2019 community health needs assessment: data assessment … · 2019 health outcomes-south carolina...
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2019 Community Health Needs Assessment:Data Assessment
Key Elements of CHNA Process
Sources� Americas Health Rankings: For nearly three decades, America’s Health Rankings has provided an analysis
of national health on a state-by-state basis by evaluating a historical and comprehensive set of health, environmental and socioeconomic data to determine national health benchmarks and state rankings.
� Centers for Disease Control and Prevention. National Center for Health Statistics: This source provided stats of the states and is where data was retrieved for South Carolina. This source provides birth data, leading causes of death, mortality data, and other South Carolina data. The data provided by this source shows state, national and state rank.
� Community Commons: Community Commons is a public website that provides data, tools and stories to improve communities and inspire change. Ninety percent of the secondary data was found on the Community Commons site. The site provides data and mapping capability to develop community health needs assessments.
� Live Healthy South Carolina: Live Healthy South Carolina is a statewide collaborative to improve the health of all South Carolinians. Everyone deserves an opportunity at a healthy life, and you too, can help make a difference. The Alliance for a Healthier South Carolina led the development of Live Healthy South Carolina, and two member organizations provided key support, the South Carolina Department of Health and Environmental Control (DHEC) and the South Carolina Office of Rural Health (SCORH).
Sources, cont.
� Sg2: Sg2 was used for demographics, physician demand, inpatient and outpatient and emergency room estimates. This information was pulled for all seven counties in the Self Regional Healthcare service area. 2019 and projected 2024 demographics were included. The Inpatient and Outpatient Estimators were used at a county level to estimate utilization by disease state over the next five years.
� South Carolina Department of Health and Environmental Control (SCDHEC): As the state agency responsible for protecting public health and the environment, SCDHEC requires timely, efficient and effective access to information about the state’s health, land, water, air and coastal resources. The GIS program mission is to provide core geospatial technology infrastructure, tools and services to support SCDHEC program operation, policy evaluation, and decision-making. The Community Health Profiles are available for each county in South Carolina.
� 2019 County Health Rankings: This source is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. It gives a general snapshot of how healthy each county is in relation to others in the same state. It measures and ranks both health outcomes and health factors that lead to those outcomes. Each indicator is weighed, standardized and ranked in order to come up with an overall ranking of health for each county in South Carolina.
Sources, cont.
� South Carolina Law Enforcement Division (SLED): The primary mission of the State Law Enforcement Division is to provide quality manpower and technical assistance to law enforcement agencies and to conduct investigations on behalf of the state as directed by the Governor and Attorney General.
� The Commonwealth Fund: The primary mission is to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society’s most vulnerable, including low-income people, the uninsured, and people of color.
Table of ContentsDefining Your Community
Population and Demographics
A Healthy Community
Health Indicators
Emerging Priorities
Defining Your Community
Population and Demographics
A Healthy Community
Health Indicators
Emerging Priorities
Self Regional Healthcare Patient Origin
90% of SRH inpatients
originate from shaded zip
codes
Skilled Nursing Facility (SNF) Beds Per County
County 2017 Population 65+
SNF Beds Per 1,000 65+ Population
Greenwood 12,734 332 26.07Laurens 11,966 475 39.69
Edgefield 4,831 120 24.83Abbeville 5,241 94 17.93
McCormick 3,169 120 37.87Saluda 3,927 176 44.82
Newberry 7,390 264 35.727 County Total 49,258 1,581 32.09South Carolina 867,287 20,752 23.92United States 50,812,182 1,700,000* 33.45
*SC SNF Beds verified per SCDHEC.gov
*Populations per US Census Bureau
*http://quickfacts.census.gov/qfd/states/45000.html
*http://www.cdc.gov/nchs/fastats/nursing-home-care.htm 2014 licensed beds
Table of ContentsDefining Your Community
Population and Demographics
A Healthy Community
Health Indicators
Emerging Priorities
2019-2024 Population Growth: Self Regional Service Area
Source: Sg2
Population Growth by Age and Gender: 2019-2024
Source: Sg2
2019-2024 Race/Ethnicity and Language
Source: Sg2
2019 - 2024 Household Income
Source: Sg2
Table of ContentsDefining Your Community
Population and Demographics
A Healthy Community
Health Indicators
Emerging Priorities
County Health Rankings- 2019 Health Factors
2019 Health Factors-South Carolina
Health Factors: Health Behaviors
Clinical Care Socio-economic FactorsPhysical Environment
Source: http://www.countyhealthrankings.org/
Rank County
1 Beaufort (BE)2 Greenville (GR)3 Charleston (CH)4 Lexington (LX)5 Dorchester (DO)6 York (YO)7 Spartanburg (SP)8 Richland (RI)9 Pickens (PI)
10 Berkeley (BK)11 Oconee (OC)12 Anderson (AN)13 Aiken (AI)14 Georgetown (GE)15 McCormick (MC)
16 Abbeville (AB)
17 Kershaw (KE)18 Lancaster (LA)19 Calhoun (CA)20 Greenwood (GW)
21 Newberry (NB)22 Edgefield (ED)
23 Horry (HO)
Rank County
24 Florence (FL)25 Saluda (SA)26 Sumter (SU)27 Laurens (LU)
28 Cherokee (CE)29 Union (UN)30 Hampton (HA)31 Darlington (DA)32 Chesterfield (CT)33 Jasper (JA)34 Fairfield (FA)35 Barnwell (BR)36 Clarendon (CD)37 Chester (CS)38 Bamberg (BA)39 Colleton (CL)40 Williamsburg (WI)41 Orangeburg (OR)42 Dillon (DI)43 Lee (LE)44 Marlboro (MR)45 Marion (MA)46 Allendale (AL)
County Health Rankings- 2019 Health Factors
Source: http://www.countyhealthrankings.org/
Source: http://www.countyhealthrankings.org/
County Health Rankings- 2019 Health Factors
Source: http://www.countyhealthrankings.org/
County Health Rankings- 2019 Health Factors
Source: http://www.countyhealthrankings.org/
County Health Rankings- 2019 Health Factors
Source: http://www.countyhealthrankings.org/
2019 Health Outcomes-South Carolina
County Health Rankings- 2019 Health Outcomes
Health Outcomes: Length and Quality of Life
Rank County1 Beaufort (BE)2 York (YO)3 Charleston (CH)4 Edgefield (ED)5 Greenville (GR)6 Lexington (LX)7 Berkeley (BK)8 Dorchester (DO)9 Pickens (PI)
10 Saluda (SA)11 Oconee (OC)12 Richland (RI)13 Aiken (AI)14 Lancaster (LA)15 Anderson (AN)16 Horry (HO)17 Kershaw (KE)18 Spartanburg (SP)19 Newberry (NB)20 Abbeville (AB)21 Sumter (SU)22 Georgetown (GE)23 Calhoun (CA)
Rank County24 Greenwood (GW)25 Clarendon (CD)26 Jasper (JA)27 Laurens (LU)28 Barnwell (BR)29 Cherokee (CE)30 McCormick (MC)31 Union (UN)32 Florence (FL)33 Chesterfield (CT)34 Chester (CS)35 Hampton (HA)36 Bamberg (BA)37 Orangeburg (OR)38 Darlington (DA)39 Fairfield (FA)40 Allendale (AL)41 Colleton (CL)42 Williamsburg (WI)43 Marion (MA)44 Marlboro (MR)45 Dillon (DI)46 Lee (LE)
Source: http://www.countyhealthrankings.org/
County Health Rankings- 2019 Health Outcomes
County Health Rankings- Health Factors and Outcomes; SRH Service Area Comparison, 2019
Rank County4 Edgefield (ED)
10 Saluda (SA)19 Newberry (NB)20 Abbeville (AB)24 Greenwood (GW)27 Laurens (LU)30 McCormick (MC)
Rank County
15 McCormick (MC)16 Abbeville (AB)20 Greenwood (GW)21 Newberry (NB)22 Edgefield (ED)25 Saluda (SA)27 Laurens (LU)
Source: http://www.countyhealthrankings.org/
Health Factors: Health Behaviors
Clinical Care Socio-economic Factors
Physical Environment
Health Outcomes:Length and Quality of Life
County Health Rankings-Health Factors; SRH Service Area Comparison, 2016 vs. 2019
Rank County
11 Newberry (NB)
17 Edgefield (ED)
21 McCormick (MC)
23 Greenwood (GW)
25 Saluda (SA)
26 Abbeville (AB)
27 Laurens (LU)
Rank County
15 McCormick (MC)
16 Abbeville (AB)
20 Greenwood (GW)
21 Newberry (NB)
22 Edgefield (ED)
25 Saluda (SA)
27 Laurens (LU)
2016 2019
Health Factors: Health Behaviors
Clinical Care Socio-economic Factors
Physical Environment
County Health Rankings-Health Outcomes; SRH Service Area Comparison, 2016 vs. 2019
2016 2019
Health Outcomes: Length and Quality of Life
County Health Outcomes Rank
8 Edgefield (ED)
17 Greenwood (GW)
19 Saluda (SA)
23 Newberry (NB)
24 Abbeville (AB)
26 Laurens (LU)
31 McCormick (MC)
County Health Outcomes Rank
4 Edgefield (ED)
10 Saluda (SA)
19 Newberry (NB)
20 Abbeville (AB)
24 Greenwood (GW)
27 Laurens (LU)
30 McCormick (MC)
Table of ContentsDefining Your Community
Population and Demographics
A Healthy Community
Health Indicators
Emerging Priorities
Leading Health Indicators: Healthy People 2020
Access to Health Services
Clinical Preventative
Services
Environmental Quality
Injury and Violence
Maternal, Infant Child Health Mental Health
Nutritional, Physical Activity
and ObesityOral Health
Reproduction and Sexual
Health
Social Determinants
Substance Abuse Tobacco
www.healthypeople.gov, Office of Disease Prevention and Health Promotion; A Federal Government Web site managed by the U.S. Department of Health and Human Services
Access to Health Services
Access to Health ServicesGreenwood County Outmigration: 2012-2016
Access to Health ServicesEdgefield County Outmigration: 2012-2016
Access to Health ServicesLaurens County Outmigration: 2012-2016
Access to Health ServicesNewberry County Outmigration: 2012-2016
Access to Health ServicesAbbeville County Outmigration: 2012-2016
Access to Health ServicesMcCormick County Outmigration: 2012-2016
Access to Health ServicesSaluda County Outmigration: 2012-2016
Source: SRH Strategic Planning and Physician Services, 2018
Access to Health ServicesPhysician Demand
Significant deficit:
Internal MedicineDermatology
EndocrinologyVascular Surgery
Nephrology
Inpatient Market Forecast
*SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick , Newberry an d Saluda CountiesSource: Sg2
Access to Health Services
Outpatient Market Forecast
*SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick , Newberry an d Saluda CountiesSource: Sg2
Access to Health Services
ER Market Forecast
*SRH Service Area: Greenwood, Laurens, Edgefield, Abbeville, McCormick , Newberry an d Saluda CountiesSource: Sg2
Access to Health Services
ER Visit Type County 2018 Volumes 2023 Volumes Volumes % ChangeVisits - Emergent Abbeville County, SC 2,615 2,619 0.10%Visits - Emergent Edgefield County, SC 3,879 3,949 1.80%Visits - Emergent Greenwood County, SC 10,949 11,233 2.60%Visits - Emergent Laurens County, SC 9,193 9,385 2.10%Visits - Emergent McCormick County, SC 1,321 1,288 -2.50%Visits - Emergent Saluda County, SC 1,423 1,451 1.90%
29,380 29,924 1.80%Visits - Urgent Abbeville County, SC 3,764 3,472 -7.70%Visits - Urgent Edgefield County, SC 5,628 5,265 -6.50%Visits - Urgent Greenwood County, SC 14,192 13,358 -5.90%Visits - Urgent Laurens County, SC 12,211 11,415 -6.50%Visits - Urgent McCormick County, SC 1,840 1,667 -9.40%Visits - Urgent Saluda County, SC 2,077 1,970 -5.10%
39,712 37,146 -6.50%69,092 67,070 -2.90%
Visits - Emergent Total
Visits - Urgent TotalGrand Total
Uninsured Population by County, 2013-2017 Access to Health ServicesAccess to
Health ServicesAccess to
Health Services
Source: www.communitycommons.org
Access to Primary Care by County, (Rate per 100,000 Pop.), 2014
Access to Health Services
Source: www.communitycommons.org
Health Professional Shortage Areas, 2019
Source: www.communitycommons.org
Access to Health Services
Source: www.communitycommons.org
Access to Healthcare and Affordability,2016
Access and Affordability Ranking
Top Quartile
Second Quartile
Third Quartile
Bottom Quartile
Source: Commonwealthfund.org
ScorecardMeasure Service Area South Carolina 2016
Score2019 Score
Uninsured Population 12.57% 12.06%
Access to Primary Care 69.7 76.3
Adults Without a Usual Source of Care
N/A 22
Adults Who Went WithoutCare Because of Cost
N/A 16
Individuals with High Out-of-Pocket Medical Spending
N/A 17
Employee Insurance Costs as a share of Median Income
N/A 7
Adults Without a Dental Visit in the Past Year
N/A 18
Access to Health Services
Better than SC
Within +/- 5% of SC
Worse than SC
Unknown
Clinical Preventative Services
FQHC/RHC Locations
Sources: www.cms.govhttp://nfbl.sc.gov/http://www.scdhec.gov/Health/FHPF/HealthFacilityRegulationsLicensing/HealthcareFacilityLicensing/LicensedSCHealthcareFacilitiesLists/SCDHEC
Clinical Preventative
Services
Federally Qualified Health Centers:
• Calhoun Falls Family Practice• Carolina Health Centers, Inc.• Family Healthcare – North Saluda• Hometown Pediatrics (Clinton)• Laurens County Community Care
Medical Home Referral Center• Lakelands Family Practice Center• McCormick Elementary School Health
Clinic• McCormick Family Practice• Pediatrics of Newberry• Piedmont Physicians for Women• The Bethany Center• The Children’s Center• The Pendergrass Family Health Center• Uptown Family Practice• Village Family Practice
Rural Health Centers:
• Abbeville Internal Medicine• Due West Family Medicine• Edgefield Medical Clinic, PA• Family Healthcare – Edgefield• Family Healthcare – Newberry• Family Healthcare – South Saluda• Family Medicine Associates• GHS Advanced Family Medicine – Clinton• GHS Laurens Family Medicine – Gray Court• GHS Laurens Family Medicine – Main• Piedmont Pediatrics
30-Day Hospital Readmissions
Source: Dartmouth College Institute for Health Policy & Clinical Practice
Clinical Preventative
Services
No Data
Preventable Hospital Events, 2015 Clinical Preventative
Services
Source: www.communitycommons.org
Recent Primary Care Visit, 2015 Clinical Preventative
Services
Source: www.communitycommons.org
No data No data No data
No data
No data
No data
No data
No data
No data
No data
No data No data
No data
No data
No data
Diabetes Prevalence-Adult by County, 2015 Clinical Preventative
Services
Source: www.communitycommons.org
Diabetes Management-Hemoglobin A1C Test, 2015 Clinical Preventative
Services
Source: www.communitycommons.org
Heart Disease Prevalence-Adult by County,2011-2012
Clinical Preventative
Services
Source: www.communitycommons.org
Cancer Screenings-Mammogram, Female Medicare Enrollees, 2015
Clinical Preventative
Services
Source: www.communitycommons.org
Cancer Screenings-Pap Test Percentage, Females Ages 18-64, Within Last Three Years(2016)
Clinical Preventative
Services
Location Pap Smear RateSouth Carolina 69.7%United States 75.4%
Source: Kaiser Family Foundation State Health Facts
Cancer Screenings-Sigmoidoscopy or Colonoscopy, Ages 50+, 2006-2012
Clinical Preventative
Services
Source: www.communitycommons.org
Age-Adjusted Cancer Incidence-Breast, Female, (Cases per 100,000 Pop. per year), 2011-2015
Clinical Preventative
Services
Source: www.communitycommons.org
Cancer Incidence Rate-Cervical, Female, (Cases per 100,000 Pop.), 2015
Clinical Preventative
Services
Location Cervical Cancer RateSouth Carolina 8.1United States 7.6
Source: Kaiser Family Foundation State Health Facts
Age-Adjusted Cancer Incidence- Colo-Rectal, (Cases per 100,000 Pop. Per year), 2011-2015
Clinical Preventative
Services
Source: www.communitycommons.org
Age-Adjusted Cancer Incidence-Lung, (Cases per 100,000 Pop. Per year), 2011-2015
Clinical Preventative
Services
Source: www.communitycommons.org
Age –Adjusted Cancer Incidence-Prostate, Males, (Cases per 100,000 Pop. per year), 2011-2015
Clinical Preventative
Services
Source: www.communitycommons.org
Hypertension, 2015-2017 Clinical Preventative
Services
Source: SCDHEC & CDC
Mortality-Cancer, (Per 100,000 Population), 2012-2016
Clinical Preventative
Services
Source: www.communitycommons.org
Mortality-Lung Disease, (Per 100,000 Population), 2012-2016
Clinical Preventative
Services
Source: www.communitycommons.org
Mortality- Coronary Heart Disease by County, Age-Adjusted Rate (Per 100,000 Pop.), 2012-2016
Nutritional, Physical Health
and Obesity
Source: www.communitycommons.org
Mortality-Stroke, (Per 100,000 Population), 2012-2016
Clinical Preventative
Services
Source: www.communitycommons.org
Better than SCWithin +/- 5% of SCWorse than SCUnknownScorecard
Measure Service Area South Carolina 2016 Score
2019 Score
30-Day Hospital Readmissions 12.99 14.5
Preventable Hospital Events 39.9 45.6
Diabetes Prevalence-Adult 12.33 11.17
Diabetes-Hemoglobin A1C Test 88.9 87.3
Heart Disease Prevalence-Adult
4.8 4.6
Cancer Screenings-Mammogram
67.2 67.8
Cancer Screenings-Pap Test 78.2 79.7
Cancer Screenings-Sigmoidoscopy or Colonoscopy
58.4 62.9
Cancer Incidence-Breast,Female
115.9 128.3
Cancer Incidence-Cervical N/A 8.1
Clinical Preventive Services
Better than SCWithin +/- 5% of SCWorse than SCUnknownScorecard
Measure Service Area SouthCarolina
2016 Score
2019 Score
Cancer Incidence-Colorectal 43.4 38.6Cancer Incidence-Lung 67.6 66.9Cancer Incidence-Prostate 93.3 119.4Hypertension 46.1 38Mortality-Cancer 181.2 171.5Mortality-Lung Disease 53.3 48.64Mortality-Coronary Heart Disease 94.9 94.16Mortality-Stroke 47.4 45.93
Clinical Preventive Services
Environmental Quality
Air Quality – Particulate Matter Environmental Quality
Source: www.communitycommons.org
Air Quality – Respiratory Hazard Index
Source: www.communitycommons.org
Environmental Quality
Climate & Health- High Heat Index Days Environmental Quality
Source: www.communitycommons.org
Better than SC
Within +/- 5% of SC
Worse than SC
Unknown
ScorecardMeasure Service Area South Carolina 2016
Score2019Score
Air Quality-Particulate Matter
9.75 9.33
Respiratory Hazard Index 1.4 1.63
High Heat Index Days 8.2 7.8
Environmental Quality
Injury and Violence
Mortality - Motor Vehicle Crash, 2012-2016 Injury and Violence
Source: www.communitycommons.org
Suppressed
Suppressed
Mortality – Homicide, 2012-2016 Injury and Violence
Source: www.communitycommons.org
No data Suppressed Suppressed
Suppressed
No data Suppressed Suppressed
Suppressed
Suppressed
Mortality – Premature Death, 2014-2016
Source: www.communitycommons.org
Injury and Violence
Mortality – Unintentional Injury, 2012-2016 Injury and Violence
Source: www.communitycommons.org
Violent Crime, 2012-2014 Injury and Violence
Source: www.communitycommons.org
Source: SLED
Injury and Violence
Source: SLED
Injury and Violence
Better than SCWithin +/- 5% of SCWorse than SCUnknown
ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreMortality-Motor Vehicle Crash
22.7 18.45
Mortality-Homicide 9 8.23
Mortality-Premature Death
9,368 8,383
Mortality-Unintentional Injury
50.1 51.28
Violent Crime 536.6 520.4
Injury and Violence
Maternal, Infant Child Health
Infant Mortality by County (Rate per 1,000 Live Births), 2015-2017
Maternal, Infant Child Health
Source: SCDHEC & CDC
Low Birth Weight Maternal, Infant Child Health
Source: SCDHEC & CDC
Lack of Prenatal Care Maternal, Infant Child Health
Source: www.communitycommons.org
Breastfeeding Initiation Maternal, Infant Child Health
Source: SCDHEC
Better than SCWithin +/- 5% of SCWorse than SCUnknown
ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreInfant Mortality 6.6 6.8Low Birth Weight 10.5 9.6Lack of Prenatal Care NA 31.2Breastfeeding Initiation 64 76.5
Maternal Infant Child Health
Mental Health
Access to Mental Health ProvidersMental Health
Source: www.communitycommons.org
Mortality - Suicide Mental Health
Source: www.communitycommons.org
No data Suppressed Suppressed
Suppressed
Suppressed
Depression (Medicare Population)Mental Health
Source: www.communitycommons.org
Poor Mental Health DaysMental Health
Source: www.communitycommons.org
SRH Service Area Total Poor Mental Health DaysSRH Service Area 4.4Abbeville County 4.6Edgefield County 4.0Greenwood County 4.7Laurens County 4.8McCormick County 4.2Newberry County 4.3Saluda County 4.4South Carolina 4.4United States 3.1
Better than SCWithin +/- 5% of SCWorse than SCUnknown
ScorecardMeasure Service Area South Carolina 2016
Score2019 Score
Access to Mental Health Providers
116 156.5
Mortality-Suicide 15 14.67Depression-MedicarePopulation
17.7 15.3
Poor Mental Health Days 4.4 4.4
Mental Health
Nutritional, Physical Activity and Obesity
Obesity by County, Obese (BMI >= 30), Adults Age 20+, 2015
Nutritional, Physical Health
and Obesity
Source: www.communitycommons.org
Low Food Access by County, 2015 Nutritional, Physical Health
and Obesity
Source: www.communitycommons.org
Fruit/Vegetable Expenditures, Ages 18+, 2014 Nutritional, Physical Health
and Obesity
Source: www.communitycommons.org
Physical Inactivity by County, Ages 20+, 2015 Nutritional, Physical Health
and Obesity
Source: www.communitycommons.org
Recreation and Fitness Facility Access by County, (Rate per 100,000 Pop.), 2016
Nutritional, Physical Health
and Obesity
Source: www.communitycommons.org
Food Desert Census Tracts, 2015Nutritional,
Physical Health and Obesity
Source: www.communitycommons.org
SNAP-Authorized Food Stores, 2017
Source: www.communitycommons.org
Nutritional, Physical Health
and Obesity
Source: www.communitycommons.org
Better than SCWithin +/- 5% of SCWorse than SCUnknownScorecard
Measure Service Area
SouthCarolina
2016 Score 2019 Score
Obesity-Adult 37.1 32.4
Low Food Access 16.26 28.43
Fruit/VegetableExpenditures
11.64 11.66
Physical Inactivity 27.9 23.9
Recreation & Fitness Facility Access
3.12 9.62
SNAP-Authorized Food Stores
12.26 11.72
Nutritional, Physical Health
and Obesity
Oral Health
Access to Dentists by County, (Rate per 100,000 Pop.), 2015 Oral Health
Source: www.communitycommons.org
Poor Dental Health by County, Ages 18+, 2006-2010
Oral Health
Source: www.communitycommons.org
Better than SCWithin +/- 5% of SCWorse than SCUnknown
ScorecardMeasure Service
AreaSouthCarolina
2016 Score 2019 Score
Access to Dentists 32.5 52.1Poor Dental Health-Adult 21.5 19.9
Oral Health
Reproduction and Sexual Health
STI-Chlamydia Incidence by County, (Rate per 100,000 Pop.), 2016
Reproduction and Sexual Health
Source: www.communitycommons.org
STI-Gonorrhea Incidence by County, (Rate per 100,000 Pop.), 2016
Reproduction and Sexual Health
Source: www.communitycommons.org
STI-HIV Prevalence by County, (Rate per 100,000 Pop.), 2015
Reproduction and Sexual Health
Source: www.communitycommons.org
Teen Births by County, Females, Ages 15-19, (Rate per 1,000 Pop.), 2015-2017
Reproduction and Sexual Health
Source: www.communitycommons.org
Better than SCWithin +/- 5% of SCWorse than SC
Unknown
ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreSTI-Chlamydia 591.4 575.5
STI –Gonorrhea
176 187.8
STI – HIV 336.22 394.6
Teen Births 26.9 23.9
Reproduction and Sexual Health
Social Determinants
Median Household Income, 2013-2017 Social Determinants
$40,580.00
Source: www.communitycommons.org
SRH Service Area
Poverty-Population Below 100% FPL, 2013-2017 Social
Determinants
Source: www.communitycommons.org
High School Graduation Rate, 2015-2016 Maternal, Infant Child Health
Source: www.communitycommons.org
Population with No High School Diploma, Ages 25+, 2013-2017 Social
Determinants
Source: www.communitycommons.org
Unemployment Rate by County, 2019 Social Determinants
Source: www.communitycommons.org
Children Eligible for Free/Reduced Price Lunch, 2016-2017
Social Determinants
Source: www.communitycommons.org
Households With No Motor Vehicle, 2013-2017
Social Determinants
Source: www.communitycommons.org
Income-Inequality (GINI Index), 2013-2017 Social Determinants
Source: www.communitycommons.org
No data
Population Receiving SNAP Benefits, 2015
Social Determinants
Source: www.communitycommons.org
Substandard Housing, 2013-2017 Social Determinants
Source: www.communitycommons.org
Broadband Access, 2016 Social Determinants
Source: www.communitycommons.org
Unemployment by Self Regional Service Area County 2015-2016
Source: US Bureau of Labor Statistics
Social Determinants
Better than SC
Within +/- 5% of SC
Worse than SC
Unknown
ScorecardMeasure Service Area South Carolina 2016 Score 2019 ScoreAverage Family
Income
$54,714 $66,759
Poverty-
Population
Below 100%
FPL
21.19 16.64
High School
Graduation
Rate
83.1 85
Population
with No HS
Diploma
19.14 13.46
Unemployment
Rate
3.3 3.3
Social
Determinants
Better than SCWithin +/- 5% of SCWorse than SCUnknownScorecard
Measure Service Area South Carolina 2016 Score 2019 ScoreChildrenEligible for Free/Reduced Price Lunch
85.69 66.84
Householdswith No Motor Vehicle
7.52 6.53
Income-Inequality
0.46 0.47
Population Receiving SNAP Benefits
18.8 16
Substandard Housing
27.87 28.83
Broadband Access
74.34 88.4
Social Determinants
Substance Abuse
Excessive Alcohol Consumption by County, Ages 18+, 2006-2012
Substance Abuse
Source: www.communitycommons.org
Mortality-Drug Poisoning, 2012-2016
Source: www.communitycommons.org
No data
Suppressed
Suppressed Suppressed
No data Suppressed Suppressed
No data Suppressed
Suppressed
Suppressed
Substance Abuse
Substance AbuseMortality-Drug Overdose, 2017
CountyTotal Drug Overdose Number Rate
Prescription Drugs Number Rate
Opioids Number Rate
Psychostimulants w/ Abuse Number Rate
Fentanyl Number Rate
Heroin Number Rate
Methadone Number Rate
Cocaine Number Rate
Abbeville 8 34.7 7 30.6 6 26.4 3 14.7 ~ ~ ~ ~ 2 8.8 1 4.1
Edgefield 2 8.2 1 4.7 1 4.7 1 3.5 ~ ~ 1 4.7 1 4.7 ~ ~
Greenwood 16 24.4 14 21.4 14 22.5 2 3.5 9 14.5 1 2.0 1 1.0 3 4.5
Laurens 12 16.0 10 13.6 7 8.9 2 3.1 3 4.1 ~ ~ ~ ~ ~ ~
McCormick ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
Newberry 2 5.8 1 2.7 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 3.1
Saluda 2 6.0 1 3.0 1 3.0 ~ ~ 1 3.0 ~ ~ ~ ~ 1 3.0
South Carolina 1,001 20.4 782 15.9 748 15.5 194 4.1 362 7.6 144 3.1 45 0.9 235 4.8
Rate: Age-adjusted rate per 100,000 population. Rates calculated with 20 or fewer deaths are unreliable and should be used cautiously.
Source: SC DHEC, Vital Statistics
Substance AbuseNaloxone (Narcan) Administration by
EMS, 2016
Source: SC DHEC
Better than SCWithin +/- 5% of SCWorse than SCUnknownScorecard
Measure Service Area South Carolina 2016 Score 2019 Score
Excessive Alcohol Consumption
14.5 14.9
Mortality-Drug Poisoning
14.8 14.75
Mortality –Drug Overdose
15.8 20.4
Naloxone(Narcan) Administration by EMS
46.8 139.7
Substance Abuse
Tobacco
Tobacco Usage-Current Smokers by County, Ages 18+, 2015-2017 Tobacco
Source: www.communitycommons.org
Better than SCWithin +/- 5% of SCWorse than SCUnknown
ScorecardMeasure Service
AreaSouthCarolina
2016 Score
2019Score
Tobacco Usage – Current Smokers
19.8 20.4
Tobacco
Top Positive Indicators: Better than SC Average
• Breast & Prostate Cancer Incidence• Preventable Hospital Events
Clinical Preventative Services
• Food AccessNutritional, Physical Activity and Obesity
• STI – HIV• STI - Gonorrhea
Reproductive and Sexual Health
Top Negative Indicators:
Worse than SC Average
• Hypertension
• Cancer Mortality
Clinical Preventative
Services
• Premature DeathInjury and Violence
• High low birth weight rate
• Breast Feeding Initiation
Maternal, Infant Child
Health
• Access to mental health providersMental Health
• Access to Fitness CentersNutritional, Physical
Activity and Obesity
• Poor Dental Health
• Access to DentistsOral Health
• STI - ChlamydiaReproductive and Sexual
Health
• Population with No HS Diploma
• Children Eligible for Free Lunch
• Avg. Family Income
• Broadband Access
Social Determinants
Community Input: CHNA Survey
697162
136136
1017473
Total = 1,379Surveys
Perceived and reported • Access to healthcare services• Cost of Healthcare• Obesity• Mental Health• Diabetes• Cancer incidence/screenings• High blood pressure• Dental health utilization• Level of poverty• Alcohol & Substance Abuse• Violent Crime Rate
Perceived, but not reported • Lack of public transportation• Primary care availability• Wait times to access physician• Unable to Pay Co-Pays & Deductibles• Lack of Access to Specialists• Health education
Reported, but not perceived • STI incidence• Teen births; high infant mortality/low birth weight• High motor vehicle death• Poor dental health
Prioritization GridAb
ility
to Im
pact
: Coo
rdin
atio
n an
d Le
ader
ship
Low
Med
ium
H
igh
Low Medium High
Significance of the Community Need
Access to Care
Violent Crime
Alcohol / Drug Use
Cost of Healthcare
Infant Mortality Rate
Low Birth Weight
Poor Dental Health
Mental Health
Obesity
Cancer and Screenings
High Blood PressureDiabetes
H S Diploma
Poverty Level
Broadband AccessChlamydia
Tobacco
Teen Births
Breast Feeding
Level of Poverty Free School Lunch
2013CHNA Priorities
2016 CHNA Priorities
2019CHNA Priorities
Cancer Incidence and Deaths Cancer and Screenings Cancer and Screenings
Obesity, Nutrition and Physical Activity Obesity Obesity
Access to Care Access to Care Access to Care
Diabetes Diabetes Diabetes
Prevention and ScreeningsHigh Blood Pressure High Blood Pressure
Mental Health Cost of Healthcare
2019 SRH CHNA Priorities are
aligned with the current
South Carolina State Health
Improvement Plan.