HEALTHFOCUS GROUP MEETING
July 2013
Welcome and Introduction
CN Goals
Metrics
Resident Survey Findings
Mapping
Discussion on Data Collected
Discussion on Additional Data to be Collected
Next Meeting
AGENDA
Choice Neighborhood GoalsPeople: Support positive outcomes for families who live in the target development and the surrounding neighborhood, particularly outcomes related to residents’ Economic Self-Sufficiency, safety, employment, and mobility;
Housing: Transform distressed public and assisted housing into energy efficient, mixed-income housing that is physically and financially viable over the long-term;
Neighborhood: Transform distressed, high-poverty neighborhoods into viable, mixed-income and sustainable neighborhoods with access to well-functioning services, high quality public schools and Economic Self-Sufficiency programs, high quality early learning programs and services, public transportation, and improved access to jobs.
Comprehensive Needs Assessment
Health Outcome Children, youth and adults are physically and mentally healthy
Metrics to Measure Achievement:
• Number and percentage who have a place where they regularly go (often referred to as a medical home), other than an emergency room, when they are sick or in need of advice about their health •Number and percentage reporting good physical health •Number and percentage reporting low psychological distress •Number and percentage reporting healthy weight
RESIDENT SURVEY RESULTS
15. Where do you buy most of your food?
Grocery Store
Fast Food restaurants
Farmer's Market
Other restaurants
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
93%
4%
2%
2%
34. During the past 12 months, have you and/or the other adults in your household had a physical exam or other preventive medical care, such as a checkup? Yes 76%; No 24%
35. Are you in good health? Yes 63%; No 37%
36. Do you have a regular doctor or clinic where you go when sick or need advice about your health (other than an emergency room)? Yes 74%; No 26%
Kingsport Family Medical
ETSU of Kingsport
Holston Medical Group
Doctor
Health department,
Mountain State's Department
Providence Clinic
Wellmont
Center Point Medical
Other
0% 5% 10% 15% 20% 25% 30% 35%
31%
13%
11%
10%
5%
5%
5%
5%
3%
11%
37. Is anyone in your household dealing with the following conditions (mark all that apply)?
27%
42%
18%
13%
Overweight
Stress
Diabetes
Heart
50%
25%
17%
8%
Overweight
Stress
Diabetes
Heart
24%
28%31%
17%
Overweight
Stress
Diabetes
Heart
Children Adults Seniors
38. Do you exercise much by walking, dancing, or more active exercise, like jogging or weight lifting to elevate your heart rate?
None
Occasionally (couple of times per week)
Daily 10-25 minutes
d. Daily 30-60 minutes
More than 1 hour daily
0% 5% 10% 15% 20% 25% 30% 35% 40% 45%
25%
40%
13%
5%
15%
40. Does anyone in your household smoke regularly?
Yes 63%; No 37%
41. What types of food do you eat most regularly?
4%
16%
30%19%
31%Never
1-2x/mo
1-2x/week
3x or >/week
Daily
Fresh or frozen fruits and vegetables3% 4%
6%
12%
75%
Never
1-2x/mo
1-2x/week
3x or >/week
Daily
Drinking Water
3%
9%
23%
19%
45%
Never
1-2x/mo
1-2x/week
3x or >/week
Daily
Sodas and sweet drinks2%
22%
33%
26%
17%Never
1-2x/mo
1-2x/week
3x or >/week
Daily
Fried Foods
41. What types of food do you eat most regularly?
Fried food Fast food restaurant
Skinless turkey, chicken or pork Non-battered, non-fried fish
2%
22%
33%
26%
17%Never
1-2x/mo
1-2x/week
3x or >/week
Daily
12%
62%
17%
5%
3%
Never
1-2x/mo
1-2x/week
3x or >/week
Daily
11%
29%
22%
27%
11%
Never
1-2x/mo
1-2x/week
3x or >/week
Daily
48%
25%
14%
9%4%
Never
1-2x/mo
1-2x/week
3x or >/week
Daily
41. What types of food do you eat most regularly?
Cooked with fat or lard Cookies, pies, crackers, snack food
Baked or boiled Sausage, hot dogs, deli meats
24%
27%24%
14%
9%
Never
1-2x/mo
1-2x/week
3x or >/week
Daily
2%
25%
31%
21%
21% Never
1-2x/mo
1-2x/week
3x or >/week
Daily
4%10%
32%
29%
26% Never
1-2x/mo
1-2x/week
3x or >/week
Daily
2%
31%
28%
23%
15%Never
1-2x/mo
1-2x/week
3x or >/week
Daily
41. What types of food do you eat most regularly?
Beans, lintels, rice, whole grains Fat-free milk, yogurt
Cheese, cream, whole milk, ice cream
12%
19%
29%
24%
16%Never
1-2x/mo
1-2x/week
3x or >/week
Daily
17%
14%
19%22%
29% Never
1-2x/mo
1-2x/week
3x or >/week
Daily
4%
12%
21%
27%
35%Never
1-2x/mo
1-2x/week
3x or >/week
Daily
42. Do you find yourself overly tired and not having enough energy to socialize with friends and family? Yes 47%; No 53%
43. Do you have a dentist? Yes 23%; No 77%
44. Have you visited the Emergency Room for tooth extractions? Yes 10%; No 90%
45. During the past 12 months, have you visited a dentist for preventive dental care, such as check-ups and dental cleaning? Yes 25%; No 75%
46. What are the barriers to accessing medical and dental providers (mark all that apply):
Lack of health insurance or coverage
Reluctance of health care providers to accept some forms of health insurance (e.g. medicaid)
Lack of availability of family medical and dental service providers in the community
Lack of transportation facilities
Limitations by providers on number of family members insured through programs accepted.
Strict lateness or "no-show" policies
None
0% 5% 10% 15% 20% 25% 30%
26%
14%
14%
12%
11%
11%
11%
48. Are your children in good health? Yes 98%; No 2%
49. Do your children have health insurance?Yes 100%; No 0%
50. Of the children with health insurance, is the primary insurance one of the following?
51. Where do you go for information about parenting challenges? (Check all that apply)
Family and friends
Online resources
Information given at hospital after delivery.
Nurse services
Parent outreach programs available in neighborhood
Church
Hospitals publicize info about classes
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
44%
19%
13%
8%
8%
6%
4%
Identify Parent outreach programs available in neighborhood: Program/Number of Replies: Hope House 4; Families Free 1; Traces Frontier Health 1
52. Do you have access to any counseling services for fathers on good parenthood and early childhood care? Yes 12%; No 88%
If yes, what is it? •Love your kids•Frontier Health•Traces Frontier Health
53. Have you and your children met with any counselor to learn about early childhood development issues? Yes 21%; No 79%
If yes, what is it? •TEIS•Programs at health department•Early Intervention 0-3 for issue stemming from prematurity•Hugs nurse•"Health dup"•Traces Frontier Health
62. Are children ages 5 through 17 in good health? Yes 97%, No 3%
63. Do the children have health insurance?Yes 96%, No 4%
64. Of the children with health insurance, is the primary insurance in one of the following?
•A combined State TENNCare/Medicaid program 100%•Private health insurance 0%•Health insurance not listed 0%
85. Are the seniors in the household in good health? Yes 36%, No 64%
88. Do the seniors in your household (including yourself) need assistance with general personal care activities, such as cooking, cleaning, bathing, dressing, taking medications, walking, paying bills?
10%
20%
20%
50%
All the time
Some of the time
Occasionaly
Rarely/None
91. What barriers do the seniors in the household (including yourself) have to participation in more social activities?
Sickness and not feeling well enough
Physical mobility challenges
Transportation
No problems
Unaware of any activities
Other (number)
0% 5% 10% 15% 20% 25% 30%
28%
21%
19%
16%
7%
5%
Discussion on Data Collected
• What are the major findings of the resident survey?
• What does the map tell us?
Collecting Remaining Baseline Data
Health Outcome Children, youth and adults are physically and mentally healthy
Additional Metrics to Measure Achievement:•Data on Body Mass Index for children from Kingsport Public Schools
•Data from Sullivan County health Department
•Data on USDA food stamps (may be confidential)
•Data from Kingsport Tomorrow Healthier Communities Grant
•Data from Kingsport Medical Center on veteran’s health
•Data on dental health for resident and the neighborhood.
Next Meeting Date and Time?
Project Website: http://www.kingsportchoice.com/