community health needs assessment 2016 · osf collaborative team was involved in survey...

CommunityHealthNeedsAssessment2016

PEORIACOUNTY

TAZEWELLCOUNTY

WOODFORDCOUNTY

CHNA2016|Tri-County 2�

Collaborationforsustaininghealthequity•May2016

TABLEOFCONTENTS

ExecutiveSummary...............................................................................................................................3Introduction...............................................................................................................................................5Methods...................................................................................................................................................6 Chapter1.CommunityThemes/DemographicProfile 1.1Population.........................................................................................................................10 1.2Age,GenderandRaceDistribution........................................................................11 1.3Household/Family.........................................................................................................15 1.4EconomicInformation.................................................................................................18 1.5Education.........................................................................................................................20 1.6KeyTakeawaysfromChapter1..............................................................................23 Chapter2.PreventionBehaviors 2.1Accessibility......................................................................................................................24 2.2Wellness.............................................................................................................................34 2.3AccesstoInformation..................................................................................................42 2.4PhysicalEnvironment.................................................................................................43 2.5HealthStatus...................................................................................................................44 2.6KeyTakeawaysfromChapter2..............................................................................47 Chapter3.Symptoms/Predictors 3.1TobaccoUse.....................................................................................................................48 3.2DrugandAlcoholAbuse..............................................................................................49 3.3OverweightandObesity..............................................................................................50 3.4PredictorsofHeartDisease.......................................................................................51 3.5KeyTakeawaysfromChapter3..............................................................................53 Chapter4.Diseases/Morbidity 4.1HealthyBabies................................................................................................................54 4.2Cardiovascular................................................................................................................56 4.3Respiratory.......................................................................................................................60 4.4Cancer.................................................................................................................................62 4.5Diabetes.............................................................................................................................63 4.6InfectiousDiseases........................................................................................................65 4.7Injuries...............................................................................................................................68 4.8Mortality............................................................................................................................71 4.9KeyTakeawaysfromChapter4...............................................................................71 Chapter5.PrioritizationofHealth-RelatedIssues 5.1PerceptionsofHealthIssues.....................................................................................72 5.2PerceptionsofUnhealthyBehaviors.....................................................................74 5.3PerceptionsofWellBeing.........................................................................................75 5.4SummaryofCommunityHealth..............................................................................77 5.5CommunityResources.................................................................................................78 5.6Prioritization....................................................................................................................79 Appendices



CommunityHealthNeedsAssessment

May2016

Collaborationforsustaininghealthequity

ExecutiveSummaryTheTri-CountyCommunityHealth-NeedsAssessmentisacollaborativeundertakingtohighlightthehealthneedsandwell-beingofresidentsintheTri-Countyregion.PartnersincludeOSFSaintFrancisMedicalCenter,UnityPointMethodistandProctorHospitals,KindredHospital,AdvocateEurekaHospital,HopedaleMedicalCenter,PekinHospital,PeoriaCity/CountyHealthDepartment,TazewellCountyHealthDepartment,WoodfordCountyHealthDepartment,HeartofIllinoisUnitedWay,HeartlandCommunityHealthClinicandBradleyUniversity.Throughthisneedsassessment,collaborativecommunitypartnershaveidentifiednumeroushealthissuesimpactingindividualsandfamiliesintheTri-Countyregion.Severalthemesareprevalentinthishealth-needsassessment–thedemographiccompositionoftheTri-Countyregion,thepredictorsforandprevalenceofdiseases,leadingcausesofmortality,accessibilitytohealthservicesandhealthybehaviors.Resultsfromthisstudycanbeusedforstrategicdecision-makingpurposesastheydirectlyrelatetothehealthneedsofthecommunity.Thestudywasdesignedtoassessissuesandtrendsimpactingthecommunitiesservedbythecollaborative,aswellasperceptionsoftargetedstakeholdergroups.

Thisstudyincludesadetailedanalysisofsecondarydatatoassessinformationregardingthehealthstatusofthecommunity.Inordertoperformtheseanalyses,informationwascollectedfromnumeroussecondarysources,includingpublicallyavailablesourcesaswellasprivatesourcesofdata.Additionally,primarydatawerecollectedforthegeneralpopulationandtheat-riskoreconomicallydisadvantagedpopulation.Areasofinvestigationincludedperceptionsofthecommunityhealthissues,



unhealthybehaviors,issueswithqualityoflife,healthybehaviorsandaccesstomedicalcare,dentalcare,prescriptionmedicationsandmental-healthcounseling.Additionally,demographiccharacteristicsofrespondentswereutilizedtoprovideinsightsintowhycertainsegmentsofthepopulationrespondeddifferently.

Ultimately,theidentificationandprioritizationofthemostimportanthealth-relatedissuesintheTri-Countyregionwereidentified.Thecollaborativeteamconsideredhealthneedsbasedon:(1)magnitudeoftheissue(i.e.,whatpercentageofthepopulationwasimpactedbytheissue);(2)severityoftheissueintermsofitsrelationshipwithmorbiditiesandmortalities;(3)potentialimpactthroughcollaboration.UsingamodifiedversionoftheHanlonMethod,thecollaborativeteamprioritizedtwoissues:

• Healthybehaviors(definedasactivelivingandhealthyeating)andtheirimpactonobesity

• Mentalhealth



I.INTRODUCTIONBackground

ThePatientProtectionandAffordableCareAct(AffordableCareAct),enactedMarch23,2010,addednewrequirementsfortax-exempthospitalstoconductcommunityhealth-needsassessmentsandtoadoptimplementationstrategiestomeetthecommunityhealthneedsidentifiedthroughtheassessments.Thiscommunityhealth-needsassessment(CHNA)takesintoaccountinputfromspecificindividualswhorepresentthebroadinterestsofthecommunityservedbytheTri-CountyCommunityHealthCollaborativeincludingthosewithspecialknowledgeoforexpertiseinpublichealth.Forthisstudy,acommunityhealth-needsassessmentisdefinedasasystematicprocessinvolvingthecommunity,toidentifyandanalyzecommunityhealthneedsandassetsinordertoprioritizetheseneeds,createaplan,andactuponunmetcommunityhealthneeds.Resultsfromthisassessmentwillbemadewidelyavailabletothepublic.

ThestructureoftheCHNAisbasedonstandardsusedbytheInternalRevenueServicetodevelopForm990,ScheduleH–Hospitals,designatedsolelyfortax-exempthospitals.Thefundamentalareasofthecommunityhealth-needsassessmentareillustratedinFigure1.

Figure1.CommunityHealthNeedsAssessmentFramework

DesignoftheCollaborativeTeam:CommunityEngagement,BroadRepresentationandSpecialKnowledge

InordertoengagetheentirecommunityintheCHNAprocess,acollaborativeteamofhealth-professionalexpertsandkeycommunityadvocateswascreated.Membersofthecollaborativeteam



werecarefullyselectedtoensurerepresentationofthebroadinterestsofthecommunity.Specifically,teammembersincludedrepresentativesfromOSFSaintFrancisMedicalCenter,UnityPointMethodistandProctorHospitals,AdvocateEurekaHospital,HopedaleMedicalCenter,PekinHospital,PeoriaCity/CountyHealthDepartment,TazewellCountyHealthDepartment,WoodfordCountyHealthDepartment,HeartofIllinoisUnitedWay,HeartlandCommunityHealthClinicandBradleyUniversity.Engagementoccurredthroughouttheentireprocess,resultinginsharedownershipoftheassessment.TheentirecollaborativeteammetinAprilandJuly2015andinthefirstquarter2016.Additionally,numerousmeetingswereheldbetweenthefacilitatorsandspecificindividualsduringtheprocess.

Specifically,membersoftheCollaborativeTeamconsistedofindividualswithspecialknowledgeofandexpertiseinthehealthcareofthecommunity.Individuals,affiliations,titlesandexpertisecanbefoundinAppendix1.

DefinitionoftheCommunity

InordertodeterminethegeographicboundariesfortheprimaryandsecondarymarketsforOSFSaintFrancisMedicalCenter,andUnityPointHealthMethodistandProctorHospitals,analyseswerecompletedtoidentifywhatpercentageofinpatientandoutpatientactivitywasrepresentedfromPeoria,TazewellandWoodfordcounties.Datashowthatthesethreecountiesrepresentapproximately83%ofallpatientsforthesehospitals.

Inadditiontodefiningthecommunitybygeographicboundaries,thisstudytargetstheat-riskpopulation(basedonsocio-economicstatus)asanareaofpotentialopportunitytoimprovethehealthofcommunity.

PurposeoftheCommunityHealth-NeedsAssessment

Intheinitialmeeting,thecollaborativecommitteeidentifiedthepurposeofthisstudy.Specifically,thisstudyhasbeendesignedtoprovidenecessaryinformationtohealth-careorganizations,includinghospitals,clinicsandhealthdepartments,inordertocreatestrategicplansinprogramdesign,accessanddelivery.Resultsofthisstudywillactasaplatformthatallowshealth-careorganizationstoorchestratelimitedresourcestoimprovemanagementofhigh-prioritychallenges.Byworkingtogether,hospitals,clinics,agenciesandhealthdepartmentswillusethisCHNAtoimprovethequalityofhealthcareintheTri-Countyregion.Whenfeasible,dataareassessedlongitudinallytoidentifytrendsandpatternsbycomparingwithresultsfromthe2013CHNAandbenchmarkedwithStateofIllinoisaverages.

II.METHODSTocompletethecomprehensivecommunityhealth-needsassessment,multiplesourceswereexamined.Secondarystatisticaldatawereusedtoassessthecommunityprofile,morbidityratesandcausesofmortality.Additionally,basedonasampleof2,381surveyrespondentsfromtheTri-Countyregion,astudywascompletedtoexamineperceptionsofthecommunityhealthissues,unhealthybehaviors,issueswithqualityoflife,healthybehaviorsandaccesstohealthcare.



SecondaryDatafortheCommunityHealthNeedsAssessmentWefirstusedexistingsecondarystatisticaldatatodevelopanoverallassessmentofhealth-relatedissuesinthecommunity.Withineachsectionofthereport,therearedefinitions,importanceofcategories,dataandinterpretations.Attheendofeachchapter,thereisasectiononkeytakeaways.Basedonseveralretreats,aseparateOSFCollaborativeTeamusedCOMPdatatoidentifysixprimarycategoriesofdiseases,including:agerelated,cardiovascular,andrespiratory,cancer,diabetesandinfections.Inordertodefineeachdiseasecategory,weusedmodifieddefinitionsdevelopedbySg2.Sg2specializesinconsultingforhealthcareorganizations.TheirteamofexpertsincludesMDs,PhDs,RNsandhealthcareleaderswithextensivestrategic,operational,clinical,academic,technologicalandfinancialexperience.

PrimaryDataCollection

Inadditiontoexistingsecondarydatasources,primarysurveydatawerealsocollected.Thissectiondescribestheresearchmethodsusedtocollect,code,verifyandanalyzeprimarysurveydata.Specifically,wediscusstheresearchdesignusedforthisstudy:surveydesign,datacollectionanddataintegrity.

A.SurveyInstrumentDesign

Initially,allpublicallyavailablehealth-needsassessmentsintheU.S.wereassessedtoidentifycommonthemesandapproachestocollectingcommunityhealth-needsdata.Byleveragingbestpracticesfromthesesurveys,wecreatedourownpilotsurveyin2012,designedforusewithboththegeneralpopulationandtheat-riskcommunity.Toensurethatallcriticalareaswerebeingaddressed,theentireOSFcollaborativeteamwasinvolvedinsurveydesign/approvalthroughseveralfact-findingsessions.Additionally,severalfocusgroupswereusedtocollectthequalitativeinformationnecessarytodesignsurveyitems.Specifically,forthecommunityhealth-needsassessment,fivespecificsetsofitemswereincluded:

Ratingsofhealthissuesinthecommunity–toassesstheimportanceofvariouscommunityhealthconcerns.Surveyitemsincludedassessmentsoftopicssuchascancer,diabetesandobesity.Inall,therewere16choicesprovidedforsurveyrespondents.

Ratingsofunhealthybehaviorsinthecommunity–toassesstheimportanceofvariousunhealthybehaviors.Surveyitemsincludedassessmentsoftopicssuchasviolence,drugabuseandsmoking.Inall,therewere13choicesprovidedforsurveyrespondents.

Ratingsofissuesconcerningwell-being–toassesstheimportanceofvariousissuesrelatingtowell-beinginthecommunity.Surveyitemsincludedassessmentsoftopicssuchasaccesstohealthcare,saferneighborhoodsandeffectivepublictransportation.Inall,therewere12choicesprovidedforsurveyrespondents.

Accessibilitytohealthcare–toassessthedegreetowhichresidentscouldaccesshealthcarewhenneeded.Surveyitemsincludedassessmentsoftopicssuchasaccesstomedical,dentalandmental-healthcare,aswellasaccesstoprescriptionmedications.

Healthybehaviors–toassessthedegreetowhichresidentsexhibitedhealthybehaviors.Thesurveyitemsincludedassessmentsoftopicssuchasexerciseandhealthyeatinghabits.



Finally,demographicinformationwascollectedtoassessbackgroundinformationnecessarytosegmentmarketsintermsofthefivecategoriesdiscussedabove.

Aftertheinitialsurveywasdesigned,apilotstudywascreatedtotestthepsychometricpropertiesandstatisticalvalidityofthesurveyinstrument.ThepilotstudywasconductedattheHeartlandCommunityHealthClinic’sfacilities.TheHeartlandClinicwaschosenasitservestheat-riskpopulationandalsohasafacilitythatservesalargepercentageoftheLatinopopulation.Atotalof230surveyswerecollected.Resultsfromthepilotsurveyrevealedspecificitemstobeincluded/excludedinthefinalsurveyinstrument.Itemselectioncriteriaforthefinalsurveyincludedvalidity,reliabilityandfrequencymeasuresbasedonresponsesfromthepilotsample.AcopyofthefinalsurveyisincludedinAppendix2.

B.SampleSize

Inordertoidentifyourpotentialpopulation,wefirstidentifiedthepercentageoftheTri-Countypopulationthatwaslivinginpoverty.Specifically,wemultipliedthepopulationofthecountybyitsrespectivepovertyratetoidentifytheminimumsamplesizetostudytheat-riskpopulation.Theaveragepovertyrate(weightedbyeachcountypopulationtorepresentthetotalpopulationoftheTri-Countyregion)was13.2percent.

Weassumedanormalapproximationtothehypergeometricdistributiongiventhetargetedsamplesize.n=(Nz2pq)/(E2(N-1)+z2pqwhere:n=therequiredsamplesizeN=thepopulationsizepq=populationproportions(setat.05)z=thevaluethatspecifiedtheconfidenceinterval(use90%CI)E=desiredaccuracyofsampleproportions(setat+/-.05)ForthetotalTri-Countyregion,theminimumsamplesizeforthoselivinginpovertywas732.Notethatforaggregatedanalyses(combinationofat-riskandgeneralpopulations);anadditional795randomsurveyswereneededfromthosenotlivinginpovertyinordertoproperlyrepresenttheviewsofthepopulationintheTri-Countyregion.

ThedatacollectioneffortforthisCHNAyieldedatotalof2,381usableresponses.Thisexceededthethresholdofthedesired90%confidenceinterval.

ToprovidearepresentativeprofilewhenassessingtheaggregatedpopulationfortheTri-Countyregion,thegeneralpopulationwascombinedwithaportionoftheat-riskpopulation.Torepresenttheat-riskpopulationasapercentageoftheaggregatepopulation,arandom-numbergeneratorwasusedtoselectat-riskcasestoincludeinthegeneralsample.Thisprovidedatotalusablesampleof1,165respondentsforanalyzingtheaggregatepopulation.SamplecharacteristicscanbeseeninAppendix3.



C.DataCollection

Tocollectdatainthisstudy,twotechniqueswereused.First,anonlineversionofthesurveywascreated.Second,apaperversionofthesurveywasdistributed.Inordertobesensitivetotheneedsofrespondents,surveysstressedassuranceofcompleteanonymity.NotethatversionsofboththeonlinesurveyandpapersurveyweretranslatedintoSpanish.

Tospecificallytargettheat-riskpopulation,surveysweredistributedatallhomelessshelters,foodpantriesandsoupkitchens.Sincewespecificallytargetedtheat-riskpopulationaspartofthedatacollectioneffort,thisbecameastratifiedsample,aswedidnotspecificallytargetothergroupsbasedontheirsocio-economicstatus.

D.DataIntegrityComprehensiveanalyseswereperformedtoverifytheintegrityofthedataforthisresearch.Withoutpropervalidationoftherawdata,anyinterpretationofresultscouldbeinaccurateandmisleadingifusedfordecision-making.Therefore,severaltestswereperformedtoensurethatthedatawerevalid.Thesetestswereperformedbeforeanyanalyseswereundertaken.Datawerecheckedforcodingaccuracy,usingdescriptivefrequencystatisticstoverifythatalldataitemswerecorrect.Thiswasfollowedbyanalysesofmeansandstandarddeviationsandcomparisonofprimarydatastatisticstoexistingsecondarydata.

E.AnalyticTechniques

Toensurestatisticalvalidity,weusedseveraldifferentanalytictechniques.Specifically,frequenciesanddescriptivestatisticswereusedforidentifyingpatternsinresidents’ratingsofvarioushealthconcerns.Additionally,appropriatestatisticaltechniqueswereusedforidentificationofexistingrelationshipsbetweenperceptions,behaviorsanddemographicdata.Specifically,weusedPearsoncorrelations,x2testsandtetrachoriccorrelationswhenappropriate,givencharacteristicsofthespecificdatabeinganalyzed.



CHAPTER1.DEMOGRAPHICPROFILE1.1PopulationImportanceofthemeasure:PopulationdatacharacterizeindividualsresidingintheTri-Countyregion.Populationdataprovideanoverviewofpopulationgrowthtrendsandbuildafoundationforadditionalanalysisofdata.PopulationGrowthDatafromthelastcensusindicatethepopulationoftheTri-Countyregionhasseenaslightincreasebetween2010and2014(0.5%).TazewellCountyregisteredthesmallestincreaseinpopulation(.19%),whileWoodfordCountyshowedthegreatest(1.42%)

Source:USCensus

0 50,000 100,000 150,000 200,000

WoodfordCounty

TazewellCounty

PeoriaCounty

38,640

135,447

186,494

38,913

135,742

186,675

38,925

136,094

187,193

39,155

136,372

188,529

39,187

135,707

187,319

PopulationGrowth- Tri-County2010-2014

2014

2013

2012

2011

2010

CHAPTER1OUTLINE

1.1 Population

1.2 Age,GenderandRaceDistribution

1.3 Household/Family

1.4 EconomicInformation

1.5 Education

1.6 KeyTakeawaysfromChapter1



1.2Age,GenderandRaceDistributionImportanceofthemeasure:Populationdatabrokendownbyage,gender,andracegroupsprovideafoundationtoanalyzetheissuesandtrendsthatimpactdemographicfactorsincludingeconomicgrowthandthedistributionofhealthcareservices.Understandingtheculturaldiversityofcommunitiesisessentialwhenconsideringhealthcareinfrastructureandservicedeliverysystems.AgeAsindicatedinthegraphsbelow,individualsintheTri-Countyregionaged50-64increased1.0%between2010and2014,andindividualsaged35-49decreased4.1%,between2010and2014.Thelargestincreaseinpopulationforresidents65andolderisWoodfordCounty(11.7%).WoodfordCountyalsohasthelargestdeclineofresidentsaged35-49(6.9%).

0

10,000

20,000

30,000

40,000

50,000

60,000

0-19years 20-34years 35-49years 50-64years 65+years

AgeDistribution- PeoriaCounty2010-2014

2010 2011 2012 2013 2014

Age 2010 2011 2012 2013 20140 -19 years 50,542 50,322 49,972 50,320 49,80420-34 years 38,362 38,783 39,143 39,815 39,13335-49 years 35,016 34,599 34,433 34,244 33,85350-64 years 36,358 36,822 36,630 36,539 36,38065 + years 25,992 26,149 27,015 27,611 28,149



Source:USCensus

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000


AgeDistribution- TazewellCounty2010-2014

2010 2011 2012 2013 2014


0

2,000

4,000

6,000

8,000

10,000

12,000


AgeDistribution- WoodfordCounty2010-2014

2010 2011 2012 2013 2014




Gender

ThegenderdistributionofTri-Countyresidentshasremainedconsistentbetween2010and2014.Dataindicatethatthereweremorewomenthanmeninthecounty.

Source:USCensus

51.6%48.4%

GenderDistribution-PeoriaCounty2010

Femalepopulation Malepopulation

51.6%48.4%

GenderDistribution-PeoriaCounty2014


50.6%49.4%

GenderDistribution-TazewellCounty2010


50.3%49.7%

GenderDistribution-TazewellCounty2014


50.6%49.4%

GenderDistribution-WoodfordCounty2010


50.4%49.6%

GenderDistribution-WoodfordCounty2014




Race

Withregardtoraceandethnicbackground,theTri-Countyregionislargelyhomogenous,yetinrecentyearsisbecomingmorediverse.Datafrom2010suggestthatWhitescompriseover90%ofthepopulationinTazewellandWoodfordcounties,andover70%ofthepopulationinPeoriaCounty.However,thenon-WhitepopulationoftheTri-Countyregionhasbeenincreasing,withindividualsidentifyingwithBlackorAfricanAmericanethnicity,Hispanic,Latinoethnicity,andtwoormoreracesontherise.Importantly,theBlack/AfricanAmericanpopulationinPeoriaCountyhasdeclinedsince2010,nowrepresenting16.1%ofthepopulation(downfrom17%).

0.0% 20.0% 40.0% 60.0% 80.0%

2010

2014

74.2%

72.6%

17.0%

16.1%

0.3%

0.3%

3.1%

3.5%

1.6%

2.9%

3.8%

4.6%

RacialDistribution- PeoriaCounty2010- 2014

Hispanic/Latino

TwoorMoreRaces

Asian

AmericanIndian&AlaskaNative

BlackorAfricanAmerican

White

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

2010

2014

95.6%

94.2%

1.0%

1.3%

0.3%

0.3%

0.7%

0.7%

0.5%

1.3%

1.9%

2.2%

RacialDistribution- TazewellCounty2010-2014

Hispanic/Latino

TwoorMoreRaces

Asian



White



Source:USCensus

1.3Household/FamilyImportanceofthemeasure:FamiliesareanimportantcomponentofarobustsocietyintheTri-Countyregion,astheydramaticallyimpactthehealthanddevelopmentofchildrenandprovidesupportandwell-beingforolderadults.Asindicatedinthegraphbelow,thenumberoffamilyhouseholdswithintheTri-Countyregionlargelyheldsteady,witha0.6%increaseinPeoriaCounty,a.2%decreaseinTazewellCounty,andnosignificantchangeinWoodfordCounty.

Source:USCensus

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

2010

2014

96.5%

95.4%

0.5%

0.7%

0.2%

0.3%

0.3%

0.7%

1.1%

1.1%

1.4%

1.8%

RacialDistribution- WoodfordCounty2010- 2014

Hispanic/Latino

TwoorMoreRaces

Asian



White

010,00020,00030,00040,00050,00060,00070,000

PeoriaCounty TazewellCounty WoodfordCounty

64,016

54,428

14,362

64,415

54,330

14,373

NumberofFamilyHouseholds- Tri-County2013-2014

2013

2014



FamilyCompositionIntheTri-Countyregion,datafrom2013suggestthepercentageoftwo-parentfamiliesinPeoriaCountyat44.2%,withTazewellandWoodfordcountieswellover50%.One-personhouseholdsrepresentatleast20%ofthepopulationacrosscounties,withPeoriahavingnearly1/3ofitshouseholdsbeingcomprisedofoneperson.

Source:2013Statisticalatlas.com

Source:2013Statisticalatlas.com

44.2%

13.7%3.9%

31.9%6.3%

HouseholdTypes- PeoriaCounty2013

Married SingleFemale SingleMale

OnePerson OtherNon-Family

55.4%

10.3%2.9%

27.2%4.2%

HouseholdTypes- TazewellCounty2013



64.1%8.0%4.4%

21.6%1.9%

HouseholdTypes-WoodfordCounty2013





EarlySexualActivityLeadingtoBirthsfromTeenageMothers

TheTri-Countyregionexperiencedadecreaseinteenagebirthrateper100,000women.However,inPeoriaCounty,teenbirthsaresignificantlyhigherthantheIllinoisaverageof36per1,000women.

Source:IllinoisDepartmentofPublicHealth

0

10

20

30

40

50

60

PeoriaCounty TazewellCounty WoodfordCounty Illinois

51

36

19

42

51

36

19

41

51

37

19

40

52

34

20

38

50

33

19

36

TeenBirthsRate- Tri-County2010-2014

2010 2011 2012 2013 2014



1.4EconomicInformationImportanceofthemeasure:Medianincomedivideshouseholdsintotwosegmentswithone-halfofhouseholdsearningmorethanthemedianincomeandtheotherhalfearningless.Becausemedianincomeisnotsignificantlyimpactedbyunusuallyhighorlow-incomevalues,itisconsideredamorereliableindicatorthanaverageincome.Toliveinpovertymeanstolacksufficientincometomeetone’sbasicneeds.Accordingly,povertyisassociatedwithnumerouschronicsocial,health,education,andemploymentconditions.

MedianIncomeLevel

For2009-2013,themedianhouseholdincomeintheTri-Countyregionrangedfrom11.3%lowerthantheStateofIllinois(PeoriaCounty)to16.6%higherinWoodfordCounty.

Source:USCensus

Unemployment

Fortheyears2011to2015,theTri-CountyregionhaslargelyexperiencedlowerunemploymentratesthantheStateofIllinois.Thistrendreversesin2015,whenonlyWoodfordCounty(5.0%)isbelowtheIllinoisStateaverageof5.4%.Whileallcountieshaveseendeclinesfrom2013,PeoriaandTazewellcountiesaresubstantiallyaboveIllinoisStateunemployment.

$1$10,001$20,001$30,001$40,001$50,001$60,001$70,001 $50,712 $56,067

$66,639 $57,166

MedianHouseholdIncome- Tri-County2009-2013

Peoria Tazewell Woodford StateofIllinois



Source:BureauofLaborStatistics

FamiliesinPovertyPovertyhasasignificantimpactonthedevelopmentofchildrenandyouth.IntheTri-Countyregion,thepercentageoffamilieslivinginpovertybetween2010and2014increased.TheoverallpovertyrateforTazewellCounty(9.3%)andWoodfordCounty(8.1%)remainlowerthantheStateofIllinoispovertyrateof14.4%.PeoriaCountyhasincreasedfrom14.5%to17.0%.

Source:USCensus

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

PeoriaCounty TazewellCounty WoodfordCounty StateofIllinois

9.2%8.1%

6.3%

9.7%8.4%

7.3%

6.1%

9.0%9.8%8.7%

7.0%

9.1%

6.7%5.8%

4.9%

7.1%7.0%6.4%

5.0%5.4%

UnemploymentRates- Tri-County2011-2015

2011 2012 2013 2014 2015

0.0%

5.0%

10.0%

15.0%

20.0%


14.5%

7.9%7.0%

17.0%

9.3%8.1%

PovertyRate- Tri- County2010-2014

2010 2014



1.5EducationImportanceofthemeasure:AccordingtotheNationalCenterforEducationalStatistics1,“Thebettereducatedapersonis,themorelikelythatpersonistoreportbeingin‘excellent’or‘verygood’health,regardlessofincome.”Researchsuggeststhatthehigherthelevelofeducationalattainmentandthemoresuccessfuloneisinschool,thebetterone’shealthwillbeandthegreaterlikelihoodofoneselectinghealthylifestylechoices.Accordingly,yearsofeducationisstronglyrelatedtoanindividual’spropensitytoearnahighersalary,gainbetteremployment,andfostermultifacetedsuccessinlife.

Truancy

Chronictruancyisamajorchallengetotheacademicprogressofchildrenandyoungadults.Thecausesoftruancyvaryconsiderablyforyoungchildren.Truancyofmiddle-andhigh-schoolstudentsismorelikelyaresultoftheinappropriatebehavioranddecisionsofindividualstudents.Primaryschooltruancyoftenresultsfromdecisionsandactionsoftheparentsorcaregiversratherthanthestudentsthemselves.TheStateofIllinoisdefinestruancyasastudentwhoisabsentwithoutvalidcausefor5%ormoreoftheprevious180regularattendancedays.

PeoriaDistrict150(recentlyrenamedPeoriaPublicSchools)andLimestoneSchoolDistricthadtruancyratesofover10%in2014,followedbyLowpoint-Washburn,EastPeoria,andPekindistricts,eachat5%ormore.

Source:IllinoisReportCard

1NCES2005

0% 5% 10% 15% 20% 25% 30%

0%1%1%1%2%2%3%3%

12%27%

TruancyinSchoolDistricts- PeoriaCounty2014

PeoriaDistrict150

Limestone

Princeville

IVC

PeoriaHeights

Brimfield

IlliniBluffs

Farmington



Source:IllinoisReportCard

HighSchoolGraduationRates

In2015,PeoriaDistrict150(65%),Limestone(80%),PeoriaHeights(77%),andPekin(79%)reportedgraduationfallingundertheStateaverage(now86%).Notably,alldistrictsinWoodfordCountyareabovetheIllinoisStateaverage.

0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0%

0.0%0.0%

1.0%2.0%

3.0%5.0%5.0%

TruancyinSchoolDistricts- TazewellCounty2014

EastPeoria

Pekin

Washington

Delavan

DeerCreek-Mackinaw

Morton

Tremont

0.0% 2.0% 4.0% 6.0% 8.0%

1.0%1.0%1.0%

2.0%4.0%

7.0%

TruancyinSchoolDistricts- WoodfordCounty2014

Lowpoint-Washburn

Fieldcrest

Eureka

RoanokeBenson

ElPaso-Gridley

CountyofWoodford



Source:IllinoisStateBoardofEducation,SchoolYear2011&2015DistrictReportCard

Summary

0%10%20%30%40%50%60%70%80%90%100%

2011 2015

77%

65%

93%92%89%

97%

77%80%83%85%88%

91%88% 90%

85% 77%91% 92%

93% 88%84% 86%

4-YearHighSchoolGraduationRates- PeoriaCounty

2011vs2015 PeoriaDistrict150Farmington

Brimfield

Limestone

IVC

Elmwood

Dunlap

PeoriaHeights

Princeville

0%

20%

40%

60%

80%

100%

2011 2015

88% 85%90% 93%

79% 87%91% 93%

83% 79%94% 96%

88% 87%84% 86%

4-YearHighSchoolGraduationRates- TazewellCounty

2011vs2015DeerCreek-Mackinaw

Delavan

EastPeoria

Morton

Pekin

Tremont

Washington

StateofIllinois



Source:IllinoisStateBoardofEducation,SchoolYear2011&2015DistrictReportCard

Summary

1.6KeyTakeawaysfromChapter1ü POPULATIONINCREASEDSLIGHTLYOVERTHELAST5YEARS.ü POPULATIONISAGING.THELARGESTPERCENTAGEINCREASEISINRESIDENTSOVERAGE65ü DECREASINGWHITEPOPULATION,INCREASINGLATINOPOPULATIONINPEORIAANDTAZEWELLCOUNTIES

ü TEENBIRTHSPER1,000FEMALEPOPULATION,AGES15-19HAVEDECREASEDSLIGHTLYOVERTHELASTTHREEYEARS,BUTTHERATEINPEORIACOUNTYREMAINSSIGNIFICANTLYHIGHERTHANTHEAVERAGEACROSSTHESTATEOFILLINOIS

ü SINGLEFEMALEHEAD-OF-HOUSE-HOUSEHOLDREPRESENTSBETWEEN8%AND13.7%OFTHEPOPULATIONINEACHOFTHETHREECOUNTIES.HISTORICALLY,THISDEMOGRAPHICINCREASESTHELIKELIHOODOFFAMILIESLIVINGINPOVERTY

ü UNEMPLOYMENTHASDECREASED,HOWEVER,PEORIAANDTAZEWELLCOUNTIESAREHIGHERTHANSTATEAVERAGES,WHILEWOODFORDCOUNTYREMAINSLOWERTHANTHESTATE

ü TRI-COUNTYSCHOOLDISTRICTSHAVECOMPARABLEGRADUATIONRATESTOTHESTATEAVERAGE,EXCEPTFORPEORIADISTRICT150,WHICHIS21POINTSLOWERTHANTHESTATEAVERAGEGRADUATIONRATEOF86%

0%10%20%30%40%50%60%70%80%90%100%

2011 2015

80%95%

100%90%94% 94%

82% 87%79% 86%87% 88%84% 86%

4-YearHighSchoolGraduationRates- WoodfordCounty

2011vs2015CountyofWoodford

ElPaso-Gridley

Eureka

Fieldcrest

Lowpoint-Washburn

RoanokeBenson

StateofIllinois



CHAPTER2.PREVENTIONBEHAVIORS2.1AccessibilityImportanceofthemeasure:Itiscriticalforhealthcareservicestobeaccessible.Therefore,accessibilitytohealthcaremustaddressboththeassociatedfinancialcostsandthesupplyanddemandofmedicalservices.ChoiceofMedicalCareSurveyrespondentswereaskedtoselectthetypeofhealthcarefacilityusedwhensick.Sixdifferentalternativeswerepresented,includingclinicordoctor’soffice,emergencydepartment,urgent-carefacility,healthdepartment,nomedicaltreatment,andother.Themodifiedsampleof1,165respondentswasusedforgeneralpopulationinordertomoreaccuratelyreflectthedemographiccharacteristicsfortheTri-Countyregion.

Themostcommonresponseforsourceofmedicalcarewasclinic/doctor’soffice,chosenby71%ofsurveyrespondents.Thiswasfollowedbyurgentcare(15%),notseekingmedicalattention(8%),andtheemergencydepartmentatahospital(6%).

CHAPTER2OUTLINE

2.1 Accessibility

2.2 Wellness

2.3 AccesstoInformation

2.4 PhysicalEnvironment

2.5 HealthStatus




Source:CHNASurvey

Fortheat-risk(lowincome)population,themostcommonresponseforchoiceofmedicalcarewasalsoclinic/doctor’soffice(59%).Thiswasfollowedbytheemergencydepartmentatahospital(19%),urgentcarefacilities(12%),notseekingmedicalattention(9%),andthehealthdepartment(1%).

Source:CHNASurvey

0% 10% 20% 30% 40% 50% 60% 70% 80%

HealthDepartment

EmergencyDepartment

Doesn'tSeek

UrgentCare

Clinic/Doctor

0%

6%

8%

15%

71%

ChoiceofMedicalCareGeneralPopulation-Tri-County2016

0% 10% 20% 30% 40% 50% 60%

HealthDepartment

Doesn'tSeek

UrgentCare

EmergencyDepartment

Clinic/Doctor

1%

9%

12%

19%

59%

ChoiceofMedicalCareAt-RiskPopulation- Tri-County2016



DemographicFactorsRelatedtoChoiceofMedicalCare

Severaldemographiccharacteristicsshowsignificantrelationshipswithanindividual’schoiceofmedicalcare.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

Clinic/Doctor’sOfficetendstobeusedmoreoftenbyolderpeople,thosewithWhiteethnicity,highereducationandincome.Clinic/doctor’sofficeisusedlessfrequentlybyLatinopeople.

UrgentCareisusedmoreoftenbyyoungerpeople.

EmergencyDepartmenttendstobeusedmoreoftenbyyoungerpeople,peopleofBlackandLatinoethnicities,thosewithlowereducationandincome,andhomelesspeople.EDsarechosenmoreofteninPeoriaCountyandlessofteninTazewellCounty.

DoNotSeekMedicalCareisanoptionchosenmorebymenandresidentsofTazewellCounty.

HealthDepartmentdoesnotshowsignificantdemographiccorrelations.

Comparisonto2013CHNAData

ComparedtotheTri-County2013CHNAsurveydata,forthegeneralpopulation,therewasasignificantincreaseinuseofclinic/doctor’soffice,from59%to71%,whichresultedinalowerpercentageofpeoplechoosingtoseekcareinanemergencydepartment.Fortheat-riskpopulation,therewasalsoanincreaseinuseofclinic/doctor’soffice,from51%to59%,resultinginaslightdecreaseinEDusagefrom22%to19%.Therewasalsoareductionintheproportionofpeoplewhodidnotseekmedicalattentionfrom13%in2013to9%in2016.

InsuranceCoverage

Withregardtomedicalinsurancecoverage,datagatheredfromtheIllinoisBehavioralRiskFactorSurveillanceSystemshowthatresidentsintheTri-CountyregionpossesshealthcarecoverageatacomparableorhigherratethantheStateofIllinoisaverage.NotethatthepercentageofpeoplecoveredinTazewellCountyhasdroppedsignificantlyaccordingtosecondarydata.



Source:IllinoisBehavioralRiskFactorSurveillanceSystem

Withregardtodentalinsurance,coveragehasincreasedacrosstheTri-Countyarea,withTazewellCountyexperiencingthelargestincreases.Thesearethemostrecentdata,astheBRFSShasnotbeenupdatedforthismetricsince2009.


WithregardtoMedicareCoverage,ineachofthethreecountiesintheTri-Countyarea,21.2%-29%ofresidentsreceivedMedicarecoveragebetween2007and2009.Thesearethemostrecentdata,astheBRFSShasnotbeenupdatedforthismetricsince2009.

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%100.0%


89.8% 95.9% 94.8% 86.1%87.8% 88.1% 93.5% 88.1%

HealthCareCoverage- Tri-CountyRegion2007-2014

2007-2009 2010-2014

0.0%

20.0%

40.0%

60.0%

80.0%


62.3% 63.1% 65.8%65.9%74.9%

66.9%

RespondentswithDentalInsurance- TriCounty2004-2009

2004-2006 2007-2009




AmorepreciseanalysisforinsurancecoverageispossiblewithdatafromtheCHNAsurvey.Accordingtosurveydata,70%oftheresidentsintheTri-Countyarecoveredbyprivateinsurance.

Source:CHNASurvey

Datafromthesurveyshowthatforthe5%ofindividualswhodonothaveinsurance,themostcommonreasonwascost.

29.0%85.6%

MedicareCoverage- PeoriaCounty2007-2009

CoveredbyMedicare

NotCoveredbyMedicare

21.2%

78.8%

MedicareCoverage- TazewellCounty

2007-2009

CoveredbyMedicare


23.0%

77.0%

MedicareCoverage- WoodfordCounty

2007-2009

CoveredbyMedicare


70%

13%

12% 5%

TypeofInsurance- TriCounty2016

Private Medicaid Medicare None



Source:CHNASurvey

DemographicFactorsRelatedtoTypeofInsurance

Severaldemographiccharacteristicsshowsignificantrelationshipswithanindividual’stypeofinsurance.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

Medicaretendstobeusedmorefrequentlybymen,olderpeople,Blackpeople,andthosewithlowereducationandincome.PeoriaresidentsalsoaremorelikelytobecoveredbyMedicare.

Medicaidtendstobeutilizedathigherratesbyyoungerpeople,Blackpeople,homelesspeople,andthosewithlowerincomeandeducationlevels.Again,PeoriaresidentsalsoaremorelikelytobecoveredbyMedicaid.

PrivateInsuranceisusedmoreoftenbywomen,Whitepeople,andthosewithhighereducationandincome.Privateinsurancetendstobeusedlessbythehomeless.ResidentsofTazewellandWoodfordCountiesarealsomorelikelytobecoveredbyprivateinsurance.

NoInsurancetendstobereportedmoreoftenbyLatinopeople,thehomeless,andthosewithloweducationandincome.NoinsuranceisreportedlessoftenbyBlackpeople.


Comparedtosurveydatafromthe2013CHNA,therehasbeenasignificantincreaseinthepercentageofthepopulationwithprivateinsuranceto70%.Notethatthereislargevarianceinthisnumberacrosscounties,where77%ofWoodfordCountyresidentshaveprivateinsuranceand59%ofPeoriaCountyresidentshaveprivateinsurance(seeappendicesformoredetail).FortheTri-Countyregion,therewasasignificantoveralldecreaseinthoseindividualswhohavenoinsurance,from19%to5%.MuchofthismaybeattributedtotheACA.

0%

20%

40%

60%

80%

100%

86%

12%2%

ReasonsforNoInsurance- Tri-County2016

ICannotAfford

IDon'tKnowHow

IDon'tNeed



AccesstoCare

IntheCHNAsurvey,respondentswereasked,“Wasthereatimewhenyouneededcarebutwerenotabletogetit?”Accesstofourtypesofcarewereassessed:medicalcare,prescriptionmedications,dentalcareandcounseling.Surveyresultsshowthat14%ofthepopulationdidnothaveaccesstomedicalcarewhenneeded;15%ofthepopulationdidnothaveaccesstoprescriptionmedicationswhenneeded;18%ofthepopulationdidnothaveaccesstodentalcarewhenneeded;and9%ofthepopulationdidnothaveaccesstocounselingwhenneeded.

Source:CHNASurvey

DemographicFactorsRelatedtoAccesstoCare

Severaldemographiccharacteristicsshowasignificantrelationshipwithanindividual’sabilitytoaccesscarewhenneeded.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

Accesstomedicalcaretendstobehigherforolderpeople,Whitepeople,andthosewithhighereducationandincome.Homelesspeoplearelesslikelytoreportaccesstomedicalcare.

AccesstoprescriptionmedicationstendstobehigherforWhitepeople,andpeoplewithhighereducationandincome.ItislesslikelyforBlackandhomelesspeople.Moreover,accesstoprescriptionmedicationismorelikelyinTazewellandWoodfordCounties,andlesslikelyinPeoriaCounty.

Accesstodentalcaretendstobegreaterforpeoplewiththefollowingcharacteristics:Whitepeople,andthosewithhighereducationandhigherincome.Blackpeopleandhomelesspeoplearelesslikelytohaveaccesstodentalcare.ResidentsofWoodfordCountyareabletoaccessdentalcareathigherrates.

Accesstocounselingtendstoberatedhigherbyolderpeopleandthosewithhigherincome.

14%15%

18%

9%

0%2%4%6%8%10%12%14%16%18%20%

MedicalCare PrescriptionMedication DentalCare Counseling

AccesstoCare- Tri-County2016



ReasonsforNoAccess–MedicalCareSurveyrespondentswhoreportedtheywerenotabletogetmedicalcarewhenneededwereaskedafollow-upquestion.Theleadingcausesoftheinabilitytoaccesstomedicalcareweretheinabilitytoaffordcopaymentsordeductibles(35%),noinsurance(29%),andtoolongtowaitforanappointment(24%).Thelackofabilitytogettoaprovider(14%)wasalsofrequentlycited.Notethattotalpercentagesdonotequal100%asrespondentscouldchoosemorethanoneanswerordidnotrespondtothequestion.

Source:CHNASurvey

ReasonsforNoAccess–PrescriptionMedicationSurveyrespondentswhoreportedtheywerenotabletogetprescriptionmedicationswhenneededwereaskedafollow-upquestion.IntheTri-Countyarea,theleadingcausesoftheinabilitytoaccessprescriptionmedicineweretheinabilitytoaffordcopaymentsordeductibles(57%)andnoinsurance(25%).Notethattotalpercentagesdonotequal100%asrespondentscouldchoosemorethanoneanswerordidnotrespondtothequestion.

0%5%10%15%20%25%30%35%

35%

29%

24%

14%9%

7%5%

CausesofInabilitytoAccessMedicalCare- Tri-County2016

CouldNotAffordCo-Pay

NoInsurance

TooLongtoWait

NoWaytoGettoDoctor

DoctorRefusedInsurance

Fear

IDon'tKnowHowtoFind



Source:CHNASurvey

ReasonsforNoAccess–DentalCareSurveyrespondentswhoreportedtheywerenotabletogetdentalcarewhenneededwereaskedafollow-upquestion.Theleadingcausesofinabilitytoaccesstodentalcarewerenoinsurance(51%),andtheinabilitytoaffordcopaymentsordeductibles(35%).Thedentist’srefusalofinsurance(18%)wasalsoafrequentlycitedcause.Notethattotalpercentagesdonotequal100%asrespondentscouldchoosemorethanoneanswer.

Source:CHNASurvey

ReasonsforNoAccess–CounselingSurveyrespondentswhoreportedtheywerenotabletogetcounselingwhenneededwereaskedafollow-upquestion.IntheTri-Countyarea,theleadingcausesoftheinabilitytoaccesscounselingweretheinabilitytoaffordco-pay(37%),lackofinsurance(21%),toolongtowait(17%),andtheinabilityto

0%

10%

20%

30%

40%

50%

60%

57%

25%

13%8%

4%

CausesofInabilitytoAccessPrescriptionMedication- Tri-County

2016


NoInsurance

PharmacistRefusedInsurance

NoWaytoGettoPharmacy

IDon'tKnowHowtoFind

0%

10%

20%

30%

40%

50%

60% 51%

35%

18%11%

8% 8% 7%

CausesofInabilitytoAccessDentalCare- Tri-County2016

NoInsurance


DentistRefusedInsurance

Fear

NoWaytoGettoDentist

TooLongtoWait

IDon'tKnowHowtoFind



find(16%).Notethattotalpercentagesdonotequal100%asrespondentscouldchoosemorethanoneanswer.

Source:CHNASurvey

Comparisonsto2013CHNAData

AccesstoMedicalCare–Comparedto2013,surveyresultsshowaslightincreaseinthosethatwereabletogetmedicalcarewhentheyneededit.In2013,74%ofresidentswereabletogetmedicalcarewhenneeded.In2016,thepercentageincreasedto86%.

AccesstoPrescriptionsMedication–Comparedto2013,surveyresultsshowasignificantincreaseinthosethatwereabletogetprescriptionmedicationswhentheyneededit.In2013,72%ofresidentswereabletogetprescriptionmedicationswhenneeded.In2016,thepercentageincreasedto85%.

AccesstoDentalCare–Comparedto2013,resultsshowasignificantincreaseinthosethatwereabletoaccessdentalcarewhenneeded.In2013,68%ofresidentswereabletogetdentalcarewhenneeded.In2016,thepercentageincreasedto82%.

AccesstoCounseling–Comparedto2013,therewasasignificantincreaseinaccesstocounseling.In2013,83%ofrespondentshadaccesstocounselingwhenneeded,comparedto91%in2016.

0%

10%

20%

30%

40%37%

21%17% 16% 15% 14% 13% 13%

CausesofInabilitytoAccessCounseling-Tri-County2016


NoInsurance

TooLongtoWait

IDon'tKnowHowtoFind

CounselorRefusedInsurance

Embarrassment

NoWaytoGettoCounselor



2.2WellnessImportanceofthemeasure:Preventativehealthcaremeasures,includingschedulingaroutinewell-visit,gettingaflushot,engaginginahealthylifestyle,andundertakingscreeningsfordiseasesareessentialtocombatingmorbidityandmortalitywhilereducinghealthcarecosts.FrequencyofCheckup

Numeroushealthproblemscanbeminimizedwhendetectedearly.Therefore,regularlyscheduledcheckupscanbeveryimportant.AccordingtothelatestdatafromtheIllinoisBRFSS,over60%ofresidentsinPeoriaandTazewellCountyreporthavinghadaroutinecheckupwithinthelastyear;over90%ofresidentsinWoodfordCountyreportthesame.


ResultsfromtheCHNAsurveyshowslightlylowerpercentagesofresidentsgettingacheckup.Surveyresultsshowthat63%ofTri-Countyresidentshavehadacheckupinthelastyear.

0.0%20.0%40.0%60.0%80.0%100.0%

1yearorless Morethan1Year/Never

60.5%

39.5%

68.2%

38.1%

93.6%

6.4%

Checkupinthepastyear- Tri-County2010-2014

PeoriaCounty TazewellCounty* WoodfordCounty



Source:CHNASurveyData


Therehasbeennochangeinthepercentageofresidentswhohavehadacheckupinthepastyear,63%inboth2013and2016.

FrequencyofFluShots

Theoverallhealthofacommunityisimpactedbypreventativemeasuresincludingimmunizationsandvaccinations.ThechartbelowshowsthatthepercentageofpeoplewhohavehadaflushotinthepastyeardecreasedforPeoriaCounty(30.7%)for2010-2014comparedto40.4%for2009.WoodfordCountyexperiencedaminimalincreasefrom2009(36.1%)to2010-2014(37.0%).Duringthesametimeframe,theStateofIllinoisrealizedanincreaseoffluimmunizations.NoupdateddatawereavailableforTazewellCountyfor2010-2014.

0%

10%

20%

30%

40%

50%

60%

70%63%

20%

7% 8%2%

TimeSinceLastCheckupTri-County2016

WithinLastYear

1-2Years

3-5Years

Over5Years

Never




CHNAsurveydataprovideadditionalinsightsintoprevalenceofflushots,andamorepositiveresultfortheTri-Countyarea.

Source:CHNASurveyComparisonto2013CHNAData

Thereisnocomparisonwiththe2013CHNA,asthesurveyitemforflushotwasaddedtothe2016CHNAsurvey.

UsualHealthcareProvider

InPeoriaCounty,themostrecentsecondarydataindicate77.8%ofresidentsutilizearegularhealthcareprovider,comparedto2007-2009(83.3%).InWoodfordCounty,themostrecentsecondarydataindicate93.6%ofresidentsutilizearegularhealthcareprovider,anincreasefrom2007-2009(88.8%).

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


40.4% 35.0% 36.1% 34.6%30.7%37.0% 38.5%

FluShotinthePastYear- Tri-County2007-2014

2007-2009 2010-2014

0%

10%

20%

30%

40%

50%43%

15%

8% 10%

24%

TimeSinceLastFluShot- Tri-County2016

PastYear

1-2Years

3-5Years

5orMore

Never



TazewellCountyreported87.3%for2007-2009.NodatawereavailableforTazewellCountyin2010-2014.


Similarly,theCHNAsurveyaskedrespondentsiftheyhadapersonalphysician.Havingapersonalphysiciansuggeststhatindividualsaremorelikelytogetwellnesscheck-upsandlesslikelytouseanemergencydepartmentasaprimaryhealthcareservice.Accordingtosurveydata,82%ofresidentshaveapersonalphysician.

Source:CHNASurvey

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%


83.3% 87.3% 88.8% 84.2%77.8%93.6%

80.9%

UseofRegularHealthcareProvider- Tri-County2007-2014

2007-2009 2010-2014

18%

82%

UseofPersonalPhysician- Tri-County2016

No Yes




The2016CHNAsurveyresultsforhavingapersonalphysicianareslightlyhighercomparedtothe2013CHNA.Specifically,75%ofresidentsreportedapersonalphysicianin2013and82%reportthesamein2016.

DemographicFactorsRelatedtoWellness

Multipledemographiccharacteristicsshowsignificantrelationshipswithwellness.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

FrequencyofcheckuptendstobehigherforolderpeopleandlowerforLatinopeople.Tazewellresidentsarelesslikelytoreportacheckup,whileWoodfordresidentsaremorelikely.

Frequencyofflushottendstobehigherforolderpeople.

Havingapersonalphysiciantendstobemorelikelyforolderpeople,Whitepeopleandthosewithhighereducationandincome.Latinopeopleandhomelesspeoplearelesslikelytoreporthavingapersonalphysician.

Women’sHealthcare

Updatedsecondarydatawerenotavailableforwomen’shealthconcerns.Usingthemostrecentavailabledatafrom2007-2009,39.1%ofresidentsfromPeoriaCounty,40.4%ofTazewellCounty,and45.1%ofWoodfordCountyreportedtheyhadnothadamammogramwithinthelastyear(asof2009).


Researchsuggestspapsmearsareimportantindetectingpre-cancerouscellsintheuterusandcervix.Withregardtoeverhavingapapsmear,residentsfromtheTri-Countyreportedamodestchangeinpercentagepointsbetween2004-2006and2007-2009.ComparedwithState-leveldatafor2007-2009,Tri-CountynumbersareslightlyhigherwiththeexceptionofPeoriaCounty.

0.0%10.0%20.0%30.0%40.0%50.0%


StateofIllinois

39.1% 40.4% 45.1% 43.6%

NoMammograminLastYear- Tri-County2007-2009

2007-2009




HealthyLifestyle

Ahealthylifestyle,comprisedofregularphysicalactivityandbalanceddiet,hasbeenshowntoincreasephysical,mental,andemotionalwell-being.

PhysicalExercise

Accordingtorecentdata,thepercentageofindividualsinTazewellCounty(78.7%)exceedsthatofPeoriaCounty(63.6%)andWoodfordCounty(75.0%),aswellastheStateofIllinoisof51.7%.


CHNAsurveydataallowforamoredetailedassessmentofexercise.Specifically,34%ofrespondentsindicatedthattheydonotexerciseatall,whilenearlythesameproportion(32%)ofresidentsexercise1-2timesperweek.

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%


95.6% 94.6% 93.9% 93.4%91.0% 95.7% 92.7% 92.6%

PapSmearinLifetime- Tri-County2004-2009

2004-2006 2007-2009

0.0%

20.0%

40.0%

60.0%

80.0%63.6%

78.7% 75.0%

51.7%

RegularExercise- TriCounty2010-2014




Source:CHNASurvey

Tofindoutwhysomeresidentsdonotexerciseatall,afollowupquestionwasasked.Themostcommonreasonsfornotexercisingarenothavingenoughtimeorenergy.

Source:CHNASurvey


Exercisebehaviorshavedeclinedslightly;datafromthe2016CHNAsurveyindicatethatin2013,32%ofsurveyrespondentsindicatedtheydidnotexercise.In2016,34%ofrespondentsindicatedtheydidnotexercise.

0%

5%

10%

15%

20%

25%

30%

35%

34%32%

23%

11%

ExerciseintheLastWeek- Tri-County2016

IDon't

1to2

3to5

Morethan5

0%5%10%15%20%25%30%35%40%

36%34%

23%

15% 14%10% 9%

6%

CausesofFailuretoExercise- Tri-County2016

NoTime

IAmTooTired

IDon'tLikeit

ICannotAfford

Disability

NoChildCare

NoAccess

NotImportant



HealthyEating

Nutritionanddietarecriticaltopreventativecare.Nearlytwo-thirds(65%)ofTri-Countyresidentsreportnoconsumptionorlowconsumption(1-2servingsperday)offruitsandvegetables.NotethatthepercentageofTri-Countyresidentswhoconsume5ormoreservingsperdayisonly5%.

Source:CHNASurvey

Thoseindividualswhoindicatedtheydonoteatanyfruitsorvegetableswereaskedafollowupquestion.Reasonsmostfrequentlygivenforfailingtoeatmorefruitsandvegetablesaretheexpenseinvolved(36%),thedifficultytobuyfruitsandvegetables(33%),andalackofappeal(20%).

Source:CHNASurvey

0%

10%

20%

30%

40%

50%

60%

6%

59%

30%

5%

DailyConsumptionofFruitsandVegetables-Tri-County2016

IDon't

1to2

3to5

Morethan5

0%

10%

20%

30%

40%

36%33%

20%

11%

CausesofLowConsumptionofFruitsandVegetables- Tri-County

2016

ICannotAffordThem

ItisDifficulttoBuyFruits/Vegetables

IDon'tLikeThem

ItisNotImportanttoMe




Comparedtothe2013CHNA,healthyeatingisimproving.Specifically,in2013,71%ofsurveyrespondentsatetwoorfewerservingsoffruitsandvegetablesperday.In2016,65%eattwoorfewerservingsoffruitsandvegetablesperday.

DemographicFactorsRelatedtoHealthyLifestyle

Therearemultipledemographiccharacteristicsshowingsignificantrelationshipswithhealthylifestyle.

Frequencyofexercisetendstobelowerforhomelesspeople.ThoseinTazewellcountyreportmoreexercise.Frequencyoffruitandvegetableconsumptiontendstobehigherforolderpeopleandpeoplewithhighereducationandhigherincome.Homelesspeoplearelesslikelytoconsumefruitsandvegetables.ResidentsinWoodfordCountyreportmoreconsumption.

2.3AccesstoInformation

Importanceofthemeasure:Itisimportanttounderstandhowpeopleaccessmedicalinformation.Themoreproactivethepopulationbecomesinmanagingitsownhealth,themoreimportantaccesstoaccurateinformationbecomes.Respondentswereasked,“Wheredoyougetmostofyourmedicalinformation?”Thevastmajorityofrespondentsobtainedinformationfromtheirdoctor.WhiletheInternetwasthesecondmostcommonchoice,itwassignificantlylowerthaninformationfromdoctors.

Source:CHNASurvey

0% 10% 20% 30% 40% 50% 60%

Pharmacist

Nurse

Friend

Internet

Doctor

2%

4%

6%

37%

51%

SourcesofMedicalInformation- Tri-County2016



DemographicFactorsRelatedtoAccesstoInformation

Severaldemographiccharacteristicsshowsignificantrelationshipswithfrequencyofaccesstovarioussourcesofinformation.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

AccesstoInformationfromaDoctortendstobehigherforolderpeople,Whitepeople,andBlackpeople.ResidentsofPeoriaaremorelikelytoreportgettinginformationfromadoctor.AccesstoInformationfromaFrienddoesnotshowsignificantrelationships.AccesstoInformationfromtheInternettendstobehigherforyoungerpeople,Whitepeople,andthosewithhighereducation.Blackresidentsarelesslikelytousetheinternetforhealthinformation.TazewellCountyresidentsaremorelikelytoreportinternetaccesstohealthinformation.AccesstoInformationfromaPharmacydoesnotshowsignificantrelationships.AccesstoInformationfromaChurchNursedoesnotshowsignificantrelationships.

2.4PhysicalEnvironmentImportanceofthemeasure:AccordingtotheCountyHealthRankings,AirPollution-ParticulateMatter(APPM)istheaveragedailydensityoffineparticulatematterinmicrogramspercubicmeter(PM2.5)inacounty.Fineparticulatematterisdefinedasparticlesofairpollutantswithanaerodynamicdiameterlessthan2.5micrometers.Theseparticlescanbedirectlyemittedfromsourcessuchasforestfires,ortheycanformwhengasesareemittedfrompowerplants,manufacturingfacilitiesandautomobiles.

Therelationshipbetweenelevatedairpollution,particularlyfineparticulatematterandozone,andcompromisedhealthhasbeenwelldocumented.Negativeconsequencesofambientairpollutionincludedecreasedlungfunction,chronicbronchitis,asthma,andotheradversepulmonaryeffects.TheAPPMforallcountiesintheTri-CountyareaareslightlylowerthantheStateaverageof12.5%.



Source:CountyHealthRankings2011Data

2.5HealthStatus

Importanceofthemeasure:Self-perceptionsofhealthcanprovideimportantinsightstohelpmanagepopulationhealth.Notonlydoself-perceptionsprovidebenchmarksregardinghealthstatus,buttheycanalsoprovideinsightsintohowaccuratelypeopleperceivetheirownhealth.BeingHealthy

TherewasanincreaseinthepercentageofPeoriaCountyresidentsreportingtheyfeltphysicallyunhealthyon8ormoredayspermonthin2009(16.9%)versus2014(19.4%).However,WoodfordCountyresidentsfeltunhealthy8ormoredayspermonthatalowerratein2014(8.3%)comparedto2009(13.4%).Thoughincomplete,datashowadecreaseinthispercentageforTazewellCounty.


02468101214

11.8 12.1 12.3 12.5

AirPollution-ParticulateMatter- Tri-County2011


0.0%

20.0%

40.0%

60.0%

80.0%

2007-2009 2010-2014 2007-2009 2010-2014 2007-2009 2010-2014


53.0%60.5%

51.9% 58.4%74.8%

30.1% 20.1% 34.2% 28.2%16.9%16.9% 19.4% 13.9%

7.0% 13.4% 8.3%

Daysof"notgood"PhysicalHealthperMonth-Tri- County2007-2014

None 1-7Days 8-30Days



MentalHealthAmajorityofPeoriaCountyrespondents(61.5%)perceivetheyhavegoodoverallmentalhealthfor2010-2014,aslightdecreasefrom2007-2009.Moreover,inPeoriaCounty,morepeoplereportover8daysof“notgood”mentalhealthin2010-2014(17.8%)thanin2007-2009(11.9%).TherewasanincreaseofWoodfordCountyresidentsreportingtheyfeltgoodmentallyin2010-2014(72.5%)andadecreaseof3.5pointsforover8daysof“notgood”mentalhealthfrom2007-2009.Nodatafor“none”and“1-7days”wereavailableforTazewellCounty2013,andthenumberofpeoplereportingmorethan8daysof“notgood”mentalhealthdecreasedslightly.


SelfPerceptionsofOverallHealthOverhalf(56%)ofTri-CountyResidentsreporthavinggoodoverallphysicalhealth,while5%ratedthemselvesashavingpoorphysicalhealth.

Source:CHNASurvey

0.0%20.0%40.0%60.0%80.0%

2007-2009 2010-2014 2007-2009 2010-2014 2007-2009 2010-2014


63.8% 61.5% 62.7% 63.2% 72.5%

24.3% 20.7% 27.0% 24.9% 19.1%11.9% 17.8% 10.3% 10.0% 11.9% 8.4%

Daysof"notgood"MentalHealthperMonth-Tri- County2007-2014

None 1-7Days 8-30Days

0%

10%

20%

30%

40%

50%

60%

56%

39%

5%

OverallPhysicalHealth- Tri-County2016

Good

Average

Poor



Inregardtooverallmentalhealth,72%ofrespondentsstatedtheyhavegoodoverallmentalhealthand3%stateditispoor.

Source:CHNASurvey


Withregardtophysicalhealth,morepeopleseethemselvesingoodhealthin2016(56%)than2013(47%).Withregardtomentalhealth,ahigherpercentagereportgoodmentalhealthin2016(72%)than2013(62%).

DemographicFactorsRelatedtoSelfPerceptionsofHealth

Demographiccharacteristicsshowsignificantrelationshipswithself-perceptionsofhealth.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

Perceptionsofphysicalhealtharehigherforthosewithhighereducationandincome.Homelesspeoplearelesslikelytoratethemselveshigh.WoodfordCountyresidentsaremorelikelytoperceivegoodphysicalhealth.

Perceptionsofmentalhealthtendtobehigherforwomen,olderpeople,andthosewithhighereducationandincome.Homelesspeoplearelesslikelytoratethemselveshigh.WoodfordCountyresidentsaremorelikelytoperceivegoodmentalhealth.

0%10%20%30%40%50%60%70%80%

72%

25%

3%

OverallMentalHealth-Tri-County2016

Good

Average

Poor



2.6KeyTakeawaysfromChapter2ü EDISCHOSENBY19%OFTHEAT-RISKPOPULATIONASTHEPRIMARYSOURCEOF

HEALTHCARE

ü FORTHEAT-RISKPOPULATION,9%CHOOSENOTTORECEIVEMEDICALCARE

ü ACCESSTOMEDICALCARE,PRESCRIPTIONMEDICATIONS,DENTALCAREANDCOUNSELINGALLIMPROVEDFROMTHE2013CHNA

ü RATESOFEXERCISEDECLINEDSLIGHTLY;THEMAJORITYOFTHEPOPULATIONEXERCISESTWOORFEWERTIMESPERDAY

ü WHILETRI-COUNTYRESIDENTSAREEATINGMOREFRUITSANDVEGETABLESCOMPAREDTOTHE2013CHNA,THEMAJORITYOFRESIDENTSSTILLEAT2ORFEWERSERVINGSOFFRUITSANDVEGETABLESPERDAY

ü MOSTRESIDENTSHAVEHIGHSELF-PERCEPTIONSOFBOTHPHYSICALANDMENTALHEALTH



CHAPTER3.SYMPTOMSANDPREDICTORS

3.1TobaccoUseImportanceofthemeasure:Inordertoappropriatelyallocatehealthcareresources,athoroughanalysisoftheleadingindicatorsregardingmorbidityanddiseasemustbeconducted.Inthisway,healthcareorganizationscantargetaffectedpopulationsmoreeffectively.Researchsuggeststobaccousefacilitatesawidevarietyofadversemedicalconditions.SmokingrateshaveincreasedinPeoriaCounty(18.2%in2007-2009to23.1%in2010-2014),decreasedinTazewellCounty(20.9%in2007-2009to18.7%in2010-2014),andheldsteadyinWoodfordCounty(18.2%in2007-2009to18.1%in2010-2014).NoneofthecountiesintheTri-CountyareaarebelowStateofIllinoisaveragesforsmokers.


0.0%10.0%20.0%30.0%40.0%50.0%60.0%

Smoker

FormerSm

oker

Non-Sm

oker

Smoker

FormerSm

oker

Non-Sm

oker

Smoker

FormerSm

oker

Non-Sm

oker

Smoker

FormerSm

oker

Non-Sm

oker


18.2% 27.5%

54.2%

20.9%27.8%

51.4%

18.2%27.5%

54.2%

18.8% 23.0%

58.2%

23.1% 28.0%

48.9%

18.7%28.8%

52.5%

18.1%23.3%

58.7%

16.7%

23.8%

59.6%

SmokingStatus- Tri-CountyResidents2007-2014

2007-2009

2010-2014

CHAPTER3OUTLINE

3.1 TobaccoUse

3.2 DrugandAlcoholUse

3.3 OverweightandObesity

3.4 PredictorsofHeartDisease




CHNAsurveydatashow81%ofTri-Countyarearespondentsdonotsmokeandonly6%statetheysmokemorethan12cigarettesor“vape.”

Source:CHNASurvey


Comparedtodatafromthe2013CHNA,thepercentageofsmokersdecreased.Specifically,in2013,70%ofpeopleindicatedtheydidn’tsmoke.In2016,81%ofpeopleindicatedtheydidnotsmoke.

DemographicFactorsRelatedtoSmoking

Severaldemographiccharacteristicsshowsignificantrelationshipswithincidenceofsmokingorvaping.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

Frequencyofsmokingorvapingwashigheramongthehomelesspopulation,andthosewithlowereducationandincome.

3.2DrugandAlcoholAbuseImportanceofthemeasure:Alcoholanddrugsimpairdecision-making,oftenleadingtoadverseconsequencesandoutcomes.Researchsuggeststhatalcoholisagatewaydrugforyouth,leadingtoincreasedusageofcontrolledsubstancesinadultyears.Accordingly,thesubstanceabusevaluesandbehaviorsofhighschoolstudentsisaleadingindicatorofadultsubstanceabuseinlateryears.

Datafromthe2014IllinoisYouthSurveymeasuresillegalsubstanceuse(alcohol,tobacco,andotherdrugs–mainlymarijuana)amongadolescents.Formostsubstances,countiesintheTri-CountyareaareatorbelowStateofIllinoisaverages.Theexceptionsare8thgradecigarettesmokinginTazewellCountyand8thand12thgrademarijuanausageinPeoriaCounty.NotethatdataarenotavailableforIllinoisin2014;therefore,2012benchmarksareused.

0%

20%

40%

60%

80%

100%81%

3% 5% 5% 6%

FrequencyofSmokingorVaping- Tri-County2016

None

1to4

5to8

9to12

Morethan12



Source:https://iys.cprd.illinois.edu/UserFiles/Servers/Server_178052/File/2014/cnty14_Peoria.pdf

Source:https://iys.cprd.illinois.edu/UserFiles/Servers/Server_178052/File/2014/cnty14_Peoria.pdf

3.3OverweightandObesityImportanceofthemeasure:Individualswhoareoverweightandobeseplacegreaterstressontheirinternalorgans,thusincreasingthepropensitytoutilizehealthservices.Researchstronglysuggeststhatobesityisasignificantproblemfacingyouthandadultsnationally,inIllinois,andwithintheTri-Countyarea.TheUSSurgeonGeneralhascharacterizedobesityas“thefastest-growing,mostthreateningdiseaseinAmericatoday.”AccordingtotheObesityPreventionInitiativefromtheIllinoisGeneralAssembly,20%ofIllinoischildrenareobese.Thefinancialburdenofoverweightandobeseindividualsisstaggering,astheestimatedannualmedicalcostsattributedtoobesityinIllinoisfor1998-2000exceeded$3.4billion,rankingIllinois6thinthenationforobesity-attributedmedicalcosts.

0%5%10%15%20%25%30%35%

Alcohol Cigarettes Inhalants Marijuana Illicit(otherthan

marijuana)

25%

5% 4%

15%

2%

25%

9%5%

8%

1%

22%

6%5%

5%

2%

35%

8%5%

13%

2%

SubstanceAbusein8th Grade- Tri-County2014

Peoria2014 Tazewell2014 Woodford2014 Illinois2012

0%

20%

40%

60%

80%

Alcohol Cigarettes Inhalants Marijuana Illicit(otherthanmarijuana)

53%

16%

2%

38%

7%

53%

19%

2%

25%

6%

59%

20%

2%

26%

6%

65%

23%

3%

38%

8%

SubstanceAbusein12th Grade- Tri-County2014

Peoria2014 Tazewell2014 Woodford2014 Illinois2012



Withchildren,researchhaslinkedobesitytonumerouschronicdiseasesincludingTypeIIdiabetes,hypertension,highbloodpressure,andasthma.Adversephysicalhealthsideeffectsofobesityincludeorthopedicproblemsduetoweakenedjointsandlowerbonedensity.Detrimentalmentalhealthsideeffectsincludelowself-esteem,poorbodyimage,symptomsofdepressionandsuicideideation.Obesityimpactseducationalperformanceaswell;studiessuggestschoolabsenteeismofobesechildrenissixtimeshigherthanthatofnon-obesechildren.

Withadults,obesityhasfar-reachingconsequences.TestimonytotheIllinoisGeneralAssemblyindicatedthatobesity-relatedillnessescontributetoworkerabsenteeism,slowworkflow,andhighworkercompensationrates.ADukeUniversitystudyontheeffectsofobesityintheworkforcenoted13timesmoremissedworkdaysbyobeseemployeesthannon-obeseemployees.Nationwide,lackofphysicalactivityandpoornutritioncontributetoanestimated300,000preventabledeathsperyear.

InPeoriaCountyandWoodfordCounty,thenumberofpeoplediagnosedwithobesityandbeingoverweighthasincreasedovertheyearsfrom2007-2009to2010-2014.Notespecificallythatthepercentageofobeseandoverweightpeoplehasincreasedfrom60.3%to64.4%inPeoriaCountyandfrom63%to69.4%inWoodfordCounty.DataarenotavailableforTazewellCountyin2007-2009,butcurrentpercentagesofoverweightandobeseresidentsaresimilar.OverweightandobesityratesinIllinoishavealsoincreased,withanincreasefrom2009(64.0%)to2014(70.5%).


3.4PredictorsofHeartDiseaseResidentsintheTri-CountyreportahigherthanStateaverageprevalenceofhighcholesterol.ThepercentageofresidentswhoreporttheyhavehighcholesterolishigherinTazewellCounty(38.5%)thantheStateofIllinoisaverageof36.6%.PeoriaCounty(33.7%)andWoodfordCounty(36.4%)arebelowtheStateaverage.

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%


60.3% 63.0% 64.0%64.4% 66.1% 69.4% 70.5%

OverweightandObese- Tri-County2007-2014

2007-2009 2010-2014




However,mostresidentsoftheTri-Countyreporthavingtheircholesterolcheckedwithinthepastyear.


Withregardtohighbloodpressure,PeoriaCountyhasahigherpercentageofresidentswithhighbloodpressurethanresidentsintheStateofIllinoisasawhole.ThepercentageofPeoriaCountyresidentsreportingtheyhavehighbloodpressurein2014increasedfrom26.3%to30.6%,inWoodfordCounty,theincreasewasfrom25.3%to26.7%.TazewellCountysawadeclinefrom28.8%to25.9%.

0.0%5.0%10.0%15.0%20.0%25.0%30.0%35.0%40.0%


32.6% 35.5% 34.4% 37.3%33.7%

38.5% 36.4% 36.6%

HighCholesterol- Tri-County2007-2014

2007-2009 2010-2014

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%


70.5% 66.2%

15.9% 7.4%8.9% 7.3%

19.2%

4.6% 2.5% 7.1%

TimeSinceLastCholesterolChecked- Tri-County2010-2014

1yearorless

withinlast2years

3-5years

5+years




3.5KeyTakeawaysfromChapter3ü TOBACCOUSAGEHASDECREASEDINTHETRI-COUNTYREGIONCOMPAREDTOTHE2013CHNA,HOWEVERINCIDENCEAMONG8THGRADERSINTAZEWELLCOUNTYISHIGHERTHANTHESTATEOFILLINOISAVERAGE.

ü MARIJUANAUSEAMONG8THAND12THGRADERSISATAORABOVESTATEAVERAGESINPEORIACOUNTY.

ü THEPERCENTAGEOFPEOPLEWHOAREOVERWEIGHTANDOBESEHASINCREASEDINTHETRI-COUNTY,BUTREMAINSLOWERTHANTHESTATEAVERAGE

ü RISKFACTORSFORHEARTDISEASEAREINCREASINGANDCOMPARABLETOSTATEAVERAGES

0.0%

10.0%

20.0%

30.0%

40.0%


26.3%28.8%

25.3% 29.0%30.6%

25.9%26.7% 30.1%

HighBloodPressure- Tri-CountyRegion2007-2014

2007-2009 2010-2014



CHAPTER4.MORBIDITYANDMORTALITY

Giventhelackofrecentdisease/morbiditydatafromexistingsecondarydatasources,muchofthedatausedinthischapterwasmanuallygatheredfromTri-CountyhospitalsusingCOMPdata.Notethathospital-leveldataonlyshowhospitaladmissionsanddonotreflectoutpatienttreatmentsandprocedures.

4.1HealthyBabiesImportanceofthemeasure:Regularprenatalcareisavitalaspectinproducinghealthybabiesandchildren.Screeningandtreatmentformedicalconditionsaswellasidentificationandinterventionsforbehavioralriskfactorsassociatedwithpoorbirthoutcomesareimportantaspectsofprenatalcare.Researchsuggeststhatwomenwhoreceiveadequateprenatalcarearemorelikelytohavebetterbirthoutcomes,suchasfulltermandnormalweightbabies.Prenatalcarecanprovidehealthriskassessmentsforthemotherandfetus,earlyinterventionformedicalconditionsandeducationtoencouragehealthyhabits,includingnutritionalandsubstance-freehealthduringpregnancy.

LowBirthWeightRates

Lowbirthweightrateisdefinedasthepercentageofinfantsbornbelow2,500gramsor5.5pounds.Verylowbirthweightrateisdefinedasthepercentageofinfantsbornbelow1,500gramsor3.3pounds.Incontrast,theaveragenewbornweighsabout7pounds.ThepercentageofbabiesbornwithlowbirthweightincreasedinPeoriaCountyfrom2010to2014(8.6%-8.8%)andinTazewellCountyfrom2010(6.9%-7.4%)AreductioninlowbirthweightbabieswasseeninWoodfordCounty(6.6%-6.1%).TazewellandWoodfordCountyratesarebelowtheStateofIllinoisaverage.

CHAPTER4OUTLINE

4.1 HealthyBabies4.2 Cardiovascular

4.3.Respiratory

4.4Cancer

4.5Diabetes

4.6InfectiousDisease

4.7Injuries

4.8Mortality

4.9KeyTakeawaysfromChapter4

CHNA2016|Tri-County 55

�


Source:http://www.countyhealthrankings.org

InitiationofPrenatalCare

Prenatalcareiscomprehensivemedicalcareprovidedforthemotherandfetus,whichincludesscreeningandtreatmentformedicalconditionsaswellasidentificationandinterventionsforbehavioralriskfactorsassociatedwithadversebirthoutcomes.KotelchuckIndexScoresareusedtodeterminethequantityofprenatalvisitsreceivedbetweeninitiationofservicesanddelivery.Adequate(80%-109%ofexpectedvisits)andAdequatePlus(receiving110%ofrecommendedservices)ofreceivedservicesiscomparedtothenumberofexpectedvisitsfortheperiodwhencarebeganandthedeliverydate.

Ofthebabiesbornin2009intheTri-County,justunderorslightlyover90%werebornwith“Adequate”or“AdequatePlus”prenatalcare.ThisfigureishigherthantheStateofIllinoisaverageof80.2%ofbabiesbornwithsimilarprenatalcare.Thesearethemostrecentdata,andhavenotbeenupdatedsince2009.

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%


8.6%

6.9% 6.6%

8.3%8.7%

7.1%6.3%

8.4%8.8%

7.4%6.4%

8.4%8.9%7.3%

6.5%

8.4%8.8%

7.4%6.1%

8.4%

LowBirthWeight- Tri-County2010-2014

2010 2011 2012 2013 2014


�



4.2CardiovascularDiseaseImportanceofthemeasure:

Cardiovasculardiseaseisdefinedasalldiseasesoftheheartandbloodvessels,includingischemic(alsoknownascoronary)heartdisease,cerebrovasculardisease,congestiveheartfailure,hypertensivedisease,andatherosclerosis.

CoronaryAtherosclerosis

CoronaryAtherosclerosis,sometimescalledhardeningofthearteries,canslowlynarrowandhardenthearteriesthroughoutthebody.Whenatherosclerosisaffectsthearteriesoftheheart,it’scalledcoronaryarterydisease.

CoronaryarterydiseaseisaleadingkillerofAmericans.Mostofthesedeathsarefromheartattackscausedbysuddenbloodclotsintheheart’sarteries.

ThenumberofcasesofcoronaryatherosclerosiscomplicationatTri-CountyareahospitalsfromtheTri-Countyregionhasdecreasedfrom717casesto456casesin2014.Notethathospital-leveldataonlyshowhospitaladmissionsanddonotreflectoutpatienttreatmentsandprocedures.

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

89.9% 92.9% 93.3%80.2%

AdequateorAdequatePlusKotelchuckScores-Tri- County2007-2009

PeoriaCounty

TazewellCounty

WoodfordCounty

StateofIllinois


�


Source:COMPdata2015

CardiacArrest

CasesofdysthymiaandcardiacarrestatTri-Countyareahospitalshasdecreasedby178casesbetweenFY12andFY14.Notethathospital-leveldataonlyshowhospitaladmissions.

Source:COMPdata2015

0100200300400500600700800

2012 2013 2014

717

578

456

CoronaryAtherosclerosis- Tri-County2012-2014

0

200

400

600

800

1000

1200

1400

2012 2013 2014

1279 12291101

CardiacArrest- Tri-County2012-2014


�


HeartFailure

ThenumberoftreatedcasesofheartfailureatTri-Countyareahospitalshasincreased.InFY2012,1,231caseswerereported,andinFY2014,therewere1,380casesreported.Notethathospital-leveldataonlyshowhospitaladmissions.

Source:COMPdata2015

MyocardialInfarctionThenumberoftreatedcasesofmyocardialinfarctionatareahospitalsintheTri-Countyhaveincreasedfrom1,171in2012to1,251in2014.Notethathospital-leveldataonlyshowhospitaladmissions.

Source:COMPdata2015

0

200

400

600

800

1000

1200

1400

2012 2013 2014

12311350 1380

HeartFailure- Tri-County2012-2014

0

200

400

600

800

1000

1200

1400

2012 2013 2014

1171 1170 1251

MyocardialInfarction- Tri-County2012-2014


�


ArterialEmbolismForcasesofarterialembolismatTri-Countyareahospitals,therewere87reportedin2014.Notethathospital-leveldataonlyshowhospitaladmissions.

Source:COMPdata2015

Strokes

ThenumberoftreatedcasesofstrokeatTri-CountyareahospitalshavedecreasedbetweenFY2012andFY2014.Notethathospital-leveldataonlyshowhospitaladmissionsanddonotreflectoutpatienttreatmentsandprocedures.

0102030405060708090

2012 2013 2014

9086 87

ArterialEmbolism- Tri-County2012-2014


�


Source:COMPdata2015

4.3RespiratoryImportanceofthemeasure:Diseaseoftherespiratorysystemincludesacuteupperrespiratoryinfectionssuchasinfluenza,pneumonia,bronchitis,asthma,emphysema,andChronicObstructivePulmonaryDisease(COPD).Theseconditionsarecharacterizedbybreathlessness,wheezing,chroniccoughing,frequentrespiratoryinfections,andchesttightness.Manyrespiratoryconditionscanbesuccessfullycontrolledwithmedicalsupervisionandtreatment.However,childrenandadultswhodonothaveaccesstoadequatemedicalcarearelikelytoexperiencerepeatedseriousepisodes,tripstotheemergencyroomandabsencesfromschoolandwork.Hospitalizationratesillustratetheworstepisodesofrespiratorydiseasesandareaproxymeasureforinadequatetreatment.

AsthmaTreatedcasesofasthmaatareahospitalsintheTri-CountyhavedecreasedinPeoriaandincreasedinTazewellandWoodfordCountybetween2007-2009and2010-2014,whileStateaveragesareincreasingslightly.AccordingtotheIllinoisBRFSS,asthmaratesinPeoriaCounty(11.5%)andWoodfordCounty(11.2%)arelowerthantheStateofIllinois(13.8%),whileTazewellCountyisnowhigher(18.1%).

0200400600800100012001400160018002000

2012 2013 2014

1867 18131656

Strokes- Tri-County2012-2014


�



TreatedcasesofCOPDatTri-CountyareahospitalshavedecreasedbetweenFY2012andFY2014.Notethathospital-leveldataonlyshowhospitaladmissionsanddonotreflectout-patienttreatmentsandprocedures.

Source:COMPdata2015

0.0%

5.0%

10.0%

15.0%

20.0%


12.8% 11.7%

7.7%

13.3%11.5%

18.1%

11.2%13.8%

Asthma- Tri-County2007-2014

2007-2009 2010-2014

0

200

400

600

800

1000

1200

2012 2013 2014

1077995

850

ChronicObstructivePulmonaryDisease-Tri-County2012-2014


�


4.4CancerImportanceofthemeasure:Canceriscausedbytheabnormalgrowthofcellsinthebodyandmanycausesofcancerhavebeenidentified.Generally,eachtypeofcancerhasitsownsymptoms,outlookforcure,andmethodsfortreatment.CancerisoneoftheleadingcausesofdeathintheTri-County.

ThetopsixcancersbytreatmentintheStateofIllinoisfor2008-2012canbeseenbelow.ThemostprevalentcancersintheStateofIllinoisareprostatecancer,breastcancerandlungandbronchuscancer,respectively.

Source:http://www.idph.state.il.us/cancer/15/county_rpt/County_Section_I_Site_Specific_Cancer_Incidence.pdf

ForthetopthreeprevalentcancersintheTri-Countyregion,comparisonscanbeseenbelow.Specifically,forbothprostatecancerandlungcancer,PeoriaandTazewellcountiesarehigherthanStateaverages.Forbreastcancer,PeoriaandWoodfordcountiesarehigherthantheState.

0 20 40 60 80 100 120 140

138.9

127.7

69.4

46.828.5

21.9

CancerIncidence(per100,000)- StateofIllinois2008-2014

Bladder

Uterus

Colon&Rectum

Lung&Bronchus

Breast

Prostate


�


Source:http://www.idph.state.il.us/cancer/15/county_rpt/County_Section_I_Site_Specific_Cancer_Incidence.pdf

4.5DiabetesImportanceofthemeasure:

Diabetesistheleadingcauseofkidneyfailure,adultblindnessandamputationsandisaleadingcontributortostrokesandheartattacks.Itisestimatedthat90-95%ofindividualswithdiabeteshaveTypeIIdiabetes(previouslyknownasadult-onsetdiabetes).Only5-10%ofindividualswithdiabeteshaveTypeIdiabetes(previouslyknownasjuvenilediabetes).InpatientcasesofTypeIIdiabetesfromTri-CountyareahospitalshavedecreasedbetweenFY2012(504cases)andFY2014(483cases).Notethathospital-leveldataonlyshowhospitaladmissionsanddonotreflectout-patienttreatmentsandprocedures.

0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0

StateofIllinois

WoodfordCounty

TazewellCounty

PeoriaCounty

69.4

62.5

87.0

87.5

127.7

141.9

125.0

131.8

138.9

114.8

151.7

152.2

Top3CancerIncidence(per100,000)-Tri-County2008-2012

ProstateCancer BreastCancer,Invasive LungCancer


�


Source:COMPdata2015

InpatientcasesofTypeIdiabetesshowadecreasefrom2012(330)to2014(298)fortheTri-County.Notethathospital-leveldataonlyshowhospitaladmissionsanddonotreflectout-patienttreatmentsandprocedures.

Source:COMPdata2015

DatafromtheIllinoisBRFSSindicatethat10.5%ofPeoriaCountyresidentshavediabetes,8%ofTazewellCountyresidentshavediabetes,and6.2%ofWoodfordCountyresidentshavediabetes.TrendsareconcerninginPeoriaCounty,astheprevalenceofdiabetesisincreasingandnowhighercomparedtodatafromtheStateofIllinois.

0

100

200

300

400

500

600

2012 2013 2014

504467 483

TypeIIDiabetes- Tri-County2012-2014

0

50

100

150

200

250

300

350

2012 2013 2014

330350

298

TypeIDiabetes- Tri-County2012-2014


�



4.6InfectiousDiseasesImportanceofthemeasure:Infectiousdiseases,includingsexuallytransmittedinfectionsandhepatitis,arerelatedtohigh-risksexualbehavior,drugandalcoholabuse,limitedaccesstohealthcare,andpoverty.Itwouldbehighlycost-effectiveforbothindividualsandsocietyifmoreprogramsfocusedonpreventionratherthantreatmentofinfectiousdiseases. ChlamydiaandGonorrheaCases

ThedataforthenumberofinfectionsofchlamydiaintheTri-Countyfrom2013-2014indicateanincreaseinPeoriaCountyaswellastheStateofIllinois.RatesofchlamydiainPeoriaCountyareconsiderablyhigherthanStateaverages.

0.0%2.0%4.0%6.0%8.0%10.0%12.0%


9.8%8.9% 8.4% 8.2%

10.5%8.0%

6.2%

10.2%

Diabetes- Tri-County2007-2014

2007-2009 2010-2014


�



ThedataforthenumberofinfectionsofgonorrheainWoodfordCountyindicateanincreasefrom2013-2014comparedtoadecreaseinPeoriaandTazewellCounties.RatesintheStateofIllinoisfrom2013-2014heldsteady.PeoriaratesarestillmuchhigherthantheState.


0100200300400500600700800


755.5

334.6

186.2

322.5

794.7

287.3162.9

324.16

ChlamydiaIncidence(per100,000)- Tri-County2013-2014

050100150200250300


291.2

42.118.1

53.75

241.3

34 36.2 49.33

GonorrheaIncidence(per100,000)- Tri-County,2013-2014

2013 2014


�


Vaccinepreventablediseases Avaccine-preventablediseaseisaninfectiousdiseaseforwhichaneffectivepreventivevaccineexists.Ifapersonacquiresavaccine-preventablediseaseanddies,thedeathisconsideredavaccine-preventabledeath.AccordingtotheIllinoisPublicHealthDepartment,themostcommonandseriousvaccine-preventablediseasesare:Varicella(chickenpox),Tetanus(lockjaw),Pertussis(whoopingcough),Poliomyelitis(Polio),Measles(Rubella),Mumps,Rubella(Germanmeasles),Diphtheria,HepatitisB,andHemophilicInfluenzaTypeB(HIB)Infections.Thesediseasesusedtostrikethousandsofchildreneachyear.Todaytherearerelativelyfewcases,butoutbreaksstilloccureachyearbecausesomebabiesarenotimmunized.TheTri-Countyhasshownnosignificantoutbreakscomparedtostatestatistics,buttherearelimiteddataavailable.2VaccinePreventableDiseases2011-2014Tri-CountyRegion

Source:http://iquery.illinois.gov/DataQuery/Default.aspx

2 Source:http://www.idph.state.il.us/about/vpcd.htm

Mumps 2011 2012 2013 2014Peoria County 0 0 0 0Tazewell County 1 0 0 0Woodford County 0 0 0 0State of Illinois 78 32 26 142

Pertussis 2011 2012 2013 2014Peoria County 4 11 8 12Tazewell County 3 13 1 10Woodford County 1 1 0 2State of Illinois 1509 2026 785 764

Varicella 2011 2012 2013 2014Peoria County 10 15 8 7Tazewell County 27 24 10 11Woodford County 3 3 5 8State of Illinois 881 898 731 598


�


Tuberculosis2011-2014Tri-CountyRegion

Source:IllinoisElectronicDiseaseSurveillanceSystem(I-NEDSS)

4.7InjuriesImportanceofthemeasure:

Unintentionalinjuriesareinjuriesoraccidentsresultingfromcaraccidents,fallsandunintentionalpoisonings.Inmanycases,thesetypesofinjuries—andthedeathsresultingfromthem—arepreventable.Suicideisintentionalself-harmresultingindeath.Theseinjuriesareoftenindicativeofseriousmentalhealthproblemsrequiringthetreatmentofothertrauma-inducingissues.Intentional–suicide

ThenumberofsuicidesintheTri-CountyareaindicatehigherincidencethanStateofIllinoisaverages,astherewereapproximately12.2per100,000peopleinPeoriaCounty,15.4per100,000peopleinTazewellCounty,and28.2per100,000peopleinWoodfordCountyin2012.


2011 2012 2013 2014PeoriaCounty 1 1 1 0TazewellCounty 0 0 1 1WoodfordCounty 2 0 0 0StateofIllinois 358 347 327 320

Tuberculosis2011-2014

051015202530

12.215.4

28.2

10.05

SuicideDeaths- Tri-County2012



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Unintentional–motorvehicle

Researchsuggeststhatcaraccidentsarealeadingcauseofunintentionalinjuries.IntheTri-Countyarea,thenumberofincidentsbetween2012and2014forseveraltypesofmotorvehiclecollisionsincludingvehicleoverturn,railroadtrain,sideswipe,angle,parkedmotorvehicle,turning,andrear-endaccidentshaslargelyheldsteady,andissignificantlylowerthanStateofIllinoisaverages.

Source:IllinoisDepartmentofTransportation

0

200

400

600

800

PeoriaCounty TazewellCounty WoodfordCounty Illinois

255 184 122

593

235 187 128

615

242 189 134

633

MotorVehicleCollisionIncidence(per100,000)-Tri-County2012-2014

2012 2013 2014


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ViolentCrimes

Violentcrimesaredefinedasoffensesthatinvolveface-to-faceconfrontationbetweenthevictimandtheperpetrator,includinghomicide,forciblerape,robbery,andaggravatedassault.Violentcrimeisrepresentedasanannualrateper100,000people.Thenumberofviolentcrimeshasdecreasedsignificantlyfor2010-2014intheTri-Countyarea.

Source:IllinoisCountyHealthRankingsandRoadmaps

0

200

400

600

800


757

372

233

706

356

176

706

345

119

664

266

37

624

258

44

ViolentCrimesRage(per100,000)- Tri-County2011-2014

2010 2011 2012 2013 2014


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4.8MortalityImportanceofthemeasure:Presentingdatathatfocusesoncausesofmortalityprovidesanopportunitytodefineandquantifywhichdiseasesarecausingthemostdeaths.ThetoptwoleadingcausesofdeathintheStateofIllinoisandtheTri-Countyaresimilarasapercentageoftotaldeathsin2013.DiseasesoftheHeartandCancerarethetoptwocausesofdeathsintheTri-County.


4.9KeyTakeawaysfromChapter4ü LOWBIRTHWEIGHTSHAVEBEENINCREASINGSLIGHTLYINPEORIAANDTAZEWELLCOUNTIES

ü SOMEVARIATIONSOFCARDIACDISEASEHAVESEENADECREASESINCE2012

ü CANCERRATESFORPROSTATEANDLUNGCANCERINPEORIAANDTAZEWELLCOUNTIES

AREHIGHERTHANSTATEAVERAGES.BREASTCANCERRATESAREHIGHERINPEORIAANDWOODFORDCOUNTIESCOMPAREDTOSTATEAVERAGES

ü ASTHMAHASSEENASIGNIFICANTINCREASEINTAZEWELLCOUNTYANDISABOVESTATE

AVERAGES

ü WHILESTATEAVERAGESHAVEALSOSEENANINCREASE,DIABETESISTRENDINGUPWARDSIGNIFICANTLYINPEORIACOUNTYANDISNOWHIGHERTHANSTATEAVERAGES

ü HEARTDISEASEANDCANCERARETHELEADINGCAUSESOFMORTALITYINTHETRI-COUNTY


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CHAPTER5.PRIORITIZATIONOFHEALTH-RELATEDISSUESInthischapter,weidentifythemostcriticalhealth-relatedneedsinthecommunity.Toaccomplishthis,wefirstconsidercommunityperceptionsofhealthissues,unhealthybehaviorsandissuesrelatedtowell-being.Usingkeytakeawaysfromeachchapter,wethenidentifyimportanthealth-relatedissuesinthecommunity.Next,wecompleteacomprehensiveinventoryofcommunityresources;andfinally,weprioritizethemostimportanthealthconcernsinthecommunity.

Specificcriteriausedtoidentifytheseissuesincluded:(1)magnitudeinthecommunity;(2)severityinthecommunity;(3)potentialforimpacttothecommunity.

5.1PerceptionsofHealthIssuesTheCHNAsurveyaskedrespondentstoratethethreemostimportanthealthissuesinthecommunity.Respondentshadachoiceof15differentoptions.

Thehealthissuethatratedhighestwasmentalhealth.Itwasidentified47%ofthetimeandwassignificantlyhigherthanothercategoriesbasedont-testsbetweensamplemeans.Thiswasfollowedbyobesity,cancer,andagingissues.Notethatperceptionsofthecommunitywereaccurateinsomecases,butinaccurateinothers.Forexample,canceristhesecondleadingcauseofmortalityintheTri-County.Also,obesityisanimportantconcernandthesurveyrespondentsaccuratelyidentifiedtheseasanimportanthealthissues.However,heartdiseaseisratedrelativelylow,eventhoughitistheleadingcauseofmortalityintheTri-County.

CHAPTER5OUTLINE

5.1PerceptionsofHealthIssues5.2PerceptionsofUnhealthyBehavior5.3.PerceptionsofIssueswithWellBeing

5.4SummaryofCommunityHealth

5.5CommunityResources

5.6Prioritization


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Source:CHNASurvey

DemographicFactorsRelatedtoPerceptionsofHealthIssues

Severaldemographiccharacteristicsshowsignificantrelationshipswithperceptionsofhealthissues.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

Agingissuestendtoberatedhigherbymen,olderpeople,andWhitepeople.

CancertendstobeofgreaterconcerntoWhitepeople.ThoseinWoodfordCountyarealsomoreconcerned.

ChronicPaindoesnotshowsignificantcorrelations.

Dentalhealthtendstoberatedhigherbywomenandthosewithlowerincome.

DiabetesisratedhigherbyBlackandLatinoresidents,andthosewithlowereducationandincome.ThoseinPeoriaCountyarealsomoreconcerned.

Heartdiseasetendstoberatedhigherbymen.ThoseinTazewellCountyarealsomoreconcerned.

HIVtendstoberatedhigherbyyoungerpeople,peoplewithBlackethnicity,homelesspeopleandthosewithlowereducationandincome.ThoseinPeoriaCountyarealsomoreconcerned,whileTazewellandWoodfordCountyresidentsarelessconcerned.

0% 10% 20% 30% 40% 50%

3%3%

6%6%8%

12%13%15%17%

21%22%

28%37%

41%47%

PerceptionofHealthIssuesintheGeneralPopulation- Tri-County

2016 MentalHealth

Obesity/Overweight

Cancer

AgingIssues

Diabetes

EarlySexualActivityHeartDisease

DentalHealth

InfectiousDiseases

STIs

ChronicPain


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Earlysexualactivitytendstoberatedhigherbywomen.ThoseinPeoriaCountyarealsomoreconcerned.

Infectiousdiseasedoesnotshowsignificantcorrelations.

Injurydoesnotshowsignificantcorrelations.

Lungdiseasedoesnotshowsignificantcorrelations.

Mentalhealthtendstoberatedhigherwomen,Whitepeople,andbythosewithhighereducation.ResidentsinTazewellCountyarealsomoreconcerned.

ObesitytendstoberatedhigherbyWhitepeople,andthosewithhighereducationandincome.ResidentsinTazewellCountyarealsomoreconcerned.

STIstendtoberatedhigherbyyoungerpeople,Blackpeople,andthosewithlowerincome.ResidentsinTazewellandWoodfordCountyarelessconcerned.

Strokedoesnotshowsignificantcorrelations.

5.2PerceptionsofUnhealthyBehaviorsRespondentswereaskedtoselectthethreemostimportantunhealthybehaviorsinthecommunityoutofatotalof12choices.Theunhealthybehaviorsthatratedhighestweredrugabuse,anger/violence,pooreatinghabits,andalcoholabuse.

Source:CHNASurvey

0% 10% 20% 30% 40% 50%

7%7%8%

13%20%

23%24%26%

31%33%

36%42%

PerceptionofUnhealthyBehaviorsintheGeneralPopulation- Tri-County

2016DrugAbuseAnger/ViolencePoorEatingHabitsAlcoholAbuseLackofExerciseSmokingDomesticViolenceChildAbuseRiskySexualBehaviorNoRoutineCheckupsRecklessDrivingElderAbuse


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DemographicFactorsRelatedtoPerceptionsofUnhealthyIssues

Severaldemographiccharacteristicsshowsignificantrelationshipswithperceptionsofunhealthybehaviors.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

Anger/ViolenceisratedhigherbyBlackpeople.ResidentsinPeoriaCountyarealsomoreconcerned.

AlcoholAbuseismoreconcerninginWoodfordCounty.

Childabusetendstoberatedhigherbythosewithlowincome.

DomesticViolencetendstoberatedhigherbythosewithlowincome.ResidentsinPeoriaCountyarealsomoreconcerned.

Drugabusetendstoberatedhigherbythosewithloweducation.

Elderabuseisratedhigherbyolderpeople.

LackofexercisetendstoberatedhigherbyWhitepeopleandthosewithhigheducationandincome.ResidentsinTazewellCountyarealsomoreconcerned.

Nocheck-upsdoesnotshowsignificantcorrelations.

PooreatinghabitstendstoberatedhigherbyWhitepeopleandthosewithhigheducationandincome.ResidentsinTazewellCountyarealsomoreconcerned.

Recklessdrivingisratedhigherbyyoungerpeopleandthosewithhighincome.

SmokingtendstoberatedhigherbyyoungerpeopleandWhitepeople.ResidentsinTazewellCountyandWoodfordCountyarealsomoreconcerned.

RiskySexBehaviorisofhigherconcerntowomenandBlackpeople.ResidentsinPeoriaCountyarealsomoreconcerned.

5.3PerceptionsofIssuesFactorsImpactingWellBeingRespondentswereaskedtoselectthethreemostimportantissuesimpactingwell-beinginthecommunityoutofatotalof11choices.

Theissueimpactingwell-beingthatratedhighestwasjobopportunities.Itisnotsurprisingthatjobopportunitieswasratedhighgivenunemploymentratesinrecentyears.Jobopportunitieswasfollowedbysaferneighborhoods,andhealthyfoodchoices


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Source:CHNASurvey

DemographicFactorsRelatedtoPerceptionsofQualityofLifeIssues

Severaldemographiccharacteristicsshowsignificantrelationshipswithperceptionsofqualityoflifeissues.Thefollowingrelationshipswerefoundusingcorrelationalanalyses:

AccesstohealthservicestendstoberatedhigherbyWhiteindividuals.

AffordablehousingisratedhigherbyBlackindividuals,homelesspeople,andthosewithlowereducationandincome.ResidentsinPeoriaCountyarealsomoreconcerned.

Availabilityofchildcaretendstoberatedhigherbyyoungerindividuals,BlackandLatinopeople,andthosewithlowereducationandincome.

Betterschoolsdoesnotshowsignificantcorrelations.

JobopportunitiestendtoberatedhigherbyBlackandhomelessindividuals.ResidentsinPeoriaCountyandTazewellCountyarealsomoreconcerned.

Publictransportationdoesnotshowsignificantcorrelations.

AccesstohealthyfoodismorelikelytobechosenbyWhitepeople,andthosewithhighincome.ResidentsinWoodfordCountyarealsomoreconcerned.

LesspovertyisratedhigherinPeoriaandTazewellCounty.

SaferneighborhoodsisratedhigherbyBlackpeople.ResidentsinPeoriaCountyarealsomoreconcerned.

0% 10% 20% 30% 40% 50%

6%9%

12%16%

21%23%

26%29%

32%33%

42%

PerceptionofFactorsthatImpactQualityofLife-Tri-County2016 JobOpportunities

SaferNeighborhoods

HealthyFoodChoices

AccesstoHealth

LessViolence

LessPoverty

LessHatred

AvailableChildCare

AffordableHousing


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LesshatredisratedhigherbyBlackpeople.

LessviolencetendstoberatedhigherbyolderpeopleandBlackpeople.ResidentsinPeoriaCountyarealsomoreconcerned.

5.4SummaryofCommunityHealthIssues

Basedonfindingsfromthepreviousanalyses,achapter-by-chaptersummaryofkeytakeawaysisusedtoprovideafoundationforidentificationofthemostimportanthealth-relatedissuesinthecommunity.Considerationsforidentifyingkeytakeawaysincludemagnitudeinthecommunity,strategicimportancetothecommunity,existingcommunityresources,andpotentialforimpactandtrendsandfutureforecasts.

Demographics(Chapter1)–Fourfactorswereidentifiedasthemostimportantareasofimpactfromthedemographicanalyses:

• Agingpopulation• Earlysexualactivity-teenbirths• Changeinethnicity• Unemploymentandpovertyremainissues

PreventionBehaviors(Chapter2)–Eightfactorswereidentifiedasthemostimportantareasofimpactfromthechapteronpreventionbehaviors:

• EDusagewithat-riskpopulation• At-riskpopulationthatdoesnotseekmedicalattention• Overallimprovedaccesstohealthcarecomparedto2013CHNA• Lackofexercise• Mentalhealth• Dentalhealth• Women’shealth• Lackofhealthyeating

SymptomsandPredictors(Chapter3)–Fivefactorswereidentifiedasthemostimportantareasofimpactfromthechapteronsymptomsandpredictors:

• Tobaccousage• Drugabuse• Alcoholabuse• Obesity• Riskfactorsforheartdisease


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MorbidityandMortality(Chapter4)–Sixfactorswereidentifiedasthemostimportantareasofimpactfromthechapteronmorbidity/mortalitybehaviors:

• Lowbirthweights• STIs• Diabetes• Asthma• Cancer• HeartDiseaseIdentificationofHealth-RelatedCommunityIssues.Inordertoprovideparsimony,beforetheprioritizationofkeycommunityhealth-relatedissueswasperformed,resultswereaggregatedinto11keycategories.Basedonsimilaritiesandduplication,the11areasare:• Healthyeatingandactiveliving• Appropriateuseandaccessofhealthservices–ED,dental,healthcare• Mentalhealth• Obesity• Lowbirthweights• Diabetes• Asthma• Substanceabuse• Riskysexualbehavior–STIs• Heartdisease• Cancer5.5CommunityResourcesAftersummarizingissuesintheCommunityHealthNeedsAssessment,acomprehensiveanalysisofexistingcommunityresourceswasperformedtoidentifytheefficacytowhichthese11health-relatedissueswerebeingaddressed.AresourcematrixcanbeseeninAppendix4relatingtothe11health-relatedissues.Therearenumerousformsofresourcesinthecommunity.Theyarecategorizedasrecreationalfacilities,countyhealthdepartments,communityagenciesandareahospitals/clinics.AdetailedlistofcommunityresourcesanddescriptionsappearsinAppendix5.


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5.6PrioritizationInordertoprioritizethepreviouslyidentifieddimensions,thecollaborativeteamconsideredhealthneedsbasedon:(1)magnitudeoftheissues(e.g.,whatpercentageofthepopulationwasimpactedbytheissue);(2)severityoftheissuesintermsoftheirrelationshipwithmorbiditiesandmortalities;(3)potentialimpactthroughcollaboration.UsingamodifiedversionoftheHanlonMethod(asseeninAppendix6),thecollaborativeteamprioritizedtwoissues:

• Healthybehaviors(definedasactivelivingandhealthyeating)andtheirimpactonobesity

• Mentalhealth

HEALTHYBEHAVIORS–ACTIVELIVINGANDHEALTHYEATING(ANDSUBSEQUENTIMPACTONOBESITY)

Ahealthylifestyle,comprisedofregularphysicalactivityandbalanceddiet,hasbeenshowntoincreasephysical,mental,andemotionalwell-being.Notethat34%ofrespondentsintheTri-Countyareaindicatedthattheydonotexerciseatall(anincreaseof2%comparedtothe2013CHNA),whilenearlythesameproportionofresidentsexercise1-2timesperweek(32%).Themostcommonreasonsfornotexercisingwerenotenoughtimeornoenergy.

Additionally,nearlytwo-thirds(65%)ofTri-Countyresidentsreportnoconsumptionorlowconsumption(1-2servingsperday)offruitsandvegetablesperday.Notethatthepercentageofresidentswhoconsumefiveormoreservingsperdayisonly5%.Themostcommonreasonsfornoteatingfruitsandvegetableswereaffordabilityandaccess.

Subsequently,thenumberofpeoplediagnosedwithobesityandbeingoverweighthasincreasedfrom2007-2009to2010-2014.Roughlytwo-thirdsofresidentsintheTri-Countyareaareconsideredoverweightorobese.OverweightandobesityratesinIllinoishavealsoincreasedfrom2009(64.0%)to2014(70.5%).

MENTALHEALTH

ThemajorityofPeoriaCountyrespondents(61.5%)perceivetheyhavegoodoverallmentalhealthfor2010-2014,aslightdecreasefrom2007-2009.Moreover,inPeoriaCounty,morepeoplereportover8daysof“notgood”mentalhealthin2010-2014(17.8%)thanin2007-2009(11.9%).TherewasanincreaseofWoodfordCountyresidentsreportingtheyfeltgoodmentallyin2010-2014(72.5%)andadecreaseof3.5pointsforover8daysof“notgood”mentalhealthfrom2007-2009to8.4%.ForTazewellCounty,thenumberofpeoplereportingmorethan8daysof“notgood”mentalhealthdecreasedslightlyfrom10.3%to10%.


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APPENDIXI.MEMBERSOFCOLLABORATIVETEAM(NOTUPDATED)Specifically,membersoftheCollaborativeTeamconsistedofindividualswithspecialknowledgeofandexpertiseinthehealthcareofthecommunity.Individuals,affiliations,titlesandexpertiseareasfollows:

PaulaCorriganisOSFSaintJames-JohnW.AlbrechtMedicalCenter’sVicePresident-ChiefFinancialOfficer,servinginthisrolesince1989.PaulahasaBachelorofScienceinAccountingfromIllinoisStateUniversityandisaCertifiedPublicAccountant.SheservesonmanyOSFSaintJamesandOSFHealthcareSystemCommitteesandprojectsaswellasareacommunityorganizations.PaulaistheOSFSaintJamesCommunityHealthNeedsAssessmentCoordinatorandaBusinessLeaderfortheOSFHealthcareSystemCommunityHealthNeedsSteeringTeam.

HeatherDameronSchweizer,MDistheAssociateRegionalDirectorofPrimaryCarefortheOSFMedicalGroupinthePontiacarea.HeatherhasbeenapracticingphysicianwiththeOSFMedicalGroupsince1998,withafamilymedicinepracticeinFairbury.Sheisaboardcertifiedfamilyphysicianwithabachelor’sdegreefromtheUniversityofIllinoisandadoctoratedegreefromSIUSchoolofMedicine.ShecompletedherresidencyinFamilyMedicineatSIUDecaturFamilyMedicinein1998.ShehasheldseveralcommunitypositionsaswellincludingcurrentlyservingontheboardofdirectorsofFuturesUnlimitedandservingasanofficerofthePrairieCentralMusicBoosters.SheleadsayearlymedicalmissionteamoutofherhomechurchtoserveinCentralAmerica.

LizDavidsonisOSFSaintJames-JohnW.AlbrechtMedicalCenter’sVicePresidentPatientCareServices-ChiefNursingOfficer,servinginthisrolesince2008.LizhasaMasterofScienceinNursingfromWaldenUniversityandiscurrentlyworkingonaDoctorateinNursingPracticefromWilkesUniversity.SheservesonmanyOSFSaintJamesandOSFHealthcareSystemCommitteesandprojects.

TheresaDibuonohas31yearsofnursingexperiencewiththepast16yearsspentinthefieldofCaseManagement.ShehasservedinthecapacityastheDirectorCareManagement,OSFEasternRegionforthepast1.5yearsandheldotherDirectorlevelpositionswithinCaseManagementandpopulationhealthsince2000.TheresasatfortheNationalCaseManagementBoardExaminationin2005wereshereceivedhercertificationasanAccreditedCaseManager.CurrentlysheispursuingherMastersofScienceinNursingatOSFCollegeofNursing,Peoria,Il.Upongraduation,shewillreceiveherMentalHealthNursePractitionerandNursingLeadershipManagementdegrees.

MaryHeathistheEducationManageratOSFSaintJamesJohnW.AlbrechtMedicalCenter.Overher30-yearcareerwithOSF,MaryhasbeeninvolvedinbothStaffEducationaswellasPatientandCommunityEducation.SheholdsaBachelorofScienceinNursingdegreefromMarquetteUniversity,andalsospent13yearsteachingnursingforKankakeeCommunityCollege.Maryservesonanumberofcommittees,councilsandboardsinthecommunityandinOSF.

MaLindaHillmanistheDirectoroftheLivingstonCountyHealthDepartment.AgraduateofNorthernIllinoisUniversity,MaLindaisaregisterednurseandacertifiedpublichealthadministrator.ShehasbeenemployedattheLivingstonCountyHealthDepartmentsince1980invariouscapacitiesandhasservedastheDirectorsince1996.MaLindahasbeeninstrumentalinobtainingfundingandimplementingmanyoftheprogramsatthedepartment.ShehashadanactiveleadroleintheIPLAN


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(IllinoisProjectfortheLocalAssessmentofNeed)processforthehealthdepartment.MaLindaisanactivememberoftheIllinoisAssociationofPublicHealthAdministratorsalongwithservingonmanycommitteesandboardsforpublichealth.

TimJohnsonistheDirectorofFacilitiesandAncillaryServicesatOSFSaintJames-JohnW.AlbrechtMedicalCenter.Hehasservedasamemberoftheadministrativeteamwithresponsibilityformanyoftheoutpatientclinicalservicessince2008andinvariousleadershipcapacitiesforOSFSaintJamesforover16years.TimhasaMaster’sdegreeinHealthcareAdministrationfromtheUniversityofSaintFrancis,Joliet,IL.TimalsohasastrongconnectionwiththeagriculturecommunityofLivingstonCountyasaruralresidentandfarmer.

KathyMcMillanistheDirectorofOSFMedicalGroupPrimarycareofficesforthePontiacarea.Assuch,sheprovidesdirectionandoversighttotwelveprimarycareofficeslocatedinsevencommunitiesinLivingstonandsurroundingcounties.KathyhasaBachelorofScienceinHealthInformationManagementfromIllinoisStateUniversityandaMastersofHealthAdministrationfromtheUniversityofSt.Francis.SheistheChairmanofthelocalOSFPediatricCouncilandservesonseveralOSFSaintJamesandOSFMedicalGroupcommitteesandprojects.KathyservesontheExecutiveBoardoftheLivingstonCountyChildren’sNetwork.SheisapastChairmanofthePontiacAreaUnitedWayandhasservedontheBoardofDirectorsofthePontiacAreaChamberofCommerce.

PamMeineristheOSFHealthCareCommunityRelationsCoordinatorforthePontiacservicearea,apositionshehasheldsinceOctober2015.Priortothisrole,PamwastheDirectorofMarketing&CommunicationsforOSFSt.JosephMedicalCenterinBloomingtonfor18years,followedby10yearsastheDirectorofMarketing&CommunicationsforOSFSaintJames–JohnW.AlbrechtMedicalCenterinPontiac.SheholdsaBachelorofArtsdegreeinEducationfromIllinoisWesleyanUniversityandaMasterofBusinessAdministrationdegreefromIllinoisStateUniversity.

ErinNimbler,RN,BSNisthemanagerofOSFSt.JamesJohnW.AlbrechtMedicalCenterEmergencyDepartment.ShegraduatedfromtheUniversityofIllinois,andhasbeenworkingforOSFsince1999.ShehasworkedintheEmergencyDepartmentforthepast11years,servingaschargenurseforthepast8years.Priortotakingontheroleasmanagerthispastyear,Erinhasbeenaclinicalpreceptor,asix-sigmagreenbelt,aPALSinstructor,andrecentlyjoinedtheOSFethicscouncil.Erinisalife-longLivingstonCountyresidentandenjoysbeingapartofthedecisionsthataffectnotonlythehospitalsheworksfor,butthecommunityshelivesin.

LindaRhodes,BS,CHES,istheDirectorofHealthEducation&MarketingfortheLivingstonCountyPublicHealthDepartment.LindaisagraduateofIllinoisStateUniversitywithaBachelor’sinCommunityHealthEducationandservesasamentorforISU-CHEstudentscompletingprofessionalpracticeinternships.Lindahasbeenemployedatthehealthdepartmentsince1996.AsaCertifiedHealthEducationSpecialist,sheisinvolvedinmanyofthehealthdepartment’sprograms.Herexpertiseisincommunityassessment/evaluation,healthpromotion,andgrantwriting.BradSolbergwasappointedpresidentofOSFSaintJames-JohnW.AlbrechtMedicalCenterinJanuary2015.HemostrecentlyservedasCEOofHammond-HenryHospitalinGeneseo,Illinoisfornearly14years.HehasservedonnumerousboardsofcommunityorganizationsinadditiontovariouscommitteesoftheIllinoisHospitalAssociationandtheIllinoisCriticalAccessHospitalNetwork.Bradhasa


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Bachelor’sdegreefromConcordiaCollege,Moorhead,MinnesotaandearnedhisMastersofHealthcareAdministrationfromtheUniversityofMinnesota,Minneapolis,Minnesota.

VickiTrainorisaRegisteredNursewith35yearsofexperience.ShehasastrongPediatricBackgroundandhasworkedinPrimaryCareofficesfor15years.Thepast8yearsshehasworkedasClinicalCoordinatorforOSFMedicalGroupintheroleofStaffEducator.Sheisresponsiblefornewemployeecompetency,projectsupportandresourceforstaffregardingofficeprocesses.

JoeVaughanistheExecutiveDirectoroftheInstituteforHumanResources(IHR).JoehasbeenwithIHRforthepast26years.JoewasnamedIHR’sExecutiveDirectorin2010.JoehasapsychologydegreefromEasternIllinoisUniversityandaMaster’sDegreefromtheUniversityofIllinois.JoehasbeenaLicensedClinicalSocialWorkersince1998.JoecurrentlysitsonthestatewideCommunityBehavioralHealthAssociationBoard,LivingstonCountyHousingBoard,andtheLivingstonCountyUnitedWayBoard.

Inadditiontocollaborativeteammembers,thefollowingfacilitatorsmanagedtheprocessandpreparedtheCommunityHealthNeedsAssessment.Theirqualificationsandexpertiseareasfollows:

MichelleA.Carrothers(Coordinator)iscurrentlytheDirectorofDebtManagementandRevenueCycleforOSFHealthcareSystem,apositionshehasservedinsince2002.Michellehasover27yearsofhealthcareexperience.MichelleobtainedbothaBachelorofScienceDegreeandMastersofBusinessAdministrationDegreefromBradleyUniversityinPeoria,IL.SheattainedherCPAin1984andhasearnedherFHFMAcertificationin2011.Currently,sheservesontheRevenueCycleKeyPerformanceIndicatorTaskForceandtheNationalAdvisoryCouncilforHFMANational.MichellechairedtheIllinoisHospitalAssociationMedicaidCostWorkGroupandwasamemberoftheIHAtaskforcethatdevelopedthestatewideCommunityBenefitReportthatissubmittedtotheAttorneyGeneral’sOffice.DawnIrion(Coordinator)istheCommunityBenefitsCoordinatoratOSFHealthcareSystem.ShehasworkedforOSFHealthcaresystemsince2004andhashelpedcoordinatethesubmissionoftheCommunityBenefitAttorneyGeneralreportsince2008.ShehascoordinatedandgatheredinformationusedinfilingIRSForm990ScheduleHsince2009andisamemberofHealthcareFinancialManagementAssociation.

Dr.LaurenceG.Weinzimmer(PrincipalInvestigator)Ph.D.istheCaterpillarInc.ProfessorofStrategicManagementintheFosterCollegeofBusinessatBradleyUniversityinPeoria,IL.Aninternationallyrecognizedthoughtleaderinorganizationalstrategyandleadership,heisasought-afterconsultanttonumerousFortune100companiesandnot-for-profitorganizations.Dr.Weinzimmerhasauthoredover100academicpapersandfourbooks,includingtwonationalbestsellers.Hisworkappearsin15languages,andhehasbeenwidelyhonoredforhisresearchaccomplishmentsbymanyprestigiousorganizations,includingtheAcademyofManagement.Dr.Weinzimmerhasservedasprincipleinvestigatorfornumerouscommunityassessments,includingtheUnitedWay,EconomicDevelopmentCouncilandnumeroushospitals.HisapproachtoCommunityHealthNeedsAssessmentswasidentifiedbytheHealthcareFinancialManagementAssociation(HFMA)asaBest-in-Practicemethodology.


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APPENDIXII.SURVEYS


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APPENDIXIII.CHARACTERISTICSOFSURVEYRESPONDENTSFORGENERALSAMPLE

Source:CHNASurvey

Source:CHNASurvey

71%

29%

Gender- Tri-County

Women Men

0%

5%

10%

15%

20%

25%

1%

15%

24%22%

23%

11%

4%

Age- Tri-County

Under20

21to30

31to40

41to50

51to60

61to70

71orolder


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Source:CHNASurvey

Source:CHNASurvey

Income:Meanincomeforsamplewas$52,381.00

0%

10%

20%

30%

40%

50%

60%

70%

80%

80%

15%3% 2%

SurveyRace- Tri-County

White

Black

Latino

Other

0%

5%

10%

15%

20%

25%

30%

3% 4%

14%

21%

10%

27%

21%

SurveyEducation- Tri-County

LessthanHighSchool

SomehighSchool

Highschool

Somecollege

Associate'sDegree

Bachelor'sDegree

GraduateDegree


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Source:CHNASurvey

Source:CHNASurvey

0%

10%

20%

30%

40%

50%

60%

70%

68%

24%

8%

SurveyLivingArrangements- Tri-County

Own

Rent

Other

0%

5%

10%

15%

20%

25%

30%

13%

28%

20%22%

10%7%

NumberofPeopleinHousehold- Tri-CountyPeopleinHousehold1

PeopleinHousehold2

PeopleinHousehold3

PeopleinHousehold4

PeopleinHousehold5

PeopleinHousehold6ormore


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APPENDIXIV.RESOURCEMATRIX(NOTUPDATED)


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APPENDIXV.DESCRIPTIONOFCOMMUNITYRESOURCES(NOTUPDATED)RecreationalFacilities(10)AftersummarizingissuesintheCommunityHealthNeedsAssessment,acomprehensiveanalysisofexistingcommunityresourceswasperformedtoidentifytheefficacytowhichthese12health-relatedissueswerebeingaddressed.

Therearenumerousformsofresourcesinthecommunity.Theyarecategorizedasrecreationalfacilities,countyhealthdepartments,communityagenciesandareahospitals/clinics.ClubFitnessGymObesityClubFitnessGymoffersaweightlossprogram,“25in3”thatincludesnutritionalguidance,supervisedcardiotraining,andweighttrainingwithcertifiedpersonaltrainers.

ClubsatRiverCityObesityTheClubsatRiverCityoffersaweightlossprogram“Loseit2012”topromoteanactive,healthylifestyleformembersofallagesandfitnesslevels.FonduLac(EastPeoria)ParkDistrict:Obesity,HealthyBehaviors,HeartDiseaseFonduLacParkDistrictmaintainsover1,600acresofparks,naturalareas,riverfront,trails,twogolfcourses,apicturesquemarina,campground,waterpark,aquaintfarmpark,andavarietyofrecreationalprogramsandactivitiesforallages.GreaterPeoriaFamilyYMCAHealthyBehaviorsTheGreaterPeoriaFamilyYMCAisacommunitybasedserviceorganizationdedicatedtobuildingthemind,bodyandspiritformembersofthePeoriaareacommunity.Byofferingvalue-basedprogramsemphasizingeducation,healthandrecreationforindividualsregardlessofsex,raceorsocio-economicstatustheYMCAisincreasingthequalityoflifeintheGreaterPeoriaarea.MortonParkDistrict:Obesity,HealthyBehaviors,HeartDiseaseTheMortonParkDistrictmaintainstenfacilitiesofferingavarietyofprogramsforinfants,toddlers,earlychildhood,youth,adults,andseniors.


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PekinParkDistrict:Obesity,HealthyBehaviors,HeartDiseaseThrough2500acresoflanddevelopedinto15parks,thePekinParkDistrictstrivestoimprovequalityoflifeforthedistrict'sresidentsbyprovidingbothactiveandpassiverecreationalopportunitiesinrecreationalfacilities,parksandareas.ThePekinParkDistrictoffersavarietyofprogramsforinfants,toddlers,earlychildhood,youth,adults,andseniors.PeoriaParkDistrict:HealthyBehaviorsThePeoriaParkDistrictmaintainsover9,000acresofopenspace,64parksites,6golfcourses,6swimmingpools,31tenniscourts,11softballand22soccerfields,zoo,conservatoryandgardens,naturecenter,arenawith2icerinks,outdoorstageandabandshell.ThePeoriaParkDistrictoffersprogramsforinfants,toddlers,earlychildhood,youth,adults,andseniors.RiverPlexRecreationandWellnessCenterObesity,HealthyBehaviorsTheRiverPlexisajointprojectbetweenthePeoriaParkDistrictandOSFSaintFrancisMedicalCenter.Itisan118,000squarefootfacilitycompletewithastateoftheartfitnesscenter,indooraquaticpark,multipurposearena,activityroom,classroomsandmore.ProgramsincludeaWeightManagementProgram(Obesity),ExergamingforHealthProgram(Obesity)andnumeroushealth/fitnessprograms(HealthyBehaviors).YWCAPekin:Obesity,HealthyBehaviors,HeartDiseaseTheYWCAPekinprovidesafullrangeofaquaticsandotherfitness,childcare,adultliteracy,healthandleisure,andcommunityserviceprograms.WashingtonParkDistrict:Obesity,HealthyBehaviors,HeartDiseaseTheWashingtonParkDistrictoffersavarietyofprogramsforinfants,toddlers,earlychildhood,youth,adults,andseniors.HealthDepartments(3)PeoriaCity/CountyHealthDepartmentObesity,HealthyBehaviors,AccesstoHealthServices,Asthma,SexualHealthThegoalofthePeoriaCity/CountyHealthDepartmentistoprotectandpromotehealthandpreventdisease,illnessandinjury.Publichealthinterventionsrangefrompreventingdiseasestopromotinghealthylifestylesandfromprovidingsanitaryconditionstoensuringsafefoodandwater.


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TazewellCountyHealthDepartment:Obesity,HealthyBehaviors,Cancer,SexualHealthTheTazewellCountyHealthDepartmentpromotesandprotectsthepublic’shealthandwellbeingthroughprogramstargetingthefollowingconcerns:dental,emergencyplanning,environmental,healthpromotion,MCH/WIC,nursing,andconcernsforthe21stcentury.WoodfordCountyHealthDepartmentObesity,HealthyBehaviors,AccesstoHealthServices,SexualHealthTheWoodfordCountyHealthDepartmentsponsorsprogramsinthefollowingareas:maternalandchildhealth,infectiousdiseases,environmentalhealth,healtheducation,andemergencypreparedness.CommunityAgencies/PrivatePractices(22)AdvocatesforAccessAccesstoHealthServicesAdvocatesforAccess,isanonprofitorganizationthatempowerspeoplewithdisabilitiestoliveindependentlyinourcommunity.Asacenterforindependentliving,AdvocatesforAccessprovidesfourcoreservices:independentlivingskillstraining,informationandreferral,peersupportservices,andsystemschangeadvocacy.

AllOurKids(AOK)EarlyChildhoodNetwork

MentalHealth,HealthyBehaviors,AccesstoHealthServices

TheAOKNetworkisacommunity-basedcollaborationthatiscommittedtoassuringahigh-quality,well-coordinated,easily-accessiblesystemofcarethatwillpromotepositivegrowthanddevelopmentforchildrenbirthtoagefiveandtheirfamilies.TheoverallgoaloftheAOKNetworkistoensurethatallchildrenundertheageoffiveyearsandtheirfamilieshavetheopportunitytoreceivetheservicestheyneedfromprenatalcaretowell-babycheckupstoparentingeducationtospecializedservices,suchasspeechtherapy,physicaltherapyorhomevisits.AmericanCancerSocietyCancerTheAmericanCancerSocietyisdedicatedtoeliminatingcancerasamajorhealthproblembypreventingcancer,savinglives,anddiminishingsufferingfromcancer,throughresearch,education,advocacy,andservice.AmericanDiabetesAssociationofPeoriaDiabetesTheAmericanDiabetesAssociationisdedicatedtopreventingandcuringdiabetesandimprovingthelivesofallpeopleaffectedbydiabetesthroughresearch,deliveringservices,andprovidingadvocacy.


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AmericanHeartAssociationHealthyBehaviors,HeartDiseaseThemissionoftheAmericanHeartAssociationistobuildhealthierlives,freeofcardiovasculardiseasesandstroke.TheAmericanHeartAssociationsponsorsavarietyofprogramsforallagesincludingcommunityheartscreenings(HeartDisease).AmericanLungAssociationAsthma,CancerTheAmericanLungAssociationiscommittedtosavinglivesbyimprovinglunghealthandpreventinglungdiseasethroughresearch,educationandadvocacy.Inadditiontoanti-tobaccoprograms,theAmericanLungAssociationsponsorstheActivewithAsthmaDayCampsandCOPDInitiatives.AmericanRedCrossofCentralIllinoisHealthyBehaviorsTheAmericanRedCrossisahumanitarianorganizationledbyvolunteersandguidedbyitsCongressionalCharterandtheFundamentalPrinciplesoftheInternationalRedCrossMovementthatprovidesrelieftovictimsofdisasterandhelpspeopleprevent,preparefor,andrespondtoemergencies.AntiochGroupAddiction,MentalHealthTheAntiochGroupprovidesChristiancounselingandpsychologicalservicesforalcoholanddrugaddictions,sexualaddictions,andeatingdisorders.CancerCenterforHealthyLivingCancerTheCancerCenterforHealthyLivingprovidesemotionalsupportbeyondmedicalcareforcancerpatients,survivors,andtheircaregivers.Avarietyofprogramsandservicesareavailabletohelphealthemind,bodyandspiritfreeofchargeincludingindividual,familyandgroupsupport,individualnutritioncounselingandgroupcookingdemonstrations,healthylivingclasses,aresourcelibrary,educationalworkshopsandseminars,andmassagetherapy.CentralIllinoisWellnessCouncilObesity,HealthyBehaviorsTheCentralIllinoisWellnessCouncilisamulti-stakeholdergroupthatworkstoimprovehealthandwellnessinthePeoriacommunity.Thecouncilisfocusedonthreeareas:Obesity,oralhealth,andreproductivehealth.Children’sHomeAssociationofIllinoisAddictions,MentalHealth,HealthyBehaviorsTheChildren’sHomeoperatesfivelocationsinthePeoriaareaandemploysastaffof400+professionalscommittedtocommunity-based,family-focusedprogramsthatprovidecounseling,educationandsupporttonearly1,000childreneachmonth.Programsforchildrenandyouthinclude:residentialcare,grouphomes,fostercareandadoption,supervisedindependentliving,privateschool,crisisintervention,mentalhealthassessment,homelessservices,in-homecounselingandfamilypreservation.


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ChristianPsychologicalAssociates(JohnDayandAssociates)MentalHealthChristianPsychologicalAssociatesoffersservicesforchildrenandadultsincludingindividualpsychotherapyforthefullrangeofdifficulties,includinganxietyandmooddisorders,dissociativedisorders,copingwithmedicalproblems,personalitydisorders,psychotic-spectrumdisorders,andadjustmentdisorders.FamilyCoreAddictionsFamilyCoreisaprivate,non-profit,nationallyaccreditedsocialserviceagencycommittedtohelpingindividualsandfamiliesstrengthentheirlivesthroughavarietyofcounseling,childwelfare,familypreservationandpreventativeeducationservices.Servicesincludeadoptions,counseling,fostercare,singleparentprograms,andyouthoutreach.FayetteCompaniesAddiction,MentalHealthFayetteCompaniesisabehavioralhealthorganizationthatprovidesresidential,in-patient,andoutpatientservicesforindividualswithseriousmentalillnessandsubstanceusedisordersthroughnumerousprograms.AffiliatedprogramsincludeHumanServiceCenter(formallyknownasWhiteOaks;Addiction,MentalHealth),BehavioralHealthAdvantage(MentalHealth).HeartofIllinoisUnitedWayAccesstoHealthServicesTheHeartofIllinoisUnitedWaybringstogetherpeoplefrombusiness,labor,government,healthandhumanservicestoaddresscommunity'sneeds.MoneyraisedthroughtheHeartofIllinoisUnitedWaycampaignstaysincommunityfundingprogramsandservicesinMarshall,Peoria,Putnam,Stark,TazewellandWoodfordCounties.LutheranSocialServicesofIllinoisMentalHealthLutheranSocialServicesprovidesbehavioralhealthservices(counseling,substanceabuse,mentalhealthanddevelopmentaldisabilities),children'scommunityservices(adoption,fostercare,pregnancycounseling,IntactFamilyServices,residentialservicesandHeadStart),nursingandcommunityservices(long-termcareandrehabilitation,homecareservices,adultdayservices,respiteservicesforcaregiversandretirementcommunities),prisonerandfamilyministry(supportforchildrenofincarceratedparentsandtheircaregivers,re-entryprograms,on-siteprisonprograms,BuildingHomes:RebuildingLivesandjusticeeducation),andseniorhousingservices(affordablehousingforlow-incomeseniorsandpeoplewithdisabilities).


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NationalAllianceonMentalIllnessTri-CountyMentalHealthTheNationalAllianceonMentalIllnessisthenation’slargestgrassrootsmentalhealthorganizationdedicatedtobuildingbetterlivesforthemillionsofAmericansaffectedbymentalillness.NAMIadvocatesforaccesstoservices,treatment,support,andresearchandissteadfastinitscommitmenttoraisingawarenessandbuildingacommunityofhopeforallofthoseinneed.NeighborhoodHouseHealthyBehaviorsNeighborhoodHouseAssociationisdedicatedtoprovidingasafehavenwithcomprehensiveservicesthatmeetthesocial,emotionalandmaterialneedsofindividualsandfamiliesfrominfancytotheelderly.Thecommongoalofallservicesistoenhancethequalityoflifeandfosterindependenceofthoseserved.ServicesincludeMealsonWheels,55andBetter,andchildandyoutheducationprograms.PeoriaAreaIntergroupAssociation(AlcoholicsAnonymous)AddictionAlcoholicsAnonymousisafellowshipofmenandwomenwhosharetheirexperience,strengthandhopewitheachotherthattheymaysolvetheircommonproblemandhelpothersrecoverfromalcoholism.PlannedParenthoodSexualHealthPlannedParenthoodisasexualandreproductivehealthcareprovidertoimprovewomen’shealthandpreventunintendedpregnancies.SusanG.KomenfortheCureCancerTheSusanG.KomenfortheCureisdedicatedtobreastcancerresearch,education,advocacy,healthservicesandsocialsupportprograms.TazwoodMentalHealthCenterAddiction,MentalHealthTazwoodprovidesanextensivecontinuumofoutpatientservicestoaddressmentalhealthandsubstanceabuseissues.Servicesincludeindividualpsychotherapyforadults,adolescents,andchildren,familyandgrouptherapy,andpsychiatryservices,includingmedicationmanagementandmonitoring.

Hospitals/Clinics(11)BobMichelVeteransAffairsOutpatientClinicAccesstoHealthServicesTheBobMichelVeteransAffairsOutpatientClinicofferscomprehensivepatientcareserviceswhichincludeprimarycare,women’shealth,optometry,audiology,neurology,podiatry,pharmacy,labservices,dietary,diabeteseducation,homebasedprimarycare(HBPC),andmentalhealthservices.


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CentralIllinoisDiabetesandMetabolismInstituteObesity,DiabetesTheCentralIllinoisDiabetesandMetabolismInstituteoffersacomprehensivediabetesPrograminvolvingdiabetestreatment,teachingandeducation.Inaddition,theInstituteoffersprogramsforobesityandoverweightindividuals.CentralIllinoisEndoscopyCenterCancerCentralIllinoisEndoscopyCenterisdownstateIllinois’largestfreestandingdedicatedendoscopycenter.CIECisPeoriaarea’sfirstoutpatientcenterdedicatedtothediagnosisandtreatmentofgastrointestinaldisorders.Programsincludecolonscreening.HeartlandCommunityHealthClinicAddiction,AccesstoHealthServicesTheHeartlandCommunityHealthClinicprovidesaccessible,highquality,comprehensiveprimaryhealthcareservicesforthemedicallyunderserved,regardlessofabilitytopay,andtoconducthighqualityprogramsinhealthprofessionseducationthroughcollaborativecommunitypartnerships.HopedaleMedicalComplexObesity,Addiction,MentalHealth,HealthyBehaviors,AccesstoHealthServices,Asthma,HeartDisease,Cancer,Diabetes,SexualHealthHopedaleHospitalisaCriticalAccessHospitalwithatotalof25bedsthatareinterchangeablebetweenouracutecareandswingbedservices.HopedaleHospitaloffers24-houremergencyservices,anintensivecareunit,generalandadvancedvascularsurgery,orthopedicsurgery,cardiopulmonaryservices,diagnosticradiologyimagingservices,andnumerousoutpatientservices.IllinoisCancerCareCancerIllinoisCancerCareprovidescomprehensive,compassionatecarethatenhancesthelivesofpatientsandtheirfamilies.IllinoisCancerCareisacomprehensivepracticetreatingpatientswithcancerandblooddiseasesthroughstate-of-the-arttreatmentswhilestayingontheleadingedgeofbreakthroughresearchandmedicines.OSFSaintFrancisMedicalCenterObesity,Addiction,MentalHealth,HealthyBehaviors,AccesstoHealthServices,Asthma,HeartDisease,Cancer,Diabetes,SexualHealthOSFSaintFrancisMedicalCenteristhefourthlargestmedicalcenterinthestateofIllinois.Withamedicalstaffofmorethan800physicianand616patientbeds,itisamajorteachingaffiliateoftheUniversityofIllinoisCollegeofMedicineatPeoria,thearea’sonlyLevel1TraumaCenterandtertiarycaremedicalcenter,andhometotheChildren’sHospitalofIllinois.SpecificcentersofinterestincludethePediatricDiabetesResourceCenterattheChildren’sHospital(Diabetes),JoslinDiabetesCenterAffiliate(Diabetes),OSFSistersCommunityHealthcareClinic(AccesstoHealthServices),MobileMRI/PET(AccesstoHealthServices,Cancer),CommunityHeartScreening(HeartDisease).


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PekinHospitalObesity,Addiction,MentalHealth,HealthyBehaviors,AccesstoHealthServices,Asthma,HeartDisease,Cancer,Diabetes,SexualHealthPekinHospitalisa125-bedmedicalcenterandhasastaffof240physiciansthatprovideadvancedcareandstate-of-the-artdiagnosticcapabilitiesfromemergencymedicinetointermediate(ICU)andcriticalcare(CCU)tosurgery.MedicalStaffphysiciansandsupportstaffarehighlyskilledinpediatrics,oncology,vasculardiseases,sleepdisordersandobstetrics.SpecificcentersofinterestincludetheCancerTreatmentCenter(jointventurewithOSFSaintFrancisMedicalCenter;Cancer),CommunityHeartScreening(HeartDisease).ProctorHealthCareObesity,Addiction,MentalHealth,HealthyBehaviors,AccesstoHealthServices,Asthma,HeartDisease,Cancer,Diabetes,SexualHealthProctorHospitalislicensedfor299bedsandhasastaffofover500physicians.ProctorHospitalprovidescomprehensiveinpatientandoutpatientsurgicalproceduresandplaysamajorroleinthetreatmentofheartdiseasethroughcomprehensivecardiovascularcare.SpecificcentersofinterestincludeHultEducationCenter(HealthyBehaviors),IllinoisInstituteforAddictionRecovery(Addiction),ProctorOutpatientCounseling(MentalHealth),ProctorHomeCare(Addictions,AccesstoHealthServices),CommunityHeartScreening(HeartDisease).UnityPointHealth-MethodistObesity,Addiction,MentalHealth,HealthyBehaviors,AccesstoHealthServices,Asthma,HeartDisease,Cancer,Diabetes,SexualHealthUnityPointHealth-Methodistincludesa329-bedhospitalintheheartofPeoriaandprovidesafullrangeofservicesbyalmost600board-certifiedphysicians.UnityPointHealth-MethodististheonlyhospitalindownstateIllinoiswithJointCommissionDiseaseSpecificCertificationforheartattack,heartfailure,stroke,pneumonia,hipandkneereplacement,andsleepdisorders.Thenetworkofprimarycareandspecialtyphysicians,hasofficeslocatedthroughoutcentralIllinois,includingconvenientwalk-incenters.ItisalsohometoMethodistCollegeandtheFamilyMedicineResidencyProgramoftheUniversityofIllinoisCollegeofMedicine.SpecificcentersofinterestincludeMethodistWellMobile(AccesstoHealthServices),MethodistMammoVan(Cancer,AccesstoHealthServices),PeoriaPublicSchoolsDistrict150HealthClinic(Obesity,AccesstoHealthServices,SexualHealth),CommunityHeartScreening(HeartDisease).UniversityofIllinoisCollegeofMedicine/HeartofIllinoisHIV/AIDSCenterHealthyBehaviors,SexualHealthHIHAC(HeartofIllinoisHIV/AIDSCenter)existstoprovidecomprehensive,consumerdrivencareandservicestoallindividualsinfectedwithandaffectedbyHIVandtotheircommunitiesVariouspediatricpracticesAsthmaPediatriciansspecializingintreatingasthmaincludePeoriaEar,Nose,&ThroatGroupandAllergyandAsthmaofIllinois.


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APPENDIXVI.PRIORITIZATIONMETHODOLOGY

5-STEPPRIORITIZATIONOFCOMMUNITYHEALTHISSUES

Step1.ReviewDataforPotentialHealthIssuesStep2.BrieflyDiscussRelationshipsAmongIssuesStep3.Apply“PEARL”TestfromHanlonMethod3Screenouthealthproblemsbasedonthefollowingfeasibilityfactors: Propriety–Isaprogramforthehealthproblemappropriate? Economics–Doesitmakeeconomicsensetoaddresstheproblem? Acceptability–Willacommunityaccepttheprogram?Isitwanted? Resources–Isfundingavailableforaprogram? Legality–Docurrentlawsallowprogramactivitiestobeimplemented? Step4.UseVotingTechniquetoNarrowPotentialIssuesStep5.PrioritizeIssues.Useaweighted-scaleapproach(1-5scale)torateremainingissuesbasedon:1.Magnitude–sizeoftheissueinthecommunity.Considerationsinclude,butarenotlimitedto: -Percentageofgeneralpopulationimpacted -Prevalenceofissueinlow-incomecommunities -Trendsandfutureforecasts2.Severity–importanceofissueintermsofrelationshipswithmorbidities,comorbiditiesandmortality.Considerationsinclude,butarenotlimitedto: -Doesanissueleadtoseriousdiseases/death -Urgencyofissuetoimprovepopulationhealth3.Potentialforimpactthroughcollaboration–canmanagementoftheissuemakeadifferenceinthecommunity? Considerationsinclude,butarenotlimitedto: -Availabilityandefficacyofsolutions -Feasibilityofsuccess

3“GuidetoPrioritizationTechniques.”NationalConnectionforLocalPublicHealth(NACCHO)

community health needs assessment 2016 · osf collaborative team was involved in survey...

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