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2019 Community Health Needs Assessment
MEMORIAL HERMANN REHABILITATION HOSPITAL — KATY
HEALTHINSURANCE
Board Approved June 27, 2019
MemorialHermannRehabilitationHospitalKatyCHNA20192
Table of Contents Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Introduction&Purpose...............................................................................................................................4SummaryofFindings...................................................................................................................................4PrioritizedAreas..........................................................................................................................................5
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 MemorialHermannRehabilitationHospitalKaty........................................................................................6
Vision.......................................................................................................................................................6MissionStatement...................................................................................................................................6MemorialHermannHealthSystem.........................................................................................................6MemorialHermannRehabilitationHospitalKatyServiceArea...............................................................7
Consultants..................................................................................................................................................8
Evaluation of Progress Since Prior CHNA .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 PriorityHealthNeedsandImpactfromPriorCHNA....................................................................................9
Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Overview....................................................................................................................................................11SecondaryDataSources&Analysis...........................................................................................................11
SecondaryDataScoring.........................................................................................................................11DisparitiesAnalysis................................................................................................................................12
PrimaryDataMethods&Analysis.............................................................................................................12CommunitySurvey.................................................................................................................................12KeyInformantInterviews.......................................................................................................................14
DataConsiderations...................................................................................................................................16Race/EthnicGroupings..........................................................................................................................17ZipCodesandZipCodeTabulationAreas..............................................................................................17
Prioritization..............................................................................................................................................17PrioritizationProcess.............................................................................................................................17
Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Population..................................................................................................................................................20Age.............................................................................................................................................................21Language....................................................................................................................................................24SocialandEconomicDeterminantsofHealth............................................................................................26
Income...................................................................................................................................................26Poverty...................................................................................................................................................27FoodInsecurity......................................................................................................................................30Unemployment......................................................................................................................................31Education...............................................................................................................................................32Transportation.......................................................................................................................................34SocioNeedsIndex®.................................................................................................................................36
Data Synthesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Priorit ized Signif icant Health Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 PrioritizationResults..................................................................................................................................44AccesstoHealthcare..................................................................................................................................44EmotionalWell-Being................................................................................................................................55
MemorialHermannRehabilitationHospitalKatyCHNA20193
FoodasHealth...........................................................................................................................................59ExerciseIsMedicine...................................................................................................................................65
Non-Prioritized Significant Health Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 OlderAdultsandAging..............................................................................................................................71Cancers......................................................................................................................................................72Education...................................................................................................................................................72Transportation...........................................................................................................................................73Children’sHealth.......................................................................................................................................74Economy....................................................................................................................................................75
Other Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 BarrierstoCare..........................................................................................................................................77Disparities..................................................................................................................................................77
Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 AppendixA:EvaluationSincePriorCHNA.................................................................................................81AppendixB.SecondaryDataMethodology...............................................................................................89AppendixC.PrimaryDataMethodology.................................................................................................152AppendixD.PrioritizationTool................................................................................................................167AppendixE.CommunityResources.........................................................................................................170
MemorialHermannRehabilitationHospitalKatyCHNA20194
Executive Summary
Introduction & Purpose MemorialHermannRehabilitationHospitalKaty(MHRehabKaty)ispleasedtopresentits2019CommunityHealthNeedsAssessment(CHNA).ThisCHNAreportprovidesanoverviewoftheprocessandmethodsusedtoidentifyandprioritizesignificanthealthneedsacrossMemorialHermannHealthSystem’sregionalservicearea(includingMHRehabKaty),asfederallyrequiredbytheAffordableCareAct.MemorialHermannHealthSystempartneredwithConduentHealthyCommunitiesInstitute(HCI)toconducttheCHNAfor13facilities:
• MemorialHermannKatyHospital• MemorialHermannMemorialCityMedicalCenter• MemorialHermannGreaterHeightsHospital• MemorialHermannNortheastHospital• MemorialHermannSoutheastHospital• MemorialHermannSugarLandHospital• MemorialHermannSouthwestHospital• MemorialHermannTheWoodlandsMedicalCenter• MemorialHermannRehabilitationHospital–Katy• MemorialHermann–TexasMedicalCenter• TIRRMemorialHermann• MemorialHermannSurgicalHospitalKingwood• MemorialHermannSurgicalHospitalFirstColony
ThepurposeofthisCHNAistoofferacomprehensiveunderstandingofthehealthneedsinMHRehabKaty’sserviceareaandguidethehospital’splanningeffortstoaddressthoseneeds.Specialattentionhasbeengiventotheneedsofvulnerablepopulations,unmethealthneedsorgapsinservices,andinputfromthecommunity.TostandardizeeffortsacrosstheMemorialHermannHealthSystemandincreasethepotentialforimpactingtophealthneedsinthegreaterHoustonregion,communityhealthneedswereassessedandprioritizedataregional/systemlevel.Findingsfromthisreportwillbeusedtoidentifyanddevelopeffortstoimprovethehealthandqualityoflifeofresidentsinthecommunity.
Summary of Findings TheCHNAfindingsinthisreportresultfromtheanalysisofanextensivesetofsecondarydata(over100indicatorsfromnationalandstatedatasources)andprimarydatacollectedfromcommunityleaders,non-healthprofessionals,andorganizationsservingthecommunityatlarge,vulnerablepopulations,and/orpopulationswithunmethealthneeds.Throughanexaminationoftheprimaryandsecondarydata,thefollowingtophealthneedswereidentified:
MemorialHermannRehabilitationHospitalKatyCHNA20195
Priorit ized Areas InMarch2019,stakeholdersfromthe13hospitalfacilitiesintheMemorialHermannHealthSystemcompletedasurveytoprioritizethesignificanthealthissues,basedoncriteriaincludinghealthimpactandriskaswellasconsiderationofMemorialHermann’sstrategicfocus.Thefollowingfourtopicswereidentifiedasprioritiestoaddress:
MHRehabKatywilldevelopstrategiestoaddresstheseprioritiesinits2019ImplementationStrategy.
MemorialHermannHealthSystem’sSignificantHealthNeeds• AccesstoHealthServices•Cancers•Children’sHealth•Diabetes•Economy
•Education•FoodInsecurity•HeartDisease/Stroke•LackofHealthInsurance•Low-Income/Underserved
•MentalHealth•Obesity•OlderAdults/Aging•SubstanceAbuse•Transportation
MemorialHermannHealthSystem’sCHNAPriorities• AccesstoHealthcare• EmotionalWell-Being• FoodasHealth• ExerciseIsMedicine
MemorialHermannRehabilitationHospitalKatyCHNA20196
Introduction
Memorial Hermann Rehabil itation Hospital Katy MemorialHermannRehabilitationHospital–Katyoptimizespatientresultsthroughacustomizedapproachatits35-bedfacility.Theteamofaffiliatedphysiciansandcliniciansworkwithpatientsandtheirfamiliestosetgoalstailoredtotheirindividualneeds.TheseadvancedtreatmentserviceshavereceivedaccreditationfromtheCommissiononAccreditationofRehabilitationFacilities(CARF)andarebackedbyanaffiliationwithTIRRMemorialHermann,anationalleaderinrehabilitationmedicineandMcGovernMedicalSchoolatUTHealth.
Vision MemorialHermannwillbethepreeminenthealthsystemintheU.S.byadvancingthehealthofthoseweservethroughtrustedpartnershipswithphysicians,employeesandotherstodeliverthebestpossiblehealthsolutionswhilerelentlesslypursuingqualityandvalue.
Mission Statement MemorialHermannisanot-for-profit,community-owned,healthcaresystemwithspiritualvalues,dedicatedtoprovidinghighqualityhealthservicesinordertoimprovethehealthofthepeopleinSoutheastTexas.
Memorial Hermann Health System Oneofthelargestnot-for-profithealthsystemsinthenation,MemorialHermannHealthSystemisanintegratedsystemwithanexceptionalaffiliatedmedicalstaffandmorethan26,000employees.GovernedbyaBoardofcommunitymembers,theSystemservicesSoutheastTexasandtheGreaterHoustoncommunitywithmorethan300caredeliverysitesincluding19hospitals;thecountry’sbusiestLevel1traumacenter;anacademicmedicalcenteraffiliatedwithMcGovernMedicalSchoolatUTHealth;oneofthenation’stoprehabilitationandresearchhospitals;andnumerousspecialtyprogramsandservices.MemorialHermannhasbeenatrustedhealthcareresourceformorethan110yearsandasGreaterHouston’sonlyfull-service,clinicallyintegratedhealthsystem,wecontinuetoidentifyandmeetourregion’shealthcareneeds.AmongourdiverseportfolioisLifeFlight,thelargestandbusiestairambulanceserviceintheUnitedStates;theMemorialHermannPhysicianNetwork,MHMD,oneofthelargest,mostadvanced,andclinicallyintegratedphysicianorganizationsinthecountry;and,theMemorialHermannAccountableCareOrganization,operatingacaredeliverymodelthatgeneratesbetteroutcomesatlowercoststoconsumers,whileprovidingresidentsoftheGreaterHoustonareabroadaccesstohealthinsurancethroughtheMemorialHermannHealthInsuranceCompany.Specialtiesspanburntreatment,cancer,children’shealth,diabetesandendocrinology,digestivehealth,ear,noseandthroat,heartandvascular,lymphedema,neurosurgery,neurology,stroke,nutrition,ophthalmology,orthopedics,physicalandoccupationaltherapy,rehabilitation,roboticsurgery,sleepstudies,transplant,weightloss,women’shealth,maternityandwoundcare.SupportingtheSysteminitsimpactonoverallpopulationhealthistheCommunityBenefitCorporation.Atamarketshareof26.1%inthe‘expanded’greaterHoustonareaof12counties,ourvisionisthatMemorialHermannwill
MemorialHermannRehabilitationHospitalKatyCHNA20197
beapreeminentintegratedhealthsystemintheU.S.byadvancingthehealthofthoseweserve.
Memorial Hermann Rehabil itation Hospital Katy Service Area TheserviceareaforMHRehabKatyincludesAustin,FortBend,Harris,andWallercountiesinTexas.ThegeographicboundariesoftheserviceareaareshowninFigure1.ThezipcodeswithinMHRehabKaty’sprimaryserviceareaarelistedinTable1andrepresentapproximately75%ofinpatientdischarges(3.2%inAustinCounty,15.8%inFortBendCounty,52.3%inHarrisCounty,and2.4%inWallerCounty).
Figure1.MHRehabKatyServiceArea
Table1.ProportionofPatientPopulationServedbyZipCodeZIPCode County PercentofPatient
Population77450 Harris 11.5%77449 Harris 11.2%77494 FortBend 10.5%77084 Harris 7.3%77493 Harris 5.2%77077 Harris 3.4%
MemorialHermannRehabilitationHospitalKatyCHNA20198
ZIPCode County PercentofPatientPopulation
77474 Austin 3.2%77079 Harris 2.7%77433 Harris 2.7%77423 Waller 2.4%77024 Harris 2.0%77407 FortBend 2.0%77043 Harris 1.9%77080 Harris 1.7%77406 FortBend 1.7%77441 FortBend 1.6%77041 Harris 1.4%77055 Harris 1.3%
Consultants MemorialHermannHealthSystemcommissionedConduentHealthyCommunitiesInstitute(HCI)toconductits2019CommunityHealthNeedsAssessment.HCIworkswithclientsacrossthenationtodrivecommunityhealthoutcomesbyassessingneeds,developingfocusedstrategies,identifyingappropriateinterventionprograms,establishingmonitoringsystems,andimplementingperformanceevaluationprocesses.TolearnmoreaboutConduentHealthyCommunitiesInstitute,pleasevisithttps://www.conduent.com/community-population-health.
MemorialHermannRehabilitationHospitalKatyCHNA20199
Evaluation of Progress Since Prior CHNA TheCHNAprocessshouldbeviewedasathree-yearcycle.AnimportantpartofthatcycleisrevisitingtheprogressmadeonprioritytopicsfrompreviousCHNAs.Byreviewingtheactionstakentoaddresspriorityareasandevaluatingtheimpactoftheseactionsinthecommunity,anorganizationcanbetterfocusandtargetitseffortsduringthenextCHNAcycle.
Priority Health Needs and Impact from Prior CHNA MHRehabKaty’slastCHNAwasconductedin2016.ThepriorityareasinFY16-18were:
• HealthyLiving:Encourageandfosterhealthylifestylesthrougheducation,awarenessandearlydetectiontopreventillness.
• HealthcareAccess:Improvecommunityknowledgeabouthealthcareaccesspointsandreduceperceivedbarrierstocare.
• BehavioralHealth:Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
EachoftheabovehealthtopicscorrelateswellwiththeprioritiesidentifiedforthecurrentCHNA(detailedbelow);thusMHRehabKatywillbebuildinguponeffortsofpreviousyears.A
Figure2.CHNAProcess
AnalyzeData&
CommunityInput
PrioritizeHealthNeeds
CHNAReport&
ImplementationStrategy
Implement
EvaluateActionsTaken 3Year
Cycle
MemorialHermannRehabilitationHospitalKatyCHNA201910
detailedtabledescribingthestrategies/actionstepsandindicatorsofsuccessforeachoftheprecedingpriorityhealthtopicscanbefoundinAppendixA.MHRehabKaty’sprecedingCHNAwasmadeavailabletothepublicviathewebsiteandcommunityfeedbackdirectedtoMemorialHermann’sCommunityBenefitDepartment:http://www.memorialhermann.org/locations/katy/community-health-needs-assessment-katy-rehab/.NocommentsorfeedbackwerereceivedontheprecedingCHNAatthetimethisreportwaswritten.
MemorialHermannRehabilitationHospitalKatyCHNA201911
Methodology
Overview Twotypesofdatawereusedinthisassessment:primaryandsecondarydata.Primarydataaredatathathavebeencollectedforthepurposesofthiscommunityassessment.Primarydatawereobtainedthroughacommunitysurveyandkeyinformantinterviews.Secondarydataarehealthindicatordatathathavealreadybeencollectedbypublicsourcessuchasgovernmenthealthdepartments.Eachtypeofdatawasanalyzedusingauniquemethodology.FindingswereorganizedbyhealthtopicsandthensynthesizedforacomprehensiveoverviewofthehealthneedsinMHRehabKaty’sservicearea.
Secondary Data Sources & Analysis SecondarydatausedforthisassessmentwerecollectedandanalyzedfromHCI’scommunityindicatordatabase.Thisdatabase,maintainedbyresearchersandanalystsatHCI,includesover100communityindicatorsfromatleast15stateandnationaldatasources.HCIcarefullyevaluatessourcesbasedonthefollowingthreecriteria:thesourcehasavalidatedmethodologyfordatacollectionandanalysis;thesourcehasscheduled,regularpublicationoffindings;andthesourcehasdatavaluesforsmallgeographicareasorpopulations.
Secondary Data Scoring HCI’sDataScoringTool®wasusedtosystematicallysummarizemultiplecomparisonsinordertorankindicatorsbasedonhighestneed.Foreachindicator,thecommunityvaluewascomparedtoadistributionofTexasandUScounties,stateandnationalvalues,HealthyPeople2020,andsignificanttrendswerenoted.Thesecomparisonscoresrangefrom0-3,where0indicatesthebestoutcomeand3theworst.Availabilityofeachtypeofcomparisonvariesbyindicatorandisdependentuponthedatasource,comparabilitywithdatacollectedforothercommunities,andchangesinmethodologyovertime.Thecomparisonscoresweresummarizedforeachindicator,andindicatorswerethengroupedintotopicareasforasystematicrankingofcommunityhealthneeds.PleaseseeAppendixBforfurtherdetailsonthequantitativedatascoringmethodologyaswellassecondarydatascoringresults.
Figure3.SummaryofTopicScoringAnalysis
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Disparit ies Analysis Whenagivenindicatorhasdataavailableforsubgroupslikerace/ethnicity,ageorgender–andvaluesforthesesubgroupsincludeconfidenceintervals–significantdifferencesbetweenthesubgroups’valueandtheoverallvaluecanbedetermined.Asignificantdifferenceisdefinedastwovalueswithnon-overlappingconfidenceintervals.Onlysignificantdifferencesinwhichthevalueforasubgroupisworsethantheoverallvalueareidentified.Confidenceintervalsarenotavailableforallindicators.Inthesecases,therearenotenoughdatatodetermineiftwovaluesaresignificantlydifferentfromeachother.
Primary Data Methods & Analysis CommunityinputforMemorialHermannHealthSystemwascollectedtoexpandupontheinformationgatheredfromthesecondarydata.PrimarydatausedinthisassessmentconsistedofacommunitysurveyinEnglishandSpanishaswellaskeyinformantinterviews.SeeAppendixCforthesurveyandinterviewquestions.
Community Survey Inputfromcommunityresidentswascollectedthroughanonlinesurvey.Thissurveyconsistedof11questionsrelatedtotophealthneedsinthecommunity,individuals’perceptionoftheiroverallhealth,andweeklyexercisehabits.ThecommunitysurveywasdistributedonlinethroughSurveyMonkey®fromOctober23rdthroughNovember27thof2018.ThesurveywasmadeavailableinbothEnglishandSpanish.PapersurveyswerealsomadeavailableandanswerstothepapersurveywereenteredintotheSurveyMonkeytool.Atotalof285responseswerecollected.ResultsinthisreportarebasedontheserviceareaforMemorialHermannHealthSystem.Thiswasaconveniencesample,whichmeansresultsmaybevulnerabletoselectionbiasandmakethefindingslessgeneralizabletothepopulationasawhole.
Table2.CommunitySurveyOutreachCommunityEvent DescriptionStepHealthEvent–MoodyPark,77009
CommunityeventhostedbyMemorialHermannprovidingparkactivation,walkingtours,Zumbainstruction,and(throughapartnershipwithHoustonFoodBank)fooddistributiontolow-income,at-risk,andmostlyuninsuredresidents.
StepHealthEvent–CastilloPark,77009
CommunityeventhostedbyMemorialHermannprovidingparkactivation,walkingtours,Zumbainstruction,and(throughapartnershipwithHoustonFoodBank)fooddistributiontolow-income,at-risk,andmostlyuninsuredresidents.
MemorialHermannHealthCentersforSchools
10school-basedhealthclinicsin5schooldistricts(74schools)inHarrisandFortBendCounties,providingmedical,mentalhealth,anddentalcare,alongwithnutrition,navigation,andsummerbootcampprogramstouninsuredandunderinsuredchildrenthroughouttheGreaterHoustonarea.
WestOremYMCA,77085
Acommunity-centeredorganizationthatbringspeopletogethertobridgethegapsincommunityneeds(underservedresidents),nurturesresidents’potentialtolearn,grow,andthrive,andmobilizesthelocalcommunitytoeffectlasting,meaningfulchange.
SpringBranchCommunity
AFederallyQualifiedHealthCenter(FQHC)providingquality,affordablehealthcareservicestotheunderservedanduninsuredcommunitiesofSpring
MemorialHermannRehabilitationHospitalKatyCHNA201913
Therace/ethnicitymake-upofsurveyrespondentsisshowninFigure4.ThelargestproportionofrespondentsidentifiedasHispanic/Latino(47.2%),22.8%asWhite,20.4%asBlack/AfricanAmerican,andtheremaining9.6%ofrespondentsasAsian/PacificIslander,OtherandNativeAmerican.
HealthCenter,77080
BranchandWestHouston.
WesleyCommunityCenter,77009
Amulti-purposesocialserviceagencyprovidingresidentsofHouston:short-termrent,utility,andfoodassistancetopreventhomelessnessandmaintainfamilyfinancialstability;acareerandpersonalfinancialservicecenter;andEarlyHeadStart,achilddevelopmentprogramservinginfantstotoddlerstopromoteschoolreadiness.
CompleteCommunities,Houston
PrograminitiatedbytheMayorofHoustoninfivecommunities-allhistoricallyunder-resourced,eachwithabaselevelofcommunityinvolvementandsupport,andwithdiversepopulations.Theprogramisdesignedtoenhanceaccesstoqualityaffordablehomes,jobs,well-maintainedparksandgreenspace,improvedstreetsandsidewalks,grocerystoresandotherretail,goodschoolsandtransitoptions.Communities:AcresHomes[77018,77088,77091],Gulfton[77056,77057,77081],NearNorthside[77009,77022,77026],SecondWard[77003,77011,77020],andThirdWard[77003,77004,77204].
HealthyLivingMatters
AHouston/HarrisCountyChildhoodObesityCollaborative-Acollaborativeofmulti-sectorleadersthatpromotepolicyaimedatsystem-levelandenvironmentalchangetoreducetheincidenceofchildhoodobesity.Prioritycommunitieswereselectedduetothelackofaccesstohealthyfoodoptionsandopportunitiestoengageinphysicalactivityaswellasfortheircommunityassetsandreadinessforchange.PriorityCommunities:CityofPasadena[77058,77059,77502,77503,77504,77505,77506,77507,77536,77571,77586],NearNorthside[77009,77022,77026],andFifthWard/KashmereGardens[77020,77026,and77028]
GreaterNorthsideHealthCollaborative
Non-profitcollaborativewhosegoalistoexpandactivelivingresourcesandincreaseaccesstoqualityhealthcareandhealthyfoodbypromotingresidentleadershipandcivicparticipation.
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Figure4.SurveyRespondentsbyRace/Ethnicity
Surveyrespondentswereaskedtoselecttopissuesmostaffectingthecommunity’squalityoflife.AsshowninFigure5,themajorityofrespondentsidentifiedDiabetes,Obesity/Overweight,SubstanceAbuse,andMentalHealth&MentalDisordersastopissuesinthecommunity.
Figure5.TopIssuesAffectingQualityofLife(Survey)
Key Informant Interviews Communityinputwasalsocollectedthroughkeyinformantinterviews.
MemorialHermannHealthSystemjoinedwiththeEpiscopalHealthFoundation(EHF)intheirkeyinformantinterviewinitiativesupportingfourGreaterHoustonareahospitalsystemsinpreparingtheircommunityhealthneedsassessments.ThecollaboratinghospitalsofthisinitiativeincludeMemorialHermann,CHISt.Luke’sHealth,HoustonMethodist,andTexasChildren’s(Table3).Throughthispartnership,atotalof53interviewswereconductedwith
47.20%
22.40%
20.80%
4.80%3.60% 1.20%
Hispanic
White
AfricanAmerican
Asian/PacificIslander
Other
NativeAmerican
10%10%13%13%14%
17%23%26%26%
35%51%54%
64%69%
SexualHealthOralhealth
TeenagePregnancyReproductiveHealth
OtherRespiratory/LungDiseaseInjuries,Violence&Safety
ElderCareHeartDisease&Stroke
CancersMentalHealth&MentalDisorders
SubstanceAbuseObesity/Overweight
Diabetes
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stakeholdersfromarangeofsectorssuchasgovernment,healthcare,business,andcommunityserviceorganizations.Communityleaderswithspecificexperienceworkingwithprioritypopulations,suchaswomen,children,peopleofcolor,thedisabled,andmore,werealsointerviewed.
Table3.MemorialHermannCollaborativePartners
Intotal,64keyinformantinterviewswereconductedbyphonefromAugustthroughNovember2018;53keyinformantinterviewswereconductedthroughthecollaborativeand11interviewswereconductedbyHCI.Intervieweeswhowereaskedtoparticipatewererecognizedashavingexpertiseinpublichealth,specialknowledgeofcommunityhealthneedsand/orrepresentedthebroadinterestofthecommunityservedbythehospital,and/orcouldspeaktotheneedsofmedicallyunderservedorvulnerablepopulations.Effortsweremadetoidentifyintervieweesworkinginand/orknowledgeableaboutthecountiesinMemorialHermannHealthSystem’sservicearea.AsseeninTable4,someintervieweeswereidentifiedwithknowledgeofmultiplecounties.
Table4.KeyInformantsbyCountyCounty KeyInformantsAustin IncludedinMultipleCountiesBrazoria 3Chambers 2
EpiscopalHealthFoundation’smissionistoadvancetheKingdomofGodwithspecificfocusonhumanhealthandwell-beingthroughgrants,research,andinitiativesinsupportoftheworkoftheDiocese,spanning57counties.Throughinformedaction,collaboration,empowerment,stewardship,transparency,andaccountabilitythefoundationstrivesforthetransformationofhumanlivesandorganizationswithcompassionforthepoorandpowerless.
CHISt.Luke’sHealth,apartofCatholicHealthInitiatives(CHI),oneofthenation’slargesthealthsystems,isdedicatedtoamissionofenhancingcommunityhealththroughhigh-quality,cost-effectivecare.Throughpartnershipswithphysiciansandcommunitypartners,CHISt.Luke’sHealthservesGreaterHoustonwithitscommitmenttoexcellenceandcompassionincaringforthewholepersonwhilecreatinghealthiercommunities.
HoustonMethodistisanonprofithealthcareorganizationservingGreaterHouston,dedicatedtoexcellenceinresearch,education,andpatientcare.HoustonMethodistbringscompassionandspiritualitytoallitsendeavorstohelpmeetthehealthneedsofthecommunitythroughthesystem’sICAREvalues:integrity,compassion,accountability,respect,andexcellence.
TexasChildren’sHospitalisanot-for-profitorganizationwhosemissionistocreateahealthierfutureforchildrenandwomenthroughoutGreaterHoustonandtheglobalcommunitybyleadinginpatientcare,education,andresearch.TexasChildren’siscommittedtocreatingahealthycommunityforchildrenbyprovidingthebestpediatriccarepossible,throughgroundbreakingresearchandemphasisoneducation,whilealsoofferingafullcontinuumoffamily-centeredcareforwomen,fromobstetricstowell-womancare.
MemorialHermannRehabilitationHospitalKatyCHNA201916
County KeyInformantsFortBend 10Galveston 7Harris 28Liberty 1Montgomery 4SanJacinto IncludedinMultipleCountiesWalker IncludedinMultipleCountiesWaller 2Wharton 2MultipleCounties* 5Total 64
Interviewsweretranscribedandanalyzedusingthequalitativeanalytictool,Dedoose1.Interviewexcerptswerecodedbyrelevanttopicareasandkeyhealththemes.Threeapproacheswereusedtoassesstherelativeimportanceoftheneedsdiscussedintheseinterviews.Theseapproachesincluded:thefrequencybywhichahealthtopicwasdiscussedacrossallinterviews;thefrequencybywhichatopicwasdescribedbythekeyinformantasabarrier/challenge;andthefrequencybywhichatopicwasmentionedperinterviewee.
Data Considerations Severallimitationsofdatashouldbeconsideredwhenreviewingthefindingspresentedinthisreport.Althoughthetopicsbywhichdataareorganizedcoverawiderangeofhealthandhealth-relatedareas,dataavailabilityvariesbyhealthtopic.Sometopicscontainarobustsetofsecondarydataindicators,whileothersmayhavealimitednumberofindicatorsorlimitedsubpopulationscoveredbythosespecificindicators.Datascoresrepresenttherelativecommunityhealthneedaccordingtothesecondarydataforeachtopicandshouldnotbeconsideredtobeacomprehensiveresultontheirown.Inaddition,thesescoresreflectthesecondarydataresultsforthepopulationasawhole,anddonotrepresentthehealthorsocioeconomicneedthatismuchgreaterforsomesubpopulations.Moreover,manyofthesecondarydataindicatorsincludedinthefindingsarecollectedbysurvey,andthoughspecificmethodsareusedtobestrepresentthepopulationatlarge,thesemeasuresaresubjecttoinstability,especiallyforsmallerpopulations.TheIndexofDisparityisalsolimitedbydataavailability,whereindicatordatavariesbasedonthepopulationgroupsandserviceareasbeinganalyzed.
1DedooseVersion8.0.35,webapplicationformanaging,analyzing,andpresentingqualitativeandmixedmethodresearchdata(2018).LosAngeles,CA:SocioCulturalResearchConsultants,LLCwww.dedoose.com
*Five(5)oftheKeyInformantInterviewsrepresented2ormorecounties,including:Austin,Brazoria,Chambers,FortBend,Galveston,Harris,Liberty,Montgomery,SanJacinto,Walker,Waller,andWhartoncounties.
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Race/Ethnic Groupings
Thesecondarydatapresentedinthisreportderivefrommultiplesources,whichmaypresentraceandethnicitydatausingdissimilarnomenclature.Forconsistencywithdatasourcesthroughoutthereport,subpopulationdatamayusedifferenttermstodescribethesameorsimilargroupsofcommunitymembers.
Zip Codes and Zip Code Tabulation Areas
ThisreportpresentsbothZIPCodeandZIPCodeTabulationArea(ZCTA)data.ZIPorZoneImprovementPlanCodeswerecreatedbytheU.S.PostalServicetoimprovemaildeliveryservice.Theyarebasedonpostalroutes,whichfactorindelivery-area,mailvolumeandgeographiclocation.Theyarenotdesignedtobeusedforstatisticalreportingandmaychangefrequently.SomeZIPCodesmayonlyincludeP.O.boxesorcoverlargeunpopulatedareas.ZCTAsorZIPCodeTabulationAreaswerecreatedbytheU.S.CensusBureauandaregeneralizedrepresentationsofZIPCodesthathavebeenassignedtocensusblocks.Therefore,ZCTAsarerepresentativeofgeographiclocationsofpopulatedareas.Inmostcases,theZCTAwillbethesameasitsZIPCode.ZCTAswillnotnecessarilyexistforZIPCodeareaswithonlybusinesses,singleormultipleaddresses,orforlargeunpopulatedareas.SinceZCTAsarebasedonthemostrecentCensusdata,theyaremorestablethanZIPCodesanddonotchangeasfrequently.DemographicsforthisreportaresourcedfromtheUnitedStatesCensusBureau,whichpresentsZCTAestimates.TablesandfiguresintheDemographicssectionofthisreportreferenceZIPCodesintitle(forpurposesoffamiliarity)butshowvaluesofZCTAs.DatafromothersourcesisrepresentativebyZIPCodesandarelabeledassuch.
Priorit ization Inordertofocuseffortsonasmallernumberofthemostsignificantcommunityissues,sixteenrepresentativesfromtheMemorialHermannHealthSystem(oneormorerepresentingeachfacility)participatedinanonlineprioritizationprocesstoprioritizethefifteensignificanthealthneedsidentifiedthroughthesecondaryandprimarydataanalyses.Theprioritizedhealthneedswillbeunderconsiderationforthedevelopmentofanimplementationplanthatwilladdresssomeofthecommunity’smostpressinghealthissues.
Priorit ization Process Toprioritizesignificanthealthneeds,MemorialHermannstakeholdersparticipatedinanonlinewebinaronMarch7,2019toreviewdatasynthesisresultsfollowedbycompletionofaprioritizationmatrixlistingsignificanthealthneedsandfourcriteriabywhichtorateeachneed.Participantsscoredeachneedforeachofthecriteriaonascalefrom1-5,with1meaningtherespondentstronglydisagreesto5meaningtherespondentstronglyagreesthatthehealthneedmeetsthecriterion.Respondentswerealsoabletoselect“Don’tKnow/Unsure”foreachhealthneed.Thecriteriaforprioritizationincludedtowhatextentanissue:
• Impactsmanypeopleinthecommunity• Significantlyimpactssubgroupsinthecommunity(gender,race/ethnicity,LGBTQ,etc.)
MemorialHermannRehabilitationHospitalKatyCHNA201918
• Hasinadequateexistingresourcesinthecommunity• Hashighriskfordiseaseordeath
CompletionoftheprioritizationmatrixinAppendixDresultedinnumericalscoresforeachhealthneedthatcorrespondedtohowwelleachhealthneedmetthecriteriaforprioritization.Thescoreswererankedfromhighesttolowest(Table5).
Table5.ResultsfromMemorialHermannPrioritizationMatrixSignificantHealthNeed Impacton
CommunityImpactonSubgroups
InadequateResources
HighRisk AverageScore
Obesity(Exercise,NutritionandWeight)
4.69 4.00 3.19 4.50 4.09
MentalHealth 4.44 3.44 4.50 3.75 4.03Diabetes 4.50 4.00 3.25 4.19 3.98LackofHealthInsurance 4.31 4.19 3.38 4.00 3.97Low-Income/Underserved
4.19 4.19 3.44 4.00 3.95
HeartDisease/Stroke 4.44 3.82 2.81 4.44 3.88SubstanceAbuse 3.56 3.88 3.63 4.19 3.81AccesstoHealthServices
4.00 3.94 3.25 3.88 3.77
OlderAdultsandAging 4.38 3.81 3.13 3.75 3.76FoodInsecurity 3.88 4.00 3.44 3.50 3.70Cancers 4.19 3.19 3.00 4.31 3.67Education 3.88 3.81 3.00 3.13 3.45Transportation 4.00 3.88 2.81 3.00 3.42Children'sHealth 4.00 3.50 3.00 3.19 3.42Economy 3.31 3.31 2.69 2.88 3.05Inadditiontoratingeachneedinthematrix,prioritizationparticipantswereaskedtoratethelevelofimportanceofMemorialHermann’s4strategicpillars.
1. ImprovingAccesstoHealthcarethroughprogramming,education,andsocialservicesupport;
2. AddressingEmotionalWell-being(mentalandbehavioralhealth)throughinnovativeaccesspoints;
3. PromotingtheimportanceofahealthydietthroughscreeningandcreatingaccesstonutritiousFoodasHealth;and,
4. FosteringimprovedhealththroughExerciseIsMedicinewithculturallyappropriateactivities.
EachoftheseintersectingpillarsconnecttoeachotherthroughvariouspointsinMemorialHermannprogramsandinitiativesadvancingthehealthofourcommunities(Figure6).
MemorialHermannRehabilitationHospitalKatyCHNA201919
Figure6.MemorialHermann’sFourPillarsforCommunityHealth
Over93%ofparticipantsrespondedthatthe4pillarswereimportantorveryimportant.TheMemorialHermannCommunityBenefitteamreviewedthesefindings,andtakingintoaccountthealignmentoftopneedswithMemorialHermann’sstrategicfocusareas,adecisionwasmadetointegrate:
• LackofHealthInsurance,Low-Income/Underserved,andAccesstoHealthServicesintoPillar1:AccesstoHealthcare
• MentalHealthandSubstanceAbuseintoPillar2:EmotionalWell-Being• Diabetes,FoodInsecurityandHeartDisease/StrokeintoPillar3:FoodasHealth• Obesity(Exercise,NutritionandWeight)intoPillar4:ExerciseIsMedicine
Throughthissystem-wideprioritizationprocess,thefollowingfourprioritiesforMemorialHermannHealthSystemare:
• AccesstoHealthcare(addressingAccesstoHealthServices,LackofHealthInsurance,andLow-Income/Underserved)
• EmotionalWellbeing(addressingMentalHealthandSubstanceAbuse)• FoodasHealth(addressingDiabetes,FoodInsecurity,andHeartDisease/Stroke)• ExerciseIsMedicine(addressingObesity)
ThesefourhealthtopicswillbeexploredfurtherinordertounderstandhowfindingsfromthesecondaryandprimarydataanalysesresultedineachissuebeingahighpriorityhealthneedforMemorialHermannHealthSystem.
MemorialHermannRehabilitationHospitalKatyCHNA201920
Demographics ThefollowingsectionexploresthedemographicprofileofMHRehabKaty’sservicearea,includingAustin,FortBend,Harris,andWallercounties.Thedemographicsofacommunitysignificantlyimpactitshealthprofile.Differentrace/ethnic,age,andsocioeconomicgroupshaveuniqueneedsandrequiredifferentapproachestohealthimprovementefforts.AlldemographicestimatesaresourcedfromtheU.S.CensusBureau’s2013-2017AmericanCommunitySurveyunlessotherwiseindicated.Furthermore,tablesinthissectionlistindicatorvaluesforthetop75%ofzipcodeswithinMHRehabKaty’sserviceareaindescendingorderofinpatientdischargesunlessotherwisenoted.
Population AccordingtotheU.S.CensusBureau’s2013-2017AmericanCommunitySurvey,the4countiesinMHRehabKaty’sserviceareahadpopulationsof29,786(AustinCounty),764,828(FortBendCounty),4,652,980(HarrisCounty),and51,307(WallerCounty).Figure7illustratesthepopulationsizebycountyandTable6byzipcode.ThemostpopulouszipcodesinMHRehabKaty’sserviceareaare77449(HarrisCounty),77494(FortBendCounty),and77084(HarrisCounty).
Figure7.PopulationbyCounty
Table6.PopulationbyZipCodeZIPCode County TotalPopulationEstimate77450 Harris 74,631
MemorialHermannRehabilitationHospitalKatyCHNA201921
ZIPCode County TotalPopulationEstimate77449 Harris 119,20477494 FortBend 105,85477084 Harris 104,58277493 Harris 29,98477077 Harris 57,75777474 Austin 12,99377079 Harris 33,57777433 Harris 75,00877423 Waller 11,55177024 Harris 38,11077407 FortBend 48,15777043 Harris 25,83877080 Harris 45,66577406 FortBend 41,00877441 FortBend 9,91977041 Harris 35,37277055 Harris 45,003
AmericanCommunitySurvey,2013-2017
Age Figure8showsMHRehabKaty’sserviceareapopulationthatisunder18yearsold.Asshown,24.1%ofAustinCounty’spopulationisunder18and24.3%ofWallerCounty’spopulationisunder18.FortBendandHarriscountieshavehigherproportionsofresidentsunder18(27.7%and26.9%,respectively)comparedtothestateandnationalvalues.
Figure8.PopulationUnder18
AsshowninFigure9,AustinCountyhasabiggerproportionofolderadultscomparedtoTexasandtheU.S.FortBend,Harris,andWallercountiesallhavesmallerproportionsofolderadultscomparedtoboththestateandnationalvalues.
24.1%
27.7% 26.9%24.3%
26.0%22.6%
0%
5%
10%
15%
20%
25%
30%
Austin FortBend Harris Waller Texas U.S.
MemorialHermannRehabilitationHospitalKatyCHNA201922
Figure9.PopulationOver65
Figure10showsthatHarrisCountyhasalargerproportionofresidentsunder5yearsoldcomparedtobothTexasandtheU.S.AustinCountyhasthelowestpercentage(6.2%)ofthefourcountiesintheservicearea.
Figure10.PopulationUnder5
Race/Ethnicity Theraceandethnicitycompositionofapopulationisimportantinplanningforfuturecommunityneeds,particularlyforschools,businesses,communitycenters,healthcareandchildcare.Raceandethnicitydataarealsousefulforidentifyingandunderstandingdisparitiesinhousing,employment,income,andpoverty.AlargernumberofresidentsinAustin,FortBend,andWallercountiesidentifyasWhite,non-HispanicwhileinHarrisCountytherearealargernumberofresidentswhoidentifyasHispanicorLatino.Figure11showstheracialcompositionofresidentsinAustinCountywith63.3%ofresidentsidentifyingasWhite,non-Hispanic;25.9%asHispanicorLatino(ofanyrace);8.9%as
18.6%
10.6% 10.2%11.8% 12.3%
15.6%
0%2%4%6%8%
10%12%14%16%18%20%
Austin FortBend Harris Waller Texas U.S.
6.2%7.1%
7.7%
6.6%7.2%
6.1%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
Austin FortBend Harris Waller Texas U.S.
MemorialHermannRehabilitationHospitalKatyCHNA201923
BlackorAfricanAmerican;0.2%asAsian;and1.7%asAmericanIndianandAlaskaNative,NativeHawaiianandOtherPacificIslander,“Someotherrace”,and/or“Twoormoreraces”.
Figure11.Race/EthnicityinAustinCounty
Figure12showstheracialcompositionofresidentsinFortBendCountywith34.4%ofresidentsidentifyingasWhite,non-Hispanic;24.2%asHispanicorLatino(ofanyrace);20.2%asBlackorAfricanAmerican;19.2%asAsian;and2%asAmericanIndianandAlaskaNative,NativeHawaiianandOtherPacificIslander,“Someotherrace”,and/or“Twoormoreraces”.
Figure12.Race/EthnicityinFortBendCounty
Figure13showstheracialcompositionofresidentsinHarrisCountywith42.2%ofresidentsidentifyingasHispanicorLatino(ofanyrace);30.6%asWhite;18.5%asBlackorAfricanAmerican;6.8%asAsian;and1.9%asAmericanIndianandAlaskaNative,NativeHawaiianandOtherPacificIslander,“Someotherrace”,and/or“Twoormoreraces”.
63.3%8.9%0.2%
25.9%
1.7%White,non-Hispanic
BlackorAfricanAmerican
Asian
HispanicorLatino(ofanyrace)
Other
34.4%
20.2%
19.2%
24.2%
2.0%White,non-Hispanic
BlackorAfricanAmerican
Asian
HispanicorLatino(ofanyrace)
Other
MemorialHermannRehabilitationHospitalKatyCHNA201924
Figure13.Race/EthnicityinHarrisCounty
Figure14showstheracialcompositionofresidentsinWallerCountywith43.0%ofresidentsidentifyingasWhite,non-Hispanic;29.4%asHispanicorLatino(ofanyrace);24.9%asBlackorAfricanAmerican;0.7%asAsian;and2%asAmericanIndianandAlaskaNative,NativeHawaiianandOtherPacificIslander,“Someotherrace”,and/or“Twoormoreraces”.
Figure14.Race/EthnicityinWallerCounty
Language Languageisanimportantfactortoconsiderforoutreacheffortsinordertoensurethatcommunitymembersareawareofavailableprogramsandservices.
30.6%
18.5%6.8%
42.2%
1.9%White,non-Hispanic
BlackorAfricanAmerican
Asian
HispanicorLatino(ofanyrace)
Other
43.0%
24.9%0.7%
29.4%
2.0%White,non-Hispanic
BlackorAfricanAmerican
Asian
HispanicorLatino(ofanyrace)
Other
MemorialHermannRehabilitationHospitalKatyCHNA201925
Figure15.LanguageOtherthanEnglishSpokenatHome
Figure15showstheproportionofresidentsinAustin,FortBend,Harris,andWallercountieswhospeakalanguageotherthanEnglishathome.Asshown,43.7%ofresidentsinHarrisCountyand20.2%ofresidentsinAustinCountyspeakalanguageotherthanEnglishascomparedto35.3%inTexasand21.3%intheU.S.Thisisanimportantconsiderationfortheeffectivenessofservicesandoutreachefforts,whichmaybemoreeffectiveifconductedinlanguagesotherthanEnglishalone.
Table7.PopulationwithDifficultySpeakingEnglishbyZipCodeZIPCode County DifficultySpeaking
English77450 Harris 10.8%77449 Harris 17.2%77494 FortBend 8.9%77084 Harris 18.5%77493 Harris 10.8%77077 Harris 12.5%77474 Austin 10.8%77079 Harris 10.9%77433 Harris 9.8%77423 Waller 18.8%77024 Harris 6.9%77407 FortBend 14.6%77043 Harris 24.8%77080 Harris 37.1%77406 FortBend 3.4%77441 FortBend 2.1%77041 Harris 21.9%77055 Harris 30.2%Austin -- 8.8%
20.2%
38.4%43.7%
26.1%
35.3%
21.3%
0%5%
10%15%20%25%30%35%40%45%50%
Austin FortBend Harris Waller Texas U.S.
MemorialHermannRehabilitationHospitalKatyCHNA201926
FortBend -- 13.0%Harris -- 20.4%Waller -- 12.9%Texas -- 14.1%
AmericanCommunitySurvey,2013-2017
AsshowninTable7,HarrisCountyhasalargerproportionofresidentswithdifficultyspeakingEnglish(20.4%)comparedtotheotherthreecountiesandthestateofTexas(14.1%).Inzipcodes77080and77055,overathirdofresidentshavedifficultyspeakingEnglish.
Social and Economic Determinants of Health Thissectionexplorestheeconomic,environmental,andsocialdeterminantsofhealthinMemorialHermannKaty’sservicearea.Socialdeterminantsaretheconditionsinwhichpeopleareborn,grow,work,live,andage,andthewidersetofforcesandsystemsshapingtheconditionsofdailylife.
Income Medianhouseholdincomereflectstherelativeaffluenceandprosperityofanarea.Areaswithhighermedianhouseholdincomesarelikelytohaveagreatershareofeducatedresidentsandlowerunemploymentrates.Figure16comparesthemedianhouseholdincomevaluesforallfourcountiesinMHRehabKaty’sserviceareatothemedianhouseholdincomevalueforTexasandtheUnitedStates.FortBendCounty’smedianhouseholdincomeof$93,645isgreaterthanthatofAustin,Harris,andWallercounties.HarrisCounty’smedianhouseholdincomeissimilartothestateandnationalvalues.
Figure16.MedianHouseholdIncome
AsshowninTable8,MHRehabKaty’sservicearearevealsarangeinmedianhouseholdincome.Nineoutofthetop10zipcodesforinpatientdischargeshaveamedianhousehold
$62,614
$93,645
$57,791$53,506 $57,051 $57,652
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$90,000
$100,000
Austin FortBend Harris Waller Texas U.S.
MemorialHermannRehabilitationHospitalKatyCHNA201927
incomehigherthanthestateofTexas($57,051);zipcodes77494,77433and77450havevaluesabove$100,000.Ontheotherhand,zipcode77080inHarrisCountyhasamedianhouseholdincomeof$44,386,whichisapproximately$13,000lowerthanthestatevalue.
Table8.MedianHouseholdIncomebyZipCode
ZIPCode County MedianHouseholdIncome
77450 Harris $101,24077449 Harris $72,39777494 FortBend $137,60077084 Harris $65,61777493 Harris $85,86577077 Harris $66,58777474 Austin $63,15277079 Harris $98,77477433 Harris $103,77377423 Waller $52,01977024 Harris $118,56177407 FortBend $96,94777043 Harris $60,04377080 Harris $44,38677406 FortBend $114,69677441 FortBend $160,16277041 Harris $79,50377055 Harris $52,269Austin -- $62,614FortBend -- $93,645Harris -- $57,791Waller -- $53,506Texas -- $57,051
AmericanCommunitySurvey,2013-2017
Poverty FederalpovertythresholdsareseteveryyearbytheCensusBureauandvarybysizeoffamilyandagesoffamilymembers.Ahighpovertyrateisbothacauseandaconsequenceofpooreconomicconditions.Figure17showstheproportionofresidentslivingbelowthepovertylevelinAustin,FortBend,Harris,andWallercountiescomparedtothestateofTexasandtheU.S.Thepercentageofresidentslivingbelowthepovertylevelis16.8%forHarrisCountyand18%forWallerCounty,bothhigherthanthenationalvalue(14.6%)andthestatevalue(16%).InFortBendCounty,8.1%ofresidentslivebelowthepovertyvalue,whichislowerthanthestateandnationalvaluesandlessthanhalfthevalueofWallerCounty.
MemorialHermannRehabilitationHospitalKatyCHNA201928
Figure17.PeopleLivingBelowPovertyLevel
Figure18showstheproportionofresidentslivingbelowthepovertylevelbyrace/ethnicity.InFortBendCounty,14.8%ofresidentsidentifyingasHispanicorLatinolivebelowthepovertylevel,comparedto3.8%White,5.9%Asianand9.4%BlackorAfricanAmericanresidents.InHarrisCounty,22.6%ofHispanicorLatinoresidentsand21.8%ofBlackorAfricanAmericanresidentslivebelowthepovertylevel,comparedto7%Whiteand11.4%Asianresidents.ThepercentageofBlackresidentslivingbelowthepovertylevelinAustinandWallercounties(27.2%and35.7%,respectively)ismuchhigherthanthestatevalue(21.4%).InAustinCounty,theproportionofHispanicorLatinoresidentslivingbelowthepovertylevel(27.7%)isgreaterthanthevaluesoftheothercounties,TexasandtheU.S.
13.4%
8.1%
16.8%18.0%
16.0%14.6%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
Austin FortBend Harris Waller Texas U.S.
MemorialHermannRehabilitationHospitalKatyCHNA201929
Figure18.PeopleLivingBelowPovertyLevelbyRace/Ethnicity
Figure19.PeopleLivingBelowPovertyLevelbyZipCode
5.9%
27.2%
0.0%
27.7%
3.8%
9.4%
5.9%
14.8%
7.0%
21.8%
11.4%
22.6%
7.3%
35.7%
15.7%
22.1%
8.8%
21.4%
10.6%
23.0%
10.3%
25.2%
11.9%
22.2%
0%
5%
10%
15%
20%
25%
30%
35%
40%
White,non-Hispanic BlackorAfricanAmerican Asian HispanicorLatino
Austin FortBend Harris Waller Texas U.S.
MemorialHermannRehabilitationHospitalKatyCHNA201930
PovertyratesareovertwiceashighinHarrisCounty(16.8%)andWallerCounty(18.0%)comparedtoFortBendCounty(8.1%).AsshowninFigure19andTable9,withinMHRehabKaty’sservicearea,thezipcodeswiththehighestpovertyratesarelocatedinHarrisCounty.Onequarterofresidentsinzipcode77080andalmost23%ofresidentsinzipcode77055arelivingbelowthepovertylevel.Withinthetopzipcodesforinpatientdischarges,zipcode77084hascloseto12%ofresidentslivingbelowthepovertylevel.
Table9.PeopleLivingBelowPovertyLevelbyZipCodeZIPCode County PeopleLivingBelow
PovertyLevel77450 Harris 4.6%77449 Harris 9.5%77494 FortBend 3.9%77084 Harris 11.8%77493 Harris 5.9%77077 Harris 10.4%77474 Austin 15.6%77079 Harris 8.0%77433 Harris 4.4%77423 Waller 14.5%77024 Harris 5.8%77407 FortBend 6.4%77043 Harris 14.6%77080 Harris 25.1%77406 FortBend 3.9%77441 FortBend 4.7%77041 Harris 10.2%77055 Harris 22.8%Austin -- 13.4%FortBend -- 8.1%Harris -- 16.8%Waller -- 18.0%Texas -- 16.0%
AmericanCommunitySurvey,2013-2017
Food Insecurity TheSupplementalNutritionAssistanceProgram(SNAP)isafederalassistanceprogramthatprovideslow-incomefamilieswithelectronicbenefittransfers(EBTs)thatcanbeusedtopurchasefood.Thegoaloftheprogramistoincreasefoodsecurityandreducehungerbyincreasingaccesstonutritiousfood.Table10showsthepercentofhouseholdswithchildrenthatparticipateinSNAPinthezipcodeswithinMHRehabKaty’sservicearea.BothFortBendandHarriscountieshavehigherproportionsofhouseholdswithchildrenreceivingSNAP(73.5%and67.7%,respectively)
MemorialHermannRehabilitationHospitalKatyCHNA201931
comparedtothestateofTexas(64.3%).Zipcodes77084,77493and77080(allinHarrisCounty)haveover80%ofhouseholdswithchildrenreceivingSNAP.
Table10.HouseholdswithChildrenReceivingSNAPbyZipCodeZIPCode County HouseholdswithChildren
ReceivingSNAP77450 Harris 73.8%77449 Harris 77.4%77494 FortBend 57.2%77084 Harris 85.6%77493 Harris 84.7%77077 Harris 62.0%77474 Austin 62.7%77079 Harris 79.2%77433 Harris 69.5%77423 Waller 59.7%77024 Harris 71.4%77407 FortBend 73.5%77043 Harris 77.3%77080 Harris 81.3%77406 FortBend 69.2%77441 FortBend 72.2%77041 Harris 60.6%77055 Harris 72.4%Austin -- 58.3%FortBend -- 73.5%Harris -- 67.7%Waller -- 58.7%Texas -- 64.3%
AmericanCommunitySurvey,2013-2017
Unemployment Theunemploymentrateisakeyindicatorofthelocaleconomy.Unemploymentoccurswhenlocalbusinessesarenotabletosupplyenoughappropriatejobsforlocalemployeesand/orwhenthelaborforceisnotabletosupplyappropriateskillstoemployers.Ahighrateofunemploymenthaspersonalandsocietaleffects.Duringperiodsofunemployment,individualsarelikelytofeelsevereeconomicstrainandmentalstress.Unemploymentisalsorelatedtoaccesstohealthcare,asmanyindividualsreceivehealthinsurancethroughtheiremployer.Ahighunemploymentrateplacesstrainonfinancialsupportsystems,asunemployedpersonsqualifyforunemploymentbenefitsandfoodstampprograms.Figure20displaystherateofunemploymentinAustin,FortBend,Harris,andWallercountiesbetweenMay2017andNovember2018.Inallfourcounties,theunemploymentratehasexhibitedadecrease.InNovember2018,theFortBendCountyratewasequivalenttothestate
MemorialHermannRehabilitationHospitalKatyCHNA201932
andnationalrate.However,theunemploymentratesinHarrisCounty(3.8%)andWallerCounty(3.8%)remainhigherthanTexasandtheU.S.
Figure20.UnemploymentRateperCounty(U.S.BureauofLaborStatistics,2017-2018)
Education Graduatingfromhighschoolisanimportantpersonalachievementandisessentialforanindividual’ssocialandeconomicadvancement.Graduationratescanalsobeanimportantindicatoroftheperformanceofaneducationalsystem.Havingabachelor’sdegreeopensupcareeropportunitiesinavarietyoffieldsandisoftenaprerequisiteforhigher-payingjobs.Figure21displaystheproportionofresidentsinAustin,FortBend,Harris,andWallercountieswhoare25yearsandolderwithatleastahighschooldegree.Nearly90%ofresidents25yearsandolderinFortBendCountyhaveatleastahighschooldegree.AustinCounty(82.2%),HarrisCounty(80.5%),andWallerCounty(78.3%)allhavelowervaluesthantheU.S.(87.3%)andTexas(82.8%).
4.7%
3.5% 3.5%3.2%
4.8%
4.0% 3.9%3.5%
5.1%
4.3% 4.3%3.8%
5.0%
4.3% 4.0%3.8%
4.4%
3.7%3.7%
3.5%4.1% 3.9%
3.6% 3.5%
0%
1%
2%
3%
4%
5%
6%
May2017 November2017 May2018 November2018
Austin FortBend Harris Waller Texas UnitedStates
MemorialHermannRehabilitationHospitalKatyCHNA201933
Figure21.People25+withaHighSchoolDegreeorHigher
Figure22showstheproportionofresidentsinAustin,FortBend,Harris,andWallercountieswhoare25yearsandolderwithabachelor’sdegreeorhigher.Withnearly46%ofresidents25andolderhavingabachelor’sdegreeinFortBend,thiscountyhasaneconomicadvantagecomparedtotheotherthreecountiesintheservicearea.Theproportionofresidents25andolderwithabachelor’sdegreeinAustinCounty(22.3%)andWallerCounty(19.2%)arebothlowerthanthatofTexas(28.7%)andtheU.S.(30.9%).
Figure22.People25+withaBachelor'sDegreeorHigher
Table11displaystheeducationalattainmentindicatorsforresidents25yearsandolderbyzipcodeinMHRehabKaty’sservicearea.Forhighschooldegreeattainment,thezipcodewiththehighestrateis77024(96.9%)inHarrisCountyandthezipcodewiththelowestrateis77080(67.6%)alsoinHarrisCounty.Forattainmentofabachelor’sdegree,thezipcodewiththehighestrateis77024(75.8%)inHarrisCountyandthezipcodewiththelowestrateis77080(17.3%)inHarrisCounty.ThezipcodeswithhighestproportionsofMHRehabKaty’sinpatient
82.2%
89.7%
80.5%
78.3%
82.8%
87.3%
72%
74%
76%
78%
80%
82%
84%
86%
88%
90%
92%
Austin FortBend Harris Waller Texas U.S.
22.3%
45.7%
30.5%
19.2%
28.7%30.9%
0%5%
10%15%20%25%30%35%40%45%50%
Austin FortBend Harris Waller Texas U.S.
MemorialHermannRehabilitationHospitalKatyCHNA201934
discharges,zipcodes77450and77449,havemorethan84%ofpeople25yearsandolderwithahighschooldegree.However,inzipcode77449,onlyapproximately25%ofresidents25yearsandolderhaveabachelor’sdegreeorhigher.
Table11.People25+withaHighSchoolDegreeandPeople25+withaBachelor'sDegreebyZipCodeZIPCode County HighSchoolDegreeor
HigherBachelor’sDegreeorHigher
77450 Harris 94.3% 52.5%77449 Harris 84.3% 25.8%77494 FortBend 96.4% 61.7%77084 Harris 84.8% 28.8%77493 Harris 87.1% 30.1%77077 Harris 95.6% 54.6%77474 Austin 79.6% 18.2%77079 Harris 93.4% 64.3%77433 Harris 91.7% 47.3%77423 Waller 76.1% 18.6%77024 Harris 96.9% 75.8%77407 FortBend 93.7% 48.7%77043 Harris 79.0% 34.7%77080 Harris 67.6% 17.3%77406 FortBend 94.1% 44.1%77441 FortBend 94.3% 59.2%77041 Harris 83.3% 34.1%77055 Harris 72.5% 33.9%Austin -- 82.2% 22.3%FortBend -- 89.7% 45.7%Harris -- 80.5% 30.5%Waller -- 78.3% 19.2%Texas -- 82.8% 28.7%
AmericanCommunitySurvey,2013-2017
Transportation Therearenumerouswaysinwhichtransportationmayinfluencecommunityhealth.Publictransportationoffersmobility,particularlytopeoplewithoutcars.Transitcanhelpbridgethespatialdividebetweenpeopleandjobs,services,andtrainingopportunities.Publictransportationalsoreducesfuelconsumption,minimizesairpollution,andrelievestrafficcongestion.Walkingtoworkhelpsprotecttheenvironment,whilealsoprovidingthebenefitofdailyexercise.
MemorialHermannRehabilitationHospitalKatyCHNA201935
Figure23.HouseholdsWithoutaVehiclebyZipCode
Figure23showsthepercentageofhouseholdswithoutavehicle.Asshown,over6%ofhouseholdsinzipcodes77055and77080donothaveavehicle.
Table12.ModesofCommutingbyZipCodeZIPCode County Commuteby
WalkingCommutebyBiking
CommutebyDrivingAlone
CommutebyPublicTransportation
77450 Harris 0.4% 0.2% 80.4% 2.2%77449 Harris 0.2% 0.2% 81.5% 1.3%77494 FortBend 0.3% 0.1% 78.9% 2.4%77084 Harris 1.5% 0.0% 81.3% 1.6%77493 Harris 0.8% 0.0% 80.8% 1.1%77077 Harris 1.4% 0.6% 83.8% 2.1%77474 Austin 1.3% 0.0% 82.9% 0.1%77079 Harris 1.2% 0.2% 81.9% 3.5%
MemorialHermannRehabilitationHospitalKatyCHNA201936
ZIPCode County CommutebyWalking
CommutebyBiking
CommutebyDrivingAlone
CommutebyPublicTransportation
77433 Harris 0.2% 0.1% 83.7% 1.5%77423 Waller 1.3% 0.4% 81.0% 1.4%77024 Harris 1.8% 0.0% 84.8% 0.7%77407 FortBend 0.3% 0.0% 79.9% 1.5%77043 Harris 1.5% 0.4% 81.7% 1.8%77080 Harris 3.1% 0.7% 71.5% 2.7%77406 FortBend 0.3% 0.0% 82.6% 0.9%77441 FortBend 1.1% 0.0% 75.6% 2.2%77041 Harris 0.7% 0.0% 85.3% 1.1%77055 Harris 2.9% 0.5% 70.4% 4.0%Austin -- 1.9% 0.0% 81.6% 0.1%FortBend -- 0.5% 0.1% 82.0% 1.6%Harris -- 1.5% 0.3% 79.3% 2.7%Waller -- 3.9% 0.2% 78.7% 0.9%Texas -- 1.6% 0.3% 80.5% 1.5%
AmericanCommunitySurvey,2013-2017
Table12displaysthedifferentmodesofcommutingusedbyresidentsofAustin,FortBend,Harris,andWallercounties.InFortBendCounty,lessthan1%ofthepopulationcommutesbywalkingorbiking.MoreresidentsinWallerCountycommutebywalking(3.9%)thantheotherthreecounties.Themajorityofresidents(around80%)ineachcountyoftheserviceareacommutebydrivingalone.ConsideringthetopzipcodesforinpatientdischargeswithinMHRehabKaty’sservicearea,zipcodes77494,77450and77077havethehighestproportionsofresidentscommutingbypublictransportation(over2%).Inzipcode77055,4%ofresidentscommutebypublictransportation.PublictransportationisusedbyHarrisCountyresidents(2.7%)moresothantheotherthreecounties,perhapsindicativeofdifferencesinpublictransportationinfrastructure.
SocioNeeds Index® ConduentHealthyCommunitiesInstitutedevelopedtheSocioNeedsIndex®toeasilycomparemultiplesocioeconomicfactorsacrossgeographies.Thisindexincorporatesestimatesforsixdifferentsocialandeconomicdeterminantsofhealth–income,poverty,unemployment,occupation,educationalattainment,andlinguisticbarriers–thatareassociatedwithpoorhealthoutcomesincludingpreventablehospitalizationsandprematuredeath.Zipcodeswithineachcountyareassignedanindexvaluefrom0(lowneed)to100(highneed),basedonhowthosezipcodescomparetoothersintheU.S.Withineachcounty,thezipcodesarethenrankedfrom1(lowneed)to5(highneed)toidentifytherelativelevelofneed.Zipcodeswithpopulationsunder300personsareexcluded.
MemorialHermannRehabilitationHospitalKatyCHNA201937
Figure24.SocioNeedsIndexbyZipCode
AsshowninFigure24andTable13,thezipcodeswithinMHRehabKaty’sserviceareathathavethehighestSocioNeedsIndexvaluesareinHarrisCounty;zipcode77080hasavalueof95.6andzipcode77055hasavalueof82.6.ThezipcodeswithlargestproportionofinpatientdischargesatMHRehabKaty,zipcodes77450and77449,haveSocioNeedsIndexvaluesof9.9and53.4,respectively.
Table13.SocioNeedsIndexbyZipCode(InOrderofSocioNeedsIndexValue)ZIPCode County SocioNeedsIndexValue77080 Harris 95.677055 Harris 82.677423 Waller 71.477043 Harris 70.777474 Austin 66.577449 Harris 53.4
MemorialHermannRehabilitationHospitalKatyCHNA201938
ZIPCode County SocioNeedsIndexValue77084 Harris 49.077041 Harris 29.377493 Harris 26.877407 FortBend 22.377077 Harris 21.477450 Harris 9.977433 Harris 8.477406 FortBend 5.577079 Harris 5.077494 FortBend 2.777441 FortBend 1.877024 Harris 1.3
ConduentSocioNeedsIndex,2019
MemorialHermannRehabilitationHospitalKatyCHNA201939
Data Synthesis Allformsofdatahavetheirownstrengthsandlimitations.TogainacomprehensiveunderstandingofthesignificanthealthneedsforMemorialHermannHealthSystem,thefindingsfromboththeprimarydataandthesecondarydatawerecomparedandstudiedtogether.Thesecondarydata,keyinformantinterviewsandcommunitysurveyweretreatedasthreeseparatesourcesofdata.Thesecondarydatawereanalyzedusingdatascoring,whichidentifiedhealthareasofneedbasedonthevaluesofindicatorsforeachtopicarea(AppendixB).ThefollowingtablesdisplaythedatascoresforHealthandQualityofLifeTopicsforAustin,FortBend,Harris,andWallercounties.
Table14.AustinCountyTopicScoresTopic ScoreAccesstoHealthServices 1.97Transportation 1.77HeartDisease&Stroke 1.69Maternal,Fetal&InfantHealth 1.67Education 1.48MentalHealth&MentalDisorders 1.48Exercise,Nutrition,&Weight 1.45Immunizations&InfectiousDiseases 1.43SocialEnvironment 1.42Children'sHealth 1.40OlderAdults&Aging 1.40Economy 1.32Environment 1.26OtherChronicDiseases 1.26RespiratoryDiseases 1.26Cancer 1.20Wellness&Lifestyle 1.18MortalityData 1.07Prevention&Safety 0.99Women'sHealth 0.94PublicSafety 0.81SubstanceAbuse 0.81
Table15.FortBendCountyTopicScores
Topic ScoreTransportation 1.83Immunizations&InfectiousDiseases 1.47Exercise,Nutrition,&Weight 1.45OtherChronicDiseases 1.44PublicSafety 1.37HeartDisease&Stroke 1.32
MemorialHermannRehabilitationHospitalKatyCHNA201940
Topic ScoreEnvironment 1.27SubstanceAbuse 1.24Maternal,Fetal&InfantHealth 1.23OlderAdults&Aging 1.19AccesstoHealthServices 1.18Children'sHealth 1.15SocialEnvironment 1.03MentalHealth&MentalDisorders 0.95Economy 0.91Education 0.83Prevention&Safety 0.78Men'sHealth 0.75Women'sHealth 0.71Wellness&Lifestyle 0.68RespiratoryDiseases 0.63MortalityData 0.61Cancer 0.53
Table16.HarrisCountyTopicScores
Topic ScoreTransportation 1.82Women'sHealth 1.81Immunizations&InfectiousDiseases 1.78OtherChronicDiseases 1.78PublicSafety 1.65Maternal,Fetal&InfantHealth 1.64Prevention&Safety 1.58SocialEnvironment 1.58Education 1.56Economy 1.55HeartDisease&Stroke 1.54Children'sHealth 1.52OlderAdults&Aging 1.50AccesstoHealthServices 1.48Exercise,Nutrition,&Weight 1.48Wellness&Lifestyle 1.42Men'sHealth 1.38Diabetes 1.34Environment 1.34SubstanceAbuse 1.33Cancer 1.31MortalityData 1.29MentalHealth&MentalDisorders 1.26RespiratoryDiseases 0.99
MemorialHermannRehabilitationHospitalKatyCHNA201941
Table17.WallerCountyTopicScores
Topic ScoreAccesstoHealthServices 2.38HeartDisease&Stroke 2.01Prevention&Safety 1.93Education 1.75Economy 1.71Wellness&Lifestyle 1.69Exercise,Nutrition,&Weight 1.65Environment 1.62OlderAdults&Aging 1.61SocialEnvironment 1.60OtherChronicDiseases 1.54Transportation 1.51Women'sHealth 1.47MentalHealth&MentalDisorders 1.46Children'sHealth 1.42RespiratoryDiseases 1.26MortalityData 1.23Immunizations&InfectiousDiseases 1.19Maternal,Fetal&InfantHealth 1.02SubstanceAbuse 0.99Cancer 0.88PublicSafety 0.80
Thismethodologywasappliedtoeachofthe12countieswithinMemorialHermannHealthSystem’sprimaryserviceareaandthendatascorescalculatedfortheregioninordertodeterminesignificanthealthneedsacrossthesystem.Table18liststheresultingdatascoresforHealth&QualityofLifeTopicAreas.
Table18.MemorialHermannRegionTopicScoresTopic ScoreTransportation 1.84HeartDisease&Stroke 1.82AccesstoHealthServices 1.79OlderAdults&Aging 1.60Exercise,Nutrition,&Weight 1.56OtherChronicDiseases 1.52MentalHealth&MentalDisorders 1.50Children'sHealth 1.47Immunizations&InfectiousDiseases 1.43Education 1.43Women'sHealth 1.42SocialEnvironment 1.42Wellness&Lifestyle 1.41
MemorialHermannRehabilitationHospitalKatyCHNA201942
Topic ScoreMaternal,Fetal&InfantHealth 1.41RespiratoryDiseases 1.41Economy 1.41Environment 1.40PublicSafety 1.36Cancer 1.31Prevention&Safety 1.26SubstanceAbuse 1.23Men'sHealth 1.21
Theanalysisofkeyinformantinterviewsoccurredusingthequalitativesoftware:Dedoose1.Forthecommunitysurvey,HCIperformedasimplereviewandanalysistoidentifytophealthneeds.Overall,eachmethodproducedindividualresultsthatrepresentthecommunityinputinthisreport.Thisconsolidatedinputleadstotheprioritizedheathneedsinthisreport.ThistriangulatedapproachisshowninFigure25.
Figure25.VisualofDataSynthesisApproach
TheteamusedthetriangulatedapproachtoidentifysignificanthealthneedsforMemorialHermannHealthSystem.Figure26displaystheresultsofthissynthesis.Formanyofthehealthtopicsevidenceofneedwaspresentacrossmultipledatasources,includingObesity,MentalHealth,AccesstoHealthServices,Transportation,andUninsured.Forotherhealthtopicstheevidencewaspresentinjustonesourceofdata,howeveritshouldbenotedthatthismaybereflectiveofthestrengthandlimitationsofeachtypeofdatathatwasconsideredinthisprocess.
SignificantHealthNeeds
HealthIndicatorData
(DataScoringAnalysis)
KeyInformantInterviews(Thematic
CodingAnalysis)CommunitySurvey
(ThematicAnalysis)
MemorialHermannRehabilitationHospitalKatyCHNA201943
Figure26.DataSynthesisResults
MemorialHermannRehabilitationHospitalKatyCHNA201944
Priorit ized Signif icant Health Needs
Priorit ization Results Uponcompletionoftheonlineprioritizationsurvey,fourhealthareaswereidentifiedforsubsequentimplementationplanningbyMemorialHermannHealthSystem.Thesefourhealthprioritiesare:AccesstoCare,EmotionalWell-Being,FoodasHealth,andExerciseIsMedicine.ThefollowingsectionwilldivedeeperintoeachofthesehealthtopicsinordertounderstandhowfindingsfromthesecondaryandprimarydataledtoeachhealthtopicbecomingapriorityhealthissueforMemorialHermannHealthSystem.Foreachprioritizedhealthneed,keyissuesaresummarized;secondarydatascoresarenotedforindicatorsofconcern;andcommunityinputisdescribed.
Access to Healthcare
Secondary Data AccesstoHealthServices,LackofInsuranceandLow-Income/UnderservedwereidentifiedassignificantneedsforMemorialHermannHealthSystem.AsshowninTable19,thereareseveralindicatorsrelatedtoAccesstoHealthServiceswithdatascoresequaltoorgreaterthan1.75;withWallerCountyoverallhavingagreaternumberofindicatorsofconcerncomparedtoAustin,FortBend,andHarriscounties.InAustinCounty,concerningindicatorsare:DentistRate,MentalHealthProviderRate,Non-PhysicianPrimaryCareProviderRate,andPrimaryCareProviderRate.InFortBendCounty,MentalHealthProviderRateisanindicatorofconcernwith59.8providersper100,000population(comparedtotheTexasvalueof98.8andU.S.valueof214.3).InHarrisCounty,indicatorsofconcerninclude:AdultsUnabletoAffordtoSeeaDoctor,AdultswithHealthInsurance,ChildrenwithHealthInsurance,andPersonswithHealthInsurance.Over22%ofHarrisCountyadultsareunabletoaffordtoseeadoctor,whichishigherthantheproportioninTexas(18.3%)andtheU.S.(12.1%).Moreover,approximately20%ofresidentsinHarrisCountydonothavehealthinsurance.WallerCountyhassevenaccess-relatedindicatorsofconcern:
KeyIssues:• Rangeofbarriers,includingtransportation,accesstospecialtycare,lackofawareness,and
fearorstigma• Lackofhealthinsurance• Lowincomeandvulnerablegroups
SecondaryDataScoringMethodologyForeachindicator,eachcountyinMHRehabKaty’sserviceareawasassignedascorebasedonitscomparisontoothercommunities,whetherhealthtargetshavebeenmet,andthetrendoftheindicatorvalueovertime.Thesecomparisonscoresrangefrom0-3,where0indicatesthebestoutcomeand3theworst.Availabilityofeachtypeofcomparisonvariedbyindicatorandwasdependentuponthedatasource,comparabilitywithdatacollectedforothercommunities,andchangesinmethodologyovertime.PleaseseeAppendixBforfurtherinformationonHCIDataScoringmethodology.
MemorialHermannRehabilitationHospitalKatyCHNA201945
AdultswithHealthInsurance,ChildrenwithHealthInsurance,DentistRate,MentalHealthProviderRate,Non-PhysicianPrimaryCareProviderRate,PersonswithHealthInsurance,andPrimaryCareProviderRate.Withanindicatorscoreof2.83andexhibitinganegativetrend,theNon-PhysicianPrimaryCareProviderRateinWallerCountyisveryconcerning.
Table19.SecondaryDataScoringResults:AccesstoHealthServices
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
AdultsUnabletoAffordtoSeea
Doctor[10](2015)
Austin
--- --- --- --- --- ---
FortBend
--- --- --- --- --- ---
Harris22.1
2 1.5 3 3 1.5 1.5percent
Waller
--- --- --- --- --- ---
[10]TexasBehavioralRiskFactorSurveillanceSystem
AdultswithHealthInsurance:18-64[9]
(2016)
Austin78.3
1.64 1 1 1.5 3 1percent
FortBend
85.40.92 0 0 1.5 3 0
percent
Harris74.7
1.75 2 2 1.5 3 0percent
Waller71.5
2.14 3 2 1.5 1.5 1percent
[9]SmallAreaHealthInsuranceEstimates
ChildrenwithHealthInsurance
[9](2016)
Austin89.3
1.58 1 2 1.5 3 0percent
FortBend
93.30.97 0 1 1.5 2 0
percent
Harris89.4
1.81 1 2 1.5 3 1percent
Waller86.6
1.97 2 2 1.5 1.5 1percent
[9]SmallAreaHealthInsuranceEstimates
DentistRate[4](2016) Austin
371.89 1 3 3 1.5 1
dentists/100,000
MemorialHermannRehabilitationHospitalKatyCHNA201946
population
FortBend
51.81.17 0 2 3 1.5 0dentists/100,000
population
Harris66.3
0.5 0 0 2 1.5 0dentists/100,000population
Waller16
2.5 3 3 3 3 1.5dentists/100,000population
[4]CountyHealthRankings
MentalHealthProviderRate[4]
(2017)
Austin26.9
2.44 2 3 3 1.5 2providers/100,000population
FortBend
59.82.11 1 3 3 1.5 2providers/100,000
population
Harris103.7
1.44 0 1 3 1.5 2providers/100,000population
Waller33.9
2.44 2 3 3 3 2providers/100,000population
[4]CountyHealthRankings
Non-PhysicianPrimaryCare
ProviderRate[4](2017)
Austin37
2.22 2 3 3 1.5 1providers/100,000population
FortBend
52.2
providers/100,000population
1.67 1 3 3 1.5 0
Harris72.2
1 0 1 3 1.5 0providers/100,000population
Waller4
2.83 3 3 3 3 3providers/100,000population
[4]CountyHealthRankings
PersonswithHealthInsurance[9]
(2016)
Austin81.7
1.64 1 1 1.5 3 1percent
Fort 88.0 1.08 0 1 1.5 3 0
MemorialHermannRehabilitationHospitalKatyCHNA201947
Bend percent
Harris79.3
1.75 2 2 1.5 3 0percent
Waller76.1
2.14 3 2 1.5 1.5 1percent
[9]SmallAreaHealthInsuranceEstimates
PrimaryCareProviderRate[4]
(2015)
Austin23.7
2.39 3 3 3 1.5 1providers/100,000population
FortBend
80.30.33 0 0 1 1.5 0providers/100,000
population
Harris57.2
1.61 0 2 3 1.5 2providers/100,000population
Waller10.3
2.61 3 3 3 3 2providers/100,000population
[4]CountyHealthRankings
WhenconsideringAccesstoHealthServices,itisimportanttotakeintoaccounttheeconomyandhowfinancialbarriersimpactcommunityresidents’abilitytoaccesscare.AsshowninTable20,thereareseveraleconomicindicatorswithdatascoresgreaterthan2inAustin,FortBend,Harris,andWallercounties.InAustinCounty,thefollowingareindicatorstonote:ChildFoodInsecurityRate,ChildrenLivingBelowPovertyLevel,FoodInsecurityRate,MortgagedOwnersMedianMonthlyHouseholdCosts,andEmploymentChange.InFortBendCounty,indicatorsofconcerninclude:MedianHouseholdGrossRent,MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage,andMortgagedOwnersMedianMonthlyHouseholdCosts.TheMedianHouseholdGrossRentinFortBendCountyis$1,252comparedto$911inTexasand$949intheU.S.Moreover,thisindicatorisexhibitinganegativetrendovertime.Similarly,theMedianMonthlyOwnerCostsforHouseholdswithoutaMortgageishigherinFortBendCounty($712)thanTexas($467)andtheU.S.($462).ComparedtoAustinandFortBendcounties,HarrisCountyhasabroaderrangeofeconomicindicatorsofconcern,including:Homeownership,SevereHousingProblems,StudentsEligiblefortheFreeLunchProgram,MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage,SNAPCertifiedStores,MedianHouseholdGrossRent,FamiliesLivingBelowPovertyLevel,andFoodInsecurityRate.Lessthan50%ofHarrisCountyresidentsownahome.Over20%of
MemorialHermannRehabilitationHospitalKatyCHNA201948
residentsinHarrisCountyhaveseverehousingproblems.Andmorethan58%ofstudentsareeligibleforthefreelunchprogramcomparedtothenationalvalueof42.6%.InHarrisCounty,thereareover14%offamilieslivingbelowthepovertylevelcomparedto13%inTexasand11%intheU.S.ComparedtoHarrisCounty,WallerCountyhasagreaternumberofeconomicindicatorsofconcern,including:ChildFoodInsecurityRate,FemalePopulation16+inCivilianLaborForce,FoodInsecurityRate,HomeownerVacancyRate,MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage,PeopleLivingBelowPovertyLevel,PersonswithDisabilityLivinginPoverty(5-year),SevereHousingProblems,StudentsEligiblefortheFreeLunchProgram,SNAPCertifiedStores,andUnemployedWorkersinCivilianLaborForce.
Table20.SecondaryDataScoringResults:Economy
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTime Value Value
ChildFoodInsecurityRate[5](2016)
Austin 24.2
2.17 2 2 3 1.5 1.5 percent
FortBend
19.1 0.67 0 0 2 1.5 0
percent
Harris 23.5
1.67 1 2 3 1.5 0 percent
Waller 24.0
2.06 2 2 3 3 1 percent
[5]FeedingAmerica
ChildrenLivingBelowPovertyLevel[1](2012-2016)
Austin 25.3
2.33 2 2 3 1.5 3 percent
FortBend
11.2 0.39 0 0 0 1.5 1
percent
Harris 26.0
1.67 2 2 3 1.5 0 percent
Waller 25.1
1.89 2 2 3 3 1 percent
FamiliesLivingBelowPovertyLevel[1](2012-2016)
Austin 11.2
1.44 1 0 2 1.5 2 percent
FortBend
6.4 0.39 0 0 0 1.5 1
percent
Harris 14.4
2.06 2 3 3 1.5 1 percent
MemorialHermannRehabilitationHospitalKatyCHNA201949
Waller 12
1.17 1 1 2 2 0 percent
[1]AmericanCommunitySurvey
FemalePopulation16+inCivilianLaborForce[1](2012-2016)
Austin 54.4
1.78 1 2 2 1.5 2 percent
FortBend
59.3 1.17 0 1 1 1.5 3
percent
Harris 59.8
0.94 0 1 1 1.5 2 percent
Waller 50.6
2.06 2 3 3 3 1 percent
[1]AmericanCommunitySurvey
FoodInsecurityRate[5](2016)
Austin 15.8
2.06 2 2 3 1.5 1 percent
FortBend
14.8 1.56 1 1 3 1.5 1
percent
Harris 16.6
2.06 2 2 3 1.5 1 percent
Waller 19.2
2.39 3 3 3 3 1 percent
[5]FeedingAmerica
HomeownerVacancyRate[1](2012-2016)
Austin 1.6
0.89 1 1 0 1.5 1 percent
FortBend
1.1 0.17 0 0 0 1.5 0
percent
Harris 1.5
0.67 1 1 0 1.5 0 percent
Waller 2
2.28 2 3 3 3 2 percent
Homeownership[1](2012-2016)
Austin 63.5
0.56 0 0 0 1.5 1 percent
FortBend
74.4 0.39 0 0 0 1.5 1
percent
Harris 49.6
2.44 3 2 3 1.5 2 percent
Waller 59.6
1.06 1 1 1 1 1 percent
MemorialHermannRehabilitationHospitalKatyCHNA201950
[1]AmericanCommunitySurvey
Low-IncomeandLowAccesstoaGroceryStore[17](2015)
Austin 3.5
1 0 1.5 1.5 1.5 1.5 percent
FortBend
7.1 1.5 1 1.5 1.5 1.5 1.5
percent
Harris 6.3
1.33 1 1.5 1.5 1.5 1.5 percent
Waller 11.3
1.83 2 1.5 1.5 1.5 1.5 percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
MedianHouseholdGrossRent[1](2012-
2016)
Austin 852
1.53 3 1 0 1.5 2 dollars
FortBend
1252 2.58 3 3 3 1.5 3
dollars
Harris 937
2.08 3 2 1 1.5 3 dollars
Waller 825
1.53 3 1 0 0 2 dollars
MedianMonthlyOwnerCostsfor
HouseholdswithoutaMortgage[1](2012-
2016)
Austin 448
1.58 3 1 1 1.5 1.5 dollars
FortBend
712 2.36 3 3 3 1.5 2
dollars
Harris 534
2.14 3 3 3 1.5 1 dollars
Waller 494
2.03 3 2 2 2 2 dollars
[1]AmericanCommunitySurvey
MortgagedOwnersMedianMonthly
HouseholdCosts[1](2012-2016)
Austin 1512
2.03 3 2 2 1.5 2 dollars
FortBend
1884 2.25 3 3 3 1.5 1.5
dollars
Harris 1504
1.81 3 2 2 1.5 1 dollars
Waller 1435
1.58 3 1 1 1 1.5 dollars
People65+LivingBelowPovertyLevel Austin
7.6 0.56 0 0 0 1.5 1
percent
MemorialHermannRehabilitationHospitalKatyCHNA201951
[1](2012-2016) FortBend
6.9 0.39 0 0 0 1.5 1
percent
Harris 11.3
1.89 2 2 3 1.5 1 percent
Waller 4.9
0.17 0 0 0 0 0 percent
PeopleLiving200%AbovePovertyLevel[1](2012-2016)
Austin 68.2
1.11 0 1 1 1.5 2 percent
FortBend
79.4 0.17 0 0 0 1.5 0
percent
Harris 61.6
1.33 1 2 2 1.5 0 percent
Waller 59.3
1.67 2 2 3 3 0 percent
[1]AmericanCommunitySurvey
PeopleLivingBelowPovertyLevel[1](2012-2016)
Austin 14.5
1.33 1 0 1 1.5 3 percent
FortBend
8.2 0.39 0 0 0 1.5 1
percent
Harris 17.4
1.67 2 2 3 1.5 0 percent
Waller 19.0
2.06 2 3 3 3 1 percent
PerCapitaIncome[1](2012-2016)
Austin 28351
0.67 0 1 2 1.5 0 dollars
FortBend
37134 0.17 0 0 0 1.5 0
dollars
Harris 29850
0.5 0 1 1 1.5 0 dollars
Waller 23338
1.83 2 3 3 3 0 dollars
PersonswithDisabilityLivinginPoverty(5-year)[1]
(2012-2016)
Austin 24.0
1.08 1 1 0 1.5 1.5 percent
FortBend
15.6 0.75 0 0 0 1.5 1.5
percent
Harris 25.4
1.42 1 2 1 1.5 1.5 percent
MemorialHermannRehabilitationHospitalKatyCHNA201952
Waller 30.5
2.08 2 3 3 3 1.5 percent
RentersSpending30%orMoreofHouseholdIncomeonRent[1]
(2012-2016)
Austin 42.3
1.44 3 0 0 1.5 2 percent
FortBend
40.1 1.06 2 0 0 1.5 1
percent
Harris 46.8
1.5 3 1 1 1.5 0 percent
Waller 46.8
1.83 3 1 1 1 1.5 percent
[1]AmericanCommunitySurvey
SevereHousingProblems[4](2010-
2014)
Austin 12.3
0.72 1 0 0 1.5 1 percent
FortBend
14.8 1.06 2 0 0 1.5 1
percent
Harris 20.9
2.39 3 3 3 1.5 1 percent
Waller 22.4
2.61 3 3 3 3 2 percent
[4]CountyHealthRankings
SNAPCertifiedStores[17](2016)
Austin 0.9
1.22 1 1.5 1.5 1.5 1 stores/1,000population
FortBend
0.4 1.89 3 1.5 1.5 1.5 1 stores/1,000
population
Harris 0.6
2.11 3 1.5 1.5 1.5 2 stores/1,000population
Waller 0.6
2.11 3 1.5 1.5 1.5 2 stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
StudentsEligiblefortheFreeLunch
Program[8](2015-2016)
Austin 42.9
0.83 1 0 2 1.5 0 percent
FortBend
26.7 0.17 0 0 0 1.5 0
percent Harris 58.2 2.22 2 3 3 1.5 1
MemorialHermannRehabilitationHospitalKatyCHNA201953
percent
Waller 65.8
2.39 3 3 3 3 1 percent
[8]NationalCenterforEducationStatistics
TotalEmploymentChange[16](2014-
2015)
Austin -0.7
2.17 2 3 3 1.5 1.5 percent
FortBend
6.2 0.5 0 0 0 1.5 1.5
percent
Harris 2.4
1.67 1 3 2 1.5 1.5 percent
Waller 3.2
1.17 1 2 0 0 1.5 percent
[16]U.S.Census-CountyBusinessPatterns
UnemployedWorkersinCivilianLaborForce
[15](July2018)
Austin 3.7
1.28 1 1 1 1.5 2 percent
FortBend
4.1 1.78 2 2 1 1.5 2
percent
Harris 4.4
1.94 2 2 2 1.5 2 percent
Waller 4.8
2.44 3 3 3 3 2 percent
[15]U.S.BureauofLaborStatistics
Primary Data Duringthekeyinformantinterviewprocess,AccesstoHealthServiceswasdiscussedover160timesandwasraisedbyparticipantsalmost50timesinrelationtobarriersorchallengestoachievinghealthinthecommunity.Theprimarythemesrelatedtobarriersorchallengeswerelimitationstoprocuringspecialtycareservices,transportationtoservicesandhoursofoperation.Inadditiontotheprimarythemes,twoadditionalbarriersorchallengesstoodoutaskeyfactorsimpactingaccesstohealthcareservices,lackofknowledgeandstigmaorfearpreventingpeoplefromseekingcare.Theissuethatinterviewparticipantsweremostconcernedwithwaspatientsbeingabletoaccessfollowupcarewithspecialtycareproviders.Multipleparticipantsraisedconcernsthatevenifpatientsareabletoaccesspreventativeorprimarycareservices,theymaynotbeabletoaccesstheappropriatefollowupcarewithaspecialtycareprovider.Someparticipantsraisedthisconcernincontextofpatientsnotlivingnearaspecialistandothersraisedincontextofpatientsnotbeingabletoaffordthecostoffollowupcare.Aconcernbroughtupbyafew
MemorialHermannRehabilitationHospitalKatyCHNA201954
participants,thatforseriouschronicconditions,patientswouldultimatelyendupseekingcarefromemergencyservicesinstead.Anothercommonconcernraisedbyinterviewparticipants,wastransportationtoservicesandhoursofoperationofserviceslimitingpatients’accesstocare.Participantsdescribedhowthesefactorsdeterminewhetherpatientsdecidetotakeofffromworkandseekservicesinthefirstplace.“Iwouldthinkthatourlower-incomefolks,itdefinitelybecomesmoreofachallengeforthem,whenyoudon’thavefacilitiesthatarelocatedclose-byinproximity.”Afewparticipantsdescribedthemanyservicesandresourcesthatareavailabletothecommunitybutthatmanymaynotbeawarehowtheycanaccessorbenefitfromthem.Oneparticipantdescribedresourcesbeingconcentratedincertaingeographicareasandmoreremotelocationsnotbeingwellconnectedorknowledgeableabouthowtheymayalsobenefitfromtheseresources.Participantsdescribedthepotentialformorecollaborationandpartnershiptoconnectcommunitiestooneanother.Severalparticipantsdescribedadown-turninpeopleseekingpreventativecareserviceandhypothesizedthatoneofthefactorsmayberelatedtotheimmigrantcommunityintheregionexperiencingfearorstigmarelatedtohavingtoshowidentificationorproofofcitizenship.“EventhoughweattheHealthDistrictdonotaskforproofofimmigrationstatus,peopledon'tunderstandthat,particularlysincewe'reagovernmentagency,andit'sbeenarealchallengetogetsomeofthesefolkstocomeinforservices.”Therewerealmost80referencestotheuninsuredpopulationinthekeyinformantinterviewsandlackofhealthinsurancewasraisedasabarrierorchallengetoachievinghealthinthecommunity19times.Lackofhealthinsurancewasmostoftenbroughtupincontextofpatientshavinglimitedfinancialresourcesandafactortonotaccessinghealthcareservices.Participantsdiscussedpatientsnothavingtheabilitytopayfeesformultipleappointmentco-paysornotseekingcareduetocompetingfinancialpriorities.Whilehealthcareservicesmaybeavailableinthecommunity,forthosewhoarelackinghealthinsurance,accessinghealthcareservicesisnotnecessarilyanoption.Lackofhealthinsurancecreatesaparticularchallengeforthosewhorequirespecialtycareservices.“Ithinkthosearethebiggesttwo—access,again,withthemajorityofouradultpopulationbeinguninsured,havingthemtrytofindaproviderthat,again,willtakeslidingfeescale,orreducedrates.Oncethey'reabletoaccessthoseservices,thenitbecomesamatterofpayingforthethingsthatareneeded.Thepatientcomesinandwediagnosethemwithdiabetes,thencomesthecostofmedications,andifthatpatientisneedingspecialtycareoutsideofthescopeofprimarycare,accesstospecialists.”Participantsbroughtupissuesrelatedtolowincomeorgroupswhomaybeunderservedinthecommunity115timesduringthekeyinformantinterviewprocess.Particulargroupsthatparticipantsfeltmayexperienceaddedchallengesaccessinghealthcareservicesincludedtheimmigrantpopulation,individualswithdisabilities,familieswithyoungchildren,andthe
MemorialHermannRehabilitationHospitalKatyCHNA201955
elderly.Severalparticipantsnotedfeesrelatedtoco-paysoroutofpocketexpensesasabarriertopatientsseekinginitialpreventativeservicesorongoingtreatmentforchronicconditions.Participantsidentifiedseveralgroupstheyfeltwereunderservedinthecommunity.Multipleparticipantsdiscussedtheuniqueandspecificchallengeswithprovidingculturallyappropriatecareforadiverseandrecentimmigrantpopulationinthecommunity.Participantsfeltthatfamilieswithyoungchildrenandtheelderlypopulationareparticularlyvulnerablegroupsinthecommunitythatexperiencebarriersandchallengesaccessinghealthcareservices.Specifically,participantsdiscussedthesegroupsexperiencinghighlevelsofpovertyplacingthemathigherriskforpoorhealthoutcomes.“Mostofthemareextremelylowincomeandtheyfallinthosecategorieswherewehaveasignificantnumberofelderlydisabled,singlemomsandtheirchildren,sovulnerablefolkshereinHouston.”
Emotional Well-Being
Secondary Data MentalHealthandSubstanceAbusewereidentifiedassignificantneedsforMemorialHermannHealthSystem.AsshowninTable21,thereareseveralconcerningindicatorsrelatedtoMentalHealth&MentalDisorders.InHarrisCounty,11.4%oftheMedicarePopulationhasAlzheimer’sDiseaseorDementia,whichishigherthantheU.S.value(9.9%).Moreover,80%ofresidentsinHarrisCountyreportedhaving5ormorepoormentalhealthdaysinthepastmonth.InAustin,FortBendandWallercounties,anindicatorofconcernistheMentalHealthProviderRate(withindicatorscoresabove2).Therateof26.9providersper100,000population(inbothAustinandWallercounties)islessthanonethirdofthestatevalue(98.8)andisalmostoneeightofthenationalvalue(214.3).AnadditionalindicatorofconcerninAustinandWallercountiesisAge-AdjustedDeathRateduetoSuicide.
Table21.SecondaryDataScoringResults:MentalHealth&MentalDisorders
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
MentalHealthProviderRate[4]
(2017)
Austin26.9
2.44 2 3 3 1.5 2providers/100,000population
FortBend
59.82.11 1 3 3 1.5 2providers/100,000
populationHarris 103.7 1.44 0 1 3 1.5 2
KeyIssues:• Mentalhealthaspartofoverallhealth• Needformorebehavioralhealthservicesandproviders• Alcoholandsubstanceabuse• Alzheimer’sanddementia
MemorialHermannRehabilitationHospitalKatyCHNA201956
providers/100,000population
Waller33.9
2.44 2 3 3 3 2providers/100,000population
[4]CountyHealthRankings
Age-AdjustedDeathRateduetoSuicide[12](2010-2014)
Austin16.6
2.17 1.5 3 3 3 1.5deaths/100,000population
FortBend
7.30.94 1.5 0 0 0 2deaths/100,000
population
Harris10.3
0.94 1.5 0 0 2 1deaths/100,000population
Waller15.8
2.28 1.5 3 3 3 2deaths/100,000population
[12]TexasDepartmentofStateHealthServices
Alzheimer'sDiseaseorDementia:MedicarePopulation[3](2015)
Austin9.9
1 0 0 1 1.5 1.5percent
FortBend
10.21.33 1 0 2 1.5 1.5
percent
Harris11.4
1.89 2 1 3 1.5 1percent
Waller10.5
1.78 1 1 2 2 2percent
[3]CentersforMedicare&MedicaidServices
PoorMentalHealth:5+Days[10](2016)
Austin
--- --- --- --- --- ---
FortBend
--- --- --- --- --- ---
Harris80.0
1.53 1.5 1 1.5 1.5 2percent
Waller
--- --- --- --- --- ---
[10]TexasBehavioralRiskFactorSurveillanceSystemSubstanceAbuseisatopicofconcerninFortBend,HarrisandWallercounties.InFortBendandHarriscounties,theproportionofalcohol-impaireddrivingdeathsishigherthanthestateandtheU.S.Therewere36%alcohol-impaireddrivingdeathsinFortBendCountyand37.8%inHarrisCounty,comparedto28.3%and29.3%inTexasandtheU.S.,respectively(Table22).InWallerCounty,oneinfiveadultsdrinksexcessively(20.5%).
MemorialHermannRehabilitationHospitalKatyCHNA201957
Table22.SecondaryDataScoringResults:SubstanceAbuse
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
Alcohol-ImpairedDrivingDeaths[4]
(2012-2016)
Austin18.2
0.33 1 0 0 1.5 0percent
FortBend
36.02 3 3 3 1.5 0
percent
Harris37.8
2.17 3 3 3 1.5 0percent
Waller21.8
0.5 1 0 0 0 0percent
AdultswhoDrinkExcessively[4](2016)
Austin18.3
1.5 2 1 2 0 1.5percent
FortBend
18.31.5 2 1 2 0 1.5
percent
Harris18.1
1.5 2 1 2 0 1.5percent
Waller20.5
2.17 3 2 3 3 1.5percent
[4]CountyHealthRankings
Primary Data Approximately50%ofcommunitysurveyrespondentscitedMentalHealthasoneofthetopissuesmostaffectingthequalityoflifeintheircommunityand52%ofrespondentsnotedSubstanceAbuse.Ininterviewswithkeyinformants,MentalHealthwasdiscussed113timesandwasraisedbyparticipants33timesasaneedsorconcernforthehealthofthecommunity.TheprimarythemesrelatedtoMentalHealthweretreatingmentalhealthaspartofoverallhealth,addressbehavioralhealthinschool,needforbehavioralhealthprovidersandservicesandolderadultswithAlzheimer’sanddementia.Someparticipantsdiscussedarecentshiftincaredeliveryandthecontinuedneedtoaddressmentalhealthaspartofaperson’stotalhealthsimilarlytohowchronicdiseaseismanaged.Oneparticularlyvulnerablepopulationthatwouldbenefitfromabroaderapproachtotreatment,inclusiveofmentalhealth,isthehomelesspopulation.Severalparticipantsbroughtupissuesregardinganeedformorebehavioralhealthprovidersandservicesinthecommunity.
MemorialHermannRehabilitationHospitalKatyCHNA201958
“(…)Ithinkthereneedstobemoreworkaroundfundingforbehavioralhealthbutalsofundingforrecruitingandtrainingtherapistsandbehavioralhealthspecialiststoaddresssubstanceabuse,anxiety,depressionandsuicidality.”Oneparticipantobservedrecentincreasesandchangeswithinthelocalpopulation.Fromtheparticipant’sperspective,thereshouldbemoreprogramsorservicestoaddressthegrowingneedforaddressingmentalhealthinthecommunity.Anotherparticipantsuggestedsolutionsforaddressingtheneedformorebehavioralhealthprovidersinthecommunitysuchasexpandingresidencyprogramsforpsychiatristsanddevelopingcomprehensivetelemedicineprogramstoprovideservicesmoreefficiently.Furthermore,participantsrecommendedaddressingbehavioralhealthwithyoungerpopulationsintheschools.Schoolsthatprovidebehavioralhealthservicesthroughtelemedicinehavebeenreceivedwellinthecommunityandtheperceptionisthattheyareeffective.Someparticipantsbelievethattheseprogramsshouldbeexpandedandavailableacrossthecommunity.“There[are]thementalhealthunitsthathavegoneoutintotheschools.They'renotschool-basedbutthat’sthevenuetheywilldrivetowiththeirmobileunits.Theyhaveabigimpact.They'reseeingthousandsofkids.They’vedonesometelemedicinewithmentalhealth,behavioralhealth,withsomeofthehighschools.FromwhatI’veheard,(…)it’sbeenprettyeffectiveandwellreceived.”AchallengethathealthcareprovidersidentifiedforthemedicalcommunityisadequatelyaddressingdementiaandAlzheimer’swithinthegeriatricpopulation.“Dementia’saterminalillness.(…)Muchmoreneedstobedonewithhealthcaresystemsaroundroutinescreeningandidentificationofitasanissue.(…)So,thatisthefirstthingthatneedstohappen.Thenthereneedstobeanunderstandingthattherearethings–therearemedicationsthatcanbehelpfultothesystemsofthedementia.(…)Butyoucanaffectitbyaddressingsomeofthesymptoms.”SubstanceAbusewasdiscussed55timesandwasraisedbyparticipants15timesasaneedorconcernforthehealthofthecommunity.MultipleuniquethemesemergedfromthekeyinformantinterviewsrelatedtoSubstanceAbuse:fundingfortreatmentprograms,invisibilityofalcoholism,overcomingstigmaofseekingtreatment,andemergingshiftsinoutreachmodels.Participantsidentifiedfundingforprogramsandavailabilityofservicesforthosewhomaynotbeabletoaffordtreatmentout-of-pocketasissuesthecommunityisfacingtoaddresssubstanceabuse.Oneparticipantdiscussedthedifficultyofmakingaconnectionbetweenthejailsystemandthehealthcaresystemforthosestrugglingwithsubstanceabuseissues.“Westilldealdailywithalotofdruguseinourcounty,and(…)alotoffolksthatcometoourjailsystemarebeingarrestedondrugoffenses,andthatcontinuestobeachallengetogetthesepeoplewheretheyneedtobe,fromahealthcarestandpoint,especiallymentalhealth,andIthinkthisgoesforanycountyinthestateofTexas.”
MemorialHermannRehabilitationHospitalKatyCHNA201959
Oneparticipantraisedalcoholabusespecificallyasanissueinthecommunitythatdoesnotgettheamountofattentionofothersubstanceabusetopicsbutmayinfactbeimpactingalargerproportionofthepopulationandconnectedtomanyotherhealthissues.Multipleparticipantsidentifiedculturalstigmaasabarrierforthosewhomaybenefitfromseekingtreatment.Stigmaorfearmaybeuniqueandvaryfrompopulationtopopulationinthecommunity.“Withsubstanceabuse,it’scultureandstigma.Nobodygoestosubstanceabusetreatmentontheirown.Theymaynotbeadjudicatedbutsomeoneisreally,reallypushingthem,familymember,boss.Noonegoestotreatmentifthey’renotunderduress.”Afewparticipantsdescribeduniqueapproachestooutreachandsubstanceabusetreatmentinthecommunitythatwouldsupportremovingbarriersforpeoplehavingtotakethefirststepontheirown.“Forinstance,it’sprettynew,butthere’saninitiativethat’scalledtheHeroesProjectthat’slookingatoverdoses,sowhenanoverdosehappens,they’resendingateamtotheER.So,it’sgotapeersupportspecialist,theEMPisinvolved–buttheyactuallygointotheERandtheydoaninterventiontheretotrytohelpwithlinkagetotreatmentsothatwecanassistthepatients.”
Food as Health
Secondary Data ThetopicsofDiabetesandHeartDisease&Strokeemergedassignificanthealthneeds.HeartDisease&StrokerosetothetopofthesecondarydatascoringresultsforMemorialHermannHealthSystem.AlthoughDiabeteswasnotinthetopresultsoftheindividualcounties’secondarydatascoring,anindicatorofconcernforbothFortBendandWallercountiesistheproportionofDiabetesintheMedicarepopulation,withvaluesof30.8%and29.6%,respectively,comparedto26.5%intheU.S.(Table23).
Table23.SecondaryDataScoringResults:Diabetes
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
Diabetes:MedicarePopulation[3](2015)
Austin25.0
0.67 1 0 1 1.5 0percent
FortBend
30.82.22 3 2 3 1.5 1
percent
Harris28.1
1.67 2 1 2 1.5 1.5percent
KeyIssues:• Foodinsecurityandlimitedaccesstohealthyfoods• Diabetesandheartdiseaselinkedtosocioeconomicfactors• Sedentarylifestyleanddrivingculture
MemorialHermannRehabilitationHospitalKatyCHNA201960
Waller29.6
2.06 2 2 3 3 1percent
[3]CentersforMedicare&MedicaidServices
AsshowninTable24,anotherindicatorofconcernisStrokeintheMedicarePopulationwithscoresabove2forAustin,FortBend,Harris,andWallercounties.Additionalindicatorsscoringabove2(andallwithintheMedicarePopulation)include:AtrialFibrillation(AustinandWallercounties),HeartFailure(WallerCounty),Hyperlipidemia(AustinandFortBendcounties),Hypertension(WallerCounty),andIschemicHeartDisease(WallerCounty).
Table24.SecondaryDataScoringResults:HeartDisease&Stroke
County CountyValueComparedto:
Indicator Name ValueDataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
Age-AdjustedDeathRateduetoHeartDisease[12](2010-
2014)
Austin176.7
1.25 1 2 2 1.5 0deaths/100,000population
FortBend
1350.42 0 0 0 1.5 0deaths/100,000
population
Harris167.6
0.92 1 1 1 1.5 0deaths/100,000population
Waller194.8
1.75 2 3 3 3 0deaths/100,000population
[12]TexasDepartmentofStateHealthServices
AtrialFibrillation:MedicarePopulation
[3](2015)
Austin8.7
2.28 3 3 2 1.5 2percent
FortBend
6.90.94 1 1 0 1.5 2
percent
Harris7.3
1.5 1 1 1 1.5 3percent
Waller8.4
2.17 3 3 2 2 1.5percent
[3]CentersforMedicare&MedicaidServices
HeartFailure:MedicarePopulation
[3](2015)
Austin15.1
1.56 1 1 3 1.5 1percent
FortBend
13.91.06 0 0 2 1.5 1
percent
Harris16.0
1.89 1 2 3 1.5 1percent
Waller 17.5 2.44 2 3 3 3 2
MemorialHermannRehabilitationHospitalKatyCHNA201961
percent[3]CentersforMedicare&MedicaidServices
Hyperlipidemia:MedicarePopulation
[3](2015)
Austin46.8
2.17 2 2 2 1.5 3percent
FortBend
46.62.17 2 2 2 1.5 3
percent
Harris43.2
1.44 1 1 1 1.5 2percent
Waller46.1
1.94 2 2 2 2 2percent
Hypertension:MedicarePopulation
[3](2015)
Austin59.6
1.94 2 2 2 1.5 2percent
FortBend
57.11.61 1 1 2 1.5 2
percent
Harris55.5
1.22 1 1 2 1.5 1percent
Waller61.6
2.06 2 2 3 3 1percent
IschemicHeartDisease:Medicare
Population[3](2015)
Austin26.9
1.22 0 1 2 1.5 1percent
FortBend
28.01.22 0 1 2 1.5 1
percent
Harris28.8
1.33 1 2 2 1.5 0percent
Waller31.0
2.06 2 2 3 3 1percent
Stroke:MedicarePopulation[3](2015)
Austin4.7
2.28 2 2 3 1.5 2percent
FortBend
4.72.5 2 2 3 1.5 3
percent
Harris5.2
2.61 3 3 3 1.5 2percent
Waller6.0
2.61 3 3 3 3 2percent
[3]CentersforMedicare&MedicaidServices
Table25revealsfood-relatedindicatorsofconcern;thosescoringabove2include:ChildFoodInsecurityRate(AustinandWallercounties),FoodEnvironmentIndex(WallerCounty),FoodInsecurityRate(Austin,HarrisandWallercounties),GroceryStoreDensity(WallerCounty),andSNAPCertifiedStores(HarrisandWallercounties).
MemorialHermannRehabilitationHospitalKatyCHNA201962
Table25.SecondaryDataScoringResults:Nutrition
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
ChildFoodInsecurityRate[5](2016)
Austin24.2
2.17 2 2 3 1.5 1.5
percent
FortBend
19.10.67 0 0 2 1.5 0
percent
Harris23.5
1.67 1 2 3 1.5 0percent
Waller24.0
2.06 2 2 3 1.5 1percent
[5]FeedingAmerica
ChildrenwithLowAccesstoaGroceryStore[17](2015)
Austin2.5
1.17 0 1.5 1.5 1.5 1.5percent
FortBend
7.41.83 2 1.5 1.5 1.5 1.5
percent
Harris5.4
1.5 1 1.5 1.5 1.5 1.5percent
Waller1.9
1 0 1.5 1.5 1.5 1.5percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FastFoodRestaurantDensity[17](2014)
Austin0.5
1.22 1 1.5 1.5 1.5 1restaurants/1,000population
FortBend
0.61.33 1 1.5 1.5 1.5 1.5restaurants/1,000
population
Harris0.7
1.67 2 1.5 1.5 1.5 1.5restaurants/1,000population
Waller0.4
1.17 0 1.5 1.5 1.5 1.5restaurants/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FoodEnvironmentIndex[4](2018)
Austin7.7
0.72 0 0 1 1.5 1percent
FortBend
7.41.22 1 0 2 1.5 1
percent
Harris7.2
1 1 0 2 1.5 0percent
MemorialHermannRehabilitationHospitalKatyCHNA201963
Waller6.3
2.11 2 1 3 3 2percent
[4]CountyHealthRankings
FoodInsecurityRate[5](2016)
Austin15.8
2.06 2 2 3 1.5 1percent
FortBend
14.81.56 1 1 3 1.5 1
percent
Harris16.6
2.06 2 2 3 1.5 1percent
Waller19.2
2.39 3 3 3 3 1percent
[5]FeedingAmerica
GroceryStoreDensity[17](2014)
Austin0.2
1.39 1 1.5 1.5 1.5 1stores/1,000population
FortBend
0.11.83 2 1.5 1.5 1.5 1.5stores/1,000
population
Harris0.2
1.5 1 1.5 1.5 1.5 1.5stores/1,000population
Waller0.1
2 3 1.5 1.5 1.5 1.5stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
HouseholdswithNoCarandLowAccesstoaGroceryStore[17]
(2015)
Austin2.4
1.5 2 1.5 1.5 1.5 1.5percent
FortBend
1.11 0 1.5 1.5 1.5 1.5
percent
Harris0.9
1 0 1.5 1.5 1.5 1.5percent
Waller2.8
1.67 2 1.5 1.5 1.5 1.5percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
Low-IncomeandLowAccesstoaGroceryStore[17](2015)
Austin3.5
1 0 1.5 1.5 1.5 1.5percent
FortBend
7.11.5 1 1.5 1.5 1.5 1.5
percent
Harris6.3
1.33 1 1.5 1.5 1.5 1.5percent
Waller11.3
1.83 2 1.5 1.5 1.5 1.5percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
MemorialHermannRehabilitationHospitalKatyCHNA201964
SNAPCertifiedStores[17](2016)
Austin0.9
1.22 1 1.5 1.5 1.5 1stores/1,000population
FortBend
0.41.89 3 1.5 1.5 1.5 1stores/1,000
population
Harris0.6
2.11 3 1.5 1.5 1.5 2stores/1,000population
Waller0.6
2.11 3 1.5 1.5 1.5 2stores/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
Primary Data Food-relatedtopicsemergedinthecommunityinputgatheredthroughthesurveyandkeyinformantinterviews.FoodInsecurity,FoodProgramsandFoodKnowledgeissueswerediscussedover170timesduringthekeyinformantinterviewsandwereraisedbyparticipants34timesinrelationtobarriersorchallengestoachievinghealthinthecommunity.Theprimarythemesrelatedtobarriersorchallengesthatemergedintheinterviewswereaccesstohealthyfoodsandaffordability,knowledgegapsandlimitedfoodfamiliarityandprogramlimitations.Themostcommonissueraisedbykeyinformantparticipantsrelatedtofoodinsecuritywascommunitymembersnotbeingabletoaccesshealthyfoodsintheircommunity.Multipleparticipantsbelievedthatinmanycommunities,healthyfoodoptionswerenotavailabletopeoplewithinafive-mileradiusfromtheirhomeorwork.Participantsdescribed‘fooddeserts’asatopissueaffectinghealthinthecommunityandhowlimitedaccesstohealthyfoodsalsowascloselyassociatedwithpeoplealsobeingnotbeingabletoaffordhealthyfoods.
“Thenwerealizedweneededtodosomethingfortheparents,sowecreatedanexerciseprogramforthemintheeveningaswellasthatRecipeforSuccesstonotonlycomeintotheschoolbutcomeintotheparkandrecreationcentertohelptheparentswithnutritionalmealsandthenwerealizedthattherewasn’tagrocerystorenear.Therewereseveralmom-and-popstores,soweworkedwiththemomandpopstorestodevelopahealthiervarietyoffoodsforthecommunity.”
Participantsalsodiscussedtheimbalanceofhealthyfoodoptionsforthosecommunitieswithlowerhousingpricesandingeneral,loweraverageincomes.Oneparticipantdescribedthelinkbetweenpeoplehavingtoworkmultiplejobsandhavingtimetoshopforandpreparehealthyfoods.
“Wehaveagrocerystoreoneverycornerbutnoteverycornerinthepoorneighborhoods.It’sbeenmypersonalexperiencethateatinghealthyisexpensive.Itcostsmoremoneytobuyhealthyfruitsandvegetablesandmorehealthyfood,ingeneralthanitdoestobuyfoodthat’snotsohealthy,that’shighfat,highcarb,highsugar….Itcostsmoremoney.Ittakeslongertoprepare.Whenyouhaveamomandadadoreitherandthey’retryingtohandletwojobs,ifnotthree.They’vegotkidsofvaryingages.Themechanicsofshoppingandpreparingmealsisprobablyanactivitythatgetsletgo.”
MemorialHermannRehabilitationHospitalKatyCHNA201965
Someparticipantshaddirectexperiencewitheducatingthecommunityabouthealthyfoodsandeating.Theseparticipantssharedthatforsomecommunitymembers,theirknowledgeoffreshfruitsandvegetablesislimitedandwouldbenefitfromearlyeducationforparentsandchildreninschools.InMemorialHermann’scommunitysurvey,67%ofrespondentsselectedDiabetesasoneofthetopissuesmostaffectingthequalityoflifeintheircommunity.Duringkeyinformantinterviews,Diabeteswasdiscussed64timesandwasraisedbyparticipants32timesasahealthneedorconcerninthecommunity.ForthoseparticipantswhoraisedDiabetesasatophealthissueinthecommunity,uniquethemesemergedregardinghowdiabetesisimpactingspecificgroupsinthecommunityandthewayasedentarylifestyleimpactsdiabetes.MultipleparticipantsattributedthesurgeinobesityanddiabetesingeneralintheU.S.toashifttoamoresedentarylifestylewhileothersspecificallyidentifiedthelocalclimateanddrivingcultureaskeyfactorsleadingtoanincreaseinsedentarylifestylesimpactingtheregion.HeartDisease&Strokewasdiscussed34timesduringthekeyinformantinterviewsandwasraisedbyparticipants16timesasahealthneedorconcerninthecommunity.ForthoseparticipantswhoraisedHeartDisease&Strokeasatophealthissueinthecommunity,theuniquethemesthatemergedintheinterviewswerechronicdiseaseriskrelatedtosocioeconomicstatusandchallengeswithmanagingheart-relatedconditions.“Youhavesomanycommunitiesthatarefooddesertsso,ofcourse,Ithinkweareallatriskforthingslikediabetesandhypertension,obesity,stroke–but,Ithinkinadditiontothat,thosethataremostarealreadymarginalized.Peoplewhoarelowincome.Lowsocioeconomicstatus.So,education,andallofthoseindicatorsareprobablyevenmoreatriskforchronicdiseasesthansomeone,forexample,whohasaccesstocareandinsurance.So,theyprobablyaredoublyatrisk.”
Exercise Is Medicine
Secondary Data Exercise,Nutrition&Weightwasthethirdhighest-rankingtopicinthesecondarydatascoringresultsforFortBendCountyandfifthforMemorialHermannHealthSystem.AlthoughExercise,Nutrition&WeightdidnotrisetothetopofthesecondarydatascoringresultsforAustin,HarrisandWallercounties,thereareindicatorsofconcerntonote(Table26).Exercise-relatedindicatorswithscoresabove2include:AccesstoExerciseOpportunities(AustinandWallercounties)andWorkersWhoWalktoWork(Austin,FortBendandHarriscounties).
KeyIssues:• Obesity• Walkabilityofcommunities• Safetyofoutdoorspacesandplacestoexercise• School-basedprograms
MemorialHermannRehabilitationHospitalKatyCHNA201966
Table26.SecondaryDataScoringResults:Exercise,Nutrition&Weight
County CountyValueComparedto:
Indicator Name Value DataScore
TXCounties
TX US HP2020Target
TrendOverTimeValue Value
ChildFoodInsecurityRate[5](2016)
Austin24.2
2.17 2 2 3 1.5 1.5percent
FortBend
19.10.67 0 0 2 1.5 0
percent
Harris23.5
1.67 1 2 3 1.5 0percent
Waller24.0
2.06 2 2 3 1.5 1percent
[5]FeedingAmerica
AccesstoExerciseOpportunities[4]
(2018)
Austin66.2
2 1 3 3 1.5 1.5percent
FortBend
83.80.83 0 1 1 1.5 1.5
percent
Harris90.4
0.67 0 0 1 1.5 1.5percent
Waller45.2
2.33 2 3 3 1.5 1.5percent
[4]CountyHealthRankings
Adults(18+Years)WhoAreObese[10]
(2018)
Austin
--- --- --- --- --- ---
FortBend
--- --- --- --- --- ---
Harris32.0
1.67 1.5 1 2 2 2percent
Waller
--- --- --- --- --- ---
[10]TexasBehavioralRiskFactorSurveillanceSystem
ChildrenwithLowAccesstoaGroceryStore[17](2015)
Austin2.5
1.17 0 1.5 1.5 1.5 1.5percent
FortBend
7.41.83 2 1.5 1.5 1.5 1.5
percent
Harris5.4
1.5 1 1.5 1.5 1.5 1.5percent
Waller1.9
1 0 1.5 1.5 1.5 1.5percent
MemorialHermannRehabilitationHospitalKatyCHNA201967
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FastFoodRestaurantDensity[17](2014)
Austin0.5
1.22 1 1.5 1.5 1.5 1restaurants/1,000population
FortBend
0.61.33 1 1.5 1.5 1.5 1.5restaurants/1,000
population
Harris0.7
1.67 2 1.5 1.5 1.5 1.5restaurants/1,000population
Waller0.4
1.17 0 1.5 1.5 1.5 1.5restaurants/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
FoodEnvironmentIndex[4](2018)
Austin7.7
0.72 0 0 1 1.5 1percent
FortBend
7.41.22 1 0 2 1.5 1
percent
Harris7.2
1 1 0 2 1.5 0percent
Waller6.3
2.11 2 1 3 3 2percent
[4]CountyHealthRankings
FoodInsecurityRate[5](2016)
Austin15.8
2.06 2 2 3 1.5 1percent
FortBend
14.81.56 1 1 3 1.5 1
percent
Harris16.6
2.06 2 2 3 1.5 1percent
Waller19.2
2.39 3 3 3 3 1percent
[5]FeedingAmerica
GroceryStoreDensity[17](2014)
Austin0.2
1.39 1 1.5 1.5 1.5 1stores/1,000population
FortBend
0.11.83 2 1.5 1.5 1.5 1.5stores/1,000
population
Harris0.2
1.5 1 1.5 1.5 1.5 1.5stores/1,000population
Waller0.1
2 3 1.5 1.5 1.5 1.5stores/1,000population
MemorialHermannRehabilitationHospitalKatyCHNA201968
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
HouseholdswithNoCarandLowAccesstoaGroceryStore[17]
(2015)
Austin2.4
1.5 2 1.5 1.5 1.5 1.5percent
FortBend
1.11 0 1.5 1.5 1.5 1.5
percent
Harris0.9
1 0 1.5 1.5 1.5 1.5percent
Waller2.8
1.67 2 1.5 1.5 1.5 1.5percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
Low-IncomeandLowAccesstoaGroceryStore[17](2015)
Austin3.5
1 0 1.5 1.5 1.5 1.5percent
FortBend
7.11.5 1 1.5 1.5 1.5 1.5
percent
Harris6.3
1.33 1 1.5 1.5 1.5 1.5percent
Waller11.3
1.83 2 1.5 1.5 1.5 1.5percent
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
RecreationandFitnessFacilities[17](2014)
Austin0.1
0.89 0 1.5 1.5 1.5 1facilities/1,000population
FortBend
0.11.33 1 1.5 1.5 1.5 1.5facilities/1,000
population
Harris0.1
1.33 1 1.5 1.5 1.5 1.5facilities/1,000population
Waller0
1.78 2 1.5 1.5 1.5 2facilities/1,000population
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
SNAPCertifiedStores[17](2016)
Austin0.9
1.22 1 1.5 1.5 1.5 1stores/1,000population
FortBend
0.41.89 3 1.5 1.5 1.5 1stores/1,000
population
Harris0.6
2.11 3 1.5 1.5 1.5 2stores/1,000population
Waller0.6
2.11 3 1.5 1.5 1.5 2stores/1,000population
MemorialHermannRehabilitationHospitalKatyCHNA201969
[17]U.S.DepartmentofAgriculture-FoodEnvironmentAtlas
WorkerswhoWalktoWork[1](2012-2016)
Austin1.7
2.11 2 1 3 3 2percent
FortBend
0.62.67 3 3 3 3 1.5
percent
Harris1.5
2.17 2 2 3 3 1.5percent
Waller4.7
0.22 0 0 0 0 1percent
[1]AmericanCommunitySurvey
Primary Data Over60%ofMemorialHermann’scommunitysurveyrespondentsnotedObesityasatopissueaffectingthequalityoflifeintheircommunity.Inkeyinformantinterviews,Exercise,Nutrition&Weightwasdiscussedalmost170timesandwasraisedbyparticipants42timesasaneedorconcernforachievinghealthinthecommunity.TheprimarybarriersrelatedtoExercise,Nutrition&Weightidentifiedbyparticipantswerewalkability,accesstosafeoutdoorspacesandprogrammingthatmaynotmeettheneedsofcommunitiesfacingfinanciallimitations.Participantsalsodiscussedaneedtodevelopnutritionalprogrammingforyouthintheschools.Severalparticipantsdiscussedbarrierstohealthylifestylechangesanddescribedcommunitieswheresidewalksarelimitedorpedestrianpathwaysarenotavailable.Theabilityforcommunitymemberstomakesmallshiftsintheirdailylives,suchaswalkingregularly,maybemorefeasiblethanundertakinganexerciseregimen.Thelimitationsofpedestrianpathwaysandsaferwalkingspacespreventthoseinsomesectionsofthecommunityfrommakingtheseshifts.Forindividualswhomaynotbeabletoaffordgymmembershipsnorattendclassesduetoworkschedules,outdooractivitiesandfitnessareasofferafreealternative.Participantsfeltthatinmanyneighborhoods,theseoutdoorspacesarenotavailableduetodisrepairorunsafeenvironments.“Ithinkthebuiltenvironmentishuge,too.Ifyouliveoutinaplannedcommunity,theyusuallyhavewalkingtrails,ortheyhaveaprettyfountainareaforyoutowalkaroundit.Theyhavethoselittleexercisethingsthatyoustoponpartwayaroundthetrailandyoudoyourlittlepush-upsandyoursit-upsandyourpull-ups(…)Yougointothesepoorerareasandthere'snosidewalks.There'snolightsatnight.There'sapark—it'sallrustedequipment.”Participantsalsodescribedprogramsandfacilitiesthatareeitherlimitedorlacking.Theseprogramsincludedfreeexerciseprogramswithchildcareoptions,youthsportsleaguesandrecessintheschoolsandfreeorlow-costoptionsforair-conditionedfacilitiesduringtimesoftheyearwhentheweatherdoesnotpermitoutdooractivities.
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“InpoorareasofHouston,there’sjustnotalotofparks.There'snolittleleague,andthere'snosoccerleagues,andso,there'snotalotofrecessintheschools.There'sjustnot—thecultureamongthekidsisjustnotbeingcreatedaroundphysicalactivity.”Keyinformantsalsodiscussedtheopportunitytobringexerciseandnutritionprogramsintoschoolstoaddresschildhoodobesityandalsohelpwithstudents’overallperformance.“WhenwelaunchedtheCANDOproject,itwas(…)toaddresschildhoodobesity.Wewerelookingatphysicalactivity,wewerelookingatprovidinghealthyfoodandthenutritionguidelinesandthatsortofthing.Welookedatdoingitthroughschoolsandweactuallyidentifiedthreeschoolsthatwewouldworkwithandactuallyendupwithonethatwecouldreallydosomethingwith.”“…theprincipalandtheleadershipoftheschoolsweresofocusedontestscores.Wecanconvincethemthattestscoreswouldbeimprovediftheirstudentshadahealthydietandphysicalactivity,intermsofconnectingthedots.”
MemorialHermannRehabilitationHospitalKatyCHNA201971
Non-Prioritized Significant Health Needs Thefollowingadditionalsignificanthealthneedsemergedfromareviewoftheprimaryandsecondarydata.Withtheneedtofocusontheprioritizedhealthneedsdescribedabove,thesetopicsarenotspecificallyprioritizedeffortsinthe2019-2022ImplementationStrategy.However,duetotheinterrelationshipsofsocialdeterminantneedsmanyoftheseareasfall,tangentially,withintheprioritizedhealthneedsandwillbeaddressedthroughtheupstreameffortsoftheprioritizedhealthneeds.Additionally,manyofthemareaddressedwithinongoingprogramsandservices.Examplesoftheseeffortsareprovidedbelowbytopicarea.
Older Adults and Aging
Secondary Data ThesecondarydatascoringresultsrevealedthetopicofOlderAdultsandAgingasasignificanthealthneed.OlderAdultsandAgingwasinthetop10topicsforAustin,FortBendandWallercountiesandreceivedatopicscoreof1.5inthesecondarydataresultsforHarrisCounty.InAustinCounty,indicatorstonoteinclude:AtrialFibrillation,Stroke,Hyperlipidemia,andRheumatoidArthritisorOsteoarthritis(allintheMedicarePopulation).InFortBendCounty,indicatorsofconcernincludedStroke,Diabetes,ChronicKidneyDisease,andHyperlipidemia(allintheMedicarePopulation).IndicatorsofnoteinHarrisCountyincluded:ChronicKidneyDiseaseandStrokeintheMedicarePopulationaswellasAge-AdjustedDeathRateduetoFalls.InWallerCounty,concerningindicatorsare:ChronicKidneyDisease,Stroke,HeartFailure,Age-AdjustedDeathRateduetoFalls,AtrialFibrillation,Diabetes,Hypertension,andIschemicHeartDisease(allintheMedicarePopulation).
Primary Data KeyinformantsandstakeholdersdiscussedOlderAdultsandAging.Over62%ofparticipantsinMemorialHermannHealthSystem’sprioritizationprocesscitedOlderAdultsasoneofthegroupsmostaffectedbypoorhealthoutcomes.Interviewswithkeyinformantsnotedthegrowingpopulationofolderadultsandneedsrelatedtospecializedcare,financialassistanceandoutreach.“…[W]earegoingtowatchtheliteraldoublingofthenumberofAmericansovertheageof65inthenext25years.Everyday,betweennowand2030,dayafterday,10,000Americanswillturn65,sowearewatchinganextraordinaryexpansionofchallengesofaging.(…)[M]oreandmoreAmericansaregoingtobegettingold,socaringforthismassiveincreaseintheagingpopulationisgoingtobeoneofthegreatchallengesIthink.”
Efforts MemorialHermannHealthSystemincludestwofreestandingRehabilitationHospitals(TIRRandKaty)aswellasaseniorlivingfacility(UniversityPlace),featuringindependentliving,personalassistanceservices,andaseparate,butattached,nursingcenter.Additionalcommunityoutreachincludeshealtheducationon:Alzheimer’sdisease,DiscountedDiabetesEducation,Education/outreachforSeniors,InjuryPrevention,FallPrevention,and
MemorialHermannRehabilitationHospitalKatyCHNA201972
supportgroupsforvariouspopulations,including:Alzheimer’s,Amputees,Cardiacpatients,Chronicdisease,Diabetics,Grief,Parkinson’sdisease,Stroke,Survivorship,andmore.
Cancers
Secondary Data AlthoughCancerwasnotoneofthetoptentopicsinthesecondarydatascoringresultsforAustin,FortBend,Harris,andWallercounties,therearecertainindicatorstonote.InAustinCounty,thefollowingindicatorsscoredabove1.5inthesecondarydataresults:ProstateCancerIncidenceRate(withascoreabove2),CancerintheMedicarePopulation,ColorectalCancerIncidenceRate,andAge-AdjustedDeathRateduetoColorectalCancer.InFortBendCounty,indicatorswithindicatorscoresequaltoorabove1.5areCancerintheMedicarePopulationandProstateCancerIncidenceRate.InHarrisCounty,severalindicatorsareofconcernincluding:CervicalCancerIncidenceRateandAge-AdjustedDeathRateduetoBreastCancer(bothwithindicatorscoresabove2),CancerintheMedicarePopulation,ColonCancerScreening,andAge-AdjustedDeathRateduetoProstateCancer.InWallerCounty,theAge-AdjustedDeathRateduetoBreastCancerreceivedascoreof1.53.
Primary Data InMemorialHermann’scommunitysurvey,overonethirdofrespondentsnotedCancerasatopissueaffectingthequalityoflifeintheircommunity.Interviewswithkeyinformantsrevealedtheimportanceofearlydetectionandmakingcancerscreeningservicesandspecialtycareavailableandaccessible(e.g.,telehealth,mobilemammography).
Efforts AsleadingprovidersofcancertreatmentinHouston,MemorialHermannCancerCentersarecommittedtocancertreatment,prevention,andresearch.Theirbroadgeographicalcoveragemakescancertreatmentextremelyaccessibleandconvenienttowherepatientsliveorwork.AlleightMemorialHermannCancerCentersareapprovedbytheAmericanCollegeofSurgeonsCommissiononCancer(ACoSCoC);only25percentofhospitalsacrossthecountryhavereceivedthisspecialrecognition.Withguaranteedaccesstocomprehensivecare,collaborativeteamapproachforcoordinatingthebestavailabletreatmentoptions,state-of-the-artequipmentandservices,educationandsupport,andlifelongpatientfollow-upthroughtheCancerRegistry,patientsareabletoaccessafullmenuoftherapiesandtreatmentoptions.Additionaloutreachincludeseducationandsupportgroupsforcancerpatients:Art,Self-guidedArtTherapy,Lymphedema,BrestCancer,OncologyNutritionTherapy,StressRelief,LookGoodFeelBetter,Yoga,Meditation,andHealthyEatingAdvices.
Education
Secondary Data EducationwasthefifthmostimportanttopicinAustinCounty’ssecondarydataresults;InfantsBorntoMotherswithLessthan12YearsEducationandPeople25+withaHighSchoolDegreeorHigherreceivedindicatorscoresabove1.5.Educationreceivedatopicscoreof1.56inthe
MemorialHermannRehabilitationHospitalKatyCHNA201973
secondarydataresultsforHarrisCounty.Thereareseveraleducation-relatedindicatorstoconsider:InfantsBorntoMotherswithLessThan12YearsofEducation(withavalueof27.5%inHarrisCounty,comparedto21.3%inTexasand15.9%intheU.S.),Student-to-TeacherRatio,HighSchoolDropOutRate,andPeople25+withaHighSchoolDegreeorHigher.EducationwasthefourthmostimportanttopicinWallerCounty’ssecondarydataresults;aneducation-relatedindicatorthatscoredabove2isPeople25+withaHighSchoolDegreeorHigher.
Primary Data Duringkeyinformantinterviews,thetopicofEducationcameupfrequentlyandinrelationtodifferentfocusareasandtargetaudiences,includingchildren,generalcommunitymembersaswellasproviders.Thelinkbetweenindividuals’levelofeducationandqualityoflifewasemphasized.Keyinformantsrecommendedfindingopportunitiestoexpandtheavailabilityofeducation(relatedtohealthandnon-healthtopics)aswellasintegratinghealtheducationintoexistingactivitiesinbothclinicalandnon-clinicalsettings,suchasschoolsandchurches.Opportunitieswerealsopointedouttoeducatehealthcareproviders(andprovidecontinuingeducation)onavailablecommunitylinkagesandresourcesandonhowtoinitiateconversationswithpatientsregardingdifferenthealthtopics.“Wewanttogointodifferentgroupsandeducatethemonwhattheyshouldbedoingorshouldn’tbedoing.(…)Ithinkeducationisahugecomponentbutwe’vegottofigureouthowtointegratethat.Theeducation,withouttheintegrationintosomebody’slifestyle,doesn’tdothemanygood.”
Efforts MemorialHermannoperatestenHealthCentersforSchools,establishedin1996,offeringaccesstoprimarymedical,dentalandmentalhealthservicestounderservedchildrenat82schoolsintheGreaterHoustonArea.Researchshowsthatschool-basedhealthcentersincreaseeducationalsuccessbyprovidingmedicalandmentalhealthcarethatallowsstudentstostayinschoolandlearn.Theprimarygoaloftheprogramistokeepchildrenhealthyandfeelingwellsothattheystayinschoolandcanperformwellacademically,creatingafoundationforabrighterfuture.Byprovidingimprovedaccesstohealthcaretoat-riskchildrenacrosstheregion,MemorialHermannhasdemonstratedsuccessincreatinghealthieroutcomesforkids,includingimprovementsintheirphysicalhealth,theirmentalwellbeing,andeventheirattendancerateatschool.
Transportation
Secondary Data ForAustin,FortBendandHarriscounties,Transportationroseto(orwasnear)thetopofthesecondarydatascoringresults,withatopicscoreof1.77inAustinCounty,1.83inFortBendCountyand1.82inHarrisCounty.AustinCountyhasseveralconcerningindicatorsrelatedtoTransportation,including:MeanTravelTimetoWork,SoloDriverswithaLongCommute,WorkersCommutingbyPublicTransportation,andWorkerswhoWalktoWork.InbothFortBendandHarriscounties,indicatorsofconcerninclude:SoloDriverswithaLongCommute,MeanTravelTimetoWork,andWorkerswhoWalktoWork.Furthermore,thereexisthighdisparitiesforafewoftheseindicators.InFortBendCounty,anadditionalindicatortonote
MemorialHermannRehabilitationHospitalKatyCHNA201974
includesWorkerswhoDriveAlonetoWork(withanindicatorscoreof1.94).AlthoughTransportationwasnotahigh-rankingtopicinWallerCounty’ssecondarydataresults,therearetwoconcerningindicators(withscoresgreaterthan2):MeanTravelTimetoWorkandSoloDriverswithaLongCommute.
Primary Data ParticipantsraisedthetopicofTransportation59timesinrelationtobarriersorchallengestoachievinghealthinthecommunity–morethananyothertopic.KeyinformantsrepeatedlynotedthattheHoustonregionhassignificanttransportationissues(includingavailability,accessibility)thatimpactcommunitymembers’abilitytoaccesshealthprogramsandservices.Inadditiontolimitedoptionsforpublictransportation,travelcostandtimewerebroughtup.Moreover,forcertainpopulations,likeolderadultsorpeoplewithdisabilities,publictransportationisnotafeasibleoption.“Forsomeindividualsthatdon’thavetransportation,usuallyit’sahugechallenge.(…)wedopartnerwithColoradoValleyTransitAuthority,andtheycanprovidetransportationservices.Again,thechallengeismakingsurepeopleareevenawareofthat,thattheyknowabouttheprogram,thattheyknowwhotocalltoarrangethattransportation.”“Thisremarkablespread-outcity,thesizeofMassachusetts,istheGreaterHoustonMetropolitanArea.(…)Thisisnotacityandasuburbanymore,it’sametropolitanregionwitheighttotencentersofactivitythatarelargerthandowntownSanDiego,spreadoutoverthismassivearea,butgettingfromoneplacetoanotherisanincreasingchallenge.Povertyalsomeansinadequatetransportation,wehavenoreallygoodtransitsystembecauseit’salmostimpossibletodevelopagoodtransitsystemforacitysolackingindensityandsospreadoutasHoustonis.Wehaven’tsolvedthatproblem,andalotofthehealthcareissuescomebecausepeople[are]withoutacartryingtogettoahospital,ortohealthcare…”
Efforts MemorialHermannprovidesbusandtaxitokensasrequiredfordischargeandcontinuityofcareneeds.OneMemorialHermannstrategicefforttonotonlyprovidetherightcareattherighttimeintherightplace,butalsoprovidetheopportunitytoaccesshelp/careviathetelephoneistheMemorialHermannNurseHealthLine.Establishedin2014,theNurseHealthLineisafreetelephoneserviceforGreaterHoustonresidentswhoareexperiencingahealthconcernandareunsureofwhattodoorwheretogo.Experienced,bilingualnursesusetheirtrainingandexpertisetoconductassessmentsbyphone,andareavailabletoanswercalls24hoursaday,sevendayaweekforanyresidentlivinginHarrisorsurroundingcounties.Theyhelpcallersdecidewhenandwheretogoformedicalcareandassistwithsocialservicereferralsandtransportationneeds.
Children’s Health
Secondary Data InbothAustinandWallercounties,theChildFoodInsecurityRatescoredabove2.Children’sHealthreceivedatopicscoreof1.52inHarrisCounty.Particularindicatorstonoteinclude:
MemorialHermannRehabilitationHospitalKatyCHNA201975
ChildrenwithHealthInsurance,ChildFoodInsecurityRate,andChildrenwithLowAccesstoaGroceryStore.Closeto10%ofchildreninHarrisCountydonothavehealthinsurance.AlthoughChildren’sHealthdidnotreceiveatopicscoreabove1.5inFortBendCounty,anindicatorofconcernis:ChildrenwithLowAccesstoaGroceryStore.
Primary Data WhendiscussingChildren’sHealth,keyinformantspointedoutspecificissuessuchaschildhoodobesity,accesstoservicesandbeinguninsured.Someparticipantsadvisedeffortstoengagechildren,familiesandcommunitiesmorecomprehensively.“Texasranksverylowindollarsspentonhealthforchildren.Weranklowinourranking,generally,inchildren’shealth.We’renotputtingenoughmoneyandresourcesintoit.Ithinkweneedtoshiftourattentionand(…)givemoreattentiontochildren’shealthandhowimportantitisforearlychildhooddevelopmentandforbraindevelopmentandongoinghealthintherestoftheirlives.Iwouldsayputthatasapriority.Putchildren’shealthasapriority.Notjustsayingtheearlyyears,notjustsayingzerotofivebutalsothroughoutearlyadolescence,pre-adolescence,earlyadolescenceandintotheteens.”
Efforts Children'sMemorialHermannHospital,licensedunderMemorialHermannTexasMedicalCenter,wasfoundedin1986andistheprimaryteachinghospitalforthepediatricandobstetrics/gynecologyprogramsatTheUniversityofTexasMedicalSchoolatHouston.Children'sMemorialHermannofferscareinmorethanthirtypediatricandwomen'srelatedspecialtiesincludingthelatestadvancesinmaternal-fetalmedicineandneonatalcriticalcareservices,andrenownedprogramsinpediatrictrauma,neurosciences,pulmonologyandcardiaccare.Morethan37,000childrencometoChildren'sMemorialHermannHospitaleachyear.InadditiontoMemorialHermann’sschool-basedhealtheffortsdescribedabove,MemorialHermannisanon-goingfinancialcollaboratorwithChildrenatRisk,a501non-profitorganizationthatdriveschangeforchildrenthroughresearch,education,andinfluencingpublicpolicy.
Economy
Secondary Data Economywasthefifthhighest-rankingtopicinthesecondarydataresultsforWallerCounty.Witheleveneconomicindicatorsscoringabove2,WallerCountyhasthelargestnumberofconcerningeconomicindicatorsoutofthefourcountiesintheservicearea.Withatopicscoreof1.55,EconomywasoneofthetoptentopicsinthesecondarydatascoringresultsforHarrisCounty;eighteconomicindicatorshadscoresabove2.Economywasnotahigh-rankingtopicforAustinCounty,butseveralindicatorsreceivedscoresgreaterthan2,including:ChildrenLivingBelowPovertyLevel,ChildFoodInsecurityRate,TotalEmploymentChange,FoodInsecurityRate,andMortgagedOwnersMedianMonthlyHouseholdCosts.Similarly,althoughEconomywasalsonotamaintopicforFortBendCounty,thereareseveraleconomicindicatorsscoringabove2:MedianHouseholdGrossRent,MedianMonthly
MemorialHermannRehabilitationHospitalKatyCHNA201976
OwnerCostsforHouseholdswithoutaMortgage,andMortgagedOwnersMedianMonthlyHouseholdCosts.
Primary Data Keyinformantsdiscussedfoodinsecurityandfooddesertsasfactorsrelatedtopoorhealthoutcomes.Theypointedoutthat,althoughindividualsmightunderstandthateatinghealthyfoodsisrecommended,theymaynothaveaccesstogrocerystoresorbeabletoaffordhealthierfoodoptions.Keyinformantsnotedtheimportanceofaddressingsocioeconomicbarrierstoimprovehealthandwellbeing.OneparticipantnotedthatwhilemanyresidentscommutetoHoustonforemployment,someopportunitiesareemergingwithlargeremployersalongUS-290andInterstate-10freeways.“(…)That’samatterofmoney.Youcaneducate[a]womanalldaylong,butifshe’sgotacoupleofkidstofeedandshecanfeedthemallforsevendollarsasopposedto25,she’sgoingtogotoMcDonald’s.”
Efforts It’sadauntingtaskinaregionlikeGreaterHouston,whichhasanestimated7millionpeopleandoneofthehighestratesofuninsuredandunderinsuredinthecountry.ButMemorialHermannbelievesthatwecanONLYimpactthehealthofourcommunity,andthehealthofindividuals,byfocusingonthemultipledeterminantsofhealththatplaythegreatestroleininfluencingaperson’soverallhealthandwellbeing.
MemorialHermannRehabilitationHospitalKatyCHNA201977
Other Findings Criticalcomponentsinassessingtheneedsofacommunityareidentifyingbarriersanddisparitiesinhealthcare.Theidentificationofbarriersanddisparitieshelpsinformandfocusstrategiesforaddressingprioritizedhealthneeds.ThefollowingsectionoutlinesbarriersacrossMemorialHermannHealthSystemanddisparitiesastheypertaintoMHRehabKaty’sservicearea.
Barriers to Care Communityinputrevealedawiderangeofbarrierstocareandwellbeing.Asdiscussedintheprevioussection,transportationwasthemostfrequentlycitedbarrierinthecommunity,followedbyotherbarrierssuchasaccesstohealthservices,healthyfoodandexerciseoptions,lowincome,andfoodinsecurity.Overall,thesecondaryandprimarydataconfirmedthatsocioeconomicfactorsimpactcommunitymembers’abilitytoachievegoodhealth.“Manythingscomebacktopovertyandlackofdisposableincome.”Keyinformantsdescribedtheinfluenceofsocialdeterminantsofhealth(includingincome,poverty,language,education,employment)onhealthoutcomes.Participantsdiscussedtheimportanceofaddressingsocialandeconomicfactorstogetattherootcausesofpoorhealthandwellbeing.“Ithinkyouhavetounderstandthatalotoffolksworkfrompaychecktopaycheck,soiftheyactuallyendupatoneofthesemedicalcentersandtheyrequireathirtydollarcopayortendollarsorfifteendollars,thenthey’renotgoingtohaveit.So,they’regoingtowalkawayuntiltheydohavethatmoneyandthatcouldbemonthslater.So,iftheyaresick,they’rejustgoingtobecomesicker.So,that’soneofthebigbarriers.”
Disparit ies Significantcommunityhealthdisparitiesareassessedinboththeprimaryandsecondarydatacollectionprocesses.Table27identifiesthenumberofsecondarydatahealthindicatorswithahealthdisparityforMHRehabKaty’sservicearea.SeeAppendixBforthespecificindicatorswithsignificantdisparities.
Table27.NumberofHealthDisparitiesIdentifiedinSecondaryDataAnalysis
AustinCounty FortBendCounty HarrisCounty WallerCountyHispanicorLatino(6)BlackorAfricanAmerican(4)OtherRace(4)
HispanicorLatino(7)OtherRace(7)BlackorAfricanAmerican(6)White(4)
BlackorAfricanAmerican(13)White(8)HispanicorLatino(8)OtherRace(7)AmericanIndianorAlaskaNative(6)
BlackorAfricanAmerican(6)OtherRace(3)HispanicorLatino(3)
Male(1) Male(5) Male(10)Female(3)
N/A
<6yearsofage(1) 65+yearsofage(2) <6yearsofage(2) 60-64yearsofage(2)
MemorialHermannRehabilitationHospitalKatyCHNA201978
AustinCounty FortBendCounty HarrisCounty WallerCounty65+yearsofage(1) 25-44yearsofage(2)
45-64yearsofage(2)65+yearsofage(2)
GeographicdisparitieswereidentifiedusingtheSocioNeedsIndex.AsshownpreviouslyinTable13,zipcode77080hasavalueof95.6andzipcode77055hasavalueof82.6.ThezipcodeswithlargestproportionofinpatientdischargesatMHRehabKaty,zipcodes77450and77449,haveSocioNeedsIndexvaluesof9.9and53.4,respectively.
MemorialHermannRehabilitationHospitalKatyCHNA201979
Conclusion TheCommunityHealthNeedsAssessmentforMHRehabKatyutilizedacomprehensivesetofsecondarydataindicatorstomeasurethehealthandqualityoflifeneedsforMHRehabKaty’sservicearea.Furthermore,thisassessmentwasinformedbyinputfromknowledgeableanddiverseindividualsrepresentingthebroadinterestsofthecommunity.MemorialHermann’ssystem-wideprioritizationprocessresultedinfourfocusareasorpillars:AccesstoHealthcare,EmotionalWell-Being,FoodasHealth,andExerciseIsMedicine.MHRehabKatywillreviewtheseprioritiesmorecloselyduringtheImplementationStrategydevelopmentprocessanddesignaplanforaddressingthesepillarsmovingforward.Inaddition,MHRehabKatyinvitesyourfeedbackonthisCHNAreporttohelpinformthenextCommunityHealthNeedsAssessmentprocess.Ifyouhaveanyfeedbackorremarks,pleasesendthemto:[email protected].
MemorialHermannRehabilitationHospitalKatyCHNA201980
Appendix
Appendix A: Evaluation Since Prior CHNA
Appendix B. Secondary Data Methodology
Secondary Data Sources
Secondary Data Scoring
Data Scoring Results
Appendix C. Primary Data Methodology
Community Input Participants
Key Informant Interview Questionnaire (Episcopal Health Foundation)
Key Informant Interview Questionnaire (Conduent Healthy Communities Institute)
Community Survey (English)
Community Survey (Spanish)
Appendix D. Priorit ization Tool
Priorit ization Survey
Appendix E. Community Resources
MemorialHermannRehabilitationHospitalKatyCHNA2019 81
AppendixA.MHRehabKatyImpactReport
EvaluationSincePriorCHNAPriority1:HealthyLiving
Priority1: HealthyLiving
Goal1:Achievelong-termimprovedhealthforpeoplewithchronicandlong-termdisabilities.
ChronicDiseaseManagementObjective1.5:ReduceprogressionorpreventablesideeffectsofchronicdiseasesOutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target
• Numberofparticipantsinsupportgroups 10-15participants 89 40 20participants
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,31.5.1 Conductsupportgroupsforstrokesurvivors 1,2,3
Monitoring/EvaluationApproach:• Supportgroupparticipationrecords
PotentialPartners:• MemorialHermannKatyHospital• MemorialHermannStrokeCoordinators
MemorialHermannRehabilitationHospitalKatyCHNA2019 82
Priority2:AccesstoHealthCare
Priority2: HealthCareAccess
Goal2:Ensureeaseofaccesstocare,services,andsupportsforpeoplewithchronicandlongtermdisabilities.
AvailabilityofPrimaryCareandSpecialtyProvidersObjective2.1: ReducebarrierstocareforpeoplewithdisabilitiesOutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target
• Numberofhospital'sassociatedcounties'callstoNurseHealthLine(MHKatyRehab-Austin,Colorado,FortBend,Harris,Waller) 31,333
29,072 32,89031,333
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,32.1.1 Providea24/7freeresourceviatheNurseHealthLinethatcommunitymembers(uninsuredand
insured)withintheMHHScommunitycancalltodiscusstheirhealthconcerns,receiverecommendationsontheappropriatesettingforcare,andgetconnectedtoappropriateresources(see2.4.1)
1,2,3
Monitoring/EvaluationApproach:• NurseHealthLinecalllogs
PotentialPartners:• MemorialHermannCommunityBenefitCorporation
HealthCareNavigationObjective2.4:Provideopportunitiesforpatientswithdisabilitiestogettheservicestheyneedwhen,where,andhowtheyneedit
OutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target
• Numberofhospital'sassociatedcounties'callstoNurseHealthLine(MHKatyRehab-Austin,Colorado,FortBend,Harris,Waller) 31,333 29,072 32,890 31,333
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,32.4.1 Providea24/7freeresourceviatheNurseHealthLinethatcommunitymembers(uninsuredand
insured)withintheMHHScommunitycancalltodiscusstheirhealthconcerns,receiverecommendationsontheappropriatesettingforcare,andgetconnectedtoappropriateresources(see2.1.1)
1,2,3
Monitoring/EvaluationApproach:• NurseHealthLinecalllogs
PotentialPartners:• MemorialHermannCommunityBenefitCorporation
MemorialHermannRehabilitationHospitalKatyCHNA2019 83
Priority3:BehavioralHealthThefollowingtablesprovidestrategiesandoutcomeindicatorsthatreflectanMHHSsystem-wideapproachtoBehavioralHealth.DataisnotspecifictoMHRehabilitationHospital-Katybuttothecommunityatlarge.
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
Objective3.1: Createnontraditionalaccesspointsaroundthecommunity(crisis/ambulatory,acutecare,andcommunity-basedchroniccaremanagement),andlinkthosewhoneedservicestopermanentprovidersandresourcesinthecommunity
OutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target• DecreaseinnumberofERencountersthatresultinpsychiatricinpatient
stay1,146 1,213 1,135 1,089
5%reductionofbaseline
• NumberofMemorialHermannCrisisClinictotalvisits 5,400 5,590 5,154 5%overbaseline• NumberofPsychiatricResponseCareManagementtotalvisits 1,200 1,103 1,259 5%overbaseline
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,33.1.1: Providementalhealthassessment,care,andlinkagetoservicesinanacutecaresetting,
24x7atKatyRehab.Anuptickinacutecarevolumeoverthepastfiscalyearhascontributedtoahighernumberofpsychiatrictransfersoverall.
Anincreaseinacutecarevolumeandnumberofacutecaresites
overthepastfiscalyearhave
contributedtoahighernumberof
psychiatrictransfersoverall.
1,2,3
MemorialHermannRehabilitationHospitalKatyCHNA2019 84
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
3.1.2: Createnontraditionalcommunityaccesstopsychiatricprovidersforindividualsexperiencingamentalhealthcrisis.ClinicalSocialWorkersconnectthetargetpopulationtoon-goingbehavioralhealthcare
Recruitingmentalhealthproviderswillingtocommittoanon-traditionalscheduleremainsachallenge.Continuingthisurgentcaremodeloftreatmentremainsapriority,duetolimitedmentalhealth
treatmentaccessinthecommunity.
1,2,3
3.1.3: Engageindividualswithachronicmentalillnessandworktomaintainengagementwithtreatmentandstabilityinthecommunityviaenrollmentincommunity-basedmentalhealthcasemanagementprogram
Staffingissuesimpededyearonetarget.Identifyingappropriatelylicensedclinicianswillingtoconsideracareerthatiscommunitybasedwiththerequirementofmakinghomevisitsandworkingnon–traditionalhoursisanongoingchallenge.
CaseManagerspartnerwiththeirclientstoidentifyspecificrecoverygoalsandutilizeevidence-basedpracticesto
facilitateclientachievement.Wecontinuetopartnerwithcommunityprovidersto
addressthementalhealthneedsoftheGreaterHoustonCommunity.
1,2,3
Monitoring/EvaluationApproach:• EMR/registrationsystem(trackandtrenddaily,weekly,monthly)
MemorialHermannRehabilitationHospitalKatyCHNA2019 85
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
PotentialPartners:• Systemacutecarecampuses• MemorialHermannMedicalGroup• Networkofpublicandprivateproviders
MemorialHermannRehabilitationHospitalKatyCHNA2019 86
Objective3.2: Reducestigmainordertopromotementalwellnessandimprovecommunityawarenessthatmentalhealthispartofphysicalhealthandoverallwell-being
OutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target• Numberofpresentations/educationalsessionsforhealthcare
professionalswithinMHHS50sessionsper
year63 71 5%increaseover
baseline• Numberofpresentations/educationalsessionsforcorporations 5 7 8 5%overbaseline• TrainingonAcuteCareConcepts-systemnurseresidentprogram 15trainings
(45hourstotal/3hourseach)*
18 915trainings
(45hourstotal/3hourseach)*
• TrainingonCMORoundtable-system-wide 1training(2hours)* 0 4
1training(2hours)*
*Totaltimeincludestrainingmaterialdevelopmentandimplementation 531.6 Strategies: Year1Notes Year2Notes Timeline:
Year1,2,33.2.1: ProvidementalhealtheducationsessionswithintheMHhealthsystemfornursesand
physicians
1,2,3
3.2.2: WorkwithemployersolutionsgrouptoprovideeducationandtrainingwithcorporationsonMHtopics(stress,PTSD)
1,2,3
Monitoring/EvaluationApproach:• Requestsforpresentationsandsessionstrackedviacalendar/excel
PotentialPartners:• Systemacutecarecampuses• SystemMarketingandCommunications• Employersolutionsgroup
MemorialHermannRehabilitationHospitalKatyCHNA2019 87
Objective3.3: Qualityofmentalhealthandsubstanceabuseservices:access,link,andpracticeutilizingevidence-basedpracticetopromoteoverallwellness
OutcomeIndicators: AnnualBaseline Year1 Year2 FY2020Target• NumberofMemorialHermannCrisisClinicfollow-upspostdischarge
withclinicpatients7,716 6,431 5,154 5%overbaseline
• PsychiatricResponseCaseManagementreductioninsystemERutilization
54.4% 53.0% 50% 5%increaseoverbaseline
Strategies:Year1Notes Year2Notes Timeline:
Year1,2,33.3.1: Socialworkersfollow-upwithdischargedpatientsandtheirfamiliestoassesswell-
beingandconnectthemtocommunityresourcesThegoalistocontinuetoeducatethecommunity,includingotherhealthsystems,aboutthecrisiscliniclevelofcaresothatwhensomeoneisexperiencingamentalhealthcrisisorneedsimmediateaccesstoabehavioralhealthprovider,theclinicwillbetheidentifiedreferralsource.
TheSystemhasseenanoverallincreaseinpatientacuitywithcomplexphysicalandbehavioralhealthneedsrequiringhigherlevelsofcare.TheCrisisClinicandPsychResponseCaseManagementProgramscontinuetomeettheneedsofpatientswithbehavioralhealthconditionsbyprovidingimmediateaccesstoamentalhealthprovider.
1,2,3
MemorialHermannRehabilitationHospitalKatyCHNA2019 88
Priority3: BehavioralHealth
Goal3: Ensurethatallcommunitymemberswhoareexperiencingamentalhealthcrisishaveaccesstoappropriatepsychiatricspecialistsatthetimeoftheircrisis,areredirectedawayfromtheER,arelinkedtoapermanent,communitybasedmentalhealthprovider,andhavethenecessaryknowledgetonavigatethesystem,regardlessoftheirabilitytopay.
3.3.2: PsychiatricResponseCaseManagementProgramutilizesevidence-basedpracticeinterventions(motivationalinterviewing,MHFirstAid,CAMS,etc.)toreduceERutilizationforprogramenrollees
Thelackofcrisishousingresourcesandthetargetpopulation’sover-relianceontheacutecaresystemproducesanongoingchallengeinreducingERutilizationofprogramenrollees.
CaseManagerscontinuetopartnerwithcommunityagenciesinan
efforttoconnectprogramenrolleestoresourcesforongoingwellness.Programclinicianscontinuetouseevidence-based
practiceinterventionsto
reduceERutilizationand
improvequalityoflife.
1,2,3
Monitoring/EvaluationApproach:• Socialworklogs(Excelspreadsheet)
PotentialPartners:• Systemacutecarecampuses• Community-basedclinicalproviders• Networkofpublicandprivateproviders
MemorialHermannRehabilitationHospitalKatyCHNA2019 89
AppendixB.SecondaryDataMethodology
SecondaryDataSourcesThemainsourceforthesecondarydata,ordatathathavebeenpreviouslycollected,isthecommunityindicatordatabasemaintainedbyConduentHealthyCommunitiesInstitute.ThefollowingisalistofbothlocalandnationalsourcesusedinMemorialHermannRehabilitationHospital–Katy’sCommunityHealthNeedsAssessment.
AustinCounty1. AmericanCommunitySurvey2. CentersforMedicare&MedicaidServices3. CountyHealthRankings4. FeedingAmerica5. InstituteforHealthMetricsandEvaluation6. NationalCancerInstitute7. NationalCenterforEducationStatistics8. SmallAreaHealthInsuranceEstimates9. TexasDepartmentofFamilyandProtectiveServices10. TexasDepartmentofStateHealthServices11. TexasEducationAgency12. TexasSecretaryofState13. U.S.BureauofLaborStatistics14. U.S.Census-CountyBusinessPatterns15. U.S.DepartmentofAgriculture-FoodEnvironmentAtlas16. U.S.EnvironmentalProtectionAgency
FortBendCounty1. AmericanCommunitySurvey2. CentersforMedicare&MedicaidServices3. CountyHealthRankings4. FeedingAmerica5. InstituteforHealthMetricsandEvaluation6. NationalCancerInstitute7. NationalCenterforEducationStatistics8. SmallAreaHealthInsuranceEstimates9. TexasDepartmentofFamilyandProtectiveServices10. TexasDepartmentofStateHealthServices11. TexasEducationAgency12. TexasSecretaryofState13. U.S.BureauofLaborStatistics14. U.S.Census-CountyBusinessPatterns15. U.S.DepartmentofAgriculture-FoodEnvironmentAtlas16. U.S.EnvironmentalProtectionAgency
MemorialHermannRehabilitationHospitalKatyCHNA2019 90
HarrisCounty1. AmericanCommunitySurvey2. AmericanLungAssociation3. CentersforMedicare&MedicaidServices4. CountyHealthRankings5. FeedingAmerica6. InstituteforHealthMetricsandEvaluation7. NationalCancerInstitute8. NationalCenterforEducationStatistics9. SmallAreaHealthInsuranceEstimates10. TexasBehavioralRiskFactorSurveillanceSystem11. TexasDepartmentofFamilyandProtectiveServices12. TexasDepartmentofStateHealthServices13. TexasEducationAgency14. TexasSecretaryofState15. U.S.BureauofLaborStatistics16. U.S.Census-CountyBusinessPatterns17. U.S.DepartmentofAgriculture-FoodEnvironmentAtlas18. U.S.EnvironmentalProtectionAgency
WallerCounty1. AmericanCommunitySurvey2. CentersforMedicare&MedicaidServices3. CountyHealthRankings4. FeedingAmerica5. InstituteforHealthMetricsandEvaluation6. NationalCancerInstitute7. NationalCenterforEducationStatistics8. SmallAreaHealthInsuranceEstimates9. TexasDepartmentofFamilyandProtectiveServices10. TexasDepartmentofStateHealthServices11. TexasEducationAgency12. TexasSecretaryofState13. U.S.BureauofLaborStatistics14. U.S.Census-CountyBusinessPatterns15. U.S.DepartmentofAgriculture-FoodEnvironmentAtlas16. U.S.EnvironmentalProtectionAgency
MemorialHermannRehabilitationHospitalKatyCHNA2019 91
SecondaryDataScoring
Datascoringisdoneinthreestages:
Foreachindicator,eachcountyinMemorialHermannRehabilitationHospital–Katy’sserviceareaisassignedascorebasedonitscomparisontoothercommunities,whetherhealthtargetshavebeenmet,andthetrendoftheindicatorvalueovertime.Thesecomparisonscoresrangefrom0-3,where0indicatesthebestoutcomeand3theworst.Availabilityofeachtypeofcomparisonvariesbyindicatorandisdependentuponthedatasource,comparabilitywithdatacollectedforothercommunities,andchangesinmethodologyovertime.
Indicatorsarecategorizedintotopicareasandeachtopicareareceivesascore.Indicatorsmaybecategorizedinmorethanonetopicarea.Topicscoresaredeterminedbythecomparisonsofallindicatorswithinthetopic.
ComparisontoaDistributionofCountyValues:WithinStateandNation
Foreaseofinterpretationandanalysis,indicatordataontheCommunityDashboardisvisuallyrepresentedasagreen-yellow-redgaugeshowinghowthecommunityisfaringagainstadistributionofcountiesinthestateortheUnitedStates.Adistributioniscreatedbytakingallcountyvalueswithinthestateornation,orderingthemfromlowtohigh,anddividingthemintothreegroups(green,yellow,red)basedontheirorder.Indicatorswiththepoorestcomparisons(“inthered”)scoredhigh,whereasindicatorswithgoodcomparisons(“inthegreen”)scoredlow.
Comparisons • Quantitatively
score all possible comparisons
Indicators • Summarize
comparison scores for each indicator
Topics • Summarize
indicator scores by topic area
MemorialHermannRehabilitationHospitalKatyCHNA2019 92
ComparisontoValues:State,National,andTargets
Eachcountyiscomparedtothestatevalue,thenationalvalue,andtargetvalues.Targetvaluesincludethenation-wideHealthyPeople2020(HP2020)goals.HealthyPeople2020goalsarenationalobjectivesforimprovingthehealthofthenationsetbytheDepartmentofHealthandHumanServices’(DHHS)HealthyPeopleInitiative.Forallvaluecomparisons,thescoringdependsonwhetherthecountyvalueisbetterorworsethanthecomparisonvalue,aswellashowclosethecountyvalueistothetargetvalue.
TrendOverTime
TheMann-Kendallstatisticaltestfortrendwasusedtoassesswhetherthecountyvalueisincreasingovertimeordecreasingovertime,andwhetherthetrendisstatisticallysignificant.Thetrendcomparisonusesthefourmostrecentcomparablevaluesforthecounty,andstatisticalsignificanceisdeterminedatthe90%confidencelevel.Foreachindicatorwithvaluesavailableforfourtimeperiods,scoringwasdeterminedbydirectionofthetrendandstatisticalsignificance.
MissingValues
Indicatorscoresarecalculatedusingthecomparisonscores,availabilityofwhichdependsonthedatasource.Ifthecomparisontypeispossibleforanadequateproportionofindicatorsonthecommunitydashboard,itwillbeincludedintheindicatorscore.Afterexclusionofcomparisontypeswithinadequateavailability,allmissingcomparisonsaresubstitutedwithaneutralscoreforthepurposesofcalculatingtheindicator’sweightedaverage.Wheninformationisunknownduetolackofcomparabledata,theneutralvalueassumesthatthemissingcomparisonscoreisneithergoodnorbad.
IndicatorScoring
Indicatorscoresarecalculatedasaweightedaverageofallincludedcomparisonscores.Ifnoneoftheincludedcomparisontypesarepossibleforanindicator,noscoreiscalculatedandtheindicatorisexcludedfromthedatascoringresults.
TopicScoring
Indicatorscoresareaveragedbytopicareatocalculatetopicscores.Eachindicatormaybeincludedinuptothreetopicareasifappropriate.Resultingscoresrangefrom0-3,whereahigherscoreindicatesagreaterlevelofneedasevidencedbythedata.Atopicscoreisonlycalculatedifitincludesatleastthreeindicators.
MemorialHermannRehabilitationHospitalKatyCHNA2019 93
DataScoringResults Thefollowing tableslisteachindicatorbytopicareaforeachofthecountiesinMemorialHermannRehabilitationHospital–Katy’sservicearea.SecondarydataforthisreportareuptodateasofNovember2,2018.
MemorialHermannRehabilitationHospitalKatyCHNA2019 94
AustinCounty
SCORE ACCESSTOHEALTHSERVICES UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.44 MentalHealthProviderRateproviders/100,000
population 26.9 98.8 214.3 2017 3
2.39 PrimaryCareProviderRateproviders/100,000
population 23.7 59.9 75.5 2015 3
2.22Non-PhysicianPrimaryCareProviderRate
providers/100,000population 37 66.8 81.2 2017 3
1.89 DentistRatedentists/100,000
population 37 55.9 67.4 2016 3
1.64AdultswithHealthInsurance:18-64 percent 78.3 100 77.4 2016 8
1.64 PersonswithHealthInsurance percent 81.7 100 81.4 2016 8
1.58 ChildrenwithHealthInsurance percent 89.3 100 90.3 2016 8
SCORE CANCER UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.06 ProstateCancerIncidenceRatecases/100,000
males 114.1 95.4 109 2011-2015 6
1.94 Cancer:MedicarePopulation percent 7.6 7.1 7.8 2015 2
1.94 ColorectalCancerIncidenceRatecases/100,000population 42.1 39.9 38.1 39.2 2011-2015 6
1.67Age-AdjustedDeathRateduetoColorectalCancer
deaths/100,000population 15.3 14.5 14.4 14.5 2011-2015 6
1.22OralCavityandPharynxCancerIncidenceRate
cases/100,000population 11.3 10.9 11.6 2011-2015 6
1.00Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 39.9 45.5 39 43.4 2011-2015 6
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0.75Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 18.3 20.7 20.2 20.9 2011-2015 6
0.72 AllCancerIncidenceRatecases/100,000population 377.7 401.3 441.2 2011-2015 6
0.67Age-AdjustedDeathRateduetoCancer
deaths/100,000population 150.6 161.4 156.4 163.5 2011-2015 6
0.67LungandBronchusCancerIncidenceRate
cases/100,000population 48.1 53.1 60.2 2011-2015 6
0.56 BreastCancerIncidenceRatecases/100,000
females 94 111.7 124.7 2011-2015 6
SCORE CHILDREN'SHEALTH UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 ChildFoodInsecurityRate percent 24.2 23 17.9 2016 4
1.58 ChildrenwithHealthInsurance percent 89.3 100 90.3 2016 8
1.17ChildrenwithLowAccesstoaGroceryStore percent 2.5 2015 15
0.67 SubstantiatedChildAbuseRatecases/1,000children 2.1 8.5 2017 9
SCORE ECONOMY UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.33ChildrenLivingBelowPovertyLevel percent 25.3 23.9 21.2 2012-2016
HispanicorLatino,Other 1
2.17 ChildFoodInsecurityRate percent 24.2 23 17.9 2016 4
2.17 TotalEmploymentChange percent -0.7 3.2 2.5 2014-2015 14
2.06 FoodInsecurityRate percent 15.8 15.4 12.9 2016 4
2.03MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1512 1444 1491 2012-2016 1
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1.78FemalePopulation16+inCivilianLaborForce percent 54.4 57.7 58.3 2012-2016 1
1.58MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 448 467 462 2012-2016 1
1.53 MedianHouseholdGrossRent dollars 852 911 949 2012-2016 1
1.44FamiliesLivingBelowPovertyLevel percent 11.2 13 11 2012-2016
HispanicorLatino,Other 1
1.44Population16+inCivilianLaborForce percent 62.1 64.2 63.1 2012-2016 1
1.44RentersSpending30%orMoreofHouseholdIncomeonRent percent 42.3 48 47.3 2012-2016 1
1.33 PeopleLivingBelowPovertyLevel percent 14.5 16.7 15.1 2012-2016
<6BlackorAfricanAmerican,HispanicorLatino,Other 1
1.28UnemployedWorkersinCivilianLaborForce percent 3.7 4 4.1 July2018 13
1.22 SNAPCertifiedStoresstores/1,000population 0.9 2016 15
1.14 MedianHousingUnitValue dollars 164300 142700 184700 2012-2016 1
1.11HouseholdswithCashPublicAssistanceIncome percent 1.5 1.6 2.7 2012-2016 1
1.11PeopleLiving200%AbovePovertyLevel percent 68.2 62.8 66.4 2012-2016 1
1.08PersonswithDisabilityLivinginPoverty(5-year) percent 24 25.1 27.6 2012-2016 1
1.00Low-IncomeandLowAccesstoaGroceryStore percent 3.5 2015 15
0.89 HomeownerVacancyRate percent 1.6 1.6 1.8 2012-2016 1
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0.83StudentsEligiblefortheFreeLunchProgram percent 42.9 52.9 42.6 2015-2016 7
0.72 MedianHouseholdIncome dollars 56681 54727 55322 2012-2016BlackorAfrican
American 1
0.72 SevereHousingProblems percent 12.3 18.3 18.8 2010-2014 3
0.67 PerCapitaIncome dollars 28351 27828 29829 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
0.56 Homeownership percent 63.5 55 55.9 2012-2016 1
0.56People65+LivingBelowPovertyLevel percent 7.6 10.8 9.3 2012-2016 1
SCORE EDUCATION UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.81InfantsBorntoMotherswith<12YearsEducation percent 22.1 21.6 15.9 2013 10
1.61People25+withaHighSchoolDegreeorHigher percent 82.4 82.3 87 2012-2016
65+HispanicorLatino 1
1.50People25+withaBachelor'sDegreeorHigher percent 21 28.1 30.3 2012-2016
BlackorAfricanAmerican,Hispanic
orLatino 1
1.28 Student-to-TeacherRatio students/teacher 14 15.4 17.7 2015-2016 7
1.22 HighSchoolDropOutRate percent 0.9 2 2016 11
SCORE ENVIRONMENT UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 HousesBuiltPriorto1950 percent 17.6 7.4 18.2 2012-2016 1
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2.00 AccesstoExerciseOpportunities percent 66.2 80.6 83.1 2018 3
1.61RecognizedCarcinogensReleasedintoAir pounds 21 2017 16
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 15
1.50HouseholdswithNoCarandLowAccesstoaGroceryStore percent 2.4 2015 15
1.39 GroceryStoreDensitystores/1,000population 0.2 2014 15
1.39 PBTReleased pounds 21 2017 16
1.33People65+withLowAccesstoaGroceryStore percent 2.4 2015 15
1.22 FastFoodRestaurantDensityrestaurants/1,000
population 0.5 2014 15
1.22 SNAPCertifiedStoresstores/1,000population 0.9 2016 15
1.17ChildrenwithLowAccesstoaGroceryStore percent 2.5 2015 15
1.00Low-IncomeandLowAccesstoaGroceryStore percent 3.5 2015 15
0.89 LiquorStoreDensitystores/100,000population 6.8 6.8 10.5 2015 14
0.89 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 15
0.75 DrinkingWaterViolations percent 0 6.6 FY2013-14 3
0.72 FoodEnvironmentIndex 7.7 6 7.7 2018 3
0.72 SevereHousingProblems percent 12.3 18.3 18.8 2010-2014 3
SCOREEXERCISE,NUTRITION,&WEIGHT UNITS
AUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
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2.17 ChildFoodInsecurityRate percent 24.2 23 17.9 2016 4
2.11 WorkerswhoWalktoWork percent 1.7 3.1 1.6 2.8 2012-2016 1
2.06 FoodInsecurityRate percent 15.8 15.4 12.9 2016 4
2.00 AccesstoExerciseOpportunities percent 66.2 80.6 83.1 2018 3
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 15
1.50HouseholdswithNoCarandLowAccesstoaGroceryStore percent 2.4 2015 15
1.39 GroceryStoreDensitystores/1,000population 0.2 2014 15
1.33People65+withLowAccesstoaGroceryStore percent 2.4 2015 15
1.22 FastFoodRestaurantDensityrestaurants/1,000
population 0.5 2014 15
1.22 SNAPCertifiedStoresstores/1,000population 0.9 2016 15
1.17ChildrenwithLowAccesstoaGroceryStore percent 2.5 2015 15
1.00Low-IncomeandLowAccesstoaGroceryStore percent 3.5 2015 15
0.89 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 15
0.72 FoodEnvironmentIndex 7.7 6 7.7 2018 3
SCORE HEARTDISEASE&STROKE UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.28AtrialFibrillation:MedicarePopulation percent 8.7 7.4 8.1 2015 2
2.28 Stroke:MedicarePopulation percent 4.7 4.5 4 2015 2
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2.17Hyperlipidemia:MedicarePopulation percent 46.8 46.1 44.6 2015 2
1.94Hypertension:MedicarePopulation percent 59.6 57.5 55 2015 2
1.56HeartFailure:MedicarePopulation percent 15.1 15.5 13.5 2015 2
1.25Age-AdjustedDeathRateduetoHeartDisease
deaths/100,000population 176.7 173 171.9 2010-2014 10
1.22IschemicHeartDisease:MedicarePopulation percent 26.9 28.8 26.5 2015 2
0.86Age-AdjustedDeathRateduetoCerebrovascularDisease(Stroke)
deaths/100,000population 36.7 34.8 42 37.3 2010-2014 10
SCOREIMMUNIZATIONS&INFECTIOUSDISEASES UNITS
AUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.83Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 16.1 14.2 15.2 2010-2014 10
1.61 TuberculosisIncidenceRatecases/100,000population 2.1 1 4.5 2013-2017 10
1.39 HIVDiagnosisRatecases/100,000population 10.1 16.1 2016 10
1.28 ChlamydiaIncidenceRatecases/100,000population 238.4 511.6 2017 10
1.28 SyphilisIncidenceRatecases/100,000population 3.4 40.6 2017 10
1.17 GonorrheaIncidenceRatecases/100,000population 73.9 160.2 2017 10
SCOREMATERNAL,FETAL&INFANTHEALTH UNITS
AUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
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2.31 PretermBirths percent 14.8 9.4 12 11.4 2013 10
1.97MotherswhoReceivedEarlyPrenatalCare percent 55.2 77.9 59.2 74.2 2013 10
1.81InfantsBorntoMotherswith<12YearsEducation percent 22.1 21.6 15.9 2013 10
1.75 BabieswithLowBirthWeight percent 8.2 7.8 8.3 8 2013 10
1.69 TeenBirths percent 3.6 2.8 4.3 2014 10
0.47 InfantMortalityRatedeaths/1,000live
births 3 6 5.8 6 2013 10
SCOREMENTALHEALTH&MENTALDISORDERS UNITS
AUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.44 MentalHealthProviderRateproviders/100,000
population 26.9 98.8 214.3 2017 3
2.17Age-AdjustedDeathRateduetoSuicide
deaths/100,000population 16.6 10.2 11.7 12.5 2010-2014 10
1.33PoorMentalHealth:AverageNumberofDays days 3.6 3.4 3.8 2016 3
1.25Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 22.8 26.6 24.5 2010-2014 10
1.17 FrequentMentalDistress percent 10.9 10.6 15 2016 3
1.00Alzheimer'sDiseaseorDementia:MedicarePopulation percent 9.9 11.7 9.9 2015 2
1.00 Depression:MedicarePopulation percent 14.4 17 16.7 2015 2
SCORE OLDERADULTS&AGING UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
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2.28AtrialFibrillation:MedicarePopulation percent 8.7 7.4 8.1 2015 2
2.28 Stroke:MedicarePopulation percent 4.7 4.5 4 2015 2
2.17Hyperlipidemia:MedicarePopulation percent 46.8 46.1 44.6 2015 2
2.00
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 32.2 31.6 30 2015 2
1.94 Cancer:MedicarePopulation percent 7.6 7.1 7.8 2015 2
1.94Hypertension:MedicarePopulation percent 59.6 57.5 55 2015 2
1.56HeartFailure:MedicarePopulation percent 15.1 15.5 13.5 2015 2
1.33People65+withLowAccesstoaGroceryStore percent 2.4 2015 15
1.28 COPD:MedicarePopulation percent 10.5 11.1 11.2 2015 2
1.25Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 22.8 26.6 24.5 2010-2014 10
1.22IschemicHeartDisease:MedicarePopulation percent 26.9 28.8 26.5 2015 2
1.17 Asthma:MedicarePopulation percent 7.3 8.2 8.2 2015 2
1.17 People65+LivingAlone percent 25.2 23.9 26.4 2012-2016 1
1.00Alzheimer'sDiseaseorDementia:MedicarePopulation percent 9.9 11.7 9.9 2015 2
1.00ChronicKidneyDisease:MedicarePopulation percent 15.2 19.9 18.1 2015 2
1.00 Depression:MedicarePopulation percent 14.4 17 16.7 2015 2
0.78Osteoporosis:MedicarePopulation percent 4.7 6.5 6 2015 2
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0.67 Diabetes:MedicarePopulation percent 25 28.2 26.5 2015 2
0.56People65+LivingBelowPovertyLevel percent 7.6 10.8 9.3 2012-2016 1
SCORE OTHERCHRONICDISEASES UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 32.2 31.6 30 2015 2
1.00ChronicKidneyDisease:MedicarePopulation percent 15.2 19.9 18.1 2015 2
0.78Osteoporosis:MedicarePopulation percent 4.7 6.5 6 2015 2
SCORE PREVENTION&SAFETY UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.75Age-AdjustedDeathRateduetoUnintentionalInjuries
deaths/100,000population 48.5 36.4 37.6 39.2 2010-2014 10
0.72 SevereHousingProblems percent 12.3 18.3 18.8 2010-2014 3
0.50 DeathRateduetoDrugPoisoningdeaths/100,000
population 5.6 9.4 12.4 2006-2012 3
SCORE PUBLICSAFETY UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.44 ViolentCrimeRatecrimes/100,000
population 240.1 407.6 2012-2014 3
0.67 SubstantiatedChildAbuseRatecases/1,000children 2.1 8.5 2017 9
0.33 Alcohol-ImpairedDrivingDeaths percent 18.2 28.3 29.3 2012-2016 3
MemorialHermannRehabilitationHospitalKatyCHNA2019 104
SCORE RESPIRATORYDISEASES UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.83Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 16.1 14.2 15.2 2010-2014 10
1.61 TuberculosisIncidenceRatecases/100,000population 2.1 1 4.5 2013-2017 10
1.28 COPD:MedicarePopulation percent 10.5 11.1 11.2 2015 2
1.17 Asthma:MedicarePopulation percent 7.3 8.2 8.2 2015 2
1.00Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 39.9 45.5 39 43.4 2011-2015 6
0.67LungandBronchusCancerIncidenceRate
cases/100,000population 48.1 53.1 60.2 2011-2015 6
SCORE SOCIALENVIRONMENT UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 MeanTravelTimetoWork minutes 30.3 25.9 26.1 2012-2016 Male 1
2.33ChildrenLivingBelowPovertyLevel percent 25.3 23.9 21.2 2012-2016
HispanicorLatino,Other 1
2.17 TotalEmploymentChange percent -0.7 3.2 2.5 2014-2015 14
2.03MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1512 1444 1491 2012-2016 1
1.78FemalePopulation16+inCivilianLaborForce percent 54.4 57.7 58.3 2012-2016 1
1.64 PersonswithHealthInsurance percent 81.7 100 81.4 2016 8
1.61People25+withaHighSchoolDegreeorHigher percent 82.4 82.3 87 2012-2016
65+HispanicorLatino 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 105
1.58MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 448 467 462 2012-2016 1
1.53 MedianHouseholdGrossRent dollars 852 911 949 2012-2016 1
1.50People25+withaBachelor'sDegreeorHigher percent 21 28.1 30.3 2012-2016
BlackorAfricanAmerican,Hispanic
orLatino 1
1.44Population16+inCivilianLaborForce percent 62.1 64.2 63.1 2012-2016 1
1.33 PeopleLivingBelowPovertyLevel percent 14.5 16.7 15.1 2012-2016
<6BlackorAfricanAmerican,HispanicorLatino,Other 1
1.33VoterTurnout:PresidentialElection percent 63.7 58.8 2016 12
1.17 LinguisticIsolation percent 3.5 7.9 4.5 2012-2016 1
1.17 People65+LivingAlone percent 25.2 23.9 26.4 2012-2016 1
1.14 MedianHousingUnitValue dollars 164300 142700 184700 2012-2016 1
0.83 Single-ParentHouseholds percent 29 33.3 33.6 2012-2016 1
0.72 MedianHouseholdIncome dollars 56681 54727 55322 2012-2016BlackorAfrican
American 1
0.67 PerCapitaIncome dollars 28351 27828 29829 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
0.67 SubstantiatedChildAbuseRatecases/1,000children 2.1 8.5 2017 9
0.56 Homeownership percent 63.5 55 55.9 2012-2016 1
SCORE SUBSTANCEABUSE UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.50 AdultswhoDrinkExcessively percent 18.3 25.4 19.4 18 2016 3
MemorialHermannRehabilitationHospitalKatyCHNA2019 106
0.89 LiquorStoreDensitystores/100,000population 6.8 6.8 10.5 2015 14
0.50 DeathRateduetoDrugPoisoningdeaths/100,000
population 5.6 9.4 12.4 2006-2012 3
0.33 Alcohol-ImpairedDrivingDeaths percent 18.2 28.3 29.3 2012-2016 3
SCORE TRANSPORTATION UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 MeanTravelTimetoWork minutes 30.3 25.9 26.1 2012-2016 Male 1
2.44SoloDriverswithaLongCommute percent 39.6 36.9 34.7 2012-2016 3
2.17WorkersCommutingbyPublicTransportation percent 0.1 5.5 1.5 5.1 2012-2016 1
2.11 WorkerswhoWalktoWork percent 1.7 3.1 1.6 2.8 2012-2016 1
1.50HouseholdswithNoCarandLowAccesstoaGroceryStore percent 2.4 2015 15
1.00WorkerswhoDriveAlonetoWork percent 79.5 80.3 76.4 2012-2016 1
0.56 HouseholdswithoutaVehicle percent 4 5.6 9 2012-2016 1
SCORE WELLNESS&LIFESTYLE UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.50 LifeExpectancyforFemales years 80.4 80.8 81.5 2014 5
1.50Self-ReportedGeneralHealthAssessment:PoororFair percent 16.9 18.2 16 2016 3
1.39 LifeExpectancyforMales years 76 76.2 76.7 2014 5
MemorialHermannRehabilitationHospitalKatyCHNA2019 107
1.00PoorPhysicalHealth:AverageNumberofDays days 3.4 3.5 3.7 2016 3
0.83 FrequentPhysicalDistress percent 10.6 10.8 15 2016 3
0.83 InsufficientSleep percent 30.2 32.7 38 2016 3
SCORE WOMEN'SHEALTH UNITSAUSTINCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.50 LifeExpectancyforFemales years 80.4 80.8 81.5 2014 5
0.75Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 18.3 20.7 20.2 20.9 2011-2015 6
0.56 BreastCancerIncidenceRatecases/100,000
females 94 111.7 124.7 2011-2015 6
MemorialHermannRehabilitationHospitalKatyCHNA2019 108
FortBendCounty
SCORE ACCESSTOHEALTHSERVICES UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.11 MentalHealthProviderRateproviders/100,000
population 59.8 98.8 214.3 2017 3
1.67Non-PhysicianPrimaryCareProviderRate
providers/100,000population 52.2 66.8 81.2 2017 3
1.17 DentistRatedentists/100,000
population 51.8 55.9 67.4 2016 3
1.08 PersonswithHealthInsurance percent 88 100 81.4 2016 8
0.97 ChildrenwithHealthInsurance percent 93.3 100 90.3 2016 8
0.92AdultswithHealthInsurance:18-64 percent 85.4 100 77.4 2016 8
0.33 PrimaryCareProviderRateproviders/100,000
population 80.3 59.9 75.5 2015 3
SCORE CANCER UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.56 Cancer:MedicarePopulation percent 7.3 7.1 7.8 2015 2
1.50 ProstateCancerIncidenceRatecases/100,000
males 103.8 95.4 109 2011-2015 6
1.17 BreastCancerIncidenceRatecases/100,000
females 114.7 111.7 124.7 2011-2015 6
0.56OralCavityandPharynxCancerIncidenceRate
cases/100,000population 10 10.9 11.6 2011-2015 6
0.50 AllCancerIncidenceRatecases/100,000population 367.6 401.3 441.2 2011-2015 6
0.47Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 18.1 20.7 20.2 20.9 2011-2015 6
0.47 CervicalCancerIncidenceRatecases/100,000
females 6.4 7.3 9.2 7.5 2011-2015 6
MemorialHermannRehabilitationHospitalKatyCHNA2019 109
0.25Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 14.6 21.8 18.1 19.5 2011-2015 6
0.22Age-AdjustedDeathRateduetoColorectalCancer
deaths/100,000population 11.9 14.5 14.4 14.5 2011-2015 6
0.17LungandBronchusCancerIncidenceRate
cases/100,000population 39.5 53.1 60.2 2011-2015 6
0.00Age-AdjustedDeathRateduetoCancer
deaths/100,000population 126.2 161.4 156.4 163.5 2011-2015 Male 6
0.00Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 28.1 45.5 39 43.4 2011-2015 6
0.00 ColorectalCancerIncidenceRatecases/100,000population 34 39.9 38.1 39.2 2011-2015 6
SCORE CHILDREN'SHEALTH UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.83ChildrenwithLowAccesstoaGroceryStore percent 7.4 2015 15
1.11 SubstantiatedChildAbuseRatecases/1,000children 3.5 8.5 2017 9
0.97 ChildrenwithHealthInsurance percent 93.3 100 90.3 2016 8
0.67 ChildFoodInsecurityRate percent 19.1 23 17.9 2016 4
SCORE ECONOMY UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.58 MedianHouseholdGrossRent dollars 1252 911 949 2012-2016 1
2.36MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 712 467 462 2012-2016 1
2.25MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1884 1444 1491 2012-2016 1
1.89 SNAPCertifiedStoresstores/1,000population 0.4 2016 15
MemorialHermannRehabilitationHospitalKatyCHNA2019 110
1.78UnemployedWorkersinCivilianLaborForce percent 4.1 4 4.1 July2018 13
1.56 FoodInsecurityRate percent 14.8 15.4 12.9 2016 4
1.50Low-IncomeandLowAccesstoaGroceryStore percent 7.1 2015 15
1.17FemalePopulation16+inCivilianLaborForce percent 59.3 57.7 58.3 2012-2016 1
1.17Population16+inCivilianLaborForce percent 66.9 64.2 63.1 2012-2016 1
1.06RentersSpending30%orMoreofHouseholdIncomeonRent percent 40.1 48 47.3 2012-2016 1
1.06 SevereHousingProblems percent 14.8 18.3 18.8 2010-2014 3
0.75PersonswithDisabilityLivinginPoverty(5-year) percent 15.6 25.1 27.6 2012-2016 1
0.67 ChildFoodInsecurityRate percent 19.1 23 17.9 2016 4
0.64PersonswithDisabilityLivinginPoverty percent 16.2 24.2 26.6 2016 1
0.56HouseholdswithCashPublicAssistanceIncome percent 1.1 1.6 2.7 2012-2016 1
0.50 TotalEmploymentChange percent 6.2 3.2 2.5 2014-2015 14
0.42 MedianHousingUnitValue dollars 217600 142700 184700 2012-2016 1
0.39ChildrenLivingBelowPovertyLevel percent 11.2 23.9 21.2 2012-2016
HispanicorLatino,Other 1
0.39FamiliesLivingBelowPovertyLevel percent 6.4 13 11 2012-2016
HispanicorLatino,Other 1
0.39 Homeownership percent 74.4 55 55.9 2012-2016
1
0.39People65+LivingBelowPovertyLevel percent 6.9 10.8 9.3 2012-2016
HispanicorLatino,Other 1
0.39 PeopleLivingBelowPovertyLevel percent 8.2 16.7 15.1 2012-2016
HispanicorLatino,Other,<6,6-11,12-
17,18-24 1
0.17 HomeownerVacancyRate percent 1.1 1.6 1.8 2012-2016
1
MemorialHermannRehabilitationHospitalKatyCHNA2019 111
0.17 MedianHouseholdIncome dollars 91152 54727 55322 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other 1
0.17PeopleLiving200%AbovePovertyLevel percent 79.4 62.8 66.4 2012-2016
1
0.17 PerCapitaIncome dollars 37134 27828 29829 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
0.17StudentsEligiblefortheFreeLunchProgram percent 26.7 52.9 42.6 2015-2016
7
SCORE EDUCATION UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.67 Student-to-TeacherRatio students/teacher 16.5 15.4 17.7 2015-2016
7
1.00 HighSchoolDropOutRate percent 1.1 2 2016
11
0.89People25+withaHighSchoolDegreeorHigher percent 89.2 82.3 87 2012-2016 65+ 1
0.42InfantsBorntoMotherswith<12YearsEducation percent 9.2 21.6 15.9 2013
10
0.17People25+withaBachelor'sDegreeorHigher percent 44.6 28.1 30.3 2012-2016
BlackorAfricanAmerican,Other,TwoorMore
Races,Female,65+ 1
SCORE ENVIRONMENT UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.89 SNAPCertifiedStoresstores/1,000population 0.4 2016 15
1.83ChildrenwithLowAccesstoaGroceryStore percent 7.4 2015 15
1.83 GroceryStoreDensitystores/1,000population 0.1 2014 15
MemorialHermannRehabilitationHospitalKatyCHNA2019 112
1.61RecognizedCarcinogensReleasedintoAir pounds 18132 2017 16
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 15
1.50Low-IncomeandLowAccesstoaGroceryStore percent 7.1 2015 15
1.39 PBTReleased pounds 18164 2017 16
1.33 FastFoodRestaurantDensityrestaurants/1,000
population 0.6 2014 15
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 15
1.22 FoodEnvironmentIndex 7.4 6 7.7 2018 3
1.17People65+withLowAccesstoaGroceryStore percent 1.9 2015 15
1.08 DrinkingWaterViolations percent 0.9 6.6 FY2013-14 3
1.06 SevereHousingProblems percent 14.8 18.3 18.8 2010-2014 3
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 1.1 2015 15
0.83 AccesstoExerciseOpportunities percent 83.8 80.6 83.1 2018 3
0.61 LiquorStoreDensitystores/100,000population 5.2 6.8 10.5 2015 14
0.39 HousesBuiltPriorto1950 percent 1.2 7.4 18.2 2012-2016 1
SCORE EXERCISE,NUTRITION,&WEIGHT UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67 WorkerswhoWalktoWork percent 0.6 3.1 1.6 2.8 2012-2016 25-44 1
1.89 SNAPCertifiedStoresstores/1,000population 0.4 2016 15
1.83ChildrenwithLowAccesstoaGroceryStore percent 7.4 2015 15
1.83 GroceryStoreDensity stores/1,000 0.1 2014 15
MemorialHermannRehabilitationHospitalKatyCHNA2019 113
population
1.56 FoodInsecurityRate percent 14.8 15.4 12.9 2016 4
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 15
1.50Low-IncomeandLowAccesstoaGroceryStore percent 7.1 2015 15
1.33 FastFoodRestaurantDensityrestaurants/1,000
population 0.6 2014 15
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 15
1.22 FoodEnvironmentIndex 7.4 6 7.7 2018 3
1.17People65+withLowAccesstoaGroceryStore percent 1.9 2015 15
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 1.1 2015 15
0.83 AccesstoExerciseOpportunities percent 83.8 80.6 83.1 2018 3
0.67 ChildFoodInsecurityRate percent 19.1 23 17.9 2016 4
SCORE HEARTDISEASE&STROKE UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.50 Stroke:MedicarePopulation percent 4.7 4.5 4 2015 2
2.17Hyperlipidemia:MedicarePopulation percent 46.6 46.1 44.6 2015 2
1.61Hypertension:MedicarePopulation percent 57.1 57.5 55 2015 2
1.22IschemicHeartDisease:MedicarePopulation percent 28 28.8 26.5 2015 2
1.06HeartFailure:MedicarePopulation percent 13.9 15.5 13.5 2015 2
0.94AtrialFibrillation:MedicarePopulation percent 6.9 7.4 8.1 2015 2
MemorialHermannRehabilitationHospitalKatyCHNA2019 114
0.64Age-AdjustedDeathRateduetoCerebrovascularDisease(Stroke)
deaths/100,000population 35.4 34.8 42 37.3 2010-2014 10
0.42Age-AdjustedDeathRateduetoHeartDisease
deaths/100,000population 135 173 171.9 2010-2014 Black,White,Male 10
SCOREIMMUNIZATIONS&INFECTIOUSDISEASES UNITS
FORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.67 ChlamydiaIncidenceRatecases/100,000population 373.5 511.6 2017
10
1.67 GonorrheaIncidenceRatecases/100,000population 93 160.2 2017
10
1.67 SyphilisIncidenceRatecases/100,000population 19 40.6 2017
10
1.56 TuberculosisIncidenceRatecases/100,000population 3.7 1 4.5 2013-2017
10
1.22 HIVDiagnosisRatecases/100,000population 9.2 16.1 2016
10
1.06Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 13.6 14.2 15.2 2010-2014
10
SCOREMATERNAL,FETAL&INFANTHEALTH UNITS
FORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.36 BabieswithLowBirthWeight percent 9.3 7.8 8.3 8 2013 10
1.86MotherswhoReceivedEarlyPrenatalCare percent 62.8 77.9 59.2 74.2 2013 10
1.47 PretermBirths percent 11.5 9.4 12 11.4 2013 10
1.39BabieswithVeryLowBirthWeight percent 1.4 1.4 1.4 1.4 2013 10
0.69 InfantMortalityRatedeaths/1,000live
births 4.3 6 5.8 6 2013 10
MemorialHermannRehabilitationHospitalKatyCHNA2019 115
0.42InfantsBorntoMotherswith<12YearsEducation percent 9.2 21.6 15.9 2013 10
0.42 TeenBirths percent 1 2.8 4.3 2014 10
SCORE MEN'SHEALTH UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.50 ProstateCancerIncidenceRatecases/100,000
males 103.8 95.4 109 2011-2015
6
0.50 LifeExpectancyforMales years 80.1 76.2 76.7 2014
5
0.25Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 14.6 21.8 18.1 19.5 2011-2015
6
SCOREMENTALHEALTH&MENTALDISORDERS UNITS
FORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.11 MentalHealthProviderRateproviders/100,000
population 59.8 98.8 214.3 2017
3
1.33Alzheimer'sDiseaseorDementia:MedicarePopulation percent 10.2 11.7 9.9 2015
2
0.94Age-AdjustedDeathRateduetoSuicide
deaths/100,000population 7.3 10.2 11.7 12.5 2010-2014 White,Male 10
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 20.6 26.6 24.5 2010-2014 White 10
0.61 Depression:MedicarePopulation percent 12.2 17 16.7 2015 2
0.50 FrequentMentalDistress percent 9 10.6 15 2016 3
0.50PoorMentalHealth:AverageNumberofDays days 3 3.4 3.8 2016 3
SCORE OLDERADULTS&AGING UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
MemorialHermannRehabilitationHospitalKatyCHNA2019 116
2.50 Stroke:MedicarePopulation percent 4.7 4.5 4 2015
2
2.22 Diabetes:MedicarePopulation percent 30.8 28.2 26.5 2015 2
2.17ChronicKidneyDisease:MedicarePopulation percent 19.2 19.9 18.1 2015 2
2.17Hyperlipidemia:MedicarePopulation percent 46.6 46.1 44.6 2015 2
1.61Hypertension:MedicarePopulation percent 57.1 57.5 55 2015 2
1.56 Cancer:MedicarePopulation percent 7.3 7.1 7.8 2015 2
1.56Osteoporosis:MedicarePopulation percent 6 6.5 6 2015 2
1.33Alzheimer'sDiseaseorDementia:MedicarePopulation percent 10.2 11.7 9.9 2015 2
1.22IschemicHeartDisease:MedicarePopulation percent 28 28.8 26.5 2015 2
1.17People65+withLowAccesstoaGroceryStore percent 1.9 2015 15
1.06HeartFailure:MedicarePopulation percent 13.9 15.5 13.5 2015 2
0.94AtrialFibrillation:MedicarePopulation percent 6.9 7.4 8.1 2015 2
0.72Age-AdjustedDeathRateduetoFalls
deaths/100,000population 6 7.2 7.4 8.3 2010-2014 10
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 20.6 26.6 24.5 2010-2014 White 10
0.61 Asthma:MedicarePopulation percent 6.5 8.2 8.2 2015 2
0.61 Depression:MedicarePopulation percent 12.2 17 16.7 2015 2
0.61
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 26.1 31.6 30 2015 2
0.39 COPD:MedicarePopulation percent 7.7 11.1 11.2 2015 2
0.39 People65+LivingAlone percent 15.2 23.9 26.4 2012-2016 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 117
0.39People65+LivingBelowPovertyLevel percent 6.9 10.8 9.3 2012-2016
HispanicorLatino,Other 1
SCORE OTHERCHRONICDISEASES UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17ChronicKidneyDisease:MedicarePopulation percent 19.2 19.9 18.1 2015
2
1.56Osteoporosis:MedicarePopulation percent 6 6.5 6 2015
2
0.61
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 26.1 31.6 30 2015
2
SCORE PREVENTION&SAFETY UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.06 SevereHousingProblems percent 14.8 18.3 18.8 2010-2014
3
0.86 DeathRateduetoDrugPoisoningdeaths/100,000
population 5.6 9.8 16.9 2014-2016
3
0.72Age-AdjustedDeathRateduetoFalls
deaths/100,000population 6 7.2 7.4 8.3 2010-2014
10
0.47Age-AdjustedDeathRateduetoUnintentionalInjuries
deaths/100,000population 24.9 36.4 37.6 39.2 2010-2014 White,Male 10
SCORE PUBLICSAFETY UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00 Alcohol-ImpairedDrivingDeaths percent 36 28.3 29.3 2012-2016 3
1.11 SubstantiatedChildAbuseRatecases/1,000children 3.5 8.5 2017 9
1.00 ViolentCrimeRatecrimes/100,000
population 261.5 407.6 2012-2014 3
MemorialHermannRehabilitationHospitalKatyCHNA2019 118
SCORE RESPIRATORYDISEASES UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.56 TuberculosisIncidenceRatecases/100,000population 3.7 1 4.5 2013-2017 10
1.06Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 13.6 14.2 15.2 2010-2014 10
0.61 Asthma:MedicarePopulation percent 6.5 8.2 8.2 2015 2
0.39 COPD:MedicarePopulation percent 7.7 11.1 11.2 2015 2
0.17LungandBronchusCancerIncidenceRate
cases/100,000population 39.5 53.1 60.2 2011-2015 6
0.00Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 28.1 45.5 39 43.4 2011-2015 6
SCORE SOCIALENVIRONMENT UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.83 MeanTravelTimetoWork minutes 32.6 25.9 26.1 2012-2016 Male 1
2.58 MedianHouseholdGrossRent dollars 1252 911 949 2012-2016 1
2.36MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 712 467 462 2012-2016 1
2.25MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1884 1444 1491 2012-2016 1
1.72 LinguisticIsolation percent 6.2 7.9 4.5 2012-2016 1
1.17FemalePopulation16+inCivilianLaborForce percent 59.3 57.7 58.3 2012-2016 1
1.17Population16+inCivilianLaborForce percent 66.9 64.2 63.1 2012-2016 1
1.11 SubstantiatedChildAbuseRatecases/1,000children 3.5 8.5 2017 9
1.08 PersonswithHealthInsurance percent 88 100 81.4 2016 8
MemorialHermannRehabilitationHospitalKatyCHNA2019 119
0.89People25+withaHighSchoolDegreeorHigher percent 89.2 82.3 87 2012-2016 65+ 1
0.89VoterTurnout:PresidentialElection percent 64.8 58.8 2016 12
0.61 Single-ParentHouseholds percent 22.4 33.3 33.6 2012-2016 1
0.50 TotalEmploymentChange percent 6.2 3.2 2.5 2014-2015 14
0.42 MedianHousingUnitValue dollars 217600 142700 184700 2012-2016 1
0.39ChildrenLivingBelowPovertyLevel percent 11.2 23.9 21.2 2012-2016
HispanicorLatino,Other 1
0.39 Homeownership percent 74.4 55 55.9 2012-2016
1
0.39 People65+LivingAlone percent 15.2 23.9 26.4 2012-2016
1
0.39 PeopleLivingBelowPovertyLevel percent 8.2 16.7 15.1 2012-2016
HispanicorLatino,Other,<6,6-11,12-
17,18-24 1
0.17 MedianHouseholdIncome dollars 91152 54727 55322 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other 1
0.17People25+withaBachelor'sDegreeorHigher percent 44.6 28.1 30.3 2012-2016
BlackorAfricanAmerican,Other,TwoorMore
Races,Female,65+ 1
0.17 PerCapitaIncome dollars 37134 27828 29829 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
SCORE SUBSTANCEABUSE UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00 Alcohol-ImpairedDrivingDeaths percent 36 28.3 29.3 2012-2016 3
1.50 AdultswhoDrinkExcessively percent 18.3 25.4 19.4 18 2016 3
0.86 DeathRateduetoDrugPoisoningdeaths/100,000
population 5.6 9.8 16.9 2014-2016 3
MemorialHermannRehabilitationHospitalKatyCHNA2019 120
0.61 LiquorStoreDensitystores/100,000population 5.2 6.8 10.5 2015 14
SCORE TRANSPORTATION UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.83 MeanTravelTimetoWork minutes 32.6 25.9 26.1 2012-2016 Male 1
2.83SoloDriverswithaLongCommute percent 57.5 36.9 34.7 2012-2016
3
2.67 WorkerswhoWalktoWork percent 0.6 3.1 1.6 2.8 2012-2016 25-44 1
1.94 WorkerswhoDriveAlonetoWork percent 82.3 80.3 76.4 2012-2016BlackorAfricanAmerican,20-44 1
1.06WorkersCommutingbyPublicTransportation percent 1.7 5.5 1.5 5.1 2012-2016 HispanicorLatino 1
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 1.1 2015
15
0.50 HouseholdswithoutaVehicle percent 2.7 5.6 9 2012-2016
1
SCORE WELLNESS&LIFESTYLE UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.17 InsufficientSleep percent 32.5 32.7 38 2016 3
0.72 LifeExpectancyforFemales years 83.5 80.8 81.5 2014 5
0.67Self-ReportedGeneralHealthAssessment:PoororFair percent 14.1 18.2 16 2016 3
0.50 FrequentPhysicalDistress percent 8.7 10.8 15 2016 3
0.50 LifeExpectancyforMales years 80.1 76.2 76.7 2014
5
0.50PoorPhysicalHealth:AverageNumberofDays days 2.9 3.5 3.7 2016
3
MemorialHermannRehabilitationHospitalKatyCHNA2019 121
SCORE WOMEN'SHEALTH UNITSFORTBENDCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.17 BreastCancerIncidenceRatecases/100,000
females 114.7 111.7 124.7 2011-2015 6
0.72 LifeExpectancyforFemales years 83.5 80.8 81.5 2014 5
0.47Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 18.1 20.7 20.2 20.9 2011-2015 6
0.47 CervicalCancerIncidenceRatecases/100,000
females 6.4 7.3 9.2 7.5 2011-2015 6
MemorialHermannRehabilitationHospitalKatyCHNA2019 122
HarrisCounty
SCORE ACCESSTOHEALTHSERVICES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00AdultsUnabletoAffordtoSeeaDoctor percent 22.1 18.3 12.1 2015 10
1.81 ChildrenwithHealthInsurance percent 89.4 100 90.3 2016 9
1.75AdultswithHealthInsurance:18-64 percent 74.7 100 77.4 2016 9
1.75 PersonswithHealthInsurance percent 79.3 100 81.4 2016 9
1.61 PrimaryCareProviderRateproviders/100,000
population 57.2 59.9 75.5 2015 4
1.44 MentalHealthProviderRateproviders/100,000
population 103.7 98.8 214.3 2017 4
1.00Non-PhysicianPrimaryCareProviderRate
providers/100,000population 72.2 66.8 81.2 2017 4
0.50 DentistRatedentists/100,000
population 66.3 55.9 67.4 2016 4
SCORE CANCER UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.53 CervicalCancerIncidenceRatecases/100,000
females 11 7.3 9.2 7.5 2011-2015
7
2.25Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 23.2 20.7 20.2 20.9 2011-2015 Black 7
1.94 Cancer:MedicarePopulation percent 7.6 7.1 7.8 2015 3
1.58ColonCancerScreening:SigmoidoscopyorColonoscopy percent 57.6 62.3 2016 10
1.53Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 19.8 21.8 18.1 19.5 2011-2015 7
1.39 BreastCancerIncidenceRatecases/100,000
females 113.2 111.7 124.7 2011-2015 7
MemorialHermannRehabilitationHospitalKatyCHNA2019 123
1.33 ProstateCancerIncidenceRatecases/100,000
males 102.5 95.4 109 2011-2015 7
1.22Age-AdjustedDeathRateduetoColorectalCancer
deaths/100,000population 14.6 14.5 14.4 14.5 2011-2015 7
1.00 AllCancerIncidenceRatecases/100,000population 402.6 401.3 441.2 2011-2015 7
0.94Age-AdjustedDeathRateduetoCancer
deaths/100,000population 157.8 161.4 156.4 163.5 2011-2015 Black,Male 7
0.94 ColorectalCancerIncidenceRatecases/100,000population 38.8 39.9 38.1 39.2 2011-2015 7
0.89OralCavityandPharynxCancerIncidenceRate
cases/100,000population 10.9 10.9 11.6 2011-2015 7
0.50LungandBronchusCancerIncidenceRate
cases/100,000population 50.9 53.1 60.2 2011-2015 7
0.33Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 37.5 45.5 39 43.4 2011-2015 7
SCORE CHILDREN'SHEALTH UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.81 ChildrenwithHealthInsurance percent 89.4 100 90.3 2016 9
1.67 ChildFoodInsecurityRate percent 23.5 23 17.9 2016 5
1.50ChildrenwithLowAccesstoaGroceryStore percent 5.4 2015 17
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.4 8.5 2017 11
SCORE DIABETES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.67 Diabetes:MedicarePopulation percent 28.1 28.2 26.5 2015
3
1.44 AdultswithDiabetes percent 10.2 11.2 10.5 2016
10
0.92Age-AdjustedDeathRateduetoDiabetes
deaths/100,000population 20.2 21.7 21.2 2010-2014
Black,Hispanic,Male 12
MemorialHermannRehabilitationHospitalKatyCHNA2019 124
SCORE ECONOMY UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.44 Homeownership percent 49.6 55 55.9 2012-2016 1
2.39 SevereHousingProblems percent 20.9 18.3 18.8 2010-2014 4
2.22StudentsEligiblefortheFreeLunchProgram percent 58.2 52.9 42.6 2015-2016 8
2.14MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 534 467 462 2012-2016 1
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016
17
2.08 MedianHouseholdGrossRent dollars 937 911 949 2012-2016
1
2.06FamiliesLivingBelowPovertyLevel percent 14.4 13 11 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other 1
2.06 FoodInsecurityRate percent 16.6 15.4 12.9 2016 5
1.94UnemployedWorkersinCivilianLaborForce percent 4.4 4 4.1 July2018 15
1.89People65+LivingBelowPovertyLevel percent 11.3 10.8 9.3 2012-2016
Asian,BlackorAfricanAmerican,HispanicorLatino,Other,Female,75+ 1
1.81MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1504 1444 1491 2012-2016
1
1.67 ChildFoodInsecurityRate percent 23.5 23 17.9 2016
5
1.67ChildrenLivingBelowPovertyLevel percent 26 23.9 21.2 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other,<6 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 125
1.67 PeopleLivingBelowPovertyLevel percent 17.4 16.7 15.1 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,Other,Female,<6,6-11,12-17,18-24 1
1.67 TotalEmploymentChange percent 2.4 3.2 2.5 2014-2015 16
1.50RentersSpending30%orMoreofHouseholdIncomeonRent percent 46.8 48 47.3 2012-2016 1
1.42PersonswithDisabilityLivinginPoverty(5-year) percent 25.4 25.1 27.6 2012-2016 1
1.33Low-IncomeandLowAccesstoaGroceryStore percent 6.3 2015 17
1.33PeopleLiving200%AbovePovertyLevel percent 61.6 62.8 66.4 2012-2016 1
1.08 MedianHousingUnitValue dollars 145600 142700 184700 2012-2016 1
0.97PersonswithDisabilityLivinginPoverty percent 22.9 24.2 26.6 2016 1
0.94FemalePopulation16+inCivilianLaborForce percent 59.8 57.7 58.3 2012-2016 1
0.94Population16+inCivilianLaborForce percent 68.3 64.2 63.1 2012-2016 1
0.89HouseholdswithCashPublicAssistanceIncome percent 1.5 1.6 2.7 2012-2016 1
0.67 HomeownerVacancyRate percent 1.5 1.6 1.8 2012-2016 1
0.50 MedianHouseholdIncome dollars 55584 54727 55322 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other 1
0.50 PerCapitaIncome dollars 29850 27828 29829 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican, 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 126
HispanicorLatino,NativeHawaiianor
OtherPacificIslander,Other,Two
orMoreRaces
SCORE EDUCATION UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.92InfantsBorntoMotherswith<12YearsEducation percent 27.5 21.6 15.9 2013
12
1.89 Student-to-TeacherRatio students/teacher 16.4 15.4 17.7 2015-2016
8
1.67 HighSchoolDropOutRate percent 2.6 2 2016
13
1.67People25+withaHighSchoolDegreeorHigher percent 80.2 82.3 87 2012-2016
Male,35-44,45-64,65+ 1
0.67People25+withaBachelor'sDegreeorHigher percent 30.1 28.1 30.3 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,NativeHawaiianor
OtherPacificIslander,Other,45-
64,65+ 1
SCORE ENVIRONMENT UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.39 SevereHousingProblems percent 20.9 18.3 18.8 2010-2014 4
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016 17
1.75 AnnualOzoneAirQuality grade F 2014-2016 2
1.69 AnnualParticlePollution grade C 2014-2016 2
1.67 FastFoodRestaurantDensityrestaurants/1,000
population 0.7 2014 17
MemorialHermannRehabilitationHospitalKatyCHNA2019 127
1.61RecognizedCarcinogensReleasedintoAir pounds 1962916 2017 18
1.50ChildrenwithLowAccesstoaGroceryStore percent 5.4 2015 17
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 17
1.50 GroceryStoreDensitystores/1,000population 0.2 2014 17
1.33Low-IncomeandLowAccesstoaGroceryStore percent 6.3 2015 17
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 17
1.25 DrinkingWaterViolations percent 1.7 6.6 FY2013-14 4
1.17 PBTReleased pounds 210516 2017 18
1.00 FoodEnvironmentIndex 7.2 6 7.7 2018 4
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 0.9 2015 17
1.00People65+withLowAccesstoaGroceryStore percent 1.4 2015 17
0.89 LiquorStoreDensitystores/100,000population 6.3 6.8 10.5 2015 16
0.67 AccesstoExerciseOpportunities percent 90.4 80.6 83.1 2018 4
0.17 HousesBuiltPriorto1950 percent 6.2 7.4 18.2 2012-2016 1
SCORE EXERCISE,NUTRITION,&WEIGHT UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 WorkerswhoWalktoWork percent 1.5 3.1 1.6 2.8 2012-2016 White,non-Hispanic 1
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016 17
2.06 FoodInsecurityRate percent 16.6 15.4 12.9 2016 5
1.67 Adults(18+Years)WhoAreObese percent 32 30.5 33.6 29.9 2016 10
MemorialHermannRehabilitationHospitalKatyCHNA2019 128
1.67 ChildFoodInsecurityRate percent 23.5 23 17.9 2016 5
1.67 FastFoodRestaurantDensityrestaurants/1,000
population 0.7 2014 17
1.50AdultswhoareOverweightorObese percent 66.7 68.4 65.2 2016 10
1.50ChildrenwithLowAccesstoaGroceryStore percent 5.4 2015 17
1.50 FarmersMarketDensitymarkets/1,000population 0 2016 17
1.50 GroceryStoreDensitystores/1,000population 0.2 2014 17
1.42AdultFruitandVegetableConsumption percent 18.7 17.2 2015 10
1.33Low-IncomeandLowAccesstoaGroceryStore percent 6.3 2015 17
1.33 RecreationandFitnessFacilitiesfacilities/1,000population 0.1 2014 17
1.00 FoodEnvironmentIndex 7.2 6 7.7 2018 4
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 0.9 2015 17
1.00People65+withLowAccesstoaGroceryStore percent 1.4 2015 17
0.67 AccesstoExerciseOpportunities percent 90.4 80.6 83.1 2018 4
SCORE HEARTDISEASE&STROKE UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 Stroke:MedicarePopulation percent 5.2 4.5 4 2015 3
1.89HeartFailure:MedicarePopulation percent 16 15.5 13.5 2015 3
1.50AtrialFibrillation:MedicarePopulation percent 7.3 7.4 8.1 2015 3
1.44 Hyperlipidemia:Medicare percent 43.2 46.1 44.6 2015 3
MemorialHermannRehabilitationHospitalKatyCHNA2019 129
Population
1.42Age-AdjustedDeathRateduetoCerebrovascularDisease(Stroke)
deaths/100,000population 41.5 34.8 42 37.3 2010-2014 Black 12
1.33IschemicHeartDisease:MedicarePopulation percent 28.8 28.8 26.5 2015
3
1.22Hypertension:MedicarePopulation percent 55.5 57.5 55 2015
3
0.92Age-AdjustedDeathRateduetoHeartDisease
deaths/100,000population 167.6 173 171.9 2010-2014 Black,White,Male 12
SCOREIMMUNIZATIONS&INFECTIOUSDISEASES UNITS
HARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.33 GonorrheaIncidenceRatecases/100,000population 182.1 160.2 2017 12
2.33 SyphilisIncidenceRatecases/100,000population 59.3 40.6 2017 12
2.11 ChlamydiaIncidenceRatecases/100,000population 571.4 511.6 2017 12
1.83 TuberculosisIncidenceRatecases/100,000population 6.6 1 4.5 2013-2017 12
1.78Adults65+withInfluenzaVaccination percent 57.2 57.3 58.6 2016 10
1.67 HIVDiagnosisRatecases/100,000population 26.3 16.1 2016
12
1.17Adults65+withPneumoniaVaccination percent 73.5 90 71.3 73.4 2016
10
1.00Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 14 14.2 15.2 2010-2014 Black,Male 12
SCOREMATERNAL,FETAL&INFANTHEALTH UNITS
HARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.36 InfantMortalityRate deaths/1,000live 6.8 6 5.8 6 2013 12
MemorialHermannRehabilitationHospitalKatyCHNA2019 130
births
1.97MotherswhoReceivedEarlyPrenatalCare percent 56.1 77.9 59.2 74.2 2013 12
1.92InfantsBorntoMotherswith<12YearsEducation percent 27.5 21.6 15.9 2013 12
1.81 BabieswithLowBirthWeight percent 8.6 7.8 8.3 8 2013 12
1.61 BabieswithVeryLowBirthWeight percent 1.5 1.4 1.4 1.4 2013 12
1.25 PretermBirths percent 11.8 9.4 12 11.4 2013 12
0.58 TeenBirths percent 2.5 2.8 4.3 2014 12
SCORE MEN'SHEALTH UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.53Age-AdjustedDeathRateduetoProstateCancer
deaths/100,000males 19.8 21.8 18.1 19.5 2011-2015 7
1.33 ProstateCancerIncidenceRatecases/100,000
males 102.5 95.4 109 2011-2015 7
1.28 LifeExpectancyforMales years 76.4 76.2 76.7 2014 6
SCOREMENTALHEALTH&MENTALDISORDERS UNITS
HARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.89Alzheimer'sDiseaseorDementia:MedicarePopulation percent 11.4 11.7 9.9 2015
3
1.53 PoorMentalHealth:5+Days percent 80 81.5 2016
10
1.50PoorMentalHealth:AverageNumberofDays days 3.7 3.4 3.8 2016 4
1.44 MentalHealthProviderRateproviders/100,000
population 103.7 98.8 214.3 2017 4
1.17 FrequentMentalDistress percent 11.2 10.6 15 2016 4
0.94Age-AdjustedDeathRateduetoSuicide
deaths/100,000population 10.3 10.2 11.7 12.5 2010-2014 White,Male 12
MemorialHermannRehabilitationHospitalKatyCHNA2019 131
0.94 Depression:MedicarePopulation percent 14.8 17 16.7 2015
3
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 17.9 26.6 24.5 2010-2014 White,Female 12
SCORE OLDERADULTS&AGING UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67ChronicKidneyDisease:MedicarePopulation percent 20.9 19.9 18.1 2015
3
2.61 Stroke:MedicarePopulation percent 5.2 4.5 4 2015
3
2.06Age-AdjustedDeathRateduetoFalls
deaths/100,000population 10.4 7.2 7.4 8.3 2010-2014 White,Male 12
1.94 Cancer:MedicarePopulation percent 7.6 7.1 7.8 2015 3
1.89Alzheimer'sDiseaseorDementia:MedicarePopulation percent 11.4 11.7 9.9 2015 3
1.89HeartFailure:MedicarePopulation percent 16 15.5 13.5 2015 3
1.89People65+LivingBelowPovertyLevel percent 11.3 10.8 9.3 2012-2016
Asian,BlackorAfricanAmerican,HispanicorLatino,Other,Female,75+ 1
1.78Adults65+withInfluenzaVaccination percent 57.2 57.3 58.6 2016 10
1.72Osteoporosis:MedicarePopulation percent 6.3 6.5 6 2015 3
1.67 Diabetes:MedicarePopulation percent 28.1 28.2 26.5 2015 3
1.50AtrialFibrillation:MedicarePopulation percent 7.3 7.4 8.1 2015 3
1.44Hyperlipidemia:MedicarePopulation percent 43.2 46.1 44.6 2015 3
1.44 People65+LivingAlone percent 24.4 23.9 26.4 2012-2016 1
1.33IschemicHeartDisease:MedicarePopulation percent 28.8 28.8 26.5 2015 3
MemorialHermannRehabilitationHospitalKatyCHNA2019 132
1.22Hypertension:MedicarePopulation percent 55.5 57.5 55 2015 3
1.17Adults65+withPneumoniaVaccination percent 73.5 90 71.3 73.4 2016 10
1.00People65+withLowAccesstoaGroceryStore percent 1.4 2015 17
0.94 Asthma:MedicarePopulation percent 7.3 8.2 8.2 2015 3
0.94 Depression:MedicarePopulation percent 14.8 17 16.7 2015 3
0.94
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 27.8 31.6 30 2015 3
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 17.9 26.6 24.5 2010-2014 White,Female 12
0.39 COPD:MedicarePopulation percent 9.6 11.1 11.2 2015
3
SCORE OTHERCHRONICDISEASES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67ChronicKidneyDisease:MedicarePopulation percent 20.9 19.9 18.1 2015 3
1.72Osteoporosis:MedicarePopulation percent 6.3 6.5 6 2015 3
0.94
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 27.8 31.6 30 2015 3
SCORE PREVENTION&SAFETY UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.39 SevereHousingProblems percent 20.9 18.3 18.8 2010-2014
4
2.06Age-AdjustedDeathRateduetoFalls
deaths/100,000population 10.4 7.2 7.4 8.3 2010-2014 White,Male 12
1.19 DeathRateduetoDrugPoisoningdeaths/100,000
population 10.2 9.8 16.9 2014-2016
4
MemorialHermannRehabilitationHospitalKatyCHNA2019 133
0.69Age-AdjustedDeathRateduetoUnintentionalInjuries
deaths/100,000population 36.1 36.4 37.6 39.2 2010-2014 White,Male 12
SCORE PUBLICSAFETY UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 Alcohol-ImpairedDrivingDeaths percent 37.8 28.3 29.3 2012-2016 4
1.67 ViolentCrimeRatecrimes/100,000
population 713.7 407.6 2012-2014 4
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.4 8.5 2017 11
SCORE RESPIRATORYDISEASES UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.83 TuberculosisIncidenceRatecases/100,000population 6.6 1 4.5 2013-2017 12
1.78Adults65+withInfluenzaVaccination percent 57.2 57.3 58.6 2016 10
1.17Adults65+withPneumoniaVaccination percent 73.5 90 71.3 73.4 2016 10
1.00Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 14 14.2 15.2 2010-2014 Black,Male 12
0.94 Asthma:MedicarePopulation percent 7.3 8.2 8.2 2015 3
0.50LungandBronchusCancerIncidenceRate
cases/100,000population 50.9 53.1 60.2 2011-2015 7
0.39 COPD:MedicarePopulation percent 9.6 11.1 11.2 2015 3
0.33Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 37.5 45.5 39 43.4 2011-2015 7
SCORE SOCIALENVIRONMENT UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67 MeanTravelTimetoWork minutes 28.6 25.9 26.1 2012-2016 Male 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 134
2.50 LinguisticIsolation percent 11.8 7.9 4.5 2012-2016 1
2.44 Homeownership percent 49.6 55 55.9 2012-2016 1
2.17 Single-ParentHouseholds percent 36.2 33.3 33.6 2012-2016 1
2.14MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 534 467 462 2012-2016 1
2.08 MedianHouseholdGrossRent dollars 937 911 949 2012-2016 1
1.81MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1504 1444 1491 2012-2016
1
1.75 PersonswithHealthInsurance percent 79.3 100 81.4 2016
9
1.67ChildrenLivingBelowPovertyLevel percent 26 23.9 21.2 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other,<6 1
1.67People25+withaHighSchoolDegreeorHigher percent 80.2 82.3 87 2012-2016
Male,35-44,45-64,65+ 1
1.67 PeopleLivingBelowPovertyLevel percent 17.4 16.7 15.1 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,Other,Female,<6,6-11,12-17,18-24 1
1.67 TotalEmploymentChange percent 2.4 3.2 2.5 2014-2015 16
1.67VoterTurnout:PresidentialElection percent 58.4 58.8 2016 14
1.44 People65+LivingAlone percent 24.4 23.9 26.4 2012-2016 1
1.11 SubstantiatedChildAbuseRatecases/1,000children 5.4 8.5 2017 11
1.08 MedianHousingUnitValue dollars 145600 142700 184700 2012-2016 1
0.94FemalePopulation16+inCivilianLaborForce percent 59.8 57.7 58.3 2012-2016 1
0.94 Population16+inCivilianLabor percent 68.3 64.2 63.1 2012-2016 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 135
Force
0.67People25+withaBachelor'sDegreeorHigher percent 30.1 28.1 30.3 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,NativeHawaiianor
OtherPacificIslander,Other,45-
64,65+ 1
0.50 MedianHouseholdIncome dollars 55584 54727 55322 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,
Other 1
0.50 PerCapitaIncome dollars 29850 27828 29829 2012-2016
AmericanIndianorAlaskaNative,BlackorAfricanAmerican,HispanicorLatino,NativeHawaiianor
OtherPacificIslander,Other,Two
orMoreRaces 1
SCORE SUBSTANCEABUSE UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 Alcohol-ImpairedDrivingDeaths percent 37.8 28.3 29.3 2012-2016 4
1.50 AdultswhoDrinkExcessively percent 18.1 25.4 19.4 18 2016 4
1.28
Adults(18+Years)ReportingBingeDrinkingWithintheLast12months percent 16.6 24.2 17.9 16.9 2016 10
1.19 DeathRateduetoDrugPoisoningdeaths/100,000
population 10.2 9.8 16.9 2014-2016 4
0.94 AdultswhoSmoke percent 12.1 12 14.3 17.1 2016 10
0.89 LiquorStoreDensitystores/100,000population 6.3 6.8 10.5 2015
16
MemorialHermannRehabilitationHospitalKatyCHNA2019 136
SCORE TRANSPORTATION UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.83 SoloDriverswithaLongCommute percent 45.8 36.9 34.7 2012-2016
4
2.67 MeanTravelTimetoWork minutes 28.6 25.9 26.1 2012-2016 Male 1
2.17 WorkerswhoWalktoWork percent 1.5 3.1 1.6 2.8 2012-2016 White,non-Hispanic 1
1.44 WorkerswhoDriveAlonetoWork percent 79.1 80.3 76.4 2012-2016
White,non-Hispanic,25-44,55-
59 1
1.33 HouseholdswithoutaVehicle percent 6.4 5.6 9 2012-2016
1
1.28WorkersCommutingbyPublicTransportation percent 2.8 5.5 1.5 5.1 2012-2016
HispanicorLatino,NativeHawaiianor
OtherPacificIslander,Twoor
MoreRaces,White,non-Hispanic,Male,
25-44 1
1.00HouseholdswithNoCarandLowAccesstoaGroceryStore percent 0.9 2015
17
SCORE WELLNESS&LIFESTYLE UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.83Self-ReportedGeneralHealthAssessment:PoororFair percent 18.2 18.2 16 2016 4
1.75 PoorPhysicalHealth:5+Days percent 80.6 81.5 2016 10
1.67 InsufficientSleep percent 33.9 32.7 38 2016 4
1.28 LifeExpectancyforMales years 76.4 76.2 76.7 2014 6
1.17 FrequentPhysicalDistress percent 11.5 10.8 15 2016
4
1.17PoorPhysicalHealth:AverageNumberofDays days 3.6 3.5 3.7 2016
4
MemorialHermannRehabilitationHospitalKatyCHNA2019 137
1.06 LifeExpectancyforFemales years 81 80.8 81.5 2014
6
SCORE WOMEN'SHEALTH UNITSHARRISCOUNTY HP2020 TEXAS U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.53 CervicalCancerIncidenceRatecases/100,000
females 11 7.3 9.2 7.5 2011-2015 7
2.25Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 23.2 20.7 20.2 20.9 2011-2015 Black 7
1.39 BreastCancerIncidenceRatecases/100,000
females 113.2 111.7 124.7 2011-2015 7
1.06 LifeExpectancyforFemales years 81 80.8 81.5 2014 6
WallerCounty
SCORE ACCESSTOHEALTHSERVICES UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.83Non-PhysicianPrimaryCareProviderRate
providers/100,000population 4 67 81 2017 3
2.61 PrimaryCareProviderRateproviders/100,000
population 10 60 76 2015 3
2.50 DentistRatedentists/100,000
population 16 56 67 2016 3
2.44 MentalHealthProviderRateproviders/100,000
population 34 99 214 2017 3
2.14AdultswithHealthInsurance:18-64 percent 71.5 100.0 77.4 2016 8
2.14 PersonswithHealthInsurance percent 76.1 100.0 81.4 2016 8
1.97 ChildrenwithHealthInsurance percent 86.6 100.0 90.3 2016 8
SCORE CANCER UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
MemorialHermannRehabilitationHospitalKatyCHNA2019 138
1.53Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 21.2 20.7 20.2 20.9 2011-2015 6
1.50 BreastCancerIncidenceRatecases/100,000
females 109.8 111.7 124.7 2011-2015 6
1.44Age-AdjustedDeathRateduetoColorectalCancer
deaths/100,000population 15.3 14.5 14.4 14.5 2011-2015 6
1.28 Cancer:MedicarePopulation percent 6.9 7.1 7.8 2015 2
1.06LungandBronchusCancerIncidenceRate
cases/100,000population 55.1 53.1 60.2 2011-2015 6
0.94Age-AdjustedDeathRateduetoCancer
deaths/100,000population 155.8 161.4 156.4 163.5 2011-2015 6
0.72 AllCancerIncidenceRatecases/100,000population 371.0 401.3 441.2 2011-2015 6
0.50Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 37.1 45.5 39.0 43.4 2011-2015 6
0.39OralCavityandPharynxCancerIncidenceRate
cases/100,000population 9.1 10.9 11.6 2011-2015 6
0.33 ProstateCancerIncidenceRatecases/100,000
males 85.5 95.4 109.0 2011-2015 6
0.00 ColorectalCancerIncidenceRatecases/100,000population 30.2 39.9 38.1 39.2 2011-2015 6
SCORE CHILDREN'SHEALTH UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.06 ChildFoodInsecurityRate percent 24.0 23.0 17.9 2016 4
1.97 ChildrenwithHealthInsurance percent 86.6 100.0 90.3 2016 8
1.00ChildrenwithLowAccesstoaGroceryStore percent 1.9 2015 15
0.67 SubstantiatedChildAbuseRatecases/1,000children 3.5 8.5 2017 9
MemorialHermannRehabilitationHospitalKatyCHNA2019 139
SCORE ECONOMY UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 SevereHousingProblems percent 22.4 18.3 18.8 2010-2014 3
2.44UnemployedWorkersinCivilianLaborForce percent 4.8 4.0 4.1 July2018 13
2.39 FoodInsecurityRate percent 19.2 15.4 12.9 2016 4
2.39StudentsEligiblefortheFreeLunchProgram percent 65.8 52.9 42.6 2015-2016 7
2.28 HomeownerVacancyRate percent 2.0 1.6 1.8 2012-2016 1
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016 15
2.08PersonswithDisabilityLivinginPoverty(5-year) percent 30.5 25.1 27.6 2012-2016 1
2.06 ChildFoodInsecurityRate percent 24.0 23.0 17.9 2016 4
2.06FemalePopulation16+inCivilianLaborForce percent 50.6 57.7 58.3 2012-2016 1
2.06 PeopleLivingBelowPovertyLevel percent 19.0 16.7 15.1 2012-201618-24,6-11BlackorAfricanAmerican 1
2.03MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 494 467 462 2012-2016 1
1.89ChildrenLivingBelowPovertyLevel percent 25.1 23.9 21.2 2012-2016 HispanicorLatino 1
1.83Low-IncomeandLowAccesstoaGroceryStore percent 11.3 2015 15
1.83 PerCapitaIncome dollars 23338 27828 29829 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 140
1.83RentersSpending30%orMoreofHouseholdIncomeonRent percent 46.8 48.0 47.3 2012-2016 1
1.67PeopleLiving200%AbovePovertyLevel percent 59.3 62.8 66.4 2012-2016 1
1.58MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1435 1444 1491 2012-2016 1
1.53 MedianHouseholdGrossRent dollars 825 911 949 2012-2016 1
1.39Population16+inCivilianLaborForce percent 60.5 64.2 63.1 2012-2016 1
1.17FamiliesLivingBelowPovertyLevel percent 12.0 13.0 11.0 2012-2016 1
1.17 MedianHouseholdIncome dollars 53508 54727 55322 2012-2016
AmericanIndianorAlaskaNative,Black
orAfricanAmerican,Hispanic
orLatino 1
1.17 TotalEmploymentChange percent 3.2 3.2 2.5 2014-2015 14
1.08 MedianHousingUnitValue dollars 153800 142700 184700 2012-2016 1
1.06 Homeownership percent 59.6 55.0 55.9 2012-2016 1
0.56HouseholdswithCashPublicAssistanceIncome percent 0.9 1.6 2.7 2012-2016 1
0.17People65+LivingBelowPovertyLevel percent 4.9 10.8 9.3 2012-2016
BlackorAfricanAmerican 1
SCORE EDUCATION UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.11People25+withaHighSchoolDegreeorHigher percent 78.4 82.3 87.0 2012-2016 Other 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 141
1.94People25+withaBachelor'sDegreeorHigher percent 18.7 28.1 30.3 2012-2016
BlackorAfricanAmerican,Other 1
1.92InfantsBorntoMotherswith<12YearsEducation percent 27.8 21.6 15.9 2013 10
1.61 Student-to-TeacherRatio students/teacher 14.7 15.4 17.7 2015-2016 7
1.17 HighSchoolDropOutRate percent 0.8 2.0 2016 11
SCORE ENVIRONMENT UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 SevereHousingProblems percent 22.4 18.3 18.8 2010-2014 3
2.33 AccesstoExerciseOpportunities percent 45.2 80.6 83.1 2018 3
2.11 FoodEnvironmentIndex 6.3 6.0 7.7 2018 3
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016 15
2.08 DrinkingWaterViolations percent 17.2 6.6 FY2013-14 3
2.00 GroceryStoreDensitystores/1,000population 0.1 2014 15
1.83Low-IncomeandLowAccesstoaGroceryStore percent 11.3 2015 15
1.78 RecreationandFitnessFacilitiesfacilities/1,000population 0.0 2014 15
1.67HouseholdswithNoCarandLowAccesstoaGroceryStore percent 2.8 2015 15
1.50 FarmersMarketDensitymarkets/1,000population 0.0 2016 15
1.39 PBTReleased pounds 5 2017 16
1.39 RecognizedCarcinogensReleased pounds 40 2017 16
MemorialHermannRehabilitationHospitalKatyCHNA2019 142
intoAir
1.17 FastFoodRestaurantDensityrestaurants/1,000
population 0.4 2014 15
1.11 HousesBuiltPriorto1950 percent 7.7 7.4 18.2 2012-2016 1
1.00ChildrenwithLowAccesstoaGroceryStore percent 1.9 2015 15
1.00People65+withLowAccesstoaGroceryStore percent 0.8 2015 15
0.50 LiquorStoreDensitystores/100,000population 2.1 6.8 10.5 2015 14
SCOREEXERCISE,NUTRITION,&WEIGHT UNITS
WALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.39 FoodInsecurityRate percent 19.2 15.4 12.9 2016 4
2.33 AccesstoExerciseOpportunities percent 45.2 80.6 83.1 2018 3
2.11 FoodEnvironmentIndex 6.3 6.0 7.7 2018 3
2.11 SNAPCertifiedStoresstores/1,000population 0.6 2016 15
2.06 ChildFoodInsecurityRate percent 24.0 23.0 17.9 2016 4
2.00 GroceryStoreDensitystores/1,000population 0.1 2014 15
1.83Low-IncomeandLowAccesstoaGroceryStore percent 11.3 2015 15
1.78 RecreationandFitnessFacilitiesfacilities/1,000population 0.0 2014 15
1.67HouseholdswithNoCarandLowAccesstoaGroceryStore percent 2.8 2015 15
1.50 FarmersMarketDensitymarkets/1,000population 0.0 2016 15
MemorialHermannRehabilitationHospitalKatyCHNA2019 143
1.17 FastFoodRestaurantDensityrestaurants/1,000
population 0.4 2014 15
1.00ChildrenwithLowAccesstoaGroceryStore percent 1.9 2015 15
1.00People65+withLowAccesstoaGroceryStore percent 0.8 2015 15
0.22 WorkerswhoWalktoWork percent 4.7 3.1 1.6 2.8 2012-2016 45-54,55-59,60-64 1
SCORE HEARTDISEASE&STROKE UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 Stroke:MedicarePopulation percent 6.0 4.5 4.0 2015 2
2.44HeartFailure:MedicarePopulation percent 17.5 15.5 13.5 2015 2
2.17AtrialFibrillation:MedicarePopulation percent 8.4 7.4 8.1 2015 2
2.06Hypertension:MedicarePopulation percent 61.6 57.5 55.0 2015 2
2.06IschemicHeartDisease:MedicarePopulation percent 31.0 28.8 26.5 2015 2
1.94Hyperlipidemia:MedicarePopulation percent 46.1 46.1 44.6 2015 2
1.75Age-AdjustedDeathRateduetoHeartDisease
deaths/100,000population 194.8 173.0 171.9 2010-2014 Black 10
1.08Age-AdjustedDeathRateduetoCerebrovascularDisease(Stroke)
deaths/100,000population 38.3 34.8 42.0 37.3 2010-2014 10
SCOREIMMUNIZATIONS&INFECTIOUSDISEASES UNITS
WALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
MemorialHermannRehabilitationHospitalKatyCHNA2019 144
1.44 SyphilisIncidenceRatecases/100,000population 15.6 40.6 2017 10
1.39 TuberculosisIncidenceRatecases/100,000population 2.9 1.0 4.5 2013-2017 10
1.28 GonorrheaIncidenceRatecases/100,000population 78.0 160.2 2017 10
1.17 ChlamydiaIncidenceRatecases/100,000population 306.0 511.6 2017 10
1.00 HIVDiagnosisRatecases/100,000population 8.0 16.1 2016 10
0.89Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 12.6 14.2 15.2 2010-2014 10
SCOREMATERNAL,FETAL&INFANTHEALTH UNITS
WALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.92InfantsBorntoMotherswith<12YearsEducation percent 27.8 21.6 15.9 2013 10
1.31 TeenBirths percent 3.1 2.8 4.3 2014 10
1.14MotherswhoReceivedEarlyPrenatalCare percent 68.2 77.9 59.2 74.2 2013 10
0.75 BabieswithLowBirthWeight percent 7.2 7.8 8.3 8.0 2013 10
0.64 InfantMortalityRatedeaths/1,000live
births 5.1 6.0 5.8 6.0 2013 10
0.36 PretermBirths percent 9.1 9.4 12.0 11.4 2013 10
SCOREMENTALHEALTH&MENTALDISORDERS UNITS
WALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.44 MentalHealthProviderRateproviders/100,000
population 34 99 214 2017 3
2.28 Age-AdjustedDeathRatedueto deaths/100,000 15.8 10.2 11.7 12.5 2010-2014 10
MemorialHermannRehabilitationHospitalKatyCHNA2019 145
Suicide population
1.78Alzheimer'sDiseaseorDementia:MedicarePopulation percent 10.5 11.7 9.9 2015 2
1.17 FrequentMentalDistress percent 11.3 10.6 15.0 2016 3
1.00PoorMentalHealth:AverageNumberofDays days 3.5 3.4 3.8 2016 3
0.94 Depression:MedicarePopulation percent 14.6 17.0 16.7 2015 2
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 16.8 26.6 24.5 2010-2014 10
SCORE OLDERADULTS&AGING UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67ChronicKidneyDisease:MedicarePopulation percent 21.6 19.9 18.1 2015 2
2.61 Stroke:MedicarePopulation percent 6.0 4.5 4.0 2015 2
2.44HeartFailure:MedicarePopulation percent 17.5 15.5 13.5 2015 2
2.17Age-AdjustedDeathRateduetoFalls
deaths/100,000population 12.8 7.2 7.4 8.3 2010-2014 10
2.17AtrialFibrillation:MedicarePopulation percent 8.4 7.4 8.1 2015 2
2.06 Diabetes:MedicarePopulation percent 29.6 28.2 26.5 2015 2
2.06Hypertension:MedicarePopulation percent 61.6 57.5 55.0 2015 2
2.06IschemicHeartDisease:MedicarePopulation percent 31.0 28.8 26.5 2015 2
1.94Hyperlipidemia:MedicarePopulation percent 46.1 46.1 44.6 2015 2
MemorialHermannRehabilitationHospitalKatyCHNA2019 146
1.89 COPD:MedicarePopulation percent 12.3 11.1 11.2 2015 2
1.83 Asthma:MedicarePopulation percent 8.7 8.2 8.2 2015 2
1.78Alzheimer'sDiseaseorDementia:MedicarePopulation percent 10.5 11.7 9.9 2015 2
1.28 Cancer:MedicarePopulation percent 6.9 7.1 7.8 2015 2
1.06
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 30.0 31.6 30.0 2015 2
1.00People65+withLowAccesstoaGroceryStore percent 0.8 2015 15
0.94 Depression:MedicarePopulation percent 14.6 17.0 16.7 2015 2
0.89Osteoporosis:MedicarePopulation percent 5.1 6.5 6.0 2015 2
0.64Age-AdjustedDeathRateduetoAlzheimer'sDisease
deaths/100,000population 16.8 26.6 24.5 2010-2014 10
0.50 People65+LivingAlone percent 20.8 23.9 26.4 2012-2016 1
0.17People65+LivingBelowPovertyLevel percent 4.9 10.8 9.3 2012-2016
BlackorAfricanAmerican 1
SCORE OTHERCHRONICDISEASES UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.67ChronicKidneyDisease:MedicarePopulation percent 21.6 19.9 18.1 2015 2
1.06
RheumatoidArthritisorOsteoarthritis:MedicarePopulation percent 30.0 31.6 30.0 2015 2
0.89Osteoporosis:MedicarePopulation percent 5.1 6.5 6.0 2015 2
MemorialHermannRehabilitationHospitalKatyCHNA2019 147
SCORE PREVENTION&SAFETY UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 SevereHousingProblems percent 22.4 18.3 18.8 2010-2014 3
2.17Age-AdjustedDeathRateduetoFalls
deaths/100,000population 12.8 7.2 7.4 8.3 2010-2014 10
2.14Age-AdjustedDeathRateduetoUnintentionalInjuries
deaths/100,000population 53.9 36.4 37.6 39.2 2010-2014 10
0.81 DeathRateduetoDrugPoisoningdeaths/100,000
population 8.9 9.8 16.9 2014-2016 3
SCORE PUBLICSAFETY UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.22 ViolentCrimeRatecrimes/100,000
population 273.0 407.6 2012-2014 3
0.67 SubstantiatedChildAbuseRatecases/1,000children 3.5 8.5 2017 9
0.50 Alcohol-ImpairedDrivingDeaths percent 21.8 28.3 29.3 2012-2016 3
SCORE RESPIRATORYDISEASES UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
1.89 COPD:MedicarePopulation percent 12.3 11.1 11.2 2015 2
1.83 Asthma:MedicarePopulation percent 8.7 8.2 8.2 2015 2
1.39 TuberculosisIncidenceRatecases/100,000population 2.9 1.0 4.5 2013-2017 10
1.06LungandBronchusCancerIncidenceRate
cases/100,000population 55.1 53.1 60.2 2011-2015 6
0.89Age-AdjustedDeathRateduetoInfluenzaandPneumonia
deaths/100,000population 12.6 14.2 15.2 2010-2014 10
MemorialHermannRehabilitationHospitalKatyCHNA2019 148
0.50Age-AdjustedDeathRateduetoLungCancer
deaths/100,000population 37.1 45.5 39.0 43.4 2011-2015 6
SCORE SOCIALENVIRONMENT UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 MeanTravelTimetoWork minutes 31.6 25.9 26.1 2012-2016 1
2.17 LinguisticIsolation percent 6.0 7.9 4.5 2012-2016 1
2.14 PersonswithHealthInsurance percent 76.1 100.0 81.4 2016 8
2.11People25+withaHighSchoolDegreeorHigher percent 78.4 82.3 87.0 2012-2016 Other 1
2.06FemalePopulation16+inCivilianLaborForce percent 50.6 57.7 58.3 2012-2016 1
2.06 PeopleLivingBelowPovertyLevel percent 19.0 16.7 15.1 2012-201618-24,6-11BlackorAfricanAmerican 1
2.03MedianMonthlyOwnerCostsforHouseholdswithoutaMortgage dollars 494 467 462 2012-2016 1
1.94People25+withaBachelor'sDegreeorHigher percent 18.7 28.1 30.3 2012-2016
BlackorAfricanAmerican,Other 1
1.89ChildrenLivingBelowPovertyLevel percent 25.1 23.9 21.2 2012-2016 HispanicorLatino 1
1.83 PerCapitaIncome dollars 23338 27828 29829 2012-2016
BlackorAfricanAmerican,HispanicorLatino,Other,
TwoorMoreRaces 1
1.58MortgagedOwnersMedianMonthlyHouseholdCosts dollars 1435 1444 1491 2012-2016 1
1.53 MedianHouseholdGrossRent dollars 825 911 949 2012-2016 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 149
1.50VoterTurnout:PresidentialElection percent 53.9 58.8 2016 12
1.39Population16+inCivilianLaborForce percent 60.5 64.2 63.1 2012-2016 1
1.17 MedianHouseholdIncome dollars 53508 54727 55322 2012-2016
AmericanIndianorAlaskaNative,Black
orAfricanAmerican,Hispanic
orLatino 1
1.17 TotalEmploymentChange percent 3.2 3.2 2.5 2014-2015 14
1.08 MedianHousingUnitValue dollars 153800 142700 184700 2012-2016 1
1.06 Homeownership percent 59.6 55.0 55.9 2012-2016 1
1.06 Single-ParentHouseholds percent 30.8 33.3 33.6 2012-2016 1
0.67 SubstantiatedChildAbuseRatecases/1,000children 3.5 8.5 2017 9
0.50 People65+LivingAlone percent 20.8 23.9 26.4 2012-2016 1
SCORE SUBSTANCEABUSE UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.17 AdultswhoDrinkExcessively percent 20.5 25.4 19.4 18.0 2016 3
0.81 DeathRateduetoDrugPoisoningdeaths/100,000
population 8.9 9.8 16.9 2014-2016 3
0.50 Alcohol-ImpairedDrivingDeaths percent 21.8 28.3 29.3 2012-2016 3
0.50 LiquorStoreDensitystores/100,000population 2.1 6.8 10.5 2015 14
SCORE TRANSPORTATION UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.61 MeanTravelTimetoWork minutes 31.6 25.9 26.1 2012-2016 1
MemorialHermannRehabilitationHospitalKatyCHNA2019 150
2.39SoloDriverswithaLongCommute percent 51.0 36.9 34.7 2012-2016 3
1.72WorkersCommutingbyPublicTransportation percent 0.6 5.5 1.5 5.1 2012-2016 1
1.67HouseholdswithNoCarandLowAccesstoaGroceryStore percent 2.8 2015 15
1.22WorkerswhoDriveAlonetoWork percent 78.1 80.3 76.4 2012-2016 60-64 1
0.72 HouseholdswithoutaVehicle percent 4.7 5.6 9.0 2012-2016 1
0.22 WorkerswhoWalktoWork percent 4.7 3.1 1.6 2.8 2012-2016 45-54,55-59,60-64 1
SCORE WELLNESS&LIFESTYLE UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
2.00Self-ReportedGeneralHealthAssessment:PoororFair percent 19.3 18.2 16.0 2016 3
1.83 InsufficientSleep percent 34.5 32.7 38.0 2016 3
1.67 FrequentPhysicalDistress percent 12.0 10.8 15.0 2016 3
1.67PoorPhysicalHealth:AverageNumberofDays days 3.8 3.5 3.7 2016 3
1.61 LifeExpectancyforMales years 75.8 76.2 76.7 2014 5
1.39 LifeExpectancyforFemales years 80.3 80.8 81.5 2014 5
SCORE WOMEN'SHEALTH UNITSWALLERCOUNTY HP2020 Texas U.S.
MEASUREMENTPERIOD HIGHDISPARITY* Source
MemorialHermannRehabilitationHospitalKatyCHNA2019 151
1.53Age-AdjustedDeathRateduetoBreastCancer
deaths/100,000females 21.2 20.7 20.2 20.9 2011-2015 6
1.50 BreastCancerIncidenceRatecases/100,000
females 109.8 111.7 124.7 2011-2015 6
1.39 LifeExpectancyforFemales years 80.3 80.8 81.5 2014 5
MemorialHermannRehabilitationHospitalKatyCHNA2019 152
AppendixC.PrimaryDataMethodology
CommunityInputParticipantsAccessHealth(FQHC)(FortBendFamilyHealthCenter)AIDSFoundationofHoustonAssociationfortheAdvancementofMexicanAmericansAvenueCDCCatholicCharities-ArchdioceseofGalvestonCatholicCharities-FortBendChildAdvocatesofFortBendChildrenatRiskChristClinicCityofHouston,DepartmentofParksandRecreationCoastalAreaHealthEducationCenters(AHEC)CommunityHealthChoiceElCentrodeCorazonEpiscopalHealthFoundationFortBendCountyHealthandHumanServicesFortBendCountySheriff'sOfficeFortBendRegionalCouncilOnSubstanceAbuseFortBendSeniorsMealsonWheelsFortBendWomen'sCenterGalvestonCountyHealthDistrictGalvestonCountyMentalHealthDeputiesGreaterHoustonPartnershipGreaterHoustonWomen'sChamberofCommerce
GulfCoastMedicalFoundationHarrisCountyPublicHealthHealthcarefortheHomeless-HoustonHOPEClinic(FQHC)HoustonFoodBankHoustonHealthDepartmentHoustonHousingAuthorityHoustonIndependentSchoolDistrictInterfaithCommunityClinicKinderInstituteLegacyCommunityHealthLibertyCountySheriff'sOfficeLoneStarFamilyHealthCenterMidtownArtsandTheaterCenterHoustonMontgomeryCountyWomen'sCenterBaker-RipleyEarlyHeadStartPatientCareInterventionCenter(PCIC)PrairieViewA&MUniversitySantaMariaHostel,Inc.TheArcofFortBendCountyTheHarrisCenterforMentalHealthandIDD(formerlyMHMRA)TheRoseTheWomen'sHomeTri-CountyServicesBehavioralHealthcareUnitedWayofBrazoriaCountyUnitedWayofGreaterHoustonUnitedWayofHarrisandMontgomeryCountyWestChambersMedicalCenter(FQHC)YMCAofGreaterHouston
MemorialHermannRehabilitationHospitalKatyCHNA2019 153
KeyInformantInterviewQuestionnaire(EpiscopalHealthFoundation)• Goodmorning/afternoon[NAMEOFINFORMANT].Mynameis[NAMEOFINTERVIEWER],
andIamwithHealthResourcesinAction,anon-profitpublichealthorganizationbasedinBoston.Thankyouforspeakingwithmetoday.
• Aswementionedinourinterviewinvitation,theEpiscopalHealthFoundationis
coordinatinganinterviewinitiativetosupportfourGreaterHoustonareahospitalsystemsinpreparingtheircommunityhealthneedsassessments.ThecollaboratinghospitalsincludeCHISt.Luke’s,HoustonMethodistHospital,MemorialHermannHealthSystem,andTexasChildren’sHospital.
• Thepurposeofthisinterviewistogainagreaterunderstandingofthehealthstatusand
wellbeingofresidentsintheGreaterHoustonareaanddeterminehowthesehealthneedsarecurrentlybeingaddressed.Interviewslikethisonearebeingconductedwithabout70stakeholdersfromarangeofsectorssuchasgovernment,healthcare,business,andcommunityserviceorganizations.Wearealsointerviewingcommunityleaderswithspecificexperienceworkingwithprioritypopulationssuchaswomen,children,peopleofcolor,andthedisabledtonameafew.
• Weareinterestedinhearingpeople’sfeedbackontheneedsofthebroaderGreater
Houstoncommunityandthepopulationsyouworkwithasaleaderinyourcommunity.TheFoundationandthefourhospitalswelcomeyourcriticalfeedbackandsuggestionsforhealthimprovementactivitiesinthefuture.Yourhonestyduringtoday’sinterviewisencouragedandappreciated.
• Aswementionedinourinterviewinvitation,theinterviewwilllastbetween45minutesto
anhouranditwillberecorded.Afteralltheinterviewsarecompleted,HealthResourcesinActionwillprovideatranscriptofyourinterviewtothefourhospitalsforuseinpreparingtheircommunityhealthneedsassessmentreports.Eachhospitalwillkeepyourinterviewtranscriptconfidentialandaccessibleonlytotheteamthatispreparingthecommunityhealthneedsassessmentreport.HealthResourcesinActionwillalsobepreparingareportofthegeneralthemesthatemergeacrossalltheinterviewstohelpthehospitalspreparetheirreports.
• TheFoundationhasaskedHealthResourcesinActiontoaskallintervieweeshowtheywish
anyquotesfromtoday’sinterviewtobepresentedinreports.Therearethreeoptions.Quotesmaybepresentedanonymouslywithoutyournameororganization,presentedwithyournameandorganization,orpresentedwithonlythesectoryourepresent.Whichoptionwouldyouliketochoose?
• RECORDRESPONSEFROMINTERVIEWEE:rAnonymousrNameandorganizationrSector
• Thankyou.Wewillnoteyourchoiceinthetranscriptthatweprovidetothehospitals.
MemorialHermannRehabilitationHospitalKatyCHNA2019 154
• IFTHERESPONDENTISUNSUREATTHETIMEOFTHEINTERVIEW:Ok,pleasefeelfreetothinkitoverandwewillfollowupwithyouforyourdecisionbeforewesendthetranscripttothehospitals.
• Doyouhaveanyquestionsbeforewebegin?BEGINRECORDINGTHEINTERVIEW
INTERVIEWQUESTIONNAIRE(55MINUTES)
NOTESTOINTERVIEWER:• INTERVIEWQUESTIONSMAYBEADDEDORTAILOREDTOMEETTHESPECIFIC
POSITION/ROLEOFTHEINTERVIEWEE• THEQUESTIONSINTHEINTERVIEWQUESTIONNAIREAREINTENDEDTOSERVEASAGUIDE,
NOTASCRIPTBACKGROUND(5MINUTES)• Canyoutellmealittlebitaboutyourroleatyourorganization/agency?
o Hasyourorganization/agencyeverpartneredwithanyofthefourhospitalsinvolvedinthissharedcommunityhealthneedsassessmentbefore?IFSO,PROBEINWHATCAPACITY/PROGRAM
• Howwouldyoudescribethecommunityyourepresent/thecommunityyourorganizationserves/theGreaterHoustonpopulationatlarge?Whataresomeofitsdefiningcharacteristicsintermsofdemographics?INTERVIEWER:ESTABLISHWHATTHEINFORMANTCONSIDERSTHECOMMUNITYTOBEFROMTHEIRPERSPECTIVE
COMMUNITYISSUES(20minutes)INTERVIEWER:VARYTHELABELOF‘COMMUNITY’BASEDONTHEINFORMANT’SBACKGROUNDANDHOWHEORSHEDESCRIBESTHECOMMUNITY;BESURETOPROBEONWOMEN’SANDCHILDREN’SISSUESTOENSUREWEADDRESSTHENEEDSOFTHECHILDREN’SHOSPITALSINALLQUESTIONSASRELEVANT• Thinkingaboutthestatusofthecommunitytoday,howwouldyouratetheoverallhealth
statusofresidentsonascaleof1to5with1beingpoorand5beingveryhealthy?
• Ifyouhadtopickyourtop3healthconcernsinthecommunity,whatwouldtheybe?PROBEIN-DEPTHBASEDONINFORMANTAREAOFEXPERTISE
o Whodoyouconsidertobethepopulationsinthecommunitymostvulnerableorat
riskfortheseconditions/issues?§ IFNOTYETMENTIONED,PROBESPECIFICALLYONPRIORITYPOPULATION
RELEVANTTOTHEINFORMANT’SEXPERTISE:Whatdoyouthinkarethemostpressinghealthconcernsinthecommunityfor[PRIORITYPOPULATION]?
MemorialHermannRehabilitationHospitalKatyCHNA2019 155
§ FORINFORMANTSEXPERTISEWITHWOMENANDCHILDREN:Whatdoyou
thinkarethemostpressinghealthconcernsinthecommunityforchildrenandtheirfamilies?Howaboutforwomen?
§ IFNOTYETDISCUSSED:Ofthetopthreeissuesyoumentioned,whichwould
yourankasyourtopissue?Howdoyouseethisissueaffectingcommunitymembers’dailylivesandtheirhealth?PROBEIN-DEPTHINSPECIFICFOCUSAREAS;MAYASKABOUTONEISSUEATTIMEANDFOCUSONPERSON’SAREAOFEXPERTISE.
• Fromyourexperience,whatareresidents’biggestbarrierstoaddressingthetop3health
issuesyouidentified?o PROBE:Socialdeterminantsofhealth?o PROBE:Barrierstoaccessingmedicalcare?o PROBE:Barrierstoaccessingpreventiveservicesorprograms?
FOCUSAREA:HEALTHYLIVING(5MINUTES)• I’dliketoaskyouaboutbarriersaffectinghealthylivingandthepreventionofobesity.
o Whataresomeofthebarrierstohealthyeatingandphysicalactivityamongthecommunitiesyouserve?
§ Whatpopulationsaremostaffectedbybarrierstohealthylivingandphysicalactivity?PROBEABOUTFOODINSECURITYANDACCESSTOSAFESPACESFORPHYSICALACTIVITY
o Whateffortsorprogramsareyouawareofthatpromotehealthyliving?PROBEABOUTHEALTHYLIVINGMATTERSCOLLABORATIVE
ACCESSTOHEALTHCAREANDPUBLICHEALTH/PREVENTIONSERVICES(15MINUTES)
• I’dliketoaskyouaboutaccesstohealthcareandsocialservicesinyourcommunity.
o Whatdoyouseeasthestrengthsofthehealthcareandsocialservicesinyourcommunity?
o Whatdoyouseeasitslimitations?• Whatchallenges/barriersdoresidentsinyourcommunityfaceinaccessinghealthcareand
socialservices?[PROBEINDEPTHFORBARRIERSTOCARE:INSURANCEISSUES,LANGUAGEBARRIERS,ACCESSTOHEALTHINFORMATION/HEALTHLITERACY,LACKOFTRANSPORTION,CHILDCARE,ETC.]
o Whatdoyouthinkneedstohappeninthecommunityyouservetohelpresidentsovercomeoraddressthesechallenges?
• Whatprograms,services,orpoliciesareyouawareofinthecommunitythataddressaccess
tohealthcareandsocialservices?
MemorialHermannRehabilitationHospitalKatyCHNA2019 156
o Inyouropinion,howeffectivehavetheseprograms,services,orpoliciesbeenataddressingthehealthneedsofresidents?
o Whatprogram,services,orpoliciesarecurrentlynotavailablethatyouthinkshouldbe?
IMPROVINGTHEHEALTHOFTHECOMMUNITY/RESIDENTS(10MINUTES)• Whatdoyouthinkneedstohappeninthecommunityyouservetohelpresidentsovercome
oraddressthechallengestheyfaceinbeingabletobehealthy?
• Earlierinthisinterview,youmentioned[TOPISSUE]asbeingyourtophealthpriorityforarearesidents.Whatdoyouthinkneedstobedonetoaddress[TOPISSUEHERE]?
o Whatdoyouthinkhospitalscandotoaddressthisissuethattheyaren’tdoingrightnow?Doyouhaveanysuggestionsabouthowhospitalscanbecreativeorworkoutsidetheirtraditionalroletoaddressthisissueandimprovecommunityhealth?
o Whatkindsofopportunitiesarecurrentlyouttherethatcanbeseizedupontoaddresstheseissues?Forexample,aretheresome“lowhangingfruit”–currentcollaborationsorinitiativesthatcanbestrengthenedorexpanded?
VISIONFORTHECOMMUNITY(5MINUTES)
• Thehospitalsinvolvedinthisinitiativewillbeplanningtheirstrategytoimprovethehealth
ofthecommunitiestheyserve.Whatadvicedoyouhaveforthegroupdevelopingtheplantoaddressthetophealthneedsyou’vementioned?
CLOSING(5MINUTES)
Thankyousomuchforyourtime.That’sitformyquestions.Isthereanythingelsethatyouwouldliketomentionthatwedidn’tdiscusstoday?AsImentioned,afteralloftheinterviewsarecompleted,wewillbesendingyourinterviewtranscriptstothefourhospitals.Eachhospitalwillmaketheircommunityhealthneedsassessmentreportspubliclyavailablewhentheyarecomplete.Ifyouhaveanyquestions,pleasefeelfreetoreachouttoJenniferMineoattheEpiscopalHealthFoundationwhoiscoordinatingthiseffortonbehalfofthefourhospitals.Thankyouagain.Haveagoodmorning/afternoon.
MemorialHermannRehabilitationHospitalKatyCHNA2019 157
KeyInformantInterviewQuestionnaire(ConduentHealthyCommunitiesInstitute)Goodmorning/afternoon[NAMEOFINFORMANT].Mynameis[NAMEOFINTERVIEWER],andIamwithConduentHealthyCommunitiesInstitute.Mycolleague[name]isalsoontheline.WeareworkingwithMemorialHermannHealthSystemtoconductaCommunityHealthNeedsAssessment.• Thepurposeofthisinterviewistogainagreaterunderstandingofthehealthstatusand
wellbeingofresidentsintheGreaterHoustonareaanddeterminehowthesehealthneedsarecurrentlybeingaddressed.Interviewslikethisonearebeingconductedwithabout12stakeholdersfromarangeofsectorssuchasgovernment,healthcare,business,andcommunityserviceorganizations.Wearealsointerviewingcommunityleaderswithspecificexperienceworkingwithprioritypopulationssuchaswomen,children,peopleofcolor,andthedisabledtonameafew.
• Weareinterestedinhearingpeople’sfeedbackontheneedsofthecommunityandthe
populationsyouworkwithasaleaderinyourcommunity.MemorialHermannwelcomeyourcriticalfeedbackandsuggestionsforhealthimprovementactivitiesinthefuture.Yourhonestyduringtoday’sinterviewisencouragedandappreciated.
• Aswementionedinourinterviewinvitation,theinterviewwilllastbetween45minutesto
anhouranditwillberecorded.Afteralltheinterviewsarecompleted,wewillanalyzeandsummarizealltheinterviewstoincorporateintothecommunityhealthneedsassessmentreports.EachMHhospitalwillkeepyourinterviewtranscriptconfidentialandaccessibleonlytotheteamthatispreparingthecommunityhealthneedsassessmentreport.
• MemorialHermannhasaskedHCItoaskallintervieweeshowtheywishanyquotesfromtoday’sinterviewtobepresentedinreports.Therearethreeoptions.Quotesmaybepresentedanonymouslywithoutyournameororganization,presentedwithyournameandorganization,orpresentedwithonlythesectoryourepresent.
• Whichoptionwouldyouliketochoose?
• RECORDRESPONSEFROMINTERVIEWEE:rAnonymousrNameandorganizationrSector
• Thankyou.Wewillnoteyourchoiceinthetranscriptthatweprovidetothehospitals.
• IFTHERESPONDENTISUNSUREATTHETIMEOFTHEINTERVIEW:Ok,pleasefeelfreetothinkitoverandwewillfollowupwithyouforyourdecisionbeforewesendthetranscripttothehospitals.
• Doyouhaveanyquestionsbeforewebegin?BEGINRECORDINGTHEINTERVIEW
MemorialHermannRehabilitationHospitalKatyCHNA2019 158
INTERVIEWQUESTIONNAIRE(55MINUTES)
NOTESTOINTERVIEWER:• INTERVIEWQUESTIONSMAYBEADDEDORTAILOREDTOMEETTHESPECIFIC
POSITION/ROLEOFTHEINTERVIEWEE• THEQUESTIONSINTHEINTERVIEWQUESTIONNAIREAREINTENDEDTOSERVEASAGUIDE,
NOTASCRIPTBACKGROUND(5MINUTES)• Canyoutellmealittlebitaboutyourroleatyourorganization?
o Hasyourorganization/agencyeverpartneredwithMH’scommunityhealthneedsassessmentbefore?IFSO,PROBEINWHATCAPACITY/PROGRAM
• Howwouldyoudescribethecommunityyourepresent/thecommunityyourorganizationserves?Whataresomeofitsdefiningcharacteristicsintermsofdemographics?INTERVIEWER:ESTABLISHWHATTHEINFORMANTCONSIDERSTHECOMMUNITYTOBEFROMTHEIRPERSPECTIVE
COMMUNITYISSUES(20minutes)INTERVIEWER:VARYTHELABELOF‘COMMUNITY’BASEDONTHEINFORMANT’SBACKGROUNDANDHOWHEORSHEDESCRIBESTHECOMMUNITY;BESURETOPROBEONWOMEN’SANDCHILDREN’SISSUESTOENSUREWEADDRESSTHENEEDSOFTHECHILDREN’SHOSPITALSINALLQUESTIONSASRELEVANT• Thinkingaboutthestatusofthecommunitytoday,howwouldyouratetheoverallhealth
statusofresidentsonascaleof1to5with1beingpoorand5beingveryhealthy?
• Ifyouhadtopickyourtop3healthconcernsinthecommunity,whatwouldtheybe?PROBEIN-DEPTHBASEDONINFORMANTAREAOFEXPERTISE
o Whodoyouconsidertobethepopulationsinthecommunitymostvulnerableorat
riskfortheseconditions/issues?§ IFNOTYETMENTIONED,PROBESPECIFICALLYONPRIORITYPOPULATION
RELEVANTTOTHEINFORMANT’SEXPERTISE:Whatdoyouthinkarethemostpressinghealthconcernsinthecommunityfor[PRIORITYPOPULATION]?
§ FORINFORMANTSEXPERTISEWITHWOMENANDCHILDREN:Whatdoyou
thinkarethemostpressinghealthconcernsinthecommunityforchildrenandtheirfamilies?Howaboutforwomen?
§ IFNOTYETDISCUSSED:Ofthetopthreeissuesyoumentioned,which
wouldyourankasyourtopissue?Howdoyouseethisissueaffecting
MemorialHermannRehabilitationHospitalKatyCHNA2019 159
communitymembers’dailylivesandtheirhealth?PROBEIN-DEPTHINSPECIFICFOCUSAREAS;MAYASKABOUTONEISSUEATTIMEANDFOCUSONPERSON’SAREAOFEXPERTISE.
• Fromyourexperience,whatareresidents’biggestbarrierstoaddressingthetop3health
issuesyouidentified?o PROBE:Socialdeterminantsofhealth?o PROBE:Barrierstoaccessingmedicalcare?o PROBE:Barrierstoaccessingpreventiveservicesorprograms?
FOCUSAREA:HEALTHYLIVING(5MINUTES)• I’dliketoaskyouaboutbarriersaffectinghealthylivingandthepreventionofobesity.
o Whataresomeofthebarrierstohealthyeatingandphysicalactivityamongthecommunitiesyouserve?
§ Whatpopulationsaremostaffectedbythesebarrierstohealthylivingandphysicalactivity?PROBEABOUTFOODINSECURITYANDACCESSTOSAFESPACESFORPHYSICALACTIVITY
o Whateffortsorprogramsareyouawareofthatpromotehealthyliving?PROBEABOUTHEALTHYLIVINGMATTERSCOLLABORATIVE
ACCESSTOHEALTHCAREANDPUBLICHEALTH/PREVENTIONSERVICES(15MINUTES)
• I’dliketoaskyouaboutaccesstohealthcareandsocialservicesinyourcommunity.
o WhatAREthestrengthsofthehealthcareandsocialservicesinyourcommunity?
o Whataresomeoftheirlimitations?• Whatchallenges/barriersdoresidentsinyourcommunityfacewhenaccessinghealthcare
andsocialservices?[PROBEINDEPTHFORBARRIERSTOCARE:INSURANCEISSUES,LANGUAGEBARRIERS,ACCESSTOHEALTHINFORMATION/HEALTHLITERACY,LACKOFTRANSPORTION,CHILDCARE,ETC.]
o Whatdoyouthinkneedstohappeninthecommunitytohelpresidentsovercomeoraddressthesechallenges?
• Whatprograms,services,orpoliciesareyouawareofthataddressaccesstohealthcare
andsocialservices?
o Inyouropinion,howeffectivehavetheseprograms,services,orpoliciesbeenataddressingthehealthneedsofresidents?
o Whatprogram,services,orpoliciesnotavailablethatyouthinkshouldbe?
IMPROVINGTHEHEALTHOFTHECOMMUNITY/RESIDENTS(10MINUTES)
MemorialHermannRehabilitationHospitalKatyCHNA2019 160
• Whatdoyouthinkneedstohappeninthecommunitytohelpresidentsovercomeor
addressthechallengestheyfaceinbeingabletobehealthy?
• Earlierinthisinterview,youmentioned[TOPISSUE]asbeingyourtophealthpriorityforarearesidents.Whatdoyouthinkneedstobedonetoaddress[TOPISSUEHERE]?
o Whatdoyouthinkhospitalscandotoaddressthisissuethattheyarenotdoingrightnow?
o Doyouhaveanysuggestionsabouthowhospitalscanbecreativeorworkoutsidetheirtraditionalroletoaddressthisissueandimprovecommunityhealth?
o Whatkindsofopportunitiesarecurrentlyouttherethatcanbeseizedupontoaddresstheseissues?Forexample,aretheresome“lowhangingfruit”–currentcollaborationsorinitiativesthatcanbestrengthenedorexpanded?
VISIONFORTHECOMMUNITY(5MINUTES)
• Thehospitalsinvolvedinthisinitiativewillbeplanningtheirstrategytoimprovethehealth
ofthecommunitiestheyserve.Whatadvicedoyouhaveforthegroupdevelopingtheplantoaddressthetophealthneedsyou’vementioned?
CLOSING(5MINUTES)
Thankyousomuchforyourtime.That’sitformyquestions.Isthereanythingelsethatyouwouldliketomentionthatwedidn’tdiscusstoday?AsImentioned,afteralloftheinterviewsarecompleted,wewillbesendingyourinterviewtranscriptstoMemorialHermann.Thecommunityhealthneedsassessmentreportswillbepubliclyavailablewhentheyarecomplete.Ifyouhaveanyquestions,pleasefeelfreetoreachouttoDeborahGanelinatMemorialHermannwhoiscoordinatingthiseffort.Thankyouagain.Haveagoodmorning/afternoon.
MemorialHermannRehabilitationHospitalKatyCHNA2019 161
CommunitySurvey(English)MemorialHermannHealthSystemisconductingaCommunityHealthNeedsAssessmentfortheGreaterHoustonarea.ThisassessmentallowsMemorialHermanntobetterunderstandthehealthstatusandneedsofthecommunityandusetheknowledgegainedtoimplementprogramsthatwillbenefitthecommunity.Wecanbetterunderstandcommunityneedsbygatheringvoicesfromthecommunity.Thissurveyallowscommunitymemberslikeyoutotellusaboutwhatyoufeelareimportantissuesforyourcommunity.Weestimatethatitwilltakeabout5minutestocompletethissurvey.Thankyouverymuchforyourinputandyourtime!1. Pleaselookatthislistofcommunityissues.Inyouropinion,whatarethetop5issuesmost
affectingthequalityoflifeinyourcommunity?o Diabeteso Obesity/Overweighto Respiratory/LungDisease(asthma,COPD,etc.)o Cancerso MentalHealthandMentalDisorderso Injuries,ViolenceandSafetyo SubstanceAbuse(alcohol,tobacco,drugs,etc.)o OralHealtho HeartDiseaseandStrokeo SexualHealth(HIV/AIDS,STDs,etc.)o TeenagePregnancyo ElderCareo ReproductiveHealth(familyplanning)o Other(pleasespecify):______________________________
2. Howwouldyourateyourownpersonalhealth?
o Veryhealthyo Somewhathealthyo Unhealthyo Veryunhealthy
3. Abouthowmanytimesaweekdoyouexerciseorperformaphysicalactivitylikewalking,
running,bicycling,etc.?o Lessthan1timeaweeko 2-3timesaweeko 5ormoretimesaweeko Nevero Other(pleasespecify):______________________________
MemorialHermannRehabilitationHospitalKatyCHNA2019 162
4. Whataresomeofthebarriersorchallengestoexercisingonaregularbasisforyou?o Noplacestoexerciseo Notimetoexerciseo Idon’tlikeexercisingo Feelunsafeexercisinginthecommunityo Noneofmyfriendsorfamilyexerciseo Nochildcareo Lackoffundstopayforgymorclasseso Notransportationo Other(pleasespecify):______________________________
5. Howmuchdoyouagreeordisagreewitheachofthestatementsbelow. Agree
stronglyAgree Disagree Disagree
stronglyTherearegoodparksforchildren,adultsandpeopleofallabilitiestoenjoyinmycommunity
Inthepast12months,IhadaproblemgettingthehealthcareIneededformeorafamilymemberfromanytypeofhealthcareprovider,dentist,pharmacy,orotherfacility
Idon’tknowwheretogetservicesformyselfwhenIamsad,depressedorneedsomeonetotalkto
IamconfidentIcangetanappointmentwhenIneedtoseemydoctorfairlyquickly
Ihaveaplacetoreceivemedicalcareotherthantheemergencyroom
Withinthepast12months,IworriedwhethermyfoodwouldrunoutbeforeIgotmoneytobuymore
Withinthepast12months,thefoodIboughtjustdidn’tlastandIdidn’thavemoneytogetmore
Therearemanyoptionsforhealthyandaffordablefoodinmycommunity
6. Hasyourdoctorevertoldyouthatyouhaveanyofthefollowing?(Markallthatapply)
o Highbloodpressureo Highcholesterolo Cancero Diabeteso Obesityo Asthmao Heartdiseaseo Other(pleasespecify):______________________________
Now,afewquestionssothatwecanseehowdifferenttypesofpeoplefeelaboutthequestionsasked.7. Zipcodewhereyoulive:______________________________
MemorialHermannRehabilitationHospitalKatyCHNA2019 163
8. Whatisyourage?______________________________9. Whatisyourrace/ethnicity?
o Whiteo Black/AfricanAmericano Hispanic/Latinoo Asian/PacificIslandero NativeAmericano Other(pleasespecify):______________________________
10. Whataretheagesofchildrenlivinginyourhousehold?
o 11andyoungero 12-18yearsoldo 18andoldero None
11. Whatkindofmedicalinsuranceorcoveragedoyouhave?
o Privateo Employer-sponsoredo Medicaido Medicareo Noneo Other(pleasespecify):______________________________
Thankyouforcompletingthissurvey!
MemorialHermannRehabilitationHospitalKatyCHNA2019 164
CommunitySurvey(Spanish)MemorialHermannHealthSystemestárealizandounaEvaluacióndelasNecesidadesdeSaluddelaComunidadeneláreametropolitanadeHouston.EstaevaluaciónpermiteaMemorialHermann
comprendermejorelestadodesaludylasnecesidadesdelacomunidad,asícomousarlainformaciónobtenidaparaponerenprácticaprogramasquebeneficienalacomunidad.
1.Lealalistadeproblemasdelacomunidad.Ensuopinión¿cuálessonlos5problemasquemásafectanlacalidaddevidaensucomunidad?□ Diabetes□ Obesidad/sobrepeso□ Enfermedadesrespiratorias/pulmonares(asma,enfermedadpulmonarobstructivacrónica[EPOC],etc.)
□ Cáncer□ Saludmentalytrastornosmentales□ Lesiones,violenciayseguridad□ Drogodependencia(alcohol,tabaco,drogas,etc.)
□ Saludbucal□ Enfermedadescardíacasyaccidentescerebrovasculares
□ Saludsexual(VIH/sida,enfermedadesdetransmisiónsexual[ETS],etc.)
□ Embarazosdeadolescentes□ Cuidadodeancianos□ Saludreproductiva(planificaciónfamiliar)
□ Otros,(especifique):_________________________________________________________
2.¿Cómocalificaríasupropiasaludpersonal?□ Muybuena□ Bastantebuena
□ Mala□ Muymala
3.¿Aproximadamente,cuántasvecesporsemanahaceejerciciooalgunaactividadfísica,comocaminar,correr,andarenbicicleta,etc.?□ Menosde1vezporsemana□ De2a3vecesporsemana
□ 5omásvecesporsemana□ Nunca
□ Otros,(especifique):_________________________________________________________
4.¿Cuálessonalgunasdelasbarrerasodificultadesqueleimpidenhacerejercicioregularmente?□ Notengounlugardondehacerejercicio.□ Notengotiempoparahacerejercicio.□ Nomegustahacerejercicio.□ Nomesientoseguro/ahaciendoejercicioenmicomunidad.
□ Ningunodemisamigosofamiliareshacenejercicio.
□ Notengoconquiéndejaramishijosmientrashagoejercicio.
□ Notengodineroparapagarungimnasiooclases.
□ Notengoaccesoatransporte.
□ Otros,(especifique):_________________________________________________________
Calculamosqueletomaráunos5minutoscompletarestaencuesta.
MemorialHermannRehabilitationHospitalKatyCHNA2019 165
5.¿Lehadichosumédicoalgunadelassiguientesafecciones?(Marquetodaslasopcionesquecorrespondan).□ Presiónarterialalta□ Colesterolalto□ Cáncer□ Diabetes
□ Obesidad□ Asma□ Enfermedadcardíaca
□ Otros,(especifique):_________________________________________________________
6.¿Enquémedidaestádeacuerdooendesacuerdoconcadaunadelassiguientesafirmaciones? Muyde
acuerdoDe
acuerdoEn
desacuerdoMuyen
desacuerdoEnmicomunidad,haybuenosparquesparaniños,adultosypersonascontodotipodecapacidadesparanuestrodisfrute.
Enlosúltimos12meses,tuveunproblemaparaobtenerelcuidadomédicoquenecesitabaparamíoparaunfamiliarporpartedecualquiertipodeproveedordecuidadodelasalud,dentista,farmaciauotrocentrosanitario.
Nosédóndeobtenerserviciosparamícuandoestoytriste,deprimido/a,onecesitohablarconalguien.
Séconseguridadquepuedoobtenerunacitaconmimédicoconciertarapidez.
Tengoamidisposiciónunlugarpararecibircuidadosmédicosquenoseaunasaladeemergencias.
Enlosúltimos12meses,mepreocupédesilacomidaseagotaríaantesdeobtenerdineroparacomprarmásalimentos.
Enlosúltimos12meses,losalimentosquecomprésimplementenoduraronlosuficienteynotuvedineroparacomprarmás.
Enmicomunidadhaymuchasopcionesparacompraralimentossaludablesyasequibles.
7.Códigopostaldesucasa:_________________________8.¿Cuántosañostiene?_________________9.¿Cuálessuraza/origenétnico?□ Blanco/a□ Negro/aoafroamericano/a□ Hispano/aolatino/a
□ Asiático/aoisleño/adelPacífico□ Indígenaamericano/a□ Otro/a,(especifique):______________
10.¿Cuántosañostienenlosniños/asquevivenensucasa?□ 11ymenos □ Entre12y18años
Ahoraleharemosalgunaspreguntasparapodervercómosesientenlosdistintosgruposdepersonasacercadelaspreguntasquelehemoshecho.
MemorialHermannRehabilitationHospitalKatyCHNA2019 166
□ Másde18años □ Ninguno
11.¿Quétipodeseguromédicoocoberturatiene?□ Privado□ Patrocinadoporunempleador□ Medicaid
□ Medicare□ Ninguno□ Otro,(especifique):________
MemorialHermannRehabilitationHospitalKatyCHNA2019 167
AppendixD.PrioritizationTool
PrioritizationSurveyThankyouforyourparticipationinthisprioritizationprocess.TheCommunityHealthNeedsAssessment(CHNA)processhasmultiplesteps.Afterthoroughresearchhasbeencompletedtoidentifythesignificanthealthneedsinthecommunity,thesesignificanthealthneedsmustbeprioritizedforfurtherstrategicplanningandimplementation.Prioritizationistheprocessofdeterminingthemostimportantorurgenthealthneedstoaddressincommunities.BelowisadiagramthatshowsthemethodsthatwereusedtoidentifykeyissuesacrossMemorialHermann’sserviceareas.Thesethreemethodsincluded:asecondarydatareview,acommunitysurveyandkeyinformantinterviews.Asyousee,someissuesrevealedthemselvesacrossmultiplemethods.Reviewingthisdiagrammayhelpyoucompletethissurvey.
1. Thefollowinghealthneedsarenotlistedbyorderofimportance.Foreachhealthneed,click
onthearrowonthedropdownboxandselectyouragreementwitheachstatement.Ifyouareonatabletorphone,pleasescrollallthewaytotherightforeachrow.
Theissueimpactsmanypeopleinmycommunity
Thisissuesignificantlyimpacts
Therearenotenoughexistingandadequate
Thisissuehashighriskfordiseaseordeath
MemorialHermannRehabilitationHospitalKatyCHNA2019 168
subgroups(subgroupsbyage,gender,race/ethnicity,LGBTQ,etc.)
resourcestoaddressthisissueinmycommunity
AccesstoHealthServices
HeartDiseaseandStroke
OlderAdultsandAging
Obesity(Exercise,NutritionandWeight)
Transportation MentalHealth Diabetes SubstanceAbuse Cancers LackofHealthInsurance
Education FoodInsecurity Low-Income/Underserved
Children’sHealth Economy 2. IndicatethelevelofimportancethatshouldbegiventowardseachofMemorialHermann’s
4Pillars.Keydefinitionsarelistedbelow.
NotImportant
SomewhatImportant
Important VeryImportant
NotSure
Accesstocare(includinghealthcareaccess,healthcareresourceawareness,healthcarenavigation/literacy)
Foodashealth(includingfoodinsecurity,foodprograms,foodknowledge)
Exerciseasmedicine(includingobesity,accesstoparks,safeplacestoexercise)
Emotionalwell-being(includingemotionalhealth,mentalhealth,substanceabuse)
Keydefinitions:
MemorialHermannRehabilitationHospitalKatyCHNA2019 169
Healthcarenavigation/literacy:needforeducationinnavigatinghealthsystemsFoodinsecurity:lackingreliableaccesstohealthyfoodoptionsFoodprograms:programs,effortsorservicesdesignedtoaddressfoodissuesFoodknowledge:one’sunderstandingofhealthyfoods3. Whoinyourcommunityismostaffectedbypoorhealthoutcomes?(Selectupto5)
o Lesbian,Gay,Bisexual,Transgender,QueerorQuestioning(LGBTQ)o OlderAdultso PersonswithDisabilities(cognitive,sensoryorphysicaldisability)o Racial/EthnicMinorityPopulationso Veteranso Immigrantsorotherundocumentedpersonso Personsexperiencinghomelessnessorprecariouslyhousedo OtherPopulations(pleasespecify):____________________________
4. Pleaseprovideyourname:__________________________________________
5. Pleaseprovideyouremailaddress:__________________________________________
6. Pleaseselectthename(s)ofthehealthcarefacilityorfacilitiesyourepresent.Youmay
choosemorethanone.o MemorialHermannKatyo MemorialHermannMemorialCityo MemorialHermannGreaterHeightso MemorialHermannNortheasto MemorialHermannSoutheasto MemorialHermannSugarLando MemorialHermannSouthwesto MemorialHermannTheWoodlandso KatyRehabo TexasMedicalCentero TIRRMemorialHermanno MemorialHermannSurgicalHospitalKingwoodo MemorialHermannSurgicalHospitalFirstColonyo MemorialHermannFirstColonyHospital(ER)o MemorialHermannTomballHospital(ER)o Other(pleasespecify):_____________________________
ThankyouforyourinputandparticipationintheCommunityHealthNeedsAssessmentprocess.
MemorialHermannRehabilitationHospitalKatyCHNA2019 170
AppendixE.CommunityResourcesThefollowingisalistofcommunityresourcesmentionedbycommunityinputparticipants.2-1-1TexasA.C.TaylorHealthCenterAccessHealthAcresHomeHealthCenterAIDSFoundationHoustonAldineHealthCenterAmericanHeartAssociationAmericanRedCrossAmistadCommunityHealthCenterAreaAgencyonAgingAssociationfortheAdvancementofMexicanAmericansAvenue360Health&WellnessAvenueCDCBaker-RipleyBastropCommunityHealthCenterBaylorTeenHealthClinicBaysideClinicBaytownHealthCenterBeeBusyWellnessCenterBoatPeopleSOSBo'sPlaceBrighterBitesBrownsvilleCommunityHealthCenterBuffaloBayouPartnershipBurlesonFamilyMedicalCenterBVCAA-HealthPointCanDoHoustonCasadeAmigosHealthCenterCasaElBuenSamaritanoCatholicCharitiesoftheArchdioceseofGalveston-Houston-FortBendCentralCareCommunityHealthChambersCommunityHealthCenterCHISt.Luke'sHealthChildAdvocatesofFortBendChildrenatRiskChristClinicChristianCommunityServicesCenter(CCSC)CHRISTUSHealthSystemCitiesChangingDiabetesCityofHouston
CityofHouston,DepartmentofParksandRecreationCityofPasadenaCoastalAreaHealthEducationCenters(AHEC)CommunityHealthChoiceCountyIndigentHealthCareProgramCovenantwithChristCommunityServiceCenterCypressHealthCenterDannyJacksonHealthCenterDentalHygieneClinicE.A."Squatty"LyonsHealthCenterElCentroDeCorazonElFrancoLeeHealthCenterEpiscopalHealthFoundationFamilyServices(GalvestonCounty)FortBendConnectFortBendCountyCollaborativeInformationSystemFortBendCountyHealthandHumanServicesFortBendCountySheriff'sOfficeFortBendRegionalCouncilOnSubstanceAbuseFortBendSeniorsMealsonWheelsFortBendWomen'sCenterGalvestonCountyHealthDistrictGalvestonCountyMentalHealthDeputiesGoHealthyHoustonTaskForceGoodRxGreaterHoustonPartnershipGreaterHoustonWomen'sChamberofCommerceGulfCoastCommunityServicesAssociationGulfCoastMedicalFoundationGulfgateHealthCenterHarmonyHouseRespiteCenterHarrisCenterCrisisLineHarrisCountyPublicHealthandEnvironmentalServices(HCPHES)HarrisCountyRidesHarrisCountySocialServices
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