1. Health System Community Analysis: Jackson County Kansas

2. By: Roline Campbell, Jill Collins, Jessica Shirk, Danelle Shaw and Brandy Schnacker

3. Community Health Assessment Jackson County is a small county in northeast Kansas. Population of 13,240 Despite being a small community, it offers a variety of healthcare services. Primary healthcare services are provided by physicians in 4 clinics. One community hospital serves the area

4. Holton Community Hospital 12 bed facility Critical access hospital Swing bed services Obstetrical services Emergency room services Staffed by physicians from Family Practice Associates

5. Holton Community Hospital Offers a variety of services including: – In house pharmacy – Surgical services – Cardiovascular services (cardiac rehab, stress testing, EKG’s, holter monitors) – Laboratory – Radiology – Ultrasound – Women’s services – Diabetic education – Health and wellness services – Outpatient clinics – Physical and occupational rehab/therapy – Home health and hospice – Durable medical equipment

6. Outpatient Services at Holton Community Hospital VA Gastroenterology Cardiology Pulmonology ENT Podiatry Urology Orthopedics Gynecology Ophthalmology Pain management General surgery Audiology Pacemaker clinic

7. Family Practice Associates Clinics in Holton and Hoyt 5 physicians 2 nurse practitioners 1 physician assistant Provide primary care and obstetrical services

8. Holton Family Health Clinic Staffed by 2 regular physicians, 1 nurse practitioner and 2-3 physician assistants Also provides several outpatient services – Radiology and ultrasound – Cardiovascular services (stress testing, holter monitoring, EKG’s) – Laboratory – Durable medical equipment – Home health and hospice – Rehabilitation services – Respiratory services – Wound care

9. Holton Family Health Clinic Owns Lifetime Fitness Center Offers L.E.A.N which stands for lifetime exercise and nutrition. Is a 12 week program for weight management education

10. Muddy Creek Family Health Clinic Staffed by one physician Provides primary care Diagnostic testing is done off site

11. Prairie Band Potawatomie Health Clinic Staffed by 3 physicians and one nurse practitioner Serves only Native American community Has multiple outpatient services – Dental clinic – Pharmacy – Diabetic education – Outpatient clinics – Community health nurse – Laboratory – Radiology Provides general public transportation

12. Other Healthcare Resources Jackson County Health Department 4 dentists 4 chiropractors 2 ophthalmologists 2 pharmacies 1 mental health facility Al Anon, narcotics anonymous, alcoholics anonymous Area agency on aging

13. Other Healthcare Resources 3 facilities for developmental disabilities 2 crisis pregnancy centers 1 ambulance services with multiple first responders within the communities Air ambulance services available 1 nursing home 4-5 assisted living/private elderly homes Senior citizen center Meals on wheels Senior citizen transportation

14. Sociodemographics Population 13, 240 – 82% Caucasian – 4.2% Hispanic – 1.5% African-American – 0.15% Asian, Native Hawaiian or other Pacific Islander – 9% American Indian or Alaskan Native

15. Sociodemographics Median household income = $47,899 15.4% living in poverty 51% female & 49% male 88% are high school graduates Average age = 37.5 years Large rural and farming/ranching community 27% of population in 25-44 years of age, 23% is 45-64 age range, 23% are 15 years or younger and 15% is 65+

16. Primary Health Issues Diabetes Obesity Mental illness Chemical dependence Hypertension Cardiovascular disease Cancer emphysema

17. Macro system factors Major payors of healthcare – Blue Cross/Blue Shield – Medicare – Medicaid – Children’s Mercy – United Health Care – Cigna – Workman’s Compensation – Auto Insurances – Tricare – Unicare – Cigna

18. Macro system factors Largest percentage of people are under Medicare and Medicaid 12% of population is uninsured Social political factors – Education cuts – Healthcare cuts – Native Americans/casino

19. Gap Analysis Services needed/lacking in Jackson County – Mental health – Personal care – Dialysis – Battered women’s shelter – nephrology, endocrinology, oncology outpatient services – Infusion center – Major medical/surgical services

20. Solutions/Strategies Adding mental health staff to primary care clinics and/or offering psychiatry in outpatient clinics or employing nurse practitioners who have specialized in mental health Utilizing volunteers for personal care Outpatient dialysis center Infusion center Nephrology, endocrinology and oncology outpatient clinics Battered women’s shelter

21. Conclusion Periodic re-evaluation of community resources is necessary by all communities to keep up with the needs of their population Development of state rural health plans Successful implementation depends on policy makers, health care providers, health care leaders, associations, universities and communities.