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

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

3. 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

4. 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

5. 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 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.

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

8. 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)

9. 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

10. Data Highlights

11. Demographics
Coos County =negative population change, 0-1.1% positive depending on source
Curry and negative population change
Source: PSU Population Research Center Annual Population Report

12. 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:
Most data is 2012
Source: Oregonlive and Oregon Office of Rural Health

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

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

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

16. Source: Oregon Public Health Authority, Cancer in Oregon report

17. Diabetes Mortality Rate
Source: Oregon Vital Statistics Annual Reports

18. Tobacco Related Mortality Rate
Source: Oregon Vital Statistics Annual Reports

19. 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 age adjusted

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

21. Behavioral Health

22. Community Input Outreach

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

24. 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.

25. 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?

26. 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!

27. Thank you for your time and attention. Vanessa A
Thank you for your time and attention! Vanessa A. Becker Principal, V Consulting & Associates Inc (cell) (toll free) (office)