2016 Community Health Needs Assessment Data Assessment folder/ECH CHNA.pdf · County Health Rankings- 2016 Health Outcomes County Health Outcomes Rank 1 Beaufort (BE) 2 Dorchester

2016 Community Health Needs Assessment

Data Assessment

Key Elements of CHNA Process

Sources and ProcessSources Used in Data Assessment Process

Community Commons: public website that provides data, tools and stories to improve communities and inspire change. 90% of the secondary data was found on the community commons site. The site provides data and mapping capability to develop community health needs assessments.

Nielsen Claritas: Nielsen Claritas demographics were used to create maps and tables of total population and breakdowns of certain other population segments. This information was pulled for all seven counties in the Self Regional Healthcare service area. 2016 and projected 2021 demographics were included.

2016 County Health Rankings: This source is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. It gives a general snapshot of how healthy each county is in relation to others in the same state. It measures and ranks both health outcomes and health factors that lead to those outcomes. Each indicator is weighed, standardized, and ranked in order to come up with an overall ranking of health for each county in South Carolina.

The Advisory Board Company- The Inpatient and Outpatient Estimators were used at a county level to estimate % growth in utilization by disease state over the next five years.

Table of Contents

Defining Your Community

Population and Demographics

A Healthy Community

Health Indicators

Emerging Priorities



A Healthy Community

Health Indicators

Emerging Priorities

Patient Origin Map

90% of SRH inpatients originate from shaded areas.

Table of Contents



A Healthy Community

Health Indicators

Emerging Priorities

2016 Population: Self Regional 7 County Service Area

Source: Nielsen Claritas

2016-2021 Population Growth: Self Regional 7 County Service Area


Greenwood County Outmigration: 2009-2013

Source: US Census Bureau Census Flow Mapper

Laurens County Outmigration: 2009-2013


Abbeville County Outmigration: 2009-2013


McCormick County Outmigration: 2009-2013


Edgefield County Outmigration: 2009-2013


Saluda Outmigration: 2009-2013


Newberry County Outmigration: 2009-2013


Population Growth by Age and Gender: 2014-2019


Age Groups

2016 Male

Population

2019 Male

Population

2014-2019 Male

Population Growth

2014 Female

Population

2019 Female

Population

2014-2019 Female

Population Growth

0-20 33928 33799 -0.38% 32317 32328 0.03%

21-44 37158 37888 1.96% 35959 35958 0.00%

45-64 33751 32421 -3.94% 35370 34080 -3.65%

65+ 20610 23655 14.77% 26240 29620 12.88%

Total 125447 127763 1.85% 129102 131986 2.23%

Self Regional 7 County Service Area

2014 Race/Ethnicity Table

Race Abbeville Edgefield Greenwood Laurens McCormick Newberry Saluda

White 69.70% 60.90% 65.10% 71.80% 49.60% 65.50% 69.70%

African American 28.30% 36.90% 32.10% 26.00% 48.60% 31.30% 26.20%

American Indian 0.30% 0.30% 0.50% 0.40% 0.20% 0.80% 1.50%

Asian 0.40% 0.40% 1.00% 0.40% 0.50% 0.70% 0.30%

Native Hawaiian/Pacific Islander 0.00% 0.10% 0.10% 0.10% 0.10% 0.30% 1.00%

Two or More Races 1.20% 1.30% 1.20% 1.30% 1.10% 1.30% 1.30%

Hispanic/Latino 1.20% 5.70% 5.80% 4.40% 1.20% 7.50% 14.90%

*US Census Bureau

Source: US Census Bureau

Table of Contents



A Healthy Community

Health Indicators

Emerging Priorities

County Health Rankings- 2016 Health FactorsCounty Health Factors Rank

1 Beaufort (BE)

2 Greenville (GR)

3 Charleston (CH)

4 York (YO)

5 Lexington (LX)

6 Dorchester (DO)

7 Richland (RI)

8 Pickens (PI)

9 Anderson (AN)

10 Berkeley (BK)

11 Newberry (NB)

12 Oconee (OC)

13 Kershaw (KE)

14 Aiken (AI)

15 Georgetown (GE)

16 Spartanburg (SP)

17 Edgefield (ED)

18 Lancaster (LA)

19 Calhoun (CA)

20 Florence (FL)

21 McCormick (MC)

22 Horry (HO)

23 Greenwood (GW)

County Health Factors Rank

24 Sumter (SU)

25 Saluda (SA)

26 Abbeville (AB)

27 Laurens (LU)

28 Union (UN)

29 Darlington (DA)

30 Cherokee (CE)

31 Fairfield (FA)

32 Clarendon (CD)

33 Hampton (HA)

34 Chesterfield (CT)

35 Bamberg (BA)

36 Chester (CS)

37 Orangeburg (OR)

38 Williamsburg (WI)

39 Jasper (JA)

40 Barnwell (BR)

41 Colleton (CL)

42 Lee (LE)

43 Dillon (DI)

44 Marion (MA)

45 Allendale (AL)

46 Marlboro (MR) http://www.countyhealthrankings.org/

2016 Health Factors-South Carolina

Health BehaviorsClinical CareSocio-Economic FactorsPhysical Environment

County Health Rankings- 2016 Health Factors

http://www.countyhealthrankings.org/







County Health Rankings- 2016 Health OutcomesCounty Health Outcomes Rank

1 Beaufort (BE)

2 Dorchester (DO)

3 York (YO)

4 Charleston (CH)

5 Greenville (GR)

6 Berkeley (BK)

7 Lexington (LX)

8 Edgefield (ED)

9 Richland (RI)

10 Calhoun (CA)

11 Anderson (AN)

12 Pickens (PI)

13 Oconee (OC)

14 Kershaw (KE)

15 Spartanburg (SP)

16 Aiken (AI)

17 Greenwood (GW)

18 Horry (HO)

19 Saluda (SA)

20 Sumter (SU)

21 Lancaster (LA)

22 Georgetown (GE)

23 Newberry (NB)

County Health Outcomes Rank

24 Abbeville (AB)

25 Clarendon (CD)

26 Laurens (LU)

27 Jasper (JA)

28 Florence (FL)

29 Hampton (HA)

30 Cherokee (CE)

31 McCormick (MC)

32 Bamberg (BA)

33 Chesterfield (CT)

34 Chester (CS)

35 Fairfield (FA)

36 Union (UN)

37 Orangeburg (OR)

38 Colleton (CL)

39 Allendale (AL)

40 Lee (LE)

41 Barnwell (BR)

42 Darlington (DA)

43 Dillon (DI)

44 Williamsburg (WI)

45 Marion (MA)

46 Marlboro (MR) http://www.countyhealthrankings.org/

2016 Health Outcomes-South Carolina

Length & Quality of Life

County Health Rankings- 2016 Health Outcomes


County Health Rankings- Health Factors and Outcomes; SRH Service Area Comparison, 2016


8 Edgefield (ED)

17 Greenwood (GW)

19 Saluda (SA)

23 Newberry (NB)

24 Abbeville (AB)

26 Laurens (LU)

31 McCormick (MC)


11 Newberry (NB)

17 Edgefield (ED)

21 McCormick (MC)

23 Greenwood (GW)

25 Saluda (SA)

26 Abbeville (AB)

27 Laurens (LU)

Health Factors: Health Behaviors

Clinical Care Socio-economic Factors

Physical Environment

Health Outcomes:Length and Quality of Life

County Health Rankings-Health Factors; SRH Service Area Comparison, 2013 vs. 2016


11 Newberry (NB)

17 Edgefield (ED)

21 McCormick (MC)

23 Greenwood (GW)

25 Saluda (SA)

26 Abbeville (AB)

27 Laurens (LU)


10 Edgefield (ED)

18 Newberry (NB)

20 Greenwood (GW)

22 Abbeville (AB)

25 Saluda (SA)

26 McCormick (MC)

28 Laurens (LU)

2013 2016

Health Factors: Health Behaviors

Clinical Care Socio-economic Factors

Physical Environment

County Health Rankings-Health Outcomes; SRH Service Area Comparison, 2013 vs. 2016

2013 2016

Health Outcomes: Length and Quality of Life


8 Edgefield (ED)

17 Greenwood (GW)

19 Saluda (SA)

23 Newberry (NB)

24 Abbeville (AB)

26 Laurens (LU)

31 McCormick (MC)


3 Edgefield (ED)

13 Saluda (SA)

16 Abbeville (AB)

20 Greenwood (GW)

23 Newberry (NB)

26 McCormick (MC)

35 Laurens (LU)

Table of Contents



A Healthy Community

Health Indicators

Emerging Priorities

Leading Health Indicators: Healthy People 2020

Access to Health Services

Clinical Preventative

Services

Environmental Quality

Injury and Violence

Maternal, Infant Child Health

Mental Health

Nutritional, Physical Activity

and ObesityOral Health

Reproduction and Sexual

Health

Social Determinants

Substance Abuse

Tobacco

www.healthypeople.gov, Office of Disease Prevention and Health Promotion; A Federal Government Web site managed by the U.S. Department of Health and Human Services


Source: SRH Strategic Planning and Physician Services, 5.26.2015


SRH 7 County Service Area

Need: • Internal Medicine• OB/GYN• Pathology• Psychiatry

Inpatient Projections

*SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick , Newberry an d Saluda Counties


Outpatient Projections

*SRH Service Area:

Greenwood, Laurens,

Edgefield, Abbeville,

McCormick , Newberry an d

Saluda Counties

Service Line 2014 Volume 2019 Volume 5YR GrowthCardiology 78,382 85,672 9.0%Cosmetic Procedures 5,369 6,137 14.0%Dermatology 41,657 47,040 13.0%Endocrinology 543 682 26.0%ENT 23,687 25,863 9.0%Evaluation and Management 787,369 827,371 5.0%Gastroenterology 21,190 24,008 13.0%General Surgery 6,066 6,606 9.0%Gynecology 9,136 9,323 2.0%Lab 297,741 326,557 10.0%Miscellaneous Services 144,094 163,714 14.0%Nephrology 6,406 7,126 11.0%Neurology 10,881 12,763 17.0%Neurosurgery 646 750 16.0%Obstetrics 3,364 3,630 8.0%Oncology 1,688 1,771 5.0%Ophthalmology 65,259 77,664 19.0%Orthopedics 29,712 33,855 14.0%Pain Management 7,632 8,698 14.0%Physical Therapy/Rehabilitation 176,002 194,652 11.0%Podiatry 12,404 14,460 17.0%Psychiatry 93,040 93,104 0.0%Pulmonology 19,175 22,569 18.0%Radiology 242,519 254,696 5.0%Spine 968 1,178 22.0%Thoracic Surgery 192 235 22.0%Trauma 8,247 8,994 9.0%Urology 11,447 13,457 18.0%Vascular 9,988 11,466 15.0%


ER Market Estimates: Self Regional 7 County Service Area

Source: Advisory Board 5.20.2016

Level 1

Admitted

Volume

Not Admitted

VolumeCertain conditions originating in the perinatal period 30 151

Complications of pregnancy; childbirth; and the puerperium 311 2,336

Congenital anomalies 16 27

Diseases of the blood and blood-forming organs 317 310

Diseases of the circulatory system 3,767 6,721

Diseases of the digestive system 2,467 6,561

Diseases of the genitourinary system 1,109 6,099

Diseases of the musculoskeletal system and connective tissue 348 6,971

Diseases of the nervous system and sense organs 592 9,169

Diseases of the respiratory system 2,373 12,846

Diseases of the skin and subcutaneous tissue 474 3,477

Endocrine; nutritional; and metabolic diseases and immunity disorders 807 1,452

Infectious and parasitic diseases 1,064 2,012

Injury and poisoning 1,888 22,657

Mental Illness 1,018 3,549

Neoplasms 418 154

Residual and unclassified conditions 71 899

Symptoms; signs; and ill-defined conditions and factors influencing health status 437 12,199


Skilled Nursing Facility (SNF) Beds Per County

County 2016 Population

2016 Population 65+

SNF Beds Per 1,000 65+ Population

Greenwood 69,361 11,979 354 29.55

Laurens 66,722 11,744 420 35.76

Edgefield 26,629 4,422 120 27.13

Abbeville 24,872 4,934 94 19.05

McCormick 9,735 2,907 120 41.27

Saluda 20,045 3,773 176 46.65

Newberry 37,969 7,091 264 37.23

7 County Total 255,333 42,850 1,548 36.12

South Carolina 4,727,273 695,451 20,019 27.78

United States 314,107,084 43,177,961 1,700,000 38.83

*SNF Beds verified per SCDHEC.gov*Populations per Neilsen Claritas, US Census Bureau*http://quickfacts.census.gov/qfd/states/45000.html*http://www.cdc.gov/nchs/fastats/nursing-home-care.htm

Uninsured Population by County, 2010-2014

Source: www.communitycommons.org


Access to Primary Care by County, (Rate per 100,000 Pop.), 2013



ScorecardMeasure Report Area South Carolina Score

Uninsured Population by County 16.02% 15.93%

Access to Primary Care 63.9 66.9


Better than SC

Within +/- 5% of SC

Worse than SC

Unknown

Clinical Preventative Services

FQHC/RHC Locations

Rural Health Centers:

Laurens Family Practice

Laurens Family Practice Gray Court

Family Healthcare Newberry

Due West Family Medicine

Family Medicine Associates

Calhoun Falls Family Practice

Abbeville Internal Medicine

Edgefield Medical Clinic

Peach Tree Medical Center

W Hugh Morgan, MD Fam.

Peach Tree Medical (Saluda)

Saluda Family Medicine, PA

Riley Family Practice Associates

Peach Tree Medical (Edgefield)

Federally Qualified Health Centers:

Uptown Family Practice

Saluda Family Practice

Village Family Practice

Carolina Health Centers, Inc.

The Bethany Center

Lakelands Family Practice

Ware-Shoals Family Practice

McCormick Family Practice

Calhoun Falls Family Practice

Ridge Spring Family Practice

Laurens County Community Center

Sources: www.cms.govhttp://www.cdc.gov/nchs/fastats/nursing-home-care.htmhttp://nfbl.sc.gov/http://www.scdhec.gov/Health/FHPF/HealthFacilityRegulationsLicensing/HealthcareFacilityLicensing/LicensedSCHealthcareFacilitiesLists/


Services

Diabetes Prevalence-Adult by County, 2012



Services

Diabetes Management-Hemoglobin A1C Test, 2012



Services

Cancer Screenings-Mammogram, Female Medicare Enrollees, 2012



Services

Cancer Screenings-Pap Test, Females, Ages 18+, 2006-2012



Services

Cancer Screenings-Sigmoidoscopy or Colonoscopy, Ages 50+, 2006-2012



Services

Age-Adjusted Cancer Incidence-Breast, Female, (Cases per 100,000 Pop. per year), 2008-2012



Services

Age-Adjusted Cancer Incidence-Cervical, Female, (Cases per 100,000 Pop. per year), 2008-2012



Services

Age-Adjusted Cancer Incidence- Colo-Rectal, (Cases per 100,000 Pop. Per year), 2008-2012



Services

Age-Adjusted Cancer Incidence-Lung, (Cases per 100,000 Pop. Per year), 2008-2012



Services

Age –Adjusted Cancer Incidence-Prostate, Males, (Cases per 100,000 Pop. per year), 2008-2012



Services

High Blood Pressure-Adult, Ages 18+, 2006-2012



Services

Mortality-Cancer, (Per 100,000 Population), 2009-2013



Services

Better than SC

Within +/- 5% of SC

Worse than SC

UnknownScorecardMeasure Report Area South Carolina Score

Diabetes Prevalence in Adults 12.12 11.24

Diabetes Management –Hemoglobin A1C Test

87.9 85.8

Cancer Screenings Mammogram 66.4 67.1

Cancer Screenings Pap Test 78.2 79.7

Cancer Screenings Sigmoidoscopy/Colonoscopy

58.4 62.9

Cancer Incidence Female Breast 125.45 125.3

Cancer Incidence Cervical NA 8

Cancer Incidence Colorectal 45.59 40.7

Cancer Incidence Lung 69.08 69.7

Cancer Incidence Prostate 110.6 138.1

High Blood Pressure Adults 34.92 31.6

Cancer Mortality 183.1 180.1

Clinical Preventive Services


Air Quality – Particulate Matter

http://wonder.cdc.gov/nasa-pm.html

County Average Daily Density

Abbeville 12.95

Edgefield 12.77

Greenwood 12.84

Laurens 12.82

McCormick 12.87

Newberry 12.67

Saluda 12.71

South Carolina 12.56

Fine Particulate Matter (PM2.5) 2011


Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Air Quality Particulate Matter 12.80 12.56


Injury and Violence

Mortality - Motor Vehicle Accident

Note: This indicator is compared with the state average.Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. 2009-13. Source geography: County

Injury and Violence

http://www.cdc.gov/nchs/nvss.htm/

http://wonder.cdc.gov/

Mortality – Pedestrian Accident

Note: This indicator is compared with the state average.Data Source: US Department of Transportation, National Highway Traffic Safety Administration, Fatality Analysis Reporting System. 2011-13. Source geography: County

Injury and Violence

http://www.nhtsa.gov/FARS

Mortality – Premature Death

Note: This indicator is compared with the state average.Data Source: University of Wisconsin Population Health Institute, County Health Rankings. Centers for Disease Control and Prevention,National Vital Statistics System. Accessed via CDC WONDER. 2011-13. Source geography: County

Injury and Violence




Mortality – Unintentional Injury


Injury and Violence



Violent Crime

Note: This indicator is compared with the state average.Data Source: Federal Bureau of Investigation, FBI Uniform Crime Reports. Additional analysis by the National Archive of Criminal Justice Data. Accessed via the Inter-university Consortium for Political and Social Research. 2010-12. Source geography: County

Injury and Violence

http://www.fbi.gov/about-us/cjis/ucr/ucr

http://www.icpsr.umich.edu/icpsrweb/NACJD/

http://www.icpsr.umich.edu/icpsrweb/ICPSR/series/57

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Mortality Motor Vehicle Accident

20.5 17.4

Mortality Pedestrian Accident 1.3 2.6

Mortality Premature Death 9,136 8,272

Mortality Unintentional Injury 47.91 48

Violent Crime 733.2 587.1

Injury and Violence


Infant Mortality

Note: This indicator is compared with the state average.Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. Centers for Disease Control and Prevention, Wide-Ranging Online Data for Epidemiologic Research. 2006-10. Source geography: County





Low Birth Weight

Note: This indicator is compared with the state average.Data Source: US Department of Health & Human Services, Health Indicators Warehouse. Centers for Disease Control and Prevention,National Vital Statistics System. Accessed via CDC WONDER. 2006-12. Source geography: County


http://healthindicators.gov/



High School Graduation Rate

Note: This indicator is compared with the state average.Data Source: National Center for Education Statistics, NCES - Common Core of Data. 2008-09. Source geography: County


http://nces.ed.gov/

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Infant Mortality 9.8 7.9

Low Birth Weight 10.83% 9.9%

High School Graduation Rate 73.6 66

Maternal Infant Child Health

Mental Health

Access to Mental Health Providers

Note: This indicator is compared with the state average.Data Source: University of Wisconsin Population Health Institute, County Health Rankings. 2016. Source geography: County

Mental Health


Mortality - Suicide


Mental Health



Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Access to Mental Health Providers 105.7 152.6

Mortality Suicide 14.8 13.6

Mental Health

Nutritional, Physical Activity and Obesity

Obesity by County, Obese (BMI >= 30), Adults Age 20+, 2012


Nutritional, Physical Health

and Obesity

Overweight by County, Overweight (BMI 25.0-29.9), Adults Age 18+, 2011 - 2012



and Obesity

Low Income and Low Food Access by County, 2010



and Obesity

Fruit/Vegetable Consumption, Ages 18+,2005-2009



and Obesity

Physical Inactivity by County, Ages 20+, 2012



and Obesity

Recreation and Fitness Facility Access by County, (Rate per 100,000 Pop.), 2013



and Obesity

Mortality-Heart Disease by County, Age-Adjusted Rate (Per 100,000 Pop.), 2009-2013



and Obesity

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Obesity - Adults 35.0 31.5

Overweight -Adults 38.5 34.7

Low Income & Low Food Access 6.95 9.19

Fruit/Vegetable Consumption 84.0 80.9

Physical Inactivity 27.5 24.6

Recreation & Fitness Facility Access

3.5 8.8

Mortality – Heart Disease 185.72 184.6


and Obesity

Oral Health

Poor Dental Health by County, Ages 18+, 2006-2010


Oral Health

Access to Dentists by County, (Rate per 100,000 Pop.), 2013


Oral Health

Dental Care Utilization by County, Ages 18+ Without Dental Exam in Past 12 Months, 2006-2010


Oral Health

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Poor Dental Health - Adults 21.5 19.9

Access to Dentists 30.6 49.9

Dental Care Utilization – Adults 32.8 34.2

Oral Health

Reproduction and Sexual Health

STI-Chlamydia Incidence by County, (Rate per 100,000 Pop.), 2014



STI-Gonorrhea Incidence by County, (Rate per 100,000 Pop.), 2014



STI-HIV Incidence by County, (Rate per 100,000 Pop.), 2013



Teen Births by County, Females, Ages 15-19, (Rate per 1,000 Pop.), 2006-2012



Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


STI - Chlamydia 562.85 585.5

STI – Gonorrhea 165.91 172.8

STI – HIV 333.58 389.26

Teen Births 52.57 45.9


Social Determinants

Median Family Income, 2010-2014


Social Determinants

Poverty-Population Below 200% FPL, 2010-2014


Social Determinants

Population with No High School Diploma, Ages 25+, 2010-2014


Social Determinants

Unemployment Rate by County, 2016


Social Determinants

Poverty-Children Below 200% FPL, Ages 0-17, 2010-2014


Social Determinants

Public School Students Eligible for Free/Reduced Price Lunch, 2013-2014


Social Determinants

Unemployment by Self Regional Service Area County 2015-2016

Sources: US Bureau of Labor Statistics

Social Determinants

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Average Family Income

$59,836 $71,602

Poverty-Population Below 200% FPL

45.42 39.96

Population with No HS Diploma

21.2 14.97

UnemploymentRate

5.3 5.2

Poverty-Children Below 200% FPL

60.38 51.35

Children Eligible for Free/Reduced Price Lunch

65.95 57.44

Social Determinants

Substance Abuse

Excessive Alcohol Consumption by County, Ages 18+, 2006-2012


Substance Abuse

Liquor Store Access by County, (Rate per 100,000 Pop.), 2013


Substance Abuse

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Excessive Alcohol Consumption

14.5 14.9

Liquor Store Access 5.9 8.8

Substance Abuse

Tobacco

Tobacco Usage-Current Smokers by County, Ages 18+, 2006-2012


Tobacco

Better than SC

Within +/- 5% of SC

Worse than SC

Unknown


Tobacco Usage – Current Smokers 23.1 20.6

Tobacco

Top Positive Indicators

• Uninsured PopulationAccess to Health Services

• Prostate and Lung Cancer Incidence,

• Diabetes Mgmt-A1C TestClinical Preventative

Services

• Low particulate matter daysEnvironmental Quality

• Low pedestrian accident mortality rate

• Low unintentional injury death rateInjury and Violence

• High school graduation rate is highMaternal, Infant Child Health

Mental Health

• Food AccessNutritional, Physical Activity and Obesity

Oral Health

• STI – HIV

• STI - GonorrheaReproductive and Sexual

Health

• Unemployment RateSocial Determinants

• Liquor Store Access

• Alcohol ConsumptionSubstance Abuse/Tobacco

Top Negative Indicators

• Access to Primary CareAccess to Health Services

• Colorectal Cancer Incidence

• High Blood Pressure, Diabetes

• Cancer Screenings-Colonoscopy

Clinical Preventative Services


• Violent Crime, Premature Death, Motor Vehicle Deaths

Injury and Violence

• High infant mortality rate

• High low birth weight rateMaternal, Infant Child

Health

• Access to mental health providers

• High mortality by suicide rateMental Health

• Physical Inactivity, Obesity

• Access to Fitness CentersNutritional, Physical Activity and Obesity

• Poor Dental Health, Access to Dentists

• Dental Care UtilizationOral Health

• Teen Births

• STI - ChlamydiaReproductive and Sexual

Health

• Population with No HS Diploma

• Poverty-Children Below 200% FPLSocial Determinants

• Tobacco Usage

• Alcohol Consumption/Illicit Drug UseSubstance Abuse/Tobacco

Community Input 694 respondents from all seven counties in the SRH

service area

*19 skipped question

County of Residence

# of Respondents

Greenwood 266

Laurens 97

Abbeville 83

Edgefield 72

Saluda 67

Newberry 50

McCormick 40

Perceived and reported • Access to healthcare services/ cost of healthcare• Obesity• Mental Health• Diabetes• Cancer incidence/screenings• High blood pressure• Dental health utilization• Level of poverty

Perceived, but not reported • Lack of public transportation• Primary care availability• Wait times to access physician

• Health education

Reported, but not perceived • Violent crime rate• STI incidence• Teen births; high infant mortality/low birth weight• High motor vehicle death• Poor dental health• Tobacco usage/alcohol consumption

Ab

ility

to

Imp

act:

Co

ord

inat

ion

an

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ead

ers

hip

Low

Me

diu

m

Hig

h

Low Medium High

Significance of the Community Need

Prioritization Grid

Access

Violent crime

Physical inactivity

Mental Health

Infant Mortality Rate

Low Birth Weight

Poor dental health

Premature death

Obesity

Alcohol/Drug Use

Cancer and Screenings

High blood pressureDiabetes

H S Diploma

Poverty level - Children

Dental care utilizationChlamydia

Tobacco

Teen Births

Documents

2016 Community Health Needs Assessment Data Assessment folder/ECH CHNA.pdf · County Health Rankings- 2016 Health Outcomes County Health Outcomes Rank 1 Beaufort (BE) 2 Dorchester