General Information Regarding the Community Health Needs Assessment
Evaluation of Progress
The CHNA process should be viewed as a three-year cycle. An important part of that cycle is revisiting the progress made on priority topics from previous CHNAs. By reviewing the actions taken to address priority areas and evaluating the impact of these actions in the community, an organization can better focus and target its efforts during the next CHNA cycle.
Priority Health Needs and Impact from Prior CHNA
Given below is a synopsis of the priorities that were earmarked for action by the different health agencies that constitute Hope Rising Lake County and recommended strategies. All the health topics prioritized in the previous reports coincide with the significant health needs identified in the most recent assessment.
Mental Health
2016 CHNA Recommendations
- Emotion regulation in schools
- Early Intervention counseling in PTSDs (e.g. fires)
- Social support to elderly, LGBT, Single parents
- Substance abuse and de-addiction services (AA, tobacco cessation, residential treatment)
- Promoting volunteerism
- Caregiver respite
- Home-visitation to ill and isolated
- Social media campaign to reduce stigma
Substance Abuse
2016 CHNA Recommendations
- School-Based health promotion and substance abuse prevention
- After school activities
- Safe Rx
- Inhibitive policy initiatives and enforcement programs
- Outdoor recreation ordinances and tobacco tax
- Increased availability of physical activities
Access to Programs and Services
2016 CHNA Recommendations
- County-wide resource guide to programs and services
- In- and out-county transportation assistance for medical and social services
- Recruitment and retention of specialists and nontraditional healthcare providers
- Recruitment to medical homes through healthcare navigators
- Care coordination
- Healthy eating training for vulnerable populations
- Alignment of activities between public, behavioral and health systems
Housing and Homelessness
2016 CHNA Recommendations
- Year round sheltering
- Care coordination and social needs connection for homeless
- Housing locator services
- Financial and other support
- Low demand housing
Methodology
Two types of data were used in this assessment: primary and secondary data. Primary data are data that have been collected for the purposes of this community assessment. Primary data were obtained through a community survey, focus groups, and key informant interviews. Secondary data are health indicator data that have already been collected by public sources such as government health departments. Each type of data was analyzed using a unique methodology. Findings were organized by health topics and then synthesized for a comprehensive overview of the health needs in the Hope Rising Lake County Community Health Needs Assessment (CHNA) Collaborative service area. An in-depth description of how this data was collected can be found in Section 3: Methodology on page 10 of the PDF report.
Community input for Hope Rising Lake County’s CHNA was collected to expand upon the information gathered from the secondary data. The process was undertaken by Conduent HCI team and Hope Rising Lake County members. Primary data used in this assessment consisted of a community survey in English and Spanish, focus groups and key informant interviews. See Appendix D. Primary Data Methodology for the survey and interview questions in the 2019 CHNA PDF report.
Primary Data was collected through:
- Community Survey
- Key Informant Interviews
- Focus Groups and Focus Group Profiles
Secondary data used for this assessment were collected and analyzed from Conduent HCI’s community indicator database, as found on HopeRisingLC.org. This database, maintained by researchers and analysts at Conduent HCI, includes over 204 community indicators from at least 21 state and national data sources. Conduent HCI carefully evaluates sources based on the following three criteria: the source has a validated methodology for data collection and analysis; the source has scheduled, regular publication of findings; and the source has data values for small geographic areas or populations.
Secondary Data was collected through:
- Secondary Data Scoring
- Index of Disparity
Other Considerations
Several limitations of data should be considered when reviewing the findings presented in this report. Although the topics by which data are organized cover a wide range of health and health-related areas, data availability varies by health topic. Some topics contain a robust set of secondary data indicators, while others may have a limited number of indicators or limited subpopulations covered by those specific indicators. Data scores represent the relative community health need according to the secondary data for each topic and should not be considered to be a comprehensive result on their own. In addition, these scores reflect the secondary data results for the population as a whole, and do not represent the health or socioeconomic need that is much greater for some subpopulations. Moreover, many of the secondary data indicators included in the findings are collected by survey, and though specific methods are used to best represent the population at large, these measures are subject to instability, especially for smaller populations. The Index of Disparity is also limited by data availability, where indicator data varies based on the population groups and service areas being analyzed.
The secondary data presented in this report derive from multiple sources, which may present race and ethnicity data using dissimilar nomenclature. For consistency with data sources throughout the report, subpopulation data may use different terms to describe the same or similar groups of community members.
This report presents both ZIP Code and ZIP Code Tabulation Area (ZCTA) data. ZIP Codes, which were created by the U.S. Postal Service to improve mail delivery service, are not reported in this assessment as they may change, include P.O. boxes or cover large unpopulated areas. This assessment cover ZCTAs or ZIP Code Tabulation Areas which were created by the U.S. Census Bureau and are generalized representations of ZIP Codes that have been assigned to census blocks. Demographics for this report are sourced from the United States Census Bureau, which presents ZCTA estimates. Tables and figures in the Demographics section of this report reference ZIP Codes in title (for purposes of familiarity) but show values of ZCTAs. Data from other sources are labeled as such.