Community Health Needs Assessment - Methodist Hospital For … · 2019-12-20 · For the 2019 assessment, the community includes the geographic area where at least 75% of the hospital

Community Health Needs Assessment

Methodist Hospital for Surgery

Approved by: Methodist Hospital for Surgery Board of Directors on October 24, 2019

Posted to www.methodisthealthsystem.org/about/communityinvolvement by Decemeber 31, 2019

Page 2 of 54

Table of ContentsMethodist Health System.............................................................................................. 4

Compassionate Healthcare ................................................................................................. 4Mission, Vision, and Values of Methodist Health System ................................................. 4

Executive Summary ...................................................................................................... 5Community Health Needs Assessment Requirement ................................................ 7CHNA Overview, Methodology and Approach............................................................ 8

Consultant Qualifications & Collaboration......................................................................... 8Community Served Definition ............................................................................................. 8Assessment of Health Needs .............................................................................................. 9Quantitative Assessment of Health Needs – Methodology and Data Sources ................ 9Qualitative Assessment of Health Needs and Community Input – Approach.................10Methodology for Defining Community Need.....................................................................14Information Gaps ................................................................................................................15Approach to Identify and Prioritize Significant Health Needs..........................................15Selecting the Health Needs to be Addressed by Methodist .............................................16Existing Resources to Address Health Needs ..................................................................16

Methodist Health System Community Health Needs Assessment ......................... 17Demographic and Socioeconomic Summary....................................................................17Public Health Indicators .....................................................................................................28Watson Health Community Data ........................................................................................28Focus Groups & Interviews................................................................................................32Prioritized Significant Health Needs..................................................................................33Health Needs to be Addressed by Methodist ....................................................................34Description of Significant Health Needs............................................................................35

Food Insecurity ................................................................................................................................... 35Poverty ...............................................................................................................................................35

Summary..............................................................................................................................36

Appendix A: Key Health Indicator Sources .............................................................. 37Appendix B: Community Resources Identified to Potentially Address Significant Health Needs ............................................................................................................... 42Appendix C: Federally Designated Health Professional Shortage Areas and Medically Underserved Areas and Populations ....................................................... 44

Health Professional Shortage Areas (HPSA).....................................................................45



Methodist Health SystemCommunity Health Needs Assessment

Page 3 of 54

Medically Underserved Areas and Populations (MUA/P) .................................................47

Appendix D: Public Health Indicators Showing Greater Need When Compared to State Benchmark......................................................................................................... 48Appendix E: Evaluation of Prior Implementation Strategy Impact ......................... 53

Methodist Hospital for Surgery 4


Page 4 of 54

Methodist Health System

Compassionate Healthcare

The Methodist ministers and civic leaders who opened our doors in 1927 couldn’t have imagined where Methodist Health System would be today. From humble beginnings, our renowned health system has become one of the leading healthcare providers in North Texas.

But all of our growth, advancements, accreditation, awards, and accomplishments have been earned under the guidance of their founding principles: life, learning, and compassion. We’re still growing, learning, and improving — grounded in a proud past and looking ahead to an even brighter future.

Whatever your medical need, we are honored that you would entrust us with your health and safety. We understand that we have a solemn responsibility to you and your family, and you can trust that our team takes that commitment very seriously.

Mission, Vision, and Values of Methodist Health System

Mission

To improve and save lives through compassionate quality healthcare.

Vision for the Future

To be the trusted choice for health and wellness.

Core Values

Methodist Health System core values reflect our historic commitment to Christian concepts of life and learning:

• Servant Heart – compassionately putting others first

• Hospitality – offering a welcoming and caring environment

• Innovation – courageous creativity and commitment to quality

• Noble – unwavering honesty and integrity

• Enthusiasm – celebration of individual and team accomplishment

• Skillful – dedicated to learning and excellence



Page 5 of 54

Executive Summary

Methodist Health System (Methodist) understands the importance of serving the health needs of its communities. To do that successfully, we must first take a comprehensive look at the issues our patients, their families, and neighbors face when making healthy life choices and health care decisions.Beginning in June 2018, the organization began the process of assessing the current health needs of the communities it serves. IBM Watson Health (WatsonHealth) was engaged to help collect and analyze the data for this process and to compile a final report made publicly available on September 30, 2019.Methodist owns and operates multiple individually licensed hospital facilities serving the residents of North Texas. This assessment applies to the following Methodist hospital facility:

• Methodist Hospital for SurgeryFor the 2019 assessment, the community includes the geographic area where at least 75% of the hospital facility’s admitted patients live. Methodist Hospital for Surgerydefined their community as the geographical area of Dallas, Collin, and DentonCounties. This hospital facility provided a Community Health Needs Assessment (CHNA) report in accordance with Treasury Regulations and 501(r) of the Internal Revenue Code.Watson Health examined over 102 public health indicators and conducted a benchmark analysis of the data comparing the community to overall state of Texas and United States (U.S.) values. For a qualitative analysis, and in order to get input directly from the community, focus groups and key informant interviews were conducted. Interviewsincluded input from state, local, or regional governmental public health departments (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community as well as individuals or organizations serving and/or representing the interests of medically underserved, low-income, and minority populations in the community.Needs were first identified when it was determined which indicators for the community did not meet the state benchmarks. A need differential analysis was conducted on all of the indicators not meeting benchmarks to determine relative severity by using thepercent difference from benchmark. The outcome of this quantitative analysis was then aligned with the qualitative findings of the community input sessions to create a list of health needs in the community. Each health need received assignment into one of four quadrants in a health needs matrix, this clarified the assignment of severity rankings of the needs. The matrix shows the convergence of needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators) and identifies the top health needs for this community.On May 2, 2019 a prioritization meeting was held with system and hospital leadership in which the health needs matrix was reviewed to establish and prioritize significant needs. The meeting was moderated by Watson Health and included an overview of the



Page 6 of 54

Methodist CHNA process, summary of qualitative and quantitative findings, and a review of the identified community health needs.Participants identified the significant health needs through review of the health needsmatrix, discussion, and a consensus process. Once the significant health needs were established, participants rated the needs using a set of prioritization criteria. The sum of the criteria scores for each need created an overall score that was the basis of the prioritized order of significant health needs.The meeting participants subsequently evaluated the prioritized health needs against a set of selection criteria in order to determine which needs would be addressed by the hospital facility. A description of the selected needs is included in the body of this report. Each facility developed an individual implementation strategy with specific initiatives aimed at addressing the selected health needs. The implementation strategy will be completed and adopted by the hospital facility on or before February 15, 2020. The needs to be addressed by Methodist Hospital for Surgery are as follows:

• Poverty• Food Insecurity

As part of the assessment process, community resources were identified, including facilities/organizations, that may be available to address the significant needs in the community. These resources are in the appendix of this report.An evaluation of the impact and effectiveness of interventions and activities outlined in the implementation strategy drafted after the prior assessment is also included in Appendix E of this document. The CHNA for Methodist Hospital for Surgery has been presented and approved by the Vice President of Strategic Planning, Methodist Health System Senior Executive Management team and Methodist Health System’s Board of Directors. The full assessment is available for download at no cost to the public on Methodist’s website,visit www.methodisthealthsystem.org/about/communityinvolvement.This assessment and corresponding implementation strategy meet the requirements for community benefit planning and reporting as set forth in state and federal laws, including but not limited to: Texas Health and Safety Code Chapter 311 and Internal Revenue Code Section 501(r).



Page 7 of 54

Community Health Needs Assessment Requirement

As a result of the Patient Protection and Affordable Care Act (PPACA), all tax-exempt organizations operating hospital facilities are required to assess the health needs of their community through a Community Health Needs Assessment (CHNA) once every three years.The written CHNA Report must include descriptions of the following:

• The community served and how the community was determined• The process and methods used to conduct the assessment including sources

and dates of the data and other information as well as the analytical methodsapplied to identify significant community health needs

• How the organization took into account input from persons representing thebroad interests of the community served by the hospital, including a descriptionof when and how the hospital consulted with these persons or the organizationsthey represent

• The prioritized significant health needs identified through the CHNA as well as adescription of the process and criteria used in prioritizing the identified significantneeds

• The existing healthcare facilities, organizations, and other resources within thecommunity available to meet the significant community health needs

• An evaluation of the impact of any actions that were taken, since the hospitalfacility(s) most recent CHNA, to address the significant health needs identified inthat last CHNA

PPACA also requires hospitals to adopt an Implementation Strategy to address prioritized community health needs identified through the assessment. An Implementation Strategy is a written plan that addresses each of the significant community health needs identified through the CHNA and is a separate but related document to the CHNA report.The written Implementation Strategy must include the following:

• List of the prioritized needs the hospital plans to address and the rationale for notaddressing other significant health needs identified

• Actions the hospital intends to take to address the chosen health needs• The anticipated impact of these actions and the plan to evaluate such impact

(e.g. identify data sources that will be used to track the plan’s impact)• Identify programs and resources the hospital plans to commit to address the

health needs• Describe any planned collaboration between the hospital and other facilities or

organizations in addressing the health needs


Page 8 of 54

CHNA Overview, Methodology and Approach

Methodist began the 2019 CHNA process in June of 2018 and partnered with Watson Health to complete a CHNA for Methodist Hospital for Surgery.

Consultant Qualifications & Collaboration

Watson Health delivers analytic tools, benchmarks, and strategic consulting services to the healthcare industry, combining rich data analytics in demographics, including the Community Needs Index, planning, and disease prevalence estimates, with experienced strategic consultants to deliver comprehensive and actionable Community Health Needs Assessments.

Community Served Definition

For the purpose of this assessment, Methodist Hospital for Surgery defined the facility’scommunity using the counties in which at least 75% of patients reside. Using this definition, Methodist Hospital for Surgery has defined their community to be the geographical area of Dallas, Denton, and Collin Counties for the 2019 CHNA.

Community Served Map

Source: Watson Health, 2019



Page 8 of 54

CHNA Overview, Methodology and Approach

Methodist began the 2019 CHNA process in June of 2018 and partnered with WatsonHealth to complete a CHNA for Methodist Hospital for Surgery.

Consultant Qualifications & Collaboration

Watson Health delivers analytic tools, benchmarks, and strategic consulting services to the healthcare industry, combining rich data analytics in demographics, including theCommunity Needs Index, planning, and disease prevalence estimates, withexperienced strategic consultants to deliver comprehensive and actionable CommunityHealth Needs Assessments.

Community Served Definition

For the purpose of this assessment, Methodist Hospital for Surgery defined the facility’scommunity using the counties in which at least 75% of patients reside. Using thisdefinition, Methodist Hospital for Surgery has defined their community to be thegeographical area of Dallas, Denton, and Collin Counties for the 2019 CHNA.

Community Served Map

Source: Watson Health, 2019



Page 9 of 54

Assessment of Health Needs

To identify the health needs of the community, the hospital facility established a comprehensive method of taking into account all available relevant data including community input. The basis of identification of community health needs was the weight of qualitative and quantitative data obtained when assessing the community. Surveyors conducted interviews and focus groups with individuals representing public health, community leaders/groups, public organizations, and other providers. In addition, data collected from several public sources compared to the state benchmark indicated the level of severity.

Quantitative Assessment of Health Needs – Methodology and Data Sources

Quantitative data collection and analysis in the form of public health indicators assessed community health needs, including collection of 102 data elements grouped into 11 categories, and evaluated for the counties where data was available. Since 2016, theidentification of several new indicators included: addressing mental health, health care costs, opioids, and social determinants of health. The categories, indicators, and sources are included in Appendix A.A benchmark analysis, conducted for each indicator collected for the community served, determined which public health indicators demonstrated a community health need from a quantitative perspective. Benchmark health indicators collected included (whenavailable): overall U.S. values; state of Texas values; and goal setting benchmarks such as Healthy People 2020.According to America’s Health Rankings 2018 Annual Report, Texas ranks 37th out of the 50 states. The health status of Texas compared to other states in the nation identified many opportunities to impact health within local communities, including opportunities for those communities that ranked highly. Therefore, the benchmark for the community served was set to the state value.Once the community benchmark was set to the state value, it was determined which indicators for the community did not meet the state benchmarks. This created a subset of indicators for further analysis. A need differential analysis was conducted to understand the relative severity of need for these indicators. The need differential established a standardized way to evaluate the degree each indicator differed from its benchmark. Health community indicators with need differentials above the 50th

percentile were ordered by severity and the highest ranked indicators were the highest health needs from a quantitative perspective. The outcomes of the quantitative data analysis were compared to the qualitative data findings.



Page 10 of 54

Health Indicator Benchmark Analysis Example

Source: IBM Watson Health, 2019

Qualitative Assessment of Health Needs and Community Input – Approach

In addition to analyzing quantitative data, four (4) focus groups with a total of 45participants, as well as 10 key informant interviews, were conducted to take intoaccount the input of persons representing the broad interests of the community served.The focus groups and interviews solicited feedback from leaders and representativeswho serve the community and have insight into community needs.The focus groups familiarized participants with the CHNA process and solicited input tounderstand health needs from the community’s perspective. Focus groups, formattedfor individual as well as small group feedback, helped identify barriers and socialdeterminants influencing the community’s health needs. Barriers and socialdeterminants were new topics added to the 2019 community input sessions.Watson Health conducted key informant interviews for the community served by the hospital. The interviews aided in gaining understanding and insight into participants’concerns about the general health status of the community and the various drivers thatcontributed to health issues.Participation in the qualitative assessment was included from at least one state, local, orregional governmental public health department (or equivalent department or agency)with knowledge, information, or expertise relevant to the health needs of the community,


Page 10 of 54

Health Indicator Benchmark Analysis Example


Qualitative Assessment of Health Needs and Community Input – Approach

In addition to analyzing quantitative data, four (4) focus groups with a total of 45participants, as well as 10 key informant interviews, were conducted to take into account the input of persons representing the broad interests of the community served.The focus groups and interviews solicited feedback from leaders and representatives who serve the community and have insight into community needs.The focus groups familiarized participants with the CHNA process and solicited input to understand health needs from the community’s perspective. Focus groups, formatted for individual as well as small group feedback, helped identify barriers and social determinants influencing the community’s health needs. Barriers and social determinants were new topics added to the 2019 community input sessions.Watson Health conducted key informant interviews for the community served by the hospital. The interviews aided in gaining understanding and insight into participants’ concerns about the general health status of the community and the various drivers that contributed to health issues.Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community,



Page 11 of 54

as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers ensured that the input received represented the broad interests of the community served. A list of the organizations providing input is in the table below.

Community Input Participants

Participant Organization Name Pub

lic H

ealth

Med

ical

ly U

nder

-ser

ved

Low

-inco

me

Chr

onic

Dis

ease

Nee

ds

Min

ority

Pop

ulat

ions

Gov

ernm

enta

l Pub

lic--

Hea

lth D

ept.

Pub

lic H

ealth

Kno

wle

dge

--E

xper

tise

Agape Clinic X X X X X

Bridge Breast Network X X X X

City of Denton X X X

City of Plano X X X X X

CitySquare X X X X X X

Community Council

Community Lifeline Center X X X X

Cornerstone Baptist Church X X X X X X

D/FW Hindu Temple Society X

Dallas Area Interfaith X X X X

Denton Community Food Center X

Denton County Public Health X X X X X X X

Family Promise of Irving X X

First Refuge Ministries X X X

Frisco Family Services X X

Genesis Women's Shelter & Support X X X X

Giving Hope, Inc. X X X X

Goodwill Industries of Dallas X X


Page 11 of 54

as well as individuals or organizations who served and/or represented the interests ofmedically underserved, low-income and minority populations in the community.Participation from community leaders/groups, public health organizations, otherhealthcare organizations, and other healthcare providers ensured that the inputreceived represented the broad interests of the community served. A list of theorganizations providing input is in the table below.

Community Input Participants


lic H

ealth

Med

ical

ly U

nder

-ser

ved

Low

-inco

me

Chr

onic

Dis

ease

Nee

ds

Min

ority

Pop

ulat

ions

Gov

ernm

enta

l Pub

lic

--H

ealth

Dep

t.

Pub

lic H

ealth

Kno

wle

dge

--E

xper

tise

Agape Clinic X X X X X

Bridge Breast Network X X X X

City of Denton X X X

City of Plano X X X X X

CitySquare X X X X X X

Community Council

Community Lifeline Center X X X X

Cornerstone Baptist Church X X X X X X

D/FW Hindu Temple Society X

Dallas Area Interfaith X X X X

Denton Community Food Center X

Denton County Public Health X X X X X X X

Family Promise of Irving X X

First Refuge Ministries X X X

Frisco Family Services X X

Genesis Women's Shelter & Support X X X X

Giving Hope, Inc. X X X X

Goodwill Industries of Dallas X X



Page 12 of 54


lic H

ealth

Med

ical

ly U

nder

-ser

ved

Low

-inco

me

Chr

onic

Dis

ease

Nee

ds

Min

ority

Pop

ulat

ions

Gov

ernm

enta

l Pub

lic

--H

ealth

Dep

t.

Pub

lic H

ealth

Kno

wle

dge

--E

xper

tise

Goodwill Industries of Fort Worth X X X

Health services of North Texas X X X X

Hope Clinic X X X X

Hope Clinic of McKinney X X X X

Legal Aid of Northwest Texas X

LifePath Systems X X X X

Los Barrios Unidos Community Clinic X X X X X X

Many Helping Hands Ministry X X X X

McKinney City Council X

North Texas Food Bank X X

Office of the County Judge - Dallas County X X X X X X

Our Daily Bread X X

Plano Fire-Rescue X X X X X X

Project Access-Collin County X

Refuge for Women North Texas X

Serve Denton X

Sharing Life Community Outreach Inc X

Society of St. Vincent de Paul of North Texas X X X X

Texas Muslim Women's Foundation X

The Samaritan Inn X

United Way X X X X

United Way Metropolitan Dallas X X X X X

University of North Texas X X X X



Page 13 of 54


lic H

ealth

Med

ical

ly U

nder

-ser

ved

Low

-inco

me

Chr

onic

Dis

ease

Nee

ds

Min

ority

Pop

ulat

ions

Gov

ernm

enta

l Pub

lic

--H

ealth

Dep

t.

Pub

lic H

ealth

Kno

wle

dge

--E

xper

tise

Urban Inter-Tribal Center of Texas X X X X X

Veterans Center of North Texas X X

YMCA X X X X X X

Cancer Care Services X X X X X X

Dallas County Health and Human Services X X X

Metrocare X X X X X X

PCI ProComp Solutions, LLC X X

University of Texas - Dallas X X

Assistance Center of Collin County X X X XDenton County Court Appointed Special Advocates (CASA) X X X

Denton County Food Center X

Methodist Golden Cross Academic Clinic X X X X XThe Visiting Nurse Association of North Texas (VNA) X X X X X X

Note: multiple persons from the same organization may have participated



Page 14 of 54

In addition to soliciting input from public health and various interests of the community, the hospital was also required to consider written input received on their most recently conducted CHNA and subsequent implementation strategies. The assessment is available to receive public comment or feedback on the report findings on the Methodist website (www.methodisthealthsystem.org/about/communityinvolvement) or by [email protected]. To date Methodist has not received written input but continues to welcome feedback from the community.Community input from interviews and focus groups organized the themes around community needs. These themes were compared to the quantitative data findings.

Methodology for Defining Community Need

Using qualitative feedback from the interviews and focus groups, as well as the health indicator data, the issues currently affecting the community served are assembled in the Health Needs Matrix below to help identify the top health needs for the community. The upper right quadrant of the matrix is where the needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators) converge to identify the significant health needs for this community.

The Health Needs Matrix


Page 14 of 54

In addition to soliciting input from public health and various interests of the community,the hospital was also required to consider written input received on their most recentlyconducted CHNA and subsequent implementation strategies. The assessment isavailable to receive public comment or feedback on the report findings on theMethodist website (www.methodisthealthsystem.org/about/communityinvolvement) or by [email protected]. To date Methodist has not received written input butcontinues to welcome feedback from the community.Community input from interviews and focus groups organized the themes aroundcommunity needs. These themes were compared to the quantitative data findings.

Methodology for Defining Community Need

Using qualitative feedback from the interviews and focus groups, as well as the healthindicator data, the issues currently affecting the community served are assembled in theHealth Needs Matrix below to help identify the top health needs for the community. Theupper right quadrant of the matrix is where the needs identified in the qualitative data(interview and focus group feedback) and quantitative data (health indicators) converge to identify the significant health needs for this community.

The Health Needs Matrix



Page 15 of 54


Information Gaps

Most public health indicators were available only at the county level. In evaluating data for entire counties versus more localized data, it was difficult to understand the health needs for specific population pockets within a county. It could also be a challenge to tailor programs to address community health needs, as placement and access to specific programs in one part of the county may or may not actually affect the population who truly need the service. The publicly available health indicator data was supplemented with Watson Health’s ZIP code estimates to assist in identifying specific populations within a community where health needs may be greater.

Approach to Identify and Prioritize Significant Health Needs

In a session held with system and hospital leadership representing Methodist Hospital for Surgery on May 2, 2019, significant health needs were identified and prioritized. Moderated by Watson Health, the meeting included: an overview of the CHNA process for Methodist; the methodology for determining the top health needs; the Methodistprioritization approach; and discussion of the top health needs identified for the community.Prioritization of the health needs took place in two steps. In the first step, participants reviewed the top health needs for their community based on the Health Needs Matrix.The group then reviewed the significant health needs as determined by the upper right quadrant of the matrix and identified other significant needs from other matrix quadrants by leveraging the professional experience and community knowledge of the group via discussion.In the second step, participants ranked the significant health needs based on the following prioritization criteria:

1. Magnitude: The need impacts a large number of people, actually or potentially.2. Severity: What degree of disability or premature death occurs because of the

problem? What are the potential burdens to the community, such as economic orsocial burdens?

3. Vulnerable Populations: There is a high need among vulnerable populationsand/or vulnerable populations are adversely impacted.

4. Root Cause: The issue is a root cause of other problems, thereby possiblyaffecting multiple issues.

Through discussion and consensus, the group rated each of the significant health needs on each of the four identified criteria utilizing a scale of 1 (low) to 10 (high). The criteria scores summed for each need created an overall score. The list of significant health needs was then prioritized based on the overall scores. The outcome of this process, the list of prioritized health needs for this community, is located in the “Prioritized Significant Health Needs” section of the assessment.



Page 16 of 54

The prioritized list of significant health needs was approved by the hospitals’ governing body and the full assessment is available to anyone at no cost. To download a copy, visit www.methodisthealthsystem.org/about/communityinvolvement.

Selecting the Health Needs to be Addressed by Methodist

To choose which of the prioritized health needs Methodist would address through its corresponding implementation plans, the participants representing Methodist Hospital for Surgery collectively as a group rated each of the prioritized significant health needs on the following selection criteria:

1. Expertise & Collaboration: Confirm health issues can build upon existingresources and strengths of the organization. Ability to leverage expertise withinthe organization and resources in the community for collaboration.

2. Feasibility: Ensure needs are amenable to interventions, acknowledge resourcesneeded, and determine if need is preventable.

3. Quick Success & Impact: Ability to obtain quick success and make an impact inthe community.

Through discussion and consensus, the group rated a subset of the prioritized health needs on each of the three identified criteria utilizing a scale of 1 (low) to 10 (high). The criteria scores summed for each need, created an overall score. The list of prioritizedhealth needs was then ranked based on the overall scores. The health needs selected by participants which will be addressed via implementation strategies are located in the “Health Needs to be Addressed by Methodist” section of the assessment.

Existing Resources to Address Health Needs

Part of the assessment process included gathering input on community resources potentially available to address the significant health needs identified through the CHNA. Qualitative assessment participants identified community resources that may assist in addressing the health needs identified for this community. A description of these resources is in Appendix B.



Page 17 of 54

Methodist Health System Community Health Needs Assessment

Demographic and Socioeconomic Summary

According to population statistics, the population in this health community is expected to grow 8% in five years, above the Texas growth rate of 7.1%. The median age was younger than the Texas and national benchmarks. Median income was above both the state and the country. The community served had a lower proportion of Medicaid beneficiaries than the state of Texas.

Demographic and Socioeconomic Comparison:Community Served and State/U.S. Benchmarks

Source: IBM Watson Health / Claritas, 2018; US Census Bureau 2017 (U.S. Median Income)


Page 17 of 54


Demographic and Socioeconomic Summary

According to population statistics, the population in this health community is expected togrow 8% in five years, above the Texas growth rate of 7.1%. The median age wasyounger than the Texas and national benchmarks. Median income was above both thestate and the country. The community served had a lower proportion of Medicaidbeneficiaries than the state of Texas.

Demographic and Socioeconomic Comparison:Community Served and State/U.S. Benchmarks

Source: IBM Watson Health / Claritas, 2018; US Census Bureau 2017 (U.S. Median Income)



Page 18 of 54

The population of the community served is expected to grow 8% by 2023, an increase of more than 358,000 people. The 8% projected population growth is more than the state’s 5-year projected growth rate (7.1%) and much higher when compared to the national projected growth rate (3.5%). The ZIP codes expected to experience the most growth in five years are:

• 75070 McKinney - 12,270 people• 75052 Grand Prairie - 9,059 people• 75002 Allen - 7,892 people

2018 - 2023 Total Population Projected Change by ZIP Code

Source: IBM Watson Health / Claritas, 2018


Page 18 of 54

The population of the community served is expected to grow 8% by 2023, an increaseof more than 358,000 people. The 8% projected population growth is more than thestate’s 5-year projected growth rate (7.1%) and much higher when compared to thenational projected growth rate (3.5%). The ZIP codes expected to experience the mostgrowth in five years are:

• 75070 McKinney - 12,270 people• 75052 Grand Prairie - 9,059 people• 75002 Allen - 7,892 people

2018 - 2023 Total Population Projected Change by ZIP Code




Page 19 of 54

The community’s population skewed younger with 38.4% of the population ages 18-44and 26.0% under age 18. The largest cohort (18-44) is expected to grow by 60,107people by 2023. The age 65 plus cohort was the smallest but is expected to experience the fastest growth (28.7%) over the next five years; adding 138,249 seniors to the community. Growth in the senior population will likely contribute to increased utilization of services as the population continues to age.

Population Distribution by Age2018 Population by Age Cohort Change by 2023



Page 19 of 54

The community’s population skewed younger with 38.4% of the population ages 18-44and 26.0% under age 18. The largest cohort (18-44) is expected to grow by 60,107people by 2023. The age 65 plus cohort was the smallest but is expected to experiencethe fastest growth (28.7%) over the next five years; adding 138,249 seniors to thecommunity. Growth in the senior population will likely contribute to increased utilizationof services as the population continues to age.

Population Distribution by Age2018 Population by Age Cohort Change by 2023




Page 20 of 54

Population statistics are analyzed by race and by Hispanic ethnicity. The largest groups in the community were Non-Hispanic White (40.98%), Hispanic Black (17.23%), and Hispanic White (16.73%). The expected growth rate of the Hispanic population (all races) is over 151,000 people (10.9%) by 2023, while the Non-Hispanic population (all races) is expected to grow by over 206,000 people (6.6%) by 2023.

Population Distribution by Race and Ethnicity

2018 Population by Race 2018 Population by Ethnicity



Page 20 of 54

Population statistics are analyzed by race and by Hispanic ethnicity. The largest groupsin the community were Non-Hispanic White (40.98%), Hispanic Black (17.23%), andHispanic White (16.73%). The expected growth rate of the Hispanic population (allraces) is over 151,000 people (10.9%) by 2023, while the Non-Hispanic population (allraces) is expected to grow by over 206,000 people (6.6%) by 2023.

Population Distribution by Race and Ethnicity

2018 Population by Race 2018 Population by Ethnicity




Page 21 of 54

2018 - 2023 Hispanic Population Projected Change by ZIP Code




Page 22 of 54

The 2018 median household income for the United States was $61,372 compared to$60,397 for the state of Texas. The median household income for the ZIP codes within this community ranged from $21,940 for 75210-Dallas to $169,738 for 75225-Dallas.There were thirty-five (35) ZIP Codes with median household incomes less than $50,200, twice the 2018 Federal Poverty Limit for a family of four:

• 75210 Dallas - $21,940• 75216 Dallas - $26,240• 75247 Dallas - $28,750• 75237 Dallas - $29,606• 76201 Denton - $30,230• 75215 Dallas - $31,213• 75212 Dallas - $34,787• 75203 Dallas - $35,177• 75241 Dallas - $36,316• 75217 Dallas - $36,886• 75231 Dallas - $37,253• 75232 Dallas - $38,650• 75224 Dallas - $39,096• 75227 Dallas - $39,505• 75233 Dallas - $40,741• 75228 Dallas - $41,081• 75223 Dallas - $41,798• 75211 Dallas - $42,165

• 75042 Garland - $42,226• 75243 Dallas - $42,441• 75180 Balch Springs - $43,055• 75240 Dallas - $43,473• 75253 Dallas - $43,956• 75141 Hutchins - $43,968• 75246 Dallas - $43,992• 75041 Garland - $44,881• 75061 Irving - $44,965• 75220 Dallas - $45,016• 76205 Denton - $45,625• 75172 Wilmer - $45,833• 75236 Dallas - $45,849• 75051 Grand Prairie - $46,798• 75149 Mesquite - $48,436• 75150 Mesquite - $49,678• 75254 Dallas - $49,817

2018 Median Household Income by ZIP Code



Page 23 of 54




Page 24 of 54

The majority of the population (52%) were insured through employer sponsored health coverage, sixteen percent (16%) of the community did not have insurance coverage.The remainder of the population was fairly equally divided between Medicaid, Medicare, and private market (the purchasers of coverage directly or through the health insurance marketplace).

2018 Estimated Distribution of Covered Lives by Insurance Category



Page 24 of 54

The majority of the population (52%) were insured through employer sponsored healthcoverage, sixteen percent (16%) of the community did not have insurance coverage.The remainder of the population was fairly equally divided between Medicaid, Medicare,and private market (the purchasers of coverage directly or through the health insurancemarketplace).

2018 Estimated Distribution of Covered Lives by Insurance Category




Page 25 of 54

The community includes 31 Health Professional Shortage Areas and 21 Medically Underserved Areas as designated by the U.S. Department of Health and Human Services Health Resources Services Administration.1 Appendix C includes the details on each of these designations.

Health Professional Shortage Areas and Medically Underserved Areas and Populations

Source: U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018

1 U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018


Page 25 of 54

The community includes 31 Health Professional Shortage Areas and 21 MedicallyUnderserved Areas as designated by the U.S. Department of Health and HumanServices Health Resources Services Administration.1 Appendix C includes the detailson each of these designations.

Health Professional Shortage Areas and Medically Underserved Areas and Populations

Source: U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018

1 U.S. Department of Health and Human Services, Health Resources and Services Administration, 2018



Page 26 of 54

The Watson Health Community Need Index (CNI) is a statistical approach to identifying areas within a community where health disparities may exist. The CNI takes into account vital socio-economic factors (income, cultural, education, insurance andhousing) about a community to generate a CNI score for every populated ZIP code in the United States. The CNI strongly links to variations in community healthcare needs and is an indicator of a community’s demand for various healthcare services. The CNI score by ZIP code identifies specific areas within a community where healthcare needsmay be greater.Overall, the CNI score for the community served was 3.7, higher than the CNI nationalaverage of 3.0, potentially indicating greater health care needs in this community. In portions of the community (Dallas, Garland, Grand Prairie, Irving, Mesquite) the CNI score was greater than 4.8, pointing to potentially more significant health needs amongthe population.

2018 Community Need Index by ZIP Code

County Composite CNIScore

ZIP Map where color shows the Community Need Index on a scale of 0 to 5. Orange color indicates high need areas (CNI = 4 or5); blue color indicates low need (CNI = 1 or 2). Gray colors have needs at the national average (CNI = 3).


Page 26 of 54

The Watson Health Community Need Index (CNI) is a statistical approach to identifyingareas within a community where health disparities may exist. The CNI takes intoaccount vital socio-economic factors (income, cultural, education, insurance andhousing) about a community to generate a CNI score for every populated ZIP code inthe United States. The CNI strongly links to variations in community healthcare needsand is an indicator of a community’s demand for various healthcare services. The CNIscore by ZIP code identifies specific areas within a community where healthcare needsmay be greater.Overall, the CNI score for the community served was 3.7, higher than the CNI nationalaverage of 3.0, potentially indicating greater health care needs in this community. In portions of the community (Dallas, Garland, Grand Prairie, Irving, Mesquite) the CNIscore was greater than 4.8, pointing to potentially more significant health needs amongthe population.

2018 Community Need Index by ZIP Code

County Composite CNI Score

ZIP Map where color shows the Community Need Index on a scale of 0 to 5. Orange color indicates high need areas (CNI = 4 or 5); blue color indicates low need (CNI = 1 or 2). Gray colors have needs at the national average (CNI = 3).



Page 28 of 54

Public Health Indicators

Public health indicators were collected and analyzed to assess community health needs. Evaluation for the community served used 102 indicators. For each health indicator, a comparison between the most recently available community data and benchmarks for the same/similar indicator was made. The basis of the benchmarks wasavailable data for the U.S. and the state of Texas.Where the community indicators showed greater need when compared to the state of Texas comparative benchmark, the difference between the community values and the state benchmark was calculated (need differential). These indicators are in Appendix D. Those highest ranked indicators with need differentials in the 50th percentile ofgreater severity pinpointed community health needs from a quantitative perspective.

Watson Health Community Data

Watson Health supplemented the publicly available data with estimates of localized disease prevalence of heart disease and cancer as well as emergency department visit estimates.Watson Health Heart Disease Estimates identified hypertension as the most prevalent heart disease diagnosis; there were over 1,128,000 estimated cases in the community overall. The ZIP 75070-McKinney had the most estimated cases of Arrhythmia, Hypertension, and Ischemic Heart Disease, while ZIP 75052-Grand Prairie had the most estimated cases of Heart Failure. ZIP 75075-Plano had the highest estimated prevalence rates for Arrhythmia (705 cases per 10,000 population), Hypertension (3,332 cases per 10,000 population), and Ischemic Heart Disease (654 cases per 10,000 population). ZIP 75225-Dallas was the highest for Heart Failure (341 cases per 10,000 population).

2018 Estimated Heart Disease Cases

Bar chart shows total number and prevalence rate of 2018 Estimated Heart Disease cases for each of four types: arrhythmia,heart failure, hypertension, and ischemic heart disease.


Page 28 of 54

Public Health Indicators

Public health indicators were collected and analyzed to assess community healthneeds. Evaluation for the community served used 102 indicators. For each healthindicator, a comparison between the most recently available community data andbenchmarks for the same/similar indicator was made. The basis of the benchmarks wasavailable data for the U.S. and the state of Texas.Where the community indicators showed greater need when compared to the state ofTexas comparative benchmark, the difference between the community values and thestate benchmark was calculated (need differential). These indicators are in AppendixD. Those highest ranked indicators with need differentials in the 50th percentile ofgreater severity pinpointed community health needs from a quantitative perspective.

Watson Health Community Data

Watson Health supplemented the publicly available data with estimates of localizeddisease prevalence of heart disease and cancer as well as emergency department visitestimates.Watson Health Heart Disease Estimates identified hypertension as the most prevalentheart disease diagnosis; there were over 1,128,000 estimated cases in the communityoverall. The ZIP 75070-McKinney had the most estimated cases of Arrhythmia,Hypertension, and Ischemic Heart Disease, while ZIP 75052-Grand Prairie had themost estimated cases of Heart Failure. ZIP 75075-Plano had the highest estimatedprevalence rates for Arrhythmia (705 cases per 10,000 population), Hypertension (3,332 cases per 10,000 population), and Ischemic Heart Disease (654 cases per 10,000population). ZIP 75225-Dallas was the highest for Heart Failure (341 cases per 10,000population).

2018 Estimated Heart Disease Cases

Bar chart shows total number and prevalence rate of 2018 Estimated Heart Disease cases for each of four types: arrhythmia, heart failure, hypertension, and ischemic heart disease.


Page 29 of 54

Note: An individual patient may have more than one type of heart disease. Therefore the sum of all four heart disease types is not a unique count of individuals.

Source: IBM Watson Health, 2018For this community, Watson Health’s 2018 Cancer Estimates revealed the cancersprojected to have the greatest rate of growth in the next five years were pancreatic,bladder, and kidney (based on both population changes and disease rates). The cancers estimated to have the greatest number of new cases in 2018 were breast,prostate, lung, and colorectal cancers.

2018 Estimated New Cancer Cases

Bar chart shows estimated new diagnoses per year for each of the 17 types of Cancer and 1 category for all other cancers.Color shows details about sex with light blue for females and dark blue for males.




Page 29 of 54

Note: An individual patient may have more than one type of heart disease. Therefore the sum of all four heart disease types isnot a unique count of individuals.

Source: IBM Watson Health, 2018For this community, Watson Health’s 2018 Cancer Estimates revealed the cancersprojected to have the greatest rate of growth in the next five years were pancreatic,bladder, and kidney (based on both population changes and disease rates). The cancers estimated to have the greatest number of new cases in 2018 were breast,prostate, lung, and colorectal cancers.


Bar chart shows estimated new diagnoses per year for each of the 17 types of Cancer and 1 category for all other cancers. Color shows details about sex with light blue for females and dark blue for males.



Page 29 of 54

Note: An individual patient may have more than one type of heart disease. Therefore the sum of all four heart disease types isnot a unique count of individuals.

Source: IBM Watson Health, 2018For this community, Watson Health’s 2018 Cancer Estimates revealed the cancers projected to have the greatest rate of growth in the next five years were pancreatic, bladder, and kidney (based on both population changes and disease rates). The cancers estimated to have the greatest number of new cases in 2018 were breast, prostate, lung, and colorectal cancers.


Bar chart shows estimated new diagnoses per year for each of the 17 types of Cancer and 1 category for all other cancers.Color shows details about sex with light blue for females and dark blue for males.




Page 30 of 54

Estimated Cancer Cases and Projected 5 Year Change by Type

Cancer Type 2018 Estimated New Cases

2023 Estimated New Cases 5 Year Growth (%)

Bladder 810 985 21.5%Brain 207 232 12.3%Breast 4,299 5,023 16.8%Colorectal 2,314 2,477 7.0%Kidney 951 1,140 19.9%Leukemia 666 784 17.8%Lung 2,125 2,509 18.1%Melanoma 838 987 17.8%Non Hodgkins Lymphoma 908 1,077 18.7%Oral Cavity 593 704 18.8%Ovarian 291 334 14.7%Pancreatic 694 856 23.3%Prostate 3,476 3,883 11.7%Stomach 377 445 18.1%Thyroid 684 812 18.7%Uterine Cervical 191 205 7.1%Uterine Corpus 620 741 19.4%All Other 2,833 3,379 19.3%Grand Total 22,875 26,573 16.2%




Page 31 of 54

Based on population characteristics and regional utilization rates, Watson Health projected all emergency department (ED) visits in this community to increase by 8.3%over the next 5 years. The highest estimated ED use rate was in the ZIP code of 76201-Denton with 562.4 ED visits per 1,000 residents compared to the Texas state benchmark of 460 visits and the U.S. benchmark of 435 visits per 1,000.These ED visits consisted of three main types: those resulting in an inpatient admission, emergent outpatient treated and released ED visits, and non-emergent outpatient ED visits that were lower acuity. Non-emergent ED visits present to the ED but can be treated in more appropriate and less intensive outpatient settings.Non-emergent outpatient ED visits could be an indication of systematic issues within the community regarding access to primary care, managing chronic conditions, or other access to care issues such as ability to pay. Watson Health estimated non-emergent ED visits to increase by an average of 4.0% over the next five years in this community.

Estimated 2018 Emergency Department Visit Rate

County Benchmark

ZIP map color shows total Emergency Department visits per 1000 popultaion. Orange colors are higher than the state benchmark,blue colors are less than the state benchmark, and gray colors are similar.

Note: These are not actual Methodist ED visit rates. These are statistical estimates of ED visits for the population.Source: IBM Watson Health, 2018


Page 31 of 54

Based on population characteristics and regional utilization rates, Watson Healthprojected all emergency department (ED) visits in this community to increase by 8.3%over the next 5 years. The highest estimated ED use rate was in the ZIP code of 76201-Denton with 562.4 ED visits per 1,000 residents compared to the Texas statebenchmark of 460 visits and the U.S. benchmark of 435 visits per 1,000.These ED visits consisted of three main types: those resulting in an inpatient admission,emergent outpatient treated and released ED visits, and non-emergent outpatient EDvisits that were lower acuity. Non-emergent ED visits present to the ED but can betreated in more appropriate and less intensive outpatient settings.Non-emergent outpatient ED visits could be an indication of systematic issues within thecommunity regarding access to primary care, managing chronic conditions, or otheraccess to care issues such as ability to pay. Watson Health estimated non-emergentED visits to increase by an average of 4.0% over the next five years in this community.

Estimated 2018 Emergency Department Visit Rate

County Benchmark

ZIP map color shows total Emergency Department visits per 1000 popultaion. Orange colors are higher than the state benchmark,blue colors are less than the state benchmark, and gray colors are similar.

Note: These are not actual Methodist ED visit rates. These are statistical estimates of ED visits for the population.Source: IBM Watson Health,



Page 32 of 54

Projected 5 Year Change in Non-Emergent Emergency Department Visits by ZIP Code

This chart show sthe percent change in Emergency Department visits by 2023 at the ZIP level. The average for all ZIPs in the Health Community is labeled. ED visits are defined by the presence of specific CPT® codes in claims. Non-emergency visits to the ED do not necessarily require treatment in a hospital emergency department and can potentially be reated in a fast-track ED, an urgent care treatment center, or a clinical or a physician’s private office.

Note: These are not actual Methodist ED visit rates. These are statistical estimates of ED visits for the population.Source: IBM Watson Health, 2018



Page 33 of 54

Focus Groups & Interviews

Methodist worked jointly with Baylor Scott & White Health, Parkland Health & Hospital System, and Texas Health Resources hospital facilities in collecting and sharing qualitative data (community input) on the health needs of this community. In the focus group sessions and interviews, participants identified and discussed the factors that contribute to the current health status of the community, and then identified the greatest barriers and strengths that contribute to the overall health of the community. For this health community there were four (4) focus group sessions with a total of 45 participants and ten (10) interviews were conducted July 2018 through March2019.This health community contained many disparate populations and included urban areas with high poverty levels, wealthy suburbs, housing shortages, and agricultural areas. Dallas County contained growth areas as well as concentrated poverty and segregation, Denton was a growing region recently ranked the healthiest county in Texas but fragmented, and Collin County was a fast-growing, increasingly diverse area with a high cost of living.Public transportation was extremely limited in most of the health community, and compounded challenges to residents without a car. The focus groups described community poverty, generational habits, and limited healthy eating habits. The food pantries were working to alleviate hunger and to provide healthier and fresh food options, but language and culture were barriers to developing trust and increased access. There were food deserts in all three counties, and some residents used local convenience stores and inexpensive fast food frequently, both poor nutrition options.Participants who worked with the community said that hunger metrics were getting worse and many parts of the area lacked access to healthy food options. One of the primary barriers to good health in Dallas County and other parts of this health community was the lack of living wage jobs to pay for insurance, health services, and healthy food. Denton County lacked affordable housing for its vulnerable populations, especially low-income families, seniors on a fixed income, and people with disabilities. This has led to a growing homeless population living in crisis mode. Many residents worked but didn’t have health insurance, part of the “working poor” population. Even if residents did have insurance coverage, many were hourly workers and could not afford taking time off to manage health needs.Participants identified service gaps in all clinical areas; primary, maternal, vision, dental, specialty, and behavioral health care were the most acute. The needs for more mental health services were frequently mentioned as a high need area, especially for low income residents; there was limited coordination of available services, the topic was highly stigmatized, very few services were available, and it affected all age groups. Interview participants shared that drug issues disproportionately affected the younger people in the community, and frequently linked to mental health needs.Focus groups shared that the diversity in the community also presented barriers to good health. Cultural and historical habits in the immigrant populations and lack of cultural



Page 34 of 54

sensitivity in providers contributed to a culture of distrust of outsiders. Combined with very limited public transportation, food deserts, and lack of insurance, many residents had no access to preventive services or primary care and used the ED for non-emergent medical services.

Prioritized Significant Health Needs

The Health Needs Matrix identified through the community health needs assessment (see Methodology for Defining Community Need section) shows the convergence of needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators). The significant health needs for this community were identified, reviewed, and prioritized by Methodist leadership (see Approach to Identify and Prioritize Significant Health Needs section) and the resulting prioritized health needs for this community were:

Significant Community Health Needs Identified

Priority Needs Identified Category of Need Public Health Indicator

1 Food Insecurity Environment Food Insecurity (Hunger)

2 Alcohol Abuse Health Behaviors -Substance Abuse

Adults Engaging in Binge Drinking During the Past 30 Days


Motor Vehicle Driving Deaths with Alcohol Involvement

2 Drug Overdose Deaths

Health Behaviors -Substance Abuse Drug Poisoning Death Rate

3 Diabetes Chronic Conditions Diabetes Short-term Complications Admission: Pediatric (Risk Adjusted)

4 Housing Environment Severe Housing Problems

4 Housing Environment Renter-Occupied Housing

5 Drug Overdose Deaths - Opioids

Health Behaviors -Substance Abuse

Accidental Poisoning Deaths where Opioids were Involved

6 Uninsured Population Access to Care Percent of Population under Age 65 without

Health Insurance

6 Uninsured Population Access to Care Uninsured Children

7 Poverty Social Determinants of Health Individuals Living Below the Poverty Level

7 Poverty Social Determinants of Health Children in Poverty

7 Poverty Social Determinants of Health

Children Eligible for Free Lunch Enrolled in Public Schools

8 Air Quality Environment Air Pollution - Particulate Matter Daily Density

9 Transportation Access to Care No Vehicle Available


Page 34 of 54

sensitivity in providers contributed to a culture of distrust of outsiders. Combined with very limited public transportation, food deserts, and lack of insurance, many residents had no access to preventive services or primary care and used the ED for non-emergent medical services.

Prioritized Significant Health Needs

The Health Needs Matrix identified through the community health needs assessment (see Methodology for Defining Community Need section) shows the convergence of needs identified in the qualitative data (interview and focus group feedback) and quantitative data (health indicators). The significant health needs for this community were identified, reviewed, and prioritized by Methodist leadership (see Approach to Identify and Prioritize Significant Health Needs section) and the resulting prioritized health needs for this community were:

Significant Community Health Needs Identified


1 Food Insecurity Environment Food Insecurity (Hunger)


Adults Engaging in Binge Drinking During the Past 30 Days


Motor Vehicle Driving Deaths with Alcohol Involvement

2 Drug Overdose Deaths

Health Behaviors -Substance Abuse Drug Poisoning Death Rate

3 Diabetes Chronic Conditions Diabetes Short-term Complications Admission: Pediatric (Risk Adjusted)

4 Housing Environment Severe Housing Problems

4 Housing Environment Renter-Occupied Housing

5 Drug Overdose Deaths - Opioids

Health Behaviors -Substance Abuse

Accidental Poisoning Deaths where Opioids were Involved

6 Uninsured Population Access to Care Percent of Population under Age 65 without

Health Insurance

6 Uninsured Population Access to Care Uninsured Children

7 Poverty Social Determinants of Health Individuals Living Below the Poverty Level

7 Poverty Social Determinants of Health Children in Poverty

7 Poverty Social Determinants of Health

Children Eligible for Free Lunch Enrolled in Public Schools

8 Air Quality Environment Air Pollution - Particulate Matter Daily Density

9 Transportation Access to Care No Vehicle Available



Page 35 of 54


9 CardiovascularDisease Chronic Conditions Atrial Fibrillation in Medicare Population

9 CardiovascularDisease Chronic Conditions Hyperlipidemia in Medicare Population

10 Cancer Cancer Cancer Incidence - Female Breast

10 Cancer Cancer Cancer Incidence - Prostate

10 Language Barriers Social Determinantsof Health Non-English Speaking Households

11 Mental Health Mental Health Depression in Medicare Population

11 Mental Health Mental Health Schizophrenia and Other PsychoticDisorders in Medicare Population

12 Perforated AppendixAdmission

Preventable Hospitalizations

Perforated Appendix Admission: Pediatric(Risk-Adjusted Rate for Appendicitis)



Perforated Appendix Admission: Adult(Risk-Adjusted Rate per 100 Admissions forAppendicitis)

13 Primary Care Access to Care Ratio of Population to one Non-Physician Primary Care Provider

14 Social Isolation Social Determinantsof Health Social Associations/Memberships

15 Infant and Child Mortality

Injury and Death -Children Infant Mortality Rate


Injury and Death -Children Child Mortality Rate


Health Needs to be Addressed by Methodist

Using the approach outlined in the methodology section of this report (see Selecting theHealth Needs to be Addressed by Methodist section), participants from MethodistHospital for Surgery collectively rated, ranked, and selected the following significantneeds to be addressed by implementation strategies:

1. Poverty2. Food Insecurity


Page 35 of 54


9 CardiovascularDisease Chronic Conditions Atrial Fibrillation in Medicare Population

9 CardiovascularDisease Chronic Conditions Hyperlipidemia in Medicare Population



10 Language Barriers Social Determinantsof Health Non-English Speaking Households


11 Mental Health Mental Health Schizophrenia and Other PsychoticDisorders in Medicare Population



Perforated Appendix Admission: Pediatric(Risk-Adjusted Rate for Appendicitis)



Perforated Appendix Admission: Adult(Risk-Adjusted Rate per 100 Admissions forAppendicitis)


14 Social Isolation Social Determinantsof Health Social Associations/Memberships







Using the approach outlined in the methodology section of this report (see Selecting the Health Needs to be Addressed by Methodist section), participants from Methodist Hospital for Surgery collectively rated, ranked, and selected the following significant needs to be addressed by implementation strategies:



Page 35 of 54


9 Cardiovascular Disease Chronic Conditions Atrial Fibrillation in Medicare Population

9 Cardiovascular Disease Chronic Conditions Hyperlipidemia in Medicare Population



10 Language Barriers Social Determinants of Health Non-English Speaking Households


11 Mental Health Mental Health Schizophrenia and Other Psychotic Disorders in Medicare Population

12 Perforated Appendix Admission


Perforated Appendix Admission: Pediatric (Risk-Adjusted Rate for Appendicitis)

12 Perforated Appendix Admission


Perforated Appendix Admission: Adult (Risk-Adjusted Rate per 100 Admissions for Appendicitis)


14 Social Isolation Social Determinants of Health Social Associations/Memberships







Using the approach outlined in the methodology section of this report (see Selecting theHealth Needs to be Addressed by Methodist section), participants from MethodistHospital for Surgery collectively rated, ranked, and selected the following significantneeds to be addressed by implementation strategies:




Page 36 of 54

Description of Significant Health Needs

The CHNA process identified significant community health needs that can be categorized as issues related to poverty and food access. Regionalized health needs affect all age levels to some degree; however, it is often the most vulnerablepopulations that are negatively affected. Community health gaps help to define the resources and access to care within the county or region. Health and social concerns were validated through key informant interviews, focus groups and county data. The health needs selected by Methodist to be addressed are briefly described below with public health indicator and benchmark information.

Food Insecurity

Food insecurity is a measurement of the prevalence of hunger in the community; it reflects the percentage of the population who did not have access to a reliable source of food. The CHNA identified concerns around food access and nutrition. Lacking consistent access to food is related to negative health outcomes such as weight-gain and premature mortality. Individuals and families with an inability to provide and eat balanced meals create additional barriers to healthy eating.2

It is equally important to eat a balanced diet that includes the consumption of fruits and vegetables as well as to have adequate access to a consistent supply of food. Dallas County showed a need related to food insecurity. Within Dallas County 18.2% of the population lacked adequate access to food during the past year, indicating a potentially larger vulnerable population when comparted to the overall Texas state benchmark of15.7%. The numbers were similar for Denton at 15.9% and Collin at 16%. It is notable that the overall Texas proportion of food insecure population was also greater than the U.S. benchmark of 13%.3

Poverty

The social and physical environments of those living below the poverty level affects a spectrum of factors such as housing, transportation and health outcomes. Poverty is both a cause and a consequence of poor health. Poverty increases the chances of poor health while poor health, in turn, traps communities in poverty. Limited income and poverty often require individuals to make difficult choices on a routine basis; such as choosing to feed one’s family over personal health needs. Marginalized groups and vulnerable individuals are often the most affected, deprived of the information, money or access to health services that would help them prevent and treat disease.4 Moving beyond the limitations of poverty is challenging on nearly every level.Within the community, 18.6% of Dallas County was living below the poverty level, 11% higher than the Texas state benchmark.5 The numbers were more dire for children;

2 Gundersen C, Satoh A, Dewey A, Kato M, Engelhard E. Map the Meal Gap 2015: Food Insecurity and Child Food Insecurity Estimates at the County Level. Feeding America, 20153 Map the Meal Gap, Feeding America; County Health Rankings & Roadmaps, 20184 Health Poverty Action, Key Facts Poverty and Poor Health, 20185 American Community Survey 5-Year Estimates, Individuals below poverty level, 2012-2016



Page 37 of 54

almost 25% of children in Dallas lived below the poverty level, indicating this communityhad a significant vulnerable population with potentially greater health and social needs.

Summary

Methodist conducted its Community Health Needs Assessments beginning June 2018 to identify and begin addressing the health needs of the communities they serve. Using both qualitative community feedback, as well as publicly available and proprietary health indicators, Methodist was able to identify and prioritize community health needs for their healthcare system. With the goal of improving the health of the community, implementation plans with specific tactics and time frames will be developed for the health needs Methodist chose to address for the community served.


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

38

of 5

4

App

endi

x A:

Key

Hea

lth In

dica

torS

ourc

esC

ateg

ory

Publ

ic H

ealth

Indi

cato

r So

urce

Access to CareH

ospi

tal S

tays

for A

mbu

lato

ry-C

are

Sen

sitiv

e C

ondi

tions

-Med

icar

e20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; D

artm

outh

Atla

s of

Hea

lth C

are,

CM

S

Per

cent

age

of P

opul

atio

n un

der a

ge65

with

out H

ealth

Insu

ranc

e20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; S

mal

l Are

a H

ealth

Insu

ranc

e Es

timat

es (S

AH

IE),

Uni

ted

Sta

tes

Cen

sus

Bur

eau

Pric

e-A

djus

ted

Med

icar

e R

eim

burs

emen

ts p

er E

nrol

lee

NEW

201

920

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; D

artm

outh

Atla

s of

Hea

lth C

are,

CM

S

Rat

io o

f Pop

ulat

ion

to O

ne D

entis

t20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

rea

Hea

lth R

esou

rce

File

/Nat

iona

l Pro

vide

r Ide

ntifi

catio

n fil

e (C

MS

)R

atio

of P

opul

atio

n to

One

Non

-Phy

sici

an P

rimar

y C

are

Pro

vide

r20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; C

MS

, Nat

iona

l Pro

vide

r Ide

ntifi

catio

n R

egis

try (N

PPE

S)

Rat

io o

f Pop

ulat

ion

to O

ne P

rimar

y C

are

Phy

sici

an20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

rea

Hea

lth R

esou

rce

File

/Am

eric

an M

edic

al A

ssoc

iatio

n

Uni

nsur

ed C

hild

ren

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Sm

all A

rea

Hea

lth In

sura

nce

Estim

ates

(SA

HIE

), U

nite

d S

tate

s C

ensu

s B

urea

u

Conditions/Diseases

Adu

lt O

besi

ty (P

erce

nt)

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

CD

C D

iabe

tes

Inte

ract

ive

Atla

s, T

he N

atio

nal D

iabe

tes

Sur

veill

ance

Sys

tem

Arth

ritis

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Atri

al F

ibril

latio

n in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Can

cer I

ncid

ence

-Al

l Cau

ses

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Can

cer I

ncid

ence

-C

olon

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Can

cer I

ncid

ence

-Fe

mal

e B

reas

t20

11-2

015

Sta

te C

ance

r Pro

files

, Nat

iona

l Can

cer I

nstit

ute

(CD

C)

Can

cer I

ncid

ence

-Lu

ng20

11-2

015

Sta

te C

ance

rPro

files

, Nat

iona

l Can

cer I

nstit

ute

(CD

C)

Can

cer I

ncid

ence

-P

rost

ate

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Chr

onic

Kid

ney

Dis

ease

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

CO

PD

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Dia

bete

s D

iagn

oses

in A

dults

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Dia

bete

s pr

eval

ence

2018

Cou

nty

Hea

lth R

anki

ngs

(CD

C D

iabe

tes

Inte

ract

ive

Atla

s)

Freq

uent

phy

sica

l dis

tress

2016

Beh

avio

ral R

isk

Fact

or S

urve

illan

ce S

yste

m (B

RFS

S)

Hea

rt Fa

ilure

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

HIV

Pre

vale

nce

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Nat

iona

l Cen

ter f

or H

IV/A

IDS,

Vira

l Hep

atiti

s, S

TD, a

nd

TB P

reve

ntio

n (N

CH

HS

TP)

Hyp

erlip

idem

ia in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Hyp

erte

nsio

n in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Isch

emic

Hea

rt D

isea

se in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Ost

eopo

rosi

s in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Stro

ke in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

39

of 5

4

Cat

egor

yPu

blic

Hea

lth In

dica

tor

Sour

ce

EnvironmentA

ir P

ollu

tion

-Par

ticul

ate

Mat

ter d

aily

den

sity

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Env

ironm

enta

l Pub

lic H

ealth

Tra

ckin

g N

etw

ork

(CD

C)

Drin

king

Wat

er V

iola

tions

(Per

cent

of P

opul

atio

n E

xpos

ed)

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Saf

e D

rinki

ng W

ater

Info

rmat

ion

Sys

tem

(SD

WIS

), U

nite

d S

tate

s E

nviro

nmen

tal P

rote

ctio

n Ag

ency

(EPA

)

Driv

ing

Alo

ne to

Wor

k20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

mer

ican

Com

mun

ity S

urve

y, 5

-Yea

r Est

imat

es, U

nite

d S

tate

s C

ensu

s B

urea

uE

lder

ly is

olat

ion.

65+

Hou

seho

lder

livi

ng a

lone

NEW

201

9U

.S. C

ensu

s B

urea

u, 2

012-

2016

Am

eric

an C

omm

unity

Sur

vey

5-Y

ear E

stim

ates

Food

Env

ironm

ent I

ndex

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

US

DA

Food

Env

ironm

ent A

tlas,

Map

the

Mea

l Gap

from

Fe

edin

g Am

eric

a, U

nite

d St

ates

Dep

artm

ent o

f Agr

icul

ture

(US

DA

)Fo

od In

secu

re20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; M

ap th

e M

eal G

ap, F

eedi

ng A

mer

ica

Lim

ited

Acce

ssto

Hea

lthy

Food

s (P

erce

nt o

f Low

Inco

me)

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

US

DA

Food

Env

ironm

ent A

tlas,

Uni

ted

Sta

tes

Dep

artm

ent

of A

gric

ultu

re (U

SD

A)

Long

Com

mut

e A

lone

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Am

eric

an C

omm

unity

Sur

vey,

5-Y

ear E

stim

ates

, Uni

ted

Sta

tes

Cen

sus

Bur

eau

No

vehi

cle

avai

labl

e N

EW 2

019

U.S

. Cen

sus

Bur

eau,

201

7 Am

eric

an C

omm

unity

Sur

vey

1-Y

ear E

stim

ates

Pop

ulat

ion

with

Ade

quat

e A

cces

s to

Loc

atio

ns fo

r Phy

sica

l Act

ivity

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Bus

ines

s A

naly

st, D

elor

me

map

dat

a, E

SR

I, &

US

Cen

sus

Tige

rline

File

s (A

rcG

IS)

Ren

ter-o

ccup

ied

hous

ing

NEW

201

9U

.S. C

ensu

s B

urea

u, 2

017

Amer

ican

Com

mun

ity S

urve

y 1-

Yea

r Est

imat

es

Res

iden

tial s

egre

gatio

n -b

lack

/whi

te N

EW 2

019

2018

Cou

nty

Hea

lth R

anki

ngs

(Am

eric

an C

omm

unity

Sur

vey,

5-y

ear e

stim

ates

)

Res

iden

tial s

egre

gatio

n -n

on-w

hite

/whi

te N

EW 2

019

2018

.Cou

nty

Hea

lth R

anki

ngs

(Am

eric

an C

omm

unity

Sur

vey,

5-y

ear e

stim

ates

)

Sev

ere

Hou

sing

Pro

blem

s20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; C

ompr

ehen

sive

Hou

sing

Affo

rdab

ility

Stra

tegy

(CH

AS

) da

ta, U

.S. D

epar

tmen

t of H

ousi

ng a

nd U

rban

Dev

elop

men

t (H

UD

)

Health Behaviors

Adu

lt Sm

okin

g20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; T

he B

ehav

iora

l Ris

k Fa

ctor

Sur

veill

ance

Sys

tem

(BR

FSS

)

Adu

lts E

ngag

ing

in B

inge

Drin

king

Dur

ing

the

Pas

t 30

Day

s20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; T

he B

ehav

iora

l Ris

k Fa

ctor

Sur

veill

ance

Sys

tem

(BR

FSS

)

Dis

conn

ecte

d yo

uth

NEW

201

920

18 C

ount

y H

ealth

Ran

king

s (M

easu

re o

f Am

eric

a)

Dru

g P

oiso

ning

Dea

ths

Rat

e20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s, C

DC

WO

ND

ER

Mor

talit

y D

ata

Insu

ffici

ent s

leep

NEW

201

920

16 B

ehav

iora

l Ris

k Fa

ctor

Sur

veill

ance

Sys

tem

(BR

FSS

)

Mot

or V

ehic

le D

rivin

g D

eath

s w

ith A

lcoh

ol In

volv

emen

t20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; F

atal

ity A

naly

sis

Rep

ortin

g S

yste

m (F

AR

S)

Phy

sica

l Ina

ctiv

ity20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; C

DC

Dia

bete

s In

tera

ctiv

e A

tlas,

The

Nat

iona

l Dia

bete

s S

urve

illan

ce S

yste

m

Sex

ually

Tra

nsm

itted

Infe

ctio

n In

cide

nce

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Nat

iona

l Cen

ter f

or H

IV/A

IDS,

Vira

l Hep

atiti

s, S

TD, a

nd

TB P

reve

ntio

n (N

CH

HS

TP)

Teen

Birt

h R

ate

per 1

,000

Fem

ale

Pop

ulat

ion,

Age

s 15

-19

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Nat

iona

l Cen

ter f

or H

ealth

Sta

tistic

s -N

atal

ity fi

les,

N

atio

nal V

ital S

tatis

tics

Sys

tem

(NV

SS)

Hea

lth

Stat

us

Adu

lts R

epor

ting

Fair

or P

oor H

ealth

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

The

Beh

avio

ral R

isk

Fact

or S

urve

illan

ce S

yste

m (B

RFS

S)

Ave

rage

Num

ber o

f Phy

sica

lly U

nhea

lthy

Day

s R

epor

ted

in P

ast 3

0 da

ys (A

ge-A

djus

ted)

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

The

Beh

avio

ral R

isk

Fact

or S

urve

illan

ce S

yste

m (B

RFS

S)

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

38

of 5

4

App

endi

x A:

Key

Hea

lth In

dica

torS

ourc

esC

ateg

ory

Publ

ic H

ealth

Indi

cato

r So

urce

Access to CareH

ospi

tal S

tays

for A

mbu

lato

ry-C

are

Sen

sitiv

e C

ondi

tions

-Med

icar

e20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; D

artm

outh

Atla

s of

Hea

lth C

are,

CM

S

Per

cent

age

of P

opul

atio

n un

der a

ge65

with

out H

ealth

Insu

ranc

e20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; S

mal

l Are

a H

ealth

Insu

ranc

e Es

timat

es (S

AH

IE),

Uni

ted

Sta

tes

Cen

sus

Bur

eau

Pric

e-A

djus

ted

Med

icar

e R

eim

burs

emen

ts p

er E

nrol

lee

NEW

201

920

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; D

artm

outh

Atla

s of

Hea

lth C

are,

CM

S

Rat

io o

f Pop

ulat

ion

to O

ne D

entis

t20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

rea

Hea

lth R

esou

rce

File

/Nat

iona

l Pro

vide

r Ide

ntifi

catio

n fil

e (C

MS

)R

atio

of P

opul

atio

n to

One

Non

-Phy

sici

an P

rimar

y C

are

Pro

vide

r20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; C

MS

, Nat

iona

l Pro

vide

r Ide

ntifi

catio

n R

egis

try (N

PPE

S)

Rat

io o

f Pop

ulat

ion

to O

ne P

rimar

y C

are

Phy

sici

an20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

rea

Hea

lth R

esou

rce

File

/Am

eric

an M

edic

al A

ssoc

iatio

n

Uni

nsur

ed C

hild

ren

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Sm

all A

rea

Hea

lth In

sura

nce

Estim

ates

(SA

HIE

), U

nite

d S

tate

s C

ensu

s B

urea

u

Conditions/Diseases

Adu

lt O

besi

ty (P

erce

nt)

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

CD

C D

iabe

tes

Inte

ract

ive

Atla

s, T

he N

atio

nal D

iabe

tes

Sur

veill

ance

Sys

tem

Arth

ritis

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Atri

al F

ibril

latio

n in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Can

cer I

ncid

ence

-Al

l Cau

ses

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Can

cer I

ncid

ence

-C

olon

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Can

cer I

ncid

ence

-Fe

mal

e B

reas

t20

11-2

015

Sta

te C

ance

r Pro

files

, Nat

iona

l Can

cer I

nstit

ute

(CD

C)

Can

cer I

ncid

ence

-Lu

ng20

11-2

015

Sta

te C

ance

rPro

files

, Nat

iona

l Can

cer I

nstit

ute

(CD

C)

Can

cer I

ncid

ence

-P

rost

ate

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Chr

onic

Kid

ney

Dis

ease

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

CO

PD

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Dia

bete

s D

iagn

oses

in A

dults

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Dia

bete

s pr

eval

ence

2018

Cou

nty

Hea

lth R

anki

ngs

(CD

C D

iabe

tes

Inte

ract

ive

Atla

s)

Freq

uent

phy

sica

l dis

tress

2016

Beh

avio

ral R

isk

Fact

or S

urve

illan

ce S

yste

m (B

RFS

S)

Hea

rt Fa

ilure

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

HIV

Pre

vale

nce

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Nat

iona

l Cen

ter f

or H

IV/A

IDS,

Vira

l Hep

atiti

s, S

TD, a

nd

TB P

reve

ntio

n (N

CH

HS

TP)

Hyp

erlip

idem

ia in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Hyp

erte

nsio

n in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Isch

emic

Hea

rt D

isea

se in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Ost

eopo

rosi

s in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Stro

ke in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

41

of 5

4

Cat

egor

yPu

blic

Hea

lth In

dica

tor

Sour

cePopulation

Chi

ldre

n E

ligib

le fo

r Fre

e Lu

nch

Enro

lled

in P

ublic

Sch

ools

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps,

The

Nat

iona

l Cen

ter f

or E

duca

tion

Stat

istic

s (N

CE

S)

Chi

ldre

n in

Pov

erty

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Sm

all A

rea

Hea

lth In

sura

nce

Estim

ates

(SA

HIE

), U

nite

d S

tate

s C

ensu

s B

urea

u

Chi

ldre

n in

Sin

gle-

Par

ent H

ouse

hold

s20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

mer

ican

Com

mun

ity S

urve

y (A

CS

), 5

Yea

r Est

imat

es

(Uni

ted

Stat

es C

ensu

s B

urea

u)C

ivili

an v

eter

an p

opul

atio

n 18

+ N

EW 2

019

U.S

. Cen

sus

Bur

eau,

201

2-20

16 A

mer

ican

Com

mun

ity S

urve

y 5-

Yea

r Est

imat

es

Dis

able

d po

pula

tion,

civ

ilian

non

inst

itutio

naliz

edU

.S. C

ensu

s B

urea

u, 2

012-

2016

Am

eric

an C

omm

unity

Sur

vey

5-Y

ear E

stim

ates

Hig

h Sc

hool

Dro

pout

2016

Tex

as E

duca

tion

Age

ncy

Hig

h Sc

hool

Gra

duat

ion

2017

Tex

as E

duca

tion

Age

ncy

Hom

icid

es20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s, C

DC

WO

ND

ER

Mor

talit

y D

ata

Hou

seho

ld in

com

e, m

edia

n N

EW 2

019

2018

Cou

nty

Hea

lth R

anki

ngs

(201

6 Sm

all A

rea

Inco

me

and

Pov

erty

Est

imat

es)

Inco

me

Ineq

ualit

y20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

mer

ican

Com

mun

ity S

urve

y (A

CS

), 5

Yea

r Est

imat

es

(Uni

ted

Stat

es C

ensu

s B

urea

u)In

divi

dual

s Li

ving

Bel

ow P

over

ty L

evel

2012

-201

6 U

S C

ensu

s B

urea

u -A

mer

ican

Fac

tFin

der

Indi

vidu

als

Who

Rep

ort B

eing

Dis

able

d20

12-2

016

US

Cen

sus

Bur

eau

-Am

eric

an F

actF

inde

r

Non

-Eng

lish-

spea

king

hou

seho

lds

NEW

201

9U

.S. C

ensu

s B

urea

u, 2

012-

2016

Am

eric

an C

omm

unity

Sur

vey

5-Y

ear E

stim

ates

Soc

ial/M

embe

rshi

p As

soci

atio

ns20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; 2

015

Cou

nty

Bus

ines

s P

atte

rns,

Uni

ted

Sta

tes

Cen

sus

Bur

eau

Som

e C

olle

ge20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

mer

ican

Com

mun

ity S

urve

y (A

CS

), 5

Yea

r Est

imat

es

(Uni

ted

Stat

es C

ensu

s B

urea

u)

Une

mpl

oym

ent

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Loc

al A

rea

Une

mpl

oym

ent S

tatis

tics

(LA

US

), B

urea

u of

La

bor S

tatis

tics

Vio

lent

Crim

e O

ffens

es20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; U

nifo

rm C

rime

Rep

ortin

g (U

CR

) Pro

gram

, Uni

ted

Sta

tes

Dep

artm

ent o

f Jus

tice,

Fed

eral

Bur

eau

of In

vest

igat

ion

(FB

I)


Ast

hma

Adm

issi

on: P

edia

tric

(Ris

k-A

djus

ted-

Rat

e)20

16 T

exas

Hea

lth a

nd H

uman

Ser

vice

s C

ente

r for

Hea

lth S

tatis

tics

Pre

vent

able

Hos

pita

lizat

ions

Dia

bete

s Lo

wer

-Ext

rem

ity A

mpu

tatio

n A

dmis

sion

: Adu

lt (R

isk-

Adj

uste

d-R

ate)

2016

Tex

as H

ealth

and

Hum

an S

ervi

ces

Cen

ter f

or H

ealth

Sta

tistic

s P

reve

ntab

le H

ospi

taliz

atio

ns

Dia

bete

s S

hort-

term

Com

plic

atio

ns A

dmis

sion

: Ped

iatri

c (R

isk-

Adj

uste

d-R

ate)

2016

Tex

as H

ealth

and

Hum

an S

ervi

ces

Cen

ter f

or H

ealth

Sta

tistic

s P

reve

ntab

le H

ospi

taliz

atio

ns

Gas

troen

terit

is A

dmis

sion

: Ped

iatri

c (R

isk-

Adj

uste

d-R

ate)

2016

Tex

as H

ealth

and

Hum

an S

ervi

ces

Cen

ter f

or H

ealth

Sta

tistic

s P

reve

ntab

le H

ospi

taliz

atio

nsP

erfo

rate

d A

ppen

dix

Adm

issi

on: A

dult

(Ris

k-A

djus

ted-

Rat

e pe

r 100

A

dmis

sion

s fo

r App

endi

citis

)20

16 T

exas

Hea

lth a

nd H

uman

Ser

vice

s C

ente

r for

Hea

lth S

tatis

tics

Pre

vent

able

Hos

pita

lizat

ions

Per

fora

ted

App

endi

x A

dmis

sion

: Ped

iatri

c (R

isk-

Adj

uste

d-R

ate

for

App

endi

citis

)20

16 T

exas

Hea

lth a

nd H

uman

Ser

vice

s C

ente

r for

Hea

lth S

tatis

tics

Pre

vent

able

Hos

pita

lizat

ions

Unc

ontro

lled

Dia

bete

s A

dmis

sion

: Adu

lt (R

isk-

Adj

uste

d-R

ate)

2016

Tex

as H

ealth

and

Hum

an S

ervi

ces

Cen

ter f

or H

ealth

Sta

tistic

s P

reve

ntab

le H

ospi

taliz

atio

ns

Urin

ary

Trac

t Inf

ectio

n A

dmis

sion

: Ped

iatri

c (R

isk-

Adj

uste

d-R

ate)

2016

Tex

as H

ealth

and

Hum

an S

ervi

ces

Cen

ter f

or H

ealth

Sta

tistic

s P

reve

ntab

le H

ospi

taliz

atio

ns

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

38

of 5

4

App

endi

x A:

Key

Hea

lth In

dica

torS

ourc

esC

ateg

ory

Publ

ic H

ealth

Indi

cato

r So

urce

Access to CareH

ospi

tal S

tays

for A

mbu

lato

ry-C

are

Sen

sitiv

e C

ondi

tions

-Med

icar

e20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; D

artm

outh

Atla

s of

Hea

lth C

are,

CM

S

Per

cent

age

of P

opul

atio

n un

der a

ge65

with

out H

ealth

Insu

ranc

e20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; S

mal

l Are

a H

ealth

Insu

ranc

e Es

timat

es (S

AH

IE),

Uni

ted

Sta

tes

Cen

sus

Bur

eau

Pric

e-A

djus

ted

Med

icar

e R

eim

burs

emen

ts p

er E

nrol

lee

NEW

201

920

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; D

artm

outh

Atla

s of

Hea

lth C

are,

CM

S

Rat

io o

f Pop

ulat

ion

to O

ne D

entis

t20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

rea

Hea

lth R

esou

rce

File

/Nat

iona

l Pro

vide

r Ide

ntifi

catio

n fil

e (C

MS

)R

atio

of P

opul

atio

n to

One

Non

-Phy

sici

an P

rimar

y C

are

Pro

vide

r20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; C

MS

, Nat

iona

l Pro

vide

r Ide

ntifi

catio

n R

egis

try (N

PPE

S)

Rat

io o

f Pop

ulat

ion

to O

ne P

rimar

y C

are

Phy

sici

an20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; A

rea

Hea

lth R

esou

rce

File

/Am

eric

an M

edic

al A

ssoc

iatio

n

Uni

nsur

ed C

hild

ren

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Sm

all A

rea

Hea

lth In

sura

nce

Estim

ates

(SA

HIE

), U

nite

d S

tate

s C

ensu

s B

urea

u

Conditions/Diseases

Adu

lt O

besi

ty (P

erce

nt)

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

CD

C D

iabe

tes

Inte

ract

ive

Atla

s, T

he N

atio

nal D

iabe

tes

Sur

veill

ance

Sys

tem

Arth

ritis

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Atri

al F

ibril

latio

n in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Can

cer I

ncid

ence

-Al

l Cau

ses

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Can

cer I

ncid

ence

-C

olon

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Can

cer I

ncid

ence

-Fe

mal

e B

reas

t20

11-2

015

Sta

te C

ance

r Pro

files

, Nat

iona

l Can

cer I

nstit

ute

(CD

C)

Can

cer I

ncid

ence

-Lu

ng20

11-2

015

Sta

te C

ance

rPro

files

, Nat

iona

l Can

cer I

nstit

ute

(CD

C)

Can

cer I

ncid

ence

-P

rost

ate

2011

-201

5 S

tate

Can

cer P

rofil

es, N

atio

nal C

ance

r Ins

titut

e (C

DC

)

Chr

onic

Kid

ney

Dis

ease

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

CO

PD

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Dia

bete

s D

iagn

oses

in A

dults

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

Dia

bete

s pr

eval

ence

2018

Cou

nty

Hea

lth R

anki

ngs

(CD

C D

iabe

tes

Inte

ract

ive

Atla

s)

Freq

uent

phy

sica

l dis

tress

2016

Beh

avio

ral R

isk

Fact

or S

urve

illan

ce S

yste

m (B

RFS

S)

Hea

rt Fa

ilure

in M

edic

are

Pop

ulat

ion

CM

S.g

ov C

hron

ic c

ondi

tions

200

7-20

15

HIV

Pre

vale

nce

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Nat

iona

l Cen

ter f

or H

IV/A

IDS,

Vira

l Hep

atiti

s, S

TD, a

nd

TB P

reve

ntio

n (N

CH

HS

TP)

Hyp

erlip

idem

ia in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Hyp

erte

nsio

n in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Isch

emic

Hea

rt D

isea

se in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Ost

eopo

rosi

s in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015

Stro

ke in

Med

icar

e P

opul

atio

nC

MS

.gov

Chr

onic

con

ditio

ns 2

007-

2015


App

endi

x A

: Key

Hea

lth In

dica

tor S

ourc

es

Pag

e o

f

4260

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

42

of 5

4

Cat

egor

yPu

blic

Hea

lth In

dica

tor

Sour

ce

Prev

entio

nD

iabe

tic M

onito

ring

in M

edic

are

Enro

llees

2018

Cou

nty

Hea

lth R

anki

ngs

& R

oadm

aps;

Dar

tmou

th A

tlas

of H

ealth

Car

e, C

MS

Mam

mog

raph

y Sc

reen

ing

in M

edic

are

Enr

olle

es20

18 C

ount

y H

ealth

Ran

king

s &

Roa

dmap

s; D

artm

outh

Atla

s of

Hea

lth C

are,

CM

S



Page 43 of 54

Appendix B: Community Resources Identified to Potentially Address Significant Health Needs

Below is a list of resources identified via community input:

Resource County

Assistance Center of Collin County Collin

Collin County Adult Clinic Collin

Collin County Alliance for Children Collin

Collin County Social Services Association Collin

Community Dental Care Collin

Community Lifeline Center Collin

Family Guidance Collin

Family Health Center Collin

Frisco Family Services Collin

Geriatric Wellness Center Collin

Grace to Change Collin

Holy Family Day School Collin

Hope Clinic of McKinney Collin

LifePath Systems Collin

Plano Adult Clinic Collin

Plano Children's Medical Clinic Collin

Plano Indigent Care Clinic Collin

Project Access Collin

Veterans Assistance Center Collin

Wellness Center for Older Adults Collin

Churches Dallas

City of Dallas Dallas

City Square Dallas

Community Health Centers Dallas

Dallas Concilio Dallas

Dallas Housing Authority Dallas

Dallas Life Foundation Dallas

DART Dallas


Page 43 of 54



Resource County





















Churches Dallas


City Square Dallas





DART Dallas



Page 43 of 54



Resource County





















Churches Dallas


City Square Dallas





DART Dallas


Page 44 of 54

Resource County

DCHHS Dallas

Food Pantries Dallas

FQHCs or charity clinics(Agape, etc.) Dallas

Genesis Women's Shelter Dallas

Habitat for Humanity Dallas

Hospital and Hospital Affiliated Clinics Dallas

local health clinics Dallas

North Texas Food Bank Dallas

Parkland Dallas

Parkland Irving Health Center Dallas

Sharing Life Outreach Dallas

St. Vincent de Paul Dallas

The Bridge Homeless Shelter Dallas

WIC Clinics Dallas

Denton County Friends of the Family Denton

Denton County Public Health Denton

First Refuge Ministries Denton

Giving HOPE Denton

Metro Relief-DFW Denton

Ministerial Alliance Denton

Our Daily Bread Denton

Refuge for Women North Texas Denton

Solutions of North Texas Denton

Texas Women's University Denton

United Way Denton

University of North Texas Denton

Visions Ministry Denton


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

45

of 5

4

App

endi

x C

: Fed

eral

ly D

esig

nate

d H

ealth

Pro

fess

iona

l Sho

rtag

e A

reas

and

Med

ical

ly U

nder

serv

ed A

reas

and

Po

pula

tions

Hea

lth P

rofe

ssio

nal S

horta

ge A

reas

(HP

SA

)6

Cou

nty

Nam

eH

PSA

IDH

PSA

Nam

eH

PSA

Dis

cipl

ine

Cla

ssD

esig

natio

n Ty

pe

Den

ton

1489

9948

PAH

ealth

Ser

vice

s of

Nor

th

Texa

s, In

c.Pr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

6489

9948

MR

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

7489

9948

MQ

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

rD

ento

n74

8790

2282

Low

Inco

me-

Den

ton

Cou

nty

Men

tal H

ealth

Low

Inco

me

Popu

latio

n H

PSA

Dal

las

1489

9948

5FM

LK J

r Fam

ily C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

D3

Los

Barri

os U

nido

s C

omm

unity

Hea

lth C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

89Lo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

97M

LK J

r. Fa

mily

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1LLo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1VM

LK J

r. Fa

mily

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

P6D

alla

s C

ount

y H

ospi

tal

Dis

trict

Hom

eles

s Pr

ogra

ms

Prim

ary

Car

eFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

6489

9948

C2

Dal

las

Cou

nty

Hos

pita

lD

istri

ct H

omel

ess

Prog

ram

sD

enta

l Hea

lthFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

6U

.S. D

epar

tmen

t of H

ealth

and

Hum

an S

ervi

ces,

Hea

lth R

esou

rces

and

Ser

vice

s Ad

min

istra

tion,

201

8

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

45

of 5

4

App

endi

x C

: Fed

eral

ly D

esig

nate

d H

ealth

Pro

fess

iona

l Sho

rtag

e A

reas

and

Med

ical

ly U

nder

serv

ed A

reas

and

Po

pula

tions

Hea

lth P

rofe

ssio

nal S

horta

ge A

reas

(HP

SA

)6

Cou

nty

Nam

eH

PSA

IDH

PSA

Nam

eH

PSA

Dis

cipl

ine

Cla

ssD

esig

natio

n Ty

pe

Den

ton

1489

9948

PAH

ealth

Ser

vice

s of

Nor

th

Texa

s, In

c.Pr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

6489

9948

MR

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

7489

9948

MQ

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

rD

ento

n74

8790

2282

Low

Inco

me-

Den

ton

Cou

nty

Men

tal H

ealth

Low

Inco

me

Popu

latio

n H

PSA

Dal

las

1489

9948

5FM

LK J

r Fam

ily C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

D3

Los

Barri

os U

nido

s C

omm

unity

Hea

lth C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

89Lo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

97M

LK J

r. Fa

mily

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1LLo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1VM

LK J

r. Fa

mily

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

P6D

alla

s C

ount

y H

ospi

tal

Dis

trict

Hom

eles

s Pr

ogra

ms

Prim

ary

Car

eFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

6489

9948

C2

Dal

las

Cou

nty

Hos

pita

lD

istri

ct H

omel

ess

Prog

ram

sD

enta

l Hea

lthFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

6U

.S. D

epar

tmen

t of H

ealth

and

Hum

an S

ervi

ces,

Hea

lth R

esou

rces

and

Ser

vice

s Ad

min

istra

tion,

201

8


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

45

of 5

4

App

endi

x C

: Fed

eral

ly D

esig

nate

d H

ealth

Pro

fess

iona

l Sho

rtag

e A

reas

and

Med

ical

ly U

nder

serv

ed A

reas

and

Po

pula

tions

Hea

lth P

rofe

ssio

nal S

horta

ge A

reas

(HP

SA

)6

Cou

nty

Nam

eH

PSA

IDH

PSA

Nam

eH

PSA

Dis

cipl

ine

Cla

ssD

esig

natio

n Ty

pe

Den

ton

1489

9948

PAH

ealth

Ser

vice

s of

Nor

th

Texa

s, In

c.Pr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

6489

9948

MR

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

7489

9948

MQ

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

rD

ento

n74

8790

2282

Low

Inco

me-

Den

ton

Cou

nty

Men

tal H

ealth

Low

Inco

me

Popu

latio

n H

PSA

Dal

las

1489

9948

5FM

LK J

r Fam

ily C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

D3

Los

Barri

os U

nido

s C

omm

unity

Hea

lth C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

89Lo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

97M

LK J

r. Fa

mily

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1LLo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1VM

LK J

r. Fa

mily

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

P6D

alla

s C

ount

y H

ospi

tal

Dis

trict

Hom

eles

s Pr

ogra

ms

Prim

ary

Car

eFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

6489

9948

C2

Dal

las

Cou

nty

Hos

pita

lD

istri

ct H

omel

ess

Prog

ram

sD

enta

l Hea

lthFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

6U

.S. D

epar

tmen

t of H

ealth

and

Hum

an S

ervi

ces,

Hea

lth R

esou

rces

and

Ser

vice

s Ad

min

istra

tion,

201

8

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

46

of 5

4

Cou

nty

Nam

eH

PSA

IDH

PSA

Nam

eH

PSA

Dis

cipl

ine

Cla

ssD

esig

natio

n Ty

pe

Dal

las

7489

9948

2VD

alla

s C

ount

y H

ospi

tal

Dis

trict

Hom

eles

s Pr

ogra

ms

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

rD

alla

s14

8264

5075

Sout

heas

t Dal

las

Prim

ary

Car

eG

eogr

aphi

c H

PSA

Dal

las

1489

9948

OZ

Mis

sion

Eas

t Dal

las

(Med

ical

) and

Met

ropl

ex

Proj

ect

Prim

ary

Car

eFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

6489

9948

MO

Mis

sion

Eas

t Dal

las

(Med

ical

) and

Met

ropl

ex

Proj

ect

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

MN

Mis

sion

Eas

t Dal

las

(Med

ical

) and

Met

ropl

ex

Proj

ect

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

OY

Urb

an In

ter-T

ribal

Cen

ter o

f Te

xas

Prim

ary

Car

eN

ativ

e Am

eric

an/T

ribal

Fa

cilit

y/Po

pula

tion

Dal

las

6489

9948

MP

Urb

an In

ter-T

ribal

Cen

ter o

f Te

xas

Den

tal H

ealth

Nat

ive

Amer

ican

/Trib

al

Faci

lity/

Popu

latio

n

Dal

las

7489

9948

MP

Urb

an In

ter-T

ribal

Cen

ter o

f Te

xas

Men

tal H

ealth

Nat

ive

Amer

ican

/Trib

al

Faci

lity/

Popu

latio

nD

alla

s74

8185

7339

Sout

h Irv

ing

Serv

ice

Area

Men

tal H

ealth

Geo

grap

hic

HPS

A

Dal

las

1489

9948

Q0

Hea

ling

Han

ds M

inis

tries

, In

c.Pr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

NX

Hea

ling

Han

ds M

inis

tries

, In

c.D

enta

l Hea

lthFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

7489

9948

O2

Hea

ling

Han

ds M

inis

tries

, In

c.M

enta

l Hea

lthFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

1487

7906

22O

fac-

Park

land

Cen

ter f

or

Inte

rnal

Med

icin

e (P

cim

)Pr

imar

y C

are

Oth

er F

acilit

y

Dal

las

1488

1476

11Si

mps

on-S

tuar

tPr

imar

y C

are

Geo

grap

hic

HPS

A

Dal

las

1487

7324

21Tr

inity

Are

aPr

imar

y C

are

Geo

grap

hic

HPS

A


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

47

of 5

4

Cou

nty

Nam

eH

PSA

IDH

PSA

Nam

eH

PSA

Dis

cipl

ine

Cla

ssD

esig

natio

n Ty

pe

Dal

las

6488

1388

03Li

sbon

Ser

vice

Are

aD

enta

l Hea

lthG

eogr

aphi

c H

PSA

Dal

las

6486

3508

27W

est D

alla

s/C

liff H

all

Den

tal H

ealth

Hig

h N

eeds

Geo

grap

hic

HPS

A

Dal

las

7482

1326

65W

est D

alla

sM

enta

l Hea

lthH

igh

Nee

ds G

eogr

aphi

c H

PSA

Col

lin74

8510

9304

Low

Inco

me-

Col

lin C

ount

yM

enta

l Hea

lthLo

w In

com

e Po

pula

tion

HPS

A

Med

ical

ly U

nder

serv

ed A

reas

and

Pop

ulat

ions

(MU

A/P

)7

Cou

nty

Nam

eM

UA/

P So

urce

Id

entif

icat

ion

Num

ber

Serv

ice

Area

Nam

eD

esig

natio

n Ty

peR

ural

Sta

tus

Col

lin34

71C

ollin

Ser

vice

Are

aM

edic

ally

Und

erse

rved

Are

aN

on-R

ural

Dal

las

3453

Plea

sant

Gro

ve S

ervi

ce

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

3468

Dal

las

Serv

ice

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

3469

Dal

las

Serv

ice

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

3490

Dal

las

Serv

ice

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

3491

Dal

las

Serv

ice

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

3526

Dal

las

Serv

ice

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

5210

Broo

ks M

anor

Ser

vice

Ar

eaM

edic

ally

Und

erse

rved

Are

aN

on-R

ural

Dal

las

5211

Ced

ar G

lenn

Ser

vice

Are

aM

edic

ally

Und

erse

rved

Are

aN

on-R

ural

7U

.S. D

epar

tmen

t of H

ealth

and

Hum

an S

ervi

ces,

Hea

lth R

esou

rces

and

Ser

vice

s Ad

min

istra

tion,

201

8

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

45

of 5

4

App

endi

x C

: Fed

eral

ly D

esig

nate

d H

ealth

Pro

fess

iona

l Sho

rtag

e A

reas

and

Med

ical

ly U

nder

serv

ed A

reas

and

Po

pula

tions

Hea

lth P

rofe

ssio

nal S

horta

ge A

reas

(HP

SA

)6

Cou

nty

Nam

eH

PSA

IDH

PSA

Nam

eH

PSA

Dis

cipl

ine

Cla

ssD

esig

natio

n Ty

pe

Den

ton

1489

9948

PAH

ealth

Ser

vice

s of

Nor

th

Texa

s, In

c.Pr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

6489

9948

MR

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

7489

9948

MQ

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

rD

ento

n74

8790

2282

Low

Inco

me-

Den

ton

Cou

nty

Men

tal H

ealth

Low

Inco

me

Popu

latio

n H

PSA

Dal

las

1489

9948

5FM

LK J

r Fam

ily C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

D3

Los

Barri

os U

nido

s C

omm

unity

Hea

lth C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

89Lo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

97M

LK J

r. Fa

mily

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1LLo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1VM

LK J

r. Fa

mily

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

P6D

alla

s C

ount

y H

ospi

tal

Dis

trict

Hom

eles

s Pr

ogra

ms

Prim

ary

Car

eFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

6489

9948

C2

Dal

las

Cou

nty

Hos

pita

lD

istri

ct H

omel

ess

Prog

ram

sD

enta

l Hea

lthFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

6U

.S. D

epar

tmen

t of H

ealth

and

Hum

an S

ervi

ces,

Hea

lth R

esou

rces

and

Ser

vice

s Ad

min

istra

tion,

201

8


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

45

of 5

4

App

endi

x C

: Fed

eral

ly D

esig

nate

d H

ealth

Pro

fess

iona

l Sho

rtag

e A

reas

and

Med

ical

ly U

nder

serv

ed A

reas

and

Po

pula

tions

Hea

lth P

rofe

ssio

nal S

horta

ge A

reas

(HP

SA

)6

Cou

nty

Nam

eH

PSA

IDH

PSA

Nam

eH

PSA

Dis

cipl

ine

Cla

ssD

esig

natio

n Ty

pe

Den

ton

1489

9948

PAH

ealth

Ser

vice

s of

Nor

th

Texa

s, In

c.Pr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

6489

9948

MR

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Den

ton

7489

9948

MQ

Hea

lth S

ervi

ces

of N

orth

Te

xas,

Inc.

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

rD

ento

n74

8790

2282

Low

Inco

me-

Den

ton

Cou

nty

Men

tal H

ealth

Low

Inco

me

Popu

latio

n H

PSA

Dal

las

1489

9948

5FM

LK J

r Fam

ily C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

D3

Los

Barri

os U

nido

s C

omm

unity

Hea

lth C

ente

rPr

imar

y C

are

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

89Lo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

6489

9948

97M

LK J

r. Fa

mily

Cen

ter

Den

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1LLo

s Ba

rrios

Uni

dos

Com

mun

ity H

ealth

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

7489

9948

1VM

LK J

r. Fa

mily

Cen

ter

Men

tal H

ealth

Fede

rally

Qua

lifie

d H

ealth

C

ente

r

Dal

las

1489

9948

P6D

alla

s C

ount

y H

ospi

tal

Dis

trict

Hom

eles

s Pr

ogra

ms

Prim

ary

Car

eFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

Dal

las

6489

9948

C2

Dal

las

Cou

nty

Hos

pita

lD

istri

ct H

omel

ess

Prog

ram

sD

enta

l Hea

lthFe

dera

lly Q

ualif

ied

Hea

lth

Cen

ter

6U

.S. D

epar

tmen

t of H

ealth

and

Hum

an S

ervi

ces,

Hea

lth R

esou

rces

and

Ser

vice

s Ad

min

istra

tion,

201

8

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

48

of 5

4

Cou

nty

Nam

eM

UA/

P So

urce

Id

entif

icat

ion

Num

ber

Serv

ice

Area

Nam

eD

esig

natio

n Ty

peR

ural

Sta

tus

Dal

las

5212

Clif

f Man

or S

ervi

ce A

rea

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

5213

Fore

st G

lenn

Ser

vice

Are

aM

edic

ally

Und

erse

rved

Are

aN

on-R

ural

Dal

las

5214

Ced

ar G

lenn

Sou

th

Serv

ice

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

7294

Oak

Clif

f Ser

vice

Are

aM

edic

ally

Und

erse

rved

Are

aN

on-R

ural

Dal

las

7392

Gra

nd P

rairi

eM

edic

ally

Und

erse

rved

Are

aN

on-R

ural

Dal

las

7631

Coc

krel

l Hill

Serv

ice

Area

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

7753

Mis

sion

Eas

t Dal

las

Area

Med

ical

ly U

nder

serv

ed

Popu

latio

nN

on-R

ural

Dal

las

7921

Balc

h Sp

rings

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

7942

Sout

hwes

t Dal

las

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

7959

Lilly

care

Dal

las

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Dal

las

7973

Hut

chin

s-W

ilmer

Med

ical

ly U

nder

serv

ed A

rea

Non

-Rur

al

Den

ton

3463

Pove

rty P

opul

atio

nM

UA

–G

over

nor’s

Exc

eptio

nN

on-R

ural


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

50

of 5

4

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

on

Chr

onic

Low

er R

espi

rato

ry D

isea

se

(CLR

D) M

orta

lity

Rat

e

Chr

onic

Con

ditio

n -

Chr

onic

Low

er

Res

pira

tory

Dis

ease

2013

Chr

onic

Low

er R

espi

rato

ry D

isea

se (C

LRD

) Age

-Adj

uste

d D

eath

Rat

e pe

r 10

0,00

0 (A

ge-A

djus

ted

usin

g th

e 20

00 U

.S. S

tand

ard

Popu

latio

n)

Unc

ontro

lled

Dia

bete

s Ad

mis

sion

: Adu

lt (R

isk-

Adju

sted

-Rat

e)C

hron

ic C

ondi

tion

-D

iabe

tes

2016

Num

ber O

bser

ved

/ Adu

lt Po

pula

tion

Age

18 a

nd O

lder

Dia

bete

s Sh

ort-t

erm

Com

plic

atio

ns

Adm

issi

on: P

edia

tric

(Ris

k-Ad

just

ed-R

ate)

Chr

onic

Con

ditio

n -

Dia

bete

s20

16 N

umbe

r Obs

erve

d / A

dult

Popu

latio

n Ag

e 18

and

Old

er

Chr

onic

Kid

ney

Dis

ease

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-Ki

dney

Dis

ease

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries

Adul

t Obe

sity

(Per

cent

)C

hron

icC

ondi

tion

-O

besi

ty20

14 P

erce

ntag

e of

the

Adu

lt Po

pula

tion

(Age

20

and

Old

er) t

hat R

epor

ts a

Bod

y M

ass

Inde

x (B

MI)

Gre

ater

than

or E

qual

to 3

0 kg

/m2

Ost

eopo

rosi

s in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Ost

eopo

rosi

s20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Som

e C

olle

geEd

ucat

ion

2012

-201

6 P

erce

ntag

e of

Adu

lts A

ges

25-4

4 w

ith S

ome

Post

-Sec

onda

ry

Educ

atio

n

Hig

h Sc

hool

Dro

pout

Educ

atio

n20

16 P

erce

ntag

e of

Stu

dent

s fro

m th

e Sa

me

Cla

ss w

ho D

rop

out B

efor

e C

ompl

etin

g th

eir H

igh

Scho

ol E

duca

tion

Hig

h Sc

hool

Gra

duat

ion

Educ

atio

n20

16 P

erce

ntag

e of

Stu

dent

s fro

m a

Cla

ss o

f Beg

inni

ng N

inth

Gra

ders

who

G

radu

ate

by th

eir A

ntic

ipat

ed G

radu

atio

n D

ate,

or W

ithin

Fou

r Yea

rs o

f Beg

inni

ng

Nin

th G

rade

Air P

ollu

tion

-Par

ticul

ate

Mat

ter D

aily

D

ensi

tyEn

viro

nmen

t20

12 A

vera

ge D

aily

Den

sity

of F

ine

Par

ticul

ate

Mat

ter i

n M

icro

gram

s pe

r Cub

ic

Met

er (P

M2.

5)

Driv

ing

Alo

ne to

Wor

kEn

viro

nmen

t20

12-2

016

Per

cent

age

of th

e W

orkf

orce

that

Driv

es A

lone

to W

ork

Food

Inse

cure

Envi

ronm

ent -

Food

2015

Per

cent

age

of P

opul

atio

n W

ho L

acke

d Ad

equa

te A

cces

s to

Foo

d D

urin

g th

e Pa

st Y

ear

Seve

re H

ousi

ng P

robl

ems

Envi

ronm

ent -

Hou

sing

2010

-201

4 P

erce

ntag

e of

Hou

seho

lds

with

at L

east

1 o

f 4 H

ousi

ng P

robl

ems:

O

verc

row

ding

, Hig

h H

ousi

ng C

osts

, or L

ack

ofKi

tche

n or

Plu

mbi

ng F

acilit

ies

Ren

ter-

Occ

upie

d H

ousi

ngEn

viro

nmen

t -H

ousi

ng20

17 P

erce

ntag

e of

Hou

seho

lds

that

are

Ren

ter-

Occ

upie

d

Hom

icid

esEn

viro

nmen

t -Vi

olen

ce20

10-2

016

Num

ber o

f Dea

ths

Due

to H

omic

ide,

Def

ined

as

ICD

-10

Cod

es X

85-

Y09,

per

100

,000

Pop

ulat

ion

Viol

ent C

rime

Offe

nses

Envi

ronm

ent -

Viol

ence

2012

-201

4 N

umbe

r of R

epor

ted

Viol

ent C

rime

Offe

nses

per

100

,000

Pop

ulat

ion

Dea

th R

ate

due

to F

irear

ms

Envi

ronm

ent -

Viol

ence

2012

-201

6 N

umbe

r of D

eath

s du

e to

Fire

arm

s pe

r 100

,000

Pop

ulat

ion

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

49

of 5

4

App

endi

x D

: Pub

lic H

ealth

Indi

cato

rs S

how

ing

Gre

ater

Nee

d W

hen

Com

pare

d to

Sta

te B

ench

mar

k

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

onPr

ice-

Adj

uste

d M

edic

are

Rei

mbu

rsem

ents

pe

r Enr

olle

eAc

cess

to C

are

2015

Am

ount

of P

rice-

Adju

sted

Med

icar

e R

eim

burs

emen

ts (P

art A

and

B) p

er

Enro

llee

Uni

nsur

ed C

hild

ren

Acce

ss to

Car

e20

15 P

erce

ntag

e of

Chi

ldre

n U

nder

Age

19

With

out H

ealth

Insu

ranc

e

Perc

enta

ge o

f Pop

ulat

ion

unde

r age

65

with

out H

ealth

Insu

ranc

eAc

cess

to C

are

2015

Per

cent

age

of P

opul

atio

n U

nder

Age

65

With

out H

ealth

Insu

ranc

e

Rat

io o

f Pop

ulat

ion

to O

ne D

entis

tAc

cess

to C

are

2016

Rat

io o

f Pop

ulat

ion

to D

entis

ts

No

Veh

icle

Ava

ilabl

eAc

cess

to C

are

2017

Per

cent

age

of H

ouse

hold

s w

ith n

o V

ehic

le A

vaila

ble

Rat

io o

f Pop

ulat

ion

to O

ne N

on-P

hysi

cian

Pr

imar

y C

are

Prov

ider

Acce

ss to

Car

e20

17 R

atio

of P

opul

atio

n to

Prim

ary

Car

e Pr

ovid

ers

Oth

er th

an P

hysi

cian

s

Can

cer I

ncid

ence

-A

ll C

ause

sC

ance

r20

11-2

015

Age

-Adj

uste

d C

ance

r (Al

l) In

cide

nce

Rat

e C

ases

per

100

,000

Can

cer I

ncid

ence

-C

olon

Can

cer

2011

-201

5 A

ge-A

djus

ted

Col

on &

Rec

tum

Can

cer I

ncid

ence

Rat

e C

ases

per

10

0,00

0

Can

cer I

ncid

ence

-Fe

mal

e Br

east

Can

cer

2011

-201

5 A

ge-A

djus

ted

Fem

ale

Brea

st C

ance

r Inc

iden

ce R

ate

Cas

es p

er

100,

000

Can

cer I

ncid

ence

-Pr

osta

teC

ance

r20

11-2

015

Age

-Adj

uste

d P

rost

ate

Can

cer I

ncid

ence

Rat

e C

ases

per

100

,000

Can

cer M

orta

lity

Rat

eC

ance

r20

13 A

ll C

ance

r Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-Adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Arth

ritis

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-Ar

thrit

is20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Hea

rt D

isea

se M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

13 H

eart

Dis

ease

Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Hyp

erlip

idem

ia in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Car

diov

ascu

lar

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries

Atria

l Fib

rilla

tion

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Stro

ke M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ereb

rova

scul

ar20

13 C

ereb

rova

scul

ar D

isea

se (S

troke

) Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(A

ge-a

djus

ted

usin

g th

e 20

00 U

.S. S

tand

ard

Popu

latio

n)

Stro

ke in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Cer

ebro

vasc

ular

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

51

of 5

4

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

on

Phys

ical

Inac

tivity

Hea

lth B

ehav

iors

-Ex

erci

se20

14 P

erce

ntag

e of

Adu

lts A

ges

20 a

nd O

ver R

epor

ting

No

Leis

ure-

Tim

e Ph

ysic

al A

ctiv

ity in

the

Pas

t Mon

thM

otor

Veh

icle

Driv

ing

Dea

ths

with

Alc

ohol

In

volv

emen

tH

ealth

Beh

avio

rs -

Subs

tanc

e Ab

use

2012

-201

6 P

erce

ntag

e of

Mot

or V

ehic

le C

rash

Dea

ths

that

had

Alc

ohol

In

volv

emen

t

Dru

g P

oiso

ning

Dea

ths

Rat

eH

ealth

Beh

avio

rs -

Subs

tanc

e Ab

use

2014

-201

6 N

umbe

r of D

rug

Pois

onin

g D

eath

s (D

rug

Ove

rdos

e D

eath

s) p

er

100,

000

Popu

latio

nAd

ults

Eng

agin

g in

Bin

ge D

rinki

ng D

urin

g th

e Pa

st 3

0 D

ays

Hea

lth B

ehav

iors

-Su

bsta

nce

Abus

e20

16 P

erce

ntag

e of

a C

ount

y’s

Adul

t Pop

ulat

ion

that

Rep

orts

Bin

ge o

r Hea

vy

Drin

king

in th

e P

ast 3

0 D

ays

Adul

t Sm

okin

gH

ealth

Beh

avio

rs -

Subs

tanc

e Ab

use

2016

Per

cent

age

of th

e A

dult

Popu

latio

n in

a C

ount

y W

ho B

oth

Rep

ort t

hat T

hey

Cur

rent

ly S

mok

e Ev

ery

Day

or M

ost D

ays

and

Hav

e S

mok

ed a

t Lea

st 1

00

Cig

aret

tes

in T

heir

Life

time

Acci

dent

al P

oiso

ning

Dea

ths

whe

re

Opi

oids

wer

e In

volv

edH

ealth

Beh

avio

rs -

Subs

tanc

e Ab

use

2010

-201

7 Ac

cide

ntal

Poi

soni

ng D

eath

s w

here

Opi

oids

wer

e In

volv

ed

(Und

erly

ing

Cau

ses

of D

eath

: X40

-X44

, and

One

of t

he F

ollo

win

g IC

D-1

0 C

odes

Id

entif

ying

Opi

oids

: T40

.0, T

40.1

, T40

.2, T

40.3

, T40

.4, T

40.6

)Te

en B

irth

Rat

e pe

r 1,0

00 F

emal

e Po

pula

tion,

Age

s 15

-19

Hea

lth B

ehav

iors

-Te

en P

regn

ancy

2010

-201

6 N

umbe

r of B

irths

to F

emal

es A

ges

15-1

9 pe

r 1,0

00 F

emal

es in

a

Cou

nty

Long

Com

mut

e Al

one

Hea

lth S

tatu

s20

12-2

016

Amon

g W

orke

rs W

ho C

omm

ute

in T

heir

Car

Alo

ne, t

he P

erce

ntag

e th

at C

omm

ute

Mor

e th

an 3

0 M

inut

es

Prem

atur

e D

eath

(Pot

entia

l Yea

rs L

ost)

Hea

lth S

tatu

s20

14-2

016

Prem

atur

e D

eath

; Yea

rs o

f Pot

entia

l Life

Los

t Bef

ore

Age

75 p

er

100,

000

Popu

latio

n (A

ge-A

djus

ted)

Adul

ts R

epor

ting

Fair

or P

oor H

ealth

Hea

lth S

tatu

s20

16 P

erce

ntag

e of

Adu

lts R

epor

ting

Fair

or P

oor H

ealth

(Age

-Adj

uste

d)

Freq

uent

Phy

sica

l Dis

tress

Hea

lth S

tatu

s20

16 P

erce

ntag

e of

Adu

lts w

ho R

epor

ted

≥14

Day

s of

Poo

r Phy

sica

l Hea

lth in

th

e Pa

st 3

0 D

ays

HIV

Pre

vale

nce

Infe

ctio

us D

isea

se -

HIV

2015

Num

ber o

f Per

sons

Age

d 13

Yea

rs a

nd O

lder

Liv

ing

with

a D

iagn

osis

of

Hum

an Im

mun

odef

icie

ncy

Viru

s (H

IV) I

nfec

tion

per 1

00,0

00 P

opul

atio

n

Sexu

ally

Tra

nsm

itted

Infe

ctio

n In

cide

nce

Infe

ctio

us D

isea

se -

Sexu

ally

Tr

ansm

itted

2015

Num

ber o

f New

ly D

iagn

osed

Chl

amyd

ia C

ases

per

100

,000

Pop

ulat

ion

Infa

nt M

orta

lity

Rat

eIn

jury

& D

eath

-C

hild

ren

2010

-201

6 N

umbe

r of A

ll In

fant

Dea

ths

(With

in 1

yea

r), p

er 1

,000

Liv

e B

irths

Chi

ld M

orta

lity

Rat

eIn

jury

& D

eath

-C

hild

ren

2013

-201

6 N

umbe

r of D

eath

s Am

ong

Chi

ldre

n un

der A

ge 1

8 pe

r 100

,000

Low

Birt

h W

eigh

t Per

cent

Mat

erna

l and

Chi

ld

Hea

lth20

10-2

016

Per

cent

age

of L

ive

Birt

hs w

ith L

ow B

irthw

eigh

t; <

2500

Gra

ms

Very

Low

Birt

h W

eigh

t (VL

BW)

Mat

erna

l and

Chi

ld

2016

Liv

e B

irths

Wei

ghin

g Le

ss th

an 1

,500

Gra

ms

(3.4

Pou

nds)

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

49

of 5

4

App

endi

x D

: Pub

lic H

ealth

Indi

cato

rs S

how

ing

Gre

ater

Nee

d W

hen

Com

pare

d to

Sta

te B

ench

mar

k

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

onPr

ice-

Adj

uste

d M

edic

are

Rei

mbu

rsem

ents

pe

r Enr

olle

eAc

cess

to C

are

2015

Am

ount

of P

rice-

Adju

sted

Med

icar

e R

eim

burs

emen

ts (P

art A

and

B) p

er

Enro

llee

Uni

nsur

ed C

hild

ren

Acce

ss to

Car

e20

15 P

erce

ntag

e of

Chi

ldre

n U

nder

Age

19

With

out H

ealth

Insu

ranc

e

Perc

enta

ge o

f Pop

ulat

ion

unde

r age

65

with

out H

ealth

Insu

ranc

eAc

cess

to C

are

2015

Per

cent

age

of P

opul

atio

n U

nder

Age

65

With

out H

ealth

Insu

ranc

e

Rat

io o

f Pop

ulat

ion

to O

ne D

entis

tAc

cess

to C

are

2016

Rat

io o

f Pop

ulat

ion

to D

entis

ts

No

Veh

icle

Ava

ilabl

eAc

cess

to C

are

2017

Per

cent

age

of H

ouse

hold

s w

ith n

o V

ehic

le A

vaila

ble

Rat

io o

f Pop

ulat

ion

to O

ne N

on-P

hysi

cian

Pr

imar

y C

are

Prov

ider

Acce

ss to

Car

e20

17 R

atio

of P

opul

atio

n to

Prim

ary

Car

e Pr

ovid

ers

Oth

er th

an P

hysi

cian

s

Can

cer I

ncid

ence

-A

ll C

ause

sC

ance

r20

11-2

015

Age

-Adj

uste

d C

ance

r (Al

l) In

cide

nce

Rat

e C

ases

per

100

,000

Can

cer I

ncid

ence

-C

olon

Can

cer

2011

-201

5 A

ge-A

djus

ted

Col

on &

Rec

tum

Can

cer I

ncid

ence

Rat

e C

ases

per

10

0,00

0

Can

cer I

ncid

ence

-Fe

mal

e Br

east

Can

cer

2011

-201

5 A

ge-A

djus

ted

Fem

ale

Brea

st C

ance

r Inc

iden

ce R

ate

Cas

es p

er

100,

000

Can

cer I

ncid

ence

-Pr

osta

teC

ance

r20

11-2

015

Age

-Adj

uste

d P

rost

ate

Can

cer I

ncid

ence

Rat

e C

ases

per

100

,000

Can

cer M

orta

lity

Rat

eC

ance

r20

13 A

ll C

ance

r Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-Adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Arth

ritis

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-Ar

thrit

is20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Hea

rt D

isea

se M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

13 H

eart

Dis

ease

Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Hyp

erlip

idem

ia in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Car

diov

ascu

lar

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries

Atria

l Fib

rilla

tion

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Stro

ke M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ereb

rova

scul

ar20

13 C

ereb

rova

scul

ar D

isea

se (S

troke

) Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(A

ge-a

djus

ted

usin

g th

e 20

00 U

.S. S

tand

ard

Popu

latio

n)

Stro

ke in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Cer

ebro

vasc

ular

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

52

of 5

4

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

onH

ealth

Low

Birt

h W

eigh

t Rat

eM

ater

nal a

nd C

hild

H

ealth

2016

Num

ber O

bser

ved

/ Adu

lt Po

pula

tion

Age

18 a

nd O

lder

Firs

t Trim

este

r Ent

ry in

to P

rena

tal C

are

Mat

erna

l and

Chi

ld

Hea

lth20

14 P

erce

nt o

f Birt

hs w

ith O

nset

of P

rena

tal C

are

with

in th

e Fi

rst T

rimes

ter

Inte

ntio

nal S

elf-H

arm

; Sui

cide

Men

tal H

ealth

2015

Inte

ntio

nal S

elf-H

arm

(Sui

cide

) (X

60-X

84, Y

87.0

)

Aver

age

Num

ber o

f Men

tally

Unh

ealth

y D

ays

Rep

orte

d in

Pas

t 30

days

(Age

-Ad

just

ed)

Men

tal H

ealth

2016

Ave

rage

Num

ber o

f Men

tally

Unh

ealth

y D

ays

Rep

orte

d in

Pas

t 30

Day

s (A

ge-A

djus

ted)

Freq

uent

Men

tal D

istre

ssM

enta

l Hea

lth20

16Pe

rcen

tage

of A

dults

who

Rep

orte

d ≥1

4 D

ays

of P

oor M

enta

l Hea

lth in

the

Past

30

Day

sR

atio

of P

opul

atio

n to

One

Men

tal H

ealth

Pr

ovid

erM

enta

l Hea

lth20

17 R

atio

of P

opul

atio

n to

Men

tal H

ealth

Pro

vide

rs

Dep

ress

ion

in M

edic

are

Pop

ulat

ion

Men

tal H

ealth

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries

Schi

zoph

reni

a an

d O

ther

Psy

chot

ic

Dis

orde

rs in

Med

icar

e P

opul

atio

nM

enta

l Hea

lth20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Alzh

eim

er's

Dis

ease

/Dem

entia

in

Med

icar

e Po

pula

tion

Men

tal H

ealth

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries

Perfo

rate

d Ap

pend

ix A

dmis

sion

: Adu

lt (R

isk-

Adju

sted

-Rat

e pe

r 100

Adm

issi

ons

for A

ppen

dici

tis)

Prev

enta

ble

Hos

pita

lizat

ions

2016

Num

berO

bser

ved

/ Adu

lt Po

pula

tion

Age

18 a

nd O

lder

Perfo

rate

d Ap

pend

ix A

dmis

sion

: Ped

iatri

c (R

isk-

Adju

sted

-Rat

e fo

r App

endi

citis

)Pr

even

tabl

e H

ospi

taliz

atio

ns20

16 N

umbe

r Obs

erve

d / A

dult

Popu

latio

n Ag

e 18

and

Old

er

Asth

ma

Adm

issi

on: P

edia

tric

(Ris

k-Ad

just

ed-R

ate)

Prev

enta

ble

Hos

pita

lizat

ions

2016

Num

ber O

bser

ved

/ Adu

lt Po

pula

tion

Age

18 a

nd O

lder

Chi

ldre

n in

Sin

gle-

Pare

nt H

ouse

hold

sSD

H20

12-2

016

Per

cent

age

of C

hild

ren

that

Liv

e in

a H

ouse

hold

Hea

ded

by S

ingl

e Pa

rent

Indi

vidu

als

Livi

ng B

elow

Pove

rty L

evel

SDH

-In

com

e20

12-2

016

Amer

ican

Com

mun

ity S

urve

y 5-

Year

Est

imat

es, I

ndiv

idua

ls b

elow

Po

verty

Lev

elC

hild

ren

Elig

ible

for F

ree

Lunc

h E

nrol

led

in P

ublic

Sch

ools

SDH

-In

com

e20

15-2

016

Per

cent

age

of C

hild

ren

Enro

lled

in P

ublic

Sch

ools

that

are

Elig

ible

for

Free

or R

educ

ed P

rice

Lunc

h

Hou

seho

ld In

com

e, M

edia

nSD

H -

Inco

me

2016

Inco

me

whe

re H

alf o

f Hou

seho

lds

in a

Cou

nty

Earn

Mor

e an

d H

alf o

f H

ouse

hold

s Ea

rn L

ess

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

49

of 5

4

App

endi

x D

: Pub

lic H

ealth

Indi

cato

rs S

how

ing

Gre

ater

Nee

d W

hen

Com

pare

d to

Sta

te B

ench

mar

k

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

onPr

ice-

Adj

uste

d M

edic

are

Rei

mbu

rsem

ents

pe

r Enr

olle

eAc

cess

to C

are

2015

Am

ount

of P

rice-

Adju

sted

Med

icar

e R

eim

burs

emen

ts (P

art A

and

B) p

er

Enro

llee

Uni

nsur

ed C

hild

ren

Acce

ss to

Car

e20

15 P

erce

ntag

e of

Chi

ldre

n U

nder

Age

19

With

out H

ealth

Insu

ranc

e

Perc

enta

ge o

f Pop

ulat

ion

unde

r age

65

with

out H

ealth

Insu

ranc

eAc

cess

to C

are

2015

Per

cent

age

of P

opul

atio

n U

nder

Age

65

With

out H

ealth

Insu

ranc

e

Rat

io o

f Pop

ulat

ion

to O

ne D

entis

tAc

cess

to C

are

2016

Rat

io o

f Pop

ulat

ion

to D

entis

ts

No

Veh

icle

Ava

ilabl

eAc

cess

to C

are

2017

Per

cent

age

of H

ouse

hold

s w

ith n

o V

ehic

le A

vaila

ble

Rat

io o

f Pop

ulat

ion

to O

ne N

on-P

hysi

cian

Pr

imar

y C

are

Prov

ider

Acce

ss to

Car

e20

17 R

atio

of P

opul

atio

n to

Prim

ary

Car

e Pr

ovid

ers

Oth

er th

an P

hysi

cian

s

Can

cer I

ncid

ence

-A

ll C

ause

sC

ance

r20

11-2

015

Age

-Adj

uste

d C

ance

r (Al

l) In

cide

nce

Rat

e C

ases

per

100

,000

Can

cer I

ncid

ence

-C

olon

Can

cer

2011

-201

5 A

ge-A

djus

ted

Col

on &

Rec

tum

Can

cer I

ncid

ence

Rat

e C

ases

per

10

0,00

0

Can

cer I

ncid

ence

-Fe

mal

e Br

east

Can

cer

2011

-201

5 A

ge-A

djus

ted

Fem

ale

Brea

st C

ance

r Inc

iden

ce R

ate

Cas

es p

er

100,

000

Can

cer I

ncid

ence

-Pr

osta

teC

ance

r20

11-2

015

Age

-Adj

uste

d P

rost

ate

Can

cer I

ncid

ence

Rat

e C

ases

per

100

,000

Can

cer M

orta

lity

Rat

eC

ance

r20

13 A

ll C

ance

r Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-Adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Arth

ritis

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-Ar

thrit

is20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Hea

rt D

isea

se M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

13 H

eart

Dis

ease

Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Hyp

erlip

idem

ia in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Car

diov

ascu

lar

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries

Atria

l Fib

rilla

tion

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Stro

ke M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ereb

rova

scul

ar20

13 C

ereb

rova

scul

ar D

isea

se (S

troke

) Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(A

ge-a

djus

ted

usin

g th

e 20

00 U

.S. S

tand

ard

Popu

latio

n)

Stro

ke in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Cer

ebro

vasc

ular

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries


Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

53

of 5

4

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

on

Chi

ldre

n in

Pov

erty

SDH

-In

com

e20

16 P

erce

ntag

e of

Chi

ldre

n U

nder

Age

18

in P

over

ty

Non

-Eng

lish

Spea

king

Hou

seho

lds

SDH

-La

ngua

ge20

12 P

erce

nt o

f Hou

seho

lds

with

Lan

guag

e ot

her t

han

Engl

ish

Dis

conn

ecte

d Yo

uth

SDH

-So

cial

Is

olat

ion

2010

-201

4 P

opul

atio

n B

etw

een

the

Ages

of 1

6 an

d 24

who

are

Nei

ther

Wor

king

no

r in

Scho

ol

Soci

al/M

embe

rshi

p As

soci

atio

nsSD

H -

Soci

al

Isol

atio

n20

15 N

umbe

r of M

embe

rshi

p As

soci

atio

ns p

er 1

0,00

0 Po

pula

tion

Met

hodi

st H

ealth

Sys

tem

Com

mun

ity H

ealth

Nee

ds A

sses

smen

t

Page

49

of 5

4

App

endi

x D

: Pub

lic H

ealth

Indi

cato

rs S

how

ing

Gre

ater

Nee

d W

hen

Com

pare

d to

Sta

te B

ench

mar

k

Publ

ic H

ealth

Indi

cato

r C

ateg

ory

Indi

cato

r Def

initi

onPr

ice-

Adj

uste

d M

edic

are

Rei

mbu

rsem

ents

pe

r Enr

olle

eAc

cess

to C

are

2015

Am

ount

of P

rice-

Adju

sted

Med

icar

e R

eim

burs

emen

ts (P

art A

and

B) p

er

Enro

llee

Uni

nsur

ed C

hild

ren

Acce

ss to

Car

e20

15 P

erce

ntag

e of

Chi

ldre

n U

nder

Age

19

With

out H

ealth

Insu

ranc

e

Perc

enta

ge o

f Pop

ulat

ion

unde

r age

65

with

out H

ealth

Insu

ranc

eAc

cess

to C

are

2015

Per

cent

age

of P

opul

atio

n U

nder

Age

65

With

out H

ealth

Insu

ranc

e

Rat

io o

f Pop

ulat

ion

to O

ne D

entis

tAc

cess

to C

are

2016

Rat

io o

f Pop

ulat

ion

to D

entis

ts

No

Veh

icle

Ava

ilabl

eAc

cess

to C

are

2017

Per

cent

age

of H

ouse

hold

s w

ith n

o V

ehic

le A

vaila

ble

Rat

io o

f Pop

ulat

ion

to O

ne N

on-P

hysi

cian

Pr

imar

y C

are

Prov

ider

Acce

ss to

Car

e20

17 R

atio

of P

opul

atio

n to

Prim

ary

Car

e Pr

ovid

ers

Oth

er th

an P

hysi

cian

s

Can

cer I

ncid

ence

-A

ll C

ause

sC

ance

r20

11-2

015

Age

-Adj

uste

d C

ance

r (Al

l) In

cide

nce

Rat

e C

ases

per

100

,000

Can

cer I

ncid

ence

-C

olon

Can

cer

2011

-201

5 A

ge-A

djus

ted

Col

on &

Rec

tum

Can

cer I

ncid

ence

Rat

e C

ases

per

10

0,00

0

Can

cer I

ncid

ence

-Fe

mal

e Br

east

Can

cer

2011

-201

5 A

ge-A

djus

ted

Fem

ale

Brea

st C

ance

r Inc

iden

ce R

ate

Cas

es p

er

100,

000

Can

cer I

ncid

ence

-Pr

osta

teC

ance

r20

11-2

015

Age

-Adj

uste

d P

rost

ate

Can

cer I

ncid

ence

Rat

e C

ases

per

100

,000

Can

cer M

orta

lity

Rat

eC

ance

r20

13 A

ll C

ance

r Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-Adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Arth

ritis

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-Ar

thrit

is20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Hea

rt D

isea

se M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

13 H

eart

Dis

ease

Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(Age

-adj

uste

d us

ing

the

2000

U.S

. Sta

ndar

d Po

pula

tion)

Hyp

erlip

idem

ia in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Car

diov

ascu

lar

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries

Atria

l Fib

rilla

tion

in M

edic

are

Popu

latio

nC

hron

ic C

ondi

tion

-C

ardi

ovas

cula

r20

07-2

015

Prev

alen

ce o

f Chr

onic

Con

ditio

n Ac

ross

all

Med

icar

e Be

nefic

iarie

s

Stro

ke M

orta

lity

Rat

eC

hron

ic C

ondi

tion

-C

ereb

rova

scul

ar20

13 C

ereb

rova

scul

ar D

isea

se (S

troke

) Age

-Adj

uste

d D

eath

Rat

e pe

r 100

,000

(A

ge-a

djus

ted

usin

g th

e 20

00 U

.S. S

tand

ard

Popu

latio

n)

Stro

ke in

Med

icar

e Po

pula

tion

Chr

onic

Con

ditio

n -

Cer

ebro

vasc

ular

2007

-201

5 Pr

eval

ence

of C

hron

ic C

ondi

tion

Acro

ss a

ll M

edic

are

Bene

ficia

ries


Appendix E: Evaluation of Prior Implementation Strategy Impact

Page ! of ! 60 60

Documents

Community Health Needs Assessment - Methodist Hospital For … · 2019-12-20 · For the 2019 assessment, the community includes the geographic area where at least 75% of the hospital