St. Mary’s Hospital Decatur, Illinois Community Health Needs Assessment
St. Mary’s Hospital Decatur, Illinois Community Health Needs Assessment May 2012 1 A. B. C. D. E. Executive Summary Service Area Table of Contents Page 3 11 Planning Participants 13 Asset Analysis 15 Health Data 26 2 Section A – Executive Summary St. Mary’s Hospital, Decatur Illinois Executive Summary of 2012 Needs Assessment During fiscal year 2012, St. Mary’s Hospital conducted a health needs assessment of the facility’s service area utilizing a two‐part process. Macon County makes up the majority of the primary service area, with surrounding counties comprising much of the secondary and tertiary areas. St. Mary’s Hospital, which is affiliated with Hospital Sisters Health Systems, is one of two acute care hospitals serving this area. Step one of the health needs assessment process was St. Mary’s Hospital’s participation with the Macon County Health Department and other community health providers as part of the Community Health Committee for completion of the Illinois Project for Local Assessment of Needs (IPLAN). St. Mary’s Hospital then supplemented the IPLAN data with primary data from telephone surveys, conducted by Leede Research, to the primary service area. This two‐part process was then carried through several committees representative of the community, as illustrated in the diagram on page 3. This needs assessment is being made available to the community through the hospital website. Community Served The population of Macon County, based on the 2010 U.S. Census Bureau, is 110,768, which represents a decrease of 3.4% since the 2000 census. The county median household income, as reported in 2010 is $44,337, with a poverty rate for the same period at 15.7%. Decatur’s median family income is $49,562, which is the lowest compared to the surrounding major cities. The racial makeup of the county in 2010 was 79.3% White, 16.3% African American, with other races comprising the remaining 4.4%. 15.7% of the county lives in poverty, which is 3.1% above the Illinois figure and 1.9% above the national figure. 69% of children in Decatur Public Schools live in poverty. The unemployment rate (not seasonally adjusted) as of February 2012 was 11.0%, up from a rate of 10.1% in December 2011. In 2010, educational services/ health care/social assistance was the largest major sector, representing 23.1% of all jobs in the county. Manufacturing comprised the next largest sector, representing 17.3%. Macon County has 580 square miles in land area and a population density of 190.8 per square mile. The town of Decatur, which is where St. Mary’s Hospital is located, is the county seat and also the largest city in Macon County. Additional demographic information along with comparisons to state and national information can be found in subsequent sections of this report. 3 Components of the Health Needs Assessment The following diagram illustrates the process for the community health needs assessment and how data was utilized to determine St. Mary’s Hospital’s Focus for Action. Several components were considered in the needs assessment process: A. IPLAN: Nine representatives from St. Mary’s Hospital served on the Macon County Community Health Committee. This committee, organized by the Macon County Health Department, reviewed demographic and socioeconomic characteristics, general health and access to care, maternal and child health, chronic disease, infectious disease, environmental/occupational injury control, and sentinel events. The work of this committee resulted in the IPLAN report submitted in June of 2011. A complete list of participants on this committee is available in Section C of this report. The Macon County Health Department is required to complete the IPLAN process every five years to submit to the Illinois Department of Public Health to remain certified as a local health department. The Community Health Committee, made up of representatives from a variety of groups and organizations throughout the community, assists with the entire IPLAN process and follow‐up work. The IPLAN requires the Macon 4 B. C. D. County Health Department to conduct an organizational self‐capacity assessment; a community health needs assessment and profile, and Community Health Plan. After the self‐capacity and community health needs assessments were completed, three top priority health concerns on which the Macon County Health Department will focus for the next five years were chosen. A Community Health Plan was then developed including information about the risk factors and direct and indirect contributing factors for each health concern were analyzed. With this information, a plan was made with impact and outcome objectives to be addressed and completed within the next five years. The top three priority health concerns chosen for the Macon County Health Department were obesity, heart disease, and diabetes. Leede Survey: St. Mary’s Hospital, in conjunction with six other hospitals in the Hospital Sisters Health System, contracted with Leede research to obtain additional primary data for local service areas. Leede Research, a marketing research firm, specializes in healthcare information programs and tools. Leede was chosen for its broad base of expertise and experience in a variety of fields including health, insurance, financial services, consumer packaged goods, agriculture and construction. It has a strong understanding of how individuals deal with and use information in their decision‐making processes. Information gathered in the phone surveys, which were completed in January 2012, sought to identify the respondent’s perception of their own health and related habits. Information was also gathered on unmet needs in the community and awareness of available services. Grow Decatur: In February 2012, St. Mary’s became involved in comprehensive, community‐based strategic initiative to create a stronger, healthier community. Grow Decatur is a volunteer‐driven group whose goal is to build a strategy for long‐term growth through an engaged, broad‐community effort. By involving and partnering with citizens, business leaders and providers who are already working to benefit the community, the group is focused on improving Decatur’s performance in quality of life, education and economic development. The goal is to rally the community and create lasting change and a long‐term vision for the future of Decatur because some discouraging trends in economic development, education and quality of life have been taking place in the last 5 to 10 years. Statistical Data: In addition to the vast statistical data in the IPLAN, information was obtained from the Department of Labor, County Health Rankings and the Census Bureau. Hospital readmission and primary diagnosis data was also considered. Data gathered was compared with indicators publicized on Healthy People 2020 ‐ a website maintained by the Department of Health and Human Services and the County Health Rankings site. 5 Community Health Needs Assessment Process Assessing the health needs of the community began with the collaboration of health professionals on the Community Health Committee, which was organized by the Macon County Health Department. This committee of 19 members was led by Brandi Binkley, Director of Health Promotion. In addition to 8 representatives from St. Mary’s Hospital, members of this committee include representatives from United Way, Decatur Memorial Hospital, Macon County Mental Health Board, Decatur Housing Authority, Decatur Community Partnership, Community Health Improvement Center, Dove Retired Senior Volunteer Program, American Cancer Society, and a Parish Nurse. The Community Health Plan (IPLAN) for Macon County was created as a result of this group’s research. The health needs assessment was developed with statistics from the IPLAN Data System, data from other reliable sources, and also input from the Community Health Committee. The Macon County Health Department initially completed a Community Health Profile using statistics from the IPLAN Data System and other resources. After this information was gathered and analyzed, the first Community Health Committee meeting was held in June 2010. During this meeting, the Community Health Profile was presented for attendees to review. At this time, the committee members were asked to provide input regarding the community health status based on their own knowledge, experience, and opinions. To supplement the work of the Community Health Committee, St. Mary’s Hospital sought additional primary data. In November 2011, along with other hospitals in the Hospital Sisters Health System, St. Mary’s Hospital contracted with Leede Research to conduct telephone interviews in each local service area. The study consisted of 400 completed telephone interviews utilizing a questionnaire designed by Leede in cooperation with hospital leadership. A proportionate stratified sample was used to provide equal input from all geographic areas. Weighting by age and income was used to more accurately represent the actual population in the area. The goal was to give the survey an accurate representation of the actual service area. St. Mary’s participation in Grow Decatur, a community‐based group working toward building a healthier community, lends further perspective into the needs of the community and presents further opportunities for service collaboration among local businesses and service providers. Theresa Rutherford, COO of St. Mary’s Hospital, participated in an all‐day workshop with the group to analyze and prioritize the data gleaned from the group’s community assessment and will continue to participate in the improvement process. St. Mary’s Hospital formed an internal Community Benefit Team consisting of hospital colleagues. The purpose of this group is to provide input, monitor the progress of our community benefit initiative and implementation plan, as well as assist in identifying further needs and opportunities for addressing the needs of the community. Since December 2009, the St. Mary’s Strategic Planning Committee, comprised of hospital leadership, local physicians, community leaders and local Board Members, has been instrumental in examining the St. Mary’s Ministry from every vantage point. The hospital’s Strategic Plan is built from the work of this group, and is updated yearly based on the identified service gaps and needs of our 6 community. Members of our community‐based Strategic Planning Committee, hospital volunteers, and our Community Benefit Team were asked to participate in the prioritization process for identified health needs. Prioritization Process Representatives from St. Mary’s Hospital participated in the first Community Health Committee meeting where members reviewed the proposed Community Health Profile and the prioritization process was initiated. The nominal group process was used in which priority health needs were listed and prioritized during the actual meeting. Once all of the mentioned health problems were included for everyone to see, the voting process began. Flip charts were used to list the priority health concerns mentioned by Community Health Committee members. Those concerns listed were based off of data presented from the community health needs assessment previously conducted and provided to Community Health Committee members. Attendees took eight minutes to write down their own input and then took turns going around the room listing the concerns they felt were their “top five” based on data, personal experience and expertise, and opinion. If attendees had items they were not comfortable with mentioning out loud, there was a box provided for anonymous answers. This box was not used by any attendees. After everyone’s ideas were listed on the charts, the meeting facilitator clarified that everything was listed as the reporter had intended. Community Health Committee members clarified and also grouped some items as they saw appropriate. The flip charts were then put up around the room and attendees rated what they believed to be the top 5 out of everything listed. They were given colored stickers that were numbered one to five, with one being the lowest of five and five being the biggest concern out of five. The numbers were then compiled. Community Health Committee members present were informed that letters and prioritization forms with the listed health concerns would be sent to those unable to attend to give them an opportunity to vote. The final tallies would be reported to members before the next meeting. There were some invited community representatives that were unable to attend, so those committee members were sent prioritization forms on which to vote and submit in a designated amount of time. When all of these forms were received, staff responsible for completing the IPLAN and the Administrator held a meeting to discuss the results of the prioritization process and determine the top three on which the Macon County Health Department should focus for the next five years. Health department staff chose obesity, heart disease, and diabetes. St. Mary’s Hospital chose to supplement the IPLAN process that included broad community participation and input with additional insight and primary data from the community through phone surveys conducted by Leede Research. Analysis showed that results from Leede survey process aligned with IPLAN data. Since the data was mutually supportive with similar findings, St. Mary’s chose to utilize the primary data set for our prioritization process. 7 The Leede surveys identified 22 community health needs. A table of these needs, shown with the mean scores from the survey, is available in Section E of this report. In order to get community input on the priority of these needs in the community, a Survey Monkey web‐based survey was created and sent to members of the Strategic Planning Committee and Community Benefit Team. Paper surveys were also delivered to hospital volunteers to get their input. Prioritization of the identified community needs was achieved through this nominal group process, where participants were asked for their input and assistance in ranking the identified health needs based on their personal perception of the priority of the issue. Each participant ranked the 22 identified issues utilizing a scale of 1, indicating highest priority, to 22, which is the lowest priority. Health Needs Identified This is a complete list of the 22 health needs identified in our surveys. Utilizing a web‐based survey tool, participants ranked the items utilizing a scale of 1 (highest priority) to 22 (lowest priority). Rank 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Issue Inability to Afford Medications Cardiovascular/Heart * Lack of Affordable Healthcare Diabetes * Unemployment/Underemployment Mental Health High Blood Pressure Alzheimer's Lack of Food Women's Issues/Teen Pregnancy High Cholesterol Lack of Healthcare Education/Prevention Services Drug Abuse Lack of Affordable Housing Transportation Alcohol Abuse Asthma Underage Drinking Lack of Youth Activities Personal Safety Issues Sexually Transmitted Disease Marijuana Use Additional Concerns: Obesity * Lack of Safe and Affordable Exercise Options Average Ranking Score 3.86 5.86 6.00 7.29 7.57 8.43 9.00 9.14 9.29 10.21 11.00 11.07 11.14 12.86 13.14 13.71 13.79 13.93 14.93 15.57 16.00 18.00 8 *Denotes areas identified as priorities of focus by the Macon County Community Health Committee Areas of Focus Based on the prioritized needs and contributing factors to these issues, St. Mary’s Hospital chose to broaden the scope of focus in order to address more of the identified community health needs. For example, not only focusing on high blood pressure, high cholesterol, diabetes and asthma specifically, but with a focus on obesity, we can potentially address all of these conditions. The final step of this needs assessment process was accomplished through the work of the Strategic Planning Committee, whereby the following areas of focus were identified for St. Mary’s Hospital: Access Access to healthcare has been a recurring issue in many forms. Inaccessibility to necessary care due to lack of insurance, inability to pay, inability to get to appointments are all identified needs including medications and management of chronic disease after discharge. Through St. Mary’s Hospital’s mission to meet the healthcare needs of all people regardless of ability to pay, we have an opportunity and an obligation to take further steps to increase the awareness of the services available and enhance the access to healthcare in our community. • Access to Healthcare • Access to Affordable Medication • Access to Mental Health Services Cardiovascular Health Heart disease is the leading cause of death in the United States. Data surrounding cardiovascular issues and related factors are cause for concern and action in Macon County. With the prevalence of high blood pressure, high cholesterol, diabetes, and obesity, St. Mary’s Hospital will focus on increasing access to health screenings, education, and medication management while enhancing the available services for cardiovascular interventions. Obesity The assessment completed by the Macon County Community Health Committee identified obesity as one of their main areas of focus. Obesity increases the risk for health conditions such as high blood pressure, cholesterol, heart disease, diabetes and respiratory problems, which were the most reported health conditions in phone surveys for Macon County. The instance of adult obesity in Macon County is 13% higher than reported for Illinois and 19% higher than the national rate. High levels of inactivity and low consumption of healthy fruits and vegetables also contributes to more county children being obese than ever before. 9 Women’s Health – Throughout the analyzed data, we find many areas of opportunity related to improving women’s health through providing early and adequate prenatal care, identifying health risks, promoting healthy behaviors and proper nutrition. With instances of breast, cervical and ovarian cancer in Illinois all ranking above the national average, early detection is critical to good outcomes. Less than 55% of county women surveyed reported having a PAP/Pelvic Exam in the past 2 years. Prenatal health is also an area of concern. According to the 2006 IPLAN, 79% percent of mothers begin prenatal care in their first trimester of pregnancy. This percentage varies greatly by race, with the lowest rate being just 58.3% for one group. Macon County teen birth rates and low birth weight rates are higher than Illinois and national rates. By improving the health of mothers and their newborns, we are investing in the health of future generations. These health needs, along with initiatives developed in response to previous and ongoing issues identified will be more fully defined in the Implementation Plan. As appropriate, St. Mary’s Hospital will also continue to partner with Macon County Community Health Committee and other service providers in addressing the top concerns. 10 Section B – Service Area Macon County, Illinois Population Census 2000 Census 2010 Change 114,706 110,768 ‐3.4% Race Race Macon County Percentage in Percentage in Macon County Illinois White 87,855 79.31% 71.53% African American 18,027 16.27% 14.55% Asian 1,118 1.01% 4.57% American Indian and 226 .20% .34% Alaska Native Native Hawaiian and 32 .03% .03% Pacific Islander Other 756 .68% 6.71% Identified by 2 or 2,754 2.49% 2.26% more Ethnicity Race Macon County Percentage in Percentage in Macon County Illinois Hispanic or Latino 2,072 1.87% 15.80% Non Hispanic or 108,696 98.13% 84.20% Latino Gender Age Under 18 25,284 65 + 18,142 Female 57,818 18 ‐20 3,272 20‐24 7,080 25 ‐ 34 12,988 Male 52,950 50 ‐ 64 23,459 35 ‐ 49 20,543 11 Population Data Macon County Illinois United States Median Household Income $44,337 $55,735 $51,914 (2006 – 2010) Unemployment Rate 11.0% 9.4% 8.3% (as of February 2012) Persons Living in Poverty 15.7% 12.6% 13.8% High School Graduates, percentage county 86.9% 86.2% 85.0% residents, over age 25 Bachelor’s Degree or higher, percentage county 20.5% 30.3% 27.9% residents, over age 25 Source(s): United States Census Bureau and the United States Department of Labor Zip Codes included in Telephone Interviews conducted by Leede Research Community Zip Code Population Percentage Quota Bethany 61914 1,920 1.62% 6 Dalton City 61925 912 0.77% 3 Lovington 61937 2,022 1.71% 7 Sullivan 61951 8,017 6.78% 27 Argenta 62501 2,661 2.25% 9 Blue Mound 62513 1,766 1.49% 6 Decatur 62521 35,851 30.32% 121 Decatur 62522 16,630 14.07% 56 Decatur 62523 1,237 1.05% 4 Decatur 62526 34,075 28.82% 115 Forsyth 62535 3,534 2.99% 12 Macon 62544 1,776 1.50% 6 Mt. Zion 62549 6,269 5.30% 21 Oreana 62554 1,563 1.32% 5 118,233 100.00% 400 12 Section C – Planning Participants Community Health Committee Brandi Binkley, Director of Health Promotion, Macon County Health Department* Dawn McCullough RN, Special Programs Director – Community Health Improvement Center* Dennis Crowley, Executive Director – Macon County Mental Health Board * Carrie Newman – American Cancer Society* Vivian Goodman, Executive Director – Decatur Community Partnership* Barb Beck – St. Mary’s Hospital Chad Clevenger – United Way Tracy Cox – St. Mary’s Hospital Mark Dabbs – St. Mary’s Hospital Wendy Devore – Decatur Housing Authority Carol Dodson – St. Mary’s Hospital Teresa Gulley – St. Mary’s Hospital Carmen Halsey – St. Mary’s Hospital Cindy Jenkins – Decatur Memorial Hospital Joan Meeder – Dove Retired Senior Volunteer Program (RSVP) Lisa Moran – St. Mary’s Hospital Teresa Rutherford – St. Mary’s Hospital Mary Jane Schroeder – St. Mary’s Hospital Carol Smith – Parish Nurse Dr. Michael Zia – Decatur Memorial Hospital *These members bring special knowledge and expertise in the areas of public health, underserved, low‐income and minority populations, and chronic disease. There were also representatives invited from other agencies/organizations that never attended meetings or provided input for input prioritization process. These agencies/ organizations were invited to the first and second Community Health Committee meetings. Letters were mailed and follow‐up phone calls completed. Those organizations invited that never attended are as follows: Concerned African American Pastors, Decatur Police Department, Decatur Public Schools District 61, Gay and Lesbian Association of Decatur, Latinos in Action of Macon County, Macon County Sheriff’s Department, Macon Resources, National Association for the Advancement of Colored People (NAACP), and Workforce Investment Solutions. 13 Strategic Planning Committee Bolen, Robinson and Ellis J.L. Hubbard Insurance Jon Robinson Attorney Kevin Breheny President Dennis Rademacher M.D. Family Practice Kris Patel M.D. Cardiology Lori Kerans M.D. Geriatric & Internal Medicine M.D. Vascular Surgery Faculty Anna Lee Fenger Representative Gaurang Patel Jeff Trachtenberg Millikin University HSHS Business Development City of Decatur St. Mary’s Board Member St. Mary’s Board Chair St. Mary’s Medical Staff President Prairie Cardiovascular at St. Mary’s St. Mary’s Medical Staff St. Mary’s Medical Staff President Elect Ryan McCrady Manager St. Mary’s Hospital, Decatur, Community Benefit Team Theresa Rutherford Chief Operating Officer, Chief Nursing Officer Becky Colker Chief Financial Officer Molly Wilson Chief Communications Officer, Central Illinois Division Laura Sechrest Executive Director, Rehabilitation Services and Community Benefit Bill Cox Director, Quality Management Teresa Gulley Director, Maternal/Child Care Marty Vigneri Executive Director, Inpatient Services Carol Dodson Executive Director, Emergency Services Susan Shafter Director, Behavioral Health Services Steve Hood Accounting Manager, Financial Services Lisa Moran Community Benefit Coordinator 14 Section D – Asset Analysis St. Mary’s Service Area and Secondary Service Area & Hospital Providers 12 7 13 10 9 4 1 2 5 14 11 6 8 3 Adult Day Services Ambulance Services Primary S i Secondar S i Other Healthcare Providers & Community Services St. Mary’s Adult Day Services 2075 E Lake Shore Drive Decatur, IL 62521 217‐464‐2983 Cerro Gordo Community Ambulance 304 E North St Cerro Gordo, IL 61818 217‐763‐8181 Decatur Ambulance Service and Medi‐Van 417 W Wood St Decatur, IL 62523 217‐428‐8641 Lovington Community Ambulance 127 W State St Lovington, IL 61937 217‐873‐4432 Moweaqua Ambulance Service 15 Assisted Living/Supportive Behavioral Services Dentist 120 W Wall Moweaqua, IL 62550 217‐768‐3313 Eagle Ridge of Decatur 875 W McKinley Decatur, IL 62526 217‐872‐1282 Evergreen Place/ The Legacy Memory Care 4825 E Evergreen Court Decatur, IL 62521 217‐864‐4300 Hickory Point Christian Village 565 W Marion Avenue Forsyth, IL 62535 217‐872‐1122 Imboden Creek Gardens 185 W Imboden Drive Decatur, IL 62521 217‐233‐1425 Keystone Meadows 1415 W Mound Road Decatur, Il 62526 217‐877‐5327 Primrose 1145 W Arbor Drive Decatur, IL 62526 217‐619‐2035 Tanglewood Village 1293 South 34th St Decatur, IL 62521 217‐423‐5838 The Glenwood 1635 Baltimore Ave Mt. Zion, IL 217‐864‐1073 Decatur Psychiatry 1900 E Lake Shore Drive Decatur, IL 62521 217‐422‐0027 Heritage Behavioral Health Center 3595 N Charles St Decatur, IL 62523 217‐875‐6938 St. Mary’s Behavioral Services & Treatment Center 1800 E Lake Shore Drive Decatur, IL 62521 217‐464‐2500 Agdent Dental Laboratory 345 W Prairie Ave Decatur IL 62522 217‐422‐2661 Arganbright & Blackwell 469 W Wood St Decatur, IL 62522 217‐428‐3512 Kevin Artime DMD 1353 E Mound Road Decatur, IL 62526 217‐877‐1601 16 Ray Atteberry DDS 2727 N Oakland Ave Decatur, IL 62526 217‐615‐4225 William Bechtold, DMD 1170 E Riverside Ave Decatur, IL 62522 217‐428‐7786 Robert Blackwell DDS 469 W Wood St Decatur, IL 62522 217‐428‐3512 James Blocher, DDS 2965 N Main St Decatur, IL 62526 217‐872‐2791 Brandon Piper DMD PC 469 W Wood St Decatur, IL 62522 217‐428‐3512 Ronald Brownfield DDS 331 N Edward St Decatur, IL 62522 217‐423‐8542 Chad Burmeister DMD 2727 N Oakland Ave Decatur, IL 62526 217‐875‐4555 Carol Cunningham DDS 75 South Shores Drive Decatur, IL 62521 217‐428‐0026 Catherine Cavanaugh DDS 1353 E Mound Road Decatur, IL 62526 217‐872‐0623 Alan Colby DDS 415 E Ash Ave Decatur, IL 62526 217‐875‐5590 Mary Cole DMD 2727 N Oakland Ave Decatur, IL 62526 217‐877‐1743 Todd Cole DDS 111 E Ashland Ave Mt. Zion, IL 62549 217‐864‐6016 Thomas Davey DMD 1353 E Mound Road Decatur, IL 62526 217‐877‐2172 William Fiesler DMD 2495 N Water St Decatur IL 62526 217‐872‐7874 Gaitros Dental Center 1080 E Mound Road Decatur, IL 62526 217‐875‐5020 17 Magnolia Hallam DMD, Mike Hallam DMD 334 W Main St Decatur, IL 62522 217‐428‐0003 Jerry Harrison DMD 2490 N Water St Decatur, IL 62522 217‐875‐1677 Jerger Pediatric Dentistry 2101 N Main St Decatur, IL 62522 217‐875‐3080 Jesek, Griffin & Haarman Family Dental Care 3040 S Mt. Zion Road Decatur, IL 62549 217‐864‐4494 Jurgens & Kneezel Ltd 2727 N Oakland Ave Decatur, IL 62526 217‐875‐3900 Lake Shore Denture Center 1275 S Jasper St Decatur, IL 62522 217‐422‐4214 Moweaqua Dental Office 130 E Main St Moweaqua, IL 62550 217‐768‐3898 Larry Osborne DMD 1383 E Mound Road Decatur, IL 62526 217‐875‐7600 Paulson & Paulson DMD 1900 E Lake Shore Drive Decatur, IL 62521 217‐428‐9318 Paul Potter DDS 280 W North St Decatur, IL 62522 217‐423‐3490 Rick Simms DMD 3250 N Woodford Decatur, IL 62526 217‐877‐2628 Slusar & Hage Ltd 2727 N Oakland Ave Decatur, IL 62526 217‐875‐5010 William Tener DDS 302 W Hay St Decatur, IL 62526 217‐875‐4466 Eric Wherley DMD 1353 E Mound Road Decatur, IL 62526 217‐877‐2172 Williams Dental Laboratory 1275 S Jasper Decatur, IL 62521 217‐422‐4214 18 Emergency Home Response Providers Health Department Home Health and Hospice ADT Security Services, Inc. 32100 US Hwy 19, North Palm Harbor, FL 34684‐3709 1‐877‐456‐1787 American Medical Alert Corp. 4440 Lincoln Hwy, Suite 204 Matteson, IL 60443 1‐800‐770‐5355 GTL, Inc. (CST your link to life) 22600 Haggerty Road Farmington Hills, MI 48335 1‐877‐557‐4462 Guardian Medical Monitoring, Inc. 18000 W Eight Mile Road Southfield, MI 48075‐9482 1‐888‐349‐2400 Lifeline Systems Company 111 Lawrence Avenue – MS 21 Framingham, MA 01702 1‐800‐451‐0525 National Assn. for Healthcare Communications HealthCom (Carelink) 1600 W Jackson St Sullivan, IL 61951‐1066 1‐800‐525‐6237 Valued Relationships, Inc. 1400 Commerce Center Drive Franklin, OH 45005 1‐800‐860‐4230 Macon County Health Department 1221 E Condit Decatur, IL 62521 217‐425‐1500 Addus Home Health 134 S Water Decatur, IL 62523 217‐423‐9860 Advanced Health Care 3900 Pintail Drive, Suite A Springfield, IL 62711 217‐726‐6956 Alpha Care 2580 Federal Drive, Suite 407 Decatur, IL 62526 217‐876‐7100 Community Home Care 107 E Jefferson Sullivan, IL 61951 217‐728‐2320 DMH Home, Health & Hospice 3122 Brettwood Cr Decatur, IL 62526 217‐876‐4600 Harbor Light Hospice 332 W Marion Ave Forsyth, IL 62535 217‐875‐4395 19 Home Delivered/ Congregate Meals Homemaker Services/ Sitter Services Nursing Homes St. John’s Home Health & Hospice 800 E Carpenter St Springfield, IL 62769 217‐464‐3800 Whitestar Home Health Agency 1495 W King St Decatur, IL 62522 217‐462‐0355 CMCOC Senior Nutrition 1122 E Marietta Decatur, IL 62521 217‐428‐4148 Catholic Charities – Meals on Wheels Program 247 W Prairie Decatur, IL 62522 217‐422‐6611 Addus Health Care 160 E Main, Ste 300 Decatur, IL 62523 217‐428‐1724 CHELP 1429 N Jasper Decatur, IL 62526 217‐422‐9888 Complete Care System 1320 South 2nd Springfield, IL 62704 217‐544‐0046 Comfort Keepers 1398 N Oakland Ave Decatur, IL 62526 217‐429‐6666 Community Care system 11 W Madison Villa Grove, IL 61956 1‐888‐267‐2306 Help at Home 747 W Pershing Rd Decatur, IL 62526 217‐875‐7026 Precious Nurses 104 W University Ave Urbana, IL 61801 217‐328‐0036 Aspen Ridge Care Center 2530 N Monroe Decatur, IL 62526 217‐875‐0920 Decatur Rehabilitation Health Care Center 136 Dipper Lane Decatur, IL 62522 217‐428‐7767 Fair Havens Christian Home 20 Physician Services/ Family Practice 1790 S Fairview Decatur, IL 62521 217‐429‐2551 Heartland of Decatur 444 W Harrison Decatur, IL 62526 217‐877‐7333 Heritage Health 1225 Woodland Drive Mt. Zion, IL 62549 217‐864‐2356 Hickory Point Christian Village 565 W Marion Ave Forsyth, IL 62526 217‐872‐1122 Imboden Creek Living Center 180 W Imboden Drive Decatur, IL 62521 217‐422‐6464 Lincoln Rehabilitation 2650 N Monroe Decatur, IL 62526 217‐875‐1973 McKinely Court 500 W McKinley Decatur, IL 62526 217‐875‐0020 Moweaqua Nursing Home 525 S Macon St Moweaqua, IL 62550 217‐768‐3951 Patrick Cavanaugh MD 310 W William St Decatur, IL 62522 217‐425‐9264 CHIC Clinic 2905 N Main St Decatur, IL 62523 217‐877‐9117 DMH Express Care 1663 W King St Decatur, IL 62526 217‐876‐5820 DMH Express Care Airport 4847 E US Rt 36 Decatur, IL 62521 217‐864‐6505 DMH Urgent Care 2120 N 27th St Decatur, IL 62526 217‐876‐4940 Doctors Family Practice 2975 N Water St Decatur, IL 62526 217‐876‐5320 Douglas Ellis MD 330 N Wyckles Road Decatur, IL 62526 217‐876‐8270 21 Dennis Heim MD 1770 E Lake Shore Dr Decatur, IL 62521 217‐428‐3424 Debra Jackson MD 300 W Main St Decatur, IL 62526 217‐429‐8000 Timothy Miller MD 241 W Weaver Rd Forsyth, IL 62535 217‐876‐5220 114 E Main St Maroa, IL 61756 217‐794‐5472 Moweaqua Family Practice Center 620 N Putnam Ave Moweaqua, IL 62550 1‐866‐609‐2554 Mt Zion Family Care 1200 N State Hwy 121 Mt Zion, IL 62549 217‐864‐5531 St. Mary’s Family Medicine Blue Mound 113 E Seiberling Blue Mound, IL 62513 217‐692‐2151 St. Mary’s Family Medicine 1770 E Lake Shore Dr Decatur, IL 62521 217‐429‐9700 St. Mary’s Family Medicine Arthur 525 N Vine Arthur, IL 61911 217‐543‐4036 St. Mary’s Family Medicine Forsyth 133 Barnett Ave Forsyth, IL 62535 217‐872‐0953 Kenneth Scribner MD 241 W Weaver Rd Forsyth, IL 62535 217‐876‐5240 Shackelford Clinic 208 S Jackson St Cerro Gordo, IL 61818 217‐763‐5851 SIU Family Physicians 250 W Kenwood Decatur, IL 62526 217‐872‐3800 Daniel Smith MD 1200 State Hwy 121 Mt Zion, IL 62549 217‐864‐5531 Springfield Clinic 1770 E Lake Shore Dr Decatur, IL 62521 217‐428‐3424 Michael Wall MD 22 Physician Services/ Medical Groups 241 W Weaver Rd Forsyth, IL 62535 217‐876‐5200 Walmart Clinic North 4224 N Prospect Decatur, IL 62526 217‐875‐0016 Walmart Clinic South 4625 E Maryland St Mt Zion, IL 62549 217‐864‐6927 Brian Yocks MD 241 W Weaver Rd Forsyth, IL 62535 217‐876‐5270 A & E Behavioral Health Care 2570 E Federal Drive Decatur, IL 62526 217‐872‐1003 Athleticare 1900 E Lake Shore Drive Decatur, IL 62521 217‐428‐6222 Babich Skin Care Center 304 W Hay Decatur, IL 62526 217‐876‐6890 Cancer Care Specialists of Central Illinois 210 W McKinley Ave Decatur, IL 62526 217‐876‐6600 Central Illinois Hand Center 304 W Hay Decatur, IL 62526 217‐875‐4263 Central Illinois Lung Internists Associates 1800 E Lake Shore Drive Decatur, IL 62521 217‐464‐2143 Central Illinois Vision Center 4837 E US Route 36 Decatur, IL 62521 217‐864‐1362 DaVita Dialysis 794 E Wood St Decatur, IL 62523 217‐425‐6403 DMH Geriatric Assessment & Senior Life Enrichment Center 102 W Kenwood Decatur, IL 62526 217‐876‐2199 DMH Medical Group 2300 N Edward Decatur, IL 62526 217‐876‐8121 DMH Millenium Pain Center 302 W Hay Decatur, IL 62526 217‐876‐6640 23 Decatur Neurological Associates 302 W Hay St Decatur, IL 62526 217‐877‐5943 Decatur OB/Gyn 1 Memorial Drive Decatur, IL 62526 217‐875‐5545 Gailey Eye Clinic 322 W Marion Ave Forsyth, IL 62535 217‐872‐7404 HSHS Medical Group 1800 E Lake Shore Drive Decatur, IL 62521 217‐464‐1157 Illinois Heart Specialists 2300 N Edward St Decatur, IL 62526 217‐876‐3650 Internal Medicine Subspecialty Associates LTD 2 Memorial Drive Decatur, IL 62526 217‐875‐2640 Kare4Kids 1900 E Lake Shore Dr Decatur, IL 62521 217‐433‐2889 Lake Shore OB/Gyn of Decatur 1770 E Lake Shore Drive Decatur, IL 62521 217‐429‐4119 Lee Institute of Skin and Laser 606 W Pershing Road Decatur, IL 62526 217‐877‐7171 Macon County Eye Center 646 W Pershing Road Decatur, IL 62526 800‐500‐7204 Midwest Neurology Associates 302 W Hay Decatur, IL 62526 217‐872‐7000 Mt Zion Family Care 1200 N State Hwy 121 Mt. Zion, IL 62549 217‐864‐5531 Prairie Cardiovascular 1800 E Lake Shore Drive Decatur, IL 62521 217‐422‐6100 Renal Care Group Home Dialysis 441 W Hay St Decatur, IL 62526 217‐876‐6866 St. Mary’s Neurosurgical and Orthopaedic Specialists 1750 E Lake Shore Drive Decatur, IL 62521 217‐464‐1200 24 Transportation Services SIU Family Physicians 250 W Kenwood Ave Decatur, IL 62526 217‐872‐3800 Surgical Specialists of Central Illinois 1750 E Lake Shore Drive Decatur, IL 62521 217‐428‐6300 US Department of Veterans Affairs VA Outpatient Clinic 3035 E Mound Road Decatur, IL 62526 217‐875‐2670 Vita Center for Women 1 Memorial Dr Decatur, IL 62526 217‐872‐2400 Vivian Women’s Center 1750 E Lake Shore Dr Decatur, IL 62521 217‐422‐0560 Women’s Healthcare Specialists of Decatur 1 Memorial Dr Decatur, IL 62526 217‐875‐5574 Decatur Public Transit 353 E William St Decatur, IL 62523 217‐428‐2821 DMCOC (Decatur Macon County Opportunities Corp) 1122 E Marietta Decatur, IL 62521 217‐428‐4148 DMH Prime Time 441 W Hay St Decatur, IL 62526 217‐876‐2191 Faith In Action 247 W Prairie Decatur, IL 62523 217‐428‐0013 St. Mary’s Lakeshore Connection 1800 E Lake Shore Drive Decatur, IL 62521 217‐464‐2512 First Transit (Medical transport for those with Medicaid) 1‐877‐725‐0569 Walker Limousine/Shuttle Service PO Box 3924 Decatur, IL 62524 217‐422‐6078 25 Section E – Health Data Self Reported Health Status1 Fair 10.3% Poor 6.9% Excellent 10.5% Very Good 36.0% Good 36.3% 46.5% of Macon County Residents surveyed rate their health as excellent or very good. 17.2% of people surveyed rated their health as fair or poor. Respondents aged 55 and older made up 48% of this group. Self Reported Feelings of Sadness or Depression1 Never 19.2% Daily 5.0% Several times a week 8.3% Several times a month 16.8% Seldom 50.4% 69.6% of respondents indicate they seldom or never felt sad, blue or depressed during the past year. 25.1% reported feeling sad, blue or depressed several times a week or several times a month. Of the 5% who indicated daily occurrences, 70% were male. Mean score of severity of depression is 2.77, which is generally low. 36.9% of all respondents reporting these feelings indicated that they were taking no action to address the problem. 26 Every Member of Household Covered by Health Insurance 1 Yes 84.4% No 14.1% DK/N A 1.5% 0% 50% 100% 84.4% indicated that all members of the household were currently covered by health insurance. Employers provided the insurance for 56.7% of these respondents. Prevalence of Adult Obesity in Macon County2 40% 33% 30% 20% 20% 14% 10% 0% Macon County Illinois Nation The adult obesity measure represents the percent of the adult population (age 20 and older) that has a body mass index (BMI) greater than or equal to 30 kg/m2. 27 Percent of respondents indicating they have the following conditions1 High blood pressure Cholesterol is high Heart disease/heart condition Diabetes Asthma Mental health problem Had a stroke Cancer 65.4% 50.4% 25.4% 22.2% 21.8% 13.3% 10.9% 10.7% STD 1.1% Substance abuse problem 0.3% 0% 40% 80% Self‐Reported Reasons for Not Receiving Medical Care Needed1 Insurance did not cover it 29.5% Poor medical care available 9.6% Unable to get appointment 7.4% Too busy to make/go to appt 2.3% Other 46.4% DK/NA 4.6% 6.4% of respondents reported that there has been a time in the last 12 months that they did not receive the medical care they personally needed. 28 Basic Health Screenings1 Respondents indicating that they have had the following health screenings in the past 2 years: Breast Exam 40.6% Colon Screening 22.7% PAP/Pelvic 37.7% Prostate/PSA 11.6% Exam Mammography 31.0% Sexually Transmitted 5.1% Disease Rectal Exam 23.6% HIV/AIDS 4.8% Modifiable Barriers to Health1 58.2% of respondents reported no particular barriers to living a healthy lifestyle. Top issues indicated for those that indicated barriers: Lack of 21.0% Lack of Services 7.4% Motivation Access to 15.1% Lack of Health 6.0% Exercise Tools Insurance Access to 8.8% Lack of Knowledge 2.9% Transportation Access to Fresh 8.5% Unsafe Neighborhood 1.6% Foods Servings of Fruit & Vegetables (per day)1 Less than 1 serving per day 6.2% 1 serving per day 28.0% 2 servings per day 30.2% 3 or more servings per day 35.7% 0% 30% 60% 64% of Macon County respondents reported consuming less than 3 servings of fruit or vegetables a day. Area males were least likely to consume the recommended amount per day. 29 Amount of Exercise (Per Week)1 Less than 1 time per week 29.5% 1-2 times per week 21.0% 3-4 times per week 29.7% 5 or more times per week 17.8% DK/NA 2.0% 0% 30% 60% Exercise was defined as at least 20 minutes of continuous movement that results in the heart beating faster and increased breathing. Recommended activity levels are 150 minutes a week of moderate intensity or 75 minutes a week of vigorous intensity aerobic physical activity or an equivalent combination of both. 50.5% reported exercising 40 minutes or less per week. 29.7% indicate exercising at moderate intensity for 60‐80 minutes per week. Most significant group of exercising over 60 minutes per week is community members 35 – 74 years of age. 30 Tobacco Use1 Currently smoke 21.9% Currently chew 2.3% Used to smoke 20.6% Used to chew 2.7% Never smoked 55.3% Never chewed 65.3% DK/NA/Ref 0.4% 0% 50% 100% While significant portions of the service area indicate no tobacco history, the reported tobacco use is higher in Macon County than that of the state percentage (20%) and the national benchmark (14%)2. Of the area residents reporting that they currently smoke, 61% are women. 45% of people who smoke are in the 35 ‐54 age category. How Often Children Wear Helmet1 Never 10.2% Always 7.8% Seldom 1.9% Sometimes 4.0% Nearly Always 9.4% Participants were asked how often children in the household wear a helmet when they bicycle, in‐line skate, roller skate, skateboard or ride a scooter/motorcycle/ATV. 31 Identified Community Concerns from Leede Phone Surveys Participants rated the extent they were concerned with the following issues in the area. 1 = “Not at All Concerned” to 7 = “Greatly Concerned”. Unemployment/Under employment Inability to afford medications Lack of affordable healthcare Inability to afford health insurance Teen pregnancy Drug abuse Mental health issues Underage drinking Lack of activities for youth Sexually transmitted diseases Personal safety issues Issue involving Alzheimers Adequate/Affordable child care Lack of healthcare education & prevention services Lack of food Marijuana use Lack of affordable housing Tranportation Alcohol abuse Mean Top Two Scores Box Scores 4.91 51.0% 4.81 47.3% 4.73 48.3% 4.66 44.9% 4.39 39.2% 4.33 43.0% 4.23 33.2% 4.18 35.7% 4.18 31.6% 4.16 40.4% 4.16 34.0% 4.14 32.0% 4.13 33.2% 4.09 32.7% 3.93 26.9% 3.90 33.3% 3.88 29.9% 3.68 23.8% 3.44 23.1% With no mean score over 5.0, Leede Research noted the results generally did not show any strong concern over issues. They went on to note: “Employment and Insurance issues are the top items and may reflect both local and national trends. It is interesting to note a relatively high rating for Drug Abuse though the direct exposure was minimal”. Teen Pregnancy Rates2 60 55 50 40 40 30 22 20 10 0 Macon County Illinois National Rate per 1,000 female population aged 15 – 19 32 Low Birthweight2 10.0% 9.5% 8.4% 9.0% 8.0% 7.0% 6.0% 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% Macon County Illinois National Percent of birthweights <2500 gram Sexually Transmitted Infections2 700 633 600 469 500 400 300 200 84 100 0 Macon County Illinois National Chlamydia rate per 100,000 population Section References 1. Telephone interviews conducted by Leede Research – January 2012 2. County Health Rankings 2012 Additional Health Data Available IPLAN for Macon County Complete Results from Leede Research Telephone Surveys 33
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