Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

16
Focusing on the Belmont Cragin, Dunning, Hermosa, Jef ferson Park, Montclare and Portage Park neighborhoods of Chicago Community Health Needs Assessment 2013

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Transcript of Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Page 1: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Focusing on the Belmont Cragin, Dunning,

Hermosa, Jefferson Park, Montclare and

Portage Park neighborhoods of Chicago

Community Health Needs Assessment 2013

Page 2: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

+ Call 877.737.INFO (877.737.4636)

+ Email [email protected]

+ Visit presencehealth.org/community

Get involved.Find out how to volunteer to help strengthen the community.

This Community Health Needs Assessment is an

overview of the health status of those who live in

the Belmont Cragin, Dunning, Hermosa, Jefferson

Park, Montclare and Portage Park neighborhoods

of Chicago. A collaborative team of community

stakeholders—from social service agencies to

business leaders—came together to gather and

analyze health-related information, identify the

most pressing needs and pinpoint ways to make

improvements. Please turn to page 15 to learn

more about this process.

Based on the committee’s extensive research

and review of available data, the following themes

surfaced as the highest priority health needs for

this community:

+ Risk Factors for Chronic Disease (obesity, diabetes, hypertension,

smoking, healthy eating, active living)

+ Access to Care (mental health, substance abuse, specialty care)

+ Coordination of Care

Be in the know.Belmont-Central Chamber of Commerce

Coalition to Save our Mental Health Centers

Hermosa Community Organization

Lutheran Social Services of Illinois

Mather LifeWays

Metropolitan Family Services, North Center

Northwest Side Housing Center

Old Irving Park Community Clinic

Polish American Association

Portage Park Chamber of Commerce

Presence Our Lady of the Resurrection Medical Center

PrimeCare Community Health Center

Sister Bonaventure Children’s Choice Learning Center

Our partners.

Page 3: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Facts & Findings.

50%of residents are

Hispanic/Latino

Cancer and heart disease are the leading causes of death

Unemployment rates are above the U.S. average

1 in 3 residents are

uninsured

There is a shortage of

mental health services for low-income

residents

Enrollment in Medicaid

is higher than the state average

30% of Belmont

Cragin’s children live in poverty

42% suffer from

obesity

30% get no

exercise

Here is a snapshot of some of the key factors affecting the health and well-being of the Belmont Cragin, Dunning, Hermosa, Jefferson Park, Montclare & Portage Park neighborhoods—the Presence Our Lady of the Resurrection Medical Center service area.

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Our Community.

Presence Our Lady of the Resurrection Medical Center

About half of residents identify as Hispanic/Latino— ranging from 20% in Jefferson Park to nearly 90% in Hermosa.

U.S

. 20

10 C

ensu

s, R

ob

Par

al a

nd

Ass

oci

atesRace & ethnicity, 2010

100%

90%

80%

70%

10%

20%

30%

40%

50%

60%

White Black Asian 2 or more races Hispanic/Latino

Jefferson Park

HermosaBelmont Cragin

Portage Park

Dunning Montclare

Spanish or Spanish Creole

German

Russian

Polish

Serbo-Croatian

Arabic

Greek

Korean

Chinese

Italian

Tagalog

Other

Am

eric

an C

om

mu

nit

y Su

rvey

Top languages spoken by those with limited English, 2006-2010

40%

35%

5%

10%

15%

20%

25%

30%

USChicagoHermosaBelmont Cragin

MontclareDunningPortage Park

Jefferson Park

Page 5: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Belmont Cragin and Hermosa have the lowest household income, the highest poverty rates and the highest percentage of children living in poverty.

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248,683Total population in 2010

Presence Our Lady of the Resurrection Medical Center

Am

eric

an C

om

mu

nit

y Su

rvey

, Ro

b P

aral

an

d A

sso

ciat

es

Median household income 2006-2010

$70,000

$10,000

$20,000

$40,000

$50,000

$60,000

$30,000

$60

,59

2Je

ffer

son

Par

k

$46

,877

Ch

icag

o

$51,

914

US

$52

,356

Po

rtag

e P

ark

$61,

584

Du

nn

ing

$47,

46

0M

on

tcla

re

$42

,84

2B

elm

on

t Cra

gin

$42

,418

Her

mo

sa

% living below poverty line, 2006-2010

U.S

. 20

10 C

ensu

s, A

mer

ican

Co

mm

un

ity

Surv

ey,

Cit

y o

f Ch

icag

o, Il

lino

is A

ctio

n fo

r C

hild

ren

Households

Children 0–11

10% 20% 40% 50%30% 60%

Chicago21

31

Hermosa19

50

Dunning8

20

Portage Park12

38

Jefferson Park66

US14

19

Montclare13

19

Belmont Cragin19

59

4 communities have unemployment rates in the double-digits

Am

eric

an C

om

mu

nit

y Su

rvey

, C

ity

of C

hic

ago

15%

5%

10%

Population over 16 unemployed, 2006-2010

9.0

%Je

ffer

son

P

ark

11.1%

Ch

icag

o

7.9

%U

S

Po

rtag

e P

ark

10.6

%

Du

nn

ing

8.6

%

Mo

ntc

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10.8

%

Bel

mo

nt

Cra

gin

11.5

%

Her

mo

sa12

.9%

Page 6: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Access to care.

About 1 in 10 people use the ER as their primary source of health care.The majority of survey respondents said that

their immediate family goes to a doctor’s office

for a medical health problem, but over 9% said

they go to the ER. Belmont Cragin and Hermosa

had the highest percentage (19%) using the ER,

while Jefferson Park had the highest percentage

(64%) who seek care at a doctor’s office.

Illinois Public Health Institute and Presence Health Community Survey

Where do members of your immediate family go when they have a medical health problem?

Private Doctor’s Office

Community Clinic

ER

Other

Urgent Care/Walk-in Center

kind of insurance

where does your family go?

interpreters requested

9.4% ER

Chicago has a higher than average number of uninsured people at almost 20% compared to 15% nationwide.

In the Presence Our Lady of the Resurrection Medical Center service area, 33% are uninsured.

kind of insurance

where does your family go?

interpreters requested

32.9% Uninsured

What kind of health insurance do you have?

Private Insurance

Uninsured

Medicare

Medicaid

Other

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Page 7: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

There is a shortage of primary care physicians in Belmont Cragin, Hermosa and Montclare.

Belmont Cragin, Hermosa, Montclare, Portage Park and Dunning lack mental health services for low-income residents.

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What’s preventing people from receiving care?

Where does the community come up short?

1 in 5 felt that cost prevented them from seeing a doctor.

1 in 10 said that there were no providers available based on their insurance or lack thereof.

There is a disparity of Medicaid enrollment from 19% in Jefferson Park to 41% in Belmont Cragin and Hermosa.

% of population enrolled in Medicaid, 2010

60630 60634 60639 IL60641

Illin

ois

Dep

artm

ent o

f Hea

lth

care

&

Fam

ily S

ervi

ces

19%21% 21%

15%

5%

10%

25%

20%

30%

35%

40%

45% 41%

28%

Page 8: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Status of our health.

But unlike the rest of the country, diabetes

is among the top 5 causes and is particularly

high in Montclare.

Cancer and heart disease are the top two causes of death, both here and in the U.S. Years of Potential Life Lost (YPLL) defines what

is killing residents prematurely and can help

determine prevention efforts. The leading cause

of YPLL is cancer, except in Hermosa where

unintentional injury was the top cause.

Causes of early death.

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Top 5 causes of death 2004-2008 (age-adjusted)

Cit

y o

f Ch

icag

o, C

DC

40 80 160120 200

Coronary heart disease

Cancer (all sites)

Diabetes-related

Lung cancer

Stroke

Unintentional injury

Breast Cancer in Females

Jefferson Park

155.1

197.550.956.8

41.8

Portage Park

170.4166.3

47.045.4

39.5

Dunning

135.5181.6

39.947.7

35.1

Montclare184.4

151.390.4

40.535.2

Chicago

162.7

197.870.352.1

46.4Cancer (all sites)

Unintentional injury

Assault, homicide

Fire-arm related

Coronary Heart Disease

Breast Cancer in Females

Diabetes-related

Lung Cancer

Belmont Cragin

167.9157.6

57.240.8

38.8

Hermosa

160.3135.8

58.727.7

28.9

Years of potential life lost, top 5 causes, 2009

Cit

y o

f Ch

icag

o, C

DC

1790Jefferson Park

616306

838575

Portage Park

1405925

998

402

Belmont Cragin

1073633

478379

704

Hermosa

663929

654639

701

Montclare1320

1041902

523

Dunning 1767865778

417

180012001000800600400200 1400 1600

304

407

536

US

179.8173.6

49.5

37.038.9

Page 9: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Montclare has the highest suicide rate—more than 4 times that of Hermosa’s—and higher than Chicago and U.S. averages.

Several communities have more average annual new cases of tuberculosis than the Chicago average. Hermosa’s rate is 3 times that of the city.

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Suicide rate per 100,000 (age-adjusted)

Cit

y o

f Ch

icag

o, C

DC

Jefferson Park

5.8

Portage Park

8.9

Dunning

8.7

Montclare

6.5

Chicago US

11.2

Belmont Cragin

6.4

Hermosa

3.3

6

2

4

14

12

8

16

10

14.1

Tuberculosis average annual new cases per 100,000, 2010

Cit

y o

f Ch

icag

o, C

oo

k C

ou

nty

Hea

lth

Dep

artm

ent

5.5Jefferson Park

2015105

Portage Park

US

Dunning

Montclare

Belmont Cragin

Hermosa

Chicago

6.5

2.9

3.0

9.9

18.1

6.0

3.6

Page 10: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Status of our health. (continued)

The teen birth rate has gone down substantially in Hermosa and Belmont Cragin, but risen dramatically in Jefferson Park.

10

14.6% have been told they have asthma, more than the city, state and country.

Asthma hospitalizations are almost twice the national rate in Belmont Cragin and Hermosa.

2000 2009

Asthma hospitalizations per 100,000, age 5-64 (age-adjusted)

Cit

y o

f Ch

icag

o, C

DC

60630 86

60634 88

60641 100

US 111

60639 218

40 80 140 180 220120

Cit

y o

f Ch

icag

o, C

DC

Teen birth rate per 1,000, age 15–19, 2000 and 2009

Jefferson Park

3.3

28.6

Chicago80.5

57.0

US47.7

34.3

Portage Park

35.9

41.7

Hermosa

Belmont Cragin

84.2

68.2

Montclare54.3

61.5

Dunning21.2

19.9

10 20 40 5030 9060 70 80 100

100.7

69.7

Page 11: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

42% are obese, compared to 28% nationally.

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Hermosa and Belmont Cragin have the highest rates of mental health admissions.

Co

mm

un

ity

Are

a H

ealt

h In

ven

tory

, C

hic

ago

Dep

artm

ent o

f Pu

blic

Hea

lth

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o H

ealt

hca

re C

ou

nci

l 20

12

Mental health admission rate for reasons other than substance abuse

per 100,000, 2007 (age-adjusted)

Jefferson Park

351.2

Portage Park

709.5

Dunning

450.4

Montclare

181.3

1111.6

Chicago

600

200

400

1200

1000

800

100

Hermosa

875.9

Belmont Cragin

762.1

OLR Chicago US

Our community Chicago US

42% obese 26%obese

28%obese

Underweight/Normal (BMI 18.5–24.9)

Overweight (BMI 25-29.9)

Obese (BMI 30–39.9)

Page 12: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Health & behavior.

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30% get no exercise in a normal week and fewer than 1 in 10 get the recommended 30 minutes per day.

5 servings of fruits and vegetables are recommended daily, yet only 20% said they ate more than 1 a day.

Illinois Public Health Institute and Presence Health Community Survey

About 5% are considered at risk for chronic drinking—higher than the Chicago rate and comparable to the U.S. rate.

4%

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o

Hea

lth

care

Co

un

cil 2

012

Alcohol consumption—at risk for chronic drinking

5.0%

US

5.0%

Community

4.2%

Chicago

5.1%

IL

2%

6%

About 1 in 10 people smoke, lower than the Chicago and national average.

BR

FSS

200

9, M

etro

po

litan

Ch

icag

o

Hea

lth

care

Co

un

cil 2

012

Current smokers

17.1%

US

11.4%

Community

14.2%

Chicago

16.9%

IL

10%

15%

20%

5%

Page 13: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

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A diagnosis of alcohol abuse was more than 5 times higher at Presence Our Lady of the Resurrection’s ER than the state average.

Hermosa and Belmont Cragin have the highest rate of admissions for substance abuse and drugs in the area, but are still lower than the Chicago average.

Substance abuse and drugs, admission rate per 100,000, 2007 (age-adjusted)

Co

mm

un

ity

Are

a H

ealt

h In

ven

tory

, C

hic

ago

Dep

artm

ent o

f Pu

blic

Hea

lth

400 600 800200

576.0Hermosa

207.0Jefferson Park

149.9Portage Park

149.0Dunning

640.3Chicago

474.0Belmont Cragin

IL COMP Data

Page 14: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

Barriers to health.

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Despite a crime rate lower than Chicago overall, this area accounts for more than 5% of the city’s violent crime.

This means that thousands either do not have

enough to eat or don’t know where their next

meal is coming from.

Belmont Cragin and Hermosa residents suffer from food insecurity at rates higher than the U.S. overall.

Homelessness is a major challenge.Although exact numbers are difficult to confirm, the Chicago Coalition for the Homeless

estimates over 100,000 Chicagoans were homeless during the 2011-12 school year.

Crime data, 2011 per 100,000 residents

Homicides

Drug crimes

Violent crimes (against persons)

Violent crimes(against community/

property)

Minor offenses

Total crimes

Cit

y o

f Ch

icag

o

1,500 3,000 4,500 6,000 7,500 9,000 10,500 12,000 13,500

3

16

447

1355

462

1074

3946

6965

2611

4713

7021

12752

Our community Chicago

Page 15: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

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Measuring our health.This Community Health Needs Assessment is the result

of a partnership between Presence Health, the Illinois

Public Health Institute and a diverse group of community

organizations and local leaders. In July 2012, a Steering

Committee was created to address the overall goal of

improving the health and well-being of the community

with a special focus on the needs of the most vulnerable.

The Committee examined a wide range of factors that

impact health, from the causes of disease and death to

income and unemployment rates. Statistics came from

sources like the U.S. Census and the City of Chicago.

Direct input from residents was also obtained through a

community survey that explored perceptions about quality

of life and barriers to health. Gaps in services were identified

and prioritized needs were determined (see page 2).

Taking action.Based on these priorities, Action Teams were formed to

develop goals and objectives that build from existing efforts

in the community. The result is targeted action plans that

help place resources where they are most needed and can

be the most effective. The Steering Committee will continue

to provide support and oversight of these plans as part of

a long term, comprehensive effort for improvement.

Read more. Visit presencehealth.org/community to get the whole story

of the Community Health Needs Assessment and view the

full Community Health Profile and Community Input Reports.

Residents who pay more than 30% of their

income on housing are considered cost

burdened. Home owners were more likely

than renters to be cost burdened in all areas.

Almost 50% of residents in all areas are cost burdened by housing.

Renters Owners

Ch

icag

o R

ehab

Net

wo

rk

% of residents cost burdened by home type, 2009

Ch

icag

o54

.6%

48

.3%

Mo

ntc

lare

50.8

%6

2.1%

Du

nn

ing

48

.8%

50.9

%

Po

rtag

e P

ark

50.8

%6

2.1%

Jeff

erso

n P

ark

48

.8%

50.9

%

10%

20%

40%

50%

60%

30%

70%

Bel

mo

nt C

rag

in50

.8%

62

.1%

Her

mo

sa4

9.2

%51

.8%

Gre

ater

Ch

icag

o F

oo

d D

epo

sito

ry, U

SDA

15%

5%

10%

% of population experiencing food insecurity, 2009

18.5%

Hermosa

8.9%

Jefferson Park

12.3%

Portage Park

17.0%

Belmont Cragin

US

14.7%

20%

Dunning Montclare

10.4%13.6%

Page 16: Presence Our Lady of the Resurrection Medical Center - Community Health Needs Assessment

5645 West Addison Street

Chicago, Illinois 60634

Call 877.737.INFOEmail [email protected] presencehealth.org/community

Get involved.Find out how to volunteer to help strengthen the community.

+ + +