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Community Health Needs Assessment 2016 Community Service Plan 2016-2018 Prepared by: NewYork-Presbyterian Lawrence Hospital 55 Palmer Avenue Bronxville, NY 10708 December 16, 2016

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Page 1: Community Health Needs Assessment 2016 Community Service ... · Community Health Assessment & Improvement Plan Community Service Plan for 2016-2018 4 Introduction In 2016, NewYork-Presbyterian

Community Health Needs Assessment 2016Community Service Plan 2016-2018

Prepared by:NewYork-Presbyterian Lawrence Hospital

55 Palmer AvenueBronxville, NY 10708

December 16, 2016

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Table of Contents

Cover Page ..................................................................................................... 3

Introduction ................................................................................................... 4

Service Areas Covered

About NewYork-Presbyterian Lawrence Hospital

Participant Contacts

Executive Summary......................................................................................... 6

Description of Community Assessed

Identification of Prevention Agenda Items

CSP Update for 2016

2016 CHNA Report .......................................................................................... 13

NewYork-Presbyterian Lawrence Hospital Report

Local Health Department County Wide Report

Plans to Maintain Engagement ...................................................................... 19

Public Dissemination of Report ...................................................................... 19

Appendix ........................................................................................................ 20

1. Westchester County Department of Health, Community Assessment Data Update, including

specific survey data for NewYork-Presbyterian Lawrence Hospital

2. Demographic Information for NYPLH Primary Service Areas

3. List of Community Partners

4. Abbreviated List of Community Activities for 2016

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Cover Page

Participant Contact Information:

2016 Community Health Assessment and Community Service Plan

Participating Local Health Department:

Westchester County Department of Health

10 County Center Road, White Plains, NY 10607

Sherlita Amler, MD, Commissioner of Health

Phone: 914-864-7298

Renee Recchia, MPH, Acting Deputy Commissioner for Administration

Phone: 914-995-7522

Email: [email protected]

2016 Community Health Assessment and Community Service Plan Participating Hospital:

NewYork-Presbyterian Lawrence Hospital

55 Palmer Avenue, Bronxville, NY 10708

Tracy Conte, Vice President, Marketing & Development

Phone: 914-787-5268

Email: [email protected]

Alisa White Holland, Director of Marketing

Phone: 914-787-5004

Email: [email protected]

Name of coalition/entity, if any, completing assessment and plan on behalf of participating

counties/hospitals:

To determine the community health priorities for 2016 - 2018, the Westchester County Department

of Health created the Westchester County Health and Hospital Planning Team (WCHHPT), a

collaboration of 12 community hospitals. Member hospitals are included in the appendix of this

document.

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Introduction

In 2016, NewYork-Presbyterian Lawrence Hospital worked as a member of the Westchester County

Health and Hospital Planning Team (WCHHPT) under the guidance of the Westchester County

Department of Health to plan and execute a county-wide Community Health Needs Assessment

survey, and to collaborate on the identification of priority areas and planned health interventions for

2016-2018. Members of the WCHHPT included the Department of Health and representatives from

12 hospitals and healthcare providers who met seven times throughout the year. As a result of this

collaboration, survey results, and internal planning based on our hospital’s strengths, resources and

local community needs, NewYork-Presbyterian Lawrence Hospital developed its 2016-2018

Community Service Plan.

Analysis of the County-wide survey results led members of the WCHHPT to select the New York State

Prevention Agenda Priority Area “Prevent Chronic Disease.” Within this selected priority, each

hospital analyzed survey results from their own primary and secondary service areas to determine

areas of focus and planned health interventions. Members of the WCHHPT discussed best practices,

ideas for interventions and opportunities for collaboration. Participation will continue and WCHHPT

will reconvene in March 2017 and meet quarterly to maintain partner engagement.

The NewYork-Presbyterian Lawrence Hospital Community Service Plan 2016-2018 is further based on

responses from residents and providers within NewYork-Presbyterian Lawrence Hospital’s primary

and secondary service areas in lower Westchester County, New York. This service area was defined

with the help of a consultant, Chartis Group, about five years ago through analysis of hospital data to

determine the zip codes where the majority of patients treated at NewYork-Presbyterian Lawrence

Hospital reside, and includes the following zip codes:

Primary MOUNT VERNON 10552

Primary YONKERS 10704

Primary TUCKAHOE 10707

Primary BRONXVILLE 10708

Primary EASTCHESTER 10709

Primary YONKERS 10710

Secondary MOUNT VERNON 10550

Secondary MOUNT VERNON 10553

Secondary SCARSDALE 10583

Secondary YONKERS 10701

Secondary YONKERS 10705

Secondary PELHAM 10803

Secondary NEW ROCHELLE 10804

Secondary NEW ROCHELLE 10805

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About NewYork-Presbyterian Lawrence Hospital

Founded in 1909, NewYork-Presbyterian Lawrence Hospital has a long and well-established history of

providing superior healthcare to the residents of southern Westchester County and its surrounding

communities. The 288-bed hospital joined the NewYork-Presbyterian Regional Hospital Network in

2014 and offers a new Comprehensive Cancer Center with state-of-the-art Surgical Suites, a Cardiac

Catheterization Laboratory, renovated Maternity Department and an Emergency Department

providing emergency care to approximately 46,000 people annually. NewYork-Presbyterian Lawrence

Hospital provides additional support and care to area residents through NewYork-Presbyterian

Medical Group Westchester, a multispecialty physician practice, as well as ColumbiaDoctors, the

faculty practice of Columbia University Medical Center and voluntary physicians. For more

information, visit www.nyp.org/lawrence or call 914-787-1000.

Our Values

As a member of NewYork-Presbyterian enterprise, NewYork-Presbyterian Lawrence Hospital

subscribes to the NewYork-Presbyterian culture that embodies the promise, “We Put Patients First,”

which drives our organization’s core values and behaviors.

The six values that reflect our culture are:

Responsibility Honoring Our Past, Ensuring Our Future

Excellence Exceptional Quality and Service

Empathy Listen, Understand and Respond

Respect Every Person Counts

Innovation Creative Ideas, Cutting Edge Solutions

Teamwork Working Together

About NewYork-Presbyterian

NewYork-Presbyterian is one of the nation’s most comprehensive healthcare delivery networks,

focused on providing innovative and compassionate care to patients in the New York metropolitan

area and throughout the globe. In collaboration with two renowned medical school partners, Weill

Cornell Medicine and Columbia University College of Physicians & Surgeons, NewYork-Presbyterian is

consistently recognized as a leader in medical education, ground-breaking research and clinical

innovation.

NewYork-Presbyterian has four major divisions: NewYork-Presbyterian Hospital is ranked #1 in the

New York metropolitan area by U.S. News and World Report and repeatedly named to the magazine’s

Honor Roll of best hospitals in the nation; NewYork-Presbyterian Regional Hospital Network is

comprised of leading hospitals in and around New York and delivers high-quality care to patients

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throughout the region; NewYork-Presbyterian Physician Services connects medical experts with

patients in their communities; and NewYork-Presbyterian Community and Population Health features

the hospital’s ambulatory care network sites and operations, community care initiatives and

healthcare quality programs, including NewYork Quality Care, established by NewYork-Presbyterian,

Columbia, and Weill Cornell.

NewYork-Presbyterian is one of the largest healthcare providers in the U.S. Each year, nearly 29,000

NewYork-Presbyterian professionals deliver exceptional care to more than 2 million patients.

For more information, visit www.nyp.org and find us on Facebook, Twitter and YouTube.

Executive Summary

NewYork-Presbyterian Lawrence Hospital, located in the heart of southern Westchester County, New

York, is partnering with the Westchester County Department of Health and the area’s hospitals and

healthcare service agencies to fulfill requirements of the New York State Department of Health’s

Prevention Agenda 2016-18. In our efforts to meet the Agenda’s requirements, the Westchester

County Health & Hospital Planning Team (WCHHPT), including NewYork-Presbyterian Lawrence

Hospital, conducted a Community Health Needs Assessment Survey to sample residents and

providers in the County and each hospitals’ or agencies’ service areas to determine which Prevention

Agenda initiative(s) it plans to address during this three year period. Surveys yielded 1,318 responses

and 733 were from within the subset of NewYork-Presbyterian Lawrence Hospital’s primary and

secondary service areas.

Description of the Community Assessed

NewYork-Presbyterian Lawrence Hospital’s primary and secondary service areas are located in

Southern Westchester County, New York. Most of the hospital’s patients live in the following

communities: Bronxville, Eastchester, Mount Vernon, Pelham, New Rochelle, Scarsdale, Tuckahoe

and Yonkers. These communities are densely populated suburban and small city neighborhoods

which vary widely in demographics.

The service areas were determined about five years ago during a planning process initiated in

advance of seeking a new partnership with a major healthcare system. Working with a consultant

(Chartis Group), the top zip code areas for inpatient and outpatient services were identified. The

service areas were analyzed for a variety of patient categories (e.g., OB, surgery). The distinction

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between primary and secondary service areas was based on the volume of patients, geography, and

other criteria (e.g., roadways, natural barriers).

Significant socioeconomic gaps exist among the communities served by NewYork-Presbyterian

Lawrence Hospital. According to population data from Westchester County Department of Health,

cited in “Westchester County Population Update, 2009-2013,” median household income ranges

from $49,328 in the City of Mount Vernon to $195,337 in the Village of Bronxville. Poverty rates,

ethnic diversity, education levels, prevalence of overcrowded housing, language spoken at home vary

widely from one neighborhood to the next. Demographic data from the County’s report based on

U.S. Census data is included in the appendix for each of the municipalities that fall within the

hospital’s primary service area.

Over a series of meetings in 2016, the Westchester County Health & Hospitals Planning Team crafted

and disseminated throughout Westchester County community assessment and provider surveys. In

addition to surveying the community at large, the team sought to identify a wide and varying range of

providers of health care services to ensure that as many areas of health care as possible could be

included in the surveys.

County-led meetings were held at the Westchester County Department of Health, 10 County Center

Road, White Plains, NY on the following dates:

April 8, 2016

April 21, 2016

May 6, 2016

June 24, 2016

July 8, 2016

July 27, 2016

September 16, 2016

Hospital organizations represented at these meetings:

• Blythedale Children’s Hospital

• Burke Rehabilitation Center

• Montefiore - Mount Vernon and New Rochelle

• NewYork-Presbyterian Hudson Valley Hospital

• NewYork-Presbyterian Lawrence Hospital

• Northern Westchester Hospital – Northwell

Health

• Phelps Memorial Hospital – Northwell Health

• St. Johns Riverside Hospital

• St. Joseph’s Hospital

• Westchester Medical Center

• White Plains Hospital Center

Surveys were distributed to community members, community agencies and providers both

electronically via a “Survey Monkey” on-line form, and in hard copy paper format. Completed paper

surveys were manually entered into the data sets prior to analysis.

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In total 1097 residents of Westchester County responded to the community needs assessment

survey, and 218 responses were received from individuals representing 118 community agencies and

health providers surveyed within the county. Of the 1097 respondents, 733 reside within NewYork-

Presbyterian Lawrence Hospital’s primary and secondary service areas. Those responding on behalf

of providers represented agencies within our service area such as Andrus, Bronxville School District,

Cancer Support Team, Concordia College Student Health Center, and Jansen Hospice & Palliative

Care.

Identification of Prevention Agenda Priorities & Selected Disparity

The WCHHPT reviewed survey results from the Westchester County survey of 218 providers and 1097

residents along with results specific to the NewYork-Presbyterian Lawrence Hospital service areas to

determine which Prevention Agenda initiative and focus area to pursue. In the community survey

results (Exhibit 1), the top five community health conditions or concerns residents identified were:

1. Obesity/Overweight

2. Care for the Elderly

3. Drug Abuse

4. Mental Health/Depression

5. Cancer

Questions about what health concerns respondents have about their own health yielded the highest

response around (1) nutrition and eating habits and (2) obesity and being overweight, followed by (3)

having a healthy environment, (4) women’s health, and (5) dental care. Community members

identified the top three health information sources they access as being (1) their doctor or healthcare

professional, (2) the internet, and (3) family and friends.

Providers of healthcare services surveyed identified the following health conditions and concerns

they see when treating their clients/patients:

1. Mental Health/Depression

2. Drug Abuse

3. Overweight/Obesity

4. Access to Specialty Care

5. Heart Disease/Stroke and Care for the Elderly (tied)

The survey results were discussed among members of the WCHHPT and reviewed in comparison to

data in the Westchester County Department of Health Community Health Assessment Update dated

January, 2016. County data indicates that in 2012, heart disease, stroke and other circulatory

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diseases accounted for 39% of all deaths, and cancer accounted for 24% of all deaths. Heart disease

is the number one cause of death in Westchester County, followed by cancer.

Based on review of health data, survey findings, community feedback, the Prevention Agenda Action

Plan provided by New York State Department of Health, and collaboration with other providers, the

Westchester County Health & Hospitals Planning Team, including NewYork-Presbyterian Lawrence

Hospital, decided to address the Prevention Agenda Priority Group Choice A (GCA): Preventing

Chronic Diseases. Hospital representatives came to consensus that choosing two areas of focus

under the umbrella of Preventing Chronic Disease was supported by the data collected, and was the

best choice and avenue to implement successful programs aligned with the strengths, service lines

and priorities of their organizations.

Survey results were further reviewed with members of the leadership team of NewYork-Presbyterian

Lawrence Hospital and weighed against existing resources, assets and strengths to determine our

priorities and two areas of local focus. Data was also discussed at a monthly meeting of the

NewYork-Presbyterian Lawrence Hospital Heart Disease Prevention Committee. This committee

comprises physicians, clinicians from the hospital’s interventional cardiology, emergency medicine

and nursing departments, nutrition, and marketing and administrative team members.

NewYork-Presbyterian Lawrence Hospital determined that it can best address the Prevention Agenda

Item Reducing Chronic Disease and the issue of premature cardiac related deaths by devoting present

and future resources to Hands-Only CPR education and interventions that address blood pressure,

cholesterol, cardiovascular health, diet, healthy Body Mass Index, and education. This plan of action

fits well with survey results which showed that the highest concern among community respondents

are around obesity and nutrition.

With cancer as the number two cause of death in Westchester County and the fifth highest area of

concern cited in our community survey results, addressing this second area of focus fits well with our

organizational strengths and assets. In November 2016, NewYork-Presbyterian Lawrence Hospital

opened a new, state-of-the-art comprehensive Cancer Center to bring prevention measures,

screening, diagnosis, treatment, and return to wellness through survivorship programs all together in

one location. To support the Cancer Center, the Hospital recruited and built an experienced and

highly regarded team of physicians, surgeons, specialists and clinical providers, and established

disease management teams, expanded treatment options and ancillary offerings. The expanded

resources and team enhances the hospital’s ability to provide education and services out in the

community.

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For 2016-2018, NewYork-Presbyterian Lawrence Hospital will address the following Priority and Focus

Areas and Goals as prescribed by the NYS Prevention Agenda.

Priority Area: Prevent Chronic Disease

Focus Area 1: Reduce Obesity in Children and Adults

Goal: Expand the role of health service providers in nutritional education and obesity

prevention.

Interventions: Community Nutrition Education, Supporting Healthy Eating and Promoting

Physical Activity through partnerships and outreach.

Focus Area 2: Increase Access to High Quality Chronic Disease Preventive Care and Management in

Both Clinical and Community Settings

Goal: Increase screening rates for cardiovascular diseases and breast, lung, skin and

colorectal cancers, especially among disparate populations.

Interventions: Screenings facilitated by Clinical Navigators in collaboration with Physicians,

community initiatives including disease focused education campaigns, seminars and outreach

events.

To address a health care disparity through planned interventions, NewYork-Presbyterian Lawrence

Hospital will focus on underserved communities with a focus on African American and Hispanic

communities, particularly in its interventions planned for increasing screening for breast cancer.

We will continue our diet and nutrition outreach and focus on the prevention and treatment of

cancer and heart disease. With the addition of the NewYork-Presbyterian Cardiac Catheterization

Laboratory, an expert interventional cardiology team and a dedicated Heart Disease Prevention

Committee which meets to plan interventions and outreach, NewYork-Presbyterian Lawrence

Hospital clinical team leaders will perform screenings and interventions to educate and reduce the

incidence of heart disease and offer treatment to those in need.

The Breast Disease Management Team will lead the hospital’s intervention to increase the number of

women who are screened for breast cancer, with a focus on underserved women who have not

traditionally had access to mammography for financial or cultural reasons. Participants in internal

and community screening programs will be identified and tracked as part of a new New York State

grant funded mammography screening program to begin in 2017. In addition to breast screening,

interventions for the area of focus on cancer will also involve nurse navigators working in the

community to provide increased education, outreach and screenings for colorectal cancer.

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Results from 2013 vs. 2016

The results of the 2016 CHNA expressed “mental health,” and “drug abuse” as the two top areas of

concerns for community health providers. “Mental health” was also cited the fourth highest area of

concern according to survey of the general community. These results are new to our health needs

assessment and did not show up on 2013 survey data and point to a growing concern and likely

prevalence of mental illness, depression and substance abuse.

While we are not citing this as one of the hospital’s Prevention Agenda focus areas, the executive

team and clinical staff is committed to devoting resources to education, outreach and interventions

to address this area of need. In 2016 the hospital hired a full time psychiatrist and has initiated

education around addiction, alcohol abuse and assorted mental health issues. These efforts will also

be utilized to support the community service plan of our local health department.

CSP Update for 2016

In the Hospital’s 2013-2016 Community Service Plan, NewYork-Presbyterian Lawrence Hospital

selected two prevention agenda priority areas: (1) “Promoting Healthy Women, Infants and

Children,” for which we identified strategies to encourage pregnant and post-partum mothers to

choose to breastfeed their babies, and (2) “Preventing Chronic Diseases,” for which we focused on

Reducing Obesity in Children and Adults.

At the core of the interventions for preventing chronic diseases were the hospital’s Outpatient

Nutrition program, extensive community outreach and education around healthy eating, and a school

partnership with an underserved elementary school with a majority African American population in

Mount Vernon, NY.

Nutrition team members participated in dozens of community outreach events including: an annual

National Nutrition Month (March) Lunch and Learn program attracting 101 attendees. One of the

presentations was entitled “Experience a World of Healthy Flavors” in which the NewYork-

Presbyterian Lawrence Hospital Nutrition Team educated the audience about salt alternatives and

assisted them in developing their own salt-free season blends.

In 2016, one of our registered dietitians and facilitator of the Hospital’s Outpatient Nutrition program

led an Eat Right & Live Long educational series. Some of the presentations included:

• “Vegetarian Diet Principals for Heart Health”

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• “Childhood Obesity”

• “Nutrition and Cancer – Making Healthy Decisions”

• “Nutrition and Breast Cancer”

Ninety two people attended the Eat Right series of educational programs. Also, during February’s

Heart Month, the Hospital’s Chef and members of the Nutrition Team hosted a “Dinner with the

Doctor” presentation featuring Anthony Mercando, MD, a board-certified cardiologist and member of

NewYork-Presbyterian Medical Group Westchester. Dr. Mercando and the nutrition team performed

a cooking demonstration highlighting heart healthy cooking and recipes.

To further address the focus area – Reducing Obesity in Children and Adults – NewYork-Presbyterian

Lawrence Hospital partnered with Traphagen Elementary School in Mt. Vernon for a special program

to help students discover the benefits of exercise and healthy eating called Project Fit America, Inc.

The program teaches elementary aged children how to get fit and eat right, reducing their risk for

cardiovascular disease. NewYork-Presbyterian Lawrence Hospital underwrote a grant for Project Fit

America to implement its cardiovascular equipment, curriculum and educational support in an

underserved school within the hospital’s service area. By way of a competitive grant application

process led by Project Fit, Traphagen Elementary School was the recipient of the two year project.

New outdoor exercise equipment was installed, indoor exercise equipment was provided, and

curriculum and special training was provided to the school’s lead physical education teacher.

In order to measure the program’s effectiveness, the school identified and tested 343 different

elementary school aged children in the fall of 2014 and 2015 to develop a baseline for their fitness

levels. The program’s progress was determined by a second testing in the spring of 2015 and 2016.

Here is a synopsis of the program’s outcomes:

2014-2015 Testing Outcomes / 343 students served –Grades K-6:

Pre Post %Improvement

Sit Ups - Timed for 60 seconds 29 35.8 23.4%

(Abdominal Strength)

Flexed Arm Hang- Timed in seconds 17 27 58.8%

(Upper Body Strength)

20 Meter Pacer - Laps run 18.2 25.8 41.8%

(Cardio Endurance Run)

Pull Ups .98 3.8 100%

(Upper Body Strength)

2015-2016 Testing Outcomes/ 343 students served –Grades K-6:

Pre Post %Improvement

Sit Ups- Timed for 60 seconds 29 36 24%

(Abdominal Strength)

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Flexed Arm Hang- Timed in seconds 19 29 53%

(Upper Body Strength)

20 Meter Pacer –Laps run 16 24 50%

(Cardio Endurance Run)

Pull Ups 4 5 25%

(Upper Body Strength)

This grant-supported partnership provided equipment, teacher training and curriculum improving

children’s cardiovascular health and monitored their progress for two years. The two-year program

ended in June 2016, and physical education teachers at Traphagen Elementary School will continue to

utilize the program’s curriculum and playground equipment which is a permanent fixture on the

school grounds. Project Fit America will continue to provide curriculum updates to Traphagen’ s staff

as well as in-service training and networking opportunities with other Project Fit Teachers based

throughout the country. NewYork-Presbyterian Lawrence Hospital will continue to build its

relationship with Traphagen and provide ongoing student and parent health education and

screenings.

Report

As part of the collaborative planning and survey process, NewYork-Presbyterian Lawrence Hospital

and members of the Westchester County Health and Hospital Planning Team reviewed Westchester

County data to determine the top health problems facing residents. According to a 2012 Westchester

County Department of Health report, heart disease accounted for 2,113 deaths or 31% of all deaths in

the county. It is the leading cause of death in the Westchester County.

While strides have been made in the detection and prevention of cancer, in Westchester County it is

still a major contributor to death and a loss of quality of life. In its 2008 to 2012 Cancer Report, the

Westchester County Health Department found that cancer is the second leading cause of death of

residents. Breast and prostate cancers are two of the top conditions patients are diagnosed with.

And, the highest incidence of prostate cancer is found in African American men.

With respect to obese and overweight residents in Westchester County, the Department of Health

conducted a Self-Reported Health Status Report in 2013 and 2014. In it, more than 58% of residents

described themselves as either overweight or obese. African American, Non-Hispanic women were

the largest group that described itself this way at a staggering 73%. Given these figures, NewYork-

Presbyterian Lawrence Hospital believes that this is a justifiable focus area and will continue to

address it in the next three year plan. Further, the Hospital’s clinicians understand the correlation

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between excess weight and chronic health conditions. This is another reason why the Hospital’s team

selected “Preventing Chronic Diseases” as a priority area.

The aforementioned survey results further reinforce the Hospital’s chosen prevention agenda priority

– “Preventing Chronic Diseases” and its two focus areas – Reduce Obesity in Children and Adults and

Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical

and Community Settings. Given the high incidence of prostate cancer and obesity in the African

American community, the findings confirm the health disparity seen in that population

The following pages provide a chart to outline our Community Service Plans’ goals, interventions,

strategies and evidence-based or promising practices to fulfill this upcoming cycle of the NewYork-

Presbyterian Lawrence Hospital Community Service Plan 2016-2018.

Planned interventions outlined below were developed together with the hospital’s clinical nutrition

leaders, interventional cardiology clinical team and Heart Disease Prevention Committee, and the

Director, Program Coordinator, Nurse Navigator and clinical educators from the hospital’s Cancer

Center.

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Local Health Department Community Health Improvement Plan

Westchester County Department of Health has committed to three areas of focus at the County level

for the 2016-18 CHIP cycle. In addition to the two focus areas under Prevent Chronic Disease, which

are the same areas being addressed by NewYork-Presbyterian Lawrence Hospital, the county will

address a third area of focus as outlined in interventions planned by WCDOH:

I. Prevent Chronic Disease: Reduce Obesity in Children and Adults

II. Prevent Chronic Disease: Increase Access to High Quality Chronic Disease Preventative

Care and Management in Both Clinical and Community Settings

III. Promote Mental Health and Prevent Substance Abuse: Prevent Substance Abuse and Other

Mental Emotional Disorders

Interventions selected by WCDOH for the two Chronic Disease focuses were encouraged by activities

the department is pursuing with Hudson River HealthCare (HRHCare) through a Local Initiatives for

Multi-Sector Public Health Action (Local IMPACT) grant. Activities to address an additional focus of

Substance Abuse were selected as extensions of current initiatives to maximize limited resources. The

County anticipates a positive impact from these initiatives, in particular for six targeted high-needs

communities identified through the partnership between HRHCare and WCDOH.

To address the above three focuses, WCDOH will direct the necessary resources to implement and/or

continue to administer a number of programs/initiatives, including, but not limited to:

• Healthy Corner Store/Bodega Initiative: The County will work with stores to improve

availability and access to healthier foods.

• Worksite wellness program: The County will partner with worksites to adopt policies

committing to healthy meeting guidelines, modifying vending machine procurement policies

for healthier foods, and placing water/healthier food options to eye level. Also, to provide

resources including signage, sample policies, and messaging templates to encourage physical

activity. This initiative aligns with NewYork-Presbyterian’s annual employee STEPS Challenge,

which is designed to increase physical activity and cardiovascular health among employees

and is one of NewYork-Presbyterian Lawrence Hospital’s planned interventions.

• Public signage initiative: Signage promoting physical activity including busses, bus stops, and

working with County Parks Department to assess/implement signage in parks and marked

walking paths.

• County “Keep Healthy” Campaign: WCDH creates various educational and promotional

materials for the public, also available to partner institutions and organizations.

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• Work with community partners to offer of evidence-based self-management programs;

options (for which there are trained health educators at WCDH) include, the National Diabetes

Prevention Program, Chronic Disease Self-Management Program, and the Diabetes Self-

Management Program

• Interventions to address non-medical use of opiates including:

o Drop boxes for safe disposal of un-used medications

o Take-back events, where education may be offered concurrently.

o Public health education events regarding opioids, including naloxone trainings

NewYork-Presbyterian Lawrence Hospital will support the County’s planned initiatives through

continued participation in the WCHHPT coalition and through planning of initiatives, dissemination of

materials, and other efforts.

Plans to Maintain Engagement

The Westchester County Health and Hospital Planning Team is planning to reconvene in March 2017

at which time members will share updates regarding their respective Community Health

Improvement and Community Service Plans and interventions and strategies they’ve employed along

with what is working and what challenges they may be facing. The team is committed to convening

quarterly over the next three years as a way to maintain engagement with local partners.

NewYork-Presbyterian Lawrence Hospital will maintain engagement through its public affairs and

communications, and clinician outreach and networking in the community and with community

partners. Residents of lower Westchester receive health information and event and activities news

through our website, community newsletter, monthly email newsletter, social media, community

event calendars, local press and through information distributed through community partner

organizations. Social media around our work with the Westchester County Department of Health

will engage the County’s hash tag #keephealthy to share coordinated messages.

Public Disseminations of the Plan

NewYork-Presbyterian Lawrence Hospital will post a copy of the Executive Summary of the 2016–

2018 Community Service Plan on the Hospital’s website – nyp.org/lawrence. We will also announce

its posting via the Hospital’s newsletters, in our community newsletters and in social media.

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Community Health Assessment & Improvement Plan

Community Service Plan for 2016-2018

20

Appendix

1. Westchester County Department of Health, Community Assessment Data Update, including

specific survey data for NewYork-Presbyterian Lawrence Hospital

2. Demographic Information for NYPLH Primary Service Areas

3. List of Community Partners

4. Abbreviated List of Community Activities for 2016

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Robert P. Astorino, Westchester County Executive

Sherlita Amler, MD, Commissioner of Health

In November 2015, the New York State Health Commissioner sent a letter to all local

health department commissioners and hospital chief executive officers to provide an

update on New York’s progress in meeting the goals of the 2013-2017 Prevention

Agenda, NYS’ health improvement plan to become the healthiest state. The letter

asked health departments and hospitals to work together to review community health

data and to identify two Prevention Agenda priorities for 2016-2018.

Local health departments are required to conduct Community Health Assessments

(CHA) and to submit a three-year Community Health Improvement Plan (CHIP). In April,

the Westchester County Department of Health (WCDH) convened a meeting with

Westchester County hospitals to discuss the process for conducting a joint health

assessment. This group worked together to develop and conduct surveys among health

care providers and members of the public. The surveys were intended to capture

important health issues affecting the communities in which they serve and/or live.

Survey questions included providers’ and communities’ perceptions of the most

needed services, barriers to providing/receiving services, and ways to improve access

to services.

Surveys were made available in paper-format and online through Survey Monkey.

Surveys were offered in multiple languages; WCDH translated the survey into Spanish

and hospitals had the survey translated into other languages. Both WCDH and hospitals

were responsible for survey distribution. Paper forms for community members were

placed in waiting areas of various service agencies and hospitals. In addition, WCDH

had staff onsite at service locations to assist and encourage underserved populations to

complete the survey. Online links for the provider and community surveys were

distributed through listservs available to the WCDH, hospitals, and community-based

organizations. A total of 1,318 community surveys and 218 provider surveys were

conducted from May 16, 2016 to June 30, 2016.

This data brief presents the main findings from the two surveys.

In this issue:

Provider survey - Questionnaire - Provider Respondent profile - Survey findings

Community health survey - Questionnaire - Community respondent profile - Survey findings

Discussion of results

Jiali Li, Ph.D. Director of Research & Evaluation, Planning & Evaluation Renee Recchia, MPH Acting Deputy Commissioner of Administration Bonnie Lam, MPH Medical Data Analyst

@wchealthdept

#keephealthy

KEEP

HEALTHY AND

GET

THE STATS

Westchester County Department of Health

Community Health Assessment Data Update

2016.05

Community Health Needs Assessment (CHNA) Survey Report, 2016

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2

Westchester County Provider Questionnaire

Phone # ______________________ Email address _________________

c Advocate c Board member c Office manager

c Alcohol/substance provider c Dental provider c Primary care provider

c Allied health professional c Executive director c Program administrator/manager

c Behavioral health care provider c Health educator c Specialty care provider

c Other (please specify) : __________

c Alcohol/substance Abuse Agency c Dental Practice c Medical Practice

c Community-based Organization c Home Care Agency c Mental Health Agency

c Community Health Center c Hospital c Outpatient Clinic

c Other (please specify) : _________

c Breastfeeding support c Family planning c Prenatal/PCAP services

c Case management c Food access c Primary care services- adults

c Childcare c Health insurance enrollment c Primary care services- children

c Community education c Health screenings c Rehabilitation services

c Dental services c Home care services c Smoking/tobacco services

c Domestic violence prevention c Housing c Transportation

c Drug/alcohol services c Immigrant support services c Violence/bullying/gang

c Elder care/senior services c Immunization prevention

c Exercise/ weight loss programs c Mental health services c Other (please specify) : __________

c Adults c Immigrants c Seniors

c Children c Low-income c Other (please specify) : __________

c Disabled c Uninsured

c Access to immunizations c Dental care c Mental health/depression/

c Access to primary health care c Diabetes suicide

c Access to specialty care c Disability c Nutrition/eating habits

c Alcohol abuse c Distracted driving c Overweight/obesity

c Asthma/breathing problems c Drug abuse c Preventable injury/falls

c Cancer c Family planning/teen pregnancy c Smoking/tobacco use

c Care for the elderly c Healthy environment c Violence

c Child health & wellness c Heart disease/stroke c Women’s health

c Dementia/Alzheimer'sc HIV/AIDS & Sexually Transmitted

Infectionsc Other (please specify) : __________

We want to hear your thoughts about important health issues in the community you serve. Together, the Westchester

County Health Department and hospitals throughout Westchester County, NY, will use the results of this short survey

and other information to help improve health programs. Thank you for your participation!

Please check the categories that best describe your agency. (Please check all that apply)

Please check the type of services provided by your agency. (Please check all that apply)

Please check all persons served by your agency. (Check all that apply)

Your name ____________________

Zip code of site location:

_____________________________________________________________________

_____________________________________________________________________

Agency Name:

Optional:

How would you best describe your title/role in your agency?

What are the THREE biggest ongoing health concerns for the people/community you serve?

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3

Westchester County Provider Questionnaire

c Access to dental care c Domestic violence prevention c Mental health services

c Access to healthier food c Drug/alcohol services c Safer childcare options

c Access to primary care c Elder care services c Safer places to walk/play

c Affordable housing c Exercise/weight loss programs c Smoking/tobacco services

c Breastfeeding support c Health Insurance enrollment c Transportation

c Caregiver support c Health screenings c Violence/bullying/gang

c Clean air & water c Home care services prevention

c Community education c Immigrant support services c Other (please specify) : __________

c Dementia/Alzheimer's screening c Job opportunities

c Very healthy c Somewhat healthy c Very unhealthy

c Healthy c Unhealthy c Other (please specify) : __________

c Cultural competency issues c Limited or lack of access to c Patient non-adherence to

c High no-show rate specialists treatment

c Inadequate insurance c Limited space and/or equipment c Staff time contrains

reimbursement c Limited staffing resources c Other (please specify) : __________

c Lack of funding c Patient cannot afford prescription

c Limited bi-l ingual staff medications

c There are no issues c Don’t understand need to see a c Lack of/or l imited staff who speak

c Cannot afford services provider their language

c Co-pay/deductible too high c Inconvenient hours c No transportation/too far

c Cultural/religious beliefs c Insurance does not cover service c No childcare

c Don't know how to access services c Lack of time c No insurance

c Don’t l ike going/afraid to go c Lack of/or l imited staff/service c Unaware of services available

c Other (please specify) : __________

c Community-based organization c Internet c School/college

c Doctor/Health professional c Library c Social media (Facebook, Twitter, etc.)

c Family or friends c Newspaper/magazine c Television

c Health department c Radio c Worksite

c Hospital c Religious organization c Other (please specify) : __________

c Yes ________________

c No _________________

Can we contact you so you can tell us more about your ideas

regarding health problems in Westchester County and what should

be done about them?

How would you rate the health of the people/community you serve?

What are the THREE most significant barriers impacting YOUR ABILITY to provide services to your

patients/clients?

For the patients/clients you serve, what are the top THREE barriers impacting YOUR CLIENTS' ability to

access your services?

Where do community members you serve get most of their health information? (Check all that apply)

What THREE things would be most helpful to improve the health concerns of the community you serve?

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4

Provider Survey Findings

Westchester County

Not Westchester County

Total Surveys Included in Provider Analysis

All Respondents (online form)

179 (82%) 39 (18%) 218

21%

17%

11% 11%

9%

9%

5%

4%

1% 12%

Organization Types

Community-based Organization

Hospital

Outpatient Clinic

Alcohol/Substance Abuse Agency

Medical Practice

Mental Health Agency

Community Health Center

Home Care Agency

Dental Practice

Other

23%

13%

12% 8%

4% 3%

3% 2%

2% 1%

1%

*Other, 28%

<1%

Title or Role of Respondent within Agency

Program administrator/managerSpecialty care providerExecutive directorPrimary care providerAllied health professionalAdvocateBehavioral health care providerAlcohol/substance providerBoard memberOffice managerHealth educatorOtherNo response

* The qualitative “Other” free-responses were overall not applicable and not itemized in the presented results.

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5

Provider Survey Findings

64

72

80

80

98

Staff time constraints

Limited staffing resources

Inadequate insurancereimbursement

Patient non-adherence totreatment

Lack of funding

Top Barriers to Providing Care

42

44

45

63

84

Care for the elderly

Access to primary health care

Access to specialty care

Drug abuse

Mental health/depression/suicide

Top Health Concerns for Community

73

82

86

109

111

Drug/alcohol services

Health screenings

Mental health services

Community education

Case management

Top Services Provided to Community

1%

13%

50%

28%

5%

3%

Perceived Health Status of Community

Very healthy

Healthy

Somewhat healthy

Unhealthy

Very unhealthy

Other

44

45

49

63

82

Drug/alcohol services

Access to primary care

Community education

Affordable housing

Mental health services

Programs Needed to Address Health Concerns

45

46

57

64

69

No transportation/too far

Cannot afford services

Don't understand need to see aprovider

Unaware of services available

Don't know how to accessservices

Top Barriers to Patients Recieving Care

#1

#2

#3

#4

#5

#1

#2

#3

#4

#5

#1

#2

#3

#4

#5

#1

#2

#3

#4

#5

#1

#2

#3

#4

#5

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6

Provider Survey Results

Organization type Count Services provided Count Health concerns of community/opinion Count

Alcohol/Substance Abuse Agency 39 Breastfeeding support 42 Access to immunization 5

Community Health Center 19 Case management 111 Access to primary health care 44

Community-based Organization 80 Childcare 13 Access to specialty care 45

Dental Practice 3 Community education 109 Alcohol abuse 36

Home Care Agency 14 Dental services 19 Asthma/breathing problems 8

Hospital 65 Domestic violence prevention 22 Cancer 21

Medical Practice 34 Drug/alcohol services 73 Care for the elderly 42

Mental Health Agency 33 Elder care/senior services 49 Child health & wellness 19

Outpatient Clinic 41 Exercise/weight loss programs 39 Dementia/Alzheimer's 33

Other 46 Family planning 23 Dental care 7

Food access 23 Diabetes 26

Agency Title/Roles Count Health Insurance enrollment 43 Distracted driving 4

Advocate 7 Health screenings 82 Drug abuse 63

Alcohol/substance provider 4 Home care services 30 Family planning/teen pregnancy 4

Allied health professional 9 Housing 30 Healthy environment 17

Behavioral health care provider 7 Immigrant support services 13 Heart disease/stroke 28

Board member 4 Immunization 42 HIV/AIDS & STI's 14

Executive director 26 Mental health services 86 Mental health/depression/suicide 84

Health educator 2 Prenatal/PCAP services 35 Nutrition/eating habits 8

Office manager 3 Primary care services-adults 49 Other 26

Primary care provider 17 Primary care services-children 32 Overweight/obesity 31

Program administrator/manager 50 Rehabilitation services 56 Preventable injury/falls 10

Specialty care provider 28 Smoking/tobacco services 42 Smoking/tobacco use 23

Other 60 Transportation 27 Violence 16

No response 1 Violence/bullying/gang prevention 13 Women's health 11

Other 66

Other' - from above Agency Title/Roles Count Programs to address health concerns Count

Administrative Assistant 1 Overall Heath status of community served Count Access to dental care 8

Administrator 3 Very healthy 2 Access to healthier food 25

Board Member (Hospital) 1 Healthy 29 Access to primary care 45

Business Development Specialist 1 Somewhat healthy 110 Affordable housing 63

Case Management 3 Unhealthy 60 Breastfeeding support 2

Chief Executive Officer 2 Very unhealthy 11 Caregiver support 29

Chief Operating Officer 2 Other 6 Clean air & water 2

Controller - Finance 1 Community education 49

Coordinator 3 Barriers to care for providers Count Dementia/Alzheimer's screening 14

Deputy Executive Director 10 Cultural competency issues 19 Domestic violence prevention 7

Director 15 High no-show rate 41 Drug/alcohol services 44

Executive staff 1 Inadequate insurance reimbursement 80 Elder care services 35

Health Communication Assistant 1 Lack of funding 98 Exercise/weight loss programs 25

Hospitalist 1 Limited bi-lingual staff 32 Health insurance enrollment 15

Integrative Medicine Program Manager 1 Limited or lack of access to specialists 36 Health screenings 22

Mental Health Specialist 1 Limited space and/or equipment 32 Home care services 24

Navigator 1 Limited staffing resources 72 Immigrant support services 14

Nursing manager, nurse practitioner 2 Patient cannot afford prescriptions 29 Job opportunities 35

Physician / MD 3 Patient non-adherence to treatment 80 Mental health services 82

Psychiatrist 1 Staff time constrains 64 Safer childcare options 4

Quality Management 1 Other 30 Safer places to walk/play 9

Social worker 1 Smoking/tobacco services 13

Sterile Processing Manager 1 Barriers to care for patients Count Transportation 28

Transition Specialist 1 Cannot afford services 46 Violence/bullying/gang prevention 11

Transportation 1 Co-pay/deductible too high 41 Other 18

Volunteer 1 Cultural/religious beliefs 4

Don't know how to access services 69 Health information source(s) Count

Populations served Count Don't like going/afraid to go 43 Community-based organization 100

Adults 208 Don't understand need to see a provider 57 Doctor/Health professional 143

Children 156 Inconvenient hours 8 Family or friends 116

Disabled 175 Insurance does not cover service 35 Health department 13

Immigrants 155 Lack of time 16 Hospital 69

Low-income 182 Lack of/or limited staff who speak lang. 12 Internet 84

Seniors 163 Lack of/or limited staff/service 26 Library 6

Uninsured 158 No childcare 13 Newspaper/magazine 18

Other 17 No insurance 24 Radio 5

No transportation/too far 45 Religious organization 14

There are no issues 28 School/college 15

Unaware of services available 64 Social media (Facebook, Twitter, etc.) 29

Other 20 Television 38

Worksite 7

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7

Westchester County Community Health Questionnaire

c Access to immunizations c Dental care c Mental health/depression/suicide

c Access to primary health care c Diabetes c Nutrition/eating habits

c Access to specialty care c Disability c Overweight/obesity

c Alcohol abuse c Distracted driving c Preventable injury/falls

c Asthma/breathing problems c Drug abuse c Smoking/tobacco use

c Cancer c Family planning/teen pregnancy c Violence

c Care for the elderly c Healthy environment c Women’s health

c Child health & wellness c Heart disease/stroke c Other (please specify) : __________

c Dementia/Alzheimer's c HIV/AIDS & Sexually Transmitted

Infections

c Access to immunizations c Dental care c Mental health/depression/suicide

c Access to primary health care c Diabetes c Nutrition/eating habits

c Access to specialty care c Disability c Overweight/obesity

c Alcohol abuse c Distracted driving c Preventable injury/falls

c Asthma/breathing problems c Drug abuse c Smoking/tobacco use

c Cancer c Family planning/teen pregnancy c Violence

c Care for the elderly c Healthy environment c Women’s health

c Child health & wellness c Heart disease/stroke c Other (please specify) : __________

c Dementia/Alzheimer's c HIV/AIDS & Sexually Transmitted

Infections

c Access to dental care c Domestic violence prevention c Mental health services

c Access to healthier food c Drug/alcohol services c Safer childcare options

c Access to primary care c Elder care services c Safer places to walk/play

c Affordable housing c Exercise/weight loss programs c Smoking/tobacco services

c Breastfeeding support c Health Insurance enrollment c Transportation

c Caregiver support c Health screenings c Violence/bullying/gang

c Clean air & water c Home care services prevention

c Community education c Immigrant support services c Other (please specify) : __________

c Dementia/Alzheimer's screening c Job opportunities

c Very healthy c Somewhat healthy c Very unhealthy

c Healthy c Unhealthy c Other (please specify) : __________

c Very healthy c Somewhat healthy c Very unhealthy

c Healthy c Unhealthy c Other (please specify) : __________

c None c Disability c HIV/AIDS

c Asthma/breathing problems c Drug/alcohol abuse c Memory issues

c Auto-immune disease c Heart disease c Mental health

c Cancer c High blood pressure c Overweight/obesity

c Diabetes c High cholesterol c Other (please specify) : __________

We want to hear your thoughts about important health issues in your community. Together, the Westchester County

Health Department and hospitals throughout Westchester County, NY, will use the results of this short survey and

other information to help improve health programs in your community. Your responses are completely anonymous.

Thank you for your participation!

What are the THREE biggest ongoing health concerns for the COMMUNITY WHERE YOU LIVE?

What are the THREE biggest ongoing health concerns for YOURSELF?

What THREE things would be most helpful to improve YOUR health concerns?

How would you describe your overall health?

How would you describe your overall mental health?

Do you suffer from any chronic health conditions (check all that apply)

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8

Westchester County Community Health Questionnaire

c Yes ________________

c No _________________

c In the past year c In the past five years c Never

c In the past two years c Five or more years ago c Don't know

c Nothing prevents me from getting c Cultural/religious beliefs c Insurance does not cover service

medical care c Don't know how to find providers c No transportation/too far

c Cannot afford c Don’t l ike going/afraid to go c No childcare

c Cannot find a health provider who c Don’t see the benefit c No insurance

speaks my language c I have no time c Other (please specify) : __________

c Co-pay/deductible too high c Inconvenient office hours

c Yes ________________

c No _________________

c Could not find a local health c Health provider said go to c Thought problem too serious for

provider who speaks my language emergency room a doctor's visit

c Doctor's office not open c No other place to go c Other (please specify) : __________

c Emergency room is the closest c Receive most of my care at

provider emergency room

c Community-based organization c Internet c School/college

c Doctor/Health professional c Library c Social media (Facebook, Twitter, etc.)

c Family or friends c Newspaper/magazine c Television

c Health department c Radio c Worksite

c Hospital c Religious organization c Other (please specify) : __________

I identify as: What is your age:

c Male c 18-24 c 55-64

c Female c 25-34 c 65-74

c Other c 35-44 c 75+

c 45-54

c Yes c No

c White/Caucasian c American Indian/Alaskan Native c Multi-racial

c Black/African American c Asian/Pacific Islander c Other

c English c Portuguese c Tagalog

c Spanish c French c Korean

c Italian c Chinese c Other (please specify) : __________

c Less than high school c Some college c Other (please specify) : __________

c High school grad/GED c College graduate

c Technical school c Advanced degree

c Employed c Student c Retired

c Not employed c Military c Other (please specify) : __________

c Medicare c Private insurance c None/no insurance

c Medicaid c Tri-Care c Other (please specify) : __________

For statistical purposes only (your responses are anonymous), please complete the following:

What category best describes your race?

If yes, what is the ONE main reason for your emergency room visit?

Where do you and your family get most of your health information? (check all that apply )

Town/city where I live _______________________________________Zip code where I live ________

Do you have a health care provider for checkups and visits:

How long has it been since you visited a health care provider for a routine physical exam or checkup?

What is your current employment status

Do you have any of the following types of health insurance?

What THREE things prevent YOU from getting medical care from a health care provider?

In the past 12 months, did you receive care in the emergency room?

Are you Hispanic or Latino?

What is the primary language you speak?

What is your highest level of education?

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9

Community Health Survey Findings

74%

20%

1%

5%

Gender

Female Male Other No response

Respondents

Westchester County (Included in analysis)

Not Westchester County (Excluded)

Total Surveys

Online 732 200 932

Paper Form* 365 21 386

Total 1097 (83%) 221 (17%) 1318

50

161 142

192

264

148

112

18-24 25-34 35-44 45-54 55-64 65-74 75+

Age Groups

28 individuals did not respond

666

168

37 10 55

92

White/Caucasian

Black/African

American

Asian/Pacific

Islander

AmericanIndian/ AK

Native

Multi-racial Other

Race

69 individuals did not respond

72%

19%

9%

Ethnicity: Hispanic/Latino

No Yes No response

Community Survey Respondent Demographics, Westchester County

* Although a small proportion of respondents using the paper forms selected more items than requested in their responses,

the impact was not significant to the output

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Community Health Survey Findings

English 86%

Spanish 9%

No response 1% Portuguese

French

Chinese Tagalog Korean

Italian

Unspecified other

languages

4%

Primary Language Spoken

61% 21%

11%

2%

<1% 3%

2%

Employment

Employed

Retired

Not employed

Student

Military

Other

No response

31%

28%

16%

17%

4% 2%

1%

1%

Education

Advanced degree

College graduate

High school grad/GED

Some college

Less than high school

Technical school

Other

No response

50%

23%

11%

8%

6%

<1% 2%

Insurance Status

Private

Medicare

Medicaid

Other

None/Uninsured

Tricare

No response

Underserved, 320

(29%)

Total Surveys 1097 (100%)

Underserved Population

Among all Westchester respondents, 29%

were underserved, defined as those who

had a self-reported high school education

or less and/or respondents who reported

as having Medicaid or were uninsured.

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11

Community Health Survey Findings

Count: Paper + Online

Respondents’ Self-reported Zip Code of Residence

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12

Community Health Survey Findings

207

236

248

278

285

Cancer

Mental health

Overweight/obesity

Drug abuse

Care for the elderly

Top Health Concerns for Community

201

211

219

259

405

Affordable housing

Elder care

Access to healthier food

Clean air & water

Exercise/weight loss

Programs Needed to Address Concerns

201

201

246

256

263

334

Care for the elderly

Dental care

Women's health

Healthy environment

Overweight/obesity

Nutrition/eating habits

Top Health Concerns for Self

192, 17%

525, 48%

316, 29%

42, 4%

6, 1% 11, 1%

Physical Health Very Healthy

Healthy

Somewhat Healthy

Unhealthy

Very Unhealthy

Other

357, 33%

527, 48%

153, 14%

36, 3%

5, <1%

6, 1%

Mental Health

Yes, 907 No, 114

Have Primary Care Provider

870

109 54 22 8 17

≤ 1 year ≤ 2 years ≤ 5 years > 5 years Never Don'tknow

Time Since Last Dr. Appointment

137

220

235

259

363

Asthma/breathing problems

High cholesterol

Overweight/obesity

High blood pressure

None

Existing Chronic Health Issues

Yes, 291 No, 761

Emergency Room Use in Past Year

#1

#2

#3

#4

#5

#1

#2

#3

#4

#5

#1

#2

#3

#4

#5

#1

#2

#3

#4

#5 (tie)

Perceived Health Status:

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Community Health Survey Results, Westchester County

Gender Paper Online Total Underserved Insurance Paper Online Total Underserved

Male 78 146 224 69 Medicare 109 169 278 71

Female 229 581 810 222 Medicaid 93 38 131 131

Other 0 5 5 2 Private 62 554 616 41

No response 58 0 58 27 Tricare 1 6 7 1

None/Uninsured 61 12 73 73

Age Group Paper Online Total Underserved Other 16 81 97 17

18-24 39 11 50 32 No response 23 0 23 5

25-34 98 63 161 89

35-44 58 84 142 50 Overall Health Paper Online Total Underserved

45-54 28 164 192 39 Very Healthy 51 141 192 41

55-64 32 232 264 36 Healthy 178 347 525 147

65-74 29 119 148 25 Somewhat Healthy 112 204 316 108

75+ 53 59 112 34 Unhealthy 15 27 42 17

No response 28 0 28 15 Very Unhealthy 2 4 6 3

Other 2 9 11 2

Ethnicity: Hispanic/Latino Paper Online Total Underserved No response 5 0 5 2

Yes 125 82 207 109

No 142 650 792 159 Mental Health Paper Online Total Underserved

No response 98 0 98 52 Very Healthy 120 237 357 97

Healthy 167 360 527 141

Race Paper Online Total Underserved Somewhat Healthy 50 103 153 51

White/ Caucasian 133 533 666 118 Unhealthy 12 24 36 18

Black/ African American 82 86 168 86 Very Unhealthy 1 4 5 2

American Indian/ AK Native 5 5 10 3 Other 2 4 6 2

Asian/ Pacific Islander 3 34 37 3 No response 13 0 13 9

Multi-racial 21 34 55 19

Other 52 40 92 47 Chronic Health Issues Paper Online Total Underserved

No response 69 0 69 44 None 134 229 363 117

Asthma/breathing problems 44 93 137 47

Primary Language Paper Online Total Underserved Auto-immune disease 9 56 65 9

English 259 686 945 237 Cancer 16 41 57 9

Spanish 82 16 98 70 Diabetes 30 59 89 29

Italian 1 5 6 2 Disability 12 24 36 9

Portuguese 2 0 2 2 Drug/alcohol abuse 3 7 10 2

French 2 3 5 1 Heart disease 19 48 67 17

Chinese 0 5 5 1 High blood pressure 73 186 259 61

Tagalog 0 2 2 0 High cholesterol 62 158 220 50

Korean 1 2 3 0 HIV/AIDS 0 0 0 0

Other languages 3 13 16 2 Memory issues 23 28 51 14

No response 15 0 15 5 Mental health 14 60 74 21

Overweight/obesity 46 189 235 39

Education Paper Online Total Underserved Other 16 96 112 20

Less than high school 34 4 38 38

High school grad/GED 127 53 180 180 Have a PCP/Dr. Paper Online Total Underserved

Technical school 12 10 22 4 Yes 226 681 907 216

Some college 77 107 184 44 No 63 51 114 12

College graduate 66 237 303 32 No response 76 0 76 41

Advanced degree 32 313 345 20

Other 2 8 10 1 Time since last appt. Paper Online Total Underserved

No response 15 0 15 1 ≤ 1 year 265 605 870 237

≤ 2 years 34 75 109 39

Employment Paper Online Total Underserved ≤ 5 years 19 35 54 19

Employed 162 513 675 149 > 5 years 13 9 22 7

Not employed 82 37 119 90 Never 5 3 8 3

Student 14 6 20 13 Don't know 12 5 17 12

Military 3 1 4 1 No response 17 0 17 3

Retired 83 151 234 52

Other 4 24 28 10 ER-Use Paper Online Total Underserved

No response 17 0 17 5 Yes 99 192 291 99

No 221 540 761 194

No response 45 0 45 27

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Community Health Survey Results, Westchester County

Why ER-Use Paper Online Total Underserved Programs to improve health concerns Paper Online Total Underserved

Could not find local PCP speaks my language 1 1 2 2 Access to dental care 56 82 138 51

Receive most of my care in ER 4 0 4 18 Access to healthier food 73 146 219 75

No other place to go 9 6 15 14 Access to primary care 34 50 84 33

Emergency room is the closest provider 14 19 33 11 Affordable housing 86 115 201 86

Health provider said go to emergency room 16 26 42 11 Breastfeeding support 5 5 10 3

Doctor's office not open 27 44 71 8 Caregiver support 24 79 103 22

Thought problem too serious for Dr's visit 24 57 81 28 Clean air & water 83 176 259 71

Other 25 64 89 23 Community education 47 130 177 51

Dementia/Alzheimer's 27 72 99 20

Health concerns of community/opinion Paper Online Total Underserved Domestic violence 21 7 28 19

Access to immunization 17 8 25 11 Drug/alcohol 20 25 45 20

Access to primary health care 53 121 174 49 Elder care 51 160 211 34

Access to specialty care 22 86 108 26 Exercise/weight loss programs 101 304 405 78

Alcohol abuse 59 74 133 48 Health insurance enrollment 33 36 69 25

Asthma/breathing problems 29 33 62 27 Health screenings 38 99 137 37

Cancer 67 140 207 45 Home care services 34 63 97 23

Care for the elderly 62 223 285 58 Immigrant support services 30 15 45 26

Child health & wellness 40 56 96 39 Job opportunities 58 89 147 61

Dementia/Alzheimer's 40 85 125 23 Mental health services 38 80 118 34

Dental care 65 49 114 57 Safer childcare options 25 19 44 18

Diabetes 66 72 138 51 Safer places to walk/play 58 114 172 45

Disability 31 0 31 18 Smoking/tobacco services 32 12 44 28

Distracted driving 42 133 175 37 Transportation 37 37 74 27

Drug abuse 98 180 278 85 Violence/bullying/gang prevention 34 35 69 30

Family planning/teen pregnancy 32 18 50 23 Other 8 69 77 10

Healthy environment 37 100 137 31

Heart disease/stroke 38 80 118 28 Barriers to Care Paper Online Total Underserved

HIV/AIDS & STIs 34 11 45 29 Nothing prevents 181 487 668 165

Mental health/depression/suicide 70 166 236 61 Cannot afford 55 42 97 51

Nutrition/eating habits 44 86 130 34 Speaks my language 5 1 6 4

Overweight/obesity 80 168 248 62 Co-pay/deductible too high 46 93 139 36

Preventable injury/falls 24 32 56 14 Cultural/religious beliefs 3 0 3 1

Smoking/tobacco use 57 51 108 46 Don't know how to find providers 9 9 18 6

Violence 64 47 111 64 Don't l ike going/afraid to go 18 47 65 18

Women's health 30 61 91 30 Don't see the benefit 6 15 21 5

Other 8 52 60 13 I have no time 15 101 116 15

Inconvenient office hours 23 112 135 23

Health concerns of respondent/self Paper Online Total Underserved Insurance does not cover service 25 71 96 23

Access to immunization 15 2 17 11 No transportation/too far 9 11 20 10

Access to primary health care 53 83 136 47 No childcare 11 14 25 10

Access to specialty care 26 93 119 28 No insurance 36 9 45 39

Alcohol abuse 13 8 21 11 Other 4 68 72 11

Asthma/breathing problems 34 56 90 38

Cancer 52 101 153 41 Health Info Source(s) Paper Online Total Underserved

Care for the elderly 49 152 201 38 Community-based org 30 41 71 26

Child health & wellness 27 48 75 22 Doctor/Health profess. 213 587 800 198

Dementia/Alzheimer's 32 58 90 19 Family or friends 76 177 253 81

Dental care 78 123 201 75 Health department 28 32 60 26

Diabetes 68 73 141 56 Hospital 48 85 133 47

Disability 24 0 24 15 Internet 123 396 519 108

Distracted driving 18 52 70 9 Library 12 35 47 8

Drug abuse 18 13 31 16 Newspaper/magazine 45 168 213 34

Family planning/teen pregnancy 20 6 26 16 Radio 13 29 42 12

Healthy environment 52 204 256 40 Religious organization 6 13 19 8

Heart disease/stroke 40 113 153 27 School/college 23 24 47 21

HIV/AIDS & STIs 28 3 31 21 Social media 28 47 75 23

Mental health/depression/suicide 39 86 125 35 Television 52 125 177 43

Nutrition/eating habits 86 248 334 75 Worksite 12 77 89 15

Overweight/obesity 77 186 263 58 Other 9 29 38 5

Preventable injury/falls 34 49 83 20

Smoking/tobacco use 37 25 62 37

Violence 24 16 40 25 All Community Health Surveys 1318

Women's health 65 181 246 64 Westchester County 1097

Other 12 77 89 21 Underserved population 320

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Service Area Analysis: Burke Rehabilitation Hospital

Gender Paper Online Total Insurance Paper Online Total

Male 13 15 28 Medicare 4 17 21

Female 22 50 72 Medicaid 9 3 12

Other 0 1 1 Private 5 46 51

No response 4 0 4 Tricare 0 0 0

None/Uninsured 17 1 18

Age Group Paper Online Total Other 3 10 13

18-24 5 0 5 No response 0 0 0

25-34 12 12 24

35-44 11 12 23 Overall Health Paper Online Total

45-54 4 14 18 Very Healthy 7 14 21

55-64 3 1 4 Healthy 18 35 53

65-74 0 8 8 Somewhat Healthy 11 15 26

75+ 0 6 6 Unhealthy 2 1 3

No response 4 0 4 Very Unhealthy 0 0 0

Other 1 1 2

Ethnicity: Hispanic/Latino Paper Online Total No response 0 0 0

Yes 23 8 31

No 9 58 67 Mental Health Paper Online Total

No response 7 0 7 Very Healthy 11 18 29

Healthy 20 35 55

Race Paper Online Total Somewhat Healthy 6 8 14

White/ Caucasian 3 41 44 Unhealthy 1 3 4

Black/ African American 11 14 25 Very Unhealthy 0 1 1

American Indian/ AK Native 0 0 0 Other 0 1 1

Asian/ Pacific Islander 0 6 6 No response 1 0 1

Multi-racial 6 4 10

Other 14 4 18 Chronic Health Issues Paper Online Total

No response 5 0 5 None 28 20 48

Asthma/breathing problems 0 9 9

Primary Language Paper Online Total Auto-immune disease 1 4 5

English 18 63 81 Cancer 1 6 7

Spanish 20 1 21 Diabetes 2 4 6

Italian 0 0 0 Disability 0 3 3

Portuguese 0 0 0 Drug/alcohol abuse 0 2 2

French 0 0 0 Heart disease 0 2 2

Chinese 0 0 0 High blood pressure 0 15 15

Tagalog 0 0 0 High cholesterol 3 16 19

Korean 0 1 1 HIV/AIDS 0 0 0

Other languages 0 1 1 Memory issues 2 2 4

No response 1 0 1 Mental health 1 5 6

Overweight/obesity 1 12 13

Education Paper Online Total Other 3 10 13

Less than high school 7 0 7

High school grad/GED 9 5 14 Have a PCP/Dr. Paper Online Total

Technical school 2 0 2 Yes 21 61 82

Some college 5 7 12 No 14 5 19

College graduate 11 17 28 No response 4 0 4

Advanced degree 4 37 41

Other 1 0 1 Time since last appt. Paper Online Total

No response 0 0 0 ≤ 1 year 23 54 77

≤ 2 years 6 7 13

Employment Paper Online Total ≤ 5 years 4 1 5

Employed 23 47 70 > 5 years 4 2 6

Not employed 11 3 14 Never 1 0 1

Student 2 0 2 Don't know 1 2 3

Military 0 1 1 No response 0 0 0

Retired 0 13 13

Other 2 2 4 ER-Use Paper Online Total

No response 1 0 1 Yes 9 20 29

No 29 46 75

No response 1 0 1

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Service Area Analysis: Burke Rehabilitation Hospital

Why ER-Use Paper Online Total Programs to improve health concerns Paper Online Total

Could not find local PCP speaks my language 0 0 0 Access to dental care 9 9 18

Receive most of my care in ER 1 3 4 Access to healthier food 14 16 30

No other place to go 1 4 5 Access to primary care 10 4 14

Emergency room is the closest provider 1 3 4 Affordable housing 15 15 30

Health provider said go to emergency room 3 2 5 Breastfeeding support 0 2 2

Doctor's office not open 0 0 0 Caregiver support 1 9 10

Thought problem too serious for Dr's visit 2 5 7 Clean air & water 4 12 16

Other 3 7 10 Community education 9 10 19

Dementia/Alzheimer's 1 8 9

Health concerns of community/opinion Paper Online Total Domestic violence 2 0 2

Access to immunization 3 2 5 Drug/alcohol 3 0 3

Access to primary health care 9 11 20 Elder care 1 13 14

Access to specialty care 2 8 10 Exercise/weight loss programs 8 21 29

Alcohol abuse 10 4 14 Health insurance enrollment 9 7 16

Asthma/breathing problems 1 2 3 Health screenings 4 9 13

Cancer 8 12 20 Home care services 0 7 7

Care for the elderly 6 19 25 Immigrant support services 10 1 11

Child health & wellness 3 9 12 Job opportunities 9 8 17

Dementia/Alzheimer's 2 9 11 Mental health services 6 7 13

Dental care 8 7 15 Safer childcare options 0 0 0

Diabetes 13 10 23 Safer places to walk/play 8 9 17

Disability 3 0 3 Smoking/tobacco services 3 1 4

Distracted driving 1 7 8 Transportation 0 5 5

Drug abuse 6 11 17 Violence/bullying/gang prevention 3 2 5

Family planning/teen pregnancy 5 2 7 Other 0 5 5

Healthy environment 3 9 12

Heart disease/stroke 6 7 13 Barriers to Care Paper Online Total

HIV/AIDS & STIs 6 1 7 Nothing prevents 11 37 48

Mental health/depression/suicide 12 16 28 Cannot afford 14 4 18

Nutrition/eating habits 8 8 16 Speaks my language 1 0 1

Overweight/obesity 11 20 31 Co-pay/deductible too high 12 12 24

Preventable injury/falls 1 2 3 Cultural/religious beliefs 0 0 0

Smoking/tobacco use 5 4 9 Don't know how to find providers 3 0 3

Violence 3 3 6 Don't l ike going/afraid to go 0 7 7

Women's health 4 8 12 Don't see the benefit 0 2 2

Other 2 4 6 I have no time 2 13 15

Inconvenient office hours 4 15 19

Health concerns of respondent/self Paper Online Total Insurance does not cover service 4 10 14

Access to immunization 5 0 5 No transportation/too far 0 2 2

Access to primary health care 14 11 25 No childcare 0 1 1

Access to specialty care 3 6 9 No insurance 13 1 14

Alcohol abuse 3 0 3 Other 1 5 6

Asthma/breathing problems 0 3 3

Cancer 12 10 22 Health Info Source(s) Paper Online Total

Care for the elderly 2 13 15 Community-based org 5 8 13

Child health & wellness 7 3 10 Doctor/Health profess. 20 50 70

Dementia/Alzheimer's 2 8 10 Family or friends 14 25 39

Dental care 8 13 21 Health department 3 3 6

Diabetes 11 3 14 Hospital 7 5 12

Disability 0 0 0 Internet 14 35 49

Distracted driving 1 6 7 Library 0 1 1

Drug abuse 6 0 6 Newspaper/magazine 8 19 27

Family planning/teen pregnancy 5 1 6 Radio 1 3 4

Healthy environment 1 18 19 Religious organization 0 2 2

Heart disease/stroke 2 10 12 School/college 5 3 8

HIV/AIDS & STIs 9 0 9 Social media 6 6 12

Mental health/depression/suicide 6 8 14 Television 5 16 21

Nutrition/eating habits 13 22 35 Worksite 3 7 10

Overweight/obesity 7 18 25 Other 0 2 2

Preventable injury/falls 0 8 8

Smoking/tobacco use 4 3 7

Violence 4 0 4 All Community Health Surveys 1318

Women's health 5 15 20 Westchester County 1097

Other 2 4 6 Burke Rehab Hospital 105

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Service Area Analysis: Hudson Valley Hospital

Gender Paper Online Total Insurance Paper Online Total

Male 10 26 36 Medicare 68 37 105

Female 62 133 195 Medicaid 2 4 6

Other 0 0 0 Private 18 127 145

No response 24 0 24 Tricare 0 1 1

None/Uninsured 2 3 5

Age Group Paper Online Total Other 2 13 15

18-24 1 3 4 No response 4 0 4

25-34 4 14 18

35-44 2 13 15 Overall Health Paper Online Total

45-54 2 41 43 Very Healthy 10 28 38

55-64 16 51 67 Healthy 55 77 132

65-74 20 24 44 Somewhat Healthy 25 48 73

75+ 43 13 56 Unhealthy 5 5 10

No response 8 0 8 Very Unhealthy 1 0 1

Other 0 1 1

Ethnicity: Hispanic/Latino Paper Online Total No response 0 0 0

Yes 6 16 22

No 58 143 201 Mental Health Paper Online Total

No response 32 0 32 Very Healthy 29 42 71

Healthy 56 91 147

Race Paper Online Total Somewhat Healthy 8 23 31

White/ Caucasian 78 134 212 Unhealthy 2 3 5

Black/ African American 7 9 16 Very Unhealthy 1 0 1

American Indian/ AK Native 1 2 3 Other 0 0 0

Asian/ Pacific Islander 1 7 8 No response 0 0 0

Multi-racial 3 2 5

Other 0 5 5 Chronic Health Issues Paper Online Total

No response 6 0 6 None 3 48 51

Asthma/breathing problems 9 23 32

Primary Language Paper Online Total Auto-immune disease 6 11 17

English 89 153 242 Cancer 11 6 17

Spanish 2 2 4 Diabetes 16 8 24

Italian 0 0 0 Disability 6 4 10

Portuguese 1 0 1 Drug/alcohol abuse 1 1 2

French 0 0 0 Heart disease 12 8 20

Chinese 0 1 1 High blood pressure 47 34 81

Tagalog 0 0 0 High cholesterol 38 33 71

Korean 0 0 0 HIV/AIDS 0 0 0

Other languages 1 3 4 Memory issues 11 4 15

No response 3 0 3 Mental health 6 14 20

Overweight/obesity 18 40 58

Education Paper Online Total Other 2 19 21

Less than high school 1 1 2

High school grad/GED 31 12 43 Have a PCP/Dr. Paper Online Total

Technical school 2 4 6 Yes 69 149 218

Some college 27 18 45 No 2 10 12

College graduate 16 59 75 No response 25 0 25

Advanced degree 15 64 79

Other 0 1 1 Time since last appt. Paper Online Total

No response 4 0 4 ≤ 1 year 83 131 214

≤ 2 years 3 18 21

Employment Paper Online Total ≤ 5 years 1 6 7

Employed 21 118 139 > 5 years 1 3 4

Not employed 4 4 8 Never 1 1 2

Student 1 1 2 Don't know 7 0 7

Military 0 0 0 No response 0 0 0

Retired 65 31 96

Other 1 5 6 ER-Use Paper Online Total

No response 4 0 4 Yes 26 37 63

No 58 122 180

No response 12 0 12

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Service Area Analysis: Hudson Valley Hospital

Why ER-Use Paper Online Total Programs to improve health concerns Paper Online Total

Could not find local PCP speaks my language 0 0 0 Access to dental care 12 16 28

Receive most of my care in ER 5 7 12 Access to healthier food 11 31 42

No other place to go 1 3 4 Access to primary care 6 14 20

Emergency room is the closest provider 6 7 13 Affordable housing 10 21 31

Health provider said go to emergency room 1 1 2 Breastfeeding support 0 1 1

Doctor's office not open 0 0 0 Caregiver support 13 17 30

Thought problem too serious for Dr's visit 8 15 23 Clean air & water 18 36 54

Other 7 6 13 Community education 8 31 39

Dementia/Alzheimer's 14 13 27

Health concerns of community/opinion Paper Online Total Domestic violence 2 0 2

Access to immunization 3 1 4 Drug/alcohol 3 5 8

Access to primary health care 15 25 40 Elder care 28 39 67

Access to specialty care 7 21 28 Exercise/weight loss programs 27 71 98

Alcohol abuse 7 18 25 Health insurance enrollment 7 6 13

Asthma/breathing problems 5 6 11 Health screenings 13 20 33

Cancer 24 31 55 Home care services 18 17 35

Care for the elderly 27 52 79 Immigrant support services 1 4 5

Child health & wellness 4 7 11 Job opportunities 4 16 20

Dementia/Alzheimer's 23 21 44 Mental health services 7 15 22

Dental care 9 7 16 Safer childcare options 1 4 5

Diabetes 10 9 19 Safer places to walk/play 13 23 36

Disability 9 0 9 Smoking/tobacco services 3 1 4

Distracted driving 25 28 53 Transportation 16 5 21

Drug abuse 24 62 86 Violence/bullying/gang prevention 2 6 8

Family planning/teen pregnancy 2 6 8 Other 1 11 12

Healthy environment 6 21 27

Heart disease/stroke 15 13 28 Barriers to Care Paper Online Total

HIV/AIDS & STIs 1 4 5 Nothing prevents 67 98 165

Mental health/depression/suicide 16 43 59 Cannot afford 5 10 15

Nutrition/eating habits 12 17 29 Speaks my language 0 0 0

Overweight/obesity 22 38 60 Co-pay/deductible too high 7 21 28

Preventable injury/falls 12 7 19 Cultural/religious beliefs 0 0 0

Smoking/tobacco use 7 7 14 Don't know how to find providers 2 2 4

Violence 4 4 8 Don't l ike going/afraid to go 1 11 12

Women's health 9 10 19 Don't see the benefit 0 5 5

Other 1 10 11 I have no time 0 27 27

Inconvenient office hours 2 29 31

Health concerns of respondent/self Paper Online Total Insurance does not cover service 9 12 21

Access to immunization 3 1 4 No transportation/too far 0 3 3

Access to primary health care 14 18 32 No childcare 0 4 4

Access to specialty care 7 18 25 No insurance 1 3 4

Alcohol abuse 1 1 2 Other 1 15 16

Asthma/breathing problems 7 16 23

Cancer 23 25 48 Health Info Source(s) Paper Online Total

Care for the elderly 29 42 71 Community-based org 8 8 16

Child health & wellness 1 12 13 Doctor/Health profess. 73 126 199

Dementia/Alzheimer's 21 11 32 Family or friends 8 31 39

Dental care 10 24 34 Health department 0 10 10

Diabetes 14 9 23 Hospital 6 17 23

Disability 4 0 4 Internet 33 81 114

Distracted driving 10 11 21 Library 2 12 14

Drug abuse 1 0 1 Newspaper/magazine 21 30 51

Family planning/teen pregnancy 0 0 0 Radio 4 4 8

Healthy environment 16 47 63 Religious organization 0 3 3

Heart disease/stroke 23 23 46 School/college 0 10 10

HIV/AIDS & STIs 0 1 1 Social media 4 12 16

Mental health/depression/suicide 6 22 28 Television 20 20 40

Nutrition/eating habits 15 59 74 Worksite 0 19 19

Overweight/obesity 13 41 54 Other 2 6 8

Preventable injury/falls 18 7 25

Smoking/tobacco use 5 3 8

Violence 2 1 3 All Community Health Surveys 1318

Women's health 18 38 56 Westchester County 1097

Other 2 20 22 Hudson Valley Hospital 255

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Service Area Analysis: Lawrence Hospital

Gender Paper Online Total Insurance Paper Online Total

Male 47 115 162 Medicare 31 120 151

Female 138 407 545 Medicaid 74 36 110

Other 0 4 4 Private 35 383 418

No response 22 0 22 Tricare 0 5 5

None/Uninsured 47 7 54

Age Group Paper Online Total Other 13 62 75

18-24 34 8 42 No response 7 0 7

25-34 79 54 133

35-44 45 70 115 Overall Health Paper Online Total

45-54 18 111 129 Very Healthy 33 90 123

55-64 10 162 172 Healthy 95 248 343

65-74 3 91 94 Somewhat Healthy 67 154 221

75+ 6 30 36 Unhealthy 9 23 32

No response 12 0 12 Very Unhealthy 0 3 3

Other 1 8 9

Ethnicity: Hispanic/Latino Paper Online Total No response 2 0 2

Yes 97 79 176

No 67 447 514 Mental Health Paper Online Total

No response 43 0 43 Very Healthy 75 173 248

Healthy 87 250 337

Race Paper Online Total Somewhat Healthy 31 78 109

White/ Caucasian 36 344 380 Unhealthy 6 17 23

Black/ African American 66 86 152 Very Unhealthy 0 4 4

American Indian/ AK Native 3 3 6 Other 1 4 5

Asian/ Pacific Islander 1 20 21 No response 7 0 7

Multi-racial 17 32 49

Other 42 41 83 Chronic Health Issues Paper Online Total

No response 42 0 42 None 109 177 286

Asthma/breathing problems 26 60 86

Primary Language Paper Online Total Auto-immune disease 4 39 43

English 137 490 627 Cancer 3 27 30

Spanish 60 16 76 Diabetes 10 55 65

Italian 1 2 3 Disability 6 24 30

Portuguese 1 0 1 Drug/alcohol abuse 1 6 7

French 1 2 3 Heart disease 4 38 42

Chinese 0 0 0 High blood pressure 18 135 153

Tagalog 0 2 2 High cholesterol 18 109 127

Korean 0 2 2 HIV/AIDS 0 1 1

Other languages 1 12 13 Memory issues 10 18 28

No response 4 0 4 Mental health 7 42 49

Overweight/obesity 21 144 165

Education Paper Online Total Other 11 67 78

Less than high school 26 2 28

High school grad/GED 74 44 118 Have a PCP/Dr. Paper Online Total

Technical school 8 7 15 Yes 129 484 613

Some college 42 78 120 No 45 42 87

College graduate 40 176 216 No response 33 0 33

Advanced degree 15 207 222

Other 1 12 13 Time since last appt. Paper Online Total

No response 1 0 1 ≤ 1 year 148 439 587

≤ 2 years 25 51 76

Employment Paper Online Total ≤ 5 years 14 24 38

Employed 111 359 470 > 5 years 6 5 11

Not employed 66 33 99 Never 3 3 6

Student 11 5 16 Don't know 9 4 13

Military 1 1 2 No response 2 0 2

Retired 9 107 116

Other 5 21 26 ER-Use Paper Online Total

No response 4 0 4 Yes 56 147 203

No 137 379 516

No response 14 0 14

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Service Area Analysis: Lawrence Hospital

Why ER-Use Paper Online Total Programs to improve health concerns Paper Online Total

Could not find local PCP speaks my language 1 1 2 Access to dental care 34 72 106

Receive most of my care in ER 15 32 47 Access to healthier food 50 123 173

No other place to go 7 15 22 Access to primary care 22 36 58

Emergency room is the closest provider 5 22 27 Affordable housing 63 98 161

Health provider said go to emergency room 4 6 10 Breastfeeding support 2 4 6

Doctor's office not open 2 0 2 Caregiver support 7 54 61

Thought problem too serious for Dr's visit 15 43 58 Clean air & water 51 126 177

Other 13 53 66 Community education 26 78 104

Dementia/Alzheimer's 7 45 52

Health concerns of community/opinion Paper Online Total Domestic violence 14 5 19

Access to immunization 12 7 19 Drug/alcohol 15 14 29

Access to primary health care 27 99 126 Elder care 15 97 112

Access to specialty care 9 67 76 Exercise/weight loss programs 58 219 277

Alcohol abuse 44 46 90 Health insurance enrollment 19 27 46

Asthma/breathing problems 14 34 48 Health screenings 21 75 96

Cancer 28 99 127 Home care services 8 43 51

Care for the elderly 23 152 175 Immigrant support services 23 9 32

Child health & wellness 29 45 74 Job opportunities 45 68 113

Dementia/Alzheimer's 9 47 56 Mental health services 25 55 80

Dental care 39 39 78 Safer childcare options 19 17 36

Diabetes 44 69 113 Safer places to walk/play 38 76 114

Disability 17 0 17 Smoking/tobacco services 20 9 29

Distracted driving 12 76 88 Transportation 12 29 41

Drug abuse 59 102 161 Violence/bullying/gang prevention 24 31 55

Family planning/teen pregnancy 23 16 39 Other 4 48 52

Healthy environment 20 74 94

Heart disease/stroke 16 63 79 Barriers to Care Paper Online Total

HIV/AIDS & STIs 26 10 36 Nothing prevents 92 343 435

Mental health/depression/suicide 46 102 148 Cannot afford 35 32 67

Nutrition/eating habits 26 61 87 Speaks my language 3 1 4

Overweight/obesity 48 130 178 Co-pay/deductible too high 33 78 111

Preventable injury/falls 5 21 26 Cultural/religious beliefs 1 0 1

Smoking/tobacco use 37 38 75 Don't know how to find providers 4 9 13

Violence 46 41 87 Don't l ike going/afraid to go 10 33 43

Women's health 14 51 65 Don't see the benefit 4 11 15

Other 6 37 43 I have no time 14 76 90

Inconvenient office hours 18 87 105

Health concerns of respondent/self Paper Online Total Insurance does not cover service 12 50 62

Access to immunization 10 2 12 No transportation/too far 6 9 15

Access to primary health care 31 70 101 No childcare 8 9 17

Access to specialty care 11 79 90 No insurance 30 6 36

Alcohol abuse 7 6 13 Other 3 46 49

Asthma/breathing problems 16 43 59

Cancer 22 66 88 Health Info Source(s) Paper Online Total

Care for the elderly 16 90 106 Community-based org 19 28 47

Child health & wellness 24 32 56 Doctor/Health profess. 121 429 550

Dementia/Alzheimer's 7 32 39 Family or friends 59 131 190

Dental care 50 98 148 Health department 25 21 46

Diabetes 32 61 93 Hospital 37 60 97

Disability 17 0 17 Internet 76 280 356

Distracted driving 5 35 40 Library 8 21 29

Drug abuse 15 7 22 Newspaper/magazine 22 115 137

Family planning/teen pregnancy 17 4 21 Radio 6 22 28

Healthy environment 29 142 171 Religious organization 4 11 15

Heart disease/stroke 12 76 88 School/college 17 15 32

HIV/AIDS & STIs 22 2 24 Social media 20 31 51

Mental health/depression/suicide 30 55 85 Television 27 89 116

Nutrition/eating habits 61 182 243 Worksite 10 54 64

Overweight/obesity 45 136 181 Other 4 19 23

Preventable injury/falls 8 36 44

Smoking/tobacco use 24 23 47

Violence 18 15 33 All Community Health Surveys 1318

Women's health 41 124 165 Westchester County 1097

Other 9 57 66 Lawrence Hospital 733

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Service Area Analysis: Northern Westchester Hospital

Gender Paper Online Total Insurance Paper Online Total

Male 3 28 31 Medicare 14 43 57

Female 14 136 150 Medicaid 0 2 2

Other 0 1 1 Private 4 137 141

No response 5 0 5 Tricare 0 1 1

None/Uninsured 2 3 5

Age Group Paper Online Total Other 0 12 12

18-24 1 0 1 No response 0 0 0

25-34 2 9 11

35-44 1 14 15 Overall Health Paper Online Total

45-54 0 36 36 Very Healthy 1 43 44

55-64 3 57 60 Healthy 14 69 83

65-74 7 28 35 Somewhat Healthy 6 49 55

75+ 8 21 29 Unhealthy 0 2 2

No response 0 0 0 Very Unhealthy 0 1 1

Other 0 1 1

Ethnicity: Hispanic/Latino Paper Online Total No response 1 0 1

Yes 4 16 20

No 13 149 162 Mental Health Paper Online Total

No response 5 0 5 Very Healthy 8 55 63

Healthy 12 81 93

Race Paper Online Total Somewhat Healthy 1 23 24

White/ Caucasian 17 137 154 Unhealthy 0 6 6

Black/ African American 1 8 9 Very Unhealthy 0 0 0

American Indian/ AK Native 0 0 0 Other 0 0 0

Asian/ Pacific Islander 0 8 8 No response 1 0 1

Multi-racial 0 4 4

Other 3 8 11 Chronic Health Issues Paper Online Total

No response 1 0 1 None 3 54 57

Asthma/breathing problems 4 23 27

Primary Language Paper Online Total Auto-immune disease 2 16 18

English 20 154 174 Cancer 4 9 13

Spanish 1 3 4 Diabetes 3 11 14

Italian 0 2 2 Disability 1 5 6

Portuguese 0 0 0 Drug/alcohol abuse 0 0 0

French 0 1 1 Heart disease 1 9 10

Chinese 0 5 5 High blood pressure 6 36 42

Tagalog 0 0 0 High cholesterol 7 36 43

Korean 0 0 0 HIV/AIDS 0 0 0

Other languages 0 0 0 Memory issues 2 10 12

No response 1 0 1 Mental health 0 11 11

Overweight/obesity 3 36 39

Education Paper Online Total Other 1 24 25

Less than high school 0 1 1

High school grad/GED 4 8 12 Have a PCP/Dr. Paper Online Total

Technical school 0 2 2 Yes 15 154 169

Some college 8 26 34 No 1 11 12

College graduate 2 53 55 No response 6 0 6

Advanced degree 7 75 82

Other 0 0 0 Time since last appt. Paper Online Total

No response 1 0 1 ≤ 1 year 19 132 151

≤ 2 years 1 22 23

Employment Paper Online Total ≤ 5 years 0 8 8

Employed 7 119 126 > 5 years 1 2 3

Not employed 0 3 3 Never 1 1 2

Student 2 0 2 Don't know 0 0 0

Military 0 0 0 No response 0 0 0

Retired 13 37 50

Other 0 6 6 ER-Use Paper Online Total

No response 0 0 0 Yes 7 40 47

No 14 125 139

No response 1 0 1

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Service Area Analysis: Northern Westchester Hospital

Why ER-Use Paper Online Total Programs to improve health concerns Paper Online Total

Could not find local PCP speaks my language 0 0 0 Access to dental care 4 11 15

Receive most of my care in ER 2 8 10 Access to healthier food 3 21 24

No other place to go 2 5 7 Access to primary care 2 14 16

Emergency room is the closest provider 1 6 7 Affordable housing 5 24 29

Health provider said go to emergency room 0 1 1 Breastfeeding support 1 0 1

Doctor's office not open 0 0 0 Caregiver support 2 18 20

Thought problem too serious for Dr's visit 0 10 10 Clean air & water 2 41 43

Other 2 11 13 Community education 4 38 42

Dementia/Alzheimer's 5 26 31

Health concerns of community/opinion Paper Online Total Domestic violence 1 2 3

Access to immunization 1 1 2 Drug/alcohol 1 9 10

Access to primary health care 5 19 24 Elder care 6 44 50

Access to specialty care 2 16 18 Exercise/weight loss programs 10 64 74

Alcohol abuse 2 22 24 Health insurance enrollment 5 9 14

Asthma/breathing problems 1 4 5 Health screenings 5 22 27

Cancer 6 32 38 Home care services 3 15 18

Care for the elderly 4 55 59 Immigrant support services 2 7 9

Child health & wellness 2 11 13 Job opportunities 1 11 12

Dementia/Alzheimer's 6 29 35 Mental health services 4 17 21

Dental care 4 11 15 Safer childcare options 1 2 3

Diabetes 3 7 10 Safer places to walk/play 2 31 33

Disability 2 0 2 Smoking/tobacco services 1 4 5

Distracted driving 7 41 48 Transportation 1 6 7

Drug abuse 7 54 61 Violence/bullying/gang prevention 2 4 6

Family planning/teen pregnancy 0 3 3 Other 0 13 13

Healthy environment 1 19 20

Heart disease/stroke 2 16 18 Barriers to Care Paper Online Total

HIV/AIDS & STIs 0 1 1 Nothing prevents 14 116 130

Mental health/depression/suicide 3 44 47 Cannot afford 2 4 6

Nutrition/eating habits 2 19 21 Speaks my language 0 0 0

Overweight/obesity 4 29 33 Co-pay/deductible too high 3 12 15

Preventable injury/falls 4 5 9 Cultural/religious beliefs 0 0 0

Smoking/tobacco use 3 10 13 Don't know how to find providers 0 3 3

Violence 2 3 5 Don't l ike going/afraid to go 1 10 11

Women's health 3 9 12 Don't see the benefit 0 3 3

Other 1 18 19 I have no time 0 21 21

Inconvenient office hours 0 20 20

Health concerns of respondent/self Paper Online Total Insurance does not cover service 3 17 20

Access to immunization 1 1 2 No transportation/too far 0 4 4

Access to primary health care 3 17 20 No childcare 0 6 6

Access to specialty care 2 13 15 No insurance 0 2 2

Alcohol abuse 1 2 3 Other 0 17 17

Asthma/breathing problems 3 8 11

Cancer 7 26 33 Health Info Source(s) Paper Online Total

Care for the elderly 4 51 55 Community-based org 2 8 10

Child health & wellness 1 10 11 Doctor/Health profess. 18 127 145

Dementia/Alzheimer's 4 22 26 Family or friends 3 36 39

Dental care 6 26 32 Health department 1 6 7

Diabetes 3 15 18 Hospital 2 22 24

Disability 1 0 1 Internet 8 97 105

Distracted driving 1 14 15 Library 1 12 13

Drug abuse 0 5 5 Newspaper/magazine 5 42 47

Family planning/teen pregnancy 0 1 1 Radio 1 6 7

Healthy environment 5 46 51 Religious organization 0 3 3

Heart disease/stroke 4 28 32 School/college 2 7 9

HIV/AIDS & STIs 0 1 1 Social media 1 12 13

Mental health/depression/suicide 1 24 25 Television 6 32 38

Nutrition/eating habits 3 48 51 Worksite 0 19 19

Overweight/obesity 5 39 44 Other 1 8 9

Preventable injury/falls 7 11 18

Smoking/tobacco use 1 3 4

Violence 2 0 2 All Community Health Surveys 1318

Women's health 9 40 49 Westchester County 1097

Other 0 19 19 Northern Westchester Hospital 187

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Service Area Analysis: Saint John’s Riverside Hospital

Gender Paper Online Total Insurance Paper Online Total

Male 20 63 83 Medicare 22 70 92

Female 93 203 296 Medicaid 51 18 69

Other 11 1 12 Private 21 188 209

No response 124 0 124 Tricare 0 1 1

None/Uninsured 19 3 22

Age Group Paper Online Total Other 6 34 40

18-24 25 5 30 No response 5 0 5

25-34 43 27 70

35-44 24 29 53 Overall Health Paper Online Total

45-54 12 45 57 Very Healthy 19 36 55

55-64 6 93 99 Healthy 59 126 185

65-74 2 53 55 Somewhat Healthy 41 84 125

75+ 6 15 21 Unhealthy 4 14 18

No response 6 0 6 Very Unhealthy 0 2 2

Other 0 5 5

Ethnicity: Hispanic/Latino Paper Online Total No response 1 0 1

Yes 56 37 93

No 46 230 276 Mental Health Paper Online Total

No response 22 0 22 Very Healthy 51 85 136

Healthy 46 125 171

Race Paper Online Total Somewhat Healthy 19 44 63

White/ Caucasian 23 192 215 Unhealthy 4 10 14

Black/ African American 38 30 68 Very Unhealthy 0 85 85

American Indian/ AK Native 0 3 3 Other 1 3 4

Asian/ Pacific Islander 1 9 10 No response 3 0 3

Multi-racial 9 15 24

Other 21 18 39 Chronic Health Issues Paper Online Total

No response 32 0 32 None 53 78 131

Asthma/breathing problems 23 30 53

Primary Language Paper Online Total Auto-immune disease 2 21 23

English 91 246 337 Cancer 2 13 15

Spanish 27 10 37 Diabetes 7 33 40

Italian 1 2 3 Disability 5 8 13

Portuguese 1 0 1 Drug/alcohol abuse 1 2 3

French 1 1 2 Heart disease 4 24 28

Chinese 0 0 0 High blood pressure 15 76 91

Tagalog 0 1 1 High cholesterol 12 59 71

Korean 0 0 0 HIV/AIDS 0 0 0

Other languages 1 7 8 Memory issues 6 10 16

No response 2 0 2 Mental health 6 22 28

Overweight/obesity 16 75 91

Education Paper Online Total Other 7 36 43

Less than high school 12 1 13

High school grad/GED 53 28 81 Have a PCP/Dr. Paper Online Total

Technical school 2 4 6 Yes 82 243 325

Some college 27 47 74 No 23 24 47

College graduate 21 84 105 No response 19 0 19

Advanced degree 8 97 105

Other 1 6 7 Time since last appt. Paper Online Total

No response 0 0 0 ≤ 1 year 95 224 319

≤ 2 years 14 27 41

Employment Paper Online Total ≤ 5 years 6 11 17

Employed 63 173 236 > 5 years 2 2 4

Not employed 42 19 61 Never 1 2 3

Student 6 2 8 Don't know 6 1 7

Military 1 0 1 No response 0 0 0

Retired 8 64 72

Other 2 9 11 ER-Use Paper Online Total

No response 2 0 2 Yes 38 74 112

No 78 193 271

No response 8 0 8

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Service Area Analysis: Saint John’s Riverside Hospital

Why ER-Use Paper Online Total Programs to improve health concerns Paper Online Total

Could not find local PCP speaks my language 1 0 1 Access to dental care 16 37 53

Receive most of my care in ER 9 17 26 Access to healthier food 26 60 86

No other place to go 4 8 12 Access to primary care 10 15 25

Emergency room is the closest provider 3 9 12 Affordable housing 37 47 84

Health provider said go to emergency room 1 2 3 Breastfeeding support 2 2 4

Doctor's office not open 2 0 2 Caregiver support 5 32 37

Thought problem too serious for Dr's visit 12 23 35 Clean air & water 34 66 100

Other 7 27 34 Community education 12 35 47

Dementia/Alzheimer's 6 21 27

Health concerns of community/opinion Paper Online Total Domestic violence 9 4 13

Access to immunization 5 4 9 Drug/alcohol 7 6 13

Access to primary health care 15 49 64 Elder care 10 58 68

Access to specialty care 7 35 42 Exercise/weight loss programs 38 107 145

Alcohol abuse 26 23 49 Health insurance enrollment 6 17 23

Asthma/breathing problems 11 16 27 Health screenings 11 41 52

Cancer 14 56 70 Home care services 6 23 29

Care for the elderly 14 87 101 Immigrant support services 8 5 13

Child health & wellness 21 20 41 Job opportunities 30 38 68

Dementia/Alzheimer's 6 25 31 Mental health services 15 23 38

Dental care 21 19 40 Safer childcare options 14 11 25

Diabetes 20 38 58 Safer places to walk/play 21 33 54

Disability 11 0 11 Smoking/tobacco services 12 3 15

Distracted driving 7 47 54 Transportation 10 13 23

Drug abuse 39 57 96 Violence/bullying/gang prevention 13 10 23

Family planning/teen pregnancy 14 7 21 Other 4 29 33

Healthy environment 13 38 51

Heart disease/stroke 8 34 42 Barriers to Care Paper Online Total

HIV/AIDS & STIs 14 3 17 Nothing prevents 61 182 243

Mental health/depression/suicide 28 39 67 Cannot afford 16 15 31

Nutrition/eating habits 10 29 39 Speaks my language 1 0 1

Overweight/obesity 26 58 84 Co-pay/deductible too high 13 37 50

Preventable injury/falls 4 10 14 Cultural/religious beliefs 1 0 1

Smoking/tobacco use 26 15 41 Don't know how to find providers 0 3 3

Violence 33 23 56 Don't l ike going/afraid to go 8 12 20

Women's health 7 27 34 Don't see the benefit 3 5 8

Other 4 20 24 I have no time 11 33 44

Inconvenient office hours 8 35 43

Health concerns of respondent/self Paper Online Total Insurance does not cover service 6 23 29

Access to immunization 2 1 3 No transportation/too far 5 4 9

Access to primary health care 15 36 51 No childcare 5 5 10

Access to specialty care 7 46 53 No insurance 10 4 14

Alcohol abuse 2 1 3 Other 2 27 29

Asthma/breathing problems 16 24 40

Cancer 7 36 43 Health Info Source(s) Paper Online Total

Care for the elderly 11 53 64 Community-based org 12 10 22

Child health & wellness 12 18 30 Doctor/Health profess. 77 225 302

Dementia/Alzheimer's 4 14 18 Family or friends 34 64 98

Dental care 32 44 76 Health department 16 10 26

Diabetes 13 34 47 Hospital 20 34 54

Disability 13 0 13 Internet 48 137 185

Distracted driving 3 17 20 Library 6 9 15

Drug abuse 5 5 10 Newspaper/magazine 11 60 71

Family planning/teen pregnancy 5 1 6 Radio 4 10 14

Healthy environment 23 69 92 Religious organization 4 5 9

Heart disease/stroke 9 44 53 School/college 10 4 14

HIV/AIDS & STIs 6 1 7 Social media 11 14 25

Mental health/depression/suicide 18 26 44 Television 17 45 62

Nutrition/eating habits 32 84 116 Worksite 6 25 31

Overweight/obesity 28 65 93 Other 4 11 15

Preventable injury/falls 6 19 25

Smoking/tobacco use 16 9 25

Violence 10 7 17 All Community Health Surveys 1318

Women's health 27 65 92 Westchester County 1097

Other 6 31 37 St. John's Riverside 391

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Service Area Analysis: White Plains Hospital

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Service Area Analysis: White Plains Hospital

Why ER-Use Paper Online Total Programs to improve health concerns Paper Online Total

Could not find local PCP speaks my language 1 1 2 Access to dental care 25 44 69

Receive most of my care in ER 11 26 37 Access to healthier food 35 80 115

No other place to go 6 13 19 Access to primary care 19 26 45

Emergency room is the closest provider 4 15 19 Affordable housing 42 68 110

Health provider said go to emergency room 3 2 5 Breastfeeding support 2 4 6

Doctor's office not open 2 0 2 Caregiver support 6 54 60

Thought problem too serious for Dr's visit 9 25 34 Clean air & water 31 113 144

Other 6 44 50 Community education 16 69 85

Dementia/Alzheimer's 6 47 53

Health concerns of community/opinion Paper Online Total Domestic violence 10 6 16

Access to immunization 8 3 11 Drug/alcohol 9 16 25

Access to primary health care 16 62 78 Elder care 11 98 109

Access to specialty care 6 51 57 Exercise/weight loss programs 38 173 211

Alcohol abuse 31 44 75 Health insurance enrollment 18 22 40

Asthma/breathing problems 12 17 29 Health screenings 12 63 75

Cancer 23 89 112 Home care services 6 36 42

Care for the elderly 18 142 160 Immigrant support services 19 9 28

Child health & wellness 21 42 63 Job opportunities 31 51 82

Dementia/Alzheimer's 6 47 53 Mental health services 17 42 59

Dental care 32 23 55 Safer childcare options 10 13 23

Diabetes 33 46 79 Safer places to walk/play 28 60 88

Disability 12 0 12 Smoking/tobacco services 12 6 18

Distracted driving 6 80 86 Transportation 8 26 34

Drug abuse 37 93 130 Violence/bullying/gang prevention 16 14 30

Family planning/teen pregnancy 16 7 23 Other 2 43 45

Healthy environment 8 60 68

Heart disease/stroke 15 51 66 Barriers to Care Paper Online Total

HIV/AIDS & STIs 18 4 22 Nothing prevents 58 278 336

Mental health/depression/suicide 32 92 124 Cannot afford 23 26 49

Nutrition/eating habits 16 50 66 Speaks my language 1 0 1

Overweight/obesity 34 92 126 Co-pay/deductible too high 25 58 83

Preventable injury/falls 5 17 22 Cultural/religious beliefs 0 0 0

Smoking/tobacco use 25 31 56 Don't know how to find providers 3 4 7

Violence 32 23 55 Don't l ike going/afraid to go 8 27 35

Women's health 11 36 47 Don't see the benefit 3 6 9

Other 6 30 36 I have no time 10 64 74

Inconvenient office hours 9 64 73

Health concerns of respondent/self Paper Online Total Insurance does not cover service 9 48 57

Access to immunization 5 1 6 No transportation/too far 3 5 8

Access to primary health care 23 50 73 No childcare 3 8 11

Access to specialty care 8 56 64 No insurance 21 6 27

Alcohol abuse 6 3 9 Other 2 38 40

Asthma/breathing problems 11 30 41

Cancer 19 60 79 Health Info Source(s) Paper Online Total

Care for the elderly 11 89 100 Community-based org 14 22 36

Child health & wellness 17 29 46 Doctor/Health profess. 82 349 431

Dementia/Alzheimer's 4 42 46 Family or friends 36 110 146

Dental care 44 71 115 Health department 17 19 36

Diabetes 25 47 72 Hospital 26 50 76

Disability 14 0 14 Internet 43 245 288

Distracted driving 5 34 39 Library 8 11 19

Drug abuse 11 10 21 Newspaper/magazine 18 105 123

Family planning/teen pregnancy 12 3 15 Radio 3 18 21

Healthy environment 16 116 132 Religious organization 3 8 11

Heart disease/stroke 10 66 76 School/college 12 10 22

HIV/AIDS & STIs 14 2 16 Social media 12 30 42

Mental health/depression/suicide 22 50 72 Television 17 86 103

Nutrition/eating habits 41 144 185 Worksite 6 36 42

Overweight/obesity 28 102 130 Other 5 13 18

Preventable injury/falls 7 30 37

Smoking/tobacco use 14 10 24

Violence 12 5 17 All Community Health Surveys 1318

Women's health 24 108 132 Westchester County 1097

Other 5 43 48 White Plains Hospital 563

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27

Discussion

The objective of these two surveys was to assess the health status and health care needs among Westchester County residents. Due to limited time and funding, responses were collected through convenience sampling instead of random sampling. As a result, this created certain biases in the survey results. For example, the community survey respondents skewed toward being female, older, less employed, and with a greater percentage citing English as their primary language compared to the general Westchester population. The use of online forms was also dependent on computer/internet access and literacy, which likely precluded many of the underserved that the survey intended on reaching.

The following table demonstrates how the community survey sample population compared to Westchester

County as a whole:

Survey Demographics

Westchester Demographics1

Survey Demographics

Westchester Demographics1

Gender Ethnicity: Hispanic or Latino 18.9% 23.7%

Male 20.4% 48.3% Race

Female 73.8% 51.7% White/Caucasian 60.7% 66.6%

No Response 5.8% - Black/African-American 15.3% 14.4%

Age Group Other 17.7% 19.0%

18-24 4.6% 8.9% No Response 6.3% -

25-44 27.6% 24.5% Primary Language

45-54 17.5% 15.2% English 86.1% 74.9%

55-64 24.1% 12.9% Spanish 8.9% 13.0%

65-74 13.5% 8.3% Other Languages 3.6% 12.1%

75+ 10.2% 7.4% No Response 1.4% -

No Response 2.5% - Not employed 10.9% 6.9% 1US Census: American Community Survey 2014 1-year estimates

The results nevertheless highlight areas of public health concern, demonstrated by the frequencies of responses

to each list item. Although the results of this survey cannot be generalized to the larger population, the survey

results along with the other data sets were reviewed by the WCDH and hospitals in the selection of priorities. In

particular, service-area specific analyses at the sub-county level were provided to hospitals for a customized

view with which to focus their initiatives.

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Organization Location Contact Phone # Email Website Arthritis Foundation 122 East 42nd Street Dana Ann Miele 212-984-8702 [email protected] arthritis.org

New York, NY 10168Manager, Community Development

American Cancer Society 2 Lyon Place Gayle Williams 914-397-8804 [email protected] cancer.org

White Plains, NY 10601 Community Market Manager

American Heart Association 501 Merritt 7 PH Jennifer Gelick 914-640-3274 [email protected]] heart.org  Norwalk, CT 06851

Asbury United Methodist Church (Scarsdale/Yonkers) 167 Scarsdale Rd Rev. Scott Summerville 914-779-3722 [email protected] asburycrestwood.net

Tuckahoe, NY 10707 Pastor

Bronxville School District 177 Pondfield Road David Quattrone 914-395-0500 [email protected] bronxvilleschools.orgBronxville, NY 10708 Superintendent

Karen Peterson - Athletic Director [email protected]

Bronxville Senior Citizens Center 200 Pondfield Road Irma Damhuis & Barbara Dimpel 914-793-2222 [email protected]

Bronxville Chamber of Commerce81 Pondfield Road Suite 7, Bronxville, NY 10708 Susan Meile (914) 337-6040 [email protected] bronxvillechamber.org

Bronxville Women's Club 135 Midland Ave Mary Westmoreland 914-337-3252 laurie@bronxvillewomensclub.orgbronxvillewomensclub.orgBronxville, NY 10708 President [email protected]

Bronxville Rotary not provided Robert Seabring no contact info provided bronxvillerotary.com

Church of the Annunciation (Yonkers) 465 Westchester Ave Jeanne Doran JD:914-779-7345 LS: [email protected] annunciationcrestwood.com

Business Council of Westchester800 Westchester Avenue Suite S-310, Rye Brook, NY 10573 Anthony Justic 914-948-2110 [email protected] westhcesterny.org

Chairman of the Board Marsha GordonPresident and CEO

Eastchester Community Action Program 142-144 Main St Don Brown 914-337-2751 [email protected] westcop.orgTuckahoe, NY 10707 Director

Eastchester Office for the Aging 40 Mill Road (Town Hall Building) Gilda Press 914-771-3340 [email protected] eastchester.orgEastchester, NY 10709 Director

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Eastchester School District 580 White Plains Rd Dr. Walter R. Moran III 914-793-4201 [email protected] eastchester.k12.ny.orgEastchester, NY 10709 Superintendent

Jason Karol - Athletic Director 914-793-6130 x4230 [email protected]

Eastchester Tuckahoe Chamber of Commerce 65 Main Street Paul Okura 914-236-8122 [email protected] www.etcoc.com/

Tuckahoe, NY 10707 President

Garth Road Senior Center 235 Garth Rd Gilda Press 914-771-3340 [email protected] eastchester.orgScarsdale, NY 10583 Director

Gilda's Club 80 Maple Avenue Melissa Lang, Dr. [email protected] gildasclubwestchester.org

White Plains, NY, 10601

Grace Baptist Church (Mt. Vernon) Dr. W. Franklyn Richardson, Senior Pastor

,Sixth Avenue, Mount Vernon, NY 10550

Rev. Dr. W. Franklyn Richardson 914-664-2676 [email protected] gracebapt.orgPastor

Immaculate Heart of Mary (Scarsdale) 8 Carman RoadRev. Monsignor John T. Ferry 914-723-0276 [email protected]

www.ihm-parish.org/

Junior League of Bronxville 135 Midland Ave, Bronxville, NY 10708 Sheridan Denfeld, President (914) 793-5097  [email protected]

www.jlbronxville.org/

Juvenile Diabetes Foundation  30 Glenn St # 409, White Plains, NY 10603 Kristin DiFoglio 212-478-4326 [email protected] jdrf.com

Mount Vernon Neighborhood Health Center 107 West Fourth Street Carole J. Morris 914-699-7200 [email protected]

Mount Vernon, New York 10550 Chief Executive Officer

Mount Vernon School DistrictMount Vernon Education Center Judith Johnson 914-358-2400 [email protected] www.mtvernoncsd.org/

165 North Columbus Avenue Interin Superintendent of Schools

Mount Vernon, NY 10553Robert L. Cimmino, Jr. Athletic Director

NAACP 95 Lincoln Avenue Ronald H. Williams 914-576-4997 [email protected] naacp.orgNew Rochelle, NY 10801 President

New Rochelle Hugh A. Doyle Senior Center 94 Davis Avenue Debrah McLeroy 914-235-2363 [email protected]

http://www.newrochelleny.com/index.aspx?NID=453

New Rochelle, NY 10805

New Rochelle Chamber of Commerce459 Main Street, Suite 204, New Rochelle, NY 10801 Bob Marrone 914-632-5700 [email protected] newrochellechamber.org

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New Rochelle School District515 North Avenue, New Rochelle, NY 10801 Dr. Brian Osborne 914-576-4300 [email protected] nred.org

Steve Young Athletic Director [email protected]

New Rochelle College John Butler -Athletic director [email protected] Kalin - Sports Information Director [email protected]

New Rochelle Rotary Club

400 Davenport Ave, New Rochelle, New York 10801 Bennie Giles (Club

President) [email protected] http://rotaryclubofnewrochelle.com

Pelham School District17 Franklin Pl, Pelham, NY 10803 Dr. Peter Giarrizzo (914) 738-3434 [email protected]

www.pelhamschools.org/

Stephen Luciana ‐ Dir of Athletics [email protected] Damiano - Sec. to Dir. Of Physical Education and Athletics [email protected]

Reformed Church (Bronxville) 180 Pondfield Rd Alan Zanzano 914-337-6776 [email protected] reformedchurch.orgBronxville, NY 10708 Chief Operation Officer ext. 117

Sarah Lawrence College 1 Mead Way Lyn Chamberlin 914-395-2218 [email protected] sarahlawrence.edu

Bronxville, NY 10708

Vice President for Communications and Marketing

Scarsdale Chamber of Commerce P.O. Box 635 | Scarsdale, NY 10583 NA (914) 620-2426 [email protected]. http://scarsdalechamber.org

Scarsdale School District2 Brewster RoadScarsdale, NY 10583 Dr. Thomas Hagerman 914-721-2410 [email protected]

www.scarsdaleschools.k12.ny.us/

Ray Pappalardi - Athletic Director

[email protected]

Scarsdale Rortary Club PO Box 463Scarsdale, NY 10583 Cindy Dunne President NA [email protected] scarsdalerotary.org

Senior Center at Lake Isle (Eastchester) 40 Mill Road Gilda Press 914-771-3340 [email protected]/.../senior_programs_and_services/

Eastchester, NY 10709 Director

Shiloh Baptist Church (Tuckahoe) 15 Marble Pl Rev. Michael B. Gerald 914-961-2664 [email protected] www.theshilohexperience.comTuckahoe, NY 10707 Pastor

St. Eugene's Catholic Church (Yonkers) 32 Massitoa Rd Rev. Matthew Fernan 914-779-5460 [email protected] csey.orgYonkers, NY 10710 Pastor

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St. Joseph's Church (Bronxville) 15 Cedar St. Fr. Peter McGeory 914-337-1660 [email protected]/

Bronxville, NY 10708

The Community Fund17 Sagamore Road, Bronxville, NY Doug Meyer  (914) 337-8808 [email protected] thecommunityfund.org

The Counseling Center 180 Pondfield Rd Richard W. Shoup, D. Min. 914-793-3388 [email protected] councelingcenter.org

Bronxville, NY 10708Director of the Counseling Center

Tuckahoe Lions Club 60 Kraft Ave Peter H. Pergolis 914-494-6862 [email protected] tuckahoeeastchesterlions.orgBronxville, NY 10708 President

Tuckahoe School District 65 Siwanoy Boulevard Dr. Charles Wilson 914-337-6600 ext. 1251 [email protected] tuckahoeschools.orgEasterchester, NY 10709 Superintendent of Schools

Tuckahoe Senior CitizensFr. Fata Hall at Assumption Church Jennifer Vetromile 914-337-8487 [email protected] tuckahoeseniors.orgPO Box 172 Tuckahoe, New York 10707 Director

UJA Federation-Westchester701 Westchester Avenue Suite 203E Amy Gutenplan 914-761-5100 [email protected]

https://www.ujafedny.org/get-involved/join-a-group/westchester/

White Plains, NY 10604Community and Volunteer Services

United Way of Westchester 335 Central Park Avenue Alana Sweeny 914-997-6700 x716 [email protected] uwwp.orgWhite Plains, NY 10606 President and CEO

Urban League of Westchester 61 Mitchell Pl Sorraya Sampson 914-428-6300 [email protected]

http://nul.iamempowered.com/affiliate/urban-league-westchester-county

White Plains, NY 10601 Affiliate CEO

Village Lutheran Church172 White Plains Road, Bronxville, NY 10708 Rev. Dr. Robert Hartwell 914-337-0207 ext 1022 [email protected]

www.vlc-ny.org/

The Chapel School172 White Plains Road, Bronxville, NY 10708 James Dhyne, Principal

(914) 337-3202 ext 1002 [email protected] chapelschool.org

[email protected] County Association 1133 Westchester Avenue William M. Mooney, Jr. 914-948-3671 [email protected] westchester.org

Suite S-217, White Plains, NY 10604

Westchester Arts Council 31 Mamaroneck Avenue Janet Langsom 914-428-4220 [email protected] artswestchester.orgWhite Plains, NY 10601 CEO

White Plains School District Superintendent

5 Homeside Lane, White Plains, NY 10605 Dr. Paul R. Fried 914-422-2019 [email protected] 

www.whiteplainspublicschools.org/

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Denis Tomici - Athl. Dir [email protected] 

White Plains Rotary ClubPO Box 1712, White Plains, NY 10602 Bill Fishman www.rotarywp.org/

Yonkers Chamber of Commerce 55 Main Street, #2 Kevin Cacace 914-963-0332 [email protected] yonkerschamber.org

Yonkers Office for the Aging 435 Riverdale Ave Kelly Chiarella 914-337-6826 [email protected]

www.cityofyonkers.com/government/departments/office-for-the-aging

Yonkers School District 1 Larkin Center, Yonkers, NY 10701 Dr. Edwin M. Quezada  1 914 376 8000 YPSnews@YonkersPublicSchoo yonkerspublicschools.org

Yonkers, Rotary Club of

The Rotary Club of Yonkers - East Yonkers is Club 5044, Area 6, District 7230, Zone 32, Region USCB.

Rev. J. Loren Russell (President) NA - use email [email protected] eastyonkersrotary.org

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NYP/LH Events, Q3‐Q4 2016

Events/Outreach Date Genera

l atte

nding even

t

2016 Community Activities: Development Events, Health Lectures, Health Fairs and Sponsored EventsNYP/Lawrence Hospital

JANUARY

Maureen Killackey Moderates Panel 1/21/2016 health care communtiyFEBRUARY

Go Red Day 2/5/2016 public and hospital staff

CHD Week 2/8/2016 social media campaign

Dinner with the Doctor 2/25/2016 Public

ACL Screenings 2/27/2016 local teenage girlsMARCH

Lunch and Learn Series - new Federal Food Pyramind 3/3/2016 publicL and L - Demystifying food myths 3/15/2016 publicL and L - World of healthy Flavors 3/29/2016 publicDinner with the doctor 3/9/2016 public

Dinner with the Doctor - colorectal cancer awareness and prevention 3/22/2016 presentation

Dcotors Day Cocktail Party 3/29/2016

Doctors Day event 3/30/2016

APRIL National Walking Day 4/6/2016 public, mostly staff

Stroke Prevention and Awareness Program at Lake Isle Senior Center 4/6/2016 senior citizens

ACS of Westchester, Rockland Legislative Breakfast 4/8/2016 county legislature

National Volunteer Week 4/10-4/17 hospital volunteersMAY

Bronxville Farmer’s Market

8:30am to 1:00pm, Saturdays from May

through NovemberBronxville/Eastchester/Tuckahoe public

Salute to Seniors 5/4/2016

National Nurses Week 5/6/16-5/12/16 Nurses at NYP/LH

Bloodless Medicine Forum 5/7/2016bloodless medicine patients, family and friends

Bicycle Sundays 5/15/16, 9am to 2pm public

Jansen Hospice May Benefit Cocktail Party5/14/16

5pm to 7pm Jansen donors and community

Dinner with the Doctor 5/17/2016, 5pm to

8:30pm

American Cancer Society's Relay for Life - Bronxville 5/21/16, 6:00pmAmerican Cancer Society's Relay for Life - Mamaroneck 5/21/16, 7:00pm

Careers In Medicine 5/23/16, 6pm tp 9pm200-plus high school students and parents

Bronxville Memorial Day Parade

Updated 12/16/2016

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NYP/LH Events, Q3‐Q4 2016

JUNE

1st Bariatric Support Group Clothing Swap06/01/16, 6pm to

8pm 150 Bariatric patients

American Cancer Society’s Relay for Life - Pelham 06/04/16, 6pm General public

New Rochelle Senior Expo 6/4/16, 10am, to 2pm 200 seniors

Mt Vernon Interfaith Health Fair 6/4/16, 9am to 5pm 500 community membersBronxville Sidewalk Sale-NYP/Lawrence Marketing materials 6/4/2016 Bronxville public

Annual NICU Reunion 6/4/16, 10am to noon200 kids and their family members

Eat Right, Live Long Health and Wellness Series: IBS and FODMAP Diet 06/08/16, 5pm-6pm Public

Westchester Wine and Food Festival 6/11/16, Noon to 5pm Westchester PublicAmerican Cancer Society’s Relay for Life - Yonkers 6/11/2016 General public

Bereavement Center of Westchester "Friend-raiser" Cocktail Party 6/18/16, 6-8 pm

Fund board member's friends and neighbors

Jazz Arts Dobbs Ferry Summer Music SeriesWednesdays, 6/22

and /2016 General public

Bronxville Summer Concert Series 6/23/2016 General publicJULY

Bronxville Pops Concert Series

Wednesdays, 7/6, 7/13, 7/20 and

7/27/16 General public

Jazz at Pierson Park, TarrytownFridays, 7/8, 7/15,

7/22, 7/29/16 General public

Jazz Forum Arts Dobbs Ferry Summer Music Series

Wednesdays, 7/6, 7/13, 7/20 and

7/27/16 General public

TJ Martell Foundation for Cancer Research - Speaking Engagement 7/18/2016 TJM Fdn Donors

Dinner with the Doctor 7/19/2016 General publicBronxville Summer Concert Series & Antique Car Show 7/21/2016 General public

Cath Lab to table at Bronxville Farmer's Market 7/23/2016 Bronxville and local publicAUGUST

Mount Vernon Youth Bureau Summer BBQ 8/4/2016 235 teens

Fun in the Son Gospel Festival 8/6/2016North Bronx community fest, hundreds expected

Wake Fest Health Fair 8/13/2016North Bronx community fest, hundreds expected

Bronxville Summer Concert Series & Antique Car Show 8/18/2016 General public

Jazz Forum Arts Dobbs Ferry Summer Music SeriesWednesdays, 8/3,

8/10, 8/17, 8/24/16 General public

Jazz at Pierson Park, TarrytownFridays, 8/5, 8/12,

8/19, 8/26/16 General publicSEPTEMBER

Eat Right Live Long -Childhood Obesity 9/7/2016 General public

Bronxville Summer Concert Series 9/25/2016 General public

Bronxville Farmers Market 9/17/2016 General public, 2-3K peopleDinner with the Doctor, Prostate Cancer Awareness Month 9/20/2016 General Public

Bronxville Sidewalk Sale9/23/2016 and

9/24/16 General public

NYP/Lawrence Mother/Baby Fair 9/24/16 10am-12 pm General public

AIM at Melanoma , Iona College9/24/2016

8:15am - 2 pm General public

Updated 12/16/2016

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NYP/LH Events, Q3‐Q4 2016

Wartburg Fall Festival 9/24/16, 11am-5pm General public

Eastchester 5K 9/25/2016

NYP/Lawrence Annual Golf Outing , Quaker Ridge 9/26/2016120 donors, vendors, community members

Sarah Lawrence College Health Fair 9/27/2016 SL studentsOCTOBER

AHA Westchester Heart Walk, Kensico Plaza10/2/2016

9am-12pm

Dinner with the Doctor Third Tuesday General public

Eat Right Live Long- Breast Cancer and Nutrition 10/5/2016 PublicLawrence "Pink" Bake Sale for American Cancer Society, Main Lobby

7:00am-2:00pm 10/11/2016

Annual Joint Reunion, Mulino's Lake Isle 10/13/2016 150 - 180 patients

ACS Making Strides Breast Cancer Walk 10/16/2016 General Public

Cancer Center Staff Open House and Tours 10/18/2016 All Staff

Cancer Center Medical Staff Tours 10/24/2016 Physicians

Employee Awards Dinner 10/20/2016 NYPLH Staff & PhysiciansIt Takes a Village to Educate a Child, Inc. Event Sponsorship 10/20/2016, 8 tickets

Breast Cancer Awareness Activities- Presentation to the Junior League of Bronxville featuring Breast Team. 10/25/2016 50-60 Junior League members

Community Flu Shots 2 dates TBDBronxville Chamber of Commerce Halloween Festival sponsor 10/22/2016 Village Community Members

NOVEMBERCommunity Flu Shots at Reformed Church in Bronxville General Public

Business Breakfast at Concordia College 11/4/2016Business and general community

Careers in Medicine Fair - Eastchester HS11/7/2016

6:00pm-8:00pm

Dinner with the Doctor Third Tuesday General public

Skin Cancer Screetings 685 WPR11/18/2016

12:30pm-3:30pmDECEMBER

Bronxville Hometown Holiday Sponsorship with Chamber of Commerce and PTA 12/2/2016

Jansen Hospice Celebration of Lights Event (Community memorial tribute)

12/7/16 6:30-8:00pm

Hospice donors and volunteers and general public

Arthritis Foundation Jingle Bell Run 12/10/2016 General publicPhysician Open House - All Physicians in Westchester County?

TBD for a date after 12/8/16

All practicing physicians in Westchester

Bronxville Chamber of Commerce Open House TBD Chamber MembershipStonleigh Place Open House with Neighbors from adjacent Co-Op

TBD for a date after 12/8/16 Residents of Stoneleigh Plaza

Community Wide Open HouseTBD for a date after

12/8/16 Community at Large

Dinner with the Doctor Third Tuesday General public

Updated 12/16/2016