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1、 Mid-Hudson Region Community Health Assessment 2019-2021 2 Acknowledgments 3 ACKNOWLEDGMENTS This Regional Community Health Assessment, written by HealtheConnections staff, covers the seven county Mid- Hudson Region consisting of Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester

2、Counties. This document was created to support our partners in health across the Region through a collaborative partnership between the following organizations: Bon Secours Charity Health System, a member of the Westchester Medical Center Health Network Good Samaritan Hospital Bon Secours Community

3、Hospital St. Anthony Community Hospital Dutchess County Department of Behavioral get ideas for wellness activities; and meet the organizations who can provide free resources to them. The HealtheConnections Workplace Wellness Mental Health Toolkit is available for download at www.workplacewellnessny.

4、org. This is a free resource that employers can use to guide their organizations through the process of creating a culture of wellness. The Toolkit helps a worksite create policies, eliminate stigmatizing language and practices, and offers ideas for free and low-cost wellness activities. See Appendi

5、x N for a list of organizations participating in this workgroup. As an operator of the PHIP grant, HealtheConnections is tasked with supporting Local Health Departments (LHDs) with the creation of projects such as Community Health Assessments (CHA) and Community Health Improvement Plans (CHIP), alon

6、g with the implementation of population health interventions. To aid in the support of the LHDs, the Local Health Department Prevention Agenda Collaborative (LHD PA) was formed in October 2015. The LHD PA originally served as a forum to share resources between the seven LHDs. The Social Determinants

7、 of Health (SDOH) workgroup focuses primarily on structural racism as a social determinant of health, and considers how other social determinants are linked to, or interact with, structural racism to impact health. The workgroup designed a full-day experiential learning event, called the Blueprint f

8、or Health Equity. During the event, participants learn about the historical roots of structural racism, such as the practice of red lining; experience the Community Action Poverty Simulation created by the Missouri Community Introduction 14 Action Network; and learn about unconscious bias, and how p

9、roviders and organizations need to acknowledge bias, and mitigate its impact. See Appendix O for a list of participating organizations in this workgroup. The Behavioral Health workgroup has a primary focus on Adverse Childhood Experiences (ACEs) in an effort to promote the normalization of behaviora

10、l health issues, and fight the stigma surrounding them. See Appendix P for a list of participating organizations in this workgroup. LOCAL HEALTH DEPARTMENT PREVENTION AGENDA COLLABORATIVE In November of 2017, HealtheConnections, formerly known as the HealthlinkNY Community Network, hosted a meeting

11、with the hospitals, health systems, performing provider systems, and LHDs to discuss the benefits of collaborating on a Regional CHA. The LHD PA then contracted with Siena College Research Institute (SCRI) in December of 2017 to conduct a random sample community health survey of the Mid-Hudson Regio

12、n to assess the health status and concerns of its residents. See page 69 for more information. LHDs and hospitals continue to collaborate and meet regularly. They work collaboratively to complete the Regional CHA, which they will utilize in preparation for their CHIPs and Community Service Plans (CS

13、Ps). Additionally, these meetings provide a forum to discuss regional interventions to target priority areas and improve population health. DATA SOURCES AND INDICATOR SELECTION To create this document, the following data sources were utilized: American Community Survey (ACS): A survey conducted nati

14、onally by the U.S. Census Bureau to gather information about the social and economic need of communities. Secondary source Behavioral Risk Factor Surveillance System (BRFSS): An annual national phone survey coordinated and funded by the Centers for Disease Control and Prevention (CDC) and conducted

15、by each States health department. Data includes health related behaviors, health conditions, and use of health services. Secondary source Mid-Hudson Region Community Health Survey conducted by Siena College Research Institute: A random digit dial survey conducted in collaboration with the LHD PA Col

16、laborative, local hospital partners, and SCRI. Primary source Comprehensive Housing Affordability Strategy Data (CHAS): Custom tabulations of ACS data about housing problems and housing needs from the U.S. Census Bureau sent to the U.S. Department of Housing and Urban Development (HUD). HUD and loca

17、l governments use this data to plan how to distribute their funds. Secondary source County Business Patterns: An annual series from the U.S. Census Bureau which provides economic data by industry, such as number of establishments, employment during a certain week, and annual payroll. Secondary sourc

18、e County Health Rankings New Jersey and Pennsylvania to the west; Delaware, Greene, and Columbia Counties to the north; and New York City to the south. With an area of 4,739 square miles, the Region has a population of over two million residents. The Mid-Hudson Region is a mixture of urban, suburban

19、, and rural areas, including, waterfront cities, farmland, forests, and multiple water sheds. Five toll bridges span across the Hudson River, connecting the two halves of the Region. These include the Bear Mountain Bridge, the Hamilton Fish Newburgh-Beacon Bridge, the Franklin Delano Roosevelt Mid-H

20、udson Bridge, the George Clinton Memorial Kingston-Rhinecliff Bridge, and the Governor Mario M. Cuomo Bridge opened in 2017 (replacing the Governor Malcolm Wilson Tappan Zee Bridge). The river can also be crossed by ferry in three places via the Beacon Newburgh Ferry with New York Waterway, the King

21、ston Rhinecliff Ferry, and the Haverstraw Ossining Ferry with New York Waterway. Major roadways include, but are not limited to, Interstate 84, Taconic State Parkway, New York State Thruway, Palisades Interstate Parkway, and Interstate 86. The Region has 10 four-year and 22 two-year colleges and uni

22、versities with over 113,000 enrolled students. This includes the U.S. Military Academy at West Point, in Orange County. There are 103 public school districts in the Mid-Hudson Region, with 328,287 students enrolled in grades K-12. Per Empire State Development, the principal industries for the Region

23、 include distribution, electronics, food processing, life sciences, biotechnology, information technology, manufacturing, medical device manufacturing and health care related services, renewable energy, advanced energy, research and development, financial services, insurance, accounting, tourism, an

24、d hospitality. Westchester County is home to the Regions only nuclear power plant, Indian Point Energy Center. Bayer Diagnostics, Danone, Fujifilm, IBM, ITT, Jarden, MasterCard, and PepsiCo are among the Fortune 500 Companies located in the Region. DUTCHESS COUNTY Dutchess County is in the center of

25、 the Region, midway between New York City and New York States capital, Albany. The western border includes 30 miles of Hudson River shoreline with Connecticut forming the eastern border. Dutchess County is 825 square miles, made up of 30 municipalities, consisting of two cities, 20 towns, and eight

26、villages. Dutchess County has 13 public school districts and is also home to five colleges and universities. The southwestern region of Dutchess County is the most densely populated part of the County and includes the cities of Beacon and the County seat, Poughkeepsie. The rest of the County is pred

27、ominantly suburban and rural. See map in Appendix F. ORANGE COUNTY Orange County is located approximately 40 miles north of New York City. The County is positioned between the Hudson River in the east and the Delaware River in the west, the only county in New York State to border both rivers. Ulster

28、 and Sullivan Counties border Orange County on the north, and Rockland County is located to the south. The states of New Jersey and Pennsylvania are located on the southwest borders of the County. Orange Area Being Assessed 18 County is 839 square miles and is a diverse mix of rural, farmland, subur

29、ban, and urban areas. Orange County communities include three cities, 20 towns, and 19 villages. Nearly 18% of the Countys total population resides in its three cities of Middletown, Newburgh, and Port Jervis. Orange County has 19 public school districts and is also home to three colleges and univer

30、sities. See map in Appendix G. PUTNAM COUNTY Putnam County is located approximately 58 miles north of New York City on the eastern side of the Hudson River, and is a diverse mix of rural, farmland, and many reservoirs. The County is bordered by Connecticut to its east, the Hudson River to its west,

31、Dutchess County to its north, and Westchester County to its south. According to the American Community Survey, Putnam County is ranked as one of the top 25 most affluent counties in the U.S., based on median household income. Putnam County is 246 square miles which includes six towns and three villa

32、ges and does not contain any cities. The County is also home to Clarence Fahnestock State Park, which spans 22 square miles (14,000 acres), almost 9% of the Countys land mass. Putnam County has 10 public school districts. It does not contain any institutions of higher education located within its bo

33、rders. See map in Appendix H. ROCKLAND COUNTY Rockland County is located approximately 30 miles north of Manhattan on the west side of the Hudson River. The County is a popular residence for people who commute to jobs in nearby Westchester and Bergen Counties, as well as Manhattan. Rockland County i

34、s bordered by Orange County to the north, and New Jersey to the southwest. Home to eight public school districts and eight colleges and universities, the 199-square mile area includes five towns and 19 villages. Rockland County has the largest Jewish population per capita of any U.S. county, with 31

35、.4%, 90,000 residents, being Jewish. This County of 120,000 acres is designated a Preserve America Community, containing more than 35,000 acres of preserved open space and parkland, just under one third of the County. See map in Appendix I. SULLIVAN COUNTY Sullivan County is a rural community in the

36、 north-western part of the Mid-Hudson Region. It is located approximately 75 miles northwest of New York City in the Catskill Mountains. The County is bordered by Delaware County to the north, Ulster County to the east, Orange County to the south, and Pennsylvania to the west. Home to nine public sc

37、hool districts and one two-year college, the 997-square mile area includes 15 towns and six villages. See map in Appendix J. ULSTER COUNTY Ulster County is located in the southeast part of New York State, south of Albany and immediately west of the Hudson River. Bordered by Greene County to the nort

38、h, Delaware County to the northwest, Sullivan to the southwest, Orange to the south, and Dutchess County across the Hudson River to the east, much of Ulster County can be characterized as suburban and semi-rural. With only one major urban area, the city of Kingston, located in the eastern central po

39、rtion of the County, and encompassing just 7.4 square miles of the Countys total area. The rest of the County is comprised of 20 towns and three villages. Ulster County is home to 13 school districts and two colleges and universities within its 1,161-square mile area. See map in Appendix K. Area Bei

40、ng Assessed 19 WESTCHESTER COUNTY Westchester County is located just north of New York City, with an area of about 450 square miles. It is bordered on the west by the Hudson River, on the north by Putnam County, and on the east by the Long Island Sound and Connecticuts Fairfield County. Within its 4

41、8 municipalities, Westchester County can be described as predominately a mix of urban and suburban communities. Comprised of six cities, 19 towns, and 23 villages, the County is home to 43 public school districts and 24 colleges and universities. See map in Appendix L. HOSPITAL SERVICE AREAS Tables

42、below include primary service areas for listed hospitals. BON SECOURS CHARITY HEALTH SYSTEM, A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK Table 1 County Zip-Code Population County Zip-Code Population Rockland 10901 23,959 Rockland 10960 15,357 Orange 10916 4,265 Rockland 10965 15,149 Or

43、ange 10917 2,134 Orange 10969 1,403 Orange 10918 12,264 Rockland 10970 9,773 Rockland 10920 8,877 Orange 10973 2,322 Orange 10921 3,856 Rockland 10974 3,208 Rockland 10923 8,796 Orange 10975 291 Orange 10924 13,388 Rockland 10977 63,319 Orange 10925 4,061 Rockland 10980 13,997 Orange 10926 3,108 Roc

44、kland 10984 3,020 Rockland 10927 12,120 Orange 10987 3,280 Orange 10928 4,004 Rockland 10989 10,333 Orange 10930 8,784 Orange 10990 19,678 Rockland 10931 887 Rockland 10993 4,996 Orange 10940 49,194 Orange 10998 2,824 Orange 10941 13,242 Sullivan 12719 1,305 Orange 10950 49,712 Orange 12729 2,253 Ro

45、ckland 10952 41,631 Sullivan 12737 2,074 Rockland 10954 23,226 Orange 12746 1,271 Rockland 10956 31,450 Orange 12771 14,061 Rockland 10960 15,357 Orange 12780 2,064 Area Being Assessed 20 CATSKILL REGIONAL MEDICAL CENTER, A MEMBER OF THE GREATER HUDSON VALLEY HEALTH SYSTEM Table 2 County Zip-Code Po

46、pulation County Zip-Code Population Sullivan 12701 11,356 Sullivan 12758 4,426 Sullivan 12719 1,105 Sullivan 12759 931 Sullivan 12720 151 Sullivan 12762 531 Sullivan 12721 6,386 Sullivan 12763 907 Sullivan 12723 2,112 Sullivan 12764 1,870 Sullivan 12726 1,062 Sullivan 12765 781 Sullivan 12732 802 Su

47、llivan 12766 504 Sullivan 12733 1,276 Sullivan 12768 939 Sullivan 12734 1,076 Sullivan 12770 345 Sullivan 12736 43 Sullivan 12775 2,482 Sullivan 12737 1,839 Sullivan 12776 2,227 Sullivan 12738 222 Sullivan 12777 689 Sullivan 12740 1,674 Sullivan 12779 2,368 Sullivan 12741 298 Sullivan 12783 1,574 Su

48、llivan 12742 222 Sullivan 12786 910 Sullivan 12743 249 Sullivan 12787 56 Sullivan 12745 109 Sullivan 12788 1,934 Sullivan 12747 2,527 Sullivan 12789 2,689 Sullivan 12748 1,636 Sullivan 12790 5,646 Sullivan 12750 52 Sullivan 12791 214 Sullivan 12751 763 Sullivan 12792 434 Sullivan 12752 241 Sullivan

49、12754 7,212 HEALTHALLIANCE HOSPITAL, A MEMBER OF WESTCHESTER MEDICAL CENTER HEALTH NETWORK Table 3 County Zip-Code Population County Zip-Code Population Ulster 12401 34661 Ulster 12466 2,260 Ulster 12402 0 Ulster 12471 201 Ulster 12404 3,576 Ulster 12472 1,419 Ulster 12411 355 Ulster 12475 165 Ulster 12419 641 Ulster 12477 18,722 Ulster 12428 6860 Ulster 12481 1,361 Ulster 12429 334 Ulster 12484 2,703 Ulster 12433 543 Ulster 124