10 Aug As the new business analyst for your health organization, you are charged with the task of completing a community needs assessment in order to support the Chief Executive Officers
Scenario
As the new business analyst for your health organization, you are charged with the task of completing a community needs assessment in order to support the Chief Executive Officer’s proposed mobile clinic unit. The unit will contain a variety of services including health education, medical and dental screenings, HIV testing, a syringe exchange program, and diabetes, asthma, and cardiovascular disease management services. Your first step in conducting the needs assessment is to develop a draft of the proposal of the assessment for your CEO’s approval. Once the CEO has approved the assessment proposal, the complete assessment will be conducted.
Instructions
Your draft of the proposed assessment should include: Use the information from attached powerpoint.
- An executive summary outlining the challenges facing the local community (you may focus on any community, including your own).
- A description of the community’s population (age, median income, educational status, and other relevant factors describing the community). You will need to research the demographics in your selected community using sites such as the Kaiser Family Foundation.
- A discussion of the potential barriers that may restrict access to care.
- An assessment of key indicators that a mobile clinic is necessary (e.g., high incidence of obesity or drug dependence).
- Recommendations for resources, both human and technical.
- Create a survey to gain input from the community. (You should also discuss how you plan to administer the survey and analyze the results).
Rubric:
-Comprehensive executive summary outlining the challenges facing the local community.
-Clear and thorough description of the community’s population (age, median income, educational status, and other relevant factors describing the community).
-Clear and thorough discussion of the potential barriers that may restrict access to care.
-Comprehensive assessment of key indicators that a mobile clinic is necessary.
-Clear and thorough recommendations for resources, both human and technical.
-Comprehensive survey created to gain input from the community.
Community Needs Assessment
Lake County
Lake County Florida
Lake County is located in the center of the State between Orlando and Ocala.
Contains over 1,000 lakes and 202 square miles of water.
Population is 367,118
(U.S. Census Bureau, 2019)
Lake county is in central Florida with the population expected to increase more than the expected growth rate (U.S. Census Bureau, 2019). Health is influenced by conditions where we live and the ability and means to access healthy food, education, affordable housing, and jobs (U.S. Census Bureau, 2019). In Lake County, poverty rates are above 20% in several cities (U.S. Census Bureau, 2019).
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Social Determinants
Poverty rate-12.8%
Difficulty with employment
Utilities being shut off
Food shortage
Lack of transportation
Homelessness
Health focus was not until urgent
8.6% lack access to fresh available drinking water
(Lakecountyhealth.gov, 2021)
Poverty rate in Lake County increased (Lakecountyhealth.gov, 2021). They struggle with losing utilities and running out of food before they had money to buy more (Lakecountyhealth.gov, 2021). The homeless population is high in Lake County (Lakecountyhealth.gov, 2021). Lake County is a lower income county, people struggle with unemployment and high housing costs (Lakecountyhealth.gov, 2021). Barriers to healthy living are the lack of chronic disease prevention and management services, education on healthy eating and access to affordable, fresh produce, lack of access to care, transportation, and insurance (Lakecountyhealth.gov, 2021).
3
Social Determinants
White (Non-Hispanic)
240,160
Black or African American (Non-Hispanic)
3,264
White (Hispanic)
46,508
Black (Non-Hispanic)
34,877
15.9% of the population is Hispanic or Latino
(Lakecountyhealth.gov, 2021)
In 2018, the population in Lake County, Florida is majority White, non-Hispanic (Lakecountyhealth.gov, 2021).
4
Social Determinants
312 people are homeless in Lake County.
Nationally 1 in 10 homeless individuals are Veterans.
(Lakecountyhealth.gov, 2021)
Homeless persons are those who lack a fixed, regular, and adequate nighttime residence, or those living in shelters and temporary housing, or public and private places not designed for sleeping accommodations (Lakecountyhealth.gov, 2021).
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Social Determinants
Cardiovascular Diseases is the leading cause of death in Lake County.
Risk factors
Smoking
High cholesterol
High blood pressure
Physical inactivity
Diabetes
(Lakecountyhealth.gov, 2021)
In 2018, 206 deaths caused from cardiovascular disease in Lake County individuals. Over 35% of individuals in Lake County are cost burdened (Lakecountyhealth.gov, 2021). Risk factors of developing cardiovascular disease include smoking, high cholesterol, high blood pressure, physical inactivity and diabetes. Individuals that smoke are at higher risk of developing cardiovascular disease. Individuals should reach out for support to stop smoking. Physical activity can help reduce the risk of cardiovascular disease. Individuals need to be educated on diet and exercise to reduce the health risk.
6
Cardiovascular Disease
Low education
Low income
Higher poverty
Less healthy choices
(Lakecountyhealth.gov, 2021)
80% of students do not get enough physical activity (Lakecountyhealth.gov, 2021). More than 32% of adults are obese. Individuals with lower education struggle with higher paying jobs with result in higher poverty (Lakecountyhealth.gov, 2021). Eating healthy is more expensive and more challenging for the lower income individuals (Lakecountyhealth.gov, 2021). Therefore, they are less likely to make healthy choices (Lakecountyhealth.gov, 2021). This results in increased cardiovascular disease (Lakecountyhealth.gov, 2021).
7
Lake County has 7 hospitals
| Hospital Name |
| Florida Hospital Waterman-Advent Health |
| Leesburg Regional Medical Center |
| Leesburg Rehabilitation Hospital |
| LifeStream Behavioral Center |
| LifeStream Behavioral Center-2 |
| National Deaf Academy |
| South Lake Hospital |
| (County Office, 2021) |
These hospitals serve a population of over 326,000 people (County Office, 2021). There is 1 hospital every 134 square miles. Lake County is ranked 40th of 67 counties in Hospitals (County Office, 2021).
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Medical Resources Available
Environmental health
Health department
Wellness programs
Family planning
(FloridaHealth.gov, 2021)
Lake County has multiple environmental areas that promote healthy living (FloridaHealth.gov, 2021). They offer parks that are family friendly. They have walk paths, sporting areas, playground and exercise equipment. The health departments are available and offer many services at reduced costs (FloridaHealth.gov, 2021). For instance, mothers can join the WIC program that helps with formula and healthy supplemental food items for pregnant women and young children (FloridaHealth.gov, 2021). Wellness programs that offer disease prevention, heart disease prevention, and diabetes management (FloridaHealth.gov, 2021). The Florida Department of Health in Lake County is responsible for the surveillance of reportable communicable diseases, vaccine-preventable diseases, invasive bacterial diseases, arthropod-borne diseases, and others (FloridaHealth.gov, 2021). 82% of lake county residents have access to exercise opportunities (FloridaHealth.gov, 2021).
9
Community Needs Assessment
Lake County community needs include, access to primary prevention and healthcare, cardiovascular disease, mental health, education and training.
(Lakecountyhealth.gov, 2021)
Lake county’s number one health concern is cardiovascular disease (Lakecountyhealth.gov, 2021). Contributing to this is the lack of healthy eating and exercise (Lakecountyhealth.gov, 2021). Due to the poverty level individuals can not afford to eat healthy as it is more expensive (Lakecountyhealth.gov, 2021). Another contributing factor to this is obesity (Lakecountyhealth.gov, 2021). The community needs to be educated on healthy eating and exercise to ensure the reduction of cardiovascular disease.
10
Priority Concerns
Lake County community needs concerns
Chronic disease screenings
Promoting healthy lifestyles
Communicable diseases
Supporting mental health
(Lakecountyhealth.gov, 2021)
Chronic disease screenings include; mammograms, PSA, colorectal screenings (Lakecountyhealth.gov, 2021). Promoting healthy lifestyles including poor nutrition, lack of physical activity, unhealthy weight, tobacco/nicotine use, access to healthy food, risk reduction and education (Lakecountyhealth.gov, 2021). Communicable diseases include; HIV/AIDS, Hepatitis, Child and Adult Immunizations (Lakecountyhealth.gov, 2021). Supporting mental health includes lack of services and suicide (Lakecountyhealth.gov, 2021).
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Steps to improvement
Promote Community Wellness
Improve Access to Primary Care
Decrease Drug Use
Healthcare Resources
(Institute of Medicine, 2021)
Decreasing access to drugs and increasing educational opportunities in middle and high schools while providing treatment in high schools will aid in promoting community wellness (Institute of Medicine, 2021). Improving individuals access to receiving medical care will help with the concerns. Assisting individuals with transportation to and from the doctor office or having mobile clinics would improve the health concerns. Providing education and wellness centers for healthy living would improve overall health (Institute of Medicine, 2021).
12
Community Wellness
Decrease Drug Access
Increase education in middle and high schools
Increase treatment in high schools
Increase education to healthy lifestyle
Offer exercise classes
Offer affordable healthy foods
(Lakecountyhealth.gov, 2021)
In order to reduce the obesity rate in Lake County, the community can offer affordable healthy foods, exercise classes, and education to the community. Decrease the access to tobacco and drugs especially to minors (Lakecountyhealth.gov, 2021). Provide treatment to high school students when needed (Lakecountyhealth.gov, 2021).
13
Access to Primary Care
Increase access to free clinics
Increase services provided
Decrease cost if needed
Provide transportation to individuals in need
Mobile clinics
(Lakecountyhealth.gov, 2021)
Increase low-income families access to providers. Increase local services provided to community. Provide transportation to individuals in need to see his/her primary care physician. Provide mobile clinics to community (Lakecountyhealth.gov, 2021).
14
Decrease Drug Use
Education to middle and high school students
Treatment to high school students in need
Limit the accessibility to tobacco and drugs
Have treatment centers available to community
Offer counseling
(Institute of Medicine, 2021)
Drug addicts are typically utilizing drugs to cope or cover pain (Institute of Medicine, 2021). Individuals that have access to medical care and mental health are more successful and can cope without the drug use (Institute of Medicine, 2021). Educating and treating middle and high school students will help identify mental health concerns (Institute of Medicine, 2021).
15
Healthcare Resources
Health insurance does not guarantee prevent illness
Early intervention is key
Long-term Management will help maintain quality of life
Minimize premature death
Minimize disability
(FloridaHealth.gov, 2021)
The healthcare concerns in Lake County related to health care resources are emergency rooms are used for routine primary care (FloridaHealth.gov, 2021). Mental health is not considered urgent, so management of this disease is difficult with low income (FloridaHealth.gov, 2021). Individuals are obese and don’t exercise enough causing cardiovascular disease (FloridaHealth.gov, 2021). Without routine check ups and care, individuals will not have access to early intervention (FloridaHealth.gov, 2021).
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Prevention Initiatives
Education to appropriate diet and exercise
Routine primary care check ups
Education to signs and symptoms of cardiovascular disease
Increase cardiac specialist in the area
Increase wellness clinics
Affordable healthy food plans
(FloridaHealth.gov, 2021)
Lake County’s top healthcare concern is cardiovascular disease (FloridaHealth.gov, 2021). Individuals need interventions to assist the community with reducing this health concern (FloridaHealth.gov, 2021). Education on healthy diet and access to healthy foods for all individuals no matter the income (FloridaHealth.gov, 2021). Routine check ups from PCP to ensure symptoms are addressed early (FloridaHealth.gov, 2021).
17
Performance Indicators
Performance indicators used include:
To increase the number of individuals establishing a primary care physician relationship by 20% in the year.
To decrease risk factors associated with cardiovascular by 10% within a year from seeking primary prevention.
To increase percentage of adults who have visited or received services annual checkups by 30% within a year.
To decrease percentage of cardiovascular disease emergency department, visit rate by 5% within a year.
To increase percentage of food pantries/banks inventory of healthy food by 5%.
To reduce rate of deaths related to cardiovascular disease by 10%.
To decrease obesity rate by 5% within a year.
(Lakecountyhealth.gov, 2021)
Performance indicators are used as a form of measurement to demonstrate if goals are being achieved (Lakecountyhealth.gov, 2021). By implementing education, healthy lifestyles, access to primary health care providers the community can reduce cardiovascular disease. The above indicators are measuring the community can use to indicate that the inventions are successful.
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References
County Office (2021). Hospitals in Lake County, Florida. https://www.countyoffice.org/fl-lake-county-hospitals
FloridaHealth.gov (2021). Programs and Services. https://floridahealth.gov
Institute of Medicine (2021). Primary Care and Public Health: Exploring Integration to Improve Population Health. National Academics Press. https://www.nap.edu/read/13381/chapter/1
Lakecountyhealth.gov (2021). Community Health Improvement Plan. http://lake.floridahealth.gov/programs-and- services/community-health-planning-and-statistics/_documents/LakeCo__HealthDeptFinalCHA_10.23.19.pdf
U.S. Census Bureau (2019). Quick Facts of Lake County, Florida. https://www.census.gov/quickfacts/fact/table/lakecountyflorida
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