UCLA Medical Center, Santa Monica

2016

UCLA Medical Center, Santa Monica

Community Health Needs Assessment

Table of Contents

Executive Summary ....................................................................................................................4

Introduction ...............................................................................................................................14 Background and Purpose...................................................................................................14 Service Area ......................................................................................................................14 Project Oversight ...............................................................................................................16 Consultant .........................................................................................................................16

Methods ....................................................................................................................................17 Secondary Data Collection.................................................................................................17 Primary Data Collection .....................................................................................................17 Information Gaps ...............................................................................................................19 Public Comment ................................................................................................................19

Identification of Significant Health Needs ..................................................................................20 Review of Primary and Secondary Data.............................................................................20 Significant Health Needs....................................................................................................20 Resources to Address Significant Needs ...........................................................................20

Priority Health Needs ................................................................................................................21 Impact Evaluation ..............................................................................................................22

Community Demographics ........................................................................................................23

Population ..........................................................................................................................23 Race/Ethnicity ....................................................................................................................25 Language ...........................................................................................................................25

Social and Economic Factors ....................................................................................................28 Social and Economic Factors Ranking...............................................................................28 Poverty ..............................................................................................................................28 Households ........................................................................................................................29 Households by Type ..........................................................................................................30 Free or Reduced Price Meals ............................................................................................31 Public Program Participation ..............................................................................................31 Unemployment ...................................................................................................................32 Educational Attainment ......................................................................................................32 Community Input ? Social and Economic Factors ..............................................................33 Homelessness ...................................................................................................................34 Community Input ? Housing and Homelessness ................................................................35 Crime and Violence............................................................................................................36 Community Input ? Community Safety ...............................................................................37

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Health Care Access ..................................................................................................................38

Health Insurance Coverage ...............................................................................................38 Sources of Care .................................................................................................................40 Barriers to Care .................................................................................................................41 Access to Primary Care Community Health Centers ..........................................................41 Delayed Care.....................................................................................................................42 Community Input ? Access to Care ....................................................................................42 Dental Care .......................................................................................................................44 Community Input ? Dental Care .........................................................................................44

Birth Characteristics ..................................................................................................................46

Births .................................................................................................................................46 Teen Birth Rate..................................................................................................................46 Prenatal Care.....................................................................................................................47 Low Birth Weight................................................................................................................48 Infant Mortality ...................................................................................................................49 Breastfeeding.....................................................................................................................49

Mortality/Leading Causes of Death ...........................................................................................50

Leading Causes of Premature Death .................................................................................50 Death Rate ........................................................................................................................50 Leading Causes of Death...................................................................................................50 Heart Disease Mortality......................................................................................................52 Cancer Mortality.................................................................................................................53 Stroke Mortality..................................................................................................................54 Lung Disease Mortality ......................................................................................................55 Alzheimer's Disease Mortality ............................................................................................56 Pneumonia and Influenza Mortality ....................................................................................57

Chronic Disease........................................................................................................................58

Health Status .....................................................................................................................58 Disability ............................................................................................................................58 Asthma ..............................................................................................................................58 Diabetes ............................................................................................................................59 Heart Disease ....................................................................................................................59 High Blood Pressure ..........................................................................................................59 Cancer ...............................................................................................................................60 HIV/AIDS ...........................................................................................................................60 Sexually Transmitted Diseases ..........................................................................................61 Teen Sexual History...........................................................................................................61 Hospitalization and ER Rates by Diagnosis .......................................................................61 Community Input ? Chronic Disease ..................................................................................62

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Health Behaviors.......................................................................................................................64 Health Behaviors Ranking..................................................................................................64 Overweight and Obese ......................................................................................................64 Fast Food ..........................................................................................................................65 Soda Consumption ............................................................................................................66 Fruit Consumption..............................................................................................................66 Access to Fresh Produce ...................................................................................................66 Physical Activity .................................................................................................................66 Community Input ? Overweight and Obesity ......................................................................67

Mental Health and Substance Abuse ........................................................................................68 Mental Health.....................................................................................................................68 Community Input ? Mental Health ......................................................................................69 Tobacco/Alcohol/Drug Use ................................................................................................70 Cigarette Smoking .............................................................................................................70 Alcohol and Drug Use ........................................................................................................70 Community Input ? Substance Abuse ................................................................................71

Preventive Practices .................................................................................................................73 Flu and Pneumonia Vaccines ............................................................................................73 Immunization of Children ...................................................................................................73 Mammograms ....................................................................................................................74 Pap Smears .......................................................................................................................74 Colorectal Cancer Screening .............................................................................................74 Community Input ? Preventive Practices............................................................................74

Community Input .......................................................................................................................76 Additional Comments or Concerns.....................................................................................76

Attachment 1. Community Stakeholder Interviewees ................................................................78

Attachment 2. Community Resources .......................................................................................79

Attachment 3. Impact Evaluation...............................................................................................81

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Executive Summary

UCLA Medical Center, Santa Monica is a part of UCLA Health, a world-renowned, nonprofit academic medical center located in Los Angeles, California. UCLA Health has undertaken a Community Health Needs Assessment (CHNA) as required by state and federal law. California Senate Bill 697 and the Patient Protection and Affordable Care Act and IRS section 501(r) (3) direct tax-exempt hospitals to conduct a Community Health Needs Assessment and develop an Implementation Strategy every three years.

UCLA Medical Center, Santa Monica is located at 1250 16th Street, Santa Monica, California 90404. The service area includes 28 zip codes, representing 18 cities or communities, exclusively in Service Planning Area (SPA) 5 of Los Angeles County.

UCLA Health Service Area

Geographic Area

Zip Code

Bel Air

90077

Beverly Hills

90210, 90211, 90212

Brentwood Century City

90049 90067

Culver City

90230, 90232

Ladera Heights

90056

Malibu

90263, 90265

Marina del Rey Pacific Palisades

90292 90272

Palms

90034

Playa del Rey

90293

Playa Vista

90094

Santa Monica

90401, 90402, 90403, 90404, 90405

Venice / Mar Vista West Los Angeles

90066, 90291 90025, 90035, 90064

Westchester

90045

Westwood

90024

Methods

Secondary Data Collection Secondary data were collected from a variety of local, county, and state sources to present community demographics, social and economic factors, health care access, birth characteristics, leading causes of death, chronic disease, health behaviors, mental health and substance abuse and preventive practices. These data are presented in the context of Los Angeles County and California State, framing the scope of an issue as it relates to the broader community. The report also includes benchmark comparison data that measures UCLA Medical Center, Santa Monica data findings with Healthy People 2020 objectives.

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