CHNA Kick off Meeting: Board of Directors May 9th, 2017 Southern Coos Hospital & Health Center

Purpose of Today’s meeting Orient on purpose, scope & process of CHNA Initial “data dive” Request help w/outreach for community meetings & survey

Introductions & Purpose of Meeting Purpose & Scope of CHNA Agenda Introductions & Purpose of Meeting Purpose & Scope of CHNA CHNA Process, Timelines Prelim Data Dive Next Steps Purpose of Today’s Meeting Orient on purpose, scope & process of CHNA Gather input on data priorities Gather help w/outreach

Why do we do a Health Assessment? Use it to increase our understanding of health issues facing our community Help us better plan our programs & services Help us meet IRS and Affordable Care Act requirements

Applicable Code and Law Not-for-profit hospitals, in order to maintain their tax-exempt, or "charitable," status, under section 501(c)(3) of Federal Internal Revenue Code, have long been required to provide benefit to the community that they serve. Recent changes in legislation now require that such hospitals explicitly and publicly demonstrate community benefit by conducting a community health needs assessment (CHNA) and adopting an implementation strategy to meet the identified community health needs. (IRS). Section 9007 of the Patient Protection & Affordable Care Act, Public Law 111- 148 also has code adding new requirements that 501(c)(3) hospitals must conduct a CHNA at least every three years in order assess community need and annually file information (in your 990) regarding progress toward addressing identified needs. Section 9007 establishes tax penalties for hospitals that do not comply.

Data collection & analysis CHNA & CHIP Process July 2017 Data collection & analysis CHNA Writing & Design Prelim Goal Setting Community Input Write, Share & Submit

Types of Data for the CHNA Primary Data: information collected first hand by a researcher directly through instruments such as surveys, interviews, focus groups, observation. Secondary Data: primary data collected by somebody else, you are not doing the data collection yourself. It is analyzed for trends and correlations. Quantitative Data: sometimes called “hard data” This is information or data that can be quantified or counted (rates, percentages, counts, averages etc). It can be either primary or secondary data. Qualitative Data: sometimes called “soft data” it is information gathered through focus groups, surveys, or responses to open-ended questions. Helpful if used to identify themes. CHNA is a FOCUS ON COMMUNITY DATA (vs. only patient data)

Limitations & Considerations of CHNA Data A CHNA is NOT a rigorous research study, it relies largely on analysis of other data sources A CHNA is NOT service or quality/performance data focused A CHNA is largely focused on community data, the community in which you draw your patients from, population data County Population Zip code Specific Data SCH patient population

Data Highlights

Demographics Coos County 2010-2014=negative population change, 0-1.1% positive 2012-14 depending on source Curry 2002-04 and 2012-2016 negative population change Source: PSU Population Research Center Annual Population Report

Poverty Picture from: http://projects.oregonlive.com/maps/poverty/ TAKE HOME: % slightly different depending on source and year, Coos & Curry Counties typically one of highest in state Picture from: http://projects.oregonlive.com/maps/poverty/ Most data is 2012 Source: Oregonlive and Oregon Office of Rural Health

Social Determinants of Health: FOOD Source: Map the Meal Gap, Food Insecurity in your County, Feedingamerica.org

Source: Oregon Health Division County Data Book 2014, Healthy People 2020

Source: Oregon Health Division County Data Book 2014, Healthy People 2020

Source: Oregon Public Health Authority, Cancer in Oregon report

Diabetes Mortality Rate Source: Oregon Vital Statistics Annual Reports

Tobacco Related Mortality Rate Source: Oregon Vital Statistics Annual Reports

Physical Activity CDC activity recommendations: Adults 150 minutes a week of moderate aerobic activity or 75 minutes of vigorous intensity weekly Children-Adolescents 60 minutes a day Source: Oregon BRFSS County Combined Dataset 2010-2013. age adjusted

Behavioral Health Source: Oregon Vital Statistics, Leading Cause of Death, Table 18 & Portland State University Population Research Center

Behavioral Health

Community Input Outreach

Data collection & analysis CHNA & CHIP Process July 2017 Data collection & analysis CHNA Writing & Design Prelim Goal Setting Community Input Write, Share & Submit

Surveys & Community Meetings Community Member Survey Help identify community perceptions about health & possible strategies to improve community health Community Meetings will use the same questions as the survey, open for the same time Survey May 8th-June 9th, 2017 Community Meetings May 22nd & May 25th Community input will help fill our bucket with perceptions and ideas.

Survey Questions Top 3 Health Problems in Community Top 3 Risky Health Behaviors Health of the Community Personal Health 3 Barriers to Being Healthy Top 3 Community Conditions Additional Demographic questions: County (Coos, Curry or other), Have you or somebody in your family been a patient at the clinic or hospital in last 12 months?

Next Steps Please help us get people to participate in the survey Please help us get 50 people at each community meeting If you have special ”data wishes” please let Vanessa know We’ll see you again in June/July!

Thank you for your time and attention. Vanessa A Thank you for your time and attention! Vanessa A. Becker Principal, V Consulting & Associates Inc. www.vconsults.com vanessa@vconsults.com 541-817-6552 (cell) 1-844-673-2215 (toll free) 541-673-2215 (office)