COMMUNITY HEALTH
NEEDS ASSESSMENT
2015
A Collaborative Approach to Impacting Population Health
in Hamilton and White Counties
HAMILTON MEMORIAL HOSPITAL
COMMUNITY HEALTH NEEDS ASSESSMENT
TABLE OF CONTENTS
I.
Introduction Executive Summary
Background
Community Health Needs Assessment Population
Hamilton Memorial Hospital Service Area Demographics 3
3
4
4
5
II.
Establishing the CHNA Infrastructure and Partnerships
11
III.
Defining the Purpose and Scope
IV.
Data Collection and Analysis
Description of Process and Methods Used
Description of Data Sources
12
12
13, 22
V.
Identification and Prioritization of Needs
25
VI.
Description of the Community Health Needs Identified
26
VII.
Resources Available to Meet Priority Health Needs
27
VIII.
Documenting and Communicating Results
12
27
IX.
References
27
Copyright ©2015 by the Illinois Critical Access Network (ICAHN). All rights reserved. The contents of this publication may not be copied, reproduced,
replaced, distributed, published, displayed, modified, or transferred in any form or by any means except with the prior permission of ICAHN. Copyright
infringement is a violation of federal law subject to criminal and civil penalties.
2 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
COMMUNITY HEALTH NEEDS ASSESSMENT
I. INTRODUCTION
Executive Summary
Hamilton Memorial Hospital conducted a Community Health Needs Assessment (CHNA) spanning a period of
several weeks in the Spring of 2015. The CHNA is a systematic process involving the community to identify and
analyze community health needs as well as community assets and resources in order to plan and act upon priority
community health needs. This assessment process results in a CHNA Report which assists the hospital in planning,
implementing, and evaluating hospital strategies and community benefit activities.
The Community Health Needs Assessment was developed and conducted, in partnership with representatives from
the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a
not-for-profit 501(c)(3) corporation, established in 2003 for the purposes of sharing resources, education, promoting
operational efficiencies, and improving healthcare services for member critical access hospitals and their rural
communities.
The process involved the review of several hundred pages of demographic and health data specific to the Hamilton
Memorial Hospital service area. The secondary data and previous public health planning conclusions draw attention
to several common issues of rural demographics and economies and draw emphasis to issues related to mental
health services, wellness, education, physician and specialist supply, transportation, and risky behavior with regard
to substances, obesity, teen health, and related issues.
In addition, the process involved focus groups comprised of area healthcare providers and partners and persons
who represent the broad interests of the community served by the hospital, including those with special knowledge
of, or expertise in public health. Members of medically underserved, low-income, and minority populations served by
the hospital or individuals or organizations representing the interests of such populations also provided input.
The medically underserved are members of a population who experience health disparities, are at-risk of not receiving
adequate medical care as a result of being uninsured or underinsured, and/or experiencing barriers to healthcare due
to geographic, language, financial, or other barriers.
Three focus groups met on June 4, 2015, to discuss the overall state of health and the local delivery of healthcare
and health-related services. They identified positive recent developments in local services and care and also identified
issues or concerns that they felt still existed in the area.
A fourth group comprised of members or representatives of members of the focus groups then met and considered
the qualitative and quantitative data gathered and estimated feasibility and effectiveness of possible interventions by
the hospital to impact these health priorities; the burden, scope, severity, or urgency of the health need; the health
disparities associated with the health needs; the importance the community places on addressing the health need;
and other community assets and resources that could be leveraged through strategic collaboration in the hospital’s
service area to address the health need.
As an outcome of the prioritization process, discussed above, several potential health needs or issues flowing from
the primary and secondary data were not identified as significant current health needs and were not advanced for
consideration.
Five needs were identified as significant health needs and prioritized:
1.
2.
3.
4.
5.
Mental health services
Infant mortality
Physician and specialist recruitment and retention
Transportation
Education and support for chronic diseases
Hamilton Memorial Hospital I 3
Background
The Hamilton Memorial Hospital District was created by popular vote of the residents of Hamilton County in 1957. The first
patient was admitted to Hamilton Memorial Hospital in 1960. Since that time, thousands of inpatients and hundreds of
thousands of outpatients have turned to Hamilton Memorial Hospital to address their healthcare needs. The mission of
Hamilton Memorial Hospital is to “enhance the delivery of healthcare to our community and the surrounding area by providing
accessible quality healthcare services, education, and facilities.”
Provisions in the Affordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment
(CHNA). Some government owned hospitals may be exempt from the CHNA process, but Hamilton Memorial Hospital has
chosen to undertake the review as a matter of best practices regardless of whether or not they ultimately determine they are
required to.
The CHNA is a systematic process involving the community to identify and analyze community health needs as well as
community assets and resources in order to plan and act upon priority community health needs. This assessment process
results in a CHNA Report which assists the hospital in planning, implementing, and evaluating hospital strategies and
community benefit activities. The Community Health Needs Assessment was developed and conducted, in partnership with
representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN).
ICAHN is a not-for-profit 501(c)(3) corporation, established in 2003 for the purposes of sharing resources, education,
promoting operational efficiencies and improving healthcare services for member critical access hospitals and their rural
communities. ICAHN, with 53 member hospitals, is an independent network governed by a nine-member board of directors,
with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives
to strengthen the capacity and viability of its members and rural health providers. Hamilton Memorial Hospital is a member of
the Illinois Critical Access Hospital Network. The Community Health Needs Assessment will serve as a guide for planning and
implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of
McLeansboro and the surrounding area.
The population assessed included Hamilton and White counties. Data collected throughout the assessment process was
supplemented with:
•
•
•
a local asset review;
qualitative data gathered from broad community representation; and,
focus groups, including input from local leaders, medical professionals, health professionals,
and community members who serve the needs of persons in poverty and the elderly.
Hamilton Memorial Hospital is a not-for-profit district hospital.
COMMUNITY HEALTH NEEDS ASSESSMENT POPULATION
For the purpose of this CHNA, Hamilton Memorial Hospital defined its primary service area and populations as the general
population within the geographic area in and surrounding the City of McLeansboro defined in detail below. The hospital’s
patient population includes all who receive care without regard to insurance coverage or eligibility for assistance. Zip codes
reported by the hospital as its service area indicate that Hamilton Memorial Hospital District serves portions of Hamilton and
White counties. Demographics are discussed in terms of the defined service area and at the county level.
4 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
DEMOGRAPHICS
Hamilton Memorial Hospital’s service area is comprised of approximately 929.19 square miles with a population of
approximately 23,043 and a population density of 24.80 per square mile. The service area consists of the following
rural communities:
Cities and Towns
Carmi
McLeansboro
Grayville
Belle Prairie City (Town)
Villages
Broughton
Dahlgren
Macedonia
Burnt Prairie
Crossville
Enfield
Maunie
Mill Shoals
Norris City
Phillipstown
Springerton
Illustration 1. Hamilton Memorial Hospital Service Area
McLeansboro
ESRI – 2015
Hamilton Memorial Hospital I 5
TOTAL POPULATION CHANGE, 2000-2010
According to the U.S. Census data, the population in the region declined from 23,992 to 23,122 between the years 2000
and 2010, a 3.63% decrease.
Report Area
Total Population
2000 Census
Total Population
2010 Census
Total Population
Change, 2000-2010
Percentage
Population Change,
2000-2010
Service Area Estimates
23,992
Hamilton County
8,621
23,122
-870
-3.63%
8,457
-164
-1.9%
White County
15,371
14,665
-706
-4.59%
Illinois
12,419,231
12,830,632
411,401
-3.31%
Data Source: Community Commons
In Hamilton County, the Hispanic population increased by 50 (90.91%) and increased in White County by 55 (53.4%).
In Hamilton County, additional population changes were as follows: White -1.95%, Black -46.55%, American Indian/Alaska
Native -9.09%, Asian 72.73%, and Native Hawaiian/Pacific Islander 0%.
In White County, additional population changes were as follows: White -4.66%, Black 40%, American Indian/Alaska Native
-11.32%, Asian 24%, and Native Hawaiian/Pacific Islander 500%.
POPULATION BY GENDER AND AGE GROUPS
Population by gender is 48.26% male and 51.74% female. The region has the following population numbers by age groups:
Report Area
Total Population
Ages 0-4
Ages 5-17
Ages 18-24
Ages 25-34
Service Area Estimates
23,043
1,414
3,646
1,630
2,570
Hamilton County
8,413
494
1,433
587
950
White County
14,630
920
2,213
1,043
1,620
Illinois
12,848,554
820,771
2,265,645
1,252,399
1,778,128
Report Area Continued
Ages 35-44
Ages 45-54
Ages 55-64
Ages 65+
Service Area Estimates
2,551
3,335
3,159
4,738
Hamilton County
43
1,167
1,168
1,671
White County
1,608
2,168
1,991
3,067
Illinois
1,711,098
1,842,487
1,521,168
1,656,858
Data Source: Community Commons
6 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
POPULATION PROJECTIONS BY AGE – COMBINED COUNTIES
The median age in this area is 45.4 years of age, compared to the U.S. median age of 37.9.
2010 Population
by Age
Number
Percent
2015 Population
by Age
Number
Percent
Ages 0-4
1,383
6.0%
Ages 0-4
1,298
5.6%
Ages 5-9
1,382
6.0%
Ages 5-9
1,333
5.8%
Ages 10-14
1,361
5.9%
Ages 10-14
1,313
5.7%
Ages 15-19
1,402
6.1%
Ages 15-19
1,229
5.3%
Ages 20-24
1,112
4.8%
Ages 20-24
1,194
5.2%
Ages 25-34
2,583
11.2%
Ages 25-34
2,625
11.4%
Ages 35-44
2,491
10.8%
Ages 35-44
2,403
10.4%
Ages 45-54
3,533
15.3%
Ages 45-54
3,095
13.4%
Ages 55-64
3,130
13.5%
Ages 55-64
3,372
14.6%
Ages 65-74
2,359
10.2%
Ages 65-74
2,728
11.8%
Ages 75-84
1,601
6.9%
Ages 75-84
1,605
7.0%
Ages 85+
785
3.4%
Ages 85+
830
3.6%
2020 Population
by Age
Number
Percent
Ages 0-4
1,249
5.4%
Ages 5-9
1,278
5.6%
Ages 10-14
1,366
5.9%
Ages 15-19
1,276
5.5%
Ages 20-24
982
4.3%
Ages 25-34
2,469
10.7%
Ages 35-44
2,554
11.1%
Ages 45-54
2,721
11.8%
Ages 55-64
3,391
14.7%
Ages 65-74
3,077
13.4%
Ages 75-84
1,809
7.9%
Ages 85+
839
3.6%
ESRI, 2015
POPULATION WITHOUT A HIGH SCHOOL DIPLOMA (Ages 25 and Older)
Within the report area, there are 2,480 persons aged 25 and older without a high school diploma (or equivalent) or higher.
This represents 15.17% of the total population aged 25 and older. This indicator is relevant because educational attainment
is linked to positive health outcomes.
Report Area
Population Age 25+
Population Age 25+
With No HS Diploma
% Population Age 25+
With No HS Diploma
Service Area Estimates
16,353
2,480
15.17%
Hamilton County
5,899
956
16.21%
White County
10,454
1,524
14.58%
Illinois
8,509,739
1,082,381
12.72%
Note: This indicator is compared with the state average. Data Source: Community Commons
Hamilton Memorial Hospital I 7
HIGH SCHOOL GRADUATION RATES (NCES)
Report Area
Average Freshman
Base Enrollment
Estimated Number
of Diplomas Issued
On-Time
Graduation Rates
Service Area Estimates
304
259
85.7
Hamilton County
101
97
95.5
White County
201
162
80.8
Illinois
169,361
131,670
77.7
Note: This indicator is compared with the state average. Data Source: Community Commons
Within the report area, 85.7% of students are receiving their high school diploma within four years. This is greater than the
Healthy People 2020 target of 82.4%. Healthy People is a federal health initiative which provides science-based, 10-year
national objectives for improving the health of all Americans. For three decades, Healthy People has established benchmarks
and monitored progress over time in order to:
• Encourage collaborations across communities and sectors.
• Empower individuals toward making informed health decisions.
• Measure the impact of prevention activities
Healthy People 2020 (HP2020) continues in this tradition with the launch on December 2, 2010 of its ambitious, yet achievable, 10-year agenda for improving the nation’s health. Healthy People 2020 is the result of a multi-year process that reflects
input from a diverse group of individuals and organizations.
POPULATION IN POVERTY
(100% FPL and 200% FPL)
Poverty is considered a key driver of health status. Within the report area 16.15% or 3,643 individuals are living in households
with income below 100% of the Federal Poverty Level (FPL). This is higher than the statewide poverty level of 14.13%. Within
the report area, 37.53% or 8,467 individuals are living in a household with income below 200% of the Federal Poverty Level
(FPL). This is higher than the statewide poverty level of 31.51%. This indicator is relevant because poverty creates barriers to
access including health services, nutritional food, and other necessities that may impact health status.
Report Area
Total Population
Population Below100% FPL
Population Below 200% FPL
Service Area Estimates
22,562
3,643
8,467
Hamilton County
8,276
1,413
3,149
White County
14,286
2,230
5,318
Illinois
12,547,066
1,772,333
3,954,161
Note: This indicator is compared with the state average. Data Source: Community Commons
POPULATION WITH ANY DISABILITY
Within the report area, 17.02% or 3,849 individuals are disabled in some way. This is higher than the statewide disabled
population level of 10.48%. This indicator is relevant because disabled individuals comprise a vulnerable population that
requires targeted services and outreach by providers.
Report Area
Total Population (For Whom
Disability Status is Determined)
Total Population
With a Disability
Percent Population
With a Disability
Service Area Estimates
22,613
3,849
17.02%
Hamilton County
8,320
1,353
16.26%
White County
14,293
2,496
17.46%
Illinois
12,668,117
1,327,536
10.48%
Note: This indicator is compared with the state average. Data Source: Community Commons
8 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
CHILDREN ELIGIBLE FOR FREE/REDUCED PRICE LUNCH
Within the report area, 1,891 public school students (51.37%) are eligible for free/reduced price lunch out of 3,681 total
students enrolled. This is slightly higher than the statewide free/reduced price lunch of 50.56%. This indicator is relevant
because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social
support needs. Additionally, when combined with poverty data, providers can use this measure to identify gaps in eligibility
and enrollment.
Report Area
Total Students
Number Free/
Reduced Price Eligible
% of Free/Reduced Price
Lunch Eligible
Service Area Estimates
3,681
1,891
51.37%
Hamilton County
1,105
583
52.76%
White County
2,576
1,308
50.78%
Illinois
2,055,502
1,027,336
50.56%
Note: This indicator is compared with the state average. Data Source: Community Commons
INCOME – PER CAPITA INCOME
The per capita income for the report area is $24,127. This includes all reported income from wages and salaries as well
as income from self-employment, interest or dividends, public assistance, retirement, and other sources. The per capita
income in this report area is the average (mean) income computed for every man, woman, and child in the specified area.
Report Area
Total Population
Total Income ($)
Per Capita
Income ($)
Service Area Estimates
23,043
$555,976,400
$24,127
Hamilton County
8,413
$184,746,096
$21,959
White County
14,630
$371,230,304
$25,374
Illinois
12,848,554
$381,170,546,736
$29,666
Note: This indicator is compared with the state average. Data Source: Community Commons
INSURANCE – POPULATION RECEIVING MEDICAID
This indicator reports the percentage of the population with insurance enrolled in Medicaid (or other means-tested public
health insurance). This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple
health access, health status, and social support needs. When combined with poverty data, providers can use this measure
to identify gaps in eligibility and enrollment.
Report Area
Total Population
(For Whom Insurance
Status is Determined)
Population With Any
Health Insurance
Population
Receiving Medicaid
% of Insured Population
Receiving Medicaid
Service Area Estimates
22,613
20,086
4,095
24.42%
Hamilton County
8,320
7,317
1,698
23,21%
White County
14,293
12,769
3,207
25.12%
Illinois
12,668,117
11,021,355
2,212,779
20.08%
Note: This indicator is compared with the state average. Data Source: Community Commons
Hamilton Memorial Hospital I 9
POPULATION RECEIVING SNAP BENEFITS (ACS)
This indicator reports the estimated percentage of households receiving the Supplemental Nutrition Assistance Program
(SNAP) benefits. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple
health access, health status, and social support needs. When combined with poverty data, providers can use this measure to
identify gaps in eligibility and enrollment.
Report Area
Total Households
Households Receiving
SNAP Benefits
% of Households
Receiving SNAP Benefits
Service Area Estimates
9,752
1,209
12.4%
Hamilton County
3,512
466
13.27%
White County
6,240
743
11.91%
Illinois
4,772,723
564,185
11.82%
Note: This indicator is compared with the state average. Data Source: Community Commons
POPULATION WITH LOW FOOD ACCESS
This indicator reports the percentage of the population living in census tracts designated as food deserts. A food desert is
defined as a low-income census tract where a substantial number or share of residents has low access to a supermarket or
large grocery store. This indicator is relevant because it highlights populations and geographies facing food insecurity.
Report Area
Total Population
Population With
Low Food Access
% Population With
Low Food Access
Service Area Estimates
23,122
6,368
27.54%
Hamilton County
8,457
1,735
20.52%
White County
14,665
4,633
31.59%
Illinois
12,830,632
2,623,048
20.44%
Note: This indicator is compared with the state average. Data Source: Community Commons
LOW INCOME POPULATION WITH LOW FOOD ACCESS
This indicator reports the percentage of population of low income residents that have low food access. It further focuses data
provided for the entire population in the chart above.
Report Area
Total Population
Low Income Population
With Low Food Access
% Low Income Population
WithLow Food Access
Service Area Estimates
23,122
2,733
11.82%
Hamilton County
8,457
564
6.67%
White County
14,665
2,169
14.79%
Illinois
12,830,632
584,658
4.56%
Note: This indicator is compared with the state average. Data Source: Community Commons
10 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
ACCESS TO PRIMARY CARE
This indicator reports the number of primary care physicians per 100,000 population. Doctors classified as “primary care
physicians” by the AMA include: General Family Medicine MDs and DOs, General Practice MDs and DOs, General Internal
Medicine MDs and General Pediatrics MDs. Physicians age 75 and over and practicing physicians practicing subspecialties
within the listed specialties are excluded. This indicator is relevant because a shortage of health professionals contributes
to access and health status issues.
Report Area
Total Population
2012
Primary Care Physicians
2012
Primary Care Physicians,
Rate Per 100,000 Population
Service Area Estimates
22,938
2,733
11.82%
Hamilton County
8,370
564
6.67%
White County
14,568
2,169
14.79%
Illinois
12,875,255
584,658
4.56%
Note: This indicator is compared with the state average. Data Source: Community Commons
ACCESS TO DENTISTS
This indicator reports the number of dentists per 100,000 population. This indicator includes all dentists qualified as having a
doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), who are licensed by the state to practice dentistry and who
are practicing within the scope of that license.
Report Area
Total Population
2013
Total Dentists
2013
Dentists,
Rate Per 100,000 Population
Service Area Estimates
22,917
6
26.18
Hamilton County
8,368
1
11.95
White County
14,549
5
34.37
Illinois
12,882,135
8,865
68.81
Note: This indicator is compared with the state average. Data Source: Community Commons
POPULATION LIVING IN A HEALTH PROFESSIONAL SHORTAGE AREA
This indicator reports the percentage of the population that is living in a geographic area designated as a “Health Professional
Shortage Area” (HPSA), defined as having a shortage of primary medical care, dental, or mental health professionals. This
indicator is relevant because a shortage of health professionals contributes to access and health status issues.
Report Area
Total Population
Population Living
in a HPSA
% of Population Living
in a HPSA
Service Area Estimates
23,122
23,122
100%
Hamilton County
8,457
8,457
100%
White County
14,665
14,665
100%
Illinois
12,830,632
5,894,575
45.94%
Note: This indicator is compared with the state average. Data Source: Community Commons
Hamilton and White Counties are both designated shortage areas for primary medical care, dental, and mental health
professionals.
Hamilton Memorial Hospital I 11
II. ESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPS
Hamilton Memorial Hospital led the planning, implementation, and completion of the Community Health Needs Assessment
through a consulting arrangement with the Illinois Critical Access Hospital Network. Terry Madsen, an ICAHN consultant,
attorney, and former educator and community development specialist met with hospital executive staff to define the
community, scope of the project, and special needs and concerns. An internal working group, possible local sources for secondary data and key external contacts were identified, and a timeline was established.
Internal
Hamilton Memorial Hospital undertook a three-month planning and implementation effort to develop the CHNA and to identify
and prioritize community health needs for its service area. These planning and development activities included the following
steps:
• The project was overseen at the operational level by the Director of Marketing, Public Relations and Foundation, reporting directly to the Chief Executive Officer.
• Arrangements were made with ICAHN to facilitate three focus groups, a meeting to identify and prioritize significant
needs, and a session to develop an implementation strategy to address the prioritized needs. ICAHN was also
engaged to collect, analyze, and present secondary data, and to prepare a final report for submission to Hamilton Memorial Hospital.
• The Community Education Coordinator worked closely with ICAHN’s consultant to identify and engage key
community partners and to coordinate local meetings and group activities.
External
Hamilton Memorial Hospital also leveraged existing relationships that provided diverse input for a comprehensive review and
analysis of community health needs in the hospital’s service area. These external components steps:
• The Director of Marketing, Public Relations and Foundation secured the participation of a diverse group
representatives from the community and the health profession.
• The ICAHN consultant provided secondary data from multiple sources set out below in the quantitative data list.
• Participation included representatives of both county health departments serving the area served by the hospital.
III. DEFINING THE PURPOSE AND SCOPE
The purpose of the CHNA was to 1) evaluate current health needs of the hospital’s service area, and 2) identify resources and
assets available to support initiatives to address the health priorities identified.
IV. DATA COLLECTION AND ANALYSIS
The overarching framework used to guide the CHNA planning and implementation is consistent with the Catholic Health
Association’s (CHA) Community Commons CHNA flow chart shown on the next page:
12 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
Starter Tools
& Resources
Choose
Geographic Partners
Data Collection & Interpretation
Community
Assets &
Resources
CHNA Data Platform
Why do a CHNA?
(broken out by stakeholder)
Metropolitan
Statistical Area
Where
to begin?
Service
Area
Effective Processes
& Practices
State
Guidelines
& Checklists
County
References
Zip Code
FAQ
Custom
Health
Outcomes
Data
Drivers of
Health
Data
Demographics
Key
Driver
Data
Data
Platform
Report
Other
Secondary
Data
Identification,
Prioritization
& Selection
of Health
Needs
Data
Interpretation
Process
Community
Health
Needs
Community
Input
Public
Health
Expert Input
• Drawn from exemplary data sets
Prioritization
Process
Implementation Strategy Development
Health
Outcomes
Data
Drivers of
Health
Data
Implementation
Strategy
Report
Needs that
will be
addressed
Selection
of Needs
Applying
Evidence,
Leveraging
Resources
Prioritized
Community
Health
Needs
Needs that
will not be
addressed
CHNA
Report
DESCRIPTION OF DATA SOURCES
Quantitative
Source
Description
Behavioral Risk Factor Surveillance System
The BRFSS is the largest, continuously conducted telephone health
survey in the world. It enables the Center for Disease
Control and Prevention (CDC), state health departments, and
other health agencies to monitor modifiable risk factors for
chronic diseases and other leading causes of death.
US Census
National census data is collected by the
US Census Bureau every 10 years.
Centers for Disease Control
Through the CDC’s National Vital Statistics System,
states collect and disseminate vital statistics as part of
the US’s oldest and most successful intergovernmental
public health data sharing system.
County Health Rankings
Each year, the overall health of each county in all 50 states
is assessed and ranked using the latest publicly available data through
a collaboration of the Robert Wood Johnson Foundation and the University
of Wisconsin Population Health Institute.
Community Commons
Community Commons is an interactive mapping, networking,
and learning utility for the broad-based healthy, sustainable,
and livable communities’ movement.
Illinois Department of Employment Security
The Illinois Department of Employment Security
is the state’s employment agency. It collects
and analyzes employment information.
Hamilton Memorial Hospital I 13
Source
Description
National Cancer Institute
The National Cancer Institute coordinates the National Cancer Program,
which conducts and supports research, training, health information
dissemination, and other programs with respect to the cause, diagnosis,
prevention, and treatment of cancer, rehabilitation from cancer, and the
continuing care of cancer patients and the families of cancer patients.
Illinois Department of Public Health
The Illinois Department of Public Health is the state agency responsible
for preventing and controlling disease and injury, regulating medical
practitioners, and promoting sanitation.
HRSA
The Health Resources and Services Administration of the U.S. Department
of Health and Human Services develops health professional shortage criteria
for the nation and uses that data to determine the location of Health
Professional Shortage Areas and Medically Underserved Areas and Populations.
Local IPLANS
The Illinois Project for Local Assessment of Needs (IPLAN) is a community
health assessment and planning process that is conducted every five years
by local health jurisdictions in Illinois.
ESRI
ESRI (Environmental Systems Research Institute) is an international supplier
of Geographic Information System (GIS) software, web GIS and geodatabase
management applications. ESRI allows for specialized inquiries
at the zip code, or other defined, level.
Illinois State Board of Education
The Illinois State Board of Education administers public education in the state
of Illinois. Each year, it releases school “report cards” which analyze the
makeup, needs, and performance of local schools.
County Health Rankings, University of Wisconsin/Robert Wood Johnson Foundation, 2015
SECONDARY DATA DISCUSSION
The County Health Rankings rank the health of nearly every county in the nation and show that much of what affects health
occurs outside of the doctor’s office. The County Health Rankings confirm the critical role that factors such as education,
jobs, income, and environment play in how healthy people are and how long they live.
Published by the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation, the Rankings
help counties understand what influences how healthy residents are and how long they will live. The Rankings look at a variety
of measures that affect health such as the rate of people dying before age 75, high school graduation rates, access to
healthier foods, air pollution levels, income, and rates of smoking, obesity and teen births. The Rankings, based on the latest
data publicly available for each county, are unique in their ability to measure the overall health of each county in all 50 states
on the multiple factors that influence health. (County Health Rankings and Roadmaps, 2015)
Hamilton County is ranked 81st out of the 102 Illinois counties in the Rankings released in April 2015. White County is ranked
88th out of the 102 Illinois counties in the Rankings released in April 2015. The following table highlights area of interest from
the County Health Rankings.
14 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
HEALTH RANKING OBSERVATIONS
Table 1. Health Ranking Observations – Hamilton and White Counties
Observation
Hamilton County
White County
Illinois
Adults reporting poor or fair health
Not available
Not Available
15%
Adults reporting no leisure time
physical activity
27%
28%
23%
Adult obesity
29%
32%
27%
Children under 18 living in poverty
24%
24%
21%
Uninsured
13%
13%
15%
Adult smoking
Not available
27%
18%
Teen birth rate (ages 15-19)
44/1,000
55/1,000
35/1,000
Motor vehicle crash death rate
Not available
17/100,000
9/100,000
Alcohol crash deaths/
total crash deaths
100%
25%
37%
Unemployment
8.1%
8.1%
9.2%
Data Source: Community Commons
The Illinois Behavioral Risk Factor Surveillance System provides health data trends through the Illinois Department of Public
Health in cooperation with the Center for Disease Control and Prevention, Office of Surveillance, Epidemiology, and
Laboratory Services.The following tables reflect information from the IBRFSS that indicate areas of likely healthcare needs.
Table 2. Diagnosed Disease Factors – Hamilton County
45%
36%
40%
37%
35%
36%
36%
33%
32%
30%
29%
26%
25%
20%
18%
15%
11%
10%
13%
9%
8%
8%
10%
8%
5%
0%
Arthritis
Asthma
2003
High Blood Pressure
2006
2009
Illinois
Diabetes
IBFRSS, 2015
Diagnosis of arthritis and high blood pressure has exceeded the state level in the past decade. Diagnosis of asthma and
diabetes has increased to exceed the state level. Reports of diagnosis of high blood pressure have continued to increase.
Reports of diagnosis of arthritis have decreased in the recent past.
Hamilton Memorial Hospital I 15
Table 3. Diagnosed Disease Factors – White County
45%
41%
40%
35%
39%
36%
35%
31%
30%
31%
29%
26%
25%
20%
15% 15%
15%
13%
12% 13%
10%
10%
10%
8%
5%
0%
Arthritis
Asthma
2003
High Blood Pressure
2009
2006
Diabetes
Illinois
IBFRSS, 2015
Diagnosis of arthritis, high blood pressure, and diabetes exceeded the state level in the past decade and are all decreasing.
Diagnosis of asthma increased over the last decade to exceed the state level.
Table 4. Health Risk Factors – Hamilton County
30%
25%
28%
26%
26%
27%
20%
20%
15%
28%
18%
15%
10%
5%
0%
Tobacco
Obesity
2003
2006
2009
Illinois
IBFRSS, 2015
Tobacco use, for the most part, has exceeded the state level in the past decade and is increasing. The rate of persons reporting
obesity is just above the state level in the IBRFSS. Teen birth rates (ages 15-19), as noted in Table 1, exceed the state rate.
16 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
Table 5. Health Risk Factors – White County
35%
32%
32%
30%
29%
30%
26%
25%
23%
22%
20%
18%
15%
10%
5%
0%
Tobacco
Obesity
2003
2006
2009
Illinois
IBFRSS, 2015
Tobacco use has consistently exceeded the state levels. The rate of persons reporting obesity has increased to exceed the
state level in the IBRFSS and the more recent data from the County Health Rankings. Teen birth rates (ages 15-19), as noted
in Table 1, exceed the state rate.
CANCER PROFILES
Cancer Incidence – Colon and Rectum
Report Area
Total Population
Average New Cases
Per Year
Annual Incidence Rate
(Per 100,000 Population)
Report Area
23,188
20
53.85
Hamilton County, IL
8,441
9
70
White County, IL
14,747
11
45.3
Illinois
12,790,182
6,495
48.6
United States
306,603,776
142,173
43.3
HP 2020 Target
-
-
38.7
Community Commons, 2015
Annual Colon and Rectum Cancer Incidence Rate (per 100,000 Population)
Report Area (53.85)
Illinois (48.6)
United States (43.3)
Note: This indicator is compared with the state average.
Data Source: National Institutes of Health, National Cancer Institute, Surveillance,
Epidemiology, and the End Results Program State Cancer Profiles: 2007-2011.
Source Geography: County
Red numbers indicate over state levels. The green highlights that the indicated service area is not experiencing a problem.
The color scheme clarifies where there are differences in the percentages within the reporting area.
Hamilton Memorial Hospital I 17
Cancer Incidence – Lung
The indicator reports the age adjusted incidence rate (cases per 100,000 population per year) of colon and rectum cancer adjusted to 2000 U.S. standard population age groups (under age 1, 1-4, 5-9, ..., 80-84, 85 and older). This indicator is relevant
because cancer is a leading cause of death, and it is important to identify cancers separately to better target interventions.
Report Area
Total Population
Average New Cases
Per Year
Annual Incidence Rate
(Per 100,000 Population)
Report Area
23,188
29
83.03
Hamilton County, IL
8,441
8
63.2
White County, IL
14,747
21
94.3
Illinois
12,790,182
9,336
70.6
United States
306,603,776
212,768
64.9
Community Commons, 2015
Annual Lung Cancer Incidence Rate (per 100,000 Population)
Report Area (83.03)
Illinois (70.6)
United States (64.9)
Note: This indicator is compared with the state average.
Data Source: National Institutes of Health, National Cancer Institute, Surveillance,
Epidemiology, and the End Results Program State Cancer Profiles: 2007-2011.
Source Geography: County
Table 6. Mortality – Hamilton and White Counties
The Illinois Department of Health releases county-wide mortality tables from time to time. The most recent table available
for Hamilton and White Counties showing the causes of the death within the counties, is set out below.
Disease Type
Hamilton County
White County
Diseases of the Heart
39
48
Malignant Neoplasms
31
50
Lower Respiratory Systems
5
5
Cardiovascular Diseases (Stroke)
3
15
Accidents
2
7
Alzheimer’s’ Disease
2
2
Diabetes Mellitus
3
2
Nephritis, Nephrotic Syndrome,
and Nephrosis
8
8
Influenza and Pneumonia
2
8
Septicemia
1
4
Intentional Self-Harm (Suicide)
1
0
Chronic Liver Disease, Cirrhosis
1
0
All Other Causes
16
42
Total Deaths
114
191
IDPH, 2011 data
The mortality numbers are much as one would expect with diseases of the heart and cancer as the leading causes of death
in each county. These numbers are consistent with the mortality reports from other rural Illinois counties. Specific comparisons
of causes of death are set out below. The infant mortality numbers seem higher in Hamilton County than might be expected.
In reviewing the information below it is important to remember that it is measured in rates involving large numbers of incidents.
18 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
Mortality – Cancer
This indicator reports the rate of death due to malignant neoplasm (cancer) per 100,000 population. Figures are reported as
crude rates and as rates age-adjusted to year 2000 standards. Rates are resummarized to the report area from county level
data, only where data is available. This indicator is relevant because cancer is a leading cause of death in the United States.
Report Area
Total Population
Average Annual Deaths,
2007-2011
Crude Death Rate
(Per 100,000 Population)
Age-Adjusted Death Rate
(Per 100,000 Population)
Service Area Estimates
23,192
79
342.36
221.12
Hamilton County
8,440
28
334.12
223.65
White County
14,752
51
347.08
219.66
Illinois
12, 787,914
24,135
188.74
181.31
United States
306,486,831
569,481
185.81
174.08
HP 2020 Target
-
-
-
160.6
Community Commons, 2015
Cancer Mortality, Age-Adjusted Death Rate (per 100,000 Population)
Report Area (221.12)
Illinois (181.31)
United States (174.08)
Note: This indicator is compared with the state average.
Data Source: Centers for Disease Control and Prevention, National Vital Statistics System,
Access via CDC WONDER - Centers for Disease Control and Prevention, Wide-Ranging
Online Data for Epidemiologic Research, 2007-2011.
Source Geography: County
Infant Mortality
This indicator reports the rate of deaths to infants less than one year of age per 1,000 births. This indicator is relevant
because high rates of infant mortality indicate the existence of broader issues pertaining to access to care and maternal and
child health.
Report Area
Total Births
Total Infant Deaths
Infant Mortality Rate
(Per 1,000 Births)
Report Area
1,365
13
9.52
Hamilton County, IL
475
7
14.7
White County, IL
890
6
6.8
Illinois
879,035
6,065
6.9
United States
20,913,535
136,369
6.52
HP 2020 Target
-
-
6.0
Community Commons, 2015
Infant Mortality Rate (per 1,000 Births)
Report Area (9.52)
Illinois (6.9)
United States (6.52)
Note: This indicator is compared with the state average.
Data Source: Centers for Disease Control and Prevention, National Vital Statistics System.
Access via CDC WONDER - Centers for Disease Control and Prevention, Wide-Ranging
Online Data for Epidemiologic Research, 2005-2010.
Source Geography: County
Hamilton Memorial Hospital I 19
Mortality – Suicide
This indicator reports the rate of death due to intentional self-harm (suicide) per 100,000 population. Figures are reported as
crude rates and as rates age-adjusted to year 2000 standards. Rates are resummarized for report areas from county level
data, only where data is available. This indicator is relevant because suicide is an indicator of poor mental health.
Report Area
Total Population
Average Annual Deaths,
2007-2011
Crude Death Rate
(Per 100,000 Population)
Age-Adjusted Death Rate
(Per 100,000 Population)
Service Area Estimates
23,192
3
20.34
19.88
Hamilton County
8,440
No data
No data
No data
White County
14,752
3
20.34
19.88
Illinois
12, 787,914
1,177
9.21
9.05
United States
306,486,831
37,065
12.1
11.82
HP 2020 Target
-
-
-
10.2
Community Commons, 2015
Suicide, Age-Adjusted Death Rate (per 100,000 Population)
Report Area (19.88)
Note: This indicator is compared with the state average.
Data Source: Centers for Disease Control and Prevention, National Vital Statistics System,
Access via CDC WONDER - Centers for Disease Control and Prevention, Wide-Ranging
Online Data for Epidemiologic Research, 2007-2011.
Source Geography: County
Illinois (9.05)
United States (11.82)
Mortality – Unintentional Injury
This indicator reports the rate of death due to unintentional injury (accident) per 100,000 population. Figures are reported as
crude rates and as rates age-adjusted to year 2000 standards. Rates are resummarized for report areas from county level
data, only where data is available. This indicator is relevant because accidents are a leading cause of death in the U.S.
Report Area
Total Population
Average Annual Deaths,
2007-2011
Crude Death Rate
(Per 100,000 Population)
Age-Adjusted Death Rate
(Per 100,000 Population)
Service Area Estimates
23,192
12
53.47
47.93
Hamilton County
8,440
4
42.65
42.82
White County
14,752
9
59.65
50.88
Illinois
12, 787,914
4,142
32.39
31.77
United States
306,486,831
122,185
39.87
38.85
HP 2020 Target
-
-
-
36.0
Community Commons, 2015
Unintentional Injury (Accident) Mortality, Age-Adjusted Death Rate (per 100,000 Population)
Report Area (47.93)
Illinois (31.77)
United States (38.85)
20 I Hamilton Memorial Hospital
Note: This indicator is compared with the state average.
Data Source: Centers for Disease Control and Prevention, National Vital Statistics System,
Access via CDC WONDER - Centers for Disease Control and Prevention, Wide-Ranging
Online Data for Epidemiologic Research, 2007-2011.
Source Geography: County
Hamilton Memorial Hospital Community Health Needs Assessment
Mortality – Heart Disease
Within the report area, the rate of death due to coronary heart disease per 100,000 population is 252.45. Figures are reported
as crude rates and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level
data, only where data is available. This indicator is relevant because heart disease is a leading cause of death in the United
States.
Report Area
Total Population
Average Annual Deaths,
2007-2011
Crude Death Rate
(Per 100,000 Population)
Age-Adjusted Death Rate
(Per 100,000 Population)
Service Area Estimates
23,192
99
426.01
252.45
Hamilton County
8,440
43
514.22
328.1
White County
14,752
55
375.55
209.15
Illinois
12, 787,914
25,354
198.26
186.84
United States
306,486,831
605,315
197.5
184.55
Community Commons, 2015
Heart Disease Mortality, Age-Adjusted Death Rate (per 100,000 Population)
Report Area (252.45)
Illinois (186.84)
United States (184.55)
Note: This indicator is compared with the state average.
Data Source: Centers for Disease Control and Prevention, National Vital Statistics System,
Access via CDC WONDER - Centers for Disease Control and Prevention, Wide-Ranging
Online Data for Epidemiologic Research, 2007-2011.
Source Geography: County
The State Cancer Profiles compiled by the National Cancer Institute lists Hamilton and White Counties at Level 4 for all
cancers, which means the cancer rate overall is above the U.S. rate and is stable over the recent past. This is confirmed
by the local cancer data set out on the information below and the pages to follow.
PUBLIC HEALTH PLANNING
Local health departments conduct health needs assessments for their counties on five year intervals under the IPLAN (Illinois
Project for Local Assessment of Needs) program of the Illinois Department of Public Health. The latest published report for
Hamilton County Health Department indicates that in 2011 their review concluded that the leading health concerns in the area
were:
1. Cardiovascular Disease
2. Cancer
3. Obesity
White County is served by Egyptian Health Department, which provides public health services to five area counties.
Egyptian Health Department identified and prioritized four health concerns:
1. Substance Abuse
2. Heart Disease and Stroke
3. Obesity
4. Cancer
Hamilton Memorial Hospital I 21
SYNTHESIZED SECONDARY DATA
The demographics for Hamilton Memorial Hospital’s service area reflect similar income levels when compared to many other
rural areas that are lower than Illinois overall. At least portions of the service area report a higher percentage of population
diagnosed with arthritis, asthma, diabetes, and high blood pressure than state percentages. Diseases of the heart and cancer
are the two leading causes of death throughout the service area. Obesity and tobacco use are above state levels.
Death from motor vehicle crashes is reported as being higher in White County than statewide. In Hamilton County, the ratio
of alcohol-related deaths in crashes compared to all deaths in crashes is 100%. During the identification and prioritization
session, it was suggested that there was only one motor vehicle crash resulting in death in the county during the likely
reporting period. This crash involved an impaired driver. Infant mortality and teen birth rates are high, but there is insufficient
information to determine if those circumstances are related. Adults reporting no leisure time physical activity exceed the state
levels. Teen birth rates are high.
SUMMARY
The secondary data and previous public health planning conclusions draw attention to several common issues of rural
demographics and economies and draw emphasis to issues related to mental health services, wellness, education, physician
and specialist supply, transportation, and risky behavior with regard to substances, obesity, teen health, and related issues.
DESCRIPTION OF DATA SOURCES
Qualitative Sources
Qualitative data was reviewed to help validate the selection of health priorities. In alignment with IRS Treasury Notice 201152.2 and the subsequent final rules reported at 79 FR 78953, the qualitative/primary data received and reviewed included
primary input from (1) at least one state, local, tribal, or regional governmental public health department (or equivalent
department or agency) with knowledge, information, or expertise relevant to the health needs of the community] and, (2)
members of medically underserved, low-income, and minority populations in the community, or individuals or organizations
serving or representing the interests of such populations. The organizations and persons that participated are detailed on the
following page.
There is no recent prior CHNA to compare against or to report comments regarding.
Data was also gathered representing the broad interests of the community.
The hospital took into account input from persons who represent the broad interests of the community served by the hospital,
including those with special knowledge of, or expertise in public health (local, regional, state and/or tribal). Members of
medically underserved, low-income, and minority populations served by the hospital or individuals or organizations
representing the interests of such populations also provided input. The medically underserved are members of a population
who experience health disparities, are at risk of not receiving adequate medical care as a result of being uninsured or
underinsured, and/or experiencing barriers to health care due to geographic, language, financial, or other barriers.
22 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
Members of the CHNA Steering Committee, those who both participated in focus groups and the needs identification and
prioritization process, were chosen based on their unique expertise and experience, informed perspectives, and involvement
with the community. The CHNA Steering Committee members included:
CHNA Steering Committee Member and Area of Expertise
Fred Vallowe, McLeansboro City Clerk
LaDonna Lasaster, Hamilton County Health Department
Loretta Wheeler, Hamilton Memorial Hospital Social Services
Others providing input included through the focus groups included:
Lisa Barnard, York Pharmacy
Rochelle Wilkerson, Egyptian Health Department
Janice Crow, Hamilton County Family Resource Center
Linda Zarek, Comprehensive Connection
Andrea May, Wabash Christian Retirement
Tiffany Cox, Hamilton Memorial Hospital Senior Enrichment
Teresa Miller, Licensed Clinical Social Worker
Debbie Short, Wabash Area Development Inc.
Nancy Prather, community member
Mark Auten, Trade Industries
Christina Schuster, Hamilton County Housing Authority
Vince Mitchell, retired educator
Sarah Bilderbeck, community member
Nolene Rubenacker, community member
FOCUS GROUPS – HMH MEDICAL PROFESSIONALS AND PARTNERS
Three focus groups were convened at Hamilton Hospital on June 4, 2015. The Medical Professionals and Partners group
included a pharmacist, representatives of senior services, mental health services and two local public health departments.
The group was first asked to report any particularly positive changes they have observed in the delivery of healthcare and
services over the past three to five years. They responded with the following:
• Renovation and expansion of Hamilton Memorial Hospital
• Physician recruitment/specialist recruitment
• Telepsychiatry program
• Addition of a psychiatric nurse practitioner
• Senior enrichment program
• White County clinic at Carmi
• School system has done a good job with health education
• Regional collaboration among agencies and providers is improved
• There is a dentist in Carmi that accepts Medicaid cards
• The Hospital Auxiliary provides support for needs at HMH
• Hospitalist at HMH
• Hamilton/White Senior Services Network that meets monthly
The group was then asked to identify needs and concerns regarding the delivery of healthcare and services and health issues
in the community. They responded with the following:
• Diabetes education beyond the hospital
o Assistance and guidance for compliance with care plans
o Support groups
o Certified educator
Hamilton Memorial Hospital I 23
• Non-emergency transportation for short notice and off-schedule calls; also, affordable short notice transportation even if more expensive than current public rates
• Convenient transportation for dialysis patients
• Access to additional specialty services
o Dermatologist
o Pediatrician
o Endocrinologist
o Urologist
o Neurologist
o Psychiatrist
• Wellness in general, including:
o Obesity and childhood obesity
o Availability of healthy foods
o Access to healthy activities, recreation, and general activities for seniors, including arts and crafts
and technology education
• There are not enough psychiatric beds, local or available for transfers
• Mental health support groups for bipolar, Alzheimers, and other mental health issues
• Mental health counseling for pregnant women and post-partum moms – this a need across the board,
but especially for low income and uninsured/underinsured patients
• Information about available health services and regulations impacting access for persons with Medicare and Medicaid
• Customer service in healthcare, including polite contacts and improved follow-through
• Ambulances for out-of-area transfers
• Housing (not just low income)
• Services for homeless
• Abuse of controlled substances, especially,
o Resale of prescription drugs
o Abuse of prescriptions by patients
o Theft of prescription medicines
o Methamphetamines
o Synthetic drugs
There were two Community Leaders and Representatives Groups. These groups included a local government official,
business leaders, a representative of a local housing authority, a retired educator and others. Each group was first asked to
report any particularly positive changes they have observed in the delivery of healthcare and health related services over the
past three to five years. They responded with the following:
• Better outreach to the service area
• Better cooperation among HMH, local agencies, and providers
• Availability of lab services and x-rays at the new Carmi Clinic
• Senior Enrichment Center
• Better communication from HMH to the community
• Enhanced 911
• Air evacuation memberships are included in electric bills for part of Hamilton County
• Local access to services from HMH
• Access to immunizations at clinics, in addition to health departments
• Community support for HMH
• Aquatics program at HMH
• There are more specialists
• The hospital gift shop is unique
24 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
The groups were then asked to identify needs and concerns regarding the delivery of healthcare and services and health
issues in the community. They responded with the following:
• Mental health, including:
o All levels of counseling, initial and referrals
o Pediatric mental health
o Counseling for developmental disabilities is hard to connect with
• Longer hours for the clinic
• Education on management of juvenile diabetes
• Physician retention
• Planning for physician succession
• Specialists
o Dermatologist
o Pediatrician
• Education and care for asthma
• Air pollution/air quality is a concern
• Local resources to assist senior with prescription costs
• Women’s health
• Healthcare and general community information for new coal mine workers
• Dietitian services
• More volunteers are needed in the community
• Access to dental care for low income, underinsured and uninsured, and new patients
• Cancer support groups
• Length of hospital stays for elderly patients seems short sometimes
• Anticipated decreases from state budget issues
o Transportation
o Utility bill support
o In-home senior care
o Nursing home placement
• Substance abuse
o Methamphetamines
o Marijuana
o Access to substance treatment
V. IDENTIFICATION AND PRIORITIZATION OF NEEDS
As part of the identification and prioritization of health needs, the CHNA Steering Committee considered the qualitative and
quantitative data gathered and estimated feasibility and effectiveness of possible interventions by the hospital to impact these
health priorities; the burden, scope, severity, or urgency of the health need; the health disparities associated with the health
needs; the importance the community places on addressing the health need; and other community assets and resources that
could be leveraged through strategic collaboration in the hospital’s service area to address the health need. The identification
and prioritization group included steering committee members and others, including a representative of the Hamilton County
Health Department.
As an outcome of the prioritization process, discussed above, several potential health needs or issues flowing from the
primary and secondary data were not identified as significant current health needs and were not advanced to be highlighted.
Hamilton Memorial Hospital I 25
VI. DESCRIPTION OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED
The following needs were identified as significant health needs and prioritized:
1. MENTAL HEALTH SERVICES
Both focus groups indicated concerns with local access to mental health services. Issues raised included availability
of local crisis care, intervention counseling, access to transfer, and addressing substance abuse issues – especially
prescription drug abuse and use of synthetic drugs. Secondary data considered by the identification and prioritization
group supported the needs raised by the focus groups.
2. INFANT MORTALITY
This issue emerged from analysis of secondary data. The identification and prioritization group felt that this merited
further exploration to determine the true scope of infant mortality, especially in Hamilton County, and possible avenues
to address this issue.
3. PHYSICIAN AND SPECIALIST RECRUITMENT AND RETENTION
This issue was raised by both focus groups and is supported by the secondary data. Both counties are identified
as Health Professional Shortage Areas for physicians, mental health professionals, and dental care providers. Local
specialist access shortages were identified by the focus groups as dermatologist, pediatrician, endocrinologist,
urologist, neurologist, and psychiatrist. Concern was also expressed about retention and recruitment of primary care
physicians and recruitment of dentists.
4. TRANSPORTATION
Both focus groups identified the need for better availability of short notice transportation and better schedules for
public transportation. The identification and prioritization group felt that public transportation was improving but that
unresolved issues remained for persons needing transportation related to their healthcare. The group expressed
the need for continued improvement of public transportation to create meaningful options for accommodations for
patients and others.
5. EDUCATION AND SUPPORT FOR CHRONIC DISEASES
Focus groups identified needs for education and support groups for patients and families facing cancer, heart disease,
diabetes and asthma. The identification and support group agreed that these concerns impacted many patients and
felt that they presented a significant area of need in delivery of local health services.
26 I Hamilton Memorial Hospital
Hamilton Memorial Hospital Community Health Needs Assessment
VII. RESOURCES AVAILABLE TO MEET PRIORITY HEALTH NEEDS
Major Centers and Services at Hamilton Memorial Hospital
•
•
•
•
•
•
•
•
•
•
Carmi Family Clinic
McLeansboro Family Clinic
Emergency Room
Laboratory
Radiology
Rehabilitation Services
Swing Bed Short-Term Rehab
Respiratory Therapy
Social Services
Surgery
Community Organizations, Health Partners, and Government Agencies
Organizations identified through the process that were current or potential partners for addressing health needs and related
issues include:
• Egyptian Health Department
• Hamilton County Health Department
Approval
The Community Health Needs Assessment of Hamilton Memorial Hospital was approved by the Hamilton Memorial Hospital
Board of Directors on the ___________ day of __________.
IX. DOCUMENTING AND COMMUNICATING RESULTS
This CHNA Report will be available to the community on the hospital’s public website: www.hmhosp.org. A hard copy may
be reviewed at the hospital by inquiring at the information desk at the main entrance.
XI. REFERENCES
•
•
•
•
•
•
•
•
•
•
County Health Rankings, 2014
Community Commons, 2014
Illinois Department of Employment Security, 2015
National Cancer Institute, 2015 (data through 2011)
Illinois Department of Public Health, 2015
Health Professional Shortage Areas (HRSA) and Medically Underserved Areas/Populations, 2015
Egyptian Health Department, IPLAN
ESRI, 2015
Illinois State Board of Education, Illinois Report Card, 2013-14
USDA, Atlas of Rural and Small Town America
Support documentation on file and available upon request.
Hamilton Memorial Hospital I 27
Community Health Needs Assessment I 2015
Hamilton Memorial Hospital I 611 S. Marshall Avenue I McLeansboro, IL 62859 I 618-643-2361 I www.hmhospital.org