1. [REACH LOGO HERE] The REACH Galveston County Health Needs Assessment: Developing an Evidence-Base for Improving Health & Well-being in Galveston County

2. [REACH LOGO HERE] REACH Mission Umbrella board developed to serve as the bidirectional mechanism to engage community leaders with multiple UTMB Center and Institute leaders to: Build research and academic-community partnerships Inform research development and implementation across the translational spectrum from basic science to public health Impact community health and wellness through community intervention and dissemination of best practices Evaluate both process of networking and products

3. [REACH LOGO HERE] Roles for REACH Advise leadership of UTMB Institute for Translational Science (ITS) and other Centers related to setting priorities, identifying issues of concern, and providing recommendations for governance as needed Serve as advising entity for research teams related to community-based and patient-engaged research Liaise with broader community for communication and dissemination of information

4. [REACH LOGO HERE] REACH Membership Multiple Centers and Institutes: ITS, CET, GNL, Inst. for Human Infections and Immunity, Center for Addiction Research, Center for Interdisciplinary Research in Women’s Health, Center for Hispanic Excellence, proposed Children’s Environmental Health Center Broad-based, high-impact Galveston community participation: Social service providers, public and mental health agencies, clinicians, law enforcement, cultural and faith- based organizations, Chambers of Commerce, local schools and colleges, and industry

5. [REACH LOGO HERE] Assessment Background Essential to any population-level translational research effort is accurate information about your target population. Data for population health indicators at small area geographies is often difficult to obtain, particularly in areas outside of only the largest cities in the U.S. - Galveston County is no exception. Galveston County Community Health Needs Assessment seeks to fill the data gap by providing both UTMB researchers and our community partners with better population health estimates for the county

6. [REACH LOGO HERE] Purpose The Galveston County Health Needs Assessment is being conducted collaboratively by the UTMB ITS Community Engagement and Research Resource in partnership with the Galveston REACH Coalition, to provide evidence- based baseline estimates among the general adult population of Galveston County in terms of: Health status and Quality of Life; Disease, health determinant, and health behavior prevalence; Access to health care, health-related services, and similar resources; Disaster preparedness; and Perceptions of neighborhoods and communities in terms of health, health risk, and health promotion

7. [REACH LOGO HERE] Assessment Survey Stratified random sample of adults living in Galveston County Oversampling in rural & predominately lower-income areas Aim is to get a sample representing the entire County, not just a particular group Mail-out survey, with options to take online Survey completion support centers at public facilities Remuneration Details still being discussed

8. [REACH LOGO HERE] Survey Content General Health Status Morbidity Symptomatology Access to Health Services Access Primary Care Mental Health Insurance Cost and cost-sharing Access to Other Critical Goods and Services Food Transportation Employment Health Behaviors Screenings & Vaccinations Diet Smoking Seat-belts Exercise Social interaction Needed and Utilized Community-based Resources Disaster Preparedness Perceptions & Opinions of Neighborhood Community Status Demographics

9. [REACH LOGO HERE] Sampling Area (outlined in red)

10. [REACH LOGO HERE] Geographic Strata Zip Code Population in Households Population 18+% of Total Est. # SampledCommunity 77510 13,592 10,5264.1%205Santa Fe 7751128,789 20,7758.1%405West County - Alvin* 775176,2354,3151.7%84Santa Fe 775187,8155,6262.2%110Bacliff 77539 39,591 29,64411.5%577Dickinson 77546 48,991 35,96614.0%700Friendswood 77550 22,234 18,0297.0%351Galveston 77551 17,261 14,6235.7%285Galveston 77554 7,711 7,6123.0%149Galveston 77563 9,837 7,3722.9%144Hitchcock 77565 5,735 4,7301.8%92Kemah 77568 14,561 10,4144.1%203La Marque 77573 73,191 53,15520.7%1034League City 77590 29,742 22,0998.6%430Texas City 77591 13,679 10,3784.0%202Texas City 77617 99 0.0%2Gilchrist 77623 816 5770.2%12High Island 77650 1,349 1,1330.4%23Port Bolivar Total 341,228 257,073100.0%5008

11. [REACH LOGO HERE] Current Status Developing outreach material Vetting survey domains with stakeholders Finalizing survey instrument based on stakeholder feedback Obtaining IRB clearance Programming online survey Finalizing budget and fundraising strategies

12. [REACH LOGO HERE] How the Assessment can be Used Organizational strategic planning Identification of priority areas for focusing efforts, funding, etc. Alignment of efforts across partner organizations Monitoring impacts of efforts

13. [REACH LOGO HERE] Limitations Recruitment Strategy Expected Low Return Rate Small Sample Size Hard to Reach Populations Self-Report