2014
Community Health Needs Assessment of
Wilson County, North Carolina
Copies of this document may be obtained at Wilson Medical Center 1705 Tarboro St W, Wilson, NC
27893 or by phone (252) 399-8040 or via the hospital website www.Wilson Medical Center.org
Perspective—Together, Making Our Community Healthier
The Community Health Needs Assessment (CHNA)
defines opportunities for health improvement,
creates a collaborative community environment
to engage multiple stakeholders, and an open and
transparent process to listen and truly understand
the health needs of Wilson County primarily and
Nash County secondarily, North Carolina.
Wilson Medical Center (WMC), as the sponsor of the
assessment, engaged national leaders in community health
needs assessment to assist in the project. Stratasan, a
healthcare analytics and facilitation company out of Nashville,
Tennessee was engaged to marshal the process and provide
community health data and expertise. Stratasan provided the
analysis of community health data, facilitated the focus group
and conducted the employee and physician surveys to assist
the community with determining focus areas and goals for
improvement.
Sourced from the County Health Rankings website:
http://www.countyhealthrankings.org/take-action
Participants
Over fifty community and health care organizations collaborated
to implement a four stage CHNA process focused on identifying
and defining local health issues, concerns and needs. The threemonth process centered on gathering and analyzing data to
provide direction for the community and hospital to create a plan
to improve the health of the community.
Project Goals and Objectives
• To implement a formal and comprehensive community health
assessment process that will allow for the identification of key
health and health service issues, and a systematic review of
health status Wilson County
• To support the existing infrastructure that will permit ongoing
updating and easy dissemination of available data.
• To initiate a collaborative partnership between all stakeholders
in the community.
• To create a health profile that will allow for prioritization of
needs and resource allocation, informed decision making, and
collective action that will improve health outcomes.
Community Health Needs Assessment
“We initiated the Community
Health Needs Assessment with the
goal of identifying health needs,
and setting goals, objectives and
priorities,” said Bill Caldwell,
Chief Executive Officer, Wilson
Medical Center. “It is our goal to
use our findings as a foundation
for community mobilization
to improve the health of our
residents.”
“The information we gathered
provided the insight we need to set
priorities for health improvement
and will be used by WMC to create
an action plan. We hope other
community organizations will
join us.” added Bert Beard, Chief
Operating Officer, Wilson Medical
Center. “The Community Health
Summit was the final, critical step
in the assessment process. Now the
real work—improving the health of
the community—begins.”
1
Who Told Us What?
Data Collection and Timeline
In June, 2014, WMC contracted with Stratasan to assist in conducting a Community Health Needs
Assessment.
The health of the community was studied extensively through primary and secondary research methods.
Data was gathered using several methods:
• 30 community members, employers, not-for-profit organizations, school and government representatives
participated in a focus group for their perspectives on community health needs and issues on July 29,
2014.
• Information gathering, using public health sources and hospital-specific data, occurred in July and
August.
• 42 physicians and 555 employees were surveyed on-line regarding their perspectives on community
health status and needs from July 28-August 15, 2014.
• A Community Summit was conducted on September 11, 2014 with 50 community stakeholders. The
audience consisted of healthcare workers, the health department, physicians, business leaders, school
systems, government representatives, clergy and other community members.
• This report to the community was completed and published in October, 2014.
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
2
Collaboration is Key to Good Health
Community Engagement and Transparency
We are pleased to share the results of the Community Health Needs Assessment with our community. The
following pages highlight key findings of the assessment. We hope you will take the time to review the health
needs of our community as the findings impact each and every citizen in one way or another, and join in the
improvement efforts.
Implementation Plans
To successfully make our community healthier, it is necessary to have a collaborative venture which brings
together all of the care providers, citizens, government, schools, churches and business and industry around
an effective plan of action. WMC will select key elements of the assessment to implement and encourages
other organizations in the community to do the same.
Community Selected for Assessment
WMC’s health information provided the basis for the geographical focus of the CHNA. The map below
shows where WMC receives its patients; most of WMC’s inpatients come from Wilson County. Therefore, it
is reasonable to select Wilson County as the primary focus of the CHNA. WMC also receives patients from
Nash County, and Nash County was also included in portions of the analysis.
Wilson Medical Center Patients - 2013
Source: Stratasan, Wilson Medical Center
Community Health Needs Assessment
3
Key Findings of the Community Health Assessment
All of Wilson County, Black Creek, Elm City, Lucama, Saratoga, Sims, Stantonsburg and Wilson, must come
together now to improve the health of their communities. The results of their community health assessment
follow.
Key Demographic Statistics:
•
•
•
•
•
The population of Wilson County is projected to increase from 2014 to 2019 (0.3% per year), whereas
NC is projected to increase as is the U.S.
Wilson County is older (39.3 median age) than NC and the U.S. and has lower median household
income ($36,923) than both NC and the U.S.
The medical care index measures how much the county spends out of pocket on medical care services.
The U.S. index is 100. Wilson County (80 index) spends 20% less than the average U.S. household
out of pocket on medical care (doctors office visits, prescriptions, hospital).
The racial make-up of Wilson County is 51% white, 39% black, 7% some other race, 2% two or more
races and 10% Hispanic origin.
The income distribution of Wilson County is 11% high income, 41% middle income and 29% low income.
Demographics of the Community
The table below shows the demographic summary of Wilson County compared to North Carolina and the
U.S.
Category
Wilson County Nash County North Carolina
USA
Population (2014)
82,350
96,546
9,913,774
316,296,988
Median Age (2014)
39.3
40.9
38.1
37.7
Median Household Income (2014)
$36,923
$43,901
$45,343
$52,076
Annual Pop. Growth (2014-19)
0.30%
0.00%
1.10%
0.70%
Household Population (2014)
32,508
38,276
3,904,261
119,862,927
Southern
Southern
Southern
Dominant Tapestry (2014)
Satellites (10A)
Satellites (10A)
Satellites (10A)
Green Acres (6A)
Businesses (2014)
4,588
6,110
697,656
24,262,035
Employees (2014)
32,062
40,174
4,196,235
141,523,742
Medical Care Index* (2013)
80
90
92
100
Average Health Expenditures (2013)
$3,563
$3,975
$4,098
$4,454
Total Health Expenditures (2013)
$115,672,152
$151,814,756 $15,836,995,509
$529,983,247,884
Source: Stratasan, Esri
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
Source: Wilson, NC Tourism, www.wilson-nc.com
4
Population by Census Tracts
Source: Stratasan, Esri
There are two high population census tracts located in Northwestern Wilson County. The more rural census
tracts are two tracts in southeast Wilson County. The population is growing more rapidly in the rural areas of
the county and declining in downtown Wilson and in the census tract just to the east
Health Status Data
Based on the latest County
Health Rankings study performed by the Robert Wood
Johnson Foundation and
the University of Wisconsin,
Wilson County ranked 62nd
healthiest county in North
Carolina out of the 100 counties ranked (1= the healthiest;
100 = unhealthiest), Nash
ranked 61st.
Community Health Needs Assessment
County Health Rankings suggest the areas to explore for improvement
in Wilson County are: obesity, food environment, sexually transmitted infections, uninsured, availability of primary care physicians, high
school graduation rate, percent of the population with some college,
unemployment rate, children in poverty, children in single parent households, violent crime, and severe housing problems. For Nash County,
areas of focus are smoking, obesity, sexually transmitted diseases,
high school graduation, unemployment, children in single parent households, and violent crime.
When analyzing the health status data, local results were compared to
North Carolina and the top 10% of counties in the U.S. Where Wilson
County’s results are worse than the State, we see an opportunity for
group and individual actions that result in improved community ratings.
There are several lifestyle gaps that need to be closed to move Wilson
County up the ranking to be the healthiest community in North Carolina
and eventually the Nation. For additional perspective, North Carolina is
ranked the 35th healthiest state out of the 50 states.
5
Healthcare Utilization
The overall demand for health services in Wilson County is congruent with an aging population. The estimated inpatient visits per population is slightly higher than NC and the U.S. with Wilson County generating
11,046 inpatient hospital visits per year. The estimated outpatient and ED visits are significantly higher
than NC and the U.S. The physician office visit rates are also higher than North Carolina and the US with
307,810 physician office visits per year. These trends are consistent with an older population.
Survey Results, Health Status Rankings and Comparisons
Focus Group Results
Thirty community stakeholders participated in a focus
group for their input into the community’s health.
There was broad community participation in the
focus group representing a range of interests and
backgrounds. Below is a summary of the 90 minute
discussion.The group described the health of the
community as below. Poverty, culture and the age of
the population creates some health challenges.
• The group described the health of the community as fair. Socioeconomic factors play a large
role in determining health status.
• It was felt there is a shortage of primary care
in the county. Immediate Care has supplanted
the family physician.
• The group was asked about the top health
issues in the community that impact people’s
health. The group mentioned socioeconomic issues, education, jobs and employment,
affordable health insurance and health care,
obesity, food insecurity, lifestyle choices, mental
health, substance abuse, hypertension, diabe-
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
•
•
•
•
tes, health education and prevention, teen
pregnancy and senior citizen health as the
most important health issues.
Some employers in the area have innovative
wellness programs for employees.
The group thought that the community needs
more information and education, particularly
nutrition education and across the board cooperation to manage their health conditions.
The group believed that many organizations
are responsible for improving the health of
the community, the Health Department, Community Health Center, Wilson Medical Center,
physicians, City and County governments,
YMCA and Department of Social Services.
The group strongly believes Wilson County
works very well together citing multiple examples and does not know of any reason they
cannot work well together to improve community health.
Source: Wilson, NC Tourism, www.wilson-nc.com
6
Physician and Employee Survey
42 physicians and 555 employees were surveyed on-line regarding their perspectives on community health
status and needs from July 28-August 15, 2014.
Community Physician Responses
• 68% responded the community’s health was fair,
29% responded poor and 12% responded the
community’s health was good.
• 98% believe obesity is the most prevalent disease
followed by diabetes (93%), high blood pressure
(79%), heart disease (57%), cancer (40%), and
mental health (19%).
• When asked about the top two or three issues
impacting people’s health, obesity was first with
49%. Obesity was followed by people taking
more responsibility for their own lifestyle/health,
affordable health insurance, poverty, mental and
behavioral services, and jobs/employment.
• The top health concerns for children were physical inactivity (73%), responsible, involved parents
(63%), lack of healthy diet (58%) and health education (23%).
• More information/education about their condition(s) was seen as most needed by the population in order to manage their health more
effectively (45%), followed by compliance to drug
therapies/prescriptions (38%), and a more integrated approach among providers to coordinate
patient care (33%).
Hospital Employee Responses
• 54% responded the community’s health was fair,
14% responded poor, 23% responded good, and
4% responded excellent.
• 80% believe diabetes and high blood pressure
are the most prevalent diseases followed by obesity (72%), heart disease (60%), cancer (40%),
and mental health (37%).
• When asked about the top two or three issues
impacting people’s health, affordable health insurance led with 37%, followed by mental health
and behavioral health services 33%, then jobs/
employment (24%), then people taking more
responsibility for their own health (23%). They
were followed by more obesity (19%) and more
specialists (13%).
• The top health concerns for children were responsible, involved parents (63%), physical inactivity
(73%), gangs (48%) and lack of healthy diet
(42%).
• Financial assistance for doctor visits, medical
supplies etc. were seen as most needed by the
population in order to manage their health more
effectively (42%), followed by more information/
education about their condition(s), insurance
that’s more affordable (38%), for more people and
compliance to drug therapies/prescriptions (36%).
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
7
North Carolina Health Data and Initiatives
Teresa Ellen, Director of the Wilson County
Health Department presented information
on the community health assessment performed by the Health Department and their
top three priorities: substance abuse, access, and obesity. Where there are common
initiatives between the state, counties, hospitals, and community groups, coordination of
efforts would be ideal.
Source: Wilson, NC Tourism, www.wilson-nc.com
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
8
Summary of Data Analysis in Community Health Needs Assessment
As can be seen from the County Health Ranking tables, many indicators were analyzed in the Community
Health Needs Assessment. Data other than County Health Rankings was also analyzed and is referenced
in the bullets below, such as: NCI Cancer data, demographics, socioeconomics, consumer health spending,
focus group and surveys of the physicians and hospital staff.
Health Outcomes (Length of Life and Quality of Life)
Overall Ranking (Rank out of 100 NC Counties or 50 States)
Health Outcomes (Rank out of 100)
Length of Life (Rank out of 100)
Premature death (YPLL per 100,000 pop prior to age 75)
Quality of Life (Rank out of 100)
Poor or fair health (% reporting age-­‐adjusted)
Poor physical health days (Avg # of days past 30 days)
Poor mental health days (Avg # of days past 30 days)
Low birthweight (% of live births with birthweight <2500 grams)
Source: County Health Rankings, 2014
Wilson Nash County County North Carolina
44
61
26
44
61
28
60
75
8,490
9,178 7,480
30
38
16%
20%
18%
3.3
2.9
3.6
3.1
3.1
3.4
9.6%
10.0%
9.1%
National Benchmark 90th Percentile
5,317
10%
2.5
2.4
6.0%
Strengths
• Lower percentage of adults reporting poor mental health days
Opportunities
• Higher premature death measured in lower years of potential years of life lost.
• Higher percentage of low birthweight babies
• Higher number of poor physical health days reported.
• Wilson County (215 per 100,000) has a higher cancer death rate from cancer than NC (183) and the US
(176). National Cancer Institute, state cancer profiles
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
9
Health Behaviors
Health Factors (Rank out of 100)
Health Behaviors (Rank out of 100)
Adult smoking (% that report every day or "most days")
Adult obesity (BMI >=30)
Food environment index (0=worst, 10=best) limited access to healthy foods and food insecurity
Physical inactivity (% 20 yo and older reporting no leisure time physical activity)
Access to exercise opportunities (% of pop with adequate access to locations for physical activity)
Excessive drinking (binge plus heavy drinking)
Alcohol imparied driving deaths (Proportion of driving deaths with alcohol involvement)
Sexually transmitted infections (Chlamydia rate per 100,000 pop)
Teen birth rate (ages 15-­‐19 per 1,000 female pop)
Source: County Health Rankings, 2014
Wilson County
80
33
12%
35%
Nash County North Carolina
62
18
74
22%
14%
33%
29%
National Benchmark 90th Percentile
13%
25%
6.1
31%
6.4
30%
6.9
25%
8.7
21%
62%
54%
16%
65%
13%
85%
10%
37%
665
60
27%
660
51
33%
568
44
14%
123
20
Strengths
• Lower percentage of smoking.
Opportunities
• Obesity –Higher percentage of adult obesity. Obesity puts people at increased risk of chronic diseases:
diabetes, kidney disease, joint problems, hypertension and heart disease. Obesity can cause complications in surgery and with anesthesia. It has been implicated in Alzheimer’s. It often leads to metabolic
syndrome and type 2 diabetes. It is a factor in cancers, such as ovarian, endometrial, postmenopausal
breast cancer, colorectal, prostate, and others. A link has been found between migraines and obesity.
• Lower food environment index
• Higher teen birth rate
• Higher percentage of physical inactivity and lower percentage of access to exercise opportunities
• Higher percentage of alcohol impaired driving deaths
• Higher percentage of sexually transmitted infections
Community Health Needs Assessment
10
Clinical Care
Clinical Care (Rank out of 100)
Uninsured (%<65 w/o health insurance)
Primary care physicians (Pop per physician)
Dentists (Pop per dentist)
Mental health providers (Pop to mental health providers)
Preventable hospital stays (Hospitalization rate for ambulatory-­‐sensitive conditions per 1,000 Medicare enrollees)
Diabetic screening (%diabetic Medicare enrollees receiving HbA1c screening)
Mammography screening (%female Medicare enrollees receiving mammo screening)
Source: County Health Rankings, 2014
Wilson Nash County County North Carolina
52
26
20%
18%
19%
2,468
1,657
1,462
2,891
2,130
2,075
1,346
1,256
715
National Benchmark 90th Percentile
11%
1,051
1,439
536
66
90%
66
91%
60
88%
46
90%
68%
69%
68%
71%
Strengths
• Mammography screening is high.
• Diabetes screening is high.
Opportunities
• High percent of the population without health insurance (uninsured) • Low access to primary care physicians; the population to primary care physician is higher
• Low access to dentists; the population to dentist ratio is high
• Preventable hospitals stays are higher
Social & Economic Factors
Social & Economic Factors (Rank out of 100)
High school graduation (% of 9th grade cohort graduating in 4 yrs)
Some college (% of adults 35-­‐44 w/ some postsecondary ed)
Unemployment (% of pop age 16+ unemployed but seeking work)
Children in poverty (% under age 18 in poverty)
Inadequate social support (% of adults w/o social/emotional support)
Children in single-­‐parent households (% of HH headed by a single parent)
Violent crime rate (violent crime per 100,000 pop)
Injury deaths (Injury mortality per 100,000)
Source: County Health Rankings, 2014
Wilson County
91
69%
52%
12.5%
37%
22%
44%
423
72
Nash County North Carolina
80
75%
79%
54%
63%
12.0%
9.5%
29%
26%
23%
21%
42%
36%
577
372
71
65
National Benchmark 90th Percentile
N/A
70%
4.4%
13%
14%
20%
64
49
Strengths
• This is Wilson County’s most challenging category. The only positive is the percentage of adults with
inadequate social support is only slightly higher than NC.
Opportunities
• Lower high school graduation percentage
• Higher unemployment rate, although improving.
• Lower post-secondary education percentage
• Higher percentage of children in poverty
• Higher percentage of children in single-parent households
• Higher violent crime rate
• Lower median household income and high percentage of low income households
Community Health Needs Assessment
11
Physical Environment
Physical Environment (Rank out of 100)
Air polution -­‐ particulate matter (Avg daily measure of matter in micrograms per Wilson County
32
cubic meter)
Drinking water violations (% of pop exposed to water exceeding a violation limit during the past year)
Severe housing problems (% of hh with at least 1 of 4 housing problems: overcrowding, high housing costs, or lack of kitchen or plumbing facilities)
Driving alone to work
Long commute -­‐ driving alone (among workers who commute alone, the % that commute > 30 minutes)
Nash County North Carolina
21
National Benchmark 90th Percentile
11.9
12.0
12.3
9.5
0%
2%
2%
0%
20%
82%
14%
84%
16%
81%
9%
71%
19%
24%
30%
15%
Source: County Health Rankings, 2014
Strengths
• Air pollution is lower; lower daily fine particulate matter in the air
• Drinking water safety is good
• Similar percentage of driving alone to work
• Lower percentage of long commute time
Opportunities
• Severe housing problems percentage higher than NC
There are four broad themes which emerged in this process:
• Wilson County needs to create a “Sense of Health” that permeates the culture of the
county, cities, employers, churches, and community organizations, so everyone can
buy into health improvement.
• There is a direct relationship between health outcomes and affluence (income and
education). Those with the lowest income and education generally have the poorest
health outcomes.
• While any given measure may show an overall good picture of community health,
there are significantly challenged subgroups.
• It will take a partnership with a wide range of organizations and citizens pooling resources to meaningfully impact the health of the community.
Community Health Needs Assessment
12
Results of the Community Health Summit
At the Community Health Summit,
the following issues were prioritized
and actions were brainstormed by
the table groups and form the foundation of Wilson County’s health
initiatives. The work in the next
months will determine the ideas
to be implemented. The Summit
attendees listed the three most
important health issues in Wilson
County. The results of the activity are below with higher numbers
indicating the number of “votes” or
priority by topic.
Source: Stratasan
1.
2.
3.
4.
5.
6.
7.
8.
Access to care and insurance(32)
Obesity (27)
Poverty (18)
Food, Lifestyles, and Wellness (16)
Mental health (12)
Substance abuse (10)
Education (7)
Teen issues (pregnancy, low birthweight babies gangs, STDs (5)
Community Health Summit Suggested Goals and Actions
The most important health issues were combined into eight categories and table groups brainstormed goals
and actions around the most important health issues listed above. These suggested goals and actions have
been organized below.
Access
Suggested Goal 1: Affordable Insurance
Suggested Action 1: Expand Medicaid; increase
political advocacy
Suggested Action 2: Advocate for ACA and encourage
people to sign up for the insurance exchanges;
Establish computer kiosks to assist with ACA
enrollments into the exchanges; Work with the
Department of Health and churches.
Community Health Needs Assessment
Suggested Goal 2: Develop a free or reduced cost
for the uninsured and undocumented immigrants
Suggested Action 1: Develop a mobile clinic, free
clinic or sliding fee schedule based on ability to pay
and locate at Walmart and in church parking lots
Suggested Action 2: Encourage PCPs and specialists
in the community to increase Medicaid and uninsured
slots in their practices. Look at the retired physician
community.
13
Suggested Goal 3: Increase primary care in
general
Responsible Partners: Wilson Medical Center, Health
Department, Y, School System
Suggested Action 1: Recruit additional primary care
physician(s)
Suggested Goal 2: Increase access to healthy food
Suggested Goal 4: Increase access to behavioral
health
Suggested Action 1: Co-locate a LCSW in primary
care offices
Suggested Action 2: Explore ECU and Duke for
telemedicine for behavioral health
Suggested Action 3: Increase access to acute
inpatient care
Suggested Action 4: Increase access to outpatient
care
Suggested Goal 5: Increase access to Dentists
Suggested Action 1: Identify “food deserts”
Suggested Action 2: Create Community Gardens –
make sure everyone knows where they are
Suggested Action 3: Encourage restaurants to post
nutrition information offer menu reviews and healthy
choices
Responsible Partners: Wilson Food Network, Hope
Station, DSS
Suggested Goal 3: Increase access to exercise
Suggested Action 1: Continue to explore access
to schools or churches where there is an existing
recreational facility to get access.
Suggested Action 1: Incorporate dental care into free
clinic. In Roanoke, Project Access made connections
to free clinics, PCPs, specialists and dentists.
Encourage dentists to open slots and coordinate to
get patients in. Have a free dental care day.
Suggested Action 2: Bring fitness programs to children
in child care Centers, e.g. Tumble Bus.
Suggested Action 2: Communicate needs to ECU
Dental School. They will be placing dentists in health
centers.
Suggested Action 4: Determine accessibility to
community parks. Parks not being safe for small
children. Ensure equity in poor neighborhoods and
wealthy ones.
Suggested Action 3: Explore the NC Baptist Men’s
Dental Van – can be funded by anyone who wants,
but must come up with the volunteer dentists. Health
Fair this year. Lack of Dentist participation.
Suggested Action 3: Increase the greenway areas, bike
and pedestrian paths
Obesity
Suggested Goal 1: Increase awareness and
education on dangers of obesity
Suggested Action 1: Support the Eat Smart/Move
More Campaign in NC
Suggested Action 2: Targeted education and
outreach, e.g. partner with Parent Academies, partner
with schools and do neighborhood specific education Source: Stratasan
Community Health Needs Assessment
14
Poverty
Food/Lifestyles/Wellness
Suggested Goal 1: Improve the High School
graduation rate
Suggested Goal 1: Increase knowledge of food
and nutrition programs in the county – websites
and printed materials about nutrition resources all
around the county.
Suggested Action 1: Support the Applied
Technology Manufacturing High School teaching
specific skill sets designed in partnership with
industry. Students graduate with an applied
technology associates degree.
Suggested Action 1: Assemble nutrition information
and programs on a website and printed material and
distribute throughout the community
Suggested Action 2: Show students a path to
a productive career. Wilson 20/20 and Youth
Master Plan
Suggested Action 2: Sponsor a nutrition fair targeting
daycare and preschools for kids and parents
Suggested Action 1: Promote quality of live,
infrastructure and sites in Wilson County to attract
employers
Suggested Action 2: Develop more walking trails and
exercise areas – NC Parks and Recreation Trust Fund.
Saratoga used it to develop their park and exercise
areas
Suggested Goal 2: Encourage more opportunities
Responsible Partners: Schools, Industries, WEDC, for exercise
WCS, entire community
Suggested Action 1: Encourage businesses to reward
employees for positive steps they could achieve healthSuggested Goal 2: Recruit, retain and expand
wise
our job base
Suggested Action 2: Increase qualified, skilled
workers by increasing job training programs
Responsible Partners: City, County EDC
Suggested Action 3: Fund and advertise youth sports
activities
Mental Health
Suggested Goal 1: Increase mental health
availability and resources in the community
Suggested Action 1: Explore feasibility of an Inpatient
psych facility in the county
Suggested Action 2: Coordinate and educate on
outpatient mental health resources; distribute Mental
Health and United Way list of resources widely in the
community
Suggested Action 3: Determine if the community has
adequate resources
Responsible Partners: Hospital, Eastpointe Mental
Health, law enforcement
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
Suggested Goal 2: Improve Follow-up care or
aftercare
15
Suggested Goal 3: Improve access and
transportation
Suggested Action 1: Expand schools psych
resources to interrupt the schools to jail pipeline
Suggested Action 2: Implement a model that meets
basic needs including mental health, e.g. Wayne
County model
outpatient options locally
Suggested Action 1: Investigate a long-term behavioral
health unit and other treatment options
Responsible Partners: Wilson Medical Center,
Universities, Eastpointe Mental Health, Recovery
Coalition
Responsible Partners: Hospital, Eastpointe Mental
Health, law enforcement
Substance Abuse
Suggested Goal 1: Create positive community
activities aimed at Rehabilitation and at-risk
population
Suggested Action 1: Create a recovery coalition and
look at care models other counties are using e.g.
Triangle Residential Options for Substance Abusers
(TROSA) in Durham.
Suggested Action 2: Focus on prevention with antistigma messaging about accessing care
Suggested Action 3: Work with employers to
communicate with job seekers the need to have a
drug-free work place and pass pre-employment drug
tests
Responsible Partners: Flynn Home, faith community,
Wilson Medical Center, WCSAC, Eastpointe Mental
Health, St. Johns CDC.
Suggested Goal 2: Educate the medical
community about substance abuse.
Suggested Action 1: Create assessment tools to
catch substance abuse issues
Suggested Action 2: Explore a prescription drug
monitoring program
Responsible Partners: Medical providers, CFHC,
AHEC, Eastpointe Mental Health, ECU School of
Medicine
Suggested Goal 3: Explore more inpatient and
Community Health Needs Assessment
Source: city-data.com
Education
Suggested Goal 1: Retain and recruit educated
people to Wilson County
Suggested Action 1: Create a loan forgiveness
program if students go to school locally and work
locally for 5 years, then get loan forgiveness or other
incentive to stay. Explore using tax dollars from
hospital as source of funds
Responsible Partners: County, Community College,
Barton College
Suggested Goal 2: Increase personal health
education and action.
Suggested Action 1: Expand basic education to
increase knowledge about their health. Hospital has
programs, but expand out and do classes in schools,
service organizations, bring health education to
people.
Responsible Partners: Health Department, Wilson
Medical Center, schools
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Suggested Goal 3: Increase high school graduation
rate
Suggested Action 1: Incentivize teachers based on
graduation rates and student performance
Suggested Action 2: Increase technical programs –
implement high school oriented technical programs,
trade skill programs, construction, auto mechanic
Responsible Partners: Wilson County Public Schools,
private/Christian/Charter schools
Teen Issues
Suggested Goal 1: Get teens and children involved
in groups that provide the positive, life-giving
aspects of gangs without the criminality and risk
taking.
Suggested Action 1: Increase active involvement in
sports and clubs, e.g. Girls and Boys Club, Wilson
County Youth Athletic Association, Boy and Girl Scouts,
SAY, Youth of Wilson, Church Groups
Suggested Action 2: Recruit adult volunteers
Suggested Goal 2: Decrease teen pregnancy and
sexually transmitted diseases
Suggested Action 1: Increase education and access to
education on sexuality and STDs
Suggested Goal 3: Increase access and encourage
accessing prenatal care
Community Health Needs Assessment
Source: Stratasan
Wilson Medical Center’s Selected
Initiatives
Based on input from the prioritization at the
Community Summit, Wilson Medical Center
(WMC) has selected three (3) corresponding
goals based on the identified community health
needs from the CHNA and the Summit.
1. Access to care and insurance
2. Food, Lifestyles and Wellness
3. Mental health
Action plans are being developed for these
identified goals and will be implemented over
the next few months. WMC will monitor the
progress through the Hospital’s Executive Team
and will annually report the progress to their
Board and the community.
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Giving credit where credit is due
Acknowledgements
We would like to acknowledge the efforts of the
collaborative group which assisted in the CHNA. It is
energizing when a diverse group of citizens comes
together to work toward a common cause. Funding
for this project has been provided by: Wilson Medical
Center.
Participation in the focus group and at the
Community Summit creating the Wilson County
Community Health Needs Assessment and
Improvement Plan:
• Wilson Medical Center: CEO, COO, Director of
Marketing, Occupational Health and Wellness
• Duke/LifePoint Wilson Medical Center Board of
Directors
• Barton College
• Career Plus
• Wilson County Dept. of Social Services
• Wilson County Schools
• West Insurance
• Wilson Area L AHEC
• Healthcare Foundation of Wilson
• Wilson County
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Wilson City Council
Wesley Shelter
Sallie B. Howard School of Arts
Thomas and Farris
Wilson County Substance Abuse Coalition
Imagination Station
United Way of Wilson County
NC Department of Health and Human Services
YMCA
Downtown Development
Eastern Carolina Pediatrics
Salvation Army
Wilson County Sherriff’s Office
Wilson 20/20
St. Timothy’s Episcopal Church
Wilson County Commissioner
Eastern Carolina ENT Head & Neck Surgery
Wilson Times
WMC physicians
Block of Hope
Wilson County Health Department
Wilson County EMS
Eastpointe Human Services
Forbes Transfer
Greenfield School
The Chesson Agency
Source: Wilson, NC Tourism, www.wilson-nc.com
Community Health Needs Assessment
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The report is not the end of the process.
Several small groups will form to begin implementation on several fronts related to the goals and actions
identified in the Community Summit. Please contact Lisa Briley at Wilson Medical Center for information
regarding ongoing efforts and how you may get involved.
The primary and secondary research is the basis of the Community Health Needs Assessment report
for Wilson County, North Carolina. The health information contained in these reports can be utilized to
further refine community health priorities, develop a community plan and guide collaboration and resource
allocation.
Meet the people who have brought this important information together. As a community, we are
appreciative of their work, their time and their talents.
• Wilson Medical Center, Board of Trustees
• Bill Caldwell, Chief Executive Officer, Wilson Medical Center
• Bert Beard, Chief Operating Officer, Wilson Medical Center
• Lisa Briley, Director of Marketing and Development, Wilson Medical Center
• Evan Sloan, Manager Occupational Health and Wellness
Ways I see myself getting involved
Goals for my personal health
Community Health Needs Assessment
19
Source: Wilson, NC Tourism, www.wilson-nc.com
Source: Selma Daily photo.blogspot
2014 Wilson County North Carolina
Community Health Needs Assessment