Community Health Needs Assessment City of Socorro Data Socorro County 2011-2012

1. Community Health Needs Assessment City of Socorro DataSocorro County 2011-2012 Carrie McNeil DVM Client Presbyterian Socorro General Hospital Community Needs Assessment Committee Carrie McNeil DVM, Coordinator Elizabeth Brewer-Beers RN Susan Butler Ed.D. Bo Beames MBA FACHE Kayla Cline Kike Oduwa Socorro Rotary Presentation August 22, 2012 Elizabeth Brewer-Beers, RN Socorro General Hospital Director of Community Based Programs

2. Overview of CNA Process Pre-Assessment: Identify top issues • Access to Care • Diabetes • Mental Health • Maternal Child Health • Tobacco Assessment: Data Collection • 858 surveys administered • Stakeholder interviews Post-Assessment • Statistical analysis conducted • Comprehensive CNA report written • Strategy to Address Needs • Bring stakeholders back to the table

4. Distances from Study Locations to PSGH & Albuquerque *Times & Distances are approximate, based on 2011-12 CNA *All frequencies are estimated based on SUDAAN analyses using post-stratification weighting

5. Socorro Survey Results Demographics of Respondents • 50.38% (3.09) HH Income < $30,000 • 57.83% (2.71) Hispanic; 27.71% (2.46) White; 3.92% (1.07) AI • 60.63% (2.76) Women • 2.01 (1.84-2.19) Average # Kids/household • 62.8% (2.67) Never need help reading

6. Socorro Survey Results City of Socorro’s Most Important Preventable Health Issues

7. Socorro Survey Results • Medical Care Used • 61.75% (2.67) saw doctor within past year • 25.18% (2.31) have no regular doctor • Non-emergent: 27.22%(2.46) SGMG, 21.1%(2.26) Bhasker, 19.88%(2.21) PSGH • ER: 90.71% (1.62) PSGH, 12.69% (1.86) Albuquerque • State of Health • Higher than overall average report excellent/very good health • Days in last month with depression/anxiety are almost doubled state average • Highest number of reported healthy, energetic days

8. Socorro Survey Results • Barriers to Care • >20% report the following barriers • Scheduling, no nights/weekends, insurance, time from work, cost of care • Community-Based Programs • Learned about CBPs from doctors and friends • More likely to use CBP if close to home, free, doctor recd, insurance covers, opens nights & weekends • Diabetes • >48% have not had doctor talk about diabetes • Majority see CBP & Drs as helpful to diabetic care

9. Socorro Survey Results • Tobacco • 27.42% (2.54) smoke • 7.1% (1.46) smokeless tobacco use • >35% smokers who saw doctor last year did not have doctor discuss quitting • Maternal Child • Strong support prenatal, healthy family, development CBPs • Mental Health • Top issues-illegal, prescription drug and alcohol abuse, child abuse • Majority go to family, friends or SMH for MH issues • About 4 in 10 have not been asked about mental health by doctor

10. County-wide Overall Results

11. Countywide Results Demographics of Respondents • 52.43% (2.15) Income < $30,000 • 47.07% (1.81) Hispanic; 33.05% (1.77); White; 10.4% (0.82) AI • 60.15% (1.93) Women • 2.18 (2.04-2.32) Average # Kids/household • 61.13% (1.8) Never need help reading

12. Countywide Results Overall Most Important Preventable Health Issues

13. County Survey Results • Medical Care Used • 60.75% (1.87) saw doctor within past year • 28.1% (1.68) have no regular doctor • Non-emergent:21.18% (1.61) SGMG; 18.08%(1.53) Bhasker; 17.49%(1.48) PMS • ER: 83.81% (1.34) PSGH, 16.14% (1.36) Albuquerque • State of Health • Approx. 45% very good-excellent, 18% fair-poor health reported • Out of the Past 30 Days • 22.67 (+/-0.74) Days Healthy, Full of Energy • 6.96 (+/- 0.72) Days Depressed, Anxious (above state average) • 3.42 (+/-0.57) Days of Activity Limited (close to state average)

14. County Survey Results • Barriers to Care • >30% report the following barriers • Cost, scheduling, no night/weekend care • >20% report the following barriers • Distance, lack of insurance, time from work • Community-Based Programs • Most used and trusted sources to learn about CBP: doctor, family, friend • More likely to use CBP if • Close to home, free, insurance covers, open nights & weekends • Diabetes • Almost half had never had doctor discuss diabetes risks • 8/10 would use or recommend diabetes-related CBP • Almost 9/10 state CBPs can improve health of diabetics

15. County Survey Results • Tobacco • 23.08% (1.66) smoke • 9.86% (1.17) use smokeless tobacco • About 40% of smokers who saw doctor last year were not asked about quitting • Maternal Child • >6% not sure if important to get professional help for developmental issue • Almost all felt important to get prenatal care • >12% not sure if would use/recommend health family program • Mental Health • Overall top issues: • Illegal, prescription drug & alcohol abuse, child abuse, domestic violence • Majority go to family, friends, doctors; 1/3 to SMH for MH issues • Almost 4/10 have not been asked by provider about mental health symptoms

16. County Survey Results • Poverty impacts Socorro County Disproportionately • >50% household income < $30,000 (135% federal poverty) • Over 70% of families in Alamo live in poverty • Lower income associated with lower literacy levels • Poverty is an Obstacle to Healthcare • 1 in 10 persons in poverty have not seen a doctor in 5 years • 10% fewer respondents in poverty had a regular doctor • Over 40% of all respondents identify cost as a barrier • Almost 30% responded lack of insurance is barrier to care • Many would use community-based programs (CBPs) if funded

17. County Survey Results • Poverty impacts Health • Compared to those with household incomes >$30,000: • Almost 50% fewer assess health as “excellent” • Fewer healthy days in the past 30 days • More days with mental health symptoms • More days unable to do work or activities due to health

18. 2012 SGH Board Endorsed Priority Areas • Other identified needs that are less feasible for us to address at this time: • Mental Health/Drug & Alcohol Abuse • Funding availability • Do not wish to compete with other entities • Should engage in ongoing dialogue as to how we can support and partner to address issue within community

19. Supporters & Donors Making the Survey Possible • City of Socorro • Socorro County • First State Bank • NMT- 4th of July • Phillips 66- Lemitar • Socorro Consolidated Schools • Trails End Market • Village of Magdalena • Aaron’s • Buckhorn Tavern • Corner Copy • Don Juan’s • El Sombrero • Favor-It-Things • Jerome Adam Jr • Old Town Bistro • Comcast • Alamo Chapter & School Board • KABR Radio Alamo • John Brooks Supermart • Tiish Tsoh • Smith’s Food & Drug • Spin City Laundromat • Veguita Minimart/Gas station • Old Timer’s Reunion • Gambles True Value • Leesberg’s Auto Service • Rak’s Building Supply • San Antonio General Store • San Antonio Crane Cafe

20. Many thanks to… • Regional families & individuals for sharing time & stories • Our outstanding volunteer crew who spent hours in the heat, collecting an impressive sample • Kayla Cline, intern & lead on data entry • Kike Oduwa, data entry & study design • Additional thanks to Susan Butler, Paul Weiss, Karen Levy, Kyle Steenland and the Global Experience Fund for support (Emory University, Rollins School of Public Health)

21. Questions?