, King’s
Daughters team members acted quickly to join relief efforts.
“As soon as news of the storm’s damage reached us, our
team organized to raise funds and collect supplies,” said Jane
Blankenship, King’s Daughters Health Foundation executive
director.
“Hundreds of our staff members, volunteers and physicians
donated thousands of supplies and funds totaling nearly
$22,000,” she said. “And the medical center matched the
team’s contributions 100 percent.”
Team members collected, donated and delivered truckloads
of necessities, including bottled water, undergarments, diapers,
non-perishable food, cleaning supplies and infant car seats to
West Liberty and Morgan, Johnson, Lawrence and Magoffin
counties in Kentucky.
“We were able to make our first delivery three days after the
tornado struck,” said Community Relations manager Debbie
Miller.
KDMC’s tornado relief drive, which was initially scheduled to
end March 16, was extended through March 30 once the extent
of damage became clear, Miller said. “When we made the first
delivery and saw the loss people endured, we just knew there
was more that we could do.”
KDMC Team member Tracy Woods was among those delivering donations to the storm-ravaged areas. “The devastation
was difficult to comprehend,” she said, but she was heartened
by the quick and generous response of her colleagues.
“No matter what community need we are working to meet,
Team KDMC always has a sense of urgency and desire to help.
“I’m really thankful to be part of it,” she said.
nd
ry a
live , we just
e
d
d
frst ndure do.”
e
the
ld
“W
hen we made eople we cou
s p that
s
o
l
saw the
re
knew re was mo
r
age
t he
man
ons
Debb
4 | Touching LIVES
TORNADO RELIEF
64
ie Miller,
i
elat
ity R
mun
Com
jobdone
KDMC Team Members:
Team Member
Volunteers:
Giving at work and in the community
King’s Daughters team
members are very generous,
giving their time, talent and
treasure to help improve the
health and well-being of people
throughout the region. KDMC
team members can be found
in every county throughout
KDMC’s service area, helping,
contributing and making a
difference.
A major initiative at KDMC
is support for the United Way
of Northeast Kentucky. In 2012,
our team contributed approximately $200,000 to the agency,
to help feed, clothe, educate,
counsel, protect and care for
those in need.
Helping student athletes
participate safely
Challenging family finances
should never stand in the way
of student athletes fulfilling
their dreams. We help kids step
onto the field or court safely by
providing free sports physicals
to all athletes in grades seven
through 12.
Last year, nearly 1,100 student athletes took advantage
of the program. The physical
includes the state-mandated
general health exam. Because
heart health is especially important to KDMC, we also of-
fer a cardiac component that
includes a check of cholesterol,
blood sugar, blood oxygen and
a screening EKG. This optional
testing helps uncover those
rare heart defects that can
cause sudden cardiac arrest.
Nearly 140 students received
this additional testing in 2012.
KDMC Team
members can be
found in every county
throughout KDMC’s
service area, helping,
contributing and
making a difference.
Helping women get
screenings they need
King’s Daughters mobile
mammography unit traveled
15,000 miles last year, providing digital mammography
services in communities as
distant as Pikeville, Ky., and
Vanceburg, Ky. More than 1,700
women took advantage of the
mobile testing, allowing them
to receive this potentially lifesaving exam near their homes,
workplaces and families.
Getting
the
Supporting those who
protect and serve
Helping EMS providers,
police and firefighters stay
healthy and helping them
acquire training they need to
protect and serve is important
to KDMC.
Each year, hundreds of
EMS providers throughout the
region come to KDMC-sponsored training programs for
certification (or re-certification)
in CPR, basic life support, advanced cardiac life support and
pediatric life support.
Forty hours a week, every week for the
past 20 years, medical technologist John
Newsom has counted blood cells in King’s
Daughters laboratory. When your doctor
wants to know how many red blood cells
you have, it’s someone like John who gets
the job done.
And for almost as long, John has been
passionate about volunteering in the community,
helping people live healthier lives.
John is among the 2,781 team members who
gave nearly 33,000 hours of unpaid time to the
community last year.
Team member volunteers checked cholesterol
levels; demonstrated good handwashing; talked
about nutrition; led Zumba classes; ensured car
seats were correctly installed; taught poison
prevention; explained the health effects of
tobacco; delivered meals to the homebound;
provided flu shots and more.
“What many people outside King’s Daughters
don’t know is the majority of our outreach
programs are led and staffed by KDMC team
member volunteers on personal time,” said
Debbie Miller, Community Relations manager.
“They give their time because they care
deeply about the health and well-being of the
community,” she said.
John’s first foray into volunteering happened
in 1994, when he participated in the Carter
Health Awareness Program, performing checks
of blood sugar. He has worked with
AmeriCorps, served as an HIV/
AIDS educator, led screenings in his
church and is the mainstay of KDMC’s
presence at the Boyd County Fair. Last
year, John gave 200 hours to community
outreach efforts.
Carter County and Olive Hill have always been
Taking health to
the people
KDMC’s
mobile
health
units are perhaps one of the
most visible manifestations of
our outreach efforts. Two 40foot, specially designed and
equipped units take education, screenings, and heart and
vascular testing to communities, workplaces, and events
throughout the region.
Last year, our mobile health
units traveled nearly 20,000
miles, providing a total of 342
screening events.
, com
so m
New
John
mun
lu
ity vo
nteer and medical techn
olo
gis
t
near and dear to his heart. “I always felt like they
needed more attention and, of course, it’s my
hometown so you always want to help the people
back home,” John said.
Over the years, he’s seen a lot of things and
made a lot of friends. He fondly recalls the
horse show ringmaster who discovered he had
diabetes at one of his screenings... the woman
whose cholesterol was dangerously high... and
the school that put soap back into student
restrooms after John taught proper handwashing
techniques.
One of the best parts of volunteering is
“to see people discover they have a problem
and get treatment started,” John said. It’s a
feeling he wants to make sure others have an
opportunity to experience. “I make sure team
members know that kids need them, that kids
are doing without.”
team
2,781 00 hours
John is among the
0
,
rly 33
me
mbers who gave nea mmunity.
o f un
the co
paid time to
6 | Touching LIVES
65
least one new outfit and a pair
of shoes. It’s not unusual for
backpacks coming from KDMC
departments to include one or
two weeks of new clothes.
Helping kids grow up
It’s not unusual for
backpacks coming
from KDMC
departments to
include one or two
weeks of new clothes.
healthy and safe
It’s often said that there is nothing more
important than the health and well-being of
our children. At King’s Daughters, we provide
many programs to help children live healthier,
happier lives today and well into the future.
Team member volunteers
organize many of these programs. “Our team is truly passionate about helping children,” said Debbie Miller,
Community Relations manager.
“They volunteer their time and
do whatever they can to meet
the needs of the children in our
communities.” Some of the
programs include:
Child safety seats
Last year, King’s Daughters
provided 66 free car seats to
families in need. Funding for
the project was provided by
the medical center’s Auxiliary,
which raises funds through Gift
Shop sales and other activities.
Additionally, KDMC’s team of
certified child safety seat technicians conducted free checks
of seats and installation at
events throughout the region.
“Without this program,
many low-income families
would be unable to properly
protect their children,” said
Miller.
As lead agency for the River Cities Safe Kids Coalition,
KDMC provides additional programs for children focusing on
bicycle, playground, farm and
fire safety.
“Many of those who participate in the program are parents
and know how important it is
for children to feel good about
themselves and have the supplies they need to get a strong
start for the school year,” said
Howard.
Back-to-school
backpacks
In partnership with the Ashland Alliance of Young Professionals, KDMC team members
donate school supplies and
backpacks to ensure children
return to school with the clothing, shoes and supplies they
need to be successful.
This past fall, 180 children returned to school with full backpacks filled with items donated
by KDMC team members. “Our
team members have huge
hearts,” said Kim Howard, who
helps coordinate the backpack
program for KDMC.
The Ashland Alliance asks
that each backpack include at
Feed the children
A new program Team KDMC
embraced this fall was Feed
the Children Backpack Program, sponsored by Kentucky
Northeast Community Action.
Recognizing that many Head
Start children were not eating
on Saturdays and Sundays because there was no food in the
home, the KNCA applied for,
and received a grant to provide
them with nutritious, easy-toprepare foods to take home on
8 | Touching LIVES
66
Fridays. But
there
was
no funding
for the backpacks needed
to send the food
home.
KNCA contacted King’s
Daughters for assistance and
our team members came
through, donating more than
700 new backpacks to the program. As a result, Head Start
students in Carter, Elliott, Greenup and Lawrence counties do
not have to face weekends of
hunger.
“Our team was thrilled to be
able to help Head Start move
this program forward,” said
René Clay, KDMC Community
Relations. “To know you
helped so many little children
avoid hunger or the uncertainty
of whether they would have
anything to eat over the
weekend is truly rewarding and
overwhelming.”
Scouting event has
girls going red
For the past two years,
King’s Daughters has sponsored “Go Red for Girls” a spe-
cial program designed
just for Girl Scouts.
During the program,
Scouts learn about the
factors
that
contribute
to heart health, including
nutrition, exercise and avoiding
tobacco. It is one of the most
popular events KDMC offers in
conjunction with Heart Month
– both for the girls and team
members.
The Saturday morning program has girls moving to the
rhythm of Zumba and tasting
exotic fruits and vegetables.
Capturing kids’ healthy
imagination
Interactive and fun activities are key to keeping children
engaged when teaching about
health. Children enjoy interacting with Stuffee, a 7-foot
doll with blue hair and a beating heart. Stuffee (along with
KDMC team member volunteers) teaches young people
about the body’s internal organs, traveling to schools,
churches and events throughout the region.
e
onat
assi .”
p
y
l
n
“Our team is tru childre
ng
i
p
l
e
ations manager
h
about
ity Rel
mun
om
ie
Debb
er, C
Mill
front
ier
The Workplace:
which can wreak havoc on the brain
(stroke) and lungs (pulmonary
embolism). Both are potentially
fatal.
It had been 25 years – at
least – since Lisa last had an EKG.
“I couldn’t tell my heart was doing
anything unusual, but you could see
it on the echocardiogram,” Lisa said.
She now knows the excited feeling
she experienced from time to time
was atrial fibrillation.
Lisa is taking medication to control the abnormal electrical impulses
and reduce her risk of developing
blood clots. She follows up regularly
with cardiologist Malcolm A. King,
M.D. And she feels better.
“I am just so thankful for that
mobile unit and King’s Daughters
coming out to do the screening for
us,” Lisa said. “As a working person,
and a woman, you don’t always have
the time to go take care of the things
you should,” she said, “because
there are so many things competing
for your time.”
Lisa praises the KDMC team for
providing the free screening and for
their dedication and diligence in caring for her and her colleagues. “They
were so kind and professional,” she
added.
If you’re an employer and are
interested in offering free screenings
in your workplace, please call King’s
Daughters Community Relations
Department at (606) 408-9304.
Health’s
new
Whether you live to work, or work to live,
there’s no getting around the importance of
work in our lives. Many people spend more
time with their co-workers than with anyone
else!
So it’s natural to reach out to people
in the workplace with health information,
screenings and follow-up care. It’s good for
employers and it’s good for employees. Just
ask Lisa Vice, membership director at the
Bellefonte Country Club.
In late January 2012, King’s Daughters
partnered with the club to provide free
Healthy Heart with EKG screenings to
members and staff. The screening included
blood sugar and total cholesterol checks,
blood pressure and blood oxygen levels,
pulse and a screening EKG.
Lisa and her colleagues decided
to take advantage of the event.
“After all, it got us out of
the office. And we were
curious,” she said.
The first part of
the screening went
well – Lisa’s labs were
normal, as were her
pulse, blood oxygen
and blood pressure.
Lisa
Vice,
te Country Club membersh
ip di
Bellefon
rect
or
But when it came to the EKG, well, that was a
different story.
“The nurse looked at the little strip that came
out of the machine and told me she thought she
saw something abnormal – but that she would
have one of the KDMC cardiologists take a look
at it,” Lisa said.
“I was back at my desk maybe 10 minutes and
I got a phone call from the Heart and Vascular
Center. They were asking me to come in to be
seen that day,” Lisa remembered. “I couldn’t believe it – I asked them – are you sure you have the
right person?”
Lisa had atrial fibrillation, a serious heart
condition. In a-fib, random electrical impulses
cause ineffective contractions in the upper
chambers of the heart, called the atria. As a result,
blood can pool in the left ventricle, the main
pumping chamber. Pooled blood can form clots,
“I co
uldn
anyt ’t tell m
hing
y hea
r
see i unusual, t was doing
t on
b
the e ut you could
choca
rdiogram.”
10 | Touching LIVES
us to search within
allows
“Adopt-A-Family vide for our neighbors
nd pro
nted ever y day.”
our hearts a take for gra
e
w
t
a
wh
Kim Howard, Community R
ela
ti
Team KDMC shows
the spirit of Christmas
on
s
What’s on your Christmas list? Would you believe
people in our community wish for socks, cleaning supplies
and children’s books? These are gifts requested by King’s
Daughters Adopt-A-Family program every year.
King’s Daughters Community Relations department
has coordinated the Adopt-A-Family program for more
than 10 years, said Kim Howard. Last year alone more than
1,600 team members from 106 departments provided gifts
to 178 area families and nursing home residents.
“Adopt-A-Family allows us to search within our
hearts and provide for our neighbors what we take for
granted every day,” said Howard, adding that some
King’s Daughters team members witness firsthand the
thankfulness of Adopt-A-Family recipients. “The day when
families pick up their gifts is a long one — both physically
and emotionally. Some families walk to King’s Daughters
Health Education Center thinking they won’t need a car to
transport their gifts. They are shocked and overwhelmed
to realize there are far too many to carry. It’s humbling to
see how thankful they are.”
To be eligible for Adopt-A-Family, households must
be registered for a Neighborhood Voucher Card through
Community Assistance and Referral Service of Boyd
County, or CAReS. The card also allows households to
access services available at The Dressing Room and The
Ashland Community Kitchen.
“There truly are people in need in
our community,” said Debbie Miller,
Community Relations manager, “and
our team members really help
them to have Christmas that
might not otherwise be
possible.”
67
ACHIEVING
Change:
improve
tion is comprised of more than 75 individuals representing business, schools, government, non-profit agencies, healthcare and
public health in 27 organizations in Boyd
and Greenup counties. Since 2009, the
group has received more than $136,000
from the National Association of Chronic
Disease Directors, a partner in the Center
for Disease Control’s Action Communities
for Health, Innovation and Environmental
Change (ACHIEVE) initiative.
Enhancing communities to support
healthy living is the third prong of the
coalition’s work.
In 2012, the group was instrumental in
the city of Ashland’s receipt of a $232,000
Safe Route to Schools grant. The grant will
build sidewalks on Division and Ferguson
streets, allowing students to walk and bike
safely to Charles Russell and Oakview
elementary schools. Once sidewalks are
complete, the Coalition will launch a Safe
Routes to School program for both schools.
Increasing the number of walking
paths in area communities is pivotal to
change, Stout noted. As a result of the
coalition’s work, the Greenup County
Health Department recently received a
$30,000 Healthy Communities Grant to
build a walking path at its facility, while the
Greenup County Cooperative Extension
Services, Wurtland, won a $20,000 Rails
to Trails grant to build a walking facility
around its property.
At King’s Daughters Medical Center,
a walking path was recently completed
that offers half-mile, three-quarter mile
and one-mile options for team members,
visitors and the community.
Finally, the Healthy Kids, Healthy
Communities Coalition has been active
in promoting the idea of complete
streets – streets that are designed to
accommodate
pedestrians,
bicyclists
and the handicapped as well as vehicles.
Currently, the coalition is working with four
municipalities on enabling legislation.
The Coalition recently adopted 24/7
tobacco free schools, farm to school and
school/community gardens as part of its
future endeavors.
Coalition works
to
lives, health
While there may be many routes to
health, the most successful and least
burdensome path is avoiding illness
altogether.
An initiative undertaken by the
Healthy Kids, Healthy Communities
Coalition of Eastern Kentucky and
the Kentucky Heart Foundation, a
subsidiary of King’s Daughters Health
System, is helping light the way.
The coalition focuses on bringing
about changes in policies, systems and the
environment, said Regina Stout, foundation
executive director. There are three areas in which
these changes are being promoted: schools and
childcare; worksites; and the community at large.
As a result of the coalition’s work,
the Greenup County Health
Department recently received a
$30,000 Healthy Communities Grant
to build a walking path at its facility.
The Healthy Kids, Healthy Communities Coalition has already seen measurable success working with organizations serving children:
• 12 elementary schools have adopted policies promoting active recess; these schools
received new play equipment that promotes
moderate to vigorous activity. They also adopted policies that ban withholding recess or us-
atlett
y Principal, with p
lementar
lay
sburg E
art of the Health
y Kids
,C
ed as p
,
ater
receiv
ci Pr quipment Healthy Communities initiative.
e
M ar
ing physical activity as punishment and now provide the recommended 150 minutes of weekly
physical activity.
• Two school districts adopted policies promoting
good nutrition through requiring healthy foods
in vending machines and limiting junk food sales
through healthy fund-raising activities.
• 21 licensed childcare centers and five afterschool
programs have adopted policies to ensure children enjoy at least 30 minutes of moderate to
vigorous physical activity for every 3 hours in care.
Worksite programs are helping employers create healthier environments and encourage employees to have better health behaviors at work.
Five area employers have adopted new wellness
policies that impact healthy meetings and encourage employees to be physically active. In addition,
the coalition is offering WORKing on WELLNESS,
a program that offers health screenings, a walking
challenge, education and weight loss support at
work.
The Healthy Kids, Healthy Communities Coali-
12 | Touching LIVES
“Th
ng
eti
e frst step to g
Gre
ing.”
ask
s
i
p
hel
cle d
e cy
enu
irector
ev
k, r
loc
hit
gW
KDMC’s commitment
to care runs deep
King’s Daughters Medical Center is committed to
caring for people – all people, from all walks of life –
regardless of their ability to pay.
Our commitment is so strong that last year alone,
we qualified 6,000 patients for partial or complete
write-offs of their hospital bills, said Greg Whitlock,
revenue cycle director at KDMC.
Total cost of the free care given was about $135
million, including $55 million in charity care.
Total cost of the free care given was about $135
million, including $55 million in charity care.
“We work really hard to identify patients who may
not have financial resources to be able to afford care,”
Whitlock said. These patients are offered the help of
a financial counselor, who helps with documentation
requirements and completing applications for
Medicaid, the Kentucky disproportionate share
program and KDMC’s financial assistance program.
“The first step to getting help is asking,” Whitlock
noted. “We don’t want to see anyone in collections
or serious financial straits because they genuinely
cannot afford healthcare.”
Additionally, KDMC offers significant discounts
to self-pay patients, roughly equal to the discounts
given to Medicare. Patients can make arrangements
for interest-free installment payments as well.
“If someone out there needs care but they’re
worried because they just don’t have the resources,
I would strongly encourage them to speak with one
of our financial counselors,” Whitlock said.
68
Community Relations Free Screenings
Screening
FY2011 FY2012
Screening
Oct. 1, 2011 - Sept. 30
People Screened
FY2011 FY2012
6,861
6,769
Ankle-Brachial Index
632
168
Blood Glucose
5,531
6,304
Lung Function
168
152
Cholesterol
5,271
6,275
Carpal Tunnel
216
137
Healthy Heart
with EKG
3,547
EKG
2,466
3,547
Valve Screening
1,087
Mammogram
1,576
1,713
Hearing
214
1,087
Joint Pain
Sports Physicals
33
605
Heart Scan
Skin Cancer
201
355
Varicose Vein
Prostate
318
233
AAA Screening
Osteoporosis
184
–
Carotid Ultrasound
Other*
Total Screenings
People
–
112
Sports Physical
70
110
Carotid Ultrasound
605
–
102
Skin Cancer
355
105
74
Prostate
233
–
58
18
49
Osteoporosis
184
592
1,522
Ankle-Brachial Index
168
Lung Function
152
24,272
28,034
Carpal Tunnel
137
Heart Valve
112
Hearing
110
Joint Pain
102
* For FY2012, represents
free flu shots provided
to police, fire, EMS and
the community.
Varicose Vein
.
o what we
Makin
why we d
do
g a difference... it’s
Screening
Subject
FY2011
FY2012
FY2011
FY2012
Nutrition
7,042
6,324
Tobacco
19,473
19,241
Heart Health
7,044
3,977
Nutrition
19,593
18,745
505
1,310
–
1,199
90%
80%
100%
11,012
3,859
Skin Cancer
4,203
3,435
Stuffee
Skin
2,527
3,044
Safety
1,428
1,099
Diabetes
1,928
3,000
Stroke
1,426
944
Safety
2,712
2,224
Poison Prevention
511
695
Alcohol/drug abuse
1,783
2,025
Handwashing
2,141
653
60%
Stroke
6,147
1,924
Heart
1,396
595
50%
Summer Safety
1,642
1,535
Exercise
939
554
Colon Cancer
1,614
931
Summer Safety
818
408
Poison Prevention
704
627
Bicycle Safety
636
225
30%
Exercise
928
370
Brain Health
1,498
204
20%
Handwashing
1,650
263
Other*
1,685
2,015
Other*
2,026
5,782
52,049
47,887
52,962
39,320
Total
* includes brain health, heart at work, testicular cancer,
dental health, bicycle safety, bone health, asthma, vehicle
safety and childbirth education
Heart Valve 2%
Carpal Tunnel 2%
Lung Function 2%
Ankle-Brachial
Index
2%
Osteoporosis
3%
idu
al
Healthy Heart
with EKG
51%
Prostate 3%
er
Canc
Skin 5%
Carotid
Ultrasound
9%
Sports
Physical
37%
Abnormal Screening Results
Breast
Total
Hearing
2%
6,899
Subject
Tobacco
Indiv
49
Total
Children’s Education
Abdominal
Ultrasound
1%
Varicose
Vein
1%
58
Abdominal
Ultrasound
Adult Education
Joint Pain
1%
ened
cre
sS
Blood Pressure
2012
10%
41%
16%
44%
70%
40%
10%
0%
* includes first aid training, diabetes, breast cancer, hydration, bone health, colon cancer, asthma and lung cancer
education
14 | Touching LIVES
Blood Pressure
Glucose
Cholesterol
Abnormal
2,775
630
2,761
Carotid Ultrasound
97
Normal
3,994
5,674
3,514
508
69

KDMC CHNA.indd - King`s Daughters

Transcription

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