Ocean County Community Health Needs Assessment Data …

Ocean County Community Health Needs Assessment

Data Book 2013

Ocean County Community Health Needs Assessment 2013

Table of Contents____________________________________

Executive Summary............................................................... 7

Introduction.......................................................................... 19

Ocean County Health Advisory Group..................................................... 19 Healthy NJ 2020 Overarching Goals ...................................................... 22 Ocean County Dashboard of Measures for Data Collection........................ 23 MAPP Process Assessment Overview..................................................... 24 Ocean County Highlights from 2007 Community Health Needs Assessment.. 26

Section 1: Ocean County Quick Fact Sheet...............................28

Section 2: Demographic Profile................................................29

Section 3: Healthy NJ 2020 Leading Health Indicators

a) Maternal, Infant and Child Health........................................................ 35-47 b) Access to Care................................................................................ 48-60 c) Vaccination Rates............................................................................. 61-63 d) Clinical Preventative Services............................................................ 64-67 e) Injury............................................................................................ 68-70 f ) Environmental Health...................................................................... 71-73 g) Substance Abuse........................................................................... 74-76 h) Mental Health................................................................................. 77-78

Section 4: Mortality Rates..........................................

79

Section 5: Morbidity Rates-Communicable Diseases......

82

Section 6: Healthy Behaviors.......................................

91

Section 7: Overall Health System Assessment...............

96

Reference Sources.......................................................

102

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List of Tables______________________________________________

Section 1: Quick Fact Sheet........................................................... 28

Section 2: Demographic Profile

* Population Distribution in Ocean County 2010.................................................. 29 * Age and Sex Distribution 2010....................................................................... 30 * County Population by Race/Ethnicity............................................................... 31 * Socio-Economic Profile.................................................................................. 32 * Ocean County Population Growth...................................................................... 33 * Ocean County Municipalities Map....................................................................... 34

Section 3: Healthy NJ 2020 Leading Health Indicators by Age Group

Maternal, Infant and Child Health

* Birth rate in Ocean County............................................................................ 35 * Ocean County Municipalities with highest birth rate..................................................... 36 * Birth rate by Race/Ethnicity............................................................. ............. 37 * Percentage of women receiving early prenatal care............................................ 38 * Low Birth-Weight Infants ................................................................ ............. 39 * Very Low Birth- Weight Infants........................................................................... 40 * Women enrolled in the WIC Program-First Trimester.......................................... 41 * Breastfeeding Rates in the Ocean County WIC Program............................................. 42 * WIC Program Participation in Ocean County.................................................. . 43 * Teen Pregnancy 2000-2008............................................................................. 44 * Teen Pregnancy by Township 2010................................................................... 45 * Lead Testing 2000-2011................................................................................... 46 * Autism Rates by Ethnicity 2010.......................................................................... 47 * Early Intervention Diagnosis 2007-2011............................................................ 47

Access to Health Services

* Primary Care Provider Rate.......................................................................... 48 * Overall Hospital Admissions per Age Group .................................................... 49 * Overall ED Treat & Release per Age Group........................................................... 50

Infants and Children from 0-17 years of age

* Leading Hospital Admission Diagnosis for 2008-2010.............................................. 51 * Leading ED Diagnosis (Treat & Release) 2008-2010........................................... 52 * Top 10 Health Center Visits by Municipality 2009-2011....................................... 53 * Top Diagnosis for Health Center Visits 2009-2011.............................................. 54 *Oral Health Utilization in Health Centers 2009-2001..................................................... 55 * Insurance Utilization in Hospitals and Health Centers......................................... 56

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Adolescents and Adults 18-64 years of age * Leading Reasons for Hospital Admissions including ED Admits 2008-2010............. 57 * Leading ED Diagnosis (Treat & Release) 2008-2010................................................... 57 * Top Diagnosis for Health Center Visits 2009-2011.............................................. 58 * Insurance Utilization in Hospitals and Health Centers 2008-2010.......................... 58

Adults' 65 years and older * Leading for Hospital Admissions including ED Admits 2008-2010.......................... 58 * Leading Emergency Department Diagnosis (Treat & Release) 2008-2010............... 58 * Top Reasons for Health Center Visits 2009-2011................................................. 59 * Insurance Utilization in Hospitals and Health Centers 2008-2010........................... 59

Vaccination Rates

* Preventative Vaccine for Children 2000-2011Rates............................................ 61 * Seasonal Immunization Totals in Ocean County 2000-2011................................. 63 * Pneumonia Vaccination Totals 2000-2011........................................................... 63

Clinical Preventative Services

* Diabetes Screening. ...................................................................................... 64 * Colorectal Cancer Screening........................................................................ 65 * Mammography Screening........................................................................... 66 * Pap Smear Screening ............................................................................... 67 * Prostate Antigen Screening......................................................................... 67

Injury

* Injury and Poison Admissions for 00-17 year olds 2008-2010.............................. 68 * Injury and Poison Admissions for 18-64 year olds 2008-2010................................. 68 * Injury and Poison Admissions for 65 plus and older 2008-2010........................... 69 * Unintentional injury rates 2000-2008.............................................................. 69

Environmental Health

* Air Pollution Trend by Year 2002- 2011............................................................ 71 * PNC/Lead Investigations 2002-2011............................................................... 72 * Food Establishments Inspections 2002-2011.................................................... 73

Substance Abuse

* Drug Abuse Violations in Ocean County......................................................... 74 * Treatment Admissions................................................................................. 75 * Drug of Choice ........................................................................................... 75

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* Age and Ethnicity of clients in treatment programs............................................. 76

Mental Health

* Mental Health Board 2012 Needs Assessment................................................... 77

Section 4: Mortality Rates

Mortality Rates

* Top Infant Mortality Rates 2007.................................................................... 79 * Top 10 Mortality Diseases in Ocean County 2000-2007.................................... 79 * Diseases of the Heart................................................................................. 80 * Diabetes, Prostate and Breast Cancer......................................................... 80-81

Selection 5: Morbidity Rates-Communicable Diseases

Morbidity Rates- Communicable Diseases

* Communicable Disease by Year 2002-2010..................................................... 82 * Salmonellosis 2000-2010................................................................ ............ 83 * Lyme Disease 2000-2010............................................................................. 84 * Campylobacteriosis......................................................................................... 85 * Shigellosis................................................................................................. 86 * Chlamydia ................................................................................................ 87 * Gonorrhea................................................................................................. 88 * Syphilis (Primary and Secondary)................................................................... 89 * HIV Case-Fatality rate................................................................................... 90

Section 6: Healthy Behaviors

Healthy Behaviors * Community Health Survey Summaries........................................................... 91

Section 7: Overall Health System Assessment

Local Public Health System Assessment

* CDC Health System Assessment Report................................................................ 96

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