community health needs assessment - methodist hospital for … · 2019-12-20 · for the 2019...
TRANSCRIPT
Community Health Needs Assessment
Methodist Hospital for Surgery
Approved by: Methodist Hospital for Surgery Board of Directors on October 24, 2019
Posted to www.methodisthealthsystem.org/about/communityinvolvement by Decemeber 31, 2019
Page 2 of 54
Table of ContentsMethodist Health System.............................................................................................. 4
Compassionate Healthcare ................................................................................................. 4Mission, Vision, and Values of Methodist Health System ................................................. 4
Executive Summary ...................................................................................................... 5Community Health Needs Assessment Requirement ................................................ 7CHNA Overview, Methodology and Approach............................................................ 8
Consultant Qualifications & Collaboration......................................................................... 8Community Served Definition ............................................................................................. 8Assessment of Health Needs .............................................................................................. 9Quantitative Assessment of Health Needs – Methodology and Data Sources ................ 9Qualitative Assessment of Health Needs and Community Input – Approach.................10Methodology for Defining Community Need.....................................................................14Information Gaps ................................................................................................................15Approach to Identify and Prioritize Significant Health Needs..........................................15Selecting the Health Needs to be Addressed by Methodist .............................................16Existing Resources to Address Health Needs ..................................................................16
Methodist Health System Community Health Needs Assessment ......................... 17Demographic and Socioeconomic Summary....................................................................17Public Health Indicators .....................................................................................................28Watson Health Community Data ........................................................................................28Focus Groups & Interviews................................................................................................32Prioritized Significant Health Needs..................................................................................33Health Needs to be Addressed by Methodist ....................................................................34Description of Significant Health Needs............................................................................35
Food Insecurity ................................................................................................................................... 35Poverty ...............................................................................................................................................35
Summary..............................................................................................................................36
Appendix A: Key Health Indicator Sources .............................................................. 37Appendix B: Community Resources Identified to Potentially Address Significant Health Needs ............................................................................................................... 42Appendix C: Federally Designated Health Professional Shortage Areas and Medically Underserved Areas and Populations ....................................................... 44
Health Professional Shortage Areas (HPSA).....................................................................45
Methodist Hospital for Surgery
Methodist Hospital for Surgery
Methodist Health SystemCommunity Health Needs Assessment
Page 3 of 54
Medically Underserved Areas and Populations (MUA/P) .................................................47
Appendix D: Public Health Indicators Showing Greater Need When Compared to State Benchmark......................................................................................................... 48Appendix E: Evaluation of Prior Implementation Strategy Impact ......................... 53
Methodist Hospital for Surgery 4
Methodist Health SystemCommunity Health Needs Assessment
Page 4 of 54
Methodist Health System
Compassionate Healthcare
The Methodist ministers and civic leaders who opened our doors in 1927 couldn’t have imagined where Methodist Health System would be today. From humble beginnings, our renowned health system has become one of the leading healthcare providers in North Texas.
But all of our growth, advancements, accreditation, awards, and accomplishments have been earned under the guidance of their founding principles: life, learning, and compassion. We’re still growing, learning, and improving — grounded in a proud past and looking ahead to an even brighter future.
Whatever your medical need, we are honored that you would entrust us with your health and safety. We understand that we have a solemn responsibility to you and your family, and you can trust that our team takes that commitment very seriously.
Mission, Vision, and Values of Methodist Health System
Mission
To improve and save lives through compassionate quality healthcare.
Vision for the Future
To be the trusted choice for health and wellness.
Core Values
Methodist Health System core values reflect our historic commitment to Christian concepts of life and learning:
• Servant Heart – compassionately putting others first
• Hospitality – offering a welcoming and caring environment
• Innovation – courageous creativity and commitment to quality
• Noble – unwavering honesty and integrity
• Enthusiasm – celebration of individual and team accomplishment
• Skillful – dedicated to learning and excellence
Methodist Hospital for Surgery 5
Methodist Health SystemCommunity Health Needs Assessment
Page 5 of 54
Executive Summary
Methodist Health System (Methodist) understands the importance of serving the health needs of its communities. To do that successfully, we must first take a comprehensive look at the issues our patients, their families, and neighbors face when making healthy life choices and health care decisions.Beginning in June 2018, the organization began the process of assessing the current health needs of the communities it serves. IBM Watson Health (WatsonHealth) was engaged to help collect and analyze the data for this process and to compile a final report made publicly available on September 30, 2019.Methodist owns and operates multiple individually licensed hospital facilities serving the residents of North Texas. This assessment applies to the following Methodist hospital facility:
• Methodist Hospital for SurgeryFor the 2019 assessment, the community includes the geographic area where at least 75% of the hospital facility’s admitted patients live. Methodist Hospital for Surgerydefined their community as the geographical area of Dallas, Collin, and DentonCounties. This hospital facility provided a Community Health Needs Assessment (CHNA) report in accordance with Treasury Regulations and 501(r) of the Internal Revenue Code.Watson Health examined over 102 public health indicators and conducted a benchmark analysis of the data comparing the community to overall state of Texas and United States (U.S.) values. For a qualitative analysis, and in order to get input directly from the community, focus groups and key informant interviews were conducted. Interviewsincluded input from state, local, or regional governmental public health departments (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community as well as individuals or organizations serving and/or representing the interests of medically underserved, low-income, and minority populations in the community.Needs were first identified when it was determined which indicators for the community did not meet the state benchmarks. A need differential analysis was conducted on all of the indicators not meeting benchmarks to determine relative severity by using thepercent difference from benchmark. The outcome of this quantitative analysis was then aligned with the qualitative findings of the community input sessions to create a list of health needs in the community. Each health need received assignment into one of four quadrants in a health needs matrix, this clarified the assignment of severity rankings of the needs. The matrix shows the convergence of needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators) and identifies the top health needs for this community.On May 2, 2019 a prioritization meeting was held with system and hospital leadership in which the health needs matrix was reviewed to establish and prioritize significant needs. The meeting was moderated by Watson Health and included an overview of the
Methodist Hospital for Surgery 6
Methodist Health SystemCommunity Health Needs Assessment
Page 6 of 54
Methodist CHNA process, summary of qualitative and quantitative findings, and a review of the identified community health needs.Participants identified the significant health needs through review of the health needsmatrix, discussion, and a consensus process. Once the significant health needs were established, participants rated the needs using a set of prioritization criteria. The sum of the criteria scores for each need created an overall score that was the basis of the prioritized order of significant health needs.The meeting participants subsequently evaluated the prioritized health needs against a set of selection criteria in order to determine which needs would be addressed by the hospital facility. A description of the selected needs is included in the body of this report. Each facility developed an individual implementation strategy with specific initiatives aimed at addressing the selected health needs. The implementation strategy will be completed and adopted by the hospital facility on or before February 15, 2020. The needs to be addressed by Methodist Hospital for Surgery are as follows:
• Poverty• Food Insecurity
As part of the assessment process, community resources were identified, including facilities/organizations, that may be available to address the significant needs in the community. These resources are in the appendix of this report.An evaluation of the impact and effectiveness of interventions and activities outlined in the implementation strategy drafted after the prior assessment is also included in Appendix E of this document. The CHNA for Methodist Hospital for Surgery has been presented and approved by the Vice President of Strategic Planning, Methodist Health System Senior Executive Management team and Methodist Health System’s Board of Directors. The full assessment is available for download at no cost to the public on Methodist’s website,visit www.methodisthealthsystem.org/about/communityinvolvement.This assessment and corresponding implementation strategy meet the requirements for community benefit planning and reporting as set forth in state and federal laws, including but not limited to: Texas Health and Safety Code Chapter 311 and Internal Revenue Code Section 501(r).
Methodist Hospital for Surgery 7
Methodist Health SystemCommunity Health Needs Assessment
Page 7 of 54
Community Health Needs Assessment Requirement
As a result of the Patient Protection and Affordable Care Act (PPACA), all tax-exempt organizations operating hospital facilities are required to assess the health needs of their community through a Community Health Needs Assessment (CHNA) once every three years.The written CHNA Report must include descriptions of the following:
• The community served and how the community was determined• The process and methods used to conduct the assessment including sources
and dates of the data and other information as well as the analytical methodsapplied to identify significant community health needs
• How the organization took into account input from persons representing thebroad interests of the community served by the hospital, including a descriptionof when and how the hospital consulted with these persons or the organizationsthey represent
• The prioritized significant health needs identified through the CHNA as well as adescription of the process and criteria used in prioritizing the identified significantneeds
• The existing healthcare facilities, organizations, and other resources within thecommunity available to meet the significant community health needs
• An evaluation of the impact of any actions that were taken, since the hospitalfacility(s) most recent CHNA, to address the significant health needs identified inthat last CHNA
PPACA also requires hospitals to adopt an Implementation Strategy to address prioritized community health needs identified through the assessment. An Implementation Strategy is a written plan that addresses each of the significant community health needs identified through the CHNA and is a separate but related document to the CHNA report.The written Implementation Strategy must include the following:
• List of the prioritized needs the hospital plans to address and the rationale for notaddressing other significant health needs identified
• Actions the hospital intends to take to address the chosen health needs• The anticipated impact of these actions and the plan to evaluate such impact
(e.g. identify data sources that will be used to track the plan’s impact)• Identify programs and resources the hospital plans to commit to address the
health needs• Describe any planned collaboration between the hospital and other facilities or
organizations in addressing the health needs
Methodist Health SystemCommunity Health Needs Assessment
Page 8 of 54
CHNA Overview, Methodology and Approach
Methodist began the 2019 CHNA process in June of 2018 and partnered with Watson Health to complete a CHNA for Methodist Hospital for Surgery.
Consultant Qualifications & Collaboration
Watson Health delivers analytic tools, benchmarks, and strategic consulting services to the healthcare industry, combining rich data analytics in demographics, including the Community Needs Index, planning, and disease prevalence estimates, with experienced strategic consultants to deliver comprehensive and actionable Community Health Needs Assessments.
Community Served Definition
For the purpose of this assessment, Methodist Hospital for Surgery defined the facility’scommunity using the counties in which at least 75% of patients reside. Using this definition, Methodist Hospital for Surgery has defined their community to be the geographical area of Dallas, Denton, and Collin Counties for the 2019 CHNA.
Community Served Map
Source: Watson Health, 2019
Methodist Hospital for Surgery 8
Methodist Health SystemCommunity Health Needs Assessment
Page 8 of 54
CHNA Overview, Methodology and Approach
Methodist began the 2019 CHNA process in June of 2018 and partnered with WatsonHealth to complete a CHNA for Methodist Hospital for Surgery.
Consultant Qualifications & Collaboration
Watson Health delivers analytic tools, benchmarks, and strategic consulting services to the healthcare industry, combining rich data analytics in demographics, including theCommunity Needs Index, planning, and disease prevalence estimates, withexperienced strategic consultants to deliver comprehensive and actionable CommunityHealth Needs Assessments.
Community Served Definition
For the purpose of this assessment, Methodist Hospital for Surgery defined the facility’scommunity using the counties in which at least 75% of patients reside. Using thisdefinition, Methodist Hospital for Surgery has defined their community to be thegeographical area of Dallas, Denton, and Collin Counties for the 2019 CHNA.
Community Served Map
Source: Watson Health, 2019
Methodist Hospital for Surgery 9
Methodist Health SystemCommunity Health Needs Assessment
Page 9 of 54
Assessment of Health Needs
To identify the health needs of the community, the hospital facility established a comprehensive method of taking into account all available relevant data including community input. The basis of identification of community health needs was the weight of qualitative and quantitative data obtained when assessing the community. Surveyors conducted interviews and focus groups with individuals representing public health, community leaders/groups, public organizations, and other providers. In addition, data collected from several public sources compared to the state benchmark indicated the level of severity.
Quantitative Assessment of Health Needs – Methodology and Data Sources
Quantitative data collection and analysis in the form of public health indicators assessed community health needs, including collection of 102 data elements grouped into 11 categories, and evaluated for the counties where data was available. Since 2016, theidentification of several new indicators included: addressing mental health, health care costs, opioids, and social determinants of health. The categories, indicators, and sources are included in Appendix A.A benchmark analysis, conducted for each indicator collected for the community served, determined which public health indicators demonstrated a community health need from a quantitative perspective. Benchmark health indicators collected included (whenavailable): overall U.S. values; state of Texas values; and goal setting benchmarks such as Healthy People 2020.According to America’s Health Rankings 2018 Annual Report, Texas ranks 37th out of the 50 states. The health status of Texas compared to other states in the nation identified many opportunities to impact health within local communities, including opportunities for those communities that ranked highly. Therefore, the benchmark for the community served was set to the state value.Once the community benchmark was set to the state value, it was determined which indicators for the community did not meet the state benchmarks. This created a subset of indicators for further analysis. A need differential analysis was conducted to understand the relative severity of need for these indicators. The need differential established a standardized way to evaluate the degree each indicator differed from its benchmark. Health community indicators with need differentials above the 50th
percentile were ordered by severity and the highest ranked indicators were the highest health needs from a quantitative perspective. The outcomes of the quantitative data analysis were compared to the qualitative data findings.
Methodist Hospital for Surgery 10
Methodist Health SystemCommunity Health Needs Assessment
Page 10 of 54
Health Indicator Benchmark Analysis Example
Source: IBM Watson Health, 2019
Qualitative Assessment of Health Needs and Community Input – Approach
In addition to analyzing quantitative data, four (4) focus groups with a total of 45participants, as well as 10 key informant interviews, were conducted to take intoaccount the input of persons representing the broad interests of the community served.The focus groups and interviews solicited feedback from leaders and representativeswho serve the community and have insight into community needs.The focus groups familiarized participants with the CHNA process and solicited input tounderstand health needs from the community’s perspective. Focus groups, formattedfor individual as well as small group feedback, helped identify barriers and socialdeterminants influencing the community’s health needs. Barriers and socialdeterminants were new topics added to the 2019 community input sessions.Watson Health conducted key informant interviews for the community served by the hospital. The interviews aided in gaining understanding and insight into participants’concerns about the general health status of the community and the various drivers thatcontributed to health issues.Participation in the qualitative assessment was included from at least one state, local, orregional governmental public health department (or equivalent department or agency)with knowledge, information, or expertise relevant to the health needs of the community,
Methodist Health SystemCommunity Health Needs Assessment
Page 10 of 54
Health Indicator Benchmark Analysis Example
Source: IBM Watson Health, 2019
Qualitative Assessment of Health Needs and Community Input – Approach
In addition to analyzing quantitative data, four (4) focus groups with a total of 45participants, as well as 10 key informant interviews, were conducted to take into account the input of persons representing the broad interests of the community served.The focus groups and interviews solicited feedback from leaders and representatives who serve the community and have insight into community needs.The focus groups familiarized participants with the CHNA process and solicited input to understand health needs from the community’s perspective. Focus groups, formatted for individual as well as small group feedback, helped identify barriers and social determinants influencing the community’s health needs. Barriers and social determinants were new topics added to the 2019 community input sessions.Watson Health conducted key informant interviews for the community served by the hospital. The interviews aided in gaining understanding and insight into participants’ concerns about the general health status of the community and the various drivers that contributed to health issues.Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community,
Methodist Hospital for Surgery 11
Methodist Health SystemCommunity Health Needs Assessment
Page 11 of 54
as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers ensured that the input received represented the broad interests of the community served. A list of the organizations providing input is in the table below.
Community Input Participants
Participant Organization Name Pub
lic H
ealth
Med
ical
ly U
nder
-ser
ved
Low
-inco
me
Chr
onic
Dis
ease
Nee
ds
Min
ority
Pop
ulat
ions
Gov
ernm
enta
l Pub
lic--
Hea
lth D
ept.
Pub
lic H
ealth
Kno
wle
dge
--E
xper
tise
Agape Clinic X X X X X
Bridge Breast Network X X X X
City of Denton X X X
City of Plano X X X X X
CitySquare X X X X X X
Community Council
Community Lifeline Center X X X X
Cornerstone Baptist Church X X X X X X
D/FW Hindu Temple Society X
Dallas Area Interfaith X X X X
Denton Community Food Center X
Denton County Public Health X X X X X X X
Family Promise of Irving X X
First Refuge Ministries X X X
Frisco Family Services X X
Genesis Women's Shelter & Support X X X X
Giving Hope, Inc. X X X X
Goodwill Industries of Dallas X X
Methodist Health SystemCommunity Health Needs Assessment
Page 11 of 54
as well as individuals or organizations who served and/or represented the interests ofmedically underserved, low-income and minority populations in the community.Participation from community leaders/groups, public health organizations, otherhealthcare organizations, and other healthcare providers ensured that the inputreceived represented the broad interests of the community served. A list of theorganizations providing input is in the table below.
Community Input Participants
Participant Organization Name Pub
lic H
ealth
Med
ical
ly U
nder
-ser
ved
Low
-inco
me
Chr
onic
Dis
ease
Nee
ds
Min
ority
Pop
ulat
ions
Gov
ernm
enta
l Pub
lic
--H
ealth
Dep
t.
Pub
lic H
ealth
Kno
wle
dge
--E
xper
tise
Agape Clinic X X X X X
Bridge Breast Network X X X X
City of Denton X X X
City of Plano X X X X X
CitySquare X X X X X X
Community Council
Community Lifeline Center X X X X
Cornerstone Baptist Church X X X X X X
D/FW Hindu Temple Society X
Dallas Area Interfaith X X X X
Denton Community Food Center X
Denton County Public Health X X X X X X X
Family Promise of Irving X X
First Refuge Ministries X X X
Frisco Family Services X X
Genesis Women's Shelter & Support X X X X
Giving Hope, Inc. X X X X
Goodwill Industries of Dallas X X
Methodist Hospital for Surgery 12
Methodist Health SystemCommunity Health Needs Assessment
Page 12 of 54
Participant Organization Name Pub
lic H
ealth
Med
ical
ly U
nder
-ser
ved
Low
-inco
me
Chr
onic
Dis
ease
Nee
ds
Min
ority
Pop
ulat
ions
Gov
ernm
enta
l Pub
lic
--H
ealth
Dep
t.
Pub
lic H
ealth
Kno
wle
dge
--E
xper
tise
Goodwill Industries of Fort Worth X X X
Health services of North Texas X X X X
Hope Clinic X X X X
Hope Clinic of McKinney X X X X
Legal Aid of Northwest Texas X
LifePath Systems X X X X
Los Barrios Unidos Community Clinic X X X X X X
Many Helping Hands Ministry X X X X
McKinney City Council X
North Texas Food Bank X X
Office of the County Judge - Dallas County X X X X X X
Our Daily Bread X X
Plano Fire-Rescue X X X X X X
Project Access-Collin County X
Refuge for Women North Texas X
Serve Denton X
Sharing Life Community Outreach Inc X
Society of St. Vincent de Paul of North Texas X X X X
Texas Muslim Women's Foundation X
The Samaritan Inn X
United Way X X X X
United Way Metropolitan Dallas X X X X X
University of North Texas X X X X
Methodist Hospital for Surgery 13
Methodist Health SystemCommunity Health Needs Assessment
Page 13 of 54
Participant Organization Name Pub
lic H
ealth
Med
ical
ly U
nder
-ser
ved
Low
-inco
me
Chr
onic
Dis
ease
Nee
ds
Min
ority
Pop
ulat
ions
Gov
ernm
enta
l Pub
lic
--H
ealth
Dep
t.
Pub
lic H
ealth
Kno
wle
dge
--E
xper
tise
Urban Inter-Tribal Center of Texas X X X X X
Veterans Center of North Texas X X
YMCA X X X X X X
Cancer Care Services X X X X X X
Dallas County Health and Human Services X X X
Metrocare X X X X X X
PCI ProComp Solutions, LLC X X
University of Texas - Dallas X X
Assistance Center of Collin County X X X XDenton County Court Appointed Special Advocates (CASA) X X X
Denton County Food Center X
Methodist Golden Cross Academic Clinic X X X X XThe Visiting Nurse Association of North Texas (VNA) X X X X X X
Note: multiple persons from the same organization may have participated
Methodist Hospital for Surgery 14
Methodist Health SystemCommunity Health Needs Assessment
Page 14 of 54
In addition to soliciting input from public health and various interests of the community, the hospital was also required to consider written input received on their most recently conducted CHNA and subsequent implementation strategies. The assessment is available to receive public comment or feedback on the report findings on the Methodist website (www.methodisthealthsystem.org/about/communityinvolvement) or by [email protected]. To date Methodist has not received written input but continues to welcome feedback from the community.Community input from interviews and focus groups organized the themes around community needs. These themes were compared to the quantitative data findings.
Methodology for Defining Community Need
Using qualitative feedback from the interviews and focus groups, as well as the health indicator data, the issues currently affecting the community served are assembled in the Health Needs Matrix below to help identify the top health needs for the community. The upper right quadrant of the matrix is where the needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators) converge to identify the significant health needs for this community.
The Health Needs Matrix
Methodist Health SystemCommunity Health Needs Assessment
Page 14 of 54
In addition to soliciting input from public health and various interests of the community,the hospital was also required to consider written input received on their most recentlyconducted CHNA and subsequent implementation strategies. The assessment isavailable to receive public comment or feedback on the report findings on theMethodist website (www.methodisthealthsystem.org/about/communityinvolvement) or by [email protected]. To date Methodist has not received written input butcontinues to welcome feedback from the community.Community input from interviews and focus groups organized the themes aroundcommunity needs. These themes were compared to the quantitative data findings.
Methodology for Defining Community Need
Using qualitative feedback from the interviews and focus groups, as well as the healthindicator data, the issues currently affecting the community served are assembled in theHealth Needs Matrix below to help identify the top health needs for the community. Theupper right quadrant of the matrix is where the needs identified in the qualitative data(interview and focus group feedback) and quantitative data (health indicators) converge to identify the significant health needs for this community.
The Health Needs Matrix
Methodist Hospital for Surgery 15
Methodist Health SystemCommunity Health Needs Assessment
Page 15 of 54
Source: IBM Watson Health, 2019
Information Gaps
Most public health indicators were available only at the county level. In evaluating data for entire counties versus more localized data, it was difficult to understand the health needs for specific population pockets within a county. It could also be a challenge to tailor programs to address community health needs, as placement and access to specific programs in one part of the county may or may not actually affect the population who truly need the service. The publicly available health indicator data was supplemented with Watson Health’s ZIP code estimates to assist in identifying specific populations within a community where health needs may be greater.
Approach to Identify and Prioritize Significant Health Needs
In a session held with system and hospital leadership representing Methodist Hospital for Surgery on May 2, 2019, significant health needs were identified and prioritized. Moderated by Watson Health, the meeting included: an overview of the CHNA process for Methodist; the methodology for determining the top health needs; the Methodistprioritization approach; and discussion of the top health needs identified for the community.Prioritization of the health needs took place in two steps. In the first step, participants reviewed the top health needs for their community based on the Health Needs Matrix.The group then reviewed the significant health needs as determined by the upper right quadrant of the matrix and identified other significant needs from other matrix quadrants by leveraging the professional experience and community knowledge of the group via discussion.In the second step, participants ranked the significant health needs based on the following prioritization criteria:
1. Magnitude: The need impacts a large number of people, actually or potentially.2. Severity: What degree of disability or premature death occurs because of the
problem? What are the potential burdens to the community, such as economic orsocial burdens?
3. Vulnerable Populations: There is a high need among vulnerable populationsand/or vulnerable populations are adversely impacted.
4. Root Cause: The issue is a root cause of other problems, thereby possiblyaffecting multiple issues.
Through discussion and consensus, the group rated each of the significant health needs on each of the four identified criteria utilizing a scale of 1 (low) to 10 (high). The criteria scores summed for each need created an overall score. The list of significant health needs was then prioritized based on the overall scores. The outcome of this process, the list of prioritized health needs for this community, is located in the “Prioritized Significant Health Needs” section of the assessment.
Methodist Hospital for Surgery 16
Methodist Health SystemCommunity Health Needs Assessment
Page 16 of 54
The prioritized list of significant health needs was approved by the hospitals’ governing body and the full assessment is available to anyone at no cost. To download a copy, visit www.methodisthealthsystem.org/about/communityinvolvement.
Selecting the Health Needs to be Addressed by Methodist
To choose which of the prioritized health needs Methodist would address through its corresponding implementation plans, the participants representing Methodist Hospital for Surgery collectively as a group rated each of the prioritized significant health needs on the following selection criteria:
1. Expertise & Collaboration: Confirm health issues can build upon existingresources and strengths of the organization. Ability to leverage expertise withinthe organization and resources in the community for collaboration.
2. Feasibility: Ensure needs are amenable to interventions, acknowledge resourcesneeded, and determine if need is preventable.
3. Quick Success & Impact: Ability to obtain quick success and make an impact inthe community.
Through discussion and consensus, the group rated a subset of the prioritized health needs on each of the three identified criteria utilizing a scale of 1 (low) to 10 (high). The criteria scores summed for each need, created an overall score. The list of prioritizedhealth needs was then ranked based on the overall scores. The health needs selected by participants which will be addressed via implementation strategies are located in the “Health Needs to be Addressed by Methodist” section of the assessment.
Existing Resources to Address Health Needs
Part of the assessment process included gathering input on community resources potentially available to address the significant health needs identified through the CHNA. Qualitative assessment participants identified community resources that may assist in addressing the health needs identified for this community. A description of these resources is in Appendix B.
Methodist Hospital for Surgery 17
Methodist Health SystemCommunity Health Needs Assessment
Page 17 of 54
Methodist Health System Community Health Needs Assessment
Demographic and Socioeconomic Summary
According to population statistics, the population in this health community is expected to grow 8% in five years, above the Texas growth rate of 7.1%. The median age was younger than the Texas and national benchmarks. Median income was above both the state and the country. The community served had a lower proportion of Medicaid beneficiaries than the state of Texas.
Demographic and Socioeconomic Comparison:Community Served and State/U.S. Benchmarks
Source: IBM Watson Health / Claritas, 2018; US Census Bureau 2017 (U.S. Median Income)
Methodist Health SystemCommunity Health Needs Assessment
Page 17 of 54
Methodist Health System Community Health Needs Assessment
Demographic and Socioeconomic Summary
According to population statistics, the population in this health community is expected togrow 8% in five years, above the Texas growth rate of 7.1%. The median age wasyounger than the Texas and national benchmarks. Median income was above both thestate and the country. The community served had a lower proportion of Medicaidbeneficiaries than the state of Texas.
Demographic and Socioeconomic Comparison:Community Served and State/U.S. Benchmarks
Source: IBM Watson Health / Claritas, 2018; US Census Bureau 2017 (U.S. Median Income)
Methodist Hospital for Surgery 18
Methodist Health SystemCommunity Health Needs Assessment
Page 18 of 54
The population of the community served is expected to grow 8% by 2023, an increase of more than 358,000 people. The 8% projected population growth is more than the state’s 5-year projected growth rate (7.1%) and much higher when compared to the national projected growth rate (3.5%). The ZIP codes expected to experience the most growth in five years are:
• 75070 McKinney - 12,270 people• 75052 Grand Prairie - 9,059 people• 75002 Allen - 7,892 people
2018 - 2023 Total Population Projected Change by ZIP Code
Source: IBM Watson Health / Claritas, 2018
Methodist Health SystemCommunity Health Needs Assessment
Page 18 of 54
The population of the community served is expected to grow 8% by 2023, an increaseof more than 358,000 people. The 8% projected population growth is more than thestate’s 5-year projected growth rate (7.1%) and much higher when compared to thenational projected growth rate (3.5%). The ZIP codes expected to experience the mostgrowth in five years are:
• 75070 McKinney - 12,270 people• 75052 Grand Prairie - 9,059 people• 75002 Allen - 7,892 people
2018 - 2023 Total Population Projected Change by ZIP Code
Source: IBM Watson Health / Claritas, 2018
Methodist Hospital for Surgery 19
Methodist Health SystemCommunity Health Needs Assessment
Page 19 of 54
The community’s population skewed younger with 38.4% of the population ages 18-44and 26.0% under age 18. The largest cohort (18-44) is expected to grow by 60,107people by 2023. The age 65 plus cohort was the smallest but is expected to experience the fastest growth (28.7%) over the next five years; adding 138,249 seniors to the community. Growth in the senior population will likely contribute to increased utilization of services as the population continues to age.
Population Distribution by Age2018 Population by Age Cohort Change by 2023
Source: IBM Watson Health / Claritas, 2018
Methodist Health SystemCommunity Health Needs Assessment
Page 19 of 54
The community’s population skewed younger with 38.4% of the population ages 18-44and 26.0% under age 18. The largest cohort (18-44) is expected to grow by 60,107people by 2023. The age 65 plus cohort was the smallest but is expected to experiencethe fastest growth (28.7%) over the next five years; adding 138,249 seniors to thecommunity. Growth in the senior population will likely contribute to increased utilizationof services as the population continues to age.
Population Distribution by Age2018 Population by Age Cohort Change by 2023
Source: IBM Watson Health / Claritas, 2018
Methodist Hospital for Surgery 20
Methodist Health SystemCommunity Health Needs Assessment
Page 20 of 54
Population statistics are analyzed by race and by Hispanic ethnicity. The largest groups in the community were Non-Hispanic White (40.98%), Hispanic Black (17.23%), and Hispanic White (16.73%). The expected growth rate of the Hispanic population (all races) is over 151,000 people (10.9%) by 2023, while the Non-Hispanic population (all races) is expected to grow by over 206,000 people (6.6%) by 2023.
Population Distribution by Race and Ethnicity
2018 Population by Race 2018 Population by Ethnicity
Source: IBM Watson Health / Claritas, 2018
Methodist Health SystemCommunity Health Needs Assessment
Page 20 of 54
Population statistics are analyzed by race and by Hispanic ethnicity. The largest groupsin the community were Non-Hispanic White (40.98%), Hispanic Black (17.23%), andHispanic White (16.73%). The expected growth rate of the Hispanic population (allraces) is over 151,000 people (10.9%) by 2023, while the Non-Hispanic population (allraces) is expected to grow by over 206,000 people (6.6%) by 2023.
Population Distribution by Race and Ethnicity
2018 Population by Race 2018 Population by Ethnicity
Source: IBM Watson Health / Claritas, 2018
Methodist Hospital for Surgery 21
Methodist Health SystemCommunity Health Needs Assessment
Page 21 of 54
2018 - 2023 Hispanic Population Projected Change by ZIP Code
Source: IBM Watson Health / Claritas, 2018
Methodist Hospital for Surgery 22
Methodist Health SystemCommunity Health Needs Assessment
Page 22 of 54
The 2018 median household income for the United States was $61,372 compared to$60,397 for the state of Texas. The median household income for the ZIP codes within this community ranged from $21,940 for 75210-Dallas to $169,738 for 75225-Dallas.There were thirty-five (35) ZIP Codes with median household incomes less than $50,200, twice the 2018 Federal Poverty Limit for a family of four:
• 75210 Dallas - $21,940• 75216 Dallas - $26,240• 75247 Dallas - $28,750• 75237 Dallas - $29,606• 76201 Denton - $30,230• 75215 Dallas - $31,213• 75212 Dallas - $34,787• 75203 Dallas - $35,177• 75241 Dallas - $36,316• 75217 Dallas - $36,886• 75231 Dallas - $37,253• 75232 Dallas - $38,650• 75224 Dallas - $39,096• 75227 Dallas - $39,505• 75233 Dallas - $40,741• 75228 Dallas - $41,081• 75223 Dallas - $41,798• 75211 Dallas - $42,165
• 75042 Garland - $42,226• 75243 Dallas - $42,441• 75180 Balch Springs - $43,055• 75240 Dallas - $43,473• 75253 Dallas - $43,956• 75141 Hutchins - $43,968• 75246 Dallas - $43,992• 75041 Garland - $44,881• 75061 Irving - $44,965• 75220 Dallas - $45,016• 76205 Denton - $45,625• 75172 Wilmer - $45,833• 75236 Dallas - $45,849• 75051 Grand Prairie - $46,798• 75149 Mesquite - $48,436• 75150 Mesquite - $49,678• 75254 Dallas - $49,817
2018 Median Household Income by ZIP Code
Methodist Hospital for Surgery 23
Methodist Health SystemCommunity Health Needs Assessment
Page 23 of 54
Source: IBM Watson Health / Claritas, 2018
Methodist Hospital for Surgery 24
Methodist Health SystemCommunity Health Needs Assessment
Page 24 of 54
The majority of the population (52%) were insured through employer sponsored health coverage, sixteen percent (16%) of the community did not have insurance coverage.The remainder of the population was fairly equally divided between Medicaid, Medicare, and private market (the purchasers of coverage directly or through the health insurance marketplace).
2018 Estimated Distribution of Covered Lives by Insurance Category
Source: IBM Watson Health / Claritas, 2018
Methodist Health SystemCommunity Health Needs Assessment
Page 24 of 54
The majority of the population (52%) were insured through employer sponsored healthcoverage, sixteen percent (16%) of the community did not have insurance coverage.The remainder of the population was fairly equally divided between Medicaid, Medicare,and private market (the purchasers of coverage directly or through the health insurancemarketplace).
2018 Estimated Distribution of Covered Lives by Insurance Category
Source: IBM Watson Health / Claritas, 2018
Methodist Hospital for Surgery 25
Methodist Health SystemCommunity Health Needs Assessment
Page 25 of 54
The community includes 31 Health Professional Shortage Areas and 21 Medically Underserved Areas as designated by the U.S. Department of Health and Human Services Health Resources Services Administration.1 Appendix C includes the details on each of these designations.
Health Professional Shortage Areas and Medically Underserved Areas and Populations
Source: U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018
1 U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018
Methodist Health SystemCommunity Health Needs Assessment
Page 25 of 54
The community includes 31 Health Professional Shortage Areas and 21 MedicallyUnderserved Areas as designated by the U.S. Department of Health and HumanServices Health Resources Services Administration.1 Appendix C includes the detailson each of these designations.
Health Professional Shortage Areas and Medically Underserved Areas and Populations
Source: U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018
1 U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018
Methodist Hospital for Surgery 26
Methodist Health SystemCommunity Health Needs Assessment
Page 26 of 54
The Watson Health Community Need Index (CNI) is a statistical approach to identifying areas within a community where health disparities may exist. The CNI takes into account vital socio-economic factors (income, cultural, education, insurance andhousing) about a community to generate a CNI score for every populated ZIP code in the United States. The CNI strongly links to variations in community healthcare needs and is an indicator of a community’s demand for various healthcare services. The CNI score by ZIP code identifies specific areas within a community where healthcare needsmay be greater.Overall, the CNI score for the community served was 3.7, higher than the CNI nationalaverage of 3.0, potentially indicating greater health care needs in this community. In portions of the community (Dallas, Garland, Grand Prairie, Irving, Mesquite) the CNI score was greater than 4.8, pointing to potentially more significant health needs amongthe population.
2018 Community Need Index by ZIP Code
County Composite CNIScore
ZIP Map where color shows the Community Need Index on a scale of 0 to 5. Orange color indicates high need areas (CNI = 4 or5); blue color indicates low need (CNI = 1 or 2). Gray colors have needs at the national average (CNI = 3).
Methodist Health SystemCommunity Health Needs Assessment
Page 26 of 54
The Watson Health Community Need Index (CNI) is a statistical approach to identifyingareas within a community where health disparities may exist. The CNI takes intoaccount vital socio-economic factors (income, cultural, education, insurance andhousing) about a community to generate a CNI score for every populated ZIP code inthe United States. The CNI strongly links to variations in community healthcare needsand is an indicator of a community’s demand for various healthcare services. The CNIscore by ZIP code identifies specific areas within a community where healthcare needsmay be greater.Overall, the CNI score for the community served was 3.7, higher than the CNI nationalaverage of 3.0, potentially indicating greater health care needs in this community. In portions of the community (Dallas, Garland, Grand Prairie, Irving, Mesquite) the CNIscore was greater than 4.8, pointing to potentially more significant health needs amongthe population.
2018 Community Need Index by ZIP Code
County Composite CNI Score
ZIP Map where color shows the Community Need Index on a scale of 0 to 5. Orange color indicates high need areas (CNI = 4 or 5); blue color indicates low need (CNI = 1 or 2). Gray colors have needs at the national average (CNI = 3).
Methodist Hospital for Surgery 27
Methodist Health SystemCommunity Health Needs Assessment
Page 28 of 54
Public Health Indicators
Public health indicators were collected and analyzed to assess community health needs. Evaluation for the community served used 102 indicators. For each health indicator, a comparison between the most recently available community data and benchmarks for the same/similar indicator was made. The basis of the benchmarks wasavailable data for the U.S. and the state of Texas.Where the community indicators showed greater need when compared to the state of Texas comparative benchmark, the difference between the community values and the state benchmark was calculated (need differential). These indicators are in Appendix D. Those highest ranked indicators with need differentials in the 50th percentile ofgreater severity pinpointed community health needs from a quantitative perspective.
Watson Health Community Data
Watson Health supplemented the publicly available data with estimates of localized disease prevalence of heart disease and cancer as well as emergency department visit estimates.Watson Health Heart Disease Estimates identified hypertension as the most prevalent heart disease diagnosis; there were over 1,128,000 estimated cases in the community overall. The ZIP 75070-McKinney had the most estimated cases of Arrhythmia, Hypertension, and Ischemic Heart Disease, while ZIP 75052-Grand Prairie had the most estimated cases of Heart Failure. ZIP 75075-Plano had the highest estimated prevalence rates for Arrhythmia (705 cases per 10,000 population), Hypertension (3,332 cases per 10,000 population), and Ischemic Heart Disease (654 cases per 10,000 population). ZIP 75225-Dallas was the highest for Heart Failure (341 cases per 10,000 population).
2018 Estimated Heart Disease Cases
Bar chart shows total number and prevalence rate of 2018 Estimated Heart Disease cases for each of four types: arrhythmia,heart failure, hypertension, and ischemic heart disease.
Methodist Health SystemCommunity Health Needs Assessment
Page 28 of 54
Public Health Indicators
Public health indicators were collected and analyzed to assess community healthneeds. Evaluation for the community served used 102 indicators. For each healthindicator, a comparison between the most recently available community data andbenchmarks for the same/similar indicator was made. The basis of the benchmarks wasavailable data for the U.S. and the state of Texas.Where the community indicators showed greater need when compared to the state ofTexas comparative benchmark, the difference between the community values and thestate benchmark was calculated (need differential). These indicators are in AppendixD. Those highest ranked indicators with need differentials in the 50th percentile ofgreater severity pinpointed community health needs from a quantitative perspective.
Watson Health Community Data
Watson Health supplemented the publicly available data with estimates of localizeddisease prevalence of heart disease and cancer as well as emergency department visitestimates.Watson Health Heart Disease Estimates identified hypertension as the most prevalentheart disease diagnosis; there were over 1,128,000 estimated cases in the communityoverall. The ZIP 75070-McKinney had the most estimated cases of Arrhythmia,Hypertension, and Ischemic Heart Disease, while ZIP 75052-Grand Prairie had themost estimated cases of Heart Failure. ZIP 75075-Plano had the highest estimatedprevalence rates for Arrhythmia (705 cases per 10,000 population), Hypertension (3,332 cases per 10,000 population), and Ischemic Heart Disease (654 cases per 10,000population). ZIP 75225-Dallas was the highest for Heart Failure (341 cases per 10,000population).
2018 Estimated Heart Disease Cases
Bar chart shows total number and prevalence rate of 2018 Estimated Heart Disease cases for each of four types: arrhythmia, heart failure, hypertension, and ischemic heart disease.
Methodist Health SystemCommunity Health Needs Assessment
Page 29 of 54
Note: An individual patient may have more than one type of heart disease. Therefore the sum of all four heart disease types is not a unique count of individuals.
Source: IBM Watson Health, 2018For this community, Watson Health’s 2018 Cancer Estimates revealed the cancersprojected to have the greatest rate of growth in the next five years were pancreatic,bladder, and kidney (based on both population changes and disease rates). The cancers estimated to have the greatest number of new cases in 2018 were breast,prostate, lung, and colorectal cancers.
2018 Estimated New Cancer Cases
Bar chart shows estimated new diagnoses per year for each of the 17 types of Cancer and 1 category for all other cancers.Color shows details about sex with light blue for females and dark blue for males.
Source: IBM Watson Health, 2018
Methodist Hospital for Surgery 28
Methodist Health SystemCommunity Health Needs Assessment
Page 29 of 54
Note: An individual patient may have more than one type of heart disease. Therefore the sum of all four heart disease types isnot a unique count of individuals.
Source: IBM Watson Health, 2018For this community, Watson Health’s 2018 Cancer Estimates revealed the cancersprojected to have the greatest rate of growth in the next five years were pancreatic,bladder, and kidney (based on both population changes and disease rates). The cancers estimated to have the greatest number of new cases in 2018 were breast,prostate, lung, and colorectal cancers.
2018 Estimated New Cancer Cases
Bar chart shows estimated new diagnoses per year for each of the 17 types of Cancer and 1 category for all other cancers. Color shows details about sex with light blue for females and dark blue for males.
Source: IBM Watson Health, 2018
Methodist Health SystemCommunity Health Needs Assessment
Page 29 of 54
Note: An individual patient may have more than one type of heart disease. Therefore the sum of all four heart disease types isnot a unique count of individuals.
Source: IBM Watson Health, 2018For this community, Watson Health’s 2018 Cancer Estimates revealed the cancers projected to have the greatest rate of growth in the next five years were pancreatic, bladder, and kidney (based on both population changes and disease rates). The cancers estimated to have the greatest number of new cases in 2018 were breast, prostate, lung, and colorectal cancers.
2018 Estimated New Cancer Cases
Bar chart shows estimated new diagnoses per year for each of the 17 types of Cancer and 1 category for all other cancers.Color shows details about sex with light blue for females and dark blue for males.
Source: IBM Watson Health, 2018
Methodist Hospital for Surgery 29
Methodist Health SystemCommunity Health Needs Assessment
Page 30 of 54
Estimated Cancer Cases and Projected 5 Year Change by Type
Cancer Type 2018 Estimated New Cases
2023 Estimated New Cases 5 Year Growth (%)
Bladder 810 985 21.5%Brain 207 232 12.3%Breast 4,299 5,023 16.8%Colorectal 2,314 2,477 7.0%Kidney 951 1,140 19.9%Leukemia 666 784 17.8%Lung 2,125 2,509 18.1%Melanoma 838 987 17.8%Non Hodgkins Lymphoma 908 1,077 18.7%Oral Cavity 593 704 18.8%Ovarian 291 334 14.7%Pancreatic 694 856 23.3%Prostate 3,476 3,883 11.7%Stomach 377 445 18.1%Thyroid 684 812 18.7%Uterine Cervical 191 205 7.1%Uterine Corpus 620 741 19.4%All Other 2,833 3,379 19.3%Grand Total 22,875 26,573 16.2%
Source: IBM Watson Health, 2018
Methodist Hospital for Surgery 30
Methodist Health SystemCommunity Health Needs Assessment
Page 31 of 54
Based on population characteristics and regional utilization rates, Watson Health projected all emergency department (ED) visits in this community to increase by 8.3%over the next 5 years. The highest estimated ED use rate was in the ZIP code of 76201-Denton with 562.4 ED visits per 1,000 residents compared to the Texas state benchmark of 460 visits and the U.S. benchmark of 435 visits per 1,000.These ED visits consisted of three main types: those resulting in an inpatient admission, emergent outpatient treated and released ED visits, and non-emergent outpatient ED visits that were lower acuity. Non-emergent ED visits present to the ED but can be treated in more appropriate and less intensive outpatient settings.Non-emergent outpatient ED visits could be an indication of systematic issues within the community regarding access to primary care, managing chronic conditions, or other access to care issues such as ability to pay. Watson Health estimated non-emergent ED visits to increase by an average of 4.0% over the next five years in this community.
Estimated 2018 Emergency Department Visit Rate
County Benchmark
ZIP map color shows total Emergency Department visits per 1000 popultaion. Orange colors are higher than the state benchmark,blue colors are less than the state benchmark, and gray colors are similar.
Note: These are not actual Methodist ED visit rates. These are statistical estimates of ED visits for the population.Source: IBM Watson Health, 2018
Methodist Health SystemCommunity Health Needs Assessment
Page 31 of 54
Based on population characteristics and regional utilization rates, Watson Healthprojected all emergency department (ED) visits in this community to increase by 8.3%over the next 5 years. The highest estimated ED use rate was in the ZIP code of 76201-Denton with 562.4 ED visits per 1,000 residents compared to the Texas statebenchmark of 460 visits and the U.S. benchmark of 435 visits per 1,000.These ED visits consisted of three main types: those resulting in an inpatient admission,emergent outpatient treated and released ED visits, and non-emergent outpatient EDvisits that were lower acuity. Non-emergent ED visits present to the ED but can betreated in more appropriate and less intensive outpatient settings.Non-emergent outpatient ED visits could be an indication of systematic issues within thecommunity regarding access to primary care, managing chronic conditions, or otheraccess to care issues such as ability to pay. Watson Health estimated non-emergentED visits to increase by an average of 4.0% over the next five years in this community.
Estimated 2018 Emergency Department Visit Rate
County Benchmark
ZIP map color shows total Emergency Department visits per 1000 popultaion. Orange colors are higher than the state benchmark,blue colors are less than the state benchmark, and gray colors are similar.
Note: These are not actual Methodist ED visit rates. These are statistical estimates of ED visits for the population.Source: IBM Watson Health,
Methodist Hospital for Surgery 31
Methodist Health SystemCommunity Health Needs Assessment
Page 32 of 54
Projected 5 Year Change in Non-Emergent Emergency Department Visits by ZIP Code
This chart show sthe percent change in Emergency Department visits by 2023 at the ZIP level. The average for all ZIPs in the Health Community is labeled. ED visits are defined by the presence of specific CPT® codes in claims. Non-emergency visits to the ED do not necessarily require treatment in a hospital emergency department and can potentially be reated in a fast-track ED, an urgent care treatment center, or a clinical or a physician’s private office.
Note: These are not actual Methodist ED visit rates. These are statistical estimates of ED visits for the population.Source: IBM Watson Health, 2018
Methodist Hospital for Surgery 32
Methodist Health SystemCommunity Health Needs Assessment
Page 33 of 54
Focus Groups & Interviews
Methodist worked jointly with Baylor Scott & White Health, Parkland Health & Hospital System, and Texas Health Resources hospital facilities in collecting and sharing qualitative data (community input) on the health needs of this community. In the focus group sessions and interviews, participants identified and discussed the factors that contribute to the current health status of the community, and then identified the greatest barriers and strengths that contribute to the overall health of the community. For this health community there were four (4) focus group sessions with a total of 45 participants and ten (10) interviews were conducted July 2018 through March2019.This health community contained many disparate populations and included urban areas with high poverty levels, wealthy suburbs, housing shortages, and agricultural areas. Dallas County contained growth areas as well as concentrated poverty and segregation, Denton was a growing region recently ranked the healthiest county in Texas but fragmented, and Collin County was a fast-growing, increasingly diverse area with a high cost of living.Public transportation was extremely limited in most of the health community, and compounded challenges to residents without a car. The focus groups described community poverty, generational habits, and limited healthy eating habits. The food pantries were working to alleviate hunger and to provide healthier and fresh food options, but language and culture were barriers to developing trust and increased access. There were food deserts in all three counties, and some residents used local convenience stores and inexpensive fast food frequently, both poor nutrition options.Participants who worked with the community said that hunger metrics were getting worse and many parts of the area lacked access to healthy food options. One of the primary barriers to good health in Dallas County and other parts of this health community was the lack of living wage jobs to pay for insurance, health services, and healthy food. Denton County lacked affordable housing for its vulnerable populations, especially low-income families, seniors on a fixed income, and people with disabilities. This has led to a growing homeless population living in crisis mode. Many residents worked but didn’t have health insurance, part of the “working poor” population. Even if residents did have insurance coverage, many were hourly workers and could not afford taking time off to manage health needs.Participants identified service gaps in all clinical areas; primary, maternal, vision, dental, specialty, and behavioral health care were the most acute. The needs for more mental health services were frequently mentioned as a high need area, especially for low income residents; there was limited coordination of available services, the topic was highly stigmatized, very few services were available, and it affected all age groups. Interview participants shared that drug issues disproportionately affected the younger people in the community, and frequently linked to mental health needs.Focus groups shared that the diversity in the community also presented barriers to good health. Cultural and historical habits in the immigrant populations and lack of cultural
Methodist Hospital for Surgery 33
Methodist Health System Community Health Needs Assessment
Page 34 of 54
sensitivity in providers contributed to a culture of distrust of outsiders. Combined with very limited public transportation, food deserts, and lack of insurance, many residents had no access to preventive services or primary care and used the ED for non-emergent medical services.
Prioritized Significant Health Needs
The Health Needs Matrix identified through the community health needs assessment (see Methodology for Defining Community Need section) shows the convergence of needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators). The significant health needs for this community were identified, reviewed, and prioritized by Methodist leadership (see Approach to Identify and Prioritize Significant Health Needs section) and the resulting prioritized health needs for this community were:
Significant Community Health Needs Identified
Priority Needs Identified Category of Need Public Health Indicator
1 Food Insecurity Environment Food Insecurity (Hunger)
2 Alcohol Abuse Health Behaviors -Substance Abuse
Adults Engaging in Binge Drinking During the Past 30 Days
2 Alcohol Abuse Health Behaviors -Substance Abuse
Motor Vehicle Driving Deaths with Alcohol Involvement
2 Drug Overdose Deaths
Health Behaviors -Substance Abuse Drug Poisoning Death Rate
3 Diabetes Chronic Conditions Diabetes Short-term Complications Admission: Pediatric (Risk Adjusted)
4 Housing Environment Severe Housing Problems
4 Housing Environment Renter-Occupied Housing
5 Drug Overdose Deaths - Opioids
Health Behaviors -Substance Abuse
Accidental Poisoning Deaths where Opioids were Involved
6 Uninsured Population Access to Care Percent of Population under Age 65 without
Health Insurance
6 Uninsured Population Access to Care Uninsured Children
7 Poverty Social Determinants of Health Individuals Living Below the Poverty Level
7 Poverty Social Determinants of Health Children in Poverty
7 Poverty Social Determinants of Health
Children Eligible for Free Lunch Enrolled in Public Schools
8 Air Quality Environment Air Pollution - Particulate Matter Daily Density
9 Transportation Access to Care No Vehicle Available
Methodist Health System Community Health Needs Assessment
Page 34 of 54
sensitivity in providers contributed to a culture of distrust of outsiders. Combined with very limited public transportation, food deserts, and lack of insurance, many residents had no access to preventive services or primary care and used the ED for non-emergent medical services.
Prioritized Significant Health Needs
The Health Needs Matrix identified through the community health needs assessment (see Methodology for Defining Community Need section) shows the convergence of needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators). The significant health needs for this community were identified, reviewed, and prioritized by Methodist leadership (see Approach to Identify and Prioritize Significant Health Needs section) and the resulting prioritized health needs for this community were:
Significant Community Health Needs Identified
Priority Needs Identified Category of Need Public Health Indicator
1 Food Insecurity Environment Food Insecurity (Hunger)
2 Alcohol Abuse Health Behaviors -Substance Abuse
Adults Engaging in Binge Drinking During the Past 30 Days
2 Alcohol Abuse Health Behaviors -Substance Abuse
Motor Vehicle Driving Deaths with Alcohol Involvement
2 Drug Overdose Deaths
Health Behaviors -Substance Abuse Drug Poisoning Death Rate
3 Diabetes Chronic Conditions Diabetes Short-term Complications Admission: Pediatric (Risk Adjusted)
4 Housing Environment Severe Housing Problems
4 Housing Environment Renter-Occupied Housing
5 Drug Overdose Deaths - Opioids
Health Behaviors -Substance Abuse
Accidental Poisoning Deaths where Opioids were Involved
6 Uninsured Population Access to Care Percent of Population under Age 65 without
Health Insurance
6 Uninsured Population Access to Care Uninsured Children
7 Poverty Social Determinants of Health Individuals Living Below the Poverty Level
7 Poverty Social Determinants of Health Children in Poverty
7 Poverty Social Determinants of Health
Children Eligible for Free Lunch Enrolled in Public Schools
8 Air Quality Environment Air Pollution - Particulate Matter Daily Density
9 Transportation Access to Care No Vehicle Available
Methodist Hospital for Surgery 34
Methodist Health SystemCommunity Health Needs Assessment
Page 35 of 54
Priority Needs Identified Category of Need Public Health Indicator
9 CardiovascularDisease Chronic Conditions Atrial Fibrillation in Medicare Population
9 CardiovascularDisease Chronic Conditions Hyperlipidemia in Medicare Population
10 Cancer Cancer Cancer Incidence - Female Breast
10 Cancer Cancer Cancer Incidence - Prostate
10 Language Barriers Social Determinantsof Health Non-English Speaking Households
11 Mental Health Mental Health Depression in Medicare Population
11 Mental Health Mental Health Schizophrenia and Other PsychoticDisorders in Medicare Population
12 Perforated AppendixAdmission
Preventable Hospitalizations
Perforated Appendix Admission: Pediatric(Risk-Adjusted Rate for Appendicitis)
12 Perforated AppendixAdmission
Preventable Hospitalizations
Perforated Appendix Admission: Adult(Risk-Adjusted Rate per 100 Admissions forAppendicitis)
13 Primary Care Access to Care Ratio of Population to one Non-Physician Primary Care Provider
14 Social Isolation Social Determinantsof Health Social Associations/Memberships
15 Infant and Child Mortality
Injury and Death -Children Infant Mortality Rate
15 Infant and Child Mortality
Injury and Death -Children Child Mortality Rate
Source: IBM Watson Health, 2019
Health Needs to be Addressed by Methodist
Using the approach outlined in the methodology section of this report (see Selecting theHealth Needs to be Addressed by Methodist section), participants from MethodistHospital for Surgery collectively rated, ranked, and selected the following significantneeds to be addressed by implementation strategies:
1. Poverty2. Food Insecurity
Methodist Health SystemCommunity Health Needs Assessment
Page 35 of 54
Priority Needs Identified Category of Need Public Health Indicator
9 CardiovascularDisease Chronic Conditions Atrial Fibrillation in Medicare Population
9 CardiovascularDisease Chronic Conditions Hyperlipidemia in Medicare Population
10 Cancer Cancer Cancer Incidence - Female Breast
10 Cancer Cancer Cancer Incidence - Prostate
10 Language Barriers Social Determinantsof Health Non-English Speaking Households
11 Mental Health Mental Health Depression in Medicare Population
11 Mental Health Mental Health Schizophrenia and Other PsychoticDisorders in Medicare Population
12 Perforated AppendixAdmission
Preventable Hospitalizations
Perforated Appendix Admission: Pediatric(Risk-Adjusted Rate for Appendicitis)
12 Perforated AppendixAdmission
Preventable Hospitalizations
Perforated Appendix Admission: Adult(Risk-Adjusted Rate per 100 Admissions forAppendicitis)
13 Primary Care Access to Care Ratio of Population to one Non-Physician Primary Care Provider
14 Social Isolation Social Determinantsof Health Social Associations/Memberships
15 Infant and Child Mortality
Injury and Death -Children Infant Mortality Rate
15 Infant and Child Mortality
Injury and Death -Children Child Mortality Rate
Source: IBM Watson Health, 2019
Health Needs to be Addressed by Methodist
Using the approach outlined in the methodology section of this report (see Selecting the Health Needs to be Addressed by Methodist section), participants from Methodist Hospital for Surgery collectively rated, ranked, and selected the following significant needs to be addressed by implementation strategies:
1. Poverty2. Food Insecurity
Methodist Health SystemCommunity Health Needs Assessment
Page 35 of 54
Priority Needs Identified Category of Need Public Health Indicator
9 Cardiovascular Disease Chronic Conditions Atrial Fibrillation in Medicare Population
9 Cardiovascular Disease Chronic Conditions Hyperlipidemia in Medicare Population
10 Cancer Cancer Cancer Incidence - Female Breast
10 Cancer Cancer Cancer Incidence - Prostate
10 Language Barriers Social Determinants of Health Non-English Speaking Households
11 Mental Health Mental Health Depression in Medicare Population
11 Mental Health Mental Health Schizophrenia and Other Psychotic Disorders in Medicare Population
12 Perforated Appendix Admission
Preventable Hospitalizations
Perforated Appendix Admission: Pediatric (Risk-Adjusted Rate for Appendicitis)
12 Perforated Appendix Admission
Preventable Hospitalizations
Perforated Appendix Admission: Adult (Risk-Adjusted Rate per 100 Admissions for Appendicitis)
13 Primary Care Access to Care Ratio of Population to one Non-Physician Primary Care Provider
14 Social Isolation Social Determinants of Health Social Associations/Memberships
15 Infant and Child Mortality
Injury and Death -Children Infant Mortality Rate
15 Infant and Child Mortality
Injury and Death -Children Child Mortality Rate
Source: IBM Watson Health, 2019
Health Needs to be Addressed by Methodist
Using the approach outlined in the methodology section of this report (see Selecting theHealth Needs to be Addressed by Methodist section), participants from MethodistHospital for Surgery collectively rated, ranked, and selected the following significantneeds to be addressed by implementation strategies:
1. Poverty2. Food Insecurity
Methodist Hospital for Surgery 35
Methodist Health SystemCommunity Health Needs Assessment
Page 36 of 54
Description of Significant Health Needs
The CHNA process identified significant community health needs that can be categorized as issues related to poverty and food access. Regionalized health needs affect all age levels to some degree; however, it is often the most vulnerablepopulations that are negatively affected. Community health gaps help to define the resources and access to care within the county or region. Health and social concerns were validated through key informant interviews, focus groups and county data. The health needs selected by Methodist to be addressed are briefly described below with public health indicator and benchmark information.
Food Insecurity
Food insecurity is a measurement of the prevalence of hunger in the community; it reflects the percentage of the population who did not have access to a reliable source of food. The CHNA identified concerns around food access and nutrition. Lacking consistent access to food is related to negative health outcomes such as weight-gain and premature mortality. Individuals and families with an inability to provide and eat balanced meals create additional barriers to healthy eating.2
It is equally important to eat a balanced diet that includes the consumption of fruits and vegetables as well as to have adequate access to a consistent supply of food. Dallas County showed a need related to food insecurity. Within Dallas County 18.2% of the population lacked adequate access to food during the past year, indicating a potentially larger vulnerable population when comparted to the overall Texas state benchmark of15.7%. The numbers were similar for Denton at 15.9% and Collin at 16%. It is notable that the overall Texas proportion of food insecure population was also greater than the U.S. benchmark of 13%.3
Poverty
The social and physical environments of those living below the poverty level affects a spectrum of factors such as housing, transportation and health outcomes. Poverty is both a cause and a consequence of poor health. Poverty increases the chances of poor health while poor health, in turn, traps communities in poverty. Limited income and poverty often require individuals to make difficult choices on a routine basis; such as choosing to feed one’s family over personal health needs. Marginalized groups and vulnerable individuals are often the most affected, deprived of the information, money or access to health services that would help them prevent and treat disease.4 Moving beyond the limitations of poverty is challenging on nearly every level.Within the community, 18.6% of Dallas County was living below the poverty level, 11% higher than the Texas state benchmark.5 The numbers were more dire for children;
2 Gundersen C, Satoh A, Dewey A, Kato M, Engelhard E. Map the Meal Gap 2015: Food Insecurity and Child Food Insecurity Estimates at the County Level. Feeding America, 20153 Map the Meal Gap, Feeding America; County Health Rankings & Roadmaps, 20184 Health Poverty Action, Key Facts Poverty and Poor Health, 20185 American Community Survey 5-Year Estimates, Individuals below poverty level, 2012-2016
Methodist Hospital for Surgery 36
Methodist Health SystemCommunity Health Needs Assessment
Page 37 of 54
almost 25% of children in Dallas lived below the poverty level, indicating this communityhad a significant vulnerable population with potentially greater health and social needs.
Summary
Methodist conducted its Community Health Needs Assessments beginning June 2018 to identify and begin addressing the health needs of the communities they serve. Using both qualitative community feedback, as well as publicly available and proprietary health indicators, Methodist was able to identify and prioritize community health needs for their healthcare system. With the goal of improving the health of the community, implementation plans with specific tactics and time frames will be developed for the health needs Methodist chose to address for the community served.
Methodist Hospital for Surgery 37
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
38
of 5
4
App
endi
x A:
Key
Hea
lth In
dica
torS
ourc
esC
ateg
ory
Publ
ic H
ealth
Indi
cato
r So
urce
Access to CareH
ospi
tal S
tays
for A
mbu
lato
ry-C
are
Sen
sitiv
e C
ondi
tions
-Med
icar
e20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; D
artm
outh
Atla
s of
Hea
lth C
are,
CM
S
Per
cent
age
of P
opul
atio
n un
der a
ge65
with
out H
ealth
Insu
ranc
e20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; S
mal
l Are
a H
ealth
Insu
ranc
e Es
timat
es (S
AH
IE),
Uni
ted
Sta
tes
Cen
sus
Bur
eau
Pric
e-A
djus
ted
Med
icar
e R
eim
burs
emen
ts p
er E
nrol
lee
NEW
201
920
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; D
artm
outh
Atla
s of
Hea
lth C
are,
CM
S
Rat
io o
f Pop
ulat
ion
to O
ne D
entis
t20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
rea
Hea
lth R
esou
rce
File
/Nat
iona
l Pro
vide
r Ide
ntifi
catio
n fil
e (C
MS
)R
atio
of P
opul
atio
n to
One
Non
-Phy
sici
an P
rimar
y C
are
Pro
vide
r20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; C
MS
, Nat
iona
l Pro
vide
r Ide
ntifi
catio
n R
egis
try (N
PPE
S)
Rat
io o
f Pop
ulat
ion
to O
ne P
rimar
y C
are
Phy
sici
an20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
rea
Hea
lth R
esou
rce
File
/Am
eric
an M
edic
al A
ssoc
iatio
n
Uni
nsur
ed C
hild
ren
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Sm
all A
rea
Hea
lth In
sura
nce
Estim
ates
(SA
HIE
), U
nite
d S
tate
s C
ensu
s B
urea
u
Conditions/Diseases
Adu
lt O
besi
ty (P
erce
nt)
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
CD
C D
iabe
tes
Inte
ract
ive
Atla
s, T
he N
atio
nal D
iabe
tes
Sur
veill
ance
Sys
tem
Arth
ritis
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Atri
al F
ibril
latio
n in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Can
cer I
ncid
ence
-Al
l Cau
ses
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Can
cer I
ncid
ence
-C
olon
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Can
cer I
ncid
ence
-Fe
mal
e B
reas
t20
11-2
015
Sta
te C
ance
r Pro
files
, Nat
iona
l Can
cer I
nstit
ute
(CD
C)
Can
cer I
ncid
ence
-Lu
ng20
11-2
015
Sta
te C
ance
rPro
files
, Nat
iona
l Can
cer I
nstit
ute
(CD
C)
Can
cer I
ncid
ence
-P
rost
ate
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Chr
onic
Kid
ney
Dis
ease
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
CO
PD
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Dia
bete
s D
iagn
oses
in A
dults
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Dia
bete
s pr
eval
ence
2018
Cou
nty
Hea
lth R
anki
ngs
(CD
C D
iabe
tes
Inte
ract
ive
Atla
s)
Freq
uent
phy
sica
l dis
tress
2016
Beh
avio
ral R
isk
Fact
or S
urve
illan
ce S
yste
m (B
RFS
S)
Hea
rt Fa
ilure
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
HIV
Pre
vale
nce
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Nat
iona
l Cen
ter f
or H
IV/A
IDS,
Vira
l Hep
atiti
s, S
TD, a
nd
TB P
reve
ntio
n (N
CH
HS
TP)
Hyp
erlip
idem
ia in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Hyp
erte
nsio
n in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Isch
emic
Hea
rt D
isea
se in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Ost
eopo
rosi
s in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Stro
ke in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Methodist Hospital for Surgery 38
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
39
of 5
4
Cat
egor
yPu
blic
Hea
lth In
dica
tor
Sour
ce
EnvironmentA
ir P
ollu
tion
-Par
ticul
ate
Mat
ter d
aily
den
sity
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Env
ironm
enta
l Pub
lic H
ealth
Tra
ckin
g N
etw
ork
(CD
C)
Drin
king
Wat
er V
iola
tions
(Per
cent
of P
opul
atio
n E
xpos
ed)
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Saf
e D
rinki
ng W
ater
Info
rmat
ion
Sys
tem
(SD
WIS
), U
nite
d S
tate
s E
nviro
nmen
tal P
rote
ctio
n Ag
ency
(EPA
)
Driv
ing
Alo
ne to
Wor
k20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
mer
ican
Com
mun
ity S
urve
y, 5
-Yea
r Est
imat
es, U
nite
d S
tate
s C
ensu
s B
urea
uE
lder
ly is
olat
ion.
65+
Hou
seho
lder
livi
ng a
lone
NEW
201
9U
.S. C
ensu
s B
urea
u, 2
012-
2016
Am
eric
an C
omm
unity
Sur
vey
5-Y
ear E
stim
ates
Food
Env
ironm
ent I
ndex
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
US
DA
Food
Env
ironm
ent A
tlas,
Map
the
Mea
l Gap
from
Fe
edin
g Am
eric
a, U
nite
d St
ates
Dep
artm
ent o
f Agr
icul
ture
(US
DA
)Fo
od In
secu
re20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; M
ap th
e M
eal G
ap, F
eedi
ng A
mer
ica
Lim
ited
Acce
ssto
Hea
lthy
Food
s (P
erce
nt o
f Low
Inco
me)
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
US
DA
Food
Env
ironm
ent A
tlas,
Uni
ted
Sta
tes
Dep
artm
ent
of A
gric
ultu
re (U
SD
A)
Long
Com
mut
e A
lone
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Am
eric
an C
omm
unity
Sur
vey,
5-Y
ear E
stim
ates
, Uni
ted
Sta
tes
Cen
sus
Bur
eau
No
vehi
cle
avai
labl
e N
EW 2
019
U.S
. Cen
sus
Bur
eau,
201
7 Am
eric
an C
omm
unity
Sur
vey
1-Y
ear E
stim
ates
Pop
ulat
ion
with
Ade
quat
e A
cces
s to
Loc
atio
ns fo
r Phy
sica
l Act
ivity
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Bus
ines
s A
naly
st, D
elor
me
map
dat
a, E
SR
I, &
US
Cen
sus
Tige
rline
File
s (A
rcG
IS)
Ren
ter-o
ccup
ied
hous
ing
NEW
201
9U
.S. C
ensu
s B
urea
u, 2
017
Amer
ican
Com
mun
ity S
urve
y 1-
Yea
r Est
imat
es
Res
iden
tial s
egre
gatio
n -b
lack
/whi
te N
EW 2
019
2018
Cou
nty
Hea
lth R
anki
ngs
(Am
eric
an C
omm
unity
Sur
vey,
5-y
ear e
stim
ates
)
Res
iden
tial s
egre
gatio
n -n
on-w
hite
/whi
te N
EW 2
019
2018
.Cou
nty
Hea
lth R
anki
ngs
(Am
eric
an C
omm
unity
Sur
vey,
5-y
ear e
stim
ates
)
Sev
ere
Hou
sing
Pro
blem
s20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; C
ompr
ehen
sive
Hou
sing
Affo
rdab
ility
Stra
tegy
(CH
AS
) da
ta, U
.S. D
epar
tmen
t of H
ousi
ng a
nd U
rban
Dev
elop
men
t (H
UD
)
Health Behaviors
Adu
lt Sm
okin
g20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; T
he B
ehav
iora
l Ris
k Fa
ctor
Sur
veill
ance
Sys
tem
(BR
FSS
)
Adu
lts E
ngag
ing
in B
inge
Drin
king
Dur
ing
the
Pas
t 30
Day
s20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; T
he B
ehav
iora
l Ris
k Fa
ctor
Sur
veill
ance
Sys
tem
(BR
FSS
)
Dis
conn
ecte
d yo
uth
NEW
201
920
18 C
ount
y H
ealth
Ran
king
s (M
easu
re o
f Am
eric
a)
Dru
g P
oiso
ning
Dea
ths
Rat
e20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s, C
DC
WO
ND
ER
Mor
talit
y D
ata
Insu
ffici
ent s
leep
NEW
201
920
16 B
ehav
iora
l Ris
k Fa
ctor
Sur
veill
ance
Sys
tem
(BR
FSS
)
Mot
or V
ehic
le D
rivin
g D
eath
s w
ith A
lcoh
ol In
volv
emen
t20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; F
atal
ity A
naly
sis
Rep
ortin
g S
yste
m (F
AR
S)
Phy
sica
l Ina
ctiv
ity20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; C
DC
Dia
bete
s In
tera
ctiv
e A
tlas,
The
Nat
iona
l Dia
bete
s S
urve
illan
ce S
yste
m
Sex
ually
Tra
nsm
itted
Infe
ctio
n In
cide
nce
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Nat
iona
l Cen
ter f
or H
IV/A
IDS,
Vira
l Hep
atiti
s, S
TD, a
nd
TB P
reve
ntio
n (N
CH
HS
TP)
Teen
Birt
h R
ate
per 1
,000
Fem
ale
Pop
ulat
ion,
Age
s 15
-19
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Nat
iona
l Cen
ter f
or H
ealth
Sta
tistic
s -N
atal
ity fi
les,
N
atio
nal V
ital S
tatis
tics
Sys
tem
(NV
SS)
Hea
lth
Stat
us
Adu
lts R
epor
ting
Fair
or P
oor H
ealth
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
The
Beh
avio
ral R
isk
Fact
or S
urve
illan
ce S
yste
m (B
RFS
S)
Ave
rage
Num
ber o
f Phy
sica
lly U
nhea
lthy
Day
s R
epor
ted
in P
ast 3
0 da
ys (A
ge-A
djus
ted)
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
The
Beh
avio
ral R
isk
Fact
or S
urve
illan
ce S
yste
m (B
RFS
S)
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
38
of 5
4
App
endi
x A:
Key
Hea
lth In
dica
torS
ourc
esC
ateg
ory
Publ
ic H
ealth
Indi
cato
r So
urce
Access to CareH
ospi
tal S
tays
for A
mbu
lato
ry-C
are
Sen
sitiv
e C
ondi
tions
-Med
icar
e20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; D
artm
outh
Atla
s of
Hea
lth C
are,
CM
S
Per
cent
age
of P
opul
atio
n un
der a
ge65
with
out H
ealth
Insu
ranc
e20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; S
mal
l Are
a H
ealth
Insu
ranc
e Es
timat
es (S
AH
IE),
Uni
ted
Sta
tes
Cen
sus
Bur
eau
Pric
e-A
djus
ted
Med
icar
e R
eim
burs
emen
ts p
er E
nrol
lee
NEW
201
920
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; D
artm
outh
Atla
s of
Hea
lth C
are,
CM
S
Rat
io o
f Pop
ulat
ion
to O
ne D
entis
t20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
rea
Hea
lth R
esou
rce
File
/Nat
iona
l Pro
vide
r Ide
ntifi
catio
n fil
e (C
MS
)R
atio
of P
opul
atio
n to
One
Non
-Phy
sici
an P
rimar
y C
are
Pro
vide
r20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; C
MS
, Nat
iona
l Pro
vide
r Ide
ntifi
catio
n R
egis
try (N
PPE
S)
Rat
io o
f Pop
ulat
ion
to O
ne P
rimar
y C
are
Phy
sici
an20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
rea
Hea
lth R
esou
rce
File
/Am
eric
an M
edic
al A
ssoc
iatio
n
Uni
nsur
ed C
hild
ren
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Sm
all A
rea
Hea
lth In
sura
nce
Estim
ates
(SA
HIE
), U
nite
d S
tate
s C
ensu
s B
urea
u
Conditions/Diseases
Adu
lt O
besi
ty (P
erce
nt)
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
CD
C D
iabe
tes
Inte
ract
ive
Atla
s, T
he N
atio
nal D
iabe
tes
Sur
veill
ance
Sys
tem
Arth
ritis
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Atri
al F
ibril
latio
n in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Can
cer I
ncid
ence
-Al
l Cau
ses
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Can
cer I
ncid
ence
-C
olon
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Can
cer I
ncid
ence
-Fe
mal
e B
reas
t20
11-2
015
Sta
te C
ance
r Pro
files
, Nat
iona
l Can
cer I
nstit
ute
(CD
C)
Can
cer I
ncid
ence
-Lu
ng20
11-2
015
Sta
te C
ance
rPro
files
, Nat
iona
l Can
cer I
nstit
ute
(CD
C)
Can
cer I
ncid
ence
-P
rost
ate
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Chr
onic
Kid
ney
Dis
ease
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
CO
PD
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Dia
bete
s D
iagn
oses
in A
dults
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Dia
bete
s pr
eval
ence
2018
Cou
nty
Hea
lth R
anki
ngs
(CD
C D
iabe
tes
Inte
ract
ive
Atla
s)
Freq
uent
phy
sica
l dis
tress
2016
Beh
avio
ral R
isk
Fact
or S
urve
illan
ce S
yste
m (B
RFS
S)
Hea
rt Fa
ilure
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
HIV
Pre
vale
nce
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Nat
iona
l Cen
ter f
or H
IV/A
IDS,
Vira
l Hep
atiti
s, S
TD, a
nd
TB P
reve
ntio
n (N
CH
HS
TP)
Hyp
erlip
idem
ia in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Hyp
erte
nsio
n in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Isch
emic
Hea
rt D
isea
se in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Ost
eopo
rosi
s in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Stro
ke in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Methodist Hospital for Surgery 40
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
41
of 5
4
Cat
egor
yPu
blic
Hea
lth In
dica
tor
Sour
cePopulation
Chi
ldre
n E
ligib
le fo
r Fre
e Lu
nch
Enro
lled
in P
ublic
Sch
ools
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps,
The
Nat
iona
l Cen
ter f
or E
duca
tion
Stat
istic
s (N
CE
S)
Chi
ldre
n in
Pov
erty
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Sm
all A
rea
Hea
lth In
sura
nce
Estim
ates
(SA
HIE
), U
nite
d S
tate
s C
ensu
s B
urea
u
Chi
ldre
n in
Sin
gle-
Par
ent H
ouse
hold
s20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
mer
ican
Com
mun
ity S
urve
y (A
CS
), 5
Yea
r Est
imat
es
(Uni
ted
Stat
es C
ensu
s B
urea
u)C
ivili
an v
eter
an p
opul
atio
n 18
+ N
EW 2
019
U.S
. Cen
sus
Bur
eau,
201
2-20
16 A
mer
ican
Com
mun
ity S
urve
y 5-
Yea
r Est
imat
es
Dis
able
d po
pula
tion,
civ
ilian
non
inst
itutio
naliz
edU
.S. C
ensu
s B
urea
u, 2
012-
2016
Am
eric
an C
omm
unity
Sur
vey
5-Y
ear E
stim
ates
Hig
h Sc
hool
Dro
pout
2016
Tex
as E
duca
tion
Age
ncy
Hig
h Sc
hool
Gra
duat
ion
2017
Tex
as E
duca
tion
Age
ncy
Hom
icid
es20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s, C
DC
WO
ND
ER
Mor
talit
y D
ata
Hou
seho
ld in
com
e, m
edia
n N
EW 2
019
2018
Cou
nty
Hea
lth R
anki
ngs
(201
6 Sm
all A
rea
Inco
me
and
Pov
erty
Est
imat
es)
Inco
me
Ineq
ualit
y20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
mer
ican
Com
mun
ity S
urve
y (A
CS
), 5
Yea
r Est
imat
es
(Uni
ted
Stat
es C
ensu
s B
urea
u)In
divi
dual
s Li
ving
Bel
ow P
over
ty L
evel
2012
-201
6 U
S C
ensu
s B
urea
u -A
mer
ican
Fac
tFin
der
Indi
vidu
als
Who
Rep
ort B
eing
Dis
able
d20
12-2
016
US
Cen
sus
Bur
eau
-Am
eric
an F
actF
inde
r
Non
-Eng
lish-
spea
king
hou
seho
lds
NEW
201
9U
.S. C
ensu
s B
urea
u, 2
012-
2016
Am
eric
an C
omm
unity
Sur
vey
5-Y
ear E
stim
ates
Soc
ial/M
embe
rshi
p As
soci
atio
ns20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; 2
015
Cou
nty
Bus
ines
s P
atte
rns,
Uni
ted
Sta
tes
Cen
sus
Bur
eau
Som
e C
olle
ge20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
mer
ican
Com
mun
ity S
urve
y (A
CS
), 5
Yea
r Est
imat
es
(Uni
ted
Stat
es C
ensu
s B
urea
u)
Une
mpl
oym
ent
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Loc
al A
rea
Une
mpl
oym
ent S
tatis
tics
(LA
US
), B
urea
u of
La
bor S
tatis
tics
Vio
lent
Crim
e O
ffens
es20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; U
nifo
rm C
rime
Rep
ortin
g (U
CR
) Pro
gram
, Uni
ted
Sta
tes
Dep
artm
ent o
f Jus
tice,
Fed
eral
Bur
eau
of In
vest
igat
ion
(FB
I)
Preventable Hospitalizations
Ast
hma
Adm
issi
on: P
edia
tric
(Ris
k-A
djus
ted-
Rat
e)20
16 T
exas
Hea
lth a
nd H
uman
Ser
vice
s C
ente
r for
Hea
lth S
tatis
tics
Pre
vent
able
Hos
pita
lizat
ions
Dia
bete
s Lo
wer
-Ext
rem
ity A
mpu
tatio
n A
dmis
sion
: Adu
lt (R
isk-
Adj
uste
d-R
ate)
2016
Tex
as H
ealth
and
Hum
an S
ervi
ces
Cen
ter f
or H
ealth
Sta
tistic
s P
reve
ntab
le H
ospi
taliz
atio
ns
Dia
bete
s S
hort-
term
Com
plic
atio
ns A
dmis
sion
: Ped
iatri
c (R
isk-
Adj
uste
d-R
ate)
2016
Tex
as H
ealth
and
Hum
an S
ervi
ces
Cen
ter f
or H
ealth
Sta
tistic
s P
reve
ntab
le H
ospi
taliz
atio
ns
Gas
troen
terit
is A
dmis
sion
: Ped
iatri
c (R
isk-
Adj
uste
d-R
ate)
2016
Tex
as H
ealth
and
Hum
an S
ervi
ces
Cen
ter f
or H
ealth
Sta
tistic
s P
reve
ntab
le H
ospi
taliz
atio
nsP
erfo
rate
d A
ppen
dix
Adm
issi
on: A
dult
(Ris
k-A
djus
ted-
Rat
e pe
r 100
A
dmis
sion
s fo
r App
endi
citis
)20
16 T
exas
Hea
lth a
nd H
uman
Ser
vice
s C
ente
r for
Hea
lth S
tatis
tics
Pre
vent
able
Hos
pita
lizat
ions
Per
fora
ted
App
endi
x A
dmis
sion
: Ped
iatri
c (R
isk-
Adj
uste
d-R
ate
for
App
endi
citis
)20
16 T
exas
Hea
lth a
nd H
uman
Ser
vice
s C
ente
r for
Hea
lth S
tatis
tics
Pre
vent
able
Hos
pita
lizat
ions
Unc
ontro
lled
Dia
bete
s A
dmis
sion
: Adu
lt (R
isk-
Adj
uste
d-R
ate)
2016
Tex
as H
ealth
and
Hum
an S
ervi
ces
Cen
ter f
or H
ealth
Sta
tistic
s P
reve
ntab
le H
ospi
taliz
atio
ns
Urin
ary
Trac
t Inf
ectio
n A
dmis
sion
: Ped
iatri
c (R
isk-
Adj
uste
d-R
ate)
2016
Tex
as H
ealth
and
Hum
an S
ervi
ces
Cen
ter f
or H
ealth
Sta
tistic
s P
reve
ntab
le H
ospi
taliz
atio
ns
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
38
of 5
4
App
endi
x A:
Key
Hea
lth In
dica
torS
ourc
esC
ateg
ory
Publ
ic H
ealth
Indi
cato
r So
urce
Access to CareH
ospi
tal S
tays
for A
mbu
lato
ry-C
are
Sen
sitiv
e C
ondi
tions
-Med
icar
e20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; D
artm
outh
Atla
s of
Hea
lth C
are,
CM
S
Per
cent
age
of P
opul
atio
n un
der a
ge65
with
out H
ealth
Insu
ranc
e20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; S
mal
l Are
a H
ealth
Insu
ranc
e Es
timat
es (S
AH
IE),
Uni
ted
Sta
tes
Cen
sus
Bur
eau
Pric
e-A
djus
ted
Med
icar
e R
eim
burs
emen
ts p
er E
nrol
lee
NEW
201
920
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; D
artm
outh
Atla
s of
Hea
lth C
are,
CM
S
Rat
io o
f Pop
ulat
ion
to O
ne D
entis
t20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
rea
Hea
lth R
esou
rce
File
/Nat
iona
l Pro
vide
r Ide
ntifi
catio
n fil
e (C
MS
)R
atio
of P
opul
atio
n to
One
Non
-Phy
sici
an P
rimar
y C
are
Pro
vide
r20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; C
MS
, Nat
iona
l Pro
vide
r Ide
ntifi
catio
n R
egis
try (N
PPE
S)
Rat
io o
f Pop
ulat
ion
to O
ne P
rimar
y C
are
Phy
sici
an20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; A
rea
Hea
lth R
esou
rce
File
/Am
eric
an M
edic
al A
ssoc
iatio
n
Uni
nsur
ed C
hild
ren
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Sm
all A
rea
Hea
lth In
sura
nce
Estim
ates
(SA
HIE
), U
nite
d S
tate
s C
ensu
s B
urea
u
Conditions/Diseases
Adu
lt O
besi
ty (P
erce
nt)
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
CD
C D
iabe
tes
Inte
ract
ive
Atla
s, T
he N
atio
nal D
iabe
tes
Sur
veill
ance
Sys
tem
Arth
ritis
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Atri
al F
ibril
latio
n in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Can
cer I
ncid
ence
-Al
l Cau
ses
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Can
cer I
ncid
ence
-C
olon
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Can
cer I
ncid
ence
-Fe
mal
e B
reas
t20
11-2
015
Sta
te C
ance
r Pro
files
, Nat
iona
l Can
cer I
nstit
ute
(CD
C)
Can
cer I
ncid
ence
-Lu
ng20
11-2
015
Sta
te C
ance
rPro
files
, Nat
iona
l Can
cer I
nstit
ute
(CD
C)
Can
cer I
ncid
ence
-P
rost
ate
2011
-201
5 S
tate
Can
cer P
rofil
es, N
atio
nal C
ance
r Ins
titut
e (C
DC
)
Chr
onic
Kid
ney
Dis
ease
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
CO
PD
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Dia
bete
s D
iagn
oses
in A
dults
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
Dia
bete
s pr
eval
ence
2018
Cou
nty
Hea
lth R
anki
ngs
(CD
C D
iabe
tes
Inte
ract
ive
Atla
s)
Freq
uent
phy
sica
l dis
tress
2016
Beh
avio
ral R
isk
Fact
or S
urve
illan
ce S
yste
m (B
RFS
S)
Hea
rt Fa
ilure
in M
edic
are
Pop
ulat
ion
CM
S.g
ov C
hron
ic c
ondi
tions
200
7-20
15
HIV
Pre
vale
nce
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Nat
iona
l Cen
ter f
or H
IV/A
IDS,
Vira
l Hep
atiti
s, S
TD, a
nd
TB P
reve
ntio
n (N
CH
HS
TP)
Hyp
erlip
idem
ia in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Hyp
erte
nsio
n in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Isch
emic
Hea
rt D
isea
se in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Ost
eopo
rosi
s in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Stro
ke in
Med
icar
e P
opul
atio
nC
MS
.gov
Chr
onic
con
ditio
ns 2
007-
2015
Methodist Hospital for Surgery 41
App
endi
x A
: Key
Hea
lth In
dica
tor S
ourc
es
Pag
e o
f
4260
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
42
of 5
4
Cat
egor
yPu
blic
Hea
lth In
dica
tor
Sour
ce
Prev
entio
nD
iabe
tic M
onito
ring
in M
edic
are
Enro
llees
2018
Cou
nty
Hea
lth R
anki
ngs
& R
oadm
aps;
Dar
tmou
th A
tlas
of H
ealth
Car
e, C
MS
Mam
mog
raph
y Sc
reen
ing
in M
edic
are
Enr
olle
es20
18 C
ount
y H
ealth
Ran
king
s &
Roa
dmap
s; D
artm
outh
Atla
s of
Hea
lth C
are,
CM
S
Methodist Hospital for Surgery 42
Methodist Health System Community Health Needs Assessment
Page 43 of 54
Appendix B: Community Resources Identified to Potentially Address Significant Health Needs
Below is a list of resources identified via community input:
Resource County
Assistance Center of Collin County Collin
Collin County Adult Clinic Collin
Collin County Alliance for Children Collin
Collin County Social Services Association Collin
Community Dental Care Collin
Community Lifeline Center Collin
Family Guidance Collin
Family Health Center Collin
Frisco Family Services Collin
Geriatric Wellness Center Collin
Grace to Change Collin
Holy Family Day School Collin
Hope Clinic of McKinney Collin
LifePath Systems Collin
Plano Adult Clinic Collin
Plano Children's Medical Clinic Collin
Plano Indigent Care Clinic Collin
Project Access Collin
Veterans Assistance Center Collin
Wellness Center for Older Adults Collin
Churches Dallas
City of Dallas Dallas
City Square Dallas
Community Health Centers Dallas
Dallas Concilio Dallas
Dallas Housing Authority Dallas
Dallas Life Foundation Dallas
DART Dallas
Methodist Health System Community Health Needs Assessment
Page 43 of 54
Appendix B: Community Resources Identified to Potentially Address Significant Health Needs
Below is a list of resources identified via community input:
Resource County
Assistance Center of Collin County Collin
Collin County Adult Clinic Collin
Collin County Alliance for Children Collin
Collin County Social Services Association Collin
Community Dental Care Collin
Community Lifeline Center Collin
Family Guidance Collin
Family Health Center Collin
Frisco Family Services Collin
Geriatric Wellness Center Collin
Grace to Change Collin
Holy Family Day School Collin
Hope Clinic of McKinney Collin
LifePath Systems Collin
Plano Adult Clinic Collin
Plano Children's Medical Clinic Collin
Plano Indigent Care Clinic Collin
Project Access Collin
Veterans Assistance Center Collin
Wellness Center for Older Adults Collin
Churches Dallas
City of Dallas Dallas
City Square Dallas
Community Health Centers Dallas
Dallas Concilio Dallas
Dallas Housing Authority Dallas
Dallas Life Foundation Dallas
DART Dallas
Methodist Hospital for Surgery 43
Methodist Health System Community Health Needs Assessment
Page 43 of 54
Appendix B: Community Resources Identified to Potentially Address Significant Health Needs
Below is a list of resources identified via community input:
Resource County
Assistance Center of Collin County Collin
Collin County Adult Clinic Collin
Collin County Alliance for Children Collin
Collin County Social Services Association Collin
Community Dental Care Collin
Community Lifeline Center Collin
Family Guidance Collin
Family Health Center Collin
Frisco Family Services Collin
Geriatric Wellness Center Collin
Grace to Change Collin
Holy Family Day School Collin
Hope Clinic of McKinney Collin
LifePath Systems Collin
Plano Adult Clinic Collin
Plano Children's Medical Clinic Collin
Plano Indigent Care Clinic Collin
Project Access Collin
Veterans Assistance Center Collin
Wellness Center for Older Adults Collin
Churches Dallas
City of Dallas Dallas
City Square Dallas
Community Health Centers Dallas
Dallas Concilio Dallas
Dallas Housing Authority Dallas
Dallas Life Foundation Dallas
DART Dallas
Methodist Health System Community Health Needs Assessment
Page 44 of 54
Resource County
DCHHS Dallas
Food Pantries Dallas
FQHCs or charity clinics(Agape, etc.) Dallas
Genesis Women's Shelter Dallas
Habitat for Humanity Dallas
Hospital and Hospital Affiliated Clinics Dallas
local health clinics Dallas
North Texas Food Bank Dallas
Parkland Dallas
Parkland Irving Health Center Dallas
Sharing Life Outreach Dallas
St. Vincent de Paul Dallas
The Bridge Homeless Shelter Dallas
WIC Clinics Dallas
Denton County Friends of the Family Denton
Denton County Public Health Denton
First Refuge Ministries Denton
Giving HOPE Denton
Metro Relief-DFW Denton
Ministerial Alliance Denton
Our Daily Bread Denton
Refuge for Women North Texas Denton
Solutions of North Texas Denton
Texas Women's University Denton
United Way Denton
University of North Texas Denton
Visions Ministry Denton
Methodist Hospital for Surgery 44
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
45
of 5
4
App
endi
x C
: Fed
eral
ly D
esig
nate
d H
ealth
Pro
fess
iona
l Sho
rtag
e A
reas
and
Med
ical
ly U
nder
serv
ed A
reas
and
Po
pula
tions
Hea
lth P
rofe
ssio
nal S
horta
ge A
reas
(HP
SA
)6
Cou
nty
Nam
eH
PSA
IDH
PSA
Nam
eH
PSA
Dis
cipl
ine
Cla
ssD
esig
natio
n Ty
pe
Den
ton
1489
9948
PAH
ealth
Ser
vice
s of
Nor
th
Texa
s, In
c.Pr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
6489
9948
MR
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
7489
9948
MQ
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
rD
ento
n74
8790
2282
Low
Inco
me-
Den
ton
Cou
nty
Men
tal H
ealth
Low
Inco
me
Popu
latio
n H
PSA
Dal
las
1489
9948
5FM
LK J
r Fam
ily C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
D3
Los
Barri
os U
nido
s C
omm
unity
Hea
lth C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
89Lo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
97M
LK J
r. Fa
mily
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1LLo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1VM
LK J
r. Fa
mily
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
P6D
alla
s C
ount
y H
ospi
tal
Dis
trict
Hom
eles
s Pr
ogra
ms
Prim
ary
Car
eFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
6489
9948
C2
Dal
las
Cou
nty
Hos
pita
lD
istri
ct H
omel
ess
Prog
ram
sD
enta
l Hea
lthFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
6U
.S. D
epar
tmen
t of H
ealth
and
Hum
an S
ervi
ces,
Hea
lth R
esou
rces
and
Ser
vice
s Ad
min
istra
tion,
201
8
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
45
of 5
4
App
endi
x C
: Fed
eral
ly D
esig
nate
d H
ealth
Pro
fess
iona
l Sho
rtag
e A
reas
and
Med
ical
ly U
nder
serv
ed A
reas
and
Po
pula
tions
Hea
lth P
rofe
ssio
nal S
horta
ge A
reas
(HP
SA
)6
Cou
nty
Nam
eH
PSA
IDH
PSA
Nam
eH
PSA
Dis
cipl
ine
Cla
ssD
esig
natio
n Ty
pe
Den
ton
1489
9948
PAH
ealth
Ser
vice
s of
Nor
th
Texa
s, In
c.Pr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
6489
9948
MR
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
7489
9948
MQ
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
rD
ento
n74
8790
2282
Low
Inco
me-
Den
ton
Cou
nty
Men
tal H
ealth
Low
Inco
me
Popu
latio
n H
PSA
Dal
las
1489
9948
5FM
LK J
r Fam
ily C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
D3
Los
Barri
os U
nido
s C
omm
unity
Hea
lth C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
89Lo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
97M
LK J
r. Fa
mily
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1LLo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1VM
LK J
r. Fa
mily
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
P6D
alla
s C
ount
y H
ospi
tal
Dis
trict
Hom
eles
s Pr
ogra
ms
Prim
ary
Car
eFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
6489
9948
C2
Dal
las
Cou
nty
Hos
pita
lD
istri
ct H
omel
ess
Prog
ram
sD
enta
l Hea
lthFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
6U
.S. D
epar
tmen
t of H
ealth
and
Hum
an S
ervi
ces,
Hea
lth R
esou
rces
and
Ser
vice
s Ad
min
istra
tion,
201
8
Methodist Hospital for Surgery 45
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
45
of 5
4
App
endi
x C
: Fed
eral
ly D
esig
nate
d H
ealth
Pro
fess
iona
l Sho
rtag
e A
reas
and
Med
ical
ly U
nder
serv
ed A
reas
and
Po
pula
tions
Hea
lth P
rofe
ssio
nal S
horta
ge A
reas
(HP
SA
)6
Cou
nty
Nam
eH
PSA
IDH
PSA
Nam
eH
PSA
Dis
cipl
ine
Cla
ssD
esig
natio
n Ty
pe
Den
ton
1489
9948
PAH
ealth
Ser
vice
s of
Nor
th
Texa
s, In
c.Pr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
6489
9948
MR
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
7489
9948
MQ
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
rD
ento
n74
8790
2282
Low
Inco
me-
Den
ton
Cou
nty
Men
tal H
ealth
Low
Inco
me
Popu
latio
n H
PSA
Dal
las
1489
9948
5FM
LK J
r Fam
ily C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
D3
Los
Barri
os U
nido
s C
omm
unity
Hea
lth C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
89Lo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
97M
LK J
r. Fa
mily
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1LLo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1VM
LK J
r. Fa
mily
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
P6D
alla
s C
ount
y H
ospi
tal
Dis
trict
Hom
eles
s Pr
ogra
ms
Prim
ary
Car
eFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
6489
9948
C2
Dal
las
Cou
nty
Hos
pita
lD
istri
ct H
omel
ess
Prog
ram
sD
enta
l Hea
lthFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
6U
.S. D
epar
tmen
t of H
ealth
and
Hum
an S
ervi
ces,
Hea
lth R
esou
rces
and
Ser
vice
s Ad
min
istra
tion,
201
8
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
46
of 5
4
Cou
nty
Nam
eH
PSA
IDH
PSA
Nam
eH
PSA
Dis
cipl
ine
Cla
ssD
esig
natio
n Ty
pe
Dal
las
7489
9948
2VD
alla
s C
ount
y H
ospi
tal
Dis
trict
Hom
eles
s Pr
ogra
ms
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
rD
alla
s14
8264
5075
Sout
heas
t Dal
las
Prim
ary
Car
eG
eogr
aphi
c H
PSA
Dal
las
1489
9948
OZ
Mis
sion
Eas
t Dal
las
(Med
ical
) and
Met
ropl
ex
Proj
ect
Prim
ary
Car
eFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
6489
9948
MO
Mis
sion
Eas
t Dal
las
(Med
ical
) and
Met
ropl
ex
Proj
ect
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
MN
Mis
sion
Eas
t Dal
las
(Med
ical
) and
Met
ropl
ex
Proj
ect
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
OY
Urb
an In
ter-T
ribal
Cen
ter o
f Te
xas
Prim
ary
Car
eN
ativ
e Am
eric
an/T
ribal
Fa
cilit
y/Po
pula
tion
Dal
las
6489
9948
MP
Urb
an In
ter-T
ribal
Cen
ter o
f Te
xas
Den
tal H
ealth
Nat
ive
Amer
ican
/Trib
al
Faci
lity/
Popu
latio
n
Dal
las
7489
9948
MP
Urb
an In
ter-T
ribal
Cen
ter o
f Te
xas
Men
tal H
ealth
Nat
ive
Amer
ican
/Trib
al
Faci
lity/
Popu
latio
nD
alla
s74
8185
7339
Sout
h Irv
ing
Serv
ice
Area
Men
tal H
ealth
Geo
grap
hic
HPS
A
Dal
las
1489
9948
Q0
Hea
ling
Han
ds M
inis
tries
, In
c.Pr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
NX
Hea
ling
Han
ds M
inis
tries
, In
c.D
enta
l Hea
lthFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
7489
9948
O2
Hea
ling
Han
ds M
inis
tries
, In
c.M
enta
l Hea
lthFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
1487
7906
22O
fac-
Park
land
Cen
ter f
or
Inte
rnal
Med
icin
e (P
cim
)Pr
imar
y C
are
Oth
er F
acilit
y
Dal
las
1488
1476
11Si
mps
on-S
tuar
tPr
imar
y C
are
Geo
grap
hic
HPS
A
Dal
las
1487
7324
21Tr
inity
Are
aPr
imar
y C
are
Geo
grap
hic
HPS
A
Methodist Hospital for Surgery 46
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
47
of 5
4
Cou
nty
Nam
eH
PSA
IDH
PSA
Nam
eH
PSA
Dis
cipl
ine
Cla
ssD
esig
natio
n Ty
pe
Dal
las
6488
1388
03Li
sbon
Ser
vice
Are
aD
enta
l Hea
lthG
eogr
aphi
c H
PSA
Dal
las
6486
3508
27W
est D
alla
s/C
liff H
all
Den
tal H
ealth
Hig
h N
eeds
Geo
grap
hic
HPS
A
Dal
las
7482
1326
65W
est D
alla
sM
enta
l Hea
lthH
igh
Nee
ds G
eogr
aphi
c H
PSA
Col
lin74
8510
9304
Low
Inco
me-
Col
lin C
ount
yM
enta
l Hea
lthLo
w In
com
e Po
pula
tion
HPS
A
Med
ical
ly U
nder
serv
ed A
reas
and
Pop
ulat
ions
(MU
A/P
)7
Cou
nty
Nam
eM
UA/
P So
urce
Id
entif
icat
ion
Num
ber
Serv
ice
Area
Nam
eD
esig
natio
n Ty
peR
ural
Sta
tus
Col
lin34
71C
ollin
Ser
vice
Are
aM
edic
ally
Und
erse
rved
Are
aN
on-R
ural
Dal
las
3453
Plea
sant
Gro
ve S
ervi
ce
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
3468
Dal
las
Serv
ice
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
3469
Dal
las
Serv
ice
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
3490
Dal
las
Serv
ice
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
3491
Dal
las
Serv
ice
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
3526
Dal
las
Serv
ice
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
5210
Broo
ks M
anor
Ser
vice
Ar
eaM
edic
ally
Und
erse
rved
Are
aN
on-R
ural
Dal
las
5211
Ced
ar G
lenn
Ser
vice
Are
aM
edic
ally
Und
erse
rved
Are
aN
on-R
ural
7U
.S. D
epar
tmen
t of H
ealth
and
Hum
an S
ervi
ces,
Hea
lth R
esou
rces
and
Ser
vice
s Ad
min
istra
tion,
201
8
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
45
of 5
4
App
endi
x C
: Fed
eral
ly D
esig
nate
d H
ealth
Pro
fess
iona
l Sho
rtag
e A
reas
and
Med
ical
ly U
nder
serv
ed A
reas
and
Po
pula
tions
Hea
lth P
rofe
ssio
nal S
horta
ge A
reas
(HP
SA
)6
Cou
nty
Nam
eH
PSA
IDH
PSA
Nam
eH
PSA
Dis
cipl
ine
Cla
ssD
esig
natio
n Ty
pe
Den
ton
1489
9948
PAH
ealth
Ser
vice
s of
Nor
th
Texa
s, In
c.Pr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
6489
9948
MR
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
7489
9948
MQ
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
rD
ento
n74
8790
2282
Low
Inco
me-
Den
ton
Cou
nty
Men
tal H
ealth
Low
Inco
me
Popu
latio
n H
PSA
Dal
las
1489
9948
5FM
LK J
r Fam
ily C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
D3
Los
Barri
os U
nido
s C
omm
unity
Hea
lth C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
89Lo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
97M
LK J
r. Fa
mily
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1LLo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1VM
LK J
r. Fa
mily
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
P6D
alla
s C
ount
y H
ospi
tal
Dis
trict
Hom
eles
s Pr
ogra
ms
Prim
ary
Car
eFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
6489
9948
C2
Dal
las
Cou
nty
Hos
pita
lD
istri
ct H
omel
ess
Prog
ram
sD
enta
l Hea
lthFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
6U
.S. D
epar
tmen
t of H
ealth
and
Hum
an S
ervi
ces,
Hea
lth R
esou
rces
and
Ser
vice
s Ad
min
istra
tion,
201
8
Methodist Hospital for Surgery 47
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
45
of 5
4
App
endi
x C
: Fed
eral
ly D
esig
nate
d H
ealth
Pro
fess
iona
l Sho
rtag
e A
reas
and
Med
ical
ly U
nder
serv
ed A
reas
and
Po
pula
tions
Hea
lth P
rofe
ssio
nal S
horta
ge A
reas
(HP
SA
)6
Cou
nty
Nam
eH
PSA
IDH
PSA
Nam
eH
PSA
Dis
cipl
ine
Cla
ssD
esig
natio
n Ty
pe
Den
ton
1489
9948
PAH
ealth
Ser
vice
s of
Nor
th
Texa
s, In
c.Pr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
6489
9948
MR
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Den
ton
7489
9948
MQ
Hea
lth S
ervi
ces
of N
orth
Te
xas,
Inc.
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
rD
ento
n74
8790
2282
Low
Inco
me-
Den
ton
Cou
nty
Men
tal H
ealth
Low
Inco
me
Popu
latio
n H
PSA
Dal
las
1489
9948
5FM
LK J
r Fam
ily C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
D3
Los
Barri
os U
nido
s C
omm
unity
Hea
lth C
ente
rPr
imar
y C
are
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
89Lo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
6489
9948
97M
LK J
r. Fa
mily
Cen
ter
Den
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1LLo
s Ba
rrios
Uni
dos
Com
mun
ity H
ealth
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
7489
9948
1VM
LK J
r. Fa
mily
Cen
ter
Men
tal H
ealth
Fede
rally
Qua
lifie
d H
ealth
C
ente
r
Dal
las
1489
9948
P6D
alla
s C
ount
y H
ospi
tal
Dis
trict
Hom
eles
s Pr
ogra
ms
Prim
ary
Car
eFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
Dal
las
6489
9948
C2
Dal
las
Cou
nty
Hos
pita
lD
istri
ct H
omel
ess
Prog
ram
sD
enta
l Hea
lthFe
dera
lly Q
ualif
ied
Hea
lth
Cen
ter
6U
.S. D
epar
tmen
t of H
ealth
and
Hum
an S
ervi
ces,
Hea
lth R
esou
rces
and
Ser
vice
s Ad
min
istra
tion,
201
8
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
48
of 5
4
Cou
nty
Nam
eM
UA/
P So
urce
Id
entif
icat
ion
Num
ber
Serv
ice
Area
Nam
eD
esig
natio
n Ty
peR
ural
Sta
tus
Dal
las
5212
Clif
f Man
or S
ervi
ce A
rea
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
5213
Fore
st G
lenn
Ser
vice
Are
aM
edic
ally
Und
erse
rved
Are
aN
on-R
ural
Dal
las
5214
Ced
ar G
lenn
Sou
th
Serv
ice
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
7294
Oak
Clif
f Ser
vice
Are
aM
edic
ally
Und
erse
rved
Are
aN
on-R
ural
Dal
las
7392
Gra
nd P
rairi
eM
edic
ally
Und
erse
rved
Are
aN
on-R
ural
Dal
las
7631
Coc
krel
l Hill
Serv
ice
Area
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
7753
Mis
sion
Eas
t Dal
las
Area
Med
ical
ly U
nder
serv
ed
Popu
latio
nN
on-R
ural
Dal
las
7921
Balc
h Sp
rings
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
7942
Sout
hwes
t Dal
las
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
7959
Lilly
care
Dal
las
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Dal
las
7973
Hut
chin
s-W
ilmer
Med
ical
ly U
nder
serv
ed A
rea
Non
-Rur
al
Den
ton
3463
Pove
rty P
opul
atio
nM
UA
–G
over
nor’s
Exc
eptio
nN
on-R
ural
Methodist Hospital for Surgery 48
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
50
of 5
4
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
on
Chr
onic
Low
er R
espi
rato
ry D
isea
se
(CLR
D) M
orta
lity
Rat
e
Chr
onic
Con
ditio
n -
Chr
onic
Low
er
Res
pira
tory
Dis
ease
2013
Chr
onic
Low
er R
espi
rato
ry D
isea
se (C
LRD
) Age
-Adj
uste
d D
eath
Rat
e pe
r 10
0,00
0 (A
ge-A
djus
ted
usin
g th
e 20
00 U
.S. S
tand
ard
Popu
latio
n)
Unc
ontro
lled
Dia
bete
s Ad
mis
sion
: Adu
lt (R
isk-
Adju
sted
-Rat
e)C
hron
ic C
ondi
tion
-D
iabe
tes
2016
Num
ber O
bser
ved
/ Adu
lt Po
pula
tion
Age
18 a
nd O
lder
Dia
bete
s Sh
ort-t
erm
Com
plic
atio
ns
Adm
issi
on: P
edia
tric
(Ris
k-Ad
just
ed-R
ate)
Chr
onic
Con
ditio
n -
Dia
bete
s20
16 N
umbe
r Obs
erve
d / A
dult
Popu
latio
n Ag
e 18
and
Old
er
Chr
onic
Kid
ney
Dis
ease
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-Ki
dney
Dis
ease
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Adul
t Obe
sity
(Per
cent
)C
hron
icC
ondi
tion
-O
besi
ty20
14 P
erce
ntag
e of
the
Adu
lt Po
pula
tion
(Age
20
and
Old
er) t
hat R
epor
ts a
Bod
y M
ass
Inde
x (B
MI)
Gre
ater
than
or E
qual
to 3
0 kg
/m2
Ost
eopo
rosi
s in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Ost
eopo
rosi
s20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Som
e C
olle
geEd
ucat
ion
2012
-201
6 P
erce
ntag
e of
Adu
lts A
ges
25-4
4 w
ith S
ome
Post
-Sec
onda
ry
Educ
atio
n
Hig
h Sc
hool
Dro
pout
Educ
atio
n20
16 P
erce
ntag
e of
Stu
dent
s fro
m th
e Sa
me
Cla
ss w
ho D
rop
out B
efor
e C
ompl
etin
g th
eir H
igh
Scho
ol E
duca
tion
Hig
h Sc
hool
Gra
duat
ion
Educ
atio
n20
16 P
erce
ntag
e of
Stu
dent
s fro
m a
Cla
ss o
f Beg
inni
ng N
inth
Gra
ders
who
G
radu
ate
by th
eir A
ntic
ipat
ed G
radu
atio
n D
ate,
or W
ithin
Fou
r Yea
rs o
f Beg
inni
ng
Nin
th G
rade
Air P
ollu
tion
-Par
ticul
ate
Mat
ter D
aily
D
ensi
tyEn
viro
nmen
t20
12 A
vera
ge D
aily
Den
sity
of F
ine
Par
ticul
ate
Mat
ter i
n M
icro
gram
s pe
r Cub
ic
Met
er (P
M2.
5)
Driv
ing
Alo
ne to
Wor
kEn
viro
nmen
t20
12-2
016
Per
cent
age
of th
e W
orkf
orce
that
Driv
es A
lone
to W
ork
Food
Inse
cure
Envi
ronm
ent -
Food
2015
Per
cent
age
of P
opul
atio
n W
ho L
acke
d Ad
equa
te A
cces
s to
Foo
d D
urin
g th
e Pa
st Y
ear
Seve
re H
ousi
ng P
robl
ems
Envi
ronm
ent -
Hou
sing
2010
-201
4 P
erce
ntag
e of
Hou
seho
lds
with
at L
east
1 o
f 4 H
ousi
ng P
robl
ems:
O
verc
row
ding
, Hig
h H
ousi
ng C
osts
, or L
ack
ofKi
tche
n or
Plu
mbi
ng F
acilit
ies
Ren
ter-
Occ
upie
d H
ousi
ngEn
viro
nmen
t -H
ousi
ng20
17 P
erce
ntag
e of
Hou
seho
lds
that
are
Ren
ter-
Occ
upie
d
Hom
icid
esEn
viro
nmen
t -Vi
olen
ce20
10-2
016
Num
ber o
f Dea
ths
Due
to H
omic
ide,
Def
ined
as
ICD
-10
Cod
es X
85-
Y09,
per
100
,000
Pop
ulat
ion
Viol
ent C
rime
Offe
nses
Envi
ronm
ent -
Viol
ence
2012
-201
4 N
umbe
r of R
epor
ted
Viol
ent C
rime
Offe
nses
per
100
,000
Pop
ulat
ion
Dea
th R
ate
due
to F
irear
ms
Envi
ronm
ent -
Viol
ence
2012
-201
6 N
umbe
r of D
eath
s du
e to
Fire
arm
s pe
r 100
,000
Pop
ulat
ion
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
49
of 5
4
App
endi
x D
: Pub
lic H
ealth
Indi
cato
rs S
how
ing
Gre
ater
Nee
d W
hen
Com
pare
d to
Sta
te B
ench
mar
k
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
onPr
ice-
Adj
uste
d M
edic
are
Rei
mbu
rsem
ents
pe
r Enr
olle
eAc
cess
to C
are
2015
Am
ount
of P
rice-
Adju
sted
Med
icar
e R
eim
burs
emen
ts (P
art A
and
B) p
er
Enro
llee
Uni
nsur
ed C
hild
ren
Acce
ss to
Car
e20
15 P
erce
ntag
e of
Chi
ldre
n U
nder
Age
19
With
out H
ealth
Insu
ranc
e
Perc
enta
ge o
f Pop
ulat
ion
unde
r age
65
with
out H
ealth
Insu
ranc
eAc
cess
to C
are
2015
Per
cent
age
of P
opul
atio
n U
nder
Age
65
With
out H
ealth
Insu
ranc
e
Rat
io o
f Pop
ulat
ion
to O
ne D
entis
tAc
cess
to C
are
2016
Rat
io o
f Pop
ulat
ion
to D
entis
ts
No
Veh
icle
Ava
ilabl
eAc
cess
to C
are
2017
Per
cent
age
of H
ouse
hold
s w
ith n
o V
ehic
le A
vaila
ble
Rat
io o
f Pop
ulat
ion
to O
ne N
on-P
hysi
cian
Pr
imar
y C
are
Prov
ider
Acce
ss to
Car
e20
17 R
atio
of P
opul
atio
n to
Prim
ary
Car
e Pr
ovid
ers
Oth
er th
an P
hysi
cian
s
Can
cer I
ncid
ence
-A
ll C
ause
sC
ance
r20
11-2
015
Age
-Adj
uste
d C
ance
r (Al
l) In
cide
nce
Rat
e C
ases
per
100
,000
Can
cer I
ncid
ence
-C
olon
Can
cer
2011
-201
5 A
ge-A
djus
ted
Col
on &
Rec
tum
Can
cer I
ncid
ence
Rat
e C
ases
per
10
0,00
0
Can
cer I
ncid
ence
-Fe
mal
e Br
east
Can
cer
2011
-201
5 A
ge-A
djus
ted
Fem
ale
Brea
st C
ance
r Inc
iden
ce R
ate
Cas
es p
er
100,
000
Can
cer I
ncid
ence
-Pr
osta
teC
ance
r20
11-2
015
Age
-Adj
uste
d P
rost
ate
Can
cer I
ncid
ence
Rat
e C
ases
per
100
,000
Can
cer M
orta
lity
Rat
eC
ance
r20
13 A
ll C
ance
r Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-Adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Arth
ritis
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-Ar
thrit
is20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Hea
rt D
isea
se M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
13 H
eart
Dis
ease
Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Hyp
erlip
idem
ia in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Car
diov
ascu
lar
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Atria
l Fib
rilla
tion
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Stro
ke M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ereb
rova
scul
ar20
13 C
ereb
rova
scul
ar D
isea
se (S
troke
) Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(A
ge-a
djus
ted
usin
g th
e 20
00 U
.S. S
tand
ard
Popu
latio
n)
Stro
ke in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Cer
ebro
vasc
ular
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Methodist Hospital for Surgery 49
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
51
of 5
4
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
on
Phys
ical
Inac
tivity
Hea
lth B
ehav
iors
-Ex
erci
se20
14 P
erce
ntag
e of
Adu
lts A
ges
20 a
nd O
ver R
epor
ting
No
Leis
ure-
Tim
e Ph
ysic
al A
ctiv
ity in
the
Pas
t Mon
thM
otor
Veh
icle
Driv
ing
Dea
ths
with
Alc
ohol
In
volv
emen
tH
ealth
Beh
avio
rs -
Subs
tanc
e Ab
use
2012
-201
6 P
erce
ntag
e of
Mot
or V
ehic
le C
rash
Dea
ths
that
had
Alc
ohol
In
volv
emen
t
Dru
g P
oiso
ning
Dea
ths
Rat
eH
ealth
Beh
avio
rs -
Subs
tanc
e Ab
use
2014
-201
6 N
umbe
r of D
rug
Pois
onin
g D
eath
s (D
rug
Ove
rdos
e D
eath
s) p
er
100,
000
Popu
latio
nAd
ults
Eng
agin
g in
Bin
ge D
rinki
ng D
urin
g th
e Pa
st 3
0 D
ays
Hea
lth B
ehav
iors
-Su
bsta
nce
Abus
e20
16 P
erce
ntag
e of
a C
ount
y’s
Adul
t Pop
ulat
ion
that
Rep
orts
Bin
ge o
r Hea
vy
Drin
king
in th
e P
ast 3
0 D
ays
Adul
t Sm
okin
gH
ealth
Beh
avio
rs -
Subs
tanc
e Ab
use
2016
Per
cent
age
of th
e A
dult
Popu
latio
n in
a C
ount
y W
ho B
oth
Rep
ort t
hat T
hey
Cur
rent
ly S
mok
e Ev
ery
Day
or M
ost D
ays
and
Hav
e S
mok
ed a
t Lea
st 1
00
Cig
aret
tes
in T
heir
Life
time
Acci
dent
al P
oiso
ning
Dea
ths
whe
re
Opi
oids
wer
e In
volv
edH
ealth
Beh
avio
rs -
Subs
tanc
e Ab
use
2010
-201
7 Ac
cide
ntal
Poi
soni
ng D
eath
s w
here
Opi
oids
wer
e In
volv
ed
(Und
erly
ing
Cau
ses
of D
eath
: X40
-X44
, and
One
of t
he F
ollo
win
g IC
D-1
0 C
odes
Id
entif
ying
Opi
oids
: T40
.0, T
40.1
, T40
.2, T
40.3
, T40
.4, T
40.6
)Te
en B
irth
Rat
e pe
r 1,0
00 F
emal
e Po
pula
tion,
Age
s 15
-19
Hea
lth B
ehav
iors
-Te
en P
regn
ancy
2010
-201
6 N
umbe
r of B
irths
to F
emal
es A
ges
15-1
9 pe
r 1,0
00 F
emal
es in
a
Cou
nty
Long
Com
mut
e Al
one
Hea
lth S
tatu
s20
12-2
016
Amon
g W
orke
rs W
ho C
omm
ute
in T
heir
Car
Alo
ne, t
he P
erce
ntag
e th
at C
omm
ute
Mor
e th
an 3
0 M
inut
es
Prem
atur
e D
eath
(Pot
entia
l Yea
rs L
ost)
Hea
lth S
tatu
s20
14-2
016
Prem
atur
e D
eath
; Yea
rs o
f Pot
entia
l Life
Los
t Bef
ore
Age
75 p
er
100,
000
Popu
latio
n (A
ge-A
djus
ted)
Adul
ts R
epor
ting
Fair
or P
oor H
ealth
Hea
lth S
tatu
s20
16 P
erce
ntag
e of
Adu
lts R
epor
ting
Fair
or P
oor H
ealth
(Age
-Adj
uste
d)
Freq
uent
Phy
sica
l Dis
tress
Hea
lth S
tatu
s20
16 P
erce
ntag
e of
Adu
lts w
ho R
epor
ted
≥14
Day
s of
Poo
r Phy
sica
l Hea
lth in
th
e Pa
st 3
0 D
ays
HIV
Pre
vale
nce
Infe
ctio
us D
isea
se -
HIV
2015
Num
ber o
f Per
sons
Age
d 13
Yea
rs a
nd O
lder
Liv
ing
with
a D
iagn
osis
of
Hum
an Im
mun
odef
icie
ncy
Viru
s (H
IV) I
nfec
tion
per 1
00,0
00 P
opul
atio
n
Sexu
ally
Tra
nsm
itted
Infe
ctio
n In
cide
nce
Infe
ctio
us D
isea
se -
Sexu
ally
Tr
ansm
itted
2015
Num
ber o
f New
ly D
iagn
osed
Chl
amyd
ia C
ases
per
100
,000
Pop
ulat
ion
Infa
nt M
orta
lity
Rat
eIn
jury
& D
eath
-C
hild
ren
2010
-201
6 N
umbe
r of A
ll In
fant
Dea
ths
(With
in 1
yea
r), p
er 1
,000
Liv
e B
irths
Chi
ld M
orta
lity
Rat
eIn
jury
& D
eath
-C
hild
ren
2013
-201
6 N
umbe
r of D
eath
s Am
ong
Chi
ldre
n un
der A
ge 1
8 pe
r 100
,000
Low
Birt
h W
eigh
t Per
cent
Mat
erna
l and
Chi
ld
Hea
lth20
10-2
016
Per
cent
age
of L
ive
Birt
hs w
ith L
ow B
irthw
eigh
t; <
2500
Gra
ms
Very
Low
Birt
h W
eigh
t (VL
BW)
Mat
erna
l and
Chi
ld
2016
Liv
e B
irths
Wei
ghin
g Le
ss th
an 1
,500
Gra
ms
(3.4
Pou
nds)
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
49
of 5
4
App
endi
x D
: Pub
lic H
ealth
Indi
cato
rs S
how
ing
Gre
ater
Nee
d W
hen
Com
pare
d to
Sta
te B
ench
mar
k
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
onPr
ice-
Adj
uste
d M
edic
are
Rei
mbu
rsem
ents
pe
r Enr
olle
eAc
cess
to C
are
2015
Am
ount
of P
rice-
Adju
sted
Med
icar
e R
eim
burs
emen
ts (P
art A
and
B) p
er
Enro
llee
Uni
nsur
ed C
hild
ren
Acce
ss to
Car
e20
15 P
erce
ntag
e of
Chi
ldre
n U
nder
Age
19
With
out H
ealth
Insu
ranc
e
Perc
enta
ge o
f Pop
ulat
ion
unde
r age
65
with
out H
ealth
Insu
ranc
eAc
cess
to C
are
2015
Per
cent
age
of P
opul
atio
n U
nder
Age
65
With
out H
ealth
Insu
ranc
e
Rat
io o
f Pop
ulat
ion
to O
ne D
entis
tAc
cess
to C
are
2016
Rat
io o
f Pop
ulat
ion
to D
entis
ts
No
Veh
icle
Ava
ilabl
eAc
cess
to C
are
2017
Per
cent
age
of H
ouse
hold
s w
ith n
o V
ehic
le A
vaila
ble
Rat
io o
f Pop
ulat
ion
to O
ne N
on-P
hysi
cian
Pr
imar
y C
are
Prov
ider
Acce
ss to
Car
e20
17 R
atio
of P
opul
atio
n to
Prim
ary
Car
e Pr
ovid
ers
Oth
er th
an P
hysi
cian
s
Can
cer I
ncid
ence
-A
ll C
ause
sC
ance
r20
11-2
015
Age
-Adj
uste
d C
ance
r (Al
l) In
cide
nce
Rat
e C
ases
per
100
,000
Can
cer I
ncid
ence
-C
olon
Can
cer
2011
-201
5 A
ge-A
djus
ted
Col
on &
Rec
tum
Can
cer I
ncid
ence
Rat
e C
ases
per
10
0,00
0
Can
cer I
ncid
ence
-Fe
mal
e Br
east
Can
cer
2011
-201
5 A
ge-A
djus
ted
Fem
ale
Brea
st C
ance
r Inc
iden
ce R
ate
Cas
es p
er
100,
000
Can
cer I
ncid
ence
-Pr
osta
teC
ance
r20
11-2
015
Age
-Adj
uste
d P
rost
ate
Can
cer I
ncid
ence
Rat
e C
ases
per
100
,000
Can
cer M
orta
lity
Rat
eC
ance
r20
13 A
ll C
ance
r Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-Adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Arth
ritis
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-Ar
thrit
is20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Hea
rt D
isea
se M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
13 H
eart
Dis
ease
Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Hyp
erlip
idem
ia in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Car
diov
ascu
lar
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Atria
l Fib
rilla
tion
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Stro
ke M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ereb
rova
scul
ar20
13 C
ereb
rova
scul
ar D
isea
se (S
troke
) Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(A
ge-a
djus
ted
usin
g th
e 20
00 U
.S. S
tand
ard
Popu
latio
n)
Stro
ke in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Cer
ebro
vasc
ular
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Methodist Hospital for Surgery 50
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
52
of 5
4
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
onH
ealth
Low
Birt
h W
eigh
t Rat
eM
ater
nal a
nd C
hild
H
ealth
2016
Num
ber O
bser
ved
/ Adu
lt Po
pula
tion
Age
18 a
nd O
lder
Firs
t Trim
este
r Ent
ry in
to P
rena
tal C
are
Mat
erna
l and
Chi
ld
Hea
lth20
14 P
erce
nt o
f Birt
hs w
ith O
nset
of P
rena
tal C
are
with
in th
e Fi
rst T
rimes
ter
Inte
ntio
nal S
elf-H
arm
; Sui
cide
Men
tal H
ealth
2015
Inte
ntio
nal S
elf-H
arm
(Sui
cide
) (X
60-X
84, Y
87.0
)
Aver
age
Num
ber o
f Men
tally
Unh
ealth
y D
ays
Rep
orte
d in
Pas
t 30
days
(Age
-Ad
just
ed)
Men
tal H
ealth
2016
Ave
rage
Num
ber o
f Men
tally
Unh
ealth
y D
ays
Rep
orte
d in
Pas
t 30
Day
s (A
ge-A
djus
ted)
Freq
uent
Men
tal D
istre
ssM
enta
l Hea
lth20
16Pe
rcen
tage
of A
dults
who
Rep
orte
d ≥1
4 D
ays
of P
oor M
enta
l Hea
lth in
the
Past
30
Day
sR
atio
of P
opul
atio
n to
One
Men
tal H
ealth
Pr
ovid
erM
enta
l Hea
lth20
17 R
atio
of P
opul
atio
n to
Men
tal H
ealth
Pro
vide
rs
Dep
ress
ion
in M
edic
are
Pop
ulat
ion
Men
tal H
ealth
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Schi
zoph
reni
a an
d O
ther
Psy
chot
ic
Dis
orde
rs in
Med
icar
e P
opul
atio
nM
enta
l Hea
lth20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Alzh
eim
er's
Dis
ease
/Dem
entia
in
Med
icar
e Po
pula
tion
Men
tal H
ealth
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Perfo
rate
d Ap
pend
ix A
dmis
sion
: Adu
lt (R
isk-
Adju
sted
-Rat
e pe
r 100
Adm
issi
ons
for A
ppen
dici
tis)
Prev
enta
ble
Hos
pita
lizat
ions
2016
Num
berO
bser
ved
/ Adu
lt Po
pula
tion
Age
18 a
nd O
lder
Perfo
rate
d Ap
pend
ix A
dmis
sion
: Ped
iatri
c (R
isk-
Adju
sted
-Rat
e fo
r App
endi
citis
)Pr
even
tabl
e H
ospi
taliz
atio
ns20
16 N
umbe
r Obs
erve
d / A
dult
Popu
latio
n Ag
e 18
and
Old
er
Asth
ma
Adm
issi
on: P
edia
tric
(Ris
k-Ad
just
ed-R
ate)
Prev
enta
ble
Hos
pita
lizat
ions
2016
Num
ber O
bser
ved
/ Adu
lt Po
pula
tion
Age
18 a
nd O
lder
Chi
ldre
n in
Sin
gle-
Pare
nt H
ouse
hold
sSD
H20
12-2
016
Per
cent
age
of C
hild
ren
that
Liv
e in
a H
ouse
hold
Hea
ded
by S
ingl
e Pa
rent
Indi
vidu
als
Livi
ng B
elow
Pove
rty L
evel
SDH
-In
com
e20
12-2
016
Amer
ican
Com
mun
ity S
urve
y 5-
Year
Est
imat
es, I
ndiv
idua
ls b
elow
Po
verty
Lev
elC
hild
ren
Elig
ible
for F
ree
Lunc
h E
nrol
led
in P
ublic
Sch
ools
SDH
-In
com
e20
15-2
016
Per
cent
age
of C
hild
ren
Enro
lled
in P
ublic
Sch
ools
that
are
Elig
ible
for
Free
or R
educ
ed P
rice
Lunc
h
Hou
seho
ld In
com
e, M
edia
nSD
H -
Inco
me
2016
Inco
me
whe
re H
alf o
f Hou
seho
lds
in a
Cou
nty
Earn
Mor
e an
d H
alf o
f H
ouse
hold
s Ea
rn L
ess
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
49
of 5
4
App
endi
x D
: Pub
lic H
ealth
Indi
cato
rs S
how
ing
Gre
ater
Nee
d W
hen
Com
pare
d to
Sta
te B
ench
mar
k
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
onPr
ice-
Adj
uste
d M
edic
are
Rei
mbu
rsem
ents
pe
r Enr
olle
eAc
cess
to C
are
2015
Am
ount
of P
rice-
Adju
sted
Med
icar
e R
eim
burs
emen
ts (P
art A
and
B) p
er
Enro
llee
Uni
nsur
ed C
hild
ren
Acce
ss to
Car
e20
15 P
erce
ntag
e of
Chi
ldre
n U
nder
Age
19
With
out H
ealth
Insu
ranc
e
Perc
enta
ge o
f Pop
ulat
ion
unde
r age
65
with
out H
ealth
Insu
ranc
eAc
cess
to C
are
2015
Per
cent
age
of P
opul
atio
n U
nder
Age
65
With
out H
ealth
Insu
ranc
e
Rat
io o
f Pop
ulat
ion
to O
ne D
entis
tAc
cess
to C
are
2016
Rat
io o
f Pop
ulat
ion
to D
entis
ts
No
Veh
icle
Ava
ilabl
eAc
cess
to C
are
2017
Per
cent
age
of H
ouse
hold
s w
ith n
o V
ehic
le A
vaila
ble
Rat
io o
f Pop
ulat
ion
to O
ne N
on-P
hysi
cian
Pr
imar
y C
are
Prov
ider
Acce
ss to
Car
e20
17 R
atio
of P
opul
atio
n to
Prim
ary
Car
e Pr
ovid
ers
Oth
er th
an P
hysi
cian
s
Can
cer I
ncid
ence
-A
ll C
ause
sC
ance
r20
11-2
015
Age
-Adj
uste
d C
ance
r (Al
l) In
cide
nce
Rat
e C
ases
per
100
,000
Can
cer I
ncid
ence
-C
olon
Can
cer
2011
-201
5 A
ge-A
djus
ted
Col
on &
Rec
tum
Can
cer I
ncid
ence
Rat
e C
ases
per
10
0,00
0
Can
cer I
ncid
ence
-Fe
mal
e Br
east
Can
cer
2011
-201
5 A
ge-A
djus
ted
Fem
ale
Brea
st C
ance
r Inc
iden
ce R
ate
Cas
es p
er
100,
000
Can
cer I
ncid
ence
-Pr
osta
teC
ance
r20
11-2
015
Age
-Adj
uste
d P
rost
ate
Can
cer I
ncid
ence
Rat
e C
ases
per
100
,000
Can
cer M
orta
lity
Rat
eC
ance
r20
13 A
ll C
ance
r Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-Adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Arth
ritis
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-Ar
thrit
is20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Hea
rt D
isea
se M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
13 H
eart
Dis
ease
Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Hyp
erlip
idem
ia in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Car
diov
ascu
lar
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Atria
l Fib
rilla
tion
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Stro
ke M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ereb
rova
scul
ar20
13 C
ereb
rova
scul
ar D
isea
se (S
troke
) Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(A
ge-a
djus
ted
usin
g th
e 20
00 U
.S. S
tand
ard
Popu
latio
n)
Stro
ke in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Cer
ebro
vasc
ular
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Methodist Hospital for Surgery 52
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
53
of 5
4
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
on
Chi
ldre
n in
Pov
erty
SDH
-In
com
e20
16 P
erce
ntag
e of
Chi
ldre
n U
nder
Age
18
in P
over
ty
Non
-Eng
lish
Spea
king
Hou
seho
lds
SDH
-La
ngua
ge20
12 P
erce
nt o
f Hou
seho
lds
with
Lan
guag
e ot
her t
han
Engl
ish
Dis
conn
ecte
d Yo
uth
SDH
-So
cial
Is
olat
ion
2010
-201
4 P
opul
atio
n B
etw
een
the
Ages
of 1
6 an
d 24
who
are
Nei
ther
Wor
king
no
r in
Scho
ol
Soci
al/M
embe
rshi
p As
soci
atio
nsSD
H -
Soci
al
Isol
atio
n20
15 N
umbe
r of M
embe
rshi
p As
soci
atio
ns p
er 1
0,00
0 Po
pula
tion
Met
hodi
st H
ealth
Sys
tem
Com
mun
ity H
ealth
Nee
ds A
sses
smen
t
Page
49
of 5
4
App
endi
x D
: Pub
lic H
ealth
Indi
cato
rs S
how
ing
Gre
ater
Nee
d W
hen
Com
pare
d to
Sta
te B
ench
mar
k
Publ
ic H
ealth
Indi
cato
r C
ateg
ory
Indi
cato
r Def
initi
onPr
ice-
Adj
uste
d M
edic
are
Rei
mbu
rsem
ents
pe
r Enr
olle
eAc
cess
to C
are
2015
Am
ount
of P
rice-
Adju
sted
Med
icar
e R
eim
burs
emen
ts (P
art A
and
B) p
er
Enro
llee
Uni
nsur
ed C
hild
ren
Acce
ss to
Car
e20
15 P
erce
ntag
e of
Chi
ldre
n U
nder
Age
19
With
out H
ealth
Insu
ranc
e
Perc
enta
ge o
f Pop
ulat
ion
unde
r age
65
with
out H
ealth
Insu
ranc
eAc
cess
to C
are
2015
Per
cent
age
of P
opul
atio
n U
nder
Age
65
With
out H
ealth
Insu
ranc
e
Rat
io o
f Pop
ulat
ion
to O
ne D
entis
tAc
cess
to C
are
2016
Rat
io o
f Pop
ulat
ion
to D
entis
ts
No
Veh
icle
Ava
ilabl
eAc
cess
to C
are
2017
Per
cent
age
of H
ouse
hold
s w
ith n
o V
ehic
le A
vaila
ble
Rat
io o
f Pop
ulat
ion
to O
ne N
on-P
hysi
cian
Pr
imar
y C
are
Prov
ider
Acce
ss to
Car
e20
17 R
atio
of P
opul
atio
n to
Prim
ary
Car
e Pr
ovid
ers
Oth
er th
an P
hysi
cian
s
Can
cer I
ncid
ence
-A
ll C
ause
sC
ance
r20
11-2
015
Age
-Adj
uste
d C
ance
r (Al
l) In
cide
nce
Rat
e C
ases
per
100
,000
Can
cer I
ncid
ence
-C
olon
Can
cer
2011
-201
5 A
ge-A
djus
ted
Col
on &
Rec
tum
Can
cer I
ncid
ence
Rat
e C
ases
per
10
0,00
0
Can
cer I
ncid
ence
-Fe
mal
e Br
east
Can
cer
2011
-201
5 A
ge-A
djus
ted
Fem
ale
Brea
st C
ance
r Inc
iden
ce R
ate
Cas
es p
er
100,
000
Can
cer I
ncid
ence
-Pr
osta
teC
ance
r20
11-2
015
Age
-Adj
uste
d P
rost
ate
Can
cer I
ncid
ence
Rat
e C
ases
per
100
,000
Can
cer M
orta
lity
Rat
eC
ance
r20
13 A
ll C
ance
r Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-Adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Arth
ritis
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-Ar
thrit
is20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Hea
rt D
isea
se M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
13 H
eart
Dis
ease
Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(Age
-adj
uste
d us
ing
the
2000
U.S
. Sta
ndar
d Po
pula
tion)
Hyp
erlip
idem
ia in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Car
diov
ascu
lar
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Atria
l Fib
rilla
tion
in M
edic
are
Popu
latio
nC
hron
ic C
ondi
tion
-C
ardi
ovas
cula
r20
07-2
015
Prev
alen
ce o
f Chr
onic
Con
ditio
n Ac
ross
all
Med
icar
e Be
nefic
iarie
s
Stro
ke M
orta
lity
Rat
eC
hron
ic C
ondi
tion
-C
ereb
rova
scul
ar20
13 C
ereb
rova
scul
ar D
isea
se (S
troke
) Age
-Adj
uste
d D
eath
Rat
e pe
r 100
,000
(A
ge-a
djus
ted
usin
g th
e 20
00 U
.S. S
tand
ard
Popu
latio
n)
Stro
ke in
Med
icar
e Po
pula
tion
Chr
onic
Con
ditio
n -
Cer
ebro
vasc
ular
2007
-201
5 Pr
eval
ence
of C
hron
ic C
ondi
tion
Acro
ss a
ll M
edic
are
Bene
ficia
ries
Methodist Hospital for Surgery 53
Appendix E: Evaluation of Prior Implementation Strategy Impact
Page ! of ! 60 60