JFK Johnson Rehabilitation Institute Service Area

[Pages:166]2019 Community Health Needs Assessment

Summary Report

JFK Johnson Rehabilitation Institute Service Area

Prepared for:

JFK Johnson Rehabilitation Institute

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

2019-0261-02 ? September 2019

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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: JFKJRI 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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5 5 5 8 10 11 12 13 14 14 17 31

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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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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

163

164

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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 Johnson Rehabilitation Institute. 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 Johnson Rehabilitation Institute 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 Johnson Rehabilitation Institute Service Area" or the "JFKJRI Service Area" in this report) is defined as each of the residential ZIP Codes comprising the primary service area of JFK Johnson Rehabilitation Institute. This community definition, determined based on the ZIP Codes of residence of recent patients of JFK Johnson Rehabilitation Institute, is illustrated in the following map.

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COMMUNITY HEALTH NEEDS ASSESSMENT

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 mixed-mode methodology was implemented. This included surveys conducted via telephone (landline and cell phone), as well as through online questionnaires.

The sample design used for this effort consisted of a random sample of 368 individuals age 18 and older in the JFKJRI Service Area. Because this study is part of a larger effort involving multiple regions and hospital service areas, the surveys were distributed among various strata. Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent the JFKJRI Service Area as a whole. 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 368 respondents is ? 5.1% 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

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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 JFKJRI Service Area 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 healthcare needs, and these children are not represented demographically in this chart.]

Population & Survey Sample Characteristics

(JFKJRI Service Area, 2019)

100%

Actual Population

Final Survey Sample

80%

60%

Other races include:

Black

14.6%

Asian

12.7%

American Native 1.3%

Multiple/Other 0.4%

48.3% 47.3%

51.7% 52.7% 38.8% 39.7% 43.3% 43.1% 17.9% 17.2% 53.7% 54.4% 29.4% 29.0% 16.9% 16.6% 22.4% 21.8%

40%

20%

0%

Sources: Notes:

Men

Women

18 to 39

40 to 64

65+

White

Other

(Non-Hisp) (Non-Hisp)

U.S. Census Bureau, 2011-2015 American Community Survey. 2019 PRC Community Health Survey, PRC, Inc. FPL is federal poverty level, based on guidelines established by the US Department of Health & Human Services.

Hispanic ................
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