Macon County Community Health Needs AssessmentReport of Findings2012

Assessment conducted by: Macon County Health Council

Special Community Health Needs Assessment Committee Representatives from the State of Tennessee

Department of Health, Macon County General Hospital, Coordinated School Health, private healthcare providers and various community agencies were consulted during the needs assessment process.

Macon County General Hospital

Demographics

2010 U.S. Census Data Population 22,248 Median Age 38.7 96% White 8,561 Households 34% households with person under 18 26.7% households with person over 65

Access to Care Health Professional Shortage Area Medically Underserved Population HRSA Data Warehouse statistics

3, 205 Uninsured individuals (age under 65) 2,808 Elderly (age 65+) Medicare beneficiaries

998 Disabled Medicare beneficiaries

7, 264 Medicaid beneficiaries 22.9 Primary Care Physicians per 100,000 pop 18.3 Dentist per 100,000 pop

5,796 Enrolled in Tenncare 03/15/12

MCGH Leading Diagnoses Inpatient

COPD Pneumonia Pancreatitis

Observation Chest Pain Dehydration Syncope

Emergency Department UTI Viral Infection Otitis Media

Vulnerable PopulationsAccording to the Community Health Status Indicators, Macon County Tennessee 2009 report: 5,961Have no high school diploma 866 Are unemployed1,212 Are Severely Work Disabled1,632 Have Major Depression1,567 Are Recent Drug Users (past month)

48.1% Kids free or reduced lunch (Kids Count Data Center, 2009)

Process and Methods Collection of Primary Data

Community Survey Spring 2012 566 surveys completed Paper & Electronic

Stakeholder Interviews Review of Secondary Data

Current state of national statistics New Priorities Established

Survey Results: demographics

Survey Results: demographics

Survey Results: demographics

Survey Results: demographics

Survey Results: demographics

Survey Results: demographics

Survey Results: demographics

Survey Results: Core Questions

Survey Results: Core Questions

Survey Results: Core Questions

Survey Results: Core Questions

Survey Results: Core Questions

Health Indicator Statistics

• In 2010, the pregnancy rate for females ages 10-19 was 37.8 per 1,000 females • This is the third highest pregnancy rate in this category in the State

BRFSS data

County Health Rankings

2010 Tennessee State Health Plan Survey This survey was completed by 2,431

respondents from all over the state The health conditions thought to be the

most important to Tennesseans were Obesity and overweight  Heart attack, stroke, high blood pressure and

cardiovascular disease Diabetes Alcoholism and drug abuse Cancer

Personal Interviews: identified needs

Limited OB/GYN services Patients inactive in personal health management No on-site/local psychiatrist Widespread Poverty Limited specialty healthcare services available in the county Drug Abuse Physically inactivity Financial/economic education Emergency preparedness education Parental involvement in children’s health needs No school system dietician Peer pressure among students After hours health care access Number of primary healthcare providers Underutilization of mammography in the elderly population

What Conclusions

were drawn by the committee

Conclusion: New Priority Health Needs for Macon County

1. Cancer

2. Heart Disease

3. Diabetes

4. Drug and Alcohol Abuse

5. Teenage Pregnancy

Contributors Stacey Brawner-Macon County General Hospital, Director of Community Outreach

Brenda Harper-Valley Ridge Mental Health Center, Director

Thomas Kidd-Macon County General Hospital, CFO

Lynn Knight-UT Extension-Macon County, Family and Consumer Sciences Extension Agent

Chaundel Presley-Primary Health Care Group, Inc, Family Nurse Practitioner

Frances Reece-Macon County Health Department, Director

Melissa Ross-Macon and Smith County Health Departments, Health Educator

Melissa Shrum-Coordinated School Health, Assistant

Jackie Sircy-Coordinated School Health, Director

Dennis A. Wolford-Macon County General Hospital, CEO