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Focusing on the West Town, Belmont Cragin, Hermosa, Logan Square and Humboldt Park neighborhoods of Chicago 2013 Community Health Needs Assessment

Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

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Page 1: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

Focusing on the West Town, Belmont Cragin,

Hermosa, Logan Square and Humboldt Park

neighborhoods of Chicago

2013

Community Health Needs Assessment

Page 2: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

Block by Block

Block Club Federation

Casa Central

CeaseFire Chicago

Health Care Alternative Systems, Inc.

Healthy Schools Campaign

Logan Square Neighborhood Association

Maternity B.V.M. Parish and School

Near Northwest Neighborhood Network

Our Urban Times

Presence Saints Mary and Elizabeth Medical Center

PrimeCare Community Health Center

Puerto Rican Cultural Center

St. Joseph Services

TSA Partners

Our partners.

This Community Health Needs Assessment is an

overview of the health status of those who live in

the Belmont Cragin, Hermosa, Humboldt Park, Logan

Square and West Town neighborhoods of Chicago.

A collaborative team of community stakeholders—

from social service agencies to business leaders—

came together to gather and analyze health-related

information, identify the most pressing needs and

pinpoint ways to make improvements. Please turn to

page 15 to learn more about this process.

Based on the committee’s extensive research

and review of available data, the following themes

surfaced as the highest priority health needs for

this community:

+ Safety, Violence, Jobs, Education

+ Mental Health & Substance Abuse

+ Obesity & Diabetes:

Prevention & Management

+ Health Literacy

Economic Disparities & Language Barriers will be

addressed throughout all priorities and strategies.

+ Call 877.737.INFO (877.737.4636)

+ Email [email protected]

+ Visit presencehealth.org/community

Get involved.Find out how to volunteer to help strengthen the community.

Be in the know.

Page 3: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

Facts & Findings.

60% of residents are

Hispanic/Latino

Nearly half of Humboldt Park’s

children live in poverty

1 in 2 ER outpatients

are on Medicaid

1 in 4 residents are

uninsured

All areas but West Town have a

shortage of primary care

doctors

Cancer and heart disease are the leading causes of death

1 in 5 residents

smoke

34% suffer from

obesity

1 in 4 people in

Humboldt Park suffer from

food insecurity

Here is a snapshot of some of the key factors affecting the health and well-being of the Belmont Cragin, Hermosa, Humboldt Park, Logan Square & West Town neighborhoods—the Presence Saints Mary and Elizabeth Medical Center service area.

3

Page 4: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

4

Our Community.

Presence Saints Mary and Elizabeth Medical Center

100%

90%

80%

70%

10%

20%

30%

40%

50%

60%

West Town

The majority of residents identify as Hispanic/Latino, including nearly 90% in Hermosa.

U.S

. 20

10 C

ensu

s,

Ro

b P

aral

an

d A

sso

ciat

es

Race & ethnicity, 2010

Belmont Cragin

Hermosa Logan Square

Humboldt Park

West Town

White Black Asian

2 or more races Hispanic/Latino

Am

eric

an C

om

mu

nit

y Su

rvey

Top languages spoken by those with limited English2006-2010

40%

35%

5%

10%

15%

20%

25%

30%

Hermosa Logan Square

Humboldt Park

Belmont Cragin

Chicago US

Spanish or Spanish Creole

Polish

Tagalog

Other Slavic languages

Other

Page 5: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

315,103Total population in 2010

Humboldt Park has the lowest household income, the highest poverty rate and the highest percentage of children living in poverty. All areas had poverty rates above the national average.

5

Am

eric

an C

om

mu

nit

y Su

rvey

(S19

03)

, Ro

b P

aral

an

d A

sso

ciat

es

Median household income 2006-2010

$10,000

$20,000

$40,000

$50,000

$60,000

$70,000

$30,000

$42

,84

2B

elm

on

t Cra

gin

$42

,418

Her

mo

sa

$49

,610

Log

an S

qu

are

$29

,60

5H

um

bo

ldt P

ark

$60

,720

Wes

t Tow

n

$46

,877

Ch

icag

o

$51,

914

US

3 communities have high unemployment rates.

Am

eric

an C

om

mu

nit

y Su

rvey

, C

ity

of C

hic

ago

15%

5%

10%

Population over 16 unemployed, 2010

6.0%

11.5%12.9%

7.5%

11.1%

West Town

Humboldt Park

Belmont Cragin

Hermosa Logan Square

Chicago US

7.9%

% living below poverty line, 2006-2010

Belmont Cragin

Hermosa

Logan Square

Humboldt Park

West Town

U.S

. 20

10 C

ensu

s, A

mer

ican

Co

mm

un

ity

Surv

ey,

Cit

y o

f Ch

icag

o, Il

lino

is A

ctio

n fo

r C

hild

ren

,R

ob

Par

al a

nd

Ass

oci

ates

Households

Children 0–11

10% 20% 40% 50%30%

3348

1732

1925

1930

Chicago

US

2131

1419

12.3%

1628

Page 6: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

Access to care.

1 in 5 people use the ER as their primary source of health care.Nearly half of survey respondents say that their

immediate family goes to a doctor’s office for a

medical health problem, but over 20% said they

go to the ER. An additional 20% said that they

receive care at community clinics. Logan Square

and Humboldt Park had the highest percentage

(27%) using the ER, while West Town had the

highest percentage (49%) indicating that they

seek care at a doctor’s office.

Illinois Public Health Institute and Presence Health Community Survey

Where do members of your immediate family go when they have a medical health problem?

Private Doctor’s Office

ER

Urgent Care/Walk-in Center

Community Clinic

Other

Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.

In the Presence Saints Mary and Elizabeth Medical Center service area, 27% are uninsured.

What kind of health insurance do you have?

Private Insurance

Medicare

Uninsured

Medicaid

Other

6

kind of insurance

where does your family go?

interpreters requested

27% Uninsured

kind of insurance

where does your fam

ily go?interpreters requested

20.8% ER

Page 7: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

There is a shortage of primary care physicians in all areas. In West Town the shortage is only among low-income residents.

Belmont Cragin, Hermosa and Logan Square lack mental health services for low-income residents, while Humboldt Park and West Town have a shortage for all residents.

7

What’s preventing people from receiving care?

Where does the community come up short?

1 in 5 felt that cost prevented them from seeing a doctor.

13% said that there were no providers available based on their insurance or lack thereof.

There is a disparity of Medicaid enrollment from just 6% in West Town to 47% in Humboldt Park.

15%

40%

5%

30%

10%

35%

25%

50%

20%

45%

% of population enrolled in Medicaid, 2010

60622 60639 60642 IL60651

Illin

ois

Dep

artm

ent o

f Hea

lth

care

&

Fam

ily S

ervi

ces

23%

41%

6%

47%

21%

60647

31%

Page 8: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

Status of our health.

8

But unlike the rest of the country, diabetes

is among the top 5 causes of death. Of note,

Humboldt Park has unusually high rates of

cancer and unintentional injury.

Cancer and heart disease are the top two causes of death, both here and in the U.S. Years of Potential Life Lost (YPLL) defines what is

killing residents prematurely and can help determine

prevention efforts. This measure shows the severe

burden of homicide, unintentional injury and the

effects of firearms—especially in Humboldt Park.

Causes of early death.

140012001000800600400200 1600 1800

Top 5 causes of death (age-adjusted for 2004-2008)

Cit

y o

f Ch

icag

o

50 100 200150

Coronary heart disease

Cancer (all sites)

Diabetes-related

Lung cancer

Stroke

Unintentional injury

Cancer (all sites)

Unintentional injury

Assault, homicide

Fire-arm related

Coronary heart disease

Years of potential life lost, top 5 causes, 2009

Cit

y o

f Ch

icag

o

Belmont Cragin

Hermosa

Logan Square

Humboldt Park

West Town

1073633

478

704

929654

663

379

639701

988893

513

16761587

14201190

932

904821

469406

Belmont Cragin

167.9157.6

57.240.838.8

Hermosa160.3

135.858.7

27.728.9

Logan Square

155.3151.9

77.740.7

36.8

Humboldt Park

204.5160.6

87.450.658.4

West Town

176.1148.6

101.934.135.7

Chicago

162.7197.8

70.352.1

46.4

473

553436

US179.8

173.6

38.937.0

49.5

Page 9: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

9

Suicide rates in all areas are well below U.S. averages.

Humboldt Park has a very high rate of annual HIV infection, above the city and U.S. rate.The annual rate indicates new cases per year and prevalence

shows how many individuals are living with HIV. With newer

treatments, people are living much longer, so a high prevalence

rate may indicate a high risk for infection, but may also signify

success, in that people are getting the treatment they need.

Cit

y o

f Ch

icag

o

Belmont Cragin

6.4

Logan Square

4.9

Humboldt Park

4.1

West Town

6.7 6.5

Chicago US

11.2

6

2

4

12

10

8

Cit

y o

f Ch

icag

o, C

DC

Belmont*Cragin

Hermosa* Logan Square

West Town

Chicago US

Hermosa

3.3

Humboldt Park

Average annual HIV infection rate per 100,000, 2010

12.7

29.921.5

40.5

17.4

40

20

30

50

10

43.5

Belmont Cragin

Hermosa Logan Square

West Town

Chicago USHumboldt Park

HIV/AIDS prevalence rate per 100,000, 2010

Cit

y o

f Ch

icag

o, C

DC

800

400

600

200200.7

339.9

521.8 493.7

756.5

469.4

655.1

*Too few cases were reported to calculate an average.

Suicide rate per 100,000 (age-adjusted)

Page 10: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

Status of our health. (continued)

The teen birth rate has gone down substantially, although all areas are still above the U.S.

10

Almost 20% of people in the Presence Saints Mary and Elizabeth Medical Center service area have been told they have asthma, more than the city, state and country.

20 40 80 10060 120

Cit

y o

f Ch

icag

o, C

DC

Teen birth rate per 1,000, age 15-19, 2000 and 2009

50 100 200 250150 300 350 400 450 500

2000 2009

Hermosa100.7

69.7

Belmont Cragin

84.2

68.2

95.7Logan

Square66.1

Humboldt Park

77.9

116.6

West Town

80.5

49.2

Chicago80.5

57.0

US47.7

34.3

Asthma hospitalizations, 2011 per 100,000, age 5-64 (age-adjusted)

Cit

y o

f Ch

icag

o, C

DC

60639 218

60642 245

60651 462

US 111

60647 263

60622 245

Page 11: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

PSMEMC Chicago US

More than 1 in 3 are obese, compared to more than 1 in 4 nationally.

Our community Chicago US

Underweight/Normal (BMI 18.5–24.9)

Overweight (BMI 25-29.9)

Obese (BMI 30–39.9)

35%obese

26%obese

28%obese

11

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o H

ealt

hca

re C

ou

nci

l 20

12

Both Humboldt Park and West Town have higher rates of mental health admission than Chicago overall.

Mental health admission rate for reasons other than substance abuse

per 100,000, 2007 (age-adjusted)

Co

mm

un

ity

Are

a H

ealt

h In

ven

tory

, C

hic

ago

Dep

artm

ent o

f Pu

blic

Hea

lth

Belmont Cragin

762.1

Hermosa

875.9

Logan Square

1102.0

West Town

1346.2

1111.6

Chicago

600

200

400

1200

1400

1600

1000

800

100

Humboldt Park

1526.8

Page 12: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

12

25% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day.

5 servings of fruits and vegetables are recommended daily, yet only 15% said they ate more than 1 a day.

Illinois Public Health Institute and Presence Health Community Survey

Health & behavior.

About 1/3 of the people in the area are considered at risk for binge drinking.

20%

40%

50%

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o

Hea

lth

care

Co

un

cil 2

012

Alcohol consumption— at risk for binge drinking

15.1%

US

30.9%

Community

19.5%

Chicago

18.3%

IL

10%

30%

Nearly 1 in 5 people smoke, higher than the national average.

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o

Hea

lth

care

Co

un

cil 2

012

Smoking status

17.1%

US

19.3%

Community

14.2%

Chicago

16.9%

IL

10%

15%

20%

25%

5%

Page 13: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

13

Humboldt Park has the highest rate of admission for substance abuse and drugs in the area—triple the Chicago average.

Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)

Co

mm

un

ity

Are

a H

ealt

h In

ven

tory

, Ch

icag

o D

epar

tmen

t of P

ub

lic H

ealt

h

400 600 800200 1000 1200 1400 1600 1800 2000

790.9West Town

576.0

474.0

Hermosa

Belmont Cragin

548.5Logan

Square

1976.1Humboldt Park

640.3Chicago

Page 14: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

14

Despite crime rates that are slightly lower than citywide rates, 10% of Chicago’s drug-related and violent crime occurs in the service area.

Homelessness is a major challenge.Although exact numbers are difficult to confirm, the Chicago Coalition for the Homeless

estimates over 100,000 Chicagoans were homeless during the 2011-12 school year.

Barriers to health.

This means that thousands either do not have

enough to eat or don’t know where their next

meal is coming from.

1 in 4 people in Humboldt Park suffer from food insecurity and all areas have rates equal to or higher than the U.S.

Crime data, 2011 per 100,000 residents

Homicides

Drug crimes

Violent crimes (against persons)

Violent crimes(against community/

property)

Minor offenses

Total crimes

Cit

y o

f Ch

icag

o D

ata

Po

rtal

1,500 3,000 4,500 6,000 7,500 9,000 10,500 12,000 13,500

10

16

1177

1355

905

1074

6694

6965

4224

4713

11823

12752

Our community Chicago

Page 15: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

15

Measuring our health.This Community Health Needs Assessment is the result

of a partnership between Presence Health, the Illinois

Public Health Institute and a diverse group of community

organizations and local leaders. In July 2012, a Steering

Committee was created to address the overall goal of

improving the health and well-being of the community

with a special focus on the needs of the most vulnerable.

The Committee examined a wide range of factors that

impact health, from the causes of disease and death to

income and unemployment rates. Statistics came from

sources like the U.S. Census and the City of Chicago.

Direct input from residents was also obtained through

a community survey that explored perceptions about

quality of life and barriers to health. Gaps in services

were identified and prioritized needs were determined

(see page 2).

Taking action.Based on these priorities, Action Teams were formed to

develop goals and objectives that build from existing efforts

in the community. The result is targeted action plans that

help place resources where they are most needed and can

be the most effective. The Steering Committee will continue

to provide support and oversight of these plans as part of a

long term, comprehensive effort for improvement.

Read more. Visit presencehealth.org/community to get the whole story

of the Community Health Needs Assessment and view the

full Community Health Profile and Community Input Reports.

Residents who pay more than 30% of

their income on housing are considered

cost burdened.

Almost 50% of residents in all areas are cost burdened by housing, 70% in Humboldt Park.

Gre

ater

Ch

icag

o F

oo

d D

epo

sito

ry; U

SDA

% of population experiencing food insecurity, 2009

14.7%

West Town

18.5%

Hermosa

17.2%

Logan Square

25.8%

Humboldt Park

US

14.7%15%

5%

10%

20%

25%

30%

17.0%

Belmont Cragin

Ch

icag

o R

ehab

Net

wo

rk

% of residents cost burdened by home type, 2009

10%

20%

40%

50%

60%

30%

Bel

mo

nt C

rag

in

Her

mo

sa

Log

an S

qu

are

Hu

mb

old

t Par

k

Wes

t Tow

n

Ch

icag

o

49

.2%

54.6

%

51.8

%

48

.3%

68

.6%

71.6

%

49

.2%

51.8

%

49

.2%

51.8

%

50.8

%6

2.1%

Renters Owners

70%

80%

Page 16: Presence Saints Mary and Elizabeth Medical Center - Community Health Needs Assessment

2233 West Division Street

Chicago, Illinois 60622

Call 877.737.INFOEmail [email protected] presencehealth.org/community

Get involved.Find out how to volunteer to help strengthen the community.

+ + +