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Community Health Needs Assessment
Community Health Needs Assessment
CHNA Phase
Implementation Strategy Phase
Logansport Memorial Hospital
Indiana Health Centers, Inc.
Cass County Health Department
Ivy Tech Community College
Cariage of Logansport (Chase Center)
Four County Counseling Center
Caston School Corporation City of Logansport Parks
Department Cass County Family Y United Way of Cass County Area Five Council on Aging Logansport/Cass County
Chamber of Commerce Logansport Community
School Corporation Peak Community Services
Community Collaborators
Objectives of 2013 CHNA
Customized Local PRC Community Health Survey
Customized Local PRC Community Health Survey
Key InformantFocus Groups
Key InformantFocus Groups
Secondary Data
Secondary Data
Surveys among 400 adults in Cass County, Indiana
•Random distribution
•144 survey items; 25-30 minute interview
•±4.9% max error overall
Key Informant Focus Group, comprised of 16 community stakeholders:o Public health,
physicians & other health providers
o Social services & other community leaders
BENCHMARKING
PRC National Health Survey
State BRFSS data
Healthy People 2020 targets
National vital statistics data
*Surrounding Counties include Fulton, Miami, Pulaski, White, & Carroll*Status based on 10% relative change of area being compared to Cass
Cass County
Surrounding Counties
Indiana US
Percent of Population in Poverty 15.1% 13.7% 14.1% 14.3%
Unemployed as Percent of Total Labor Force 9.3% 9.3% 9.0% 8.6%
Percent of Population 25 Years+ without High School Diploma
16.5% 14.2% 13.4% 14.6%
Percent of Population 25 Years+ with Bachelor's Degree or Higher
14.3% 12.9% 22.7% 28.2%
Percent of Female Householder Families, no Husband Present Families in Poverty
31.5% 34.5% 31.7% 29.4%
Socio-Economic Status Indicators
CassSurrounding
Counties*Indiana U.S.
Benchmark Range
Dentists**12 28 41
Mental Health Professionals**
81 74 100
Primary Care Practitioners**
65 57 72
Adults 18-64 who Have Health Insurance
81.4% 79.2% 79.7% 78.7% 70.8% - 78.7%
Could not see a Physician Due to Cost
19.0% 22.4% 15.0% 14.6% 14.6% - 16.1%
Prenatal Care Began in First Trimester
70.6% 77.4% 70.3% 71.0% 71.0% - 78.1%
Adults who Visited a Dentist in the Past Year
60.4% 64.1% 68.1% 59.7% 53.7% - 59.7%
Access to Care
CassSurrounding
Counties*Indiana U.S.
Benchmark Range
Diabetes Prevalence9.1% 10.6% 9.6% 9.0% 9.0% - 9.9%
Ever had a Heart Attack3.8% 6.1% 5.1% 4.2% 4.2% - 4.6%
Diagnosed with Angina or Coronary Heart Dx
3.5% 4.4% 4.8% 4.2% 4.2% - 4.6%
Ever had a Stroke5.1% 3.6% 2.8% 2.7% 2.7% - 3.0%
Current Asthma Prevalence
10.6% 7.2% 9.3% 8.5% 8.5% - 9.4%
Chronic Disease
CassSurrounding
Counties*Indiana U.S.
Benchmark Range
Ever had Cancer13.2% 10.9% 9.6% 9.6% 9.6% - 10.6%
Ever had a Mammogram50.1% 66.7% 65.8% 66.5% 59.9% - 66.5%
Ever had a Pap Test 93.2% 92.4% 94.8% 93.5% 84.2% - 93.5%
Ever had a PSA Test 45.3% 62.8% 64.5% 64.7% 58.2% - 64.7%
Ever had Sigmoid/colonoscopy
63.2% 59.8% 60.9% 63.8% 57.4% - 63.8%
Cancer and Screening
CassSurrounding
Counties*Indiana U.S.
Benchmark Range
Smoking Prevalence26.9% 21.9% 23.4% 17.8% 17.8% - 19.6%
Prenatal Smoking20.4% 26.3% 17.1% 13.0% 13.0% - 14.3%
Binge Alcohol Drinking12.2% 11.4% 14.6% 15.0% 15.0% - 16.5%
Heavy Alcohol Consumption
0.6% 1.6% 4.0% 5.0% 5.0% - 5.5%
High Blood Pressure Prevalence
43.0% 39.5% 40.7% 38.4% 38.4% - 42.2%
High Cholesterol Prevalence
47.8% 50.0% 45.4% 43.5% 43.5% - 47.9%
Health Behaviors and Indicators
CassSurrounding
Counties*Indiana U.S.
Benchmark Range
Perceived Health as Excellent, Very Good, or Good
83.6% 83.3% 83.2% 83.5% 75.2% - 83.5%
At Least One Day in the Past 30 Mental Health was Poor
37.4% 34.5% 34.0% 34.0% 34.0% - 37.4%
Suicide Rate9.0 9.6 12.8 11.8 11.8 – 13.0
Well Being
CassSurrounding
Counties*Indiana U.S.
Benchmark Range
Exercise In Past 30 Days
65.1% 71.9% 72.9% 75.1% 67.6% - 75.1%
Percent Overweight 35.2% 35.6% 36.0% 36.3% 36.3% - 39.9%
Percent Obese 33.8% 30.3% 29.1% 27.3% 27.3% - 30.0%
Consumed 5 or more Servings of Fruit
9.6% 19.7% 19.5% 24.5% 22.1% - 24.5%
Nutrition, Physical Activity, & Weight
General Health Status
Areas of Opportunity• Access to Health Services
• Cancer
• Diabetes
• Heart Disease & Stroke
• Injury & Violence
• Maternal, Infant & Child Health
• Mental Health & Mental Disorders
• Nutrition, Physical Activity & Weight
• Oral Health
• Respiratory Disease
• Tobacco Use
Health Indicator PRC Focus Group Rank
Rank From Focus Group and 2o Data
Taskforce Rank Details
Access to Health Services 2 3Deficient in dentists & mental health professionals. However, dentist visits in past year comparable
Mental Health & Mental Disorders
4 4
Mental health professionals low, suicide rates better, poor mental health days comparable but on high side of benchmark range
Nutrition, Physical Activity, & Weight
1 1Obesity, exercise, and desired fruit consumption worse than Indiana and U.S.
Tobacco Use 3 2 1Overall smoking & prenatal smoking prevalence higher than Indiana and U.S.
Chronic Disease 2Diagnosed with diabetes, heart attach, heart disease, stroke and asthma
Maternal/Child HealthLack of Prenatal Care
3Higher percentage in first trimester lacking prenatal care.
Comparison to PRC Report
Priority Determination
Severity of Issue Size of Affected Population Quick Impact Potential for Change Existing Program to Address Change Ability to Evaluate Outcomes
Priorities and Objectives
Priorities and Objectives
Implementation Strategy – Access to Care
Provide healthcare services where the patient/consumer can easily access.
Develop patient materials at appropriate age and reading levels, as well as deliver in English and Spanish.
Provide education to patient/consumer on how to access healthcare system.
Utilize technology to improve access to care.
Implementation Strategy – Chronic Disease Management and Health Screens
Choose top 3-5 chronic diseases to impact. Implement the Medical Home Model. Provide education to patient/consumer on the importance
of preventative healthcare services and the impact of chronic disease.
Provide community education related to chronic disease management and the role of modifiable health risks behaviors, effective strategies for behavior change, and co-morbidity of mental health/substance abuse.
Implementation Strategy – Maternal, Infant, and Child Health
Provide education to patient/consumer on how to access healthcare system.
Provide education to patient/consumer related to healthy pregnancy and prenatal care.
Implementation Strategy – Physical Activity and Weight
Promote the availability of healthy food choices. Promote increased physical activity and exercise for all
age groups. Engage community partners to examine what actions
and policy changes can be taken as a community to influence the overall health of the community.
