PUBLICLY AVAILABLE DATA AND PRIORITIZATION Within the guiding health framework for the CHNA, publicly available data were sought that would provide information about the communities (at the city and ZIP Code level when available) and people within our service area. In addition, comparison data were gathered to show how the service area communities are faring compared to the county or state. Indicators were chosen if they were widely accepted as valid and appropriate measures and would readily communicate the health needs of the service area. Preference was given to data that were obtained in the last 5 years and were available at the ZIP Code or census tract level. The data sources used are highly regarded as reliable sources of data (e.g., ESRI Business Analyst Online, US Census Bureau American FactFinder, County Health Rankings, California Health Interview Survey Neighborhood Edition, OC Healthier Together, California Office of Statewide Health Planning and Development (OSHPD), Orange County Health Care Agency, Orange County Master Death Files, California Department of Education, California Department of Public Health and the National Cancer Institute). The data were provided to the Community Benefit Committees, which are comprised of Orange County Public Health, non-profit, education, health and community representatives to review, prior to meeting. In the data packet, a “Prioritization” list was provided along with a point system attributed to each health indicator. The highest points any health indicator could obtain was a “7” (indicating a high need) and the lowest possible point was “1,” (indicating low need). These were the seven factors considered: • • • • • • •
Trend over time (Getting “Worse” or “Better”) Impact on low-income or communities of color (“Very High” to “Very Low”) Are “High Need Areas” worse off than state averages? (“Yes” or “No”) Opportunity for Impact (“Low” to “Very High”) Alignment with System Priorities (“Yes” or “No”) Orange County Health Improvement Priority (“Yes” or “No”) Attorney General Requirement (“Yes” or “No”)
In total, 17 indicators were selected to describe the health needs in the hospital’s service area, and each was assigned a number between 1-7. Once convened for the Community Benefit Committee meetings, the Prioritization Process took place with a discussion engaging all Community Benefit Committee members in attendance. The indicators with the highest points moved on to full discussions with the Community Benefit Committee. The Community Health Investment Director for each hospital took a vote and recorded the results.
ORANGE COUNTY – MISSION HOSPITAL, ST. JOSEPH HOSPITAL OF ORANGE & ST. JUDE CHNA—2019
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