1. Manhattan, Kansas Community Assessment Heather Sloan Rachel Drosselmeyer

2. Community Health Assessment Population of 53,281 – 16.6 percent increase in past 10 years Kansas State University Fort Riley Population forecasted to increase (AT&T: The Real Yellow Pages, 2010)

3. Community Health Assessment Mercy Regional Health Center Manhattan Surgical Hospital Irwin Army Hospital Primary and specialty care clinics Flint Hills and Riley Health Department public health care clinics K-Stat urgent care clinic Lafene student health Pawnee Mental Health Center (AT&T: The Real Yellow Pages, 2010)

4. Community Health Assessment Big Lakes Developmental Center Assisted living/nursing homes Home health agencies Pharmacies Alternative health care clinics Dental offices Fitness clubs Psychiatry offices (AT&T: The Real Yellow Pages, 2010)

5. Sociodemographic Health Issues Around 15 square miles – Population density of about 3,500 per square mile Students and military Average age of 30.84 years – Kansas average 36.23 Health needs: – Primary care – Family planning – Mental health (Epodunck, The Power of Place, 2007; Kansas State University, 2011; Manhattan, Kansas Census Data and community Profile, 2010)

6. Sociodemographic Health Issues 97 percent of people 25 years and older have at least a high school diploma – 49 percent have at least a bachelor’s degree 45 percent are families Most common occupations are management, service industries and office occupations Median income $34,131 – 32 percent at or below poverty level Over 4,000 people listed as disabled Over 4,000 people born outside of the United States (American Community Survey, 2007-2009; Manhattan, Kansas Census Data and Community Profile, 2010)

7. Sociodemographic Health Issues Above national average – Air quality – Superfund sites – 78.8 Physicians per 100,000 people Water quality – 40/100 – U.S. average of 55/100 (Kansas Health Index, 2010; U.S. Department of Health and Human Services, 2009)

8. Macrosystem Factors 8.4% uninsured in 2009 (compared to 11% of Kansans who are uninsured) 16.6% in Kansas are underinsured 87.6% have private health insurance coverage (compared to 77% of Kansans with private insurance) 12.6% have public health insurance coverage (compared to 25% of Kansans with public health insurance) (U.S. Census Bureau, 2009; Kansas Health Institute, 2009; U.S. Census Bureau, 2008)

9. Macrosystem Factors Unique social and political forces/influences: – Kansas State University – Manhattan Christian College – Manhattan Area Technical College – Fort Riley – 97% have a high school education or higher (National rate 80.4% and Kansas 86%) – 49% have a bachelor’s degree or higher (Nationally 24.4% and Kansas 25.8%) – $400 million Biolab project (U.S. Census Bureau, 2009; Riley County Offices, 2008; American Community Survey [ACS], 2009; Homeland Security Newswire, 2010)

10. Macrosystem Factors Unique social and political forces/influences: – 3.9% unemployment rate – 41.6% of population employed in Management, professional, and related occupations – 26.5% are employed in service occupations – 18.3% employed in sales and office occupations – 32% of all people’s income below the poverty level for 12 months (Nationally 13.2% and Kansas 11.3%) – 8.9% of families income is below the poverty level for 12 months – 46.45% registered republican voters – 24.89% registered democratic voters (U.S. Census Bureau, 2009; Riley County Offices, 2008; American Community Survey, 2007-2009)

11. Gap Analysis Mental Health Services – Riley County accounts for 42% or 71,341 people of the ten county total population of 171,070 people. – Manhattan accounts for 73% of the Riley County population. – Large military population with unique needs (U.S. Census Bureau, 2009)

12. Gap Analysis Limited Public health services – 27% poverty rate requires strong public health options – Poverty level higher than State and National averages. – High student population

13. Gap Analysis Neurological Services- easy access to Topeka and Wichita for services Obstetrical Services- limited community health options No 24 hour pharmacy services- Extended hours may be sufficient

14. Solutions/ Strategies Open inpatient Mental health unit at Mercy Regional Health Center Open Riley County Mental Health Agency at Mercy Regional Health Center Strive for funding for group homes Recruit Primary health care providers for safety net clinics and Riley County health department Encourage redistribution of existing providers

15. Solutions/ Strategies Health care reform offers $9.5 billion to expand preventative and primary health care services in underserved areas (Kansas). $250 Million will be provided to support the training, placement, and development of 16,000 new primary care providers. (U.S. Department of Health and Human Services, 2010)

16. Resources American Community Survey. (2007-2009). Manhattan city, Kansas: Population and housing narrative profile 2007-2009. Washington, DC: U.S. Census Bureau. Retrieved from http://www.ci.manhattan.ks.us/DocumentView.aspx?DID=9197 AT&T: The real yellow pages. (June 2010). AT&T Advertising Solutions. Epodunk, The Power of Place website. (2007). Profile for Manhattan, Kansas. Retrieved from http://www.epodunk.com/cgi-bin/genInfo.php?locIndex=4827#Esse Flint Hills Community Clinic website. (n.d). http://www.fccmanhattan.org/Site%20Sections/010%20Community%20Partners/Com munity%20Partners%20Page%20Files/community_partners_flint_hills_community_clini c.htm http://www.fccmanhattan.org/Site%20Sections/010%20Community%20Partners/Com mu Irwin Army Community Hospital website. (n.d). http://iach.amedd.army.mil/home.asp Kansas Health Index website. (2010). http://www.bestplaces.net/city/kansas/manhattan# Kansas State University website. (2011). http://www.k-state.edu/registrar/statistics/ Lafene Health Center website. (2003). http://www.k-state.edu/lafene/mission.htm Manhattan, Kansas Census Data and Community Profile website. (2010). http://www.americantowns.com/ks/manhattan-information

17. Resources Manhattan, Kansas website. (n.d). City of Manhattan. http://www.ci.manhattan.ks.us/index.aspx?nid=217 Manhattan Surgical Center website. (2011). http://www.manhattansurgical.com/index.aspx Mercy Regional Health Center website. (n.d). http://www.via- christi.org/body_mercy.cfm?id=76http://www.via- Pawnee Mental Health Services website. (n.d). http://www.pawnee.org/ Riley County - Manhattan Health Department website. (2010). http://www.rcmhealth.org/ Taussig, M., Klimek, E., Everett, B., Hatesohl, M., Reitz, R., Johnson, A., Newsome, B., Kerns, M., & White, D. (2006). Manhattan urban area comprehensive plan. Retrieved from http://www.ci.manhattan.ks.us/DocumentView.aspx?DID=721 The flint hills community clinic. (Winter 2011). Up Close: Mercy Regional Health Center and Mercy Community Health Foundation, 6-8.

18. Any Questions?