community health needs assessment city of socorro data socorro county 2011-2012
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Community Health Needs Assessment City of Socorro Data Socorro County 2011-2012. Carrie McNeil DVM Client Presbyterian Socorro General Hospital Community Needs Assessment Committee Carrie McNeil DVM, Coordinator Elizabeth Brewer-Beers RN Susan Butler Ed.D. Bo Beames MBA FACHE Kayla Cline - PowerPoint PPT PresentationTRANSCRIPT
Community Health Needs Assessment City of Socorro Data
Socorro County 2011-2012Carrie McNeil DVM
ClientPresbyterian Socorro General Hospital
Community Needs Assessment CommitteeCarrie McNeil DVM, Coordinator
Elizabeth Brewer-Beers RNSusan Butler Ed.D.
Bo Beames MBA FACHEKayla Cline
Kike Oduwa
Socorro Rotary PresentationAugust 22, 2012
Elizabeth Brewer-Beers, RNSocorro General Hospital
Director of Community Based Programs
Overview of CNA Process
Pre-Assessment: Identify top issues
Access to Care Diabetes Mental Health Maternal Child Health Tobacco
Assessment: Data Collection 858 surveys administered Stakeholder interviews
Post-Assessment Statistical analysis conducted Comprehensive CNA report
written Strategy to Address Needs
Bring stakeholders back to the table
Where Survey Respondents Live Socorro Community Needs Assessment June-July 2011
(n=859, 0 missing)
146
113
332
103
145
20
Alamo
Magdalena
Socorro
Veguita
Ranch/Farm/Rural
Other
Distances from Study Locations to PSGH & Albuquerque
LocationMiles to PSGH
Time to PSGH
Miles to ABQ
Time to ABQ
Socorro (city) 0-10 0-15 min 75 1-1.5 hrs.
Magdalena 25 30 min 100 1.8-2 hrs.
Alamo 58 1.2-3hrs 88.1 (dirt) 2-3 hrs.
Veguita 36 45 min 44 1 hr.
Rural Varies 0-3 hrs. Varies 0.75-3.5hrs
*Times & Distances are approximate, based on 2011-12 CNA*All frequencies are estimated based on SUDAAN analyses using post-stratification
weighting
Socorro Survey Results
Demographics of Respondents
50.38% (3.09) HH Income < $30,00057.83% (2.71) Hispanic; 27.71% (2.46) White; 3.92% (1.07) AI60.63% (2.76) Women2.01 (1.84-2.19) Average # Kids/household62.8% (2.67) Never need help reading
Ages 18-24 yrs.: 11.85% (1.78)
25-44 yrs.: 40.43% (2.71)45-64 yrs.: 35.26% (2.64)>65 yrs.: 12.46% (1.82)
City of Socorro’s
Most Important Preventable Health Issues
Socorro Survey Results
County Self & Family
Drug & Alcohol Abuse Diabetes
Diabetes Cancer
Teen Pregnancy Domestic Violence
Heart & Lung Obesity
Injury
Socorro Survey Results
Medical Care Used61.75% (2.67) saw doctor within past year25.18% (2.31) have no regular doctorNon-emergent: 27.22%(2.46) SGMG, 21.1%(2.26) Bhasker, 19.88%(2.21) PSGH ER: 90.71% (1.62) PSGH, 12.69% (1.86) Albuquerque
State of HealthHigher than overall average report excellent/very good healthDays in last month with depression/anxiety are almost doubled state averageHighest number of reported healthy, energetic days
Socorro Survey Results
Barriers to Care>20% report the following barriers
Scheduling, no nights/weekends, insurance, time from work, cost of care
Community-Based ProgramsLearned about CBPs from doctors and friendsMore likely to use CBP if close to home, free, doctor recd, insurance covers, opens nights & weekends
Diabetes>48% have not had doctor talk about diabetesMajority see CBP & Drs as helpful to diabetic care
Socorro Survey ResultsTobacco27.42% (2.54) smoke7.1% (1.46) smokeless tobacco use>35% smokers who saw doctor last year did not have doctor discuss quitting
Maternal ChildStrong support prenatal, healthy family, development CBPs
Mental HealthTop issues-illegal, prescription drug and alcohol abuse, child abuseMajority go to family, friends or SMH for MH issues About 4 in 10 have not been asked about mental health by doctor
County-wide Overall Results
Countywide Results
Demographics of Respondents
52.43% (2.15) Income < $30,00047.07% (1.81) Hispanic; 33.05% (1.77); White; 10.4% (0.82) AI60.15% (1.93) Women2.18 (2.04-2.32) Average # Kids/household61.13% (1.8) Never need help reading
Ages 18-24 yrs.: 10.36% (1.15)
25-44 yrs.: 34.97% (1.77)45-64 yrs.: 38.85% (1.87)>65 yrs.: 15.83% (1.41)
Overall Most Important Preventable Health Issues
Countywide Results
County Self & Family
Drug & Alcohol Abuse Diabetes
Diabetes Cancer
Teen Pregnancy Obesity
Injury Heart/Lung
Domestic Violence Cancer
Obesity Drug & Alcohol Abuse
County Survey Results
Medical Care Used60.75% (1.87) saw doctor within past year28.1% (1.68) have no regular doctorNon-emergent:21.18% (1.61) SGMG; 18.08%(1.53) Bhasker; 17.49%(1.48) PMSER: 83.81% (1.34) PSGH, 16.14% (1.36) Albuquerque
State of HealthApprox. 45% very good-excellent, 18% fair-poor health reportedOut of the Past 30 Days
22.67 (+/-0.74) Days Healthy, Full of Energy 6.96 (+/- 0.72) Days Depressed, Anxious (above state
average) 3.42 (+/-0.57) Days of Activity Limited (close to state
average)
County Survey Results
Barriers to Care>30% report the following barriers
Cost, scheduling, no night/weekend care>20% report the following barriers
Distance, lack of insurance, time from work
Community-Based ProgramsMost used and trusted sources to learn about CBP: doctor, family, friendMore likely to use CBP if
Close to home, free, insurance covers, open nights & weekends
DiabetesAlmost half had never had doctor discuss diabetes risks8/10 would use or recommend diabetes-related CBPAlmost 9/10 state CBPs can improve health of diabetics
County Survey ResultsTobacco23.08% (1.66) smoke9.86% (1.17) use smokeless tobaccoAbout 40% of smokers who saw doctor last year were not asked about quitting
Maternal Child>6% not sure if important to get professional help for developmental issueAlmost all felt important to get prenatal care>12% not sure if would use/recommend health family program
Mental HealthOverall top issues:
Illegal, prescription drug & alcohol abuse, child abuse, domestic violence
Majority go to family, friends, doctors; 1/3 to SMH for MH issuesAlmost 4/10 have not been asked by provider about mental health symptoms
County Survey ResultsPoverty impacts Socorro County Disproportionately
>50% household income < $30,000 (135% federal poverty)
Over 70% of families in Alamo live in poverty
Lower income associated with lower literacy levels
Poverty is an Obstacle to Healthcare
1 in 10 persons in poverty have not seen a doctor in 5 years
10% fewer respondents in poverty had a regular doctor
Over 40% of all respondents identify cost as a barrier
Almost 30% responded lack of insurance is barrier to care
Many would use community-based programs (CBPs) if funded
County Survey Results
Poverty impacts Health
Compared to those with household incomes >$30,000:
Almost 50% fewer assess health as “excellent”
Fewer healthy days in the past 30 days
More days with mental health symptoms
More days unable to do work or activities due to health
2012 SGH Board Endorsed Priority Areas
Community Need Lead InterventionsReduce prevalence of Obesity and Diabetes related illness
CBP Healthy Eating Active Lifestyle Early Detection of Risk
Improved Access to Care
SGH Clinic OperationsTeam
Recruitment/Retention of Primary Care providers
Increase clinic physical capacity
Expansion of hours of operation
Reserve times for walk-in , same day scheduling
Other identified needs that are less feasible for us to address at this time:•Mental Health/Drug & Alcohol Abuse
Funding availabilityDo not wish to compete with other entitiesShould engage in ongoing dialogue as to how we can support and partner to address issue within community
Supporters & Donors Making the Survey Possible
• City of Socorro• Socorro County• First State Bank• NMT- 4th of July• Phillips 66- Lemitar• Socorro Consolidated
Schools• Trails End Market• Village of Magdalena• Aaron’s• Buckhorn Tavern• Corner Copy• Don Juan’s• El Sombrero• Favor-It-Things• Jerome Adam Jr
• Old Town Bistro• Comcast• Alamo Chapter & School
Board• KABR Radio Alamo• John Brooks Supermart• Tiish Tsoh• Smith’s Food & Drug• Spin City Laundromat• Veguita Minimart/Gas station• Old Timer’s Reunion• Gambles True Value• Leesberg’s Auto Service• Rak’s Building Supply• San Antonio General Store• San Antonio Crane Cafe
Many thanks to…
– Regional families & individuals for sharing time & stories
– Our outstanding volunteer crew who spent hours in the heat, collecting an impressive sample
– Kayla Cline, intern & lead on data entry
– Kike Oduwa, data entry & study design
• Additional thanks to Susan Butler, Paul Weiss, Karen Levy, Kyle Steenland and the Global Experience Fund for support (Emory University, Rollins School of Public Health)
Questions?