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2019 Community Health Needs Assessment
MEMORIAL HERMANN THE WOODLANDS MEDICAL CENTER
HEALTHINSURANCE
Board Approved June 27, 2019
MemorialHermannTheWoodlandsMedicalCenterCHNA20192
Table of Contents Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Introduction&Purpose...............................................................................................................................4SummaryofFindings...................................................................................................................................4PrioritizedAreas..........................................................................................................................................5
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 MemorialHermannTheWoodlandsMedicalCenter..................................................................................6
Vision.......................................................................................................................................................6MissionStatement...................................................................................................................................6MemorialHermannHealthSystem.........................................................................................................6MemorialHermannTheWoodlandsServiceArea...................................................................................7
Consultants..................................................................................................................................................8
Evaluation of Progress Since Prior CHNA .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 PriorityHealthNeedsandImpactfromPriorCHNA....................................................................................9
Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Overview....................................................................................................................................................11SecondaryDataSources&Analysis...........................................................................................................11
SecondaryDataScoring.........................................................................................................................11DisparitiesAnalysis................................................................................................................................12
PrimaryDataMethods&Analysis.............................................................................................................12CommunitySurvey.................................................................................................................................12KeyInformantInterviews.......................................................................................................................14
DataConsiderations...................................................................................................................................16Race/EthnicGroupings..........................................................................................................................17ZipCodesandZipCodeTabulationAreas..............................................................................................17
Prioritization..............................................................................................................................................17PrioritizationProcess.............................................................................................................................17
Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Population..................................................................................................................................................20
Age.........................................................................................................................................................21Race/Ethnicity........................................................................................................................................23Language...............................................................................................................................................24
SocialandEconomicDeterminantsofHealth............................................................................................25Income...................................................................................................................................................25Poverty...................................................................................................................................................27FoodInsecurity......................................................................................................................................29Unemployment......................................................................................................................................30Transportation.......................................................................................................................................33SocioNeedsIndex®.................................................................................................................................35
Data Synthesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Priorit ized Signif icant Health Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 PrioritizationResults..................................................................................................................................42AccesstoHealthcare..................................................................................................................................42EmotionalWell-Being................................................................................................................................48
MemorialHermannTheWoodlandsMedicalCenterCHNA20193
FoodasHealth...........................................................................................................................................52ExerciseIsMedicine...................................................................................................................................56
Non-Priorit ized Signif icant Health Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 OlderAdultsandAging..............................................................................................................................59Cancers......................................................................................................................................................60Education...................................................................................................................................................60Transportation...........................................................................................................................................61Children’sHealth.......................................................................................................................................62Economy....................................................................................................................................................63
Other Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 BarrierstoCare..........................................................................................................................................64Disparities..................................................................................................................................................64
Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 AppendixA:EvaluationSincePriorCHNA.................................................................................................68AppendixB.SecondaryDataMethodology...............................................................................................96AppendixC.PrimaryDataMethodology.................................................................................................132AppendixD.PrioritizationTool................................................................................................................147AppendixE.CommunityResources.........................................................................................................150
MemorialHermannTheWoodlandsMedicalCenterCHNA20194
Executive Summary
Introduction & Purpose MemorialHermannTheWoodlandsMedicalCenter(MHTheWoodlands)ispleasedtopresentits2019CommunityHealthNeedsAssessment(CHNA).ThisCHNAreportprovidesanoverviewoftheprocessandmethodsusedtoidentifyandprioritizesignificanthealthneedsacrossMemorialHermannHealthSystem’sregionalservicearea(includingMHTheWoodlands),asfederallyrequiredbytheAffordableCareAct.MemorialHermannHealthSystempartneredwithConduentHealthyCommunitiesInstitute(HCI)toconducttheCHNAfor13facilities:
• MemorialHermannKatyHospital• MemorialHermannMemorialCityMedicalCenter• MemorialHermannGreaterHeightsHospital• MemorialHermannNortheastHospital• MemorialHermannSoutheastHospital• MemorialHermannSugarLandHospital• MemorialHermannSouthwestHospital• MemorialHermannTheWoodlandsMedicalCenter• MemorialHermannRehabilitationHospital–Katy• MemorialHermann–TexasMedicalCenter• TIRRMemorialHermann• MemorialHermannSurgicalHospitalKingwood• MemorialHermannSurgicalHospitalFirstColony
ThepurposeofthisCHNAistoofferacomprehensiveunderstandingofthehealthneedsinMHTheWoodlands’serviceareaandguidethehospital’splanningeffortstoaddressthoseneeds.Specialattentionhasbeengiventotheneedsofvulnerablepopulations,unmethealthneedsorgapsinservices,andinputfromthecommunity.TostandardizeeffortsacrosstheMemorialHermannHealthSystemandincreasethepotentialforimpactingtophealthneedsinthegreaterHoustonregion,communityhealthneedswereassessedandprioritizedataregional/systemlevel.Findingsfromthisreportwillbeusedtoidentifyanddevelopeffortstoimprovethehealthandqualityoflifeofresidentsinthecommunity.
Summary of Findings TheCHNAfindingsinthisreportresultfromtheanalysisofanextensivesetofsecondarydata(over100indicatorsfromnationalandstatedatasources)andprimarydatacollectedfromcommunityleaders,non-healthprofessionals,andorganizationsservingthecommunityatlarge,vulnerablepopulations,and/orpopulationswithunmethealthneeds.Throughanexaminationoftheprimaryandsecondarydata,thefollowingtophealthneedswereidentified:
MemorialHermannTheWoodlandsMedicalCenterCHNA20195
Priorit ized Areas InMarch2019,stakeholdersfromthe13hospitalfacilitiesintheMemorialHermannHealthSystemcompletedasurveytoprioritizethesignificanthealthissues,basedoncriteriaincludinghealthimpactandriskaswellasconsiderationofMemorialHermann’sstrategicfocus.Thefollowingfourtopicswereidentifiedasprioritiestoaddress:
MHTheWoodlandswilldevelopstrategiestoaddresstheseprioritiesinits2019ImplementationStrategy.
MemorialHermannHealthSystem’sSignificantHealthNeeds•AccesstoHealthServices•Cancers•Children’sHealth•Diabetes•Economy
•Education•FoodInsecurity•HeartDisease/Stroke•LackofHealthInsurance•Low-Income/Underserved
•MentalHealth•Obesity•OlderAdults/Aging•SubstanceAbuse•Transportation
MemorialHermannHealthSystem’sCHNAPriorities• AccesstoHealthcare• EmotionalWell-Being• FoodasHealth• ExerciseIsMedicine
MemorialHermannTheWoodlandsMedicalCenterCHNA20196
Introduction
Memorial Hermann The Woodlands Medical Center Since1985,MemorialHermannTheWoodlandsMedicalCenterhasbeencontinuallyrecognizedfordeliveringahigherlevelofcare.ItisatraumacenterandisstillthefirstandonlyhospitalinMontgomeryCountytobegrantedMagnetstatusfornursingexcellencebytheAmericanNursesCredentialingCenter.MemorialHermannTheWoodlandsisa351-privatebed,full-service,comprehensive,acutecarefacilitythatbringstogethertheultimateinhealthcaretechnology,expertiseandhealingforfamiliesinsouthMontgomeryCounty,northHarrisCountyandsurroundingcommunities.
Vision MemorialHermannwillbethepreeminenthealthsystemintheU.S.byadvancingthehealthofthoseweservethroughtrustedpartnershipswithphysicians,employeesandotherstodeliverthebestpossiblehealthsolutionswhilerelentlesslypursuingqualityandvalue.
Mission Statement MemorialHermannisanot-for-profit,community-owned,healthcaresystemwithspiritualvalues,dedicatedtoprovidinghighqualityhealthservicesinordertoimprovethehealthofthepeopleinSoutheastTexas.
Memorial Hermann Health System Oneofthelargestnot-for-profithealthsystemsinthenation,MemorialHermannHealthSystemisanintegratedsystemwithanexceptionalaffiliatedmedicalstaffandmorethan26,000employees.GovernedbyaBoardofcommunitymembers,theSystemservicesSoutheastTexasandtheGreaterHoustoncommunitywithmorethan300caredeliverysitesincluding19hospitals;thecountry’sbusiestLevel1traumacenter;anacademicmedicalcenteraffiliatedwithMcGovernMedicalSchoolatUTHealth;oneofthenation’stoprehabilitationandresearchhospitals;andnumerousspecialtyprogramsandservices.MemorialHermannhasbeenatrustedhealthcareresourceformorethan110yearsandasGreaterHouston’sonlyfull-service,clinicallyintegratedhealthsystem,wecontinuetoidentifyandmeetourregion’shealthcareneeds.AmongourdiverseportfolioisLifeFlight,thelargestandbusiestairambulanceserviceintheUnitedStates;theMemorialHermannPhysicianNetwork,MHMD,oneofthelargest,mostadvanced,andclinicallyintegratedphysicianorganizationsinthecountry;and,theMemorialHermannAccountableCareOrganization,operatingacaredeliverymodelthatgeneratesbetteroutcomesatlowercoststoconsumers,whileprovidingresidentsoftheGreaterHoustonareabroadaccesstohealthinsurancethroughtheMemorialHermannHealthInsuranceCompany.Specialtiesspanburntreatment,cancer,children’shealth,diabetesandendocrinology,digestivehealth,ear,noseandthroat,heartandvascular,lymphedema,neurosurgery,neurology,stroke,nutrition,ophthalmology,orthopedics,physicalandoccupationaltherapy,rehabilitation,roboticsurgery,sleepstudies,transplant,weightloss,women’shealth,maternityandwoundcare.SupportingtheSysteminitsimpactonoverallpopulationhealthistheCommunityBenefitCorporation.Atamarketshareof26.1%inthe‘expanded’greaterHoustonareaof12counties,ourvisionisthatMemorialHermannwill
MemorialHermannTheWoodlandsMedicalCenterCHNA20197
beapreeminentintegratedhealthsystemintheU.S.byadvancingthehealthofthoseweserve.
Memorial Hermann The Woodlands Service Area TheserviceareaforMHTheWoodlandsincludesHarrisandMontgomerycountiesinTexas.ThegeographicboundariesoftheserviceareaareshowninFigure1.ThezipcodeswithinMHTheWoodlands’primaryserviceareaarelistedinTable1andrepresentapproximately75%ofinpatientdischarges(21.7%inHarrisCountyand53.7%inMontgomeryCounty).
Figure1.MHTheWoodlandsServiceArea
Table1.ProportionofPatientPopulationServedbyZipCodeZIPCode County PercentofPatient
Population77386 Montgomery 7.4%77381 Montgomery 6.8%77373 Harris 5.5%77380 Montgomery 5.5%77388 Harris 5.0%77354 Montgomery 4.8%77389 Harris 3.9%77385 Montgomery 3.7%77382 Montgomery 3.6%77379 Harris 3.0%77301 Montgomery 2.9%
MemorialHermannTheWoodlandsMedicalCenterCHNA20198
ZIPCode County PercentofPatientPopulation
77384 Montgomery 2.9%77375 Harris 2.8%77304 Montgomery 2.6%77356 Montgomery 2.6%77316 Montgomery 2.4%77302 Montgomery 2.3%77303 Montgomery 1.7%77378 Montgomery 1.7%77318 Montgomery 1.6%77073 Harris 1.5%77355 Montgomery 1.2%
Consultants MemorialHermannHealthSystemcommissionedConduentHealthyCommunitiesInstitute(HCI)toconductits2019CommunityHealthNeedsAssessment.HCIworkswithclientsacrossthenationtodrivecommunityhealthoutcomesbyassessingneeds,developingfocusedstrategies,identifyingappropriateinterventionprograms,establishingmonitoringsystems,andimplementingperformanceevaluationprocesses.TolearnmoreaboutConduentHealthyCommunitiesInstitute,pleasevisithttps://www.conduent.com/community-population-health.
MemorialHermannTheWoodlandsMedicalCenterCHNA20199
Evaluation of Progress Since Prior CHNA TheCHNAprocessshouldbeviewedasathree-yearcycle.AnimportantpartofthatcycleisrevisitingtheprogressmadeonprioritytopicsfrompreviousCHNAs.Byreviewingtheactionstakentoaddresspriorityareasandevaluatingtheimpactoftheseactionsinthecommunity,anorganizationcanbetterfocusandtargetitseffortsduringthenextCHNAcycle.
Priority Health Needs and Impact from Prior CHNA MHTheWoodlands’lastCHNAwasconductedin2016.ThepriorityareasinFY16-18were:
• HealthyLiving:Encourageandfosterhealthylifestylesthrougheducation,awarenessandearlydetectiontopreventillness.
• HealthcareAccess:Improvecommunityknowledgeabouthealthcareaccesspointsandreduceperceivedbarrierstocare.
• BehavioralHealth:Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
EachoftheabovehealthtopicscorrelateswellwiththeprioritiesidentifiedforthecurrentCHNA(detailedbelow);thusMHTheWoodlandswillbebuildinguponeffortsofpreviousyears.
Figure2.CHNAProcess
AnalyzeData&
CommunityInput
PrioritizeHealthNeeds
CHNAReport&
ImplementationStrategy
Implement
EvaluateActionsTaken 3Year
Cycle
MemorialHermannTheWoodlandsMedicalCenterCHNA201910
Adetailedtabledescribingthestrategies/actionstepsandindicatorsofsuccessforeachoftheprecedingpriorityhealthtopicscanbefoundinAppendixA.MHTheWoodlands’precedingCHNAwasmadeavailabletothepublicviathewebsiteandcommunityfeedbackdirectedtoMemorialHermann’sCommunityBenefitDepartment:http://www.memorialhermann.org/locations/the-woodlands/community-health-needs-assessment-the-woodlands/.NocommentsorfeedbackwerereceivedontheprecedingCHNAatthetimethisreportwaswritten.
MemorialHermannTheWoodlandsMedicalCenterCHNA201911
Methodology
Overview Twotypesofdatawereusedinthisassessment:primaryandsecondarydata.Primarydataaredatathathavebeencollectedforthepurposesofthiscommunityassessment.Primarydatawereobtainedthroughacommunitysurveyandkeyinformantinterviews.Secondarydataarehealthindicatordatathathavealreadybeencollectedbypublicsourcessuchasgovernmenthealthdepartments.Eachtypeofdatawasanalyzedusingauniquemethodology.FindingswereorganizedbyhealthtopicsandthensynthesizedforacomprehensiveoverviewofthehealthneedsinMHTheWoodlands’servicearea.
Secondary Data Sources & Analysis SecondarydatausedforthisassessmentwerecollectedandanalyzedfromHCI’scommunityindicatordatabase.Thisdatabase,maintainedbyresearchersandanalystsatHCI,includesover100communityindicatorsfromatleast15stateandnationaldatasources.HCIcarefullyevaluatessourcesbasedonthefollowingthreecriteria:thesourcehasavalidatedmethodologyfordatacollectionandanalysis;thesourcehasscheduled,regularpublicationoffindings;andthesourcehasdatavaluesforsmallgeographicareasorpopulations.
Secondary Data Scoring HCI’sDataScoringTool®wasusedtosystematicallysummarizemultiplecomparisonsinordertorankindicatorsbasedonhighestneed.Foreachindicator,thecommunityvaluewascomparedtoadistributionofTexasandUScounties,stateandnationalvalues,HealthyPeople2020,andsignificanttrendswerenoted.Thesecomparisonscoresrangefrom0-3,where0indicatesthebestoutcomeand3theworst.Availabilityofeachtypeofcomparisonvariesbyindicatorandisdependentuponthedatasource,comparabilitywithdatacollectedforothercommunities,andchangesinmethodologyovertime.Thecomparisonscoresweresummarizedforeachindicator,andindicatorswerethengroupedintotopicareasforasystematicrankingofcommunityhealthneeds.PleaseseeAppendixBforfurtherdetailsonthequantitativedatascoringmethodologyaswellassecondarydatascoringresults.
Figure3.SummaryofTopicScoringAnalysis
MemorialHermannTheWoodlandsMedicalCenterCHNA201912
Disparit ies Analysis Whenagivenindicatorhasdataavailableforsubgroupslikerace/ethnicity,ageorgender–andvaluesforthesesubgroupsincludeconfidenceintervals–significantdifferencesbetweenthesubgroups’valueandtheoverallvaluecanbedetermined.Asignificantdifferenceisdefinedastwovalueswithnon-overlappingconfidenceintervals.Onlysignificantdifferencesinwhichthevalueforasubgroupisworsethantheoverallvalueareidentified.Confidenceintervalsarenotavailableforallindicators.Inthesecases,therearenotenoughdatatodetermineiftwovaluesaresignificantlydifferentfromeachother.
Primary Data Methods & Analysis CommunityinputforMemorialHermannHealthSystemwascollectedtoexpandupontheinformationgatheredfromthesecondarydata.PrimarydatausedinthisassessmentconsistedofacommunitysurveyinEnglishandSpanishaswellaskeyinformantinterviews.SeeAppendixCforthesurveyandinterviewquestions.
Community Survey Inputfromcommunityresidentswascollectedthroughanonlinesurvey.Thissurveyconsistedof11questionsrelatedtotophealthneedsinthecommunity,individuals’perceptionoftheiroverallhealth,andweeklyexercisehabits.ThecommunitysurveywasdistributedonlinethroughSurveyMonkey®fromOctober23rdthroughNovember27thof2018.ThesurveywasmadeavailableinbothEnglishandSpanish.PapersurveyswerealsomadeavailableandanswerstothepapersurveywereenteredintotheSurveyMonkeytool.Atotalof285responseswerecollected.ResultsinthisreportarebasedontheserviceareaforMemorialHermannHealthSystem.Thiswasaconveniencesample,whichmeansresultsmaybevulnerabletoselectionbiasandmakethefindingslessgeneralizabletothepopulationasawhole.
Table2.CommunitySurveyOutreachCommunityEvent DescriptionStepHealthEvent–MoodyPark,77009
CommunityeventhostedbyMemorialHermannprovidingparkactivation,walkingtours,Zumbainstruction,and(throughapartnershipwithHoustonFoodBank)fooddistributiontolow-income,at-risk,andmostlyuninsuredresidents.
StepHealthEvent–CastilloPark,77009
CommunityeventhostedbyMemorialHermannprovidingparkactivation,walkingtours,Zumbainstruction,and(throughapartnershipwithHoustonFoodBank)fooddistributiontolow-income,at-risk,andmostlyuninsuredresidents.
MemorialHermannHealthCentersforSchools
10school-basedhealthclinicsin5schooldistricts(74schools)inHarrisandFortBendCounties,providingmedical,mentalhealth,anddentalcare,alongwithnutrition,navigation,andsummerbootcampprogramstouninsuredandunderinsuredchildrenthroughouttheGreaterHoustonarea.
WestOremYMCA,77085
Acommunity-centeredorganizationthatbringspeopletogethertobridgethegapsincommunityneeds(underservedresidents),nurturesresidents’potentialtolearn,grow,andthrive,andmobilizesthelocalcommunitytoeffectlasting,meaningfulchange.
SpringBranchCommunity
AFederallyQualifiedHealthCenter(FQHC)providingquality,affordablehealthcareservicestotheunderservedanduninsuredcommunitiesofSpring
MemorialHermannTheWoodlandsMedicalCenterCHNA201913
Therace/ethnicitymake-upofsurveyrespondentsisshowninFigure4.ThelargestproportionofrespondentsidentifiedasHispanic/Latino(47.2%),22.4%asWhite,20.8%asBlack/AfricanAmerican,andtheremaining9.6%ofrespondentsasAsian/PacificIslander,OtherandNativeAmerican.
HealthCenter,77080
BranchandWestHouston.
WesleyCommunityCenter,77009
Amulti-purposesocialserviceagencyprovidingresidentsofHouston:short-termrent,utility,andfoodassistancetopreventhomelessnessandmaintainfamilyfinancialstability;acareerandpersonalfinancialservicecenter;andEarlyHeadStart,achilddevelopmentprogramservinginfantstotoddlerstopromoteschoolreadiness.
CompleteCommunities,Houston
PrograminitiatedbytheMayorofHoustoninfivecommunities-allhistoricallyunder-resourced,eachwithabaselevelofcommunityinvolvementandsupport,andwithdiversepopulations.Theprogramisdesignedtoenhanceaccesstoqualityaffordablehomes,jobs,well-maintainedparksandgreenspace,improvedstreetsandsidewalks,grocerystoresandotherretail,goodschoolsandtransitoptions.Communities:AcresHomes[77018,77088,77091],Gulfton[77056,77057,77081],NearNorthside[77009,77022,77026],SecondWard[77003,77011,77020],andThirdWard[77003,77004,77204].
HealthyLivingMatters
AHouston/HarrisCountyChildhoodObesityCollaborative-Acollaborativeofmulti-sectorleadersthatpromotepolicyaimedatsystem-levelandenvironmentalchangetoreducetheincidenceofchildhoodobesity.Prioritycommunitieswereselectedduetothelackofaccesstohealthyfoodoptionsandopportunitiestoengageinphysicalactivityaswellasfortheircommunityassetsandreadinessforchange.PriorityCommunities:CityofPasadena[77058,77059,77502,77503,77504,77505,77506,77507,77536,77571,77586],NearNorthside[77009,77022,77026],andFifthWard/KashmereGardens[77020,77026,and77028]
GreaterNorthsideHealthCollaborative
Non-profitcollaborativewhosegoalistoexpandactivelivingresourcesandincreaseaccesstoqualityhealthcareandhealthyfoodbypromotingresidentleadershipandcivicparticipation.
MemorialHermannTheWoodlandsMedicalCenterCHNA201914
Figure4.SurveyRespondentsbyRace/Ethnicity
Surveyrespondentswereaskedtoselecttopissuesmostaffectingthecommunity’squalityoflife.AsshowninFigure5,themajorityofrespondentsidentifiedDiabetes,Obesity/Overweight,SubstanceAbuse,andMentalHealth&MentalDisordersastopissuesinthecommunity.
Figure5.TopIssuesAffectingQualityofLife(Survey)
Key Informant Interviews Communityinputwasalsocollectedthroughkeyinformantinterviews.
MemorialHermannHealthSystemjoinedwiththeEpiscopalHealthFoundation(EHF)intheirkeyinformantinterviewinitiativesupportingfourGreaterHoustonareahospitalsystemsinpreparingtheircommunityhealthneedsassessments.ThecollaboratinghospitalsofthisinitiativeincludeMemorialHermann,CHISt.Luke’sHealth,HoustonMethodist,andTexasChildren’s(Table3).Throughthispartnership,atotalof53interviewswereconductedwith
47.20%
22.40%
20.80%
4.80%3.60% 1.20%
Hispanic
White
AfricanAmerican
Asian/PacificIslander
Other
NativeAmerican
10%10%13%13%14%
17%23%26%26%
35%51%54%
64%69%
SexualHealthOralhealth
TeenagePregnancyReproductiveHealth
OtherRespiratory/LungDiseaseInjuries,Violence&Safety
ElderCareHeartDisease&Stroke
CancersMentalHealth&MentalDisorders
SubstanceAbuseObesity/Overweight
Diabetes
MemorialHermannTheWoodlandsMedicalCenterCHNA201915
stakeholdersfromarangeofsectorssuchasgovernment,healthcare,business,andcommunityserviceorganizations.Communityleaderswithspecificexperienceworkingwithprioritypopulations,suchaswomen,children,peopleofcolor,thedisabled,andmore,werealsointerviewed.
Table3.MemorialHermannCollaborativePartners
Intotal,64keyinformantinterviewswereconductedbyphonefromAugustthroughNovember2018;53keyinformantinterviewswereconductedthroughthecollaborativeand11interviewswereconductedbyHCI.Intervieweeswhowereaskedtoparticipatewererecognizedashavingexpertiseinpublichealth,specialknowledgeofcommunityhealthneedsand/orrepresentedthebroadinterestofthecommunityservedbythehospital,and/orcouldspeaktotheneedsofmedicallyunderservedorvulnerablepopulations.Effortsweremadetoidentifyintervieweesworkinginand/orknowledgeableaboutthecountiesinMemorialHermannHealthSystem’sservicearea.AsseeninTable4,someintervieweeswereidentifiedwithknowledgeofmultiplecounties.
Table4.KeyInformantsbyCountyCounty KeyInformantsAustin IncludedinMultipleCountiesBrazoria 3Chambers 2
EpiscopalHealthFoundation’smissionistoadvancetheKingdomofGodwithspecificfocusonhumanhealthandwell-beingthroughgrants,research,andinitiativesinsupportoftheworkoftheDiocese,spanning57counties.Throughinformedaction,collaboration,empowerment,stewardship,transparency,andaccountabilitythefoundationstrivesforthetransformationofhumanlivesandorganizationswithcompassionforthepoorandpowerless.
CHISt.Luke’sHealth,apartofCatholicHealthInitiatives(CHI),oneofthenation’slargesthealthsystems,isdedicatedtoamissionofenhancingcommunityhealththroughhigh-quality,cost-effectivecare.Throughpartnershipswithphysiciansandcommunitypartners,CHISt.Luke’sHealthservesGreaterHoustonwithitscommitmenttoexcellenceandcompassionincaringforthewholepersonwhilecreatinghealthiercommunities.
HoustonMethodistisanonprofithealthcareorganizationservingGreaterHouston,dedicatedtoexcellenceinresearch,education,andpatientcare.HoustonMethodistbringscompassionandspiritualitytoallitsendeavorstohelpmeetthehealthneedsofthecommunitythroughthesystem’sICAREvalues:integrity,compassion,accountability,respect,andexcellence.
TexasChildren’sHospitalisanot-for-profitorganizationwhosemissionistocreateahealthierfutureforchildrenandwomenthroughoutGreaterHoustonandtheglobalcommunitybyleadinginpatientcare,education,andresearch.TexasChildren’siscommittedtocreatingahealthycommunityforchildrenbyprovidingthebestpediatriccarepossible,throughgroundbreakingresearchandemphasisoneducation,whilealsoofferingafullcontinuumoffamily-centeredcareforwomen,fromobstetricstowell-womancare.
MemorialHermannTheWoodlandsMedicalCenterCHNA201916
County KeyInformantsFortBend 10Galveston 7Harris 28Liberty 1Montgomery 4SanJacinto IncludedinMultipleCountiesWalker IncludedinMultipleCountiesWaller 2Wharton 2MultipleCounties* 5Total 64
Interviewsweretranscribedandanalyzedusingthequalitativeanalytictool,Dedoose1.Interviewexcerptswerecodedbyrelevanttopicareasandkeyhealththemes.Threeapproacheswereusedtoassesstherelativeimportanceoftheneedsdiscussedintheseinterviews.Theseapproachesincluded:thefrequencybywhichahealthtopicwasdiscussedacrossallinterviews;thefrequencybywhichatopicwasdescribedbythekeyinformantasabarrier/challenge;andthefrequencybywhichatopicwasmentionedperinterviewee.
Data Considerations Severallimitationsofdatashouldbeconsideredwhenreviewingthefindingspresentedinthisreport.Althoughthetopicsbywhichdataareorganizedcoverawiderangeofhealthandhealth-relatedareas,dataavailabilityvariesbyhealthtopic.Sometopicscontainarobustsetofsecondarydataindicators,whileothersmayhavealimitednumberofindicatorsorlimitedsubpopulationscoveredbythosespecificindicators.Datascoresrepresenttherelativecommunityhealthneedaccordingtothesecondarydataforeachtopicandshouldnotbeconsideredtobeacomprehensiveresultontheirown.Inaddition,thesescoresreflectthesecondarydataresultsforthepopulationasawhole,anddonotrepresentthehealthorsocioeconomicneedthatismuchgreaterforsomesubpopulations.Moreover,manyofthesecondarydataindicatorsincludedinthefindingsarecollectedbysurvey,andthoughspecificmethodsareusedtobestrepresentthepopulationatlarge,thesemeasuresaresubjecttoinstability,especiallyforsmallerpopulations.TheIndexofDisparityisalsolimitedbydataavailability,whereindicatordatavariesbasedonthepopulationgroupsandserviceareasbeinganalyzed.
1DedooseVersion8.0.35,webapplicationformanaging,analyzing,andpresentingqualitativeandmixedmethodresearchdata(2018).LosAngeles,CA:SocioCulturalResearchConsultants,LLCwww.dedoose.com
*Five(5)oftheKeyInformantInterviewsrepresented2ormorecounties,including:Austin,Brazoria,Chambers,FortBend,Galveston,Harris,Liberty,Montgomery,SanJacinto,Walker,Waller,andWhartoncounties.
MemorialHermannTheWoodlandsMedicalCenterCHNA201917
Race/Ethnic Groupings
Thesecondarydatapresentedinthisreportderivefrommultiplesources,whichmaypresentraceandethnicitydatausingdissimilarnomenclature.Forconsistencywithdatasourcesthroughoutthereport,subpopulationdatamayusedifferenttermstodescribethesameorsimilargroupsofcommunitymembers.
Zip Codes and Zip Code Tabulation Areas
ThisreportpresentsbothZIPCodeandZIPCodeTabulationArea(ZCTA)data.ZIPorZoneImprovementPlanCodeswerecreatedbytheU.S.PostalServicetoimprovemaildeliveryservice.Theyarebasedonpostalroutes,whichfactorindelivery-area,mailvolumeandgeographiclocation.Theyarenotdesignedtobeusedforstatisticalreportingandmaychangefrequently.SomeZIPCodesmayonlyincludeP.O.boxesorcoverlargeunpopulatedareas.ZCTAsorZIPCodeTabulationAreaswerecreatedbytheU.S.CensusBureauandaregeneralizedrepresentationsofZIPCodesthathavebeenassignedtocensusblocks.Therefore,ZCTAsarerepresentativeofgeographiclocationsofpopulatedareas.Inmostcases,theZCTAwillbethesameasitsZIPCode.ZCTAswillnotnecessarilyexistforZIPCodeareaswithonlybusinesses,singleormultipleaddresses,orforlargeunpopulatedareas.SinceZCTAsarebasedonthemostrecentCensusdata,theyaremorestablethanZIPCodesanddonotchangeasfrequently.DemographicsforthisreportaresourcedfromtheUnitedStatesCensusBureau,whichpresentsZCTAestimates.TablesandfiguresintheDemographicssectionofthisreportreferenceZIPCodesintitle(forpurposesoffamiliarity)butshowvaluesofZCTAs.DatafromothersourcesisrepresentativebyZIPCodesandarelabeledassuch.
Priorit ization Inordertofocuseffortsonasmallernumberofthemostsignificantcommunityissues,sixteenrepresentativesfromtheMemorialHermannHealthSystem(oneormorerepresentingeachfacility)participatedinanonlineprioritizationprocesstoprioritizethefifteensignificanthealthneedsidentifiedthroughthesecondaryandprimarydataanalyses.Theprioritizedhealthneedswillbeunderconsiderationforthedevelopmentofanimplementationplanthatwilladdresssomeofthecommunity’smostpressinghealthissues.
Priorit ization Process Toprioritizesignificanthealthneeds,MemorialHermannstakeholdersparticipatedinanonlinewebinaronMarch7,2019toreviewdatasynthesisresultsfollowedbycompletionofaprioritizationmatrixlistingsignificanthealthneedsandfourcriteriabywhichtorateeachneed.Participantsscoredeachneedforeachofthecriteriaonascalefrom1-5,with1meaningtherespondentstronglydisagreesto5meaningtherespondentstronglyagreesthatthehealthneedmeetsthecriterion.Respondentswerealsoabletoselect“Don’tKnow/Unsure”foreachhealthneed.Thecriteriaforprioritizationincludedtowhatextentanissue:
• Impactsmanypeopleinthecommunity• Significantlyimpactssubgroupsinthecommunity(gender,race/ethnicity,LGBTQ,etc.)
MemorialHermannTheWoodlandsMedicalCenterCHNA201918
• Hasinadequateexistingresourcesinthecommunity• Hashighriskfordiseaseordeath
CompletionoftheprioritizationmatrixinAppendixDresultedinnumericalscoresforeachhealthneedthatcorrespondedtohowwelleachhealthneedmetthecriteriaforprioritization.Thescoreswererankedfromhighesttolowest(Table5).
Table5.ResultsfromMemorialHermannPrioritizationMatrixSignificantHealthNeed Impacton
CommunityImpactonSubgroups
InadequateResources
HighRisk AverageScore
Obesity(Exercise,NutritionandWeight)
4.69 4.00 3.19 4.50 4.09
MentalHealth 4.44 3.44 4.50 3.75 4.03Diabetes 4.50 4.00 3.25 4.19 3.98LackofHealthInsurance 4.31 4.19 3.38 4.00 3.97Low-Income/Underserved
4.19 4.19 3.44 4.00 3.95
HeartDisease/Stroke 4.44 3.82 2.81 4.44 3.88SubstanceAbuse 3.56 3.88 3.63 4.19 3.81AccesstoHealthServices
4.00 3.94 3.25 3.88 3.77
OlderAdultsandAging 4.38 3.81 3.13 3.75 3.76FoodInsecurity 3.88 4.00 3.44 3.50 3.70Cancers 4.19 3.19 3.00 4.31 3.67Education 3.88 3.81 3.00 3.13 3.45Transportation 4.00 3.88 2.81 3.00 3.42Children'sHealth 4.00 3.50 3.00 3.19 3.42Economy 3.31 3.31 2.69 2.88 3.05Inadditiontoratingeachneedinthematrix,prioritizationparticipantswereaskedtoratethelevelofimportanceofMemorialHermann’s4strategicpillars.
1. ImprovingAccesstoHealthcarethroughprogramming,education,andsocialservicesupport;
2. AddressingEmotionalWell-being(mentalandbehavioralhealth)throughinnovativeaccesspoints;
3. PromotingtheimportanceofahealthydietthroughscreeningandcreatingaccesstonutritiousFoodasHealth;and,
4. FosteringimprovedhealththroughExerciseIsMedicinewithculturallyappropriateactivities.
EachoftheseintersectingpillarsconnecttoeachotherthroughvariouspointsinMemorialHermannprogramsandinitiativesadvancingthehealthofourcommunities(Figure6).
MemorialHermannTheWoodlandsMedicalCenterCHNA201919
Figure6.MemorialHermann’sFourPillarsforCommunityHealth
Over93%ofparticipantsrespondedthatthe4pillarswereimportantorveryimportant.TheMemorialHermannCommunityBenefitteamreviewedthesefindings,andtakingintoaccountthealignmentoftopneedswithMemorialHermann’sstrategicfocusareas,adecisionwasmadetointegrate:
• LackofHealthInsurance,Low-Income/Underserved,andAccesstoHealthServicesintoPillar1:AccesstoHealthcare
• MentalHealthandSubstanceAbuseintoPillar2:EmotionalWell-Being• Diabetes,FoodInsecurityandHeartDisease/StrokeintoPillar3:FoodasHealth• Obesity(Exercise,NutritionandWeight)intoPillar4:ExerciseIsMedicine
Throughthissystem-wideprioritizationprocess,thefollowingfourprioritiesforMemorialHermannHealthSystemare:
• AccesstoHealthcare(addressingAccesstoHealthServices,LackofHealthInsurance,andLow-Income/Underserved)
• EmotionalWellbeing(addressingMentalHealthandSubstanceAbuse)• FoodasHealth(addressingDiabetes,FoodInsecurity,andHeartDisease/Stroke)• ExerciseIsMedicine(addressingObesity)
ThesefourhealthtopicswillbeexploredfurtherinordertounderstandhowfindingsfromthesecondaryandprimarydataanalysesresultedineachissuebeingahighpriorityhealthneedforMemorialHermannHealthSystem.
MemorialHermannTheWoodlandsMedicalCenterCHNA201920
DemographicsThefollowingsectionexploresthedemographicprofileofMHTheWoodlands’servicearea,includingHarrisandMontgomerycounties.Thedemographicsofacommunitysignificantlyimpactitshealthprofile.Differentrace/ethnic,age,andsocioeconomicgroupshaveuniqueneedsandrequiredifferentapproachestohealthimprovementefforts.AlldemographicestimatesaresourcedfromtheU.S.CensusBureau’s2013-2017AmericanCommunitySurveyunlessotherwiseindicated.Furthermore,tablesinthissectionlistindicatorvaluesforthetop75%ofzipcodeswithinMHTheWoodlands’serviceareaindescendingorderofinpatientdischargesunlessotherwisenoted.
Population AccordingtotheU.S.CensusBureau’s2013-2017AmericanCommunitySurvey,thetwocountiesinMHTheWoodlands’serviceareahadpopulationsof4,652,980(HarrisCounty)and570,934(MontgomeryCounty).Figure7illustratesthepopulationsizebycountyandTable6byzipcode.ThemostpopulouszipcodesinMHTheWoodlands’serviceareaare77379(HarrisCounty),77373(HarrisCounty),and77386(MontgomeryCounty).
Figure7.PopulationbyCounty
MemorialHermannTheWoodlandsMedicalCenterCHNA201921
Table6.PopulationbyZipCode
ZIPCode County TotalPopulationEstimate
77386 Montgomery 53,04277381 Montgomery 36,91977373 Harris 58,25577380 Montgomery 26,69177388 Harris 45,84177354 Montgomery 35,90477389 Harris 31,88377385 Montgomery 23,57877382 Montgomery 40,54677379 Harris 78,22677301 Montgomery 31,80177384 Montgomery 16,47277375 Harris 50,52577304 Montgomery 28,69277356 Montgomery 25,88877316 Montgomery 21,27277302 Montgomery 19,31177303 Montgomery 19,69577378 Montgomery 16,15077318 Montgomery 15,43777073 Harris 42,78077355 Montgomery 27,271
AmericanCommunitySurvey,2013-2017
Age Figure8showsMHTheWoodlands’serviceareapopulationthatisunder18yearsold.26.9%ofHarrisCounty’spopulationand26.5%ofMontgomeryCounty’spopulationisunder18.BothHarrisandMontgomerycountieshavehigherproportionsofresidentsunder18comparedtothestateandnationalvalues.
MemorialHermannTheWoodlandsMedicalCenterCHNA201922
Figure8.PopulationUnder18
AsshowninFigure9,HarrisCountyhasasmallerproportionofolderadults(10.2%)comparedtoTexasandtheU.S.(12.3%and15.6%,respectively).InMontgomeryCounty,12.9%ofresidentsareover65.
Figure9.PopulationOver65
Figure10showsthatHarrisCountyhasalargerproportionofresidentsunder5yearsold(7.7%)comparedtobothTexasandtheU.S.(7.2%and6.1%,respectively).Approximately7%ofMontgomeryCounty’spopulationisunder5.
26.9% 26.5%26.0%
22.6%
20%21%22%23%24%25%26%27%28%
Harris Montgomery Texas U.S.
10.2%
12.9% 12.3%
15.6%
0%2%4%6%8%
10%12%14%16%18%
Harris Montgomery Texas U.S.
MemorialHermannTheWoodlandsMedicalCenterCHNA201923
Figure10.PopulationUnder5
Race/Ethnicity Theraceandethnicitycompositionofapopulationisimportantinplanningforfuturecommunityneeds,particularlyforschools,businesses,communitycenters,healthcareandchildcare.Raceandethnicitydataarealsousefulforidentifyingandunderstandingdisparitiesinhousing,employment,income,andpoverty.AlargernumberofresidentsinMontgomeryCountyidentifyasWhite,non-HispanicwhileinHarrisCountytherearealargernumberofresidentswhoidentifyasHispanicorLatino.Figure11showstheracialcompositionofresidentsinHarrisCountywith42.2%ofresidentsidentifyingasHispanicorLatino(ofanyrace);30.6%asWhite;18.5%asBlackorAfricanAmerican;6.8%asAsian;and1.9%asAmericanIndianandAlaskaNative,NativeHawaiianandOtherPacificIslander,“Someotherrace”,and/or“Twoormoreraces”.
Figure11.Race/EthnicityinHarrisCounty
Figure12showstheracialcompositionofresidentsinMontgomeryCountywith67.9%ofresidentsidentifyingasWhite,non-Hispanic;23.0%asHispanicorLatino(ofanyrace);4.5%asBlackorAfricanAmerican;2.8%asAsian;and1.8%asAmericanIndianandAlaskaNative,NativeHawaiianandOtherPacificIslander,“Someotherrace”,and/or“Twoormoreraces”.
7.7%6.9% 7.2%
6.1%
0%1%2%3%4%5%6%7%8%9%
Harris Montgomery Texas U.S.
30.6%
18.5%
6.8%
42.2%
1.9% White,non-Hispanic
BlackorAfricanAmerican
Asian
HispanicorLatino(ofanyrace)
Other
MemorialHermannTheWoodlandsMedicalCenterCHNA201924
Figure12.Race/EthnicityinMontgomeryCounty
Language Languageisanimportantfactortoconsiderforoutreacheffortsinordertoensurethatcommunitymembersareawareofavailableprogramsandservices.
Figure13.LanguageOtherthanEnglishSpokenatHome
Figure13showstheproportionofresidentsinHarrisandMontgomerycountieswhospeakalanguageotherthanEnglishathome.MontgomeryCountyhas21%ofresidentswhospeakalanguageotherthanEnglishathome(similartothestatevalue).HarrisCounty’sproportionismorethantwiceMontgomeryCounty’svalue,with44%ofresidentsspeakingalanguageotherthanEnglishathome.Thisisanimportantconsiderationfortheeffectivenessofservicesandoutreachefforts,whichmaybemoreeffectiveifconductedinlanguagesotherthanEnglishalone.
67.9%4.5%
2.8%
23.0%
1.8%White,non-Hispanic
BlackorAfricanAmerican
Asian
HispanicorLatino(ofanyrace)
Other
43.7%
21.0%
35.3%
21.3%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Harris Montgomery Texas U.S.
MemorialHermannTheWoodlandsMedicalCenterCHNA201925
Table7.PopulationwithDifficultySpeakingEnglishbyZipCode
ZIPCode County DifficultySpeakingEnglish
77386 Montgomery 4.7%77381 Montgomery 3.3%77373 Harris 8.1%77380 Montgomery 7.4%77388 Harris 9.0%77354 Montgomery 7.1%77389 Harris 9.0%77385 Montgomery 9.4%77382 Montgomery 6.2%77379 Harris 8.8%77301 Montgomery 25.6%77384 Montgomery 3.1%77375 Harris 12.5%77304 Montgomery 5.1%77356 Montgomery 1.1%77316 Montgomery 4.4%77302 Montgomery 8.5%77303 Montgomery 9.8%77378 Montgomery 15.2%77318 Montgomery 5.1%77073 Harris 20.8%77355 Montgomery 5.1%Harris -- 20.4%Montgomery -- 7.8%Texas -- 14.1%
AmericanCommunitySurvey,2013-2017
AsshowninTable7,HarrisCountyhasalargerproportionofresidentswithdifficultyspeakingEnglish(20.4%)comparedtoMontgomeryCounty(7.8%)andthestateofTexas(14.1%).AlthoughMontgomeryCountyhasarelativelylowervalueoverall,over25%ofresidentsinzipcode77301havedifficultyspeakingEnglish.
Social and Economic Determinants of Health Thissectionexplorestheeconomic,environmental,andsocialdeterminantsofhealthinMHTheWoodland’servicearea.Socialdeterminantsaretheconditionsinwhichpeopleareborn,grow,work,live,andage,andthewidersetofforcesandsystemsshapingtheconditionsofdailylife.
Income Medianhouseholdincomereflectstherelativeaffluenceandprosperityofanarea.Areaswithhighermedianhouseholdincomesarelikelytohaveagreatershareofeducatedresidentsandlowerunemploymentrates.
MemorialHermannTheWoodlandsMedicalCenterCHNA201926
Figure14comparesthemedianhouseholdincomevaluesforthetwocountiesinMHTheWoodlands’serviceareatothemedianhouseholdincomevalueforTexasandtheU.S.Montgomery’smedianhouseholdincomeof$74,323isgreaterthanthatofHarrisCounty($57,791).HarrisCounty’smedianhouseholdincomeissimilartothestateandnationalvalues.
Figure14.MedianHouseholdIncome
AsshowninTable8,MHTheWoodlands’topzipcodesforinpatientdischargesrevealarelativelyhighrangeinmedianhouseholdincome.At$99,076and$103,439respectively,zipcodes77386and77381havemedianhouseholdincomesnoticeablyhigherthanthestateofTexas($57,051).
Table8.MedianHouseholdIncomebyZipCode
ZIPCode County MedianHouseholdIncome77386 Montgomery $99,07677381 Montgomery $103,43977373 Harris $67,92477380 Montgomery $68,83977388 Harris $87,57477354 Montgomery $79,44077389 Harris $115,72577385 Montgomery $88,22077382 Montgomery $139,90277379 Harris $99,69377301 Montgomery $40,79577384 Montgomery $85,37177375 Harris $69,44677304 Montgomery $60,56877356 Montgomery $77,44477316 Montgomery $86,71977302 Montgomery $63,32877303 Montgomery $52,283
$57,791
$74,323
$57,051 $57,652
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
Harris Montgomery Texas U.S.
MemorialHermannTheWoodlandsMedicalCenterCHNA201927
ZIPCode County MedianHouseholdIncome77378 Montgomery $55,11477318 Montgomery $61,72277073 Harris $54,07977355 Montgomery $83,713Harris -- $57,791Montgomery -- $74,323Texas -- $57,051
AmericanCommunitySurvey,2013-2017
Poverty FederalpovertythresholdsareseteveryyearbytheCensusBureauandvarybysizeoffamilyandagesoffamilymembers.Ahighpovertyrateisbothacauseandaconsequenceofpooreconomicconditions.Figure15showstheproportionofresidentslivingbelowthepovertylevelinHarrisandMontgomerycountiescomparedtoTexasandtheU.S.ThepercentageofresidentslivingbelowthepovertylevelinHarrisCounty(16.8%)ishigherthanthenationalvalue(14.6%)andslightlyhigherthanthestatevalue(16.0%).Approximately10%ofresidentsinMontgomeryCountylivebelowthepovertyvalue,whichislowerthanboththestateandnationalvalues.
Figure15.PeopleLivingBelowPovertyLevel
Figure16showstheproportionofresidentslivingbelowthepovertylevelbyrace/ethnicity.InHarrisCounty,22.6%ofHispanicorLatinoresidentsand21.8%ofBlackorAfricanAmericanresidentslivebelowthepovertylevel,comparedto7.0%Whiteand11.4%Asianresidents.ThepercentageofBlackandAsianresidentslivingbelowthepovertylevelinHarrisCounty(21.8%and11.4%,respectively)ishigherthanthestatevaluesforBlackandAsianresidents.Forallrace/ethnicitygroupsinMontgomeryCounty,thepercentageofresidentslivingbelowthepovertylevelislowerthanthevaluesforTexasandtheU.S.
16.8%
10.3%
16.0%14.6%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
Harris Montgomery Texas U.S.
MemorialHermannTheWoodlandsMedicalCenterCHNA201928
Figure16.PeopleLivingBelowPovertyLevelbyRace/Ethnicity
Figure17.PeopleLivingBelowPovertyLevelbyZipCode
PovertyratesarehigherinHarrisCounty(16.8%)comparedtoMontgomeryCounty(10.3%).AsshowninFigure17Error!Referencesourcenotfound.andTable9,withinMHTheWoodlands’
7.0%
21.8%
11.4%
22.6%
6.7%
13.1%
5.6%
21.5%
8.8%
21.4%
10.6%
23.0%
10.3%
25.2%
11.9%
22.2%
0%
5%
10%
15%
20%
25%
30%
White,non-Hispanic BlackorAfricanAmerican Asian HispanicorLatino
Harris Montgomery Texas U.S.
MemorialHermannTheWoodlandsMedicalCenterCHNA201929
servicearea,18.8%ofresidentsinzipcode77301and20.1%ofresidentsinzipcode77378arelivingbelowthepovertylevel,bothhigherthanthevalueforTexas(16%).
Table9.PeopleLivingBelowPovertyLevelbyZipCode
ZIPCode County PeopleLivingBelowPovertyLevel
77386 Montgomery 3.6%77381 Montgomery 4.1%77373 Harris 12.2%77380 Montgomery 11.4%77388 Harris 5.3%77354 Montgomery 12.7%77389 Harris 4.9%77385 Montgomery 8.0%77382 Montgomery 2.4%77379 Harris 4.0%77301 Montgomery 18.8%77384 Montgomery 4.2%77375 Harris 10.1%77304 Montgomery 10.5%77356 Montgomery 7.3%77316 Montgomery 7.8%77302 Montgomery 14.7%77303 Montgomery 12.0%77378 Montgomery 20.1%77318 Montgomery 6.9%77073 Harris 14.9%77355 Montgomery 7.6%Harris -- 16.8%Montgomery -- 10.3%Texas -- 16.0%
AmericanCommunitySurvey,2013-2017
Food Insecurity TheSupplementalNutritionAssistanceProgram(SNAP)isafederalassistanceprogramthatprovideslow-incomefamilieswithelectronicbenefittransfers(EBTs)thatcanbeusedtopurchasefood.Thegoaloftheprogramistoincreasefoodsecurityandreducehungerbyincreasingaccesstonutritiousfood.Table10showsthepercentofhouseholdswithchildrenthatparticipateinSNAPinthezipcodeswithinMHTheWoodlands’servicearea.HarrisCountyhasahigherproportionofhouseholdswithchildrenreceivingSNAPcomparedtoTexas,whileMontgomeryCountyhasalowerproportioncomparedtothestatevalue.Inparticular,zipcodes77386and77373standout,astheyrepresentMHTheWoodlands’topzipcodesforinpatientdischargesandalsohavemorethan75%ofhouseholdswithchildrenreceivingSNAP.MHTheWoodlands’topzipcodes
MemorialHermannTheWoodlandsMedicalCenterCHNA201930
forinpatientdischargesrevealabroadrangeofeconomiccircumstancesintheservicearea.Zipcode77381has20.5%ofhouseholdswithchildrenreceivingSNAP,whereastheproportioninzipcode77386isfourtimeshigher(81.8%).
Table10.HouseholdswithChildrenReceivingSNAPbyZipCode
ZIPCode County HouseholdswithChildrenReceivingSNAP
77386 Montgomery 81.8%77381 Montgomery 20.5%77373 Harris 75.3%77380 Montgomery 60.0%77388 Harris 68.3%77354 Montgomery 67.8%77389 Harris 77.6%77385 Montgomery 52.8%77382 Montgomery 0.0%77379 Harris 68.2%77301 Montgomery 55.7%77384 Montgomery --77375 Harris 67.4%77304 Montgomery 39.6%77356 Montgomery 30.2%77316 Montgomery 69.8%77302 Montgomery 89.4%77303 Montgomery 58.9%77378 Montgomery 65.8%77318 Montgomery 60.5%77073 Harris 86.0%77355 Montgomery 86.1%Harris -- 67.7%Montgomery -- 61.7%Texas -- 64.3%
AmericanCommunitySurvey,2013-2017
Unemployment Theunemploymentrateisakeyindicatorofthelocaleconomy.Unemploymentoccurswhenlocalbusinessesarenotabletosupplyenoughappropriatejobsforlocalemployeesand/orwhenthelaborforceisnotabletosupplyappropriateskillstoemployers.Ahighrateofunemploymenthaspersonalandsocietaleffects.Duringperiodsofunemployment,individualsarelikelytofeelsevereeconomicstrainandmentalstress.Unemploymentisalsorelatedtoaccesstohealthcare,asmanyindividualsreceivehealthinsurancethroughtheiremployer.Ahighunemploymentrateplacesstrainonfinancialsupportsystems,asunemployedpersonsqualifyforunemploymentbenefitsandfoodstampprograms.
MemorialHermannTheWoodlandsMedicalCenterCHNA201931
Figure18displaystherateofunemploymentinHarrisandMontgomerycountiesbetweenMay2017andNovember2018.Inbothcounties,theunemploymentratehasexhibitedadecrease.InNovember2018,theMontgomeryCountyrate(3.4%)wasalmostequivalenttothestateandnationalrate.However,theunemploymentrateinHarrisCounty(3.8%)remainshigherthanTexasandtheU.S.
Figure18.UnemploymentRateperCounty(U.S.BureauofLaborStatistics,2017-2018)
EducationGraduatingfromhighschoolisanimportantpersonalachievementandisessentialforanindividual’ssocialandeconomicadvancement.Graduationratescanalsobeanimportantindicatoroftheperformanceofaneducationalsystem.Havingabachelor’sdegreeopensupcareeropportunitiesinavarietyoffieldsandisoftenaprerequisiteforhigher-payingjobs.Figure19displaystheproportionofresidentsinHarrisandMontgomerycountieswhoare25yearsandolderwithatleastahighschooldegree.Nearly90%ofresidents25yearsandolderinMontgomeryCountyhaveatleastahighschooldegreecomparedto80.5%inHarrisCounty.MontgomeryCounty’svalueishigherthantheU.S.(87.3%)andTexas(82.8%)whileHarrisCounty’svalue(80.5%)islower.
5.1%
4.3% 4.3%3.8%
4.6%
3.7% 3.6% 3.4%
4.4%
3.7% 3.7%3.5%
4.1% 3.9%3.6% 3.5%
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
May2017 November2017 May2018 November2018
Harris Montgomery Texas UnitedStates
MemorialHermannTheWoodlandsMedicalCenterCHNA201932
Figure19.People25+withaHighSchoolDegreeorHigher
Figure20showstheproportionofresidentsinHarrisandMontgomerycountieswhoare25yearsandolderwithabachelor’sdegreeorhigher.Withover30%ofresidents25andolderhavingabachelor’sdegreeinHarrisandMontgomerycounties,bothhaveaneconomicadvantagecomparedtosomeothercountiesinthestate.Theproportionofresidents25andolderwithabachelor’sdegreeinMontgomeryCounty(33.7%)ishigherthanthestatevalue(28.7%)andtheU.S.(30.9%).
Figure20.People25+withaBachelor'sDegreeorHigher
Table10displaystheeducationalattainmentindicatorsforresidents25yearsandolderbyzipcodeinMHTheWoodlands’servicearea.Forhighschooldegreeattainment,thezipcodewiththehighestrateis77381(98%)andthezipcodewiththelowestrateis77301(63.2%).Forattainmentofabachelor’sdegree,thezipcodewiththehighestrateis77382(64.9%)andthezipcodewiththelowestrateis77303(12.3%).ThezipcodeswithhighestproportionsofMHTheWoodlands’inpatientdischarges,zipcodes77386and77381,havemorethan90%ofpeople25yearsandolderwithahighschooldegree.Furthermore,inbothzipcodes,over40%residents25yearsandolderhaveabachelor’sdegreeorhigher,comparedtothestatevalueof28.7%.
80.5%
87.6%
82.8%
87.3%
76%
78%
80%
82%
84%
86%
88%
90%
Harris Montgomery Texas U.S.
30.5%
33.7%
28.7%
30.9%
26%
27%
28%
29%
30%
31%
32%
33%
34%
35%
Harris Montgomery Texas U.S.
MemorialHermannTheWoodlandsMedicalCenterCHNA201933
Table11.People25+withaHighSchoolDegreeandPeople25+withaBachelor'sDegreebyZipCode
ZIPCode County HighSchoolDegreeorHigher
Bachelor’sDegreeorHigher
77386 Montgomery 94.8% 42.3%77381 Montgomery 98.0% 61.9%77373 Harris 91.6% 23.5%77380 Montgomery 93.6% 47.9%77388 Harris 91.2% 35.7%77354 Montgomery 89.1% 31.2%77389 Harris 95.1% 54.2%77385 Montgomery 89.7% 33.9%77382 Montgomery 97.1% 64.9%77379 Harris 94.7% 47.8%77301 Montgomery 63.2% 12.7%77384 Montgomery 94.6% 47.1%77375 Harris 89.7% 30.8%77304 Montgomery 90.2% 35.0%77356 Montgomery 96.6% 39.2%77316 Montgomery 90.4% 31.7%77302 Montgomery 84.1% 19.2%77303 Montgomery 76.0% 12.3%77378 Montgomery 78.1% 14.2%77318 Montgomery 92.3% 26.1%77073 Harris 82.7% 16.4%77355 Montgomery 88.4% 28.5%Harris -- 80.5% 30.5%Montgomery -- 87.6% 33.7%Texas -- 82.8% 28.7%
AmericanCommunitySurvey,2013-2017
Transportation Therearenumerouswaysinwhichtransportationmayinfluencecommunityhealth.Publictransportationoffersmobility,particularlytopeoplewithoutcars.Transitcanhelpbridgethespatialdividebetweenpeopleandjobs,services,andtrainingopportunities.Publictransportationalsoreducesfuelconsumption,minimizesairpollution,andrelievestrafficcongestion.Walkingtoworkhelpsprotecttheenvironment,whilealsoprovidingthebenefitofdailyexercise.
MemorialHermannTheWoodlandsMedicalCenterCHNA201934
Figure21.HouseholdsWithoutaVehiclebyZipCode
Figure21showsthepercentageofhouseholdswithoutavehicle.Asshown,zipcodes77301and77302havethehighestpercentagesofhouseholdsthatdonothaveavehicle.
Table12.ModesofCommutingbyZipCode
ZIPCode County CommutebyWalking
CommutebyBiking
CommutebyDrivingAlone
CommutebyPublicTransportation
77386 Montgomery 1.2% 0.0% 82.0% 1.3%77381 Montgomery 1.5% 0.2% 81.1% 2.7%77373 Harris 1.0% 0.3% 80.7% 1.3%77380 Montgomery 1.6% 0.9% 81.3% 2.0%77388 Harris 0.9% 0.1% 83.8% 1.6%77354 Montgomery 1.2% 0.0% 80.2% 0.3%77389 Harris 0.9% 0.0% 85.4% 0.9%77385 Montgomery 0.2% 0.1% 79.2% 1.2%77382 Montgomery 1.3% 0.0% 81.6% 3.7%77379 Harris 0.6% 0.1% 84.3% 1.8%77301 Montgomery 0.5% 1.2% 75.0% 0.6%77384 Montgomery 0.0% 0.0% 81.6% 1.1%77375 Harris 1.2% 0.3% 79.0% 0.7%
MemorialHermannTheWoodlandsMedicalCenterCHNA201935
ZIPCode County CommutebyWalking
CommutebyBiking
CommutebyDrivingAlone
CommutebyPublicTransportation
77304 Montgomery 1.7% 0.6% 83.5% 1.0%77356 Montgomery 1.1% 0.0% 79.3% 0.7%77316 Montgomery 0.4% 0.0% 83.6% 0.9%77302 Montgomery 0.6% 0.0% 84.9% 1.5%77303 Montgomery 0.6% 0.0% 84.6% 0.4%77378 Montgomery 0.0% 0.0% 88.3% 0.1%77318 Montgomery 1.1% 0.0% 79.7% 1.0%77073 Harris 0.5% 0.0% 80.8% 2.3%77355 Montgomery 0.5% 0.0% 86.9% 0.7%Harris -- 1.5% 0.3% 79.3% 2.7%Montgomery -- 0.9% 0.2% 82.1% 1.2%Texas -- 1.6% 0.3% 80.5% 1.5%
AmericanCommunitySurvey,2013-2017
Table12displaysthedifferentmodesofcommutingusedbyresidentsofHarrisandMontgomerycounties.InMontgomeryCounty,lessthan1%ofthepopulationcommutesbywalking.InHarrisCounty,slightlymoreresidentscommutebywalking(1.5%).Inbothcounties,themajorityofresidentscommutebydrivingalone(79.3%inHarrisCountyand82.1%inMontgomeryCounty),whichissimilartothestatevalue(80.5%).PublictransportationisusedbyHarrisCountyresidents(2.7%)moresothanMontgomeryresidents(1.2%),perhapsindicativeofdifferencesinpublictransportationinfrastructure.AlthoughpublictransportationisnotascommoninMontgomeryCountycomparedtoHarrisCounty,3.7%ofresidentslivinginzipcode77382commutebypublictransportation.ConsideringthetoptenzipcodesforinpatientdischargeswithinMHTheWoodlands'servicearea,zipcodes77380,77381,and77382havethehighestproportionsofresidentscommutingbypublictransportation.
SocioNeeds Index® ConduentHealthyCommunitiesInstitutedevelopedtheSocioNeedsIndex®toeasilycomparemultiplesocioeconomicfactorsacrossgeographies.Thisindexincorporatesestimatesforsixdifferentsocialandeconomicdeterminantsofhealth–income,poverty,unemployment,occupation,educationalattainment,andlinguisticbarriers–thatareassociatedwithpoorhealthoutcomesincludingpreventablehospitalizationsandprematuredeath.Zipcodeswithineachcountyareassignedanindexvaluefrom0(lowneed)to100(highneed),basedonhowthosezipcodescomparetoothersintheU.S.Withineachcounty,thezipcodesarethenrankedfrom1(lowneed)to5(highneed)toidentifytherelativelevelofneed.Zipcodeswithpopulationsunder300personsareexcluded.
MemorialHermannTheWoodlandsMedicalCenterCHNA201936
Figure22.SocioNeedsIndexbyZipCode
AsshowninFigure22andTable13,mostofthezipcodeswithinMHTheWoodlands’serviceareawiththehighestSocioNeedsIndexvaluesarewithinMontgomeryCounty;zipcodes77301and77303bothhavevaluesgreaterthan80.ThezipcodeswithlargestproportionofinpatientdischargesatMHTheWoodlands,zipcodes77386and77381,havelowSocioNeedsIndexvalues(6.2and2.4,respectively).
Table13.SocioNeedsIndexbyZipCode(InOrderofSocioNeedsIndexValue)
ZIPCode County SocioNeedsIndexValue77301 Montgomery 91.677303 Montgomery 81.377073 Harris 77.177378 Montgomery 69.977302 Montgomery 67.077373 Harris 42.077355 Montgomery 34.077318 Montgomery 32.377304 Montgomery 30.477375 Harris 24.677385 Montgomery 17.3
MemorialHermannTheWoodlandsMedicalCenterCHNA201937
ZIPCode County SocioNeedsIndexValue77354 Montgomery 14.177356 Montgomery 13.277388 Harris 13.177380 Montgomery 11.577316 Montgomery 11.477379 Harris 8.177389 Harris 7.277386 Montgomery 6.277384 Montgomery 5.877381 Montgomery 2.477382 Montgomery 2.2
ConduentSocioNeedsIndex,2019
MemorialHermannTheWoodlandsMedicalCenterCHNA201938
Data Synthesis Allformsofdatahavetheirownstrengthsandlimitations.TogainacomprehensiveunderstandingofthesignificanthealthneedsforMemorialHermannHealthSystem,thefindingsfromboththeprimarydataandthesecondarydatawerecomparedandstudiedtogether.Thesecondarydata,keyinformantinterviewsandcommunitysurveyweretreatedasthreeseparatesourcesofdata.Thesecondarydatawereanalyzedusingdatascoring,whichidentifiedhealthareasofneedbasedonthevaluesofindicatorsforeachtopicarea(AppendixB).Table14andTable15displaythedatascoresforHealthandQualityofLifeTopicsforHarrisandMontgomerycounties.
Table14.HarrisCountyTopicScoresTopic ScoreTransportation 1.82Women'sHealth 1.81Immunizations&InfectiousDiseases 1.78OtherChronicDiseases 1.78PublicSafety 1.65Maternal,Fetal&InfantHealth 1.64Prevention&Safety 1.58SocialEnvironment 1.58Education 1.56Economy 1.55HeartDisease&Stroke 1.54Children'sHealth 1.52OlderAdults&Aging 1.50AccesstoHealthServices 1.48Exercise,Nutrition,&Weight 1.48Wellness&Lifestyle 1.42Men'sHealth 1.38Diabetes 1.34Environment 1.34SubstanceAbuse 1.33Cancer 1.31MortalityData 1.29MentalHealth&MentalDisorders 1.26RespiratoryDiseases 0.99
Table15.MontgomeryCountyTopicScores
Topic ScoreTransportation 1.93HeartDisease&Stroke 1.65AccesstoHealthServices 1.56OtherChronicDiseases 1.52
MemorialHermannTheWoodlandsMedicalCenterCHNA201939
Topic ScoreExercise,Nutrition,&Weight 1.50SubstanceAbuse 1.49Children'sHealth 1.37OlderAdults&Aging 1.36Women'sHealth 1.35PublicSafety 1.33Environment 1.32Immunizations&InfectiousDiseases 1.32MentalHealth&MentalDisorders 1.31Education 1.11SocialEnvironment 1.10RespiratoryDiseases 1.08Cancer 1.06Economy 1.04MortalityData 1.00Men'sHealth 0.95Wellness&Lifestyle 0.93Prevention&Safety 0.85Maternal,Fetal&InfantHealth 0.83
Thismethodologywasappliedtoeachofthe12countieswithinMemorialHermannHealthSystem’sprimaryserviceareaandthendatascorescalculatedfortheregioninordertodeterminesignificanthealthneedsacrossthesystem.Table16liststheresultingdatascoresforHealth&QualityofLifeTopicAreas.
Table16.MemorialHermannRegionTopicScoresTopic ScoreTransportation 1.84HeartDisease&Stroke 1.82AccesstoHealthServices 1.79OlderAdults&Aging 1.60Exercise,Nutrition,&Weight 1.56OtherChronicDiseases 1.52MentalHealth&MentalDisorders 1.50Children'sHealth 1.47Immunizations&InfectiousDiseases 1.43Education 1.43Women'sHealth 1.42SocialEnvironment 1.42Wellness&Lifestyle 1.41Maternal,Fetal&InfantHealth 1.41RespiratoryDiseases 1.41Economy 1.41Environment 1.40
MemorialHermannTheWoodlandsMedicalCenterCHNA201940
Topic ScorePublicSafety 1.36Cancer 1.31Prevention&Safety 1.26SubstanceAbuse 1.23Men'sHealth 1.21
Theanalysisofkeyinformantinterviewsoccurredusingthequalitativesoftware:Dedoose1.Forthecommunitysurvey,HCIperformedasimplereviewandanalysistoidentifytophealthneeds.Overall,eachmethodproducedindividualresultsthatrepresentthecommunityinputinthisreport.Thisconsolidatedinputleadstotheprioritizedheathneedsinthisreport.ThistriangulatedapproachisshowninFigure23.
Figure23.VisualofDataSynthesisApproach
TheteamusedthetriangulatedapproachtoidentifysignificanthealthneedsforMemorialHermannHealthSystem.Figure24displaystheresultsofthissynthesis.Formanyofthehealthtopicsevidenceofneedwaspresentacrossmultipledatasources,includingObesity,MentalHealth,AccesstoHealthServices,Transportation,andUninsured.Forotherhealthtopicstheevidencewaspresentinjustonesourceofdata,howeveritshouldbenotedthatthismaybereflectiveofthestrengthandlimitationsofeachtypeofdatathatwasconsideredinthisprocess.
SignificantHealthNeeds
HealthIndicatorData
(DataScoringAnalysis)
KeyInformantInterviews(Thematic
CodingAnalysis)CommunitySurvey
(ThematicAnalysis)
MemorialHermannTheWoodlandsMedicalCenterCHNA201941
Figure24.DataSynthesisResults
MemorialHermannTheWoodlandsMedicalCenterCHNA201942
Prioritized Significant Health Needs
Priorit ization Results Uponcompletionoftheonlineprioritizationsurvey,fourhealthareaswereidentifiedforsubsequentimplementationplanningbyMemorialHermannHealthSystem.Thesefourhealthprioritiesare:AccesstoCare,EmotionalWell-Being,FoodasHealth,andExerciseIsMedicine.ThefollowingsectionwilldivedeeperintoeachofthesehealthtopicsinordertounderstandhowfindingsfromthesecondaryandprimarydataledtoeachhealthtopicbecomingapriorityhealthissueforMemorialHermannHealthSystem.Foreachprioritizedhealthneed,keyissuesaresummarized;secondarydatascoresarenotedforindicatorsofconcern;andcommunityinputisdescribed.
Access to Healthcare
Secondary Data AccesstoHealthServices,LackofInsuranceandLow-Income/UnderservedwereidentifiedassignificantneedsforMemorialHermannHealthSystem.AsshowninTable17,severalindicatorsreceivedscoresof1.75orabovethroughthesecondarydatascoringprocess:AdultsUnabletoSeeaDoctor(HarrisCounty);AdultswithHealthInsurance(HarrisCounty);ChildrenwithHealthInsurance(HarrisCounty);MentalHealthProviderRate(MontgomeryCounty);andPersonswithHealthInsurance(HarrisCounty).
Table17.SecondaryDataScoringResults:AccesstoHealthServices
County CountyValueComparedto:
Indicator Name ValueDataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
AdultsUnabletoAffordtoSeea
Doctor[10](2015)Montgomery
--- --- --- --- --- ---
KeyIssues:• Rangeofbarriers,includingtransportation,accesstospecialtycare,lackofawareness,and
fearorstigma• Lackofhealthinsurance• Lowincomeandvulnerablegroups
SecondaryDataScoringMethodologyForeachindicator,eachcountyinMHTheWoodlands’serviceareawasassignedascorebasedonitscomparisontoothercommunities,whetherhealthtargetshavebeenmet,andthetrendoftheindicatorvalueovertime.Thesecomparisonscoresrangefrom0-3,where0indicatesthebestoutcomeand3theworst.Availabilityofeachtypeofcomparisonvariedbyindicatorandwasdependentuponthedatasource,comparabilitywithdatacollectedforothercommunities,andchangesinmethodologyovertime.PleaseseeAppendixBforfurtherinformationonHCIDataScoringmethodology.
MemorialHermannTheWoodlandsMedicalCenterCHNA201943
Harris22.1
2 1.5 3 3 1.5 1.5percent
[10]TexasBehavioralRiskFactorSurveillanceSystem
AdultswithHealthInsurance:18-64[9]
(2016)
Montgomery79.7
1.47 0 1 1.5 3 1percent
Harris74.7
1.75 2 2 1.5 3 0percent
[9]SmallAreaHealthInsuranceEstimates
ChildrenwithHealthInsurance[9](2016)
Montgomery90.2
1.53 0 2 1.5 2 1percent
Harris89.4
1.81 1 2 1.5 3 1percent
[9]SmallAreaHealthInsuranceEstimates
DentistRate[4](2016)
Montgomery45.5
1.56 0 3 3 1.5 1dentists/100,000population
Harris66.3
0.5 0 0 2 1.5 0dentists/100,000population
[4]CountyHealthRankings
MentalHealthProviderRate[4]
(2017)
Montgomery69.4
2 1 3 3 1.5 1.5providers/100,000population
Harris103.7
1.44 0 1 3 1.5 2providers/100,000population
[4]CountyHealthRankings
Non-PhysicianPrimaryCare
ProviderRate[4](2017)
Montgomery55
1.67 1 3 3 1.5 0providers/100,000population
Harris72.2
1 0 1 3 1.5 0providers/100,000population
[4]CountyHealthRankings
PersonswithHealthInsurance[9](2016)
Montgomery83.1
1.47 0 1 1.5 3 1percent
Harris79.3
1.75 2 2 1.5 3 0percent
[9]SmallAreaHealthInsuranceEstimates
PrimaryCare Montgomery 61.8 1.22 0 1 3 1.5 1
MemorialHermannTheWoodlandsMedicalCenterCHNA201944
ProviderRate[4](2015)
providers/100,000population
Harris57.2
1.61 0 2 3 1.5 2providers/100,000population
[4]CountyHealthRankings
WhenconsideringAccesstoHealthServices,itisimportanttotakeintoaccounttheeconomyandhowfinancialbarriersimpactcommunityresidents’abilitytoaccesscare.AsshowninTable18,bothcountieshaveindicatorsofconcern,including:FamiliesLivingBelowPovertyLevel(HarrisCounty);FemalePopulation16+inCivilianLaborForce(MontgomeryCounty);FoodInsecurityRate(HarrisCounty);Homeownership(HarrisCounty);MedianHouseholdGrossRent(HarrisandMontgomerycounties);MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage(HarrisandMontgomerycounties);MortgagedOwnersMedianMonthlyHouseholdCosts(MontgomeryCounty);People65+LivingBelowPovertyLevel(HarrisCounty);SevereHousingProblems(HarrisCounty);SNAPCertifiedStores(HarrisandMontgomerycounties);StudentsEligiblefortheFreeLunchProgram(HarrisCounty);andUnemployedWorkersinCivilianLaborForce(HarrisCounty).Outofthislist,HarrisCountyhadeighteconomicindicatorswithsecondarydatascoresabove2comparedtoMontgomeryCountywithfourindicatorsequaltoorabove2,indicatingpotentiallygreatereconomicneedinHarrisCounty.
Table18.SecondaryDataScoringResults:Economy
County CountyValueComparedto:
Indicator Name ValueDataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
ChildFoodInsecurityRate[5](2016)
Montgomery21.2
1.17 0 1 3 1.5 0percent
Harris23.5
1.67 1 2 3 1.5 0percent
[5]FeedingAmerica
ChildrenLivingBelowPovertyLevel[1](2012-2016)
Montgomery14.8
0.17 0 0 0 1.5 0percent
Harris26.0
1.67 2 2 3 1.5 0percent
[1]AmericanCommunitySurvey
FamiliesLivingBelowPovertyLevel[1](2012-2016)
Montgomery8.3
0.56 0 0 0 1.5 1percent
Harris14.4
2.06 2 3 3 1.5 1percent
MemorialHermannTheWoodlandsMedicalCenterCHNA201945
[1]AmericanCommunitySurvey
FemalePopulation16+inCivilianLaborForce[1](2012-2016)
Montgomery53.6
2 1 2 2 1.5 3percent
Harris59.8
0.94 0 1 1 1.5 2percent
[1]AmericanCommunitySurvey
FoodInsecurityRate[5](2016)
Montgomery14.6
1.33 1 1 3 1.5 0percent
Harris16.6
2.06 2 2 3 1.5 1percent
[5]FeedingAmerica
Homeownership[1](2012-2016)
Montgomery65.6
0.61 0 0 0 1.5 2percent
Harris49.6
2.44 3 2 3 1.5 2percent
[1]AmericanCommunitySurvey
MedianHouseholdGrossRent[1](2012-
2016)
Montgomery1077
2.58 3 3 3 1.5 3dollars
Harris937
2.08 3 2 1 1.5 3dollars
[1]AmericanCommunitySurvey
MedianMonthlyOwnerCostsfor
HouseholdswithoutaMortgage[1](2012-
2016)
Montgomery531
2.58 3 3 3 1.5 3dollars
Harris534
2.14 3 3 3 1.5 1dollars
[1]AmericanCommunitySurvey
MortgagedOwnersMedianMonthly
HouseholdCosts[1](2012-2016)
Montgomery1635
2.19 3 3 2 1.5 2dollars
Harris1504
1.81 3 2 2 1.5 1dollars
[1]AmericanCommunitySurvey
People65+LivingBelowPovertyLevel
[1](2012-2016)
Montgomery7.7
0.78 0 0 0 1.5 2percent
Harris11.3
1.89 2 2 3 1.5 1percent
[1]AmericanCommunitySurvey
PeopleLivingBelowPovertyLevel[1](2012-2016)
Montgomery11.0
0.17 0 0 0 1.5 0percent
Harris 17.4 1.67 2 2 3 1.5 0
MemorialHermannTheWoodlandsMedicalCenterCHNA201946
percent
[1]AmericanCommunitySurvey
SevereHousingProblems[4](2010-
2014)
Montgomery16.0
1.28 2 0 0 1.5 2percent
Harris20.9
2.39 3 3 3 1.5 1percent
[4]CountyHealthRankings
SNAPCertifiedStores[17](2016)
Montgomery0.5
1.89 3 1.5 1.5 1.5 1stores/1,000population
Harris0.6
2.11 3 1.5 1.5 1.5 2stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
StudentsEligiblefortheFreeLunch
Program[8](2015-2016)
Montgomery35.1
0.56 0 0 0 1.5 1percent
Harris58.2
2.22 2 3 3 1.5 1percent
[8]NationalCenterforEducationStatistics
TotalEmploymentChange[16](2014-
2015)
Montgomery3.5
1 1 1 0 1.5 1.5percent
Harris2.4
1.67 1 3 2 1.5 1.5percent
[16]U.S.Census-CountyBusinessPatterns
UnemployedWorkersinCivilianLaborForce[15](July
2018)
Montgomery3.8
1.28 1 1 1 1.5 2percent
Harris4.4
1.94 2 2 2 1.5 2percent
[15]U.S.BureauofLaborStatistics
Primary Data Duringthekeyinformantinterviewprocess,AccesstoHealthServiceswasdiscussedover160timesandwasraisedbyparticipantsalmost50timesinrelationtobarriersorchallengestoachievinghealthinthecommunity.Theprimarythemesrelatedtobarriersorchallengeswerelimitationstoprocuringspecialtycareservices,transportationtoservicesandhoursofoperation.Inadditiontotheprimarythemes,twoadditionalbarriersorchallengesstoodoutaskeyfactorsimpactingaccesstohealthcareservices,lackofknowledgeandstigmaorfearpreventingpeoplefromseekingcare.Theissuethatinterviewparticipantsweremostconcernedwithwaspatientsbeingabletoaccessfollowupcarewithspecialtycareproviders.
MemorialHermannTheWoodlandsMedicalCenterCHNA201947
“Wehaveayear-longwaitinglistforourdentalservices(…)havingmoreclinicsorplacesforpatientstogoisahugeneed.”Multipleparticipantsraisedconcernsthatevenifpatientsareabletoaccesspreventativeorprimarycareservices,theymaynotbeabletoaccesstheappropriatefollowupcarewithaspecialtycareprovider.Someparticipantsraisedthisconcernincontextofpatientsnotlivingnearaspecialistandothersraisedincontextofpatientsnotbeingabletoaffordthecostoffollowupcare.“Wecantakecareofhelpingthemcontroltheirdiabetes,andkeeptheirbloodpressureincheck,andwecantreatthemforthatcommoncold,wecanprovidethatannualpapsmearforthewomanandprovidethatmammogram,butit'swhenthepersonexperiencessomethingofamoresignificantissue—saytheyhaveagallbladderattack,ortheyhaveahernia—thatisjustaresourcethatwesimplydon'thave.Orsomeoneneedstoseeanorthopedicsurgeon.Wetrytotakecareofthemthebestthatwecaninthesettingthatwehave,butthatisahugebarrierthatwefacewithourpatients,orthatourpatientsface.So,whathappensisitbecomesanurgentsituation,andtheyendupintheemergencyroom,andthey'regivensurgeryonanemergencybasis.”Anothercommonconcernraisedbyinterviewparticipants,wastransportationtoservicesandhoursofoperationofserviceslimitingpatients’accesstocare.Participantsdescribedhowthesefactorsdeterminewhetherpatientsdecidetotakeofffromworkandseekservicesinthefirstplace.Afewparticipantsdescribedthemanyservicesandresourcesthatareavailabletothecommunitybutthatmanymaynotbeawarehowtheycanaccessorbenefitfromthem.Oneparticipantdescribedresourcesbeingconcentratedincertaingeographicareasandmoreremotelocationsnotbeingwellconnectedorknowledgeableabouthowtheymayalsobenefitfromtheseresources.Participantsdescribedthepotentialformorecollaborationandpartnershiptoconnectcommunitiestooneanother.“Iwouldlovetoseesomebodyfromthepublicassistance,andI’lljustcallitMedicaid,orthepublicbenefits,maybehaveanofficeinsidethehospital.Thatwouldbephenomenal.I’veworkedinadifferentstateasahospitalsocialworkerpreviously,andtherewassomeonefromapublicassistance,fromtheDepartmentofHumanHealthandWelfareServicesinthehospital,andthatpersonwasabletoconnectthepeopletherewithemergencyMedicaid,withMedicaid,whichalsohelpsthehospital.Havetheirbillspaidandwhatnot,andmaybeitwouldcutdownonoutsourcingandsomeofthecollectionsandwhatnot.Ithinkthatthatwouldbewonderful,wouldbetohavesomeonefromthestatepublicbenefitsprogramhousedinsidethehospital.”Severalparticipantsdescribedadown-turninpeopleseekingpreventativecareserviceandhypothesizedthatoneofthefactorsmayberelatedtotheimmigrantcommunityintheregionexperiencingfearorstigmarelatedtohavingtoshowidentificationorproofofcitizenship.Therewerealmost80referencestotheuninsuredpopulationinthekeyinformantinterviewsandlackofhealthinsurancewasraisedasabarrierorchallengetoachievinghealthinthecommunity19times.Lackofhealthinsurancewasmostoftenbroughtupincontextofpatients
MemorialHermannTheWoodlandsMedicalCenterCHNA201948
havinglimitedfinancialresourcesandafactortonotaccessinghealthcareservices.Participantsdiscussedpatientsnothavingtheabilitytopayfeesformultipleappointmentco-paysornotseekingcareduetocompetingfinancialpriorities.Whilehealthcareservicesmaybeavailableinthecommunity,forthosewhoarelackinghealthinsurance,accessinghealthcareservicesisnotnecessarilyanoption.Lackofhealthinsurancecreatesaparticularchallengeforthosewhorequirespecialtycareservices.“Ithinkthosearethebiggesttwo—access,again,withthemajorityofouradultpopulationbeinguninsured,havingthemtrytofindaproviderthat,again,willtakeslidingfeescale,orreducedrates.Oncethey'reabletoaccessthoseservices,thenitbecomesamatterofpayingforthethingsthatareneeded.Thepatientcomesinandwediagnosethemwithdiabetes,thencomesthecostofmedications,andifthatpatientisneedingspecialtycareoutsideofthescopeofprimarycare,accesstospecialists.”Participantsbroughtupissuesrelatedtolowincomeorgroupswhomaybeunderservedinthecommunity115timesduringthekeyinformantinterviewprocess.Particulargroupsthatparticipantsfeltmayexperienceaddedchallengesaccessinghealthcareservicesincludedtheimmigrantpopulation,individualswithdisabilities,familieswithyoungchildren,andtheelderly.Severalparticipantsraisedfeesrelatedtoco-paysoroutofpocketexpensesasabarriertopatientsseekinginitialpreventativeservicesorongoingtreatmentforchronicconditions.Participantsidentifiedseveralgroupstheyfeltwereunderservedinthecommunity.Multipleparticipantsdiscussedtheuniqueandspecificchallengeswithprovidingculturallyappropriatecareforadiverseandrecentimmigrantpopulationinthecommunity.Participantsfeltthatfamilieswithyoungchildrenandtheelderlypopulationareparticularlyvulnerablegroupsinthecommunitythatexperiencebarriersandchallengesaccessinghealthcareservices.Specifically,participantsdiscussedthesegroupsexperiencinghighlevelsofpovertyplacingthemathigherriskforpoorhealthoutcomes.
Emotional Well-Being
Secondary Data MentalHealthandSubstanceAbusewereidentifiedassignificantneedsforMemorialHermannHealthSystem.SubstanceAbuserankedsixthinthetoptopicsforMontgomeryCounty’ssecondarydataresults.AsshowninTable19,inMontgomeryCounty,mentalhealthindicatorsofnoteinclude:MentalHealthProviderRateandAge-AdjustedDeathRateduetoSuicide.WhileMentalHealth&MentalDisordersdidnotrankashighforHarrisCounty,anindicatortonoteisAlzheimer'sDiseaseorDementiaintheMedicarePopulation.
KeyIssues:• Mentalhealthaspartofoverallhealth• Needformorebehavioralhealthservicesandproviders• Alcoholandsubstanceabuse• Alzheimer’sanddementia
MemorialHermannTheWoodlandsMedicalCenterCHNA201949
Table19.SecondaryDataScoringResults:MentalHealth&MentalDisorders
County CountyValueComparedto:
Indicator Name ValueDataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
Age-AdjustedDeathRateduetoSuicide[12](2010-2014)
Montgomery14.6
2.28 1.5 3 3 3 2deaths/100,000
population
Harris10.3
0.94 1.5 0 0 2 1deaths/100,000population
[12]TexasDepartmentofStateHealthServices
Alzheimer'sDiseaseorDementia:
MedicarePopulation[3](2015)
Montgomery10.7
1.67 1 1 2 1.5 1.5percent
Harris11.4
1.89 2 1 3 1.5 1percent
[3]CentersforMedicare&MedicaidServices
MentalHealthProviderRate[4]
(2017)
Montgomery69.4
2 1 3 3 1.5 1.5providers/100,000population
Harris103.7
1.44 0 1 3 1.5 2providers/100,000population
[4]CountyHealthRankings
PoorMentalHealth:5+Days[10](2016)
Montgomery
--- --- --- --- --- ---
Harris80.0
1.53 1.5 1 1.5 1.5 2percent
[10]TexasBehavioralRiskFactorSurveillanceSystem
SubstanceAbuseisanothertopicofconcernforMemorialHermannHealthSystem.BothHarrisandMontgomerycountieshaveindicatorswithscoresabove2.Therewereover37%alcohol-impaireddrivingdeathsinHarrisCountyandalmost33%inMontgomeryCounty,comparedto29.3%intheU.S.Moreover,21%ofadultsdrinkexcessivelyinMontgomeryCountyascomparedtothenationalvalueof18%.
Table20.SecondaryDataScoringResults:SubstanceAbuse
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
AdultswhoDrink Montgomery 21.0 2.17 3 2 3 0 1.5
MemorialHermannTheWoodlandsMedicalCenterCHNA201950
Excessively[4](2016) percent
Harris18.1
1.5 2 1 2 0 1.5percent
[4]CountyHealthRankings
Alcohol-ImpairedDrivingDeaths[4]
(2012-2016)
Montgomery32.9
2.06 2 3 3 1.5 1percent
Harris37.8
2.17 3 3 3 1.5 0percent
[4]CountyHealthRankings
Primary Data Approximately50%ofcommunitysurveyrespondentscitedMentalHealthasoneofthetopissuesmostaffectingthequalityoflifeintheircommunityand52%ofrespondentsnotedSubstanceAbuse.Ininterviewswithkeyinformants,MentalHealthwasdiscussed113timesandwasraisedbyparticipants33timesasaneedsorconcernforthehealthofthecommunity.TheprimarythemesrelatedtoMentalHealthweretreatingmentalhealthaspartofoverallhealth,addressbehavioralhealthinschool,needforbehavioralhealthprovidersandservices,andolderadultswithAlzheimer’sanddementia.Someparticipantsdiscussedarecentshiftincaredeliveryandthecontinuedneedtoaddressmentalhealthaspartofaperson’stotalhealthsimilarlytohowchronicdiseaseismanaged.Oneparticularlyvulnerablepopulationthatwouldbenefitfromabroaderapproachtotreatment,inclusiveofmentalhealth,isthehomelesspopulation.Severalparticipantsbroughtupissuesregardinganeedformorebehavioralhealthprovidersandservicesinthecommunity.“Wehereseeahugegapinmentalhealth,there’sjustnotalotofsupportiveservicesformentalhealth,andwe’reseeingthattoreallyhitouryoungadults,ouradultswhoareintheir20s.WeseealotofpeoplehavingalotofPTSDorevenhavingapsychoticbreak,andweonlyhaveoneagencythatwouldsupportsomebodymaybewithoutinsurancethat’shavingmentalhealthissues,whichiscausingsomuchtraumaforthemfromthatpointforward.Iwouldsayoneofthehugeindicatorsforuswouldbementalhealth,it’shugeforus.”Oneparticipantobservedrecentincreasesandchangeswithinthelocalpopulation.Fromtheparticipant’sperspective,thereshouldbemoreprogramsorservicestoaddressthegrowingneedforaddressingmentalhealthinthecommunity.Anotherparticipantsuggestedsolutionsforaddressingtheneedformorebehavioralhealthprovidersinthecommunitysuchasexpandingresidencyprogramsforpsychiatristsanddevelopingcomprehensivetelemedicineprogramstoprovideservicesmoreefficiently.Furthermore,participantsrecommendedaddressingbehavioralhealthwithyoungerpopulationsintheschools.Schoolsthatprovidebehavioralhealthservicesthroughtelemedicinehavebeenreceivedwellinthecommunityandtheperceptionisthattheyare
MemorialHermannTheWoodlandsMedicalCenterCHNA201951
effective.Someparticipantsbelievethattheseprogramsshouldbeexpandedandavailableacrossthecommunity.“There[are]thementalhealthunitsthathavegoneoutintotheschools.They'renotschool-basedbutthat’sthevenuetheywilldrivetowiththeirmobileunits.Theyhaveabigimpact.They'reseeingthousandsofkids.They’vedonesometelemedicinewithmentalhealth,behavioralhealth,withsomeofthehighschools.FromwhatI’veheard,(…)it’sbeenprettyeffectiveandwellreceived.”AchallengethathealthcareprovidersidentifiedforthemedicalcommunityisadequatelyaddressingdementiaandAlzheimer’swithinthegeriatricpopulation.“Dementia’saterminalillness.(…)Muchmoreneedstobedonewithhealthcaresystemsaroundroutinescreeningandidentificationofitasanissue.(…)So,thatisthefirstthingthatneedstohappen.Thenthereneedstobeanunderstandingthattherearethings–therearemedicationsthatcanbehelpfultothesystemsofthedementia.(…)Butyoucanaffectitbyaddressingsomeofthesymptoms.”SubstanceAbusewasdiscussed55timesandwasraisedbyparticipants15timesasaneedorconcernforthehealthofthecommunity.MultipleuniquethemesemergedfromtheinterviewsrelatedtoSubstanceAbuse:fundingfortreatmentprograms,invisibilityofalcoholism,overcomingstigmaofseekingtreatment,andemergingshiftsinoutreachmodels.Participantsidentifiedfundingforprogramsandavailabilityofservicesforthosewhomaynotbeabletoaffordtreatmentout-of-pocketasissuesthecommunityisfacingtoaddresssubstanceabuse.“(…)we’reseeingalotofaddictionand(…)ifyoudon’thavethefundstogointoatreatmentprogram,youroptionsarelimitedandthere’sawaittime.”Oneparticipantraisedalcoholabusespecificallyasanissueinthecommunitythatdoesnotgettheamountofattentionofothersubstanceabusetopicsbutmayinfactbeimpactingalargerproportionofthepopulationandconnectedtomanyotherhealthissues.Multipleparticipantsidentifiedculturalstigmaasabarrierforthosewhomaybenefitfromseekingtreatment.Stigmaorfearmaybeuniqueandvaryfrompopulationtopopulationinthecommunity.“Withsubstanceabuse,it’scultureandstigma.Nobodygoestosubstanceabusetreatmentontheirown.Theymaynotbeadjudicatedbutsomeoneisreally,reallypushingthem,familymember,boss.Noonegoestotreatmentifthey’renotunderduress.”Afewparticipantsdescribeduniqueapproachestooutreachandsubstanceabusetreatmentinthecommunitythatwouldsupportremovingbarriersforpeoplehavingtotakethefirststepontheirown.“Forinstance,it’sprettynew,butthere’saninitiativethat’scalledtheHeroesProjectthat’slookingatoverdoses,sowhenanoverdosehappens,they’resendingateamtotheER.So,it’sgotapeersupportspecialist,theEMPisinvolved–buttheyactuallygointotheERandtheydoaninterventiontheretotrytohelpwithlinkagetotreatmentsothatwecanassistthepatients.”
MemorialHermannTheWoodlandsMedicalCenterCHNA201952
Food as Health
Secondary Data ThetopicsofDiabetesandHeartDisease&StrokeemergedassignificanthealthneedsforMemorialHermannHealthSystem.HeartDisease&StrokerankedasthesecondmostimportanttopicforMontgomeryCounty.AlthoughthetopicofDiabetesdidnotreceiveahighsecondarydatascoreoverall,28.1%oftheMedicarePopulationhasdiabetesinHarrisCounty,comparedtotheU.S.valueof26.5%.(Table21)
Table21.SecondaryDataScoringResults:Diabetes
County CountyValueComparedto:
Indicator Name ValueDataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
Diabetes:MedicarePopulation[3](2015)
Montgomery24.8
0.94 0 0 1 1.5 2percent
Harris28.1
1.67 2 1 2 1.5 1.5percent
[3]CentersforMedicare&MedicaidServices
AsshowninTable22HeartDisease&StrokeisalsoaconcerningtopicinMontgomeryandHarriscounties.IndicatorstonoteincludeAtrialFibrillation,HyperlipidemiaandStroke(allintheMedicarePopulation).InHarrisCounty,indicatorstoobserveareHeartFailureandStroke(bothintheMedicarePopulation).
Table22.SecondaryDataScoringResults:HeartDisease&Stroke
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
AtrialFibrillation:MedicarePopulation
[3](2015)
Montgomery8.8
2.44 3 3 2 1.5 2percent
Harris7.3
1.5 1 1 1 1.5 3percent
HeartFailure:MedicarePopulation
[3](2015)Montgomery
14.61.22 0 1 2 1.5 1
percent
KeyIssues:• Foodinsecurityandlimitedaccesstohealthyfoods• Diabetesandheartdiseaselinkedtosocioeconomicfactors• Fooddeserts
MemorialHermannTheWoodlandsMedicalCenterCHNA201953
Harris16.0
1.89 1 2 3 1.5 1percent
Hyperlipidemia:MedicarePopulation
[3](2015)
Montgomery46.3
1.94 2 2 2 1.5 2percent
Harris43.2
1.44 1 1 1 1.5 2percent
Hypertension:MedicarePopulation
[3](2015)
Montgomery56.0
1.61 1 1 2 1.5 2percent
Harris55.5
1.22 1 1 2 1.5 1percent
Stroke:MedicarePopulation[3](2015)
Montgomery4.6
2.28 2 2 3 1.5 2percent
Harris5.2
2.61 3 3 3 1.5 2percent
[3]CentersforMedicare&MedicaidServices
Table23displaysnutrition-relatedindicators.InbothHarrisandMontgomerycounties,SNAPCertifiedStoresareofconcern;additionalindicatorsofnoteincludeFoodInsecurityRateinHarrisCountyandGroceryStoreDensityinMontgomeryCounty.
Table23.SecondaryDataScoringResults:Nutrition
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
ChildFoodInsecurityRate[5](2016)
Montgomery21.2
1.17 0 1 3 1.5 0percent
Harris23.5
1.67 1 2 3 1.5 0percent
[5]FeedingAmerica
ChildrenwithLowAccesstoaGroceryStore[17](2015)
Montgomery5.6
1.67 2 1.5 1.5 1.5 1.5percent
Harris5.4
1.5 1 1.5 1.5 1.5 1.5percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FastFoodRestaurantDensity[17](2014)
Montgomery0.6
1.5 1 1.5 1.5 1.5 1.5restaurants/1,000population
Harris0.7
1.67 2 1.5 1.5 1.5 1.5restaurants/1,000population
MemorialHermannTheWoodlandsMedicalCenterCHNA201954
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FoodInsecurityRate[5](2016)
Montgomery14.6
1.33 1 1 3 1.5 0percent
Harris16.6
2.06 2 2 3 1.5 1percent
[5]FeedingAmerica
GroceryStoreDensity[17](2014)
Montgomery0.1
1.83 2 1.5 1.5 1.5 1.5stores/1,000population
Harris0.2
1.5 1 1.5 1.5 1.5 1.5stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
SNAPCertifiedStores[17](2016)
Montgomery0.5
1.89 3 1.5 1.5 1.5 1stores/1,000population
Harris0.6
2.11 3 1.5 1.5 1.5 2stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
Primary Data Food-relatedtopicsemergedinthecommunityinputgatheredthroughthesurveyandkeyinformantinterviews.FoodInsecurity,FoodProgramsandFoodKnowledgeissueswerediscussedover170timesduringthekeyinformantinterviewsandwereraisedbyparticipants34timesinrelationtobarriersorchallengestoachievinghealthinthecommunity.Theprimarythemesrelatedtobarriersorchallengesthatemergedintheinterviewswereaccesstohealthyfoodsandaffordability,knowledgegapsandlimitedfoodfamiliarityandprogramlimitations.Themostcommonissueraisedbykeyinformantparticipantsrelatedtofoodinsecuritywascommunitymembersnotbeingabletoaccesshealthyfoodsintheircommunity.Multipleparticipantsbelievedthatinmanycommunities,healthyfoodoptionswerenotavailabletopeoplewithinafive-mileradiusfromtheirhomeorwork.Participantsdescribed‘fooddeserts’asatopissueaffectinghealthinthecommunityandhowlimitedaccesstohealthyfoodsalsowascloselyassociatedwithpeoplealsobeingnotbeingabletoaffordhealthyfoods.
“Wehaveareallylargecounty.(…)Thewestdoesn’tcatertotheeastveryeasilyandviceversa.(…)Onceyougetoffofthatinterstate,youstartgettingintotheeastcountyandwestcountyyou’llgomilesandmilesandmileswithoutgrocerystores,sotherearefooddesertsinourcommunity.”
Participantsalsodiscussedtheimbalanceofhealthyfoodoptionsforthosecommunitieswithlowerhousingpricesandingeneral,loweraverageincomes.Oneparticipantdescribedthelink
MemorialHermannTheWoodlandsMedicalCenterCHNA201955
betweenpeoplehavingtoworkmultiplejobsandhavingtimetoshopforandpreparehealthyfoods.
“Wehaveagrocerystoreoneverycornerbutnoteverycornerinthepoorneighborhoods.It’sbeenmypersonalexperiencethateatinghealthyisexpensive.Itcostsmoremoneytobuyhealthyfruitsandvegetablesandmorehealthyfood,ingeneralthanitdoestobuyfoodthat’snotsohealthy,that’shighfat,highcarb,highsugar….Itcostsmoremoney.Ittakeslongertoprepare.Whenyouhaveamomandadadoreitherandthey’retryingtohandletwojobs,ifnotthree.They’vegotkidsofvaryingages.Themechanicsofshoppingandpreparingmealsisprobablyanactivitythatgetsletgo.”
Someparticipantshaddirectexperiencewitheducatingthecommunityabouthealthyfoodsandeating.Theseparticipantssharedthatsomecommunitymembershavelimitedknowledgeoffreshfruitsandvegetablesandwouldbenefitfromearlyeducationforparentsandchildreninschools.
“Andthereareplaceswhichwearereallyconcernedabout,(…)eastofI45wherethere’sthisfoodinsecurity,fooddesert,andallotherproblemsthatarehappening,andwe’reseeingincreasingincidenceofchildobesityinthoseareas,andthosezipcodes.Sodefinitelyeducationisthekey.Itstartsfromprobablyprenatalcareofmom,anditgoesontoschool.”
InMemorialHermann’scommunitysurvey,67%ofrespondentsselectedDiabetesasoneofthetopissuesmostaffectingthequalityoflifeintheircommunity.Duringkeyinformantinterviews,Diabeteswasdiscussed64timesandwasraisedbyparticipants32timesasahealthneedorconcerninthecommunity.ForthoseparticipantswhoraisedDiabetesasatophealthissueinthecommunity,uniquethemesemergedregardinghowdiabetesisimpactingspecificgroupsinthecommunityandthewayasedentarylifestyleimpactsdiabetes.MultipleparticipantsattributedthesurgeinobesityanddiabetesingeneralintheU.S.toashifttoamoresedentarylifestylewhileothersspecificallyidentifiedthelocalclimateanddrivingcultureaskeyfactorsleadingtoanincreaseinsedentarylifestylesimpactingtheregion.HeartDisease&Strokewasdiscussed34timesduringthekeyinformantinterviewsandwasraisedbyparticipants16timesasahealthneedorconcerninthecommunity.ForthoseparticipantswhoraisedHeartDisease&Strokeasatophealthissueinthecommunity,theuniquethemesthatemergedintheinterviewswerechronicdiseaseriskrelatedtosocioeconomicstatusandchallengeswithmanagingheart-relatedconditions.“Youhavesomanycommunitiesthatarefooddesertsso,ofcourse,Ithinkweareallatriskforthingslikediabetesandhypertension,obesity,stroke–but,Ithinkinadditiontothat,thosethataremostarealreadymarginalized.Peoplewhoarelowincome.Lowsocioeconomicstatus.So,education,andallofthoseindicatorsareprobablyevenmoreatriskforchronicdiseasesthansomeone,forexample,whohasaccesstocareandinsurance.So,theyprobablyaredoublyatrisk.”
MemorialHermannTheWoodlandsMedicalCenterCHNA201956
Exercise Is Medicine
Secondary Data Exercise,Nutrition&Weightwasthefifthhighest-rankingtopicinthesecondarydatascoringresultsforMemorialHermannHealthSystem.ItreceivedthesametopicrankinginMontgomeryCountyand,althoughitdidnotrankashighinthesecondarydatascoringresultsforHarrisCounty,thereareindicatorstonote.Table24displaysindicatorsofconcern,withseveralscoresequaltoorabove1.75.Anexercise-relatedindicatorofconcernis:WorkersWhoWalktoWork(withanindicatorscoreof2.78inMontgomeryCountyand2.17inHarrisCounty).
Table24.SecondaryDataScoringResults:Exercise,Nutrition&Weight
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
Adults(18+Years)WhoAreObese[10]
(2016)
Montgomery
--- --- --- --- --- ---
Harris32.0
1.67 1.5 1 2 2 2percent
[10]TexasBehavioralRiskFactorSurveillanceSystem
ChildFoodInsecurityRate[5](2016)
Montgomery21.2
1.17 0 1 3 1.5 0percent
Harris23.5
1.67 1 2 3 1.5 0percent
[5]FeedingAmerica
ChildrenwithLowAccesstoaGroceryStore[17](2015)
Montgomery5.6
1.67 2 1.5 1.5 1.5 1.5percent
Harris5.4
1.5 1 1.5 1.5 1.5 1.5percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FastFoodRestaurantDensity[17](2014)
Montgomery0.6
1.5 1 1.5 1.5 1.5 1.5restaurants/1,000population
Harris0.7
1.67 2 1.5 1.5 1.5 1.5restaurants/1,000population
KeyIssues:• Obesityandconvenienceoffastfood• Walkabilityofcommunities• Safetyofoutdoorspacesandplacestoexercise
MemorialHermannTheWoodlandsMedicalCenterCHNA201957
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FoodInsecurityRate[5](2016)
Montgomery14.6
1.33 1 1 3 1.5 0percent
Harris16.6
2.06 2 2 3 1.5 1percent
[5]FeedingAmerica
GroceryStoreDensity[17](2014)
Montgomery0.1
1.83 2 1.5 1.5 1.5 1.5stores/1,000population
Harris0.2
1.5 1 1.5 1.5 1.5 1.5stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
SNAPCertifiedStores[17](2016)
Montgomery0.5
1.89 3 1.5 1.5 1.5 1stores/1,000population
Harris0.6
2.11 3 1.5 1.5 1.5 2stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
WorkerswhoWalktoWork[1](2012-
2016)
Montgomery1.0
2.78 3 3 3 3 2percent
Harris1.5
2.17 2 2 3 3 1.5percent
[1]AmericanCommunitySurvey
Primary Data Over60%ofMemorialHermann’scommunitysurveyrespondentsnotedObesityasatopissueaffectingthequalityoflifeintheircommunity.Inkeyinformantinterviews,Exercise,Nutrition&Weightwasdiscussedalmost170timesandwasraisedbyparticipants42timesasaneedorconcernforachievinghealthinthecommunity.TheprimarybarriersrelatedtoExercise,Nutrition&Weightidentifiedbyparticipantswerewalkability,accesstosafeoutdoorspaces,programmingthatmaynotmeettheneedsofcommunitiesfacingfinanciallimitations,andtheconvenienceofunhealthyfoods.Severalparticipantsdiscussedbarrierstohealthylifestylechangesanddescribedcommunitieswheresidewalksarelimitedorpedestrianpathwaysarenotavailable.Theabilityforcommunitymemberstomakesmallshiftsintheirdailylives,suchaswalkingregularly,maybemorefeasiblethanundertakinganexerciseregimen.Thelimitationsofpedestrianpathwaysandsaferwalkingspacespreventthoseinsomesectionsofthecommunityfrommakingtheseshifts.
MemorialHermannTheWoodlandsMedicalCenterCHNA201958
Forindividualswhomaynotbeabletoaffordgymmembershipsnorattendclassesduetoworkschedules,outdooractivitiesandfitnessareasofferafreealternative.Participantsfeltthatinmanyneighborhoods,theseoutdoorspacesarenotavailableduetodisrepairorunsafeenvironments.“Ithinkthebuiltenvironmentishuge,too.Ifyouliveoutinaplannedcommunity,theyusuallyhavewalkingtrails,ortheyhaveaprettyfountainareaforyoutowalkaroundit.Theyhavethoselittleexercisethingsthatyoustoponpartwayaroundthetrailandyoudoyourlittlepush-upsandyoursit-upsandyourpull-ups(…)Yougointothesepoorerareasandthere'snosidewalks.There'snolightsatnight.There'sapark—it'sallrustedequipment.”Participantsalsodescribedprogramsandfacilitiesthatareeitherlimitedorlacking.Theseprogramsincludedfreeexerciseprogramswithchildcareoptions,youthsportsleaguesandrecessintheschoolsandfreeorlow-costoptionsforair-conditionedfacilitiesduringtimesoftheyearwhentheweatherdoesnotpermitoutdooractivities.Anotherchallengethatseveralparticipantsraisedistheconvenienceandlowcostofunhealthyfoods.Forfamiliesthatmayhavefinancialortimelimitations,theconvenienceofinexpensive,lesshealthyfoodsisdifficulttocontendagainst.“Wehavethebigchaingrocerystoreshereinthecommunity,butalotoftimes,becauseourpopulationislimitedwithfunds,thebadfoodsaretheonesthatarethecheapestandmostaccessible,sotheygoinandbuythecheapest/fastestthingtheycanget.”
MemorialHermannTheWoodlandsMedicalCenterCHNA201959
Non-Priorit ized Signif icant Health Needs Thefollowingadditionalsignificanthealthneedsemergedfromareviewoftheprimaryandsecondarydata.Withtheneedtofocusontheprioritizedhealthneedsdescribedabove,thesetopicsarenotspecificallyprioritizedeffortsinthe2019-2022ImplementationStrategy.However,duetotheinterrelationshipsofsocialdeterminantneedsmanyoftheseareasfall,tangentially,withintheprioritizedhealthneedsandwillbeaddressedthroughtheupstreameffortsoftheprioritizedhealthneeds.Additionally,manyofthemareaddressedwithinongoingprogramsandservices.Examplesoftheseeffortsareprovidedbelowbytopicarea.
Older Adults and Aging
Secondary Data OlderAdultsandAgingwasatopicofconcernforHarrisandMontgomerycounties,withatopicscoreof1.5forHarrisCounty’ssecondarydataresultsandastheeighthhighest-rankingtopicinMontgomeryCounty.Inbothcounties,StrokeintheMedicarePopulationisanindicatortobeawareof.InHarrisCounty,additionalindicatorsscoringabove2includeChronicKidneyDiseaseintheMedicarePopulationaswelltheAge-AdjustedDeathRateduetoFalls.InMontgomeryCounty,AtrialFibrillationintheMedicarePopulationisanindicatorwithscoreabove2.
Primary Data KeyinformantsandstakeholdersdiscussedOlderAdultsandAging.Over62%ofparticipantsinMemorialHermannHealthSystem’sprioritizationprocesscitedOlderAdultsasoneofthegroupsmostaffectedbypoorhealthoutcomes.Interviewswithkeyinformantsnotedthegrowingpopulationofolderadultsandneedsrelatedtospecializedcare,financialassistanceandoutreach.“…[W]earegoingtowatchtheliteraldoublingofthenumberofAmericansovertheageof65inthenext25years.Everyday,betweennowand2030,dayafterday,10,000Americanswillturn65,sowearewatchinganextraordinaryexpansionofchallengesofaging.(…)[M]oreandmoreAmericansaregoingtobegettingold,socaringforthismassiveincreaseintheagingpopulationisgoingtobeoneofthegreatchallengesIthink.”
Efforts MemorialHermannHealthSystemincludestwofreestandingRehabilitationHospitals(TIRRandKaty)aswellasaseniorlivingfacility(UniversityPlace),featuringindependentliving,personalassistanceservices,andaseparate,butattached,nursingcenter.Additionalcommunityoutreachincludeshealtheducationon:Alzheimer’sdisease,DiscountedDiabetesEducation,Education/outreachforSeniors,InjuryPrevention,FallPrevention,andsupportgroupsforvariouspopulations,including:Alzheimer’s,Amputees,Cardiacpatients,Chronicdisease,Diabetics,Grief,Parkinson’sdisease,Stroke,Survivorship,andmore.
MemorialHermannTheWoodlandsMedicalCenterCHNA201960
Cancers
Secondary Data CancerwasnotatoptopicforHarrisandMontgomerycounties’secondarydataresults.However,thereareacoupleofindicatorstonoteinHarrisCounty(withscoresabove2):CervicalCancerIncidenceRateandAge-AdjustedDeathRateduetoBreastCancer.
Primary Data InMemorialHermann’scommunitysurvey,overonethirdofrespondentsnotedCancerasatopissueaffectingthequalityoflifeintheircommunity.Interviewswithkeyinformantsrevealedtheimportanceofmakingcancerscreeningservicesandspecialtycareavailableandaccessible(e.g.,telehealth,mobilemammography).
Efforts AsleadingprovidersofcancertreatmentinHouston,MemorialHermannCancerCentersarecommittedtocancertreatment,prevention,andresearch.Theirbroadgeographicalcoveragemakescancertreatmentextremelyaccessibleandconvenienttowherepatientsliveorwork.AlleightMemorialHermannCancerCentersareapprovedbytheAmericanCollegeofSurgeonsCommissiononCancer(ACoSCoC);only25percentofhospitalsacrossthecountryhavereceivedthisspecialrecognition.Withguaranteedaccesstocomprehensivecare,collaborativeteamapproachforcoordinatingthebestavailabletreatmentoptions,state-of-the-artequipmentandservices,educationandsupport,andlifelongpatientfollow-upthroughtheCancerRegistry,patientsareabletoaccessafullmenuoftherapiesandtreatmentoptions.Additionaloutreachincludeseducationandsupportgroupsforcancerpatients:Art,Self-guidedArtTherapy,Lymphedema,BrestCancer,OncologyNutritionTherapy,StressRelief,LookGoodFeelBetter,Yoga,Meditation,andHealthyEatingAdvices.
Education
Secondary Data Educationreceivedatopicscoreof1.56inthesecondarydatascoringforHarrisCounty.Thereareseveraleducation-relatedindicatorstoconsiderinHarrisCounty:InfantsBorntoMotherswithLessThan12YearsofEducation(withavalueof27.5%inHarrisCounty,comparedto21.3%inTexasand15.9%intheU.S.),Student-to-TeacherRatio,HighSchoolDropOutRate,andPeople25+withaHighSchoolDegreeorHigher.
Primary Data Duringkeyinformantinterviews,thetopicofEducationcameupfrequentlyandinrelationtodifferentfocusareasandtargetaudiences,includingchildren,generalcommunitymembersaswellasproviders.Thelinkbetweenindividuals’levelofeducationandqualityoflifewasemphasized.Keyinformantsrecommendedfindingopportunitiestoexpandtheavailabilityofeducation(relatedtohealthandnon-healthtopics)aswellasintegratinghealtheducationintoexistingactivitiesinbothclinicalandnon-clinicalsettings,suchasschoolsandchurches.Opportunitieswerealsopointedouttoeducatehealthcareproviders(andprovidecontinuing
MemorialHermannTheWoodlandsMedicalCenterCHNA201961
education)onavailablecommunitylinkagesandresourcesandonhowtoinitiateconversationswithpatientsregardingdifferenthealthtopics.“Ithinkitcomesdowntoeducationbecauseprobably75%ofourdiagnoseddiabetesaretype2diabetes,andthatissomethingthatwithproperdiet,properexercise,andeducationthatmanypatientscanovercome,andsowehaveworked,andwecontinuetoprovide(…)thepropereducation.”“Wewanttogointodifferentgroupsandeducatethemonwhattheyshouldbedoingorshouldn’tbedoing.(…)Ithinkeducationisahugecomponentbutwe’vegottofigureouthowtointegratethat.Theeducation,withouttheintegrationintosomebody’slifestyle,doesn’tdothemanygood.”
Efforts MemorialHermannoperatestenHealthCentersforSchools,establishedin1996,offeringaccesstoprimarymedical,dentalandmentalhealthservicestounderservedchildrenat82schoolsintheGreaterHoustonArea.Researchshowsthatschool-basedhealthcentersincreaseeducationalsuccessbyprovidingmedicalandmentalhealthcarethatallowsstudentstostayinschoolandlearn.Theprimarygoaloftheprogramistokeepchildrenhealthyandfeelingwellsothattheystayinschoolandcanperformwellacademically,creatingafoundationforabrighterfuture.Byprovidingimprovedaccesstohealthcaretoat-riskchildrenacrosstheregion,MemorialHermannhasdemonstratedsuccessincreatinghealthieroutcomesforkids,includingimprovementsintheirphysicalhealth,theirmentalwellbeing,andeventheirattendancerateatschool.
Transportation
Secondary Data ForHarrisandMontgomerycounties,Transportationrosetothetopofthesecondarydatascoringresults,withatopicscoreof1.82inHarrisCountyand1.93inMontgomeryCounty.Inbothcounties,indicatorsofconcerninclude:SoloDriverswithaLongCommute,MeanTravelTimetoWork,andWorkerswhoWalktoWork.Inadditiontothese,anotherindicatortonoteforMontgomeryCountyisWorkerswhoDriveAlonetoWork.Furthermore,thereexisthighdisparitiesforafewoftheseindicators.
Primary Data ParticipantsraisedthetopicofTransportation59timesinrelationtobarriersorchallengestoachievinghealthinthecommunity–morethananyothertopic.KeyinformantsrepeatedlynotedthattheHoustonregionhassignificanttransportationissues(includingavailability,accessibility)thatimpactcommunitymembers’abilitytoaccesshealthprogramsandservices.Inadditiontolimitedoptionsforpublictransportation,travelcostandtimewerebroughtup.Moreover,forcertainpopulations,likeolderadultsorpeoplewithdisabilities,publictransportationisnotafeasibleoption.“Thisremarkablespread-outcity,thesizeofMassachusetts,istheGreaterHoustonMetropolitanArea.(…)Thisisnotacityandasuburbanymore,it’sametropolitanregionwitheighttotencentersofactivitythatarelargerthandowntownSanDiego,spreadoutoverthismassivearea,butgettingfromoneplacetoanotherisanincreasingchallenge.Povertyalsomeansinadequatetransportation,wehavenoreally
MemorialHermannTheWoodlandsMedicalCenterCHNA201962
goodtransitsystembecauseit’salmostimpossibletodevelopagoodtransitsystemforacitysolackingindensityandsospreadoutasHoustonis.Wehaven’tsolvedthatproblem,andalotofthehealthcareissuescomebecausepeople[are]withoutacartryingtogettoahospital,ortohealthcare…”“Houstonisreallyspreadout(…)anditcangofromcitytoruralveryquickly.Thefamiliesintheruralcommunitiesthatreallyarewithina20-mileradiusofthecity,soreallystillwithintheHoustonaddress,Ithinkthattransportationforthemisahugebarrier.That’satoughone,becauseHoustonissobig,anditcangoquicklytorural,veryquickly,andyourzipcodeisstillreflectingHouston.”
Efforts MemorialHermannprovidesbusandtaxitokensasrequiredfordischargeandcontinuityofcareneeds.OneMemorialHermannstrategicefforttonotonlyprovidetherightcareattherighttimeintherightplace,butalsoprovidetheopportunitytoaccesshelp/careviathetelephoneistheMemorialHermannNurseHealthLine.Establishedin2014,theNurseHealthLineisafreetelephoneserviceforGreaterHoustonresidentswhoareexperiencingahealthconcernandareunsureofwhattodoorwheretogo.Experienced,bilingualnursesusetheirtrainingandexpertisetoconductassessmentsbyphone,andareavailabletoanswercalls24hoursaday,sevendayaweekforanyresidentlivinginHarrisorsurroundingcounties.Theyhelpcallersdecidewhenandwheretogoformedicalcareandassistwithsocialservicereferralsandtransportationneeds.
Children’s Health
Secondary Data
Inthesecondarydataresults,Children’sHealthreceivedatopicscoreof1.52inHarrisCounty.HarrisCountyhasseveralindicatorstonoteincluding:ChildFoodInsecurityRate,ChildrenwithHealthInsuranceandChildrenwithLowAccesstoaGroceryStore.Closeto10%ofchildreninHarrisCountydonothavehealthinsurance.
Primary Data WhendiscussingChildren’sHealth,keyinformantspointedoutspecificissuessuchaschildhoodobesity,immunization,accesstoservicesandbeinguninsured.Someparticipantsadvisedeffortstoengagechildren,familiesandcommunitiesmorecomprehensively.“AlotofpeoplewontgotoaFQHCtogettheirkidimmunizedbecauseit’sahugedoctorvisitthatrequiresalotofpaperworkandtime/effort.”“Texasranksverylowindollarsspentonhealthforchildren.Weranklowinourranking,generally,inchildren’shealth.We’renotputtingenoughmoneyandresourcesintoit.Ithinkweneedtoshiftourattentionand(…)givemoreattentiontochildren’shealthandhowimportantitisforearlychildhooddevelopmentandforbraindevelopmentandongoinghealthintherestoftheirlives.Iwouldsayputthatasapriority.Putchildren’shealthasapriority.Notjustsayingtheearlyyears,notjustsayingzerotofivebutalsothroughoutearlyadolescence,pre-adolescence,earlyadolescenceandintotheteens.”
MemorialHermannTheWoodlandsMedicalCenterCHNA201963
Efforts Children'sMemorialHermannHospital,licensedunderMemorialHermannTexasMedicalCenter,wasfoundedin1986andistheprimaryteachinghospitalforthepediatricandobstetrics/gynecologyprogramsatTheUniversityofTexasMedicalSchoolatHouston.Children'sMemorialHermannofferscareinmorethanthirtypediatricandwomen'srelatedspecialtiesincludingthelatestadvancesinmaternal-fetalmedicineandneonatalcriticalcareservices,andrenownedprogramsinpediatrictrauma,neurosciences,pulmonologyandcardiaccare.Morethan37,000childrencometoChildren'sMemorialHermannHospitaleachyear.InadditiontoMemorialHermann’sschool-basedhealtheffortsdescribedabove,MemorialHermannisanon-goingfinancialcollaboratorwithChildrenatRisk,a501non-profitorganizationthatdriveschangeforchildrenthroughresearch,education,andinfluencingpublicpolicy.
Economy
Secondary Data
Inthesecondarydatascoringresults,Economyreceivedatopicscoreof1.55inHarrisCounty.HarrisCountyhaseighteconomicindicatorswithscoresabove2:Homeownership,SevereHousingProblems,StudentsEligiblefortheFreeLunchProgram,MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage,SNAPCertifiedStores,MedianHouseholdGrossRent,FamiliesLivingBelowPovertyLevel,andFoodInsecurityRate.
Primary Data Keyinformantsdiscussedfoodinsecurityandfooddesertsasfactorsrelatedtopoorhealthoutcomes.Theypointedoutthat,althoughindividualsmightunderstandthateatinghealthyfoodsisrecommended,theymaynothaveaccesstogrocerystoresorbeabletoaffordhealthierfoodoptions.Keyinformantsnotedtheimportanceofaddressingsocioeconomicbarrierstoimprovehealthandwellbeing.“Ithinkinsomeofthelowerincomeneighborhoods,theoptionsforbuyingfoodarelimitedanddonotofferalotofhealthychoices,andthatalotoftimehealthierfoodcostsmore.Andsotheabilitytoeasilygetandaffordhealthyfood,whetheryou’reeatingathomeoreatingout,arejustmorelimitedforsomepeopleandinsomeneighborhoods…”
Efforts It’sadauntingtaskinaregionlikeGreaterHouston,whichhasanestimated7millionpeopleandoneofthehighestratesofuninsuredandunderinsuredinthecountry.ButMemorialHermannbelievesthatwecanONLYimpactthehealthofourcommunity,andthehealthofindividuals,byfocusingonthemultipledeterminantsofhealththatplaythegreatestroleininfluencingaperson’soverallhealthandwellbeing.
MemorialHermannTheWoodlandsMedicalCenterCHNA201964
Other Findings Criticalcomponentsinassessingtheneedsofacommunityareidentifyingbarriersanddisparitiesinhealthcare.Theidentificationofbarriersanddisparitieshelpsinformandfocusstrategiesforaddressingprioritizedhealthneeds.ThefollowingsectionoutlinesbarriersacrossMemorialHermannHealthSystemanddisparitiesastheypertaintoMHTheWoodlands’servicearea.
Barriers to Care Communityinputrevealedawiderangeofbarrierstocareandwellbeing.Asdiscussedintheprevioussection,transportationwasthemostfrequentlycitedbarrierinthecommunity,followedbyotherbarrierssuchasaccesstohealthservices,healthyfoodandexerciseoptions,lowincome,andfoodinsecurity.Overall,thesecondaryandprimarydataconfirmedthatsocioeconomicfactorsimpactcommunitymembers’abilitytoachievegoodhealth.“Manythingscomebacktopovertyandlackofdisposableincome.”Keyinformantsdescribedtheinfluenceofsocialdeterminantsofhealth(includingincome,poverty,language,education,employment)onhealthoutcomes.Participantsdiscussedtheimportanceofaddressingsocialandeconomicfactorstogetattherootcausesofpoorhealthandwellbeing.“Ithinkyouhavetounderstandthatalotoffolksworkfrompaychecktopaycheck,soiftheyactuallyendupatoneofthesemedicalcentersandtheyrequireathirtydollarcopayortendollarsorfifteendollars,thenthey’renotgoingtohaveit.So,they’regoingtowalkawayuntiltheydohavethatmoneyandthatcouldbemonthslater.So,iftheyaresick,they’rejustgoingtobecomesicker.So,that’soneofthebigbarriers.”
Disparit ies Significantcommunityhealthdisparitiesareassessedinboththeprimaryandsecondarydatacollectionprocesses.Table25identifiesthenumberofsecondarydatahealthindicatorswithahealthdisparityforMHTheWoodlands’servicearea.SeeAppendixBforthespecificindicatorswithsignificantdisparities.
Table25.NumberofHealthDisparitiesIdentifiedinSecondaryDataAnalysis
HarrisCounty MontgomeryCountyBlackorAfricanAmerican(13)White(8)HispanicorLatino(8)OtherRace(7)AmericanIndianorAlaskaNative(6)
OtherRace(8)BlackorAfricanAmerican(6)HispanicorLatino(6)AmericanIndianorAlaskaNative(3)TwoorMoreRaces(3)
Male(10)Female(3)
Male(5)
65+yearsofage(2) <6yearsofage(1)65+yearsofage(1)
MemorialHermannTheWoodlandsMedicalCenterCHNA201965
GeographicdisparitieswereidentifiedusingtheSocioNeedsIndex.AsshownpreviouslyinTable13,mostofthezipcodeswithinMHTheWoodlands’serviceareawiththehighestSocioNeedsIndexvaluesarewithinMontgomeryCounty;zipcodes77301and77303bothhavevaluesgreaterthan80.
MemorialHermannTheWoodlandsMedicalCenterCHNA201966
Conclusion TheCommunityHealthNeedsAssessmentforMHTheWoodlandsutilizedacomprehensivesetofsecondarydataindicatorstomeasurethehealthandqualityoflifeneedsforMHTheWoodlands’servicearea.Furthermore,thisassessmentwasinformedbyinputfromknowledgeableanddiverseindividualsrepresentingthebroadinterestsofthecommunity.MemorialHermann’ssystem-wideprioritizationprocessresultedinfourfocusareasorpillars:AccesstoHealthcare,EmotionalWell-Being,FoodasHealth,andExerciseIsMedicine.MHTheWoodlandswillreviewtheseprioritiesmorecloselyduringtheImplementationStrategydevelopmentprocessanddesignaplanforaddressingthesepillarsmovingforward.Inaddition,MHTheWoodlandsinvitesyourfeedbackonthisCHNAreporttohelpinformthenextCommunityHealthNeedsAssessmentprocess.Ifyouhaveanyfeedbackorremarks,pleasesendthemto:[email protected].
MemorialHermannTheWoodlandsMedicalCenterCHNA201967
Appendix
Appendix A: Evaluation Since Prior CHNA
Appendix B. Secondary Data Methodology
Secondary Data Sources
Secondary Data Scoring
Data Scoring Results
Appendix C. Primary Data Methodology
Community Input Participants
Key Informant Interview Questionnaire (Episcopal Health Foundation)
Key Informant Interview Questionnaire (Conduent Healthy Communities Institute)
Community Survey (English)
Community Survey (Spanish)
Appendix D. Priorit ization Tool
Priorit ization Survey
Appendix E. Community Resources
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 68
AppendixA.MHTheWoodlandsImpactReport
EvaluationSincePriorCHNAPriority1:HealthyLiving
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
EarlyDetectionandScreeningObjective1.1:IncreasescreeningtopromoteearlydetectionandreduceadvancedstagesofdiseasesOutcomeIndicators: Annual
BaselineYear1 Year2
FY2020Target
• Numberofparticipantsinscreenings(e.g.skincancerandmammograms.)
Skin40Mammogram
300
SkinCancer53Mammograms314
SkinCancer25Mammograms
311
Skin45Mammogram315
• NumberoflowdoseCTscansatareducedcosttocatchlungcancerearlier
0(newprogram)Establishbaselinein
Y1
63LungCTScans 84LungCT
Scans LowDoseLungCTs70
• Numberofeducationaltalks/events,suchashealthfairs(handoutswithpreventativeinformation);numberofattendees(Seealso1.2,1.3,1.4)
Events:40annually
Attendees:500
Events:29Attendees:1,635
Events:25(6healthfairs,
19talks)Attendees:
3,339
Events:40(annually)Attendees:580(5%annually)
• NumberofSupportGroups,numberofattendees(Seealso1.2,1.3,1.4)
14Groups220
Attendees
Events:16Attendees:3,920
Groups:26Attendees:
2,785
14Groups254Attendees(5%annually)
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,31.1.1: Provideeducation/awarenesshealthtalks
atareaschoolsand/orlocalbusinesses(See1.2.3,1.3.5,1.4.5,1.5.1)
1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 69
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
1.1.2: ProvidefreescreeningmammogramsandbreastultrasoundsasneededforInterfaithCommunityClinicpatientsandunder/uninsuredpatientsofprivatephysicians
47breastultrasoundsperformedforunderservedwomen
67breastultrasoundsperformedforunderserved
women
1,2,3
1.1.3: Providefreeannualscreeningsforskincancerduringanannualevent
53screenedforskincancer;26referredforabiopsyand12BasalCellCarinomasand3
Melanomasdiagnosed
25screenedforskincancer;6
referredforabiopsyand1Squamous
CellCarinomadiagnosed.
1,2,3
1.1.4: ConductlowdoseCTscansforolderadultstodiagnoselungcanceratearlierstagestopreventStage3&4canceratareducedcost(communicatetoPCPsviatheirsupportpaperworkforthesepatientstomakethemawareofthisservice)
63screened;65%hadanothersignificantfindingleadingtofollow-upwithspecialist(e.g.
emphasema)
84peoplescreened
1,2,3
Monitoring/EvaluationApproach:• Patient/participantexperiencesurveys• EventslogmaintainedbyMarketingManager,OncologyNurseNavigator,andImagingDirectors.• MammogramscreeningstrackedbyOutpatientImaging
PotentialPartners:• Communitycompanies/employers(healthfairs,talks,screenings)• Areaschools(healthfairs,talks,screenings)• Communityorganizationsthatworkwithlowincomepatients(e.g.TheRose,InterfaithCommunityClinic)• Areaphysicians(togivetalks,beathealthfairs,and/orpromotefreeorlowcostprograms,likeInthePinkandLungCancerCTscanstotheirpatients)
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 70
ObesityPreventionObjective1.2IncreaseeducationalofferingsthatpromotehealthyeatingandexerciseOutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target
• Numberofeducationaltalks/events,suchashealthfairs(handoutswithpreventativeinformation);numberofattendees(Seealso1.2,1.3,1.4)
Events:40annually
Attendees:500
28annually
Attendees4,000
Events:25(6healthfairs,
19talks)
Attendees:3,339
Events:32(annually)
Attendees:4,200(5%annually)
• NumberofSupportGroups,numberofattendees(See1.1)
See1.14groups
Attendees:700
3groups
Attendees:740
5groups
Attendees:800
• Numberofexerciseclasses,fooddemonstrationsandhealthyfoodeducationforcancersurvivorsandfamily
EstablishbaselineinY1
8Events
Attendees:1,000
10events
Attendees:1,389
10Events
Attendees:1,200
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,31.2.1: Conductnocostsupportgroupsforweight
lossandforconditionswhereobesityplaysarole-diabetes,heartdisease,andstroke
4groups 3groups
1,2,3
1.2.2: Providefacilitieson-campusforCanopyprogramtoconductexerciseclassestocancersurvivorsandtheircaregivers(e.g.,yoga,ballroomdancing,linedancing,guidedmeditation,taichi)(See1.4.2)andfreefooddemonstrationsandeducationabouthealthyfoodoptionsforcancersurvivorsandfamiliesvianutritionistsanddietarystaff(See1.3.1)
Demokitchen,flexiblespaceforfitnessactivitiesorevents
Demokitchen,flexiblespaceforfitnessactivitiesorevents;haveexpandedthesetoinclude
childrenofacancer
survivortoo.
1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 71
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
1.2.3: Provideeducation/awarenesshealthtalksatareaschoolsand/orlocalbusinesses
Healthfairscreenings:BMI,nutritionist,diabetesinfo,heartinfo,bloodpressureand/or
strokeriskassessments
Healthfairscreenings:
BMI,nutritionist,diabetesinfo,heartinfo,blood
pressureand/orstroke
riskassessments–traumaisalsoeducatingthepublicon
balanceandstrength.
1,2,3
Monitoring/EvaluationApproach:• Patient/participantexperiencesurveys• EventslogmaintainedbyMarketingManager&OccupationalMedicineLiaison• CanopyprogramsmaintainedbyCanopyCoordinator
PotentialPartners:• Communitycompanies/employers(healthfairs,talks,screenings)• Areaschools(healthfairs,talks,screenings)• Communityorganizationsthatworkwithlowincomepatients(e.g.InterfaithCommunityClinic)• Areaphysicians(togivetalks,beathealthfairs,and/orpromotefreeorlowcostprogramstotheirpatients)
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 72
AccesstoHealthyFoodObjective1.3:IncreaseeducationabouthealthyfoodstoimproveaccessandawarenessOutcomeIndicators: Annual
BaselineYear1 Year2 FY2020Target
• Poundsoffooddonatedtolocalfoodpantries
14,000lbs. Donated2,471lbsand$4,531incashdonated;thistranslatesto25,126lbsoffood
MemorialHermannfood
drivediscontinued
16,300lbs.total(5%annually)
• NumberofFarmer’sMarketsheld(numberofparticipanttransactions)
5sessions$1,750insalesonavg
/session
5events,$1,750avg/session–8/16$1,400insales;9/16$2,100;10/16$1,700;3/17$1,900;and4/17$1,800
5sessionsMay31,April5,Nov.17,Oct.26,Sept.27
Sessions:3totalSalesof$2,000/session
• Numberoffooddemonstrationsandhealthyfoodeducationforcancersurvivorsandfamily
8evemtsAttendees:
637
8events,637attendees–cookingdemos70attendess;Oncologynutrition117,Cookingtogether(kids)60;Special
Functionswithhealthyfoods(endofyearsurvivorevents120,BreastFriendsChristmasparty130,Valentine’sTea42,Cinco
deMayoFiesta98
41totalevents489attendees• EatingWell
ThruCancer
• CookingDemos
• OncologyNutrition
• CookingTogether• ValTea• Cincode
MayoChristmas
10eventsAttendees800
• Numberofeducationaltalks/events,suchashealthfairs(handoutswithpreventativeinformation);numberofattendees(Seealso1.2,1.3,1.4)
Events:40annually
Attendees:500
Xreferenceto1.2.1.
Events:40(annually)Attendees:580(5%annually)
• NumberofSupportGroups,numberofattendees(See1.1)
See1.1 Xreferenceto1.1.1
See1.1
• Numberofattendeesatweeklybreastfeedingsupportgroup
26weekly 34 26weekly
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 73
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,31.3.1: Nutritionistsand
dietarystaffprovidefreefooddemonstrationsandeducationabouthealthyfoodoptionsforcancersurvivorsandfamiliesviatheprogramatCanopy(Seestrategy1.2.2)
Canopycancersurvivorshipcenterhasademokitchen,flexiblespaceforfitnessactivitiesorevents.
AtCanopy,suppliesandfoodarepaidforusingFoundationmonies;thisiswhytherearenochargesinthoseareas
Canopycancersurvivorshipcenterhasademokitchen,flexiblespaceforfitnessactivitiesor
events.
AtCanopy,suppliesandfoodarepaidforusingFoundationmonies;thisiswhythereareno
chargesinthoseareas1,2,3
1.3.2: CollectfoodtosupportfoodpantriesorspecialeventshostedbycommunitypartnerssuchastheMontgomeryCountyFoodBankand/orInterfaithFoodPantry
DonatedtotheInterfaithFoodBank–webrokea6-yrrecordinFY17! NofooddriveinFY18.
1,2,3
1.3.3: OfferFarmer’sMarketson-campusforstaff,patients,patientfamilies,andcommunitymembers
HeldintheHealingGardenattheCampusandonceintheCafeteriaduetorain.
HeldintheHealingGardenattheCampusandonceintheCafeteriaduetorain.Therewasanattempttoextendthefarmer’smarketinpartbysettingupproducebinsintheCafeteria.Thiswasnotoverlysuccessful,andalsoourcafeteriaisverysmallandcrowdedandlinescanbelong.
NofinancialsalesdatareceivedforFY18bydeadline
2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 74
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
1.3.4 Provideeducation/awarenesshealthtalksatareaschoolsand/orlocalbusinesses(Seestrategy1.1.1)
TOTALSFY17:943peopleserved/15events
TOTALS:604attendees/13events-HalliburtonSeries:NavigatingNutritionLabels(9/1/16,46,2shr)
-HuntsmanCorp.Talks(2-3locationsrotating):DiabetesPreventions(PlantSite,7/26,32,2vhr,1shr);DiabetesPrevention(9/2,81,2vhr,1shr);StressMgt.(PlantSite,11/1,29,2shr);StressMgt.(2/24/17,84,2shr);Diabetes(3/15,45,2vhr,1shr);CholesterolMgt(PlantSite,3/28,38,2v
hr,1shr);ColorectalCancer(6/14,35,2vhr,1shr).
-StrikeCorp.Talks:Diabetes(8/2/16,37,2vhr,1shr);Men’sHealth(9/6,48,6vhr,2shr);Women’sHealth(10/4,35,6vhr,2shr);HeartHealth&CholesterolBabyFair:200attendees(freeeventandincludedinPriority1);MHTWhas9lactationconsultantsandoneispresentforsupportgroups
DonationtoMealsonWheels,plusstaffworkingondistributionandsharingintoonpreventingslips,tripsandfalls(majorcauseoftrauma).
(11/1,54,2vhr,1shr);NutritionTrends&Fads(12/6,40,3shr)
MealsonWheels:BronzeSponsorofMilesforMeals$1,000contributionHelpsfeed139seniorsameal.
10thAnnualBabyFairforExpectant,New&ExperiencedParents(8/6/16,200)breastfeedingpromotion,WIC,LaLecheLeague,Mother'sMilkBankof
Austin
TOTFY18:961ppl/8events
• HuntsmanTalks
• SeniorWoodlandsTownshipTalks
• LoneStarCollegeAdultLifelongLearning:DocTalks
• CanopyDocTalks
• PelvicFloorCommunityTalk
• HeartHealthyTalk
• TraumaSymposium
NationalNightOutatAuburnLakes(firstaidandhealthinfogivenout
1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 75
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
1.3.5 Provideeducation/awarenessonbreastfeedingbenefitsformotherandbaby(nutrition,bonding,lowcostalternativetoformula,immunityboosting,etc.)viaBabyFairandbreastfeedingsupportgroup
Supportgroupsmeetinperinatalclassroombehindlactationcenterandsupportgroupsarefacilitatedbyalactationconsultantnurse
Supportgroupsmeetinperinatalclassroombehindlactationcenterandsupportgroupsare
facilitatedbyalactationconsultantnurse
NoBabyFairinFY18.
1,2,3
31weeklyattendeesAllAboutMomsSupportGroup:15
momsweeklyonavg.
AdventuresinBreastfeedingSupportGroup:16
momsweeklyonavg.
Monitoring/EvaluationApproach:• Patient/participantexperiencesurveys(PatientSatisfactionsurveyonhospitalfood)• EventslogmaintainedbyMarketingManager,OccupationMedicineLiaison,andOncologyNurseNavigator• FoodBankreport
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 76
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
PotentialPartners:• InterfaithFoodPantry;MontgomeryCountyFoodBank• Communitycompanies/employers(healthfairs,talks)• Areaschools(healthfairs,talks)• Communityorganizationsthatworkwithlowincomepatients(e.g.InterfaithCommunityClinic)• Areaphysicians(togivetalks,beathealthfairs,and/orpromotefreeorlowcostprogramstotheirpatients)• Localgrowersoffreshproduce/farmers
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 77
Timefor/SafetyDuringPhysicalActivityObjective1.4:Increasetheavenuesforthecommunitytoparticipateinactivitiesthatpromotesafephysicalactivity
OutcomeIndicators: AnnualBaseline
Year1 Year2 FY2020Target
• Numberofeventswhereweprovidemedicalsupport/athletictrainers
350Events FY17:414events395athleticeventsatschoolswhereMHTWprovided
AthleticTrainercoverage;19communityeventswhereATs,firstaidandaphysicianwereprovidedformedical
coverage
52freeinjuryscreeningsatISMIforschoolageathletes
3,900studentphysicalswhereanominalfeewaschargedandallfundsweredonatedbacktotheschoolsintheformofadonationfromMHTW…inFY17thistotaled$82,365
350Events
• Numberofeducationaltalks/eventslikehealthfairs(handoutswithpreventativeinformation);numberofattendees(Seealso1.2,1.3,1.4)
Events:40annually
Attendees:500
Events:40
(annually)Attendees:580(5%
annually)• Numberofexerciseclassestocancersurvivorsandtheircaregivers
Events:8Attendees1,000
12events,1,665attendees
CookingandNutritionrelatedofferingsatCanopyinFY17:cookingdemos70attendees,oncologynutrition117;
CookingTogether(kids)60;specialfunctionswithhealthyfoods(endofyrsurvivorevent120,BreastFriends
Christmasparty130,Valentine’sTea42,CincodeMayoFiesta98)
FitnessrelatedclassesatCanopyCancerSurvivorshipCenterinFY17:dancing35attendees,Pilates40,Yoga754,
TaiChi199
10events
Attendees:1,389• Yoga• TaiChi• Pilates
• GuidedMeditation• EatingWellThruCancer
• CookingDemos• OncologyNutrition• CookingTogether• ActiveAfterCancer• CancerRehab
Events:10
Attendees:1,200
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 78
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
• Financialsupportofwalk/runs
4Events FY17:15eventsAmericanHeartAssoc.HeartWalk:Nov.2016,$5,000contribution,ourMHTWstaffteamsraisedanother
$21,000!
ConroeISDKidsRunningforKids:$500contribution
Leukemia&LymphomaSociety’sLighttheNight:Oct.2016,$5,000contribution
MultipleSclerosisSociety’sWalkMS:Oct.2016,$1,000contribution
WoodlandsUnitedMethodistSchool’sWalk/Run:$500contribution
ResolveWalkofHope(Infertility):$500contribution
MarchofDimes’MarchforBabies:$3,500contribution,plusourMHTWstaffteamraisedanother$8,700
YMCA’sDragonBoatRaces:FirstAidcoveragefor4daysandtwoteamscametoa$4,800contribution(fundsraised
benefitYMCAmembershipsforlowincomefamilies)
YMCARunThruTheWoods:$6,500contributionandincludedFirstAidcoverageatThanksgivingmorning5K(fundsraisedalsobenefitYMCAmembershipsforlow
incomefamilies)
CB&ITri:$9,168contribution
10forTexas:Oct.2016,$9,166contribution
MuddyTrails:$9,166contribution
AmericanCancerSociety’sRelayforLife:$1,000contribution
WoodforestCharityRun:$750contribution
BirdiesforParkinsonsGolfTournament:$2,000contribution
15EventsFY18EventsandContributions:
• AHAHeartWalk$5K• CISDKidsRunningforKids$500
• L&LSLighttheNight$5K• WalkMS$1K
• WUMWalkRun$500• WalkofHope$500
• MoDMarchforBabies$3.5K• YMCADragonBoatRaces$4.8K
• YMCARunThruTheWoods$9,166• CB&ITri$9,166
• MuddyTrails$9,166• 10forTexas$9,166• RelayforLife$1K
• WoodforestCharityRun$750BirdiesforParkinson’s$2K
Total:$61,214.00
4Events
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 79
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,3
1.4.1: Providefinancialsupporttofour(4)runs;10forTexas,CBITri,MuddyTrailsandRunThruTheWoodsinthecommunity
ThesefourarepartofTheWoodlandsTownshipsponsoredruns,butwecontributeand/orparticipateinfarmore
(listedabove).
ThesefourarepartofTheWoodlandsTownshipsponsoredruns,butwecontributeand/orparticipateinfarmore(listedabove).
1,2,3
1.4.2: Providefacilitieson-campusforCanopyprogramtoconductexerciseclassestocancersurvivorsandtheircaregivers(e.g.,yoga,ballroomdancing,linedancing,guidedmeditation,taichi)(See1.2.2)
InFY17,alsoperformed52freeinjuryscreeningsforstudentathletesinourISMIClinic.
10events
Attendees:1,3891,2,3
1.4.3:Providemedicalsupport/trainerpresenceandfirstaidsuppliesatcommunitysportingeventsandotherannualevents(runs,walks,andclubs)
Weperformed3,900studentphysicalsatanominalfee,whichweinturndonatedBACKtotheschools.Areaschoolsreceivedatotalof$82,365fromMemorial
Hermannfromthesephysicals.
Weperformedcardiacscreeningsforstudentsingrades7-12atanominalcost.63studentstookadvantageatTheWoodlandsHighSchooland2ofthosewerereferredto
affiliatedpedicardiologistFaustinoRamos,MD
Wedidcontinuetoperformschoolphysicalsforanominalfeeanddonatedbacktoindividual
schools.
Wealsocontinuedtoperformcardiacheartscreeningsforstudentsatanominalcharge.
1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 80
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
1.4.4: Conducteducation/awarenesshealthtalksatareaschoolsand/orlocalbusinesses(Seestrategy1.1.1)
TOTFY18:961ppl/8events
• HuntsmanTalks
• SeniorWoodlandsTownshipTalks
• LoneStarCollegeAdultLifelongLearning:DocTalks
• CanopyDocTalks
• PelvicFloorCommunityTalk
• HeartHealthyTalk
• TraumaSymposium
NationalNightOutatAuburnLakes(firstaidandhealthinfogivenout)
1,2,3
Monitoring/EvaluationApproach:• Participantexperiencesurveys• EventslogmaintainedbyMarketingManager,OccupationalMedicineLiaisonandOncologyNurseNavigator
PotentialPartners:• Communitycompanies/employers(healthfairs,talks)• Areaschools(healthfairs,talks)• Areaphysicians(togivetalks,beathealthfairs,and/orpromotefreeorlowcostprogramstotheirpatients)
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 81
ChronicDiseaseManagement:Objective1.5: Providesupporttothoseimpactedwithachronicdiseasetohelpthemeffectivelycontrolandmonitortheirprogress.OutcomeIndicators: Annual
BaselineYear1 Year2 FY2020Target
• Numberofeducationaltalks/events,suchashealthfairs(handoutswithpreventative
information);numberofattendees(Seealso1.2,1.3,1.4)
Events:6annually
Attendees:300
FY17:309attendees/6events-WoodlandsTownshipSeniorCommunityTalks:
Arthritis(9/30,79,2vhr,1shr)-HuntsmanCorp.Talks(2-3locationsrotating):DiabetesPrevention(PlantSite,7/26,32,2vhr,1shr);DiabetesPrevention(9/2,81,2vhr,1shr);Diabetes(3/15/17,45,2vhr,1shr);andColorectalCancer(6/14,35,2vhr,1shr).
-StrikeCorp.Talks:Diabetes(8/2/16,37,2vhr,1shr)
Events:8Attendees:350
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 82
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
• NumberofSupportGroups,numberofattendees.(See1.1)
8groupsAttendees:
1000
FY17:12groups/2,310attendees-MendedHearts:9/15/1641attendees;11/740;1/19/1718;3/1618;and5/1818(10shrtotal);
$1,080catering-DiabetesSupportGroup:7/138;8/1810;9/1413;10/208;11/917;12/1512;1/11/1716;2/8
9;4/2022;5/311;6/147(22staffhrs)-WeightLossSupportGroup:Meets2xmo,
about18-20attendees/session456attendees(12vhr)
-Parkinson’sSupportGroup:Meetsmo,7-15attendees/session…144attendees(14shr)
-MultipleSclerosis(MS)SupportGroup:Meetsmo,10-15attendees/session…144attendees
(14shr)-DysautonomiaSupportGroup:Meetsmo,2-4attendees/session…36attendees(14shr)
-CancerEducation&-CancerWidowsSupportGroup:42attendeesforFY17(14shr)
-LookGood,FeelBetter(Cancer):57attendeesforFY17(14shr)
-ArtTherapySupportGroup(Cancer):644attendeesforFY17(14shr,18vhr)SupportGroup:222attendeesforFY17(14shr)
-CancerCoffee&Chatting:252attendeesforFY17(14shr)
-TealTalesOvarianCancerSupportGroup:45attendeesforFY17(14shr)
10groupsAttendees:1,250
• Numberofpatientsreceivingfreeprosthetics,wigsandscarves
126 FY17:88items64wigs,24breastprosthesis,and22scarves
providedfreeofcharge
FY18:92items
Wigsandprosthesis,plus26scarves
168(10%annually)
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 83
Priority1: HEALTHYLIVING
Goal1:Promotehealthylivingandprovideresourcestoencouragethecommunitytobeproactiveintheiroverallhealth.
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,31.5.1: Conducteducation/awarenesshealthtalks
atareaschoolsand/orlocalbusinesses(Seestrategy1.1.1)
1,2,3
1.5.2: Conductnocostsupportgroupsforweightlossandforconditionswhereobesityplaysarole-diabetes,heartdisease,andstroke(Seestrategy1.2.1)
1,2,3
1.5.3 ProvideNurseOncologyNavigatorsupportand/orCanopycoordinatorsupporttofitpatientswithfreeprosthesis,wigsandscarvesprovidedbyCanopy
Canopycancersurvivorshipcenterhasasalonlikeroomforshavingparties,wigfittings,
scarvesandprosthesisfittings
Canopycancer
survivorshipcenterhasasalonlikeroomforshaving
parties,wigfittings,
scarvesandprosthesisfittings
1,2,3
Monitoring/EvaluationApproach:• Patient/participantexperiencesurveys• EventslogmaintainedbyMarketingManager&OccupationalMedicineLiaison• OncologyNurseNavigatortomaintainlogofprosthetics,wigsandscarves
PotentialPartners:• Communitycompanies/employers(healthfairs,talks)• Areaschools(healthfairs,talks)• Areaphysicians(togivetalks,beathealthfairs,and/orpromotefreeorlowcostprogramstotheirpatients)
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 84
Priority2:AccesstoHealthCare
Priority2: HEALTHCAREACCESS
Goal2: Improveaccesspointstoprimarycareandspecialtyprovidersbyreducingbarriers.
AvailabilityofPrimaryCareandSpecialtyProvidersObjective2.1: IncreasethenumberofprimarycareandspecialtycareprovidersinlocalsettingsOutcomeIndicators: AnnualBaseline Year1 Year2 FY
2020Target
• Numberofhospital'sassociatedcounties'callstoNurseHealthLine(Montgomery,WalkerandHarris)(See2.4.1)
30,089 30,130Top3adultconcerns:abdominalpain,vaginalsymptomsandchestpain.
Top3pediatricconcerns:fever,vomitingandcoughing.
31,407 30,089
• PeopleservedthroughInterfaithCommunityClinic 2,107patients8,681visits
$682,275incharitycare2,190patients
NumberofVisits:9,686
$685,059.25incharitycare
2,184patientsNumberofVisits:
9,846
2,212patients
9,115visits
• Numberoftelemedicineconsultations 275/year(in2015) FY17Total:324Stroke:284
PediatricSurgery:40
FY18Total:282Stroke:266
PediatricSurgery:16
275/year
Strategies:
Year1Notes Year2Notes Timeline:Year1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 85
Priority2: HEALTHCAREACCESS
Goal2: Improveaccesspointstoprimarycareandspecialtyprovidersbyreducingbarriers.
2.1.1:Providea24/7freeresourceviatheNurseHealthLinethatcommunitymembers(uninsuredandinsured)withintheMHHScommunitycancalltodiscusstheirhealthconcerns,receiverecommendationsontheappropriatesettingforcare,andgetconnectedtoappropriateresources.(see2.4.1)
Morethan46%ofallpatientsseenintheEmergencyRoomarethereforPrimaryCare
relatedconditions.
Open24/7,365daysayearwithEnglishandSpanish-
speakingRNs
AccordingtotheNurseHealthLine,78%whowouldhave
gonetotheERforcare…wereredirectedtoprimarycare
AlsoaccordingtotheNurseHealthLine,ofthosethatwere
triagedbytheRNonthephone,49%weredirectedtoPCP,33%totheER,and18%to
self-careathome
1,2,3
2.1.2:ProvidefundingsupportfortheInterfaithCommunityClinicwhichprovidesfreecaretounderservedpopulations.
TheClinicislocatedacrossI45fromMHTW.
TheClinicislocatedacrossI45from
MHTW.1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 86
Priority2: HEALTHCAREACCESS
Goal2: Improveaccesspointstoprimarycareandspecialtyprovidersbyreducingbarriers.
2.1.3:Providetelemedicineconsultsfreeofchargeforstrokeandpediatricsurgerypatients,todetermineifadditionaltransferandassociatedexpenseisnecessaryorcouldbeavoided(See2.3.2)PeditelemedicineconsultsintheERandintheNICU;ofthe
40,only9hadtobetransferredtoCMHHintheTMC;21wereadmittedor
stayedadmittedatMHTW;and10weretreatedandd/cto
home
StrokeConsultsintheERwiththeTMC;ofthoseconsults,27weregiventPAand13were
transferredtotheTMC
1,2,3
Monitoring/EvaluationApproach:• Patient/participantexperiencesurveys• InterfaithCommunityClinicfeedback• ERvisitsandInterfaithCommunityClinicfundingtrackedthroughfinance• TelemedicineconsultsmaintainedintheER• NurseHealthLinecalls
PotentialPartners:• Governmentrelationsoffice• Areaphysicians(togivetalks,beathealthfairs,and/orpromotefreeorlowcostprogramstotheirpatients)• MemorialHermannCommunityBenefitCorporation
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 87
HealthInsuranceCoverageandCostsObjective2.2IncreasehealthinsurancecoverageforuninsuredandunderinsuredpopulationsOutcomeIndicators: AnnualBaseline Year1 Year2 FY
2020Target
NumberofpeoplesuccessfullyinsuredthroughRCA
1,400patientsscreened
1,842patientsscreened.Atotalof678ofthese
patientswereabletobeplacedintoaprogramtoassistthemwithmedical
costs.
1,230patientsscreened.Atotalof584ofthesepatientswere
abletobeplacedintoaprogramtoassistthemwith
medicalcosts
1,621
(5%annually)
Strategies: Year1Notes Year2Notes Timeline:Year1,2,3
2.2.1: ContractwithResourceCorporationofAmerica(RCA)toprovideservicestoincreaseinsurancecoverageforcommunity
RCAisathird-partyeligibilityvendor(paidbyMHTW)toassistpatientswiththe
applicationprocessforMedicaid,CountyIndigent,AffordableCareActInsuranceExchange,andotherthird-partypayors.
Ofthosescreened:55placedintoMedicaidforAged&Disabled;240intoCountyprograms;273intotraditionalMedicaid;96
intoSocialSecDisability;14intoVVC(CrimeVictims’
Assistance)
Placedamong:MedicaidforAged&Disabled;County
programs;traditionalMedicaid;SocialSecDisability;VVC(Crime
Victims’Assistance
1,2,3
Monitoring/EvaluationApproach:• LogofinsuredthroughRCA
PotentialPartners:• CaseWorkers
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 88
TransportationObjective2.3:ReducethebarrieroftransportationtomoreefficientlyaccesshealthcareservicesOutcomeIndicators:
AnnualBaseline Year1 Year2 FY2020Target
• Numberofpatientswhodidnotneedtobetransferredduetotelemedicineconsults
Stroke200Pediatric–Establish
baselineinY140
PeditelemedicineconsultsintheERandintheNICU;ofthe40,only9hadtobe
transferredtoCMHHintheTMC;21wereadmittedorstayedadmittedatMHTW;and10weretreatedand
d/ctohome
284StrokeConsultsintheERwiththeTMC;ofthoseconsults,27weregiventPAand13weretransferredto
theTMC
Stroke231(5%annually)Pediatric(once
baselineestablishe
d)50
• Numberofvouchersused 182 211 240 211(5%annually)
Strategies: Year1Notes Year2Notes Timeline:Year1,2,3
2.3.1:Providetransportationvouchersforpatientstoreturnhomefollowingcare Averageof18taxivoucherspermonthperOARichard
Smedley,RN
Averageof20taxivoucherspermonthperOARichardSmedley,RN
1,2,3
2.3.2:Providetelemedicineconsultsfreeofchargeforstrokeandpediatricsurgerypatients,todetermineifadditionaltransferandassociatedexpenseisnecessaryorcouldbeavoided(See2.1.3)
231 2621,2,3
Monitoring/EvaluationApproach:• Patientexperiencesurveys• TelemedicineconsultsmaintainedintheER• Vouchercountmaintainedbycasemanagement
PotentialPartners:• Areaphysicians(topromotefreeorlowcostprogramstotheirpatients)• Communityorganizationsthatworkwithlowincomepatients(e.g.TheRose,InterfaithCommunityClinic)
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 89
HealthCareNavigationObjective2.4: ConnectpatientstoresourcestohelpthembetternavigatethehealthcaresystemOutcomeIndicators: AnnualBaseline Year1 Year2 FY2020
Target
• Numberofhospital'sassociatedcounties'callstoNurseHealthLine(Montgomery,Walker,andHarris)(See2.1.1)
30,089 30,130Top3adultconcerns:abdominalpain,vaginalsymptomsandchestpain.Top3pediatricconcerns:
fever,vomitingandcoughing.
31326
30,089
• Numberofpatientnavigators 1 1 2 1-2Strategies: Year1Notes Year2Notes Timeline:
Year1,2,32.4.1: Providea24/7freeresourceviatheNurseHealthLinethatcommunitymembers
(uninsuredandinsured)withintheMHHScommunitycancalltodiscusstheirhealthconcerns,receiverecommendationsontheappropriatesettingforcare,andgetconnectedtoappropriateresources(See2.1.1)
1,2,3
2.4.2: Increasenumberofpatientnavigatorstoprovideservicestoourcancerpatients Stilljusttheone–CarolynAllsen,RNwhoisnow
officedinCanopy(CancerSurvivorshipCenter)
1,2,3
Monitoring/EvaluationApproach:• Patient/participantexperiencesurveys• NurseHealthLinecalllog
PotentialPartners:• Areaphysicians(togivetalks,beathealthfairs,and/orpromotefreeorlowcostprogramstotheirpatients)• MemorialHermannCommunityBenefitCorporation
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 90
Priority3:BehavioralHealthThefollowingtablesprovidestrategiesandoutcomeindicatorsthatreflectanMHHSsystem-wideapproachtoBehavioralHealth.DataisnotspecifictoMHTheWoodlandsbuttothecommunityatlargewiththeexceptionofreductioninERencountersthatresultinapsychiatricinpatientstaythroughlinkageswithanetworkofbehavioralpartners.
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
Objective3.1: Createnontraditionalaccesspointsaroundthecommunity(crisis/ambulatory,acutecare,andcommunity-basedchroniccaremanagement),andlinkthosewhoneedservicestopermanentprovidersandresourcesinthecommunity
OutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target• DecreaseinnumberofERencountersthatresultinpsychiatricinpatientstay
1,146 1,213 1,135 1,0895%reductionof
baseline• DecreaseinnumberofERencountersthatresultinpsychiatricinpatientstay–TheWoodlands
157 166 179 149
• NumberofMemorialHermannCrisisClinictotalvisits 5,400 5,590 5,590 5%overbaseline
• NumberofPsychiatricResponseCareManagementtotalvisits 1,200 1,103 1,259 5%overbaseline
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,33.1.1: Providementalhealthassessment,care,andlinkagetoservicesinanacutecaresetting,24x7
atTheWoodlandsAnuptickinacutecarevolumeoverthepastfiscalyearhascontributedtoahighernumberofpsychiatrictransfersoverall.
Anincreaseinacutecarevolumeandnumberofacutecaresitesoverthepastfiscalyearhavecontributedtoahighernumberof
psychiatrictransfersoverall.
1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 91
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
3.1.2: Createnontraditionalcommunityaccesstopsychiatricprovidersforindividualsexperiencingamentalhealthcrisis.ClinicalSocialWorkersconnectthetargetpopulationtoon-goingbehavioralhealthcare
Recruitingmentalhealthproviders
willingtocommittoanon-traditionalscheduleremainsachallenge.Continuingthisurgentcaremodeloftreatmentremainsapriority,duetolimitedmentalhealth
treatmentaccessinthecommunity.
1,2,3
3.1.3: Engageindividualswithachronicmentalillnessandworktomaintainengagementwithtreatmentandstabilityinthecommunityviaenrollmentincommunity-basedmentalhealthcasemanagementprogram
Staffingissuesimpededyearonetarget.Identifyingappropriatelylicensedclinicianswillingtoconsideracareerthatiscommunitybasedwiththerequirementofmakinghomevisitsandworkingnon–traditionalhoursisanongoingchallenge.
CaseManagerspartnerwiththeirclientstoidentifyspecificrecoverygoalsandutilizeevidence-basedpracticesto
facilitateclientachievement.Wecontinuetopartnerwithcommunity
providerstoaddressthementalhealth
needsoftheGreaterHoustonCommunity.
1,2,3
Monitoring/EvaluationApproach:• EMR/registrationsystem(trackandtrenddaily,weekly,monthly)
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 92
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
PotentialPartners:• Systemacutecarecampuses• MemorialHermannMedicalGroup• Networkofpublicandprivateproviders
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 93
Objective3.2: Reducestigmainordertopromotementalwellnessandimprovecommunityawarenessthatmentalhealthispartofphysicalhealthandoverallwell-being
OutcomeIndicators:AnnualBaseline Year1 Year2 FY2020
Target• Numberofpresentations/educationalsessionsforhealthcareprofessionalswithinMHHS 50sessionsperyear 63 71
5%increaseoverbaseline
• Numberofpresentations/educationalsessionsforcorporations5 7 8
5%overbaseline
• TWStressmanagement(totaltimeincludestrainingmaterialdevelopmentandimplementation)
1training(6.5hours)*
0
1 1training(6.5hours)*
• TrainingonAcuteCareConcepts-systemnurseresidentprogram 15trainings(45hourstotal/3hourseach)*
18 9
15trainings(45hours
total/3hourseach)*
• TrainingonCMORoundtable-system-wide1training(2hours)* 0 4
1training(2hours)*
*Totaltimeincludestrainingmaterialdevelopmentandimplementation 531.6 Strategies: Year1
NotesYear2Notes
Timeline:Year1,2,3
3.2.1: ProvidementalhealtheducationsessionswithintheMHhealthsystemfornursesandphysicians
1,2,3
3.2.2: WorkwithemployersolutionsgrouptoprovideeducationandtrainingwithcorporationsonMHtopics(stress,PTSD)
1,2,3
Monitoring/EvaluationApproach:• Requestsforpresentationsandsessionstrackedviacalendar/excel
PotentialPartners:• Systemacutecarecampuses• SystemMarketingandCommunications• Employersolutionsgroup
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 94
Objective3.3: Qualityofmentalhealthandsubstanceabuseservices:access,link,andpracticeutilizingevidence-basedpracticetopromoteoverallwellness
OutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target• NumberofMemorialHermannCrisisClinicfollow-upspostdischargewithclinicpatients
7,716 6,431 5,154 5%overbaseline
• PsychiatricResponseCaseManagementreductioninsystemERutilization 54.4% 53.0% 50% 5%increaseoverbaseline
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,33.3.1: Socialworkersfollow-upwithdischargedpatientsandtheirfamiliestoassesswell-being
andconnectthemtocommunityresourcesThegoalistocontinuetoeducatethecommunity,includingotherhealthsystems,aboutthecrisiscliniclevelofcaresothatwhensomeoneisexperiencingamentalhealthcrisisorneedsimmediateaccesstoabehavioralhealthprovider,theclinicwillbetheidentifiedreferralsource.
TheSystemhasseenanoverallincreaseinpatientacuitywithcomplexphysicalandbehavioralhealthneedsrequiringhigherlevelsofcare.TheCrisisClinicandPsychResponseCaseManagementProgramscontinuetomeettheneedsofpatientswithbehavioralhealthconditionsbyprovidingimmediateaccesstoamentalhealthprovider.
1,2,3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 95
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
3.3.2: PsychiatricResponseCaseManagementProgramutilizesevidence-basedpracticeinterventions(motivationalinterviewing,MHFirstAid,CAMS,etc.)toreduceERutilizationforprogramenrollees
CaseManagerscontinuetopartnerwithcommunity
agenciesinanefforttoconnectprogram
enrolleestoresourcesfor
ongoingwellness.Programclinicianscontinuetouseevidence-based
practiceinterventionsto
reduceERutilizationandimprovequality
oflife.
1,2,3
Monitoring/EvaluationApproach:• Socialworklogs(Excelspreadsheet)
PotentialPartners:• Systemacutecarecampuses• Community-basedclinicalproviders• Networkofpublicandprivateproviders
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 96
AppendixB.SecondaryDataMethodology
SecondaryDataSourcesThemainsourceforthesecondarydata,ordatathathavebeenpreviouslycollected,isthecommunityindicatordatabasemaintainedbyConduentHealthyCommunitiesInstitute.ThefollowingisalistofbothlocalandnationalsourcesusedinMemorialHermannTheWoodlands’CommunityHealthNeedsAssessment.
HarrisCounty1. AmericanCommunitySurvey2. AmericanLungAssociation3. CentersforMedicare&MedicaidServices4. CountyHealthRankings5. FeedingAmerica6. InstituteforHealthMetricsandEvaluation7. NationalCancerInstitute8. NationalCenterforEducationStatistics9. SmallAreaHealthInsuranceEstimates10. TexasBehavioralRiskFactorSurveillanceSystem11. TexasDepartmentofFamilyandProtectiveServices12. TexasDepartmentofStateHealthServices13. TexasEducationAgency14. TexasSecretaryofState15. U.S.BureauofLaborStatistics16. U.S.Census-CountyBusinessPatterns17. U.S.DepartmentofAgriculture-FoodEnvironmentAtlas18. U.S.EnvironmentalProtectionAgency
MontgomeryCounty1. AmericanCommunitySurvey2. AmericanLungAssociation3. CentersforMedicare&MedicaidServices4. CountyHealthRankings5. FeedingAmerica6. InstituteforHealthMetricsandEvaluation7. NationalCancerInstitute8. NationalCenterforEducationStatistics9. SmallAreaHealthInsuranceEstimates10. TexasDepartmentofFamilyandProtectiveServices11. TexasDepartmentofStateHealthServices12. TexasEducationAgency13. TexasSecretaryofState14. U.S.BureauofLaborStatistics
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 97
15. U.S.Census-CountyBusinessPatterns16. U.S.DepartmentofAgriculture-FoodEnvironmentAtlas17. U.S.EnvironmentalProtectionAgency
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 98
SecondaryDataScoring
Datascoringisdoneinthreestages:
Foreachindicator,eachcountyinMemorialHermannTheWoodlands’serviceareaisassignedascorebasedonitscomparisontoothercommunities,whetherhealthtargetshavebeenmet,andthetrendoftheindicatorvalueovertime.Thesecomparisonscoresrangefrom0-3,where0indicatesthebestoutcomeand3theworst.Availabilityofeachtypeofcomparisonvariesbyindicatorandisdependentuponthedatasource,comparabilitywithdatacollectedforothercommunities,andchangesinmethodologyovertime.
Indicatorsarecategorizedintotopicareasandeachtopicareareceivesascore.Indicatorsmaybecategorizedinmorethanonetopicarea.Topicscoresaredeterminedbythecomparisonsofallindicatorswithinthetopic.
ComparisontoaDistributionofCountyValues:WithinStateandNation
Foreaseofinterpretationandanalysis,indicatordataontheCommunityDashboardisvisuallyrepresentedasagreen-yellow-redgaugeshowinghowthecommunityisfaringagainstadistributionofcountiesinthestateortheUnitedStates.Adistributioniscreatedbytakingallcountyvalueswithinthestateornation,orderingthemfromlowtohigh,anddividingthemintothreegroups(green,yellow,red)basedontheirorder.Indicatorswiththepoorestcomparisons(“inthered”)scoredhigh,whereasindicatorswithgoodcomparisons(“inthegreen”)scoredlow.
Comparisons • Quantitatively
score all possible comparisons
Indicators • Summarize
comparison scores for each indicator
Topics • Summarize
indicator scores by topic area
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 99
ComparisontoValues:State,National,andTargets
Eachcountyiscomparedtothestatevalue,thenationalvalue,andtargetvalues.Targetvaluesincludethenation-wideHealthyPeople2020(HP2020)goals.HealthyPeople2020goalsarenationalobjectivesforimprovingthehealthofthenationsetbytheDepartmentofHealthandHumanServices’(DHHS)HealthyPeopleInitiative.Forallvaluecomparisons,thescoringdependsonwhetherthecountyvalueisbetterorworsethanthecomparisonvalue,aswellashowclosethecountyvalueistothetargetvalue.
TrendOverTime
TheMann-Kendallstatisticaltestfortrendwasusedtoassesswhetherthecountyvalueisincreasingovertimeordecreasingovertime,andwhetherthetrendisstatisticallysignificant.Thetrendcomparisonusesthefourmostrecentcomparablevaluesforthecounty,andstatisticalsignificanceisdeterminedatthe90%confidencelevel.Foreachindicatorwithvaluesavailableforfourtimeperiods,scoringwasdeterminedbydirectionofthetrendandstatisticalsignificance.
MissingValues
Indicatorscoresarecalculatedusingthecomparisonscores,availabilityofwhichdependsonthedatasource.Ifthecomparisontypeispossibleforanadequateproportionofindicatorsonthecommunitydashboard,itwillbeincludedintheindicatorscore.Afterexclusionofcomparisontypeswithinadequateavailability,allmissingcomparisonsaresubstitutedwithaneutralscoreforthepurposesofcalculatingtheindicator’sweightedaverage.Wheninformationisunknownduetolackofcomparabledata,theneutralvalueassumesthatthemissingcomparisonscoreisneithergoodnorbad.
IndicatorScoring
Indicatorscoresarecalculatedasaweightedaverageofallincludedcomparisonscores.Ifnoneoftheincludedcomparisontypesarepossibleforanindicator,noscoreiscalculatedandtheindicatorisexcludedfromthedatascoringresults.
TopicScoring
Indicatorscoresareaveragedbytopicareatocalculatetopicscores.Eachindicatormaybeincludedinuptothreetopicareasifappropriate.Resultingscoresrangefrom0-3,whereahigherscoreindicatesagreaterlevelofneedasevidencedbythedata.Atopicscoreisonlycalculatedifitincludesatleastthreeindicators.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 100
DataScoringResults Thefollowing tableslisteachindicatorbytopicareaforeachofthecountiesinMemorialHermannTheWoodlands’servicearea.SecondarydataforthisreportareuptodateasofNovember2,2018.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 101
HarrisCounty
SCORE ACCESSTOHEALTHSERVICES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00AdultsUnabletoAffordtoSeeaDoctor percent 22.1 18.3 12.1 2015 10
1.81 ChildrenwithHealthInsurance percent 89.4 100 90.3 2016 9
1.75AdultswithHealthInsurance:18-64 percent 74.7 100 77.4 2016 9
1.75 PersonswithHealthInsurance percent 79.3 100 81.4 2016 9
1.61 PrimaryCareProviderRateproviders/100,000
population 57.2 59.9 75.5 2015 4
1.44 MentalHealthProviderRateproviders/100,000
population 103.7 98.8 214.3 2017 4
1.00Non-PhysicianPrimaryCareProviderRate
providers/100,000population 72.2 66.8 81.2 2017 4
0.50 DentistRatedentists/100,000
population 66.3 55.9 67.4 2016 4
SCORE CANCER UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.53 CervicalCancerIncidenceRatecases/100,000
females 11 7.3 9.2 7.5 2011-2015
7
2.25Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 23.2 20.7 20.2 20.9 2011-2015 Black 7
1.94 Cancer:MedicarePopulation percent 7.6 7.1 7.8 2015 3
1.58ColonCancerScreening:SigmoidoscopyorColonoscopy percent 57.6 62.3 2016 10
1.53Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 19.8 21.8 18.1 19.5 2011-2015 7
1.39 BreastCancerIncidenceRatecases/100,000
females 113.2 111.7 124.7 2011-2015 7
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 102
1.33 ProstateCancerIncidenceRatecases/100,000
males 102.5 95.4 109 2011-2015 7
1.22Age-AdjustedDeathRateduetoColorectalCancer
deaths/100,000population 14.6 14.5 14.4 14.5 2011-2015 7
1.00 AllCancerIncidenceRatecases/100,000population 402.6 401.3 441.2 2011-2015 7
0.94Age-AdjustedDeathRateduetoCancer
deaths/100,000population 157.8 161.4 156.4 163.5 2011-2015 Black,Male 7
0.94 ColorectalCancerIncidenceRatecases/100,000population 38.8 39.9 38.1 39.2 2011-2015 7
0.89OralCavityandPharynxCancerIncidenceRate
cases/100,000population 10.9 10.9 11.6 2011-2015 7
0.50LungandBronchusCancerIncidenceRate
cases/100,000population 50.9 53.1 60.2 2011-2015 7
0.33Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 37.5 45.5 39 43.4 2011-2015 7
SCORE CHILDREN'SHEALTH UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.81 ChildrenwithHealthInsurance percent 89.4 100 90.3 2016 9
1.67 ChildFoodInsecurityRate percent 23.5 23 17.9 2016 5
1.50ChildrenwithLowAccesstoaGroceryStore percent 5.4 2015 17
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.4 8.5 2017 11
SCORE DIABETES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.67 Diabetes:MedicarePopulation percent 28.1 28.2 26.5 2015
3
1.44 AdultswithDiabetes percent 10.2 11.2 10.5 2016
10
0.92Age-AdjustedDeathRateduetoDiabetes
deaths/100,000population 20.2 21.7 21.2 2010-2014
Black,Hispanic,Male 12
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 103
SCORE ECONOMY UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.44 Homeownership percent 49.6 55 55.9 2012-2016 1
2.39 SevereHousingProblems percent 20.9 18.3 18.8 2010-2014 4
2.22StudentsEligiblefortheFreeLunchProgram percent 58.2 52.9 42.6 2015-2016 8
2.14MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 534 467 462 2012-2016 1
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016
17
2.08 MedianHouseholdGrossRent dollars 937 911 949 2012-2016
1
2.06FamiliesLivingBelowPovertyLevel percent 14.4 13 11 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other 1
2.06 FoodInsecurityRate percent 16.6 15.4 12.9 2016 5
1.94UnemployedWorkersinCivilianLaborForce percent 4.4 4 4.1 July2018 15
1.89People65+LivingBelowPovertyLevel percent 11.3 10.8 9.3 2012-2016
Asian,BlackorAfricanAmerican,HispanicorLatino,Other,Female,75+ 1
1.81MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1504 1444 1491 2012-2016
1
1.67 ChildFoodInsecurityRate percent 23.5 23 17.9 2016
5
1.67ChildrenLivingBelowPovertyLevel percent 26 23.9 21.2 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other,<6 1
1.67 PeopleLivingBelowPovertyLevel percent 17.4 16.7 15.1 2012-2016AmericanIndianorAlaskaNative,Black 1
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 104
orAfricanAmerican,HispanicorLatino,Other,Female,<6,6-11,12-17,18-24
1.67 TotalEmploymentChange percent 2.4 3.2 2.5 2014-2015 16
1.50RentersSpending30%orMoreofHouseholdIncomeonRent percent 46.8 48 47.3 2012-2016 1
1.42PersonswithDisabilityLivinginPoverty(5-year) percent 25.4 25.1 27.6 2012-2016 1
1.33Low-IncomeandLowAccesstoaGroceryStore percent 6.3 2015 17
1.33PeopleLiving200%AbovePovertyLevel percent 61.6 62.8 66.4 2012-2016 1
1.08 MedianHousingUnitValue dollars 145600 142700 184700 2012-2016 1
0.97PersonswithDisabilityLivinginPoverty percent 22.9 24.2 26.6 2016 1
0.94FemalePopulation16+inCivilianLaborForce percent 59.8 57.7 58.3 2012-2016 1
0.94Population16+inCivilianLaborForce percent 68.3 64.2 63.1 2012-2016 1
0.89HouseholdswithCashPublicAssistanceIncome percent 1.5 1.6 2.7 2012-2016 1
0.67 HomeownerVacancyRate percent 1.5 1.6 1.8 2012-2016 1
0.50 MedianHouseholdIncome dollars 55584 54727 55322 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other 1
0.50 PerCapitaIncome dollars 29850 27828 29829 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,NativeHawaiianor
OtherPacific 1
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 105
Islander,Other,TwoorMoreRaces
SCORE EDUCATION UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.92InfantsBorntoMotherswith<12YearsEducation percent 27.5 21.6 15.9 2013
12
1.89 Student-to-TeacherRatio students/teacher 16.4 15.4 17.7 2015-2016
8
1.67 HighSchoolDropOutRate percent 2.6 2 2016
13
1.67People25+withaHighSchoolDegreeorHigher percent 80.2 82.3 87 2012-2016
Male,35-44,45-64,65+ 1
0.67People25+withaBachelor'sDegreeorHigher percent 30.1 28.1 30.3 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,NativeHawaiianor
OtherPacificIslander,Other,45-
64,65+ 1
SCORE ENVIRONMENT UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.39 SevereHousingProblems percent 20.9 18.3 18.8 2010-2014 4
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016 17
1.75 AnnualOzoneAirQuality grade F 2014-2016 2
1.69 AnnualParticlePollution grade C 2014-2016 2
1.67 FastFoodRestaurantDensityrestaurants/1,000
population 0.7 2014 17
1.61RecognizedCarcinogensReleasedintoAir pounds 1962916 2017 18
1.50ChildrenwithLowAccesstoaGroceryStore percent 5.4 2015 17
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 106
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 17
1.50 GroceryStoreDensitystores/1,000population 0.2 2014 17
1.33Low-IncomeandLowAccesstoaGroceryStore percent 6.3 2015 17
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 17
1.25 DrinkingWaterViolations percent 1.7 6.6 FY2013-14 4
1.17 PBTReleased pounds 210516 2017 18
1.00 FoodEnvironmentIndex 7.2 6 7.7 2018 4
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 0.9 2015 17
1.00People65+withLowAccesstoaGroceryStore percent 1.4 2015 17
0.89 LiquorStoreDensitystores/100,000population 6.3 6.8 10.5 2015 16
0.67 AccesstoExerciseOpportunities percent 90.4 80.6 83.1 2018 4
0.17 HousesBuiltPriorto1950 percent 6.2 7.4 18.2 2012-2016 1
SCORE EXERCISE,NUTRITION,&WEIGHT UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 WorkerswhoWalktoWork percent 1.5 3.1 1.6 2.8 2012-2016 White,non-Hispanic 1
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016 17
2.06 FoodInsecurityRate percent 16.6 15.4 12.9 2016 5
1.67 Adults(18+Years)WhoAreObese percent 32 30.5 33.6 29.9 2016 10
1.67 ChildFoodInsecurityRate percent 23.5 23 17.9 2016 5
1.67 FastFoodRestaurantDensityrestaurants/1,000
population 0.7 2014 17
1.50 AdultswhoareOverweightor percent 66.7 68.4 65.2 2016 10
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 107
Obese
1.50ChildrenwithLowAccesstoaGroceryStore percent 5.4 2015 17
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 17
1.50 GroceryStoreDensitystores/1,000population 0.2 2014 17
1.42AdultFruitandVegetableConsumption percent 18.7 17.2 2015 10
1.33Low-IncomeandLowAccesstoaGroceryStore percent 6.3 2015 17
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 17
1.00 FoodEnvironmentIndex 7.2 6 7.7 2018 4
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 0.9 2015 17
1.00People65+withLowAccesstoaGroceryStore percent 1.4 2015 17
0.67 AccesstoExerciseOpportunities percent 90.4 80.6 83.1 2018 4
SCORE HEARTDISEASE&STROKE UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 Stroke:MedicarePopulation percent 5.2 4.5 4 2015 3
1.89HeartFailure:MedicarePopulation percent 16 15.5 13.5 2015 3
1.50AtrialFibrillation:MedicarePopulation percent 7.3 7.4 8.1 2015 3
1.44Hyperlipidemia:MedicarePopulation percent 43.2 46.1 44.6 2015 3
1.42Age-AdjustedDeathRateduetoCerebrovascularDisease(Stroke)
deaths/100,000population 41.5 34.8 42 37.3 2010-2014 Black 12
1.33 IschemicHeartDisease:Medicare percent 28.8 28.8 26.5 2015
3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 108
Population
1.22Hypertension:MedicarePopulation percent 55.5 57.5 55 2015
3
0.92Age-AdjustedDeathRateduetoHeartDisease
deaths/100,000population 167.6 173 171.9 2010-2014 Black,White,Male 12
SCOREIMMUNIZATIONS&INFECTIOUSDISEASES UNITS
HARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.33 GonorrheaIncidenceRatecases/100,000population 182.1 160.2 2017 12
2.33 SyphilisIncidenceRatecases/100,000population 59.3 40.6 2017 12
2.11 ChlamydiaIncidenceRatecases/100,000population 571.4 511.6 2017 12
1.83 TuberculosisIncidenceRatecases/100,000population 6.6 1 4.5 2013-2017 12
1.78Adults65+withInfluenzaVaccination percent 57.2 57.3 58.6 2016 10
1.67 HIVDiagnosisRatecases/100,000population 26.3 16.1 2016
12
1.17Adults65+withPneumoniaVaccination percent 73.5 90 71.3 73.4 2016
10
1.00Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 14 14.2 15.2 2010-2014 Black,Male 12
SCOREMATERNAL,FETAL&INFANTHEALTH UNITS
HARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.36 InfantMortalityRatedeaths/1,000live
births 6.8 6 5.8 6 2013 12
1.97MotherswhoReceivedEarlyPrenatalCare percent 56.1 77.9 59.2 74.2 2013 12
1.92InfantsBorntoMotherswith<12YearsEducation percent 27.5 21.6 15.9 2013 12
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 109
1.81 BabieswithLowBirthWeight percent 8.6 7.8 8.3 8 2013 12
1.61 BabieswithVeryLowBirthWeight percent 1.5 1.4 1.4 1.4 2013 12
1.25 PretermBirths percent 11.8 9.4 12 11.4 2013 12
0.58 TeenBirths percent 2.5 2.8 4.3 2014 12
SCORE MEN'SHEALTH UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.53Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 19.8 21.8 18.1 19.5 2011-2015 7
1.33 ProstateCancerIncidenceRatecases/100,000
males 102.5 95.4 109 2011-2015 7
1.28 LifeExpectancyforMales years 76.4 76.2 76.7 2014 6
SCOREMENTALHEALTH&MENTALDISORDERS UNITS
HARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.89Alzheimer'sDiseaseorDementia:MedicarePopulation percent 11.4 11.7 9.9 2015
3
1.53 PoorMentalHealth:5+Days percent 80 81.5 2016
10
1.50PoorMentalHealth:AverageNumberofDays days 3.7 3.4 3.8 2016 4
1.44 MentalHealthProviderRateproviders/100,000
population 103.7 98.8 214.3 2017 4
1.17 FrequentMentalDistress percent 11.2 10.6 15 2016 4
0.94Age-AdjustedDeathRateduetoSuicide
deaths/100,000population 10.3 10.2 11.7 12.5 2010-2014 White,Male 12
0.94 Depression:MedicarePopulation percent 14.8 17 16.7 2015
3
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 17.9 26.6 24.5 2010-2014 White,Female 12
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 110
SCORE OLDERADULTS&AGING UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67ChronicKidneyDisease:MedicarePopulation percent 20.9 19.9 18.1 2015
3
2.61 Stroke:MedicarePopulation percent 5.2 4.5 4 2015
3
2.06Age-AdjustedDeathRateduetoFalls
deaths/100,000population 10.4 7.2 7.4 8.3 2010-2014 White,Male 12
1.94 Cancer:MedicarePopulation percent 7.6 7.1 7.8 2015 3
1.89Alzheimer'sDiseaseorDementia:MedicarePopulation percent 11.4 11.7 9.9 2015 3
1.89HeartFailure:MedicarePopulation percent 16 15.5 13.5 2015 3
1.89People65+LivingBelowPovertyLevel percent 11.3 10.8 9.3 2012-2016
Asian,BlackorAfricanAmerican,HispanicorLatino,Other,Female,75+ 1
1.78Adults65+withInfluenzaVaccination percent 57.2 57.3 58.6 2016 10
1.72Osteoporosis:MedicarePopulation percent 6.3 6.5 6 2015 3
1.67 Diabetes:MedicarePopulation percent 28.1 28.2 26.5 2015 3
1.50AtrialFibrillation:MedicarePopulation percent 7.3 7.4 8.1 2015 3
1.44Hyperlipidemia:MedicarePopulation percent 43.2 46.1 44.6 2015 3
1.44 People65+LivingAlone percent 24.4 23.9 26.4 2012-2016 1
1.33IschemicHeartDisease:MedicarePopulation percent 28.8 28.8 26.5 2015 3
1.22Hypertension:MedicarePopulation percent 55.5 57.5 55 2015 3
1.17Adults65+withPneumoniaVaccination percent 73.5 90 71.3 73.4 2016 10
1.00People65+withLowAccesstoaGroceryStore percent 1.4 2015 17
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 111
0.94 Asthma:MedicarePopulation percent 7.3 8.2 8.2 2015 3
0.94 Depression:MedicarePopulation percent 14.8 17 16.7 2015 3
0.94
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 27.8 31.6 30 2015 3
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 17.9 26.6 24.5 2010-2014 White,Female 12
0.39 COPD:MedicarePopulation percent 9.6 11.1 11.2 2015
3
SCORE OTHERCHRONICDISEASES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67ChronicKidneyDisease:MedicarePopulation percent 20.9 19.9 18.1 2015 3
1.72Osteoporosis:MedicarePopulation percent 6.3 6.5 6 2015 3
0.94
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 27.8 31.6 30 2015 3
SCORE PREVENTION&SAFETY UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.39 SevereHousingProblems percent 20.9 18.3 18.8 2010-2014
4
2.06Age-AdjustedDeathRateduetoFalls
deaths/100,000population 10.4 7.2 7.4 8.3 2010-2014 White,Male 12
1.19 DeathRateduetoDrugPoisoningdeaths/100,000
population 10.2 9.8 16.9 2014-2016
4
0.69Age-AdjustedDeathRateduetoUnintentionalInjuries
deaths/100,000population 36.1 36.4 37.6 39.2 2010-2014 White,Male 12
SCORE PUBLICSAFETY UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 112
2.17 Alcohol-ImpairedDrivingDeaths percent 37.8 28.3 29.3 2012-2016 4
1.67 ViolentCrimeRatecrimes/100,000
population 713.7 407.6 2012-2014 4
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.4 8.5 2017 11
SCORE RESPIRATORYDISEASES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.83 TuberculosisIncidenceRatecases/100,000population 6.6 1 4.5 2013-2017 12
1.78Adults65+withInfluenzaVaccination percent 57.2 57.3 58.6 2016 10
1.17Adults65+withPneumoniaVaccination percent 73.5 90 71.3 73.4 2016 10
1.00Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 14 14.2 15.2 2010-2014 Black,Male 12
0.94 Asthma:MedicarePopulation percent 7.3 8.2 8.2 2015 3
0.50LungandBronchusCancerIncidenceRate
cases/100,000population 50.9 53.1 60.2 2011-2015 7
0.39 COPD:MedicarePopulation percent 9.6 11.1 11.2 2015 3
0.33Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 37.5 45.5 39 43.4 2011-2015 7
SCORE SOCIALENVIRONMENT UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67 MeanTravelTimetoWork minutes 28.6 25.9 26.1 2012-2016 Male 1
2.50 LinguisticIsolation percent 11.8 7.9 4.5 2012-2016 1
2.44 Homeownership percent 49.6 55 55.9 2012-2016 1
2.17 Single-ParentHouseholds percent 36.2 33.3 33.6 2012-2016 1
2.14MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 534 467 462 2012-2016 1
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 113
2.08 MedianHouseholdGrossRent dollars 937 911 949 2012-2016 1
1.81MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1504 1444 1491 2012-2016
1
1.75 PersonswithHealthInsurance percent 79.3 100 81.4 2016
9
1.67ChildrenLivingBelowPovertyLevel percent 26 23.9 21.2 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other,<6 1
1.67People25+withaHighSchoolDegreeorHigher percent 80.2 82.3 87 2012-2016
Male,35-44,45-64,65+ 1
1.67 PeopleLivingBelowPovertyLevel percent 17.4 16.7 15.1 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,Other,Female,<6,6-11,12-17,18-24 1
1.67 TotalEmploymentChange percent 2.4 3.2 2.5 2014-2015 16
1.67VoterTurnout:PresidentialElection percent 58.4 58.8 2016 14
1.44 People65+LivingAlone percent 24.4 23.9 26.4 2012-2016 1
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.4 8.5 2017 11
1.08 MedianHousingUnitValue dollars 145600 142700 184700 2012-2016 1
0.94FemalePopulation16+inCivilianLaborForce percent 59.8 57.7 58.3 2012-2016 1
0.94Population16+inCivilianLaborForce percent 68.3 64.2 63.1 2012-2016 1
0.67People25+withaBachelor'sDegreeorHigher percent 30.1 28.1 30.3 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,NativeHawaiianor
OtherPacificIslander,Other,45-
64,65+ 1
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 114
0.50 MedianHouseholdIncome dollars 55584 54727 55322 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other 1
0.50 PerCapitaIncome dollars 29850 27828 29829 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,NativeHawaiianor
OtherPacificIslander,Other,Two
orMoreRaces 1
SCORE SUBSTANCEABUSE UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 Alcohol-ImpairedDrivingDeaths percent 37.8 28.3 29.3 2012-2016 4
1.50 AdultswhoDrinkExcessively percent 18.1 25.4 19.4 18 2016 4
1.28
Adults(18+Years)ReportingBingeDrinkingWithintheLast12months percent 16.6 24.2 17.9 16.9 2016 10
1.19 DeathRateduetoDrugPoisoningdeaths/100,000
population 10.2 9.8 16.9 2014-2016 4
0.94 AdultswhoSmoke percent 12.1 12 14.3 17.1 2016 10
0.89 LiquorStoreDensitystores/100,000population 6.3 6.8 10.5 2015
16
SCORE TRANSPORTATION UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.83 SoloDriverswithaLongCommute percent 45.8 36.9 34.7 2012-2016
4
2.67 MeanTravelTimetoWork minutes 28.6 25.9 26.1 2012-2016 Male 1
2.17 WorkerswhoWalktoWork percent 1.5 3.1 1.6 2.8 2012-2016 White,non-Hispanic 1
1.44 WorkerswhoDriveAlonetoWork percent 79.1 80.3 76.4 2012-2016White,non-
Hispanic,25-44,55- 1
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 115
59
1.33 HouseholdswithoutaVehicle percent 6.4 5.6 9 2012-2016
1
1.28WorkersCommutingbyPublicTransportation percent 2.8 5.5 1.5 5.1 2012-2016
HispanicorLatino,NativeHawaiianor
OtherPacificIslander,Twoor
MoreRaces,White,non-Hispanic,Male,
25-44 1
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 0.9 2015
17
SCORE WELLNESS&LIFESTYLE UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.83Self-ReportedGeneralHealthAssessment:PoororFair percent 18.2 18.2 16 2016 4
1.75 PoorPhysicalHealth:5+Days percent 80.6 81.5 2016 10
1.67 InsufficientSleep percent 33.9 32.7 38 2016 4
1.28 LifeExpectancyforMales years 76.4 76.2 76.7 2014 6
1.17 FrequentPhysicalDistress percent 11.5 10.8 15 2016
4
1.17PoorPhysicalHealth:AverageNumberofDays days 3.6 3.5 3.7 2016
4
1.06 LifeExpectancyforFemales years 81 80.8 81.5 2014
6
SCORE WOMEN'SHEALTH UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.53 CervicalCancerIncidenceRatecases/100,000
females 11 7.3 9.2 7.5 2011-2015 7
2.25Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 23.2 20.7 20.2 20.9 2011-2015 Black 7
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 116
1.39 BreastCancerIncidenceRatecases/100,000
females 113.2 111.7 124.7 2011-2015 7
1.06 LifeExpectancyforFemales years 81 80.8 81.5 2014 6
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 117
MontgomeryCounty
SCORE ACCESSTOHEALTHSERVICES UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00 MentalHealthProviderRateproviders/100,000
population 69 99 214 2017 4
1.67Non-PhysicianPrimaryCareProviderRate
providers/100,000population 55 67 81 2017 4
1.56 DentistRatedentists/100,000
population 46 56 67 2016 4
1.53 ChildrenwithHealthInsurance percent 90.2 100.0 90.3 2016 9
1.47AdultswithHealthInsurance:18-64 percent 79.7 100.0 77.4 2016 9
1.47 PersonswithHealthInsurance percent 83.1 100.0 81.4 2016 9
1.22 PrimaryCareProviderRateproviders/100,000
population 62 60 76 2015 4
SCORE CANCER UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.72 Cancer:MedicarePopulation percent 7.8 7.1 7.8 2015 3
1.58 CervicalCancerIncidenceRatecases/100,000
females 8.0 7.3 9.2 7.5 2011-2015 7
1.56OralCavityandPharynxCancerIncidenceRate
cases/100,000population 12.2 10.9 11.6 2011-2015 7
1.33 BreastCancerIncidenceRatecases/100,000
females 117.6 111.7 124.7 2011-2015 7
1.19Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 17.8 21.8 18.1 19.5 2011-2015 7
1.08Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 19.6 20.7 20.2 20.9 2011-2015 7
0.94 Age-AdjustedDeathRatedueto deaths/100,000 42.4 45.5 39.0 43.4 2011-2015 7
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 118
LungCancer population
0.83 AllCancerIncidenceRatecases/100,000population 398.9 401.3 441.2 2011-2015 7
0.83LungandBronchusCancerIncidenceRate
cases/100,000population 56.4 53.1 60.2 2011-2015 7
0.78Age-AdjustedDeathRateduetoColorectalCancer
deaths/100,000population 14.4 14.5 14.4 14.5 2011-2015 7
0.67 ColorectalCancerIncidenceRatecases/100,000population 36.6 39.9 38.1 39.2 2011-2015 7
0.67 ProstateCancerIncidenceRatecases/100,000
males 88.7 95.4 109.0 2011-2015 7
0.61Age-AdjustedDeathRateduetoCancer
deaths/100,000population 156.0 161.4 156.4 163.5 2011-2015 Male 7
SCORE CHILDREN'SHEALTH UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.67ChildrenwithLowAccesstoaGroceryStore percent 5.6 2015 16
1.53 ChildrenwithHealthInsurance percent 90.2 100.0 90.3 2016 9
1.17 ChildFoodInsecurityRate percent 21.2 23.0 17.9 2016 5
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.5 8.5 2017 10
SCORE ECONOMY UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.58 MedianHouseholdGrossRent dollars 1077 911 949 2012-2016 1
2.58MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 531 467 462 2012-2016 1
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 119
2.19MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1635 1444 1491 2012-2016 1
2.00FemalePopulation16+inCivilianLaborForce percent 53.6 57.7 58.3 2012-2016 1
1.89 SNAPCertifiedStoresstores/1,000population 0.5 2016 16
1.50Population16+inCivilianLaborForce percent 63.7 64.2 63.1 2012-2016 1
1.33 FoodInsecurityRate percent 14.6 15.4 12.9 2016 5
1.33Low-IncomeandLowAccesstoaGroceryStore percent 5.9 2015 16
1.28 SevereHousingProblems percent 16.0 18.3 18.8 2010-2014 4
1.28UnemployedWorkersinCivilianLaborForce percent 3.8 4.0 4.1 July2018 14
1.17 ChildFoodInsecurityRate percent 21.2 23.0 17.9 2016 5
1.06RentersSpending30%orMoreofHouseholdIncomeonRent percent 39.4 48.0 47.3 2012-2016 1
1.00 TotalEmploymentChange percent 3.5 3.2 2.5 2014-2015 15
0.86PersonswithDisabilityLivinginPoverty percent 17.9 24.2 26.6 2016 1
0.78People65+LivingBelowPovertyLevel percent 7.7 10.8 9.3 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other 1
0.75PersonswithDisabilityLivinginPoverty(5-year) percent 19.1 25.1 27.6 2012-2016 1
0.61 Homeownership percent 65.6 55.0 55.9 2012-2016 1
0.58 MedianHousingUnitValue dollars 190000 142700 184700 2012-2016 1
0.56FamiliesLivingBelowPovertyLevel percent 8.3 13.0 11.0 2012-2016
BlackorAfricanAmerican,Hispanic 1
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 120
orLatino,Other
0.56HouseholdswithCashPublicAssistanceIncome percent 1.1 1.6 2.7 2012-2016 1
0.56PeopleLiving200%AbovePovertyLevel percent 73.0 62.8 66.4 2012-2016 1
0.56StudentsEligiblefortheFreeLunchProgram percent 35.1 52.9 42.6 2015-2016 8
0.39 MedianHouseholdIncome dollars 70805 54727 55322 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
0.17ChildrenLivingBelowPovertyLevel percent 14.8 23.9 21.2 2012-2016
HispanicorLatino,Other 1
0.17 HomeownerVacancyRate percent 1.2 1.6 1.8 2012-2016 1
0.17 PeopleLivingBelowPovertyLevel percent 11.0 16.7 15.1 2012-2016
12-17,18-24,6-11,<6BlackorAfricanAmerican,HispanicorLatino,Other 1
0.17 PerCapitaIncome dollars 35912 27828 29829 2012-2016
AmericanIndianorAlaskaNative,Black
orAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
SCORE EDUCATION UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.89 Student-to-TeacherRatio students/teacher 16.2 15.4 17.7 2015-2016 8
1.22People25+withaHighSchoolDegreeorHigher percent 86.8 82.3 87.0 2012-2016
AmericanIndianorAlaskaNative 1
1.08InfantsBorntoMotherswith<12YearsEducation percent 17.6 21.6 15.9 2013 11
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 121
1.00 HighSchoolDropOutRate percent 0.9 2.0 2016 12
0.33People25+withaBachelor'sDegreeorHigher percent 33.0 28.1 30.3 2012-2016
25-34,65+AmericanIndianor
AlaskaNative,Other,TwoorMore
Races 1
SCORE ENVIRONMENT UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.89 SNAPCertifiedStoresstores/1,000population 0.5 2016 16
1.83 GroceryStoreDensitystores/1,000population 0.1 2014 16
1.75 AnnualOzoneAirQuality grade F 2014-2016 2
1.67ChildrenwithLowAccesstoaGroceryStore percent 5.6 2015 16
1.50 FarmersMarketDensitymarkets/1,000population 0.0 2016 16
1.50 FastFoodRestaurantDensityrestaurants/1,000
population 0.6 2014 16
1.39RecognizedCarcinogensReleasedintoAir pounds 16762 2017 17
1.33Low-IncomeandLowAccesstoaGroceryStore percent 5.9 2015 16
1.33People65+withLowAccesstoaGroceryStore percent 2.5 2015 16
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 16
1.28 SevereHousingProblems percent 16.0 18.3 18.8 2010-2014 4
1.25 DrinkingWaterViolations percent 1.7 6.6 FY2013-14 4
1.22 FoodEnvironmentIndex 7.5 6.0 7.7 2018 4
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 122
1.17HouseholdswithNoCarandLowAccesstoaGroceryStore percent 1.5 2015 16
1.00 AccesstoExerciseOpportunities percent 82.7 80.6 83.1 2018 4
0.67 LiquorStoreDensitystores/100,000population 6.3 6.8 10.5 2015 15
0.39 HousesBuiltPriorto1950 percent 1.2 7.4 18.2 2012-2016 1
SCOREEXERCISE,NUTRITION,&WEIGHT UNITS
MONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.78 WorkerswhoWalktoWork percent 1.0 3.1 1.6 2.8 2012-2016 1
1.89 SNAPCertifiedStoresstores/1,000population 0.5 2016 16
1.83 GroceryStoreDensitystores/1,000population 0.1 2014 16
1.67ChildrenwithLowAccesstoaGroceryStore percent 5.6 2015 16
1.50 FarmersMarketDensitymarkets/1,000population 0.0 2016 16
1.50 FastFoodRestaurantDensityrestaurants/1,000
population 0.6 2014 16
1.33 FoodInsecurityRate percent 14.6 15.4 12.9 2016 5
1.33Low-IncomeandLowAccesstoaGroceryStore percent 5.9 2015 16
1.33People65+withLowAccesstoaGroceryStore percent 2.5 2015 16
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 16
1.22 FoodEnvironmentIndex 7.5 6.0 7.7 2018 4
1.17 ChildFoodInsecurityRate percent 21.2 23.0 17.9 2016 5
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 123
1.17HouseholdswithNoCarandLowAccesstoaGroceryStore percent 1.5 2015 16
1.00 AccesstoExerciseOpportunities percent 82.7 80.6 83.1 2018 4
SCORE HEARTDISEASE&STROKE UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.44AtrialFibrillation:MedicarePopulation percent 8.8 7.4 8.1 2015 3
2.28 Stroke:MedicarePopulation percent 4.6 4.5 4.0 2015 3
1.94Hyperlipidemia:MedicarePopulation percent 46.3 46.1 44.6 2015 3
1.61Hypertension:MedicarePopulation percent 56.0 57.5 55.0 2015 3
1.25Age-AdjustedDeathRateduetoCerebrovascularDisease(Stroke)
deaths/100,000population 38.5 34.8 42.0 37.3 2010-2014 11
1.25Age-AdjustedDeathRateduetoHeartDisease
deaths/100,000population 173.2 173.0 171.9 2010-2014 MaleBlack 11
1.22HeartFailure:MedicarePopulation percent 14.6 15.5 13.5 2015 3
1.17IschemicHeartDisease:MedicarePopulation percent 28.6 28.8 26.5 2015 3
SCOREIMMUNIZATIONS&INFECTIOUSDISEASES UNITS
MONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.67 SyphilisIncidenceRatecases/100,000population 13.1 40.6 2017 11
1.50 ChlamydiaIncidenceRatecases/100,000population 265.4 511.6 2017 11
1.44 HIVDiagnosisRate cases/100,000 7.7 16.1 2016 11
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 124
population
1.39 TuberculosisIncidenceRatecases/100,000population 1.8 1.0 4.5 2013-2017 11
1.28 GonorrheaIncidenceRatecases/100,000population 52.4 160.2 2017 11
0.67Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 10.8 14.2 15.2 2010-2014 11
SCOREMATERNAL,FETAL&INFANTHEALTH UNITS
MONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.75MotherswhoReceivedEarlyPrenatalCare percent 60.7 77.9 59.2 74.2 2013 11
1.08InfantsBorntoMotherswith<12YearsEducation percent 17.6 21.6 15.9 2013 11
0.83BabieswithVeryLowBirthWeight percent 1.1 1.4 1.4 1.4 2013 11
0.75 PretermBirths percent 10.4 9.4 12.0 11.4 2013 11
0.47 BabieswithLowBirthWeight percent 6.6 7.8 8.3 8.0 2013 11
0.47 InfantMortalityRatedeaths/1,000live
births 4.5 6.0 5.8 6.0 2013 11
0.42 TeenBirths percent 2.0 2.8 4.3 2014 11
SCORE MEN'SHEALTH UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.19Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 17.8 21.8 18.1 19.5 2011-2015 7
1.00 LifeExpectancyforMales years 76.7 76.2 76.7 2014 6
0.67 ProstateCancerIncidenceRatecases/100,000
males 88.7 95.4 109.0 2011-2015 7
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 125
SCOREMENTALHEALTH&MENTALDISORDERS UNITS
MONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.28Age-AdjustedDeathRateduetoSuicide
deaths/100,000population 14.6 10.2 11.7 12.5 2010-2014 Male 11
2.00 MentalHealthProviderRateproviders/100,000
population 69 99 214 2017 4
1.67Alzheimer'sDiseaseorDementia:MedicarePopulation percent 10.7 11.7 9.9 2015 3
1.28 Depression:MedicarePopulation percent 15.9 17.0 16.7 2015 3
0.67 FrequentMentalDistress percent 10.2 10.6 15.0 2016 4
0.67PoorMentalHealth:AverageNumberofDays days 3.3 3.4 3.8 2016 4
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 18.8 26.6 24.5 2010-2014 11
SCORE OLDERADULTS&AGING UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.44AtrialFibrillation:MedicarePopulation percent 8.8 7.4 8.1 2015 3
2.28 Stroke:MedicarePopulation percent 4.6 4.5 4.0 2015 3
2.00ChronicKidneyDisease:MedicarePopulation percent 18.3 19.9 18.1 2015 3
1.94Hyperlipidemia:MedicarePopulation percent 46.3 46.1 44.6 2015 3
1.72 Cancer:MedicarePopulation percent 7.8 7.1 7.8 2015 3
1.67Alzheimer'sDiseaseorDementia:MedicarePopulation percent 10.7 11.7 9.9 2015 3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 126
1.61Hypertension:MedicarePopulation percent 56.0 57.5 55.0 2015 3
1.39 COPD:MedicarePopulation percent 11.7 11.1 11.2 2015 3
1.33People65+withLowAccesstoaGroceryStore percent 2.5 2015 16
1.33
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 28.5 31.6 30.0 2015 3
1.28 Asthma:MedicarePopulation percent 7.7 8.2 8.2 2015 3
1.28 Depression:MedicarePopulation percent 15.9 17.0 16.7 2015 3
1.22HeartFailure:MedicarePopulation percent 14.6 15.5 13.5 2015 3
1.22Osteoporosis:MedicarePopulation percent 5.8 6.5 6.0 2015 3
1.17IschemicHeartDisease:MedicarePopulation percent 28.6 28.8 26.5 2015 3
0.94 Diabetes:MedicarePopulation percent 24.8 28.2 26.5 2015 3
0.78People65+LivingBelowPovertyLevel percent 7.7 10.8 9.3 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other 1
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 18.8 26.6 24.5 2010-2014 11
0.50Age-AdjustedDeathRateduetoFalls
deaths/100,000population 5.1 7.2 7.4 8.3 2010-2014 11
0.50 People65+LivingAlone percent 21.5 23.9 26.4 2012-2016 1
SCORE OTHERCHRONICDISEASES UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00ChronicKidneyDisease:MedicarePopulation percent 18.3 19.9 18.1 2015 3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 127
1.33
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 28.5 31.6 30.0 2015 3
1.22Osteoporosis:MedicarePopulation percent 5.8 6.5 6.0 2015 3
SCORE PREVENTION&SAFETY UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.28 SevereHousingProblems percent 16.0 18.3 18.8 2010-2014 4
1.08 DeathRateduetoDrugPoisoningdeaths/100,000
population 10.6 9.8 16.9 2014-2016 4
0.53Age-AdjustedDeathRateduetoUnintentionalInjuries
deaths/100,000population 34.1 36.4 37.6 39.2 2010-2014 Male 11
0.50Age-AdjustedDeathRateduetoFalls
deaths/100,000population 5.1 7.2 7.4 8.3 2010-2014 11
SCORE PUBLICSAFETY UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.06 Alcohol-ImpairedDrivingDeaths percent 32.9 28.3 29.3 2012-2016 4
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.5 8.5 2017 10
0.83 ViolentCrimeRatecrimes/100,000
population 171.2 407.6 2012-2014 4
SCORE RESPIRATORYDISEASES UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.39 COPD:MedicarePopulation percent 11.7 11.1 11.2 2015 3
1.39 TuberculosisIncidenceRatecases/100,000population 1.8 1.0 4.5 2013-2017 11
1.28 Asthma:MedicarePopulation percent 7.7 8.2 8.2 2015 3
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 128
0.94Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 42.4 45.5 39.0 43.4 2011-2015 7
0.83LungandBronchusCancerIncidenceRate
cases/100,000population 56.4 53.1 60.2 2011-2015 7
0.67Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 10.8 14.2 15.2 2010-2014 11
SCORE SOCIALENVIRONMENT UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 MeanTravelTimetoWork minutes 32.5 25.9 26.1 2012-2016 Male 1
2.58 MedianHouseholdGrossRent dollars 1077 911 949 2012-2016 1
2.58MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 531 467 462 2012-2016 1
2.19MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1635 1444 1491 2012-2016 1
2.00FemalePopulation16+inCivilianLaborForce percent 53.6 57.7 58.3 2012-2016 1
1.50Population16+inCivilianLaborForce percent 63.7 64.2 63.1 2012-2016 1
1.47 PersonswithHealthInsurance percent 83.1 100.0 81.4 2016 9
1.22People25+withaHighSchoolDegreeorHigher percent 86.8 82.3 87.0 2012-2016
AmericanIndianorAlaskaNative 1
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.5 8.5 2017 10
1.00 TotalEmploymentChange percent 3.5 3.2 2.5 2014-2015 15
0.83 LinguisticIsolation percent 3.7 7.9 4.5 2012-2016 1
0.67VoterTurnout:PresidentialElection percent 65.5 58.8 2016 13
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 129
0.61 Homeownership percent 65.6 55.0 55.9 2012-2016 1
0.58 MedianHousingUnitValue dollars 190000 142700 184700 2012-2016 1
0.50 People65+LivingAlone percent 21.5 23.9 26.4 2012-2016 1
0.39 MedianHouseholdIncome dollars 70805 54727 55322 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
0.39 Single-ParentHouseholds percent 23.8 33.3 33.6 2012-2016 1
0.33People25+withaBachelor'sDegreeorHigher percent 33.0 28.1 30.3 2012-2016
25-34,65+AmericanIndianor
AlaskaNative,Other,TwoorMore
Races 1
0.17ChildrenLivingBelowPovertyLevel percent 14.8 23.9 21.2 2012-2016
HispanicorLatino,Other 1
0.17 PeopleLivingBelowPovertyLevel percent 11.0 16.7 15.1 2012-2016
12-17,18-24,6-11,<6BlackorAfricanAmerican,HispanicorLatino,Other 1
0.17 PerCapitaIncome dollars 35912 27828 29829 2012-2016
AmericanIndianorAlaskaNative,Black
orAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
SCORE SUBSTANCEABUSE UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 AdultswhoDrinkExcessively percent 21.0 25.4 19.4 18.0 2016 4
2.06 Alcohol-ImpairedDrivingDeaths percent 32.9 28.3 29.3 2012-2016 4
1.08 DeathRateduetoDrugPoisoningdeaths/100,000
population 10.6 9.8 16.9 2014-2016 4
0.67 LiquorStoreDensity stores/100,000 6.3 6.8 10.5 2015 15
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 130
population
SCORE TRANSPORTATION UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.78 WorkerswhoWalktoWork percent 1.0 3.1 1.6 2.8 2012-2016 1
2.61 MeanTravelTimetoWork minutes 32.5 25.9 26.1 2012-2016 Male 1
2.61SoloDriverswithaLongCommute percent 49.9 36.9 34.7 2012-2016 4
2.17WorkerswhoDriveAlonetoWork percent 81.5 80.3 76.4 2012-2016 1
1.67WorkersCommutingbyPublicTransportation percent 1.3 5.5 1.5 5.1 2012-2016 16-19,20-24Other 1
1.17HouseholdswithNoCarandLowAccesstoaGroceryStore percent 1.5 2015 16
0.50 HouseholdswithoutaVehicle percent 3.6 5.6 9.0 2012-2016 1
SCORE WELLNESS&LIFESTYLE UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.39 LifeExpectancyforFemales years 80.7 80.8 81.5 2014 6
1.17 InsufficientSleep percent 31.8 32.7 38.0 2016 4
1.00 LifeExpectancyforMales years 76.7 76.2 76.7 2014 6
0.67 FrequentPhysicalDistress percent 9.9 10.8 15.0 2016 4
0.67PoorPhysicalHealth:AverageNumberofDays days 3.3 3.5 3.7 2016 4
0.67Self-ReportedGeneralHealthAssessment:PoororFair percent 14.1 18.2 16.0 2016 4
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SCORE WOMEN'SHEALTH UNITSMONTGOMERYCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.58 CervicalCancerIncidenceRatecases/100,000
females 8.0 7.3 9.2 7.5 2011-2015 7
1.39 LifeExpectancyforFemales years 80.7 80.8 81.5 2014 6
1.33 BreastCancerIncidenceRatecases/100,000
females 117.6 111.7 124.7 2011-2015 7
1.08Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 19.6 20.7 20.2 20.9 2011-2015 7
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 132
AppendixC.PrimaryDataMethodology
CommunityInputParticipantsAccessHealth(FQHC)(FortBendFamilyHealthCenter)AIDSFoundationofHoustonAssociationfortheAdvancementofMexicanAmericansAvenueCDCCatholicCharities-ArchdioceseofGalvestonCatholicCharities-FortBendChildAdvocatesofFortBendChildrenatRiskChristClinicCityofHouston,DepartmentofParksandRecreationCoastalAreaHealthEducationCenters(AHEC)CommunityHealthChoiceElCentrodeCorazonEpiscopalHealthFoundationFortBendCountyHealthandHumanServicesFortBendCountySheriff'sOfficeFortBendRegionalCouncilOnSubstanceAbuseFortBendSeniorsMealsonWheelsFortBendWomen'sCenterGalvestonCountyHealthDistrictGalvestonCountyMentalHealthDeputiesGreaterHoustonPartnershipGreaterHoustonWomen'sChamberofCommerce
GulfCoastMedicalFoundationHarrisCountyPublicHealthHealthcarefortheHomeless-HoustonHOPEClinic(FQHC)HoustonFoodBankHoustonHealthDepartmentHoustonHousingAuthorityHoustonIndependentSchoolDistrictInterfaithCommunityClinicKinderInstituteLegacyCommunityHealthLibertyCountySheriff'sOfficeLoneStarFamilyHealthCenterMidtownArtsandTheaterCenterHoustonMontgomeryCountyWomen'sCenterBaker-RipleyEarlyHeadStartPatientCareInterventionCenter(PCIC)PrairieViewA&MUniversitySantaMariaHostel,Inc.TheArcofFortBendCountyTheHarrisCenterforMentalHealthandIDD(formerlyMHMRA)TheRoseTheWomen'sHomeTri-CountyServicesBehavioralHealthcareUnitedWayofBrazoriaCountyUnitedWayofGreaterHoustonUnitedWayofHarrisandMontgomeryCountyWestChambersMedicalCenter(FQHC)YMCAofGreaterHouston
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 133
KeyInformantInterviewQuestionnaire(EpiscopalHealthFoundation)• Goodmorning/afternoon[NAMEOFINFORMANT].Mynameis[NAMEOFINTERVIEWER],
andIamwithHealthResourcesinAction,anon-profitpublichealthorganizationbasedinBoston.Thankyouforspeakingwithmetoday.
• Aswementionedinourinterviewinvitation,theEpiscopalHealthFoundationis
coordinatinganinterviewinitiativetosupportfourGreaterHoustonareahospitalsystemsinpreparingtheircommunityhealthneedsassessments.ThecollaboratinghospitalsincludeCHISt.Luke’s,HoustonMethodistHospital,MemorialHermannHealthSystem,andTexasChildren’sHospital.
• Thepurposeofthisinterviewistogainagreaterunderstandingofthehealthstatusand
wellbeingofresidentsintheGreaterHoustonareaanddeterminehowthesehealthneedsarecurrentlybeingaddressed.Interviewslikethisonearebeingconductedwithabout70stakeholdersfromarangeofsectorssuchasgovernment,healthcare,business,andcommunityserviceorganizations.Wearealsointerviewingcommunityleaderswithspecificexperienceworkingwithprioritypopulationssuchaswomen,children,peopleofcolor,andthedisabledtonameafew.
• Weareinterestedinhearingpeople’sfeedbackontheneedsofthebroaderGreater
Houstoncommunityandthepopulationsyouworkwithasaleaderinyourcommunity.TheFoundationandthefourhospitalswelcomeyourcriticalfeedbackandsuggestionsforhealthimprovementactivitiesinthefuture.Yourhonestyduringtoday’sinterviewisencouragedandappreciated.
• Aswementionedinourinterviewinvitation,theinterviewwilllastbetween45minutesto
anhouranditwillberecorded.Afteralltheinterviewsarecompleted,HealthResourcesinActionwillprovideatranscriptofyourinterviewtothefourhospitalsforuseinpreparingtheircommunityhealthneedsassessmentreports.Eachhospitalwillkeepyourinterviewtranscriptconfidentialandaccessibleonlytotheteamthatispreparingthecommunityhealthneedsassessmentreport.HealthResourcesinActionwillalsobepreparingareportofthegeneralthemesthatemergeacrossalltheinterviewstohelpthehospitalspreparetheirreports.
• TheFoundationhasaskedHealthResourcesinActiontoaskallintervieweeshowtheywish
anyquotesfromtoday’sinterviewtobepresentedinreports.Therearethreeoptions.Quotesmaybepresentedanonymouslywithoutyournameororganization,presentedwithyournameandorganization,orpresentedwithonlythesectoryourepresent.Whichoptionwouldyouliketochoose?
• RECORDRESPONSEFROMINTERVIEWEE:rAnonymousrNameandorganizationrSector
• Thankyou.Wewillnoteyourchoiceinthetranscriptthatweprovidetothehospitals.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 134
• IFTHERESPONDENTISUNSUREATTHETIMEOFTHEINTERVIEW:Ok,pleasefeelfreetothinkitoverandwewillfollowupwithyouforyourdecisionbeforewesendthetranscripttothehospitals.
• Doyouhaveanyquestionsbeforewebegin?BEGINRECORDINGTHEINTERVIEW
INTERVIEWQUESTIONNAIRE(55MINUTES)
NOTESTOINTERVIEWER:• INTERVIEWQUESTIONSMAYBEADDEDORTAILOREDTOMEETTHESPECIFIC
POSITION/ROLEOFTHEINTERVIEWEE• THEQUESTIONSINTHEINTERVIEWQUESTIONNAIREAREINTENDEDTOSERVEASAGUIDE,
NOTASCRIPTBACKGROUND(5MINUTES)• Canyoutellmealittlebitaboutyourroleatyourorganization/agency?
o Hasyourorganization/agencyeverpartneredwithanyofthefourhospitalsinvolvedinthissharedcommunityhealthneedsassessmentbefore?IFSO,PROBEINWHATCAPACITY/PROGRAM
• Howwouldyoudescribethecommunityyourepresent/thecommunityyourorganizationserves/theGreaterHoustonpopulationatlarge?Whataresomeofitsdefiningcharacteristicsintermsofdemographics?INTERVIEWER:ESTABLISHWHATTHEINFORMANTCONSIDERSTHECOMMUNITYTOBEFROMTHEIRPERSPECTIVE
COMMUNITYISSUES(20minutes)INTERVIEWER:VARYTHELABELOF‘COMMUNITY’BASEDONTHEINFORMANT’SBACKGROUNDANDHOWHEORSHEDESCRIBESTHECOMMUNITY;BESURETOPROBEONWOMEN’SANDCHILDREN’SISSUESTOENSUREWEADDRESSTHENEEDSOFTHECHILDREN’SHOSPITALSINALLQUESTIONSASRELEVANT• Thinkingaboutthestatusofthecommunitytoday,howwouldyouratetheoverallhealth
statusofresidentsonascaleof1to5with1beingpoorand5beingveryhealthy?
• Ifyouhadtopickyourtop3healthconcernsinthecommunity,whatwouldtheybe?PROBEIN-DEPTHBASEDONINFORMANTAREAOFEXPERTISE
o Whodoyouconsidertobethepopulationsinthecommunitymostvulnerableorat
riskfortheseconditions/issues?§ IFNOTYETMENTIONED,PROBESPECIFICALLYONPRIORITYPOPULATION
RELEVANTTOTHEINFORMANT’SEXPERTISE:Whatdoyouthinkarethemostpressinghealthconcernsinthecommunityfor[PRIORITYPOPULATION]?
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 135
§ FORINFORMANTSEXPERTISEWITHWOMENANDCHILDREN:Whatdoyou
thinkarethemostpressinghealthconcernsinthecommunityforchildrenandtheirfamilies?Howaboutforwomen?
§ IFNOTYETDISCUSSED:Ofthetopthreeissuesyoumentioned,whichwould
yourankasyourtopissue?Howdoyouseethisissueaffectingcommunitymembers’dailylivesandtheirhealth?PROBEIN-DEPTHINSPECIFICFOCUSAREAS;MAYASKABOUTONEISSUEATTIMEANDFOCUSONPERSON’SAREAOFEXPERTISE.
• Fromyourexperience,whatareresidents’biggestbarrierstoaddressingthetop3health
issuesyouidentified?o PROBE:Socialdeterminantsofhealth?o PROBE:Barrierstoaccessingmedicalcare?o PROBE:Barrierstoaccessingpreventiveservicesorprograms?
FOCUSAREA:HEALTHYLIVING(5MINUTES)• I’dliketoaskyouaboutbarriersaffectinghealthylivingandthepreventionofobesity.
o Whataresomeofthebarrierstohealthyeatingandphysicalactivityamongthecommunitiesyouserve?
§ Whatpopulationsaremostaffectedbybarrierstohealthylivingandphysicalactivity?PROBEABOUTFOODINSECURITYANDACCESSTOSAFESPACESFORPHYSICALACTIVITY
o Whateffortsorprogramsareyouawareofthatpromotehealthyliving?PROBEABOUTHEALTHYLIVINGMATTERSCOLLABORATIVE
ACCESSTOHEALTHCAREANDPUBLICHEALTH/PREVENTIONSERVICES(15MINUTES)
• I’dliketoaskyouaboutaccesstohealthcareandsocialservicesinyourcommunity.
o Whatdoyouseeasthestrengthsofthehealthcareandsocialservicesinyourcommunity?
o Whatdoyouseeasitslimitations?• Whatchallenges/barriersdoresidentsinyourcommunityfaceinaccessinghealthcareand
socialservices?[PROBEINDEPTHFORBARRIERSTOCARE:INSURANCEISSUES,LANGUAGEBARRIERS,ACCESSTOHEALTHINFORMATION/HEALTHLITERACY,LACKOFTRANSPORTION,CHILDCARE,ETC.]
o Whatdoyouthinkneedstohappeninthecommunityyouservetohelpresidentsovercomeoraddressthesechallenges?
• Whatprograms,services,orpoliciesareyouawareofinthecommunitythataddressaccess
tohealthcareandsocialservices?
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 136
o Inyouropinion,howeffectivehavetheseprograms,services,orpoliciesbeenat
addressingthehealthneedsofresidents?
o Whatprogram,services,orpoliciesarecurrentlynotavailablethatyouthinkshouldbe?
IMPROVINGTHEHEALTHOFTHECOMMUNITY/RESIDENTS(10MINUTES)• Whatdoyouthinkneedstohappeninthecommunityyouservetohelpresidentsovercome
oraddressthechallengestheyfaceinbeingabletobehealthy?
• Earlierinthisinterview,youmentioned[TOPISSUE]asbeingyourtophealthpriorityforarearesidents.Whatdoyouthinkneedstobedonetoaddress[TOPISSUEHERE]?
o Whatdoyouthinkhospitalscandotoaddressthisissuethattheyaren’tdoingrightnow?Doyouhaveanysuggestionsabouthowhospitalscanbecreativeorworkoutsidetheirtraditionalroletoaddressthisissueandimprovecommunityhealth?
o Whatkindsofopportunitiesarecurrentlyouttherethatcanbeseizedupontoaddresstheseissues?Forexample,aretheresome“lowhangingfruit”–currentcollaborationsorinitiativesthatcanbestrengthenedorexpanded?
VISIONFORTHECOMMUNITY(5MINUTES)
• Thehospitalsinvolvedinthisinitiativewillbeplanningtheirstrategytoimprovethehealth
ofthecommunitiestheyserve.Whatadvicedoyouhaveforthegroupdevelopingtheplantoaddressthetophealthneedsyou’vementioned?
CLOSING(5MINUTES)
Thankyousomuchforyourtime.That’sitformyquestions.Isthereanythingelsethatyouwouldliketomentionthatwedidn’tdiscusstoday?AsImentioned,afteralloftheinterviewsarecompleted,wewillbesendingyourinterviewtranscriptstothefourhospitals.Eachhospitalwillmaketheircommunityhealthneedsassessmentreportspubliclyavailablewhentheyarecomplete.Ifyouhaveanyquestions,pleasefeelfreetoreachouttoJenniferMineoattheEpiscopalHealthFoundationwhoiscoordinatingthiseffortonbehalfofthefourhospitals.Thankyouagain.Haveagoodmorning/afternoon.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 137
KeyInformantInterviewQuestionnaire(ConduentHealthyCommunitiesInstitute)Goodmorning/afternoon[NAMEOFINFORMANT].Mynameis[NAMEOFINTERVIEWER],andIamwithConduentHealthyCommunitiesInstitute.Mycolleague[name]isalsoontheline.WeareworkingwithMemorialHermannHealthSystemtoconductaCommunityHealthNeedsAssessment.• Thepurposeofthisinterviewistogainagreaterunderstandingofthehealthstatusand
wellbeingofresidentsintheGreaterHoustonareaanddeterminehowthesehealthneedsarecurrentlybeingaddressed.Interviewslikethisonearebeingconductedwithabout12stakeholdersfromarangeofsectorssuchasgovernment,healthcare,business,andcommunityserviceorganizations.Wearealsointerviewingcommunityleaderswithspecificexperienceworkingwithprioritypopulationssuchaswomen,children,peopleofcolor,andthedisabledtonameafew.
• Weareinterestedinhearingpeople’sfeedbackontheneedsofthecommunityandthe
populationsyouworkwithasaleaderinyourcommunity.MemorialHermannwelcomeyourcriticalfeedbackandsuggestionsforhealthimprovementactivitiesinthefuture.Yourhonestyduringtoday’sinterviewisencouragedandappreciated.
• Aswementionedinourinterviewinvitation,theinterviewwilllastbetween45minutesto
anhouranditwillberecorded.Afteralltheinterviewsarecompleted,wewillanalyzeandsummarizealltheinterviewstoincorporateintothecommunityhealthneedsassessmentreports.EachMHhospitalwillkeepyourinterviewtranscriptconfidentialandaccessibleonlytotheteamthatispreparingthecommunityhealthneedsassessmentreport.
• MemorialHermannhasaskedHCItoaskallintervieweeshowtheywishanyquotesfromtoday’sinterviewtobepresentedinreports.Therearethreeoptions.Quotesmaybepresentedanonymouslywithoutyournameororganization,presentedwithyournameandorganization,orpresentedwithonlythesectoryourepresent.
• Whichoptionwouldyouliketochoose?
• RECORDRESPONSEFROMINTERVIEWEE:rAnonymousrNameandorganizationrSector
• Thankyou.Wewillnoteyourchoiceinthetranscriptthatweprovidetothehospitals.
• IFTHERESPONDENTISUNSUREATTHETIMEOFTHEINTERVIEW:Ok,pleasefeelfreetothinkitoverandwewillfollowupwithyouforyourdecisionbeforewesendthetranscripttothehospitals.
• Doyouhaveanyquestionsbeforewebegin?BEGINRECORDINGTHEINTERVIEW
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 138
INTERVIEWQUESTIONNAIRE(55MINUTES)
NOTESTOINTERVIEWER:• INTERVIEWQUESTIONSMAYBEADDEDORTAILOREDTOMEETTHESPECIFIC
POSITION/ROLEOFTHEINTERVIEWEE• THEQUESTIONSINTHEINTERVIEWQUESTIONNAIREAREINTENDEDTOSERVEASAGUIDE,
NOTASCRIPTBACKGROUND(5MINUTES)• Canyoutellmealittlebitaboutyourroleatyourorganization?
o Hasyourorganization/agencyeverpartneredwithMH’scommunityhealthneedsassessmentbefore?IFSO,PROBEINWHATCAPACITY/PROGRAM
• Howwouldyoudescribethecommunityyourepresent/thecommunityyourorganizationserves?Whataresomeofitsdefiningcharacteristicsintermsofdemographics?INTERVIEWER:ESTABLISHWHATTHEINFORMANTCONSIDERSTHECOMMUNITYTOBEFROMTHEIRPERSPECTIVE
COMMUNITYISSUES(20minutes)INTERVIEWER:VARYTHELABELOF‘COMMUNITY’BASEDONTHEINFORMANT’SBACKGROUNDANDHOWHEORSHEDESCRIBESTHECOMMUNITY;BESURETOPROBEONWOMEN’SANDCHILDREN’SISSUESTOENSUREWEADDRESSTHENEEDSOFTHECHILDREN’SHOSPITALSINALLQUESTIONSASRELEVANT• Thinkingaboutthestatusofthecommunitytoday,howwouldyouratetheoverallhealth
statusofresidentsonascaleof1to5with1beingpoorand5beingveryhealthy?
• Ifyouhadtopickyourtop3healthconcernsinthecommunity,whatwouldtheybe?PROBEIN-DEPTHBASEDONINFORMANTAREAOFEXPERTISE
o Whodoyouconsidertobethepopulationsinthecommunitymostvulnerableorat
riskfortheseconditions/issues?§ IFNOTYETMENTIONED,PROBESPECIFICALLYONPRIORITYPOPULATION
RELEVANTTOTHEINFORMANT’SEXPERTISE:Whatdoyouthinkarethemostpressinghealthconcernsinthecommunityfor[PRIORITYPOPULATION]?
§ FORINFORMANTSEXPERTISEWITHWOMENANDCHILDREN:Whatdoyou
thinkarethemostpressinghealthconcernsinthecommunityforchildrenandtheirfamilies?Howaboutforwomen?
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 139
§ IFNOTYETDISCUSSED:Ofthetopthreeissuesyoumentioned,whichwouldyourankasyourtopissue?Howdoyouseethisissueaffectingcommunitymembers’dailylivesandtheirhealth?PROBEIN-DEPTHINSPECIFICFOCUSAREAS;MAYASKABOUTONEISSUEATTIMEANDFOCUSONPERSON’SAREAOFEXPERTISE.
• Fromyourexperience,whatareresidents’biggestbarrierstoaddressingthetop3health
issuesyouidentified?o PROBE:Socialdeterminantsofhealth?o PROBE:Barrierstoaccessingmedicalcare?o PROBE:Barrierstoaccessingpreventiveservicesorprograms?
FOCUSAREA:HEALTHYLIVING(5MINUTES)• I’dliketoaskyouaboutbarriersaffectinghealthylivingandthepreventionofobesity.
o Whataresomeofthebarrierstohealthyeatingandphysicalactivityamongthecommunitiesyouserve?
§ Whatpopulationsaremostaffectedbythesebarrierstohealthylivingandphysicalactivity?PROBEABOUTFOODINSECURITYANDACCESSTOSAFESPACESFORPHYSICALACTIVITY
o Whateffortsorprogramsareyouawareofthatpromotehealthyliving?PROBEABOUTHEALTHYLIVINGMATTERSCOLLABORATIVE
ACCESSTOHEALTHCAREANDPUBLICHEALTH/PREVENTIONSERVICES(15MINUTES)
• I’dliketoaskyouaboutaccesstohealthcareandsocialservicesinyourcommunity.
o WhatAREthestrengthsofthehealthcareandsocialservicesinyourcommunity?
o Whataresomeoftheirlimitations?• Whatchallenges/barriersdoresidentsinyourcommunityfacewhenaccessinghealthcare
andsocialservices?[PROBEINDEPTHFORBARRIERSTOCARE:INSURANCEISSUES,LANGUAGEBARRIERS,ACCESSTOHEALTHINFORMATION/HEALTHLITERACY,LACKOFTRANSPORTION,CHILDCARE,ETC.]
o Whatdoyouthinkneedstohappeninthecommunitytohelpresidentsovercomeoraddressthesechallenges?
• Whatprograms,services,orpoliciesareyouawareofthataddressaccesstohealthcare
andsocialservices?
o Inyouropinion,howeffectivehavetheseprograms,services,orpoliciesbeenataddressingthehealthneedsofresidents?
o Whatprogram,services,orpoliciesnotavailablethatyouthinkshouldbe?
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 140
IMPROVINGTHEHEALTHOFTHECOMMUNITY/RESIDENTS(10MINUTES)• Whatdoyouthinkneedstohappeninthecommunitytohelpresidentsovercomeor
addressthechallengestheyfaceinbeingabletobehealthy?
• Earlierinthisinterview,youmentioned[TOPISSUE]asbeingyourtophealthpriorityforarearesidents.Whatdoyouthinkneedstobedonetoaddress[TOPISSUEHERE]?
o Whatdoyouthinkhospitalscandotoaddressthisissuethattheyarenotdoingrightnow?
o Doyouhaveanysuggestionsabouthowhospitalscanbecreativeorworkoutsidetheirtraditionalroletoaddressthisissueandimprovecommunityhealth?
o Whatkindsofopportunitiesarecurrentlyouttherethatcanbeseizedupontoaddresstheseissues?Forexample,aretheresome“lowhangingfruit”–currentcollaborationsorinitiativesthatcanbestrengthenedorexpanded?
VISIONFORTHECOMMUNITY(5MINUTES)
• Thehospitalsinvolvedinthisinitiativewillbeplanningtheirstrategytoimprovethehealth
ofthecommunitiestheyserve.Whatadvicedoyouhaveforthegroupdevelopingtheplantoaddressthetophealthneedsyou’vementioned?
CLOSING(5MINUTES)
Thankyousomuchforyourtime.That’sitformyquestions.Isthereanythingelsethatyouwouldliketomentionthatwedidn’tdiscusstoday?AsImentioned,afteralloftheinterviewsarecompleted,wewillbesendingyourinterviewtranscriptstoMemorialHermann.Thecommunityhealthneedsassessmentreportswillbepubliclyavailablewhentheyarecomplete.Ifyouhaveanyquestions,pleasefeelfreetoreachouttoDeborahGanelinatMemorialHermannwhoiscoordinatingthiseffort.Thankyouagain.Haveagoodmorning/afternoon.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 141
CommunitySurvey(English)MemorialHermannHealthSystemisconductingaCommunityHealthNeedsAssessmentfortheGreaterHoustonarea.ThisassessmentallowsMemorialHermanntobetterunderstandthehealthstatusandneedsofthecommunityandusetheknowledgegainedtoimplementprogramsthatwillbenefitthecommunity.Wecanbetterunderstandcommunityneedsbygatheringvoicesfromthecommunity.Thissurveyallowscommunitymemberslikeyoutotellusaboutwhatyoufeelareimportantissuesforyourcommunity.Weestimatethatitwilltakeabout5minutestocompletethissurvey.Thankyouverymuchforyourinputandyourtime!1. Pleaselookatthislistofcommunityissues.Inyouropinion,whatarethetop5issuesmost
affectingthequalityoflifeinyourcommunity?o Diabeteso Obesity/Overweighto Respiratory/LungDisease(asthma,COPD,etc.)o Cancerso MentalHealthandMentalDisorderso Injuries,ViolenceandSafetyo SubstanceAbuse(alcohol,tobacco,drugs,etc.)o OralHealtho HeartDiseaseandStrokeo SexualHealth(HIV/AIDS,STDs,etc.)o TeenagePregnancyo ElderCareo ReproductiveHealth(familyplanning)o Other(pleasespecify):______________________________
2. Howwouldyourateyourownpersonalhealth?
o Veryhealthyo Somewhathealthyo Unhealthyo Veryunhealthy
3. Abouthowmanytimesaweekdoyouexerciseorperformaphysicalactivitylikewalking,
running,bicycling,etc.?o Lessthan1timeaweeko 2-3timesaweeko 5ormoretimesaweeko Nevero Other(pleasespecify):______________________________
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 142
4. Whataresomeofthebarriersorchallengestoexercisingonaregularbasisforyou?
o Noplacestoexerciseo Notimetoexerciseo Idon’tlikeexercisingo Feelunsafeexercisinginthecommunityo Noneofmyfriendsorfamilyexerciseo Nochildcareo Lackoffundstopayforgymorclasseso Notransportationo Other(pleasespecify):______________________________
5. Howmuchdoyouagreeordisagreewitheachofthestatementsbelow. Agree
stronglyAgree Disagree Disagree
stronglyTherearegoodparksforchildren,adultsandpeopleofallabilitiestoenjoyinmycommunity
Inthepast12months,IhadaproblemgettingthehealthcareIneededformeorafamilymemberfromanytypeofhealthcareprovider,dentist,pharmacy,orotherfacility
Idon’tknowwheretogetservicesformyselfwhenIamsad,depressedorneedsomeonetotalkto
IamconfidentIcangetanappointmentwhenIneedtoseemydoctorfairlyquickly
Ihaveaplacetoreceivemedicalcareotherthantheemergencyroom
Withinthepast12months,IworriedwhethermyfoodwouldrunoutbeforeIgotmoneytobuymore
Withinthepast12months,thefoodIboughtjustdidn’tlastandIdidn’thavemoneytogetmore
Therearemanyoptionsforhealthyandaffordablefoodinmycommunity
6. Hasyourdoctorevertoldyouthatyouhaveanyofthefollowing?(Markallthatapply)
o Highbloodpressureo Highcholesterolo Cancero Diabeteso Obesityo Asthmao Heartdiseaseo Other(pleasespecify):______________________________
Now,afewquestionssothatwecanseehowdifferenttypesofpeoplefeelaboutthequestionsasked.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 143
7. Zipcodewhereyoulive:______________________________8. Whatisyourage?______________________________9. Whatisyourrace/ethnicity?
o Whiteo Black/AfricanAmericano Hispanic/Latinoo Asian/PacificIslandero NativeAmericano Other(pleasespecify):______________________________
10. Whataretheagesofchildrenlivinginyourhousehold?
o 11andyoungero 12-18yearsoldo 18andoldero None
11. Whatkindofmedicalinsuranceorcoveragedoyouhave?
o Privateo Employer-sponsoredo Medicaido Medicareo Noneo Other(pleasespecify):______________________________
Thankyouforcompletingthissurvey!
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 144
CommunitySurvey(Spanish)MemorialHermannHealthSystemestárealizandounaEvaluacióndelasNecesidadesdeSaluddelaComunidadeneláreametropolitanadeHouston.EstaevaluaciónpermiteaMemorialHermann
comprendermejorelestadodesaludylasnecesidadesdelacomunidad,asícomousarlainformaciónobtenidaparaponerenprácticaprogramasquebeneficienalacomunidad.
1.Lealalistadeproblemasdelacomunidad.Ensuopinión¿cuálessonlos5problemasquemásafectanlacalidaddevidaensucomunidad?□ Diabetes□ Obesidad/sobrepeso□ Enfermedadesrespiratorias/pulmonares(asma,enfermedadpulmonarobstructivacrónica[EPOC],etc.)
□ Cáncer□ Saludmentalytrastornosmentales□ Lesiones,violenciayseguridad□ Drogodependencia(alcohol,tabaco,drogas,etc.)
□ Saludbucal□ Enfermedadescardíacasyaccidentescerebrovasculares
□ Saludsexual(VIH/sida,enfermedadesdetransmisiónsexual[ETS],etc.)
□ Embarazosdeadolescentes□ Cuidadodeancianos□ Saludreproductiva(planificaciónfamiliar)
□ Otros,(especifique):_________________________________________________________
2.¿Cómocalificaríasupropiasaludpersonal?□ Muybuena□ Bastantebuena
□ Mala□ Muymala
3.¿Aproximadamente,cuántasvecesporsemanahaceejerciciooalgunaactividadfísica,comocaminar,correr,andarenbicicleta,etc.?□ Menosde1vezporsemana□ De2a3vecesporsemana
□ 5omásvecesporsemana□ Nunca
□ Otros,(especifique):_________________________________________________________
4.¿Cuálessonalgunasdelasbarrerasodificultadesqueleimpidenhacerejercicioregularmente?□ Notengounlugardondehacerejercicio.□ Notengotiempoparahacerejercicio.□ Nomegustahacerejercicio.□ Nomesientoseguro/ahaciendoejercicioenmicomunidad.
□ Ningunodemisamigosofamiliareshacenejercicio.
□ Notengoconquiéndejaramishijosmientrashagoejercicio.
□ Notengodineroparapagarungimnasiooclases.
□ Notengoaccesoatransporte.
□ Otros,(especifique):_________________________________________________________
Calculamosqueletomaráunos5minutoscompletarestaencuesta.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 145
5.¿Lehadichosumédicoalgunadelassiguientesafecciones?(Marquetodaslasopcionesquecorrespondan).□ Presiónarterialalta□ Colesterolalto□ Cáncer□ Diabetes
□ Obesidad□ Asma□ Enfermedadcardíaca
□ Otros,(especifique):_________________________________________________________
6.¿Enquémedidaestádeacuerdooendesacuerdoconcadaunadelassiguientesafirmaciones? Muyde
acuerdoDe
acuerdoEn
desacuerdoMuyen
desacuerdoEnmicomunidad,haybuenosparquesparaniños,adultosypersonascontodotipodecapacidadesparanuestrodisfrute.
Enlosúltimos12meses,tuveunproblemaparaobtenerelcuidadomédicoquenecesitabaparamíoparaunfamiliarporpartedecualquiertipodeproveedordecuidadodelasalud,dentista,farmaciauotrocentrosanitario.
Nosédóndeobtenerserviciosparamícuandoestoytriste,deprimido/a,onecesitohablarconalguien.
Séconseguridadquepuedoobtenerunacitaconmimédicoconciertarapidez.
Tengoamidisposiciónunlugarpararecibircuidadosmédicosquenoseaunasaladeemergencias.
Enlosúltimos12meses,mepreocupédesilacomidaseagotaríaantesdeobtenerdineroparacomprarmásalimentos.
Enlosúltimos12meses,losalimentosquecomprésimplementenoduraronlosuficienteynotuvedineroparacomprarmás.
Enmicomunidadhaymuchasopcionesparacompraralimentossaludablesyasequibles.
7.Códigopostaldesucasa:_________________________8.¿Cuántosañostiene?_________________9.¿Cuálessuraza/origenétnico?□ Blanco/a□ Negro/aoafroamericano/a□ Hispano/aolatino/a
□ Asiático/aoisleño/adelPacífico□ Indígenaamericano/a□ Otro/a,(especifique):______________
10.¿Cuántosañostienenlosniños/asquevivenensucasa?
Ahoraleharemosalgunaspreguntasparapodervercómosesientenlosdistintosgruposdepersonasacercadelaspreguntasquelehemoshecho.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 146
□ 11ymenos□ Entre12y18años
□ Másde18años□ Ninguno
11.¿Quétipodeseguromédicoocoberturatiene?□ Privado□ Patrocinadoporunempleador□ Medicaid
□ Medicare□ Ninguno□ Otro,(especifique):________
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 147
AppendixD.PrioritizationTool
PrioritizationSurveyThankyouforyourparticipationinthisprioritizationprocess.TheCommunityHealthNeedsAssessment(CHNA)processhasmultiplesteps.Afterthoroughresearchhasbeencompletedtoidentifythesignificanthealthneedsinthecommunity,thesesignificanthealthneedsmustbeprioritizedforfurtherstrategicplanningandimplementation.Prioritizationistheprocessofdeterminingthemostimportantorurgenthealthneedstoaddressincommunities.BelowisadiagramthatshowsthemethodsthatwereusedtoidentifykeyissuesacrossMemorialHermann’sserviceareas.Thesethreemethodsincluded:asecondarydatareview,acommunitysurveyandkeyinformantinterviews.Asyousee,someissuesrevealedthemselvesacrossmultiplemethods.Reviewingthisdiagrammayhelpyoucompletethissurvey.
1. Thefollowinghealthneedsarenotlistedbyorderofimportance.Foreachhealthneed,click
onthearrowonthedropdownboxandselectyouragreementwitheachstatement.Ifyouareonatabletorphone,pleasescrollallthewaytotherightforeachrow.
Theissueimpactsmanypeopleinmycommunity
Thisissuesignificantlyimpacts
Therearenotenoughexistingandadequate
Thisissuehashighriskfordiseaseordeath
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 148
subgroups(subgroupsbyage,gender,race/ethnicity,LGBTQ,etc.)
resourcestoaddressthisissueinmycommunity
AccesstoHealthServices
HeartDiseaseandStroke
OlderAdultsandAging
Obesity(Exercise,NutritionandWeight)
Transportation MentalHealth Diabetes SubstanceAbuse Cancers LackofHealthInsurance
Education FoodInsecurity Low-Income/Underserved
Children’sHealth Economy 2. IndicatethelevelofimportancethatshouldbegiventowardseachofMemorialHermann’s
4Pillars.Keydefinitionsarelistedbelow.
NotImportant
SomewhatImportant
Important VeryImportant
NotSure
Accesstocare(includinghealthcareaccess,healthcareresourceawareness,healthcarenavigation/literacy)
Foodashealth(includingfoodinsecurity,foodprograms,foodknowledge)
Exerciseasmedicine(includingobesity,accesstoparks,safeplacestoexercise)
Emotionalwell-being(includingemotionalhealth,mentalhealth,substanceabuse)
Keydefinitions:
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 149
Healthcarenavigation/literacy:needforeducationinnavigatinghealthsystemsFoodinsecurity:lackingreliableaccesstohealthyfoodoptionsFoodprograms:programs,effortsorservicesdesignedtoaddressfoodissuesFoodknowledge:one’sunderstandingofhealthyfoods3. Whoinyourcommunityismostaffectedbypoorhealthoutcomes?(Selectupto5)
o Lesbian,Gay,Bisexual,Transgender,QueerorQuestioning(LGBTQ)o OlderAdultso PersonswithDisabilities(cognitive,sensoryorphysicaldisability)o Racial/EthnicMinorityPopulationso Veteranso Immigrantsorotherundocumentedpersonso Personsexperiencinghomelessnessorprecariouslyhousedo OtherPopulations(pleasespecify):____________________________
4. Pleaseprovideyourname:__________________________________________
5. Pleaseprovideyouremailaddress:__________________________________________
6. Pleaseselectthename(s)ofthehealthcarefacilityorfacilitiesyourepresent.Youmay
choosemorethanone.o MemorialHermannKatyo MemorialHermannMemorialCityo MemorialHermannGreaterHeightso MemorialHermannNortheasto MemorialHermannSoutheasto MemorialHermannSugarLando MemorialHermannSouthwesto MemorialHermannTheWoodlandso KatyRehabo TexasMedicalCentero TIRRMemorialHermanno MemorialHermannSurgicalHospitalKingwoodo MemorialHermannSurgicalHospitalFirstColonyo MemorialHermannFirstColonyHospital(ER)o MemorialHermannTomballHospital(ER)o Other(pleasespecify):_____________________________
ThankyouforyourinputandparticipationintheCommunityHealthNeedsAssessmentprocess.
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 150
AppendixE.CommunityResourcesThefollowingisalistofcommunityresourcesmentionedbycommunityinputparticipants.2-1-1TexasA.C.TaylorHealthCenterAccessHealthAcresHomeHealthCenterAIDSFoundationHoustonAldineHealthCenterAmericanHeartAssociationAmericanRedCrossAmistadCommunityHealthCenterAreaAgencyonAgingAssociationfortheAdvancementofMexicanAmericansAvenue360Health&WellnessAvenueCDCBaker-RipleyBastropCommunityHealthCenterBaylorTeenHealthClinicBaysideClinicBaytownHealthCenterBeeBusyWellnessCenterBoatPeopleSOSBo'sPlaceBrighterBitesBrownsvilleCommunityHealthCenterBuffaloBayouPartnershipBurlesonFamilyMedicalCenterBVCAA-HealthPointCanDoHoustonCasadeAmigosHealthCenterCasaElBuenSamaritanoCatholicCharitiesoftheArchdioceseofGalveston-Houston-FortBendCentralCareCommunityHealthChambersCommunityHealthCenterCHISt.Luke'sHealthChildAdvocatesofFortBendChildrenatRiskChristClinicChristianCommunityServicesCenter(CCSC)CHRISTUSHealthSystemCitiesChangingDiabetesCityofHouston
CityofHouston,DepartmentofParksandRecreationCityofPasadenaCoastalAreaHealthEducationCenters(AHEC)CommunityHealthChoiceCountyIndigentHealthCareProgramCovenantwithChristCommunityServiceCenterCypressHealthCenterDannyJacksonHealthCenterDentalHygieneClinicE.A."Squatty"LyonsHealthCenterElCentroDeCorazonElFrancoLeeHealthCenterEpiscopalHealthFoundationFamilyServices(GalvestonCounty)FortBendConnectFortBendCountyCollaborativeInformationSystemFortBendCountyHealthandHumanServicesFortBendCountySheriff'sOfficeFortBendRegionalCouncilOnSubstanceAbuseFortBendSeniorsMealsonWheelsFortBendWomen'sCenterGalvestonCountyHealthDistrictGalvestonCountyMentalHealthDeputiesGoHealthyHoustonTaskForceGoodRxGreaterHoustonPartnershipGreaterHoustonWomen'sChamberofCommerceGulfCoastCommunityServicesAssociationGulfCoastMedicalFoundationGulfgateHealthCenterHarmonyHouseRespiteCenterHarrisCenterCrisisLineHarrisCountyPublicHealthandEnvironmentalServices(HCPHES)HarrisCountyRidesHarrisCountySocialServices
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 151
HarrisHealthSystemHarvestGreen(Development)HEALInitiativeHealthCenterofSoutheastTexasHealthcarefortheHomeless-HoustonHealthyLivingMatters(HarrisCounty)HelpingHandsFoodPantryHOPEClinic(FQHC)HoustonFoodBankHoustonHealthDepartmentHoustonHousingAuthorityHoustonIndependentSchoolDistrictHoustonRyanWhitePlanningCouncilHoustonShifaSynottClinicHuntsvilleMemorialHospitalClinicIbnSinaFoundationIndiaHouseCharityClinicInterfaithCommunityClinicInterfaithMinistriesMealsonWheelsInterfaithofTheWoodlandsKinderInstituteLaNuevaCasaHealthCenterLegacyHealth(FQHC)LeonCountyCommunityHealthCenterLibertyCountySheriff'sOfficeLoneStarFamilyHeathCenter(FQHC)LongBranchHealthCenterLongTermRecoveryGroupLosBarriosUnidosCommunityClinicMagnoliaHealthCenterMamieGeorgeCommunityCenterMartinLutherKingJr.HealthCenterMedicalPlusSuppliesMEHOP-MatagordaEpiscopalHealthOutreachProgramMETHeadStartMethodistHospitalMetroliftMidtownArtsandTheaterCenterHoustonMontgomeryCountyFoodBankMontgomeryCountyWomen’sCenterNeighborhoodHealthCenterNorthwestAssistanceMinistry'sChildren'sClinicNorthwestHealthCenterNuestraClinicadelValle
PatMcWatersHealthClinic-SecondMileMissionPatientCareInterventionCenter(PCIC)PearlandCommunityHealthCenterPediatric&AdolescentHealthCenterPhysiciansatSugarCreekPlannedParenthoodPrairieViewA&MUniversityQuentinMeaseHospitalRegionalAssociationofGrantMakersRegionalMedicalCenterRobertCarrascoHealthClinicRSVPMedSpaSanJoseClinicSantaMariaHostel,Inc.SettegastHealthCenterSevaClinicCharityMedicalFacilityShelteringArmSeniorServicesDivisionofBakerRipleyShifaClinicSmithClinicSocialSecurityAdministrationSpringBranchCommunityHealthCenterSt.HopeFoundationSt.Vincent'sHouseStephenF.AustinCommunityHealthNetworkStrawberryHealthCenterTexanaBehavioralHealthTexasA&MAgriLifeExtensionServiceTexasChildren’sHospitalTexasMedicaidandCHIPMedicalTransportationProgramTheArcofFortBendCountyTheBeaconTheHarrisCenterforMentalHealthandIDD(formerlyMHMRA)TheRoseTheWomen'sHomeThomasStreetHealthCenterTOMAGWAClinicTri-CountyServicesBehavioralHealthcareUberHealthUnitedWayofBrazoriaCountyUnitedWayofGreaterHoustonUnitedWayProjectBlueprint
MemorialHermannTheWoodlandsMedicalCenterCHNA2019 152
UniversityofHouston-CollegeofOptometryUniversityofTexasHealth-DentalUniversityofTexasHealthServicesUniversityofTexasPhysiciansUrbanHarvestUTMBValbonaHealthCenterVCareClinicVecinoHealthCenterWestChambersMedicalCenter(FQHC)WestHoustonAssistanceMinistries(WHAM)WholeLifeServiceCenterWomen'sCareCenterWorkforceSolutionsYMCAofGreaterHouston