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Community Assessment

Community Health Survey
Community Assessment
(Student Name]
Western Governors University
9 May 2015
A. Community Assessment: [city/county name], SC Located in the Foothills of South Carolina, the city of
[city/county name], South Carolina is rapidly growing and has become an appealing destination for
short-term and long-term visitors. [city/county name] has spectacular natural beauty, southern charm,
and unanticipated contemporary sophistication making it alluring to multigenerational and multicultural
groups. [city/county name] City is located in the center of [city/county name] County. [city/county
name] County is located in the northwest of South Carolina, with Western North Carolina bordering the
north side of the county, Spartanburg County bordering to the east, and Pickens and Anderson Counties
on the west side of the county. In addition to being the county seat for [city/county name] County, the
City of [city/county name] is the largest in county. Other cities in [city/county name] County include
Mauldin, Simpsonville, Travelers Rest and Greer. Adults age twenty-five and up make up sixty-seven
percent of the population of [city/county name] City (U.S. Census Bureau, 2013). The leading cause of
death in [city/county name] County is cancer, followed by heart disease and accidents (SCDHEC Vital
Statistics, 2012). Two of the top three employers in [city/county name] are healthcare systems,
employing twenty-nine percent of the population. The second highest employer in [city/county name] is
the [city/county name] County School System, employing fifteen percent of the population ([city/county
name] Area Development Corporation, 2015). The average wage is $40,793 (U.S. Census Bureau, 2015).
The percentage of individuals diagnosed with Prostate and Breast Cancers in [city/county name] County
is higher than any other county in South Carolina (City-Data, 2015). South Carolina ranks seventh in the
nation in prostate cancer deaths and second in the nation in breast cancer
deaths (Centers for Disease Control and Prevention, n.d.). Screenings for both of these cancers are
available but underutilized.
B. Summary of Tools Six tools have been used in the assessment of the City of [city/county name], South
Carolina. Below you will find details of how each tool was helpful in gathering the necessary
B1. Population Economic Status Assessment
The Population Economic Assessment Tool was used to gather population, income, poverty statistics,
unemployment rates, and Health Insurance Payer information for [city/county name]. According to the
United States Census Bureau, in 2013 [city/county name] City population was 61, 397 with an average
income of $40, 793 (U.S. Census Bureau, 2015). Twenty percent of the population has an income below
the poverty level (U.S. Census Bureau, 2013). Of the 61, 397 city residents, sixty-six percent are
Caucasian, thirty percent are African American, two percent are Asian, one percent are considered
“Other Race”, and less than one percent each are American Indian or Hawaiian ([city/county name]
Health System, 2013). In 2104, the unemployment rate in [city/county name] County was 5.3% as
compared to the unemployment rate of 6.4% for the state of South Carolina. This reflects an
improvement of 0.8% for the county in a years’ time (S.C. Department of Employment & Workforce,
2015). Of the 12, 277 unemployed individuals in March of 2015, 772 new claims for unemployment
insurance were filed (S.C. Department of Employment & Workforce, 2015). In 2012, fifty percent of
individuals with medical expenses in [city/county name] County were insured by their
employer, sixteen percent were uninsured, fourteen percent were Medicare, twelve percent were
Medicaid, and the remaining eight percent were either Medicare Dual Eligible or Self-pay ([city/county
name] Health System, 2013).
B2. Neighborhood/Community Safety Inventory
The Neighborhood/Community Safety Inventory Tool was used to identify and assess the safety needs of
the City of [city/county name]. This tool helped identify the need to assess air quality, community
safety/preparedness, and crime statistics. In 2013, the American Lung Association gave [city/county
name] a grade of “C” on the number of Ozone Days. This was due to three days exceeding the standard
limitation for ozone in the air. [city/county name] received a passing grade for particulate pollution in
2013 (American Lung Association, 2013). The [city/county name] County Emergency Management Office
states that [city/county name] County has four hazards. These hazards are Naturally-Occurring Events,
Technological Events, Human-Related Events, and Hazardous Materials (HazMat) Events. [city/county
name] County is ranked at highest vulnerability for drought, flooding, and winter storms in South
Carolina. It is also ranked as highest vulnerability in the state for transportation accidents involving
chemical or radiation spills. [city/county name] County is within 50 miles of the Oconee Nuclear power
plant, thereby increasing the risk of a nuclear power event ([city/county name] County Office of
Emergency Management, 2015). [city/county name] City has a high rate of crime. Statistics show that
[city/county name] is safer than only four percent of the cities in the United States. Sixty-four people out
of one thousand are likely to become a victim of crime in [city/county
name], with eight of those being violent crimes and fifty-six being property crimes (Neighborhood Scout,
2015). There are 136 crimes per square mile in [city/county name]. The national average is thirty-eight
crimes per square mile (Neighborhood Scout, 2015).
B3. Cultural Assessment
The Cultural Assessment Tool was used to evaluate the practices and beliefs of the community. By using
this tool, assessment was focused on religious affiliation, household composition, and political
affiliation. Fifty-seven percent of the population is affiliated with a religious congregation. Fifty percent
of those individuals are Southern Baptist, eleven percent are United Methodist Church, eight percent
are Catholic, six percent are Presbyterian, with the remaining twenty-five percent being other religions
(City-Data, 2015a). Self-report of same-sex unmarried-partner homes reveals that 0.3 percent of all
households are gay male couples, and 0.5 percent of all households are lesbian couple households. The
average household size is 2.1 people. Fifty percent of households are families, with six percent of those
being unmarried. In the 2012 presidential election, sixty-three percent of the voters voted Republican,
with thirty-five percent voting Democratic. This trend holds true historically as [city/county name] has
shown itself to be primarily Republican voters (City-Data, 2015).
B4. Disaster Assessment and Planning
The Disaster Assessment and Planning Tool was used to identify risks, resources, and preparedness for
effective response to an emergency. [city/county name] County Office of Emergency Management is
responsible for coordinating the efforts of the community regarding emergency preparedness, response,
and recovery. They work to harmonize public and private agencies in case of emergency. This office
maintains the [city/county name] County Emergency
Operations Center which is activated as needed ([city/county name] County Office of Emergency
Management, 2015a). As noted in the Community Safety section of this document, this office considers
four events as possible hazards: Naturally-Occurring Events, Technological Events, Human-Related
Events, and Hazardous Materials (HazMat) Events. In addition to the Emergency Operations Center,
[city/county name] County has a Mobile Command Center. This vehicle has a state-of-art
communication system, with satellite phone and internet capabilities. It has video conference
capabilities, a conference room, and an electrical generation system. It has the capability to work as a
free-standing command center or in conjunction with the Emergency Operations Center ([city/county
name] County Office of Emergency Management, 2015b). An Emergency Response Team has been
formed to meet the needs of the community. This Emergency Response Team is comprised of
volunteers from fire, emergency, and law enforcement agencies throughout the county ([city/county
name] County Office of Emergency Management, 2015c).
B5. Windshield Survey The Windshield Survey tool was used to look at [city/county name] City with a
fresh set of eyes. It helped identify things that are often underappreciated when in the midst of them
frequently. The City of [city/county name] is vibrant and alive. In 2012, Travel and Leisure Magazine
named [city/county name] as one of the top ten America’s Greatest Main Streets (Curtis, 2012). A thirty
year strategic plan involving public/private partnerships and focused attention to the plan have resulted
in a fun, stimulating, eclectic community with diverse population and environment. Main Street has
both locally owned and franchised shops, dining establishments, and bars. Street side dining is available
under the trees that line Main Street. Most of the buildings on Main Street are one to three stories tall.
While maintaining the
structural and historical integrity of the buildings, the second and third floors in most of these buildings
have been converted into contemporary private residences. “Mice on Main” is a scavenger hunt for
children on Main Street. They are given clues to find nine small bronze mice hidden along Main Street.
Falls Park is a much frequented location with public green space and a healthy river flowing in the midst
of lush green grass, spring flowers, and families picnicking. The Swamp Rabbit Trail is an 18 mile
bike/walk trail running through Falls Park. It was converted from an old rail line. Over 500, 000 people
frequent this trail annually ([city/county name] County, n.d.). Bike rentals are available if you do not
have your own bicycle. On the West end of Main Street, the [city/county name] Drive Minor League
baseball team calls Flour Field home. The Peace Center is a theater venue overlooking Falls Park that
offers world-class musicals and concerts. The Bon Secours Arena is home to the [city/county name]
Road Warriors, a professional Ice Hockey Team. Concerts, circuses and large events are held at this
arena. West of Main Street are communities of Mill Village homes. These are stand-alone single family
homes. Many are in disrepair and show their age. The lots are small and are not landscaped, with dirt
patches from where cars have been parked and children have played. The mills have all closed in the
area so many of the residents are poorer and often, less educated of the [city/county name] County
population. Residents of this area are Caucasian, African American, and Hispanic. West of Main Street is
a historical district with large, well-maintained homes and properties. Residents in this area are
primarily Caucasian.
B6. Population Health Scavenger Hunt
The Population Health Scavenger Hunt was useful in targeting specific agencies in the [city/county
name] City area that serve the community. All of these agencies are located within the City Center of
[city/county name]. Unless otherwise noted, these agencies are located at
University Ridge. This is a centralized location for many [city/county name] County Services. All of these
offices are accessible by public transportation. The [city/county name] County Health Department is a
division of the South Carolina Department of Health and Environmental Control (SC-DHEC). There are
many different offices and services available at the county level. These offices serve all citizens of
[city/county name] County. They advertise their services on the internet as well as billboards in public
locations. The [city/county name] County offices place printed materials in other county office and share
information about other public services in their offices. Although the offices are standard governmental
offices, lacking many decorative features and expensive furniture or fixtures, they are neat and clean.
The staff is professional and has personal mementos in their workspaces to brighten their work
environment. Staff members are bilingual or multilingual. [city/county name] County Health Department
offers a Vital Records Division, a Health Offices Division, and an Environmental Offices Division. The Vital
Records Office manages birth, death, marriage, and death certificates. The Health Offices Division has a
main office which offers Family Planning, Sexually Transmitted Disease Clinic, HIV Immunizations, WIC
(Women, Infant, and Children) Certifications, and WIC (Women, Infant, and Children) Classes. There is a
satellite Health Office at the [city/county name] Memorial Medical Center which offers WIC (Women,
Infant, and Children) Certifications, and WIC (Women, Infant, and Children) Classes. The Environmental
Office Division manages permits and licenses (food service, air, septic tanks, land and water,
construction), rabies investigations, and environmental regulatory matters (South Carolina Department
of Health and Environmental Control, 2014). The [city/county name] Meals on Wheels office is a
member of the Meals on Wheels Association of America, Inc. and has been serving the [city/county
name] Community since
1968 (Meals on Wheels, 2012). In 2013, they served 426,407 meals. They provided services for 1,181
new homebound or physically/mentally challenged individuals. These individuals are provided these
services free of charge and clients do not have to meet any age or financial qualifications. Seventy-six
percent of their clients are over 65 years of age; twenty- four percent are below the age of sixty-five.
Seventy- one percent of their clients are Caucasian; twenty-five percent are African American; and four
percent are of another race. Fifty-nine percent of their clients are females; forty-one percent are males.
In 2013, they used 411 new volunteers and had 136 corporate route sponsors (Meals on Wheels, 2013).
Many of their clients have pets. In order to meet the needs of the client and the pet, [city/county name]
Meals on Wheels delivers pet food to clients in need twice monthly. The [city/county name] services
distribution center is located on Augusta Road, close to the City Center, and is always very busy.
Volunteers keep the distribution neat, well organized, and as well-stocked as possible. It is a smoothly
operated service. Their goal is to expand their services and client base by twenty percent in 2015 (Meals
on Wheels, 2014). The [city/county name] Department of Social Services is a part of the South Carolina
Department of Social Services (SC-DSS). DSS is one of the largest agencies in South Carolina. There are
forty-six county offices in South Carolina. The mission of the South Carolina Department of Social
Services is “to efficiently and effectively serve the citizens of South Carolina by ensuring the safety of
children and adults who cannot protect themselves and assisting families to achieve stability through
child support, child care, financial and other temporary benefits while transitioning into employment”.
They offer Child Welfare, Family Assistance, and Adult Services. This vast agency is difficult to describe at
a high-level as it is so complex. The [city/county name] Office is a sub-component of the state and offers
all of the
state services (S.C. Government, n.d.). It is very similar to other state offices as it is not aesthetically
pleasing, but is very functional. State of the art and new technology are not always available, but the
equipment that is in use is functional. Many of the staff members appear to be over-worked, but are
professional and pleasant. Many staff members are bilingual or multilingual. There is no fee for the
services offered by this office. The [city/county name] City Fire Department has six stations that are
staffed by 132 professionally trained firefighters. The stations are strategically located throughout the
City of [city/county name]. These stations offer Fire Suppression services, Medical First Response,
Technical Rescue, Hazardous Material incident response and other life and property protection
measures (City of [city/county name], SC, 2015a). They also conduct code inspections, plan reviews, and
permit inspections to help reduce the risk of fires. If a community member needs a smoke detector, the
[city/county name] City Fire Department will provide and install one free of charge. They offer education
about fire safety and prevention as well as emergency preparedness. They conduct fire extinguisher
classes and offer tours of the station. The [city/county name] City Fire Department is here to serve all of
the citizens and businesses of [city/county name]. Their services are funded by [city/county name] City
tax dollars. The [city/county name] City Police Department has been nationally accredited by the
Commission on Accreditation for Law Enforcement Agencies (CALEA) since March of 1995 (City of
[city/county name], SC, 2015). The police force started in [city/county name] in 1845. Today the Police
Department has approximately 250 employees with approximately 200 of those employees being sworn
officers. The Department is comprised of the following Divisions: Operations, Support, Central Support
Services Bureau, Special Operations, and Administrative Support. The Operations Division consists of the
K-9 and Patrol Services Units. The Support
Division consists of the Violent Crimes Unit, the Property Crimes Unit, the Economic Crimes Unit, the
Victim Witness Unit, the Youth Services Unit and School Resources Officers. The Central Support
Services Bureau consists of Warrants, Court Security, Crime Stoppers, Selective Enforcement and Animal
Control Units. The Special Operations Division consists of Vice and Narcotics. The Administrative Support
Division consists of Promotions, Recruiting, Media Relations, Fleet Management, Crime Analysis,
Chaplain Program, Departmental Awards, Citizens Education Academy, Field Training Operations,
Dignitary Protection Team, Special Events, CALEA Accreditation, COMPSTAT, Business Watch, Training
Committee, Internship, Department Training, Pistol Range Management, Grant Management, Facility
Management, Technology/IT Management, Constables, Park Patrol, Crime Prevention,
Business/Residential Surveys, Budget, Payroll, , Re-Engineering Committee Management, and the South
Carolina Criminal Justice Academy Liaison (City of [city/county name], SC, 2011). The [city/county name]
Police Department is located in the heart of Downtown [city/county name] and has substations
dispersed throughout the city.
The Upstate South Carolina Chapter of the American Red Cross is located within one mile of the largest
Health System in [city/county name]. It offers all of the services that the American Red Cross offers. This
chapter is housed in a three-story brick building. Services offered include disaster relief, health and
safety classes, blood collection for hospitals, and emergency communication services to members of the
military and their families. They also offer CPR and first aid classes. They do offer services for nonEnglish speaking clients. With the exception of some of the classes, their services are offered at no cost.
If there is a charge for a class, it is minimal (The American Red Cross, 2015).
B7. Interpretation of Findings
The information collected for this project has provided an overview of the [city/county name] County
and [city/county name] City areas. Because [city/county name] City is the County Seat of [city/county
name] County, often there was no data available for specific for [city/county name] City. Much of the
information used is [city/county name] County information. [city/county name] is in the Upstate of
South Carolina. This diverse, vibrant community is growing faster than any other community in South
C. Epidemiological Indicators
The following Epidemiology Statistics were collected: in 2013, there were 6,039 births, which are 12.7
per 1000 people in [city/county name] County. This is higher than the rate for the State of South
Carolina, having 56,743 births and a rate of 11.9 per 1000 people (South Carolina Department of Health
and Environmental Control, n.d.). In [city/county name] County in 2013, there were 57, 620 deaths
recorded. Caucasians died at a rate of 9.9 per 1000 people and African Americans died at a rate of 7.9
per 1000 people. There were 3,904 deaths in [city/county name] County in 2013 (South Carolina
Department of Health and Environmental Control, November 2014). Forty one percent of the population
of [city/county name] County is male; the remaining fifty nine percent is female. The median age of a
[city/county name] County resident is thirty seven years old (City-Data, 2015). An average of eleven
people died a day in [city/county name] County in 2013. In 2012, thirty three percent of deaths in
[city/county name] County were caused by cancer, with the lung cancer causing the largest percent of
these deaths. Twenty five percent of deaths were caused by diseases of the heart, and nine percent
were caused by accidents (SCDHEC Vital Statistics, 2012).
C. Leading Causes of Morbidity/ Mortality
The rate of morbidity is the rate of occurrence of disease. The rate of mortality is the rate of deaths.
Common risk factors that lead to disease and death in [city/county name] County residents are smoking
(twenty three percent of residents), sedentary lifestyle (twenty seven percent of residents), obesity
(sixty six percent of residents), and high cholesterol (forty three percent of residents). (South Carolina
Department of Health and Environmental Control, 2014). The leading cause of mortality is cancer,
followed by heart disease and accidents. (SCDHEC Vital Statistics, 2012).
D. Identification of Top Problems Based on Healthy People 2020 Goals The top three problems in
[city/county name] County related to health are cancer, heart disease, and accidents (SCDHEC Vital
Statistics, 2012). The goal for Healthy People 2020 related to cancer is, “Reduce the number of new
cancer cases, as well as the illness, disability, and death caused by cancer.” (USA Department of Health
and Human Services, 2015). The goal related to accidents is, “Prevent unintentional injuries and
violence, and reduce their consequences.” (USA Department of Health and Human Services, 2015a). The
goal related to heart disease and cardiovascular disease is, “Improve cardiovascular health and quality of
life through prevention, detection, and treatment of risk factors for heart attack and stroke; early
identification and treatment of heart attacks and strokes; and prevention of repeat cardiovascular
events.” (USA Department of Health and Human Services, 2015b). There is a high rate of cancer in
[city/county name] County, with breast and prostate cancers having the highest incidence. Early
detection of these diseases is possible if screenings are done. The [city/county name] medical
community offers annual free screenings for prostate cancer. The Best Chance Network, supported by
the American Cancer Society, offers free
mammograms and breast exams to individuals who do not have insurance or who are underinsured.
(American Cancer Society, 2015). Accidents resulting in deaths are more prevalent in [city/county name]
County than anywhere else in the state. Motor-vehicle accidents account for the largest percentage of
accidents. The busiest highways in [city/county name], Highway 85 and Highway 385, have multiple
accidents a day. Other accidents related to weapons account to a high percentage of deaths.
The incidence of Heart Disease and Cardiovascular Diseases is high because of the lifestyle of many of
the residents of [city/county name] County. Smoking, sedentary lifestyle, obesity, and high cholesterol
contribute to this problem.
E. One Problem Addressed in Relation to Healthy People 2020 The [city/county name] community offers
many ways to prevent or decrease obesity. The state of South Carolina has recently implemented a five
year Reduce Obesity Plan. This plan will cover the gamut of all ages, being implemented state-wide in
schools and communities (Osby, 2014). This plan will bring more farmers markets to communities and
increase the availability of local produce and meats. [city/county name] currently has a farmers market
every Saturday morning. Haywood Mall offers early morning hours to encourage walkers to “walk the
mall.” There are free to low-cost fitness groups available through local churches and community centers.
The Swamp Rabbit Trail is used daily, in rain or shine, by walkers, joggers, and bikers. Bike lanes have
been added to most of the downtown streets in [city/county name].
F. Primary Prevention Topic
The Primary Prevention topic selected for this student’s focus on the [city/county name] Community is
prevention of obesity. Good nutrition and an active lifestyle are the best ways to combat obesity.
American Cancer Society, (2015). Best Chance Network. Retrieved from American Lung Association, (2013). State of the Air, 2013,
[city/county name] County, South Carolina. Retrieved from[city/county name]-45045.html.
Centers for Disease Control and Prevention, (n.d) 2011 Selected Cancers Ranked by State. Retrieved
from City of [city/county name], SC, (2011).
Department of Police Annual Report 2011. Retrieved from http://police.[city/county
City of [city/county name], SC, (2015). [city/county name] Police Department. Retrieved from
http://police.[city/county name] City of [city/county name], SC, (2015a). Fire Suppression.
Retrieved from http://[city/county name] City-Data, (2015).
[city/county name], South Carolina. Retrieved from[city/county name]South-Carolina.html. City-Data, (2015a) [city/county name] County, South Carolina (SC) Religion
Statistics Profile. Retrieved from[city/county name]-CountySC.html.
Curtis, W., (2012, April 17). Slideshow: America’s Greatest Main Streets. Retrieved from [city/county name]
Area Development Corporation, (2015). [city/county name] County Major Employers by Facility (400+).
Retrieved from http://www.[city/county name]
[city/county name] County Office of Emergency Management, (2015). [city/county name] County
Hazards. Retrieved from[city/county name]-county-hazards.php. [city/county
name] County Office of Emergency Management, (2015a). Who We Are. Retrieved from [city/county name] County Office of Emergency Management,
(2015b). Mobile Command Post. Retrieved from
[city/county name] County Office of Emergency Management, (2015c). Emergency Response Team.
Retrieved from [city/county name] County,
(n.d.). A Quick History of the Swamp Rabbit: How it Hopped from Rail to Trail. Retrieved from
http://[city/county name] [city/county name] Health System, (2013). 2013 Community
Health Needs Assessment. Retrieved from
sment.pdf. Meals on Wheels, (2012). Meals on Wheels, [city/county name] County. Retrieved from
http://www.mealsonwheels[city/county name].org/.
Meals on Wheels, (2013). Impact, 2013 By the Numbers. Retrieved from
http://www.mealsonwheels[city/county name].org/resources/1/2013%20Fact%20Sheet%20%20Low%20Res.pdf.
Meals on Wheels, (2014). Newsletter, Q4, 2014. Retrieved from http://www.mealsonwheels[city/county
name].org/resources/1/Newsletters/MOW14_Q4_Newsletter-1124.pdf. Neighborhood Scout, (2015).
Crime Rates for [city/county name], South Carolina. Retrieved from[city/county name]/crime.
Osby, L., (2014, September 24). The [city/county name] News. State Unveils Obesity Action Plan.
Retrieved from http://www.[city/county name]
S.C. Department of Employment & Workforce, Business Intelligence Department, (2015, April 20).
Community Profile, [city/county name] County. Retrieved from
S.C. Government, (n.d.) About DSS. Retrieved from
SCDHEC Vital Statistics, (2012). Top Ten Leading Causes of Death in [city/county name] County, 2012.
Retrieved from[city/county name].pdf.
South Carolina Department of Health and Environmental Control, (2014). DHEC Locations. Retrieved
South Carolina Department of Health and Environmental Control, (2014).. Coordinated Chronic Disease
Fact Sheet: [city/county name] County 2012. Retrieved from[city/county name].pdf
South Carolina Department of Health and Environmental Control, (n.d.). SCAN Birth Certificate Data.
Retrieved from
South Carolina Department of Health and Environmental Control, (November 2014). South Carolina Vital
and Morbidity Statistics, 2013: Volume One, Annual Statistics Series. Retrieved from
The American Red Cross, (2015). Upstate South Carolina General Information. Retrieved from
U.S. Census Bureau, (2013). Selected Economic Characteristics: 2009-2013 American Community Survey
5-Year Estimates: [city/county name] City, South Carolina. Retrieved from
U.S. Census Bureau, (2015, March 31) State and County QuickFacts. Retrieved from
USA Department of Health and Human Services, (2015, May 9). Cancer. Retrieved from
USA Department of Health and Human Services, (2015a, May 9). Injury and Violence Prevention.
Retrieved from
USA Department of Health and Human Services, (2015b, May 9). Heart Disease and Stroke. Retrieved
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