Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 •...

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COOK COUNTY HEALTH & HOSPITALS SYSTEM Ambulatory Strategy March 17, 2016 1

Transcript of Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 •...

Page 1: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

COOK COUNTY HEALTH & HOSPITALS SYSTEM

Ambulatory Strategy

March 17, 2016

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Page 2: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

• Ambulatory Care Organization at CCHHS• Ambulatory Care Activity• Model Ambulatory Health Centers• Next steps

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Presentation Outline

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Building a high quality, safe, reliable, patient-centered, integrated health system that maximizes resources to ensure the greatest benefit for the

patients and communities we serve.

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Principle Objectives

• Improve health equity• Provide high-quality, safe and reliable care• Demonstrate value, adopt performance

benchmarking wherever possible • Develop human capital• Lead in Medical Education and Clinical

Investigation

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Ambulatory Care at CCHHS

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Ambulatory Care

Community Based Health

Centers

Primary Care/Patient-

Centered Medical Homes

Regional Outpatient

Centers (ROCs)

Oak Forest Health Center

Campus

Central Campus

Fantus Health Center

Specialty Care Center

Provident Campus

Specialty Community-

Based Services

CORE Center

Children’s Advocacy

Center

Morton East Adolescent

Health Center

Community Triage Center

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Ambulatory Care Locations

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Ambulatory Care Locations

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City of Chicago• Austin Health Center• Dr. Jorge Prieto Health Center• Englewood Health Center• Logan Square Health Center• Near South Health Center• Woodlawn Health Center• Provident / Sengstacke

Campus• Central Campus - Specialty

Care Center / Fantus Health Center

• Children’s Advocacy Center• CORE Center

Suburban Cook County• Cicero Health Center• Cottage Grove Health Center

(Ford Heights)• Robbins Health Center • Vista Health Center (Palatine)• Oak Forest Health Center

Campus• Morton East Adolescent

Center (Cicero)

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Ambulatory Care at CCHHS

Community Based Health Centers

Primary Care/Patient-

Centered Medical Homes

Physician-led, Team-Based Care

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Medical Home ActivityPatient Activity in Medical Homes (Dec 1, 2014 - Nov 30, 2015)

Medical Home / Health Center Visits Patients

Fantus GMC 55574 19624Prieto 22720 7459Fantus Peds 17866 6577Provident / Sengstacke 16190 6186Near South 15684 5094Oak Forest 15369 5520Cicero 15121 4728Englewood 15116 5220Vista 14917 5184Woodlawn 12475 4599Robbins 11300 4143Austin 11165 4506Cottage Grove 9943 3329Logan Square 9690 3712

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Ambulatory Community Health Center Profiles - Chicago

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Site Address Leased, Owned

SquareFeet

# Exam Rooms

Medical Home Services

Austin 4800 W. Chicago Ave. 60651

Leased 11,373 17 Internal Medicine, Peds, Behavioral Health, GYN

Englewood 1135 W. 69th St. 60621

Owned 9,722 14 Family Medicine, Peds

LoganSquare

2840 W. Fullerton Ave. 60647

Owned 9,000 12 Internal Medicine,Peds, Family Medicine, GYN, Peds Endo

Near South 3525 S. Michigan Ave. 60652

Leased (city)

8,367 14 Family Medicine, Peds

Prieto 2424 S. Pulaski Rd.60623

Owned 14,342 21 Family Medicine, BH, Peds, Mammography,Dental

Woodlawn 6337 S. Woodlawn Ave. 60637

Leased(city)

10,732 7 Internal Medicine, BH

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Ambulatory Community Health Center Profiles – Suburban Cook County

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Site Address Leased,Owned

SquareFeet

# Exam Rooms

Medical Home Services

Cicero 5912 W. Cermak Rd. Cicero 60804

Leased 7,500 9 Internal Medicine, Peds, Family Medicine, OB, BH

Cottage Grove

1645 Cottage Grove Ford Heights 60411

Owned 12,917 9 Family Medicine, Pediatrics, Dental, BH

Robbins 13450 S. Kedzie Ave.Robbins 60472

Owned 13,818 10 Internal Medicine, Family Medicine, Peds, Dental, BH

Vista 1585 N. Rand Rd.Palatine 60067

Leased 6,000 8 Internal Medicine, Family Medicine, Peds, BH

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MajorityMinority

%Households w/SNAP

Unemployment rate for persons 16+ years

% below 200% FPL

MUA/MUP Designation

# FQHCs in same community area

Austin Black 33.7% 22.5% 50.6% MUA 5 + 1 SHC

Englewood Black 41.5% 35.0% 67% MUA 3

Logan Square Latino 10.6% 7.7% 41.2% MUP 1

Near South n/a 7.7% 5.3% 45.6% MUA 3 + 2 SHCs

Prieto – N. Lawndale

S. Lawndale

Black 48.1% 24.6% 68.6% MUA 4 + 1 SHC

Latino 29.8% 16.7% 58.1% MUA 8 + 3 SHCs

Woodlawn n/a 17.1% 24.0% 43.3% MUA 0

Chicago n/a 17.1% 13.6% 43.3% n/a n/a

Cook County n/a 14.2% 12.2% 34.7% n/a n/a

Suburban Cook n/a n/a 7.9% 22.8% n/a n/a

Community Profiles - Chicago

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MajorityMinority

%Households w/SNAP

Unemploymentrate for persons 16+ years

% below 200% FPL in 2010

MUA/MUP Designation

# FQHCs in same zip code

Cicero Latino 25.3% 13.6% 49.8% MUP 3 in 60804

Cottage Grove –Ford Heights

African American

45.5% 38.7% 61.9% MUA 0 (3 in Chicago Heights)

Robbins –Blue IslandRobbins

n/aAfrican American

24.6%36.5%

15.6%20.8%

43.7%60.8%

MUPMUA

1 in zip0 in zip(2 in Harvey)

Vista – Palatine n/a 6.1% 7.6% 18.4% MUP-GE 0

Chicago n/a 19.3% 13.2% 43.3% n/a n/a

Cook n/a 14.2% 12.2% 34.7% n/a n/a

Suburban Cook n/a n/a n/a 22.8% n/a n/a

Community Profiles – Suburban Cook

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Ambulatory Care at CCHHSRegional Outpatient Centers

(ROCs)

Medical home, specialty,

diagnostic, and procedures

Oak Forest Health Center

Campus

Central Campus

Fantus Health Center

Specialty Care Center

Provident Campus

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Ambulatory Specialty Services at ROCs

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CardiologyDermatologyDiabetes and EndocrinologyENTGastroenterologyImagingNeurologyOncologyOphthalmologyOptometry

Oral SurgeryOrthopedic MedicinePediatric SubspecialtiesPodiatryPulmonology PT/OTRenal MedicineRheumatologyUrologyVascular Medicine

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FY2015 Ambulatory: Volumes

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FY2015 Ambulatory Visits: Patient Zip Codes

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FY2015 Ambulatory: Age, Gender of Patients

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FY2015 Ambulatory: Race, Ethnicity of Patients

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FY2015 Ambulatory: Payor Mix

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CCHHS Patients with Medicaid: FY2015

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CCHHS Patients with CareLink: FY2015

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Strategic Drivers• Ensuring Cook County residents timely access to

comprehensive and quality healthcare• Building patient base to support specialty

practices • Implementing a robust care coordination

program • Aligning services with population needs • Leveraging public health resources• Engaging community partners• Maintaining safety net – no break in care

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Model Ambulatory Health Center

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• Primary Care/Patient-Centered Medical Home• Empanelment location for managed care plans • Basic Services in Medical Homes:

• Family Medicine• Internal Medicine• Obstetrics• Pediatric Medicine• Behavioral Health• Dental• WIC

• Specialty Provider for Medicaid Managed Care Plans

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Model Ambulatory Health Center: Internal Factors

• Full-time providers• 3700 visits annually/provider • Staff Support – 2.3 to 2.5 FTE / provider • Minimum 30 exams rooms, 9 dental chairs• Appointments available 6 days/week with evening hours • WIC space, group counseling rooms, waiting room with

children’s corner• Structure conforms with quality goals and accreditation

requirements

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Model Ambulatory Health Center: External Factors

• Proximal to public transit routes• Accessible parking• Located in high traffic/high visibility areas• Co-located with other social service agencies• Attracts from region, not just neighborhood• Constructed and located, ideally, for expansion• Aligns with environmental/ population needs

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Child Opportunity Index –Cook County by Census

Tract (2007-2013)• Source: CCDPH

Epidemiology Unit, Kirwan Institute, diversitydatakids.org

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Cook County Map with MUA/MUP designations

Map created by CCDPH with data from HRSA

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The Chicago Plan for Public Health System Improvement –Feb 2012

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FY2016 Approved Initiatives

• Central Campus Redevelopment • Provident Campus Redevelopment• Oak Forest Health Center

Relocation/Redevelopment• Logan Square Health Center – New Building• Integration of Behavioral Health into PCMH• WIC expansion

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Page 32: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Next Steps

• Strategic Planning for FY17 through FY19• FY 2017 Budget

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Page 33: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Appendix/Additional Resources

• Child Opportunity Index Maps– City of Chicago– Cook County

• Hardship Index Map – City of Chicago• Uninsured Map – City of Chicago• Medically Underserved – Cook County

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Page 35: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

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Page 36: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

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14

60C24

C30

85

C7

118

83

23

C6

C10

C56

93

66

57

122

18

69 56

C15

C19

62

53

C71

C17

C8

109

46

96

63

37C23

C22

C53

C69C66

C4

94

5554

49

C16

C29

C3

115

C68

64

97

C43

C44

70

C73

C5

C58

41

C63

C21

C27

2

112

68

80C55

117

45

105

79

121

43 C46

51

C12

C72

C75

C67

C31

72

C65

C54

124

C52

59

C74

128

C64

C1

C13C11

107

61

65

39

C50

C42

C60

C57

C14

C48

C33

73 C38

99

C77

125

C35

89

C41

123

C9

48

C32

C4050

C59

102

C26

6

52

C45

120

C62

C20

106

C39

C18

C34

17

28

104

84

127

13

C47

C36

87

119

67

8

38

82

²

Cook CountyPercent of Population Below 200% of Federal Poverty Level (FPL)*

2005-2009

Percent Below 200% FPL0-9%10-19%20-29%30%+

0 5 10 Miles

Cook County Department of Public Health, Epidemiology Unit

*Note: The percent of persons in households or group quarters, other than institutions, with income levels below 200% of the federally defined poverty level.

Data Source: U.S. Census Bureau, 2005-2009 American Community Survey 7

Page 39: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Chicago

3

1

729

90

15

22

12

10

20

24

369

88

32

35

129

98

100

2531

30

4

75

21

16

76

44

33

C51

111

2715

126

C76

19

114

71 C25

47

108

58

26

92

77

78 74

116

11

86

34

110

40

113

C28

5

91

95

103

101

C61

C70

C4981

C2

42

14

60C24

C30

85

C7

118

83

23

C6

C10

C56

93

66

57

122

18

69 56

C15

C19

62

53

C71

C17

C8

109

46

96

63

37C23

C22

C53

C69C66

C4

94

5554

49

C16

C29

C3

115

C68

64

97

C43

C44

70

C73

C5

C58

41

C63

C21

C27

2

112

68

80C55

117

45

105

79

121

43 C46

51

C76

C12

C72

C75

C67

C31

72

C65

C54

124

C52

59

C74

128

C64

C1

C13C11

107

61

65

39

C50

C42

C60

C57

C14

C48

C33

73 C38

99

C77

125

C35

89

C41

123

C9

48

C32

C4050

C59

102

C26

6

52

C45

4

120

C62

C20

106

C39

C51

93

C18

C34

17

28

104

C55

84

127

13

C47

C36

87

119

67

65

C54

8

105

38

82

²

Cook CountyPercent Change in Population Below 200% Federal Poverty Level (FPL)*

From 2000 to 2005-2009

Percent Change in 200% FPL

50% Decrease or More10-49% DecreaseLittle or No Change10-49% Increase50% Increase or More

0 5 10 Miles

Cook County Department of Public Health, Epidemiology Unit

*Note: The percent of persons in households or group quarters, other than institutions, with income levels below 200% of the federally defined poverty level.

Data Source: U.S. Census Bureau, 2000 Census of the PopulationU.S. Census Bureau, 2005-2009 American Community Survey 8

Page 40: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Chicago

3

1

729

90

15

22

12

10

20

24

369

88

32

35

129

98

100

2531

30

4

75

21

16

76

44

33

C51

111

27

126

C76

19

114

71 C25

47

108

58

26

92

77

78 74

116

11

86

34

110

40

113

C28

5

91

95

103

101

C61

C70

C4981

C2

42

14

60C24

C30

85

C7

118

83

23

C6

C10

C56

93

66

57

122

18

69 56

C15

C19

62

53

C71

C17

C8

109

46

96

63

37C23

C22

C53

C69C66

C4

94

5554

49

C16

C29

C3

115

C68

64

97

C43

C44

70

C73

C5

C58

41

C63

C21

C27

2

112

68

80C55

117

45

105

79

121

43 C46

51

C12

C72

C75

C67

C31

72

C65

C54

124

C52

59

C74

128

C64

C1

C13C11

107

61

65

39

C50

C42

C60

C57

C14

C48

C33

73 C38

99

C77

125

C35

89

C41

123

C9

48

C32

C4050

C59

102

C26

6

52

C45

120

C62

C20

106

C39

C18

C34

17

28

104

84

127

13

C47

C36

87

119

67

8

38

82

²

0 105Miles

Cook County: Percent of Total Population - 2010*65+ Years

Percent of Total Population0-9%10-24%25-49%50%+

Cook County Department of Public Health, Epidemiology Unit*Data Source: U.S. Census Bureau 9

Page 41: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Chicago

3

1

729

90

15

22

12

10

20

24

369

88

32

35

129

98

100

2531

30

4

75

21

16

76

44

33

C51

111

27

126

C76

19

114

71 C25

47

108

58

26

92

77

78 74

116

11

86

34

110

40

113

C28

5

91

95

103

101

C61

C70

C4981

C2

42

14

60C24

C30

85

C7

118

83

23

C6

C10

C56

93

66

57

122

18

69 56

C15

C19

62

53

C71

C17

C8

109

46

96

63

37C23

C22

C53

C69C66

C4

94

5554

49

C16

C29

C3

115

C68

64

97

C43

C44

70

C73

C5

C58

41

C63

C21

C27

2

112

68

80C55

117

45

105

79

121

43 C46

51

C12

C72

C75

C67

C31

72

C65

C54

124

C52

59

C74

128

C64

C1

C13C11

107

61

65

39

C50

C42

C60

C57

C14

C48

C33

73 C38

99

C77

125

C35

89

C41

123

C9

48

C32

C4050

C59

102

C26

6

52

C45

120

C62

C20

106

C39

C18

C34

17

28

104

84

127

13

C47

C36

87

119

67

8

38

82

²

0 105Miles

Cook County Population Change 2000-2010*65+ years

Percent Change in Population20% Decrease or More10-19% DecreaseNo or Little Change10-19% Increase20% Increase or More

Cook County Department of Public Health, Epidemiology Unit*Data Source: U.S. Census Bureau 10

Page 42: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Cook County Demographic Profile 2000 and 2010Total Population

PopulatrionT65Ov_00 T65OvPer_00 T65Ov_10 T65OvPer_10 T65OvChg T65OvPerChg Pov200_00 Pov200_0509 Pov200chg

Cook County 630,196 11.7% 620,323 11.9% ‐9,873 ‐1.6% 29.5% 34.7% 17.6%Suburban Cook 331,460 13.4% 342,394 13.7% 10,934 3.3% 17.6% 22.8% 29.6%Alsip 2,196 11.1% 2,281 11.8% 85 3.9% 17.6% 25.0% 41.7%Arlington Heights 12,221 16.1% 12,920 17.2% 699 5.7% 8.4% 11.0% 30.5%Barrington 799 14.0% 924 16.4% 125 15.6% 8.7% 8.7% ‐0.1%Barrington Hills (pt.) 300 15.2% 390 18.0% 90 30.0% 5.0% 2.3% ‐54.6%Barrington Twp 67 8.3% 85 13.9% 18 n/c 12.8% 4.2% ‐67.5%Bartlett (pt.) 967 7.9% 1,713 10.2% 746 77.2% 10.2% 13.6% 33.1%Bedford Park 105 18.3% 95 16.4% ‐10 n/c 8.7% 22.7% 160.4%Bellwood 1,618 7.9% 1,912 10.0% 294 18.2% 21.2% 31.6% 48.6%Bensenville 0 0.0% 0 0.0% 0 n/c n/c n/c n/cBerkeley 769 14.7% 622 11.9% ‐147 ‐19.1% 13.8% 27.3% 98.0%Berwyn 7,281 13.5% 5,308 9.4% ‐1,973 ‐27.1% 24.0% 35.9% 49.4%Bloom Twp 446 16.7% 282 14.6% ‐164 ‐36.8% 17.2% 47.2% 174.0%Blue Island 2,288 9.8% 2,005 8.5% ‐283 ‐12.4% 34.4% 43.7% 26.7%Bremen Twp 401 16.0% 372 18.3% ‐29 ‐7.2% 9.8% 10.5% 7.2%Bridgeview 2,217 14.5% 2,087 12.7% ‐130 ‐5.9% 23.7% 30.8% 30.2%Broadview 881 10.7% 992 12.5% 111 12.6% 16.8% 21.8% 30.0%Brookfield 2,908 15.2% 2,399 12.6% ‐509 ‐17.5% 14.5% 14.8% 2.1%Buffalo Grove (pt.) 2,050 14.2% 2,338 17.1% 288 14.1% 8.2% 15.7% 90.6%Burbank 3,921 14.1% 3,846 13.3% ‐75 ‐1.9% 17.3% 26.5% 52.9%Burnham 487 11.7% 394 9.4% ‐93 ‐19.1% 26.8% 37.3% 39.5%Burr Ridge (pt.) 650 17.9% 850 22.1% 200 30.8% 8.2% 10.2% 24.2%Calumet City 4,975 12.7% 4,336 11.7% ‐639 ‐12.8% 28.2% 37.2% 32.1%Calumet Park 687 8.1% 815 10.4% 128 18.6% 26.2% 38.3% 46.2%Calumet Twp 0 0.0% 42 0.0% 42 n/c n/c n/c n/cChicago Heights 3,881 11.8% 3,216 10.6% ‐665 ‐17.1% 39.8% 48.8% 22.7%Chicago Ridge 1,620 11.5% 1,735 12.1% 115 7.1% 21.4% 31.8% 48.1%Cicero 6,066 7.1% 4,979 5.9% ‐1,087 ‐17.9% 43.5% 49.8% 14.4%Country Club Hills 1,141 7.1% 1,846 11.2% 705 61.8% 16.5% 26.8% 62.1%Countryside 943 15.7% 993 16.8% 50 5.3% 15.3% 22.0% 43.9%Crestwood 2,017 17.9% 2,328 21.3% 311 15.4% 14.3% 18.7% 30.7%Deer Park (pt.) 1 11.1% 4 23.5% 3 n/c n/c n/c n/cDeerfield (pt.) 305 98.1% 161 93.6% ‐144 ‐47.2% n/c n/c n/cDes Plaines 10,105 17.2% 9,993 17.1% ‐112 ‐1.1% 14.5% 19.0% 30.9%Dixmoor 490 12.5% 372 10.2% ‐118 ‐24.1% 56.2% 51.6% ‐8.3%Dolton 2,363 9.2% 2,113 9.1% ‐250 ‐10.6% 21.0% 35.4% 68.2%East Dundee village (pt.) 0 0.0% 0 0.0% 0 n/c n/c n/c n/cEast Hazel Crest 160 10.0% 176 11.4% 16 10.0% 26.8% 27.6% 3.2%Elgin (pt.) 1,448 7.1% 1,805 7.5% 357 24.7% 18.1% 25.8% 42.3%Elk Grove Twp 237 7.2% 421 6.8% 184 77.6% 32.4% 41.1% 26.8%Elk Grove Village 4,086 11.8% 4,897 14.8% 811 19.9% 8.4% 11.0% 30.4%Elmwood Park 4,219 16.6% 3,458 13.9% ‐761 ‐18.0% 16.4% 24.4% 49.1%Evanston 8,014 10.8% 9,085 12.2% 1,071 13.4% 21.2% 19.9% ‐6.1%Evergreen Park 3,652 17.5% 2,595 13.1% ‐1,057 ‐28.9% 13.3% 20.3% 52.5%Flossmoor 1,315 14.1% 1,485 15.7% 170 12.9% 5.9% 7.7% 31.9%Ford Heights 236 6.8% 299 10.8% 63 26.7% 77.2% 61.9% ‐19.8%Forest Park 1,916 12.2% 1,635 11.5% ‐281 ‐14.7% 19.4% 23.4% 20.9%Forest View 161 20.7% 136 19.5% ‐25 ‐15.5% 14.6% 16.0% 9.7%Frankfort village (pt.) 0 0.0% 0 0.0% 0 n/c n/c n/c n/cFranklin Park 2,590 13.3% 2,056 11.2% ‐534 ‐20.6% 25.6% 33.2% 30.0%Glencoe 1,306 14.9% 1,259 14.4% ‐47 ‐3.6% 5.1% 5.9% 15.7%Glenview 6,682 16.0% 8,817 19.7% 2,135 32.0% 8.5% 10.2% 20.1%Glenwood 1,172 13.0% 1,373 15.3% 201 17.2% 10.3% 17.0% 64.4%Golf 79 17.5% 84 16.8% 5 n/c 1.8% 6.6% 271.8%Hanover Park (pt.) 945 4.6% 1,329 6.4% 384 40.6% 21.9% 34.8% 58.9%Hanover Twp 143 7.2% 246 11.8% 103 72.0% 3.5% 11.9% 243.8%Harvey 2,586 8.6% 2,641 10.5% 55 2.1% 50.1% 56.4% 12.4%Harwood Heights 1,706 20.6% 1,446 16.8% ‐260 ‐15.2% 17.6% 21.5% 21.7%Hazel Crest 1,568 10.6% 1,724 12.2% 156 10.0% 22.0% 31.0% 40.4%Hickory Hills 1,745 12.5% 1,923 13.7% 178 10.2% 15.9% 20.6% 29.4%Hillside 1,273 15.6% 1,123 13.8% ‐150 ‐11.8% 20.0% 27.7% 38.8%Hinsdale (pt.) 240 11.2% 294 13.2% 54 22.5% 3.1% 2.1% ‐31.8%Hodgkins (pt.) 315 14.8% 305 16.1% ‐10 ‐3.2% 39.9% 57.7% 44.7%Hoffman Estates 3,297 6.7% 4,863 9.4% 1,566 47.5% 12.5% 16.5% 31.7%Hometown 857 19.2% 697 16.0% ‐160 ‐18.7% 17.1% 28.9% 69.3%Homewood 3,209 16.4% 2,794 14.5% ‐415 ‐12.9% 11.8% 11.6% ‐1.2%Indian Head Park 1,226 33.3% 1,142 30.0% ‐84 ‐6.9% 3.7% 9.2% 147.0%Inverness 803 11.9% 1,492 20.2% 689 85.8% 3.8% 10.2% 169.8%Justice 886 7.3% 987 7.6% 101 11.4% 16.2% 33.6% 106.9%Kenilworth 294 11.8% 337 13.4% 43 14.6% 2.9% 2.2% ‐23.2%Lagrange 2,105 13.5% 1,966 12.6% ‐139 ‐6.6% 10.3% 10.4% 1.0%Lagrange Park 2,901 21.8% 2,868 21.1% ‐33 ‐1.1% 10.2% 13.6% 33.6%Lansing 4,426 15.6% 3,843 13.6% ‐583 ‐13.2% 16.0% 25.3% 58.5%Lemont (pt.) 1,852 14.2% 2,408 15.1% 556 30.0% 10.7% 8.3% ‐22.4%Lemont Twp 498 10.1% 666 13.5% 168 33.7% 5.5% 3.0% ‐46.4%Leyden Twp 1,004 10.3% 1,017 10.7% 13 1.3% 16.5% 37.2% 125.0%Lincolnwood 2,953 23.9% 2,790 22.2% ‐163 ‐5.5% 10.4% 18.4% 77.5%Lynwood 554 7.5% 960 10.7% 406 73.3% 17.1% 25.2% 47.3%Lyons 1,334 13.0% 1,312 12.2% ‐22 ‐1.7% 24.4% 25.2% 3.5%Lyons Twp 754 13.9% 711 14.0% ‐43 ‐5.7% 20.8% 14.4% ‐31.1%Maine Twp 2,799 10.3% 2,972 11.2% 173 6.2% 20.8% 29.3% 40.9%Markham 1,507 11.9% 1,574 12.6% 67 4.5% 34.1% 45.7% 33.9%Matteson 1,393 10.8% 2,254 11.9% 861 61.8% 15.0% 18.5% 23.3%Maywood 2,591 9.6% 2,827 11.7% 236 9.1% 34.5% 36.5% 5.7%Mccook 54 21.3% 44 19.3% ‐10 n/c 18.1% 16.5% ‐8.9%Melrose Park 2,522 10.9% 2,477 9.8% ‐45 ‐1.8% 32.4% 45.6% 40.6%Merrionette Park 387 19.4% 284 15.0% ‐103 ‐26.6% 20.3% 39.5% 94.4%

Population Ages 65 years and Over 200% FPL

n/c: Not calculated. Percent change was not calculated if either 2000 or 2010 population counts were less than 100.

Data Source: 2000 and 2010 U.S. Census of the Population Total Population 1

Page 43: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Cook County Demographic Profile 2000 and 2010Total Population

PopulatrionT65Ov_00 T65OvPer_00 T65Ov_10 T65OvPer_10 T65OvChg T65OvPerChg Pov200_00 Pov200_0509 Pov200chg

Midlothian 1,429 10.0% 1,428 9.6% ‐1 ‐0.1% 16.9% 29.0% 71.0%Morton Grove 4,836 21.5% 4,793 20.6% ‐43 ‐0.9% 10.2% 14.4% 41.9%Mt Prospect 8,340 14.8% 8,584 15.9% 244 2.9% 15.5% 18.0% 16.8%New Trier Twp 133 16.3% 94 24.4% ‐39 n/c 0.8% 2.1% 146.4%Niles 8,333 27.7% 7,656 25.7% ‐677 ‐8.1% 15.5% 22.0% 42.4%Niles Twp 0 0.0% 0 0.0% 0 n/c n/c n/c n/cNorridge 4,214 28.9% 3,608 24.8% ‐606 ‐14.4% 12.7% 23.2% 82.1%North Riverside 1,880 28.1% 1,352 20.3% ‐528 ‐28.1% 18.2% 20.2% 10.8%Northbrook 6,240 18.7% 7,446 22.5% 1,206 19.3% 5.3% 9.0% 70.3%Northfield 1,125 20.9% 1,202 22.2% 77 6.8% 5.4% 6.8% 27.4%Northfield Twp 2,646 21.2% 2,112 17.1% ‐534 ‐20.2% 18.0% 21.3% 18.7%Northlake 1,833 15.4% 1,717 13.9% ‐116 ‐6.3% 21.9% 27.3% 24.5%Norwood Park Twp 279 24.1% 230 21.4% ‐49 ‐17.6% 19.9% 22.7% 13.9%Oak Forest 2,577 9.2% 3,132 11.2% 555 21.5% 11.7% 20.2% 73.3%Oak Lawn 12,015 21.8% 10,196 18.0% ‐1,819 ‐15.1% 15.5% 19.0% 22.8%Oak Park 5,007 9.5% 5,535 10.7% 528 10.6% 12.5% 13.5% 8.5%Olympia Fields 903 19.1% 1,276 25.6% 373 41.3% 6.1% 16.9% 177.2%Orland Hills 278 4.1% 474 6.6% 196 70.5% 9.3% 16.8% 81.9%Orland Park (pt.) 8,372 16.4% 10,648 18.8% 2,276 27.2% 7.5% 9.5% 26.7%Orland Twp 322 6.3% 512 10.4% 190 59.0% 5.6% 10.5% 87.4%Palatine 5,764 8.8% 7,224 10.5% 1,460 25.3% 12.6% 18.4% 46.4%Palatine Twp 603 7.1% 577 8.3% ‐26 ‐4.3% 25.5% 28.6% 12.2%Palos Heights 2,868 25.5% 3,465 27.7% 597 20.8% 8.1% 9.1% 12.1%Palos Hills 3,015 17.1% 3,068 17.6% 53 1.8% 10.5% 17.5% 66.2%Palos Park 904 19.3% 1,352 27.9% 448 49.6% 7.9% 5.9% ‐25.4%Palos Twp 973 16.8% 1,173 20.6% 200 20.6% 11.0% 10.4% ‐4.7%Park Forest (pt.) 2,485 12.3% 2,546 13.6% 61 2.5% 20.2% 30.3% 50.4%Park Ridge 7,421 19.7% 6,886 18.4% ‐535 ‐7.2% 7.2% 10.4% 44.6%Phoenix 338 15.7% 324 16.5% ‐14 ‐4.1% 46.0% 35.8% ‐22.2%Posen 550 11.6% 431 7.2% ‐119 ‐21.6% 21.1% 33.6% 58.9%Prospect Heights 1,949 11.4% 2,217 13.6% 268 13.8% 19.4% 25.7% 32.6%Proviso Twp 127 19.3% 203 35.0% 76 59.8% 14.7% 45.7% 210.2%Rich Twp 687 24.2% 571 22.5% ‐116 ‐16.9% 19.7% 18.7% ‐5.2%Richton Park 956 7.6% 1,175 8.6% 219 22.9% 17.0% 18.1% 6.4%River Forest 1,624 14.0% 1,590 14.2% ‐34 ‐2.1% 8.0% 7.0% ‐11.8%River Grove 1,713 16.1% 1,252 12.2% ‐461 ‐26.9% 22.1% 30.7% 38.6%Riverdale 961 6.4% 965 7.1% 4 0.4% 36.9% 46.0% 24.6%Riverside 1,371 15.4% 1,270 14.3% ‐101 ‐7.4% 7.0% 9.0% 29.5%Riverside Twp 20 16.4% 12 10.9% ‐8 n/c n/c n/c n/cRobbins 847 12.8% 799 15.0% ‐48 ‐5.7% 62.1% 60.8% ‐2.1%Rolling Meadows 2,610 10.6% 2,988 12.4% 378 14.5% 15.1% 24.9% 64.9%Roselle (pt.) 335 9.7% 410 11.0% 75 22.4% 10.7% 9.1% ‐14.8%Rosemont 467 11.1% 567 13.5% 100 21.4% 37.4% 48.7% 30.3%S Chicago Heights 700 17.6% 523 12.6% ‐177 ‐25.3% 24.2% 37.4% 54.9%Sauk Village (pt.) 772 7.4% 842 8.0% 70 9.1% 30.7% 44.7% 45.7%Schaumburg 7,152 9.5% 9,121 12.3% 1,969 27.5% 9.3% 15.3% 64.7%Schaumburg Twp 235 12.0% 290 15.2% 55 23.4% 4.2% 23.6% 459.7%Schiller Park 1,232 10.4% 1,307 11.1% 75 6.1% 23.9% 30.2% 26.5%Skokie 12,386 19.6% 11,297 17.4% ‐1,089 ‐8.8% 16.6% 21.4% 29.1%South Barrington 256 6.8% 628 13.8% 372 145.3% 4.8% 7.5% 56.5%South Holland 3,921 17.7% 3,721 16.9% ‐200 ‐5.1% 12.9% 24.8% 92.6%Steger (pt.) 456 11.3% 559 13.6% 103 22.6% 21.8% 29.1% 33.2%Stickney 1,127 18.3% 867 12.8% ‐260 ‐23.1% 25.4% 33.2% 31.0%Stickney Twp 399 11.3% 412 10.2% 13 3.3% 31.1% 19.9% ‐35.9%Stone Park 285 5.6% 292 5.9% 7 2.5% 37.5% 39.0% 3.9%Streamwood 2,229 6.1% 3,199 8.0% 970 43.5% 13.5% 22.4% 66.0%Summit 1,104 10.4% 968 8.8% ‐136 ‐12.3% 37.0% 36.6% ‐1.2%Thornton 437 16.9% 367 15.7% ‐70 ‐16.0% 14.9% 22.9% 54.5%Thornton Twp 122 13.0% 145 19.0% 23 18.9% 16.5% 37.3% 126.0%Tinley Park (pt.) 5,096 11.1% 6,895 14.0% 1,799 35.3% 10.0% 13.9% 39.5%University Park village (pt.) 0 0.0% 0 0.0% 0 n/c n/c n/c n/cWestchester 4,273 25.4% 3,695 22.1% ‐578 ‐13.5% 9.2% 16.4% 77.9%Western Springs 1,804 14.4% 1,823 14.1% 19 1.1% 2.9% 4.1% 42.5%Wheeling 3,526 10.2% 4,605 12.2% 1,079 30.6% 16.4% 23.7% 44.2%Wheeling Twp 310 10.1% 139 12.8% ‐171 ‐55.2% 14.3% 32.2% 124.4%Willow Springs 544 10.8% 806 14.6% 262 48.2% 13.2% 9.5% ‐27.7%Wilmette 4,748 17.2% 4,554 16.8% ‐194 ‐4.1% 5.7% 4.5% ‐20.6%Winnetka 1,613 13.0% 1,662 13.6% 49 3.0% 4.4% 4.6% 3.9%Worth 1,549 14.0% 1,306 12.1% ‐243 ‐15.7% 23.4% 22.0% ‐5.8%Worth Twp 668 18.2% 666 19.0% ‐2 ‐0.3% 17.2% 10.7% ‐38.2%

Chicago 298,736 10.3% 277,929 10.3% ‐20,807 ‐7.0% 39.7% 43.3% 9.1%Albany Park    4,238 7.4% 4,598 8.0% 360 8.5% 42.0% 46.6% 10.8%Archer Heights    1,715 13.6% 1,188 8.9% ‐527 ‐30.7% 30.0% 42.2% 40.8%Armour Square    2,322 19.3% 1,199 19.5% ‐1,123 ‐48.4% 55.5% 52.8% ‐4.8%Ashburn    4,754 12.0% 3,957 9.6% ‐797 ‐16.8% 20.3% 32.5% 60.0%Auburn Gresham    6,893 12.3% 7,585 15.6% 692 10.0% 44.1% 48.9% 10.8%Austin    9,296 7.9% 10,633 10.8% 1,337 14.4% 46.6% 50.6% 8.7%Avalon Park    1,783 16.0% 1,969 19.3% 186 10.4% 24.0% 40.9% 70.4%Avondale 3,106 7.2% 2,950 7.5% ‐156 ‐5.0% 43.2% 43.4% 0.4%Belmont Cragin    6,318 8.1% 5,434 7.3% ‐884 ‐14.0% 33.8% 50.3% 48.8%Beverly    2,479 11.3% 2,431 12.1% ‐48 ‐1.9% 9.4% 12.0% 27.7%Bridgeport    3,615 10.7% 2,976 10.2% ‐639 ‐17.7% 40.6% 40.6% 0.0%Brighton Park    3,365 7.5% 2,610 5.8% ‐755 ‐22.4% 46.7% 54.3% 16.3%Burnside    246 7.5% 513 17.6% 267 108.5% 55.8% 64.4% 15.4%Calumet Heights    2,580 16.2% 3,209 23.2% 629 24.4% 28.1% 34.8% 23.8%Chatham    6,506 17.5% 5,194 16.7% ‐1,312 ‐20.2% 36.9% 46.6% 26.4%Chicago Lawn    4,002 6.5% 3,229 6.5% ‐773 ‐19.3% 46.7% 54.6% 17.0%Clearing    3,444 15.4% 2,809 12.1% ‐635 ‐18.4% 20.9% 24.7% 17.9%Douglas    3,345 12.6% 2,823 15.5% ‐522 ‐15.6% 54.6% 45.6% ‐16.4%Dunning    7,298 17.3% 6,290 15.0% ‐1,008 ‐13.8% 18.3% 22.3% 21.9%

n/c: Not calculated. Percent change was not calculated if either 2000 or 2010 population counts were less than 100.

Data Source: 2000 and 2010 U.S. Census of the Population Total Population 2

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Cook County Demographic Profile 2000 and 2010Total Population

PopulatrionT65Ov_00 T65OvPer_00 T65Ov_10 T65OvPer_10 T65OvChg T65OvPerChg Pov200_00 Pov200_0509 Pov200chg

East Garfield Park 2,152 10.3% 2,080 9.3% ‐72 ‐3.4% 59.7% 66.7% 11.7%East Side    2,816 11.9% 2,319 10.1% ‐497 ‐17.7% 34.6% 50.2% 45.0%Edgewater    7,510 12.1% 6,688 11.8% ‐822 ‐11.0% 36.5% 34.9% ‐4.1%Edison Park    2,267 20.0% 1,827 16.3% ‐440 ‐19.4% 6.8% 9.2% 35.1%Englewood    4,585 11.4% 3,496 11.4% ‐1,089 ‐23.8% 67.5% 67.0% ‐0.7%Forest Glen    3,231 17.8% 3,089 16.7% ‐142 ‐4.4% 9.7% 12.2% 25.6%Fuller Park    504 14.7% 509 17.7% 5 1.0% 61.6% 64.5% 4.7%Gage Park    2,393 6.1% 2,448 5.4% 55 2.3% 45.4% 59.3% 30.6%Garfield Ridge    6,501 18.0% 5,262 15.3% ‐1,239 ‐19.1% 23.6% 23.5% ‐0.6%Grand Boulevard    3,644 13.0% 2,907 13.3% ‐737 ‐20.2% 70.0% 52.4% ‐25.1%Greater Grand Cross 5,955 15.4% 4,138 12.7% ‐1,817 ‐30.5% 49.7% 55.5% 11.7%Hegewisch    1,634 16.7% 1,422 15.1% ‐212 ‐13.0% 22.5% 30.8% 36.9%Hermosa    1,579 5.9% 1,311 6.6% ‐268 ‐17.0% 41.9% 49.1% 17.2%Humboldt Park    3,533 5.4% 4,107 7.3% 574 16.3% 57.5% 62.7% 9.1%Hyde Park    3,278 11.0% 3,226 12.6% ‐52 ‐1.6% 31.5% 32.3% 2.6%Irving Park    5,291 9.0% 4,594 8.6% ‐697 ‐13.2% 30.6% 28.5% ‐6.8%Jefferson Park    4,584 17.7% 3,688 14.5% ‐896 ‐19.6% 14.9% 18.7% 25.8%Kenwood    2,475 13.5% 2,747 15.4% 272 11.0% 40.0% 40.0% ‐0.1%Lakeview    7,687 8.1% 7,181 7.3% ‐506 ‐6.6% 17.5% 18.9% 7.7%Lincoln Park    4,270 6.6% 5,071 7.9% 801 18.8% 15.1% 16.9% 12.3%Lincoln Square   4,555 10.2% 3,381 8.6% ‐1,174 ‐25.8% 29.4% 31.0% 5.1%Logan Square    4,960 6.0% 4,560 5.8% ‐400 ‐8.1% 46.6% 41.2% ‐11.5%Lower West Side    2,496 5.7% 3,729 8.7% 1,233 49.4% 60.4% 58.4% ‐3.4%McKinley Park    1,474 9.2% 1,264 8.1% ‐210 ‐14.3% 42.1% 44.7% 6.1%Montclare    1,800 14.2% 2,034 11.6% 234 13.0% 25.4% 36.4% 43.2%Morgan Park    3,492 13.8% 3,609 16.0% 117 3.4% 24.3% 32.9% 35.1%Mount Greenwood    2,690 14.3% 2,142 11.2% ‐548 ‐20.4% 10.8% 10.0% ‐7.4%Near North Side 8,677 11.9% 10,836 13.9% 2,159 24.9% 23.7% 21.4% ‐9.9%Near South Side    984 10.4% 1,969 9.2% 985 100.1% 44.6% 23.4% ‐47.5%Near West Side    3,388 7.3% 3,861 6.7% 473 14.0% 52.8% 41.5% ‐21.5%New City    2,952 5.7% 2,850 6.4% ‐102 ‐3.5% 62.7% 64.1% 2.2%North Center    2,722 8.5% 2,263 7.1% ‐459 ‐16.9% 21.4% 15.3% ‐28.4%North Lawndale    3,887 9.3% 3,439 8.6% ‐448 ‐11.5% 68.1% 68.6% 0.7%North Park    2,768 15.0% 2,642 22.8% ‐126 ‐4.6% 24.8% 28.1% 13.4%Norwood Park    8,609 22.9% 7,224 19.5% ‐1,385 ‐16.1% 11.4% 14.5% 27.0%Oakland    524 8.6% 514 8.7% ‐10 ‐1.9% 76.9% 60.3% ‐21.6%O'Hare    1,834 15.8% 1,922 12.4% 88 4.8% 20.8% 25.9% 24.4%Portage Park    8,450 12.9% 6,958 10.9% ‐1,492 ‐17.7% 23.5% 30.0% 27.7%Pullman    1,064 11.9% 1,056 14.4% ‐8 ‐0.8% 45.1% 39.9% ‐11.5%Riverdale    506 5.2% 388 6.0% ‐118 ‐23.3% 78.6% 78.4% ‐0.2%Rogers Park    4,458 7.0% 3,883 7.8% ‐575 ‐12.9% 46.6% 46.4% ‐0.4%Roseland    7,078 13.4% 7,365 16.5% 287 4.1% 39.0% 48.3% 23.8%South Chicago    3,739 9.7% 4,011 12.9% 272 7.3% 54.0% 53.8% ‐0.3%South Deering    1,886 11.1% 2,119 14.0% 233 12.4% 40.5% 47.2% 16.6%South Lawndale    3,579 3.9% 3,453 4.7% ‐126 ‐3.5% 59.6% 58.1% ‐2.5%South Shore    6,748 11.0% 6,314 12.7% ‐434 ‐6.4% 48.7% 52.1% 7.0%The Loop    1,624 9.9% 2,365 8.1% 741 45.6% 17.7% 15.8% ‐10.5%Uptown    7,148 11.3% 5,507 10.6% ‐1,641 ‐23.0% 45.7% 44.0% ‐3.7%Washington Heights 4,714 15.8% 5,159 19.5% 445 9.4% 29.6% 37.5% 26.5%Washington Park    1,278 9.0% 785 6.7% ‐493 ‐38.6% 74.9% 74.2% ‐1.0%West Elsdon    2,223 14.0% 1,504 8.3% ‐719 ‐32.3% 24.6% 44.4% 80.4%West Englewood    4,398 9.7% 4,364 12.3% ‐34 ‐0.8% 60.9% 70.3% 15.4%West Garfield Park 2,304 10.0% 1,801 10.0% ‐503 ‐21.8% 60.0% 65.5% 9.3%West Lawn    3,652 12.5% 2,599 7.8% ‐1,053 ‐28.8% 25.7% 42.3% 64.8%West Pullman    3,243 8.9% 3,954 13.3% 711 21.9% 40.5% 52.2% 29.1%West Ridge    9,930 13.6% 8,462 11.0% ‐1,468 ‐14.8% 33.5% 39.7% 18.6%West Town    6,174 7.1% 5,082 6.2% ‐1,092 ‐17.7% 43.6% 34.5% ‐21.0%Woodlawn    3,534 13.1% 2,854 11.0% ‐680 ‐19.2% 64.0% 55.8% ‐12.7%

n/c: Not calculated. Percent change was not calculated if either 2000 or 2010 population counts were less than 100.

Data Source: 2000 and 2010 U.S. Census of the Population Total Population 3

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Community Health Status Assessment:Data Compendium CŜōNJdzŀNJȅ нлмр

Office of Epidemiology & Public Health InformaticsNik Prachand, MPH

Kirsti Bocskay, PhD, MPhil, MPHDana Harper, BS

Emily Laflamme, MPHMargarita Reina, MPHKingsley Weaver, MPH

Page 46: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Child Opportunity Index

Source: Kirwan Institute and Brandeis University, 2014

Highest Community Area Loop (32): 0.84

Lowest Community Area Riverdale (54): -1.34

Educational • Adult educational attainment• Student (school) poverty rate• Reading proficiency rate• Math proficiency rate• Early childhood education neighborhood participation

patterns• High school graduation rate• Proximity to high-quality early childhood education

centers• Proximity to early childhood education centers of any

type

Health and Environmental • Retail healthy food index• Proximity to toxic waste release sites• Volume of nearby toxic release• Proximity to parks and open spaces• Housing vacancy rates• Proximity to health care facilities

Economic • Neighborhood foreclosure rate• Poverty rate• Unemployment rate• Public assistance rate• Proximity to employment

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Child Opportunity and Health Outcomes

Source: Kirwan Institute and Brandeis University, 2014

• Less child opportunity in a neighborhood is stronglycorrelated with:• Shootings• Elevated blood lead levels• Obesity in children• Life expectancy at birth• Diabetes-related mortality• Diet-related mortality• Teen births

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Life Expectancy at Birth Correlated with Hardship and Opportunity

Source: Illinois Department of Public Health, Division of Vital Records, Death Certificate Files, 2009-2010; American Community Survey, 5-year estimates, 2009-2013; Kirwan Institute, Brandeis University, 2014

R² = 0.3797

60

65

70

75

80

85

90

0 20 40 60 80 100

Life

Exp

ect

ancy

(ye

ars)

Community Area Hardship Index Score

R² = 0.4725 60

65

70

75

80

85

90

0 0.5 1 1.5 2 2.5

Life

Exp

ect

ancy

(ye

ars)

Community Area Child Opportunity Index Score

Life expectancy is higher in community areas with lower hardship and more opportunity.

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80.5

52.3

91.1

55.0

16.4 5.2

105.8

72.6

23.0

12.6

0

20

40

60

80

100

120

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Bir

ths

pe

r 1

,00

0 f

em

ale

s ag

ed

15

-19

All race-ethnicities

Hispanic

Non-Hispanic Asian or Pacific Islander

Non-Hispanic African-American or black

Non-Hispanic white

Teen Births 34.3 52.3

17.4

47.5

74.1

0

10

20

30

40

50

60

70

80

90

Low Medium High

Bir

ths

pe

r 1

,00

0 f

em

ale

s ag

ed

15

-19

Hardship Index

81.6

63.9

45.8

32.9

12.1 0

10

20

30

40

50

60

70

80

90

Very Low Low Moderate High Very High

Bir

ths

pe

r 1

,00

0 f

em

ale

s ag

ed

15

-19

Child Opportunity Index

Source: Illinois Department of Public Health, Division of Vital Records, Birth Certificate Data Files, 2000-2010; American Community Survey, 5-year estimates, 2008-2012; Kirwan Institute, Brandeis Unviersity, 2014

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Chlamydia and Child Opportunity

Source: Chicago Department of Public Health, STI Surveillance Program, 2014; American Community Survey, 5-year estimates, 2008-2012; Kirwan Institute and Brandeis University, 2014

R² = 0.3607

0

20

40

60

80

100

120

140

160

180

200

0 0.5 1 1.5 2 2.5

Ch

lam

ydia

rat

e p

er

1,0

00

fem

ales

age

d 1

5-1

9 y

ear

s

Child Opportunity Index Score

Chlamydia among females aged 15-19 years is higher in community areas with less opportunity.

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Non-fatal Shootings

Source: Chicago Police Department, 2014; Kirwan Institute and Brandeis Uiniversity, 2014

R² = 0.5336

-1

0

1

2

3

4

5

0 0.5 1 1.5 2 2.5

Sho

oti

ngs

pe

r 1

,00

0

Child Opportunity Index Score

Shooting rates are higher in communities with higher hardship.

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Elevated Blood Lead Level and Child Opportunity

Source: Kirwan Institute and Brandeis University, 2014; Chicago Department of Public Health, Lead Poisoning & Prevention, 2014

Highest Community Area Fuller Park (37): 15.0%

Lowest Community Area Near South Side (33): 0.3%

Chicago: 4.5%

R² = 0.5052

0

2

4

6

8

10

12

14

16

0 0.5 1 1.5 2 2.5

Pe

rce

nt

of c

hild

ren

te

sted

w

ho

hav

e e

leva

ted

blo

od le

ad le

vels

Child Opportunity Index Score

Communities with less opportunity have higher percentages of children with elevated blood lead levels.

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Diabetes Mortality and Child Opportunity

R² = 0.4788 0

20

40

60

80

100

120

140

160

0 0.5 1 1.5 2 2.5

Age

-ad

just

ed

rat

e p

er

10

0,0

00

Child Opportunity Index Score

Source: Kirwan Institute, Brandeis University, 2014; Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files, 2007-2011

Diabetes-related mortality rates are higher in communities with less opportunity.

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Diet-related Mortality, Food Insecurity and Child Opportunity

R² = 0.673

0

100

200

300

400

500

600

700

0 10 20 30 40 50 60

Age

-ad

just

ed

rat

e p

er 1

00,

000

Percent food insecure

Source: Illinois Department of Public Health, Division of Vital Records, Death Certificate Data Files, 2007-2011; Greater Chicago Food Depository, 2012; Kirwan Institute, Brandeis University, 2014

R² = 0.4527 0

100

200

300

400

500

600

700

0 0.5 1 1.5 2 2.5

Age

-ad

just

ed

mo

rtal

ity

rate

(pe

r 10

0,00

0)

Child Opportunity Index Score

Diet-related mortality rates are higher in communities with more food insecurity and less opportunity.

Page 55: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Educational Opportunity Index

Source: Kirwan Institute and Brandeis University, 2014

• Adult educational attainment

• Student (school) poverty rate

• Reading proficiency rate

• Math proficiency rate

• Early childhood educationneighborhood participationpatterns

• High school graduation rate

• Proximity to high-quality earlychildhood education centers

• Proximity to early childhoodeducation centers of any type

Page 56: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

Educational Opportunity and Obesity

Source: Kirwan Institute and Brandeis University, 2014; Chicago Public Schools, 2012-2013

R² = 0.3225

0

5

10

15

20

25

30

35

0 0.5 1 1.5 2 2.5

Ob

esi

ty in

kin

de

rgar

ten

ers

, 6

th a

nd

9th

Gra

de

rs

Child Opportunity Index Score

Obesity among CPS kindergarteners, sixth and ninth graders in greater in children with more educational opportunity.

Page 57: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

3

1

729

147

90

15

22

12

10

20

137

9

24

36

32

88

35

98

100

2531

149

30

75

16

76

44

136

3327

C51

111

19

126

C76

71 C25

47

58

108

92

11

74

77

116

34

135

86

40

110

113

5

C28

91

103133

81

C61

C70

C2

C49

14

60C24

C30

85

C7C6

145

C10

66

118

57

18

122

6956

C15C19

62

C71

46

63

96

37C23

C22

C4

C6694

C29

C63

132

129

4

21

146

114

2

26

7895

143

112

101

68

80

42

23

C55

83

93

C5653

45

117

C17

C8

109

148

C53

C69

5554

79

105

4351

C46

49

121

C16C3

C12

C72

115

C75

C67 C68

6472

97

C31

C65 C43C44

70

C54

C73

124

C559

140

C52

41

C58

C74

128

C1

C64

C13

153

C11

61

107

65

39

C42

C50

155

C60

C21

C57

C27

C14

131

73

138

C33

C48

99

C38

C77

125

C35

89

139C41

C9

48

123

C32

C4050

C59

102

6

52

C26

C45

120

C62

C20

106

C39

C18

154

152

17141

28

104

151

84

13

C36

87

67

119

142

8

38 144

134

82

Overall Child Opportunity Index Categories^

Very LowLowModerateHighVery High

²

Childhood Opportunity Index by Census TractCook County-IL (Metro Area)*, 2007-2013**

0 105Miles

1 Arlington He ights79 Chic ago Rid ge C1Roge rs Park2 Barrington 80 Cre stwood C2 W e st Rid ge3 Barrington Hills 81 Eve rgre e n Park C3 Uptown4 Bartle tt 82 Frankfort C4Linc oln Square5 Buffalo Grove 83 Hic kory Hills C5 N orth Ce nte r6 De e rfie ld 84 Hom e town C6Lake Vie w7 De s Plaine s 85 Justic e C7Linc oln Park8 East Dund e e 86 Le m ont C8 N e ar N orth Sid e9 Elgin 87 Me rrione tte Park C9Ed ison Park10Elk Grove Village 88 Oak Lawn C10N orwood Park11Gle nc oe 89 Orland Hills C11Je ffe rson Park12Gle nvie w 90 Orland Park C12Fore st Gle n13Golf 91 Palos He ights C13N orth Park14Hanove r Park 92 Palos Hills C14Albany Park15Hoffm an Estate s 93 Palos Park C15Portage Park16Inve rne ss 94 Sum m it C16Irving Park17Ke nilworth 95 W illow Springs C17Dunning18Linc olnwood 96 W orth C18Montclare19Morton Grove 97 Burnham C19Be lm ont Cragin20Mount Prospe ct 98 Calum e t City C20He rm osa21N ile s 99 Calum e t Park C21Avond ale22N orthbrook 100Chic ago He ights C22Logan Square23N orthfie ld 101Country Club Hills C23Hum bold t Park24Palatine 102Dixm oor C24W e st Town25Park Rid ge 103Dolton C25Austin26Prospe ct He ights 104East Haze l Cre st C26W e st Garfie ld Park27Rolling Me ad ows 105Flossm oor C27East Garfie ld Park28Rose lle 106Ford He ights C28N e ar W e st Sid e29Schaum burg 107Gle nwood C29N orth Lawnd ale30South Barrington 108Harve y C30South Lawnd ale31Stre am wood 109Haze l Cre st C31Lowe r W e st Sid e32W he e ling 110Hom e wood C32Loop33W ilm e tte 111Lansing C33N e ar South Sid e34W inne tka 112Lynwood C34Arm our Square35Evanston 113Markham C35Douglas36Skokie 114Matte son C36Oakland37Be llwood 115Mid lothian C37Fulle r Park38Be nse nville 116Oak Fore st C38Grand Boule vard39Be rke le y 117Olym pia Fie ld s C39Ke nwood40Be rwyn 118Park Fore st C40W ashington Park41Broad vie w 119Phoe nix C41Hyd e Park42Brookfie ld 120Pose n C42W ood lawn43Burr Rid ge 121Richton Park C43South Shore44Cic e ro 122Rive rd ale C44Chatham45Countrysid e 123Robbins C45Avalon Park46Fore st Park 124Sauk Village C46South Chic ago47Franklin Park 125S. Chic ago He ightsC47Burnsid e48Harwood He ights 126South Holland C48Calum e t He ights49Hillsid e 127Ste ge r C49Rose land50Hinsd ale 128Thornton C50Pullm an51Hod gkins 129Tinle y Park C51South De e ring52Ind ian He ad Park 130Unive rsity Park C52East Sid e53La Grange 131Barrington Twp C53W e st Pullm an54La Grange Park 132Bloom Twp C54Rive rd ale55Lyons 133Bre m e n Twp C55He ge wisch56McCook 134Calum e t Twp C56Garfie ld Rid ge57Maywood 135Elk Grove Twp C57Arche r He ights58Me lrose Park 136Hanove r Twp C58Brighton Park59N orrid ge 137Le m ont Twp C59Mckinle y Park60N orthlake 138Le yd e n Twp C60Brid ge port61N orth Rive rsid e 139Lyons Twp C61N e w City62Rive r Fore st 140Maine Twp C62W e st Elsd on63Rive r Grove 141N e w Trie r Twp C63Gage Park64Rive rsid e 142N ile s Twp C64Cle aring65Rose m ont 143N orthfie ld Twp C65W e st Lawn66Schille r Park 144N orwood Park Twp C66Chic ago Lawn67Stone Park 145Orland Twp C67W e st Engle wood68W e stche ste r 146Palatine Twp C68Engle wood69W e ste rn Springs 147Palos Twp C69Gre ate r Grand Crossing70Elm wood Park 148Proviso Twp C70Ashburn71Oak Park 149Rich Twp C71Auburn Gre sham72Stickne y 150Rive rsid e Twp C72Be ve rly73Fore st Vie w 151Schaum burg Twp C73W ashington He ights74Burbank 152Stickne y Twp C74Mount Gre e nwood75Alsip 153Thornton Twp C75Morgan Park76Be d ford Park 154W he e ling Twp C76Ohare77Blue Island 155W orth Twp C77Ed ge wate r78Brid ge vie w

Suburban Cook County Munic ipalitie s Chic ago Com m unity Are as

Cook County De partm e nt of Public He alth, Epid e m iology Program Unit*Chic ago-Jolie t-N ape rville , IL-IN -W I (Me tro Are a)**d ata and m aps courte sy of d ive rsityd atakid s.org & the Kirwan Institute

^Eac h Ce nsus Tract is shad e d ac c ord ing to its Opportunity Ind e x cate gory re pre se nting child hood opportunity le ve ls ranging from “ve ry low” to “ve ry high” re lative to the othe r tracts in the Chic ago-Jolie t-N ape rville , IL-IN -W I Me tro Are a.

Page 58: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

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n

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Fantus

Cook - Austin

Cook - Prieto

Cook - Woodlawn

Cook - Near South

Cook - Sengstacke

Cook - Englewood

Cook - Logan Square

76

51

25

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28

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55

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104

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Cook County Health Centersn School-based Health Centers

Community Health CentersHardship by Census Tract

n/aHI_cat

HighMediumLow

Community Health Centers in ChicagoHardship Index by Census Tract

1-Rogers Park2-West Ridge3-Uptown4-Lincoln Square5-North Center6-Lake View7-Lincoln Park8-Near North Side9-Edison Park10-Norwood Park11-Jefferson Park12-Forest Glen13-North Park14-Albany Park15-Portage Park16-Irving Park17-Dunning18-Montclare19-Belmont Cragin20-Hermosa21-Avondale22-Logan Square23-Humboldt Park24-West Town25-Austin26-West Garfield Park27-East Garfield Park28-Near West Side29-North Lawndale30-South Lawndale31-Lower West Side32-Loop33-Near South Side34-Armour Square35-Douglas36-Oakland37-Fuller Park38-Grand Boulevard39-Kenwood

40-Washington Park41-Hyde Park42-Woodlawn43-South Shore44-Chatham45-Avalon Park46-South Chicago47-Burnside48-Calumet Heights49-Roseland50-Pullman51-South Deering52-East Side53-West Pullman54-Riverdale55-Hegewisch56-Garfield Ridge57-Archer Heights58-Brighton Park59-McKinley Park60-Bridgeport61-New City62-West Elston63-Gage Park64-Clearing65-West Lawn66-Chicago Lawn67-West Englewood68-Englewood69-Greater Grand Crossing70-Ashburn71-Auburn Gresham72-Beverly73-Washington Heights74-Mount Greenwood75-Morgan Park76-O’Hare77-Edgewater

Chicago Department of Public HealthSeptember 10, 2015

Data Sources: American Community Survey 2013 5-year estma t es; Community Health Center websites

Page 59: Ambulatory Strategy - Cook County Health...2016/03/17  · Model Ambulatory Health Center 25 • Primary Care/Patient-Centered Medical Home • Empanelment location for managed care

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Chicago 19.7%

n School-based Health Centers!( Cook County Health Centers!( Community Health Center

Percent Without Health Insurance1.3 -17.4 %17.5 - 27.3%27.4 - 42.9%43 - 68.3%

Community Health Centers in Chicagoand Uninsured by Census Tract

Chicago Department of Public HealthSeptember 9, 2015Data Sources: American Community Survey 2013 5-year estma t es;

Community Health Center websites

1-Rogers Park2-West Ridge3-Uptown4-Lincoln Square5-North Center6-Lake View7-Lincoln Park8-Near North Side9-Edison Park10-Norwood Park11-Jefferson Park12-Forest Glen13-North Park14-Albany Park15-Portage Park16-Irving Park17-Dunning18-Montclare19-Belmont Cragin20-Hermosa21-Avondale22-Logan Square23-Humboldt Park24-West Town25-Austin26-West Garfield Park27-East Garfield Park28-Near West Side29-North Lawndale30-South Lawndale31-Lower West Side32-Loop33-Near South Side34-Armour Square35-Douglas36-Oakland37-Fuller Park38-Grand Boulevard39-Kenwood

40-Washington Park41-Hyde Park42-Woodlawn43-South Shore44-Chatham45-Avalon Park46-South Chicago47-Burnside48-Calumet Heights49-Roseland50-Pullman51-South Deering52-East Side53-West Pullman54-Riverdale55-Hegewisch56-Garfield Ridge57-Archer Heights58-Brighton Park59-McKinley Park60-Bridgeport61-New City62-West Elston63-Gage Park64-Clearing65-West Lawn66-Chicago Lawn67-West Englewood68-Englewood69-Greater Grand Crossing70-Ashburn71-Auburn Gresham72-Beverly73-Washington Heights74-Mount Greenwood75-Morgan Park76-O’Hare77-Edgewater