JFK Medical Center Service Area

2019 Community Health Needs Assessment

Summary Report

JFK Medical Center Service Area

Prepared for:

JFK Medical Center

By: PRC, Inc. 11326 P Street Omaha, NE 68137-2316

2019-0262-02 ? September 2019

PRC, Inc.

COMMUNITY HEALTH NEEDS ASSESSMENT

Table of Contents

Introduction

About This Assessment Methodology

PRC Community Health Survey Online Key Informant Survey Public Health, Vital Statistics & Other Data Determining Significance Information Gaps IRS Form 990, Schedule H Compliance Summary of Findings Significant Health Needs: JFKMC Service Area Summary Tables: Comparisons With Benchmark Data Summary of Key Informant Perceptions

Data Charts & Key Informant Input

Community Characteristics Population Characteristics Social Determinants of Health

General Health Status Overall Health Status Mental Health

Death, Disease & Chronic Conditions Leading Causes of Death Cardiovascular Disease Cancer Respiratory Disease Injury & Violence Diabetes Kidney Disease Potentially Disabling Conditions Infectious Disease

Births Prenatal Care Birth Outcomes & Risks Family Planning

Modifiable Health Risks Nutrition, Physical Activity & Weight

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33 33 36 44 44 46 56 56 58 66 73 78 84 89 92 103 105 105 106 109 111 111

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COMMUNITY HEALTH NEEDS ASSESSMENT

Substance Abuse Tobacco Use Sexual Health Access to Health Services Lack of Health Insurance Coverage (Age 18 to 64) Difficulties Accessing Healthcare Primary Care Services Oral Health Local Resources

Appendix

Evaluation of Past Activities

124 132 136 142 142 144 150 152 156

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Introduction

COMMUNITY HEALTH NEEDS ASSESSMENT

About This Assessment

This Community Health Needs Assessment is a systematic, data-driven approach to determining the health status, behaviors and needs of residents in the service area of JFK Medical Center. 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 for JFK Medical Center is part of a regional project conducted by Professional Research Consultants, Inc. (PRC) for Hackensack Meridian Health on behalf of its network hospitals. PRC is a nationally recognized healthcare 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 both quantitative and qualitative sources. Quantitative data input includes primary research (the PRC Community Health Survey) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through an Online Key Informant Survey of various community stakeholders.

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 Hackensack Meridian Health and PRC.

Community Defined for This Assessment

The study area for the survey effort (referred to as the "JFK Medical Center Service Area" or the "JFKMC Service Area" in this report) is defined as each of the residential ZIP Codes comprising the primary service area of JFK Medical Center. This community definition, determined based on the ZIP Codes of residence of recent patients of JFK Medical Center, is illustrated in the following map.

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