2013
Greene County, Arkansas
Community Health Needs Assessment
Creating a Call to Action in our Community
This report is available at www.myammc.org or at Arkansas Methodist Medical Center 900 W. Kingshighway,
Paragould, AR 72451. 870-239-7000
Perspective ---creating a sense of health in the community
The Community Health Needs Assessment (CHNA)
defines opportunities for health improvement, creates
a collaborative community environment to engage
multiple change agents, and an open and transparent
process to listen and truly understand the health needs
of Greene County, Arkansas.
The federal government through the Internal Revenue Service
now requires that not-for-profit hospitals conduct a Community
Health Needs Assessment. These census-like studies help
healthcare providers build stronger relationships with their
communities, identify needs and dedicate funding and other
resources toward programs that clearly benefit local residents.
Participants
More than fifty community and healthcare organizations collaborated
to implement a four-stage CHNA process focused on identifying and
defining local health issues, concerns and needs. The three-month
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.
Sourced from the County Health Rankings
website: http://www.countyhealthrankings.org/
take-action
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 in
Greene County.
To create infrastructure that will permit ongoing updates 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.
Timeline
More than fifty community and healthcare organizations collaborated
AMMC contracted with Stratasan in January, 2013 to facilitate the
community health needs assessment process. Stratasan and AMMC
conducted a kick-off meeting to begin the process in February. On
March 11-12, interviews were conducted with 20 members of the
community, employers, not-for-profit organizations, clergy and
government representatives. During March and April, community
health data was assembled for a presentation to the community.
On June 27, a community health summit was conducted with 50
community leaders. The final report was completed in August, 2013.
Community Health Needs Asssessment
“We initiated the Community
Health Needs Assessment with the
goal of identifying public health
needs, and setting goals, objectives
and priorities,” said Barry Davis,
President and Chief Executive
Officer, Arkansas Methodist
Medical Center. “It is our goal to
use our findings as a foundation
for improving and promoting the
health of the whole community.”
“The information we gathered
provided the insight we need
to set priorities for local public
health,” added Shay Willis,
Director of Marketing and Public
Relations, Arkansas Methodist
Medical Center. “The Community
Health Summit was the final,
critical step in the process. Now
the real work—improving the
health of the community—
begins.”
1
Who Told Us What?
Data Collection and Review
The health of the community was studied
extensively through primary and secondary research
methods. Greene County was the primary focus,
however Clay County was also investigated since
AMMC is the primary provider of patient care in
many of the communities in Clay County. Data was
gathered using several methods:
• 20 community members, employers, not-forprofit organizations, clergy and government
representatives were interviewed one-on-one for
their perspectives on community health needs
and issues.
• Information gathering using public health
sources and hospital-specific data.
• A Community Summit was conducted with 50
community leaders and citizens. The audience
consisted of healthcare workers, business
leaders, school systems, fire and police
personnel, government representatives, clergy,
community volunteers, and other community
members.
Selected Community for Assessment
AMMC Patients
72% of AMMC’s patients come from
Greene County. AMMC is Greene
County’s hospital of choice with an
estimated market share of 56%.
Therefore, it is reasonable to select
Greene County as the primary focus of
the community health needs assessment.
Clay County’s data was also analyzed but
is not the focus of the CHNA.
Data was gathered using Arkansas Methodist Medical Center’s (AMMC)
health information. The map above shows the use of AMMC healthcare
services by residents both in and outside of Greene County.
Community Health Needs Asssessment
2
Collaboration is Key to Good Health
Community Engagement and Transparency
We are pleased to share with our community
the results of the Community Health Needs
Assessment. 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.
Implementation Plans
To successfully create a sense of health in
Greene County it is necessary to have a
collaborative venture which brings together all
of the care providers, citizens, government,
schools, law enforcement and business and
industry around an effective plan of action. A
comprehensive plan will be coordinated across
the county to help ensure adequate availability
of needed and wanted services.
Key Demographic Statistics:
•
•
•
•
•
•
•
The median age of Greene County (38.1) is higher than
Arkansas (37.7) and the U.S. (37.3).
The median household income of Greene County
($35,115) is lower than Arkansas ($37,393) and the U.S.
($50,157).
The Greene County population per year growth rate from
2012 to 2017 (0.80%) is higher than Arkansas (0.70%)
and the U.S. (0.68%).
The medical care index for Greene County (79) is lower
than Arkansas (86) and the U.S. (100). This measures out
of pocket healthcare spending of the population. This
could be due to less healthcare utilization and/or less
expensive healthcare costs.
The racial make-up of the county is 96% white, 1% black,
American Indian, some other race and two or more races
and 3% Hispanic origin.
The income distribution of the county is 15% high income, 48% middle income and 37% low income.
Northern Paragould has the most low income households.
Demographic Dashboard
Category
Population (2012)
Median Age (2012)
Median Household Income (2012)
Annual Pop. Growth (2012-2017)
Households (2012)
Businesses (2011)
Employees (2011)
Dominant Tapestry Segment
Medical Care Index
Average Health Expenditures (2011)
Total Health Expenditures (2011)
Community Health Needs Asssessment
Greene County Clay County
Arkansas
USA
42,489
15,832
2,960,196
313,129,017
38.1
43.8
37.7
37.3
$35,115
$30,296
$37,393
$50,157
0.80%
-0.67%
0.70%
0.68%
16,637
6,730
1,162,902
118,208,713
1,386
581
122,904
12,239,616
18,425
4,843
1,405,705
146,234,698
50-Heartland
42-Southern
42-Southern 12-Up and Coming
Communities
Satellites (22%)
Satellites (11%)
Families (4%)
(47%)
79
77
86
100
$2,870
$2,780
$3,103
$3,611
$47,474,917 $18,770,923 $3,583,951,934 $424,173,676,593
3
In 2013, Greene County
ranked 29th healthiest
County in Arkansas
out of 75 counties (1=
the healthiest; 75 =
unhealthiest). This ranking
places Greene County in the
second quartile.
Key Findings of the Community
Health Assessment
Greene County was named after
General Nathaniel Greene, American
There are four broad themes which emerged in this process:
Revolutionary War Hero. Greene
County needs to lead a revolutionary • Greene County needs to create a call to action for a “Health
Revolution” that permeates the culture of the counties, cities,
change in the health of its citizens.
employers, churches, and community organizations, so everyone
The results of the community health
can buy into health improvement.
assessment follow.
•
There is a direct relationship between health outcomes and
When analyzing the health status
affluence (income and education). Those with the lowest income
data, local results were compared
and education generally have the poorest health outcomes.
to Arkansas (AR) and the top 10%
•
While any given measure may show an overall good picture of
of counties in the U.S. Where the
community health, there are significantly challenged subgroups.
counties’ results differ significantly
•
It will take a partnership with a wide range of organizations and
negatively from the State, we see an
citizens pooling resources to meaningfully impact the health of the
opportunity for group and individual
community.
actions that results in improved
community ratings. Greene County is
the focus of the CHNA, however Clay
County was also investigated and used
for comparison because AMMC sees
patients from Clay County. There are
several lifestyle gaps that need to be
closed to move Greene County up the
ranking to be the healthiest community
in Arkansas and eventually the Nation.
For additional perspective, Arkansas is
ranked the 48th healthiest state out of
the 50 states.
The overall demand for health services
in Greene County is congruent with an
aging population with higher emergency
department and physician office visit
rates per population.
Community Health Needs Asssessment
4
Greene County Health Rankings
Based on the County Health Rankings study performed by the Robert Wood Johnson Foundation and the
University of Wisconsin, the issues needing the most attention are:
Health behaviors:
• Smoking
• Obesity
Clinical care:
• Preventable hospital stays
Greene County’s physical environment ranks 47th out of 75.
Overall Health of Greene County
Strengths
• Morbidity indicators: lower % reporting poor or fair health, poor physical health days and low birthweight
babies
• Health behaviors: low excessive drinking, low rate of sexually transmitted infections
• Social and economics: higher high school graduation percentage, lower percentage of children in single-parent households, low violent crime rate
• Physical environment: drinking water safety, access to recreational facilities
Opportunities
• Mortality, premature death
• Health behaviors ranked lower: smoking, obesity, physical inactivity, motor vehicle crash death rate, high
teen birth rate. These lead to higher utilization of prescription drugs for high blood pressure, cholesterol,
and diabetes. Greene County also has higher rates of cancer deaths.
• Clinical care: uninsured, primary care availability, preventable hospital stays, dentist availability, diabetic
screening and mammography screening.
Community Health Needs Asssessment
5
•
•
Social and economic factors ranked lower: some college, unemployment.
Physical environment: limited access to healthy foods is higher and percentage of fast food restaurants
is high.
Health Outcomes (Mortality and Morbidity)
Greene Co Clay Co Arkansas
Overall Ranking (Rank out of 75 AR Counties or 50 States)
29
38
48
Health Outcomes (Rank out of 75)
24
20
46
Mortality (Rank out of 75)
42
14
Premature death (YPLL per 100,000 pop prior to age 75)
10,162 8,680
9,290
Morbidity (Rank out of 75)
8
32
Poor or fair health (% reporting age-adjusted)
17%
27%
19%
Poor physical health days (Avg # of days past 30 days)
3.9
4.5
4.1
Poor mental health days (Avg # of days past 30 days)
3.9
3.1
3.9
Low birthweight (% of live births with birthweight <2500 grams)
7.6%
8.0%
9.1%
National
Benchmark
90th
Percentile
5,317
10%
2.6
2.3
6.0%
Strengths
• The percent of adults reporting poor or fair health.
• The number of poor physical health days reported.
• The percentage of low birth weight babies.
Opportunities
• Premature death measured in years of potential years of
life lost.
• Greene County indexes higher for taking a prescription
drug for depression than the U.S.
• Greene County indexes higher for taking a prescription
drug for high blood pressure than the U.S.
• A segment of Greene County (the census tract north of
Paragould up to the Clay County line) indexes higher for
taking a prescription drug (insulin) for diabetes than the
U.S.
• Greene County indexes higher than the U.S. for prescription drug use for high cholesterol.
• Based on cancer death rates from the National Cancer
Institutes, Greene County has a rising trend and is above
the U.S. cancer death rate.
Community Health Needs Asssessment
6
Health Behaviors
Health Factors (Rank out of 75)
Health Behaviors (Rank out of 75)
Adult smoking (smokes every day or most days)
Adult obesity (BMI >=30)
Physical inactivity (% 20 yo and older reporting no leisure time
physical activity)
Excessive drinking
Motor vehicle crash death rate (crude mortality per 100,000 pop)
Greene Co Clay Co Arkansas
33
55
48
34
36
22%
24%
23%
34%
32%
32%
28%
12%
27
35%
6%
32
National
Benchmark
90th
Percentile
31%
13%
23
13%
25%
21%
7%
10
Sexually transmitted infections (Chlamydia rate per 100,000 pop)
304
118
529
92
Teen birth rate (ages 15-19 per 1,000 female pop)
66
65
59
21
Strengths
• Lower physical inactivity.
• Lower excessive drinking; and AR has one of the lowest excessive drinking rates in the U.S.
• Lower sexually transmitted infections.
Opportunities
• Smoking- Since smoking is such a health hazard, any smoking is an opportunity to improve health status.
Greene County also indexes higher than the US for smoking 9+ packs of cigarettes per week. Arkansas
high school smoking has declined year over year, but is still above 15%. Chewing tobacco, snuff or dipping is not declining hovering at 12%. Smoking harms nearly every organ of the body. Smoking causes
many diseases and reduces the health of smokers in general. The adverse health effects from cigarette
smoking account for an estimated 443,000 deaths, or nearly one of every five deaths, each year in the
United States. (CDC website)
• Obesity –Higher percentage of adult obesity. 15.5% of AR high school students are obese. 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 migraine and obesity.
And, of course, obesity affects an individual’s general quality of life, self-esteem and
self-image.
• Higher motor vehicle crash death.
• Higher teen birth rate.
Community Health Needs Asssessment
7
Clinical Care
Clinical Care (Rank out of 75)
Uninsured (%<65 w/o health insurance)
Primary care physicians (Pop per physician)
Dentists (Pop per dentist)
Preventable hospital stays (Hospitalization rate for ambulatorysensitive conditions per 1,000 Medicare enrollees)
Diabetic screening (%diabetic Medicare enrollees receiving HbA1c
screening)
Mammography screening (%female Medicare enrollees receiving
mammo screening)
Greene Co Clay Co Arkansas
34
43
20%
22%
21%
1,757 4,018
1,613
3,564 2,314
2,571
National
Benchmark
90th
Percentile
11%
1,067
1,516
112
110
79
47
79%
86%
82%
90%
55%
61%
61%
73%
Strengths
• Local patients use AMMC and physicians not having to travel for healthcare.
Opportunities
• High percent of the population without health insurance (uninsured).
• Higher population per physician. As part of the CHNA, a physician inventory and needs analysis was
performed. The physician needs analysis indicates a shortage of primary care physicians. The community needs to work together collaboratively with the hospital and existing medical staff to attract more
primary care and specialists to the community. Nurse practitioners and physician assistants help fill in
the shortage areas.
• High population per dentist.
• Higher preventable hospital stays.
• Lower percentage of Medicare enrollees receiving blood sugar screening for diabetes.
• Lower percentage of Medicare enrollees receiving a mammogram.
Community Health Needs Asssessment
8
Social & Economic Factors
Greene Co Clay Co Arkansas
32
62
Social & Economic Factors (Rank out of 75)
High school graduation (% of 9th grade cohort graduating in 4 yrs)
Some college (% of adults 35-44 w/ some postsecondary ed)
Unemployment
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)
Strengths
• Higher high school graduation percentage.
• Lower percentage of children in poverty.
• Lower percentage of inadequate social support.
• Lower percentage of children in single-parent
households.
• Lower violent crime rate.
Opportunities
• Lower post-secondary education percentage.
• Higher unemployment rate.
• Lower median household income.
Drinking water safety (% of pop exposed to wager exceeding a
violation limit during the past year)
Access to recreational facilities (Recreational facilities per
100,000 pop)
Limited access to healthy foods (% of pop who are low income and
Community Health Needs Asssessment
84%
42%
13.7%
29%
81% N/A
53%
8.0%
28%
70%
5.0%
14%
19%
23%
21%
14%
27%
272
31%
126
36%
508
20%
66
Strengths
• Drinking water safety is good.
• Higher access to recreational facilities.
Opportunities
• Higher daily fine particulate matter in the air.
• Higher limited access to healthy foods.
• Higher percentage of fast food restaurants.
micrograms per cubic meter)
Fast food restaurants (% of all restaurants that are fast food)
83%
48%
10.0%
26%
Physical Environment
Physical Environment (Rank out of 75)
Daily fine particulate matter (Avg daily measure of matter in
do not live close to a grocery store)
National
Benchmark
90th
Percentile
National
Benchmark
90th
Percentile
Greene Co Clay Co Arkansas
47
62
12.8
12.7
11.8
8.8
0%
21%
9%
0%
9
6
8
16
8%
54%
5%
58%
8%
50%
1%
27%
9
Results of the Community Health Summit
The Summit attendees listed the three
most important health issues in Greene
County on Post-it notes and placed them
on the wall, the results of the exercise are
below with the number of Post-it notes
related to the issue.
1.
Obesity-34
2.
Access to Care and Insurance-17
3.
Lifestyle (Diet and Exercise)-15
4.
Drug Abuse and Mental Health-13
5.
Diabetes-13
6.
Cancer, HBP and Heart Disease-9
7.
Tobacco/Smoking-9
8.
Teen Pregnancy and Birth Issues-9
9.
Education-7
Based on the Community Summit, the following goals and actions were created by the
table groups and form the foundation Greene County’s health initiatives. The work in the
next months will determine the ideas to be implemented. The table groups brainstormed
goals and actions around the most important health issues. These goals and actions have
been organized below.
Obesity
Goal 3: Promote activity
Goal 1: Stabilize the obesity trend
Action 1: Initiate city-wide fitness programs, walk offs,
contests
Action 1: Encourage business and industry to provide
incentives for healthy employees
Action 2: Promote parks, walking trails
Action 2: Conduct community health fairs to monitor blood
pressure, BMI, diabetes
Responsible Partners: Fitness Centers, Churches,
Chamber of Commerce, Employers
Responsible Partners: Businesses and Industries, Chamber
of Commerce, Clinics, AMMC
Goal 2: Education on nutrition and side effects of
obesity
Action 1: Encourage healthy food options and health
education regarding how to make healthier choices
Action 2: Educate people on the side effects of obesity
Responsible Partners: AMMC, Schools, Health Department,
Physicians/Providers
Community Health Needs Asssessment
10
Access to Care and Insurance
Goal 1: Educate citizens on new options to
purchase health insurance through the PPACA
Action 1: Assist in making third party payors available to
the public through health fairs, charitable clinics, churches
and advertising
Action 2: Enroll individuals into health insurance programs
Responsible Partners: AMMC, Physicians/Providers,
Health Department
Goal 2: Continue to be proactive in recruiting
specialists and primary care physicians
Action 1: Continue an active recruiting process for
physicians
Responsible Partners: AMMC, Physicians/Providers, Health
Department, Churches, Schools, Community Centers,
Coaches, Civic Leaders, Industry Leaders
Action 2: Solicit information from the public concerning their
Goal 2: Provide opportunities for activities that
needs
promote healthier lifestyles
Responsible Partners: Chamber of Commerce, City of
Paragould, AMMC
Goal 3: Increase median household income
Action 1: Recruit higher wage jobs to the community
Action 2: Increase post-secondary education
Responsible Partners: Chamber of Commerce, Adult
Education Center, Schools, DHS
Action 1: Support local Farmer’s Market and community
gardens
Action 2: Teach classes on growing individual family gardens
and hold a day for giving away seeds
Responsible Partners: AMMC, Home Extension, Chamber of
Commerce
Goal 3: Provide safe environments for participation
in healthier living activities
Lifestyle (Diet, Exercise and Health
Action 1: Add more sidewalks, extra lighting and bike trails
Screenings) to reduce chronic diseases such
Action 2: Establish neighborhood watch programs
as obesity, high blood pressure, cancer and
heart disease
Goal 1: Educate the community on healthy
lifestyles
Action 1: Involve industries, churches, schools and civic
organizations in educating the community
Action 2: Train peer educators in the community to expand
education programs
Action 3: Hold seminars and lectures on health
Action 4: Provide health fairs
Community Health Needs Asssessment
Responsible Partners: Local Government Leaders, Civic
Organizations, Police Department
Goal 4: Reduce high blood pressure by 20%
Action 1: Improve diet
Action 2: Increase exercise
Responsible Partners: AMMC, Physicians/Providers
Goal 5: Reduce cancer rate
Action 1: Increase annual physicals and screenings
11
Action 2: Increase health fair participation
Diabetes
Responsible Partners: Physicians/
Providers, AMMC
Goal 1: Reduce the progression from gestational diabetes to
Type 2 diabetes by 50%
Goal 6: Reduce heart disease
Action 1: Increase education re: nutrition,
check-ups, exercise, baby aspirin
Action 1: Educate and promote life change habits for mothers with
gestational diabetes
Action 2: Teach healthy eating
Responsible Partners: Physicians/
Providers, AMMC
Responsible Partners: Arkansas Obstetrics Association, AMMC, Health
Department
Drug Abuse and Behavioral
Health
Goal 2: Increase exercise decreasing % inactivity from 28% to
20%
Action 1: Promote and teach the positive effects of exercise in schools;
Goal 1: Reduce illegal and
inappropriate access to prescription Mandatory exercise programs in schools
drugs
Action 2: Promote exercise through the workplaces, churches and
neighborhoods
Action 1: Educate youth, adults and
physicians on the dangers and prevalence
Responsible Partners: Communities, Neighborhoods, Churches, Employers,
of prescription drug abuse
Schools
Action 2: Improve drug security and
utilization of drug take-back program
Responsible Partners: Community
Leaders, Law Enforcement
Goal 2: Increase availability of
mental health treatment
Action 1: Increase treatment facilities
Action 2: Educate on resources available
Goal 3: Increase blood sugar monitoring frequency to prevent
damage
Action 1: Provide blood sugar checks at Walmart
Action 2: Provide free blood sugar checks at the flu clinic
Action 3: Increase knowledge about the resources available at AMMC
Responsible Partners: AMMC, Health Department
Responsible: Governments, Mental
Health Providers, Community Groups
Goal 3: Decrease utilization of
illegal drugs
Action 1: Improve enforcement of
penalties to become a deterrent
Action 2: Increase education in schools–
5th Grade D.A.R.E. increase time, and
repeat in 9th or 10th grade
Responsible Partners: Government,
Legislators, Law Enforcement,
Community Groups, Schools
Community Health Needs Asssessment
12
Tobacco
Action 2: Increase the availability of prenatal care
Action 1: Encourage employers to stop hiring smokers
Responsible Partners: AMMC, Schools, Churches,
Community, Health Department, Physicians/Providers
Goal 1: Decrease smoking by 25% by 2016
Action 2: Charge more for insurance for smokers
(increased insurance premiums)
Responsible Partners: Businesses and Industries,
Employers, Insurance Companies
Goal 2: Increase education, communication and
awareness 80% by 2016
Action 1: Show kids the results of tobacco use (cancerous
mouth, trach, lungs)
Goal 3: Decrease infant mortality by 25% per year
Action 1: Provide monthly parenting classes
Action 2: Hold a yearly community drive in memory of all
the infants that have passed throughout the year for baby
products, prenatal care
Responsible Partners: AMMC, Schools, Churches,
Community Groups, Health Department, Physicians/
Providers
Action 2: Implement a public service campaign with local
cancer victims who were former smokers
Responsible Partners: Schools, Media, AMMC
Goal 3: Reduce underage tobacco use 50% by
2016
Action 1: Stronger penalties for underage usage for kids
and the businesses who sell the tobacco
Responsible Partners: Law enforcement, Schools,
Businesses, Parents
Teen Pregnancy and Birth Issues
Goal 1: Reduce teen pregnancy by 10% per year
over the next 5 years
Action 1: Increase linkages between teen pregnancy
prevention programs and community-based clinical
services
Action 2: Implement sex education programs for students
and parents by a knowledgeable facilitator by the 7th grade
Responsible Partners: Schools, Health Department,
LifeHouse Ministries, Parents/Teens, AMMC Educators,
Churches
Goal 2: Decrease premature births by 5% over the
next 5 years
Action 1: Educate reproductive age women what to expect
and what to do and what NOT to do
Community Health Needs Asssessment
12
Education and Miscellaneous
Goal 1: Increase post-secondary education to
53% by 2017
Action 1: Increase college career days at high schools
Action 2: Provide information on available scholarships
Responsible Partners: High Schools, ASU, Black River
Technical College, Crowley’s Ridge College, School
Counselors
Arkansas Methodist Medical Center’s
Selected Initiatives
Based on input from the Community Summit,
Arkansas Methodist Medical Center (AMMC) will
select goals and will implement action plans for these
identified goals over the next few months. AMMC will
monitor the progress through the Hospital’s Strategic
Planning Committee and will annually report the
progress to their Executive Board of Directors and the
community.
Goal 2: Reduce fear of outcome of medical testing
Action 1: Hold seminars on specific diseases
Action 2: Share individual testimonials from people who are
living with the disease or had the disease
Responsible Partners: AMMC, Health Department,
Physicians/Providers, Churches, Community Groups
Community Health Needs Asssessment
13
Giving credit where credit is due
Acknowledgements
The report is not the end of the process.
We would like to acknowledge the efforts of this
collaborative group. 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: Arkansas Methodist Medical Center.
Participation in the interviews and in creating the
Greene County Community Health Improvement
Plan:
Arkansas Methodist Medical Center Board
of Directors, Medical Staff and Members of
Management; AMMC Ambulance Service; AMMC
Auxiliary; AMMC Women’s Council; Marmaduke/
Paragould Medical Clinic; Woman to Woman Cancer
Support Group; Stratasan; Greene County Health
Department; Arkansas Department of Health;
Paragould Fire Chief; Paragould Chief of Police;
Paragould Fire Fighters; Paragould Police Officers;
Mayors of Paragould and Marmaduke; Paragould
Regional Chamber of Commerce; Paragould Light
Water and Cable; Paragould, Greene County Tech
and Marmaduke School Districts; Mission Outreach
of Northeast Arkansas; Mid-South Health Systems;
American Cancer Society-Relay for Life; American
Railcar Industries; Hitt Family Healthcare; Senior
BEES; BanCorp South; 7th and Mueller Church of
Christ and Absolute Care Management.
Several small groups will form to begin implementation
on several fronts related to the goals and actions
identified in the Community Summit. Please contact
Shay Willis at Arkansas Methodist 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
Greene County, Arkansas. The health information
contained in these reports can be utilized to further
refine community health priorities, develop an updated
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.
• Arkansas Methodist Medical Center Executive Board
of Directors
• Barry Davis, President/Chief Executive Officer,
Arkansas Methodist Medical Center
• Brad Bloemer, Chief Financial Officer, Arkansas
Methodist Medical Center
• Lana Williams, Chief Nursing Officer, Arkansas
Methodist Medical Center
• Shay Willis, Director of Marketing and Public
Relations, Arkansas Methodist Medical Center
Funding for this project was provided by Arkansas Methodist Medical Center
Community Health Needs Asssessment
14
Engagement Notes
Ways I see myself getting involved
Goals for my personal health
Community Health Needs Asssessment
15
2013 Greene County, Arkansas
Community Health Needs Assessment