2013

Community Health Needs Assessment Kaiser Foundation Hospital – MODESTO License #030000393

To provide feedback about this Community Health Needs Assessment, email [email protected]

KAISER PERMANENTE NORTHERN CALIFORNIA REGION COMMUNITY BENEFIT CHNA REPORT FOR KAISER FOUNDATION HOSPITAL - MODESTO (LICENSE NUMBER: 030000393)       Authors Maria Boyle, MS, RD and Sallie Yoshida, D.Ph., RD, Samuels & Associates, and Marie E. Sanchez, Kaiser Permanente, Central Valley Area

Acknowledgements Kaiser Foundation Hospital-Modesto would like to thank and acknowledge the staff at United Way of Stanislaus County, particularly Estrella Garcia, Director of Community Impact, for organizing and coordinating the focus groups that were part of this assessment. We also appreciate the time and important information provided by the focus group and key informant interview participants.

   

TABLE OF CONTENTS I. 

EXECUTIVE SUMMARY ............................................................................................................................................ 6  a.  Background of the Community Health Needs Assessment ....................................................................... 6  b.  Kaiser Permanente Modesto ............................................................................................................................... 6  c.  Prioritized Health Needs ....................................................................................................................................... 6 

II.  BACKGROUND ........................................................................................................................................................... 7  a.  Purpose of the Community Health Needs Assessment Report ................................................................. 7  b.  About Kaiser Permanente (KP) .......................................................................................................................... 7  c.  About Kaiser Permanente Community Benefit .............................................................................................. 7  d.  Kaiser Permanente’s approach to Community Health Needs Assessment ........................................... 8  III. 

COMMUNITY SERVED .......................................................................................................................................... 9 

a.  Kaiser Permanente’s definition of community served by hospital facility* ........................................... 9  b.  Map and description of community served by hospital facility ................................................................. 9  c.  Demographic Profile of Kaiser Foundation Hospital - Modesto Community ....................................... 11  IV. 

WHO WAS INVOLVED IN THE ASSESSMENT .............................................................................................. 16 

a.  Samuels & Associates – Evaluation Consultant ......................................................................................... 16  V.  METHODS USED TO CONDUCT THE CHNA ..................................................................................................... 17  a.  Kaiser Permanente CHNA Data Platform ....................................................................................................... 17  b.  Key Informant Interviews and Focus Groups ............................................................................................... 17  c.  Data limitations and information gaps ........................................................................................................... 20  VI. 

IDENTIFICATION AND PRIORITIZATION OF COMMUNITY’S HEALTH NEEDS.................................... 21 

a.  Identifying community health needs............................................................................................................... 21  b.  Process and criteria used for prioritization of the health needs ............................................................. 22  c.  Prioritization of community health needs .................................................................................................... 22  d.  Community assets and resources to address identified needs .............................................................. 23  VII. 

APPENDICES ......................................................................................................................................................... 26 

APPENDIX A: KAISER PERMANENTE CHNA DATA PLATFORM KEY INDICATORS AND SOURCE .... 27  APPENDIX B: RANKING HEALTH NEEDS ............................................................................................................. 30     

APPENDIX C: HEALTH NEED PROFILE: ASTHMA ............................................................................................ 31  APPENDIX D: HEALTH NEED PROFILE: OVERWEIGHT/OBESITY ................................................................ 35  APPENDIX E: HEALTH NEED PROFILE: DIABETES.......................................................................................... 40  APPENDIX G: HEALTH NEED PROFILE: MENTAL HEALTH ........................................................................... 44  APPENDIX H: HEALTH NEED PROFILE: CANCER ............................................................................................ 49  APPENDIX I: HEALTH NEEDS PROFILE: ALCOHOL AND DRUG ABUSE ................................................... 52  APPENDIX J: HEALTH NEED PROFILE: TOBACCO USAGE ........................................................................... 54  APPENDIX K: HEALTH NEED PROFILE: HYPERTENSION/ HIGH BLOOD PRESSURE ........................... 56  APPENDIX L: HEALTH NEED PROFILE: HEALTH ACCESS ............................................................................ 58   

Table A: Poverty Rate (