UNICOI COUNTY MEMORIAL HOSPITAL UNICOI COUNTY

UNICOI COUNTY MEMORIAL HOSPITAL
UNICOI COUNTY, TENNESSEE
2013 COMMUNITY HEALTH
NEEDS ASSESSMENT
Published June 27, 2013
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Table of Contents
I.
II.
III.
IV.
V.
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Introduction
Executive Summary
Community Interview Summary
a. Collecting Community Input
b. Health Status Rating
c. Top Health Priorities
d. Identifying Available Resources
e. Improving Health Priorities
Global Perspective (America’s Health Rankings overview)
a. Introduction
b. Findings
c. State Summary
Regional Perspective
a. UCMH Snapshot
b. Regional Collaboration
Introduction
U
nicoi County Memorial Hospital (UCMH) began operations in 1953, later opening a Long Term Care
wing in 1969 and adding a second Long Term Care wing in 1977. Over the next several decades the
hospital progressed through multiple building additions, renovation projects, and equipment
installations to keep pace with the changing healthcare environment and to provide the community with
additional healthcare services at their local hospital.
UCMH currently functions as a 48-bed acute care and 46-bed Long Term care facility. The hospital operates
a 24/7 Emergency Department and its outpatient services include a full-service laboratory; surgical services
offering a wide variety of general and specialized surgeries; full-service diagnostic imaging center;
respiratory and physical therapy; and home health in-home services to meet the healthcare needs of the
residents of Unicoi County. The hospital is accredited by the Joint Commission.
Executive Summary
Regional and national rankings for health factors continue to be disappointing as cancer, heart disease, and
diabetes rates continue to increase each year. Obesity continues to be a significant problem in the United
States, serving as a major contributor to these diseases as well as others. From a global perspective, the
United States falls behind other developing nations in health outcomes. Clearly, there are many needs that
exist and need attention. Unicoi County Memorial Hospital (UCMH) exists to “meet and exceed community
and regional expectations through our quality driven, efficient organization by planning, coordinating, and
delivering a broad range of general and specialty healthcare services.”
In order for UCMH to serve Unicoi County effectively, it is essential to understand the county’s needs.
UCMH has conducted a Community Health Needs Assessment, in collaboration with Mountain States Health
Alliance, to profile the health of the residents within the local community. The assessment focuses on
UCMH’s core county, Unicoi County, TN.
Activities associated with the development of this assessment have taken place during the spring of 2013,
including state, regional and county-specific secondary data collection and primary data obtained through
10 surveys with individuals from Unicoi County, TN.
Throughout the assessment, high priority was given to determining the health status and available resources
within Unicoi County, TN. Community members from key organizations throughout the county met with
UCMH and MSHA to discuss current health priorities and identify potential solutions. The information
gathered from a local perspective, paired with regional, state and national data, helped to assess the
county’s health situation in order to begin formulating solutions for improvement.
After compiling the various sources of information, four top health priorities were identified by Unicoi
County community members. These priorities include: obesity, cancer , diabetes, and heart disease. In
2011, Tennessee ranked 39th, for overall health outcomes. Tennessee had high rates of adult obesity,
cancer deaths, infant mortality, and diabetes. By examining national data, the UCMH / MSHA collaborative
is able to identify successful measures that have been used in other states to solve similar issues. For
instance Vermont ranked 1st in 2011 after being ranked 17th in 1998. Though obesity and diabetes rates are
still increasing in Vermont, the percentage of affected adults is much lower than other states.
According to America’s Health Rankings 2011 Edition, Unicoi County ranked 55th in TN for health outcomes
and 16th for health factors out of 95 counties. Unicoi County also ranked 28th in clinical care, 10th in health
behaviors, and 75th in physical environment.
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Community Health Needs Assessment
Interview Summary
By utilizing effective measures, available resources, and community member involvement, county-specific
plans have been developed and implemented which focus on preventing the growth of the four identified
health outcomes. However, it is apparent that it takes more than just resources and an implementation
plan to challenge these health priorities. UCMH is nevertheless, committed to seeing change take place
within the community it serves.
The following information has been collected and reviewed by the representatives from the Strategic
Planning Department of MSHA in conjunction with leadership from UCMH. Following presentation to the
UCMH Board of Directors, future initiatives will be identified, prioritized, implemented, and monitored to
ensure health status progress occurs.
Community Interview Summary
During May 2013, the MSHA Strategic Planning Department with assistance from leadership of UCMH,
hosted a luncheon in order to connect with community members of Unicoi County. UCMH’s hospital
administration identified individuals in the community who were considered public health officials or
community leaders. The 10 interviewees from Unicoi County in attendance were a local physician,
representation from Unicoi County schools, non-profit directors, health department officials, minority group
leaders, and UCMH leadership. These individuals were invited to discuss and determine the health priorities
and resources available in Unicoi County.
Collecting Community Input
In order to complete the community health needs assessment for Unicoi County Memorial Hospital, UCMH
and MSHA met with 10 representatives from Unicoi County, Tennessee. The organizations that were
represented are listed in Table 1.1.
Table 1.1 – Summary Organizations Participating in UCMH’s CHNA
Reported Organizations Providing Input for UCMH Assessment
Telamon Migrant Head Start
Unicoi County
Unicoi County Health Department
Unicoi County Schools
Unicoi Medical Associates
Town of Erwin
Unicoi County Chamber of Commerce
Unicoi County Memorial Hospital
Unicoi County Family YMCA
Unicoi Valley Internal Medicine
To begin the community health needs assessment, MSHA’s strategic planning staff presented data that had
been collected in-house in order to illustrate past and current health trends for Tennessee. The
presentation depicted the current national health rankings, in addition to providing a snapshot of Unicoi
County. Following the presentation, each participant was given a survey to determine the individual’s
personal assessment of the county’s health priorities. Secondly, the individuals were asked to submit ideas
and suggestions as to how UCMH and MSHA could use the available resources in order to improve the
health priorities determined. After the surveys had been completed, each group discussed the questions
and continued brainstorming ways to address obstacles and utilize resources. All of the information
collected from the surveys and open discussion were evaluated and prioritized based on health needs.
In surveys obtained from 10 community representatives, several community health needs and resources
were identified. Table 1.2 lists the survey questions given to each participant in the assessment.
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Community Health Needs Assessment
Interview Summary
Table 1.2 – Community Survey Questions
1
2
3
4
Survey Questions
How would you rate the general health status of the patient population in this community on a scale of 1
to 10 (with 1 being the poorest and 10 being the best)?
Keeping in mind resources are not unlimited, are there other health priorities you feel should be
addressed as well?
What existing resources, such as organized groups or public health initiatives have been developed and
are in place to address these health priorities?
What ideas do you have that may serve to improve these health priorities?
Health Status Rating
Overall, the general health status Unicoi County, TN was rated as 5.7 on a scale of 1 – 10, with 1 being the
poorest and 10 being the best. The responses ranged from 4 to 8. The health ranking for each county,
determined by participants, can be found below in Table 1.3.
Table 1.3 – Average Health Status Ranking
Number of
Attendants
10
Unicoi County Memorial Hospital, Unicoi County, TN
Average of Health Status
Rating
5.7
Top Health Priorities
All 10 interviewees agreed that the most prevalent health priorities in the county were obesity, diabetes,
cancer and heart disease. All of these could be positively impacted by addressing the obesity issue as it is a
health risk factor for each of these diseases. In addition to these four, community members identified
several other health priorities that need to be addressed. Tables 1.4 and 1.5 list the top health priorities
identified by community participants.
Table 1.4 – Top Identified Health Priorities
Top Health Priorities
Responses
% of Total Responses
Obesity
10
100%
Cancer
10
100%
Diabetes
10
100%
Heart Disease
10
100%
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Community Health Needs Assessment
Interview Summary
Table 1.5 – Additional Identified Health Priorities
Unicoi County Memorial Hospital
Unicoi County, TN
Responses
Percentage
Mental Health
6
42.9%
Substance Abuse (Drugs, Alcohol, and Prescription Drugs)
5
35.7%
COPD / Respiratory Needs
1
7.1%
Dental Care
1
7.1%
Nutrition
1
7.1%
TOTAL Responses
14
100.0%
*Individuals contributed multiple responses regarding health priorities.
Identifying Available Resources
UCMH realizes that there are numerous resources that can provide care for individuals. It’s our goal, in
order to reduce costs and provide the best care possible for members of the community, is to identify these
resources to prevent duplication of services. The interviewees were asked to list all of the services and
resources within Unicoi County. The interviewees acknowledged that many resources currently exist within
the community or in neighboring counties. Table 1.6 lists the current organizations within the county that
offer health services to the community.
Table 1.6 – Identified Available Resources
Resources Available
Unicoi County, TN
Coordinated School Health
Unicoi County Health Dept.
Unicoi County Family YMCA
ETSU Outreach
Frontier Health – Erwin Office
American Cancer Society
Appalachia Trail Conservation Society
*UCMH understands that there are other resources available in each county that are not listed in this table. This table represents only the resources
listed by participants in community health needs assessment. UCMH and MSHA will continue to identify resources.
Improving Health Priorities
The community members who were surveyed provided helpful ideas as to how to begin formulating a plan
to improve the health priorities within the community. To enhance existing resources, the participants
stressed the significance of increasing public awareness of both addressing one’s health needs and the
availability of health care options within the county. Additional suggestions as to how UCMH can improve
the previously identified health priorities are listed in Table 1.7.
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Community Health Needs Assessment
Interview Summary
Table 1.7 – Ideas to Improve Health Priorities
Responses
1
Education classes and events to provide awareness to the community concerning health
issues.
2
Provide access to a Nutritionist / Dietician.
Educational campaigns to encourage annual check-ups with your local physician.
3
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Community Health Needs Assessment
Global Overview
Global Perspective (Provided by America’s Health Rankings)*
The focus on development of a community needs assessment for Unicoi County Memorial Hospital is to
determine the needs for the local communities and the service area in which we operate. However, it is
also helpful to understand from a more global perspective the health status of the nation as a whole, since
many issues UCMH’s service area experiences are not limited to just this region. Compiled on an annual
basis, the America’s Health Rankings publication developed by the United Health Foundation, the American
Public Health Association and Partnership for Prevention provides one of the most comprehensive
assessments regarding the status of the nation’s health. The following information in the national and
regional overview is from the 2011 edition.
Introduction
Health is a result of behavior, individual genetic predisposition to disease, the environment and the
community in which we live, the clinical care received and the policies and practices of our health care and
prevention systems. Each of us, individually, as a community, and as a society, strives to optimize these
health determinants, so that all of us can have a long, disease-free and robust life regardless of race, gender
or socio-economic status.
This report looks at the four groups of health determinants that can be affected:
1. Behaviors include the everyday activities that affect personal health. It includes habits and practices
developed by individuals and families that have an effect on personal health and on utilization of health
resources. These behaviors are modifiable with effort by the individual supported by community, policy and
clinical interventions.
2. Community and environment reflects the reality that daily conditions have a great effect on achieving
optimal individual health.
3. Public and health policies are indicative of the availability of resources to encourage and maintain health
and the extent that public and health programs reach into the general population.
4. Clinical care reflects the quality, appropriateness and cost of the care received at doctors' offices, clinics
and hospitals.
All health determinants are intertwined and must work together to be optimally effective. For example, an
initiative that addresses tobacco cessation requires not only efforts on the part of the individual but also
support from the community in the form of public and health policies that promote non-smoking and the
availability of effective counseling and care at clinics. Similarly, sound prenatal care requires individual
effort, access to and availability of prenatal care coupled with high-quality health care services.
Addressing obesity, which is a health epidemic now facing this country, requires coordination among almost
all sectors of the economy including food producers, distributors, restaurants, grocery and convenience
stores, exercise facilities, parks, urban and transportation design, building design, educational institutions,
community organizations, social groups, health care delivery and insurance to complement and augment
individual actions.
*America’s Health Rankings 2011 Report can be found online at http://www.americashealthrankings.org/.
Foundation.
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It is a product of United Health
Community Health Needs Assessment
Global Overview
America's Health Rankings® combines individual measures of each of these determinants with the resultant
health outcomes into one, comprehensive view of the health of a state. Additionally, it discusses health
determinants separately from health outcomes and provides related health, economic and social
information to present a comprehensive profile of the overall health of each state.
America's Health Rankings® employs a unique methodology, developed and periodically reviewed by a
panel of leading public health scholars, which balances the contributions of various factors, such as smoking,
obesity, binge drinking, high school graduation rates, children in poverty, access to care and incidence of
preventable disease, to a state's health. The report is based on data from the U.S. Departments of Health
and Human Services, Commerce, Education and Labor; U.S. Environmental Protection Agency; the American
Medical Association; the Dartmouth Atlas Project; the Trust for America's Health; the World Health
Organization; and the Organization for Economic Co-operation and Development (OECD).
Findings
Comparison to Other Nations
When health in the United States is compared to health in other countries, the picture is disappointing. The
World Health Organization, in its annual World Health Statistics 2011, compares the United States to the
nations of the world on a large variety of measures. While the U.S. does exceed many countries, it is far
from the best in many of the common measures used to gauge healthiness, and it lags behind its peers in
other developed countries.
Life expectancy is a measure that indicates the number of years that a newborn can expect to live. Japan is
the perennial leader in this measure with a life expectancy of 86 years on average for females and 80 years
for males (San Marino men have a longer life expectancy at 82 years).
With a life expectancy of 81 years for women, the United States is 32nd among the 193 reporting nations of
the World Health Organization and at 76 years for men, the United States is 34th among nations. Table 7 lists
a few other countries for comparison purposes. U.S. male life expectancy rates are on par with Chile, Cuba
and Slovenia, and U.S. female life expectancy rates are on par with Costa Rica and Denmark.
*America’s Health Rankings 2011 Report can be found online at http://www.americashealthrankings.org/.
Foundation.
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It is a product of United Health
Community Health Needs Assessment
Global Overview
One of the underlying causes for these differences is the gap in infant mortality rates between the United
States and many other countries (Table 7). The infant mortality rate for the U.S. in 2009 was seven deaths
per 1,000 live births, ranking the United States 43rd among WHO nations. Rates for Sweden, Spain, Italy,
Germany, France, Czech Republic, Slovenia and Iceland are all half of the United States rate. These countries
also have considerably lower infant mortality rates than those of non-Hispanic whites in the United States,
the ethnic/racial group with the lowest rates in the United States.
In the United States, the infant mortality rate is also a health equity issue. Infant mortality among nonHispanic whites is 4.8 deaths per 1,000 live births - still higher than 28 other countries. Infant mortality in
the United States among non-Hispanic blacks, however, is 11.1 deaths per 1,000 live births; 2.3 times that of
non-Hispanic whites and 60th among countries.
The life expectancy in the United States of a 65-year-old woman is 19.8 years, lower than 22 other OECD
countries including France at 22.3 years, Spain at 22.2 years, Canada at 21.3 years and United Kingdom at
20.2 years. For 65-year-old men, the difference in life expectancy in the United States compared to other
nations is less pronounced. Life expectancy for 65-year-old males is 17.1 years in the United States, 18.1
years in Canada, 17.6 in the United Kingdom, 18.0 years in France and 17.8 years in Spain.
Differences in life expectancy are also impacted by the effectiveness of treating disease, especially diseases
that are amenable to care, including bacterial infections, treatable cancers, diabetes, cardiovascular and
cerebrovascular disease, some ischemic heart disease and complications from common surgical procedures.
The age-adjusted amenable mortality rate before age 75 for the United States was 95.5 deaths per 100,000
population in 2006 to 2007. This is a considerable improvement from 120.2 deaths per 100,000 population
in 1997 to 1998, but the rate of improvement was much slower than in other Organization for Economic Cooperation and Development (OECD) nations studied. The rate in the U.S. remains 50 percent higher than the
rate in Australia, France, Japan and Italy. This study estimated that if the United States achieved rates on par
with comparative countries, between 59,500 and 84,300 deaths before age 75 would have been saved.
Additionally, the study indicated that despite spending more than any other country on health care, the
United States continues to slip further behind other countries. In 1997, the U.S. ranked 15th in this mortality
rate. Since then, Finland, Portugal, the United Kingdom and Ireland have reduced their mortality rate from
disease amenable to care more rapidly than the United States. All now have better rates than the U.S.
The homicide rate also distinguishes the United States from other OECD countries, as the United States
ranks 29th among the 31 countries and its rate is more than double that of most other countries. France,
Germany, Canada, Spain and the United Kingdom have homicide rates under 2 deaths per 100,000
population, and the United States has 5.2 deaths per 100,000 population.
The homicide rate in the United States disproportionately affects young black adults, where homicide rates
are seven times those of young white adults. (The homicide rate for blacks age 15 to 24 is 48.9 deaths per
100,000 population, whereas the homicide rate for whites age 15 to 24 is 6.7 deaths per 100,000
population.)
The results of these studies should be a wake-up call to everyone in the United States to strive to improve
all aspects of the health system however possible, including education, safety, prevention and clinical care.
Other countries have improved their overall health, indicating that the United States too can do the same.
*America’s Health Rankings 2011 Report can be found online at http://www.americashealthrankings.org/.
Foundation.
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It is a product of United Health
Community Health Needs Assessment
National Overview
National Changes from 1990
The 22-year perspective provides a view of health over time. During the past 22 years, this report has
tracked the nation’s 21.2 percent improvement in overall health (Graph 1). National success stems from
improvements in the reduction of infant mortality, infectious disease, prevalence of smoking, cardiovascular
deaths and violent crime, among others (Table 3).
Graph 1 illustrates that the rate of improvement experienced in the health of the United States’ population
occurred in two phases. During the 1990s, improvement in national health averaged 1.6 percent per year.
During this decade, the annual improvement in health has averaged 0.5 percent per year. The annual rate of
growth this decade is less than one-third of the annual rate of growth during the 1990s. Special concern
surrounds the decline in health determinants, as those measures point to the future health of the
population.
Graph 1: Improvements Since 1990
*America’s Health Rankings 2011 Report can be found online at http://www.americashealthrankings.org/.
Foundation.
Page - 12 -
It is a product of United Health
Community Health Needs Assessment
Global Overview
Table 1 - National Measures of Successes and Challenges: 2011 Edition
MEASURE
SUCCESSES
CHANGES
Smoking
The prevalence of smoking decreased 41 percent from 29.5 percent in the 1990 Edition
to 17.3 percent of the adult population in the current edition. Smoking dropped from
17.9 percent to 17.3 percent in the last year, continuing a gradual decline over the past
eight years.
The violent crime rate declined 34 percent from 609 offenses in the 1990 Edition to 404
offenses per 100,000 population in the 2011 Edition. Violent crime dropped by 25
offenses per 100,000 population in the last year.
Preventable hospitalizations continue a 10-year decline. In the 2001 Edition, there were
82.5 discharges; in this edition, there were 68.2 discharges per 1,000 Medicare
enrollees.
Occupational fatalities have declined slightly in the last five years from 5.3 deaths in the
2007 Edition to 4.0 deaths per 100,000 workers in the 2011 Edition. Rates are the
lowest in 22 years.
The average amount of fine particulate in the air continues to decline from 13.2
micrograms in the 2003 Edition to 10.8 micrograms per cubic meter in 2011.
Infectious disease has dropped from 19.7 cases in the 1998 Edition to 10.3 cases per
100,000 population in the 2011 Edition. However, the incidence is above the rate of 9.0
cases achieved in 2009 and 2010.
The infant mortality rate decreased 33 percent from 10.2 deaths in the 1990 Edition to
6.7 deaths per 1,000 live births in 2011. Improvements have slowed dramatically in the
last 10 years as compared to the 1990s.
Years of potential life lost before age 75 per 100,000 population declined 16 percent
from 8,716 in the 1990 Edition to 7,279 years of potential life lost before age 75 per
100,000 population in 2011. Premature deaths, like several other metrics, have leveled
off in the last decade compared to gains in the 1990s.
Violent Crime
Preventable
Hospitalizations
Occupational Fatalities
Air Pollution
Infectious Disease
Infant Mortality
Premature Death
CHALLENGES
Obesity
Diabetes
Children in Poverty
Lack of Health Insurance
Binge Drinking
High School Graduation
Rate
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The prevalence of obesity increased 137 percent from 11.6 percent in the 1990 Edition
to 27.5 percent of the population in the 2011 Edition.
Diabetes has almost doubled in prevalence since the 1996 Edition, rising from 4.4
percent to 8.7 percent of the adult population. This continued 0.3 percent annual
increase does not show signs of abating in the near term.
The percentage of children in poverty has increased for the last four editions and, at
21.5 percent of persons under age 18, is approaching the 22-year historical high of 22.7
percent in the 1994 Edition. This is far above the 22-year low of 15.8 percent in the
2002 Edition.
The rate of uninsured population has increased 17 percent from 13.9 percent in the
2001 Edition to 16.2 percent in 2011. The rate of uninsured population has slowly but
steadily increased during the last 10 years.
The percent of adults who report binge drinking remains above 15 percent of the
population.
Over the last seven years, the high school graduation rate remains locked in the range
of 73 percent to 75 percent of incoming ninth graders who graduate in four years.
Community Health Needs Assessment
Global Overview
The United States has the potential to return to the rates of improvement typical in the 1990s. However, to
do so, it must address the drivers of health directly by focusing on reducing important risk factors. For
example, the prevalence of smoking was stagnant for many years and now is showing improvement,
declining from 23.2 percent in the 2003 Edition to 17.3 percent in the 2011 Edition, the lowest level in 22
years (Graph 2). Utah has reduced its smoking rate to less than 10 percent, lower than the 12 percent goal
for the nation set forth in Healthy People 2020. Seven other states (California, Connecticut, Arizona,
Massachusetts, New Jersey, Hawaii and Minnesota) have driven their smoking rates to less than 15 percent,
approaching the Healthy People 2020 goal.
Graph 2 - Prevalence of Smoking Since 1990
Unprecedented and still unchecked growth in the prevalence of obesity dramatically affects the overall
health of the United States. The prevalence of obesity has increased 137 percent, from 11.6 percent of the
population in the 1990 Edition to 27.5 percent of the population in the 2011 Edition. Now, more than one in
four people in the U.S. is considered obese — a category that the CDC reserves for those who are
significantly over the suggested body weight given their height. This alarming rate of increase shows little
evidence of slowing or abating (Graph 3). Because this data relies on self-reported height and weight, actual
obesity rates, as measured by health professionals, may be up to 10 percent higher, meaning that more
than one-third of the population is likely to be obese.
Obesity is known to contribute to a variety of diseases, including heart disease, diabetes and general poor
health.
Graph 3 - Prevalence of Obesity Since 1990
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Community Health Needs Assessment
Global Overview
The current economic climate also increases the challenge of maintaining a healthy population. Graph 4
shows the recent increase in the percentage of children in poverty in the last few years, increasing from 17.4
percent of children in the 2007 Edition to 20.7 percent of children in the 2010 Edition. In the 2002 Edition,
the child poverty rate was at a historic low of 15.8 percent of persons under age 18. Poverty is an indication
of the lack of access to health care, including preventive care, by this vulnerable population.
Graph 4–Children in Poverty Since 2001
Lack of health insurance coverage increased from 13.9 percent in the 2001 Edition to 16.2 percent of the
population in the 2011 Edition (Graph 5). Lack of health insurance not only inhibits people from getting the
proper care when needed but also reduces access to necessary preventive care to curtail or minimize future
illnesses. Massachusetts, with lack of health insurance at 5.0 percent of the population, is substantially
better than all other states and less than one third of the national average. Texas has a rate five times that
of Massachusetts. Changes in national health care laws have the potential to dramatically affect this metric
over the next few years.
Graph 5: Lack of Health Insurance Since 2001
*America’s Health Rankings 2011 Report can be found online at http://www.americashealthrankings.org/.
Foundation.
Page - 15 -
It is a product of United Health
Community Health Needs Assessment
Global Overview
Since the 2009 Edition, overall health in the United States has increased slightly from 20.3 percent to 21.3
percent above the 1990 baseline. This increase is primarily due to declines in preventable hospitalizations,
infectious disease, prevalence of smoking, and violent crime.
2011 State Results
America’s Health Rankings® — 2011 Edition shows Vermont at the top of the list of healthiest states again
this year. The state has steadily risen in the rankings for the last 13 years from a ranking of 17th in 1997 and
1998. New Hampshire is ranked second this year, an improvement from ranking third last year. New
Hampshire has ranked in the top 10 states every year of the index. Connecticut is number three, followed by
Hawaii and Massachusetts. Mississippi is 50th and the least healthy state, while Louisiana is 49th.
Oklahoma, Arkansas and Alabama complete the bottom five states.
Vermont ascended from 20th in 1990 and 1991 to the top position with sustained improvement in the last
decade. Vermont’s strengths include its number one position for all health determinants combined, which
includes ranking in the top 10 states for a high rate of high school graduation, a low violent crime rate, a low
rate of infectious disease, a high usage of early prenatal care, high per capita public health funding, a low
rate of uninsured population and ready availability of primary care physicians. Vermont’s challenges are low
immunization coverage with 91.2 percent of children ages 19 to 35 months receiving recommended
immunizations, relatively high occupational fatalities at 4.3 deaths per 100,000 workers and a high
prevalence of binge drinking at 17.1 percent of the population.
Mississippi remains 50th this year, the same as the last 10 years. It has been in the bottom three states since
the 1990 Edition. The state ranks well for a low prevalence of binge drinking, a low violent crime rate and a
high rate of immunization coverage. Mississippi’s infectious disease rate improved from 11.9 to 10.5 cases
per 100,000 population in the last year. It ranks in the bottom five states on 12 of the 23 measures including
a high prevalence of obesity, a low high school graduation rate, a high percentage of children in poverty,
limited availability of primary care physicians and a high rate of preventable hospitalizations. Mississippi
ranks 48th for all health determinants combined, so its overall ranking is unlikely to change significantly in
the near future.
Scores presented in the table indicate the weighted number of standard deviation units a state is above or
below the national norm. For example, Vermont, with a score of 1.197, is slightly more than one standard
deviation unit above the national norm and Mississippi, with a score of -0.822, is more than three-quarters
of a standard deviation unit below the national average. When comparing states from year to year,
differences in score are more important than changes in ranking.
Table –Overall Rankings 2011
ALPHABETICAL BY STATE
RANK ORDER
RANK
State
Score
RANK
State
Score
46
35
29
47
24
9
3
30
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
-0.607
-0.168
0.050
-0.622
1
2
3
4
Vermont
New Hampshire
Connecticut
Hawaii
1.197
1.027
1.010
0.940
0.265
0.555
1.010
-0.032
5
6
7
8
Massachusetts
Minnesota
Utah
Maine
0.906
0.755
0.723
0.575
Page - 16 -
33
37
4
19
28
38
17
26
43
49
8
22
5
30
6
50
40
25
16
42
2
11
34
18
32
12
36
48
14
26
10
45
23
39
44
7
1
20
15
41
13
21
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-0.119
-0.275
0.940
0.344
0.098
-0.290
0.401
0.128
-0.478
-0.817
0.575
0.269
0.906
-0.032
0.755
-0.822
-0.342
0.139
0.414
-0.471
1.027
0.495
-0.141
0.392
-0.068
0.494
-0.233
-0.669
0.475
0.128
0.549
-0.521
0.267
-0.314
-0.508
0.723
1.197
0.343
0.443
-0.413
0.476
0.311
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
26
28
29
30
30
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Colorado
Rhode Island
New Jersey
North Dakota
Wisconsin
Oregon
Washington
Nebraska
Iowa
New York
Idaho
Virginia
Wyoming
Maryland
South Dakota
California
Montana
Kansas
Pennsylvania
Illinois
Arizona
Delaware
Michigan
North Carolina
Florida
New Mexico
Alaska
Ohio
Georgia
Indiana
Tennessee
Missouri
West Virginia
Nevada
Kentucky
Texas
South Carolina
Alabama
Arkansas
Oklahoma
Louisiana
Mississippi
*America’s Health Rankings 2011 Report can be found online at http://www.americashealthrankings.org/.
Foundation.
Page - 17 -
0.555
0.549
0.495
0.494
0.476
0.475
0.443
0.414
0.401
0.392
0.344
0.343
0.311
0.269
0.267
0.265
0.139
0.128
0.128
0.098
0.050
-0.032
-0.032
-0.068
-0.119
-0.141
-0.168
-0.233
-0.275
-0.290
-0.314
-0.342
-0.413
-0.471
-0.478
-0.508
-0.521
-0.607
-0.622
-0.669
-0.817
-0.822
It is a product of United Health
Community Health Needs Assessment
Regional Overview
Tennessee Summary
In 2011, Tennessee ranked 39th out of 50 states in overall health outcomes, having improved from 42nd
place in 2010. Since 1990, this is the first time Tennessee has ranked below 40th. Despite the improved
rating, Tennessee still ranks very high in several measurements. For instance, Tennessee currently ranks
46th for prevalence of diabetes, 46th for cancer-related deaths, 46th for preventable hospitalizations, 42nd
for obesity, and 45th for infant mortality. In addition, Tennessee ranked 47th for violent crime. One
positive outcome is a decrease from 26.7 percent to 20.1 percent in adult smoking over the past five years.
Below is a timeline from 1990 to 2011 illustrating the rankings of each state over the past two decades.
Clearly, Tennessee has seen a definite improvement within the past four years, falling from 48th to 39th.
Virginia on the other hand has remained somewhat consistent.
*America’s Health Rankings 2011 Report can be found online at http://www.americashealthrankings.org/.
Foundation.
Page - 18 -
It is a product of United Health
Page - 19 -
Page - 20 -
Community Health Needs Assessment
Regional Perspective
Regional Overview
In this assessment UCMH provides an overview of the current health status for Unicoi County. The following
statistics for Unicoi County include:
I.
II.
Demographic and Socioeconomic Characteristics
Population Distribution
2010 Total Population
% Change 2010 - 2015
2010 Females, Child Bearing Age 15 - 44
% Change 2010 - 2015
% of Population 65+ (2010)
% Unemployment (2010)
Average Household Income (2010)
% Minority (2010)*
HS Degree and Above (2010)
Unicoi County
Tennessee
USA
17,894
6,310,532
281,421,906
0.0%
4.4%
4.1%
3,135
1,257,352
62,026,739
-4.2%
-0.7%
-0.7%
19.6%
13.7%
13.2%
8.8%
7.0%
6.4%
$
44,701 $
58,839 $
71,071
4.9%
23.3%
35.3%
75.9%
82.4%
84.7%
Population by Age Cohort
8,000
4,000
0
0-17
18-34
35-64
65+
2010
3,515
3,464
7,399
3,516
2015
3,486
3,275
7,256
3,878
© 2011, Claritas Inc., © 2011 Thomson Reuters. All Rights Reserved
Page - 21 -
Community Health Needs Assessment
Regional Perspective
UCMH Snapshot
The UCMH snapshot consist of demographics, key indicators of health status, interview highlights, and local
resources. The model for the key indicators of health status analysis was based on the 2010 County Health
Rankings, a key component of the Mobilizing Action Toward Community Health (MATCH). MATCH is a
collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population
Health Institute. Indicators are organized into two broad categories: Health Outcomes and Health Factors.
The Health Factors have multiple components, including Clinical Care, Health Behaviors, Social and
Economic Factors, and Physical Environment. A number of additional key indicators of health status were
included in this analysis from other sources (they are noted in blue font in the snapshot section). For each
indicator, the state and county score is provided as well as a ranking comparing the county’s performance to
that of the other counties/localities in the state if available (95 counties for Tennessee). The rankings are
based on ascending order (with 1 being the desired rank).
UNICOI COUNTY MEMORIAL HOSPITAL
Service Area Counties:

Primary Service Area Map:
Unicoi, TN
Facility Profiles:
Unicoi County Memorial Hospital, is a 48-bed hospital dedicated
to providing quality health care services to Unicoi County.
A 5-page profile of each county is provided. The profile includes a demographic highlight, key indicators of
health status, utilization projections, and survey results specific to the county.
Page - 22 -
UNICOI COUNTY, TN
Demographic Highlights:

Large elderly population
compared to TN and US

Median age of 43.6
(compared to 37.2
nationally and 38.1
statewide)





2010 COUNTY SNAPSHOT
Service Area Map:
Virginia
Tazew ell, V A
Letcher, KY
Russell, V A
Wy the, VA
Harlan, KY
Large declining rate of
females of child-bearing
age compared to minimal
loss nationally
Washington, VA
Lee, V A
Gray son, VA
Hancock, TN
Ashe, NC
Tennessee
Watauga, NC
Hamblen, TN
Unemployment rate is
higher than national and
state experience
Low average household
income level (18% of
households make less than
$15,000)
Buchanan, V A
Kentucky
North Carolina
Mitchell, NC
A v ery , NC
Cocke, TN
Yancey , NC
Madison, NC
Age Distribution and Population Projections:
Lower level of educational
attainment compared to
state and country (11%
without any high school
education compared to
6.4% nationally)
Population by Age Cohort
8,000
4,000
Low level of diversity
compared to state and
national
0
0-17
18-34
35-64
65+
2010
3,515
3,464
7,399
3,516
2015
3,486
3,275
7,256
3,878
Key Statistics:
2010 Total Population
% Change 2010 - 2015
2010 Females, Child Bearing Age 15 - 44
% Change 2010 - 2015
% of Population 65+ (2010)
% Unemployment (2010)
Average Household Income (2010)
% Minority (2010)*
HS Degree and Above (2010)
Page - 23 -
Unicoi County
Tennessee
USA
17,894
6,310,532
281,421,906
0.0%
4.4%
4.1%
3,135
1,257,352
62,026,739
-4.2%
-0.7%
-0.7%
19.6%
13.7%
13.2%
8.8%
7.0%
6.4%
$
44,701 $
58,839 $
71,071
4.9%
23.3%
35.3%
75.9%
82.4%
84.7%
UNICOI COUNTY, TN
Local Health
Highlights:
2010 COUNTY SNAPSHOT
Key Indicators of Health Status:
TN
Unicoi
Rank Desired
Health Outcomes
STRENGTHS:
M o rtality (years o f po tential life lo st/100,000)
 STD
 Low Birth Weight
 Single Parent
Lo w B irth Weight (3-yr avg %)
 Pre-1950 Housing
 Diabetic Eye Exams
 Smoking During
Pregnancy
 Deaths due to
cardiovascular,
cancer,
cerebrovascular and
suicide
Leading Causes of
Death:
Rate
12.46
12.46
Rank
1
*
7.7%
78
22.0%
74
P o o r P hysical Health Days
4.1
4.6
50
P o o r M ental Health Days
3.4
3.9
60
Very Lo w B irth Weight (%)
1.7%
3.0%
n/a
Infant M o rtality (3-yr avg rate per 1,000)
8.7
7.0
54
M o rtality Rate (3-yr avg rate per 100,000)
928.2
1,046.8
74
Cardio vascular Deaths (per 100,000)
288.0
410.2
89
Cancer Deaths (3-yr avg rate per 100,000)
211.0
218.9
47
Diabetes M ellitus Deaths (per 100,000)
28.2
28.1
34
Cerebro vascular Deaths (per 100,000)
50.6
118.0
94
15.1
28.1
83
M o rtality rate fo r ages 1- 14 yrs
22.9
24.9
53
M o rtality rate fo r ages 15 - 21yrs
97.0
161.6
84
5,168.6
5,897.4
85
Lung Cancer Deaths (3-yr avg rate per 100,000)
68.8
63.7
23
Female B reast Cancer Deaths (3-yr avg rate per 100,000)
25.5
27.9
68
P revalence o f A sthma (per 1,000)
101.6
90.5
n/a
P revalence o f Diabetes (per 1,000)
68.9
57.7
Suicide Deaths (per 100,000)
Ages 15 - 21 years
Cause of Death Rate
Rank
Accidents
115.42
1
Intentional
SelfHarm
(Suicide)
23.08
2
All Other Causes
23.08
*
Health Factors
Ages 22 - 64
Cause of Death
Heart dieases
Cancer
Accidents
Suicide
Respiratory
Diabetes
Viral Hepatitis
Aortic Aneurysm
and Dissection
Flu/pneumonia
Liver/Cirrhosis
All Other Causes
Dentists P er Capita (per 100,000)
Ages 65+
Cause of Death
Heart diseases
Cancer
Stroke
Alzheimer's
Disease
Flu/peumonia
Respiratory
Diabetes
Septicemia
Aortic Aneurysm
and Dissection
Kidney
All Other Causes
Page - 24 -
Rate
Rank
112.3
1
105.69
2
69.36
3
46.24
4
26.42
5
19.82
6
6.61
7
6.61
6.61
6.61
122.21
8
9
10
*
286.18
286.18
286.18
183.97
61.32
61.32
61.32
940.31
4
5
6
7
8
9
10
*
n/a
16
Clinical Care
28
No Health Insurance (%)*
14.7%
14.0%
M edicaid/Tenncare Enro llees (%)
19.5%
22.1%
51
183.1
84.7
30
30
M edical Do cto rs P er Capita (per 100,000)
40
67.5
45.1
P ercent witho ut P neumo co ccal Vaccinatio ns (%)*
74.3%
67.7%
2
P ercent witho ut Influenza Vaccinatio ns (%)*
58.5%
55.3%
12
No Diabetic Eye Exams (%)
53.6%
64.0%
92
No Diabetic Lipid P ro file (%)
18.9%
13.6%
6
No Diabetic HbA 1c Testing (%)
12.3%
12.5%
57
No B iennial M ammo graphy (%)*
19.7%
25.1%
81
Inadequate o r No P renatal Care (%)
14.0%
6.1%
n/a
3.1
2.9
22
First Trimester P renatal Care (%)
61.8%
72.2%
20
Newbo rns with M edicaid/Tenncare Co verage (%)
52.9%
59.6%
n/a
M o nth P renatal Care B egan
Ho spital Staffed B eds (per 1,000)
Rate
Rank
2003.3
1
1287.8
2
337.29
3
67
9.3%
M o rtality rates fo r ages 65+
Cause of Death
Intentional
SelfHarm
(Suicide)
All Other Causes
10,961
19.0%
General Health Status (% fair/po o r health)*
WEAKNESSES:
55
9,378
2.8
1.5
n/a
Licensed Nursing B eds (per 1,000 65+)
48.7
87.5
n/a
P reventable Ho spital Stays (A CSC Rate)
90.0
134.0
75
# o f P rimary Care M Ds, P o pulatio n per P ro fessio nal
906
1,476
n/a
# o f P sychiatric Specialists, P o pulatio n per P ro fessio nal
9,984
0
n/a
Inpatient Discharge Rate (per 1,000) - To tal
126.7
174.5
n/a
Inpatient Discharge Rate (per 1,000) - Wo men's
35.3
31.5
n/a
Inpatient Discharge Rate (per 1,000) - Cardiac
23.0
37.3
n/a
5.1
5.1
n/a
19.4
24.4
Inpatient Discharge Rate (per 1,000) - Onco lo gy
Inpatient Discharge Rate (per 1,000) - Ortho /Neuro
Health Behaviors
n/a
10
Cigarette Smo king (%)*
24.3%
25.4%
32
Smo king During P regnancy (%)
19.4%
37.3%
87
P hysical Inactivity (%)*
31.5%
31.2%
16
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UNICOI COUNTY, TN
Cancer Incidence:
2010 COUNTY SNAPSHOT
Key Indicators of Health Status:
TN
Age-Adjusted Cancer Incidence Rates
(per 100,000)
120
100
Unicoi
Rank Desired
Overweight/Obesity (% B M I > 30)*
67.4%
63.8%
5
Lo w Fruit and Vegetable Co nsumptio n (% <5 a day)*
34.2%
37.1%
42
B inge Drinking (%)*
9.0%
7.5%
49
Teen B irth Rate (per 1,000)
66
59
43
Sexually Transmitted Diseases (3 yr avg per 10,000)
58
14
18
1,034.0
472.0
17
2
4.8
83
44.0%
31.7%
9
78.4
124.8
86
80
60
40
20
Vio lent Crime (per 10,000)
0
Prostate
Lung &
Bronchus
Breast
Colon
M o to r Vehicle Crash Deaths (per 10,000)
Tennessee
Unicoi
Unmarried M o ther B irth Rate (%)
Age-Adjusted Cancer Mortality Rates
(per 100,000 Females)
Injury-related M o rtality (3-yr avg rate per 100,000)
% o f Children (0-4) Un/Impro perly Restrained in a Crash
60.0
50.0
Yo ung Driver Crash Rate 15 - 24
40.0
Elderly Drive Crash Rate (60+)
30.0
21.1%
32.0%
88
129.55
79.3
39
32.7
14.2
19
7.7
11.3
n/a
50.8
28.1
3
6.42
5.3
20.0
Ho micides (per 100,000)
10.0
0.0
Lung &
Bronchus
Breast
Colon
Tennessee
A ll accidental deaths per 100,000 po pulatio n
A verage Fatality Rate in A lcho ho l-Related Crashes (per 100,000
po pulatio n)
Ovary
Unicoi
Age-Adjusted Cancer Mortality Rates
(per 100,000 Males)
120.0
100.0
80.0
Social & Econonic Factors
82
27
High Scho o l Graduatio n Rate (%)
82.5%
77.0%
88
Level o f Educatio n (%)
74.9%
63.3%
92
So me Co llege (%)
54.0%
40.5%
47
Unemplo yment (%)
7.9%
7.9%
25
18.0%
30.3%
78
4.4
4
39
Fo o d Stamp Recipients (% o f individuals)
20.4%
20.8%
28
P o verty Rate (% o f all ages)
15.5%
17.0%
45
2.4%
2.1%
62
Inadequate So cial Suppo rt (%)
19.0%
n/a
n/a
Single P arent Ho useho lds (%)
34.0%
28.0%
33
High Scho o l Dro po ut Rate
10.4%
1.9%
60.0
40.0
20.0
Children (age 0 to 17) in po verty ratio (%)
0.0
Lung & Bronchus
Prostate
Tennessee
Divo rce Rate (per 100,000)
Colon
Unicoi
Birth Rate Trend:
Tempo rary A ssistance fo r Needy Families
Crude Birth Rate
(per 1,000)
18.0
16.0
14.0
12.0
10.0
8.0
6.0
4.0
2.0
0.0
A verage A nnual Wage
$ 33,395
$
28,420
Physical Environment
1990
1995
2000
Tennessee
2005
Unicoi
20.6
21.6
66
A ir Quality Hazard Index (per 1,000,000)
1.6
2.2
72
13.9
14.7
70
0.082
0.082
42
1.3%
1.6%
68
14.3%
9.4%
9
0.3%
0.0%
1
8.4
4.2
27
57%
33%
80
8
0.0
134
0.573001
0.0
n/a
Campylo bacter Infectio n (per 100,000)
7.9
0.0
n/a
Salmo nella, No n Typho id (per 100,000)
14.8
0.0
n/a
Shigello sis (per 100,000)
15.8
0.0
n/a
10
0
n/a
6.7
0.0
n/a
13.9
0.0
n/a
5.2
0.0
n/a
Chlamydia (per 100,000)
458.4
0.0
n/a
Go no rrhea (per 100,000)
143.5
0.0
n/a
Ozo ne Level (ppb)*
Nitrate Levels in drinking water (mg/L)
80.0
70.0
P re-1950 Ho using (%)
60.0
75
A ir Quality Cancer Risk (per 1,000,000)
A ir Quality - Fine P articulate M atter in A ir (3 yr avg M g/m3)*
Teen Birth Rate
(per 1,000)
7
31
50.0
Lead P o iso ned Children (%)
40.0
30.0
20.0
Child A buse and Neglect (rate per 1,000)
10.0
0.0
1990
1995
2000
Tennessee
2005
Unicoi
A ccess to Healthy Fo o ds (%)
Recreatio nal Facility Rate
Communicable Diseases
Hepatitis A (per 100,000)
A IDS (per 100,000)
P rimary and Seco ndary Syphilis (per 100,000)
P enicillin-Sensitive Strepto co ccus pneumo niae (per 100,000)
Gro up B Strepto co ccus (per 100,000)
Page - 25 -
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↑
↑
n/a
↓
↓
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↓
↓
↓
↓
↓
↓
↓
UNICOI COUNTY, TN
2010 COUNTY SNAPSHOT
Inpatient Projections
SSU
Behavioral Health SSU
Cardiovascular SSU
Oncology SSU
Ortho-Neuro SSU
Women's SSU
All Others
GRAND TOTAL
All Other Product Lines
Endocrinology
ENT Surgery
Gastroenterology
General Medicine
General Surgery
Neonatology
Nephrology
Ophthalmic Medicine
Ophthalmic Surgery
Oral Surgery
Otolaryngology
Plastic Surgery
Pulmonary
Rheumatology
Thoracic Surgery
Trauma Medical
Unspecified
Urology Medicine
Urology Surgery
2010
93
477
106
424
281
1,165
2,545
2010
73
7
229
167
153
69
91
3
1
2
19
8
264
13
18
9
0
10
32
Inpatients
2015 # Growth
% Growth
92
-1
-1.3%
505
28
6.0%
110
5
4.6%
444
21
4.8%
263
-17
-6.2%
1,210
2,626
45
80
3.9%
3.2%
Inpatients
2015 # Growth
% Growth
76
3
3.9%
7
0
1.3%
237
9
3.8%
172
6
3.4%
157
4
2.6%
69
0
0.5%
96
5
5.5%
3
0
2.1%
1
0
2.2%
2
0
0.5%
19
1
3.5%
8
0
2.3%
277
14
5.2%
13
1
4.0%
19
1
5.7%
9
0
3.7%
0
0
-7.0%
10
0
2.0%
34
2
5.7%
Outpatient Projections
Inpatients
Setting
2015 # Growth
% Growth
41,250
42,099
849
2.1%
Physician Office
145,842
149,925
4,083
2.8%
12,906
13,017
111
0.9%
199,998
205,041
5,043
2.5%
Other Sites
Total Market
Page - 26 -
2010
Hospital-Based
Community Health Needs Assessment
Regional Perspective
Regional Collaboration
Unicoi County Memorial Hospital conducted a community health needs assessment in collaboration with
Mountain States Health Alliance (MSHA). MSHA is the largest regional healthcare system and provides
services through a network of 13 hospitals, outpatient centers, and various other services. MSHA completed
their second community health needs assessment in June 2012. By partnering with MSHA, Unicoi County
Memorial Hospital is able to leverage larger pool of resources focused on improving the same health
priorities as identified for Unicoi County.
Page - 27 -
Community Health Needs Assessment
Appendix
1.
Page - 28 -
Unicoi, TN Detailed Demographics
Appendix
2010 Demographic Snapshot
Area: Unicoi County, TN
Level of Geography: ZIP Code
DEMOGRAPHIC CHARACTERISTICS
Selected
Area
USA
17,785 281,421,906
17,894 309,038,974
17,895 321,675,005
0.0%
4.1%
$44,701
$71,071
2000 Total Population
2010 Total Population
2015 Total Population
% Change 2010 - 2015
Average Household Income
Total Male Population
Total Female Population
Females, Child Bearing Age (15-44)
% Unemployment
% USA Unemployment
POPULATION DISTRIBUTION
2010
2,931
584
1,246
2,218
4,897
2,502
3,516
17,894
% of Total
16.4%
3.3%
7.0%
12.4%
27.4%
14.0%
19.6%
100.0%
2015
2,895
591
1,315
1,960
4,631
2,625
3,878
17,895
Income Distribution
% of Total
16.2%
3.3%
7.3%
11.0%
25.9%
14.7%
21.7%
100.0%
USA 2010
% of Total
20.1%
4.2%
9.7%
13.3%
28.1%
11.5%
13.2%
100.0%
EDUCATION LEVEL
2010 Adult Education Level
Less than High School
Some High School
High School Degree
Some College/Assoc. Degree
Bachelor's Degree or Greater
Total
2015
% Change
8,755
0.0%
9,140
0.0%
3,003
-4.2%
HOUSEHOLD INCOME DISTRIBUTION
Age Distribution
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2010
8,752
9,142
3,135
8.8%
6.4%
2010 Household Income
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
Total
USA
HH Count % of Total
% of Total
1,432
18.2%
12.1%
1,264
16.0%
10.2%
2,567
32.6%
25.5%
1,512
19.2%
19.5%
564
7.2%
12.5%
545
6.9%
20.1%
7,884
100.0%
100.0%
RACE/ETHNICITY
Education Level Distribution
Pop Age
USA
25+
% of Total % of Total
1,369
10.4%
6.4%
1,801
13.7%
8.9%
5,149
39.2%
29.0%
3,209
24.4%
28.2%
1,605
12.2%
27.5%
13,133
100.0%
100.0%
© 2010, Claritas Inc., © 2010 Thomson Reuters. All Rights Reserved
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
Asian & Pacific Is. Non-Hispanic
All Others
Total
Race/Ethnicity Distribution
USA
2010 Pop
% of Total % of Total
17,011
95.1%
64.7%
137
0.8%
12.1%
566
3.2%
15.8%
15
0.1%
4.5%
165
0.9%
2.9%
17,894
100.0%
100.0%
Current Households by Income
Group
Population Distribution by Age
Group
0-14
3,516
2,931
545
<$15K
15-17
584
1,432
18-24
1,246
2,502
564
25-34
2,218
$25-50K
1,512
1,264
35-54
55-64
4,897
1,605
Some High School
1,369
1,801
Population Distribution by
Race/Ethnicity
1375 66
165
15
High School Degree
Some
College/Assoc.
Degree
Bachelor's Degree
or Greater
Over $100K
White NonHispanic
Black NonHispanic
Hispanic
3,209
5,149
$50-75K
$75-100K
2,567
65+
Population Age 25+ by Education
Less than High
Level
School
$15-25K
17,011
Asian & Pacific Is.
Non-Hispanic
All Others