COMMUNITY HEALTH NEEDS ASSESSMENT...Community Health Needs Assessment 2013 The data assessment piece...

COMMUNITY HEALTH NEEDS

ASSESSMENT

CHNA Report p.1

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Community Health Needs Assessment 2013

Table of Contents:

Background .................................................................................... page 4-5

Community Served ........................................................................... page 6

Process and Methodology .............................................................. page 7

Data Assessment Findings and Highlights ............................... page 9

Community Input Findings ........................................................ page 18

Prioritization of Needs ................................................................ page 23

CHNA Report p.2

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Dear Community Resident:

Oconee Medical Center welcomes you to review this document as we strive to meet the health and

medical needs in our community. All not-for-profit hospitals are required to develop this report in

compliance with the Accountable Care Act.

The “2013 Community Health Needs Assessment” identifies local health and medical needs and provides

a plan to indicate how Oconee Medical Center will respond to such needs. This document suggests areas

where other local organizations and agencies might work with us to achieve desired improvements and

illustrates one way we, as a medical community, are meeting our obligations to efficiently deliver

medical services.

Oconee Medical Center will conduct this effort at least once every three years. As you review this plan,

please see if, in your opinion, we have identified the primary needs and if our intended response should

make appropriate needed improvements.

We do not have adequate resources to solve all the problems identified. Some issues are beyond the

mission of the hospital and action is best suited for a response by others. Some improvements will

require personal actions by individuals rather than the response of an organization. We view this as a

plan for how we, along with other organizations and agencies, can collaborate to bring the best each has

to offer to address the more pressing identified needs.

Please consider how to help us improve the health and medical services our area needs. I invite your

response to this report. We all live and work in this community together and our collective efforts can

make living here more enjoyable and healthier.

CHNA Report p.3

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Our Mission:

We help people to feel better and live more fully.

Our Vision:

To rank among the best healthcare providers as measured by patient and physician satisfaction,

quality, community benefit, growth and the scope of services we provide.

We Value:

Excellence/quality, safety, respect, caring/compassion, honesty, commitment and

partnership/collaboration

A Tradition of Caring

Oconee Medical Center has been caring for the residents of the greater Oconee County community

since 1939. Throughout its history, the highest priority has been on providing compassionate,

exceptional care to the families it serves. Today, Oconee Medical Center consists not only of a 169-

bed hospital featuring both a comprehensive range of inpatient and outpatient services, but also a

host of community-based services. These include physician practices, a long-term nursing care

facility and a residential hospice house.

Distinguished by its caring staff, high-quality physicians and a long history of promoting the health

and well-being of the community it serves, Oconee Medical Center is deeply committed to quality as

well as patient safety and satisfaction.

CHNA Report p.4

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BACKGROUND:

Process and Methodology

Oconee Medical Center identified community health needs by undergoing an assessment process.

This process incorporated a comprehensive review by the hospital’s Community Needs Assessment

Team along with secondary and primary data input using the expertise of Dixon Hughes Goodman,

LLP. The team used several sources of quantitative health, social and demographic data specific to

Oconee and Pickens Counties provided by local public health agencies, health care associations and

other data sources. This kind of collaboration is not only allowed for the CHNA process, but

encouraged, thus Oconee Medical Center took advantage of this opportunity to listen to and

evaluate input from various health care individuals and agencies.

In addition, Oconee Medical Center sought outside assistance from the Dixon Hughes Goodman

CHNA team. DHG provided data, organized community input, facilitated priority sessions, and

supported the report drafting process.

The assessment process consists of five steps pictured below:

CHNA Report p.5

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The data assessment piece was completed during February and March of 2013. In this step, service

areas were defined, external data research was completed and key findings were summarized. As the

data assessment was completed, the community input phase was started.

Phone interviews were conducted with persons with special knowledge of public health. In addition,

hospital personnel, local organizations, and community outreach advocates were interviewed in person.

Additional community input was received through online and written surveys. A summary of this dialog

was created and is included in this report. In June, 2013, a prioritization session was held to summarize

and overlay data elements with key community input findings.

From this session, priorities were decided on based upon the significance of the need to the service area

and Oconee Medical Center’s ability to impact the need. Based on these priorities, Oconee Medical

Center decided on which priorities would be included in their implementation strategy and which (if

any) priorities would not be addressed. These can be found in the Implementation Strategy document.

This report and strategy were then approved by the board and made “widely available” on the Oconee

Medical Center website. Below is a list of steps that were taken in each phase of the process:

Data Assessment

Compile Initial Data Assessment for 2 County Area

Identify Other Community Assessments

Include at a Demographic Summary of Area

Community Input

Develop Survey Instrument

Develop Interview List

Develop Interview Guide

Deliver Survey Tool

Conduct Interviews

Gather Survey Results

Summarize Interviews and Surveys

Prioritization and Implementation Strategies

Develop Prioritization Work Session Materials

Facilitate Priority Work Session Resulting in Setting Priorities

Organization and Assignment of Priorities by Hospital

Finalize Implementation Strategies

Reporting

CHNA Report Developed

Implementation Strategies Developed

Post CHNA Summary Report to Website

Attach Implementation Strategy to 990

CHNA Report p.6

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COMMUNITY SERVED

Oconee Medical Center service area is defined as Oconee and Pickens Counties. The majority of

Oconee Medical Center’s patient origin is encompassed within this geographical area. Using a

county definition as the service area is crucial for our analysis as many of our secondary data

sources are county specific and serve as a comparison tool to other counties, the state of South

Carolina, and the United States. Many of our community input sources consider Oconee and

Pickens Counties their primary service area. These include public health officials, as well as many

different community advocacy groups with whom Oconee Medical Center has relationships.

CHNA Report p.7

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PROCESS AND METHODOLOGY

Data Assessment Findings- Secondary Data

In order to present the data in a way that would tell a story of the community and also identify

needs, the framework of Healthy People 2020 was selected to guide secondary data gathering and

also community input. This framework was selected based on its national recognition as well as its

mission listed below:

� Identify nationwide health improvement priorities.

� Increase public awareness and understanding of the determinants of health, disease, and

disability and the opportunities for progress.

� Provide measurable objectives and goals that are applicable at the national, state, and local

levels.

� Engage multiple sectors to take actions to strengthen policies and improve practices that

are driven by the best available evidence and knowledge.

� Identify critical research, evaluation, and data collection needs.

Within this framework, 12 Topics were chosen as “Leading Health Indicators”. These topics guide

discussion and research related to this CHNA.

CHNA Report p.8

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Sources Used in Data Assessment Process

Nielsen Claritas: Nielsen Claritas demographics were used to create maps and tables of total population

and breakdowns of certain other population segments. This information was pulled for Horry County

and the state of South Carolina. 2013 and 2018 demographics were included. Nielsen Claritas also

provided certain education and income level data used in the social determinants section.

2012 County Health Rankings: This source is a collaboration between the Robert Wood Johnson

Foundation and the University of Wisconsin Population Health Institute. It gives a general snapshot of

how healthy each county is in relation to others in the same state. It measures and ranks both health

outcomes and health factors that lead to those outcomes. Each indicator is weighed, standardized, and

ranked in order to come up with an overall ranking of health for each county in South Carolina. Ranking

areas included:

Health Outcomes: Mortality and Morbidity

Health Factors: Tobacco Use, Diet and Exercise, Alcohol Use, Sexual Activity, Access to Care,

Quality of Care, Education, Income, Family and Social Support, Community Safety

Health Indicators Warehouse- the HIW is a collaboration of many Agencies and Offices within the

Department of Health and Human Services. The HIW is maintained by the CDC’s National Center for

Health Statistics. HIW has many county level statistics that allow for comparison to state and national

benchmarks.

The Advisory Board Company- the Oncology Roundtable Cancer Incidence Estimator was used at a

county level to estimate % growth in cancer incidence by site over the next five and ten years.

Kids Count Data Center- this source houses South Carolina and county level data. For South Carolina,

some data elements are provided by the Children’s Trust of South Carolina, while others are provided by

National Kids Count.

Truven Health Analytics: This population based Physician Need tool was used to discover possible

physician shortages by specialty. Also, various ICD-9 based outpatient volume estimators were used to

show increased demand over the next five years.

USDA- USDA’s food desert locator data was used to identify areas that may have income and access

issues to healthy food options.

CHNA Report p.9

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Pop 2013 Pop 2018

Net Growth Total

Pop 2013-2018

% Growth Total Pop

2013-2018

Age 00-04 4,245 4,439 194 4.57%

Age 05-09 4,201 4,288 87 2.07%

Age 10-14 4,402 4,326 -76 -1.73%

Age 15-17 2,660 2,538 -122 -4.59%

Age 18-44 22,842 22,849 7 0.03%

Age 45-54 10,010 9,174 -836 -8.35%

Age 55-64 11,056 10,836 -220 -1.99%

Age 65-74 9,247 10,754 1,507 16.30%

Age 75-84 4,441 4,846 405 9.12%

Age 85+ 1,450 1,653 203 14.00%

Total 74,554 75,703 1,149 1.54%

Pop 2013 Pop 2018

Net Growth Total

Pop 2013-2018

% Growth Total Pop

2013-2018

Age 00-04 6,541 6,849 308 4.71%

Age 05-09 6,535 6,603 68 1.04%

Age 10-14 6,801 6,597 -204 -3.00%

Age 15-17 4,145 4,000 -145 -3.50%

Age 18-44 49,165 49,223 58 0.12%

Age 45-54 15,375 14,361 -1,014 -6.60%

Age 55-64 14,072 14,791 719 5.11%

Age 65-74 10,037 11,440 1,403 13.98%

Age 75-84 5,199 5,979 780 15.00%

Age 85+ 2,068 2,286 218 10.54%

Total 119,938 122,129 2,191 1.83%

Oconee County

Pickens County

DATA ASSESSMENT FINDINGS AND HIGHLIGHTS

The data assessment piece of the CHNA process included data tables, graphs, and maps from various

sources widely available. These data elements were used to identify at-risk populations, underserved

populations, health need areas, and professional shortage areas. A summary of findings was then

created to highlight areas of need within the service area.

Demographics: Nielsen Claritas demographics were used to create maps and tables of total population

and breakdown other population segments. This information was pulled for Oconee and Pickens

Counties and the state of South Carolina. 2013 and 2018 demographics were included. Below is a

snapshot of these county populations showing growth in all age groups over the next five years.

CHNA Report p.10

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Additionally, many races will see their population grow over the next five years in Oconee and Pickens

Counties.

Total

Population White

African

American

American

Indian Asian

Pacific

Islander Other

Two or more

races

Population 2013 74,554 65,252 5,435 180 476 10 1,881 1,320

Population 2018 75,703 66,097 5,135 188 537 10 2,181 1,555

Net Growth 2013-2018 1,149 845 -300 8 61 0 300 235

% Growth 2013-2018 1.54% 1.29% -5.52% 4.44% 12.82% 0.00% 15.95% 17.80%

Population Under 65 2013 59,416 50,959 4,777 162 428 10 1,832 1,248

Population Under 65 2018 58,450 49,805 4,457 164 467 10 2,105 1,442

Net Growth Under 65 2013-2018 -966 -1,154 -320 2 39 0 273 194

% Growth Under 65 2013-2018 -1.63% -2.26% -6.70% 1.23% 9.11% 0.00% 14.90% 15.54%

Population 65+ 2013 15,138 14,293 658 18 48 0 49 72

Population 65+ 2018 17,253 16,292 678 24 70 0 76 113

Net Growth 65+ 2013-2018 2,115 1,999 20 6 22 0 27 41

% Growth 65+ 2013-2018 13.97% 13.99% 3.04% 33.33% 45.83% 55.10% 56.94%

Total

Population White

African

American

American

Indian Asian

Pacific

Islander Other

Two or more

races

Population 2013 119,938 106,017 7,780 242 2,035 15 1,880 1,969

Population 2018 122,129 107,539 7,647 262 2,212 16 2,175 2,278

Net Growth 2013-2018 2,191 1,522 -133 20 177 1 295 309

% Growth 2013-2018 1.83% 1.44% -1.71% 8.26% 8.70% 6.67% 15.69% 15.69%

Population Under 65 2013 102,634 89,773 6,995 207 1,972 15 1,824 1,848

Population Under 65 2018 102,424 89,091 6,785 209 2,128 16 2,086 2,109

Net Growth Under 65 2013-2018 -210 -682 -210 2 156 1 262 261

% Growth Under 65 2013-2018 -0.20% -0.76% -3.00% 0.97% 7.91% 6.67% 14.36% 14.12%

Population 65+ 2013 17,304 16,244 785 35 63 0 56 121

Population 65+ 2018 19,705 18,448 862 53 84 0 89 169

Net Growth 65+ 2013-2018 2,401 2,204 77 18 21 0 33 48

13.88% 13.57% 9.81% 51.43% 33.33% 58.93% 39.67%

Pickens County Population by Race

Oconee County Population by Race

For this census - Hispanic origins are not races and are distributed in all race groups. The chart below

represents ethnic groups.

CHNA Report p.11

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Oconee and Pickens Counties 2013 Population Map

CHNA Report p.12

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Access to Health Services-

Healthy People 2020 Overview- “A person’s ability to access health services has a profound effect on

every aspect of his or her health, yet at the start of the decade, almost 1 in 4 Americans do not have a

primary care provider (PCP) or health center where they can receive regular medical services.

Approximately 1 in 5 Americans (children and adults under age 65) do not have medical insurance.

People without medical insurance are more likely to lack a usual source of medical care, such as a PCP,

and are more likely to skip routine medical care due to costs, increasing their risk for serious and

disabling health conditions. When they do access health services, they are often burdened with large

medical bills and out-of-pocket expenses.”

Insurance Coverage Estimates: According to SAHIE (Small Area Health Insurance Estimates), in 2010,

21.3% of Oconee County residents and 20.1% of Pickens county residents under 65 years of age were

uninsured. This is about the same as South Carolina as a whole (20.3%).

Projected Outpatient Volumes: Truven Health Analytics Outpatient Forecaster estimates that outpatient

volumes of Emergency Room visits, Urgent Care visits, Ambulatory Surgery visits, and Diagnostic test

visits for Oconee and Pickens County are all projected to grow at 4.1 to 5.4%, slightly less than that of

South Carolina’s projected visits of 6-7% growth from 2012 to 2017.

Clinical Preventive Services-

Healthy People 2020 Overview- “Clinical preventive services, such as routine disease screening and

scheduled immunizations, are key to reducing death and disability and improving the Nation’s health.

These services both prevent and detect illnesses and diseases—from flu to cancer—in their earlier, more

treatable stages, significantly reducing the risk of illness, disability, early death, and medical care costs.

Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance

plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical

preventive services that could protect them from developing a number of serious diseases or help them

treat certain health conditions before they worsen.”

Secondary Data indicates Oconee and Pickens Counties are strong in the % of 65 and older people

reporting flu vaccinations. Pickens County is strong in the % of women receiving mammograms and

Oconee County could improve in mammogram screening. Oconee County is weak in the % receiving

Pap smear screenings.

Oconee and Pickens Counties do well in HbA1c screenings and % of residents receiving sigmoidoscopy

screening.

Environmental Quality-

Healthy People 2020 Overview -“Poor environmental quality has its greatest impact on people whose

health status is already at risk. For example, nearly 1 in 10 children and 1 in 12 adults in the United

CHNA Report p.13

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States have asthma, which is caused, triggered, and exacerbated by environmental factors such as air

pollution and secondhand smoke.”

The number of ozone days or particulate matter days does not appear to be an issue in Oconee and

Pickens Counties, however, other indicators not available at a county level such as children exposed to

second hand smoke could emerge from Oconee and Pickens Counties’ fairly high level of adult smoking.

Injury and Violence-

Healthy People 2020 Overview - “Motor vehicle crashes, homicide, domestic and school violence, child

abuse and neglect, suicide, and unintentional drug overdoses are important public health concerns in

the United States. In addition to their immediate health impact, the effects of injuries and violence

extend well beyond the injured person or victim of violence, affecting family members, friends,

coworkers, employers, and communities. Witnessing or being a victim of violence is linked to lifelong

negative physical, emotional, and social consequences.”

From 2001-2007 Oconee County had a motor vehicle death rate per 100,000 population of 28.5 and

Pickens County rate of 20.7. Comparatively, South Carolina had a rate of 24.4. Though these are above

and below the South Carolina rate, they are more than twice the Healthy People 2020 target of 12.4

deaths per 100,000 population.

Maternal, Infant, Child Health-

Healthy People 2020 Overview – “The well-being of mothers, infants, and children determines the

health of the next generation and can help predict future public health challenges for families,

communities, and the medical care system. Moreover, healthy birth outcomes and early identification

and treatment of health conditions among infants can prevent death or disability and enable children to

reach their full potential. “

In 2010, Oconee County had 3.7 infant deaths per 1,000 live births, however, Pickens County had a

much higher rate of 12.8 deaths per 1,000 live births. (South Carolina had 7.4). The Healthy People

2020 target for infant death rate is 6.0 deaths per 1,000 live births, thus showing Oconee County doing

well in this area and Pickens County having much room for improvement.

According to the Kids Count Data Center, 29.8% (Oconee County) and 27.1% (Pickens County) of babies

born in 2010 were born to Mothers with less than adequate prenatal care. Both are below that of South

Carolina at 31.9%. Prenatal care is important not only to reducing risk of infant mortality and pregnancy

complications, but also can identify existing risks in women.

Mental Health-

Healthy People 2020 Overview –“Mental health is essential to a person’s well-being, healthy family and

interpersonal relationships, and the ability to live a full and productive life. People, including children

CHNA Report p.14

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and adolescents, with untreated mental health disorders are at high risk for many unhealthy and unsafe

behaviors, including alcohol or drug abuse, violent or self-destructive behavior, and suicide.”

Suicide: Oconee County’s suicide rate from 2004-2008 was 17.5 deaths per 100,000 population and

Pickens County is 13.7. South Carolina and the USA had rates of 11.8 and 11.2 respectively. The

Healthy People 2020 target for suicide rate is 10.2/100,000 population. Thus both counties have room

for improvement.

Access: Both County Health Rankings and Truven Physician Need model identified a shortage of mental

health providers in both Oconee and Pickens counties. In 2007, the mental health provider rate of

Oconee and Pickens Counties was less than half of the state of South Carolina’s rate. Oconee County

had 4 MHP per 100,000 people, Pickens County had 3 per 100,000 people while the state of South

Carolina had 11.6.

Nutritional, Physical Activity and Obesity-

Healthy People 2020 Overview-“Good nutrition, physical activity, and a healthy body weight are

essential parts of a person’s overall health and well-being. Together, these can help decrease a person’s

risk of developing serious health conditions, such as high blood pressure, high cholesterol, diabetes,

heart disease, stroke, and cancer. A healthful diet, regular physical activity, and achieving and

maintaining a healthy weight also are paramount to managing health conditions so they do not worsen

over time. “

Obesity: According to County Health Rankings, from 2008-2010, 30.6% of adults in Oconee County and

28.3% of adults in Pickens County were considered obese. This was in line with South Carolina (30.6%)

and the Healthy People 2020 target of 30.6%.

Nutrition: Data showed 5.1% of the total population in Oconee County are in food deserts and 14.1% in

Pickens County. In South Carolina 9.6% of the total population are in food deserts. Thus Oconee County

is below and Pickens County is above the percent of South Carolina.

Physical Activity: Oconee County appears to have a shortage of recreational facilities in the area.

Pickens County is in line with South Carolina.

CHNA Report p.15

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Oral Health-

Healthy People 2020 Overview – “Oral diseases ranging from dental caries (cavities) to oral cancers

cause pain and disability for millions of Americans. The impact of these diseases does not stop at the

mouth and teeth. A growing body of evidence has linked oral health, particularly periodontal (gum)

disease, to several chronic diseases, including diabetes, heart disease, and stroke. “

Dentist Rate per 10,000 population shows Oconee and Pickens County have a dentist rate below South

Carolina and USA:

Reproduction and Sexual Health-

An estimated 19 million new cases of sexually transmitted diseases (STDs) are diagnosed each year in

the United States—almost half of them among young people age 15 to 24. An estimated 1.1 million

Americans are living with the human immunodeficiency virus (HIV), and 1 out of 5 people with HIV do

not know they have it. Untreated STDs can lead to serious long-term health consequences, especially for

adolescent girls and young women, including reproductive health problems and infertility, fetal and

perinatal health problems, cancer, and further sexual transmission of HIV.

Oconee and Pickens counties are both low in their HIV and Chlamydia Prevalence Rates, scoring the best

in the state.

CHNA Report p.16

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Social Determinants-

Healthy People 2020 Overview – “A range of personal, social, economic, and environmental factors

contribute to individual and population health. For example, people with a quality education, stable

employment, safe homes and neighborhoods, and access to preventive services tend to be healthier

throughout their lives. Conversely, poor health outcomes are often made worse by the interaction

between individuals and their social and physical environment.

% of Families Below Poverty Level

13.3%

10.9%

10.0%

12.7%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

Oconee County Pickens County SC USA

2011 2012 2013

% Adults (25+) with No High School Diploma - 2013

5.1%

6.7%

5.6%

6.2%

12.3%

10.5%

8.4%

11.8%

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

Oconee County

Pickens County

South Carolina

USA

< 9th Grade Some High School, no diploma

In 2009, 26.9% of children in Oconee County and 19.8% of children in Pickens County were said to be

living in poverty, according to Kids Count Data center. Additionally, in 2008, 45.7% and 33.6%

respectively of children were considered eligible for free or reduced lunch. The state of SC was 51.5%.

CHNA Report p.17

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Substance Abuse/Tobacco Use-

Healthy People 2020 Overview –“Substance abuse—involving drugs, alcohol, or both—is associated

with a range of destructive social conditions, including family disruptions, financial problems, lost

productivity, failure in school, domestic violence, child abuse, and crime.”

“Tobacco use is the single most preventable cause of disease, disability, and death in the United States,

yet more deaths are caused each year by tobacco use than by all deaths from human immunodeficiency

virus (HIV), illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders combined”

Substance abuse: Particularly as it relates to alcohol, from 2006-2010 12.5% and 9.2% of Oconee and

Pickens County residents respectively reported excessive drinking. In addition, according to the Truven

outpatient forecaster, alcohol and drug related hospital based and physician office visits are expected to

grow by 2.8% of from 2012-2017, which is well below the expected 4.2% for South Carolina.

Tobacco: The Healthy People 2020 target for adult smokers is 12%. From 2006-2010, Oconee County’s

percentage of adult smokers was 20.6% and Pickens County’s percentage was 20.1% almost double this

target.

Next Steps-

Data collected in this phase will be overlaid with community input findings to prioritize needs of Oconee

and Pickens County and ultimately lead to strategies on many of the issues identified above.

CHNA Report p.18

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COMMUNITY INPUT FINDINGS

Subsequent to the secondary data assessment using Healthy People 2020 framework, the Community

Needs Assessment Team entered into dialogue with other key community partners, including

representatives of the local city/county health department, community health agencies, and educators

in the field of Public Health. Online surveys and hand written surveys were distributed to physicians,

community agencies and public health officials. Participants were asked to comment on community

health issues they perceived as major issues by the community. A summary of community input was

created. 8 interviews were conducted and approximately 25 surveys were distributed. The interviews

and surveys were conducted during the month of April, 2013.

The list below includes some of the respondents who participated in this phase

Respondents were asked what they viewed as the top health issues facing Oconee and Pickens Counties

and its residents. They were then asked to elaborate on certain barriers and strategies to addressing

these needs. After combining input from these individuals, a summary table was created to illustrate the

frequency in which certain issues were mentioned.

Jackie Gillespie, Clemson University, School of Nursing School district Of Oconee County Health Services Information

Cheryl Dye, Clemson University, Director, Institute for Engaged Aging Oconee DSS

Sandra Pruitt, Program Coordinator, Family Friends, DSS Ripple of One

Jerry Mize, Oconee Disabilities and Special Needs Our Daily Rest

Sister Joan Kobe, St. Francis Church, HIspanic Ministry Rosa Clark Free Medical Clinic

Deb Wickliffe, School District Oconee Co. SHARE

Lillie Hall, SC DHEC Upstate United Way

Christy Todd, Westminster Community Coalition Department of Mental Health

Sandra Powell, Westminster Community Coalition Tribble Center

Marie Dunnam, Oconee County First Steps Collins Children's Home

Elaine Prock, DHEC Nutritionist [email protected] Salvation Army

Marian Robinson, Clemson University YMCA

Misty M. Lee, BS, MCHES, SC DHEC We Care Community Services

Senior Solutions (Council on Aging) Destiny's Food Bank Ministries

Upstate Homeless Coalition Seneca Health and Rehabilitation Center

Safe Kids South Carolina Vocational Rehabilitation Department

Golden Corner Food Pantry BabyNet

Clemson Community Care Birthright of Clemson

Oconee County Habitat for Humanity Dot's Kitchen

Pickens County Habitat for Humanity

CHNA Report p.19

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Frequency Table

Community Input

Number of times issue was top health concern

Obesity 15 Transportation 9 Chronic Diseases (Diabetes/Hypertension) 9 Healthy Eating/Lifestyle Education 8 Economy, finances, funding 7 Mental Health Need 7 Access to HealthCare 6 Access to PCPs 6 Dental Need 5 Smoking/Tobacco 4 Uninsured or underinsured 4 Need to find Medical Homes 3 Need Volunteers for various programs 3 Need physicians willing to take on uninsured (commit to a certain number)

2

Additional Rural Clinics 2 Lack of Neurologists 2 Lack of Gastroenterologists 2 Gyms/Recreational Facilities 2 Lack of prenatal care 1 Lack of Psychiatrists 1 Lack of Endocrinologist 1 Teen Pregnancy 1 Need Oral maxillofacial surgeon 1

Summary of Input-

Obesity/Nutrition/Healthy Eating/Lifestyle Education-

Consistent input centered on education of the community in making healthy choices. Examples included

emphasizing good eating habits in school and changing behavior with healthy habits.

Lack of Exercise: People do not exercise the appropriate amount. . Access to easy physical activity

opportunities. This may be due to lack of access to facilities (memberships are expensive), not enough

safe playgrounds/walkways, or general laziness.

CHNA Report p.20

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CHNA Report p.21

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Transportation-

Provide access to more outlying areas. Common input was the need for transportation for more people.

Limited public transportation is available, which makes accessing health care difficult, especially for rural

residents.

Chronic Disease (Diabetes/Hypertension)-

Education - Senior Solutions – Hypertension program with volunteer trained coaches. Funding to keep

programs going. Cardiac program ready, but need financing

Access to Care-

Insurance Coverage: This includes the uninsured having access to care and the underinsured finding care

that accepts their insurance. A problem is finding a Primary Care Physician that will accept patients that

are un- or underinsured.

Primary Care Access: Many uninsured residents are being seen in hospital settings for conditions that

could be managed in primary care settings. This may due to a lack of PCPs or a lack of knowledge by

residents of those services available.

There are several programs in the community to assist with this problem--just not enough! The Oconee

County First Steps Funded "Principles of Parenting Successfully" {POPS} Program, assists young mothers

in finding prenatal care, but this program has a limit on the number of families they can serve. And,

there are not enough OB-GYN'S in our community that accept Medicaid.

Mental Health-

Access to Mental/Behavioral Health services: General lack of providers is a major issue.

Oral Health-

Access to Dental Care: Need for more accessible dental care.

CHNA Report p.22

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When asked – what activities Oconee Medical Center could participate in that

would help accelerate improvement in some of the health priority areas

answers varied, including-

Open a psych clinic as they did a dental health clinic

Help with Medical Homes for Family Units

Educate physicians in ER on prescription drug abuse

Increase Educational programs for the public

Encourage dental community to see students in dental emergencies on a rotating basis

Add a rural clinic in Walhalla.

Need more PCPs. Work with the free clinics. Need pharmacists, nurse practitioners.

Inventory of Services Addressing Community Needs-

Oconee Medical Center offers the following services to address many of the needs identified in this

assessment, as well as some not mentioned.

Mountain Lakes AccessHealth- Mountain Lakes AccessHealth is a community program designed

to provide low-income, uninsured adults with access to quality care and support services.

OutPatient and Diagnostic Services- Most of today’s important healthcare services are

performed on an outpatient basis without a required overnight hospital stay. Preventive care tests,

diagnostic services and minor surgical procedures are done quickly and conveniently at Oconee Medical

Center

Home Health- Oconee Home Health specializes in serving those who are ill, disabled or recovering

from surgery or illness in the comfort of their own home. From rehabilitation to IV therapies, Oconee

Home Health offers what patients need through a comprehensive range of licensed home care services

Hospice of the Foothills- Oconee Hospice of the Foothills, a not-for-profit affiliate of Oconee

Medical Center, has been serving local families since 1989. The program offers a variety of hospice and

bereavement services, ranging from bereavement support to residential hospital care, and is dedicated

to providing medical, nursing, spiritual care and emotional support to patients and their families.

Lila Doyle- Selecting the right nursing and rehabilitation center is an important decision. In addition

to being “home” to residents requiring long-term care, Lila Doyle at Oconee Medical Center is a

rehabilitation center for those needing short-term placement following a hospitalization and a respite

care provider offering short-term stays for those receiving care at home.

CHNA Report p.23

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Oconee Physician Practices- As a patient of Oconee Physician Practices, you have access to all

the advanced technology, expert specialists and sophisticated capabilities of Oconee Medical Center.

Our integrated healthcare delivery system is able to meet your total healthcare needs. When you come

to us for healthcare, you can rest assured that you’re in good hands – providing quality care and

excellent service are the hallmark of our group. We welcome new patients and accept most insurance

plans.

Wellness Center-

The Oconee Medical Center outpatient cardiac rehabilitation program is a medically-monitored

exercise as well as a behavioral and educational program specially designed for individuals who

have had recent heart issues or procedures.

Diabetes Self-Management: For people living with diabetes, learning to self-manage their

condition is critical to their success in healthy living. The healthcare professionals in the Oconee

Medical Center Diabetes Self-Management Education Program can provide patients with the

information and support they need to manage their disease.

Breast Care Center- The Breast Care Center at Oconee Medical Center was designed to deliver the

best possible medical care in a private, comforting setting. The center has its own entrance, waiting area

and dedicated parking spaces, which are designed to make access easy and increase privacy and

comfort.

Women’s Center- At Oconee Medical Center we understand a woman’s need for specialized health

care. We also understand these needs vary during different stages in a woman’s life. That’s why whether

you’re having a baby or recovering from surgery, our dedicated Women’s Center, located in our patient

tower, is a private sanctuary designed with women in mind.

New Life Center for Joint Health- The New Life Center for Joint Health at Oconee Medical

Center provides patients with a unique hospital experience. Located within a dedicated center within

the medical center, patients are cared for by orthopedic nurses, physical therapists and occupational

therapists with specialty training in caring for total joint replacement patients. And throughout the

entire care process, our Joint Care Coordinator coordinates every aspect, creating an efficient and

seamless experience.

CHNA Report p.24

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PRIORITIZATION OF NEEDS

In June 2013, a priority session was held at Oconee Medical Center. The purpose of this session was to

discuss secondary data and community input that had been collected and to prioritize the needs of the

hospital’s defined community. Criteria used to prioritize these needs included importance to the service

area, relevance of the health issues to the population served, and the ability of OCONEE MEDICAL

CENTER to effectively impact and improve the health issue.

At this priority session three categories of needs were discussed – leading to prioritization:

• Perceived and Reported – commonality from Secondary Data and Community Input

• Perceived – Community Input

• Reported – Secondary Data

CHNA Report p.25

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As a result of the prioritization session, Oconee Medical Center decided to address all 11 needs that

were identified. Their implementation strategies are based around the following issues/needs:

Oconee Medical Center’s Community Needs Assessment Team then initiated the development of

implementation strategies for each health priority identified above. This Implementation Plan will be

rolled out over the next three years. The team will work with community partners and health issue

experts on the following for each of the approaches to addressing health needs listed:

• Identify what other local organizations are doing to address the health priority

• Develop support and participation for these approaches to address health needs

• Develop specific and measurable goals so that the effectiveness of these approaches can be

measured

• Develop detailed work plans

• Communicate with the assessment team and ensure appropriate coordination with other efforts

to address the issue

CHNA Report p.26

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The team will then develop a monitoring method at the conclusion of the Implementation Plan to

provide status and results of these efforts to improve community health. Oconee Medical Center is

committed to conducting another health needs assessment in three years.

In addition, Oconee Medical Center will continue to play a leading role in addressing the health needs of

those within their community. As such, community benefit planning is integrated into the Hospital’s

annual planning and budgeting processes to ensure they continue to effectively support community

benefits.

Board Approval

This Community Health Needs Assessment Report for fiscal YE September 30, 2013 was approved by the

Oconee Medical Center Board of Directors at its meeting held on September 23, 2013.

COMMUNITY HEALTH NEEDS ASSESSMENT...Community Health Needs Assessment 2013 The data assessment piece...

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