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Citrus County Community Needs Assessment 2003


Demographic Profile Population 2000 118,085 Est. increase 2000-2010 19.1% mostly from in-migration; mostly in Beverly Hills, Homosassa, Lecanto 32.1% age 65+ (3rd highest % in FL)



Demographic Profile (cont) 36% households andlt;$25,000 annual income 15,000 live in poverty, 25% are andlt;18 yrs old (Hernando % is lower, Florida % is higher Median family income is lower than Hernando and Florida andgt;36% of female-headed households with children live in poverty. When children in house andlt;5 yrs, poverty rate is 46.4%.


Demographic Profile (cont) 11% of residents are eligible for Medicaid 13,000 under age 65 are uninsured % of residents who never obtained high school diploma is higher than Hernando and Florida 97% of our businesses are considered small business; andgt;89% of retail trade and services businesses employ andlt;20


Health Status 10 leading causes of death are the same as for Florida; however, Respiratory Disease ranks 3rd in Citrus and 4th for Florida Leading causes: Heart Disease Cancer Respiratory Disease Stroke Unintentional Injuries Statistically significant causes of death Respiratory Disease Unintentional injuries, inc MVA Suicide Liver Disease


Behavioral Risk Factors for adults in Citrus County from 2002 BRFSS No Physical Activity 28.7% Overweight 32 % Eat andlt; 5-A-Day 72 % Current Smoker 26.8% Heavy/Binge Drinker 16 %


Years of Potential Life Lost as measured by those dying at less than 75 years of age 52.2% due to cancer, heart disease age 55-64 largest proportion of YPLL 46% of all YPLL due to: Unintentional Injury are due to MVA’s


Hospital Discharge Diagnoses County-wide 1. Respiratory Disease 2. Hip/Knee Replacement Age 0-17 1. Normal newborn 2. Bronchitis and Asthma Age 18-64 1. Vaginal Delivery 2. Psychosis Age 65+ 1. Heart Failure 2. Joint Replacement 63% of population use Medicare as primary payor


Ambulatory Care Sensitive conditions measure the effectiveness of access to care the measure of conditions that are avoidable if timely and appropriate care is available and used **We had LOWER % than Hernando and Florida (lower is better)


Implications for Prevention Heart Disease Diet, exercise Cancer Diet, screenings Respiratory Disease Quit Smoking, Asthma Care Standards Unintentional Injuries CPR/Helmets/Seatbelts, etc Suicide Mental health support Liver Disease Reduce alcohol abuse


Community Input we wanted to learn more about perceptions on health, health promotion and health priorities Focus Groups: 2 sessions ea group age 18-26 age 35-54 age 65+ African American Hispanic (actually conducted individual interviews using the same questions) Community Forums 2 sessions Community leaders from government, business, health, community groups


Summary Focus Group Comments we wanted to learn more about perceptions on health, health promotion and health priorities Citrus is, overall, a healthy place to live Problems include obesity and smoking Issues/concerns include cost of health care and education, awareness of available services, presence of community and health care fragmentation (at multiple levels), access to care within the county (lack of specialists, no providers for many types of insurance)


Summary Focus Group Comments (cont) No overall consensus on who has primary responsibility to improve health—individuals, families, health care system, schools, parents Desire more nutrition and diabetes information, more classes for weight management, screenings


Community Forums 2 sessions with community leaders Reviewed social, demographic, health data summaries Reviewed findings of focus groups Prioritized issues thru PEACH process Developed recommendations and strategies


Final Recommended Strategies Develop a 211 call line whereby county residents can obtain information on services, to be accomplished through collaboration with the Shared Services Alliance Conduct semi-annual welcome fairs to inform new and longtime residents of available health services, to be accomplished through collaboration with community partners Develop and implement a family mental health promotion campaign by establishing a community task force to seeking funding and implement best practices


Final Recommended Strategies (cont) Develop a community awareness campaign on respiratory disease by establishing a task force and using multi-media Develop a Health Department Communication Team to develop and implement a communication plan for improved community awareness


Top Priorities for Next 3 Years Process Mapping of all major business processes 211 Call Line andgt; FQHC Grant


Greatest Strengths Quality of Health Care Community Collaboration andgt; Staff Expertise and Commitment to Excellence

Significant Barriers: 

Significant Barriers  Funding,  Costs Nursing Shortage Resistance to 211 Call Line by segment of community

Best Practices: 

Best Practices Pharmacy IDP Program – Received Davis Productivity Award 2003 Orthopedic Services Bicycle Safety Education Program – Program Coordinator received Educator of the Year 2003 from the Florida Bicycle Association Immunizations: Kindergarten Status Report Citrus County achieved a 97.6% compliance rate, higher than the state and peer counties.

Best Practices (cont.): 

Best Practices (cont.) Environmental Health QI scores for OSTDS have improved from 82 to 91% between 1999 and 2003. The QI score for public swimming pool and bathing places programs have improved from 46 to 99% in recent years. In addition, the 1st time drinking water QI score was 99%


Citrus County Health Department Vision Citrus County: A Healthy Place To Be! Mission We recognize that our purpose is to serve as the community’s focal point to promote and protect the health and safety of all people in Citrus County.


Values We will accomplish our mission by basing our thought and actions on the following shared values: Quality service that enhances and promotes a healthy community is essential to our mission. Effective communication is the foundation for a successful organization. Decisions on the effective use of resources will be based on the evaluation of information collected.

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