1. CAN Community Advisory Board Community Health Needs 2016
June 30, 2017
Data Compiled by Centra Health and Community Access Network

2. Healthy People 2020
Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key disease prevention and health promotion objectives. The health objectives and targets allow communities to assess their health status and build an agenda for community health improvement.

3. What Affects Community Health?
Physical Environment​ 10%​
Social & Economic​ 40%​
Health Status & Behavior ​
30%​
Clinical Care​ 20%​
Air & Water Quality​
Education​
Obesity​
Hospital Outcomes​
Safe Housing​
Employment & Income​
Smoking​
Access to Primary Care​
Transportation​
Family & Social Supports​
Exercise​ ​
Community Safety​
Genetics​

4. Population
CAN Needs Assessment 6/16
American Community Survey 2014

5. Downtown Population CAN Needs Assessment 6/16
American Community Survey 2014

7. Race
CAN Needs Assessment 6/16
American Community Survey 2014

8. CAN Needs Assessment 6/16
American Community Survey 2014
Poverty

9. Poverty by Race

10. Median Household Income
CAN Needs Assessment 6/16
American Community Survey 2014
Median Household Income

11. Provider Ratio CAN Needs Assessment 6/16
American Community Survey 2014

12. Insurance Status CAN Needs Assessment 6/16
American Community Survey 2014
Insurance Status

13. CAN Needs Assessment 6/16
American Community Survey 2014
Mortality

14. Summary of Problem Categories
Indicator
Amherst
Appomattox
Campbell
Lynchburg
TOTAL
HEALTH
Access to Health Services
Adults with Health Insurance X 4
Children with Health Insurance
Primary Care Provider 3
Non-Physician Primary Care Provider
Adults age 18+ who could not see Doctor due to Cost
Dentist Rate
Adults age 18+ with no Dental Visit in the Last Year 1
Cancer
Age-Adjusted Death Rate due to Breast Cancer 2
Age-Adjusted Death Rate due to Cancer
Age-Adjusted Death Rate due to Colorectal Cancer
Age-Adjusted Death Rate due to Lung Cancer
Age-Adjusted Death Rate due to Prostate Cancer
Colorectal Cancer Incidence Rate
Exercise, Nutrition & Weight
Adults who are Obese
Low-Income Preschool Obesity
*County Dashboard Indicators are problem areas (red or yellow; if blank, Indicator was in the green area.
Centra Health CHNA 2016

15. Summary of Problem Categories
Indicator
Amherst
Appomattox
Campbell
Lynchburg
TOTAL
HEALTH, continued
Heart Disease and Stroke
Age-Adjusted Death Rate due to Cerebrovascular Disease (stroke) X 4
Hyperlipidemia: Medicare Population
Immunizations and Infectious Diseases
Age-Adjusted Death Rate due to Influenza and Pneumonia 3
Maternal, Fetal and Infant Health
Babies with Low Birth Weight (5 pounds, 8 ounces) 1
Babies with Very Low Birth Weight (3 pounds, 5 ounces)
Infant Mortality Rate
Mothers who Received Early Prenatal Care (mothers who began prenatal care in the first trimester of their pregnancy)
Other Chronic Diseases
Chronic Kidney Disease: Medicare Population
Mental Health and Mental Disorders
Age-Adjusted Death Rate due to Suicide
Total Behavioral Health Hospitalization Discharges
Substance Abuse
Adults who Smoke
*County Dashboard Indicators are problem areas (red or black); if blank, Indicator was in the green area.
Centra Health CHNA 2016

16. Summary of Problem Categories
Indicator
Amherst
Appomattox
Campbell
Lynchburg
TOTAL
HEALTH, continued
Prevention and Safety
*Age-Adjusted Death Rate due to Unintentional Injuries (Major categories of unintentional injuries include motor vehicle collisions, poisonings, and falls. ) X 3
ECONOMY
Poverty
Poverty Status by School Enrollment 2
Families Living Below Poverty Level
Children Living Below Poverty Level
People 65+ Living Below Poverty Level
Government Assistance Programs
Households with Cash Public Assistance Income
Housing Affordability and Supply
Severe Housing Problems
(households with at least one of the four housing problems: overcrowding, high housing costs, lack of kitchen or lack of plumbing) 1
*County Dashboard Indicators are problem areas (red or yellow); if blank, Indicator was in the green area.

17. Summary of Problem Categories
Indicator
Amherst
Appomattox
Campbell
Lynchburg
TOTAL
SOCIAL ENVIRONMENT
Child Abuse Rate: X 3
Single Parent Households 4
PUBLIC SAFETY
Violent Crime Rate 1
Domestic Violence Victimization Rate: 2
EDUCATION: Student Performance
8th Grade Students Proficient in Reading
4th Grade Students Proficient in Reading
*High School Graduation
ENVIRONMENT: Built Environment
Households with no Car and Low Access to Grocery Store
(more than one mile from a supermarket or large grocery store if in an urban area, or more than 10 miles from a supermarket or large grocery store if in a rural area).
Grocery Store Density
TRANSPORTATION: Commute to Work
Workers Commuting by Public Transportation
Workers who Walk to Work
*County Dashboard Indicators are problem areas (red or yellow); if blank, Indicator was in the green area.
Centra Health CHNA 2016

18. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy People Target
Amherst
Appomattox
Campbell
Lynchburg
Measure/Resource/ Measurement Period
HEALTH
Access to Health Care
*Adults with Health Insurance
100 %
80.7 %
80.0 %
81.8 %
80.3 %
(percent)
Small Area Health Insurance Estimates/2013
*Children with Health Insurance
93.4 %
92.2 %
94.2 %
94.3 %
Primary Care Provider
n/a 16 13 25
128
(providers/100,000 population)
County Health Rankings/2013
Non-Physician Primary Care Provider 20 7
156
(rank)
Adults age 18+ who could not see Doctor due to Cost
12 %
Virginia Behavioral Risk Factor Surveillance System/
Dentist Rate 19
105
(dentists per 100,000 population)
County Health Rankings/2014
Adults age 18+ with no Dental Visit in the Last Year
20%
22%
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

19. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy People Target
Amherst
Appomattox
Campbell
Lynchburg
Measure/Resource/ Measurement Period
HEALTH, continued
Cancer
*Age-Adjusted Death Rate due to Breast Cancer
20.7
25.7
NO DATA
22.7
19.4
(deaths/100,000 females)
National Cancer Institute/
*Age-Adjusted Death Rate due to Cancer
161.4
190.7
192.8
173.9
190.6
(deaths/100,000 population)
*Age-Adjusted Death Rate due to Colorectal Cancer
14.5
20.2
17.8
12.1
18.5
*Age-Adjusted Death Rate due to Lung Cancer
45.5
53.5
55.9
53.8
53.9
*Age-Adjusted Death Rate due to Prostate Cancer
21.8
23.3
50.4
23.1
31.6
(deaths/100,000 males)
(Nelson)
(Appomattox)
*Colorectal Cancer Incidence Rate
39.9
42.7
39.0
41.6
46.7
(cases/100,000 population)
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

20. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy People Target
Amherst
Appomattox
Campbell
Lynchburg
Nelson
Pittsylvania
Measure/Resource/ Measurement Period
HEALTH, continued
Exercise, Nutrition & Weight
*Adults who are Obese
30.5 %
30.3 %
30.2 %
32.6 %
29.8 %
27.7 %
32.0 %
(percent)
Centers for Disease Control and Prevention/2012
Low-Income Preschool Obesity
n/a
10.7 %
9.3 %
16.9 %
15.4 %
16.1 %
15.9 %
U.S. Department of Agriculture - Food Environment Atlas/
Heart Disease and Stroke
*Age-Adjusted Death Rate due to Cerebrovascular Disease (stroke)
34.8
53.9
42.1
46.2
58.4
39.5
30.9
(deaths/100,000 population)
Virginia Department of Health, Division of Health Statistics/2013
Hyperlipidemia: Medicare Population
47.6 %
47.3 %
46.2 %
44.9 %
42.2 %
48.5 %
Centers for Medicare & Medicaid Services/2014
Immunizations and Infectious Diseases
Age-Adjusted Death Rate due to Influenza and Pneumonia
22.1
39.7
15.2
25.1
14.3
31.1
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

21. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy People Target
Amherst
Appomattox
Campbell
Lynchburg
Measure/Resource/ Measurement Period
HEALTH, continued
Maternal, Fetal and Infant Health
*Babies with Low Birth Weight (5 pounds, 8 ounces)
7.8 %
5.3 %
8.0 %
6.9 %
7.2 %
(percent)
Virginia Department of Health, Division of Health Statistics/2014
*Babies with Very Low Birth Weight (3 pounds, 5 ounces)
1.4 %
1.3 %
1.6 %
2.3 %
1.5 %
*Infant Mortality Rate 6
3.2
11.0
4.2
4.4
(deaths/1,000 live births)
Virginia Department of Health, Division of Health Statistics/2013
*Mothers who Received Early Prenatal Care (mothers who began prenatal care in the first trimester of their pregnancy)
77.9 %
88.7 %
90.6 %
90.9 %
89.1 %
Other Chronic Diseases
Chronic Kidney Disease: Medicare Population
n/a
17 %
16.3 %
17.2 %
18.3 %
Centers for Medicare & Medicaid Services/2014
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

22. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy People Target
Amherst
Appomattox
Campbell
Lynchburg
Nelson
Pittsylvania
Measure/Resource/ Measurement Period
Health, continued
Mental Health and Mental Disorders
*Age-Adjusted Death Rate due to Suicide
10.2
7.2
9.1
20.4
3.7
39.8
22.9
(deaths/100,000 population)
Virginia Department of Health, Division of Health Statistics/2013
Total Behavioral Health Hospitalization Discharges
n/a
1,082.4
571.0
737.8
1,649.4
841.3
(age-adjusted rate per 100,000)
Va Health Information/2012
Alteryx, Inc./2012
Substance Abuse
*Adults who Smoke
12 %
17.5 %
19.5 %
19.2 %
20.0 %
17.8 %
18.9 %
(percent)
County Health Rankings/2014
Prevention and Safety
*Age-Adjusted Death Rate due to Unintentional Injuries (Major categories of unintentional injuries include motor vehicle collisions, poisonings, falls. )
36.4
31.8
50.3
44.1
41.8
72.6
45.2
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

23. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy
People Target
Amherst
Appomattox
Campbell
Lynchburg
Measure/Resource/ Measurement Period
ECONOMY
Poverty
Poverty Status by School Enrollment
n/a
8.6 %
24.5 %
15.1 %
18.2 %
(percent)
American Community Survey/
Families Living Below Poverty Level
7.2 %
15.1%
11.0 %
17.2 %
American Community Survey/
Children Living Below Poverty Level
13.9 %
26.6 %
20.6 %
31.8 %
People 65+ Living Below Poverty Level
7.9 %
14.0 %
7.5 %
9.8 %
Government Assistance Programs
Households with Cash Public Assistance Income
3.3 %
2.3 %
1.9 %
2.6 %
Housing Affordability and Supply
Severe Housing Problems
(households with at least one of the four housing problems: overcrowding, high housing costs, lack of kitchen or lack of plumbing)
9.4 %
9.9 %
11.9 %
19.2 %
County Health Rankings
2008 – 2012
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

24. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy People Target
Amherst
Appomattox
Campbell
Lynchburg
Measure/Resource/ Measurement Period
SOCIAL ENVIRONMENT
Child Abuse Rate:
n/a
1.9
3.0
4.2
10.1
(cases/1,000 children)
Virginia Department of Social Services/2015
Single Parent Households
34.8 %
36.8 %
33.7%
41.1 %
(percent)
American Community Survey/
PUBLIC SAFETY
Violent Crime Rate
76.8 86
122.9
380.1
(victims/1,000 population)
County Health Rankings
Domestic Violence Victimization Rate:
4.7
7.1
14.6
Virginia Department of Criminal Justice Services/2015
EDUCATION:
Student Performance
8th Grade Students Proficient in Reading
78.5 %
68.6%
70.5 %
60.6 %
Virginia Department of Education/
4th Grade Students Proficient in Reading
75.4 %
85.5 %
83.5 %
68.9 %
*High School Graduation
82.4 %
89.2 %
94.0 %
90.1 %
81.0 %
Virginia Department of Education/2015
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

25. Measure/Resource/ Measurement Period
CHNA Indicators
Indicator
Healthy People Target
Amherst
Appomattox
Campbell
Lynchburg
Measure/Resource/ Measurement Period
ENVIRONMENT:
Built Environment
Households with no Car and Low Access to Grocery Store
(more than one mile from a supermarket or large grocery store if in an urban area, or more than 10 miles from a supermarket or large grocery store if in a rural area).
n/a
4.6 %
6.1 %
4.1 %
3.9 %
(percent)
U.S. Department of Agriculture - Food Environment Atlas/2010
Grocery Store Density
0.19
0.13
0.16
0.22
(stores/1,000 population)
U.S. Department of Agriculture - Food Environment Atlas/2012
TRANSPORTATION: Commute to Work
*Workers Commuting by Public Transportation
5.5 %
1.0 %
0.0 %
0.1 %
4.2 %
American Community Survey/
*Workers who Walk to Work
3.1 %
2.8 %
0.2 %
0.6 %
5.1 %
*Healthy People 2020 Indicator results are green (met) or red (not met).
Centra Health CHNA 2016

26. Free Clinic of Central Virginia Community Access Network
Christina Delzingaro, CEO