Macon County
Community
Health Needs
Assessment
Report of Findings
2012
Assessment conducted by:
 Macon

County Health Council
Special Community Health Needs
Assessment Committee
 Representatives
from the State of Tennessee
Department of Health, Macon County
General Hospital, Coordinated School Health,
private healthcare providers and various
community agencies were consulted during
the needs assessment process.
 Macon
County General Hospital
Demographics
2010 U.S. Census Data
 Population
22,248
 Median Age 38.7
 96% White
 8,561 Households
 34% households with person under 18
 26.7% households with person over 65
Access to Care
 Health
Professional Shortage Area
 Medically Underserved Population
 HRSA Data Warehouse statistics
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3, 205 Uninsured individuals (age under 65)
2,808 Elderly (age 65+) Medicare beneficiaries
998 Disabled Medicare beneficiaries
7, 264 Medicaid beneficiaries
22.9 Primary Care Physicians per 100,000 pop
18.3 Dentist per 100,000 pop
 5,796
Enrolled in Tenncare 03/15/12
MCGH Leading Diagnoses
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Inpatient
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Observation
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COPD
Pneumonia
Pancreatitis
Chest Pain
Dehydration
Syncope
Emergency Department
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UTI
Viral Infection
Otitis Media
Vulnerable Populations
According to the Community Health Status
Indicators, Macon County Tennessee 2009 report:

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5,961Have no high school diploma
866 Are unemployed
1,212 Are Severely Work Disabled
1,632 Have Major Depression
1,567 Are Recent Drug Users (past month)
48.1% Kids free or reduced lunch
(Kids Count Data Center, 2009)
Process and Methods
 Collection

Community Survey


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Spring 2012
566 surveys completed
Paper & Electronic
Stakeholder Interviews
 Review

of Primary Data
of Secondary Data
Current state of national statistics
 New
Priorities Established
Survey Results: demographics
Survey Results: demographics
Survey Results: demographics
Survey Results: demographics
Survey Results: demographics
Survey Results: demographics
Survey Results: demographics
Survey Results: Core Questions
Survey Results: Core Questions
Survey Results: Core Questions
Survey Results: Core Questions
Survey Results: Core Questions
Health Indicator Statistics
In 2010, the pregnancy rate for females ages 10-19 was 37.8 per 1,000 females
• This is the third highest pregnancy rate in this category in the State
•
BRFSS data
County Health Rankings
2010 Tennessee State Health
Plan Survey


This survey was completed by 2,431
respondents from all over the state
The health conditions thought to be the most
important to Tennesseans were
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Obesity and overweight
Heart attack, stroke, high blood pressure and
cardiovascular disease
Diabetes
Alcoholism and drug abuse
Cancer
Personal Interviews: identified
needs
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Limited OB/GYN services
Patients inactive in personal health management
No on-site/local psychiatrist
Widespread Poverty
Limited specialty healthcare services available in the county
Drug Abuse
Physically inactivity
Financial/economic education
Emergency preparedness education
Parental involvement in children’s health needs
No school system dietician
Peer pressure among students
After hours health care access
Number of primary healthcare providers
Underutilization of mammography in the elderly population
What
Conclusions were
drawn by the
committee
Conclusion: New Priority Health
Needs for Macon County
1.
Cancer
2.
Heart Disease
3.
Diabetes
4.
Drug and Alcohol Abuse
5.
Teenage Pregnancy
Contributors
Stacey Brawner-Macon County General Hospital, Director of Community Outreach


Brenda Harper-Valley Ridge Mental Health Center, Director
Thomas Kidd-Macon County General Hospital, CFO

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Lynn Knight-UT Extension-Macon County, Family and Consumer Sciences Extension Agent

Chaundel Presley-Primary Health Care Group, Inc, Family Nurse Practitioner
Frances Reece-Macon County Health Department, Director

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Melissa Ross-Macon and Smith County Health Departments, Health Educator
Melissa Shrum-Coordinated School Health, Assistant
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Jackie Sircy-Coordinated School Health, Director
Dennis A. Wolford-Macon County General Hospital, CEO