Macon County Community Health Needs Assessment Report of Findings 2012

Assessment conducted by:  Macon County Health Council  Special Community Health Needs Assessment Committee  Representatives from the State of Tennessee Department of Health, Macon County General Hospital, Coordinated School Health, private healthcare providers and various community agencies were consulted during the needs assessment process.  Macon County General Hospital

Demographics

2010 U.S. Census Data  Population 22,248  Median Age 38.7  96% White  8,561 Households  34% households with person under 18  26.7% households with person over 65

Access to Care  Health Professional Shortage Area  Medically Underserved Population  HRSA Data Warehouse statistics  3, 205 Uninsured individuals (age under 65)  2,808 Elderly (age 65+) Medicare beneficiaries  998 Disabled Medicare beneficiaries  7, 264 Medicaid beneficiaries  22.9 Primary Care Physicians per 100,000 pop  18.3 Dentist per 100,000 pop  5,796 Enrolled in Tenncare 03/15/12

MCGH Leading Diagnoses  Inpatient  COPD  Pneumonia  Pancreatitis  Observation  Chest Pain  Dehydration  Syncope  Emergency Department  UTI  Viral Infection  Otitis Media

Vulnerable Populations According to the Community Health Status Indicators, Macon County Tennessee 2009 report:  5,961Have no high school diploma  866 Are unemployed  1,212 Are Severely Work Disabled  1,632 Have Major Depression  1,567 Are Recent Drug Users (past month) 48.1% Kids free or reduced lunch (Kids Count Data Center, 2009)

Process and Methods  Collection of Primary Data  Community Survey  Spring 2012  566 surveys completed  Paper & Electronic  Stakeholder Interviews  Review of Secondary Data  Current state of national statistics  New Priorities Established

Survey Results: demographics

Survey Results: Core Questions

Health Indicator Statistics

In 2010, the pregnancy rate for females ages was 37.8 per 1,000 females This is the third highest pregnancy rate in this category in the State

BRFSS data

County Health Rankings

2010 Tennessee State Health Plan Survey  This survey was completed by 2,431 respondents from all over the state  The health conditions thought to be the most important to Tennesseans were  Obesity and overweight  Heart attack, stroke, high blood pressure and cardiovascular disease  Diabetes  Alcoholism and drug abuse  Cancer

Personal Interviews: identified needs  Limited OB/GYN services  Patients inactive in personal health management  No on-site/local psychiatrist  Widespread Poverty  Limited specialty healthcare services available in the county  Drug Abuse  Physically inactivity  Financial/economic education  Emergency preparedness education  Parental involvement in children’s health needs  No school system dietician  Peer pressure among students  After hours health care access  Number of primary healthcare providers  Underutilization of mammography in the elderly population

What Conclusions were drawn by the committee

Conclusion: New Priority Health Needs for Macon County 1. Cancer 2. Heart Disease 3. Diabetes 4. Drug and Alcohol Abuse 5. Teenage Pregnancy

Contributors  Stacey Brawner-Macon County General Hospital, Director of Community Outreach  Brenda Harper-Valley Ridge Mental Health Center, Director  Thomas Kidd-Macon County General Hospital, CFO  Lynn Knight-UT Extension-Macon County, Family and Consumer Sciences Extension Agent  Chaundel Presley-Primary Health Care Group, Inc, Family Nurse Practitioner  Frances Reece-Macon County Health Department, Director  Melissa Ross-Macon and Smith County Health Departments, Health Educator  Melissa Shrum-Coordinated School Health, Assistant  Jackie Sircy-Coordinated School Health, Director  Dennis A. Wolford-Macon County General Hospital, CEO