2020 COMMUNITY HEALTH NEEDS ASSESSMENT6e4e5253c366be07fb27-05a8d4e28b318db45e55745aeda40acc.ssl.cf5.rackcdn.com ›

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2020 COMMUNITY HEALTH NEEDS ASSESSMENT Baldwin County, Georgia

Sponsored by

Navicent Health Baldwin

© December 2020 2020-0724-02

Prepared by PRC

www.PRCCustomResearch.com

TABLE OF CONTENTS INTRODUCTION PROJECT OVERVIEW Methodology IRS Form 990, Schedule H Compliance

SUMMARY OF FINDINGS

DATA CHARTS & KEY INFORMANT INPUT COMMUNITY CHARACTERISTICS Population Characteristics Social Determinants of Health

3 4 4 10

11

25 26 26 28

HEALTH STATUS

32

Overall Health Mental Health

32 34

DEATH, DISEASE & CHRONIC CONDITIONS Leading Causes of Death Cardiovascular Disease Cancer Respiratory Disease Injury & Violence Diabetes Kidney Disease Potentially Disabling Conditions Caregiving

BIRTHS Birth Outcomes & Risks Family Planning

MODIFIABLE HEALTH RISKS Nutrition Physical Activity Weight Status Substance Abuse Tobacco Use Sexual Health

ACCESS TO HEALTH CARE Lack of Health Insurance Coverage Difficulties Accessing Health Care Primary Care Services Oral Health

LOCAL RESOURCES Perceptions of Local Health Care Services Resources Available to Address the Significant Health Needs

APPENDIX: EVALUATION OF PAST ACTIVITIES IMPLEMENTATION STRATEGY

COMMUNITY HEALTH NEEDS ASSESSMENT

39 39 41 47 53 57 61 64 66 71

72 72 74

76 76 78 81 85 89 93

96 96 98 101 103

105 105 106

108 109

2

INTRODUCTION

PROJECT OVERVIEW This Community Health Needs Assessment, a follow-up to a similar study conducted in 2018, is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Baldwin County, the service area of Navicent Health Baldwin. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. A Community Health Needs Assessment provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This assessment was conducted on behalf of Navicent Health Baldwin by PRC, a nationally recognized health care consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994.

Methodology This assessment incorporates data from multiple sources, including primary research (through the PRC Community Health Survey and PRC Online Key Informant Survey), as well as secondary research (vital statistics and other existing health-related data). It also allows for trending and comparison to benchmark data at the state and national levels.

PRC Community Health Survey Survey Instrument The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. The final survey instrument was developed by Navicent Health and PRC and is similar to the previous survey used in the region, allowing for data trending.

Community Defined for This Assessment The study area for the survey effort (referred to as the “Baldwin County” in this report) is defined as ZIP Codes 31061 and 31062. This community definition, determined based on the ZIP Codes of residence of recent patients of Navicent Health Baldwin, is illustrated in the following map.

COMMUNITY HEALTH NEEDS ASSESSMENT

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Sample Approach & Design A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Community Health Survey. Thus, to ensure the best representation of the population surveyed, a telephone interview methodology — one that incorporates both landline and cell phone interviews — was employed. The primary advantages of telephone interviewing are timeliness, efficiency, and randomselection capabilities. The sample design used for this effort consisted of a random sample of 200 individuals age 18 and older in Baldwin County. All administration of the surveys, data collection, and data analysis was conducted by PRC. For statistical purposes, the maximum rate of error associated with a sample size of 200 respondents is ±6.9% at the 95 percent confidence level.

Sample Characteristics To accurately represent the population studied, PRC strives to minimize bias through application of a proven telephone methodology and random-selection techniques. While this random sampling of the population produces a highly representative sample, it is a common and preferred practice to “weight” the raw data to improve this representativeness even further. This is accomplished by adjusting the results of a random sample to match the geographic distribution and demographic characteristics of the population surveyed (poststratification), so as to eliminate any naturally occurring bias. The following chart outlines the characteristics of the Baldwin County sample for key demographic variables, compared to actual population characteristics revealed in census data. [Note that the sample consisted solely of area residents age 18 and older; data on children were given by proxy by the person most responsible for that child’s health care needs, and these children are not represented demographically in this chart.]

COMMUNITY HEALTH NEEDS ASSESSMENT

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Population & Survey Sample Characteristics (Baldwin County, 2020)

41.7%

42.1%

55.3%

56.4%

55.9%

Sources: Notes:

Women

18 to 39

40 to 64

65+

White (Non-Hisp)

Other (Non-Hisp)

1.9%

2.0%

18.1%

39.2%

38.4%

42.7%

16.4% Men

52.9%

Other races include: Black 33.7% American Native 0.4% Multiple/Other 7.6%

Final Survey Sample

45.2%

48.2%

50.4%

51.8%

49.6%

Actual Population

Hispanic