Community Health Needs Assessment 2015 Contents I.
Introduction ..........................................................................................................................................................3 A.
Organization Description ..................................................................................................................................3 1. Hospital/Facility Description .............................................................................................................................3 2. Defined Community Served by Hospital ...........................................................................................................4 3. Process for Determining Service Area...............................................................................................................5
B.
Mission, Vision and Values .................................................................................................................................7
C.
Purpose .............................................................................................................................................................7
II.
Executive Summary ...............................................................................................................................................8
III.
Framework- Strategic Planning Model .............................................................................................................9 A. Key Stakeholders ...................................................................................................................................................9
B. IV.
1.
Baptist Healthcare System ...........................................................................................................................9
2.
Baptist Health Lexington .............................................................................................................................9
3.
Community .................................................................................................................................................10 Process/Methodology ....................................................................................................................................11 Profiling the Community ................................................................................................................................14
A.
Demographics and Vital Statistics ..................................................................................................................14
B.
Primary Data ...................................................................................................................................................28
C.
Secondary Data...............................................................................................................................................28
D.
Other Hospital Resources ...............................................................................................................................46
E.
Community Health Care Resources ................................................................................................................52
V.
Health Priority Issue and Strategies ....................................................................................................................99 A.
Identified Needs/Overview in Prioritized Order .............................................................................................99
B.
Priority Health Issues and Process ................................................................................................................100
VI. The Path Ahead/Next Steps..................................................................................................................................107 A.
Obesity..........................................................................................................................................................107
B.
Cardiovascular ..............................................................................................................................................109
C.
Cancer ...........................................................................................................................................................110
VII. Communication Plan ...........................................................................................................................................111
2
I. Introduction A. Organization Description 1. Hospital/Facility Description Baptist Health Lexington, a 383-bed tertiary care facility, is also a major medical research and education center. Established in 1954, Baptist Health Lexington is recognized for its excellence in maternity care, heart care and cancer care, and the hospital’s Clinical Research Center conducts groundbreaking research in both fields. Baptist Health Lexington has delivered nearly 150,000 babies. The hospital operates six outlying outpatient centers, including locations in Georgetown, Nicholasville and Richmond. Specialized, comprehensive patient services include: Heart services, Cancer care, Women’s health, including mother and baby care, Neurosciences (stroke care) Emergency care CyberKnife treatment Genetic counseling Orthopedics, Home care, Weight-loss surgery Rehabilitation services Sleep disorders center and Occupational health Excellence lauded Baptist Health Lexington has been distinguished three times as a Top Performer by the Joint Commission and has been designated three times as a Magnet hospital for nursing excellence by the American Nurses Credentialing Center. A snapshot of other recent recognitions includes: U.S. News & World Report – earned the #1 spot in Kentucky in 2014. The publication annually recognizes hospitals that excel in treating the most challenging patients. Sister hospital Baptist Health Louisville tied for the #2 spot American College of Surgeons’ Commission on Cancer – successful survey in 2014 for reaccreditation with commendation, the organization’s highest recognition American College of Cardiology – NCDR ACTION Registry-Get With the Guidelines Platinum Performance Achievement Award for 2014, one of only 256 hospitals nationwide to receive the honor Joint Commission – successful survey in 2014 for reaccreditation of the institution’s Stroke Center certification
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I. Introduction A. Organization Description (continued) Joint Commission – successful survey in 2014 for reaccreditation of the institution’s Gold Seal of Approval for the orthopedic program, specifically hip and knee Joint Commission – successful survey in 2014 for accreditation of the institution’s Advanced Certification for Palliative Care. The hospital was the first in Kentucky to receive this recognition. Society of Cardiovascular Patient Care – the first hospital in the United States to be certified for the Society’s Atrial Fibrillation Accreditation with EPS (2014) American Heart Association – Mission Lifeline® Gold Receiving Quality Achievement Award (2014) Society of Thoracic Surgeons – “3 star rating,” which denotes the organization’s highest category of quality for cardiac surgery (2014) National Accreditation Program for Breast Centers – successful survey in 2013 for reaccreditation. Oncology Nursing Certification– 2014 Employer of the Year Recognition for supporting and encouraging certification of its oncology nurses. Baptist Health Lexington has a strong commitment to its community, demonstrated through its health screenings/fairs and events such as A Midsummer Night’s Run and the Children’s Charity Classic. Baptist Health has a network of healthcare providers for patients in the Lexington area – from Baptist Health Medical Group offices, to Baptist Express Care inside Walmart stores, Baptist Urgent Care at Brannon Crossing in Nicholasville, and Baptist Health Occupational Medicine (formerly known as BaptistWorx®).
2. Defined Community Served by Hospital Baptist Health Lexington is located in Lexington, Kentucky within Fayette County. Lexington is approximately 75 miles east of the Louisville Metropolitan area. Lexington is accessible by interstate, highways and secondary roads and does have an airport.
4
3. Process for Determining Service Area For the purposes of this assessment, community is defined as the geographical area based on recommendations from the Kentucky Hospital Association (KHA), which states that hospital data analysis should be at the county level and should include counties from which 75 percent of its inpatient population resides. Based on a summary of Inpatient Discharges from calendar year 2013, the assessment advisory committee identified the community to include the 17 counties shown in Exhibit 1. Exhibit 1 illustrates total discharges, charges, and percentage of total discharges for each county. Maps illustrated on page 3 and 4 present geographical information on Baptist Health Lexington and the defined community. The first map displays the location of Baptist Health Lexington within the community while the second map illustrates the 17 counties defined as the community in this assessment. Based on origin of acute care discharges from January 1, 2013 through December 31 2013, the community has been identified as the counties listed in Exhibit 1. Exhibit 1 presents Baptist Health Lexington’s patient origin and charges for the 17 counties in its community. The maps that follow give a detailed location of Baptist Health Lexington’s location in the community.
County
Exhibit 1 Baptist Health Lexington 2013 Summary of Inpatient Discharges By County (Descending Order) Discharges Total Charges Percentage of Discharges Cumulative Percent
Fayette, KY
6548
$223,902,306
25.3%
25.3%
Jessamine, KY
1280
$40,347,599
4.9%
30.2%
Madison, KY
856
$39,802,323
3.3%
33.5%
Scott, KY
853
$29,415,393
3.3%
36.8%
Franklin, KY
479
$26,712,082
1.8%
38.7%
Woodford, KY
477
$18,571,908
1.8%
40.5%
Clark, KY
433
$19,526,904
1.7%
42.2%
Bourbon, KY
422
$17,411,533
1.6%
43.8%
Whitley, KY
357
$25,192,600
1.4%
45.2%
Anderson, KY
321
$14,472,497
1.2%
46.4%
Estill, KY
268
$15,260,453
1.0%
47.5%
Mercer, KY
214
$9,974,019
0.8%
48.3%
Garrard, KY
198
$8,451,722
0.8%
49.0%
Harrison, KY
208
$9,948,087
0.8%
49.8%
Lincoln, KY
179
$9,452,912
0.7%
50.5%
Boyle, KY
175
$10,202,627
0.7%
51.2%
Powell, KY
145
$7,698,904
0.6%
52.4%
6245
$335,635,177
19658
$861,979,046
Other
Source: KHA InfoSuite
100.0%
5
3. Process for Determining Service Area (continued) Identification and Description of Geographical Community Baptist Health Lexington is located in Lexington, Kentucky. Lexington is a city in Fayette County at the intersection of I-64 running East/West and I-75 Running North/South. The area is an urban center surrounded by rural areas. Lexington is approximately 75 miles east of Louisville Kentucky and approximately 85 miles south of Cincinnati, Ohio. The following map geographically illustrates the hospital’s location and nearby areas. Exhibit 1.1
Source: KHA InfoSuite
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I. Introduction B. Mission, Vision and Values Mission
Vision
Faith-Based Values
Baptist Health demonstrates the love of Christ by providing and coordinating care and improving health in our communities
Baptist Health will lead the transformation to healthier communities
Integrity Respect Excellence Collaboration Compassion Joy
C. Purpose The purpose of the community health needs assessment is to document compliance with the Affordable Care Act (ACA), section 501 (r) outlined above. The community needs health assessment was conducted from January 2014- April 2014. Based on current literature and guidance from the Kentucky Hospital Association, the following actions were taken as part of Baptist Health Lexington’s community health needs assessment: • The definition of “community” was established utilizing patient data regarding patient origin. The detail of this process is described in the Introduction under Process for Determining Service Area. • The following were obtained for each county meeting our community definition using sources outlined in Appendix D: Population demographics Health factors and outcomes Leading causes of death • Healthcare Strategy Group (HSG) was engaged to analyze and estimate demand for physician services. • Community input was provided through: Fayette County Health Department • Health risk factors were ranked according to prevalence in the community. • Health needs were prioritized after review of the prevalence rankings and the information gathered in the steps above. The process outlined above is documented in detail under Framework- Strategic Planning Model, subsection, Process/Methodology. 7
II. Executive Summary The Affordable Care Act (ACA), enacted in March 2010, has added requirements for hospital organizations that have or seek to have 501(c)(3), tax-exempt status. The new provision, Internal Revenue Code (IRC) Section 501(r), requires that tax-exempt hospital organizations must: • Conduct a Community Health Needs Assessment (CHNA) every three years • Adopt an implementation strategy to meet the community health needs identified in the CHNA The assessment must: •
• •
Take into account input from persons who represent the broad interests of the community served by the hospital, including those with special knowledge of, or expertise in public health Be made widely available to the public Be completed every three years with the first being completed no later than fiscal year 2012
The assessment may: • •
Be based on information collected by other organizations, such as public health agencies or nonprofit organizations Be conducted in collaboration with other organizations, including related organizations, other hospitals, and state and local agencies, such as public health departments
Source: Kentucky Hospital Association, Community Health Needs Assessment Toolkit
This document is a summary of all the available, relevant information and data collected during the community needs health assessment required by new legislation. It will serve as proof of compliance and a guide for the hospital until the next assessment.
The process illustrated in this document serves as the foundation for the prioritization and identification of the community’s health needs and determination of healthcare resources to best meet those needs.
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III. Framework- Strategic Planning Model A. Key Stakeholders 1. Baptist Healthcare System Baptist Healthcare System, Inc. ("BHS") and Baptist Healthcare Affiliates, Inc. ("BHA"), a wholly controlled affiliate of BHS, own and operate all seven of the Baptist affiliated hospitals located in the Commonwealth of Kentucky. BHS and BHA own more than 1,600 licensed acute care hospital beds in Louisville, LaGrange, Lexington, Paducah, Madisonville, Richmond and Corbin and manage the 300 bed Hardin Memorial Hospital in Elizabethtown, KY.
2. Baptist Health Lexington The key stakeholders from Baptist Health Lexington are: • • • • •
Baptist Health Lexington Administrative Board William G. Sisson, East Regional Executive and President of Baptist Health Lexington Executive Management Team Baptist Health Medical Group Physicians affiliated with Baptist Health Lexington
The following individuals served on the CHNA committee: • Gary Barnes, MBA , Regional Director of Planning, Baptist Health • Phil Brandenburg, MBA, Planning Analyst, Baptist Health • Teresa Smith, MS, RD, LD, Director of Community Education and HealthwoRx, Baptist Health Lexington Phillip Brandenburg, Planning Analyst, Baptist Health • Amanda Henson, MSHA, MBA, Vice President Oncology, Baptist Health Lexington • Susan Mobley, MBA, BSN, RN, NE-BC, Vice President of Cardiovascular Services East Region, Baptist Health Lexington
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III. Framework- Strategic Planning Model A. Key Stakeholders (continued) 3. Community Community Stakeholders included representatives from the following organizations, businesses and agencies listed below. These representatives participated in the Community Health Needs Assessment and in the development of the Community Health Improvement Plan (CHIP). American Red Cross Alzheimer’s Assoc. of Greater KY & Southern Indiana Community Action Council Bluegrass Area Agency of Aging Frontier Nursing University Bluegrass Regional MHMR Hope Center Baptist Health Lexington Kentucky Pink Connection Clark Co. Health Department Kentucky Utilities Lexington Fire & Emergency KY Dept. of Public Health – Office of Health Equity & HIV/AIDS Branch
• • • • • • • • • • • • •
• • • • • • • • • • •
Lexington HEALS Institute Lexington Clinic Lexington Police Lexington Fayette Co. Health Department Lexington Public Library Saint Joseph Hospital System PNC Bank Univ. of KY Healthcare Russell Cave Family Resource Center Univ. of KY Markey Cancer Center Univ. of KY Colleges of Dentistry, Nursing & Public Health
From the larger community stakeholders group, an eight (8) member CHIP Advisory Council was formed. This group will meet quarterly on an ongoing basis to track the progress of our community goals and objectives, and encourage sub-committee (action groups) to complete their assignments. The large stakeholders group will meet biannually to maintain chains of communication and receive updates on the overall progress of the CHIP. Following is the list of the CHIP Advisory Council members: • • • • • • • •
Vickie Blevins, Kentucky Pink Connection Andrew Beckett, MPH, Lexington-Fayette County Health Department Dr. Ann Kelly, Univ. of Kentucky, College of Public Health Nancy Garth, RN, Univ. of Kentucky, Polk Dalton Clinic John Kim, Saint Joseph Hospital Mindy Sekhon, MPH, Lexington-Fayette County Health Department Teresa Smith, MS, RD, LD, Baptist Health Lexington Beth Willett, MPH, Clark County Health Department
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III. Framework- Strategic Planning Model B. Process/Methodology To assess the needs of the greater community of the Lexington-Fayette County area in which Baptist Health Lexington resides, the hospital partnered with the Lexington- Fayette County Health Department as a participant in the MAPP process (Mobilizing for Action through Planning and Partnerships). The MAPP framework is a process designed to assess the community health status and needs, prioritize health issues and identify resources to address them. This is a community-driven process which engages the community and develops partnerships. The main objectives of the process were to:
• • • •
Complete a comprehensive assessment to accurately depict the community’s health status. Define key strategic issues, goals and strategies around those goals Develop a Community Health Improvement Plan Take action to create positive health outcomes
Because BHL’s service area is defined as a seventeen (17) county area which includes Fayette County, additional assessment tools were utilized to compile an assessment of those areas. (Refer to Secondary Data Sources, pg. 27) By 2013, each of the counties within the BHL service area will have completed the MAPP process.
Community Assessment
o
The comprehensive MAPP community assessment process involved the use of four assessments to create a well-rounded base of data & information. The four assessments included: 2010 Fayette County Assessment – this assessment gathered community thoughts and opinions about issues of greatest importance to the community. The information was gathered through a survey mailed to 6,000 randomly selected households in Fayette County. In addition, 5 community focus group forums were conducted to collect qualitative data about issues in the community from under- represented groups in the survey return. Community Focus Group Forums involved community members from the following neighborhood association areas: • Cardinal Valley/Cross Keys • Winburn/Russell Cave • William Wells Brown/Arlington/Yates • Pimlico/Greentree • Meadowthorpe/Leestown Road 11
III. Framework- Strategic Planning Model A. Process/Methodology (continued) o
Community Health Status Report – Fayette County health status data was compiled from the following secondary sources: • BRFSS Dataset from Centers of Disease Control and Prevention • KY Health Facts from Foundation for Healthy Kentucky • American Community Survey 2009 • Centers for Medicare and Medicaid Services • National Center for Health Statistics • Lexington Fayette County Police Department • KY Cabinet for Health and Family Services • Substance Abuse and Mental Health Service Administration • U.S. Census 2010
Community Assessment (continued) o
Local Public Health System Assessment – This assessment provided a look at the strength and weaknesses of the Fayette County public health system as well as gaps in quality of care. Forty-five (45) community stakeholders met in June 2011 and responded to a series of questions from the National Public Health Performance Standard Local instrument designed by the Centers for Disease Control and Prevention. Community Stakeholders included representatives from the following community organizations: • • • • • • • • • • • • •
American Red Cross Alzheimer’s Assoc. of Greater KY & Southern Indiana Community Action Council Bluegrass Area Agency of Aging Frontier Nursing University Bluegrass Regional MHMR Hope Center Baptist Health Lexington Kentucky Pink Connection Clark Co. Health Department Kentucky Utilities Lexington Fire & Emergency KY Dept. of Public Health – Office of Health Equity & HIV/AIDS Branch
• • • • • • • • • • •
Lexington HEALS Institute Lexington Clinic Lexington Police Lexington Fayette Co. Health Department Lexington Public Library Saint Joseph Hospital System PNC Bank Univ. of KY Healthcare Russell Cave Family Resource Center Univ. of KY Markey Cancer Center Univ. of KY Colleges of Dentistry, Nursing & Public Health
12
III. Framework- Strategic Planning Model A. Process/Methodology (continued) o
Forces of Change Assessment – Also during the June 2011 community stakeholders meeting, the 45 community stakeholders (as listed above) compiled a list of identified factors that are or will be influencing the health status of our community. Identifying Strategic Issues – In November 2011, the MAPP Coalition met to: • review the data and supportive information gathered from the community assessment process, • develop a manageable number of overarching strategic issues, and • identify action strategies that would address those issues The Fayette County Health Department initiatives are part of a 5 year process. Baptist Health Lexington has been an active participant in these initiatives and will continue to work with the Fayette County Health Department on issues surrounding obesity until the MAAP Coalition identifies other initiatives. Service Area Assessment - The overall assessment is the results of an in-depth review of the 2014 Kentucky County Health Rankings compiled by the University of Wisconsin Population Health Institute in collaboration with the Robert Wood Johnson Foundation. Data analysis for each county included mortality and morbidity rates, health behaviors, clinical care, social and economic factors, and the physical environment. Additionally, each county received two summary ranks: Health Outcomes and Health Factors. Health outcomes represent how healthy a county is while health factors represent what influences the health of the county.
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IV. Profiling the Community A. Demographics and Vital Statistics The U. S. Census Bureau has compiled population and demographic data based on the 2010 census. Truven Health Analytics, a company specializing in healthcare and demographics, has furnished this data on the county level to estimate population trends from 2014 to 2019. Population estimates by age and county for Baptist Health Lexington’s community are presented in Exhibit 2. Exhibit 2 Baptist Health Lexington Community County Estimated 2014 Population and Projected 2019 Population County
Under 15
15-34 years 35-54 years 55-64 years 65+ Years
Total
Estimated 2014 Population 21,532 2,803 2,948 18,541 2,552 3,098 29,230 4,043 5,082 35,377 4,937 5,648 14,519 2,056 2,453 312,825 36,008 36,329 51,031 7,387 7,965 16,914 2,419 2,749
Anderson Bourbon Boyle
4,305 3,526 4,914
5,187 4,347 7,628
6,289 5,018 7,563
Clark Estill Fayette Franklin Garrard Harrison
6,674 2,618 56,368 9,022 3,111 3,445
8,240 3,347 101,843 12,832 3,837 4,193
9,878 4,045 82,277 13,825 4,798 4,929
2,581
2,990
18,138
Jessamine Lincoln Madison
10,401 4,861 15,310
13,332 5,970 28,377
13,219 6,784 21,964
5,992 3,247 9,976
6,270 4,097 11,000
Mercer Nicholas Powell Scott Woodford
4,004 1,388 2,465 11,151 4,764
4,943 1,636 3,030 13,510 5,866
5,810 2,003 3,334 15,128 7,220
3,188 952 1,655 6,048 4,031
3,792 1,210 1,809 5,507 3,845
148,327
228,118
214,084
99,875
106,792
49,214 24,959 86,627 21,737 7,189 12,293 51,344 25,726 797,196
4,162 3,367 4,751 6,574 2,414 59,249 9,058 3,071 3,237 10,629 4,571 15,404 3,922 1,285 2,357 11,226 4,535
5,431 4,565 8,007 8,502 3,314 98,710 13,009 3,926 4,301 13,662 6,030 28,452 5,068 1,635 2,978 14,295 6,334
5,928 4,509 7,028 9,253 3,650 87,472 13,188 4,409 4,367 12,893 6,102 21,988 5,175 1,768 2,984 15,136 6,395
149,812
228,219
212,245
Provider Service Area
Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford Provider Service Area
Projected 2019 Population 22,109 2,988 3,600 18,586 2,594 3,551 29,771 4,156 5,829 36,056 5,096 6,631 14,203 2,049 2,776 329,213 38,716 45,066 52,357 7,660 9,442 17,236 2,580 3,250 17,909 2,608 3,396 51,244 6,476 7,584 24,526 3,266 4,557 89,704 10,545 13,315 21,772 3,284 4,323 6,977 968 1,321 12,024 1,637 2,068 54,675 6,836 7,182 26,265 4,335 4,666 105,794 128,557 824,627
Male
Female
10,511 9,028 14,257
10,790 9,513 14,973
17,239 7,182 154,094 24,839 8,325 8,868
18,138 7,337 158,731 26,192 8,589 9,270
23,976 12,293 42,048
25,238 12,666 44,579
10,630 3,550 6,107 25,293 12,377
11,107 3,639 6,786 26,051 13,349
390,617
406,948
10,790 9,066 14,531 17,581 7,017 162,414 25,506 8,487 8,765 24,985 12,080 43,577 10,662 3,439 5,972 26,934 12,648
11,319 9,520 15,240 18,475 7,186 166,799 26,851 8,749 9,144 26,259 12,446 46,127 11,110 3,538 6,052 27,741 13,617
404,454
420,173
Source: Truven Health Analystics
14
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 2 illustrates that the overall population is projected to increase over the next 5-year period from 797,196 to 824,627. The 65-plus age cohort that utilizes the majority of health care services is projected to increase from 106,792 to 128,557. The changes to the composition of the total community between male and female is projected to remain relatively constant over the next 5 years. Exhibit 2.1 provides the percent difference for each county from an estimated 2014 to projected 2019 population. Exhibit 2.1 illustrates that the overall population is projected to increase by 3.3 percent. The largest percentage of change will be in the 65-plus age cohorts. The 65-plus age cohort is projected to increases by 16.9 percent. This increase in the 65 and over age cohort will impact the amount and type of services required by the community. Exhibit 2.1 Central Baptist Hospital Community County Estimated 2014 Population VS Projected 2019 Population Percent Difference County
Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford Provider Service Area
Under 15 15-34 years 35-44 years 45-64 years 65+ Years
-3.4% -4.7% -3.4% -1.5% -8.5% 4.9% 0.4% -1.3% -6.4% 2.1% -6.3% 0.6% -2.1% -8.0% -4.6% 0.7% -5.0%
4.5% 4.8% 4.7% 3.1% -1.0% -3.2% 1.4% 2.3% 2.5% 2.4% 1.0% 0.3% 2.5% -0.1% -1.7% 5.5% 7.4%
1.0%
0.0%
Percentage Difference -6.1% 6.2% -11.3% 1.6% -7.6% 2.7% -6.8% 3.1% -10.8% -0.3% 5.9% 7.0% -4.8% 3.6% -8.8% 6.2% -12.9% 1.0% -2.5% 7.5% -11.2% 0.6% 0.1% 5.4% -12.3% 2.9% -13.3% 1.7% -11.7% -1.1% 0.1% 11.5% -12.9% 7.0% -0.9%
5.6%
Total
Male
Female
18.1% 12.8% 12.8% 14.8% 11.6% 19.4% 15.6% 15.4% 12.0% 17.3% 10.1% 17.4% 12.3% 8.4% 12.5% 23.3% 17.6%
2.6% 0.2% 1.8% 1.9% -2.2% 5.0% 2.5% 1.9% -1.3% 4.0% -1.8% 3.4% 0.2% -3.0% -2.2% 6.1% 2.1%
2.6% 0.4% 1.9% 1.9% -2.4% 5.1% 2.6% 1.9% -1.2% 4.0% -1.8% 3.5% 0.3% -3.2% -2.3% 6.1% 2.1%
4.7% 0.1% 1.8% 1.8% -2.1% 4.8% 2.5% 1.8% -1.4% 3.9% -1.8% 3.4% 0.0% -2.9% -12.1% 6.1% 2.0%
16.9%
3.3%
3.4%
3.1%
Source: Truven Health Analytics
15
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Certain characteristics of a population can be factors in determining the health care services required by a community. The Exhibit 2.2 is an analysis of the age distribution of the population for the primary community. This analysis is provided at the county and community level. Exhibit 2.2 Baptist Health Community County Estimated 2014 Population and Projected 2019 Population with Percent Totals County
Under 15 15-34 years 35-44 years 45-64 years 65+ Years
Total
Male
Female
Woodford
20.0% 19.0% 16.8% 18.9% 18.0% 18.0% 17.7% 18.4% 19.0% 21.1% 19.5% 17.7% 18.4% 19.3% 20.1% 21.7% 18.5%
41.0% 39.1% 34.5% 38.7% 36.5% 36.6% 36.3% 37.4% 38.8% 43.4% 39.5% 36.4% 37.7% 39.1% 40.4% 44.1% 38.5%
Estimated 2014 Population 48.1% 39.9% 13.7% 45.7% 37.1% 16.7% 50.9% 32.8% 17.4% 45.4% 36.8% 16.0% 45.6% 35.7% 16.9% 64.2% 35.5% 11.6% 49.0% 34.4% 15.6% 44.7% 36.2% 16.3% 45.2% 37.2% 16.5% 52.8% 41.2% 12.7% 47.1% 38.4% 16.4% 63.7% 34.3% 12.7% 44.5% 36.0% 17.4% 45.0% 38.1% 16.8% 44.7% 36.3% 14.7% 51.9% 42.8% 10.7% 43.9% 35.7% 14.9%
100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
48.8% 48.7% 48.8% 48.7% 49.5% 49.3% 48.7% 49.2% 48.9% 48.7% 49.3% 48.5% 48.9% 49.4% 49.7% 49.3% 48.1%
50.1% 51.3% 51.2% 51.3% 50.5% 50.7% 51.3% 50.8% 51.1% 51.3% 50.7% 51.5% 51.1% 50.6% 55.2% 50.7% 51.9%
Provider Service Area
18.6%
38.0%
56.1%
100.0%
49.0%
51.0%
Anderson
Woodford
18.8% 18.1% 16.0% 18.2% 17.0% 18.0% 17.3% 17.8% 18.1% 20.7% 18.6% 17.2% 18.0% 18.4% 19.6% 20.5% 17.3%
38.6% 37.1% 32.7% 37.4% 34.4% 36.5% 35.5% 36.2% 36.9% 42.5% 37.8% 35.3% 36.8% 37.4% 39.5% 41.7% 35.9%
Projected 2019 Population 48.0% 36.8% 16.3% 48.0% 35.4% 19.1% 52.5% 31.2% 19.6% 46.0% 35.6% 18.4% 46.1% 33.6% 19.5% 59.2% 35.5% 13.7% 48.4% 33.7% 18.0% 44.9% 35.1% 18.9% 47.0% 35.4% 19.0% 52.0% 40.5% 14.8% 48.4% 36.7% 18.6% 61.7% 33.4% 14.8% 45.6% 35.3% 19.9% 46.2% 36.3% 18.9% 49.2% 38.9% 17.2% 51.5% 40.5% 13.1% 46.5% 33.3% 17.8%
100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
48.8% 48.8% 48.8% 48.8% 49.4% 49.3% 48.7% 49.2% 48.9% 48.8% 49.3% 48.6% 49.0% 49.3% 49.7% 49.3% 48.2%
51.2% 51.2% 51.2% 51.2% 50.6% 50.7% 51.3% 50.8% 51.1% 51.2% 50.7% 51.4% 51.0% 50.7% 50.3% 50.7% 51.8%
Provider Service Area
18.2%
37.0%
54.3%
100.0%
49.0%
51.0%
Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott
Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott
Source: Truven Health Analytics
36.4%
35.7%
13.4%
15.6%
16
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Very similar to the 16.9 percent growth seen in the overall number of people in the 65-year-plus Age Cohort in Exhibit 2, Exhibit 2.2 indicates that as a percent of total population for the community, the 65year-plus age cohort will make up 13.4 percent of the population in 2014 as compared to 15.6 percent in 2019. While the relative age of the community population can impact community health needs, so can the ethnicity and race of a population. Exhibit 3 shows the population of the community by ethnicity by illustrating the Hispanic versus non-Hispanic residents. A review of this population indicates the highest Hispanic population is in Fayette County followed by the contiguous counties of Madison and Scott.
Exhibit 3 Baptist Health Lexington Community County Estimated 2014Population vs Projected 2019 Population with Percent of Difference
County Anderson County
Estimated 2014 NonHispanic Hispanic Total
Projected 2019 NonHispanic Hispanic Total
Percent Difference NonHispanic Hispanic
Percent Total NonHispanic Hispanic
391
21,141
21,532
542
21,567
22,109
38.62%
2.02%
1.82%
98.18%
Bourbon County
1,452
17,089
18,541
1,708
16,878
18,586
17.63%
-1.23%
7.83%
92.17%
Boyle County
1,000
28,230
29,230
1,274
28,497
29,771
27.40%
0.95%
3.42%
96.58%
Clark County
1,063
34,314
35,377
1,325
34,731
36,056
24.65%
1.22%
3.00%
97.00%
Estill County
117
14,402
14,519
140
14,063
14,203
19.66%
-2.35%
0.81%
99.19%
Fayette County
22,655
290,170
312,825
25,389
303,824
329,213
12.07%
4.71%
7.24%
92.76%
Franklin County
1,551
49,480
51,031
1,739
50,618
52,357
12.12%
2.30%
3.04%
96.96%
Garrard County
442
16,472
16,914
524
16,712
17,236
18.55%
1.46%
2.61%
97.39%
Harrison County
397
17,741
18,138
476
17,433
17,909
19.90%
-1.74%
2.19%
97.81%
1,494
47,720
49,214
1,718
49,526
51,244
14.99%
3.78%
3.04%
96.96%
534
24,425
24,959
712
23,814
24,526
33.33%
-2.50%
2.14%
97.86%
2,196
84,431
86,627
2,701
87,003
89,704
23.00%
3.05%
2.54%
97.46%
Mercer County
596
21,141
21,737
729
21,043
21,772
22.32%
-0.46%
2.74%
97.26%
Nicholas County
183
7,006
7,189
257
6,720
6,977
40.44%
-4.08%
2.55%
97.45%
Jessamine County Lincoln County Madison County
Powell County
157
12,136
12,293
194
11,830
12,024
23.57%
-2.52%
1.28%
98.72%
Scott County
2,358
48,986
51,344
2,720
51,955
54,675
15.35%
6.06%
4.59%
95.41%
Woodford County
1,793
23,933
25,726
1,956
24,309
26,265
9.09%
1.57%
6.97%
93.03%
Source: Truven Health Analytics
17
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 4 shows the population of the community by race by illustrating three different categories: white, black and other residents. A review of this population breakdown shows the largest percentage relative to the overall population of blacks are in Fayette and Madison Counties. Exhibit 4 Population Diversity County Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
White 20,213
Estimated 2014 Black Other
Projected 2019 Black Other
Total
White
21,532
20,287
927
Total
White
895
22,109
0.37%
Percent Difference Black Other Total
639
680
16,067
1,211
-3,077
14,201
15,867
1,262
1,457
18,586
-1.24%
4.21%
25,383
2,097
1,336
28,816
25,793
2,063
1,491
29,347
1.62%
-1.62%
11.60%
1.84% 88.09%
32,286
1,903
125
34,314
32,500
2,185
46
34,731
0.66%
14.82%
-63.20%
14,211
84
107
14,402
13,780
155
128
14,063
-3.03%
84.52%
19.63%
235,806
44,402
-33,979
12,114
303,824
4.42%
2.43%
42,894
5,485
1,101
49,480
43,650
5,972
996
50,618
1.76%
8.88%
-9.54%
2.30% 86.69% 11.09%
15,971
400
101
16,472
16,132
400
180
16,712
1.01%
0.00%
78.22%
1.46% 96.96%
2.43%
0.61%
17,127
451
163
17,741
16,625
540
268
17,433
-2.93%
19.73%
64.42%
-1.74% 96.54%
2.54%
0.92%
45,462
1,620
638
47,720
46,994
1,806
726
49,526
3.37%
11.48%
13.79%
3.78%
95.27%
3.39%
1.34%
22,842
602
725
24,169
22,133
654
863
23,650
-3.10%
8.64%
19.03%
-2.15% 94.51%
2.49%
3.00% 2.06%
246,229 246,229 45,481
45.07%
31.62%
2.68%
Percent Total White Black Other 93.87%
2.97%
3.16%
-147.35% 30.88% 113.14%
8.53%
-21.67%
7.28%
4.64%
1.22% 94.09%
5.55%
0.36%
-2.35% 98.67%
0.58%
0.74%
-135.65% 23.39% 95.77%
18.03% -13.80% 2.23%
78,570
4,122
1,739
84,431
80,166
4,827
2,010
87,003
2.03%
17.10%
15.58%
3.05%
93.06%
4.88%
20,060
738
343
21,141
19,922
702
419
21,043
-0.69%
-4.88%
22.16%
-0.46% 94.89%
3.49%
1.62%
6,972
56
161
7,189
6,710
67
200
6,977
-3.76%
19.64%
24.22%
-2.95% 96.98%
0.78%
2.24%
11,913
121
259
12,293
11,529
174
321
12,024
-3.22%
43.80%
23.94%
-2.19% 96.91%
0.98%
2.11%
46,054
2,757
2,533
51,344
48,783
3,166
2,726
54,675
5.93%
14.83%
7.62%
6.49% 89.70%
5.37%
4.93%
22,958
1,294
1,474
25,726
23,293
1,328
1,644
26,265
1.46%
2.63%
11.53%
2.10% 89.24%
5.03%
5.73%
Source: Truven Health Analytics
18
IV. Profiling the Community A. Demographics and Vital Statistics (continued) The socioeconomic characteristics of a geographic area influence the way residents access health care services and perceive the need for health care services within society. The economic status of an area may be assessed by examining multiple variables within the community. The following exhibits are a compilation of data that includes household income, labor force, employee by type of industry, unemployment rate, educational attainment, and poverty for the community served by Baptist Health Lexington. These standard measures will be used to compare the socioeconomic status of the counties that make up the community. Exhibit 5 presents the average and median income for households in each county. Median and average income is projected to only slightly increase between 2014 and 2019. Exhibit 5 Baptist Health Lexington Estimated Family Income for 2014 and Projected Family Income for 2019 with Percent of Difference Established 2014
Median Income County Name Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
$53,542 $43,136 $37,616 $45,029 $28,750 $49,041 $45,352 $42,155 $37,918 $46,048 $31,582 $39,032 $44,241 $38,906 $27,733 $54,645 $52,678
Projected 2019
Average Median Income Household Income $61,358 $55,689 $55,611 $45,136 $51,877 $36,410 $58,072 $46,326 $40,216 $30,114 $70,153 $53,362 $60,485 $46,023 $52,722 $45,675 $49,315 $38,728 $61,143 $45,990 $39,163 $31,761 $53,023 $39,291 $54,339 $43,600 $46,964 $39,438 $37,802 $27,264 $65,970 $53,040 $68,567 $52,785
Percent Difference
Average Median Income Household Income $63,727 $4.01 $58,644 $4.64 $50,536 ($3.21) $59,975 $2.88 $42,386 $4.74 $76,646 $8.81 $61,490 $1.48 $57,849 $8.35 $50,459 $2.14 $61,080 ($0.13) $39,448 $0.57 $53,427 $0.66 $73,753 ($1.45) $47,887 $1.37 $37,107 ($1.69) $64,394 ($2.94) $68,759 $0.20
Average Household Income $3.86 $5.45 ($2.58) $3.28 $5.40 $9.26 $1.66 $9.72 $2.32 ($0.10) $0.73 $0.76 $35.73 $1.97 ($1.84) ($2.39) $0.28
Source: Truven Health Analytics
19
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 6 presents the average annual unemployment rates over the last five years for the area counties. As Exhibit 6 illustrates, unemployment in all the community counties has improved significantly since 2009.
County Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
Exhibit 6 Baptist Health Lexington Community Unemployment Rate (%) 2009 - 2013 2009 2010 2011 10.4 10.3 8.8 9.6 9.6 9 11.3 11.8 11.4 11 10.7 9.9 12.4 12 11.1 7.8 8 7.4 8.9 8.7 8.1 11.7 11.3 10.3 11.3 10.8 9.8 9 9 8.4 12.5 12.5 12.5 9.1 9.1 7.7 11.3 11.3 10.6 12.1 12.1 10.3 15.5 15.5 12.2 9.6 9.6 8.5 8.2 8.2 7.3
2012 7.4 7.8 9.5 8 8.7 6.3 6.7 8.6 7.5 7.1 10.3 6.6 8.3 9.3 10 6.9 5.9
2013 6.9 7.4 9.4 7.6 8.5 6.3 6.6 8.5 7.2 6.9 10.8 6.6 8 10.1 9.8 6.5 5.9
Source: US Bureau of Labor Statistics
20
IV. Profiling the Community A. Demographics and Vital Statistics (continued) The Kentucky Cabinet for Economic Development indicates Baptist Health Lexington Community Area is supported by numerous major employers. Exhibit 7 summarizes the major industries in the 17 counties that make up the community. Major Industry
Anderson County Employed
Percent
Bourbon County Employed
Boyle County
Clark County
Estill County
Fayette County
Franklin County
Garrard County
Percent Employed Percent Employed Percent Employed Percent Employed Percent Employed Percent Employed Percent
Agriculture, Forestry, Fishing, and Hunting
0
0.00%
0
0.00%
0
0.00%
22
0.20%
0
0.00%
1616
0.90%
0
0.00%
0
Mining
0
0.00%
0
0.00%
0
0.00%
19
0.10%
0
0.00%
346
0.20%
0
0.00%
n/a
n/a
Construction
0
0.00%
122
1.80%
280
2.00%
542
4.30%
39
1.70%
7043
3.90%
727
2.40%
0
0.00%
938
21.50%
1323 20.00%
1942 14.20%
2653 20.90%
0
0.00%
12237
6.70%
2575
8.40%
250
12.00%
904
20.70%
1234 18.70%
2785 20.30%
2581 20.30%
3247 10.70%
265
12.70%
14
0.30%
31
0.50%
143
1.00%
114
0.90%
40
1.70%
5313
2.90%
465
1.50%
23
1.10%
Financial Activities
205
4.70%
217
3.30%
455
3.30%
379
3.00%
86
3.70%
8013
4.40%
1060
3.50%
69
3.30%
Services
699
16.00%
8973 29.40%
565
27.10%
11069 36.30%
Manufacturing
0.00%
Trade,Transportation, and Utilities Information
Public Administration Other
871 13.20%
5882 42.90%
4860 38.20%
417 18.10%
513 22.30%
33845 18.60%
79508 43.80%
253
5.80%
332
5.00%
741
5.40%
434
3.40%
104
4.50%
6435
3.50%
133
6.40%
1353
31.00%
24
0.00%
4
0.00%
2
0.00%
1
0.00%
83
0.00%
12
0.00%
n/a
n/a
181685 100.00%
30488
100%
2083
100.00%
100.00 Total Employed
Major Industry
4366
100.00%
Harrison County Employed
Percent
6610
%
Jessamine County
13701 100.00%
Lincoln County
12706 100.00%
Madison County
2304 100.00%
Mercer County
Nicholas County
Powell County
Scott County
Woodford County
Employed Percent Employed Percent Employed Percent Employed Percent Employed Percent Employed Percent Employed Percent Employed Percent
Agriculture, Forestry, Fishing, and Hunting
0
0.00%
0
0.00%
12
0.30%
0
0.00%
0
0.00%
11
1.20%
n/a
n/a
0
0.00%
n/a
Mining
0
0.00%
0
0.00%
n/a
n/a
0
0.00%
0
0.00%
n/a
n/a
0
0.00%
0
0.00%
n/a
n/a
Construction
0
0.00%
1171
7.50%
215
5.20%
1072
3.20%
268
4.40%
12
1.30%
0
0.00%
382
1.70%
233
2.70%
1130
23.80%
2599 16.70%
628 15.20%
4958 14.80%
1975 32.20%
46
5.10%
180
7.40%
8912
38.50%
1703 19.70%
633
13.40%
3707 23.90%
791 19.20%
4981 14.80%
868 14.20%
565 23.20%
3030
13.10%
1351 15.60%
55
1.20%
89
0.60%
14
0.30%
574
1.70%
35
0.60%
0
0.00%
11
0.50%
62
0.30%
62
0.70%
114
2.40%
328
2.10%
121
2.90%
866
2.60%
136
2.20%
0
0.00%
98
4.00%
442
1.90%
218
2.50%
381 15.70%
Manufacturing
n/a
Trade,Transportation, and Utilities Information Financial Activities
133 14.70%
3230.00 Services
758
16.00%
292
%
4792
20.70%
Public Administration
278
5.90%
555
3.60%
201
4.90%
1994
5.90%
219
3.60%
72
8.00%
232
9.50%
518
2.20%
278
3.20%
1
0.00%
10
0.10%
2
0.00%
9
0.00%
1
0.00%
0
0.00%
n/a
n/a
2
0.00%
2
0.00%
2431 100.00%
23124
100.00%
Other
4214 27.10%
863 21.00%
13945 41.50%
943 15.40%
2121 24.60%
100.00 Total Employed
4738
100.00%
15541
%
4119 100.00%
33565 100.00%
6129 100.00%
904 100.00%
21
8637 100.00%
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 8 illustrates the major employers by county with more than 100 employees. Exhibit 8 Baptist Health Lexington Employment by Top Employers (Greater Than 100 Employees) Firm
Year Established Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
Florida Tile Inc
1969
220
General Cable
1974
251
Wild Turkey Distillery
1855
151
YKK Snap Fasteners America Inc.
1955
145
Avantor Performance Materials
1978
235
CMWA
1986
504
Pizza Wholesale of Lexington Inc.
2004
160
Vermont Castings Group
1994
300
American Greetings
1967
641
Berry Plastics Corp
1978
215
Dana Corporation
1987
257
Denyo Manufacturing Corp
1995
111
Intelligrated Inc.
1974
138
National Office Furniture
1946
141
RR Donnelley
1985
658
Advanced Green Components LLC
1997
100
AMZN wacs Inc
2012
400
Catalent Pharma Solutions
1992
400
East KY Power Cooperative Inc. 1941 General Dynamics Information Tech Inc. 2014
300 208
Infiltrator Systems Inc.
1986
158
Leggett & Platt Inc
1910
250
Osram Sylvania
1953
205
Pepsi-Cola Bottling Co.
1965
117
Quality Manufacturing Inc.
1965
124
Save-A-Lot Distribution Center
1998
210
The Freeman Corporation
1913
223
Univance Inc.
1997
127
Walle Corp
1991
140
Winchester Farms Dairy
1982
183
Carhartt Inc.
1889
Amazon.com
2000
1100
Aramark Uniform Services Ashland Consumer Markets (valvoline)
2005 1980
333 694
Big Ass Fans
2002
596
Galls LLC
1973
640
IBM Global Services
1976
500
Jif Plant
1957
279
Lexington Dixie Plant
1957
280
Lexmark International Inc
1991
2154
Link-Belt Construction Equipment Co.
1974
750
Lockheed Martin
1985
1470
Schneider Electric
1955
496
Tempur Sealy International
2000
386
Trane Lexington
1963
891
UPS
N/A
587
Webasto Roof Systems Inc.
1998
592
Xerox
2002
2545
Beam Suntory Buffalow Trace Distillery
1901 1775
130
227 656 368
130
150 298 378
22
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Firm Greenheck Fan Corp Harrod Concrete and Stone Co. HP Enterprise Services Meritor Inc. Montaplast of North America Nashville Wire Products TOPY America Inc. 3M E D Bullard Company Albaad fem Alltech inc Amcor Rigid Plastics CW Assemblies LLC Donaldson Co. Inc. McKechnie Vehicle Components McLane Cumberland R J Corman Railroad Group LLC RockTenn Sargent & Greenleaf Inc Brake Parts Inc LLC DecoArt Inc Lincoln Manufacturing USA LLC AGC Glass Co NA
Year Established Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison 1996 200 1970 130 2006 165 1992 150 1992 760 1990 100 1985 300 1969 511 1972 262 1979 1980 1982 1978 1979 1979 1995 1973 1970 1973 1989 1977 1995 1997
Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
130 450 235 110 210 391 423 281 220 130 129 125 109 168
Blue Grass Chemical Agent Destruction Pilot Plant EnerSys Gill GRS & S Kokoku Rubber Inc Qualex Machining Quanex Building Products Richmond Auto Parts Technology Inc Sherwin-Williams Company The Okonite Company Corning Incorporated Hitachi Automotive Systems Americas Inc KeyTronicsEMS Toyota Boshoku Kentucky LLC Wausau Paper Corp Aichi Forge USA Inc International Crankshaft Inc Johnson Controls Inc ORBIS Corporation Orica Ground Support
2003 1976 2004 1988 1994 1995 1998 1976 1969 1952
Phoenix Transportation Services Toyota Logistic Services Toyota Motor Manufacturing Kentucky Toyota Tsusho America Inc. Transfrieght LLC Pilkington North America QuadGraphics Yokohama Industries Americas
1994 1989 1988 1986 2004 1987 1962 1989
1986 2000 1988 1990 1985 1990 1993 1994 1981
220 450 186 111 100 235 186 365 249
300
420 1100 100 162 550 327 261 818 110 100 270 142 7800 520 120 300 540 341
Source: Kentucky Cabinet for Economic Development
23
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 9 presents the percentage of total population in poverty (including under age 18) and median household income for households in each county. In 2013 a family of four was considered below the poverty line if their annual household income is below $23,624
County
Exhibit 9 Baptist Health Lexington Community County Poverty Estimate: Percentage of Total Population in Poverty and Median Household Income 2012 and 2013 2012 All Persons Under 18 Median Income 2013 All Persons Under 18
Median Income
Anderson
11.0%
18.0% $
54,704
11.4%
18.5% $
52,852
Bourbon
18.3%
26.4% $
39,002
16.5%
25.8% $
40,045
Boyle
17.8%
24.7% $
42,058
17.2%
25.0% $
43,585
Clark
14.8%
22.8% $
45,116
17.1%
25.7% $
45,516
Estill
27.8%
39.7% $
29,895
28.1%
40.3% $
30,388
Fayette
17.7%
20.2% $
46,452
19.0%
21.8% $
47,959
Franklin
16.2%
24.0% $
46,946
16.9%
24.2% $
46,309
Garrard
18.5%
28.2% $
42,620
19.3%
28.7% $
42,853
Harrison
18.9%
26.8% $
38,249
17.4%
25.1% $
42,228
Jessamine
15.7%
22.5% $
47,872
15.4%
21.8% $
52,011
Lincoln
25.2%
35.0% $
33,640
23.1%
31.4% $
35,092
Madison
22.3%
25.0% $
40,798
19.8%
22.9% $
44,845
Mercer
17.6%
24.3% $
41,129
16.4%
23.7% $
43,903
Nicholas
19.8%
31.2% $
36,514
20.6%
31.5% $
37,006
Powell
28.1%
41.9% $
31,826
29.6%
40.8% $
31,923
Scott
10.9%
15.6% $
63,063
10.5%
14.4% $
61,906
Woodford
10.5%
16.4% $
58,205
11.0%
16.2% $
59,233
Source: US Census Bureau, Small Area Estimate Branch
24
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 10 presents health insurance coverage status by age (under 65 years) and income (at or below 400 percent) of poverty for each county. Exhibit 10 Baptist Health Lexington Health Insurance Coverage Status by Age and Income 2013 All Income Levels At or Below 400% FPL County Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
Under 65 Percent Under 65 Percent Under 65 Percent Under 65 Percent Uninsured Uninsured Insured Insured Uninsured Uninsured Insured Insured 2809 15.0% 15859 85.0% 2528 19.4% 10531 80.6% 13029 21.4% 12849 78.6% 3195 26.5% 8862 73.5% 3704 17.1% 17911 82.9% 3389 21.6% 12324 78.4% 4482 15.2% 25053 84.8% 4005 19.4% 16690 80.6% 2344 19.6% 9593 80.4% 2201 22.0% 7823 78.0% 44183 16.9% 216932 83.1% 39836 23.6% 129251 76.4% 6936 17.2% 33294 82.8% 6271 22.9% 21059 77.1% 2792 19.8% 11319 80.2% 2539 23.8% 8142 76.2% 2753 17.9% 12665 82.1% 2529 21.6% 9154 78.4% 7337 17.5% 34696 82.5% 6644 22.5% 22888 77.5% 4249 21.0% 15983 79.0% 3976 23.7% 12786 76.3% 1069 16.1% 58114 83.9% 10184 20.5% 39513 79.5% 2869 16.4% 14605 83.6% 2601 20.6% 10000 79.4% 1250 21.5% 4558 78.5% 1158 24.3% 3604 75.7% 2046 19.3% 8552 80.7% 1923 21.3% 7095 78.7% 6024 13.9% 37260 86.1% 5327 20.4% 20805 79.6% 3497 16.7% 17487 83.3% 3112 23.9% 9932 76.1%
Source: US Census Bureau, SAHIE/State and Income Characteristics
25
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 10 presents health insurance coverage status by age (under 65 years) and income (at or below 400 percent) of poverty for each county. Exhibit 10 Baptist Health Lexington Health Insurance Coverage Status by Age and Income 2013 All Income Levels At or Below 400% FPL County Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
Under 65 Percent Under 65 Percent Under 65 Percent Under 65 Percent Uninsured Uninsured Insured Insured Uninsured Uninsured Insured Insured 2809 15.0% 15859 85.0% 2528 19.4% 10531 80.6% 13029 21.4% 12849 78.6% 3195 26.5% 8862 73.5% 3704 17.1% 17911 82.9% 3389 21.6% 12324 78.4% 4482 15.2% 25053 84.8% 4005 19.4% 16690 80.6% 2344 19.6% 9593 80.4% 2201 22.0% 7823 78.0% 44183 16.9% 216932 83.1% 39836 23.6% 129251 76.4% 6936 17.2% 33294 82.8% 6271 22.9% 21059 77.1% 2792 19.8% 11319 80.2% 2539 23.8% 8142 76.2% 2753 17.9% 12665 82.1% 2529 21.6% 9154 78.4% 7337 17.5% 34696 82.5% 6644 22.5% 22888 77.5% 4249 21.0% 15983 79.0% 3976 23.7% 12786 76.3% 1069 16.1% 58114 83.9% 10184 20.5% 39513 79.5% 2869 16.4% 14605 83.6% 2601 20.6% 10000 79.4% 1250 21.5% 4558 78.5% 1158 24.3% 3604 75.7% 2046 19.3% 8552 80.7% 1923 21.3% 7095 78.7% 6024 13.9% 37260 86.1% 5327 20.4% 20805 79.6% 3497 16.7% 17487 83.3% 3112 23.9% 9932 76.1%
Source: US Census Bureau, SAHIE/State and Income Characteristics
26
IV. Profiling the Community A. Demographics and Vital Statistics (continued) Exhibit 11 presents educational attainment by county for each of the 17 counties in Baptist Health Lexington’s Community. Exhibit 11 Baptist Health Lexington Education Attainment - Total Population 2014
2014 Population
County Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford
Graduated From High School 26.0% 27.4% 23.7% 25.0% 31.7% 13.9% 23.3% 30.3% 28.3% 18.8% 30.7% 18.7% 27.9% 28.4% 29.9% 19.8% 21.5%
Bachelor's Degree 7.5% 7.3% 8.3% 8.3% 2.2% 15.1% 11.6% 6.7% 4.8% 10.7% 3.5% 9.8% 6.7% 4.7% 3.6% 10.0% 12.3%
Graduate/Professional Degree 5.2% 3.5% 7.0% 4.2% 2.5% 11.3% 7.4% 3.1% 3.8% 6.3% 2.9% 7.5% 5.7% 2.9% 3.4% 6.8% 8.0%
Source: Truven Health Analytics
27
IV. Profiling the Community B. Primary Data 1. 2. 3.
Lexington-Fayette County Community Health Improvement Plan (Appendix A) Community Health Status Report Fayette County 2011 (Appendix B) Community Assessment Aggregate Report – Worksite Wellness Business/Industry Profile (Appendix C)
C. Secondary Data Health Status of Community The health of a community depends on many different factors including the environment, education and jobs, access to and quality of healthcare and individual behaviors. This section summarizes the health status of the seventeen (17) counties within the Baptist Health Lexington service area: Anderson, Bourbon, Boyle, Clark, Estill, Fayette, Franklin, Garrard, Harrison, Jessamine, Lincoln, Madison, Mercer, Nicholas, Powell, Scott and Woodford. This assessment is the results of an in-depth review of the 2014 Kentucky County Health Rankings compiled by the University of Wisconsin Population Health Institute in collaboration with the Robert Wood Johnson Foundation. Data analysis for each county included mortality and morbidity rates, health behaviors, clinical care, social and economic factors, and the physical environment. Additionally, each county received two summary ranks: Health Outcomes and Health Factors. Health outcomes represent how healthy a county is while health factors represent what influences the health of the county. Following are the health status summaries for each of our seventeen counties. (Note: Kentucky has 120 counties)
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IV. Profiling the Community C. Secondary Data (continued) Anderson Health Outcomes Rank – 24 Health Factors Rank – 5
Strengths: Well insured Low diabetes Low children in poverty Good quality of life measures Decreased smoking rates
Challenges: Obesity Alzheimer’s death rates Cardiovascular deaths Cancer deaths Physical inactivity
Leading Causes of Death: Heart Disease Cancer
Exhibit 13.1
29
IV. Profiling the Community C. Secondary Data (continued) Bourbon Health Outcomes Rank – 35 Health Factors Rank – 36
Strengths:
Challenges:
Low Alzheimer’s death rate Low stroke deaths Low unemployment rate
Diabetes Uninsured population Cardiovascular deaths Smoking Physical inactivity Obesity
Exhibit 13.2
Leading Causes of Death: Heart Disease Cancer
30
IV. Profiling the Community C. Secondary Data (continued) Boyle Health Outcomes Rank – 30 Health Factors Rank – 26
Strengths:
Challenges:
Leading Causes of Death:
Access to healthcare Low children in poverty
Obesity Cancer deaths Cardiovascular deaths Diabetes Smoking Alzheimer’s death rate Uninsured population Physical inactivity
Diseases of the heart Malignant neoplasms
Exhibit 13.3
31
IV. Profiling the Community C. Secondary Data (continued) Clark Health Outcomes Rank – 73 Health Factors Rank – 53
Strengths:
Low diabetes Lung disease deaths
Exhibit 13.4
Challenges: Obesity Physical inactivity Uninsured population Alzheimer’s death rate Smoking Cancer deaths Cardiovascular deaths
Leading Causes of Death: Heart Disease Cancer
32
IV. Profiling the Community C. Secondary Data (continued) Estill Health Outcomes Rank – 97 Health Factors Rank – 82
Strengths:
Low Alzheimer’s death rate
Exhibit 13.5
Challenges: Uninsured population Physical inactivity Diabetes Cardiovascular deaths Smoking Cancer deaths Accidents death rate Obesity
Leading Causes of Death: Heart Disease Cancer
33
IV. Profiling the Community C. Secondary Data (continued) Fayette Health Outcomes Rank – 4 Health Factors Rank – 6
Strengths:
Challenges:
Increased physical activity Access to healthcare Low smoking
Obesity High violent crime rate Cancer deaths Alzheimer’s death rate Cardiovascular deaths
Leading Causes of Death: Heart Disease Cancer
Exhibit 13.6
34
IV. Profiling the Community C. Secondary Data (continued) Franklin Health Outcomes Rank – 32 Health Factors Rank – 32
Strengths:
Challenges:
Low Alzheimer’s death rate Low Accidents death rate
Obesity Physical inactivity Uninsured population Cancer deaths Smoking Cardiovascular deaths
Exhibit 13.7
Leading Causes of Death: Heart Disease Cancer
35
IV. Profiling the Community C. Secondary Data (continued) Garrard Health Outcomes Rank – 47 Health Factors Rank – 52
Strengths:
Low cardiovascular death rate Low cancer death rate Low Alzheimer’s death rate Low Lung disease death rate Low Accidents death rate
Exhibit 13.8
Challenges: Obesity Physical inactivity Uninsured population Diabetes Smoking Availability of primary care physicians
Leading Causes of Death: Cancer
36
IV. Profiling the Community C. Secondary Data (continued) Harrison Health Outcomes Rank – 87 Health Factors Rank – 47
Strengths:
Low Alzheimer’s death rate Low diabetes death rate
Exhibit 13.9
Challenges: Obesity Physical inactivity Uninsured population Cancer deaths Smoking Cardiovascular deaths
Leading Causes of Death: Diseases of the heart Malignant neoplasms
37
IV. Profiling the Community C. Secondary Data (continued) Jessamine Health Outcomes Rank – 5 Health Factors Rank – 24
Strengths:
Challenges:
Leading Causes of Death:
Access to healthcare Low cardiovascular death rate Low stroke death rate Low cancer death rate
Obesity Alcohol-impaired driving Smoking Alzheimer’s death rate Physical inactivity
Cancer Heart Disease
Exhibit 13.10
38
IV. Profiling the Community C. Secondary Data (continued) Lincoln Health Outcomes Rank – 86 Health Factors Rank – 87
Strengths:
Challenges:
Leading Causes of Death:
Low diabetes death rate Low stroke death rate
Cardiovascular deaths Physical inactivity Uninsured population Alcohol-impaired driving Smoking Cancer deaths Accidents death rate Lung disease death rate Obesity
Heart Disease Cancer
Exhibit 13.11
39
IV. Profiling the Community C. Secondary Data (continued) Madison Health Outcomes Rank – 16 Health Factors Rank – 8
Strengths:
Challenges:
Leading Causes of Death:
Low cancer death rate Low accidents death rate Low lung disease death rate Low diabetes death rate Low stroke death rate
Obesity Physical inactivity Smoking Cardiovascular deaths Uninsured population
Heart Disease Cancer
Exhibit 13.12
40
IV. Profiling the Community C. Secondary Data (continued) Mercer Health Outcomes Rank – 61 Health Factors Rank – 40
Strengths:
Low stroke death rate
Exhibit 13.13
Challenges: Obesity Physical inactivity Diabetes Cardiovascular deaths Smoking Cancer deaths
Leading Causes of Death: Diseases of the heart Malignant neoplasms
Availability of primary care physicians
41
IV. Profiling the Community C. Secondary Data (continued) Nicholas Health Outcomes Rank – 110 Health Factors Rank – 69
Strengths:
Challenges:
Low Alzheimer’s death rate
Obesity Physical inactivity Uninsured population Diabetes Cardiovascular deaths Smoking Cancer deaths Accidents death rate Lung disease death rate Availability of primary care physicians
Exhibit 13.14
Leading Causes of Death: Heart Disease Cancer
42
IV. Profiling the Community C. Secondary Data (continued) Powell Health Outcomes Rank – 91 Health Factors Rank – 106
Strengths:
Low violent crime rate
Challenges: Obesity Physical inactivity Cardiovascular deaths
Leading Causes of Death: Diseases of the heart Malignant neoplasms
Availability of primary care physicians
Exhibit 13.15
Diabetes Smoking Cancer deaths Alzheimer’s death rate Accidents death rate Lung disease death rate Uninsured population
43
IV. Profiling the Community C. Secondary Data (continued) Scott Health Outcomes Rank – 6 Health Factors Rank –
Strengths: Increased physical activity Well insured Low diabetes Low cancer death rate Low lung disease death rate Low accidents death rate Low smoking
Challenges:
Obesity High violent crime rate
Leading Causes of Death: Heart Disease Cancer
Exhibit 13.16
44
IV. Profiling the Community C. Secondary Data (continued) Woodford Health Outcomes Rank – 10 Health Factors Rank – 3
Strengths:
Challenges:
Low cardiovascular deaths Low smoking Low diabetes Low lung disease death rate
Obesity Physical inactivity Cancer deaths (lung, colorectal, prostate) Diabetes Motor vehicle deaths
Exhibit 13.17
Leading Causes of Death: Diseases of the heart Malignant neoplasms
45
IV. Profiling the Community D. Other Hospital Resources Baptist Health Lexington has 383 acute care beds and is one of five acute care facilities located in Fayette County. Exhibit 14 summarizes hospital services available to the residents of the 17 counties in the Baptist Health Lexington Community. Exhibit14 Baptist Health Lexington Summary of Acute and Critical Access Hospitals
Hospital
Address
Facility Type
Licensed Beds
Critical Access
25
360 Amsden Avenue Versailles,
Bluegrass Community Hospital
Kentucky 40383-1286
Bourbon Community Hospital
9 Linville Drive Paris, Kentucky 40361-2196
Acute Care
56
Baptist Health Lexington
1740 Nicholasville Road Lexington, Kentucky 40503-1499
Acute Care
383
Clark Regional Medical Center
1107 West Lexington Avenue Winchester, Kentucky 40391-1138
Acute Care
75
Ephraim McDowell Fort Logan Hospital
110 Metker Trail Stanford, 40484
Critical Access
25
Ephraim McDowell Reg Medical Ctr
217 South Third Street Danville, Kentucky 40422-9983
Acute Care
197
Frankfort Regional Medical Center
299 King's Daughters Drive Frankfort, Kentucky 40601-4186
Acute Care
173
Georgetown Community Hospital
1140 Lexington Road Georgetown, Kentucky 40324-9362
Acute Care
75
Harrison Memorial Hospital
1210 Kentucky Highway 36E Cynthiana, Kentucky 41031-7498
Acute Care
61
Marcum And Wallace Memorial Hospital
60 Mercy Court Irvine, Kentucky 40336-1331
Critical Access
25
Nicholas County Hospital
2323 Concrete Road Carlisle, Kentucky 403119721
Critical Access
16
Pattie A Clay Regional Medical Ctr
801 Eastern Bypass Richmond, Kentucky 40475-2405
Acute Care
105
Saint Joseph Berea
305 Estill Street Berea, Kentucky 40403-1909
Critical Access
25
Saint Joseph East
150 North Eagle Creek Drive Lexington, Kentucky 40509-1807
Acute Care
152
Saint Joseph Hospital
One St Joseph Drive Lexington, Kentucky 40504-3754
Acute Care
453
The James B Haggin Memorial Hospital
464 Linden Avenue Harrodsburg, Kentucky 40330-1862
Critical Access
25
UKHealthCare Good Samaritan Hospital
310 South Limestone Street Lexington, Kentucky 40508-3008
Acute Care
261
University of KY Hospital
800 Rose Street, N100 Lexington, Kentucky 40536-0293
Acute Care
489
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IV. Profiling the Community D. Other Hospital Resources (continued) Other Health Care Facilities and Providers Exhibit 15 presents the market share of each hospital that had discharges from the 17 counties in the Baptist Health Lexington community. The table represents data from the four most recent years that are available, showing the number and percentages of total inpatient discharges for each hospital. Baptist Health Lexington consistently shows a market share of 18 percent as well as more than 13,000 inpatient discharges every year over the last four years.
Exhibit 15 Baptist Health Lexington Patient Analysis: Acute Care Discharges by Hospital (2011 through 2014) 2011 2012 2013 Total
Total
2014
Total
Total
Hospital Discharges Percent Discharges Percent Discharges Percent Discharges Percent Baptist Health Lexington 16,155 18.70% 13,891 16.62% 13,612 16.52% 13,161 16.02% University of Kentucky Hospital 14,687 17.00% 15,153 18.13% 15,171 18.41% 15,156 18.45% Saint Joseph Hospital 13,283 15.40% 11,894 14.23% 11,482 13.94% 10,398 12.66% Saint Joseph East 7,877 9.10% 6,643 7.95% 6,788 8.24% 7,536 9.17% Ephraim McDowell Reg Medical Center
6,308
7.30%
5,663
6.78%
5,444
6.61%
5,675
6.91%
6,227
7.20%
6,399
7.66%
6,505
7.90%
6,689
8.14%
4,575
5.30%
6,399
7.66%
6,505
7.90%
6,689
8.14%
3,549 2,604
4.10% 3.00%
2,764 2,299
3.31% 2.75%
2,618 2,114
3.18% 2.57%
2,484 2,137
3.02% 2.60%
1,871 1,650 1,532
2.20% 1.90% 1.80%
1,757 1,385 1,441
2.10% 1.66% 1.72%
1,749 1,296 1,307
2.12% 1.57% 1.59%
1,855 1,117 1,412
2.26% 1.36% 1.72%
922 938 4,184 86,362
1.10% 1.10% 4.80% 100.00%
680 825 6,372 83,565
0.81% 0.99% 7.63% 100.00%
580 698 6,520 82,389
0.70% 0.85% 7.91% 100.00%
UK Healthcare Good Samaritan Hospital Frankfort Regional Medical Center Pattie A Clay Regional Medical Center Clark Regional Medical Center Georgetown Community Hospital Harrison Memorial Hospital Bourbon Community Hospital Ephraim McDowell Fort Logan Hospital Saint Joseph Berea Other Providers Total
538 0.65% 859 1.05% 6,454 7.86% 82,160 100.00%
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IV. Profiling the Community D. Other Hospital Resources (continued) The following is a brief description of the hospitals listed in Exhibit 14: Bluegrass Community Hospital- BGCH is a 25- bed facility located in the heart of horse country in Versailles, KY. The hospital proudly serves Woodford and Anderson Counties in Central Kentucky. Licensed as a critical access hospital, it offers a broad range of inpatient, surgical, emergency and diagnostic services. Source: bluegrasscommunityhospital.com/about_bluegrass.aspx
Bourbon Community Hospital- Bourbon Community Hospital is a 58-bed acute care facility in the heart of the Bluegrass. They offer the latest in technology in a quiet hometown atmosphere. The medical staff consists of 140 physicians covering 22 specialties. Bourbon Community Hospital is part of LifePoint Hospitals. Source:.bourbonhospital.com/careers/physician_opportunities.aspx
Clark Regional Medical Center- Clark Regional Medical Center is a 79-bed, community hospital. It has over 150 physicians, 400 employees, and 100 volunteers on its staff. Clark Regional also operates a continuum of care center in Winchester and a rural health clinic in Powell County. Construction has been completed on a new 131,000-square-foot facility, featuring state-of-the-art technology including new and expanded services including diagnostic and emergency Services, home-like labor and delivery suites, private patient rooms, and a skilled nursing facility. Clark Regional is a part of LifePoint Hospitals. Source: clarkregional.org/about_crmc.aspx
Eastern State Hospital- Eastern State is located in Lexington, KY and cares for adults whose needs can no longer be met by society. As an inpatient part of a behavioral health system, Eastern State Hospital provides mental health, mental retardation and substance abuse services. It is an entity of Bluegrass Regional Mental Health and is managed by UK Health System. Source: bluegrass.org/entities/ESH/mission.shtm
Ephraim McDowell Fort Logan Hospital- Located in Stanford, Kentucky, Ephraim McDowell Fort Logan Hospital is a 25- bed critical access hospital offering quality health care and round-the-clock emergency services. Fort Logan Hospital is part of Ephraim McDowell Health. Source: emhealth.org/index.php/locations/emrmc
Ephraim McDowell Regional Medical Center- The Medical Center is a 222-bed hospital located in downtown Danville. The facility is dedicated to serving the needs in Boyle and surrounding counties. State-of-the-art technology provides the medical staff with fast, accurate information and advanced techniques to diagnose and treat illnesses. Ephraim McDowell Regional Medical Center is the core of Ephraim McDowell Health. Source: emhealth.org/index.php/locations/emrmc
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IV. Profiling the Community D. Other Hospital Resources (continued) Frankfort Regional Medical Center- Frankfort Regional Medical Center is a 173-bed hospital, located off I-64 in Central Kentucky approximately 50 miles from Lexington. The medical center serves Franklin, Anderson and surrounding counties. There are nearly 200 physicians practicing, along with 460 registered nurses and clinical staff. Source: frankfortregional.com/about/
Georgetown Community Hospital- Georgetown Community Hospital is a 75-bed acute care facility where patients have access to a broad range of quality healthcare, utilizing the most advanced technology including bariatric, orthopedic, and general surgery; women's services; and outpatient services including physical therapy and radiology. The hospital continues to add new medical services and to grow the number of specialist and primary care physicians. Source: georgetowncommunityhospital.com/about_us/georgetown_community_hospital.aspx
Harrison Memorial Hospital- HMH is a 61-bed hospital serving Harrison and surrounding counties. Harrison Memorial is a locally owned and controlled, not-for-profit facility. There are currently 20 physicians on the active medical staff and more than 50 consulting physicians. The facility has recently expanded to include a new emergency department, state-of-the-art labor and delivery suites, newborn nursery and new space dedicated to specialty clinics. Source: harrisonmemhosp.com/about.html
Marcum And Wallace Memorial Hospital- MWMH is a licensed critical access hospital located in Irving, KY. This modern facility serves as a regional referral center for a wide geographic region, including Estill, Lee, Powell, Clark, Jackson, Madison, Owsley and Wolfe counties. MWMH is sponsored by Catholic Health Partners (CHP), one of the largest not-for-profit health systems in the nation. Source: marcumandwallace.org/about_marcum.asp
Nicholas County Hospital- Nicolas County Hospital is a 16 bed critical access hospital serving Nicholas and surrounding counties. Numerous outpatient diagnostic services are offered along with a Rural Health Clinic. In addition to in/out patient services specialty service clinics are offered in urology, podiatry and two cardiology clinics. Nicholas County Hospital is operated by Johnson Mathers Health Care (JMHC), which is a private, not-for-profit organization. Source: johnsonmathers.org/hospital.htm
Baptist Health Richmond- Baptist Health Richmond is a 105-bed (acute care), not-for profit, privately owned and operated healthcare facility. Baptist Health Richmond is located in the foothills of Appalachia, in Central Kentucky in the community of Richmond. Baptist Health Richmond’s immediate service area is Madison, Estill, Garrard and Jackson counties. The Baptist Health Richmond Medical Staff consists of approximately 70 physicians and medical specialists. Source: pattieaclay.org/cms/About+Us/2.html
49
IV. Profiling the Community D. Other Hospital Resources (continued) Ridge Behavioral Health System- Located in Lexington, KY, The Ridge is a 110-bed hospital, providing psychiatric and chemical dependency services to children, adolescents and adults on an inpatient and outpatient basis. Care is provided according to an established code of ethical conduct and strict adherence to patient rights. Source: ridgebhs.com
Saint Joseph Berea- Saint Joseph Berea is a 25-bed critical access hospital serving the residents of Madison, Jackson, Rockcastle, Estill and Garrard counties. The hospital includes a fully staffed No Wait Emergency Department, Berea Family Medicine, Breast Center, Berea Specialty Clinic, Diabetes and Nutrition Center, Cardiovascular Services, Senior Renewal Center, Sleep Wellness Center, Surgical Services, and Wound Care Center. Saint Joseph Berea is part of KentuckyOne Health. Source: sjhlex.org/Berea
Saint Joseph East- Saint Joseph East, a community hospital with 217 beds, is located in the rapidly growing southeastern part of Lexington, Kentucky. At Saint Joseph East, maternal and childcare, cardiovascular services, ambulatory surgery and 24-hour emergency care are supported through traditional inpatient and outpatient programs. Additional specialty services include the Heart Institute, Breast Center, Sleep Wellness Center and the Center for Weight Loss Surgery. Saint Joseph East is part of KentuckyOne Health. Source: sjhlex.org/east
Saint Joseph Hospital- Saint Joseph Hospital is Lexington's first hospital. Founded in 1877, it has grown into a 433-bed medical center, with a full range of services, including the national award-winning Heart Institute and leading edge da Vinci robotic surgery. Saint Joseph Hospital is part of KentuckyOne Health. Source: sjhlex.org/hospital
Shriners Hospital for Children- Shriners Hospitals for Children® — Lexington, is a 50-bed pediatric orthopedic hospital. The family-centered approach to care is designed to support the whole family during the acute and reconstructive phases of a child’s injury. Located in Lexington, Ky., the hospital treats children from all over the country and around the world, and has unique relationships with some of the top hospitals and universities in the world. Source: shrinershospitalsforchildren.org/en/Hospitals/Locations/Lexington/Mission.aspx
The James B Haggin Memorial Hospital- The Hospital, located in Harrodsburg, KY, has 21 acute care\swing\observation beds, 34 long-term care beds, and 4 critical care beds. The facility is 50,000 square feet and serves over 25,000 patients annually. The James B. Haggin Memorial Hospital, the 7th largest employer, is an integral part of Mercer County. Source: hagginhosp.org/about.html
50
IV. Profiling the Community D. Other Hospital Resources (continued) UK HealthCare Good Samaritan Hospital- UK Good Samaritan Hospital is a 302- bed acute-care facility. With more than 600 clinical and ancillary staff and a medical staff of more than 600 physicians, UK Good Samaritan is able to offer a broad range of health care services to meet the needs of the residents of central and eastern Kentucky. Source: http://ukhealthcare.uky.edu/Default.aspx?id=2743#.T_RAZ4EpnMA
University of Kentucky Hospital- Opened in 1962, the University of Kentucky Albert B. Chandler Hospital, a 569-bed acute care hospital, is part of the UK HealthCare patient care enterprise. UK Chandler Hospital has Central and Eastern Kentucky’s only Level I trauma center, and handles the most severe traumas. It has the only Level III neonatal intensive care unit in the area to treat the sickest infants. The hospital also offers 100 intensive care beds, a post-anesthesia care unit, 17 operating rooms, 14-bed labor and delivery, and 26 mother-baby rooms. Source: ukhealthcare.uky.edu/ChandlerPavH/
51
IV. Profiling the Community E. Community Health Care Resources Other Health Care Facilities and Providers Ambulatory Surgery Centers: Baptist Physicians Surgery Center- Lexington, KY Commonwealth Eye Surgery Center- Lexington, KY Commonwealth Urology- Lexington, KY Dermatology Associates of Kentucky- Lexington, KY Kentucky Surgery Center- Lexington, KY Lexington Clinic- Lexington, KY Lexington Surgery Center- Lexington, KY Shriners Hospital for Children- Lexington, KY Stone Road Surgery- Lexington, KY Health Departments and Local Health Centers: Anderson County Health Department Bourbon County Health Department Boyle County Health Department Clark County Health Department Estill County Health Department Franklin County Health Department Lexington-Fayette County Health Department Garrard County Health Department Jessamine County Health Department Lincoln County Health Department Madison County Health Department Mercer County Health Department Powell County Health Department Wedco District Health Department Local Health Centers in: o Harrison County o Nicholas County o Scott County Woodford County Health Department
52
IV. Profiling the Community E. Community Health Care Resources (continued) Other Health Care Facilities and Providers Home Health Agencies Almost Family- Lexington, KY Counties Served: Anderson, Bourbon, Boyle, Clark, Fayette, Franklin, Garrard, Harrison, Jessamine, Madison, Mercer, Scott, Woodford Amedisys Home Health- Danville, KY Counties Served: Boyle Amedisys Home Health- Georgetown, KY Counties Served: Anderson, Boone, Bourbon, Boyle, Bullitt, Campbell, Clark, Estill, Fayette, Franklin, Garrard, Harrison, Jessamine, Kenton, Lincoln, Madison, Mercer, Nicholas, Oldham, Owen, Pendleton, Powell, Scott, Shelby, Spencer, Woodford Amedisys Home Health- Lexington, KY Counties Served: Fayette Amedisys Home Health- Mt. Sterling, KY Counties Served: Bath, Clark, Fayette, Jessamine, Menifee, Montgomery, Scott, Woodford Amedisys Home Health- Paris, KY Counties Served: Bourbon Cardinal Hill Home Health- Lexington, KY Counties Served: Fayette, Franklin, Jessamine, Madison, Woodford Caretenders of Central Kentucky- Danville, KY Counties Served: Boyle, Garrard, Mercer Caretenders of Central Kentucky- Frankfort, KY Counties Served: Anderson, Franklin, Harrison, Scott, Woodford Caretenders of Central Kentucky- Richmond, KY Counties Served: Clark, Madison Caretenders Visiting Services of Central Kentucky- Lexington, KY Counties Served: Anderson, Bourbon, Boyle, Clark, Fayette, Franklin, Garrard, Harrison, Jessamine, Madison, Mercer, Scott, Woodford Baptist Health Lexington Home Health Agency- Lexington, KY Counties Served: Anderson, Bourbon, Boyle, Clark, Fayette, Franklin, Garrard, Harrison, Jessamine, Madison, Mercer, Scott, Woodford Cumberland Valley District Home Health Agency- McKee, KY Counties Served: Carter, Garrard, Todd Clark County Home Health Agency- Winchester, KY Counties Served: Clark
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IV. Profiling the Community E. Community Health Care Resources (continued) Other Health Care Facilities and Providers Extra Care Private Duty Nursing- Lexington, KY Counties Served: Anderson, Bell, Boone, Bourbon, Breathitt, Campbell, Carroll, Clay, Fayette, Franklin, Gallatin, Grant, Harlan, Harrison, Jessamine, Kenton, Knott, Leslie, Letcher, Magoffin, Morgan, Nicholas, Owen, Perry, Scott, Wolfe, Woodford Family Choice Home Care- Richmond, KY Counties Served: Madison Franklin County Home Health Agency- Frankfort, KY Counties Served: Franklin Gentiva Health Services- Danville, KY Counties Served: Boyle, Mercer Gentiva Home Health Services- Lexington, KY Counties Served: Bourbon, Clark, Estill, Fayette, Franklin, Harrison, Jessamine, Madison, Nicholas, Powell, Scott, Woodford Gentiva Health Services- Stanford, KY Counties Served: Garrard, Lincoln Heritage Hospice, Inc.- Danville, KY Counties Served: Boyle, Garrard, Lincoln, Mercer Home Instead/Victory Senior Care- Frankfort, KY Counties Served: Franklin Home Instead Senior Care- Lexington, KY Counties Served: Bourbon, Clark, Fayette, Garrard, Harrison, Jessamine, Madison, Montgomery Hospice Care Plus, Inc.- Berea, KY Counties Served: Estill, Jackson, Lee, Madison, Owsley, Rockcastle Hospice Care Plus, Inc.- Compassionate Care Center- Richmond, KY Counties Served: Madison Hospice East, Inc.- Winchester, KY Counties Served: Clark, Powell Hospice of the Bluegrass- Cynthiana, KY Counties Served: Harrison Hospice of the Bluegrass- Frankfort, KY Counties Served: Franklin Hospice of the Bluegrass- Lexington, KY Counties Served: Anderson, Bell, Boone, Bourbon, Breathitt, Campbell, Carroll, Clay, Fayette, Floyd, Franklin, Gallatin, Grant, Harlan, Harrison, Jessamine, Kenton, Knott, Knox, Laurel, Leslie, Letcher, Magoffin, Morgan, Nicholas, Owen, Perry, Pike, Scott, Whitley, Wolfe, Woodford 54
IV. Profiling the Community E. Community Health Care Resources (continued) Hospice and Palliative Care of the Ohio Valley- Owensboro, KY Counties Served: Harrison, Kenton, Mercer, Owsley, Pulaski Innovative Senior Care Home Health- Lexington, KY Counties Served: Bourbon, Fayette, Franklin, Jessamine, Scott Lifeline Home Health Care- Lexington, KY Counties Served: Fayette Lifeline Home Health Care- Nicholasville, KY Counties Served: Anderson, Jessamine, Woodford Lifeline Home Health Care- Somerset KY Counties Served: Allen, Anderson, Butler, Caldwell, Casey, Christian, Clinton, Crittenden, Cumberland, Daviess, Edmonson, Fayette, Fulton, Green, Hardin, Hart, Jessamine, Lincoln, Livingston, Logan, Lyon, McCreary, Pulaski, Russell, Simpson, Taylor, Todd, Trigg, Warren, Wayne, Woodford Lifeline Home Health Care- Stanford, KY Counties Served: Lincoln McDowell Home Health Agency- Danville, KY Counties Served: Anderson, Boyle, Casey, Garrard, Lincoln, Marion, Mercer Mepco Home Health- Berea, KY Counties Served: Madison Mepco Home Health- Irvine, KY Counties Served: Estill, Madison Mepco Home Health- Richmond, KY Counties Served: Estill, Madison, Powell Nurses Registry and Home Health- Georgetown, KY Counties Served: Anderson, Estill, Franklin, Owen, Woodford Nurses Registry and Home Health- Lancaster, KY Counties Served: Boyle, Garrard, Jessamine, Mercer Nurses Registry and Home Health- Lexington, KY Counties Served: Anderson, Bourbon, Boyle, Clark, Estill, Fayette, Franklin, Garrard, Harrison, Jessamine, Madison, Mercer, Nicholas, Owen, Scott, Woodford Nurses Registry and Home Health- Paris, KY Counties Served: Bourbon, Harrison, Nicholas Nurses Registry and Home Health- Winchester, KY Counties Served: Clark Saint Joseph ANC- Lexington, KY Counties Served: Anderson, Bourbon, Boyle, Clark, Estill, Fayette, Franklin, Garrard, Harrison, Jessamine, Lincoln, Madison, Mercer, Powell, Scott, Woodford
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IV. Profiling the Community E. Community Health Care Resources (continued) Other Health Care Facilities and Providers Senior Helpers of the Bluegrass- Lexington, KY Counties Served: Anderson, Bourbon, Clark, Fayette, Franklin, Jessamine, Madison, Scott, Shelby, Woodford Wedco District Health Department Home Health Agency- Cynthiana, KY Counties Served: Bourbon, Harrison, Nicholas, Scott Wedco District Health Department Home Health Agency- Paris, KY Counties Served: Bourbon Alcohol/Drug/Substance Abuse Assistance Agency Name: Address: Contact Person Phone:
Purpose:
Alcoholics Anonymous 1093 S. Broadway, Lexington, Ky 40504 E-mail: (859) 467-8019 Website:
www.area26.net (Click on District Meetings on the right, then lick on Meeting on the left and choose the city we wish. Provides support groups for those recovering from alcohol and/or drug dependency. Open to any alcohol dependent person. Call or visit the website for meetings’ schedule and locations
Agency Name: Address: Contact Person Phone: Purpose:
Al-Ateen 845 Lane Allen Rd., Lexington, Ky 40504 E-mail: (859) 277-1877 Website: www.lexingtonafg.com Provides a support group for concerned persons who have friends, relatives, or spouses who are affected by alcohol abuse. Call for meeting dates and times. Eligible to anyone associated with a person affected by alcohol.
Agency Name: Address: Contact Person Phone: Purpose:
Bluegrass Regional Prevention Center 1351 Newtown Pike, Lexington, Ky 40511 E-mail: (859) 225-3296 Website: www.bluegrass.org Provides an early intervention program to address the issues of alcohol, tobacco and other drugs. Free referral service to teens that are considered high risk for alcohol and substance abuse. Serving 17 Counties across Kentucky.
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IV. Profiling the Community E. Community Health Care Resources (continued) Alcohol/Drug/Substance Abuse Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Bluegrass Regional Prevention Center 401 Gibson Lane, Richmond, Ky 40475 E-mail: (859) 624-3622 Website: Provides an early intervention program to address the issues of alcohol, tobacco and other drugs. Free referral service to teens that are considered high risk for alcohol and substance abuse. Serving 17 Counties across Kentucky
Agency Name: Address: Contact Person Phone: Purpose:
Celebrate Recovery 15 Redwing Drive, Winchester KY 40391 Dickie Everman E-mail: dickie@calvarychristian.net (859) 948-9291 Website: www.calvarychristian.net A Christ-centered recovery program working to provide fellowship and celebrate God’s healing power in our lives.
Agency Name: Address: Contact Person Phone: Purpose:
Chrysalis House 251E. Maxwell Street, Lexington, Ky 40508 Web: www.chrysalishouse.org (859) 231-6396/225-9912 Phone: 1800-713-0954 Provides treatment facility for adult women for recovery
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Agency for Substance Abuse Policy 24 W. Lexington, Ave. Suite 218, Winchester, Ky 40391 Janna Smith E-mail: jannasmith@clarkcountyasap.org (859) 744-1599 Website: www.clarkcountyasap.org The Clark County ASAP Board was established in 2004. By following an extensive needs assessment of the community they identify gaps in services and needs to develop strategies that best utilize existing resources. They also work to secure new resources to sustain existing initiatives and create new opportunities while providing critical substance abuse prevention and treatment services to the community. Contact the board coordinator for potential funding for substance prevention activities, treatment, or education programs.
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IV. Profiling the Community E. Community Health Care Resources (continued) Alcohol/Drug/Substance Abuse Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Cooper/Clayton Smoking Cessation Clark County Health Department 400 Professional Ave. Website: www.clarkcountyhealthdept.org (859) 744-4482 Website: www.stopsmoking4ever.org This highly successful program helps people stop their smoking addiction with education, skill training and social support. Classes are free. Please call for information about our 12 one-hour weekly sessions.
Agency Name: Address: Contact Person Phone: Purpose:
Division of Substance Abuse 100 Fair Oaks Lane 4E-D, Frankfort, Ky 40621 E-mail: (502) 564-2880 Website: Provides Assistance for Alcohol/Drug Abuse
Agency Name: Address: Contact Person Phone: Purpose:
Hillcrest Hall 2479 Grassy Rd., Mt. Sterling, Ky 40353 E-mail: (859) 498-6574 Website: Inpatient Substance Abuse, referred by court order, boys 13-18 yrs. old
Agency Name: Address: Contact Person Phone: Purpose:
Hope Center 360 W. Loudon Ave., Lexington, Ky 40508 E-mail: (859) 252-7881 Website: www.hopectr.org Coordinates and provides life sustaining/life building services to the homeless and at risk. Services include recovery program, food, health clinic, shelter, counseling, Hispanic services, education, employment counseling and referral, detoxification, and mental health services. Eligible to all homeless persons.
Agency Name: Address: Contact Person Phone: Purpose:
Liberty Place Recovery Center for Women, LLC 218 Lake Street, Richmond, Ky 40475 Jeri S. Allison E-mail: jeriallison@bellsouth.net (859) 625-0104 Fax: (859) 625-1088 Long term Residential Treatment program for people older than 18 yrs of age
Agency Name: Address: Contact Person Phone: Purpose:
Parent Assistance Program Hotline E-mail: (800) 955-6422 Website: Offers confidential services that provides professional short term counseling and assessment in the areas of substance abuse/alcoholism, marital or family dysfunction, grief and loss, and stress and anxiety
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IV. Profiling the Community E. Community Health Care Resources (continued) Alcohol/Drug/Substance Abuse Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Phoenix House Apartments 50 N. Main St., Winchester, Ky 40391 E-mail: (859) 745-6516 Website: Addiction help, Therapeutic Rehabilitation and Case Management Programs for Adults with Severe and Persistent Mental Illness
Agency Name: Address: Contact Person Phone: Purpose:
PRIDE Program 869 Sparta Court, Lexington, Ky 40504 E-mail: (859) 425-1210 Website: www.blugrass.org/a-fayette.php To provide outpatient services for pregnant women with substance abuse problems.
Agency Name: Address: Contact Person Phone:
Ridge Behavioral Health System 3050 Rio Dosa Dr., Lexington, Ky 40509 E-mail: 1800-753-4673 Website:
Purpose:
Inpatient /Outpatient mental health, chemical dependency, eating disorders, adolescent crisis intervention and substance abuse, treatment for children with severe emotional or behavioral problems. No dementia or Alzheimer’s patients.
Agency Name: Address: Contact Person Phone: Purpose:
Samaritan Center for Behavioral Health 310 S. Limestone St., Lexington, Ky 40508 E-mail: 1800-776-2673 Website: www.samaritanhospital.com Inpatient mental health. SBHL is committed to provide safe, compassionate, quality care to individuals who experience behavioral/emotional problems as well as drug/alcohol related issues. (For children and adolescents only). Don’t treat dementia.
Agency Name: Address: Contact Person Phone: Purpose:
United Way of the Bluegrass
www.ridgebhs.com/indexnew.html
E-mail: 211 Website: Help finding assistance with Food, Shelter, Support for Children, families and seniors, Health Access, Volunteer opportunities, or when you just don’t know who to call
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IV. Profiling the Community E. Community Health Care Resources (continued) Alcohol/Drug/Substance Abuse Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Vocational Rehabilitation Services 15 Lexington Ave., Winchester, Ky 40391 E-mail: (859) 737-7134/246-2185 Website: 1888-640 7908 Provides multi-service programs for those with physical and/or mental disabilities. Services include counseling, assessment, employment training and placement, and rehabilitation treatment. Services are available to anyone who has a condition resulting from accident, illness, or birth defect. Open Tuesday and Thursday
Agency Name: Address: Contact Person Phone: Purpose:
The Way to Recovery 120 W. Broadway Winchester, KY 40391 John Pichler E-mail: (859) 355-5517 Website: Christian-based abuse recovery program.
Jpichler1@gmail.com
Child Care Assistance Agency Name: Address: Contact Person Phone: Purpose:
Department of Community Base Services 1113 Pioneer Dr., Winchester, Ky 40391 Fax: (859) 737-7018 Website: Helps low-income families and students with child-care assistance. To receive assistance you must be in school or working. Services are based on family size and income.
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency (Main Office) 309 Spangler Dr., Richmond, Ky 40475 Vicki Jozefowicz Fax: (859) 624-2046 (606) 723-4492 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
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IV. Profiling the Community E. Community Health Care Resources (continued) Child Care Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency/Outreach Office 32 Meadows St., Winchester, Ky 40391 (Generation Center Location) Respite Program-Senior Center (859) 744-3235 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
Agency Name: Address: Contact Person Phone: Purpose:
United Way of the Bluegrass E-mail: 211 Website: Help finding assistance with Food, Shelter, Support for Children, families and seniors, Health Access, Volunteer opportunities, or when you just don’t know who to call
Churches Agency Name: Address: Contact Person Phone: Purpose:
Clark County Association of Churches 282 Runnymede Rd., Winchester, Ky 40391 E-mail: (859) 744-0019 Website: Services include Operation Happiness, ministry to transients, Good Friday community worship service, weekly Tuesday morning devotions at the Generations Center, etc.
Agency Name: Address: Contact Person Phone: Purpose:
Eastside Baptist Church 148 E Broadway, Winchester, Ky 40391 Pastor Joe Price E-mail: (859) 737-4444 Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Churches (continued) Agency Name: Address: Contact Person Phone: Purpose:
First Baptist Church 32 E. Lexington Ave., Winchester, Ky 40391 Dr. John Owen E-mail: fbcwinchesterky@hotmail.com (859) 744-2884 Website: www.fbcwinchesterky.org
Agency Name: Address: Contact Person Phone: Purpose:
St. Vincent de Paul Society, St. Joseph’s Church 254 S. Main St., Winchester, Ky 40391 E-mail: (859) 744-4917 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Trinity United Methodist Church Thrift Store 306 N. Main St., Winchester, Ky 40391 E-mail: (859) 744-6383 Website: Thrift Store and Pantry. Next door from the church. Please call for information.
Clothing Assistance Agency Name: Address: Contact Person Phone: Purpose:
Central-Conkwright Family Resource Center FRYSC 360 Mt. Sterling Rd., Winchester, Ky 40391 Eva Miller E-mail: eva.miller@clark.kyschools.us (859) 744-1369 Fax: 859-745-3927 To provide clothing to persons in the community free of charge. Referral and appointment required. Referrals from schools, community organizations or agencies. Please call 744-1369 to make referrals.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Community Service Center 30 Taylor Ave., Winchester, Ky 40391 Assistant Office Personnel E-mail: clarkcommunity@bellsouth.net (859) 744-5034 Fax: (859) 737-1910 To provide families with emergency aid for clothing, food, shelter and household items. Also operates a used clothing thrift store. Provides information and referrals to community resources and some utility assistance when funds exist. Also provides Christmas Help through the Operation happiness (phone lines open 11/23/09 Ph.737-3636.
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IV. Profiling the Community E. Community Health Care Resources (continued) Clothing Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Eastside Baptist Church 148 E. Broadway St., Winchester, Ky 40391 Pastor Joe Price E-mail: (859) 737-4444 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Goodwill Industries of Kentucky 1509 By-Pass Rd., Winchester, Ky 40391 E-mail: (859) 737-5922 Website:
Agency Name: Address: Contact Person
Pilot View Family Resource Center 7501 Ironworks Rd., Winchester, Ky 40391 Martina Hensley E-mail: Martina.hensley@clark.kyschools.us
Phone: Purpose:
(859) 842-5231 Website: Helps reduce barriers which interfere with students learning with students learning by providing students and family services such as school supplies, clothing, food, and parenting classes. Serves children and families enrolled.
Agency Name: Address: Contact Person Phone: Purpose:
Salvation Army 30 Taylor Ave., Winchester, Ky 40391 Scott E-mail: (859) 745-4566 Website: Provides emergency financial aid, used furniture, clothing and food. Services include emergency situations, food and medications. Chemical dependency and detox needs met in Lexington only.
Agency Name: Address: Contact Person
Trapp Family Resource Center 11400 Irvine Rd., Winchester, Ky 40391 Martina Hensley E-mail:
Phone: Purpose:
(859) 744-0027 Website: Helps reduce barriers which interfere with students learning with students learning by providing students and family services such as school supplies, clothing, food, and parenting classes. Serves children and families enrolled.
Martina.hensley@clark.kyschools.us
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IV. Profiling the Community E. Community Health Care Resources (continued) Clothing Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Trinity United Methodist Church Thrift Store 306 N. Main St., Winchester, Ky 40391 E-mail: (859) 744-6383 Website: Thrift Store and Pantry. Next door from the church. Please call for information.
Counseling Agency Name: Address: Contact Person
Bluegrass Rape Crisis Center P.O.Box 1603, Lexington, Ky 40588 Angela Gibbs E-mail:
Phone: Purpose:
(859) 744-3002 (Winch.) Fax: (859) 253-0282 24 hours confidential Crisis Line: 1800-656-4673
Angela.Gibbs@bluegrassrapecrisis.org
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Attorney’s Office Division of Victims Advocacy 17 Cleveland Ave., Winchester, Ky 40391 E-mail: scalvert@clarkcoatty.com (859) 737-7006 Website: Advocates for and provides services to female victims of domestic violence and assault. Services include assistance in obtaining protective orders and filing criminal charges, crisis intervention services, assistance with emergency shelter and other emergency services, assistance in obtaining medical care for victims of domestic violence and sexual assault, etc. Services are available to adult, female victims.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Comprehensive Care 26 N. Highland St., Winchester, Ky 40391 (moving soon to Professional Ave.) E-mail: (859) 744-2562 Website: www.bluegrass.org Provides mental health and substance abuse services. Services include counseling, crisis intervention, substance abuse assessment and counseling, parenting skills training, and referral for in-patient treatment and residential treatment. Services are available to all in need of mental health and substance abuse treatment.
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IV. Profiling the Community E. Community Health Care Resources (continued) Counseling (continued) Agency Name: Address: Contact Person
Clark County Homeless Coalition P.O. Box 4692, Winchester, Ky 40391 Karen Cinnamond E-mail: clarkcountyhomelesscoalition@gmail.com
Phone:
(859) 744-8733
Purpose:
Build and Support a shelter for Clark County that will provide life renewal programming, job training, counseling, educational opportunities, mentoring, and financial planning and counseling.
Agency Name: Address: Contact Person Phone: Purpose:
G A P Grandparents as Parents 501 South Keeneland Dr., Richmond, Ky 40475 Amy Robertson E-mail: Amy.robertson@headstart1.org (859) 623-7233 Website: Support Groups for Grandparents Raising Grandchildren. Info on available resources, practical answers and discussions on common parenting questions, education and discussion on topics relevant to relative caregivers, speakers, a chance to talk with others in similar situations, computer training, referrals pertaining to legal issues, money saving tips.
Agency Name: Address: Contact Person Phone: Purpose:
Hope Center 360 W. Loudon Ave., Lexington, Ky 40508 E-mail: (859) 252-7881 Website: www.hopectr.org Emergency Shelter, Recovery Program for men and women, Detention Center Recovery Program, Mental Health Program, Social Services, Health Clinic, Employment Program, Transitional Housing Program, Hispanic Program, VA Program, WARM (HIV) Program, HillRise Place Apartments, Mobile Outreach
Agency Name: Address: Contact Person Phone: Purpose:
Hospice East 407 Shoppers Dr., Winchester, Ky 40391 E-mail: (859) 744-9866 Website: www.hospicecp.org Nurses coordinate pain and symptom control, personal care and housekeeping services, teaching the family to care for the loved one, short-term private duty nurse during periods of crisis. Provides all necessary drugs, medical supplies, oxygen and medical equipment, short-term inpatient care when pain becomes too difficult to manage at home. Social workers assist with emotional issues and end of life planning when desired, Chaplains provide spiritual support to both the patient and family, when desired, volunteers provide additional friendship and support. Provide bereavement care and counseling to family and friends. Regardless of location of care, home, nursing home and/or hospital.
Website:
www.clarkcountyhomelesscoalition.org
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IV. Profiling the Community E. Community Health Care Resources (continued) Counseling (continued) Agency Name: Address: Contact Person Phone: Purpose:
Parent Assistance Program Hotline E-mail: (800) 955-6422 Website: Offers confidential services that provides professional short term counseling and assessment in the areas of substance abuse/alcoholism, marital or family dysfunction, grief and loss, and stress and anxiety
Disabilities Agency Name: Address: Contact Person Phone: Purpose:
ARC of the Bluegrass 898 Georgetown St., Lexington, Ky 40511 Barbara Ellerbrook Fax: (606)231-9695 (606) 233-1483 Website: Provides housing, apartment and group home, supported apartments, independent living, case management and programs for persons with development disabilities.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Association for Handicapped Citizens 150 Maryland Ave., Winchester, Ky 40391 E-mail: (859) 744-3183 Website: Addresses problems related to socialization, job skills and job placement targeting persons with disabilities. Services offered include assessment, case management, development of individual service plan, work and adult rehabilitation, job placement and training, transportation, referrals and followup. Services are available to adults with disabilities 18 years of age and older with need for training and job placement.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Head Start 32 Meadow St., Winchester, Ky 40391 Corina Patrick E-mail: (859) 744-2653 Website: To provide low-income pre-school children or pre-school children with disabilities with a comprehensive program to meet their emotional, social, health, nutritional, and psychological needs, and to strengthen the family unit. Includes center-based components and home visits.
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IV. Profiling the Community E. Community Health Care Resources (continued) Disabilities (continued) Agency Name: Address: Contact Person Phone: Purpose:
Clark County Preschool 19 Wainscott Ave., Winchester, Ky 40391 E-mail: (859) 744-1722 Fax: (859)744-1724 To provide pre-school for 3-4 years old children with in need of speech therapy, occupational therapy or physical therapy
Agency Name: Address: Contact Person Phone: Purpose:
Commission for Children with Special Health 333 Waller Ave., Ste. 300, Lexington, Ky 40504 E-mail: (859) 252-3170 Phone: 1800-817-3874 Provides outpatient medical services for diagnosis and treatment of the physically disabled from birth to age 21. Eligible to anyone 0 to 21 years of age in the Bluegrass area. A child must be referred by a concerned citizen.
Agency Name: Address: Contact Person Phone: Purpose:
First Steps 343 Waller Ave. Suite 201, Lexington, Ky 40504 Phone: 1800-454-2764 (859) 271-9448 Fax: (859) 272-6893 Early Intervention for children with slow or delayed development
Agency Name: Address: Contact Person Phone: Purpose:
Kentucky Department for the Blind 153 Patchen Dr., Ste 17, Lexington, Ky 40517 E-mail: (859) 246-2111 Website: Provides individuals who have visual disabilities with opportunities that will enable them to become more independent and productive in the workplace, community, school, and home.
Agency Name: Address: Contact Person Phone: Purpose:
Kentucky School for the Deaf 303 S. Second St., Danville, Ky 40423 E-mail: (859) 239-7017 Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Disabilities (continued) Agency Name: Address: Contact Person Phone: Purpose:
Learning Resource Center 100 Vaught Rd., Winchester, Ky 40391 Sherri Grizzle E-mail: (859) 744-2762 Website: www.clarkschools.net/preschool Provides answer for Special Education questions (Annex of the Board of education)
Agency Name: Address: Contact Person Phone: Purpose:
Vocational Rehabilitation Services 15 Lexington Ave., Winchester, Ky 40391 E-mail: (859) 737-7134 Website: 1888-640 7908 Provides multi-service programs for those with physical and/or mental disabilities. Services include counseling, assessment, employment training and placement, and rehabilitation treatment. Services are available to anyone who has a condition resulting from accident, illness, or birth defect.
Education and School Services (Adults/Children) Agency Name: Address: Contact Person Phone: Purpose:
Big Brother/Big Sister of Winchester 325 North Estill Ave., Richmond, Ky 40475 Candace French E-mail: cfrench@bbs.org (859) 624-2318 ex 541 Website: www.bbbwinchester.org Mentoring program for kids 6-13. The Richmond office serves Madison, Clark, Bourbon and Montgomery counties.
Agency Name: Address: Contact Person Phone: Purpose:
Bluegrass Community Technical College 2020 Rolling Hills Lane, Winchester, Ky 40391 Bruce Manley E-mail: Bruce.manley@kctcs.edu (859) 737-3098 Website: www.bluegrass.kctcs.edu Bluegrass Community and Technical College (BCTC) is one of the fastestgrowing two-year community and technical colleges in the state. Our mission, as a member of the Kentucky Community and Technical College System, is to provide excellence in teaching and learning. Though comprehensive and responsive programs and services, the college sustains a strong partnership with our communities to improve economic vitality and quality of life in the region. BCTC offers daytime, evening and weekend classes at six convenient campus locations as well as online course. We have several academic and technical programs that fit your needs, including two-year associate degrees, certificates and diplomas in dozen of sought-after careers. Whatever BCTC program you choose, you’ll benefit from caring, experienced professors, helpful staff, and excellent facilities.
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IV. Profiling the Community E. Community Health Care Resources (continued) Education and School Services (Adults/Children) (continued) Agency Name: Address: Contact Person Phone: Purpose:
Bush/Shearer Family Resource Center Bush: 250 N. Main St. Shearer: 244 East Broadway Susan Birch E-mail: Susan.Birch@clark.kyschools.us (859) 745-3905 / 745-2497 Fax: (859) 745-0109 / 745-3933 Helps reduce barriers which interfere with students learning by providing student and family services such as school supplies, clothing, food, and parenting classes. Serves children and families enrolled.
Agency Name: Address: Contact Person Phone: Purpose:
Central-Conkwright Family Resource Center FRYSC 360 Mt. Sterling Rd., Winchester, Ky 40391 Eva Miller E-mail: eva.miller@clark.kyschools.us (859) 744-1369 Fax: 859-745-3927 Provide vital programs, services and referrals to students and their families to promote: Early learning and successful transition to school; academic achievement and well-being; and graduation and transition into adult life. FRYSC coordinate: preschool child care; after-school child day care; families in training; family literacy services; health services and referrals; career exploration and development; substance abuse education and counseling; family crisis and mental health counseling; tutoring; and basic needs.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Children’s Council Located at all the elementary schools after school Amy Penn E-mail: (859) 745-1905 Website: To provide creative, recreational, and educational opportunities for school-age children of working parents
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Community Education Program 24 W. Lexington Ave., Suite 220, Winchester, Ky 40391 Cora L. Heffner E-mail: cora.heffner@clark.kyschools.us (859) 745-3946 Website: www2.clarkschools.net To provide lifelong learning opportunities for adults and assist with Pre K-12 education through service learning projects, recruitment of volunteers to help students in public schools, school and community partnerships. Various enrichment and job skills available for youth and adults.
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IV. Profiling the Community E. Community Health Care Resources (continued) Education and School Services (Adults/Children) (continued) Agency Name: Address: Contact Person Phone: Purpose:
Clark County Extension Service 1400 Fortune Dr., Winchester, Ky 40391 Sandy Kennedy E-mail: scrawfor@uky.edu (859) 744-4682 Fax: (859) 744-4698 To provide homemakers education and activities, farm-related education and guidance, self-esteem and nutrition programs, as well as 4-H clubs. Expanded Food and Nutrition Education Program to provide families with information on health food preparation, meals and budgeting classes.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Head Start 32 Meadow St., Winchester, Ky 40391 Corina Patrick E-mail: (859) 744-2653 Website: To provide low-income pre-school children or pre-school children with disabilities with a comprehensive program to meet their emotional, social, health, nutritional, and psychological needs, and to strengthen the family unit. Includes center-based components and home visits.
Agency Name: Address: Contact Person
Clark County Homeless Coalition P.O. Box 4692, Winchester, Ky 40391 E-mail: clarkcountyhomelesscoalition@gmail.com
Phone: Purpose:
(859) Website: Build and Support a shelter for Clark County that will provide life renewal programming, job training, counseling, educational opportunities, mentoring, an financial planning and counseling.
Agency Name: Address: Contact Person Phone:
Clark County Literacy Council/Adult Education Center 52 N. Maple Street, Winchester, Ky 40391 Kaye Wiseman E-mail: Fwiseman_cae@roadrunner.com (859) 744-1975 Website: www.winchesteradulteducation.org
Purpose:
Earn your GED, Learn to Read, Improve your Reading Skills, Complete the Kentucky Employability Certificate Program, Learn English as a second language, Prepare for the Compass Test, Refresh your academic skills in order to enter a Post Secondary Program.
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IV. Profiling the Community E. Community Health Care Resources (continued) Education and School Services (Adults/Children) (continued) Agency Name: Address: Contact Person Phone: Purpose:
Clark County Public Library 370 S. Burns Ave., Winchester, Ky 40391 Jeff Gurnee E-mail: (859) 744-5661 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Clark Middle Youth Service Center 1 Educational Plaza, Winchester, Ky 40391 Rick Mitchell E-mail: (859) 744-5008 Website: To reduce the barriers which interfere with students’ learning by providing student and family services
Agency Name: Address: Contact Person Phone: Purpose:
Eastern Kentucky University 521 Lancaster Avenue, Richmond, Ky 40475 E-mail: (859) 622-2106/622-2001 Website: www.eku.edu Collage Education
Jeff.clarkbooks@gmail.com www.clarkpublib.org
Agency Name: Address: Contact Person
English Language Learner Program/Homeless Education Program Fannie Bush Elementary, 250 North Main St., Winchester, Ky 40391 Ruth Gatewood E-mail: Ruthann.Gatewood@clark.kyschools.us
Phone: Purpose:
(859) 808-0085 Website: To provide Family Basic Supports, Community referrals, Educational English Classes, Bilingual Consultation & Communication Between Families and Schools.
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency (Main Office) 309 Spangler Dr., Richmond, Ky 40475 Vicki Jozefowicz Fax: (859) 624-2046 (606) 723-4492 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
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IV. Profiling the Community E. Community Health Care Resources (continued) Education and School Services (Adults/Children) (continued) Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency/Outreach Office 32 Meadows St., Winchester, Ky 40391 (Generation Center Location) Respite Program-Senior Center (859) 744-3235 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency (Richmond Location) 311 Spangler Dr., Richmond, Ky 40475 E-mail: (859) 624-4116 Fax: (859) 624-2049 Free Couple/individual Financial Coaching and Financial Peace with Financial Partners
Agency Name: Address: Contact Person Phone: Purpose:
George Rogers Clark Youth Service Center 620 Boone Ave., Winchester, Ky 40391 John Lennon E-mail: John.lennon@clark.kyschools.us (859) 744-6111 ex 1189 Website: To help remove obstacles in the way of student education.
Agency Name: Address: Contact Person Phone: Purpose:
Hannah McClure Family Resource Center 30 Beckner St., Winchester, Ky 40391 Michelle Mitchell E-mail: (859) 744-6922 Fax: (859) 745-2147 To reduce barriers which interfere with students’ learning by providing student and family services
Agency Name: Address: Contact Person
Migrant Education Program 330 Mt. Sterling Rd., Winchester, Ky 40391 Heather Rhorer E-mail: Heather.Rhorer@clark.kyschool.us
Phone: Purpose:
(859) 808-0122 Phone: (859) 745-3900 To provide resources for students of migrant families and out-of-school youth such as clothing, school supplies, referrals to other agencies (Health Department, ESL Classes, Adult Ed, Food Banks, etc…), provide in school and summer tutoring programs, and to advocate for students’ rights. Clothing bank visits require a referral from a school or community organization or agency. Please call 745-3900 to make a referral
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IV. Profiling the Community E. Community Health Care Resources (continued) Education and School Services (Adults/Children) (continued) Agency Name: Address: Contact Person Phone: Purpose:
National College of Business and Technology 139 S. Killarney Lane, Richmond, Ky 40475 E-mail: (859) 623-8956 Website: www.ncbt.edu College Education (call for different locations, including Lexington)
Agency Name: Address: Contact Person Phone: Purpose:
Parks and Recreation Department 15 Wheeler Ave., Winchester, Ky 40391 Jeff Lewis E-mail: winchesterpandr@gmail.com (859) 744-9554 Website: Recreational opportunities, fitness classes, line dance class, sports programs.
Agency Name: Address: Contact Person
Pilot View Family Resource Center 7501 Ironworks Rd., Winchester, Ky 40391 Martina Hensley E-mail: Martina.hensley@clark.kyschools.us
Phone: Purpose:
(859) 842-5231 Website: Helps reduce barriers which interfere with students learning with students learning by providing students and family services such as school supplies, clothing, food, and parenting classes. Serves children and families enrolled.
Employment Agency Name: Address: Contact Person Phone: Purpose:
Access Richmond 403 Gibson Lane, Richmond, Ky 40475 Eddie Felly E-mail: (859) 624-3624 ext 629 Website:
Agency Name: Address: Contact Person
Clark County Homeless Coalition P.O. Box 4692, Winchester, Ky 40391 Karen Cinnamond E-mail: clarkcountyhomelesscoalition@gmail.com
Phone:
(859) 744-8733
Purpose:
Build and Support a shelter for Clark County that will provide life renewal programming, job training, counseling, educational opportunities, mentoring, an financial planning and counseling.
Website:
www.clarkcountyhomelesscoalition.org
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IV. Profiling the Community E. Community Health Care Resources (continued) Employment (continued) Agency Name: Address: Contact Person Phone: Purpose:
Department for Employment Services and Training 15 W. Lexington, Ave., Winchester, Ky 40391 Diane Travis E-mail: Diane.travis@ky.gov (859) 737-7793 Fax: (859) 737-7310 Our agency administers the Employment Services and Unemployment Insurance Programs. OET also administer the TRADE program which assist claimants to return to school for additional training. Co-located in our office are Vocational Rehabilitation and Bluegrass ADD. Purpose is to register individuals for unemployment, to determine qualifications to receive benefits, to assist employees in matters of unemployment compensation, to assist individuals in finding employment and to assist employers in finding qualified workers. Services are available to everyone.
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency (Main Office) 309 Spangler Dr., Richmond, Ky 40475 Vicki Jozefowicz Fax: (859) 624-2046 (606) 723-4492 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency/Outreach Office 32 Meadows St., Winchester, Ky 40391 (Generation Center Location) Respite Program-Senior Center (859) 744-3235 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
Agency Name: Address: Contact Person Phone: Purpose:
Migrant Farmworkers Employment partnership Esperanza Rivera E-mail: Esperanza.rivera@uky.edu (859) 559-7631 Website: Develop and implement an innovative continuum-of-services system for the identification, assessment, and job placement of migrant and seasonal farmworkers and their family members with disabilities
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IV. Profiling the Community E. Community Health Care Resources (continued) Employment (continued) Agency Name: Address: Contact Person Phone: Purpose:
Regional Kentucky Works Program 1111 Pioneer Dr., Winchester, Ky 40391 Gina Dicks E-mail: Gina.dicks@BigSandy.org (859) 737-7730 ex 2500 Fax: (859) 737-7030 Work with the K-TAP recipients to help them achieve self-sufficiency through Education, Jon Training, Job Placement or Community Service
Agency Name: Address: Contact Person Phone: Purpose:
United Women 309 Spangler Drive, Richmond, Ky 40475 Sandra Powell E-mail: (859) 624-2046 Website: Is composed of women from Central America whose goal is to learn skills that can help them become economically independent, receiving training in sewing skills, crochet and jewelry, the program also focuses on housing assistance and self-development. Participants also take English Classes.
Agency Name: Address: Contact Person Phone: Purpose:
Vocational Rehabilitation Services 15 Lexington Ave., Winchester, Ky 40391 E-mail: (859) 737-7134 Website: 1888-640 7908 Provides multi-service programs for those with physical and/or mental disabilities. Services include counseling, assessment, employment training and placement, and rehabilitation treatment. Services are available to anyone who has a condition resulting from accident, illness, or birth defect.
Agency Name: Address: Contact Person Phone: Purpose:
Winchester Sun John Nelson (859) Find Kentucky Jobs
E-mail: Website:
John.nelson24@gmail.com www.winchestersun.com
Food Assistance Agency Name: Address: Contact Person Phone: Purpose:
Angel Food Ministries Grace Bible Church Main Street, Winchester, Ky 40391 E-mail: (859) 744-7537/749-2868 Website: www.angelfoodministries.com Food Boxes and Holiday packages at low cost. Monthly Menus. Can pick up menu and/or ordering at the Grace Bible Church located on Main Street across from the Post Office. Accepts cash and Food Stamps. Please call for information on ordering and pick-up dates.
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IV. Profiling the Community E. Community Health Care Resources (continued) Food Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Arc of Mercy – Our Daily Bread 240 Winn Ave., Winchester, Ky 40391 E-mail: (859) 745-0700/745-0767 Website: Provides food to those in need. Operates “Our Daily Bread” food program. Meals are served daily Monday through Friday, Friday night and Sunday afternoon at the church. Delivers food to shut-ins.
Agency Name: Address: Contact Person Phone: Purpose:
Church of God Cathedral 3313 Lexington Rd., Winchester, Ky 40391 E-mail: (859) 744-6939 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Community Service Center 30 Taylor Ave., Winchester, Ky 40391 Assistant Office Personnel E-mail: clarkcommunity@bellsouth.net (859) 744-5034 Fax: (859) 737-1910 To provide families with emergency aid for clothing, food, shelter and household items. Also operates a used clothing thrift store. Provides information and referrals to community resources and some utility assistance when funds exist. Also provides Christmas Help through the Operation Happiness Program (phone lines open 11/23/09 Ph.737-3636.
Agency Name: Address: Contact Person Phone: Purpose:
Community Action Partnership 32 Meadow St., Winchester, Ky 40391 E-mail: (859) 744-3235 Website: Emergency Services, Energy Assistance, Food Assistance, Family Development, Weatherization & Home Rehab, Rental Housing Assistance, Money Management assistance, Employment assistance, Donations, Volunteers Opportunities
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IV. Profiling the Community E. Community Health Care Resources (continued) Food Assistance (continued) Agency Name: Address: Contact Person Phone: Purpose:
Department of Community Based Services 1113 Pioneer Dr., Winchester, Ky 40391 Family Support/Food E-mail: Stamps (859) 737-7730 Website: The Department for Community Based Services (DCBS) is responsible for child and adult protection, foster care and adoption, and services to enhance family self sufficiency. Services included foster care, juvenile services, adoptions and abuse and neglect investigations. The Division of Family Support provides technical support to local staff for the Food Stamp Program , Kentucky Temporary Assistance (KTAP) Program, and Medicaid Programs. Protection and Permanency helps families maintain, or regain, family autonomy, while at the same time assuring the protection of individuals.
Agency Name: Address: Contact Person Phone: Purpose:
First Baptist Church 32 E. Lexington Ave., Winchester, Ky 40391 Dr. John Owen E-mail: fbcwinchesterky@hotmail.com (859) 744-2884 Website: www.fbcwinchesterky.org
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency/Outreach Office 32 Meadows St., Winchester, Ky 40391 (Generation Center Location) Respite Program-Senior Center (859) 744-3235 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency (Main Office) 309 Spangler Dr., Richmond, Ky 40475 Vicki Jozefowicz Fax: (859) 624-2046 (606) 723-4492 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
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IV. Profiling the Community E. Community Health Care Resources (continued) Food Assistance (continued) Agency Name: Address: Contact Person
Pilot View Family Resource Center 7501 Ironworks Rd., Winchester, Ky 40391 Martina Hensley E-mail: Martina.hensley@clark.kyschools.us
Phone: Purpose:
(859) 842-5231 Website: Helps reduce barriers which interfere with students learning with students learning by providing students and family services such as school supplies, clothing, food, and parenting classes. Serves children and families enrolled.
Agency Name: Address: Contact Person
Trapp Family Resource Center 11400 Irvine Rd., Winchester, Ky 40391 Martina Hensley E-mail:
Phone: Purpose:
(859) 744-0027 Website: Helps reduce barriers which interfere with students learning with students learning by providing students and family services such as school supplies, clothing, food, and parenting classes. Serves children and families enrolled.
Agency Name: Address: Contact Person Phone: Purpose:
Martina.hensley@clark.kyschools.us
Trinity United Methodist Church Thrift Store 306 N. Main St., Winchester, Ky 40391 E-mail: (859) 744-6383 Website: Thrift Store and Pantry. Next door from the church. Please call for information.
Health Services Agency Name: Address: Contact Person Phone: Purpose:
Agency Name: Address: Contact Person Phone: Purpose:
American Cancer Society 160 Moore Dr. Suite 201, Lexington, Ky 40503 E-mail: 1800-227-2345 24 Hrs. 7 days a week (859) 276-3223 Website: www.cancer.com Services include hospital equipment for the home, transportation services, medical information on cancer, visitation programs, surgical bandages and miscellaneous gift items. Service is given only on request or as approved by the patient’s physician. American Heart Association 210 Malabu Dr., Lexington, Ky 40503 Jennifer Ebert E-mail: (859) 278-1632 Website: Fund Raising Office
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IV. Profiling the Community E. Community Health Care Resources (continued) Health Services (continued) Agency Name: Address: Contact Person Phone: Purpose:
Baptist Express Care 1859 Bypass Road Camilla Hutchinson E-mail: (859) 355-1882 Website: www.baptistexpresscare.com Designed to provide convenient and affordable basic healthcare. No appointment is necessary. Most insurance plans accepted.
Agency Name: Address: Contact Person Phone: Purpose:
Berea Health Ministry Clinic 132 Mini Mall Dr. (Boone Square Mall), Berea, Ky 40403 E-mail: (859) 986-1274 Website: Accept all medical cards, non-insured patients pay $15.00 co-pay plus labs and/or other fees
Agency Name: Address: Contact Person Phone: Purpose:
Berea Whitehouse Clinic 104 Legacy Dr., Berea, Ky 40403 E-mail: (859) 986-2719 Website: Charges according to family income
Agency Name: Address: Contact Person Phone:
Bluegrass Farmworker Health Center 1306 Versailles Rd., Lexington, Ky Ruth Brown E-mail: 1877-527-2583 / 859-259Fax: (859) 254-7854 2635 Bilingual Services (Spanish/English), Adults and Children, Charges according to family income, Pharmacy Assistance, Screening and Treatment for Hypertension and Diabetes, Free HIV test, Immunizations and School Physicals.
Purpose:
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Health Department 400 Professional Ave., Winchester, Ky 40391 E-mail: (859) 744-4482 Website: www.clarkhealthdept.org Provides service to Clark County residents in need of medical care. Services include family planning, medical screening for children and adults, wellness program, teenage pregnancy program, parental program, etc. Services eligible to Clark County residents who meet program requirements. Sliding scale based on income. Medicaid, Medicare and private insurances accepted.
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IV. Profiling the Community E. Community Health Care Resources (continued) Health Services (continued) Agency Name: Address: Contact Person Phone: Purpose:
Clark Immediate Care
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Home Health 273 Shoppers Dr., Winchester, Ky 40391 Gerri Gentry E-mail: Regene.Collier@ky.gov (859) 744-1488 Website: www.clarkhomehealth.com To provide skilled nursing care, personal care, physical therapy, occupational therapy, speech therapy, EPSDT services and homemaker services to homebound patients under physician care.
Agency Name: Address: Contact Person Phone: Purpose:
Clark Regional Medical Center 1107 W. Lexington Ave., Winchester, Ky 40391 E-mail: (859) 745-3500 Website: www.Clarkregional.org Provides quality health care services by professionals and caring staff, which meets the medical needs of patients in an effective and cost efficient manner. Services provided include: emergency medical services, lifeline emergency response system, support group, social services and discharge planning, traditional care unit and swing beds. Services are provided to anyone in need of health care or services.
Agency Name: Address: Contact Person Phone: Purpose:
Department of Community Based Services 1113 Pioneer Dr., Winchester, Ky 40391 Medicaid Office E-mail: (859) 737-7730 Website: The Department for Community Based Services (DCBS) is responsible for child and adult protection, foster care and adoption, and services to enhance family self sufficiency. Services included foster care, juvenile services, adoptions and abuse and neglect Investigations. The Division of Family Support provides technical support to local staff for the Food Stamp Program , Kentucky Temporary Assistance (KTAP) Program, and Medicaid Programs. Protection and Permanency helps families maintain, or regain, family autonomy, while at the same time assuring the protection of individuals.
(859) 745-1160 Emergency Medical Care
E-mail: Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Health Services (continued) Agency Name: Address: Contact Person Phone: Purpose:
Address: Contact Person Phone: Purpose:
Fountain Circle Health and Rehabilitation 200 Glenway Rd., Winchester, Ky 40391 Dennise McNatt E-mail: (859) 744-1800 Website: Nursing Home, provides a full range of medical services to treat residents and the patients who come for short term, episodic medical or rehabilitation care. (Alzheimer’s Care Unit, long term care, nutrition services, outpatient services and other services) HANDS Program 400 Professional Ave., Winchester, Ky 40391 Shawna Thomerson E-mail: ShawnaD.thomerson@ky.gov (859) 744-4482 Website: To assist first-time parents with critical development points during their child’s first years of life through home visitation. HANDS believes all families deserve to be healthy, happy and safe. Bilingual Services available.
Agency Name: Address: Contact Person Phone: Purpose:
Hospice East 407 Shoppers Dr., Winchester, Ky 40391 E-mail: (859) 744-9866 Website: Nurses coordinate pain and symptom control, personal care and housekeeping services, teaching the family to care for the loved one, short-term private duty nurse during periods of crisis. Provides all necessary drugs, medical supplies, oxygen and medical equipment, short-term inpatient care when pain becomes too difficult to manage at home. Social workers assist with emotional issues and end of life planning when desired, Chaplains provide spiritual support to both the patient and family, when desired, volunteers provide additional friendship and support. Provide bereavement care and counseling to family and friends. Regardless of location of care, home, nursing home and/or hospital.
Agency Name: Address: Contact Person Phone: Purpose:
Lexington Community College Dental Hygiene Program 470 Cooper Drive, Lexington, Ky 40506 E-mail: (859) 246-6857 Website: To provide graduates who care for the oral health needs of the public. Fees from $10-$65 depending on services and what year dental student provides the services.
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IV. Profiling the Community E. Community Health Care Resources (continued) Health Services (continued) Agency Name: Address: Contact Person Phone:
Lexington-Fayette County Health Department 650 Newtown Pike, Lexington, Ky 40508 E-mail: (859) 252-2371 Website: www.lexingtonhealthdepartment.org
Purpose:
Primary Care Medical Clinic, Triage, Dental Clinic, WIC. Bilingual Services available.
Agency Name: Address: Contact Person Phone: Purpose:
Lions Club P.O. Box 405, Winchester, Ky 40391 E-mail: (859) Website: Provides glasses for the needy and underprivileged and financial assistance with hearing aids. Applications can be obtained from school counselors and from the Clark County Health Department.
Agency Name: Address: Contact Person
New Beginnings of Winchester (formerly AA Pregnancy Care Ct.) 139 Jefferson St., Winchester, Ky 40391 Billy Jo Graham E-mail: thestaff@newbeginningsofwinchester.com
Phone: Purpose:
(859) 744-5688 Website: Provides assistance to expectant women, mothers and families. Free pregnancy tests, help with diapers, baby clothes, parenting classes, etc.
Agency Name: Address: Contact Person Phone: Purpose:
Planned Parenthood of the Bluegrass 508 W. Second St., Lexington, Ky 40508 E-mail: (859) 252-0448 Website: www.ppky.org Pregnancy test, Emergency Pill and Prenatal Care, call for more information or visit our web page.
Agency Name: Address: Contact Person Phone: Purpose:
Prescription Assistance E-mail: (859) 744-4482 (Clark) Website: Please call your Local Health Department for a list of Participants Pharmaceutical Companies
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IV. Profiling the Community E. Community Health Care Resources (continued) Health Services (continued) Agency Name: Address: Contact Person Phone: Purpose:
Rapha Ministries 137 N. Main St., Winchester, Ky 40391 Stacy Baker E-mail: raphaministries@bellsouth.net (859) 737-4022 Website: Medical Services. Always call to check schedule of services, due to daily changes
Agency Name: Address: Contact Person Phone: Purpose:
Razkalla Butros, MD. 1145 W. Lexington Ave., Suite A, Winchester, Ky 40391 E-mail: (859) 744-0301 Fax: (859) 744-0608 Internal Medicine (Family Practice) and Nephrology. Takes all the medical cards. For patient with no insurance, $85.00 cash first visit and $60.00 after.
Agency Name: Address: Contact Person Phone: Purpose:
Shriner’s Hospital for Children 1900 Richmond Rd., Lexington, Ky 40502 E-mail: (859) 266-2101 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Transportation LKLP To find out your local broker, call Dept. of Transportation 1888-941-7433 E-mail: 1800-245-2826 (Clark) Website: Offers transportation to Medicaid covered services for Medicaid Members for non-emergency/non ambulance, emergency ambulance and non-emergency ambulance/stretcher. Does not cover rides to pick up medicines at the pharmacy.
Agency Name: Address: Contact Person Phone: Purpose:
United Way of the Bluegrass
Agency Name: Address: Contact Person Phone: Purpose:
Whitehouse Clinic 401 Highland Park, Richmond, Ky E-mail: (859) 626-7700 Website: Charges according to family income
E-mail: 211 Website: Help finding assistance with Food, Shelter, Support for Children, families and seniors, Health Access, Volunteer opportunities, or when you just don’t know who to call
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IV. Profiling the Community E. Community Health Care Resources (continued) Health Services (continued) Agency Name: Address: Contact Person Phone: Purpose:
WIC Program 400 Professional Ave., Winchester, Ky 40391 Cara O’Neill E-mail: Caraj.oneill@ky.gov (859) 744-4482 Website: www.clarkhealthdept.org Provides nutritional education and healthy food to women who are pregnant, who are breastfeeding their babies, or have given birth in the last 6 months, Infants newborn to 12 months and Children age 1 to 5 years.
Agency Name: Address: Contact Person Phone: Purpose:
Winchester Taxi 625 N. Maple St., Winchester, Ky 40391 E-mail: (859) 745-3000 Website: Taxi Services
Mental Health Services Agency Name: Address: Contact Person Phone: Purpose:
Bluegrass IMPACT 1351 Newtown Pike, Lexington, Ky 40508 Phone: 1800-928-1000 (859) 254-3106 Website: To assist individuals and families in the enhancement of their emotional, mental and physical well being by providing mental health, mental retardation/development disabilities and substance abuse services. Call for information and locations.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Comprehensive Care 325 Professional Avenue, Winchester, Ky 40391 E-mail: (859) 744-2562 Website: www.bluegrass.org Provides mental health and substance abuse services. Services include counseling, crisis intervention, substance abuse assessment and counseling, parenting skills training, and referral for in-patient treatment and residential treatment. Services are available to all in need of mental health and substance abuse treatment.
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IV. Profiling the Community E. Community Health Care Resources (continued) Mental Health Services (continued) Agency Name: Address: Contact Person Phone: Purpose:
KY SEED 325 Professional Ave. Winchester, Ky 40391 Michelle D. Sames E-mail: mdsames@bluegrass.org (859) 744-2562 Hotline: 1800-928-8000 KY SEED is a federal initiative in Kentucky to improve mental health services for the birth to 5 years old population. Young children showing signs of severe emotional disabilities can receive services through the Bluegrass IMPACT program. Regions in the state are gradually being added. Bluegrass East was recently added which includes Clark County. Children and families in need of these services can apply to the KY IMPACT program through Bluegrass East. Young children who do not meet IMPACT criteria, but are still in need of mental health services, can request an in-take through Comprehensive Care. It’s not a separate listing, but staff is becoming trained to recognize and meet the mental health needs of this young population.
Agency Name: Address: Contact Person Phone: Purpose:
Phoenix House Apartments 50 N. Main St., Winchester, Ky 40391 E-mail: (859) 745-6516 Website: Addiction help, Therapeutic Rehabilitation and Case Management Programs for Adults with Severe and Persistent Mental Illness
Agency Name: Address: Contact Person Phone: Purpose:
Pioneer House 325 Professional Ave., Winchester, Ky 40391 Jeff Bliffen E-mail: (859) 737-9108 Website: Assists individuals and families in the enhancement of their emotional, mental, and physical well being by providing mental health and mental retardation services, and to serve those who have limited options, and to plan with communities to ensure that service gaps are addressed. Services are available to person 18 years and older who suffer from chronic mental health problems.
Agency Name: Address: Contact Person Phone:
Ridge Behavioral Health System 3050 Rio Dosa Dr., Lexington, Ky 40509 E-mail: 1800-753-4673 Website:
Purpose:
Inpatient /Outpatient mental health, chemical dependency, eating disorders, adolescent crisis intervention and substance abuse, treatment for children with severe emotional or behavioral problems. No dementia or Alzheimer’s patients.
www.ridgebhs.com/indexnew.html
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IV. Profiling the Community E. Community Health Care Resources (continued) Mental Health Services (continued) Agency Name: Address: Contact Person Phone: Purpose:
Samaritan Center for Behavioral Health 310 S. Limestone St., Lexington, Ky 40508 E-mail: 1800-776-2673 Website: www.samaritanhospital.com Inpatient mental health. SBHL is committed to provide safe, compassionate, quality care to individuals who experience behavioral/emotional problems as well as drug/alcohol related issues. (For children and adolescents only). Don’t treat dementia.
Housing/ Housing Assistance/ Utilities etc. Agency Name: Address: Contact Person Phone: Purpose:
American Red Cross 2410 W. Lexington Ave., Winchester, Ky 40391 Phone: 1800-450-5018 (859) 744-5586 Website: www.redcrosslexky.org Provides disaster services, armed forces emergency services (messaging & family help), international services (psycho-social support to refugees and their sponsors as well as international aid), health and safety education (first aid, etc), housing assistance.
Agency Name: Address: Contact Person Phone: Purpose:
Beverly White Towers 4 N. Maple St., Winchester, Ky 40391 E-mail: (859) 744-0521 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Brown Proctor Apartments 108 S. Main St., Winchester, Ky 40391 E-mail: (859) 744-0323 Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Housing/ Housing Assistance/ Utilities etc. (continued) Agency Name: Address: Contact Person Phone: Purpose:
Community Action Partnership 32 Meadow St., Winchester, Ky 40391 E-mail: (859) 744-3235 Website: Emergency Services, Energy Assistance, Food Assistance, Family Development, Weatherization & Home Rehab, Rental Housing Assistance, Money Management assistance, Employment assistance, Donations, Volunteers Opportunities
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Community Service Center 30 Taylor Ave., Winchester, Ky 40391 Assistant Office Personnel E-mail: clarkcommunity@bellsouth.net (859) 744-5034 Fax: (859) 737-1910 To provide families with emergency aid for clothing, food, shelter and household items. Also operates a used clothing thrift store. Provides information and referrals to community resources and some utility assistance when funds exist. Also provides Christmas Help through the Operation happiness (phone lines open 11/23/09 Ph.737-3636.
Agency Name: Address: Contact Person
Clark County Homeless Coalition P.O. Box 4692, Winchester, Ky 40391 Karen Cinnamond E-mail: clarkcountyhomelesscoalition@gmail.com
Phone:
(859)
Purpose:
Build and Support a shelter for Clark County that will provide life renewal programming, job training, counseling, educational opportunities, mentoring, an financial planning and counseling.
Agency Name: Address: Contact Person Phone: Purpose:
Website:
www.clarkcountyhomelesscoalition.org
Community Housing 20 Court St., Winchester, Ky 40391 E-mail: (859) 745-7969 Phone: Housing Assistance
1800-219-9574
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IV. Profiling the Community E. Community Health Care Resources (continued) Housing/ Housing Assistance/ Utilities etc. (continued) Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency/Outreach Office 32 Meadows St., Winchester, Ky 40391 (Generation Center Location) Respite Program-Senior Center (859) 744-3235 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
Agency Name: Address: Contact Person Phone: Purpose:
Fountain Circle Health and Rehabilitation 200 Glenway Rd., Winchester, Ky 40391 Dennise McNatt E-mail: (859) 744-1800 Website: Nursing Home, provides a full range of medical services to treat residents and the patients who come for short term, episodic medical or rehabilitation care. (Alzheimer’s Care Unit, long term care, nutrition services, outpatient services and other services)
Agency Name: Address: Contact Person Phone: Purpose:
Foothills Community Action Agency (Main Office) 309 Spangler Dr., Richmond, Ky 40475 Vicki Jozefowicz Fax: (859) 624-2046 (606) 723-4492 Website: www.foothillscap.org Adult Day Care, Affordable Rental Program, Child Care, Community Nutrition Program, Community Service Block Grant, Compassion Capital, Energy Assistance, Family Preservation/Family Reunification, Food Pantry, Head Start, Home Care, Home Delivery Meals, Senior Citizens centers, Supportive Housing Programs, Transportation, Weatherization, Winter Care, Youth Programs
Agency Name: Address: Contact Person Phone: Purpose:
Housing Authority of Winchester 200 Canewood Dr., Winchester, Ky 40391 E-mail: (859) 744-2960 Website: www.kyhousingassn.com Provides low-rent housing to low-income families. Services include affordable housing, utility assistance and handicapped accessible housing. Anyone who is under a designated income limit and meets all other requirements stated in the Housing Authority Admissions and Occupational Policy is eligible.
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IV. Profiling the Community E. Community Health Care Resources (continued) Housing/ Housing Assistance/ Utilities etc. (continued) Agency Name: Address: Contact Person Phone: Purpose:
Housing Authority of Winchester 200 Canewood Dr., Winchester, Ky 40391 E-mail: (859) 744-2960 Website: www.kyhousingassn.com Provides low-rent housing to low-income families. Services include affordable housing, utility assistance and handicapped accessible housing. Anyone who is under a designated income limit and meets all other requirements stated in the Housing Authority Admissions and Occupational Policy is eligible.
Agency Name: Address: Contact Person Phone: Purpose:
Kentucky Housing Corporation
Agency Name: Address: Contact Person Phone: Purpose:
Kentucky Housing Corporation Rental Assistant
Agency Name: Address: Contact Person Phone: Purpose:
R.E.A.C.H., Inc.
Agency Name: Address: Contact Person Phone: Purpose:
Transitional Living Program 203 E. Fourth St., Lexington, Ky 40508 E-mail: (859) 252-2874 Website: Provides services to transitional homeless young adults ages 16-21 that cannot live at home from an environment where all their needs are cared for to one of total independence. Services include housing, independent living skills, job skills training, education and vocation skills. Non-committed youth age 16-21 are eligible.
E-mail: 1800-633-8896 Website: Information about buying a home and Mortgages Assistance Program
1877-552-7368 Rental Assistance Program
E-mail: Phone:
1877-552-7362
E-mail: (606) 258-3535 Website: Home Program for first time homeowners or those who have owned a home in the past 3 years
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IV. Profiling the Community E. Community Health Care Resources (continued) Housing/ Housing Assistance/ Utilities etc. (continued) Agency Name: Address: Contact Person Phone: Purpose:
United States Department of Agriculture 30 Taylor Ave., Winchester, Ky 40391 E-mail: (859) 745-2828 ext. 4 Website: Provides small, low interest loans for home repair. Call for eligibility guidelines.
Agency Name: Address: Contact Person Phone: Purpose:
United Way of the Bluegrass
Agency Name: Address: Contact Person Phone: Purpose:
Westwood Apartments 900 Westwood Dr., Winchester, Ky 40391 E-mail: (859) 745-2808 Website:
E-mail: 211 Website: Help finding assistance with Food, Shelter, Support for Children, families and seniors, Health Access, Volunteer opportunities, Or when you just don’t know who to call
Legal Assistance Agency Name: Address: Contact Person Phone: Purpose:
Appalachian Research and Defense Fund 218 W. Main St., Richmond, Ky 40476 E-mail: (859) 624-1394 Website: Provides free legal help for low income people and groups, who cannot afford a private attorney. (Does not handle criminal court cases, parking tickets or traffic violations)
Agency Name: Address: Contact Person Phone: Purpose:
Bluegrass Domestic Violence Program
1800-544-2022
E-mail: Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Legal Assistance (continued) Agency Name: Address: Contact Person
Bluegrass Rape Crisis Center P.O.Box 1603, Lexington, ky 40588 Angie Gibbs E-mail:
Angela.gibbs@bluegrassrapecrisis.org
Phone: Purpose:
1800-656-4673
(859) 253-0282
Fax:
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Attorney’s Office 17 Cleveland Ave., Winchester, Ky 40391 Brian N. Thomas E-mail: (859) 745-0220 Website: www.clarkcoaaty.com Serves both the executive branch of county government and the judicial branch. Services include prosecution of all cases in District Court, serving as legal advisor to the Fiscal court and county offices, representing the county of Clark in all legal matters, collecting delinquent real estate taxes and cold checks, assisting in the prosecution of domestic violence cases, assisting in the collection of child support, and various other statutory duties. Eligible to anyone in need of service.
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Child Support Services 56 South Main St., Winchester, Ky 40391 Mary Beth Hendricks E-Mail: Mary.hendricks@ky.gov (859) 744-1124 Fax: (859) 745-5813 Assisting with paternity and Child Support establishment and enforcement thereof. Fee: maximum of $25 annually deducted from payments
Agency Name: Address: Contact Person Phone: Purpose:
Maxwell Street Legal Clinic 315 Lexington Ave., Lexington, Ky 40508 Marilyn Daniel or Cori Hash E-mail: maxlegalaid@aol.com (859) 233-3840 Fax: (859) 233-3840 To provide legal assistance to low-income clients in the area of immigration. nd
Bilingual services available. 2 . Wednesday of each month from 4-7 p.m. Free Intake
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IV. Profiling the Community E. Community Health Care Resources (continued) Senior Citizens Services Agency Name: Address: Contact Person Phone: Purpose:
Bluegrass Area Agency on Aging 699 Perimeter Dr., Lexington, Ky 40517 Phone: (859) 269-8021 e-mail
Agency Name: Address: Contact Person Phone: Purpose:
Clark County Senior Citizen Center 32 Meadow St., Winchester, Ky 40391 E-mail: (859) 744-3232 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Elder Care Locator
Agency Name: Address: Contact Person Phone: Purpose:
Fountain Circle Health and Rehabilitation 200 Glenway Rd., Winchester, Ky 40391 Dennise McNatt E-mail: (859) 744-1800 Website: Nursing Home, provides a full range of medical services to treat residents and the patients who come for short term, episodic medical or rehabilitation care. (Alzheimer’s Care Unit, long term care, nutrition services, outpatient services and other services).
Agency Name: Address: Contact Person Phone: Purpose:
Richmond Active Day Care Center 928 Commercial Dr., Richmond, Ky 40475 E-mail: (859) 625-9977 Website:
Agency Name: Address: Address: Phone Richmond: Phone Lexington: Purpose:
Social Security Administration 1060 Gibson Bay Dr., Richmond, Ky 40475 2260 Executive Dr, Lexington, Ky 40505 (859) 623-8987 Website: www.ssa.gov (859) 294-5633 1800-772-1213 Provides monthly cash benefits under Social Security to disabled or retired workers or to survivors of deceased workers. Also provides monthly cash benefits under SSI and to needy elderly, blind or disabled. Eligibility varies, call for more information.
1800-648-6056 chadwick@bgadd.org
E-mail: 1800-677-1116 Website: Provides resources to find community assistance for seniors
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IV. Profiling the Community E. Community Health Care Resources (continued) Women’s Crisis Services Agency Name: Address: Contact Person Phone: Purpose:
Bluegrass Domestic Violence Program
1800-544-2022
E-mail: Website:
Agency Name: Address: Contact Person
Bluegrass Rape Crisis Center P.O.Box 1603, Lexington, Ky 40588 Angie Gibbs E-mail:
Angela.gibbs@bluegrassrapecrisis.org
Phone: Purpose:
1800-656-4673
(859) 253-0282
Fax:
Agency Name: Address: Contact Person Phone: Purpose:
Nile Ministries, Inc. (The Nile) 4175 Lexington Rd., Versailles, Ky 40383 E-mail: (859) 873-9277 Website: www.nilebabies.org Residence facility for expecting mothers in crisis. Focus on spiritual, personal and professional development.
Agency Name: Address: Contact Person Phone: Purpose:
Planned Parenthood of the Bluegrass 508 W. Second St., Lexington, Ky 40508 E-mail: (859) 252-0448 Website:
Agency Name: Address: Contact Person Phone: Purpose:
Spouse Abuse Crisis Line P.O.Box 8028, Lexington, Ky 40533 YMCA Phone: (859) 255-9808 1800-544-2022 Website: Provides a safe shelter and specialized services to victims of domestic violence and their dependent children. Services include individual and group counseling, hospital and legal advocacy, 24-hour crisis line, safe school for children and support groups. Services are available to anyone 18 years of age and older or an emancipated minor.
Agency Name: Address: Contact Person Phone: Purpose:
Victim Advocacy Division (Clark County) 17 Cleveland Ave., Winchester, Ky 40391 E-mail: (859) 745-0220 Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Dentists Agency Name: Address: Phone:
Anita Gray, DDS PA PSC 1303 W. Lexington Ave., Winchester, KY 40391 (859) 745-4455 Website:
Agency Name: Address: Phone:
Bluegrass Dental Center 182 Pedro Way, Winchester, KY 40391 (859) 745-0000 Website:
Agency Name: Address: Phone:
Dr. Billy Ballard 198 Redwing Dr., Winchester, KY 40391 (859) 744-0320 Website:
Agency Name: Address: Phone:
Dr. Charles Hannan Jr. 6 Hilltop Terrace, Winchester, KY 40391 (859) 744-2123 Website:
Agency Name: Address: Phone:
Joe Craig DMD 182 Pedro Way, Winchester, KY 40391 (859) 745-0000 Website:
Agency Name: Address: Phone:
William Richard Catron, DMD 140 Hubbard Rd., Winchester, KY 40391 (859) 744-0200 Website:
Agency Name: Address: Phone:
Rex McCrary DMD 201 S. Main St., Winchester, KY 40391 (859) 744-2512 Website:
Agency Name: Address: Phone:
Tammy McCord DMD 122 Professional Ave., Winchester, KY 40391 (859) 744-0238 Website:
Agency Name: Address: Phone:
James Edward Oaks DMD 1300 W. Lexington Ave., Winchester, KY 40391 (859) 744-7590 Website:
Agency Name: Address: Phone:
Rankin Skinner DMD 726 Boonesboro Plaza, Winchester, KY 40391 (859) 744-1010 Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Dentists (continued) Agency Name: Address: Phone:
Todd J. Scobee, DMD 1216 W. Lexington Ave., Winchester, KY 40391 (859) 744-4211 Website:
Agency Name: Address: Phone:
Ronald Snowden DMD 244 W. Lexington Ave., Winchester, KY 40391 (859) 745-2381 Website:
Agency Name: Address: Phone:
Alisa Tolle DMD 244 W/ Lexington Ave., Winchester, KY 40391 (859) 745-4867 Website:
Oral Surgery Agency Name: Address: Phone:
John Gray DMD PSC 1303 W. Lexington Ave., Winchester, KY 40391 (859) 744-0677 Website:
Orthodontists Agency Name: Address: Phone:
Wheatley & Baugher Orthodontist PSC 100 Hubbard Rd., Winchester, KY 40391 (859) 745-1250 Website:
Agency Name: Address: Phone:
Larry Sharp DMD MSD 132 Professional Ave., Winchester, KY 40391 (859) 744-2211 Website:
Agency Name: Address: Phone:
Eric M. Baugher DMD MS 100 Hubbard Rd., Winchester, KY 40391 (859) 745-1250 Website:
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IV. Profiling the Community E. Community Health Care Resources (continued) Pediatric Dentist Agency Name: Address: Phone:
Tim Crisp DMD 11 Canary Ln., Winchester, KY 40391 (859) 744-7031 Website:
Agency Name: Address: Phone: Purpose:
Pediatric Dentistry of Winchester 2560 Bypass Rd., Winchester, KY 40391 (859) 737-1000 Website: Monday – Friday 8:00a to 5:00p Closed 12:00p to 1:00p for luch
Consulates/Consulados Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de El Salvador e Chicago 104 S. Michigan Ave., Chicago Ill. 60603 E-mail: (312) 332-1393 Fax: (312) 332-4446 Jurisdicción: Dakota de Norte, Dakota del Sur, Kentucky, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Ohio y Winsconsin.
Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de Guatemala en Washington, D.C. 2220 R. Street, N.W., Washington, DC 20008 E-mail: (202) 745-4952 Fax: (202) 745-1908 Jurisdicción: Delaware, Kentucky, Maryland, Tennessee, Virginia, Washington, West Virginia
Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de México en Indianapolis 39 W. Jackson Place Suite 103, Indianapolis, IN 46225 E-mail: Indianapolis@sre.gob.mex (317) 951-0005 Fax: (317) 951-4176 Atención al Público 9:00a – 02:00p, Officina: 09:00a – 05:00p
Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de Argentina en Atlanta, GA 245 Peachtree Center Ave. Suite 2101, Atlanta, GA 30303 E-mail: catla@bellsouth.net (404) 880-0805 Website: Consuladoargentinoatlanta.org Horario de Atenció al Público: 09:00a – 02:00p
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IV. Profiling the Community E. Community Health Care Resources (continued) Consulates/Consulados (continued) Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de Chile en Chicago, Ill. 875 North Michigan Ave., Suite 3352, Chicago, Ill. 60611 E-mail: cgchicus@ameritech.net (312) 654-8780/8946 Fax: (312) 654-8948 Horario de Atención al Público: 09:00a – 02:00p
Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de Colombia en Atlanta 5901-C Peachtree Dunwoody Rd., Suite 375, Atlanta, GA 30328 Fax: (770) 668-0763 (770) 668-0512/0451/0552 Ext: 21, 22, 23, 24 Atención al Público: 08:30a – 01:30p. E-Mail:consulco@bellsouth.net
Agency Name: Address: Contact Person Phone: Purpose:
Consulado General del Ecuador en New Orleans World Trade Center 2 canal St., Suite 2338, New Orleans, LA 70130 E-mail: cogeno@accesscom.net (504) 523-3229 Phone: (504) 522-9675 Jurisdicción: Alabama, Arkansas, Louisiana, Mississippi, Tennessee, Kentucky
Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de Honduras en New Orleans World Trade Center, Canal Street, Ste. 2340, New Orleans, LA 70130 E-mail: (504) 522-3118 Fax: (504) 523-0544 Jursidicción: Louisiana, Mississippi, Arkansas, Alabama, Missouri, Kentucky
Agency Name: Address: Contact Person Phone: Purpose:
Consulado General de Perú en Washington, D.C. 1625 Massachusetts Ave., NW Suite 605, Washington, DC 20036 E-mail: consulado@conperdc.org (202) 462-1081/1084/1085 Fax: (202) 462-1088 Jurisdicción: Maryland, Virginia, Delaware, West Virginia, North Carolina, KenctucKY, Tennessee y el Distrito de Columbia
Agency Name: Address:
Consulado General de Venezuela en Washington, D.C.
Contact Person
embajada@embavenez-us.org embavenez-us.org (202) 342-2214 Phone: (202) 342-6820 Jurisdicción: Maryland, Virginia, West Virginia, Washington DC, Ohio, Kentucky
Phone: Purpose:
th
1099 30 St. NW, Washington, DC 20007 E-mail:
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IV. Profiling the Community E. Community Health Care Resources (continued) Consulates/Consulados (continued) Agency Name: Address: Contact Person Phone: Purpose:
Access. Bluegrass Regional MH-MR Board, Inc 3161 Custer Dr., Suite 4, Lexington, KY 40517 Melissa Willoughby E-mail: (859) 272-7483 Website: Assessment and case management for Michelle P. Medicaid Waiver for individuals with intellectual and development disabilities throughout Bluegrass region, 17 counties. Additional services include crisis case management, SGF case management, PASRR services and supported employment.
Managed Care Organizations Agency Name: Address: Contact Person Phone: Purpose:
CoventryCares of Kentucky 9900 Corporate Campus Drive STE 1000 Louisville, KY 40223 Kent Berryman E-mail: ekberryman@cvty.com (502) 438-5874 Website: Managed Care Organization Outreach Coordinator
Agency Name: Address: Contact Person Phone: Purpose:
WellCare of Kentucky 2480 Fortune Drive Suite 200 Brittany Arthur E-mail: Brittany.arthur@wellcare.com (859) 264-5107 Website: Managed Care Organization Community Advocate
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V. Health Priority Issue and Strategies A. Identified Needs/Overview in Prioritized Order An in-depth analysis and trending of all primary and secondary data sources, demographic and vital statistics information rendered the following ranking of community health needs for the BHL service area. Exhibit 16 is the list of the significant health risk factors which contribute to the overall health status of the 17 counties within the BHL service area. These risk factors are listed in order of prevalence. Exhibit 16 Baptist Health Lexington 17 County Service Area Health Factors – Summary & Ranking (Prevalence) Health Risk Factor (measure): Counties w/ Prevalence: Adult obesity (% adults w/ BMI ≥ 30) 17 Physical Inactivity (% adult pop. ≥ 20) 15 Uninsured (% of pop. ≤ 65 w/o health insurance) 15 Primary care physicians (ratio of pop. to PCP) 14 Dentists (ratio of pop. to dentists) 14 Heart disease death rate (death rates/100,000 pop.) 13 Adult Smoking (% adults who are current smokers 13 Cancer death rate (death rates/100,000 pop.) 12 Alzheimer’s death rate (death rates/100,000 pop.) 11 Accidents death rate (death rates/100,000 pop.) 11 Teen births (# of births/1,000 female pop. ages 15-19) 11 Lung disease death rate (death rates/100,000 pop.) 10 Injury deaths (death rates/100,000 pop.) 10 Stroke death rate (death rates/100,000 pop.) 9 Alcohol-impaired driving deaths (% of driving deaths w/ alcohol involvement 9 Poor physical health days (ave. # physically unhealthy days reported in past 30 days) 8 Poor mental health days (ave. # mentally unhealthy days reported in past 30 days) 8 Access to exercise opportunities (% of pop. w/ adequate 8 access to locations for physical activity) Mammography screening (# of female Medicare enrollees 8 ages 65-69 that receive mamm screening) Children in poverty (% of children ≤ 18 in poverty) 8 Diabetes death rate (death rates/100,000 pop.) 7 Sexually transmitted infections (# of newly diagnosed chlamydia cases/100,000 pop.) 7 Unemployment (% of pop. ≥ 16 unemployed but seeking work) 7 Mental health providers (ratio of pop. to mental health providers) 7 Premature death (yrs. of potential life lost before age 75 per 100,000 pop.) 6 Preventable hospital stays (# of hospital stays for ambulatory-care 6 sensitive conditions per 1,000 Medicare enrollees) Poor or fair health (% adult pop. reporting fair or poor health) 5 Diabetic monitoring (% of diabetic Medicare enrollees ages 5 65-75 that receive HbA1c monitoring) Low birth weight (% of live births w/low birth weight;<2500 gms) 4 Food environment index (index of factors that contribute 4 to a health food environment; 0-10) Violent crimes (# of reported violent crime offenses per100,000 pop.) 4 Excessive drinking (% adult pop. reporting binge or heavy drinking) 3
Rank: 1 2 2 3 3 4 4 5 6 6 6 7 7 8 8 9 9 9 9 9 10 10 10 10 11 11 12 12 13 13 13 14
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V. Health Priority Issue and Strategies B. Priority Health Issues and Process Exhibit 17 illustrates the detailed analysis summary and defines the established criteria to determine prevalence of the specified health risk factors
100
Primary Care Physicians US=2015:1; KY=1551:1
14
≥1500:1 ratio of pop. to PCPs
Boyle (1102:1) Fayette (868:1) Jessamine (1418:1)
Dentists US=2670:1; KY=1683:1
14
≥1500:1 ratio of pop. to dentists
Boyle (1583:1) Fayette (783:1) Franklin (1379:1)
Heart disease death rate US=169.77; KY=203.41
13
≥ 200 deaths/100,000 pop.
Fayette (194.16) Garrard (191.76) Jessamine (176.48) Woodford (191.69)
Adult smoking US=21%; KY=26%
13
≥ 21% adults who are current smokers
Anderson (19%) Fayette (16%) Scott (15%) Woodford (14%)
Cancer death rate US=163.23; KY=199.31
12
≥ 200 deaths/100,000 pop.
Fayette (190.26) Garrard (199.61)
Anderson (2716:1) Bourbon (1665:1) Clark (1988:1) Estill (2899:1) Franklin (2490:1) Garrard (3383:1) Harrison (2069:1) Lincoln (2224:1) Madison (1542:1) Mercer (4252:1) Nicholas (7000:1) Powell (12,483:1) Scott (1791:1) Woodford (1791:1) Anderson (1983:1) Bourbon (1583:1) Clark (2226:1) Estill (2070:1) Garrard (4229:1) Harrison (2645:1) Jessamine (2787:1) Lincoln (24,370:1) Madison (2445:1) Mercer (4270:1) Nicholas (2346:1) Powell (2499:1) Scott (3330:1) Woodford (1805:1) Anderson (222.77) Bourbon (240.67) Boyle (218.87) Clark (225.9) Estill (286.55) Franklin (213.55) Harrison (297.04) Lincoln (235.87) Madison (228.52) Mercer (233.63) Nicholas (287.97) Powell (307.05) Scott (231.57) Bourbon (21%) Boyle (21%) Clark (40%) Estill (36%) Franklin (28%) Garrard (25%) Harrison (31%) Jessamine (27%) Lincoln (31%) Madison (22%) Mercer (24%) Nicholas (30%) Powell (45%) Anderson (214.37) Bourbon (206.17)
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Cancer death rate US=163.23; KY=199.31
12
≥ 200 deaths/100,000 pop.
Fayette (190.26) Garrard (199.61) Jessamine (196.08) Madison (198.38) Scott (194.28)
Anderson (214.37) Bourbon (206.17) Boyle (206.78) Clark (206.81) Estill (2417.99) Franklin (222.28) Harrison (210.81) Lincoln (224.18) Mercer (229.03) Nicholas (239.42) Powell (285.98) Woodford (205.9)
Alzheimer’s death rate US=23.52; KY=31.41
11
≥ 31 deaths/100,000 pop.
Bourbon (19.3) Estill (18.18) Franklin (29.69) Garrard (27.47) Harrison (24.11) Nicholas (25.85)
Accidents death rate US=39.39; KY=55.71
11
≥ 50 deaths/100,000 pop.
Anderson (49.62) Boyle (48.96) Fayette (38.64) Franklin (45.67) Garrard (48.59) Madison (46.64) Scott (39.44)
Teen births US=41; KY=48
11
≥45 # of births per 1,000 female pop. ages 15-19
Lung disease death rate US=42.14; KY=64.62
10
≥ 53 deaths/100,000 pop.
Injury deaths
10
≥80 # of deaths due to
Anderson (40.53) Boyle (52.05) Clark (47.66) Fayette (31.62) Jessamine (37.47) Lincoln (34) Madison (31.98) Mercer (33.73) Powell (52.05) Scott (39.13) Woodford (52.39) Bourbon (60.15) Clark (66.18) Estill (82.69) Harrison (62.94) Jessamine (52.92) Lincoln 67.59) Mercer (56.23) Nicholas (78.13) Powell (100.25) Woodford (57.65) Anderson (47) Bourbon (51) Clark (55) Estill (65) Franklin (46) Garrard (48) Harrison (59) Lincoln (63) Mercer (56) Nicholas (52) Powell (80) Anderson (62.69) Bourbon (61.18) Boyle (54.7) Estill (57.44) Franklin (59.08) Harrison (59.71) Lincoln (78.65) Mercer (62.63) Nicholas (93.38) Powell (81.63) Bourbon (93)
Clark (49) Fayette (45.63) Garrard (49.13) Jessamine (51.65) Madison (52.9) Scott (50.72) Woodford (46.91)
102
103
Mammography screening US=61%; KY=60.1%
8
≤60% of female Medicare enrollees ages 67-69 that receive mammography screening
Children in poverty US=24%; KY=26%
8
≥25% of children under age 18 in poverty
Diabetes death rate US=21.18; KY=24.14)
7
≥ 24 deaths/100,000 pop.
Sexually transmitted infections US=291; KY=394
7
≥300 # of newly dx chlamydia cases per 100,000 pop.
Unemployment US=7%; KY=8.3%
7
≥8.3% of pop. aged 16+ unemployed but seeking work
Mental Health Providers US=1128:1; KY=621:1
7
≥1500:1 ratio of pop. to mental health providers
Boyle (58.9%) Franklin (58.3%) Garrard (58.8%) Harrison (49.4%) Lincoln (50.8%) Mercer (52.3%) Powell (58.5%) Scott (59.8%) Bourbon (26%) Boyle (25%) Estill (40%) Garrard (29%) Harrison (25%) Lincoln (31%) Nicholas (32%) Powell (41%) Anderson (20.75) Clark (18.12) Fayette (23.43) Harrison (18.86) Jessamine (18.28) Lincoln (20.84) Madison (14.53) Scott (21.43) Woodford (17.66)
Anderson (1148:1) Bourbon (1428:1) Boyle (604:1) Estill (1317:1) Fayette (370:1) Franklin (955:1) Lincoln (903:1) Mercer (890:1) Woodford (1330:1)
Bourbon (25.69) Boyle (24.11) Estill (24.95) Garrard (27.15) Mercer (24.72) Nicholas (51.28) Powell (26.98)
Boyle (513) Clark (450) Fayette (511) Franklin (578) Jessamine (306) Lincoln (405) Madison (370) Boyle (9.6%) Estill (8.7%) Garrard (8.7%) Lincoln (11.1%) Mercer (8.3%) Nicholas (10.4%) Powell (10.1%) Clark (2095:1) Garrard (4229:1) Harrison (2315:1) Jessamine (1618:1) Nicholas (3520:1) Powell (2499:1) Scott (2378:1)
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Premature Death US=7681; KY=8900
6
> 9000 yrs. lost before age 75 per 100,000 population
Preventable hospital stays US=65.3; KY=94
6
≥80 # of hospital stays for ambulatory-care sensitive conditions per 1,000 Medicare enrollees
Poor or fair health US=17%; KY=21%
5
≥ 19% adults reporting poor or fair health
Diabetic monitoring US=85%; KY=85%
5
≤85% of diabetic Medicare enrollees ages 65-75 that receive HbA1c monitoring
Bourbon (84%) Boyle (84%) Mercer (83%) Nicholas (85%) Powell (84%)
Low birth weight US=8%; KY=9.1%
4
≥10% of live births with low birth weight (<2500 grams)
Food environment index US=7.3; KY=7.2
4
≤ 7.2 index of factors that contribute to a healthy food environment, (1-10)
Clark (10.2%) Garrard (10.4%) Harrison (10.7%) Nicholas (11.7%) Boyle (6.5) Estill (6.8) Garrard (6.8) Lincoln (7.1)
Violent crimes US=199; KY=235
4
≥235 # of reported violent crime offenses per 100,000 pop.
Excessive drinking US=16%; KY=12%
3
≥10% adults reporting binge or heavy drinking
Nicholas (no data)
Clark (9,419) Estill (12,412) Harrison (12,287) Lincoln (10,742) Nicholas (11,289) Powell (13,168) Estill (105) Franklin (88) Harrison (106 Lincoln (92) Nicholas (132) Powell (133) Clark (20%) Estill (29%) Garrard (19%) Lincoln (35%) Powell (22%)
Clark (295) Fayette (490) Franklin (274) Scott (335) Madison (7%) All other counties (no data)
Fayette (11%) Franklin (11%) Scott (11%)
After compiling and analyzing all of the data in this assessment, BHL will pursue the following benchmarking, targets, ideas and strategies during the implementation plan. Some of the strategies will address multiple needs. These lists are not intended to be exhaustive and do not imply there is only one way to address the identified health needs. Obesity, cardiovascular disease and cancer, including breast, colorectal and lung were the health needs of the community with the highest priority.
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V. Health Priority Issue and Strategies B. Priority Health Issues and Process (continued) Obesity The rate of obesity is increasing in the state of Kentucky. Almost 1.4 million adults in Kentucky are obese, 300,000 more individuals than 4 years ago. (Source: County Health Rankings.org, 2015) All of the counties within our service area had obesity as the most prevalent health risk factor. Adult obesity, physical inactivity, access to recreational facilities and access to healthy foods are some of the highest ranked health needs in the community. Changes in these areas can have a positive impact on the overall health of the community. Obesity as it relates to lack of physical activity and poor nutritional choices is linked with the increased risk of several other medical conditions which were also identified as prevalent health issues within our community i.e. diabetes, cardiovascular disease and certain cancers.
Diseases of the Heart and Cancer Cardiovascular disease is the leading cause of death in Kentucky, and cancer deaths rank second. (Source: County Health Rankings.org, 2015) The two leading causes of death in each of the seventeen counties within our service area are diseases of the heart and malignant neoplasms. Health education on modifiable risk behaviors and early detection are essential to improving the community’s health. Promoting an awareness of individual health risks through clinical preventive services such as routine disease screening can significantly reduce the risk of illness, disability, early death and medical costs.
Other Identified Health Risk Factors Baptist Health Lexington works collaboratively with other community resources to provide, support and serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. (Section IV. D. Other Hospital Resources and Section IV. E. Community Health Care Resources, pgs. 45 - 91) It is not within the scope of Baptist Health Lexington’s services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community’s health status. But it is through networking and partnerships with other community stakeholder organizations and agencies that these issues are being addressed. Impact issues such as unemployment and uninsured populations are being dealt with by economic development groups, Commerce Lexington, Kentucky Chamber of Commerce, Lexington Fayette Urban County Government, and County Health Departments. Safe neighborhoods/safe community issues are being examined by Lexington Fayette County Police Department, Department of Parks and Recreation, Safe Kids Coalition, and Kentucky Department of Transportation.
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VI. The Path Ahead/Next Steps A. Obesity Address obesity through education, prevention and community-based initiatives BHL will address obesity as a member of the Lexington-Fayette County Community Health Improvement Plan. The goals and objectives as set forth by the Lexington-Fayette County Community Health Improvement Plan are as follows: Goal 1: Encourage families in Fayette County to increase physical activity across the continuum. Outcome Objective: Decrease the no exercise rate in Fayette County as measured by the BRFSS by 2018. Impact and Process Objectives (Implementation Steps): Continue expanding the program directory for physical activity venues and identify mechanisms of assistance for participation in programs Disseminate information through partners and LFCHD website o Partner with United Way of the Bluegrass o Partner with medical professional associations o Partner with Cooperative Extension (UK) o Partner with groups represented on MAAP Coalition o Partner with City Council/Mayorâ&#x20AC;&#x2122;s Office Goal 2: Promote the availability and access to fresh and affordable produce in food deserts throughout Fayette County. Outcome Objective: Continue increasing the number of community food venues in food deserts in Fayette County that provide fresh produce by 2018. Impact and Process Objectives (Implementation Steps): o o
Continue to identify free locations within Fayette County to have farmers markets and health fairs/health education events by 2018 Continue to identify new stakeholders to partner with existing stakeholders investing in the Lexington Tweens Nutrition and Fitness Coalitionâ&#x20AC;&#x2122;s Healthy Corner Store Initiative by 2018
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VI. The Path Ahead/Next Steps A. Obesity (continued) Address obesity through education, prevention and community-based initiatives Goal 3: Improve worksite wellness in Fayette County. Outcome Objective: Identify and increase the number of organizations in Fayette County that offer worksite wellness programs by 2018. Impact and Process Objectives (Implementation Steps): o o
Continue to grow existing worksite wellness programs and engage new employer groups in Fayette County Continue to support existing efforts by the Chamber of Commerce to improve worksite wellness and disseminate available resources and information to partners th
Goal 4: Form a partnership with the 16 District (Fayette County) PTA Impact and Process Objectives (Implementation Steps): o o o
Continue to work with identified partner schools to develop on-site wellness activities/programs for faculty, staff, students and families Identify barriers to participation in wellness councils by 2018 Assist schools in overcoming barrier to participation in wellness councils and link them with existing wellness councils in order to develop a wellness council implementation strategy by 2018
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VI. The Path Ahead/Next Steps B. Cardiovascular Address cardiovascular disease through education and prevention Goal: By 2018, BHL will educate or provide screening opportunities to at least 75% of the adult population (35 years +) in the primary service area on the importance of cardiovascular health and the prevention of cardiovascular disease. o Expansion of the cardiac disease prevention website o Use mass media to promote healthy lifestyle and early recognition of symptoms Heart Health risk assessment available online and promoted via television and radio advertisements Health Talks, educational videos with cardiovascular physicians addressing key topics related to heart disease, are available on the Baptist Health Lexington website Baptist Express Care screenings Worksite wellness screenings Other community health fair screenings and events Social media BHL will also promote cardiovascular health through: o Midsummer Night’s Run 5K Race o HealthwoRx exercise classes and fitness programs o Afibrillation and heart failure clinics that improve access to care for patients in the community o Membership and participation in the American Heart Association
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VI. The Path Ahead/Next Steps C. Cancer Address cancer through education and prevention to include breast cancer, lung cancer and colon cancer Goal: By 2018, BHL will educate at least 75% of the adult population (35 years +) in the primary service area regarding the importance of early detection and prevention of breast, lung and colon cancer. Breast: o o
o
Provide educational information at BHL regional mammography facilities Promote the importance of mammography exams for women in the community through community outreach events and health fairs Expand oncology website to provide links to educational resources
Lung: o o o
Offer early detection lung cancer screening through use of low dose CT scans Provide smoking cessation classes Provide education regarding cancer risks of primary and second-hand smoking
Colon: Implement a Digestive Health Center to include access to nurse consultation o Promote early detection preventative screenings through community outreach educational events and health fairs o Provide educational information at all BHL service sites (i.e. outpatient centers, primary care centers, etc.) BHL will also promote cancer services through: o High Risk Clinic available for patients identified through genetic counseling or family history o Cancer risk assessment available online and promoted via television and radio advertisements o Access to a Nurse Navigator available through toll free number o Health Talks, educational videos with oncologists addressing key topics related to cancer, are available on the Baptist Health Lexington website o Membership and participation in the American Commission on Cancer, Kentucky Cancer Consortium and the Kentucky Cancer Link o
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VII. Communication Plan The federal regulation mandates that the hospitalâ&#x20AC;&#x2122;s community health needs assessment be made widely available to the community. BHL will make the community health needs assessment available by: o Adding a link to the community health needs assessment on the front page of the BHL website o Publishing an insert in the Lexington Herald Leader that contains a one page summary of the community health needs assessment o Making the community health needs assessment available at all BHL service locations and affiliated physician offices
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Baptist Health Lexington Strategic Implementation Plan 2015-2018
Identified Health Needs
Obesity
Cardiovascular Disease
Goals
Action Item(s)
Encourage families in Fayette County to increase physical activity across the continuum
Decrease the no exercise rate in Fayette County as measured by the Behavioral Risk Factor Surveillance System (BRFSS) by 2018
Promote the availability and access to fresh and affordable produce in food deserts throughout Fayette County
Increase the number of food venues that provide fresh produce by 2018
Improve worksite wellness in Fayette County
Identify and increase the number of worksite wellness programs in Fayette County by 2018
Form a partnership with the 16th District Fayette County PTA
Work with identified partner schools to develop on-site wellness activities and programs by 2018
Educate or provide screening opportunities to Expansion of the cardiac disease prevention website at least 75% of the adult population in the primary service area on the importance of cardiovascular health and the prevention of cardiovascular disease
Use of mass media to promote healthy lifestyle and early recognition of symptoms * Heart Health risk assessment available online and promoted via television and radio ads * Health Talks, educational videos with cardiovascular physicians addressing key topics related to heart disease, are available on the Baptist Health Lexington website * Baptist Express Care screenings * Worksite wellness screenings * Other community health fair screenings and events * Social media
Baptist Health Lexington Strategic Implementation Plan 2015-2018
Identified Health Needs
Cancer
Goals
Action Item(s)
Educate at least 75% of the adult population in the primary service area regarding the importance of early detection and prevention of breast, lung and colon cancer
Breast: *Provide educational information at BHL regional mammography facilities *Promote the importance of mammography exams for women in the community through outreach events and health fairs
Lung: *Offer early detection lung cancer screening through use of low dose CT scans *Provide smoking cessation classes *Provide education regarding cancer risks of primary and second-hand smoking
Colon: *Implement a Digestive Health Center to include access to nurse consultation *Promote early detection preventive screenings through community outreach educational events and health fairs *Provide educational information at all BHL service sites (i.e. outpatient centers, primary care centers, etc.)