Community Health Needs Assessment City of Socorro Data

Socorro County 2011-2012Carrie McNeil DVM

ClientPresbyterian Socorro General Hospital

Community Needs Assessment CommitteeCarrie McNeil DVM, Coordinator

Elizabeth Brewer-Beers RNSusan Butler Ed.D.

Bo Beames MBA FACHEKayla Cline

Kike Oduwa

Socorro Rotary PresentationAugust 22, 2012

Elizabeth Brewer-Beers, RNSocorro General Hospital

Director of Community Based Programs

Overview of CNA Process

Pre-Assessment: Identify top issues

Access to Care Diabetes Mental Health Maternal Child Health Tobacco

Assessment: Data Collection 858 surveys administered Stakeholder interviews

Post-Assessment Statistical analysis conducted Comprehensive CNA report

written Strategy to Address Needs

Bring stakeholders back to the table

Where Survey Respondents Live Socorro Community Needs Assessment June-July 2011

(n=859, 0 missing)

146

113

332

103

145

20

Alamo

Magdalena

Socorro

Veguita

Ranch/Farm/Rural

Other

Distances from Study Locations to PSGH & Albuquerque

LocationMiles to PSGH

Time to PSGH

Miles to ABQ

Time to ABQ

Socorro (city) 0-10 0-15 min 75 1-1.5 hrs.

Magdalena 25 30 min 100 1.8-2 hrs.

Alamo 58 1.2-3hrs 88.1 (dirt) 2-3 hrs.

Veguita 36 45 min 44 1 hr.

Rural Varies 0-3 hrs. Varies 0.75-3.5hrs

*Times & Distances are approximate, based on 2011-12 CNA*All frequencies are estimated based on SUDAAN analyses using post-stratification

weighting

Socorro Survey Results

Demographics of Respondents

50.38% (3.09) HH Income < $30,00057.83% (2.71) Hispanic; 27.71% (2.46) White; 3.92% (1.07) AI60.63% (2.76) Women2.01 (1.84-2.19) Average # Kids/household62.8% (2.67) Never need help reading

Ages 18-24 yrs.: 11.85% (1.78)

25-44 yrs.: 40.43% (2.71)45-64 yrs.: 35.26% (2.64)>65 yrs.: 12.46% (1.82)

City of Socorro’s

Most Important Preventable Health Issues

Socorro Survey Results

County Self & Family

Drug & Alcohol Abuse Diabetes

Diabetes Cancer

Teen Pregnancy Domestic Violence

Heart & Lung Obesity

Injury

Socorro Survey Results

Medical Care Used61.75% (2.67) saw doctor within past year25.18% (2.31) have no regular doctorNon-emergent: 27.22%(2.46) SGMG, 21.1%(2.26) Bhasker, 19.88%(2.21) PSGH ER: 90.71% (1.62) PSGH, 12.69% (1.86) Albuquerque

State of HealthHigher than overall average report excellent/very good healthDays in last month with depression/anxiety are almost doubled state averageHighest number of reported healthy, energetic days

Socorro Survey Results

Barriers to Care>20% report the following barriers

Scheduling, no nights/weekends, insurance, time from work, cost of care

Community-Based ProgramsLearned about CBPs from doctors and friendsMore likely to use CBP if close to home, free, doctor recd, insurance covers, opens nights & weekends

Diabetes>48% have not had doctor talk about diabetesMajority see CBP & Drs as helpful to diabetic care

Socorro Survey ResultsTobacco27.42% (2.54) smoke7.1% (1.46) smokeless tobacco use>35% smokers who saw doctor last year did not have doctor discuss quitting

Maternal ChildStrong support prenatal, healthy family, development CBPs

Mental HealthTop issues-illegal, prescription drug and alcohol abuse, child abuseMajority go to family, friends or SMH for MH issues About 4 in 10 have not been asked about mental health by doctor

County-wide Overall Results

Countywide Results

Demographics of Respondents

52.43% (2.15) Income < $30,00047.07% (1.81) Hispanic; 33.05% (1.77); White; 10.4% (0.82) AI60.15% (1.93) Women2.18 (2.04-2.32) Average # Kids/household61.13% (1.8) Never need help reading

Ages 18-24 yrs.: 10.36% (1.15)

25-44 yrs.: 34.97% (1.77)45-64 yrs.: 38.85% (1.87)>65 yrs.: 15.83% (1.41)

Overall Most Important Preventable Health Issues

Countywide Results

County Self & Family

Drug & Alcohol Abuse Diabetes

Diabetes Cancer

Teen Pregnancy Obesity

Injury Heart/Lung

Domestic Violence Cancer

Obesity Drug & Alcohol Abuse

County Survey Results

Medical Care Used60.75% (1.87) saw doctor within past year28.1% (1.68) have no regular doctorNon-emergent:21.18% (1.61) SGMG; 18.08%(1.53) Bhasker; 17.49%(1.48) PMSER: 83.81% (1.34) PSGH, 16.14% (1.36) Albuquerque

State of HealthApprox. 45% very good-excellent, 18% fair-poor health reportedOut of the Past 30 Days

22.67 (+/-0.74) Days Healthy, Full of Energy 6.96 (+/- 0.72) Days Depressed, Anxious (above state

average) 3.42 (+/-0.57) Days of Activity Limited (close to state

average)

County Survey Results

Barriers to Care>30% report the following barriers

Cost, scheduling, no night/weekend care>20% report the following barriers

Distance, lack of insurance, time from work

Community-Based ProgramsMost used and trusted sources to learn about CBP: doctor, family, friendMore likely to use CBP if

Close to home, free, insurance covers, open nights & weekends

DiabetesAlmost half had never had doctor discuss diabetes risks8/10 would use or recommend diabetes-related CBPAlmost 9/10 state CBPs can improve health of diabetics

County Survey ResultsTobacco23.08% (1.66) smoke9.86% (1.17) use smokeless tobaccoAbout 40% of smokers who saw doctor last year were not asked about quitting

Maternal Child>6% not sure if important to get professional help for developmental issueAlmost all felt important to get prenatal care>12% not sure if would use/recommend health family program

Mental HealthOverall top issues:

Illegal, prescription drug & alcohol abuse, child abuse, domestic violence

Majority go to family, friends, doctors; 1/3 to SMH for MH issuesAlmost 4/10 have not been asked by provider about mental health symptoms

County Survey ResultsPoverty impacts Socorro County Disproportionately

>50% household income < $30,000 (135% federal poverty)

Over 70% of families in Alamo live in poverty

Lower income associated with lower literacy levels

Poverty is an Obstacle to Healthcare

1 in 10 persons in poverty have not seen a doctor in 5 years

10% fewer respondents in poverty had a regular doctor

Over 40% of all respondents identify cost as a barrier

Almost 30% responded lack of insurance is barrier to care

Many would use community-based programs (CBPs) if funded

 

County Survey Results

Poverty impacts Health

Compared to those with household incomes >$30,000:

Almost 50% fewer assess health as “excellent”

Fewer healthy days in the past 30 days

More days with mental health symptoms

More days unable to do work or activities due to health

2012 SGH Board Endorsed Priority Areas

Community Need Lead InterventionsReduce prevalence of Obesity and Diabetes related illness

CBP Healthy Eating Active Lifestyle Early Detection of Risk

Improved Access to Care

SGH Clinic OperationsTeam

Recruitment/Retention of Primary Care providers

Increase clinic physical capacity

Expansion of hours of operation

Reserve times for walk-in , same day scheduling

Other identified needs that are less feasible for us to address at this time:•Mental Health/Drug & Alcohol Abuse

Funding availabilityDo not wish to compete with other entitiesShould engage in ongoing dialogue as to how we can support and partner to address issue within community

Supporters & Donors Making the Survey Possible

• City of Socorro• Socorro County• First State Bank• NMT- 4th of July• Phillips 66- Lemitar• Socorro Consolidated

Schools• Trails End Market• Village of Magdalena• Aaron’s• Buckhorn Tavern• Corner Copy• Don Juan’s• El Sombrero• Favor-It-Things• Jerome Adam Jr

• Old Town Bistro• Comcast• Alamo Chapter & School

Board• KABR Radio Alamo• John Brooks Supermart• Tiish Tsoh• Smith’s Food & Drug• Spin City Laundromat• Veguita Minimart/Gas station• Old Timer’s Reunion• Gambles True Value• Leesberg’s Auto Service• Rak’s Building Supply• San Antonio General Store• San Antonio Crane Cafe

Many thanks to…

– Regional families & individuals for sharing time & stories

– Our outstanding volunteer crew who spent hours in the heat, collecting an impressive sample

– Kayla Cline, intern & lead on data entry

– Kike Oduwa, data entry & study design

• Additional thanks to Susan Butler, Paul Weiss, Karen Levy, Kyle Steenland and the Global Experience Fund for support (Emory University, Rollins School of Public Health)

Questions?