COMMUNITY HEALTH NEEDS ASSESSMENT SOUTH GEORGIA MEDICAL CENTER BERRIEN CAMPUS

November 1, 2017

Allison McCarthy

Principal

70 Old Field Road, Plymouth, MA 02360

Tel: 508.394.8098 Fax: 508.394.8098

amccarthy@barlowmccarthy.com

TABLE OF CONTENTS EXECUTIVE SUMMARY …………………………………………………………………………….…………… 1 INTRODUCTION & BACKGROUND…………………………………………………………….…………… 3 STUDY METHODOLOGY ………………………………………………………………………………………… 3 ORGANIZATIONAL PROFILE ……………………………………………………………………..…………… 4 COMMUNITY PROFILE …………………………………………………………………………….……………. 4 EXPERT INTERVIEWS …………………………………………………………………………………………….. 6 COMMUNITY SURVEY …………………………………………………………………………………………... 8 COMMUNITY INDICATORS ………………………………………………………………………………….... 13 APPENDIX Interview Participants ………………………………………………………………………………. 17 Community Survey Respondent Profile ………………………….………………………... 17 Healthcare Service Inventory .…..……………………………………………………………... 18 Berrien County Health, Social and Behavioral Profile ……….………………………. 19

SGMC Berrien Campus Community Health Needs Assessment • page 1

EXECUTIVE SUMMARY South Georgia Medical Center (SGMC) is pleased to present our 2017 Community Health Needs Assessment for the Berrien Campus. As a non-profit healthcare organization, we are required to prepare an assessment every three years for all hospitals in our system. This report describes the community served, the process used to conduct the assessment and action plans to address those issues identified as priorities. SGMC partnered with Barlow/McCarthy, a national healthcare consulting firm with experience in preparing community health needs assessments to complete the project. In order to support the process, data and information was collected from a number of sources including:

1. Interviews with community leaders and others knowledgeable about public health 2. Community survey of Berrien County residents 3. Secondary data compiled by other agencies and organizations The following represents a summary of key findings based on an analysis of the above data and information sources. Expert Interviews • Social and behavioral risk factors identified as having a negative impact on the community

include: o Illegal substance abuse o Smoking and tobacco use o Obesity in both children and adults o Lack of adequate insurance coverage

• Community need for the following services to improve access and the quality of healthcare available to Berrien County residents include: o Treatment for mental health problems o Treatment for both alcohol and drug abuse o Healthcare for pregnant women o Healthcare for children with special needs o Major surgery o Primary care o Most specialty care e.g. heart disease, stroke, cancer, diabetes, eye, dental

• Other factors affecting the overall health and well-being of the community include: o Lack of transportation creates access barriers o Access to pediatric care is limited o Local telehealth services improve access to healthcare o Access to eye and dental care is limited for those without adequate insurance coverage o Berrien Campus emergency department usage often exceeds capacity o Lack of adequate after-hours and weekend care limits access to primary care

SGMC Berrien Campus Community Health Needs Assessment • page 2

Community Survey • The majority of individuals and/or households have some type of health insurance

(approximately 88%). By far, the most common reason for lacking insurance coverage is cost.

• Social and behavioral risk factors rated as a major problem include: o Obesity in adults o Illegal substance abuse o Lack of adequate insurance coverage o Tobacco use o Lack of physical activity and exercise

• Healthcare services not readily available in the local community include: o Major surgery o Cancer care o Treatment for alcohol and drug abuse o Weight loss services o Pregnancy-related care o Treatment of heart disease and stroke o Healthcare for children with special needs

• The majority (80%) of county residents have a personal or family doctor to cover their basic healthcare needs. Cost and the lack of doctors and insurance coverage are the primary reasons for not having a personal physician.

• Among those seeing a specialist, over 80% travelled outside the community for care due to lack of local physicians or patients were referred elsewhere by a doctor.

Community Indicators • Healthcare access is limited by the number of providers available to support the community

including primary care physicians, dentists and mental health providers. • Economic indicators such as per capita income and median house value fall below the state

standards and poverty rates are higher. Other health status indicators such as those without insurance and the percent of people with a disability are higher when compared to the state.

• Health behavior and quality of life indicators that exceed state and national benchmarks include: o Adult obesity o Smoking and tobacco use o Persons with a disability o Physical inactivity o Excessive drinking falls below the statewide standard but is still greater than the

national benchmark • Leading causes of death include heart and vascular disease, COPD, respiratory cancers and

cerebrovascular disease such as strokes. In all cases, the Berrien County death rate is substantially higher than the state overall.

• Berrien County ranks in the top 25% of GA counties for physical environment and in the top 50% for social and economic factors. The county falls in the lower 50% for quality of life and length of life and in the lower 25% for clinical care and health behaviors.

SGMC Berrien Campus Community Health Needs Assessment • page 3

INTRODUCTION & BACKGROUND The Patient Protection and Affordable Care Act requires all non-profit hospitals to prepare a Community Health Needs Assessment (CHNA) at least once every three years to maintain their tax-exempt status. The CHNA must include input from “persons who represent the broad interests of the community including those with special knowledge or expertise in public health.” The CHNA must also be made widely available to the public and include an implementation plan describing how the organization will address the community’s health needs. The role of the CHNA is to identify factors that affect the health of the community and determine the availability and/or need to build resources to address these issues. More specifically, the objectives of the assessment include:

• Explore the current state of the local healthcare market including access to care, quality of care and unmet needs of the community.

• Quantify health status indicators such as disease prevalence/incidence in the community as well as prevention and other programs currently available.

• Compare local results to benchmarks when available to highlight areas of concern. • Develop an inventory of healthcare facilities, programs and services available in the local

community. • Prioritize community health needs based on analysis of both quantitative and qualitative

data. • Develop an action plan with specific tactics describing how the organization will address

community health needs. STUDY METHODOLOGY In order to satisfy regulatory requirements, a multi-step process was employed to conduct and complete a Community Health Needs Assessment for the SGMC Berrien Campus. The process is described below. Step 1: Establish a Multidisciplinary CHNA Team. The CHNA Team provided project oversight and assisted with the selection of priorities and appropriate responses and interventions. Step 2: Collect Input from the Community. This phase included both qualitative and quantitative components, which were designed to explore the current state of the local healthcare market including access to care and preventive services, unmet needs and behavioral risk factors present in the community. First, interviews were conducted with individuals who represent the broad interests of the community and knowledgeable about public health issues. Secondly, a survey of Berrien County residents was completed and the data incorporated with information from public health experts to provide input from the community. Step 3: Collect Secondary Data Sources. In this phase, secondary data compiled by other agencies and organizations was collected and summarized to quantify a number of health status indicators along with demographics, socioeconomic and other environmental factors

SGMC Berrien Campus Community Health Needs Assessment • page 4

that may affect the health of the community. The local community data was compared to state and national benchmarks when available to highlight areas of concern. Step 4: Develop Healthcare Services Inventory. An inventory of healthcare facilities, programs and services in the community was developed to better understand what resources are available how they can be leveraged to have the greatest positive impact on community. Step 5: Prioritize Community Health Issues. The key to success is selecting a manageable number of priority issues based on the data and available resources and capabilities. At this stage, the CHNA Team prioritized community health needs using a rating system that includes both qualitative and quantitative factors. Step 6: Develop Community Health Action Plans. Once priorities were established, the CHNA Team developed specific tactics to address these health issues and concerns including resource requirements, implementation timelines, specific goals and objectives and a plan to measure progress. Step 7: Make Assessment Available to the Public. The final requirement is to make the assessment widely available to the public. This includes a description of the community, the process used to conduct the assessment, how community input was incorporated and action plans with appropriate interventions to address those health issues identified as priorities. ORGANIZATIONAL PROFILE South Georgia Health System is a not-for-profit healthcare delivery system serving a multi-county area in South Georgia and North Florida. The system consists of South Georgia Medical Center, South Georgia Medical Center Lanier Campus and South Georgia Medical Center Berrien Campus. SGMC Berrien Campus has been a part of the Nashville, GA community since 1965 and includes 51 acute care beds and 12 geriatric/psychiatric beds that serve the residents of Berrien County. The hospital provides general medical care for inpatient, outpatient and emergency room services. COMMUNITY PROFILE Berrien County is located north of Valdosta, GA in South Georgia. As of 2015, the county population was 18,933 with an age distribution that is older than the state overall. While the state has grown over 6 percent in the last five years, Berrien County has declined 1.5 percent. The county is predominantly white/Caucasian (86.7%) with black/African Americans comprising approximately 10.6% of the population and Hispanics/Latinos representing 5.1%. While education level is slightly higher than statewide standards, a number of economic indicators such as per capita income and median house value fall below the standards and poverty rates are higher. Other health status indicators such as those without insurance and the percent of people with a disability are higher when compared to the state.

SGMC Berrien Campus Community Health Needs Assessment • page 5

Berrien County

SGMC Berrien Campus

Berrien County

Community Profile (2015)

Source: U.S. Census Bureau American Community Survey (2015)

Enigma Alapaha

Ray City

Nashville

Profile Berrien Co. GAPopulation

Population 18,993 10,310,371

Percent change (2010-2015) -1.5% 6.4%

Age and Sex

Persons under 5 years 6.3% 6.4%

Persons under 18 years 24.5% 24.4%

Persons 65 years and over 16.8% 13.1%

Females 50.6% 51.3%

Race and Hispanic Origin

White 86.7% 61.2%

Black or African American 10.6% 32.0%

Hispanic or Latino 5.1% 9.4%

Housing

Housing units 8,598 4,218,776

Owner-occupied housing unit rate 72.9% 63.3%

Median value of owner-occupied housing units $84,300 $148,100

Families & Living Arrangements

Households 6,958 3,574,362

Persons per household 2.71 2.73

Education

High school graduate or higher 85.0% 80.0%

Bachelor's degree or higher 12.5% 28.8%

Health

With a disability, under age 65 years 14.9% 8.8%

Persons without health insurance, under age 65 years 19.1% 14.8%

Economy

In civilian labor force age 16 years 49.8% 62.3%

Income & Poverty

Median household income $31,835 $49,620

Per capita income $16,523 $25,737

Persons in poverty 25.5% 16.0%

SGMC Berrien Campus Community Health Needs Assessment • page 6

EXPERT INTERVIEWS A total of nine interviews were completed with community leaders and those with public health expertise (a list of participants is included in Appendix). A script was developed to guide the discussions and ensure consistency in the content and questions across interviews. Discussion topics included:

• Social and behavioral risk factors impacting community health • Barriers affecting access to healthcare in the local community • Quality of healthcare available in the local community including improvement opportunities • Healthcare not readily available and/or services residents would like to see available in

Berrien County Social & Behavioral Risk Factors Social and behavioral factors are known to play a crucial role not only in the health of individuals but also in the overall community. When asked to identify social and behavioral risk factors impacting the community, respondents identified the following items most frequently. These include illegal substance abuse, smoking and tobacco use, obesity in both children and adults and lack of adequate insurance coverage.

Respondents were also asked to identify the top three social and behavioral risk factors and rank them based on the magnitude and severity of the problems. The following is a rank ordered list of the risk factors identified during the interviews:

1. Illegal substance abuse 2. Smoking and tobacco use 3. Alcohol abuse

0 1 2 3 4 5 6 7 8

Motor vehicle accidents

Violent crime

Domestic abuse

Early identification of learning disabilities

Infectious diseases like tuberculosis or hepatitis

Lack of access to fresh/healthy food

Lack of access to safe environment to exercise

Teenage pregnancy

Teen suicide

Sexually transmitted diseases

Alcohol abuse

Child abuse or neglect

Lack of physical exercise or activities

Mental health issues

Poor nutrition

Under or uninsured families

Obesity in adults

Obesity in children

Smoking and tobacco use

Illegal substance abuse

Number of Mentions

SGMC Berrien Campus Community Health Needs Assessment • page 7

4. Mental health issues 5. Child abuse or neglect 6. Obesity 7. Under or uninsured families Healthcare Access Access to healthcare services is necessary to promote the health and well-being of the community and to achieve the best outcomes. The interviews explored healthcare services not readily available in Berrien County, creating access barriers to care and/or the need for residents to migrate out of their community for care. Respondents identified a community need for the following services to improve access and the quality of healthcare available to Berrien County residents.

1. Treatment for mental health problems 2. Treatment for both alcohol and drug abuse 3. Healthcare for pregnant women 4. Healthcare for children with special needs 5. Major surgery 6. Primary care 7. Most specialty care e.g. heart disease, stroke, cancer, diabetes, eye, dental) Inadequate Healthcare Access

0 1 2 3 4 5 6 7 8

Healthcare for seniorsCancer screenings

Access to lab and diagnostic servicesAccess to childhood vaccinations

Emergency servicesCare for patients with asthma

Urgent care/Walk-in clinicsWeight loss services

Care for patients with heart diseaseCare for stroke patientsCare for cancer patients

Care for diabetes patientsDental care

Eye careFamily doctors

Healthcare for low income individualsSurgery for life-threatening or major problems

Healthcare for children with special needsHealthcare for pregnant women

Treatment for alcohol and drug abuseTreatment for mental health problems

Number of Mentions

SGMC Berrien Campus Community Health Needs Assessment • page 8

Other Considerations Other factors identified during the interviews affecting the overall health and well-being of the community include: Lack of transportation creates access barriers – Many residents migrate north to Tifton or South to Valdosta for healthcare services not readily available in the local community. For those lacking transportation, travel outside the local community for healthcare can be challenging. Access to pediatric care is limited – This includes both basic pediatric care as well as healthcare for children with special needs. Local telehealth services improve access to healthcare – Berrien County Schools started the first telehealth program, which continues to serve as a model for other schools across the state. Access to eye and dental care is limited for those without adequate insurance coverage – While services are available in the local community, uninsured and underinsured residents often forego care due to cost considerations. Berrien Campus emergency department usage often exceeds capacity – Closure of the Cook Medical Center ED and lack of adequate insurance coverage causes many residents to use the emergency department to meet their primary care needs. Lack of adequate after-hours and weekend care limits access to primary care – Several respondents noted that residents with day-time obligations e.g. jobs, children in school, etc. often find the lack of care outside of traditional office hours as a major access barrier. COMMUNITY SURVEY A web-based survey of Berrien County residents was completed to collect input from the public and community at large. A web link to the survey along with instructions was distributed to various organizations and groups located in Berrien County. A total of 79 surveys were completed during October of 2017 which provides a margin of error of approximately +/- 11%. A complete demographic profile of the respondents is provided in the Appendix. Health Status When asked to rate their health status on an “A to F” grading scale, approximately 30% of respondents reported being in good health (A = “well and active”) while 16% of residents reported below average health status with a rating of “D” or “F”. The remainder of the respondent base rated their current health status as either “B” (22%) or “C” (32%).

SGMC Berrien Campus Community Health Needs Assessment • page 9

Health Status

Health Insurance Coverage The majority of individuals and/or households have some type of health insurance (approximately 88%). Employer-based plans are the most common type of insurance coverage followed by Medicare. Approximately 17% are covered under Medicaid and/or a state plan while 12% of the respondent base indicated that at least one member of the household currently lacks healthcare insurance coverage. By far, the most common reason for lacking insurance coverage is cost.

Health Insurance Coverage

A - Well and active, 30%

B, 22%

C - OK, 32%

D, 9%

F - Health is failing, 7%

Employer provided, 44%

Individual or family plan, 15%Medicare, 34%

Medicaid, 11%

State plan, 4%

Other, 10%

None, 11%

SGMC Berrien Campus Community Health Needs Assessment • page 10

Risk Factors Respondents were asked to identify social and behavioral factors that impact the overall health of the community. Results are summarized below and represent the percentage of respondents rating the factors as a major problem in their community. Risk factors rated as a major problem by 75% or more of respondents included obesity in adults, illegal substance abuse, lack of adequate insurance coverage, tobacco use and lack of physical activity and exercise.

Risk Factors (Major Problem)

Risk Factors (Major Problem)

Healthcare Access Approximately 30% of Berrien County residents reported that a household member had not received healthcare that was needed during the past 12 months. The primary reasons offered for not receiving needed healthcare included cost (both doctors and prescriptions) and the lack of health insurance. Berrien County residents also identified a number of healthcare services that are difficult to access and not readily available in the local community. These included major surgery, cancer care, treatment for alcohol and drug abuse, weight loss services, pregnancy-related care, treatment of heart disease and stroke and healthcare for children with special needs. Respondents also noted residents are forced to travel outside their local community to access many of these healthcare services.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Infectious diseases

Teen suicide

Motor vehicle accidents

Violent crime

Sexually transmitted diseases

Teenage pregnancy

Child abuse or neglect

Mental health issues

Obesity in children

Poor nutrition

Alcohol abuse

Lack of physical exercise

Smoking and tobacco use

Under or uninsured families

Illegal substance abuse

Obesity in adults

SGMC Berrien Campus Community Health Needs Assessment • page 11

Health Services (Not Available)

Respondents also offered the following comments when asked what one healthcare service if readily available would have the greatest positive impact on the health of the community:

• Additional care and services for patients with heart disease was mentioned most frequently. • Greater access to primary care including urgent care/walk-in clinics with extended office

hours and a focus on low income individuals. • More mental health services including alcohol and substance abuse treatment. • More cancer services in the local community including screenings, follow-up treatment and

rehabilitation. Primary Care The majority (80%) of county residents have a personal or family doctor to cover the basic healthcare needs of the household. Respondents cited cost and the lack of doctors and insurance coverage as the primary reason(s) for not having a personal or family physician. Approximately 65% of respondents reported appointments for a non-emergency situation could be scheduled in less than one week with 86% of appointments available in two weeks or less.

0% 10% 20% 30% 40% 50% 60% 70% 80%

Access to childhood vaccinations

Emergency services

Dental care

Eye care

Healthcare for seniors

Family doctors

Care for patients with asthma

Access to lab and diagnostic services

Care for diabetes patients

Healthcare for low income individuals

Cancer screenings

Treatment for mental health problems

Urgent care/Walk-in clinics

Healthcare for children with special needs

Care for stroke patients

Care for patients with heart disease

Healthcare for pregnant women

Weight loss services

Treatment for alcohol and drug abuse

Care for cancer patients

Surgery for life-threatening or major problems

SGMC Berrien Campus Community Health Needs Assessment • page 12

Appointment Wait Time

Specialty Care Over 80% of respondents reported seeing a healthcare specialist in the past two years. Among those seeing a specialist, 82% travelled outside the local community for care. By far, the primary reasons residents migrate out of their community for specialty care is due to either the lack of local physicians or a doctor recommended the specialist.

Specialty Outmigration

Same day, 7%

Less than one week, 58%

Between one and two weeks, 29%

Three weeks, 3%

Four weeks, 0% More than four weeks, 4%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Specialists have full practices

Other

A family member or friend recommended specialist

You or family member have used specialist in the past

Reputation of specialist

Health insurance dictated specialist

Specialist provides better quality of care

Specialist has up to date technology

A doctor recommended specialist

No specialists available in the community

SGMC Berrien Campus Community Health Needs Assessment • page 13

COMMUNITY INDICATORS Secondary data compiled by other agencies and organizations was collected and summarized to quantify a number of health status indicators as well as socio-economic and other environmental factors that may affect the health of the community. The local community data was compared to state and national benchmarks when available to highlight areas of concern. The following charts and tables show those indicators generally considered to have the greatest impact on the health and well-being of the community. A complete listing of all compiled secondary data is included in the Appendix. Healthcare Access Access to healthcare in Berrien County is limited by the number of providers available to support community needs. The number of residents per provider in Berrien County is much higher when compared to the state overall and top U.S. performers. This includes primary care physicians, dentists and mental health providers.

Primary Care Physicians, Dentists & Mental Health Providers

(Residents per Provider)

Source: County Health Rankings, Robert Wood Johnson Foundation; University of Wisconsin Population Health Institute (2017)

Social & Economic Indicators While education level in Berrien County is slightly above statewide standards, a number of economic indicators such as families and children in poverty are substantially higher than state and national benchmarks. Other health status indicators such as those without health insurance are higher when compared to the state and national standards.

9,480

4,740

6,230

2,030

900

1,530

1,320

360

1,040

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000

Dentist Provider Rate

Mental Health Provider Rate

Primary Care Provider Rate

Top U.S. Performers GA Berrien Co

SGMC Berrien Campus Community Health Needs Assessment • page 14

Source: U.S. Census Bureau American Community Survey, 2015; County Health Rankings, Robert Wood Johnson Foundation; University of Wisconsin Population Health Institute (2017)

Other Selected Health Indicators Many of the health behavior and quality of life indicators for Berrien County exceed state and national benchmarks by a wide margin. These include adult obesity, smoking and tobacco use, persons with a disability and physical inactivity (percent of sedentary adults not participating in any physical activity in the past 30 days). While excessive drinking in the county falls below the statewide standard, alcohol abuse is still greater than the national benchmark.

Source: U.S. Census Bureau American Community Survey, 2015; County Health Rankings, Robert Wood Johnson Foundation; University of Wisconsin Population Health Institute (2017)

74%

80%

13%

37%

33%

22%

85%

83%

92%

18%

25%

37%

14%

80%

87%

94%

9%

12%

21%

11%

95%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Adults with Health Insurance

Children with Health Insurance

Severe Housing Problems

Children in Poverty

Children in Single-parent Households

Families Living Below Poverty Level

High School Graduation Rate

Top U.S. Performers GA Berrien Co

35%

20%

15%

34%

10%

19.8%

30%

18%

17%

23%

9%

12.2%

26%

14%

12%

19%

6%

12%

0% 5% 10% 15% 20% 25% 30% 35% 40%

Adult Obesity

Adult Smoking

Excessive Drinking

Physical Inactivity

Low Birth Weight

Persons with a Disability

Top U.S. Performers GA Berrien Co

SGMC Berrien Campus Community Health Needs Assessment • page 15

Top 10 Leading Causes of Death Rates for leading causes of death are the number of deaths from each cause per 100,000 residents in the local community. Cause of death indicators show where health improvement and prevention programs can be targeted to affect the most people. The table below shows the top 10 leading causes of death in Berrien County compared to the state overall. Leading causes of death include heart and vascular disease, COPD, respiratory cancers and cerebrovascular disease such as strokes. In all of these cases, the Berrien County death rate is substantially higher than the state overall.

Source: Online Analytical Statistical Information System (OASIS), 2017

County Health Rankings The County Health Rankings is an annual compilation of vital statistics completed by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. The initiative measures the health of nearly all counties in the nation and their rank within states. The rankings are compiled using county-level measures from a variety of national and state data sources. The population health model emphasizes those factors that have the greatest impact on the health and well-being of the community. As shown below, Berrien County ranks in the top 25% of GA counties for physical environment indicators and in the top 50% for social and economic factors. However, the county falls in the lower 25-50% quartile of counties for quality of life and length of life dimensions. Rankings for clinical care and health behaviors e.g. tobacco/alcohol use, diet/exercise, teen birth rate fall in the lower 25% of all GA counties.

SGMC Berrien Campus Community Health Needs Assessment • page 16

Berrien County Health Rankings

(1) Represents Berrien County ranking out of 159 GA counties for each indicator. Source: Robert Wood Johnson Foundation; University of Wisconsin Population Health Institute (2017)

IndicatorCounty

Rank (1)

Clinical Care 121

Health Behaviors 145

Length of Life 99

Physical Environment 21

Quality of Life 91

Social & Economic Factors 82

SGMC Berrien Campus Community Health Needs Assessment • page 17

APPENDIX

Interview Participants

Name Title

Traci Gosier BSSM Health Promotion Coordinator South Health District Steve Dale Director of Human Resources, Chaparral Boats John Black Berrien Campus Advisory Committee Member Jonathan Wade, MD Local physician Dana Watson, RN Manager of the Berrien county Health Care Angela Powell, RN Case Manager and GPU nursing director Tammy Stone Quality Improvement/ Patient Safety Lanier Campus Mark Morgan Assistant Superintendent for Berrien County Schools Crissy Staley Chamber of Commerce President

Community Survey Respondent Profile

Gender Females Males

80% 20%

Age 21-44 Yrs 45-64 Yrs 65+ Yrs

31% 49% 20%

Children under age 18 Yes No

40% 60%

Household Income <$25,000 $25,000-$50,000 $50,001-$75,000 >$75,000 No answer

25% 19% 15% 30% 11%

Race African American Asian Caucasian Hispanic No answer

1% 0% 93% 1% 4%

SGMC Berrien Campus Community Health Needs Assessment • page 18

Berrien County Healthcare Service Inventory

October, 2017

Organization Address City/State/Zip Phone

SGMC Berrien Campus 1221 E. McPherson Ave Nashville, GA 31639 229-433-8600

Nashville Eye Center - Vision Source 205 W. McPherson Ave. Nashville, GA 31639 229-686-2020

SGMC Dogwood Senior Health Center 1221 East McPherson Ave Nashville, GA 31639 229-433-8680

Berrien Family Care Clinic 201 W. McPherson Ave Nashville, GA 31639 229-518-9912

Berrien Nursing Center 405 Laurel St. Nashville, GA 31639 229-543-7335

Georgia Home Health Services 111 South Davis Street Nashville, GA 31639 229-686-5502

Fellowship Home of Nashville 1207 E McPherson Ave Nashville, GA 31639 229-686-2543

Nashville/Berrien County Head Start 204-A Hazel Avenue Nashville, GA 31639 229-686-3085

Berrien County DFCS 301 South Jefferson Street Nashville, GA 31639 229-686-5568

Berrien County Ambulance Service 519 County Farm Road Nashville, GA 31639 229-686-5779

Betty Dupree Healthcare Center 201 North Bartow Street Nashville, GA 31639 229-686-2774

William Nash, MD 1225 E McPherson Ave Nashville, GA 31639 229-686-3129

Richard E Wheeler, MD 416 E McPherson Ave Nashville, GA 31639 229-686-2093

Jonathon Wade, MD 201 W. McPherson Ave Nashville, GA 31639 229-518-9912

Stephen Shriver, DMD 410 East McPherson Avenue Nashville, GA 31639 229-686-7451

Jeffrey Cox & Candace Lauderdale, DMD 211 W McPherson Ave Nashville, GA 31639 229-686-5525

Berrien County Health Department 600A Jefferson Street Nashville, GA 31639 229-686-5411

Joshua Lang DO 416 E McPherson Ave Nashville, GA 31639 229-686-2093

Behavioral Health Services of South

Georgia 3120 North Oak St Ext, Suite C Valdosta, GA 31602

229-671-6170 (Crisis Hotline

24/7 1-800-715-4225)

Behavioral Health Services of South

Georgia Berrien County Service Center 508 Laurel Nashville, GA 31639 229-686-2078

Family Connection/ Communities in

Schools, Region 11 1015 Exum Road Nashville, GA 31639 229-686-6576

Berrien County Community Service 402 Hazel Ave Nashville, GA 31639 229-686-7871

SGMC Berrien Campus Community Health Needs Assessment • page 19

Berrien County Health, Social and Behavioral Profile

Indicator Description

Berrien

Co GA

Clinical Care

Dentists Provider Rate Ratio represents the number of individuals served by one dentist in a county 9,480 2,030

Mental Health Provider Rate

Ratio represents the number of individuals served by one mental health provider in

a county 4,740 900

Primary Care Provider Rate Ratio represents the number of individuals served by one physician in a county 6,230 1,530

Diabetes monitoring Percentage of diabetic Medicare enrollees ages 65-75 that receive HbA1c 91% 85%

Mammography screening Percentage of female Medicare enrollees ages 67-69 that receive mammography 60% 62%

ER visit rate Weighted average of the age-specific emergency room visit rates, 47,341.30 38,113.50

County Ranking

Indicator shows the ranking of the county in clinical care according to the County

Health Rankings. 121

Preventable hospital stays

Number of hospital stays for ambulatory-care sensitive conditions per 1,000

Medicare enrollees 68 52

Health Behaviors

Adult obesity

Percentage of the adult population (age 20 and older) that reports a body mass

index (BMI) greater than or equal to 30 kg/m2 35% 30%

Adult smoking

Percentage of the adult population in a county who both report that they currently

smoke every day or most days 20% 18%

Excessive drinking Percentage of adults reporting binge or heavy drinking 15% 17%

Physical inactivity

Percentage of adults ages 20 and over reporting no leisure-time physical activity in

the past month 34% 23%

Sexually transmitted infections Number of newly diagnosed chlamydia cases per 100,000 population 304.5 519.9

Teen births Number of births per 1,000 female population ages 15-19 68 39

Access to exercise opportunities Percentage of population with adequate access to locations for physical activity 40% 75%

Alcohol-impaired driving deaths Percentage of driving deaths with alcohol involvement 55% 23%

County Ranking

Indicator shows the ranking of the county in overall health behaviors according to

the County Health Rankings. 145

Food index

Index measures the availability of economical, close, and nutritious food options in a

community 6.8 6.6

Health Access

Adults with Health Insurance

Indicator shows the percentage of adults aged 18-64 years that have any type of

health insurance coverage. 74.4% 82.9%

Children with Health Insurance

Indicator shows the percentage of children aged 0-17 years with any type of health

insurance coverage. 80.3% 91.8%

Health/Cancer

Age-adjusted death rate all cancer sites Age-adjusted death rate all cancer sites 180.1 169.7

Age-adjusted death rate breast cancer Age-adjusted death rate breast cancer 25.3 22.6

Age-adjusted death rate lung & bronchus Age-adjusted death rate lung & bronchus cancer 57.4 47.7

Age-adjusted incidence rate all cancer sites Age-adjusted incidence rate all cancer sites 420.6 452.5

Age-adjusted incidence rate breast cancer Age-adjusted incidence rate breast cancer 103.5 123.5

Age-adjusted incidence rate colon & rectal Age-adjusted incidence rate colon & rectal cancer 41.3 41.4

Age-adjusted incidence rate lung & bronchus Age-adjusted incidence rate lung & bronchus cancer 80.2 65.9

Age-adjusted incidence rate prostate cancer Age-adjusted incidence rate prostate cancer 84.7 129.3

Health/Heart Disease & Stroke

Age-Adjusted Death Rate due to obstructive

heart disease Age-adjusted death rate due to obstructive heart disease 174.0 75.4

Age-Adjusted Death Rate due to stroke Age-adjusted death rate due to stroke 57.7 44.2

Physical Environment

Severe housing problems

Percentage of households with at least 1 of 4 housing problems: overcrowding, high

housing costs, or lack of kitchen or plumbing facilities 13% 18%

Air pollution Average daily density of fine particulate matter in micrograms per cubic meter 9.7 10.1

County Ranking

Indicator shows the ranking of the county's physical environment according to the

County Health Rankings. 21

SGMC Berrien Campus Community Health Needs Assessment • page 20

Berrien County Health, Social and Behavioral Profile

(Continued)

Indicator Description

Berrien

Co GA

Quality of Life

Low birth rate

Percentage of live births where the infant weighed less than 2,500 grams

(approximately 5 lbs., 8 oz.) 10% 9%

Persons with a Disability

Indicator shows the percentage of the population that are limited in any activities

because of physical, mental, or emotional problems. 19.8% 12.2%

County Ranking

Indicator shows the ranking of the county quality of life factors according to the

County Health Rankings. 91

Length of life

Measures the years of potential life lost during a three year period (under age 75

per 100,000 people) 9,600 7,300

Poor mental health days Measures the average number of mentally unhealthy days reported in past 30 days 4.1 3.8

Poor or fair health

Measures the percentage of adults in a county who consider themselves to be in

poor or fair health 19% 17%

Poor physical health days Measures the average number of physically unhealthy days reported in past 30 days 4.4 3.7

Social & Economic Factors

Children in poverty Percentage of children under age 18 in poverty 37% 25%

Children in single-parent households Percentage of children that live in a household headed by single parent 33% 37%

Families Living Below Poverty Level Indicator shows the percentage of families living below the federal poverty level. 21.5% 14.2%

High school graduation rate Percentage of ninth-grade cohort that graduates in four years 85% 80%

Child Abuse Rate

Indicator shows the number of children under 18 years of age that experienced

abuse or neglect in cases per 1,000 children. 11.8 10.2

County Ranking

Indicator shows the ranking of the county in social and economic factors according

to the County Health Rankings. 82

Injury deaths Number of deaths due to injury per 100,000 population 54 59

Median Household Income Indicator shows the median household income. $31,835 $49,620

People 65+ Living Below Poverty Level

Indicator shows the percentage of people aged 65 years and over living below the

federal poverty level. 17.5% 10.6%

Unemployment Percentage of population ages 16 and older unemployed but seeking work 7.0% 5.9%

Violent crime Number of reported violent crime offenses per 100,000 population 208 374