1. Community Health Needs Assessment: Inform The Process
Thursday, February 22 | 9:30 am to 11:30 am

2. Welcome & Introductions What do you know about the 2016 Community Health Needs Assessment?

3. CHNA Committee

4. Live Polling Questions
To join text: HASDIC to 22333
Jennifer will open up the polling website for live polling to the audience.

5. 2016 COMMUNITY HEALTH NEEDS ASSESMENT
February 22, 2018

6. Goals
Recognize community partners who can help hospitals and health systems delve deeper into identified health needs and social inequities.
Prepare a value-proposition that supports the interests of community partners and creates meaningful and innovative collaborations beyond the CHNA process.
Write a feasible plan to systematically share findings and receive community feedback in an ongoing effort rather than every three years.

7. CHNA Committee

8. San Diego County – Select Demographics
Nearly 15% of San Diegans live in households with income below 100% of the Federal Poverty Level*
A greater proportion of Latinos, African Americans, Native Americans, and individuals of other race live in poverty compared to the overall San Diego population
Approximately 1 in 7 San Diegans are food insecure
Almost 15% of San Diegans aged 25 and older have no high school diploma or equivalency
Approximately 46% of households in San Diego have housing costs that exceed 30% of their income
Approximately 16% of San Diegans aged 5 and older have limited English proficiency and 8.5% are linguistically isolated

9. San Diego 2016

10. CNI Data & Hospital Discharge Data

11. Process Map

12. CHNA Community Engagement
Behavioral Health Discussions 3
Key Informant Interviews 19
Community Partner Discussion Participants 87
HHSA Regional Live Well Surveys 91
Health Access & Navigation Surveys
235

13. Top Social Determinants
2016 CHNA FINDINGS
Top Health Needs
Top Social Determinants

14. San Diego access to health care survey
“Where Do You Get Stuck?”
Five Most Troublesome Barriers to Accessing Health Care
Understanding health insurance
Getting health insurance
Using health insurance
Knowing where to go for care
Follow-up care and/or appointment

15. Nearly 60% respondents were confused by insurance terms
69% of respondents don’t know what services are covered by their health insurance
56% of respondents don’t know whether to use the ED vs urgent care or a clinic
Nearly 42% of respondents have no primary care doctor

16. 2016 Community Recommendations

17. lessons learned..
PLAN
IMPLEMENT
REFLECT
REVIEW
REFINE
Assessing the health needs of communities facing inequity is now an ongoing effort, not a triannual process.

18. Discussion

19. How many people here today have used the CHNA report for any purpose?

20. Was any of the data you used from the CHNA helpful to you in writing a more compelling story?

21. What type of data is useful in the CHNA report?

22. Process Map

23. Health Briefs
Health briefs were created for the top health needs identified and include the following information:
Definition of problem
Risk factors
Prevalence
Hospital trend data
Mortality data
Disparities
Best Practices (intervention opportunities)

24. Example of Health Brief

25. CNI Data & Hospital Discharge Data

26. Vulnerability Populations Report
Children
Seniors
Asian American and Native Hawaiian and Other Pacific Islander
American Indians/Alaskan Native
Latinos
African American
Homeless
LGBTQ
Refugee Population
Utilized the CDC Health Disparities and Inequities Report to create this report - ~15 page report

27. What level of data is needed?

28. Example of Regional Data

29. Community Data 2-1-1 San Diego
Palomar Community Action Council Today program
North County Health Services
Resident Leadership Academy, Community Action Partnership San Diego Community Needs Assessment
County of San Diego HHSA, Community Health Assessment

30. Is the current state of the report, a stand-alone document where the PDF is online, sufficient for your needs? Would an online interactive report be more helpful?

31. Next Steps . . .

32. Thank you!

33. Collaborative CHNA http://hasdic.org/2016-chna/