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Community Health Needs Assessment

Community Health Needs Assessment Survey

The Community Health Needs Survey was launched in partnership with Roper St. Francis, between February and May 2013. The purpose of this survey was to gain community input in identifying and prioritizing community health needs. The scope included 318 total respondents with finished surveys from the local tri-county area. The respondent groups included 141 physicians, 56 school nurses, 76 community advocates, and 110 other respondents with expertise in public health.

Survey Results

Question #1 “Please rank the following in order of (1) for Most Concerning to (12) for Least Concerning; in the health of your community.” The following ranking illustrates the composite results of responses from physicians, school nurses, community advocates, and others:

  1. Access to Care
  2. Obesity/Nutrition/Physical Activity
  3. Mental Health
  4. Clinical Preventive Services
  5. Maternal, Infant, and Child Health
  6. Injury and Violence
  7. Substance Abuse (alcohol/drug)
  8. Social Determinants
  9. Tobacco Use
  10. Sexual Health
  11. Oral Health
  12. Environmental Quality

Question #2 “With regards to the ‘Most Concerning health issue selected in Question #1’; are resources available in your community to address this issue?”

  • 52% Physicians responded that resources are available in the community to address Obesity/Nutrition/Physical Activity, the Most Concerning health issue selected by physicians in Question #1.
  • 63% School Nurses responded that resources are available in the community to address “Obesity/Nutrition/Physical Activity,” the Most Concerning health issue selected by school nurses in Question #1.
  • 43% Community Advocates responded that resources are available in the community to address Access to Care, the Most Concerning health issue selected by community advocates in Question #1.
  • 52% Others responded that resources are available in the community to address Mental Health, the Most Concerning health issue selected by other respondents in Question #1.

Question #3 “With regards to the ‘Most Concerning health issue selected in Question#1’; do those you serve have reasonable access to available resources?”

  • 49% Physicians responded that those they serve have reasonable access to available resources for Obesity/Nutrition/Physical Activity.
  • 51% School Nurses responded that those they serve have reasonable access to available resources for Obesity/Nutrition/Physical Activity.
  • 34% Community Advocates responded that those they serve have reasonable access to available resources for Access to Care.
  • 42% Others responded that those they serve have reasonable access to available resources for Mental Health.

Question #4 “Are you aware of the 2-1-1, where you can call to get information about community resources 24/7?”

  • 25% Physicians were aware of 2-1-1.
  • 63% School Nurses were aware of 2-1-1.
  • 85% Community Advocates were aware of 2-1-1.
  • 68% Others were aware of 2-1-1.

Question #5 “Have you used 2-1-1 previously?”

  • 17% Physicians have used 2-1-1 previously.
  • 35% School Nurses have used 2-1-1 previously.
  • 52% Community Advocates have used 2-1-1 previously.
  • 42% Others have used 2-1-1 previously.

Question #6 “Was 2-1-1 helpful?”

  • 67% Physicians responded that 2-1-1 was helpful.
  • 92% School Nurses responded that 2-1-1 was helpful.
  • 81% Community Advocates responded that 2-1-1 was helpful.
  • 77% Others responded that 2-1-1 was helpful.

Question #7 “Are there any barriers to accessing your services?

  • 52% Physicians responded that there are barriers to accessing their services for patients. 89% Physicians responded that specific barriers exist for the uninsured and underinsured. Cost was the largest barrier.
  • 45% School Nurses responded that there are barriers to accessing their services for students; Transportation was the largest barrier.
  • 69% Community Advocates responded that there are barriers to accessing their services for clients; Transportation was the largest barrier.
  • 65% Others responded that there are barriers to accessing their services for clients; Transportation was the largest barrier.

Question #8 “Are there any barriers to accessing other medical resources?

  • 76% Physicians responded that there are barriers to accessing other medical resources for patients. Cost was the largest barrier.
  • 83% School Nurses responded that there are barriers to accessing other medical resources for students. Transportation was the largest barrier.
  • 71% Community Advocates responded that there are barriers to accessing other medical resources for patients. Transportation was the largest barrier.
  • 68% Others responded that there are barriers to accessing other medical resources for patients. Transportation was the largest barrier.

Question #9 “Are there any barriers to accessing community resources?”

  • 73% Physicians responded that there are barriers to accessing community resources. Transportation was the largest barrier.
  • 58% School Nurses responded that there are barriers to accessing community resources for students. Transportation was the largest barrier.
  • 67% Community Advocates responded that there are barriers to accessing community resources for clients. Transportation was the largest barrier.
  • 69% Others responded that there are barriers to accessing community resources for students. Transportation was the largest barrier.

Question #10 “Are there any barriers to care coordination?”

  • 73% Physicians responded that there are barriers to care coordination. Limited Networks was the largest barrier.
  • 57% School Nurses responded that there are barriers to care coordination for students. Lack of Medical Home was the largest barrier.
  • 57% Community Advocates responded that there are barriers to care coordination for clients. Lack There Of was the largest barrier.
  • 53% Others responded that there are barriers to care coordination for clients. Transportation was the largest barrier.

Question #11 “Are there activities that (local healthcare organizations) could participate in that would help accelerate improvement in some of these health priorities? (Non-financial)”

  • 71% Physicians responded that local healthcare organizations could participate in activities that would help accelerate improvement in health priorities. Increase Indigent Care was the most selected activity.
  • 81% School Nurse responded that local healthcare organizations could participate in activities that would help accelerate improvement in health priorities. Education/Health Literacy was the most selected activity.
  • 81% Community Advocates responded that local healthcare organizations could participate in activities that would help accelerate improvement in health priorities. Community Wellness/Outreach was the most selected activity.
  • 72% Others responded that local healthcare organizations could participate in activities that would help accelerate improvement in health priorities. Education/Health Literacy was the most selected activity.

Question #12 “Are there specific barriers for the uninsured and underinsured?”

  • 89% Physicians responded that there are specific barriers for the uninsured and underinsured. The ranking of specific barriers, from (1) most selected response to (5) least selected responses, is as follows:
  1. Costs
  2. Uninsured/Underinsured
  3. Access
  4. Transportation
  5. Education/Health Literacy

Question #13 “Are there prevention efforts that would significantly impact the health of your patients?”

  • 52% Physicians responded that there are prevention efforts that would significantly impact the health of their patients. The ranking of prevention efforts, from (1) most selected response to (13) least selected response, is as follows:
  1. Community Wellness
  2. Screenings
  3. Smoking Cessation
  4. Education/Health Literacy
  5. Access
  6. Vaccines
  7. Substance Abuse
  8. Family Planning
  9. Violence
  10. Insurance
  11. Environment
  12. Coordinated Care
  13. Indigent Care

The following graph illustrates prioritization of the twelve needs identified by the community in response to Question #1 of the Community Health Needs Assessment Survey, listed on page 9. The x-axis correlates with the significance level of each of the twelve community needs, determined by survey respondents. The y-axis correlates with the estimated ability of local healthcare organizations to impact each of the twelve community needs.

Prioritization of the twelve needs

MUSC Health Recognition

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