northridge medical center c g c h n … - northridge - may 2015 - final.pdfnorthridge medical center...

46
NORTHRIDGE MEDICAL CENTER COMMERCE, GEORGIA COMMUNITY HEALTH NEEDS ASSESSMENT MAY 2015

Upload: nguyendan

Post on 17-Mar-2018

217 views

Category:

Documents


5 download

TRANSCRIPT

Page 1: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

NORTHRIDGE MEDICAL CENTER COMMERCE, GEORGIA

COMMUNITY HEALTH

NEEDS ASSESSMENT

MAY 2015

Page 2: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

1

TABLE OF CONTENTS

I. EXECUTIVE SUMMARY .................................................................................................................... 2

II. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ............................................................. 4

III. NORTHRIDGE MEDICAL CENTER OVERVIEW .................................................................................. 5

IV. NORTHRIDGE MEDICAL CENTER SERVICE AREA: JACKSON AND BANKS COUNTY ........................ 7

V. BASIC DEMOGRAPHICS .................................................................................................................... 9

VI. ECONOMIC CONDITIONS ................................................................................................................ 10

VII. HEALTH SERVICES AND PROVIDERS ............................................................................................. 12

VIII. HEALTH OUTCOMES AND HEALTH FACTORS ................................................................................ 13

IX. AGING NEEDS – JACKSON COUNTY............................................................................................... 29

X. PRIORITIZED NEEDS....................................................................................................................... 30

XI. COMMUNITY ASSETS ..................................................................................................................... 33

Page 3: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

2

I. EXECUTIVE SUMMARY

Purpose

The purpose of this Community Health Needs Assessment for Northridge Medical Center is to

identify for the facility the major health needs and barriers to care for the targeted service area, in

compliance with IRS guidelines. Northridge Medical Center became a non-profit entity of a

multi-service Georgia non-profit healthcare organization on January 1, 2014. The document will

additionally provide guidance in strategic planning for Northridge internally and for

collaborative initiatives with other organizations, with the goal of developing effective and

feasible solutions that will impact community health in a positive manner over time. The

leadership of Northridge Medical Center will continue to assess and address community needs as

identified in this ongoing process and will periodically update this report with progress reports

and new initiatives.

Community Served

Jackson and Banks counties (population 61,044 and 18,415 respectively) in northeast Georgia

constitute the primary service area of Northridge Medical Center, based on current inpatient and

outpatient hospital data. The region is to the east of Atlanta’s major metropolitan area and is

north of Athens/Clarke County (home to the University of Georgia, total student enrollment over

35,000). The 90-bed acute care hospital is located in Commerce, Georgia, and is the only

hospital in Jackson or Banks counties.

The combined population of the two counties is 79,459. There are several incorporated cities in

the larger Jackson County, with the most populous being Jefferson (population 9,342 in 2010)

while Banks County, bordered on the north by the Chattahoochee National Forrest, has one

municipality (Homer, Georgia).

There are notable differences between the two counties served. Jackson outpaces the smaller

Banks County in terms of median household income, educational levels, rate of uninsured and

projected population growth. Jackson County is geographically closer than Banks to the larger

metropolitan areas of Atlanta and Athens.

Community Health Data

Many factors influence the health outcomes of communities, from health behaviors of residents

to clinical care to social and economic issues. Kaiser Permanente has identified three Key Driver

Indicators as among the most predictive indicators of poor health outcomes:

Persons in poverty: Jackson (with 16%) and Banks (17.6%) counties have lower

percentages of persons in poverty than the state as a whole (19%).

Page 4: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

3

High school graduates: The two counties have lower rates of high school graduates than

the state average (84.7% for Georgia, 75.5% for Banks County and 81.1% for Jackson

County).

Health insurance coverage: Jackson County (20.4%) has a rate of persons without

insurance (under 65) lower than the state average of 21.2%; Banks has a higher rate at

23.3%.

Other indicators:

Both counties are designated as Federally Underserved Areas.

Leading causes of age-adjusted death for both counties include ischemic heart disease,

lung cancer, chronic obstructive pulmonary disease (COPD) and cerebrovascular disease.

The service area has a greater than average number of persons aged 65 and older

compared to the state.

Medicare enrollees in Banks County suffer disproportionately from chronic illnesses

including COPD, diabetes, heart failure, and depression.

Residents of both counties are less physically active than other Georgians on average. In

addition, Banks County in particular reports limited access to exercise opportunities.

Local resources beyond the hospital and physician base include health care (nursing facility,

public health department, behavioral health/substance abuse, senior center, etc.), non-

profit/charitable organizations (financial assistance, food pantry, prescription medication

assistance program, etc.) and information and referral (Area Agency on Aging).

Community Needs Identified

Northridge Medical Center interviewed as primary data sources community representatives with

special knowledge of public health, low-income individuals and high-need groups. Information

gathered from key community representative interviews, discussions with selected hospital staff

and secondary data sources indicated the following as priority areas of community need:

Access to specialists

Preventive care

Geriatric psychiatry

In the one and a half years of its operation as a non-profit community hospital, Northridge

Medical Center has initiated a number of programs and services to address these needs.

Convenient and nearby access to specialists has been addressed in the development of 24/7

inpatient and outpatient pulmonary services in particular response to the high incidence of

pulmonary disease in the community, inpatient and outpatient orthopedic services have been

expanded and enhanced in particular response to the aging population with hip fractures and

other injuries and the advent of full time general surgery allows residents of Jackson and Banks

Counties to receive routine surgery near home. Each of these new services concretely addresses

needs detailed in health need analysis of the area and community input.

The geriatric psychiatric program delivered via the expanding and improving Willow Brook

Senior Wellness services addresses multi-county need as illustrated by a continued increase in

admissions.

Page 5: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

4

The high rate of diabetes, COPD, cardiovascular disease and other chronic conditions in the

service area have also been addressed via the renovation and expansion of the Northridge

Wellness Center in January 2015. This important community service has programs for

employees of city and county government, community businesses, Medicare Silver Sneakers

enrollees and individuals.

This report provides details on the assessment of these needs and the evolving services to address

them.

II. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS

The assessment process incorporated three distinct approaches:

1. Community Input:

Hospital staff sought feedback and input from a wide variety of community constituents. Tricia

Massey, Director of Outreach for Northridge Medical Center received input from the following

individuals during April 2015:

Jackson County Health Department - Community Health Nurse (via telephone)

Banks County Health Department - Office Manager (via telephone)

Jackson County Boys and Girls Club - Commerce Unit Director (via telephone)

Medlink Georgia (Federally Qualified Health Center), Banks County - Physician

Assistant, Homer Clinic (via e-mail).

Jackson County Family Connection - Executive Director (via telephone)

These community representatives noted the following unmet needs in Jackson and Banks

Counties:

Diabetes

Hypertension

Obesity

Mental health

Chronic Obstructive Pulmonary Disease (COPD)

Tobacco use

Pediatric care: general, vision, dental, special needs (physical and mental)

Hospital personnel also participated in the needs assessment process via face to face meetings:

President, Acute Care Division, Community Health Services of Georgia

Chief Administrative Officer

Chief Nursing Officer

Case Manager

Patient Financial Services Director

Page 6: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

5

Health Information Manager

Hospital personnel noted the following unmet patient needs:

Lack of payer source. Patients may not have insurance. Some payers do not cover the

costs for rehabilitation, home health, etc. which may have a negative impact on patients’

health status if they are unable to afford needed care.

Patient may be unwilling or reluctant to receive the next level of care after

hospitalization.

Difficulty in placing patients due to complex conditions. Certain disease processes,

conditions, etc. make referral sources unwilling to take patient.

Access to specialist care such as pulmonary or orthopedic services.

Appropriate placement for geriatric patients in need of behavioral or psychiatric

assessment and care.

Community-wide access to basic preventive care such as proper nutrition and exercise.

2. Secondary Data Analysis

In addition to interviews with community partners and hospital staff, a wide array of secondary

data sources were consulted in order to provide a more comprehensive picture of health needs in

Jackson and Banks Counties. Online data for the two service counties was gathered from

authoritative entities such as the U.S. Census Bureau, the Georgia Department of Public Health

(GDPH), the Georgia Department of Community Affairs, and the Robert Wood Johnson

Foundation. This data was then analyzed to help determine community health priorities.

3. Community Asset Inventory

Community-based assets for Jackson and Banks Counties were identified based on feedback

from hospital staff and online searches for local organizations and groups. The goal of asset

identification was to create a list of groups and organizations in the service area that could

potentially have an influence on community health. The inventory includes children and family

support agencies and organizations, disability services, eye care, primary healthcare, medical

equipment, mental health resources, recreation, senior services, and more. Descriptions and

contact information are provided for each identified asset.

III. NORTHRIDGE MEDICAL CENTER OVERVIEW

Northridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is

the only hospital in Jackson County. It includes a 167-bed Skilled Nursing Facility on site as

well as a 12-bed geriatric psychiatric unit.

Hospital services include emergency medicine, cardiology, gastroenterology, general surgery,

gynecology, mammography, occupational therapy, orthopedic surgery, outpatient diagnostic

services, outpatient surgery, pain management, physical therapy, podiatry, pulmonary function

Page 7: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

6

testing, radiology, rehabilitation services, respiratory therapy, speech therapy, swing bed/short

term rehabilitation, ultrasound, and urological surgery.

The majority of inpatient, outpatient, emergency room, and swing bed patients served by

Northridge Medical Center in 2014 reside in Jackson or Banks Counties, as illustrated by the

chart below.

Northridge Patient Origin, 2014

INPATIENT OUTPATIENT EMERGENCY

ROOM SWING BEDS

Jackson County 57% 60% 56% 67%

Banks County 22% 19% 23% 23%

Madison County 6% 5% 7% 7%

Franklin County 4% 3% 4% 3%

Other Counties (20 counties) 11% (46 counties) 11% (64 counties) 10% 0%

The most common diagnoses in 2014 for Northridge patients as reflected by DRG code are

below:

Most Common Diagnoses, 2014

INPATIENT EMERGENCY ROOM WILLOW BROOK

SENIOR MENTAL HEALTH 1 Simple pneumonia and pleurisy Urinary tract infection Dementia, unspecified w/

behavioral disorder

2 Heart failure Acute upper respiratory infection Alzheimer's disease

3 Esophagitis, gastroenteritis and misc. digestive disorders

Abdominal pain, unspecified site Recurring depression psychosis, moderate

4 Chronic Obstructive Pulmonary Disease

Acute bronchitis Bipolar disorder, unspecified

5 Cellulitis Otitis media Recurring depression psychosis, severe

Page 8: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

7

IV. NORTHRIDGE MEDICAL CENTER SERVICE AREA: JACKSON AND BANKS

COUNTY

The primary service area for Northridge Medical Center is Jackson and Banks Counties and their

residents accounted for almost 80% of inpatient, outpatient, and ER visits in 2014. Banks and

Jackson Counties are located in the northeast part of the state, just east of the major Atlanta

metropolitan area which is comprised of over two dozen counties. These two counties have

poorer health than the adjoining metro Atlanta counties and those immediately to the south as

well.

Jackson County

Jackson County was created in 1796 from part of Franklin County. It is named for Revolutionary

War General, Congressman, and Senator James Jackson. The county seat and most populous city

is Jefferson. Incorporated cities include Arcade, Braselton, Commerce, Hoschton, Jefferson,

Maysville, Nicholson, Pendergrass and Talmo. Jackson County comprises the Jefferson,

GA Micropolitan Statistical Area, which is included in the Atlanta-Athens-Clarke County-Sandy

Springs, GA Combined Statistical Area.

The county is home to Tanger Outlets, comprising almost 100 stores, as well as the Peach State

Motorspeedway. The county encompasses 342.4 square miles.

Jackson County has moved to the forefront in poultry farming, continually ranking in the top five

counties in broiler and egg production. The county also ranks near the top in beef cattle numbers

and livestock income in the state.

Banks County

Banks County was created in 1858 from parts of Franklin and Habersham counties. It was named

for Dr. Richard E. Banks, a circuit-riding physician who treated the settlers and Native

Americans of northern Georgia and South Carolina.

Homer, the county's only municipality, was incorporated in 1859 and was named after Homer

Jackson, a prominent settler. The northern boundary of Banks County is the Chattahoochee

National Forest and much of the county is woodlands. The county encompasses 233.7 square

miles.

Commercial forestry has given way to small poultry farms in recent decades, although much of

the workforce is employed in the manufacturing sector, mostly in textiles and apparel

production.

The location of Jackson and Banks Counties is highlighted on the following map.

Page 9: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

8

Page 10: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

9

V. BASIC DEMOGRAPHICS

The table below shows basic demographic information for both counties as well as the combined

service area totals. Jackson County is far more populous than Banks; its population is more

educated and more likely to own a home. Jackson County also has a much higher median

household income (2009 -2013) at $53,179 compared to Banks County ($41,141). The median

income in Banks County is also significantly lower than the Georgia national average ($49,179).

Data from the Governor’s Office of Planning and Budget show that the population of Jackson

and Banks Counties will continue to grow at a rate outpacing the Georgia average through 2030.

Georgia is one of the faster growing states in the country but population growth is expected to be

even more pronounced in Banks County (26.2% increase) and especially in Jackson County

whose population will jump 33% in the next fifteen years.

In addition, seniors will make up an increasing percentage of the population. Jackson and Banks

Counties have a greater than average number of individuals aged 65 and older compared to the

rest of the state and this trend is expected to continue. 13.8% of Georgians in 2020 will be aged

65 and older; in Jackson County this increases to 14.8% and 16.4% in Banks, for a total of

almost 100,000 residents in this age range by 2020.

2013 U.S. Census Bureau Estimates

Georgia Banks Co. Jackson Co. Combined

Service Area

Population 9,992,167 18,415 61,044 79,459

Persons under 5 years 6.7% 5.4% 6.8% 5,145

Persons under 18 years 24.9% 23.6% 25.9% 20,156

Persons 65 years and over 12.0% 15.2% 13.0% 10,735

Females 51.1% 49.4% 50.4% 39,863

Males 48.9% 50.6% 49.6% 39,596

White persons 62.5% 94.1% 89.1% 71,719

Black persons 31.4% 2.8% 7.1% 4,850

Hispanic or Latino persons 9.2% 6.2% 6.7% 5,232

Persons w/out health insurance < age 65 21.2% 23.3% 20.4% 16,744

Persons in poverty 19.0% 17.6% 16.0% 13,008

Homeownership rate (2009 -2013) 65.1% 77.3% 77.1% 61,300

High school graduates (2009-2013) 84.7% 75.5% 81.1% 63,410

Bachelor's degree or higher (2009-2013) 28.0% 11.6% 19.5% 14,039

Page 11: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

10

VI. ECONOMIC CONDITIONS

Unemployment rates in both counties have consistently dropped over the past five years. As

illustrated by the map below, Banks and Jackson Counties are in a region of the state with

relatively low unemployment rates. In February 2015 Banks County had a slightly higher

unemployment rate of 6.0 compared to 5.4 for Jackson County; however, Jackson County has

had a higher rate over much of the past five years.

Banks and Jackson Counties have similar rankings by the Georgia Department of Community

Affairs (DCA) in terms of their overall economic health. Counties are ranked and placed in one

of four tiers based on highest unemployment rate; lowest per capita income; and highest

percentage of residents whose incomes are below the poverty level. Both are categorized as Tier

3 in the 2015 DCA rankings, with those in Tier 4 having the most favorable economic

conditions.

Jackson and Banks are ranked higher than approximately 75% of Georgia’s other 159 counties.

According to the rankings, Banks County is not as economically prosperous as it once was. From

2007-2011 it was among the Tier 4 (highest performing) counties but has dropped to Tier 3 in

subsequent years. The map on the following page shows the 2015 Tax Credit Tier Rankings.

Page 12: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

11

A recent report in Georgia Trend magazine (April 2015) noted that new industry is increasingly

attracted to the Northeast Georgia region that includes Jackson and Banks Counties. Several new

companies such as Toyota and Kubato Industrial Equipment arrived in the area in 2014, bringing

hundreds of new jobs to both counties. In fact, CBRE’s Atlanta Industrial Report noted that

Jackson County placed ahead of all Metro Atlanta counties in 4th

quarter 2014 in new industrial

speculative construction, accounting for approximately 30%

of total business.

Another indicator of economic wellbeing is the number of children who are eligible for free or

reduced cost lunches provided by the National School Lunch Program. Eligibility guidelines are

based on the Federal income poverty guidelines and household size. Children from families with

incomes at or below 130% of the poverty level are eligible for free meals. Children from families

with incomes between 130% and 180% of the poverty level are eligible for reduced price meals.

For the 2012-2013 school year, a family of four’s income eligibility for reduced price lunches

was at or below $42,643 and for free meal eligibility at or below $29,965.

According to data from the Annie B. Casey KidsCount initiative, an average of 59.70% of

students across Georgia were eligible for free or reduced meals during the 2012-2013 school

Page 13: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

12

year. Banks County had a significantly higher number of students eligible at 64.00%. Jackson

County had 53.40% of students who were eligible, less than the statewide average.

VII. HEALTH SERVICES AND PROVIDERS

Jackson County is located in Georgia Department of Public Health (GDPH) District 10

(Northeast) which consists of 10 counties and is headquartered in Athens. GDPH has two clinics

in Jackson County, located in Commerce and Jefferson.

Page 14: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

13

Banks County is in GDPH District 2 (North) which is based in Gainesville and comprises 13

counties. The county health department and accompanying clinic are located in Homer. The

GPDH districts are shown in the map below.

Jackson County is recognized by the federal government as a Health Professional Shortage Area

(HPSA) in mental health but is not considered to have shortages in primary healthcare or dental

health. It is however a federal Medically Underserved Area (MUA). Banks County is recognized

as a HPSA in primary health care, mental health, and dental health. Like Jackson, it is a federal

Medically Underserved Area.

There is one Federally Qualified Health Center (FQHC) in Banks County, a clinic operated by

Medlink Georgia, which is located in Homer. The clinic provides basic primary care services and

offers extended hours. Occupational health services and health education are also available.

Jackson County does not have a FQHC.

Census estimates of the uninsured population indicate that 23.4% of all Banks County residents

lack insurance, a total of 3,655 individuals. Jackson County has an estimated 10,676 individuals

who are uninsured, 20.3% of the population. These totals have likely decreased since the

individual insurance mandate of the Affordable Care Act went into effect in 2013.

VIII. HEALTH OUTCOMES AND HEALTH FACTORS

Highlights from the 2015 County Health Rankings

The annual Robert Wood Johnson County Health Rankings measure vital health factors,

including high school graduation rates, obesity, smoking, unemployment, access to healthy

foods, the quality of air and water, income, and teen births in nearly every county in America. It

provides two different set of rankings: Health Outcomes (length and quality of life) and Health

Factors (determinants of health).

According to the 2015 County Health Rankings, Banks and Jackson Counties are surrounded on

three sides by healthier counties. Jackson is healthier than Banks County and is ranked 55 out of

159 counties in “Overall Health” and 19 out of 159 in “Health Factors.” Banks ranked 70 out of

159 counties in “Overall Health” and 66 out of 159 in “Health Factors.”

The maps on the following page show the Robert Wood Johnson County 2015 Health Outcomes

and Health Factors rankings for Georgia.

Page 15: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

14

Selected indicators from the 2015 Robert Wood Johnson County Health Rankings for Banks and

Jackson Counties are summarized below:

Smoking

Smoking is a major health concern in this region. Banks has one of the highest rates of adult

smoking in the state, 28%, compared to the Georgia average of 18%. Jackson is also much

higher than state average at 24% (BRFSS 2006-2012).

Physical Activity

This population is also less physically active than the average Georgian. 30% of the Banks

County population and 26% of Jackson County residents report physical inactivity, compared to

the Georgia average of 24%.

Access to Exercise Opportunities

Banks County in particular reports limited access to exercise opportunities, defined as living

“reasonably close to a location for physical activity” such as a park, YMCA, gym, etc. Only 42%

of Banks County residents report access to these types of fitness locations as opposed to 75% of

Georgians. Jackson County, however, does not share this need; 74% of residents there report

adequate access to exercise opportunities.

Page 16: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

15

Obesity

Obesity is a problem across Georgia, and this area is no exception. A significant percentage of

the state population, 29%, is obese. This is mirrored in Banks (28%) and Jackson (29%) Counties

as well.

Chronic Disease

A significant portion of residents in Banks and Jackson Counties have been diagnosed with

chronic diseases such as diabetes, hypertension, COPD (chronic obstructive pulmonary disease),

and stroke. The CMS Chronic Conditions Dashboard, which documents chronic disease among

Medicare enrollees, shows that Banks County in particular had above average rates of COPD,

diabetes, and heart failure in 2012. Both Jackson and Banks Counties had higher than average

rates of depression.

Page 17: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

16

Page 18: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

17

Page 19: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

18

Mortality in Jackson County

Data from the Georgia Department of Public Health identifies the most prevalent causes of death

for Jackson County as shown below.

Page 20: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

19

Page 21: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

20

Top Causes of Death by selected age groups, Jackson County, 2009 – 2013 (continued)

The table below shows how the top causes of death in Jackson County compare to the state as a

whole.

Page 22: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

21

Based on mortality data, the Georgia Division of Public Health has flagged the following as top

priorities in Jackson County:

1. Chronic Obstructive Pulmonary Disease (excluding asthma)

2. Alzheimer’s Disease

3. Accidental Poisoning and Exposure to Noxious Substance

Page 23: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

22

All COPD Except Asthma for Jackson County, 2009 – 2013

The Georgia Age-Adjusted Death Rate is 44.4. The Age-Adjusted Death Rate for Jackson

County is 57.1

Alzheimer’s Disease for Jackson County, 2009 - 2013

The Georgia Age-Adjusted Death Rate is 26.6. The Age-Adjusted Death Rate for Jackson

County is 55.1.

Page 24: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

23

Accidental Poisoning and Exposure to Noxious Substances for Jackson County, 2009 –

2013

The Georgia Age-Adjusted Death Rate is 9.5. The Age-Adjusted Death Rate for Jackson County

is 17.7

.

Page 25: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

24

Mortality in Banks County

Data from the Georgia Department of Public Health identifies the most prevalent causes of death

for Banks County as shown below.

Page 26: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

25

Page 27: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

26

Page 28: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

27

The table below shows how the top causes of death in Banks County compare to the state as a

whole.

Based on mortality data, the Georgia Division of Public Health has flagged the following as top

priorities in Banks County:

1. Ischemic Heart and Vascular Disease

2. Motor Vehicle Crashes

3. All Other Diseases of the Nervous System

Ischemic Heart and Vascular Disease for Banks County, 2009 - 2013

The Georgia Age-Adjusted Death Rate is 91.2. The Age-Adjusted Death Rate for Banks County

is 137.4.

Page 29: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

28

Motor Vehicle Crashes for Banks County, 2009 – 2013

The Georgia Age-Adjusted Death Rate is 12.6. The Age-Adjusted Death Rate for Banks County

is 27.8.

All Other Diseases of the Nervous System for Banks County, 2009 - 2013

The Georgia Age-Adjusted Death Rate is 11.1. The Age-Adjusted Death Rate for Banks County

is 22.8. The rate for the previous 5 year aggregate (2004 - 2008) was 6.3. This difference is

statistically significant.

Page 30: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

29

IX. AGING NEEDS – JACKSON COUNTY

The Northeast Georgia Area Agency on Aging (AAA), which includes Jackson County in its

service area, conducts an annual needs assessment. The identification and prioritization of needs

for older persons in the planning and service area are principal functions of the Northeast

Georgia AAA and its Advisory Council. An integrated area-wide needs assessment process

guides the needs determination and priority setting activities. The process includes analysis of

data collected by ADRC staff persons through the Aging Information Management System,

Georgia Statistical Abstract, United States Census Bureau, Gateway/ADRC, survey summary,

advertisement in 12 county newspapers and public hearings held throughout the region.

The AAA facilitated public hearings at the Oconee County Senior Center on December 8, 2014

and Jasper County Senior Center on December 15, 2014. A total of 59 persons attended the two

hearings. At these hearings, attendees had an opportunity to gather information on available

services, ask questions, voice concerns, give testimonials, evaluate current services, and

complete needs assessments. Needs assessment and questionnaires are published in all local

county newspapers in the twelve county planning and service area and on the Regional

Commission website at http://www.negrc.org and were distributed to public hearing attendees.

Results of the data collected are reflected in the table above. The AAA will concentrate on the

four most needed services in the planning and service area based on data collected from the

aforementioned sources. The needs assessment revealed the four most needed services are as

follows:

Homemaker Services

Home Delivered Meals

Personal Care

Respite Care

Page 31: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

30

AGING NEEDS – BANKS COUNTY

Data specific to the senior population in Banks County was solicited but not received from

Legacy Link Area Agency on Aging, the agency responsible for providing aging services to

Banks County. Northridge Medical Center will continue to solicit relevant data in order to better

inform our community needs assessment.

X. PRIORITIZED NEEDS

Based on community and staff input and secondary data analysis, Northridge Medical Center has

identified the following needs among residents of Jackson and Banks Counties. These identified

priorities confirm the hospital’s earlier internal analysis of the local healthcare environment and

corresponding community health needs. Northridge will continue to address the priorities below

as part of a sustained and formal strategy to meet identified health needs of the community, using

the CHNA process as the framework that drives future community benefit initiatives.

1. Increasing Access to Specialists

Like many rural Georgians, residents in the Northridge service area have had difficulty accessing

specialist care that did not require numerous trips to a more urban setting. Northridge staff has

already identified a need for more specialists in three key areas: pulmonology, orthopedics, and

surgery. Services in all three of these specialties are now available 24/7. This ensures healthcare

for all residents is timely and convenient, enabling patients to save time and money by accessing

care close to home whenever possible rather than traveling to Atlanta, Athens, or other metro

centers.

A. Pulmonology

County public health data show that COPD (Chronic Obstructive Pulmonary Disease) is a top

cause of death in Jackson County; it is also one of the most frequent conditions seen in patients

admitted to the hospital. The hospital contracted with Pulmonary & Sleep Specialists of

Northeast Georgia in fall 2014 to provide round the clock 24/7 coverage to patients. As a result,

Northridge is now able to care for patients with more acute illness in the local community instead

of transferring them to tertiary centers further from home. In addition, respiratory therapy is now

available 24/7. As a result, patients on ventilators are now able to receive care at the hospital;

previously Northridge had to transfer any vent patients to other hospitals.

Lung cancer has also been identified as a top concern for area residents by Northridge Medical

Center and is a leading cause of death in both Jackson and Banks Counties. To help address this

need, Northridge will be establishing a new lung cancer screening program for long-term

smokers in conjunction with the American College of Radiology (ACR). Hospital designation as

a Lung Cancer Screening Center by the ACR ensures that all protocols, equipment and personnel

meet rigorous national standards. The majority of lung cancer cases in the U.S. are still

diagnosed at a late stage with a low five year relative survival rate; this screening program will

offer annual low-dose CT screening to long-term smokers as recommended by the United States

Preventive Services Task Force in order to reduce lung cancer mortality.

Page 32: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

31

B. Orthopedics

Northridge staff recently identified a need for quality local orthopedic coverage due to the

substantial geriatric population in the area and the prevalence of hip fractures and other injuries.

Hospital facilities include a 167 bed local Skilled Nursing Facility, Northridge Health &

Rehabilitation Northridge, whose residents often need orthopedic care. In addition, Census data

show that Jackson and Banks Counties have a greater than average number of individuals aged

65 and older compared to the rest of the state; this population is more likely to need skilled

orthopedic care. Projections from the Governor’s Office of Planning and Budget show the aging

trend to continue at least through 2020 for Jackson and Banks Counties, making the availability

of geriatric and senior services critical for this community. In response, Northridge has

implemented full-time orthopedic coverage from physicians at Athens Orthopedic Clinic so that

hospital staff can meet orthopedic needs in-house, avoiding unnecessary transfers and ensuring

that community residents are able to receive comprehensive care without undue travel or

expense.

C. Surgery

In the past, local residents often had to travel to tertiary centers in Athens or Atlanta for surgical

procedures. Northridge now has five general surgeons available for full-time surgical coverage,

eliminating the need for patients to travel to more distant hospitals for appendectomies and other

routine surgeries. This is an increase from .5 FTE surgical coverage previously. An outpatient

surgical wing also offers colonoscopy, endoscopy, and other same day procedures.

2. Geriatric Psychiatry - Willow Brook Senior Wellness

Northridge responded to a need for local behavioral healthcare dedicated to senior adults by

creating Willow Brook Senior Wellness in November 2011. The hospital documented an average

of 676 senior patients with a mental health diagnosis from 2007-2009. In addition, 40% of the

residents of the 167 bed Northridge Health & Rehabilitation Center, a Skilled Nursing Facility,

have a mental health related diagnosis such as Alzheimer’s. These needs are not adequately met

by the existing mental health delivery system; in fact, there is only one other inpatient psychiatric

care unit in State Service Delivery Region 5, which covers twelve counties and is home to half a

million Georgians.

In addition, behavioral health conditions place an added burden on senior patients and healthcare

systems. The Advisory Board Company’s Care Transformation Center notes that patients with

diabetes and comorbid depression have healthcare costs that are 65% higher than patients with

only diabetes.

The 12-bed Willow Brook geriatric psychiatric unit is dedicated to taking care of senior adults

who suffer from depression, anxiety, unresolved grief, Alzheimer’s disease and other types of

dementia. Northridge invested $1.2 million in this unit as a new service for senior adults in

Jackson and Banks counties as well as outlying areas. The unit improves access to mental health

services for families who lack the resources to travel to Atlanta, which previously was the closest

Page 33: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

32

location with a senior mental health treatment center. Willow Brook programmatic and clinic

staff meet with the hospital’s Director of Outreach each month to assess needs identified by both

staff and community partners.

Northridge continues to seek ways to meet the needs of Willow Brook patients upon discharge,

as they may return to communities with no local psychiatrist, making follow-up care difficult.

The two local Community Service Boards (Advantage Behavioral Health and Avita Community

Partners) offer mental health services in Jackson and Banks Counties; however, this is not

sufficient to meet the mental health needs of residents.

3. Preventive Care

Preventive care is increasingly a focus of hospital activities due to the high rate of diabetes,

COPD, cardiovascular disease, and other chronic conditions in the service area. In addition to

regular participation in health fairs, Northridge renovated its Wellness Center in January 2015,

making cosmetic and aesthetic improvements while installing a new key card system which

enables easy tracking of attendance.

Membership is open to the public and discounts are offered to area businesses as well as first

responders. Northridge also anticipates offering reduced membership fees to city and county

employees in a partnership with local government. The Wellness Center is also now a participant

in the Silver Sneakers Fitness program which provides a free membership to seniors via

Medicare and other insurance.

Page 34: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

33

XI. COMMUNITY ASSETS

Jackson County Community Assets

Children and Family Support

Jackson County Family

Connection

456 Athens Street

Jefferson, GA 30549-1408

Mailing Address:

P.O. Box 883

Jefferson, GA 30549-0883

706-367-3021

http://www.jcfamilyconnection.com/

[email protected]

Family Connection is a

partnership of several

organizations working

with families to research the

needs of children and families

in Jackson County, and to work

together to address those needs.

Crisis/Financial Assistance

Action, Inc. 67 Athens Street

Jefferson, GA 30549

706-367-9599 or

706-387-7655

Purpose is to alleviate poverty

through crisis intervention

services such as referral and

payments for food, utility,

rent/mortgage. Also job search,

life skills, getting people ready

for work force training.

The Ark of Jackson

County

Jefferson Presbyterian Church

243 Washington St.

Jefferson, GA

706-367-8365

The Ark’s mission is to help

Jackson County residents who

have had a verifiable

emergency loss of income with

(limited) financial assistance to

help meet basic household

expenses.

Christian Outreach

Ministry

2183 N. Elm St.

Commerce, GA 30529

706-335-6084

The overall purpose of

Christian Outreach Ministry is

to provide various services to

aid and assist the less fortunate

and disadvantaged in the

community, particularly the

children, the elderly, homeless,

jobless, sick and infirm.

Community Connection

of NEGA

1865 West Broad Street Suite C

Athens GA 30606

706-353-1313 www.communityconnection211.org

Community Connection of

Northeast Georgia provides

referrals for any need,

including financial assistance,

Page 35: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

34

food, child care, clothing,

shelter, and health care to

individuals throughout fourteen

Northeast Georgia counties.

Jackson County

Community Resource

Center

(Ninth District

Community Action Ctr)

Jackson Administrative Building

67 Athens Street

Jefferson, Ga 30549

706-677-0028

http://www.ndo.org

[email protected]

Provides low income

heating/cooling assistance,

weatherization of homes to

reduce utility bills, emergency

food and shelter program, crisis

utility bill payment. By

appointment only in Jackson

County.

Jackson Co. Dept. of

Family & Children

Services

456 Athens Street

P. O. Box 526

Jefferson, Georgia 30549-0526

706-367-3000

May provide assistance with

utility bills with proof of

imminent disconnection.

The Salvation Army

711 Dorsey St.

30501

770-531-0135

Offers limited emergency

financial assistance in the forms

of rental and utilities assistance,

help paying for prescriptions,

providing food and clothing,

and giving replacement

furniture as needed.

Disability Services

Friends of Disabled

Adults and Children

(FODAC)

4900 Lewis Road

Stone Mountain, GA 30083

770-491-9014

www.fodac.org

Statewide provider of gently

used durable medical

equipment that includes

wheelchairs, walkers, canes,

hospital beds and much more.

FODAC's mission is focused

on helping people with

disabilities and the elderly

maintain their independence

through low cost or free

services.

Tools for Life

(Georgia's Assistive

Technology Act

Program)

512 Means Street | Suite 250

Atlanta, GA 30318

404-894-8000

www.gatfl.org

Provides access to and

acquisition of assistive

technology devices and

services to individuals of all

ages and all disabilities living

in GA. Tools for Life is a

statewide program focused on

all areas of life including living,

Page 36: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

35

learning, working, and playing.

Core activities include AT

assessments, access to AT

lending libraries, AT & durable

medical equipment reuse, and

training for individuals and

groups.

Eye Care

EyeCare America 1-877-887-6327

http://www.eyecareamerica.org

A service of the American

Academy of Ophthalmology,

provides eye exams and up to

one year of care to U.S. citizens

and legal residents through

volunteer ophthalmologists

often at no out-of-pocket cost

to those who qualify.

Georgia Lions

Lighthouse

5582 Peachtree Road

Atlanta, GA 30341

Toll free 800-718-7483

www.lionslighthouse.org

[email protected]

The Lions Lighthouse has a

mobile clinic that visits 26 sites

throughout Georgia. At each

clinic, qualifying individuals

can receive a fully dilated eye

exam and eyeglasses. Also

arranges eye surgeries as

necessary.

Vision USA http://www.aoafoundation.org/visi

on-usa/

[email protected]

A program of the American

Optometric Association,

provides free eye exams for

low-income Americans without

insurance.

Food/Hunger Assistance

Banks-Jackson

Emergency Food Bank

111 Atlanta Ave.

Commerce, GA 30529

706-335-5143

Operates a food pantry for

families and individuals in

need. Clients must have a

DFCS referral.

Jackson Co. Dept. of

Family & Children

Services

456 Athens Street

P. O. Box 526

Jefferson, GA 30549-0526

706-367-3000

Assists with food stamp

applications.

Jackson County Food

Pantry

Jefferson First Baptist Church

246 Washington St.

Jefferson, GA

706-367-8332

The church operates a food

bank for citizens of Jackson

County. It is open Monday,

Wednesday and Friday 1:00

until 3:00 except for holidays.

Food Bank of Northeast

Georgia

861 Newton Bridge Road

P.O. Box 48857

See their website for a list of

agencies that distribute food in

Page 37: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

36

Athens, GA 30604

706.354.8191

[email protected]

www.foodbanknega.org

the area.

Northeast Georgia Area

Agency on Aging

305 Research Drive

Athens, GA 30605-2725

706.583.2546

Toll free 1.800.474.7540

Congregate meals, Meals on

Wheels, nutrition counseling.

Includes Jackson County in

service area.

Senior SNAP (Food

Stamps)

Georgia Senior SNAP

P.O. Box 537

Avondale Estates, GA 30002

404-370-6236

[email protected]

http://dfcs.dhs.georgia.gov/food-

stamps

Simplified application project

designed to make it easier for

seniors to receive food stamp

benefits if everyone in the

household is age 60 or older, no

one is working, and household

is under the income limit.

Health Insurance Navigators

InsureGA

Toll free 866- 988-8246

[email protected]

http://www.insurega.org

An initiative of Community

Health Works, a team of highly

skilled individuals acts as

educators and navigators

throughout Georgia with

regional offices in Macon,

Rome, Athens, Columbus,

Albany, Vidalia, and Waycross

as well as a call center in

Macon to handle inquiries from

throughout the state.

Seedco - Connecting

Georgians to Coverage

Toll free 855-899-6092

[email protected]

http://www.seedco.org/healthcare-

access/georgia/

Provides navigator assistance

for federal health insurance

marketplace. Seedco is a

national nonprofit that seeks to

advance economic opportunity

for people, businesses, and

communities in need. Seedco

received a federal grant to

provide navigator services in

Georgia. Translation services

available for all languages upon

request.

Also see

https://localhelp.healthcare.gov/

Healthcare

Jackson County Health Jefferson Health Clinic The Health Department offers

Page 38: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

37

Department

341 General Jackson Dr.

Jefferson, GA 30549

706-367-5204

Commerce Health Clinic

623 South Elm St.

Commerce, GA 30529

706-335-3895

Toll free 1-800-4PD-HELP

immunizations, blood pressure

checks, tuberculosis clinics,

birth control information, lab

work, vaccine program,

venereal disease treatment and

well-baby care services.

Referral and information about

health issues is available also.

Housing/Shelter

Jackson County

Community Resource

Center

(Ninth District

Community Action Ctr)

Jackson Administrative Building

67 Athens Street

Jefferson, Ga 30549

706-677-0028

http://www.ndo.org

[email protected]

Designed to assist households

that are currently homeless or

in imminent danger of

becoming homeless with the

establishment of long-term

housing stability through

limited financial assistance and

intense case management

services.

Legal Services

Georgia Legal Services

Program

Gainesville Regional Office

705 Washington Street, NW

Suite B-1

Gainesville, Georgia 30501

770-535-5717 or

Toll free 1-800-745-5717

GLSP provides free language

interpretation to non-English-

speaking callers.

Non-profit law firm serving

rural and small town Georgia

with 11 offices around the state.

Offers free legal services in

civil cases to people who

cannot afford to hire a lawyer.

Medical Equipment

Foundation for Sight

and Sound

631-366-3461

info@foundationforsightandsound

.org

http://www.foundationforsightand

sound.org/help_america_hear_pro

gram1.php

Provides hearing aids for men,

women, and children with

limited financial resources.

Friends of Disabled

Adults and Children

(FODAC)

4900 Lewis Road

Stone Mountain, GA 30083

770-491-9014

www.fodac.org

Statewide provider of gently

used durable medical

equipment that includes

wheelchairs, walkers, canes,

hospital beds and much more.

FODAC's mission is focused

on helping people with

disabilities and the elderly

Page 39: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

38

maintain their independence

through services that are low in

cost or free.

Georgia Lions

Lighthouse

5582 Peachtree Road

Atlanta, GA 30341

Toll free 800-718-7483

[email protected]

Provides eyeglasses and

hearing aids for low-income

individuals.

Mental Health

Advantage Behavioral

Health Systems

(Community Service

Board)

250 North Avenue

Athens, GA 30601

706-389-6789

www.advantagebhs.org

Mental health, addictive

diseases, crisis stabilization,

and developmental disability

services for Jackson County.

Jackson County

Outpatient Mental

Health Clinic (Community Service

Board)

383 General Jackson Drive

P. O. Box 356

Jefferson, GA 30549

Adult Mental Health,

Outpatient Addictive Diseases,

Adult Mental Health Day

Program

Jackson County

Creative Center and

Jackson County Service

Center

(Community Service

Board)

106 Industrial Parkway

P. O. Box 316

Commerce, GA 30529

Developmental Disabilities

Nursing Homes/Skilled Nursing Facilities

Northridge Health &

Rehabilitation Center

100 Medical Center Drive

Commerce, GA 30529

706-335-1300

167 bed skilled nursing facility

offering long term care and

short term rehabilitation.

Recreation

Boys and Girls Clubs of

Jackson County

412 Gordon St.

Jefferson, GA 30549

706-621-0834

Works to help youth of

all backgrounds develop the

qualities needed to become

responsible citizens

and leaders. Offers healthy

lifestyle classes, tutoring,

alcohol and drug awareness,

and more.

Page 40: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

39

Senior Services

Jackson County Senior

Center

151 General Jackson Drive

Jefferson, GA 30549

A multipurpose center offering

meals, outreach, visitation,

transportation to the center,

education, social/rec activities

for seniors.

Northeast Georgia

Agency on Aging

305 Research Drive

Athens, GA 30605-2725

706.583.2546

Toll free 1.800.474.7540

Provides information on and

access to home and

community-based services for

elderly and/or disabled, their

families, and other caregivers.

Services include adult day

health, Alzheimer’s respite

care, counseling, legal

assistance, home delivered

meals, nutrition counseling,

caregiver services,

pharmaceutical program for

seniors. Medicare information

counselors. Region includes

Jackson Co.

Substance Abuse

Advantage Behavioral

Health Systems

(Community Service

Board)

250 North Avenue

Athens, GA 30601

706-389-6789

www.advantagebhs.org

Mental health, addictive

diseases, crisis stabilization,

and developmental disability

services for Jackson County.

Jackson County

Outpatient Mental

Health Clinic (Community Service

Board)

383 General Jackson Drive

P. O. Box 356

Jefferson, GA 30549

Adult Mental Health,

Outpatient Addictive Diseases,

Adult Mental Health Day

Program

The Potter’s House

(Atlanta Mission)

655 Potter's House Road

Jefferson, GA 30549

706-543-8338 x5103

Christ-centered residential

discipleship program for

chemically addicted men.

Transportation

Jackson County Transit 12 Hendrix Dr.

Jefferson, GA 30549

706-367-7433

Offers three 10-passenger

vans equipped with wheelchair

accessibility. Provides

convenient, dependable,

accessible transportation for

Jackson County residents who,

due to financial and/or physical

Page 41: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

40

burdens, do not have access to

other means of transportation. Banks County Community Assets

Children and Family Support

Banks County Family

Connection

712 Thompson St.

Homer, GA 60547

Mailing address:

P.O. Box 264

Homer, GA 30547

706-716-0620

Family Connection is a

partnership of several

organizations working

with families to research the

needs of children and families

in Banks County, and to work

together to address those needs.

Crisis/Financial Assistance

Banks County

Community Resource

Center

(Ninth District

Community Action Ctr)

110 Shortest Street

P.O. Box 144

Homer, Georgia 30547

706-677-3921

http://www.ndo.org

[email protected]

Provides low income

heating/cooling assistance,

weatherization of homes to

reduce utility bills, emergency

food and shelter program, crisis

utility bill payment.

Banks Co. Dept. of

Family & Children

Services

423 Evans Street

P. O. Box 159

Homer, Georgia 30547-0159

706- 677-2213

May provide assistance with

utility bills with proof of

imminent disconnection.

The Salvation Army

711 Dorsey St.

30501

770-531-0135

Offers limited emergency

financial assistance in the forms

of rental and utilities assistance,

help paying for prescriptions,

providing food and clothing,

and giving replacement

furniture as needed.

Disability Services

Friends of Disabled

Adults and Children

(FODAC)

4900 Lewis Road

Stone Mountain, GA 30083

770-491-9014

www.fodac.org

Statewide provider of gently

used durable medical

equipment that includes

wheelchairs, walkers, canes,

hospital beds and much more.

FODAC helps people with

disabilities and the elderly

maintain their independence

through services that are low in

cost or free.

Tools for Life

(Georgia's Assistive

Technology Act

512 Means Street | Suite 250

Atlanta, GA 30318

404-894-8000

Provides access to and

acquisition of assistive

technology devices and

Page 42: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

41

Program) www.gatfl.org services to individuals of all

ages and all disabilities living

in GA. Tools for Life is a

statewide program focused on

all areas of life including living,

learning, working, and playing.

Core activities include AT

assessments, access to AT

lending libraries, AT & durable

medical equipment reuse, and

training for individuals and

groups.

Eye Care

EyeCare America 1-877-887-6327

http://www.eyecareamerica.org

A service of the American

Academy of Ophthalmology,

provides eye exams and up to

one year of care to U.S. citizens

and legal residents through

volunteer ophthalmologists

often at no out-of-pocket cost

to those who qualify.

Georgia Lions

Lighthouse

5582 Peachtree Road

Atlanta, GA 30341

Toll free 800-718-7483

www.lionslighthouse.org

[email protected]

The Lions Lighthouse has a

mobile clinic that visits 26 sites

throughout Georgia. At each

clinic, qualifying individuals

can receive a fully dilated eye

exam and eyeglasses. Also

arranges eye surgeries as

necessary.

Vision USA http://www.aoafoundation.org/visi

on-usa/

[email protected]

A program of the American

Optometric Association,

provides free eye exams for

low-income Americans without

insurance.

Food/Hunger Assistance

Banks-Jackson

Emergency Food Bank

111 Atlanta Ave.

Commerce, GA 30529

706-335-5143

Operates a food pantry for

families and individuals in

need. Clients must have a

DFCS referral.

Banks Co. Dept. of

Family & Children

Services

423 Evans Street

P. O. Box 159

Homer, Georgia 30547-0159

706-677-2213

Assist with food stamp

applications.

Food Bank of Northeast

Georgia

861 Newton Bridge Road

P.O. Box 48857

See their website for a list of

agencies that distribute food in

Page 43: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

42

Athens, GA 30604

706.354.8191

www.foodbanknega.org

the area.

Legacy Link Area

Agency on Aging

P.O. Box 2534

508 Oak Street. Suite 1, 30501

Gainesville, GA 30503-2534

770.538.2650

800.845.5465

http://www.legacylink.org

[email protected]

Congregate meals, Meals on

Wheels, nutrition counseling

Foodbank of Northeast

Georgia

861 Newton Bridge Rd.

P.O. Box 48857

Athens, GA 30604

706-354-8191

[email protected]

https://www.foodbanknega.org

See their website for a list of

agencies that provide food

assistance.

Senior SNAP (Food

Stamps)

Georgia Senior SNAP

P.O. Box 537

Avondale Estates, GA 30002

404-370-6236

[email protected]

http://dfcs.dhs.georgia.gov/food-

stamps

Simplified application project

designed to make it easier for

seniors to receive food stamp

benefits if everyone in the

household is age 60 or older, no

one is working, and household

is under the income limit.

Health Insurance Navigators

InsureGA

Toll free 866- 988-8246

[email protected]

http://www.insurega.org

An initiative of Community

Health Works, a team of highly

skilled individuals acts as

educators and navigators

throughout Georgia with

regional offices in Macon,

Rome, Athens, Columbus,

Albany, Vidalia, and Waycross

as well as a call center in

Macon to handle inquiries from

throughout the state.

Seedco - Connecting

Georgians to Coverage

Toll free 855-899-6092

[email protected]

http://www.seedco.org/healthcare-

access/georgia/

Provides navigator assistance

for federal health insurance

marketplace. Seedco is a

national nonprofit that seeks to

advance economic opportunity

for people, businesses, and

communities in need. Seedco

received a federal grant to

provide navigator services in

Georgia. Translation services

available for all languages upon

Page 44: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

43

request.

Also see

https://localhelp.healthcare.gov/

Healthcare

Banks County Health

Department

667 Thompson Street

Homer, Georgia 30547

706-677-2296

The Health Department offers

immunizations, blood pressure

checks, tuberculosis clinics,

birth control information, lab

work, vaccine program,

venereal disease treatment and

well-baby care services.

Medlink Georgia

(Banks)

1244 Historic Homer Hwy

Homer, GA 30547

706-677-4568

http://www.medlinkga.org

Nonprofit Community Health

Center offering family

medicine services.

Housing/Shelter

Banks County

Community Resource

Center

(Ninth District

Opportunity Community

Action Center)

110 Shortest Street

P.O. Box 144

Homer, Georgia 30547

706-677-3921

http://www.ndo.org

[email protected]

Designed to assist households

that are currently homeless or

in imminent danger of

becoming homeless with the

establishment of long-term

housing stability through

limited financial assistance and

intense case management

services.

Legal Services

Georgia Legal Services

Program

Gainesville Regional Office

705 Washington Street, NW

Suite B-1

Gainesville, Georgia 30501

770-535-5717 or

Toll free 1-800-745-5717

Free language interpretation for

non-English-speaking callers.

Non-profit law firm serving

rural and small town Georgia

with 11 offices around the state.

Offers free legal services in

civil cases to people who

cannot afford to hire a lawyer.

Medical Equipment

Foundation for Sight

and Sound

631-366-3461

info@foundationforsightandsound

.org

http://www.foundationforsightand

sound.org/help_america_hear_pro

gram1.php

Provides hearing aids for men,

women, and children with

limited financial resources.

Friends of Disabled

Adults and Children

4900 Lewis Road,

Stone Mountain, GA 30083

Statewide provider of gently

used durable medical

Page 45: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

44

(FODAC)

770-491-9014

www.fodac.org

equipment that includes

wheelchairs, walkers, canes,

hospital beds and much more.

FODAC's mission is focused

on helping people with

disabilities and the elderly

maintain their independence

through services that are low in

cost or free.

Georgia Lions

Lighthouse

5582 Peachtree Road

Atlanta, GA 30341

Toll free 800-718-7483

[email protected]

Provides eyeglasses and

hearing aids for low-income

individuals.

Mental Health

Avita Community

Partners

(Community Service

Board)

4331 Thurmon Tanner Parkway

Flowery Branch, GA 30542

678-513-5700

Toll free 800- 525-8751

Mental health, addictive

diseases, crisis stabilization,

and developmental disability

services for Banks County.

Senior Services

Banks County Senior

Center

700 Thompson Street

Homer, GA 30547

706-677-3275

Offers activities and meals.

Legacy Link Area

Agency on Aging

P.O. Box 2534

508 Oak Street. Suite 1, 30501

Gainesville, GA 30503-2534

770.538.2650

800.845.5465

http://www.legacylink.org

[email protected]

Provides information on and

access to home and

community-based services for

elderly and/or disabled

Georgians and caregivers.

Services include adult day

health, Alzheimer’s respite

care, counseling, legal

assistance, elder abuse

prevention, home delivered

meals, nutrition counseling,

caregiver services, nutrition

counseling, pharmaceutical

program for seniors. Medicare

information counselors. Region

includes Banks Co.

Substance Abuse

Avita Community

Partners

(Community Service

Board)

4331 Thurmon Tanner Parkway

Flowery Branch, GA 30542

678-513-5700

Toll free 800- 525-8751

Mental health, addictive

diseases, crisis stabilization,

and developmental disability

Page 46: NORTHRIDGE MEDICAL CENTER C G C H N … - Northridge - May 2015 - final.pdfNorthridge Medical Center is a 90-bed acute care hospital located in Commerce, Georgia. It is the only hospital

45

services for Banks County.

Transportation

Banks County Transit P.O. Box 187

Homer, GA 30547

706-677-1835

http://www.co.banks.ga.us/transit

Provides transportation services

to county residents. Offers

wheelchair accessibility.