Nursing nursing assignment 1

Community Health Needs Assessment (CHNA); Community Profile Report

Name

Capella University

BHA-FPX4108 Assessment #1

Faculty

Date

Community Profile Report

By incorporating these key demographic, socioeconomic, and epidemiological components into the CHNA, stakeholders can gain a

comprehensive understanding of the community's health status, identify priority health issues, and develop evidence-based

strategies to address those needs effectively. (See Appendix A for Example DOH data availability used for this report.)

Assessment #1: Hospital(s) Community Profile Report ⮚ Refer to: American Hospital Directory. (AHD), (n.d.). Hospital Statistics by State.

https://www.ahd.com/state_statistics.html Hospital or Hospital System Name(s)

Orlando Health South Seminole Hospital, 555 W State Rd 434

City Longwood, 32765 ST FL County Seminole County

Service Area ZIP Code(s)

Seminole County: 32701-32799 (Zillow, 2023)

Hospital Classification

⮚ Refer to: Assessment 1 Resource: How to Classify your Hospital (Meyer, 2023)

Hospital IRS Classification: For-Profit, Not-for-Profit (501c3) Public Record: 501c3: Tax returns list nonprofit organizations

Hospital Service Type: Specialty Hospital, Community Hospital Community General and Psychiatric

Hospital Service Level: Level I, II, III, IV or V

South Seminole is 24/7 and part of Level One Trauma Center System. As the only accredited Chest Pain Center in Seminole County and home to one of three Air Care Team helicopter bases, we provide care for even the most serious of emergencies, with trauma transport to the only Level One Trauma Center in Central Florida at Orlando Regional Medical Center (Downtown, Orange County, FL) (ORSSH, 2023a).

Hospital Bed size

South Seminole Hospital has 206 beds, 126 are acute care and 80 are inpatient behavioral health. It primarily services Longwood, Florida. This CHAP is for Orlando South Seminole Hospital. It is important to note that Orlando Health Florida has 11 hospitals and is a 3,200+-bed system. (ORSSH, 2023a).

Community Census; Population Data (Most Current Year Available) (U.S. Census Bureau 2021)

⮚ Refer to: United States Census Bureau. (n.d.). Quickfacts. https://www.census.gov/quickfacts/fact/table/US/SEX255221

State Benchmarks (optional)

Total population size (Seminole County is 2.2% of FL Population).

2022 Current Year (CY) Estimate:

478,772 2021 & 2020 Previous Year (PY) Estimate:

2021 = 471,009, 2020 = 470,855

CY/PY -1 = % Change

2022 = 16.5% 2021 = 0.03% 2020 = baseline

FL 2022 = 22,244,823 22,244,823 FL 2020 = 21,538,226 % Change: 3.3%

Age Distribution

=< age 5 County: 5.00% State: 5.10%

=< age 18 County: 20.80% State: 19.70%

=> age 65

County: 16.40% State: 21.10%

SSC is approx.. 5% younger than FL

Gender Distribution

% Female

51.3% % Male

48.7% St. of FL: Females 50.8% St. of FL: Males 49.2%

Ethnicity State Benchmarks (optional)

Black or African American alone, percent % 13.40% 17.00%

American Indian and Alaska Native alone, percent % 0.50% 0.50%

Asian alone, percent % 5.2% 3.0%

Native Hawaiian and Other Pacific Islander alone, percent % 0.10% 0.10%

Two or More Races, percent % 3.0% 2.4%

Hispanic or Latino, percent % 23.30% 26.8%

White alone, not Hispanic or Latino, percent % 77.80% 76.90%

Population Characteristics State Benchmarks (optional)

Veterans # County 26,644/ FL State 1,389,309

Foreign (born)

% 14.7% Vets = 20% Foreign-= 21%

Education State Benchmarks (optional)

High school graduates up to age 25 years % 94.20% 89.00%

Bachelor's degree or higher, age 25 years+ % 41.90% 31.50%

Computer and Internet Use State Benchmarks (optional)

Households with a computer, percent % 96.70% 94.30%

Households with a broadband Internet subscription % 92.40% 87.20%

Socioeconomic (Income & Poverty) (2021) State Benchmarks (optional)

Median household income

$73,002 Persons in poverty, percent 9.5.1% Median: $61,777

Per capita income in past 12

$38,429 Other? State of Florida Poverty: 13.1% Per Capita: $35,216

2021 Vital Statistics (FL DOH)

⮚ Refer to: Find your local department of health and vital statistics, go to: National Association of County and City Health Officials (NACCHO). (n.d.). Directory of Local Health Departments. https://www.naccho.org/membership/lhd-directory

State Benchmarks (optional) Florida DOH

https://www.flhealthcharts.gov /charts/default.aspx

Rates vary based on population size, i.e., per 1,000, or per 10,000, or per 100,000

Birth rates: Total Live Births by Race January to December, 2021

County Total FLORIDA 216,189 SEMINOLE 4,532 % Total County/State 2.1%

FLORIDA 216,189

Infant mortality rates and Neonatal deaths (2021)

Seminole County, 6.0 per 1,000 Live births (Aged 0-364 Days) 2019-21 Neonatal death rate 4.5 per 1,000 live births (Age 0-28 days)

IM: Florida 5.9 per 1,000 live births

ND: Florida 4 per 1,000 live births

Maternal mortality rates (2021)

Seminole County 14.7 per live births Florida 30.2 per 1,000 live births

Total Death Rate (2021)

Seminole 4,400, or 749.6 per 100,000, population Florida, 802.9 per 100,000 population

2021 Top 5 Morbidity Rates (FLHealthCahrt, DOH, n.d.) State Benchmarks (optional)

1. STDs In 2021, the rate per 100,000 of Syphilis, All Stages in Seminole County was 52.6 compared to Florida at 74.7 In 2021, the rate per 100,000 of Syphilis, Early in Seminole County was 35.4 compared to Florida at 46.5. In 2021, the rate per 100,000 of Chlamydia in Seminole County was 393.4 compared to Florida at 475.2. In 2021, the rate per 100,000 of Gonorrhea in Seminole County was 142 compared to Florida at 203.6.

2. Child Asthma In 2021, the rate per 100,000 of Ambulatory Care Sensitive Hospitalizations From Asthma (Aged 0-4 Years) in Seminole County was 442.9 compared to Florida at 422.6.

3. Heart Disease In 2021, the rate per 100,000 of Ambulatory Care Sensitive Hospitalizations From Angina (Aged 0-64 Years) in Seminole County was 4 compared to Florida at 6.2.

4. Stroke In 2021, the age-adjusted rate per 100,000 population of Deaths From Stroke (All) in Seminole County was 55.3 compared to Florida at 43.7.

5. Cancer 2017-19 3rd Quartile, Breast cancer age-adjusted incidence rate Per 100,000 females, Seminole 124.8, Florida 123.3

2021 Top 5 Mortality Rates per 100,000 (FL DOH, n.d.) State Benchmarks (optional)

1. Circulatory System Diseases 240.4 1. Heart Disease 227.3

2. Neoplasms (Cancer) 186.1 2. Cancer 213.1

3. Infectious and Parasitic Diseases 129.1 vs. (Q3, 2022) COVID-19 Death Rate 28.4 3. COVID-19 156.7

4. External Causes of Mortality (Injuries) 94.1 4. Unintentional Injuries 80.2

5. Respiratory System Diseases 55.8 5. Stroke 70.7

Final population health priorities identified.

(Identify 3 = Basic = 4, Proficient, 5 = Distinguished)

Other (See List below) for adding criteria to Top 5 Priorities for Planning. They may be Medical, Environmental, Socioeconomic, or any other top priority identified.

Top 5 Priorities: Other Determinants of the issues

1. Heart Diseases

2. Breast Cancer

3. COVID-19 Boosters

4. Adolescent and Youth Care: Infant Mortality Rate + 9.5% poverty level with 11.2% poverty for

those under age 18, English language barrier, and too high a rate in STDs.

5. Childhood Asthma

Other Indicators Socioeconomic, Environmental, and Biological Determinants of Population Health

Any other factor impacting population health for your CHAP. See List below. ONLY add to your data which is most important

to the one community service area you are profiling.

⮚ Basic: Identify one other determinant impacting population health in a specific community.

⮚ Proficient: Identify at least two other determinants impacting population health in a specific community.

⮚ Distinguished: Identify three or more determinants impacting population health in a specific community and support

findings with credible references.

1. Environmental Factors: These include the physical environment (like air and water quality, exposure to hazardous substances, and access to safe housing and green spaces) as well as the built environment (like access to healthy food options, availability of public transportation, and neighborhood walkability).

Learner’s Response

2. Behavioral Factors: These include lifestyle choices such as diet, physical activity, tobacco use, alcohol consumption, and other behaviors that can influence health.

Learner’s Response

3. Biological and Genetic Factors: Some health outcomes are influenced by biological and genetic factors. For example, some people are genetically predisposed to certain health conditions like diabetes, heart disease, or cancer.

Learner’s Response

4. Access to Health Care: This includes not only whether individuals have health insurance, but also whether they have access to quality health care services and whether they face barriers to accessing care, such as transportation challenges, language barriers, or discrimination.

Learner’s Response

5. Social and Community Context: This includes factors like social support networks, community cohesion, discrimination, violence, and social norms and attitudes.

Learner’s Response

6. Health Policies: The presence and effectiveness of health-related policies and regulations, such as those related to tobacco and alcohol use, food and nutrition, environmental safety, and others can significantly impact population health.

Learner’s Response

7. Occupational Factors: The conditions of a person's occupation can greatly influence their health. This includes physical hazards, stress levels, work hours, and more.

Learner’s Response

8. Environmental Factors: These include the physical environment (like air and water quality, exposure to hazardous substances, and access to safe housing and green spaces) as well as the built environment (like access to healthy food options, availability of public transportation, and neighborhood walkability).

Learner’s Response

9. Behavioral Factors: These include lifestyle choices such as diet, physical activity, tobacco use, alcohol consumption, and other behaviors that can influence health.

Learner’s Response

10. Equity: Health equity refers to the goal of reducing disparities in health outcomes between different groups. It's about ensuring that everyone has a fair and just opportunity to be as healthy as possible, regardless of their social, economic, or demographic characteristics.

Learner’s Response

FLHealthChart (FLDOH) In 2021, the percentage of Population That Speak English Less Than Very Well (Aged 5

Years and Older) in Seminole County was 6.9 compared to Florida at 11.8. The line graph shows change over

time when there are at least three years of data. (FDOH, 2023)

FLHealthChart (FLDOH) In 2021, Percentage of individuals under 18 below poverty level Seminole County 11.1

Florida 18.2 (FDOH, 2023)

11. Health Disparities: These are differences in health outcomes and their determinants between different population groups. Disparities can occur along many dimensions, including race/ethnicity, socioeconomic status, age, location, gender, disability status, and sexual orientation.

Learner’s Response

12. LGBTQ+ Health: People who identify as LGBTQ+ often face unique health challenges and disparities. These can be linked to societal stigma, discrimination, and denial of civil and human rights, which can negatively impact both physical and mental health.

13. Physician Shortages: Access to healthcare providers is a critical aspect of health. Shortages of physicians, particularly in primary care, can lead to delays in receiving care, lower quality of care, and increased healthcare costs. These shortages are often more severe in rural areas.

Learner’s Response

Shortages Measure Quartile(4=least Favorable)

County State HlthPeople2030

Total Licensed Florida Family Practice Physicians (FP - FAMILY PRACTICE)

2019-21 Per 100,000 population 1st Quartile 27.7 18.8

Total Licensed Florida Dentists 2019-21 Per 100,000 population 1st Quartile 61.9 55.2

Total hospital beds 2019-21 Per 100,000 population 3rd Quartile 199.4 311.6

County Health Department Full-Time Employees 2019-21 Per 100,000 population 4th Quartile 31.3 43.6

Source: (Florida Department of Health, 2023)

14. Rural Health: People living in rural areas often face unique health challenges. They may have less access to healthcare services, are often older and sicker than their urban counterparts, and face higher rates of poverty. Rural areas also often have fewer health resources, leading to challenges in accessing care.

Learner’s Response

15. Social Determinants of Health: These are conditions in the environments in which people live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. These can include safe housing, access to education, public safety, the availability of healthy foods, local health services, toxic substances, and more.

Learner’s Response

Infant Mortality Rate + 9.5% poverty level with 11.2% poverty for those under age 18, English language barrier,

and too high a rate in STDs in those age 18 and under (FDOH, 2023).

16. Transportation challenges: Access to reliable, safe, and affordable transportation is crucial for maintaining health.

17. Rural Health: People living in rural areas often face unique health challenges. They may have less access to healthcare services, are often older and sicker than their urban counterparts, and face higher rates of poverty. Rural areas also often have fewer health resources, leading to challenges in accessing care.

Learner’s Response

18. Urban Health: Urban environments can offer both benefits and challenges to health. On the one hand, urban areas often have more health care resources, such as hospitals and clinics, compared to rural areas. On the other hand, urban areas can also have higher levels of pollution, noise, and crowded living conditions, which can negatively impact health. Additionally, urban areas can have higher rates of certain health problems, such as obesity and mental health issues, partly due to lifestyle factors and the stressors of urban living.

Learner’s Response

References

Florida Department of Health. (FDOH). (2023a). FL Health Charts.

https://www.flhealthcharts.gov/ChartsDashboards

Florida Department of Health. (FDOH). (2023b). County Health Status Summary Report: Seminole vs.

Florida.

https://www.flhealthcharts.gov/ChartsReports/rdPage.aspx?rdReport=ChartsProfiles.CountyHe

althSummary

Florida Department of Health. (FDOH). (2023c). Florida County Health Dashboard; Seminole County.

https://www.flhealthcharts.gov/ChartsReports/rdPage.aspx?rdReport=ChartsProfiles.CountyHe

althProfile

Orlando Health South Seminole Hospital. (ORSSH). (2023). Orlando Health South Seminole Hospital ER.

Retrieved from https://www.orlandohealth.com/facilities/south-seminole-hospital-er

United States Census Bureau. (n.d.). Quick facts. Seminole County, Florida. Retrieved from

https://www.census.gov/quickfacts/seminolecountyflorida

Zillow. (2023) ZIP Codes in Seminole County FL. Retrieved from

https://www.zillow.com/browse/homes/fl/seminole-county/

Appendix A: Florida Health Department Example of Health Status Information

Community Tools (Open Internet) ● Life Expectancy ● Community Map ● Social & Economic Factors

Profiles & Dashboards ● Health Summaries ● Injuries ● Social and Behavioral Health ● Specific Focus

Health Indicators Topic Areas

● Chronic Diseases ● Environmental Health ● Health Resources Availability ● Injury and Violence ● Maternal and Child Health ● Population Characteristics ● Reportable and Infectious Diseases ● Social and Behavioral Health

Surveys ● Adult Behavioral Risk Factors ● Pregnancy Risk Assessment Monitoring

System ● Youth Health Behaviors

Data Queries ● Births: Counts | Rates ● Deaths: Counts | Rates ● Infant Deaths: Counts | Rates ● Fetal Deaths: Counts | Rate ● Marriages: Counts | Rates ● Marriage Dissolution: Counts | Rates ● Population Estimates ● Reportable Diseases

Special Reports ● Public Health Briefs ● Analytic Reports ● Vital Statistics Reports

Data Sources & Updates ● Data Sources ● Update List

Some states have ListServs that may update you or provide more detail information regarding your State and County.

Florida Health Chart CHARTS Login Create your CHARTS account to instantly view your county's data and receive CHARTS update notices. Log In/Sign Up

Appendix A: Florida, Department of Health. (FDOH). (2023, May). Health Summaries by County & State Reports. https://

www.flhealthcharts.gov/Charts/QASpecial.aspx#HS