Download carilion tazewell community hospital

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/