Georgia Department of Public Health - District 4 FAYETTE COUNTY COMMUNITY HEALTH ASSESSMENT FAYETTE COUNTY HEALTH DEPARTMENT March 2015 Fayette County Health Department District 4 Public Health 2015 Fayette County Community Health Assessment Page | 1 Table of Contents Vision .................................................................................................................................................................... 3 What is a Community Health Assessment?.......................................................................................................... 3 Fayette Leading the Way! .................................................................................................................................... 3 Health Assessments.............................................................................................................................................. 4 Data Sharing ......................................................................................................................................................... 5 Geographic Assessment Area ............................................................................................................................... 5 Services Provided ................................................................................................................................................. 5 Community Engagement ...................................................................................................................................... 6 Assessments ......................................................................................................................................................... 6 Major Themes ...................................................................................................................................................... 6 Forces of Change Assessment .............................................................................................................................. 7 Local Public Health System Assessment ............................................................................................................... 8 Community Health Status Assessment .............................................................................................................. 10 Community Themes and Strength Assessment.................................................................................................. 12 Community Assets .............................................................................................................................................. 27 Improvement Plan .............................................................................................................................................. 27 Sources ............................................................................................................................................................... 28 Contact Us .......................................................................................................................................................... 28 2015 Fayette County Community Health Assessment Page | 2 Vision We envision a Fayette that places a high value on access to quality physical and mental healthcare, social well-being, the built environment, education, safety and promotes community service and responsibility. What is a Community Health Assessment? District 4 Public Health, composed of 12 individual counties, is seeking accreditation from the National Public Health Accreditation Board (PHAB). Accreditation will provide health departments the ability to improve quality, access, services, value, and accountability to stake holders within the community. This assessment satisfies one of the pre-requisites for the Public Health Accreditation Board. The intention here is that, for accreditation purposes, the health department can demonstrate that it systematically assesses its jurisdiction’s health status and can describe it. The Community Health Assessment involves a process of collecting, analyzing, and using data to educate and mobilize communities, develop priorities, garner resources, and plan actions to improve the public’s health. It is one of the core functions of public health, which is why it’s in the accreditation standards. It involves the systematic collection and analysis of data in order to provide the health department and the community it serves with a sound basis for decisionmaking. This assessment was conducted in partnership with other partners in the community and includes data collection on health status, health needs, community assets, resources, and other community or state determinants of health status. Fayette Leading the Way! The Community Health Assessment titled Fayette Leading the Way! (FLTW) focused on Fayette County, GA. The assessment was conducted using NACCHO’s Mobilizing for Action through Planning and Partnerships (MAPP) tool and took place from August, 2013 to December 2014. Data was collected, analyzed, reviewed, and presented to the committee for review. The FLTW coalition consisted of multiple partners from Fayette County including: Fayette County Board of Education Fayette Chamber of Commerce State and Local Public Health EMS/Fire Police Elected Officials Women Infant & Children (WIC) [represent high risk populations] Fayette Care Clinic - (provides free medical care to uninsured Fayette County residents that are living at 200% of the federal poverty level) FACTOR Fayette Family Connection - (local arm of Georgia Family Connection- mission is to improve quality of life for family and children through collaboration) Board of Health Members Department of Family and Children Services Piedmont Fayette Hospital Southside Support (parents with children of special needs) [represent high risk populations] 2015 Fayette County Community Health Assessment Page | 3 McIntosh Trail Community Service Board - (provides mental health, developmental disabilities, and addictive disease services for the underserved) Exceptional Ops - (developmental disabilities support) [represent high risk populations] UGA Cooperative Extension Fayette County Parks and Recreation Fayette County HeadStart Pre-K –[represent high risk populations] Promise Place – (Domestic Violence Shelter) Healing Bridge Clinic – (free medical care for underserved and uninsured) The Real Life Center – (food, clothing, and financial training assistance) The FLTW coalition meetings were conducted monthly and invitations to each meeting were emailed out to all partner organizations. Those who attended the meetings received paper printouts of all presentation materials and the presentation information was also posted on our District 4 Public Health website. Community engagement was performed via surveys to the community, board of health meetings, and collaborative community meetings, and individual surveys. Health Assessments The FLTW coalition followed the MAPP process throughout the entire community health assessment. During this process, we completed the following four health assessments: Forces of Change, Local Public Health System, Community Health Status, and Community Themes and Strengths. Data will be sustained for future assessments via semi-annual collaborative meetings including analysis reports and documented via meeting summary notes/minutes. The following is an explanation of each assessment: 1. January 2014 - Forces of Change Assessment This assessment was conducted by assessing FLTW coalition members on forces that include trends, factors and events that affect Fayette County. 2. March 2014 – Local Public Health System Assessment This assessment was conducted by assessing FLTW coalition members and additional community members that were invited to this meeting on the Local Public Health System. 3. May 2014 - Community Health Status Assessment The survey was distributed by paper version in coalition member organizations and also online via survey monkey. The survey monkey link was sent out to community partners and was placed on the Fayette County Chamber of commerce website and the District 4 Public Health website. WIC, HeadStart, Southside Support, and Exceptional Ops represented high risk populations. 4. June 2014 - Community Themes and Strengths Assessment This assessment was conducted by assessing FLTW coalition members on answering questions of Community Themes and Strengths including: – What is important in Fayette County? – How is quality of life perceived in our community? – What assets do we have that can be used to improve community health? 2015 Fayette County Community Health Assessment Page | 4 terrorism Data Sharing The data collected from the health assessment and this report will be posted on District 4 Public Health’s website. Each community health assessment involved either community residents or the FLTW coalition members. After each assessment was conducted, the results were presented at the following FLTW coalition meeting. The community health assessment report will be made available to the community via the District 4 Public Health website and paper copies in the Fayette County Health Department. It will also be distributed to all FLTW coalition members to distribute to their clients. Geographic Assessment Area The Fayette County Health Department primary service area is defined as the geographic area encompassing the zip codes of Tyrone, Fayetteville, Peachtree City, Woolsey and Brooks, Georgia. County-level quantitative data was utilized throughout the assessment to provide comparable measures to further define the health needs of local residents. Fayette County consists of a mixture of rural and suburban communities whose health needs are met by one hospital system, a mixture of private practices, the county health department and other social services. Services Provided The health department provides a wide range of outpatient services, including: o o o o o o o o o o o o BreasTEST & More Breastfeeding and Breast Pump Cervical Cancer Screening Child Health Children 1st Chronic Disease Communicable Disease Program Community Collaborative Efforts Emergency Response Environmental Health Health Check Health Education o o o o o o o o o o o Health Fairs High Risk Nutrition HIV Screening Immunizations Safe Kids School, Daycare and Pre-K Audits Scoliosis Screening Sexually Transmitted Disease Travel Clinic Tuberculosis Program WIC (Women, Infants, & Children) Bioterrorism 2015 Fayette County Community Health Assessment Page | 5 Community Engagement We conducted a Community Health System Assessment survey to engage the community via survey monkey and paper copies in community organizations. The Community Strengths and Themes surveys provide qualitative information on how Fayette County residents perceive their health and quality of life concerns as well as their knowledge of community resources and assets. The Community Strengths and Themes Assessment, was determined by the Mobilizing for Action through Planning and Partnerships (MAPP) strategy. The MAPP process was employed to gain insight upon the quality of life in Fayette County, Georgia. This was done through interviewing collaborative committee members. The results of the assessment will provide District 4 Public Health office with a comprehensive summary of community perceived views on the current state of health in Fayette County, Georgia. Assessments The FLTW coalition collected 79 paper surveys. Survey participants ranged in ages from 18 - 74. Participants included those from all over Fayette County. There were 79 responses with 58 (79%) female and 15 (20%) male. Major Themes Major themes include the following: 1. The 3 most important health problems in the community: a. Aging Problems b. Cancers c. Heart Disease and Stroke 2. The 3 most risky behaviors in the community: a. Alcohol Abuse b. Overweight c. Texting while driving 3. Satisfaction with healthcare in the community: a. 50% said no or strongly no b. <20% said yes 2015 Fayette County Community Health Assessment Page | 6 Forces of Change Assessment The Forces of Change Assessment is designed to help participants answer the following questions: 1. What is occurring or might occur that affects the health of our community or the local public health system? 2. What specific threats or opportunities are generated by these occurrences? The FLTW collaborative addressed these questions for the following categories: Political, Social, Economic, Environmental, Technology, Scientific, and Legal/Ethical. Our findings are listed below. Political Legal/Ethical Affordable Care Act (ACA) - confusion, increasing costs, CHINS law access to care Barrier to Mental Health care at hospital Consolidation of services Proper referrals Re-districting Lack of group homes Annexation Medicaid experts or lack of Access to Social Services Information Social Homeless population Mental Health access to care Domestic Violence Pinewood studios Cultural change Growing Veteran population with increasing PTSD and mental health disorders Influx of Katrina population Lack of access to mental health care Increasing immigrant population City exclusivity/Insular Greater Diversity Lack of social activity for young people Think Tanks Acceptance of drug use and alcohol Technological Scientific Lack of medical info for 911 Lack of specialists Health information exchange No STEM schools Healthcare provider incentive No aviation schools Library Incubator/Think tank/research Access to social services information Economic Property taxes Decreased work force with increased aging population Cost of Housing/lack of affordable housing Lack of transportation Education options Lack of vocational and tech schools Pinewood Sewer system 2015 Fayette County Community Health Assessment Environmental Access to highway/interstate Too much fast food Snowstorm/Katrina Lack of sewer system Golf cart paths Sidewalks Air Quality Bike lanes Public Transit-Lack Page | 7 Local Public Health System Assessment The National Public Health Performance Standards Program (NPHPSP) assessment is a helpful tool in evaluating the current performance against a set of optimal standards. This is a partnership effort to improve the practice of public health and the performance of public health systems. This Local Public Health System Assessment (LPHS) report is intended to help the District 4 gain a good understanding of its performance and move on to the next step in strengthening the public system. The 10 Essential Public Health Services describe the public health activities that all communities should undertake and serve as the framework for NPHPSP instruments. These include: 1) 2) 3) 4) 5) 6) 7) Monitor health status to identify and solve community health problems. Diagnose and investigate health problems and health hazards in the community. Inform, educate, and empower people about health issues. Mobilize community partnerships and action to identify and solve health problems. Develop policies and plans that support individual and community health efforts. Enforce laws and regulations that protect health and ensure safety. Link people to needed personal health services and assure the provision of health care when otherwise unavailable. 8) Assure competent public and personal health care workforce. 9) Evaluate effectiveness, accessibility, and quality of personal and population-based health services. 10) Research for new insights and innovative solutions to health problems. The following feedback resulted from the Local Public Health System Assessment that focuses on health challenges in the community in relation to the 10 essential public health services: Essential Public Health Service 1 and 2: Monitor Health Status and Diagnose and Investigate Health Problems • No Community Health Assessments being performed outside of the hospital • Health data collected by state and federal agencies is not easily accessible to the public • Consistently performing drills and exercises to prepare for public health threats and emergencies • In close proximity to Georgia Public Health Laboratory and CDC Laboratories Essential Public Health Service 3 and 4: Inform, Educate and Empower and Mobilize Community Partnerships • A need for greater collaboration and communication among partner organizations • A need for innovation in public health awareness • Lacking mental health care for children • A social service resource guide is needed • Fayette has a strong Faith Based Emergency Response Network formed by the EMA 2015 Fayette County Community Health Assessment Page | 8 Essential Public Health Service 5 and 6: Develop Policies and Plans and Enforce Laws and Regulations • Local Public Health System (LPHS) does not coordinate with the Local Health Department in provision of services. There are a variety of social serving organizations in the community, but they all working in a collaborative manner. • • • LPHS and Local HD do not have a strong relationship with policy makers Not currently a regular review of Public Health laws, regulations and ordinances Public Health issues are addressed as they arise Essential Public Health Services 7 and 9: Link to services and Evaluation • Greatest barrier to care is transportation • Fayette needs public transportation to provide access to health services • Fayette does not evaluate how well the LPHS activities meet the needs of the community Essential Public Health Services 8 and 10: Assure competent workforce and Research for new insights • No history of a LPHS workforce assessment • Need a RN at every school • Need to expand nursing schools to Fayette County • Increase Tele-health opportunities • Schools do a good job at collecting data • Need to partner with colleges and universities to conduct more in depth Public Health research and evaluation 2015 Fayette County Community Health Assessment Page | 9 Community Health Status Assessment The Health Status analysis provides quantitative data on a broad array of health indicators, including quality of life, behavioral risk factors, and other measures that reflect a broad definition of health. Demographics Characteristics Population-108,365 <18-24.3% >65-14.6% African American-20.4% American Indian/Alaskan Native-.4% Asian-4.1% Hispanic-6.5% Non-Hispanic White-67.2% % Not Proficient in English-1.5% Female-51.7% Rural-18.2% Socioeconomic Characteristics Education-78% High School Graduation Education-76.2% Some post-secondary education Education-Ranked 3rd in GA Income-Ranked 2nd in GA with Median income of $78,717 Health Resource Availability 15% Uninsured adults 8% Uninsured children 7% of residents could not see doctor due to costs Primary Care Physician Ratio-905:1 Access to care-Ranked 1st in GA Quality of Care-Ranked 1st in GA Quality of Life Poor or Fair Health Days-9% Physically Unhealthy Days-2.6% Mentally Unhealthy Days-2.9% Behavioral Risk Factors Adult Smokers-12% Physically inactive-22% Excessive Drinking-13% Alcohol impaired driving deaths-29% Limited access to healthy foods-7% Alcohol and Drug Use-Ranked 93rd in GA 2015 Fayette County Community Health Assessment Page | 10 Environmental Health Indicators Air and Water Quality-Ranked 157th in GA Housing and Transit-Ranked 69th in GA Drinking water violations-40% of population in violation Severe Housing Problems-13% Social and Mental Health Social/Emotional Support-16% with no social/emotional support Maternal and Child Health Low-Birth Rate-7% Teen birth rate-13% Children in poverty-11% Children in single-parent households-22% Infant mortality rate-4.8% (per 100,000) Child mortality rate-33.6 Death, Illness and Injury Injury death rate-40 Homicide Rate-3 Leading causes of Age-adjusted death: 1. Ischemic heart and vascular disease 2. Cancer 3. Cerebrovascular disease 4. All other mental and behavioral disorders 5. Alzheimer’s disease Leading causes of premature death: 1. Ischemic heart and vascular disease 2. Motor vehicle crashes 3. Suicide 4. Cancer of the trachea, bronchus and lung 5. Accidental poisoning 2015 Fayette County Community Health Assessment Page | 11 Community Themes and Strength Assessment The “Community Strengths and Themes Assessment,” of phase three in the MAPP process was employed to gain insight upon the quality of life in Fayette County, Georgia. This was done through surveying collaborative members. The results of the assessment will provide District 4 with a comprehensive summary of community perceived views on the current state of health in Fayette County, Georgia. In the following list, what do you think are the three most important factors for a “Healthy Community?” Response Percent 67.10% Answer Options Low crime/safe neighborhoods Good schools 45.60% Clean environment 34.20% Access to health care (e.g., family doctor) 32.90% Good jobs and healthy economy 30.40% Healthy behaviors and lifestyles 27.80% Strong family life 22.80% Good place to raise children 20.30% Parks and recreation 12.70% Religious or spiritual values 12.70% Low level of child abuse 7.60% Affordable housing 7.60% Excellent race/ethnic relations 7.60% Emergency preparedness 6.30% Low adult death and disease rates 5.10% Low infant deaths 5.10% Arts and cultural events 2.50% Three most important factors for a “Healthy Community?” 2015 Fayette County Community Health Assessment Page | 12 Emergency preparedness Religious or spiritual values Low infant deaths Low adult death and disease rates Healthy behaviors and lifestyles Strong family life Good jobs and healthy economy Excellent race/ethnic relations Arts and cultural events Affordable housing Clean environment Parks and recreation Access to health care (e.g., family doctor) Good schools Low level of child abuse Low crime/safe neighborhoods (Those factors which most improve the quality of life in a community) Good place to raise children 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% In the following list, what do you think are the three most important “health problems” in our community? (Those problems which have the greatest impact on overall community health.) Answer Options Response Percent Heart disease and stroke 47.30% Aging problems (e.g., arthritis, hearing/vision loss, etc.) 45.90% Cancers 39.20% Mental health problems 32.40% High blood pressure 29.70% Diabetes 27.00% Motor vehicle crash injuries 20.30% Domestic Violence 18.90% Child abuse / neglect 14.90% Teenage pregnancy 8.10% Dental problems 6.80% Infectious Diseases (e.g., hepatitis, TB, etc.) 5.40% Firearm-related injuries 4.10% Respiratory / lung disease 4.10% Rape / sexual assault 2.70% Sexually Transmitted Diseases (STDs) 2.70% Suicide 2.70% Terrorist activities 0.00% Three most important “health problems” in our community? (Those problems which have the greatest impact on overall community health.) 2015 Fayette County Community Health Assessment Page | 13 Terrorist activities Teenage pregnancy Suicide Respiratory / lung disease Sexually Transmitted Diseases Rape / sexual assault Motor vehicle crash injuries Mental health problems Infectious Diseases High blood pressure Heart disease and stroke Firearm-related injuries Domestic Violence Diabetes Dental problems Child abuse / neglect Cancers Aging problems 50.0% 45.0% 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% In the following list, what do you think are the three most important “risky behaviors” in our community? (Those behaviors which have the greatest impact on overall community health.) Answer Options Response Percent Response Count Texting while driving Being overweight Alcohol abuse Drug abuse Poor eating habits 50.60% 48.10% 44.30% 36.70% 29.10% 40 38 35 29 23 Lack of exercise Tobacco use Not using seat belts / child safety seats Unsafe sex Unsecured firearms Dropping out of school 24.10% 16.50% 12.70% 11.40% 7.60% 5.10% 19 13 10 9 6 4 Racism Not getting “shots” to prevent disease Not using birth control Lack of maternity care 5.10% 2.50% 1.30% 0.00% 4 2 1 0 Three most important “risky behaviors” in our community? (Those behaviors which have the greatest impact on overall community health.) 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 2015 Fayette County Community Health Assessment Page | 14 Unsecured firearms Unsafe sex Not using seat belts / child safety seats Not using birth control Tobacco use Texting while driving Racism Not getting “shots” to prevent disease Poor eating habits Lack of maternity care Lack of exercise Drug abuse Dropping out of school Being overweight Alcohol abuse 0.0% How would you rate the overall health of our community? 2.5% 0.0% 1.3% Very unhealthy Unhealthy 46.8% 49.4% Somewhat healthy Healthy Very healthy How would you rate your own personal health? 2.6% 9.0% 6.4% Very unhealthy Unhealthy Somewhat healthy 38.5% Healthy 43.6% 2015 Fayette County Community Health Assessment Very healthy Page | 15 Volunteer Time: Approximately how many hours per month do you volunteer your time to community service? (e.g., schools, voluntary organizations, churches, hospitals, etc.) 13.9% 38.0% 13.9% None 1-5 hours 6-10 hours over 10 hours 34.2% What is your age? 1.4% 1.4% 6.8% 8.2% 13.7% 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 74 or older 75 or older 12.3% 24.7% 31.5% 2015 Fayette County Community Health Assessment Page | 16 What is your gender? 0.0% 20.5% Female Male Transgender 79.5% What is your ethnicity? (Please select all that apply.) 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% American Asian or Pacific Indian or Islander Alaskan Native Black or African American 2015 Fayette County Community Health Assessment Hispanic or Latino White / Caucasian Prefer not to answer Page | 17 What is your marital status? 17.8% Married / co-habitating Not married / Single 82.2% What is the highest level of education you have completed? 0.0% 22.5% Less than high school High school diploma or GED College degree or higher 77.5% 2015 Fayette County Community Health Assessment Page | 18 What is your approximate average household income? 0.0% 10.0% 14.3% Less than $20,000 $20,000 to $29,999 $30,000 to $49,999 Over $50,000 75.7% How do you pay for your health care? 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 2015 Fayette County Community Health Assessment Indian Health Services Veterans’ Administration Medicare Medicaid Health insurance Pay cash (no insurance) 0.0% Page | 19 Where/how did you get this survey? 2.4% Community Meeting 7.3% Health Department/Health Clinic 4.9% Mail 43.9% Newsletter 22.0% Personal Contact Workplace 19.5% Are you satisfied with the health care system in the community? (Consider access, cost, availability, quality, and options in health care) 0.0% 17.6% 25.7% 1 - Strong No 2 - No 16.2% 3 - Neutral 4 - Yes 5 - Strong Yes 40.5% 2015 Fayette County Community Health Assessment Page | 20 Is this community a good place to raise children? (Consider school quality, day care, after school programs, recreation, etc.) 1.4% 2.7% 8.1% 1 - Strong No 41.9% 2 - No 3 - Neutral 4 - Yes 45.9% 5 - Strong Yes Is this community a good place to grow old? (Consider elder-friendly housing, transportation to medical services, churches, shopping; elder day care, social support for the elderly living alone, meals on wheels, etc.) 0.0% 6.8% 30.1% 13.7% 1 - Strong No 2 - No 3 - Neutral 4 - Yes 5 - Strong Yes 49.3% 2015 Fayette County Community Health Assessment Page | 21 Is there economic opportunity in the community? (Consider locally owned and operated businesses, jobs with career growth, job training/higher education opportunities, affordable housing, reasonable commute, etc.) 0.0% 6.8% 16.2% 1 - Strong No 2 - No 3 - Neutral 39.2% 4 - Yes 37.8% 5 - Strong Yes Is the community a safe place to live? (Consider residents’ perceptions of safety in the home, the workplace, schools, playgrounds, parks, and the mall. Do neighbors know and trust one another? Do they look out for one another?) 0.0% 2.7% 14.9% 29.7% 1 - Strong No 2 - No 3 - Neutral 4 - Yes 52.7% 2015 Fayette County Community Health Assessment 5 - Strong Yes Page | 22 Are there networks of support for individuals and families (neighbors, support groups, faith community outreach, agencies, organizations) during times of stress and need? 0.0% 5.4% 24.3% 1 - Strong No 27.0% 2 - No 3 - Neutral 4 - Yes 5 - Strong Yes 43.2% Do all individuals and groups have the opportunity to contribute to and participate in the community’s quality of life? 2.7% 9.5% 20.3% 1 - Strong No 2 - No 24.3% 3 - Neutral 4 - Yes 5 - Strong Yes 43.2% 2015 Fayette County Community Health Assessment Page | 23 Do all residents perceive that they — individually and collectively — can make the community a better place to live? 2.7% 9.6% 9.6% 1 - Strong No 2 - No 3 - Neutral 32.9% 4 - Yes 45.2% 5 - Strong Yes Are there a broad variety of health services in the community? 1.4% 9.5% 18.9% 1 - Strong No 25.7% 2 - No 3 - Neutral 4 - Yes 5 - Strong Yes 44.6% 2015 Fayette County Community Health Assessment Page | 24 Is there a sufficient number of health and social services in the community? 1.4% 12.5% 13.9% 1 - Strong No 2 - No 3 - Neutral 4 - Yes 37.5% 34.7% 5 - Strong Yes Are levels of mutual trust and respect increasing among community partners as they participate in collaborative activities to achieve shared community goals? 1.4% 12.2% 6.8% 1 - Strong No 2 - No 3 - Neutral 39.2% 40.5% 2015 Fayette County Community Health Assessment 4 - Yes 5 - Strong Yes Page | 25 Is there an active sense of civic responsibility and engagement, and of civic pride in shared accomplishments? 0.0% 13.5% 5.4% 1 - Strong No 2 - No 40.5% 3 - Neutral 4 - Yes 40.5% 2015 Fayette County Community Health Assessment 5 - Strong Yes Page | 26 Community Assets Fayette County Assets: 1. Strong Public School System 2. Pinewood Studios 3. Close proximity to CDC and Georgia Public Health Laboratory 4. Golf-cart paths 5. Strong hospital system 6. Low crime rate 7. Strong faith-based network Gaps in Community Assets: 1. Lack of access to mental health care providers 2. Lack of access to transportation 3. No public transportation 4. Lack of access to highway/interstate 5. Very little social activity for younger population 6. Lack of affordable housing 7. Decreased work force with increased aging population 8. High alcohol abuse rate Improvement Plan Through the 4 MAPP assessments, strategic planning and action cycle sessions, and community collaboration we identified the following areas of improvement. Implementing these plans will help to improve the local public health system. 1. Develop an online social services database for clients to have access to all social services information in Fayette County. 2. Increase transportation services for health services. 3. Increase the number of mental health providers in the county. 4. Provide all Fayette County residents with awareness and access to all health care resources to increase follow-up of care and reduce inappropriate use of services. 5. Reduce duplication of community health organizational efforts by developing a functioning, collaborative group of community stakeholders to better coordinate health resources. 6. Increase public awareness of risks of alcohol, drug abuse and texting while driving in order to decrease automobile accidents caused by distracted driving. 2015 Fayette County Community Health Assessment Page | 27 Sources Centers for Disease Control and Prevention. (2012). How Vaccines Prevent Disease. Retrieved from http://www.cdc.gov/vaccines/vac-gen/howvpd.htm#why . Centers for Disease Control and Prevention. (2013). Youth Risk Behavior Surveillance System(YRBSS). Retrieved from http://www.cdc.gov/healthyyouth/yrbs / . Centers for Disease Control and Prevention. (2014). Chronic diseases and health promotion. Retrieved from http://www.cdc.gov/chronicdisease/overview/index.htm. Centers for Disease Control and Prevention. (2014). The Public Health System and the 10 Essential Public Health Services. Retrieved from http://www.cdc.gov/nphpsp/essentialservices.html. Georgia Department of Education, 2014 School Reports, Fayette County. Retrieved from www.doe.k12.ga.us Georgia Department of Public Health (2013) Georgia Registry of Immunization Transactions and Services (GRITS). Retrieved from https://www.grits.state.ga.us/ Georgia Department of Public Health, Office of Health Indicators for Planning (OHIP). Online Analytical Statistical Information System (OASIS). Retrieved from http://oasis.state.ga.us/ Georgia Department of Public Health. State Electronic Notifiable Disease Surveillance System (SENDSS). Retrieved from https://sendss.state.ga.us/sendss/login.screen Georgia.Gov. Fayette County. Retrieved from http://georgia.gov/cities-counties/fayette-county The Annie E. Casey Foundation. (2013). Kids Count Data Center. Retrieved from http://datacenter.kidscount.org/ U.S. Census Bureau. (2010) Profile of General Population and Housing Characteristics: 2010 Demographic Profile, Georgia. Retrieved from https://www.census.gov/mso/www/training/library_aff.html University of Wisconsin, Population Health Institute. (2014) County Health Rankings. Retrieved from http://www.countyhealthrankings.org/ Contact Us Fayette County Health Department County Nurse Manager: Glenda Bryant, RN, MN, APRN-BC 140 Stonewall Avenue West Suite 207 Fayetteville, GA 30214 (770) 305-5416 Office District 4 Public Health District Health Director: Olugbenga O. Obasanjo MD, PhD, MPH, MBA 122A Gordon Commercial Drive Lagrange, GA 30240 (706) 845-4035 Office 2015 Fayette County Community Health Assessment Page | 28