memorial hermann health memorial hermann health system..... 1 about memorial hermann texas medical...
Post on 19-Mar-2018
214 views
Embed Size (px)
TRANSCRIPT
Memorial Hermann Health System Memorial Hermann Texas Medical Center Community Health Needs Assessment 2016
June 8, 2016
TABLE OF CONTENTS EXECUTIVE SUMMARY ................................................................................................................................................ i
Introduction ............................................................................................................................................................ i
Community Health Needs Assessment Methods ............................................................................................... i
Key Findings ............................................................................................................................................................ i
Community Social and Economic Context .......................................................................................................... i
Community Health Outcomes and Behaviors .................................................................................................... ii
Health Behaviors ............................................................................................................................................... iv
Behavioral Health .............................................................................................................................................. iv
Health Care Access and Utilization .................................................................................................................... v
Community Assets and Resources ..................................................................................................................... v
Community Vision and Suggestions for Future Programs and Services ............................................................ v
Key Themes and Conclusions ............................................................................................................................ vi
BACKGROUND ............................................................................................................................................................ 1
About Memorial Hermann Health System ............................................................................................................. 1
About Memorial Hermann Texas Medical Center ................................................................................................. 1
Scope of Current Community Health Needs Assessment ...................................................................................... 1
Previous Community Health Needs Assessment ................................................................................................... 1
Purpose of Community Health Needs Assessment................................................................................................ 1
Definition of Community Served for the CHNA ..................................................................................................... 2
APPROACH & METHODS ............................................................................................................................................ 4
Study Approach ...................................................................................................................................................... 4
Social Determinants of Health Framework ........................................................................................................ 4
Health Equity ...................................................................................................................................................... 5
Methods ................................................................................................................................................................. 5
Quantitative Data ............................................................................................................................................... 5
Qualitative Data ................................................................................................................................................. 5
Analysis .................................................................................................................................................................. 6
Limitations.............................................................................................................................................................. 6
COMMUNITY SOCIAL AND ECONOMIC CONTEXT ...................................................................................................... 7
About the MH Texas Medical Center Community ................................................................................................. 7
Population Size and Growth............................................................................................................................... 7
Age Distribution ................................................................................................................................................. 8
Racial and Ethnic Distribution ............................................................................................................................ 9
Linguistic Diversity and Immigrant Population ................................................................................................ 10
Income and Poverty ............................................................................................................................................. 12
Employment ......................................................................................................................................................... 14
Education ............................................................................................................................................................. 15
Housing ................................................................................................................................................................ 16
Transportation ..................................................................................................................................................... 18
Crime and Violence .............................................................................................................................................. 19
HEALTH OUTCOMES AND BEHAVIORS ..................................................................................................................... 21
Overall Leading Causes of Death ......................................................................................................................... 21
Chronic Diseases and Related Risk Factors .......................................................................................................... 24
Access to Healthy Food and Healthy Eating ..................................................................................................... 24
Food Access ...................................................................................................................................................... 24
Eating Behaviors ............................................................................................................................................... 27
Physical Activity ................................................................................................................................................ 29
Overweight and Obesity .................................................................................................................................. 29
Diabetes ........................................................................................................................................................... 30
Heart Disease, Stroke, and Cardiovascular Risk Factors .................................................................................. 30
Asthma ............................................................................................................................................................. 31
Cancer .............................................................................................................................................................. 32
Behavioral Health ................................................................................................................................................. 33
Mental Health .................................................................................................................................................. 33
Substance Use and Abuse ................................................................................................................................ 35
Communicable Diseases ...................................................................................................................................... 37
HIV .................................................................................................................................................................... 37
Other Sexually-Transmitted Diseases .............................................................................................................. 38
Tuberculosis ..................................................................................................................................................... 39
Influenza ...................