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2021Community Health NeedsAssessment
2 I Community Health Needs AssessmentTABLE OF CONTENTSINTRODUCTION............................................................................................................................................5Executive Summary...............................................................................................................................................6-11Background...............................................................................................................................................................12-13Carle Richland Memorial Service Area.................................................................................................14-16Local Impact of COVID.......................................................................................................................................16-17ESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPS..........................19 DATA COLLECTION...................................................................................................................................19Secondary Data......................................................................................................................................................19-21Primary Data.............................................................................................................................................................21-25DATA ANALYSIS..........................................................................................................................................27Demographics........................................................................................................................................................27-30Social Determinants of Health....................................................................................................................31-40 Health and Wellness Indicators................................................................................................................41-54- Chronic Illness....................................................................................................................................................42-47- Mental Health.....................................................................................................................................................48-49 - Behavioral Health............................................................................................................................................50-52- Substance Use...................................................................................................................................................53-54Diversity and Minority Health Status......................................................................................................55-58Emergency Preparedness....................................................................................................................................59Copyright ©2021 by the Illinois Critical Access Network (ICAHN). All rights reserved. The contents of this publication may not be copied, reproduced, replaced, distributed, published, displayed, modied, or transferred in any form or by any means except with the prior permission of ICAHN. Copyright infringement is a violation of federal law subject to criminal and civil penalties.
Carle Richland Memorial Hospital I 3IDENTIFICATION AND PRIORITIZATION OF NEEDS.........................................................61-63Process........................................................................................................................................................................61-62Description of the Community Health Needs Identied.......................................................62-63 RESOURCES AVAILABLE TO MEET PRIORITY HEALTH NEEDS.........................................65Hospital Resources....................................................................................................................................................65 Healthcare Partners or other Resources including Telemedicine.........................................65Community Resources...........................................................................................................................................66DOCUMENTING AND COMMUNICATING RESULTS................................................................69 IMPLEMENTATION STRATEGY......................................................................................................71-74Planning Process..........................................................................................................................................................71Implementation Strategy................................................................................................................................72-74Addressing Equity and Social Determinants of Health...................................................................75REFERENCES AND APPENDIX......................................................................................................77-78
Carle Richland Memorial Hospital I 5Early Childhood AdolescentsAdultsSeniorsINTRODUCTION Realizing a central location would be desirable to hospital patients, Dr. George T. Weber purchased the Arlington Hotel in Olney in 1898. He quickly converted the structure into the Olney Sanitarium. In the early years, the sanitarium was staed and managed in large part by Weber family members, including three physicians and two nurses. Successor to the Olney Sanitarium, Richland Memorial Hospital opened its doors on July 16, 1953. It began its relationship with Carle Foundation Hospital in 2014 as a clinical aliate. In 2016, Carle and Richland Memorial began exploring full integration to increase access to healthcare services and providers in southeastern Illinois. The board of directors of both entities voted unanimously to approve the integration, which became ocial on April 1, 2017. The facility is now known as Carle Richland Memorial Hospital. Administration, management, and operations remain local, with resources and oversight provided by Carle, to remain aligned in its mission and vision. In 2018, a formal agreement was made to provide air ambulance services to the entire county.
6 I Community Health Needs AssessmentProvisions in the Aordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon priority community health needs. This assessment process results in a CHNA report which assists the hospital in planning, implementing, and evaluating hospital strategies and community benet activities. The Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-prot 501(c)(3) corporation established in 2003 for the purposes of sharing resources, education, promoting operational eciencies, and improving healthcare services for member critical access and rural hospitals and their communities. ICAHN, with 57 member hospitals, is an independent network governed by a nine-member board of directors, with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives to strengthen the capacity and viability of its members and rural health providers. This Community Health Needs Assessment will serve as a guide for planning and implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of Olney and the surrounding area.EXECUTIVE SUMMARY
Carle Richland Memorial Hospital I 7The CHNA process was coordinated by the Manager of Organizational and Community Development.Three focus groups met through facilitated virtual conferencing on May 20, 2021, to discuss the state of overall health and wellness in the Carle Richland Memorial Hospital service area. They were also tasked with identifying health concerns and needs in the delivery of healthcare and health services in order to improve wellness and reduce chronic illness for all residents. The focus groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected ocials, public health, and others. Several members of the groups provided services to underserved and unserved persons as all or part of their roles.The ndings of the focus groups were presented along with secondary data analyzed by the consultant to a third group for identication and prioritization of the signicant health needs facing the community through a virtual conference on June 28, 2021. The group consisted of representatives of public health, community leaders, healthcare providers, and community services providers. IDENTIFICATION AND PRIORITIZATION At the conclusion of their review and discussion, the identication and prioritization group advanced the following needs:1. Mental health services for children, adolescents, and adults, including:– Youth and adult inpatient care for treatment through recovery– Improved access to counseling for youth, including services at schools– Inpatient behavioral health and substance use crisis care– Addiction medicine services, including Medication Assisted Treatment Mental HealthServicesFlexibleTransportationImprovedAccessDentalCare
8 I Community Health Needs Assessment2. Flexible transportation for local appointments and assistance when needed for persons that have little or no transportation at home3. Improved opportunities to achieve wellness through:– Access to healthy foods and nutrition education– Access to low cost or free opportunities for recreation and tness4. Dental care for underinsured and uninsuredThe results of the assessment process were then presented to senior sta at Carle Richland Memorial Hospital through a facilitated discussion for development of a plan to address the identied and prioritized needs. This session was held at Carle Richland Hospital on August 20, 2021.ADDRESSING THE NEED CREATING THE PLANThe group addressed the needs with the following strategies:1. Mental health services for children, adolescents, and adults, including:– Youth and adult inpatient care for treatment through recovery– Improved access to counseling for youth, including services at schools– Inpatient behavioral health and substance use crisis care– Addiction medicine services, including Medication Assisted Treatment Actions the hospital intends to take to address the health need:• Carle Richland Memorial Hospital will explore increasing access to Medication Assisted Treatment/recovery resources• Carle Richland Memorial Hospital will explore increasing relationships with inpatient behavioral health and substance use disorder providers• Carle Richland Memorial Hospital will provide reasonable and appropriate support to development of the crisis program at Lawrence County Health Department• Carle Richland Memorial Hospital will explore developing tele-counseling• Carle Richland Memorial Hospital will explore new avenues to increase access to counseling• Carle Richland Memorial Hospital will continue and expand the Mental Health First Aid program
Carle Richland Memorial Hospital I 9Anticipated impacts of these actions:Carle Richland Memorial Hospital anticipates that the steps set out above will create increased access to counseling for youth and adults, medication assisted treatment, and inpatient and crisis care for behavioral health and substance use disorder. Programs and resources the hospital plans to commit to address health need:• Administrative teamPlanned collaboration between hospital and other facilities or organizations:• SIU School of Medicine• Public Health• Inpatient providers• Law enforcement • Carle Behavioral Health services 2. Flexible transportation for local appointments and assistance when needed for persons that have little or no transportation at homeActions the hospital intends to take to address the health need:• Carle Richland Memorial Hospital will explore expanding care coordination services to include transportationAnticipated impacts of these actions:Carle Richland Memorial Hospital anticipates the expanding care coordination services to include transportation will improve coordination of transportation with appointments and address patient needs related to transportation.Programs and resources the hospital plans to commit to address health need:• AdministrationPlanned collaboration between hospital and other facilities or organizations:• RIDES Mass Transit District• Embarras River Basin Area Agency (ERBA)
10 I Community Health Needs Assessment3. Improved opportunities to achieve wellness through:– Access to healthy foods and nutrition education– Access to low cost or free opportunities for recreation and tness Actions the hospital intends to take to address the health need:• Carle Richland Memorial Hospital will explore development of a community garden program• Carle Richland Memorial Hospital will continue the demonstration garden for nutrition education• Carle Richland Memorial Hospital will provide funding for lighting to enhance use of the community walking path in Olney• Carle Richland Memorial Hospital will explore expanding services of Carle Health’s Mobile Market• Carle Richland Memorial Hospital will partner with Carle Health to provide the community with access to video with health and wellness content• Carle Richland Memorial Hospital will continue to support local youth sportsAnticipated impacts of these actions:Carle Richland Memorial Hospital anticipates that the addition of the programs and services to be undertaken will improve opportunities to achieve wellness through access to healthy foods and nutrition education, and access to low cost or free opportunities for recreation and tness.Programs and resources the hospital plans to commit to address health need:• Administrative team• Organizational and community developmentPlanned collaboration between hospital and other facilities or organizations:• Volunteers• Carle Health• City of Olney• University of Illinois Extension• Carle Richland Auxiliary
Carle Richland Memorial Hospital I 114. Dental care for underinsured and uninsured Actions the hospital intends to take to address the health need:Carle Richland Memorial Hospital continues to recognize the importance of access to dental care and the impact of dental care on wellness but observes that dental care is not a function for which the hospital is well-suited. Carle Richland Memorial Hospital recognizes that the Federally Qualied Health Center (FQHC) may be better positioned to address this issue, and the hospital will promote partnerships between dentists, the FQHC, and any other potential partners as reasonably possible.Anticipated impacts of these actions:Any impacts from any developments on this issue are dependent on external partners and solutions they may oer.Programs and resources the hospital plans to commit to address health need:• AdministrationPlanned collaboration between hospital and other facilities or organizations:• Federally Qualied Health Center• Dentists• Others that may be interested in the eort• Public Health
12 I Community Health Needs AssessmentBACKGROUNDThe Community Health Needs Process is conducted every three years. In response to issues identied and prioritized and the implementation strategy developed to address them, Carle Richland Memorial Hospital has taken these steps since the last CHNA. Mental Health- Have implemented a full-time MHFA program for both adult and youth MHFA- Continue recruitment of behavioral health providers - Have hired an LCPC- Support community initiatives to bring additional monies to this area for mental health services by providing a letter of support for grant money- Entered into an agreement for telehealth services from Pavilion Behavioral Health for tele-mental health services to the hospital’s ED patients Dental Health- CRMH stands ready to partner with the local FQHC to promote these services if needed. This was identied as a need that Carle Richland Memorial Hospital is not best suited to explore at this time. Access to Care Managers- Hired a social worker. This person will mainly take care of inpatients, but could also assist in ED. Transportation:- Added additional stops with RIDES Mass Transit and have an agreement with them to provide discharge patients a ride during service hours regardless of ability to pay.- Richland County now has a LYFT service available on a limited basis.
Carle Richland Memorial Hospital I 13Improved Access to Services for Addiction/Recovery/Prevention- A member of the CRMH Administrative team serves on the Richland County Addiction Prevention Coalition. This group was formed in the last few years to help bring awareness to the need for addiction prevention services.- CRMH has added a “take back” box in the hospital’s main lobby for the public to outdated prescription drugs for safe disposal at any time.Access to Weekend and After-Hours Care- Opened Convenient Care. Original hours at opening were 10 am – 8 pm, seven days a week. Convenient Care has since expanded those hours to 8 am -8 pm each day, closed holidays.
14 I Community Health Needs AssessmentFor the purpose of this CHNA, Carle Richland Memorial Hospital has dened its primary service area and populations as the general population within the geographic area in and surrounding Richland County dened in detail below. The hospital’s patient population includes all who receive care without regard to insurance coverage or eligibility for assistance. Carle Richland Memorial Hospital’s service area is comprised of approximately 3,298.30 square miles, with a population of approximately 108,055 people and a population density of 33 people per square mile. The service area consists of the following rural Illinois counties:Richland • Lawrence • Edwards • JasperClay • Crawford • Wabash • WayneCarle Richland Service Area - 8 Counties - NorthSeptember 24, 2021©2021 Esri Page 1 of 1Carle Richland Service Area - 8 Counties - SouthSeptember 24, 2021©2021 Esri Page 1 of 1CARLE RICHLAND MEMORIAL HOSPITAL SERVICE AREA
Carle Richland Memorial Hospital I 15KEY FACTS108,400Population43.5Median Age2.3AverageHousehold Size$51,330Median HouseholdIncomeEDUCATION11%No High SchoolDiploma33%High SchoolGraduate37%Some College18%Bachelor's/Grad/Prof DegreeBUSINESS3,991Total Businesses39,867Total EmployeesEMPLOYMENT54%White Collar35%Blue Collar11%Services4.0%UnemploymentRateINCOME$51,330Median HouseholdIncome$27,864Per Capita Income$143,445Median Net WorthHouseholds By IncomeThe largest group: $50,000 - $74,999 (18.3%)The smallest group: $200,000+ (3%)Indicator▲Value Diff<$15,000 11.3% +1.8%$15,000 - $24,999 11% +3.1%$25,000 - $34,999 10.6% +2.7%$35,000 - $49,999 15.6% +4.3%$50,000 - $74,999 18.3% +1.8%$75,000 - $99,999 13.1% +0.3%$100,000 - $149,999 13.8% -3.2%$150,000 - $199,999 3.3% -4.6%$200,000+ 3% -6.1%Bars show deviation from IllinoisThis infographic contains data provided by Esri, Esri and Data Axle. The vintage of the data is 2021, 2026. © 2021 EsriThe data on the following pages will take a deep dive into the demographics of the Carle Richland Memorial Hospital service area and will oer insight to both the commonality and complexity of the Carle Richland audience. The infograph above highlights some of the key facts of that data and provides a snapshot of the population served by Carle Richland Memorial Hospital.The average household size of the area, at 2.3, is lower than both Illinois (3) and the U.S. (2.5). Median age is over 43.5 years, which is higher than Illinois and the U.S. The largest education segment is reported as some college, followed by high school graduates. College graduates in the area exceed the number of residents that did not complete high school.
16 I Community Health Needs AssessmentThe unemployment rate is typical of surrounding counties and other rural counties in Illinois and is better than national and statewide numbers. Also, as is the case in much of rural Illinois, income by households in the service area is lower than statewide. Of the 84,721 residents over the age of 18, 7014 are veterans. This represents 8.28% of the eligible population.Note: This indicator is compared to the state average. Data Source: Johns Hopkins University. Accessed via ESRI. Additional data analysis by CARES. 2021. Source geography: CountyConrmed COVID-19 CasesLOCAL IMPACT OF COVIDCOVID-19 Conrmed CasesThe Covid-19 epidemic has overshadowed many local health functions during 2020 and 2021. It has dramatically impacted overall health of the communities and the delivery of healthcare and health-related services. The broad impact has been seen throughout the communities, changing the way people work, shop, learn and communicate. The mortality rate related to Covid-19 in the service area of Carle Richland Memorial Hospital has generally exceeded the rate of the state of Illinois.
Carle Richland Memorial Hospital I 17COVID-19 MortalitiesCOVID-19 Fully Vaccinated AdultsThis indicator reports the percent of adults fully vaccinated for COVID-19. Vaccine hesitancy is the percent of the population estimated to be hesitant towards receiving a COVID-19 vaccine. The Vaccine Coverage Index is a score of how challenging vaccine roll-out may be in some communities compared to others, with values ranging from 0 (least challenging) to 1 (most challenging). Centers for Disease Control and Prevention and the National Center for Health Statistics, CDC GRASP. 2021.
Carle Richland Memorial Hospital I 19Data Collection QuantitativeQualitativeData AnalysisESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPSData CollectionDescription of Data Sources – QuantitativeQuantitative (secondary) data is collected from many resources including, but not restricted to, the following:Source DescriptionBehavioral Risk Factor Surveillance SystemThe BRFSS is the largest, continuously conducted telephone health survey in the world. It enables the Center for Disease Control and Prevention (CDC), state health departments, and other health agencies to monitor modiable risk factors for chronic diseases and other leading causes of death.SparkMap SparkMapis an online mapping and reporting platform powered by the Center for Applied Research and Engagement Systems (CARES) at the University of Missouri. US Census National census data is collected by the US Census Bureau every 10 years.Centers for Disease ControlThrough the CDC’s National Vital Statistics System, states col-lect and disseminate vital statistics as part of the US’s oldest and most successful intergovernmental public health data sharing system.SECONDARY DATA
20 I Community Health Needs AssessmentSource DescriptionCounty Health RankingsEach year, the overall health of each county in all 50 states is assessed and ranked using the latest publicly available data through a collaboration of the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.American Communities SurveyTheAmerican Community Survey(ACS), a product of the U.S. Census Bureau, helps local ocials, community leaders, and businesses understand the changes taking place in their communities. It is the premier source for detailed population and housing information about our nation.Illinois Department of Employment SafetyThe Illinois Department of Employment Security is the state’s employment agency. It collects and analyzes employment information.National CancerInstituteThe National Cancer Institute coordinates the National Cancer Program, which conducts and supports research, training, health information dissemination, and other programs with respect to the cause, diagnosis, prevention, and treatment of cancer, rehabilitation from cancer, and the continuing care of cancer patients, and the families of cancer patients. Illinois Department of Public HealthThe Illinois Department of Public Health is the state agencyresponsible for preventing and controlling disease and injury, regulating medical practitioners, and promoting sanitation.HRSA The Health Resources and Services Administration of the US Department of Health and Human Services develops health professional shortage criteria for the nation and uses that data to determine the location of Health Professional Shortage Areas and Medically Underserved Areas and Populations.Local IPLANS The Illinois Project for Local Assessment of Needs (IPLAN) is a communityhealth assessment and planning process that is conducted every ve years by local health jurisdictions in Illinois.ESRI ESRI (Environmental Systems Research Institute) is an international supplier ofGeographic Information System (GIS) software, web GIS and geodatabasemanagement applications. ESRI allows for specialized inquiries at the zip code, or other dened, level.Illinois State Board of EducationThe Illinois State Board of Education administers public education in the state of Illinois. Each year, it releases school “report cards” which analyze the makeup, needs, and performance of local schools.USDA USDA, among its many functions, collects and analyzes information related to nutrition and local production and food availability.
Carle Richland Memorial Hospital I 21Secondary data is initially collected through the SparkMap and/or ESRI systems and then reviewed. Questions raised by the data reported from those sources are compared with other federal, state and local data sources in order to resolve or reconcile potential issues with reported data. Three focus groups were convened virtually on May 20, 2021. The groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected ocials, public health and others. Several members of the groups provided services to underserved and unserved persons as all or part of their roles. The organizations and persons that participated are detailed in the appendix.In response to a request to identify positive developments in health and healthcare in the service area of Carle Richland Memorial Hospital the group put forward the following:Focus Group One• Communication among health departments, Carle Richland Memorial Hospital, and other providers has been very strong• Local nurses are going back to school to pursue Psychiatric Nurse Practitioner education• There is access to a psychiatrist• Access to nurse practitioners is relieving burden on physicians• The ability to get patients to appointments has improved• There has been funding to address behavioral health issues, especially to the health departments• RIDES Mass Transit has greatly improved transportation options and opportunities• There has been good cooperation on many issues throughout the community during COVID-19• Convenient Care expanded services and hours• The faith-based community has stepped up to help with food access issuesPRIMARY DATA
22 I Community Health Needs AssessmentFocus Group Two• Community Care expansion has helped college students and faculty• Since the association with Carle Health System, there has been better access to local primary care and specialists • RIDES Mass Transit has become a big asset• Renovation at Richland County High School has improved the ability to oer opportunities and accessibility to students in the community• There are more mental health providers and services at Carle Richland Memorial Hospital• Unit 20 schools in Lawrence County have strong relationships with their health department and local hospital• Lawrence County Health Department provides additional counselor to the schools there• Mental Health First Aid is being taught throughout the community Focus Group Three• There are good faith-based outreach ministries in the communities, including a strong disaster response program• Progress has been made to address depression and isolation• The waiting list at the Housing Authority in Richland County is short, and availability of public housing is expanding• The community rallied to address COVID-19• There is improved access to helicopter services at Carle Richland Memorial Hospital• Carle Richland Memorial Hospital has a great system for COVID-19 vaccination
Carle Richland Memorial Hospital I 23When asked to identify current needs in local healthcare and community health, the group identied the following:Focus Group One• Better access to family practice physicians• Better local access to specialists• Better access to mental health services to reduce wait time to services• Address opioids• Local detoxication• Better access to medication-assisted treatment and related counseling• Better access to senior assisted living opportunities for persons with limited ability to pay• Better access to local home care and services for persons, especially seniors, that need help but who are not homebound• Address substance use disorders based on stimulants, especially methamphetamine• Better coordination and access for addiction medicine solutions• Recruit more counselors• Inpatient care for behavioral health and substance use disorders• Consider a secure car or other option as an alternative to using ambulances for behavioral health and substance use disorder transport• Parenting education on parenting• Access to dental care for Medicaid patients, especially youth
24 I Community Health Needs AssessmentFocus Group Two• There are still needs for transportation to and from services despite the improvements RIDES Mass Transit has brought to the area• Better and more timely access to mental health counseling• Increased access to health services on the ground for students and faculty at schools• Community education addressing stigma and socio-emotional issues• Recruitment and retention of capable and qualied mental health providers• Access to pre-trial services to jail inmates• Services for relocated or transient children while paperwork catches up with them• Crisis services for mental health• Better explanation of helicopter services and options• Address drug and alcohol abuse and use disorders among low income residents• Expansion of public health services in Richland County Focus Group Three• Better understand and address needs of the elderly• Better access to services for depression, stress, fear, and isolation• Continue the process of addressing the tension resulting from a local killing of a 19-year-old in 2020• Additional mental health providers• Education about parenting skills, including household management• Services for the homeless• Coordination of mental health services, social services, and meeting basic needs• Better and more timely access to mental health services across the board• Local access to inpatient detoxication• Inpatient substance use disorder services
Carle Richland Memorial Hospital I 25Through these groups, Carle Richland Memorial Hospital sought and received input from persons who represent the broad interests of the community served by the hospital, including those with special knowledge of, or expertise in public health (local, regional, state and/or tribal). Members of medically underserved, low-income, and minority populations served by the hospital or individuals or organizations representing the interests of such populations also provided input. The medically underserved are members of a population who experience health disparities, are at risk of not receiving adequate medical care as a result of being uninsured or underinsured, and/or experiencing barriers to healthcare due to geographic, language, nancial, or other barriers. Representatives of local public health agencies were actively involved in the process.
Carle Richland Memorial Hospital I 27Age Group EthnicityRaceDisabilityDATA ANALYSISTotal Population by Age GroupData Source: US Census Bureau, American Community Survey. 2015‐-19. Source Geography: TractDEMOGRAPHICS
28 I Community Health Needs AssessmentTotal Population by EthnicityData Source: US Census Bureau, American Community Survey. 2015-‐19. Source geography: TractTotal Population by Age Groups, Carle Richland Memorial Hospital Service Area
Carle Richland Memorial Hospital I 29Total Population by Race AloneData Source: US Census Bureau, American Community Survey. 2015‐-19. Source geography: TractTotal Population by Race Alone, Carle Richland Memorial Hospital Service Area
30 I Community Health Needs AssessmentPopulation with any DisabilityThis indicator reports the percentage of the total civilian non-institutionalized population with a disability. The report area has a total population of 102,805 for whom disability status has been determined, of which 19,045 or 18.53% have any disability. This indicator is relevant because disabled individuals comprise a vulnerable population that requires targeted services and outreach by providers.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: Tract
Carle Richland Memorial Hospital I 31
SOCIAL DETERMINANTS OF HEALTHThe data and discussion on the following pages will take a look into the socialdeterminants in the Carle Richland Memorial Hospital service area and will oerinsight into the complexity of circumstances that impact physical and mentalwellness for the Carle Richland audience. The infograph on the following pageprovides a snapshot of the at-risk population served by Carle Richland MemorialHospital.The CDC describes social determinants of health as conditions in the places wherepeople live, learn, work, and play that aect a wide range of health and quality oflife risks and outcomes. Healthy People 2030 uses a place-based framework thatoutlines ve key areas of SDOH:• Healthcare access and quality, including: - Access to healthcare- Access to primary care- Health insurance coverage- Health literacy• Education access and quality, including: - High school graduation- Enrollment in higher education- Educational attainment in general- Language and literacy- Early childhood education and development• Social and community context – within which people live, learn work and play, including:- Civic participation- Civic cohesiveness- Discrimination- Conditions within the workplace• Economic stability, including: - Income- Cost of living- Socioeconomic status- Poverty
32 I Community Health Needs Assessment• - Employment - Food security - Housing stability• Neighborhood and built environment, including: - Quality of housing - Access to transportation - Availability of healthy food - Air and water quality - Crime and violence - Housing stabilitySome of the social determinant indicators reected in the data include:• 15,327 households with disability• 6,294 households below the poverty level (14%)• 2,727 households with no vehicle• A population over age 65 that is larger than the population under 18Economic and social insecurity often are associated with poor health. Poverty, unemployment, and lack of educational achievement aect access to care and a community’s ability to engage in healthy behaviors. Without a network of support and a safe community, families cannot thrive. Ensuring access to social and economic resources provides a foundation for a healthy community.
Carle Richland Memorial Hospital I 33Version 1.8 © 2021 EsriSource:Esri forecasts for 2021, U.S. Census Bureau2015-2019 American Community Survey(ACS) Data,AT RISK POPULATION PROFILE8 CountiesGeography: County108,400Population44,529Households2.33Avg SizeHousehold43.5MedianAge$51,330MedianHousehold Income$98,775MedianHome Value66WealthIndex251HousingAffordability17DiversityIndexAT RISK POPULATION15,327Households WithDisability23,682Population 65+2,727HouseholdsWithout VehiclePOVERTY AND LANGUAGE14%Households Belowthe Poverty Level6,294Households Belowthe Poverty Level9Pop 65+ SpeakSpanish & No EnglishPOPULATION AND BUSINESSES101,939DaytimePopulation3,991TotalBusinesses39,867TotalEmployeesPOPULATION BY AGE60,00040,00020,0000Aged65+18to65Under1820,91922,19265,289Language Spoken (ACS) Age 5-17 18-64 Age 65+ TotalEnglish Only 16,623 60,492 20,983 98,098Spanish 153 1,690 181 2,024Spanish & English Well 113 1,169 107 1,389Spanish & English Not Well 39 481 65 585Spanish & No English 1 40 9 50Indo-European 211 776 178 1,165Indo-European & English Well 172 697 144 1,013Indo-European & English Not Well 0 77 29 106Indo-European & No English 39 2 5 46Asian-Pacic Island 23 257 51 331Asian-Pacic Isl & English Well 23 231 50 304Asian-Pacic Isl & English Not Well 0 26 0 26Asian-Pacic Isl & No English 0 0 1 1Other Language 0 130 3 133Other Language & English Well 0 130 3 133Other Language & English Not Well 0 0 0 0Other Language & No English 0 0 0 0Version 1.8 © 2021 EsriSource:Esri forecasts for 2021, U.S. Census Bureau2015-2019 American Community Survey(ACS) Data,AT RISK POPULATION PROFILE8 CountiesGeography: County108,400Population44,529Households2.33Avg SizeHousehold43.5MedianAge$51,330MedianHousehold Income$98,775MedianHome Value66WealthIndex251HousingAffordability17DiversityIndexAT RISK POPULATION15,327Households WithDisability23,682Population 65+2,727HouseholdsWithout VehiclePOVERTY AND LANGUAGE14%Households Belowthe Poverty Level6,294Households Belowthe Poverty Level9Pop 65+ SpeakSpanish & No EnglishPOPULATION AND BUSINESSES101,939DaytimePopulation3,991TotalBusinesses39,867TotalEmployeesPOPULATION BY AGE60,00040,00020,0000Aged65+18to65Under1820,91922,19265,289Language Spoken (ACS) Age 5-17 18-64 Age 65+ TotalEnglish Only 16,623 60,492 20,983 98,098Spanish 153 1,690 181 2,024Spanish & English Well 113 1,169 107 1,389Spanish & English Not Well 39 481 65 585Spanish & No English 1 40 9 50Indo-European 211 776 178 1,165Indo-European & English Well 172 697 144 1,013Indo-European & English Not Well 0 77 29 106Indo-European & No English 39 2 5 46Asian-Pacic Island 23 257 51 331Asian-Pacic Isl & English Well 23 231 50 304Asian-Pacic Isl & English Not Well 0 26 0 26Asian-Pacic Isl & No English 0 0 1 1Other Language 0 130 3 133Other Language & English Well 0 130 3 133Other Language & English Not Well 0 0 0 0Other Language & No English 0 0 0 0Version 1.8 © 2021 EsriSource:Esri forecasts for 2021, U.S. Census Bureau2015-2019 American Community Survey(ACS) Data,AT RISK POPULATION PROFILE8 CountiesGeography: County108,400Population44,529Households2.33Avg SizeHousehold43.5MedianAge$51,330MedianHousehold Income$98,775MedianHome Value66WealthIndex251HousingAffordability17DiversityIndexAT RISK POPULATION15,327Households WithDisability23,682Population 65+2,727HouseholdsWithout VehiclePOVERTY AND LANGUAGE14%Households Belowthe Poverty Level6,294Households Belowthe Poverty Level9Pop 65+ SpeakSpanish & No EnglishPOPULATION AND BUSINESSES101,939DaytimePopulation3,991TotalBusinesses39,867TotalEmployeesPOPULATION BY AGE60,00040,00020,0000Aged65+18to65Under1820,91922,19265,289Language Spoken (ACS) Age 5-17 18-64 Age 65+ TotalEnglish Only 16,623 60,492 20,983 98,098Spanish 153 1,690 181 2,024Spanish & English Well 113 1,169 107 1,389Spanish & English Not Well 39 481 65 585Spanish & No English 1 40 9 50Indo-European 211 776 178 1,165Indo-European & English Well 172 697 144 1,013Indo-European & English Not Well 0 77 29 106Indo-European & No English 39 2 5 46Asian-Pacic Island 23 257 51 331Asian-Pacic Isl & English Well 23 231 50 304Asian-Pacic Isl & English Not Well 0 26 0 26Asian-Pacic Isl & No English 0 0 1 1Other Language 0 130 3 133Other Language & English Well 0 130 3 133Other Language & English Not Well 0 0 0 0Other Language & No English 0 0 0 0AT RISK POPULATION PROFILEGeography: County
34 I Community Health Needs AssessmentNote: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: TractIncome - Families Earning Over $75,000In the report area, 41.23%, or 11,937 families report a total annual income of $75,000 or greater. Total income includes all reported income from wages and salaries as well as income from self‐employment, interest or dividends, public assistance, retirement, and other sources. As dened by the US Census Bureau, a family household is any housing unit in which the householder is living with one or more individuals related to him or her by birth, marriage, or adoption. A non‐family household is any household occupied by the householder alone, or by the householder and one or more unrelated individuals.
Carle Richland Memorial Hospital I 35Income – Median Household IncomeThis indicator reports median household income based on the latest 5-year American Community Survey estimates. This includes the income of the householder and all other individuals 15 years old and over in the household, whether they are related to the householder or not. Because many households consist of only one person, average household income is usually less than average family income.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: County
36 I Community Health Needs AssessmentPoverty – Populations Below 100% FPLPoverty is considered a key driver of health status. Within the report area 13.74% or 14,051 individuals are living in households with income below the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, health food, and other necessities that contribute to poor health status.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: County
Carle Richland Memorial Hospital I 37Poverty – Children Below 100% FPLIn the report area, 17.17% or 3,897 children aged 0-17 are living in households with income below the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: County
38 I Community Health Needs AssessmentNote: This indicator is compared to the state average.Data Source: National Center for Education Statistics, NCES ‐Common Core of Data. 2018‐19. Source geography: AddressPoverty – Children Eligible for Free/Reduced Price LunchFree or reduced price lunches are served to qualifying students in families with income between under 185 percent (reduced price) or under 130% (free lunch) of the US federal poverty threshold s part of the federal National School Lunch Program (NSLP). Out of 15,899 total public school students in the report area, 7,805 were eligible for the free or reduce price lunch program in the latest report year. This represents 49.1% of public school students, which is higher than the state average of 48.7%.
Carle Richland Memorial Hospital I 39Education – AttainmentEducational attainment shows the distribution of the highest level of education achieved in the report area, and helps schools and businesses to understand the needs of adults, whether it be workforce training or the ability to develop science, technology, engineering, and mathematics opportunities. Educational attainment is calculated for persons over 25, and is an estimated average for the period from 2014 to 2019. For the selected area 11.5% have at least a college bachelor’s degree, while 33.4% stopped their formal educational attainment after high school.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015-‐19. Source geography: County
40 I Community Health Needs AssessmentFood Insecurity RateFood insecurity is the household-level economic and social condition of limited or uncertain access to adequate food.Note: This indicator is compared to the state average.Data Source: Feeding America. 2017. Source geography: County
Carle Richland Memorial Hospital I 41Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. 2017. Source geography: CountyPhysical InactivityThis indicator reports the percentage of adults aged 20 and older who self-report no active leisure time, based on the question: “During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?” This indicator is relevant because current behaviors are determinants of future health and this indicator may illustrate a cause of signicant health issues, such as obesity and poor cardiovascular health.HEALTH AND WELLNESS INDICATORS
42 I Community Health Needs AssessmentNote: This indicator is compared to the state average.Data Source: State Cancer Proles. 2014-18. Source geography: CountyCancer Incidence – All SitesThis indicator reports the age-adjusted incidence rate (cases per 100,000 population per year) of cancer (all sites), adjusted to 2000 U.S. standard population age groups (under age 1, 1-4, 5-9, ..., 80-84, 85 and older). Within the report area, there were 731 new cases of cancer reported. This means there is a rate of 479.0 for every 100,000 total population.CHRONIC ILLNESS
Carle Richland Memorial Hospital I 43Mortality – CancerThis indicator reports the 2015-2019 ve-year average rate of death due to malignant neoplasm (cancer) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because cancer is a leading cause of death in the United States. Within the report area, there are a total of 1,380 deaths due to cancer. This represents an age-adjusted death rate of 172 people per every 100,000 total population. Note: Data are suppressed for counties with fewer than 20 deaths in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. 2015-2019. Source geography: County
44 I Community Health Needs AssessmentReport AreaTotal Population (2010)Percentage of Adults Ever Diagnosed with Chronic Lower Respiratory DiseaseAdults with Diagnosed Diabetes, Age- Adjusted RatePercentage of Adults Ever Diagnosed with Coronary Heart DiseasePercentage of Adults with High Blood PressureCarle Richland107,472 9.5% 11.5% 8.4% 37.0%Clay County13,253 9.9% 13.0% 8.7% 37.0%Crawford County18,807 9.0% 9.0% 7.8% 36.2%Edwards County6,392 9.2% 6.1% 8.2% 37.4%Jasper County9,611 9.3% 7.4% 8.2% 36.4%Lawrence County15,765 9.5% 17.5% 7.9% 36.7%Richland County15,763 9.8% 8.9% 8.9% 37.7%WabashCounty11,549 9.3% 8.7% 8.4% 36.9%Wayne County16,332 10.1% 18.6% 9.0% 38.0%Illinois 12,741,080 7.0% 9.0% 6.4% 32.7%Chronic Conditions – AdultThis table presents the percentage of adultsever diagnosed with Chronic Lower Respiratory Disease, Diabetes, CoronaryHeart Disease and High Blood Pressure. The data is reected by county and the entire service area and provides comparisons within the service area. The range of persons diagnosed with diabetes, from 6.1% in Edwards County to 18.6% Wayne County, is an example of information that may warrant further exploration.Note: This indicator is compared to the state average.Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the 500 Cities Data Portal. 2018.
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46 I Community Health Needs AssessmentMortality – Coronary Heart DiseaseThis indicator reports the 2015-2019 ve-year average rate of death due to coronary heart disease (ICD10 Codes I20-I25) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because coronary heart disease is a leading cause of death in the United States. Within the report area, there are a total of 858 deaths due to coronary heart disease. This represents an age-adjusted death rate of 103 people per every 100,000 total population. Note: Data are suppressed for counties with fewer than 20 deaths in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. 2015-2019. Source geography: County
Carle Richland Memorial Hospital I 47Mortality – Lung DiseaseThis indicator reports the 2015-2019 ve-year average rate of death due to chronic lower respiratory disease per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because lung disease is a leading cause of death in the United States. Within the report area, there are a total of 462 deaths due to lung disease. This represents an age-adjusted death rate of 55 people per every 100,000 total population. Note: Data are suppressed for counties with fewer than 20 deaths in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. 2015-2019. Source geography: County
48 I Community Health Needs AssessmentChronic Conditions – Depression (Medicare Population)This indicator reports the number and percentage of the Medicare fee-for-service population with depression. Data are based upon Medicare administrative enrollment and claims data for Medicare beneciaries enrolled in the fee-for-service program. Within the report area, there were 3,331 beneciaries with depression based on administrative claims data in the latest report year. This represents 15.3% of the total Medicare fee-for-service beneciaries.Note: This indicator is compared to the state average. Data Source: Centers for Medicare and Medicaid Services, CMS - Geographic Variation Public Use File. 2018: Source geography: County, MENTAL HEALTH
Carle Richland Memorial Hospital I 49Access to Care – Mental HealthThis indicator reports the number of mental health providers in the report area as a rate per 100,000 total area population. Mental health providers include psychiatrists, psychologist, clinical social workers, and counselors that specialize in mental healthcare. Data from the 2020 Centers for Medicare and Medicaid Services (CMS) National Provider Identier (NPI) downloadable le are used in the 2021 County Healthy Rankings. Within the report area, there were 257 mental health providers with a CMS National Provider Identier (NPI). This represents 241 providers per 100,000 total population. Note: Data are suppressed for counties with population greater than 1,000 and 0 mental health providers.Note: This indicator is compared to the state average. Data Source: Centers for Medicare and Medicaid Services, CMS - National Plan and Provider Enumeration System (NPPES). Accessed via County Health Rankings.
50 I Community Health Needs AssessmentDeaths of Despair – Suicide + Drug/Alcohol PoisoningThis indicator reports average rate of death due to intentional self-harm (suicide), alcohol-related disease, and drug overdose, also known as “deaths of despair”, per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because death of despair is an indicator of poor mental health. Within the report area, there were 206 deaths of despair. This represents an age-adjusted death rate of 36 people per every 100,000 total population.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER, 2015-2019. Source geography: County.BEHAVIORAL HEALTH
Carle Richland Memorial Hospital I 51Mortality – SuicideThis indicator reports the 2015-2019 ve-year average rate of death due to intentional self-harm (suicide) per 100,000 populations. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant, because suicide is an indicator of poor mental health. Note: Data are suppressed for counties with fewer than 20 deaths in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER, 2015-2019. Source geography: County.
52 I Community Health Needs AssessmentTeen BirthsThis indicator reports the seven-year average number of births per 1,000 female population age 15-19. Data were from the National Center for Health Statistics - Natality les (2013-2019) and are used for the 2021 County Health Rankings. In the report area, of the 20,437 total female population age 15-19, the teen birth rate is 33 per 1,000, which is greater than the state’s teen birth rate of 19. Note: Data are suppressed for counties with fewer than 10 teen births in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER, 2015-2019. Source geography: County.
Carle Richland Memorial Hospital I 53Alcohol – Heavy Alcohol ConsumptionIn the report area, 23,452 or 21.82% adults self-report excessive drinking in the last 30 days, which is greater than the state rate of 21.54%. Data for this indicator were based on survey responses to the 2018 Behavioral Risk Factor Surveillance System (BRFSS) annual survey are used for the 2021 County Health Rankings.Excessive drinking is dened as the percentage of the population who report at least one binge drinking episode involving ve or more drinks for men and four or more drinks for women per day, over the past 30 days. Alcohol use is a behavioral health issue that is also a risk factor for a number of negative health outcomes, including: physical injuries related to motor vehicle accidents, stroke, chronic diseases such as heart disease and cancer, and mental health conditions such as depression and suicide. There are a number of evidence-based interventions that may reduce excessive/binge drinking: examples include raising taxes on alcoholic beverages, restricting access to alcohol by limiting days and hours of retail sales, and screening and counseling for alcohol abuse. Note: This indicator is compared to the state average. Data Source: University of Wisconsin Population Health Institute, County Health Rankings, 2018. Source geography: County.SUBSTANCE USE
54 I Community Health Needs AssessmentMortality – Motor Vehicle Crash, Alcohol InvolvedMotor vehicle crash deaths are preventable and are a leading cause of death among your persons. This indicator reports the crude rate of persons killed in motor vehicle crashes involving alcohol as a rate per 100,000 population. Fatality counts are based on the location of the crash and not the decedent’s residence. Within the report area, there are a total of 23 deaths due to motor vehicle crash. This represents an age-adjusted death rate of 7 people per every 100,000 total population.Note: This indicator is compared to the state average. Data Source: U.S. Department of Transportation, National Highway Trac Safety Administration, Fatality Analysis Reporting System, 2015-2019. Source geography: Address.
Carle Richland Memorial Hospital I 55This indicator reports the average (population weighted) Area Deprivation Index (ADI) for the selected area. The ADI ranks neighborhoods and communities relative to all neighborhoods across the nation (National Percentile) or relative to other neighborhoods within just one state (State Percentile). The ADI is calculated based on 17 measures related to four primary domains (education; income and employment; housing; and household characteristics). The overall scores are measured on a scale of 1 to 100 where 1 indicates the lowest level of deprivation (least disadvantaged) and 100 is the highest level of deprivation (most disadvantaged). Report Area Total Populaon State Percenle Naonal PercenleCarle Richland 102,521 84 79Clay County, IL 13,287 85 82Crawford County, IL 16,197 83 79Edwards County, IL 6,455 88 82Jasper County, IL 9,594 75 71Lawrence County, IL 13,274 88 83Richland County, IL 15,766 81 77Wabash County, IL 11,546 84 79Wayne County, IL 16,402 85 81Illinois 12,550,547 No data 49United States 320,934,417 No data No dataDIVERSITY AND MINORITY HEALTH STATUSData Source: US Census Bureau, American Community Survey. 2015-2019. Source geography: County
56 I Community Health Needs AssessmentUninsured PopulationIn the report area, 6.58% of the total civilian, non-‐institutionalized population are without health insurance coverage. The rate of uninsured persons in the report area is less than the state average of 6.83%. This indicator is relevant because lack of insurance is a primary barrier to healthcare access including regular primary care, specialty care, and other health services that contributes to poor health status.Report AreaTotal Populaon(For Whom Insurance Status is Determined)Uninsured PopulaonUninsured Populaon, PercentCarle Richland 102,805 6,768 6.58%Clay County, IL 13,119 837 6.38%Crawford County, IL16,659 1,020 6.12%Edwards County, IL 6,428 401 6.24%Jasper County, IL 9,532 630 6.61%Lawrence County, IL13,675 1,033 7.55%Richland County, IL 15,571 674 4.33%Wabash County, IL 11,466 815 7.11%Wayne County, IL 16,355 1,358 8.30%Note: This indicator is compared to the state average. Data Source: US Census Bureau, American Community Survey. 2015-2019. Source geography: Tract.
Carle Richland Memorial Hospital I 57Uninsured Population by Ethnicity AloneThis indicator reports the average (population weighted) Area Deprivation Index (ADI) for the selected area. The ADI ranks neighborhoods and communities relative to all neighborhoods across the nation (National Percentile) or relative to other neighborhoods within just one state (State Percentile). The ADI is calculated based on 17 measures related to four primary domains (education; income and employment; housing; and household characteristics). The overall scores are measured on a scale of 1 to 100 where 1 indicates the lowest level of deprivation (least disadvantaged) and 100 is the highest level of deprivation (most disadvantaged). Data Source: US Census Bureau, American Community Survey. 2015-2019. Source geography: County.
58 I Community Health Needs AssessmentSocial Vulnerability IndexThe degree to which a community exhibits certain social conditions including high poverty, low percentage of vehicle access, or crowded households, may aect that community’s ability to prevent human suering and nancial loss in the event of disaster. These factors describe a community’s social vulnerability. The social vulnerability index is a measure of the degree of social vulnerability in counties and neighborhoods across the United States, where a higher score indicates higher vulnerability. The report area has a social vulnerability index score of 0.45, which is which is less than the state average of 0.49.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention and the National Center for Health Statistics, CDC - GRASP, 2018. Source geography: Tract.
Carle Richland Memorial Hospital I 59The Carle Richland Memorial Hospital works with the United States Health and Human Services Oce of the Assistant Secretary for Preparedness and Response (US-HHS ASPR), the Illinois Department of Public Health, county health departments, the Illinois Emergency Management Agency, and other state, regional, and local partners to plan, exercise, and equip for emergency preparedness and to ensure the ability to address a wide range of potential emergencies, ranging from disasters of all causes to pandemics and terrorism. EMERGENCY PREPAREDNESS
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The ndings of the focus groups were presented, along with secondary data,analyzed by the consultant, to a third group for identication and prioritization of the signicant health needs facing the community. The group consisted ofrepresentatives of public health, community leaders, healthcare providers, andcommunity services providers. The meeting was convened on June 26, 2021,utilizing virtual conferencing.The group reviewed notes from the focus groups and summaries of data reviewedby the consultant which included SparkMap, ESRI, Illinois Department of PublicHealth, CDC, USDA, Illinois Department of Labor, HRSA, County Health Rankingsand Roadmaps, National Cancer Institute and other resources.PROCESSMental HealthServicesFlexibleTransportationImprovedAccessDentalCareIDENTIFICATION AND PRIORITIZATION OF NEEDS
62 I Community Health Needs AssessmentFollowing the review, the group identied and then prioritized the following as being the signicant health needs facing the Carle Richland Memorial Hospital service area:1. Mental health services for children, adolescents, and adults, including:a. Youth and adult inpatient care for treatment through recovery b. Improved access to counseling for youth, including services at schools c. Inpatient behavioral health and substance use crisis care d. Addiction medicine services, including Medication Assisted Treatment2. Flexible transportation for local appointments and assistance when needed for persons that have little or no transportation opportunities at home3. Improved opportunities to achieve wellness through:a. Access to healthy foods and nutrition education b. Access to low cost or free opportunities for recreation and tness4. Dental care for underinsured and uninsured DESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED
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Carle Richland Memorial Hospital I 65Resources DATA• Organization and community development• Administration• Departments• SIU School of Medicine• Public Health• Inpatient providers• Carle Behavioral Health services• Carle HealthHOSPITAL RESOURCESHEALTHCARE PARTNERS OR OTHER RESOURCES, INCLUDING TELEMEDICINERESOURCES AVAILABLE TO MEET PRIORITY HEALTH NEEDS
66 I Community Health Needs AssessmentCOMMUNITY RESOURCES• Schools• Faith-based organizations• Local governments• Public transportation• County health departments• Community service agencies• Law enforcement• RIDES Mass Transit District• Embarras River Basin Area Agency (ERBA)• Volunteers• City of Olney• University of Illinois Extension• Carle Richland Memorial Hospital Auxiliary• Federally Qualied Health Center• Dentists• Others that may be interested in these eorts
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Carle Richland Memorial Hospital I 69Documentation Online PresenceCommentsImplementationSECONDARY DATAThis CHNA Report will be available to the community on the hospital’s public website, https://carle.org/about-us/community-health-needs-assessments.A hard copy may be reviewed at the hospital by inquiring at the information desk at the main entrance. No written comments were received concerning the hospital facility’s most recently conducted CHNA nor on the most recently adopted Implementation Strategy. A method for retaining written public comments and responses exists,but none were received.DOCUMENTING AND COMMUNICATING RESULTS
Carle Richland Memorial Hospital I 71The results of the assessment process were presented to senior sta througha facilitated discussion for development of a plan to address the identied andprioritized needs. The group reviewed the needs assessment process completedto that point and considered the prioritized signicant needs and supportingdocuments. They recounted some of the steps taken to address previousCommunity Health Needs Assessments. They also considered internal andexternal resources potentially available to address the current prioritized needs.The group then considered each of the prioritized needs.For each of the four prioritized needs, actions the hospital intends to take wereidentied along with the anticipated impact of the actions, the resources thehospital intends to commit to the actions, and the external collaborators thehospital plans to cooperate with to address the need. The plan will be evaluatedby periodic review of measurable outcome indicators in conjunction with annualreview and reporting.PLANNING PROCESSMental HealthServicesFlexibleTransportationImprovedAccessDentalCareIMPLEMENTATION STRATEGY
72 I Community Health Needs AssessmentThe group addressed the needs with the following strategies:1. Mental health services for children, adolescents, and adults, including:a. Youth and adult inpatient care for treatment through recovery b. Improved access to counseling for youth, including services at schools c. Inpatient behavioral health and substance use crisis care d. Addiction medicine services, including Medication Assisted TreatmentActions the hospital intends to take to address the health need:• Carle Richland Memorial Hospital will explore increasing access to Medication Assisted Treatment/recovery resources• Carle Richland Memorial Hospital will explore increasing relationships with inpatient behavioral health and substance use disorder providers• Carle Richland Memorial Hospital will provide reasonable and appropriate support to development of the crisis program at Lawrence County Health Department• Carle Richland Memorial Hospital will explore developing tele-counseling • Carle Richland Memorial Hospital will explore new avenues to increase access to counseling• Carle Richland Memorial Hospital will continue and expand the Mental Health First Aid programAnticipated impacts of these actions:Carle Richland Memorial Hospital anticipates that the steps set out above will create increased access to counseling for youth and adults, medication assisted treatment, and inpatient and crisis care for behavioral health and substance use disorder. Programs and resources the hospital plans to commit to address the health need:• Administrative teamPlanned collaboration between the hospital and other facilities or organizations:• SIU School of Medicine• Public Health• Inpatient providers• Law enforcement• Carle Behavioral Health servicesIMPLEMENTATION STRATEGY
Carle Richland Memorial Hospital I 732. Flexible transportation for local appointments and assistance when needed for persons that have little or no transportation opportunities at homeActions the hospital intends to take to address the health need:• Carle Richland Memorial Hospital will explore expanding care coordination services to include transportation.Anticipated impacts of these actions:Carle Richland Memorial Hospital anticipates the expanding care coordination services to include improved coordination of transportation with appointments and also addressing patient needs related to transportation.Programs and resources the hospital plans to commit to address the health need:• Administration Planned collaboration between the hospital and other facilities or organizations:• RIDES Mass Transit District• Embarras River Basin Area Agency (ERBA)3. Improved opportunities to achieve wellness through:a. Access to healthy foods and nutrition education b. Access to low cost or free opportunities for recreation and tness Actions the hospital intends to take to address the health need:• Carle Richland Memorial Hospital will explore development of a community garden program.• Carle Richland Memorial Hospital will continue the demonstration garden for nutrition education.• Carle Richland Memorial Hospital will provide funding for lighting to enhance use of the community walking path in Olney.• Carle Richland Memorial Hospital will explore expanding services of Carle Health’s Mobile Market.• Carle Richland Memorial Hospital will partner with Carle Health to provide the community with access to video with health and wellness content.• Carle Richland Memorial Hospital will continue to support local youth sports.
74 I Community Health Needs AssessmentAnticipated impacts of these actions:Carle Richland Memorial Hospital anticipates that the addition of the programs and services to be undertaken will improve opportunities to achieve wellness through access to healthy foods and nutrition education, and access to low cost or free opportunities for recreation and tness.Programs and resources the hospital plans to commit to address the health need:• Administrative team• Organizational and community developmentPlanned collaboration between the hospital and other facilities or organizations:• Volunteers• Carle Health• City of Olney• University of Illinois Extension• Carle Richland Auxiliary4. Dental care for underinsured and uninsuredActions the hospital intends to take to address the health need:Carle Richland Hospital continues to recognize the importance of access to dental care and the impact of dental care on wellness but observes that dental care is not a function for which the hospital is well-suited. Carle Richland Hospital recognizes that the Federally Qualied Health Center may be better positioned to address this issue and the hospital will promote partnerships between dentists, the FQHC, and any other potential partners as reasonably possible.Anticipated impacts of these actions:Any impacts from any developments on this issue are dependent on external partners and solutions they may oer.Programs and resources the hospital plans to commit to address the health need:• AdministrationPlanned collaboration between the hospital and other facilities or organizations:• Federally Qualied Health Center• Dentists• Others that may be interested in this eort• Public Health
Carle Richland Memorial Hospital I 75Addressing Equity and Social Determinants of HealthCarle Health is committed to providing world-class care and services to the communities they serve through empathy and inclusion. The Diversity, Equity, and Inclusion Steering Committee provides advisory support to the Board of Trustees and Executive Leadership Team to help instill a culture of acceptance by establishing a clear strategy for improving the cultural awareness of the organization and those Carle Richland Memorial Hospital serves. Committee members aim to celebrate and promote the unique characteristics and individual capabilities of their providers, team members, and customers.Carle Richland Memorial Hospital, in partnership with Carle Health, launched a new portal on the system’s internal web browser – oering critical training opportunities for Carle Health sta in areas such as unconscious bias, learning to be more culturally respectful and eective, and more. Additionally, all Carle Richland Memorial Hospital leaders attended a three-part virtual series on “Cultivating A Culture of Inclusion.” and a required unconscious bias training module was also implemented for all team members to complete.Additionally in 2020, Carle Richland Memorial Hospital sta attended the Illinois Health and Hospital Association’s rst annual Health Equity Action Day, where sta learned from leaders in the eld how hospitals can take concrete actions to advance health equity. In support of the event, Governor J.B. Pritzker signed a proclamation declaring June 18 as the Illinois Health and Hospital Association’s Health Equity Action Day.The Diversity, Equity, and Inclusion Steering Committee will continue to support Carle Richland Memorial Hospital and the rest of the Carle Health System in advising on ways the organization can recruit and promote a racially and culturally diverse workforce, procure goods and services locally from historically under-represented communities, oer training that addresses cultural competency and implicit bias, and forge partnerships and investments that address social needs such as food, housing, and community safety.
Carle Richland Memorial Hospital I 77Focus Groups AdministrationOrganizationsBusinessSECONDARY DATAFocus Group ParticipantsPastor Je Bealmear, Richland County Ministerial AllianceTeresa Dallmier, The Master’s HandsDeanna Mitchell, Richland County Housing Authority (RCHA)Linda Warner, Stopping Woman Abuse Now (SWAN)Lisa Totten, Department of Human ServicesChris Simpson, Richland County Community Unit 1 SchoolsSara Buehnerkemper, Richland County Addiction Prevention CoalitionJennifer Foster, Community Unit School District 20Rodney Ranes, Olney Central CollegeChris Thilker, Caseworker, Carle Richland Memorial HospitalMicah Drummond, Richland County TB and Public Health OceJe Johnson, Arrow AmbulanceTaja Wheeler, SIHFREFERENCES AND APPENDIX
78 I Community Health Needs AssessmentJeannie Johnson, Jasper County Health Department (Behavioral Health)Amelia Pauley, PMHNP, Carle Richland Memorial HospitalSandy Zumbahlen, Jasper County Health Department (DON)Melissa Kuenstler, NP, Convenient Care, Carle Richland Memorial HospitalNicole Schoenborn, Wayne County Health DepartmentAmelia Pauley, PMHNP, Carle Richland Memorial HospitalChristine Thilker, Caseworker, Carle Richland Memorial HospitalJohn Walsh, External Aairs, Carle HealthKylie Garbe, NP, SIHFLindsey Schmucker Identication and Prioritization GroupDeanna Mitchell, Richland County Housing Authority (RCHA)Micah Drummond, Richland County TB and Public Health OceJeannie Johnson, Jasper County Health Department (Behavioral Health)Holly O’Brien, Social Worker, RCCU 1Lisa Totten, Case Manager, Department of Human Services
Carle Richland Memorial Hospital I 79Administrative TeamSara Buehnerkemper, Director of Ancillary Services, CRMHGina Thomas, President, Carle Richland Memorial HospitalChristina Bare, Director of Physician Practices, CRMHTynan O’Neil, Director of Business Development and Operations, CRMHSarah Fehrenbacher, Director of Quality, CRMHDusty Jacobsen, Director of Nursing, CRMHDates Adopted/ApprovedCarle Richland Memorial Hospital’s Community Health Needs Assessment was adopted and approved by the Carle Richland Memorial Hospital Board on 10/26/2021. The Community Benet Implementation Plan was adopted and approved by the Board of Trustees on 10/26/2021.
80 I Community Health Needs Assessment 800 East Locust St, Olney, IL 62450 • 618.395.2131