Community Health Needs 2015 Assessment Project
Community Health Needs Assessment Metropolitan Hospital Council Affordable Care Act requirement every 3 years Gather population health status, socioeconomic and environmental data Assess community members including underserved populations Identify key health needs in the community Inventory available resources Develop CHNA documents
Where did the data come from? State and parish public health resources Federal resources (Census and CDC) Interviews with public health leaders and community leaders Focus groups with target populations STPH targeted populations via the Community Wellness Center
St. Tammany Community Partners ARC St. Tammany Covington Police Department NAMI St. Tammany Seniors & Law Enforcement Together (SALT) St. Tammany Economic Development Foundation St. Tammany Outreach for Prevention of Suicide (STOPS) Fire District 4 STPH Community Wellness Center
Notable about St. Tammany Annual Household Income St. Tammany second from top at $82,316 Washington is lowest at $46,824 25.6% earn less than $15,000 Community Needs Score No need is 0; highest need is 5 Mandeville and Madisonville 1.8 Washington Parish 4
St. Tammany>National Average Obesity Metro BMI: 28.30 Diabetes Hypertension and heart disease Cancer Smoking Low-birth-weight babies Traffic fatalities Tangipahoa highest: 13.48 per capita
Louisiana Health Bubble Chart
Overweight and Obesity Rate 80 70 60 50 40 30 20 10 0 St. Tammany Tangipahoa Washington LA Avg. Overweight Obese
Diabetes in Medicare Population 40 35 30 25 20 15 10 5 0 St. Tammany Tangipahoa Washington LA Avg.
Heart Disease Mortality Per 100,000 Population 300 250 200 150 100 50 0 St. Tammany Tangipahoa Washington LA Avg.
Cancer Mortality Per 100,000 Population 250 200 150 100 50 0 St. Tammany Tangipahoa Washington LA Avg.
Lung Disease Mortality Per 100,000 Population 60 50 40 30 20 10 0 St. Tammany Tangipahoa Washington LA Avg.
Infant Mortality Rate Per 1,000 Births 10 8 6 4 2 0 St. Tammany Tangipahoa Washington LA Avg.
Low Birth Weight Babies Percent of Total Births 14 12 10 8 6 4 2 0 St. Tammany Tangipahoa Washington LA Avg.
Healthiest: #1 of 64 Louisiana Parishes 64 48 32 16 0 St. Tammany Tangipahoa Washington Outcomes Factors
Metro Area Barriers to Access 100 80 60 40 20 0
Lack of Access to Care Financial burden of health care Part-time/Temp/Unemployed/Under-employed Lack of Medicaid expansion Physicians that don t accept Medicaid patients Provider to population ratios Particularly in Washington Parish Lack of care coordination Transportation issues
Lack of Access to Healthy Choices Metropolitan areas Limited access to nutritious food Limited access to safe exercise options Limited access to prevention education
Grocery Stores Per Capita 30 25 20 15 10 St. Tammany Washington* Tangipahoa LA Avg. 5 0 2008 2009 2010 2011 2012 2013 *Sparse population:sparse store distribution
Behavioral Health Resources Not enough mental health providers Care coordination is needed Substance abuse impacts behavioral health Jail and ED handle mental health crises
Suicide Mortality Rate Per 100,000 Population 16 14 12 10 8 6 4 2 0 St. Tammany Tangipahoa Washington LA Avg.
Transportation Barrier to access for seniors and residents of Washington Parish FQHCs are in Slidell and Covington Rural residents delay care due to lack of transportation Public transportation is described as by appointment only and costly to maintain
What can we do about our area s health? How can we improve access? Parenting and Community Wellness What community resources already exist? How can we communicate resources? How can we support community efforts?
Community Wellness Community Gardens Grocery Store Tours Eat Fit Northshore Nurse-Family Partnership Women, Infants, Children Food Supplement Immunizations Medicaid Applications Pregnancy Testing
Parenting Center Children s Socialization Cuddle Buddies, Play and Learn, Baby Chat Parenting Support New Baby, Breastfeeding, First Steps Children in the Middle Boot Camp for New Dads 21 st Century Learning Child Safety Infant/Child CPR Safety Seat Inspection Safe Sitter Training
Community Resources STPH Community Wellness Center STPH Parenting Center Community Partnership for Healthy Mothers and Children Parish Safe Haven Project Tammany Trace and Trailheads Public Parks, Riverfront and Lakefront STAT parish public transit
Communicating Resources Community Wellness Center Parenting Center Heart to Heart Healthy Living TV Show Community Connections STPH.org and social media healthcare.gov