COMMUNITY HEALTH NEEDS ASSESSMENT 2016

Transcription

1 COMMUNITY HEALTH NEEDS ASSESSMENT 2016 A Collaborative Approach to Impacting Population Health in Gibson City and Surrounding Areas

2 GIBSON AREA HOSPITAL & HEALTH SERVICES COMMUNITY HEALTH NEEDS ASSESSMENT TABLE OF CONTENTS I. Introduction 3 Executive Summary 3 Background 4 Community Health Needs Assessment Population 4 Gibson Area Hospital & Health Services Demographics 5 II. Establishing the CHNA Infrastructure and Partnerships 17 III. Defining the Purpose and Scope 17 IV. Data Collection and Analysis 18 Description of Process and Methods Used 19 Description of Data Sources 19-20, 36 V. Identification and Prioritization of Needs 40 VI. Description of the Community Health Needs Identified 40 VII. Resources Available to Meet Priority Health Needs 41 VIII. Steps Taken Since the Last CHNA to Address Identified Needs 43 IX. Documenting and Communicating Results 45 X. References 45 XI. Implementation Strategy 46 Copyright 2016 by the Illinois Critical Access Network (ICAHN). All rights reserved. The contents of this publication may not be copied, reproduced, replaced, distributed, published, displayed, modified, or transferred in any form or by any means except with the prior permission of ICAHN. Copyright infringement is a violation of federal law subject to criminal and civil penalties. 2 I Gibson Area Hospital & Health Services

3 COMMUNITY HEALTH NEEDS ASSESSMENT I. INTRODUCTION Executive Summary Gibson Area Hospital & Health Services Community Health Needs Assessment Gibson Area Hospital & Health Services conducted a Community Health Needs Assessment (CHNA) during the summer and fall of The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon prioritized community health needs. This assessment process results in a CHNA report that assists the hospital in planning, implementing, and evaluating hospital strategies and community benefit activities. The Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-profit 501(c)(3) corporation, established in 2003 for the purposes of sharing resources, education, promoting operational efficiencies, and improving healthcare services for member critical access hospitals and their rural communities. The process involved the review of several hundred pages of demographic and health data specific to the Gibson Area Hospital & Health Services area of service. The secondary data and previous public health planning conclusions draw attention to several common issues of rural demographics and economics and draw emphasis to issues related to mental health services, wellness, obesity, physician and specialist supply, and related issues. In addition, the process involved focus groups comprised of area healthcare providers, partners and persons who represent the broad interests of the community served by the hospital, including those with special knowledge of, or expertise in public health. Members of medically underserved, low-income and minority populations served by the hospital or individuals or organizations representing the interests of such populations also provided input. The medically underserved are members of a population who experience health disparities, are at-risk of not receiving adequate medical care as a result of being uninsured or underinsured, or experiencing barriers to healthcare due to geographic, language, financial, or other barriers. Two focus groups met on September 9, 2015, to discuss the overall state of health and the local delivery of healthcare and health-related services. The groups identified positive recent developments in local services and care and also identified issues or concerns that they felt still existed in the area. A third group comprised of members or representatives of the focus groups then met and considered the qualitative and quantitative data gathered and estimated feasibility and effectiveness of possible interventions by the hospital to impact these health priorities: the burden, scope, severity, or urgency of the health needs; the health disparities associated with the health needs; the importance the community places on addressing the health need; and other community assets and resources that could be leveraged through strategic collaboration in the hospital s service area to address the health need. As an outcome of the prioritization process, discussed above, several potential health needs or issues flowing from the primary and secondary data were not identified as significant current health needs and were not advanced for future consideration. Three needs were identified as significant health needs and prioritized: 1. Care coordination 2. Transportation 3. Mental health services The consultant then compiled a report detailing key data and information that influenced the process and setting out the conclusions drawn by the participants. This report was delivered to Gibson Area Hospital & Health Services in January, Gibson Area Hospital & Health Services I 3

4 Background The mission of Gibson Area Hospital & Health Services is to provide personalized, professional healthcare services to the residents of the communities we serve. In keeping with that goal, Gibson Area Hospital & Health Services has medical clinics in seven communities, in addition to Gibson City, and employs more than 700 individuals residing in 85 area communities. Gibson Area Hospital & Health Services is a not-for-profit hospital. Provisions in the Affordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon priority community health needs. This assessment process results in a CHNA report which assists the hospital in planning, implementing, and evaluating hospital strategies and community benefit activities. The Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-profit 501(c)(3) corporation, established in 2003 for the purposes of sharing resources, education, promoting operational efficiencies and improving healthcare services for member critical access hospitals and their rural communities. ICAHN, with 54 member hospitals, is an independent network governed by a nine-member board of directors, with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives to strengthen the capacity and viability of its members and rural health providers. Gibson Area Hospital & Health Services is a member of the Illinois Critical Access Hospital Network. The Community Health Needs Assessment will serve as a guide for planning and implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of Gibson City and the surrounding area. The population assessed was the identified primary service area and a secondary service area that reaches into eight Illinois counties. Data collected throughout the assessment process was supplemented with: A local asset review Qualitative data gathered from broad community representation Focus groups, including input from local leaders, medical professionals, health professionals, and community members who serve the needs of persons in poverty and the elderly COMMUNITY HEALTH NEEDS ASSESSMENT POPULATION For the purpose of this CHNA, Gibson Area Hospital & Health Services defined its primary service area and populations as the general population within the geographic area in and surrounding Gibson City, defined in detail on the next page. The hospital s patient population includes all who receive care without regard to insurance coverage or eligibility for assistance. 4 I Gibson Area Hospital & Health Services

5 Gibson Area Hospital & Health Services Community Health Needs Assessment DEMOGRAPHICS The service area for Gibson Area Hospital & Health Services is comprised of approximately 1,193 square miles, with a population of approximately 42,724 and a population density of 88 residents per square mile. The primary service area consists of the following rural communities: Cities and Towns Chatsworth Fairbury Farmer City Gibson City Hoopeston Paxton Villages Anchor Bellflower Cissna Park Forrest Loda Melvin Onarga Rankin Roberts Saybrook Strawn Thawville Additional communities served include: Cities Gilman Villages Arrowsmith Colfax Fisher Mahomet Mansfield Piper City Potomac Rantoul Unincorporated Communities Armstrong Gibson Area Hospital & Health Services is located in Gibson City. Additional clinics are located in Fairbury, Farmer City, Fisher, Forrest, Hoopeston, Mahomet, Onarga, Paxton, and Potomac. Illustration 1. Service Area for Gibson Area Hospital & Health Services Gibson City The area within the black outline denotes the primary service area. The green shaded area outside the black outline serves as Gibson Area Hospital & Health Services and its clinics secondary service area. The service area estimates reported in the following tables from Community Commons represent the zip codes identified as the service area. The full county data for Champaign, De Witt, Ford, Iroquois, Livingston, McLean, Piatt, and Vermilion counties are included in most tables for comparison. Gibson Area Hospital & Health Services I 5

6 TOTAL POPULATION CHANGE, According to the U.S. Census data, the population in the region decreased from 44,871 to 43,016 between the years 2000 and 2010, a 4.13% decrease. Report Area Total Population 2000 Census Total Population 2010 Census Total Population Change, Percentage Population Change, Service Area Estimates 44,871 43,016-1, % Champaign County 179, ,081 21, % De Witt County 1,798 16, % Ford County 14,241 14, % Iroquois County 31,334 29,718-1, % Livingston County 39,678 38, % McLean County 150, ,572 19, % Piatt County 16,365 16, % Vermilion County 83,919 81,625-2, % Illinois 12,419,231 12,830, , % Data Source: Community Commons The Hispanic population in Champaign County increased by 5,404 people (103.86%), increased in De Witt County by 141 (66.2%), increased in Ford County by 118 (67.05%), increased in Iroquois County by 367 (30.16%), increased in Livingston County by 476 (45.08%), increased in McLean County by 3,601 (93.95%), increased in Piatt County by 66 (65.35%), and increased in Vermillion County by 937 (37.42%). In Champaign County, additional population changes were as follows: White 4.28%, Black 24.45%, American Indian/Alaska Native 26.79%, Asian 55.01%, and Native Hawaiian/Pacific Islander 86.11%. In De Witt County, additional population changes were as follows: White -2.4%, Black 6.1%, American Indian/Alaska Native %, Asian 27.66%, and Native Hawaiian/Pacific Islander 0%. In Ford County, additional population changes were as follows: White -2.18%, Black %, American Indian/Alaska Native %, and Asian %. In Iroquois County, additional population changes were as follows: White -6.33%, Black 4.48%, Native American/Alaska Native -5.56%, Asian 9.57%, and Native Hawaiian/Pacific Islander %. In Livingston County, additional population changes were as follows: White -2.39%, Black -6.72%, American Indian/Alaska Native 1.52%, Asian 61.79%, and Native Hawaiian/Pacific Islander -50%. In McLean County, additional population changes were as follows: White 6.54%, Black 33.54%, American Indian/Alaska Native 56.33%, Asian %, and Native Hawaiian/Pacific Islander 12.24%. In Piatt County, additional population changes were as follows: White 1.36%, Black48.72%, American Indian/Alaska Native %, Asian %, and Native Hawaiian/Pacific Islander 100%. In Vermilion County, additional population changes were as follows: White -6.54%, Black 19.02%, American Indian/Alaska Native 3.8%, Asian 13.25%, and Native Hawaiian/Pacific Islander 0%. 6 I Gibson Area Hospital & Health Services

7 Gibson Area Hospital & Health Services Community Health Needs Assessment POPULATION BY AGE GROUPS The region has the following population numbers by age groups: Report Area Total Population Ages 0-4 Ages 5-17 Ages Ages Service Area Estimates 42,724 2,436 7,606 3,190 4,523 Champaign County 202,428 11,499 27,541 48,097 30,215 De Witt County 16, ,762 1,205 1,855 Ford County 13, , ,526 Iroquois County 29,446 1,615 5,204 2,152 2,975 Livingston County 38,687 2,085 6,242 3,163 5,041 McLean County 171,240 10, ,849 30,409 23,171 Piatt County 16, ,984 1,156 1,716 Vermilion County 81,147 5,365 14,368 6,912 9,279 Illinois 12,848, ,771 2,265,645 1,252,399 1,778,128 Report Area Continued Ages Ages Ages Ages 65+ Service Area Estimates 4,636 6,339 5,986 8,008 Champaign County 2,576 22,430 20,233 20,858 De Witt County 2,039 2,621 2,255 2,842 Ford County 1,621 2,146 1,774 2,667 Iroquois County 3,387 4,410 3,996 5,707 Livingston County 4,870 6,164 4,965 6,157 McLean County 22,125 22,125 17,933 18,049 Piatt County 2,018 2,726 2,325 2,794 Vermilion County 9,517 11,547 10,825 13,334 Illinois 1,711,098 1,842,487 1,521,168 1,656,858 Data Source: Community Commons Gibson Area Hospital & Health Services I 7

8 POPULATION WITHOUT A HIGH SCHOOL DIPLOMA (Ages 25 and Older) Within the service area, there are 3,061 people aged 25 and older without a high school diploma (or equivalent) or higher. This represents 10.41% of the total population aged 25 and older. This indicator is relevant because educational attainment is linked to positive health outcomes. Report Area Population Age 25+ Population Age 25+ With No HS Diploma % Population Age 25+ With No HS Diploma Service Area Estimates 29,408 3, % Champaign County 115,291 7, % De Witt County 11, % Ford County 9,734 1, % Iroquois County 20,475 2, % Livingston County 27,197 3, % McLean County 102,383 5, % Piatt County 11, % Vermilion County 54,502 7, % Illinois 8,509,739 1,082, % POPULATION WITH ASSOCIATE S LEVEL DEGREE OR HIGHER Within the service area, 25.55% of the population aged 25 and older, or 5,299 people, have obtained an Associate s level degree or higher. This indicator is relevant because educational attainment has been linked to positive health outcomes. Report Area Population Age 25+ Population Age 25+ With Associate s Degree or Higher % Population Age 25+ With Associate s Degree or Higher Service Area Estimates 29,323 7, % Champaign County 115,291 57, % De Witt County 11,612 2, % Ford County 9,734 2, % Iroquois County 20,475 4, % Livingston County 27,197 5, % McLean County 102,383 50, % Piatt County 11,579 4, % Vermilion County 54,502 12, % Illinois 8,509,739 3,308, % 8 I Gibson Area Hospital & Health Services

9 POVERTY CHILDREN BELOW 100% FPL Gibson Area Hospital & Health Services Community Health Needs Assessment Poverty is considered a key driver of health status. Within the service area, 15.84% or 1,584 children aged 0-17 are living in households with income below 100% of the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. Report Area Population Under Age 18 Population Under Age 18 in Poverty % Population Under Age 18 in Poverty Service Area Estimates 9,996 1, % Champaign County 38,006 8, % De Witt County 3, % Ford County 3, % Iroquois County 6,627 1, % Livingston County 8,155 1, % McLean County 37,776 4, % Piatt County 3, % Vermilion County 19,352 6, % Illinois 3,044, , % POVERTY CHILDREN BELOW 200% FPL In the report area 38.53% or 3,820 children are living in households with income below 200% of the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. Report Area Population Under Age 18 Population Under Age 18 at or Below 200% FPL % Population Under Age 18 at or Below 200% FPL Service Area Estimates 9,913 3, % Champaign County 38,006 16, % De Witt County 3,625 1, % Ford County 3,226 1, % Iroquois County 6,627 3, % Livingston County 8,155 3, % McLean County 37,776 9, % Piatt County 3,808 1, % Vermilion County 19,352 11, % Illinois 3,044,377 1,243, % Gibson Area Hospital & Health Services I 9

10 POPULATION IN POVERTY (100% FPL and 200% FPL) Poverty is considered a key driver of health status. Within the report area, 10.7% or 4,485 individuals are living in households with income below 100% of the Federal Poverty Level (FPL). This is lower than the statewide poverty level of 14.1%. Within the report area, 29.6% or 12,383 individuals are living in household with income below 200% of the Federal Poverty Level (FPL). This is lower than the statewide levels of 31.5%. This indicator is relevant because poverty creates barriers to access including health services, nutritional food, and other necessities that contribute to poor health status. Report Area Total Population Population Below 100% FPL Population Below 200% FPL Service Area Estimates 41,899 4,485 12,383 Champaign County 185,847 41,384 72,764 De Witt County 16,119 2,259 4,496 Ford County 13,504 1,416 4,150 Iroquois County 28,722 3,922 10,088 Livingston County 34,271 3,533 10,124 McLean County 162,590 23,051 43,322 Piatt County 16,433 1,022 3,662 Vermilion County 79,005 15,494 32,618 Illinois 12,547,066 1,772,333 3,954,161 INCOME FAMILIES EARNING OVER $75,000 In the report area, 40.19% or 4,625 families report a total annual income of $75,000 or greater. Total income includes all reported income from wages and salaries as well as income from self-employment, interest or dividends, public assistance, retirement, and other sources. Report Area Total Families Families with Income Over $75,000 % Families with Income Over $75,000 Service Area Estimates 11,510 4, % Champaign County 46,670 19, % De Witt County 4,539 1, % Ford County 3,542 1, % Iroquois County 8,108 2, % Livingston County 9,767 4, % McLean County 39,616 22, % Piatt County 4,717 2, % Vermilion County 20,166 6, % Illinois 3,136,362 1,467, % Data Source: Community Commons 10 I Gibson Area Hospital & Health Services

11 Gibson Area Hospital & Health Services Community Health Needs Assessment POPULATION WITH ANY DISABILITY This indicator reports the percentage of the total civilian, non-institutionalized population with a disability. Within the report area, 12.7% or 5,332 individuals are disabled in some way. This is higher than the statewide disabled population level of 10.5%. This indicator is relevant because disabled individuals comprise a vulnerable population that requires targeted services and outreach by providers. Report Area Total Population (For Whom Disability Status is Determined) Total Population With a Disability % Population With a Disability Service Area Estimates 42,011 5, % Champaign County 200,758 17, % De Witt County 16,168 2, % Ford County 13,569 1, % Iroquois County 28,845 3, % Livingston County 34,417 4, % McLean County 169,995 15, % Piatt County 16,510 1, % Vermilion County 79,357 11, % Illinois 12,668,117 1,327, % CHILDREN ELIGIBLE FOR FREE/REDUCED PRICE LUNCH Within the report area, 3,618 public school students (44.8%) are eligible for free/reduced price lunch out of 8,078 total students enrolled. This is lower than the 50.6% of students statewide that are eligible for free/reduced price luch. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs. Additionally, when combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report Area Total Students Number Free/Reduced Price Eligible % Number Free/Reduced Price Eligible Service Area Estimates 8,078 3, % Champaign County 24,591 12, % De Witt County 2,471 1, % Ford County 2,759 1, % Iroquois County 4,581 2, % Livingston County 6,315 2, % McLean County 25,942 8, % Piatt County 3,451 1, % Vermilion County 13,205 8, % Illinois 2,049,231 1,044, % Gibson Area Hospital & Health Services I 11

12 INCOME PER CAPITA INCOME The annual per capita income for the report area is $26,007. This includes all reported income from wages and salaries as well as income from self-employment, interest or dividends, public assistance, retirement, and other sources. The per capita income in this report area is the average (mean) income computed for every man, woman, and child in the specified area. Report Area Total Population Total Income ($) Per Capita Income ($) Service Area Estimates 42,724 $1,111,146,279 $26,007 Champaign County 202,428 $5,204,975,616 $25,712 De Witt County 16,511 $440,912,384 $26,704 Ford County 13,991 $356,048,384 $25,448 Iroquois County 29,446 $739,022,592 $25,097 Livingston County 38,687 $965,314,112 $24,951 McLean County 171,240 $5,215,991,296 $30,460 Piatt County 16,620 $518,376,512 $31,189 Vermilion County 81,147 $1,722,338,176 $21,224 Illinois 12,848,554 $381,170,548,736 $29,666 INCOME PUBLIC ASSISTANCE INCOME This indicator reports the percentage households receiving public assistance income. Public assistance income includes general assistance and Temporary Assistance to Needy Families (TANF). Separate payments received for hospital or other medical care (vendor payments) are excluded. This does not include Supplemental Security Income (SSI) or non-cash benefits, such as food stamps. Report Area Total Households Households with Public Assistance Income % Households with Public Assistance Income Service Area Estimates 16, % Champaign County 79,137 1, % De Witt County 19, % Ford County 5, % Iroquois County 11, % Livingston County 14, % McLean County 64, % Piatt County 6, % Vermilion County 31, % Illinois 4,772, , % 12 I Gibson Area Hospital & Health Services

13 INSURANCE POPULATION RECEIVING MEDICAID Gibson Area Hospital & Health Services Community Health Needs Assessment This indicator reports the percentage of the population with insurance enrolled in Medicaid (or other means-tested public health insurance). This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs. When combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report Area Total Population (For Whom Insurance Status is Determined) Population with Any Health Insurance Population Receiving Medicaid % of Insured Population Receiving Medicaid Service Area Estimates 42,011 38,529 7, % Champaign County 200, ,946 27, % De Witt County 16,168 14,727 2, % Ford County 13,569 12,250 2, % Iroquois County 28,845 26,235 5, % Livingston County 34,417 31,835 6, % McLean County 169, ,117 21, % Piatt County 16,510 15,296 2, % Vermilion County 79,357 70,051 19, % Illinois 12,668,117 11,021,355 2,212, % POPULATION RECEIVING SNAP BENEFITS This indicator reports the estimated percentage of households receiving the Supplemental Nutrition Assistance Program (SNAP) benefits. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs. When combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. Report Area Total Households Households Receiving SNAP Benefits % Households Receiving SNAP Benefits Service Area Estimates 16,995 1, % Champaign County 79,137 7, % De Witt County 6, % Ford County 5, % Iroquois County 11,892 1, % Livingston County 14,446 1, % McLean County 64,016 5, % Piatt County 6, % Vermilion County 31,575 4, % Illinois 4,772, , % Gibson Area Hospital & Health Services I 13

14 POPULATION WITH LOW FOOD ACCESS This indicator reports the percentage of the population living in census tracts designated as food deserts. A food desert is defined as a low-income census tract where a substantial number or share of residents has low access to a supermarket or large grocery store. This indicator is relevant because it highlights populations and geographies facing food insecurity. Report Area Total Population Population with Low Food Access % Population with Low Food Access Service Area Estimates 43,016 4, % Champaign County 201,081 42, % De Witt County 16, % Ford County 14,081 2, % Iroquois County 29,718 4, % Livingston County 38,950 4, % McLean County 169,572 55, % Piatt County 16,729 1, % Vermilion County 81,625 14, % Illinois 12,830,632 2,623, % LOW INCOME POPULATION WITH LOW FOOD ACCESS This indicator reports the percentage of the low income population living in census tracts designated as food deserts. This indicator is relevant because it highlights at-risk populations and geographies facing food insecurity. Report Area Total Population Low Income Population with Low Food Access % Low Income Population with Low Food Access Service Area Estimates 43,016 1, % Champaign County 201,081 10, % De Witt County 16, % Ford County 14, % Iroquois County 29,718 1, % Livingston County 38,950 1, % McLean County 169,572 15, % Piatt County 16, % Vermilion County 81,625 5, % Illinois 12,830, , % 14 I Gibson Area Hospital & Health Services

15 Gibson Area Hospital & Health Services Community Health Needs Assessment ACCESS TO PRIMARY CARE This indicator reports the number of primary care physicians per 100,000 population. Doctors classified as primary care physicians by the AMA include: general family medicine MDs and DOs, general practice MDs and DOs, general internal medicine MDs, and general pediatrics MDs. Physicians age 75 and over and physicians practicing sub-specialties within the listed specialties are excluded. This indicator is relevant because a shortage of health professionals contributes to access and health status issues. Report Area Total Population, 2012 Primary Care Physicians, 2012 Primary Care Physicians, Rate Per 100,000 Population Service Area Estimates 42, Champaign County 203, De Witt County 16, Ford County 14, Iroquois County 29, Livingston County 38, McLean County 172, Piatt County 16, Vermilion County 80, Illinois 12,875,255 10, ACCESS TO DENTISTS This indicator reports the number of dentists per 100,000 population. This indicator includes all dentists qualified as having a doctorate in dental surgery (DDS) or dental medicine (DMD), who are licensed by the state to practice dentistry and who are practicing within the scope of that license. Report Area Total Population, 2013 Dentists, 2013 Dentists, Rate Per 100,000 Population Service Area Estimates 42, Champaign County 204, De Witt County 16, Ford County 13, Iroquois County 28, Livingston County 38, McLean County 174, Piatt County 16, Vermilion County 80, Illinois 12,882,135 8, Gibson Area Hospital & Health Services I 15

16 PREVENTABLE HOSPITAL EVENTS This indicator reports the discharge rate (per 1,000 Medicare enrollees) for conditions that are ambulatory care sensitive (ACS). ACS conditions include pneumonia, dehydration, asthma, diabetes, and other conditions which could have been prevented if adequate primary care resources were available and accessed by those patients. This indicator is relevant because analysis of ACS discharges allows demonstrating a possible return on investment from interventions that reduce admissions (for example, for uninsured or Medicaid patients) through better access to primary care resources. Report Area Total Medicare Part A Enrollees Ambulatory Care Sensitive Condition Hospital Discharges Ambulatory Care Sensitive Condition Discharge Rate Service Area Estimates 6, Champaign County 15, De Witt County 2, Ford County 2, Iroquois County 4, Livingston County 4, McLean County 15, Piatt County 2, Vermilion County 9, Illinois 1,420,984 92, FACILITIES DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS This indicator reports the number and location of healthcare facilities designated as Health Professional Shortage Areas (HPSAs), defined as having shortages of primary medical care, dental, or mental health providers. This indicator is relevant because a shortage of health professionals contributes to access and health status issues. Report Area Primary Care Facilities Mental Health Care Facilities Dental Health Care Facilities Total HPSA Facility Designations Service Area Estimates Champaign County De Witt County Ford County Iroquois County Livingston County McLean County Piatt County Vermilion County Illinois Overall, the service area of Gibson Area Hospital & Health Services is favorably positioned in many key economic and other demographic indicators when compared not only to state and federal measures, but also to the overall data from the counties touched. 16 I Gibson Area Hospital & Health Services

17 Gibson Area Hospital & Health Services Community Health Needs Assessment II. ESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPS Gibson Area Hospital & Health Services led the planning, implementation, and completion of the Community Health Needs Assessment through a consulting arrangement with the Illinois Critical Access Hospital Network. Terry Madsen, an ICAHN consultant, attorney, and former educator and community development specialist, met with hospital executive staff to define the community, scope of the project, and special needs and concerns. An internal working group, possible local sources for secondary data, and key external contacts were identified, and a timeline was established. Internal Gibson Area Hospital & Health Services undertook a four-month planning and implementation effort to develop the CHNA, identify, and prioritize community health needs for its service area. These planning and development activities included the following steps: The project was overseen and coordinated at the operational level by the Community Education Coordinator, reporting directly to the CEO. Arrangements were made with ICAHN to facilitate two focus groups and a meeting to identify and prioritize significant needs. ICAHN was also engaged to collect, analyze, and present secondary data and to prepare a final report for submission to Gibson Area Hospital & Health Services. The Community Education Coordinator worked closely with ICAHN s consultant to identify and engage key community partners and to coordinate local meetings and group activities. External Gibson Area Hospital & Health Services also leveraged existing relationships that provided diverse input for a comprehensive review and analysis of community health needs in the hospital s service area. These steps included: The Community Education Coordinator secured the participation of a diverse group of representatives from the community and the health profession. The ICAHN consultant provided secondary data from multiple sources set out below in the quantitative data list. Participation included representatives of the county health department, serving the great majority of the area served by the hospital. III. DEFINING THE PURPOSE AND SCOPE The purpose of the CHNA was to 1) evaluate current health needs of the hospital s service area, and 2) identify resources and assets available to support initiatives to address the health priorities identified. Gibson Area Hospital & Health Services I 17

18 IV. DATA COLLECTION AND ANALYSIS The overarching framework used to guide the CHNA planning and implementation is consistent with the Catholic Health Association s (CHA) Community Commons CHNA flow chart shown on the next page: Starter Tools & Resources Why do a CHNA? (broken out by stakeholder) Where to begin? Effective Processes & Practices Choose Geographic Partners Metropolitan Statistical Area Service Area State Health Outcomes Data Demographics Data Collection & Interpretation CHNA Data Platform Drivers of Health Data Key Driver Data Drawn from exemplary data sets Data Platform Report Community Assets & Resources Other Secondary Data Community Input Public Health Expert Input Identification, Prioritization & Selection of Health Needs Data Interpretation Process Community Health Needs Prioritization Process Implementation Strategy Development Guidelines & Checklists References County Zip Code Health Outcomes Data Drivers of Health Data Applying Evidence, Leveraging Needs that will be addressed Selection of Needs Prioritized Community Health Needs Resources FAQ Custom Implementation Strategy Report Needs that will not be addressed CHNA Report 18 I Gibson Area Hospital & Health Services

19 Gibson Area Hospital & Health Services Community Health Needs Assessment DESCRIPTION OF DATA SOURCES Quantitative The following quantitative sources were reviewed for health information relating to Champaign, De Witt, Ford, Iroquois, Livingston, McLean, Piatt, and Vermilion counties. Source and Description Behavioral Risk Factor Surveillance System The BRFSS is the largest, continuously conducted telephone health survey in the world. It enables the Center for Disease Control and Prevention (CDC), state health departments, and other health agencies to monitor modifiable risk factors for chronic diseases and other leading causes of death. US Census National census data is collected by the US Census Bureau every 10 years. Centers for Disease Control Through the CDC s National Vital Statistics System, states collect and disseminate vital statistics as part of the US s oldest and most successful intergovernmental public health data sharing system. County Health Rankings Each year, the overall health of each county in all 50 states is assessed and ranked using the latest publicly available data through a collaboration of the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Community Commons Community Commons is an interactive mapping, networking, and learning utility for the broad-based healthy, sustainable, and livable communities movement. Illinois Department of Employment Security The Illinois Department of Employment Security is the state s employment agency. It collects and analyzes employment information. National Cancer Institute The National Cancer Institute coordinates the National Cancer Program, which conducts and supports research, training, health information dissemination, and other programs with respect to the cause, diagnosis, prevention, and treatment of cancer, rehabilitation from cancer, and the continuing care of cancer patients and the families of cancer patients. Illinois Department of Public Health The Illinois Department of Public Health is the state agency responsible for preventing and controlling disease and injury, regulating medical practitioners, and promoting sanitation. HRSA The Health Resources and Services Administration of the U.S. Department of Health and Human Services develops health professional shortage criteria for the nation and uses that data to determine the location of Health Professional Shortage Areas and Medically Underserved Areas and Populations. Local IPLANs The Illinois Project for Local Assessment of Needs (IPLAN) is a community health assessment and planning process that is conducted every five years by local health jurisdictions in Illinois. ESRI ESRI (Environmental Systems Research Institute) is an international supplier of Geographic Information System (GIS) software, web GIS, and geodatabase management applications. ESRI allows for specialized inquiries at the zip code, or other defined, level. Illinois State Board of Education The Illinois State Board of Education administers public education in the state of Illinois. Each year, it releases school report cards which analyze the make-up, needs, and performance of local schools. USDA USDA, among its many functions, collects and analyzes information related to nutrition and local production and food availability. Gibson Area Hospital & Health Services I 19

20 SECONDARY DATA DISCUSSION The County Health Rankings rank the health of nearly every county in the nation and show that much of what affects health occurs outside of the doctor s office. The County Health Rankings confirm the critical role that factors such as education, jobs, income, and environment play in how healthy people are and how long they live. Published by the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation, the Rankings help counties understand what influences how healthy residents are and how long they will live. The Rankings look at a variety of measures that affect health such as the rate of people dying before age 75, high school graduation rates, access to healthier foods, air pollution levels, income, and rates of smoking, obesity, and teen births. The Rankings, based on the latest data publicly available for each county, are unique in their ability to measure the overall health of each county in all 50 states on the multiple factors that influence health. (County Health Rankings and Roadmaps, 2015) McLean County is ranked 30th out of the 102 Illinois counties in the Rankings released in April Vermilion County is ranked 92nd out of the 102 Illinois counties in the Rankings released in April Ford County is ranked 38th out of the 102 Illinois counties in the Rankings released in April HEALTH RANKING OBSERVATIONS Table 1. Health Ranking Observations Ford, McLean, and Vermilion Counties Observation Ford McLean Vermilion Illinois Adults reporting no leisure time physical activity 29% 24% 27% 23% Adult obesity 31% 31% 34% 27% Children under 18 living in poverty 18% 13% 31% 21% Uninsured 11% 10% 13% 19% Teen birth rate (ages 15-19) Alcohol crash deaths/ total crash deaths 33/1,000 18/1,000 56/1,000 25/1,000 11% 39% 37% 37% Unemployment 8.4% 7.3% 11.6% 9.2% Adult smoking Not available 11% 25% 14% Adults reporting poor or fair health Not available 13% 18% 15% IBFRSS, 2015 Report The Illinois Behavioral Risk Factor Surveillance System provides health data trends through the Illinois Department of Public Health in cooperation with the Center for Disease Control and Prevention, Office of Surveillance, Epidemiology, and Laboratory Services. 20 I Gibson Area Hospital & Health Services

21 Gibson Area Hospital & Health Services Community Health Needs Assessment The Illinois Behavioral Risk Factor Surveillance System provides health data trends through the Illinois Department of Public Health in cooperation with the Center for Disease Control and Prevention, Office of Surveillance, Epidemiology, and Laboratory Services. The following tables reflect information from the IBRFSS that indicate areas of likely healthcare needs. Table 2. Diagnosed Disease Factors Ford County 45% 40% 35% 38% 40% 30% 25% 25% 26% 31% 32% 30% 29% 20% 20% 15% 10% 9% 11% 13% 8% 7% 10% 8% 5% 0% Arthritis Asthma High Blood Pressure Diabetes Illinois IBFRSS, 2015 Report Diagnosis of arthritis has increased to above the state level in the past decade, except in the year Diagnosis of asthma and diabetes increased to above the state level in the year 2009 but was below the state level in the years 2003 and Diagnosis of high blood pressure has remained constant and just above the state level. Gibson Area Hospital & Health Services I 21

22 Table 3. Diagnosed Disease Factors McLean County 35% 33% 30% 29% 25% 26% 22% 25% 20% 17% 19% 18% 18% 15% 15% 13% 10% 9% 7% 8% 5% 3% 4% 0% Arthritis Asthma High Blood Pressure Diabetes Illinois IBFRSS, 2015 Report Diagnosis of arthritis has decreased to below the state level in the past decade, except for the year 2006 when a significant increase was recorded. Diagnosis of asthma has increased above the state level, except for the year Diagnosis of diabetes and high blood pressure are below the state average and are increasing over the past decade. 22 I Gibson Area Hospital & Health Services

23 Gibson Area Hospital & Health Services Community Health Needs Assessment Table 4. Diagnosed Disease Factors Vermilion County 40% 35% 33% 34% 30% 25% 25% 30% 26% 28% 30% 29% 20% 15% 14% 13% 10% 8% 10% 7% 7% 10% 8% 5% 0% Arthritis Asthma High Blood Pressure Diabetes Illinois IBFRSS, 2015 Report Diagnosis of arthritis and high blood pressure has increased to above the state average in the past decade, except for the year Diagnosis of asthma and diabetes was below the state average in the years 2003 and 2006, but increased to above the state average in the year Gibson Area Hospital & Health Services I 23

24 Table 5. Health Risk Factors Ford County 30% 25% 26% 23% 23% 24% 27% 26% 20% 15% 21% 18% 17% 15% 19% 18% 10% 5% 0% Tobacco Alcohol Obesity Illinois IBFRSS, 2015 Report Tobacco use has consistently exceeded the state levels. The rate of persons reporting obesity has increased to exceed the state level in the IBRFSS but was below the state levels in the years 2003 and Alcohol use increased above the state average in 2009 but was below in the years 2003 and Teen birth rates (ages 15-19), as noted in Table 1, are just below the state rate. 24 I Gibson Area Hospital & Health Services

25 Gibson Area Hospital & Health Services Community Health Needs Assessment Table 6. Health Risk Factors McLean County 30% 25% 20% 15% 20% 21% 16% 18% 25% 20% 19% 18% 15% 24% 22% 26% 10% 5% 0% Tobacco Alcohol Obesity Illinois IBFRSS, 2015 Report Tobacco use has decreased below the state levels but was above state levels in the years 2003 and The rate of persons reporting obesity is increasing but is still below the state level. Alcohol use has exceeded the state level for the past decade. Teen birth rates (ages 15-19), as noted in Table 1, are below the state rate. Gibson Area Hospital & Health Services I 25

26 Table 7. Health Risk Factors Vermilion County 35% 30% 29% 31% 28% 30% 26% 25% 22% 24% 24% 20% 18% 18% 15% 15% 14% 10% 5% 0% Tobacco Alcohol Obesity Illinois IBFRSS, 2015 Report Tobacco use has consistently exceeded the state levels and is decreasing. The rate of persons reporting obesity has increased to exceed the state level in 2009 but was below the state level in the years 2003 and Alcohol use increased above the state average in 2009 but was below the state level in the years 2003 and Teen birth rates (ages 15-19), as noted in Table 1, are above the state rate. TEEN BIRTHS This indicator reports the rate of total births for women age per 1,000 female population ages This indicator is relevant because in many cases, teen parents have unique social, economic, and health support services. Additionally, high rates of teen pregnancy may indicate the prevalence of unsafe sex practices. Report Area Female Population, Ages Births to Mothers, Ages Teen Birth Rate, Per 100,000 Population Service Area Estimates 1, Champaign County 9, De Witt County Ford County Iroquois County Livingston County 1, McLean County 7, Piatt County Vermilion County 2, Illinois 448,356 15, I Gibson Area Hospital & Health Services

27 Gibson Area Hospital & Health Services Community Health Needs Assessment DEPRESSION (Medicare Population) This indicator reports the percentage of the Medicare fee-for-service population with depression. Report Area Total Medicare Beneficiaries Beneficiaries with Depression Percent with Depression Service Area Estimates 7,298 1, % Champaign County 18,468 2, % De Witt County 2, % Ford County 2, % Iroquois County 6, % Livingston County 5, % McLean County 18,174 3, % Piatt County 2, % Vermilion County 12,226 1, % Illinois 1,623, , % LOW BIRTH RATE This indicator reports the percentage of total births that are low birth weight (under 2,500 grams). This indicator is relevant because low birth weight infants are a high risk for health problems. This indicator can also highlight the existence of health disparities. Report Area Total Live Births Low Weight Births, Under 2,500 Grams Low Weight Births, Percent of Total Service Area Estimates 3, % Champaign County 16,933 1, % De Witt County 1, % Ford County 1, % Iroquois County 2, % Livingston County 3, % McLean County 15,302 1, % Piatt County 1, % Vermilion County 7, % Illinois 1,251, , % Gibson Area Hospital & Health Services I 27

28 CANCER PROFILES The State Cancer Profiles compiled by the National Cancer Institute lists Ford and Vermilion Counties at Level 6 for all cancers, which means that the cancer rate is similar to the U.S. rate and is stable over the recent past. The State Cancer Profiles compiled by the National Center Institute lists McLean County at Level 4 for all cancers, which means that the cancer rate is above the U.S. rate and is stable over the recent past. This is confirmed by the local cancer data set out on the graphs below. Cancer Incidence Breast The indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of females with breast cancer adjusted to 2000 U.S. standard population age groups (under age 1, 1-4, 5-9,..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death, and it is important to identify cancers separately to better target interventions. Report Area Female Population Average New Cases Per Year Annual Incidence Rate (Per 100,000 Population) Service Area Estimates 21, Champaign County 99, De Witt County 8, Ford County 7, Iroquois County 15, Livingston County 19, McLean County 86, Piatt County 8, Vermilion County 1, Illinois 6,517,603 9, Cancer Incidence Colon and Rectum The indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of colon and rectum cancer adjusted to 2000 U.S. standard population age groups (under age 1, 1-4, 5-9,..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death, and it is important to identify cancers separately to better target interventions. Report Area Total Population Average New Cases Per Year Annual Incidence Rate (Per 100,000 Population) Service Area Estimates 43, Champaign County 199, De Witt County 16, Ford County 14, Iroquois County 29, Livingston County 38, McLean County 168, Piatt County 16, Vermilion County 81, Illinois 12,790,182 6, I Gibson Area Hospital & Health Services

29 Gibson Area Hospital & Health Services Community Health Needs Assessment Cancer Incidence Lung The indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of lung cancer adjusted to 2000 U.S. standard population age groups (under age 1, 1-4, 5-9,..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death, and it is important to identify cancers separately to better target interventions. Report Area Total Population Average New Cases Per Year Annual Incidence Rate, Per 100,000 Population Service Area Estimates 43, Champaign County 199, De Witt County 16, Ford County 14, Iroquois County 29, Livingston County 38, McLean County 168, Piatt County 16, Vermilion County 81, Illinois 12,790,182 9, Cancer Incidence Prostate The indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of prostate cancer adjusted to 2000 U.S. standard population age groups (under age 1, 1-4, 5-9,..., 80-84, 85 and older). This indicator is relevant because cancer is a leading cause of death, and it is important to identify cancers separately to better target interventions. Report Area Male Population Average New Cases Per Year Annual Incidence Rate, Per 100,000 Population Service Area Estimates 21, Champaign County 99, De Witt County 8, Ford County 6, Iroquois County 14, Livingston County 19, McLean County 81, Piatt County 8, Vermilion County 40, Illinois 6,272,579 9, Gibson Area Hospital & Health Services I 29

30 MORTALITY Mortality Cancer This indicator reports the rate of death due to malignant neoplasm (cancer) per 100,000 population. Figures are reported as crude rates and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because cancer is a leading cause of death in the United States. Report Area Total Population Average Annual Deaths, Crude Death Rate, Per 100,000 Population Age-Adjusted Death Rate, Per 100,000 Population Service Area Estimates 42, Champaign County 202, De Witt County 16, Ford County 13, Iroquois County 29, Livingston County 38, McLean County 171, Piatt County 16, Vermilion County 81, Illinois 12,850,811 24, Red numbers indicate rates that exceed state levels. The green highlights that the indicated service area is below the state level. Mortality Premature Death This indicator reports Years of Potential Life Lost (YPLL) before age 75 per 100,000 population for all causes of death, age-adjusted to the 2000 standard. YPLL measures premature death and is calculated by subtracting the age of death from the 75 year benchmark. This indicator is relevant because a measure of premature death can provide a unique and comprehensive look at overall health status. Report Area Total Population, Average Total Premature Deaths, Average Total Years of Potential Life Lost, Average Years of Potential Life Lost, Rate Per 100,000 Population Service Area Estimates 42, ,239 7,711 Champaign County 201, ,052 5,479 De Witt County 15, ,129 6,807 Ford County 13, ,027 7,674 Iroquois County 29, ,445 8,295 Livingston County 38, ,239 8,329 McLean County 170, ,126 5,937 Piatt County 16, ,472 Vermilion County 81, ,538 9,248 Illinois 12,869,257 42, ,004 6, I Gibson Area Hospital & Health Services

31 Gibson Area Hospital & Health Services Community Health Needs Assessment Mortality Heart Disease Within the report area, the rate of death due to coronary heart disease per 100,000 population is Figures are reported as crude rates, and as rate age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because heart disease is a leading cause of death in the United States. Report Area Total Population Average Annual Deaths, Crude Death Rate (Per 100,000 Population) Age-Adjusted Death Rate (Per 100,000 Population) Custom Area Estimates 42, Champaign County Need Number De Witt County 16, Ford County 13, Iroquois County 29, Livingston County 38, McLean County 171, Piatt County 16, Vermilion County 81, Illinois 12,850,811 24, Mortality Ischaemic Heart Disease Within the report area, the rate of death due to ischaemic heart disease per 100,000 population is This rate is greater than the Healthy People 2020 target of less than or equal to people per 100,000. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because heart disease is a leading cause of death in the United States. Healthy People is a federal health initiative which provides science-based, 10-year national objectives for improving the health of all Americans. For three decades, Healthy People has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors, empower individuals toward making informed health decisions, and measure the impact of prevention activities. Healthy People 2020 (HP2020) continues in this tradition with the launch on December 2, 2010 of its ambitious, yet achievable, 10-year agenda for improving the nation s health. Healthy People 2020 is the result of a multi-year process that reflects input from a diverse group of individuals and organizations. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Report Area Total Population Average Annual Deaths, Crude Death Rate, Per 100,000 Population Age-Adjusted Death Rate, Per 100,000 Population Service Area Estimates 42, Champaign County 202, De Witt County 16, Ford County 13, Iroquois County 29, Livingston County 38, McLean County 171, Piatt County 16, Vermilion County 81, Illinois 12,850,811 14, Gibson Area Hospital & Health Services I 31

32 Cancer Incidence Lung Disease This indicator reports the rate of death due to chronic lower respiratory disease per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to the year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because lung disease is a leading cause of death in the United States. Report Area Total Population Average Annual Deaths, Crude Death Rate, Per 100,000 Population Age-Adjusted Death Rate, Per 100,000 Population Service Area Estimates 42, Champaign County 202, De Witt County 16, Ford County 13, Iroquois County 29, Livingston County 38, McLean County 171, Piatt County 16, Vermilion County 81, Illinois 12,850,811 5, Mortality Stroke Within the service area, there are an estimated deaths due to cerebrovascular disease (stroke) per 100,000 population. This is greater than the Healthy People 2020 target of less than or equal to Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because stroke is a leading cause of death in the United States. Report Area Total Population Average Annual Deaths, Crude Death Rate, Per 100,000 Population Age-Adjusted Death Rate, Per 100,000 Population Service Area Estimates 42, Champaign County 202, De Witt County 16, Ford County 13, Iroquois County 29, Livingston County 38, McLean County 171, Piatt County 16, Vermilion County 81, Illinois 12,850,811 5, I Gibson Area Hospital & Health Services

33 Gibson Area Hospital & Health Services Community Health Needs Assessment Mortality Unintentional Injury This indicator reports the rate of death due to unintentional injury (accident) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because accidents are a leading cause of death in the U.S. Report Area Total Population Average Annual Deaths, Crude Death Rate, Per 100,000 Population Age-Adjusted Death Rate, Per 100,000 Population Service Area Estimates 42, Champaign County 202, De Witt County 16, Ford County 13, Iroquois County 29, Livingston County 38, McLean County 171, Piatt County 16, Vermilion County 81, Illinois 12,850,811 4, Mortality Motor Vehicle Accident This indicator reports the rate of death due to motor vehicle crashes per 100,000 population, which include collisions with another motor vehicle, a non-motorist, a fixed object, and a non-fixed object, an overturn, and any other non-collision. This indicator is relevant because motor vehicle crash deaths are preventable, and they are a cause of premature death. Report Area Total Population Average Annual Deaths, Crude Death Rate, Per 100,000 Population Age-Adjusted Death Rate, Per 100,000 Population Service Area Estimates 42, Champaign County 202, De Witt County 16, No Data Ford County 13, No Data Iroquois County 29, Livingston County 38, McLean County 171, Piatt County 16, No Data Vermilion County 81, Illinois 12,850,811 1, Gibson Area Hospital & Health Services I 33

34 Mortality Suicide This indicator reports the rate of death due to intentional self-harm (suicide) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to the year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because lung disease is a leading cause of death in the United States. Report Area Total Population Average Annual Deaths, Crude Death Rate, Per 100,000 Population Age-Adjusted Death Rate, Per 100,000 Population Service Area Estimates 42, Champaign County 202, De Witt County 16,506 0 No Data No Data Ford County 13, No Data Iroquois County 29, Livingston County 38, No Data McLean County 171, Piatt County 16, No Data Vermilion County 81, Illinois 12,850,811 1, Mortality Infant This indicator reports the rate of death to infants less than one year of age per 100,000 births. This indicator is relevant because high rates of infant mortality indicate the existence of broader issues pertaining to access to care and maternal and child health. Report Area Total Births Total Infant Deaths Infant Mortality Rate, Per 1,000 Births Service Area Estimates Suppressed Suppressed Suppressed Champaign County 12, De Witt County Ford County Iroquois County 1, Livingston County 2, McLean County 11, Piatt County Vermilion County 5, Illinois 879,035 6, I Gibson Area Hospital & Health Services

35 Gibson Area Hospital & Health Services Community Health Needs Assessment The Illinois Department of Health releases countywide mortality tables from time to time. The most recent table available for Ford, McLean, and Vermilion counties, showing the causes of the death within the counties is set out below. Disease Type Ford McLean Vermilion Diseases of the Heart Malignant Neoplasms Lower Respiratory Systems Cardiovascular Diseases (Stroke) Accidents Alzheimer s Disease Diabetes Mellitus Nephritis, Nephrotic Syndrome, and Nephrosis Influenza and Pneumonia Septicemia Intentional Self-Harm (Suicide) Chronic Liver Disease, Cirrhosis All Other Causes Total Deaths 199 1, IDPH, 2011 Data The mortality numbers are much as one would expect with diseases of the heart and cancer as the leading causes of death in the county. These numbers are consistent with the mortality reports from other rural Illinois counties. Gibson Area Hospital & Health Services I 35

36 Qualitative Sources Qualitative data was reviewed to help validate the selection of health priorities. In alignment with IRS Treasury Notice ,2 and the subsequent final rules reported at 79 FR 78953, the qualitative/primary data received and reviewed included primary input from (1) At least one state, local, tribal, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community and, (2) members of medically underserved, low-income, and minority populations in the community, or individuals or organizations serving or representing the interests of such populations. The organizations and persons that participated are detailed below. No written comments were received concerning the hospital facility s most recently conducted CHNA nor on the most recently adopted Implementation Strategy. A method for retaining written public comments and responses exists, but none were received. Data was also gathered representing the broad interests of the community. The hospital took into account input from persons who represent the broad interests of the community served by the hospital, including those with special knowledge of, or expertise in public health (local, regional, state and/or tribal). Members of medically underserved, low-income, and minority populations served by the hospital or individuals or organizations representing the interests of such populations also provided input. The medically underserved are members of a population who experience health disparities, are at-risk of not receiving adequate medical care as a result of being uninsured or underinsured, and/or experiencing barriers to health care due to geographic, language, financial or other barriers. Members of the CHNA Steering Committee, those who both participated in focus groups and the needs identification and prioritization process, were chosen based on their unique experience and expertise, informed perspectives and involvement with the community. The CHNA Steering Committee members included: CHNA Steering Committee Member and Area of Expertise Lana Sample, Ford County Public Health Department Lynn O Dell, LCPC, Therapist Beth Totheran, Heritage Health, Hoopeston Kenna Dunlap Johnson, Behavioral Health, Gibson Area Hospital & Health Services Miranda Leonard, Annex, Gibson Area Hospital & Health Services Mike Short, Ford County Health Department Barb Horsch, Community Roundtable Jill Doran, Life Center for Independent Living Jim Davis, American Lutheran Church, Gibson City Others providing input included through the focus groups included: Patrick Bean, Laboratory, Gibson Area Hospital & Health Services Denise Birkey, Social Services, Gibson Area Hospital & Health Services Laura Brinkley, Orthopedics, Gibson Area Hospital & Health Services Karen Christensen, Annex, Gibson Area Hospital & Health Services Cheryl Davis, Iroquois County Health Department Laurelyn Cropek, Community Resource Counselling Center David Hagan, Gibson City Clinic Meg Fornero, Central Billing Office, Gibson Area Hospital & Health Services Kirstie Bailey, Illinois Knights Templar Home Tim Leonard, Gibson Area Hospital Elite Performance Tracy Maynard, Paxton Community Wellness Center Robin Meurer, Villas of Hollybrook Barb Meyer, Infection Control/Employee Health, Gibson Area Hospital & Health Services Dee Ann Schippert, Iroquis County Public Health Department 36 I Gibson Area Hospital & Health Services

37 Gibson Area Hospital & Health Services Community Health Needs Assessment Andy Swartzentruber, Radiology, Gibson Area Hospital & Health Services Sheree Stachura, Wound Clinic/Outpatient Clinic, Gibson Area Hospital & Health Services Carl Hudson, Board Member, Gibson Area Hospital & Health Services, and Pharmacist, Hudson Drug, Paxton Sue Berry, Prairie Center Josh Creek, Prairie Central High School Scott Davis, Choose to Change, Gibson City Chamber of Commerce Mark Doran, Ford County Sheriff Kristy Elder, Heritage Health Jennifer Fortenberry, Shepherd s Closet, Closets Too Bill Ingold, Mayor, Paxton, IL Nelda Jordan, Gibson City Telecare Cliff McClure, Superintendent, Paxton Buckley Loda School District Kilee McFerren, Assistant Principal, Gibson City Melvin Sibley School Linda Schmitt, Social Worker, Gibson City Melvin Sibley School Maria Sermersheim, Hoopeston Multi Agency Service Center Tim Shafer, Bank of Gibson City Ed Taylor, First Christian Church, Gibson City Susie Tongate, Gibson City Chamber of Commerce Susan Wilson, Superintendent, Blue Ridge School District 18 FOCUS GROUP GAHHS MEDICAL PROFESSIONALS Two focus groups were convened at Gibson Area Hospital & Health Services on September 9, The Medical Professionals Group was first asked to report any positive changes they have observed in the delivery of healthcare and services over the past three to five years. They responded with the following: Opening Assisted Living Services Increased behavioral health services area-wide Fulltime cardiologist Telepsychiatry and geriatric psychiatry services Increased number of local primary care providers Substance abuse prevention education and substance treatment has begun Three gyms have opened in Paxton, Fairbury, and Gibson City Drug Court has started in Ford County Expanded food bank in Gibson City The group was then asked to identify needs and concerns regarding the delivery of healthcare and services and health issues in the community. They responded with the following: Expanded public transportation to make travel for appointments and out-of-area care possible and reasonable Expanded availability/marketing of home assessments Youth obesity Nutrition Weekend convenient care in Gibson City Reasonable access to a deaf interpreter Relief for caregivers Expanded in-home care Increased case management services Telepsychiatry in outlying areas Education about insurance and financing healthcare Collaboration between the hospital and schools to educate children on healthy food choices, possibly a program including incentives/rewards for healthy choices Organized opportunities for recreation and physical activities for youth Population health as determined Gibson Area Hospital & Health Services I 37

38 More physicians willing to serve patients in nursing homes Dentists, now and in the future Face-to-face psychiatric care in nursing homes Education for physicians about regulations governing senior care facilities Dental care for all pay types Walkable communities Active work spaces, fewer chairs Address needs that are developing as a result of increased poverty rates, youth and adult Increased focus on mental health in schools Education on available health services from community health partners Communicable disease education; specifically, STD education Education on nutrition choices from recipes to restaurants Education on smoking and alcohol abuse Local dialysis, nearest is 30 miles Expanded substance prevention programming o Heroin o E-cigarettes Parental responsibility Educate parents who are in denial of substance abuse among their youth Food access for homebound Finally, they were asked to identify health concerns in the service area. They responded with the following: Memory loss, including dementia and Alzheimer s Chlamydia Cancer in younger people Water quality Food purity, locally and beyond Misguided healthcare regulation Autoimmune disorders at younger ages that are not recognized, grouped properly, or tracked Pulmonary embolisms Mental illness COPD and other breathing disorders possibly related to agriculture Diabetes Obesity MRSA, community-acquired Prescription drug abuse o Patient abuse and doctor shopping o Patients selling or gifting medications o Theft FOCUS GROUP COMMUNITY LEADERS The Community Leaders Group was first asked to report any positive changes they have observed in the delivery of healthcare and services over the past three to five years. They responded with the following: Increased availability of mental health services in the schools Fairbury Fitness Center Increased access to specialists Improved cooperation between Gibson Area Hospital & Health Services and nursing homes and other providers Improved partnerships between Gibson Area Hospital & Health Services and the schools to address needs and in providing sports trainer services Behavioral Wellness Center Improved nutrition education Gibson Area Hospital & Health Services has worked with employers to resolve insurance coverage issues 38 I Gibson Area Hospital & Health Services

39 Gibson Area Hospital & Health Services Community Health Needs Assessment Gibson Area Hospital & Health Services has provided space for the food pantry Ford County Health Department has established better lines of communication with partners Extended clinic hours in Paxton New clinic in Hoopeston Community health education programs from Gibson Area Hospital & Health Services and University of Illinois Extension The group was then asked to identify needs and concerns regarding the delivery of healthcare and services in the community. They responded with the following: Improved/updated access in clinics, physicians offices, and Gibson Area Hospital & Health Services for persons with disabilities Improved disability awareness with Gibson Area Hospital & Health Services and the community Youth counseling for substance abuse in Ford County Improved care coordination Transportation beyond current public transportation route system and Telecare s services for seniors during most business hours on weekdays Better information for the public on available local healthcare services and how to access them Multi-lingual assistance for employees in local businesses with forms, care instruction, and other healthcare discussions, especially Spanish and French Resources for schools for mandated health-related training for teachers and staff Prompt care or convenient care in Gibson City Assessment, guidance, and more medical career tracks for average students Keeping up with supplies for immunizations Gynecology services Mental health awareness and understanding issues as health issues Mental health services to prevent using incarceration as the first line of dealing with behavioral and substance issues More summer programs and after school programs, especially for low income youth in the Hoopeston area Community health information clearinghouse Day care center in Gibson City Medical and dental providers that accept medical cards Responsible digital citizenship addressing concerns with mental illness, bullying, and poverty Support for parents of children with mental illness Summer and weekend food and nutrition programs for youth Assistance in getting kids to school where transportation is unavailable Transitional housing, medical care, and other resources for newly homeless, developmentally disabled, and troubled youth Local housing and services for women facing domestic violence Advocates and services for developmentally disabled adults and youth Substitute nurse pool for schools Vision care, especially for youth Chaplaincy program at Gibson Area Hospital & Health Services and the Annex Increased capacity for senior housing at the Annex to meet future needs Local access to GED programs Finally, the group was asked to identify health concerns in the service area. They responded with the following: Tobacco use HPV Respiratory diseases Breast cancer Childhood leukemia (Blue Ridge School District reported 4 cases) Mental illness Obesity in youth and adults Diabetes in youth Women s heart health Food allergies in children Cancer Gibson Area Hospital & Health Services I 39

40 V. IDENTIFICATION AND PRIORITIZATION OF NEEDS As part of the identification and prioritization of health needs, the CHNA Steering Committee considered the qualitative and quantitative data gathered and estimated feasibility and effectiveness of possible interventions by the hospital to impact these health priorities; the burden, scope, severity, or urgency of the health need; the health disparities associated with the health needs; the importance the community places on addressing the health need; and other community assets and resources that could be leveraged through strategic collaboration in the hospital s service area to address the health need. The identification and prioritization group included steering committee members, including a representative of the Ford County Health Department. As an outcome of the prioritization process, discussed above, several potential health needs or issues flowing from the primary and secondary data were not identified as significant current health needs and were not advanced for consideration for the Implementation Strategy. VI. DESCRIPTION OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED The steering group, comprised of representatives from both focus groups, met on October 29, 2015 to identify and prioritize significant health needs. The group reviewed notes from the focus groups and summaries of data reviewed by the consultant which included Community Commons, ESRI, Illinois Department of Public Health, CDC, USDA, Illinois Department of Labor, HRSA, County Health Rankings and Roadmaps, Illinois State Board of Education, National Cancer Institute and other resources. Following the review, the group identified and then prioritized the following as the significant health needs facing the the service area of Gibson Area Hospital & Health Services: 1. CARE COORDINATION The group identified and linked several needs under this category. The group first spoke of a local approach to care coordination, which they defined as addressing the fire of the moment. They identified a preference for addressing patients holistically across all care needs. Additionally, they noted that Gibson Area Hospital & Health Services is well-known for communication with patients and in establishing relationships. A need to take advantage of those relationships in developing care coordination and to create a level of comfort with providers who are strangers at clinics and other services was identified. The group also saw a need for building on medical home models and treatment team concepts across interdisciplinary roles while including the patient in care decisions. The group identified a need for public education about local healthcare resources. Finally, they identified a need for additional prompt-care-like services that could provide extended daily and weekend hours as broadly as possible in the service area to avoid the need for accessing the emergency room and increase the availability of local healthcare to all. These needs were supported by needs offered from both groups. 2. TRANSPORTATION The group identified a need for affordable, reliable, and convenient transportation across the service area. They recognized a variety of services currently available but observed that those services were disjointed; sometimes linked only to particular specialty care, lacked flexibility on routes and local access times, and often lacked accommodation for escorts. The group felt that improved transportation was central to access to care for many in the service area, specifically referring to access to psychiatric care for youth, and generally for services of all kinds for elderly and low income residents. These needs were also supported by the focus groups. 3. MENTAL HEALTH The group identified access to care issues for persons with behavioral healthcare needs, including youth and seniors. The area is experiencing a shortage of psychiatrists and counselors despite ongoing efforts by local health partners to attempt to address these issues. The group identified the benefits of telepsychiatry but noted a continuing need for psychiatric services for seniors in nursing homes. The group specifically identified these additional related needs: Community education about mental health and available mental health services, Dementia care (memory care) A local shared psychiatrist to address varied needs Substance abuse prevention and recovery services These needs were supported by input from both focus groups and secondary data. 40 I Gibson Area Hospital & Health Services

41 Gibson Area Hospital & Health Services Community Health Needs Assessment VII. RESOURCES AVAILABLE TO MEET PRIORITY HEALTH NEEDS RESOURCES WITHIN OR AFFILIATED WITH GIBSON AREA HOSPITAL & HEALTH SERVICES Emergency Department Emergency management Infection control Intensive Care Unit Medical Surgical Unit Patient safety/hospital card Social services Surgery and Recovery Department Cardiopulmonary care o EKGs o Cardiac stress tests o EEG tests o Pulmonary function testing o Holter and event monitoring o Adult and pediatric respiratory care o Testing of oxygen levels Cosmedics Diagnostic imaging services o General radiology (X-ray) o Specialized radiology (Fluoro, IVP, etc.) o Mammography o Bone densitometry (DEXA) o Ultrasound o MRI (Magnetic Resonance Imaging) o CT (Computed Tomography) o Nuclear medicine Gibson Area Ambulance Services Gibson Area Hospital & Health Services advanced wound healing clinic Gibson Area Hospital & Health Services orthopedics Health information management (medical records) Laboratory Nutrition Outpatient clinic Pharmacy Sleep disorder center Urology Women s, infants, and children s services Wellness services o Cancer support group o Cardiac rehabilitation o CPR/first aid instruction o Diabetes education/support program o Nutrition services o Paxton Community & Wellness Center o Pulmonary rehabilitation o Safe Sitters o Social services Gibson Area Hospital & Health Services I 41

42 Geriatric behavioral services Baby Central Gibson Area Hospital & Health Services therapy o Aqua therapy o Elite performance o Gibson Area Hospital & Health Services orthopedics o Industrial rehabilitation o Occupational therapy o Physical therapy o Speech therapy o Sports medicine o Step Down program COMMUNITY ORGANIZATIONS, HEALTH PARTNERS, AND GOVERNMENT AGENCIES Organizations identified through the process that were current or potential partners for addressing health needs and related issues include: Churches Schools Chamber of Commerce Nursing homes Health departments Community Resource Counseling Center Telecare University of Illinois Extension 42 I Gibson Area Hospital & Health Services

43 Gibson Area Hospital & Health Services Community Health Needs Assessment VIII. STEPS TAKEN SINCE THE LAST CHNA TO ADDRESS IDENTIFIED NEEDS Strategic Priorities The strategic priorities identified were formulated utilizing the information from the CHNA completed in They are highlighted on page 22 of the CHNA. The strategic priorities are as follows: 1. MENTAL HEALTH SERVICES 2. SUBSTANCE ABUSE 3. WELLNESS EDUCATION AND BASIC WELLNESS FOR ALL AGES Gibson Area Hospital & Health Services plans and actions taken to address each identified need: MENTAL HEALTH SERVICES Gaps in access to mental health services at several levels were identified in the focus groups and supported by secondary data. Needs were identified for more direct services and programming for youth and adult services. Plans and Implementation In November of 2011, Gibson Area Hospital & Health Services opened an outpatient gero-pysch unit to begin to address mental health needs for senior citizens. In 2013, GAHHS created a dementia/alzheimer s caregiver education and support group, as well as a depression support group. In September of 2013, Gibson Area Hospital & Health Services employed Dr. Ajay Jeetwani, as a full-time outpatient psychiatrist to address mental health needs of adults and children. In addition to Dr. Jeetwani, Gibson Area Hospital & Health Services is in discussion with the local community mental health resource center (Community Resource Counseling Center) on ways GAHHS and CRCC can collaborate on better addressing mental health needs in Ford County. In October of 2013, Gibson Area Hospital & Health Services offered Taking Care of You: Powerful Tools for Caregiving, a six-week program offered to family caregivers of an adult loved one. In February of 2014, Gibson Area Hospital & Health Services started a caregiver support group. Gibson Area Hospital & Health Services is also investigating the creation of a depression support group. SUBSTANCE ABUSE Issues concerning substance abuse and risky behavior were also identified in each group and supported by secondary data. These issues also provide the opportunity for external collaboration. Plans and Implementation Gibson Area Hospital & Health Services has met with administration at Gibson City Melvin Sibley School District to discuss how GAHHS might address this issue. GAHHS will participate on the GCMS Wellness Committee. GAHHS will also begin conversations with the other school districts in the communities served to identify ways to address substance abuse. GAHHS will utilize community education resources to begin to address this issue. GAHHS also participates with the Ford/Iroquois County Health Department s IPLAN addressing gateway drug abuse and alcohol usage among teens. Gibson Area Hospital & Health Services I 43

44 WELLNESS EDUCATION AND BASIC WELLNESS SERVICES FOR ALL AGES The groups identified a need for better availability of information on wellness education, basic wellness care opportunities for the community in general and also improved information to the community that explains services and options for youth, the elderly, the underinsured, and uninsured. The group also emphasized the need to address the issues of obesity, smoking, and health living. Plans and Implementation Gibson Area Hospital & Health Services has implemented a diabetes education program. GAHHS has also started a community educational series of seminars called the Healthy Living Series. In 2013, Gibson Area Hospital & Health Services hosted its first Camp Gibson for eighth-graders to learn about healthcare careers and opportunities at GAHHS. Gibson Area Hospital & Health Services has also implemented an obstetrics education nurse to assist new moms with breastfeeding and normal newborn care issues at home. Gibson Area Hospital & Health Services started a sodium reduction program to educate GAHHS staff on how to reduce sodium intake in their diets. Gibson Area Hospital & Health Services is opening a new community wellness center in Paxton, IL, to increase local opportunities for patients and communities to attend education sessions. Plans are for that new center to be open in fall of Gibson Area Hospital & Health Services is also working on diabetes education classes to be held in Paxton and Hoopeston. This action plan will be updated annually to include additional programs and resources utilized by Gibson Area Hospital & Health Services to meet the identified needs in the communities served. GAHHS has committed $400,000 per year over the next three years to address the community health needs identified. Approval The Community Health Needs Assessment of Gibson Area Hospital & Health Services was approved by the GAHHS Board of Directors on February 24, I Gibson Area Hospital & Health Services

45 IX. DOCUMENTING AND COMMUNICATING RESULTS Gibson Area Hospital & Health Services Community Health Needs Assessment This CHNA Report will available to the community on the hospital s public website: A hard copy may be reviewed at the hospital by inquiring at the information desk at the main entrance. X. REFERENCES County Health Rankings, 2014 Community Commons, 2014 Illinois Department of Employment Security, 2015 National Cancer Institute, 2015 (data through 2011) Illinois Department of Public Health, 2015 Health Professional Shortage Areas (HRSA) and Medically Underserved Areas/Populations, 2015 Ford/Iroquois County Health Department, IPLAN ESRI, 2015 Illinois State Board of Education, Illinois Report Card, USDA, Atlas of Rural and Small Town America Support documentation on file and available upon request. Gibson Area Hospital & Health Services I 45

46 IMPLEMENTATION STRATEGY 46 I Gibson Area Hospital & Health Services

47 Gibson Area Hospital & Health Services Community Health Needs Assessment IMPLEMENTATION STRATEGY The Implementation Strategy was developed through a facilitated meeting involving representatives of the Board of Directors and key administrative staff at Gibson Area Hospital & Health Services, including: Jim Hood, President, Gibson Area Hospital & Health Services Kathy Bennett, Board Member, Gibson Area Hospital & Health Services Ted Swanson, Board Member, Gibson Area Hospital & Health Services Rob Schmitt, CEO, Gibson Area Hospital & Health Services JoAnn Jay, RN, BSN, Assistant Executive Director of Nursing, Emergency Department Director, GAHHS Kenna Dunlap-Johnson, MSW, LCSW, Director Behavioral Health, GAHHS Miranda Leonard, Activity Director, Annex, GAHHS Eileen Woolums, RN, BSN, CDE, Community Education, Director, East Central IL AHEC Stephanie Herges, Education Assistant The group reviewed the needs assessment process completed to that point and considered the prioritized significant needs and supporting documents. They discussed steps taken to address the previous Community Health Needs Assessment. They also considered internal and external resources potentially available to address the current prioritized needs. The group then considered each of the prioritized needs. For each of the three categories, actions the hospital intends to take were identified along with the anticipated impact of the actions, the resources the hospital intends to commit to the actions, and the external collaborators the hospital plans to cooperate with to address the need. The plan will be evaluated by periodic review of measurable outcome indicators, in conjunction with annual review and reporting. Gibson Area Hospital & Health Service s process by which needs will be addressed: 1. CARE COORDINATION In defining this need, the steering group spoke of a local approach to care coordination which they defined as addressing the fire of the moment. The group identified a preference for addressing patients holistically across all care needs. They noted that Gibson Area Hospital & Health Services is well known for communication with patients and establishing relationships. They identified a need to take advantage of those relationships in developing care coordination and to create a level of comfort with providers who are strangers at clinics and other services. The group also saw a need for building on medical home models and treatment team concepts across interdisciplinary roles while including the patient in care decisions. Actions the hospital intends to take to address the health need: Gibson Area Hospital & Health Services will increase care coordination for chronically ill patients through the referral center and other resources. The hospital will add a social worker and a registered nurse to facilitate this program. Eventually, the hospital expects to create certified medical homes. The hospital will also grow a relationship through its Accountable Care Organization to begin intensive medical home site visits with Blue Cross. The hospital will also explore community case management to address stressers for non-chronically ill community members including continuing the food resource center participation, and helping, particularly underserved community members, with life-basics like winter jackets, utilities, etc. Anticipated impact of these actions: Reduce hospital readmissions Reduce unnecessary Emergency Department visits Programs and resources the hospital intends to commit to address the health need: Administration Health Resources Services Administration Area Health Education Center Emergency department Contract psychiatrists Gibson Area Hospital & Health Services I 47

48 Planned collaboration between the hospital and other facilities or organizations in addressing the health need: Health departments Community Resource Counseling Center The steering group also identified a need for public education about local healthcare resources. Actions the hospital intends to take to address the health need: Continue the post-emergency Department information program Expand the referral center Explore expanding the role of the resource center beyond direct care Explore a general information helpline for the community Improve promotion of culturally diverse care Anticipated impact of these actions: It is expected that the above actions, standing independently, and in combination will result in the availability of more and better information Programs and resources the hospital plans to commit to address the health need: Health Resources Services Administration Administration Emergency Department Planned collaboration between the hospital and other facilities or organizations: Community organizations overall Other citizens and local leaders Finally, the steering group identified a need for additional prompt-care-like services that could provide extended daily and weekend hours as broadly as possible in the service area to avoid the need for accessing the emergency room and increase the availability of local healthcare to all. Actions the hospital intends to take to address the health need: Expanding outpatient clinic hours Anticipated impact of these actions: It is expected that expanded access to primary care will result Programs and resources the hospital plans to commit to address the health need: Outpatient clinic Emergency Department Administation Medical staff Planned collaboration between the hospital and other facilities or organizations: None is anticipated 48 I Gibson Area Hospital & Health Services

49 Gibson Area Hospital & Health Services Community Health Needs Assessment 2. TRANSPORTATION The group identified a need for affordable, reliable, and convenient transportation across the service area. They recognized a variety of services currently available but observed that those services were disjointed, sometimes linked only to particular specialty care, lacked flexibility on routes and local access times, and often lacked accommodation for escorts. The group felt that improved transportation was central to access to care for many in the service area, specifically referring to access to psychiatric care for youth, and generally for services of all kinds for elderly and low income residents. These needs were also supported by the focus groups. Actions the hospital intends to take to address the health need: The planning group acknowledged this issue but asserted that it is not within the realistic scope of the Gibson Area Hospital & Health Services to resolve in view of the specialized non-medical considerations of public transportationservices. Gibson Area Hospital & Health Services will work with Telecare to expand services as possible and will stand ready to consider other reasonable and realistic partnerships or proposals to address the transportation issues. Anticipated impact of these actions: Improved transportation Programs and resources the hospital plans to commit to address the health need: Administration Ambulance Department Outpatient clinic Planned collaboration between the hospital and other facilities or organizations: Telecare 3. WELLNESS SERVICES AND BASIC WELLNESS FOR ALL AGES The group identified access to care issues for persons with behavioral health care needs including youth and seniors. The area is experiencing a shortage of psychiatrists and counselors despite ongoing efforts by local health partners to attempt to address these issues. The group identified the benefits of telepsychiatry but noted a continuing need for psychiatric services for seniors in nursing homes. The group specifically identified these additional related needs: COMMUNITY EDUCATION ABOUT MENTAL HEALTH AND AVAILABLE MENTAL HEALTH SERVICES Actions the hospital intends to take to address the health need: Gibson Area Hospital & Health Services will address this need by offering a range of mental health education programs to the community and schools The hospital will also utilize the referral center to provide information about mental health services including local service providers like the Community Resource Counseling Center. Anticipated impact of these actions: Better informed community members Improved access Programs and resources the hospital plans to commit to address the health need: Area Health Education Center Health Resources Services Administration Planned collaboration between the hospital and other facilities or organizations: Community Resource Counseling Center Health departments Schools Gibson Area Hospital & Health Services I 49

50 DEMENTIA CARE (MEMORY CARE) Actions the hospital intends to take to address the health need: The planning group concluded that memory care is outside the scope of the reasonable abilities of Gibson area Hospital & Health Services but concluded that it could help to address memory loss related issues by Supporting reasonable and realistic efforts of others to create memory care services Exploring psychiatric outreach to nursing homes Utilizing the Referral Center to provide resource information Providing community education on memory loss and related issues Anticipated impact of these actions: Improved access Improved knowledge base Programs and resources the hospital plans to commit to address the health need: Behavioral health department Administration Area Health Education Center Planned collaboration between the hospital and other facilities or organizations: University of Illinois Extension Nursing homes Health departments A LOCAL SHARED PSYCHIATRIST TO ADDRESS VARIED NEEDS Actions the hospital intends to take to address the health need: The planning group reviewed this issue and after a lengthy discussion concluded that actions already planned regarding exploring psychiatric outreach will address this use. Anticipated impact of these actions: Improved access Programs and resources the hospital plans to commit to address the health need: Behavioral health department Administration Planned collaboration between the hospital and other facilities or organizations: Nursing homes Health departments SUBSTANCE ABUSE PREVENTION AND RECOVERY SERVICES Actions the hospital intends to take to address the health need: The planning group first noted that, since the time the Community Health Needs Assessment focus and prioritization groups met during the Fall, the Community Resource Counseling Center has begun new programs for individuals and groups to address substance abuse issues. These programs also include DUI education classes. The Emergency Department will increase promotion of substance abuse and poison care information resources. Gibson Area Hospital & Health Services will purchase substance abuse training materials and make those resources available to the schools. 50 I Gibson Area Hospital & Health Services

51 Anticipated impact of these actions: Increased information resulting in better delivery of prevention education Programs and resources the hospital plans to commit to address the health need: Emergency Department Area Health Education Center Planned collaboration between the hospital and other facilities or organizations: Community Resource Counseling Center Schools Committed Resources Gibson Area Hospital & Health Services Community Health Needs Assessment In addition to staff and facility resources, Gibson Area Hospital & Health Services has budgeted a 20% percent increase in spending for discretionary community benefit activities to help support this Implementation Strategy. Approval The Gibson Area Hospital & Health Services Board of Directors reviews on an annual basis the prior fiscal year s community benefit role and approves Implementation Strategy for addressing priorities identified in the most recent Community Health Needs Assessment and other plans for community benefit. This Implementation Strategy for the Community Needs Assessment of Gibson Area Hospital & Health Services was approved by the Gibson Area Hospital & Health Services Board of Directors on February 24, Gibson Area Hospital & Health Services I 51

52 Community Health Needs Assessment I 2016 Gibson Area Hospital & Health Services I 1120 North Melvin Street I Gibson City, IL I I