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CARILION TAZEWELL COMMUNITY HOSPITAL 2013 Community Health Needs Assessment Key Health Themes Critical Service Gaps Behavioral Health Obesity Substance Abuse Active Living Alternative Medicine Behavioral Health Health Care Coverage Health Promotion Primary Care Specialty Care Substance Abuse Vision Care Unique Findings • Out of all Virginia localities, Tazewell County has the 2nd worst health outcomes and is ranked in the bottom 25% for health factors • Higher rates of high cholesterol, adult obesity, and no leisure time physical activity than the state overall • 2x the number of Tazewell residents report a fair or poor health status than Virginia residents • The prevalence of STIs is much lower than the state, which may be due to poor reporting practices Potentially Avoidable Hospitalizations* Bacterial Pneumonia Chronic Obstructive Pulmonary Disease Congestive Heart Failure Diabetes Behavioral Health Implementation Strategy Focus Implementation Strategy Partners Behavioral Health Health Care Coverage Health Promotion Obesity Primary Care Substance Abuse Not reported in CHNA • Alcohol and drug abuse and prescription drug abuse were both among the top 3 health problems in the community • The death rate from prescription drugs is more than 7x the statewide rate and the death rate from drugs/poison is 5x the statewide rate • Tazewell residents report 1.75x more mentally unhealthy days than Virginia overall • While the suicide rate has decreased significantly from 2009, it is still slightly higher than the statewide rate Oral Health • 14% of residents report not seeing a dentist for regular care • Residents reported that dental services were available but were simply too expensive to access Demographics Social, Economic, and Environmental Concerns • Tazewell's median household income is more than $25,000 lower than the statewide median household income • Just over 1/2 of Tazewell County students are eligible for the Free and Reduced Price Lunch Program • Estimated 1,646 housing units with no vehicle available, a rate 1.5x worse than the statewide rate • There is 1 food desert in the community with 90.4% of residents living 1 (urban) or 10 (rural) miles from a supermarket or large grocery store • Tazewell has a median age 6 years older than Virginia’s median age • Relatively racially homogeneous (White) • Higher poverty rate for residents of all ages and for children than the statewide rates • The proportion of adult residents that have a high school diploma is smaller compared to Virginia overall Service Area Tazewell County Health Care Workforce Gaps Behavioral Health Dental Primary Care Specialty Care (no other practice areas noted in CHNA) Note: Non-profit hospitals in the US must conduct a Community Health Needs Assessment (CHNA) and prepare an Implementation Strategy every three years. This hospital and its partners identified the community needs above by examining a combination of existing quantitative data and input from community members collected during the CHNA process. *Potentially Avoidable Hospitalizations, or Prevention Quality Indicators (PQIs), are conditions for which hospitalizations could be avoided if the patient has access to quality outpatient care. For more information on PQIs and how they are determined, please visit http://www.qualityindicators.ahrq.gov/