District of Columbia community health needs assessment /

District of Columbia community health needs assessment /

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Bibliographic Details
Author / Creator:	Chandra, Anita.
Imprint:	Santa Monica, CA : RAND, 2013.
Description:	1 online resource (xxiii, 94 pages) : color illustrations
Language:	English
Series:	Research report
Subject:	Health surveys -- Washington (D.C.) Health surveys. Health Services Needs and Demand. Health Behavior. Health Care Rationing. Health Status. Socioeconomic Factors. Washington (D.C.) -- Statistics, Medical. Washington (D.C.) District of Columbia. Statistics -- Medical. Electronic book. Statistics.
Format:	E-Resource Book
URL for this record:	http://pi.lib.uchicago.edu/1001/cat/bib/11397174

Hidden Bibliographic Details
Other authors / contributors:	Blanchard, Janice C. Ruder, Teague. RAND Health. Rand Corporation. District of Columbia Healthy Communities Collaborative.
ISBN:	9780833082008 0833082000 9780833080530 0833080539
Digital file characteristics:	text file PDF
Notes:	"RAND Health." Includes bibliographical references (pages 93-94). Print version.
Summary:	The District of Columbia Healthy Communities Collaborative (DCHCC) represents a unique collaboration among D.C.-area hospitals and federally qualified health centers. In response to its community commitment and Affordable Care Act requirements, DCHCC set forth to conduct a community health needs assessment (CHNA) that can guide decisions about where and how to allocate resources and implement appropriate health interventions for the population it serves. The CHNA described in this report includes analysis of existing demographic, health status, and hospital service use data, as well as hospital and emergency department discharge data. The analysis of this quantitative data is complemented by an analysis of current stakeholder perspectives regarding health needs, as well as health policy and investment priorities. This CHNA demonstrates the persistence of many issues identified in prior CHNAs: asthma, obesity, mental health, and sexual health. Despite high insurance rates, health care services are not evenly distributed by ward, creating significant challenges to access. There is a need to expand these services, as well as improve care coordination between health and social services to help residents navigate the system and obtain the services they need. In addition to these intervention pathways by priority health condition, we identified emerging issues that require further investigation, including declines in coronary atherosclerosis discharges and a spike in stress-related diagnoses (headaches and back pain) and associated alcohol-related issues. This may be related to a host of factors, including economic downturn and demographic transitions in the District.

Table of Contents:

Introduction
Sociodemographic Characteristics and Trends in the District
Health and Health Risk Behaviors in the District
Access to and Use of Health Services
Stakeholder Perspectives
Conclusions
Appendix A: Top 20 Primary Conditions for Inpatient and ED Discharges (2007{u2013}2011 rankings)
Appendix B: Health and Social Determinants Focus Group Protocols
Appendix C: District of Columbia Hospitals and Community Health Centers.