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Florida Department of Health in Clay County has one document for their Community Health Assessmentand their Community Health Improvement Plan. Please see below for the page number for each.Community health assessment . 13‐104Community Health Improvement Plan . 1‐12
2 0 1 0Health Needs AssessmentClay County, Florida
Clay County,FLORIDAPREPARED BY THEHealth Planning Council of Northeast FloridaFUNDED BYOrange Park Medical CenterClay County Health Departmentwww.hpcnef.org
TABLE OF CONTENTSEnteric Diseases . . . . . . . . . . . . . . . . . . . . . . . . .43Vaccine Preventable Diseases . . . . . . . . . . . . . .43Sexually Transmitted Diseases . . . . . . . . . . . . . .43Hepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43HIV and AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . .43MATERNAL AND CHILD HEALTH . . . . . . . . . . .44Female Population of Childbearing Age . . . . . .44Birth Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44Infant Mortality . . . . . . . . . . . . . . . . . . . . . . . . . .45Poor Birth Outcomes . . . . . . . . . . . . . . . . . . . . .46Pre-Term Delivery . . . . . . . . . . . . . . . . . . . . . . . .46Low Birth Weight . . . . . . . . . . . . . . . . . . . . . . . .46Adolescent Births . . . . . . . . . . . . . . . . . . . . . . . .47SOCIAL AND MENTAL HEALTH . . . . . . . . . . . . .48Domestic Violence . . . . . . . . . . . . . . . . . . . . . . .48Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49Substance Abuse . . . . . . . . . . . . . . . . . . . . . . . .50BEHAVIORAL RISK FACTORSURVEILLANCE SURVEY . . . . . . . . . . . . . . . .52LETTER TO THE COMMUNITY . . . . . . . . . . . . . . . . . .5EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . .6COMMUNITY CALL TO ACTION . . . . . . . . . . . . . . . .7INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9Building on Past Success . . . . . . . . . . . . . . . . . .102005 Recommendation 1 . . . . . . . . . . . . . . . . . .102005 Recommendation 2 . . . . . . . . . . . . . . . . . .112005 Recommendation 3 . . . . . . . . . . . . . . . . . .122005 Recommendation 4 . . . . . . . . . . . . . . . . . .12METHODOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . .13CLAY COUNTY PROFILE . . . . . . . . . . . . . . . . . . . . .16INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . .16Geography and Governance . . . . . . . . . . . . . . .16POPULATION CHARACTERISTICS . . . . . . . . . .17Race and Ethnicity . . . . . . . . . . . . . . . . . . . . . . .17SOCIO-ECONOMIC PROFILE . . . . . . . . . . . . . .18Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19Public Assistance . . . . . . . . . . . . . . . . . . . . . . . .19Labor Force, Employment, and Industry . . . . . . 20Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21Food Environment . . . . . . . . . . . . . . . . . . . . . . . .22ACCESS TO CARE . . . . . . . . . . . . . . . . . . . . . . . . . .53Health Insurance Coverage . . . . . . . . . . . . . . . .53Coverage for Children . . . . . . . . . . . . . . . . . . . .55Primary Care . . . . . . . . . . . . . . . . . . . . . . . . . . . .56Health Care Facilities . . . . . . . . . . . . . . . . . . . . .59Acute Care . . . . . . . . . . . . . . . . . . . . . . . . . . .59Emergency Room Care . . . . . . . . . . . . . . . . . .63Long-Term Care . . . . . . . . . . . . . . . . . . . . . . . . .65Mental and Substance Abuse . . . . . . . . . . . . . .67COMMUNITY HEALTH STATUS . . . . . . . . . . . . . . . .23COUNTY HEALTH RANKING . . . . . . . . . . . . . . .25MORTALITY INDICATORS . . . . . . . . . . . . . . . . .26Leading Causes of Death . . . . . . . . . . . . . . . . . .27Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28Lung Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . .29Breast Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . .30Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . .31Heart Disease . . . . . . . . . . . . . . . . . . . . . . . . . . .32Chronic Obstructive PulmonaryDisease (COPD) . . . . . . . . . . . . . . . . . . . . . . .33Unintentional Injuries . . . . . . . . . . . . . . . . . . . . .34Motor Vehicle Accidents . . . . . . . . . . . . . . . . . . .35Alcohol Related Motor Vehicle Accidents . . . . .36Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38Alzheimer’s Disease . . . . . . . . . . . . . . . . . . . . . .40Liver Disease and Cirrhosis . . . . . . . . . . . . . . . .41Influenza and Pneumonia . . . . . . . . . . . . . . . . . .42COMMUNICABLE DISEASES . . . . . . . . . . . . . .43LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT . .68FORCES OF CHANGE ASSESSMENT . . . . . . . . . . .70COMMUNITY PARTICIPATION . . . . . . . . . . . . . . . . .75Community Survey . . . . . . . . . . . . . . . . . . . . . . .75Focus Groups . . . . . . . . . . . . . . . . . . . . . . . . . . .83KEY HEALTH ISSUES . . . . . . . . . . . . . . . . . . . . . . . .90INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . .90KEY HEALTH ISSUES . . . . . . . . . . . . . . . . . . . . .90APPENDICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98Appendix A - Focus Group Questions . . . . . . . . . . .99Appendix B - Survey Questions . . . . . . . . . . . . . . .1001
tables and figuresImage 1:Image 2:Table 1:Figure 1:Table 2:Table 3:Figure 2:Table 4:Figure 3:Figure 4:Table 5:Table 6:Figure 5:Figure 6:Table 7:Table 8:Figure 7:Figure 8:Figure 9:Figure 10:Figure 11:Figure 12:Figure 13:Figure 14:Figure 15:Figure 16:Figure 17:Figure 18:Figure 19:Figure 20:Figure 21:Figure 22:Figure 23:Figure 24:Figure 25:Figure 26:Figure 27:Figure 28:Figure 29:Figure 30:Figure 31:Figure 32:Figure 33:The MAPP Model: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15Map of Florida Highlighting Clay County . . . . . . . . . . . . . . . . . . . . . . . . . . .16General Population Trends, 2000-2030 . . . . . . . . . . . . . . . . . . . . . . . . . . . .17Estimates of Population by Age Group, 2003 . . . . . . . . . . . . . . . . . . . . . . . .17Clay County and Florida Population by Race, 2008 . . . . . . . . . . . . . . . . . . .17Per Capita Income, Weekly Wage, and Median HouseholdIncome, 2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18Household Income Levels, Clay County, 2008 . . . . . . . . . . . . . . . . . . . . . . .18Estimates of Persons and Youth in Poverty, 2000 and 2008 . . . . . . . . . . . .19Individuals and Families receiving Public Assistance, 2004-2008 . . . . . . .19Unemployment, Clay County and Florida, 2004-2009 . . . . . . . . . . . . . . . . .20Job Losses by Industry, Clay County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20High School Graduation and Drop-Out Rates, 2002-03 and 2007-08 . . . . .21Students Eligible to Receive Free and/or Reduced Price Meals . . . . . . . . .21Average Per-Capita Food Consumption, Northeast Florida Region, 2009 . .23Clay County Health Factors Rankings, 2010 . . . . . . . . . . . . . . . . . . . . . . . .25Top 10 Leading Causes of Death, Clay County, 2008 . . . . . . . . . . . . . . . . .27Cancer Mortality, All Types, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . .28Cancer Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . .28Lung Cancer Mortality, All Races, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . .29Lung Cancer Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . . .29Breast Cancer Mortality, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30Breast Cancer Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . .30Prostate Cancer Mortality, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31Prostate Cancer Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . .31Heart Disease Mortality, 2003-200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Heart Disease Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . .32Chronic Obstructive Pulmonary Disease Mortality, All Races, 2003-2008 . .33Chronic Obstructive Pulmonary Disease Mortality, by Race, 2006-2008 . . .33Unintentional Injury Mortality, All Races, 2003-2008 . . . . . . . . . . . . . . . . . .34Unintentional Injuries Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . .34Motor Vehicle Accident Mortality, All Races, 2003-2008 . . . . . . . . . . . . . . .35Motor Vehicle Accident Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . .35Alcohol Related Motor Vehicle Accidents, All Populations, 2006-2008 . . .36Stroke Mortality, All Races, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37Stroke Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37Diabetes Mortality, All Races, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . .38Diabetes Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . .38Rate of Resident Hospitalizations with a Primary Diagnosis of Diabetes,All Races . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39Alzheimer’s Mortality, All Races, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . . . .40Alzheimer’s Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . . .40Liver Disease And Cirrhosis Mortality, All Races, 2003-2008 . . . . . . . . . . .41Liver Disease And Cirrhosis Mortality, by Race, 2006-2008 . . . . . . . . . . . .41Influenza & Pneumonia Mortality, All Races, 2003-2008 . . . . . . . . . . . . . . .422
tables and figuresFigure 34:Table 8:Figure 35:Figure 36:Figure 37:Figure 38:Figure 39:Figure 40:Table 9:Figure 41:Figure 42:Figure 43:Figure 44:Table 10:Table 11:Figure 45:Figure 46:Figure 47:Figure 48:Figure 49:Figure 50:Figure 51:Figure 52:Figure 53:Figure 54:Table 12:Figure 55:Table 13:Table 14:Figure 56:Figure 57:Table 15:Figure 58:Figure 59:Table 16:Figure 60:Table 17:Influenza & Pneumonia Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . .42Communicable Disease Mortality Rate(s), All Races, 2006-2008 . . . . . . . .43Female Population, Ages 15-44, by Race, 2004-2008 . . . . . . . . . . . . . . . . .44Live Birth Rate, by Race, 2004-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44Infant Mortality Rates, All Races, 2003-2008 . . . . . . . . . . . . . . . . . . . . . . . .45Infant Mortality Rates, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . .45Births to Mothers Ages 15-19yrs, All Races, 2003-2008 . . . . . . . . . . . . . . .47Births To Mothers Ages 15-19, by Race, 2006-2008 . . . . . . . . . . . . . . . . . .47Domestic Violence Offenses, 2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48Total Domestic Violence Offenses, All Races, 2003-2008 . . . . . . . . . . . . . .48Suicide Mortality, All Races, 2003-2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . .49Suicide Mortality, by Race, 2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49Total Involuntary Examinations for Clay County Residents, 2002-2007 . . . .50Arrests by Offenses, 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51Health Insurance Coverage, Clay County and Florida, 2009 . . . . . . . . . . . .54Median Monthly Medicaid Enrollment,Clay County and Florida,2004-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55KidCare Enrollment, Baker County and Florida, April 2008 . . . . . . . . . . . . .55Total Licensed Physicians, Clay County and Florida, 2006-2009 . . . . . . . .57Licensed Family Practice Physicians, Clay County and Florida,2006-2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57Licensed Internist Physicians, Clay County and Florida, 2006-2009 . . . . . .57Licensed Pediatricians, Clay County and Florida, 2006-2009 . . . . . . . . . . .58Licensed Obstetric/Gynecology Physicians, Clay County and Florida . . . .58Total Hospital Beds (All Facilities),clay County and Florida, 2006-2008 . . .59Acute Care Hospital Beds (All Facilities), Clay County and Florida,2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59Specialty Hospital Beds (All Facilities), Clay County and Florida,2006-2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60Acute Care Hospital Inventory of Services, 2009 . . . . . . . . . . . . . . . . . . . . .60Hospital Admissions of Clay County residents, July-December 2009 . . . . .61Top 12 Hospital Discharges, by DRG, Clay County Adults, 2009 . . . . . . . .62Top 12 Hospital Discharges, by DRG, Clay County PediatricPatients, 2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62Orange Park Medical Center Emergency Room Visits, 2000-2009 . . . . . .63Orange Park Medical Center ER Visits Resulting in Inpatient Admissions,2000-2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63Top Emergency Room Diagnoses (regardless of admission status),Clay County Adults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64Total Admissions, Kindred Hosptal – North Florida, 2000-2009 . . . . . . . . .65Total Nursing Home Beds, Clay County and Florida, 2006-2008 . . . . . . . . .66Free Standing Community Nursing Homes, 2009 . . . . . . . . . . . . . . . . . . . .66Adult Psychiatric Beds, Clay County and Florida, 2006-2008 . . . . . . . . . . .67Local Public System Performance Assessment Summary, 2010 . . . . . . . . .693
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LETTER TO THE COMMUNIT YCaring for our community is a high priority at Orange Park Medical Center and the ClayCounty Health Department. It was our goal, along with the Health Planning Council ofNortheast Florida to create a clear plan for the next several years to make Clay County ahealthier place to live and grow. With that, we present to you the 2010 Clay County HealthAssessment Report. At a time when our nation is facing critical health care issues, the people ofClay County are becoming increasingly aware of the impact of lifestyle, localphysical and economic environments as well as affordable, accessible health careon the health of the community. These factors impact not only the individuals wholive within the county, but the vitality and success of the county itself. This report is acall to action to encourage all health care providers, social service organizations,faith-based community and private citizens to join together and make Clay County ahealthier and happier place to live and work.Over the last nine months, community leaders came together to assess the healthstatus and priority health issues facing the county. Along with meeting on a monthlybasis, focus groups were held with members of the community and surveys wereconducted. In the end, we received feedback from over 1500 members of the ClayCounty community. Armed with this information, the task force of community leadersworked through all of the information to pinpoint the key health issues we are facedwith as a community. The Clay County Health Assessment Task Force identified keyhealth issues which included high rate of lung cancer mortality, diabetes, heartdisease, infant mortality, limited access to dental services – among lower-incomeand uninsured adults, Alzheimer’s mortality, and substance abuse.Please take the time to review this report. This assessment is the product of acollective and collaborative effort from a variety of dedicated health and social service providersalong with other invaluable community stakeholders from across all regions of Clay County. It ishoped that the findings from this community health assessment will serve to guide Clay Countyleaders in their program development efforts over the next 3-5 years. We encourage individualswho would like to work with the Lead Entities cited for the 2010 Goals and Activities to contact theClay County Health Department to see how they can become involved to reach this goal.With best regards,Thomas PentzCEOOrange Park Medical CenterNancy MillsAdministratorClay County Health Department5
E XECUTIVE SUMMARYThe Orange park Medical Center, the Clay County Health Department and the Health PlanningCouncil of Northeast Florida spearheaded an initiative to conduct a comprehensive, county-widehealth needs assessment.The Clay County Health Assessment Task Force, comprised of community leaders from local medical andbehavioral health providers, social service agencies, civic organizations and minority and faith-basedgroups came back together to: 1). Review the outcomes of the 2005 health needs assessment and 2).Launch the 2009-2010 county-wide assessment of the overall health status and priority health issuesfacing Clay County residents.Information collected during the needs assessment process was presented to the Clay County HealthAssessment Task Force during monthly community meetings held at various locations in Clay County fromOctober 2009-June2010.Components of Clay County’s health needs assessment included an analysis of demographics, healthstatistics, and access to health care indicators for county residents. This data included chronic diseasedeath rates, infectious disease rates, and maternal and child health indictors, In addition, hospitalutilization data of Clay County residents was presented as well as the availability of health resources andservices in the countyInput from Clay County residents was obtained from 4 focus group interviews from diverse populations.A community-wide survey that examined the community’s opinion on health care services andquality of life issues was also distributed to gain additional feedback from Clay Countyresidents. Over 1,500 surveys were collected from Clay County residents.Key Issues and RecommendationsThe Clay County Health Assessment Task Force identified key health issues which included highrate of lung cancer mortality, diabetes, heart disease, infant mortality, limited access to dental services – amonglower-income and uninsured adults, Alzheimer’s mortality, and substance abuse. Task Force members thencollapsed these key health issues into broader health priorities and subsequently developed recommendationsand actions steps. The Task Force believed these recommendations should be incorporated in the work ofexisting community groups and leaders and report on the progress of these recommendations through the ClayCounty Health Department Director on a quarterly basis.6
2010 COMMUNITYCALL TO ACTIONGOAL 1:Improve the overall Health Literacy, along with awareness and understanding of healthy lifestylerecommendations, among Clay County residents through targeted health promotion campaigns/initiatives.HEALTH PRIORITIES:Overweight/Obesity, Diabetes, Cardiovascular Disease, StrokeACTIVITYTIMEFRAMEMEASURE OF SUCCESSA. Coordinate with parish health programs/health ministries to disseminate targetedhealth messages, education, and neededsupport services through local congregations.May 2014# of health ministriesand/or faith leadersactively participatingin coordinated healtheducation initiativesMercy NetworkB. Partner with local businesses to create anddeploy effective health messaging at consumerand employee “points of contact” (ie: messagingon consumer goods, worksite wellnessprograms, and training other service providers –such as barbers/beauticians - as healthambassadors, etc.)May 2014# of business-basedhealth promotionprogramsClay Chamber ofCommerceC. Work with school leaders to influence policychange that improves and integrates theprovision of age-appropriate health education,prevention messaging, and physical activity forstudents within their core curriculum.May 2014Resulting policiesClay CountySchool District(Also, identify youth andadolescent S/A indicatorsavailable from providersfor long term outcomes)LEAD ENTITYGOAL 2:Increase/Improve access to goods and services needed to support a healthy lifestyle, especially amongunderserved populations, through improved interagency coordination and multi-sector partnerships.HEALTH PRIORITIES:Overweight/Obesity, Diabetes, Cardiovascular Disease, StrokeACTIVITYA. Organize and co-host the first “Clay CountyHealth Summit” with key community leaders toexplore options to improve primary care accessfor lower income and uninsured residents.B. Strengthen existing collaborations withregional mobile health units to ensure accessto needed primary and specialty care as wellas appropriate screenings and education.TIMEFRAMEOctober 2010MEASURE OF SUCCESS # of participants Resultingplans/policiesLEAD ENTITYHealth PlanningCouncil of NortheastFlorida (With sponsorshipfrom the Blue Foundation)May 20107 # or % of low-incomeand uninsuredpersons served Reduced hospitalutilization amongunderserved popsSt. Vincents MobileOutreach and ClayCounty HealthDepartment
COMMUNITY CALL TO ACTIONCONTINUEDGOAL 2: (continued)ACTIVITYTIMEFRAMEC. Partner with existing organizations andresources that supply healthy foods (such asagricultural organizations to coordinatecommunity gardens and supermarkets thatsell fresh produce and meats) to improveaccess to healthy food for all residents,especially those in underservedareas/populations.May 2010MEASURE OF SUCCESS Resulting policiesrelated to the provisionof/access to healthyproduce and meats forunderserved residents Increase theproportion of theannual per capitafood consumptionthat comes from freshproduce and meatsLEAD ENTITYUniversithy of FloridaClay CountyExpansion Servicesand Clay CountyHealth DepartmentGOAL 3:Continue coordination with both the Clay Action Coalition and “Tobacco Free Clay” to improve the integration ofappropriate substance use/misuse prevention messaging, screening, and assessment into routine medical care,especially for youth.HEALTH PRIORITIES:Substance Abuse/Misuse (Can include Alcohol, Tobacco, Illegal and Prescription Drugs)ACTIVITYTIMEFRAMEA. Increase and improve the provision ofsubstance use prevention messages withinprimary care and other routine healthcaresettings.ess for lower income and uninsuredresidents.May 2010Clay County MedicalDeferred to existingoutcomes already being Societymeasured by providers/coalitionsB. Integrate early risk assessment, screening,and education regarding substanceuse/misuse into the routine primary care ofchildren and adolescents.May 2010Clay County MedicalDeferred to existingoutcomes already being Societymeasured by providers/coalitions8MEASURE OF SUCCESSLEAD ENTITY
INTRODUCTIONTask Force members at community meetings thatwere held in various locations in Clay Countyincluding the City of Green Cove Springs City Hall,The Fleming Island Library, Life Care Center orOrange Park, and Holly Cove ApartmentCommunity during November 2009 – July 2010.In the Fall of 2009, leaders from Orange ParkMedical Center and the Clay County HealthDepartment came together to launch a county-wideassessment of the overall health status and priorityhealth issues facing Clay County residents. TheHealth Planning Council of Northeast Florida wassubcontracted to guide and facilitate the process.More than 70 key healthcare and communitystakeholders were invited to join the Clay CountyHealth Assessment Task Force, and to participate inthe assessment by representing the needs of theirclients, constituents, and communities. Collectively,more than 40 community leaders contributed to theprocess by attending at least one Task Forcemeeting; with more than an additional 1,550residents contributing to the assessment throughtheir participation in surveys and groupdiscussions.The Task Force elected to utilize the “MAPP”community assessment model, as recommendedby the Florida Department of Health as well as theNational Association of City and County HealthOfficers (also known as “NACCHO”). MAPP is anacronym for “Mobilization for Action through Planningand Partnership;” and is a community-basedparticipatory model that relies on the existingexpertise of community representatives to identify,prioritize, and collectively address the county’s mostprevalent health concerns. This type of county-widehealth assessment was last completed in Clayduring 2005; and it is recommended to re-occurevery 3-5 years.The Clay County Health Assessment Task Force iscomprised of representatives from local medicaland behavioral health providers, social serviceagencies, civic organizations, minority and faithbased groups, and other key communitystakeholders. Information collected during theneeds assessment process was presented to the9Components of Clay County’s health assessmentincluded an analysis of available demographicdata, health statistics, and access to health careindicators for county residents. Community inputwas obtained from five focus group discussionsamong known key population groups such as: theelderly, faith community, minority residents, parents,and business professionals. A county-wide surveythat solicited the community’s opinions on healthcare services and quality of life issues was alsodistributed to gain additional feedback from ClayCounty residents. Detailed information summarizingeach of these components is included in this report.During the final three community meetings,members of the Task Force made recommendationsregarding the key health issues utilizing a summaryof the data and information obtained through thefour integrated assessments outlined in the MAPPmodel (a diagram of the model is included on page15 of this report). A summary of the Task Forcemembers’ recommendations on the County’s priorityhealth issues is included in the final section of thisreport, along with suggested goals and strategies toaddress them.This assessment is therefore the product of acollective and collaborative effort from a variety ofdedicated health and social service providers alongwith other invaluable community stakeholders fromacross all regions of Clay County. It is hoped thatthe findings from this community health assessmentwill serve to guide health and social servicesproviders in the county in their programdevelopment efforts over the next 3-5 years.
building on pa st SUCCESSTThe previous Clay County Health Assessment Task Force developed a set of recommendations based on thefindings that evolved from the 2005 assessment. Those recommendations and the suggested activity steps toachieve them were disseminated throughout the community through targeted discussions and presentations. TheTask Force members then reconvened in both May of 2006 and December of 2007 to discuss progress toward eachrecommended goal. A final summary report of accomplishments related to these goals (through 2009) was also providedby the Clay County Health Department Administrator as a starting point to this assessment. Highlights from each of thosereports are included below under each of the 2005 recommended goals.2005 Recommendation 1:Reduce teen drug and alcohol use1) Develop community awareness campaign in order to change community norms targeting both parents and teens. Seek grant funding/ county assistance in the development of campaign. Partner with the schools, law enforcement, churches, health professionals and community groups todisseminate awareness campaign.2) Encourage police to strongly enforce teen drinking violations.3) Develop teen/community center in Green Cove Springs (possibly partner with the YMCA).This recommendation was referred to the existing Clay Action Coalition, a group of community leaders working toaddress issues in Clay related substance abuse and behavioral health, especially among youth and adolescents. TheCoalition and Clay County Behavioral Health Center applied for and were awarded a 5-year, 100,000 federal Drug FreeCommunities grant, along with an additional 75,000 for targeted substance abuse prevention. The Coalition alsosuccessfully bid for a 50,000 “Enforcing Underage Drinking Block Grant,” with Clay Behavioral Health Center as thefiscal agent for the 2-year funding period.The Clay Action Coalition continues to guide and encourage teen substance abuse prevention through ongoingcompliance checks at convenience stores and restaurants to ensure that tobacco and alcohol retailers are properlychecking identification. Individual member agencies have also implemented multiple programs to support substanceabuse prevention.For example, the local Police Activities League (PAL) began transporting youth to Orange Park so that they couldparticipate in structured activities; and the Elk’s Club and Clay School District provided drug prevention programs at anannual teen summit. Additionally, the Clay County Health Department and community partners implemented tobacco andsubstance use prevention campaigns and healthy lifestyle interventions through Rick Bender presentations; Establishing SWAT programs in Clay County schools; “Tobacco Tales” Jungle Puppet Shows; Breathe Easy Track Meet; Founding of the Tobacco Free Clay partnership and associated newsletter; Powering Up for Social Change event; Teen Leadership Training (130 students); and Movies on the Lawn (various sites)Additional partners in Green Cove Springs performed additional targeted activities under leadership of Chief Musco, including: Operation Safe Streets; Green Cove Springs Ministerial Alliance (
behavioral health providers, social service agencies, civic organizations and minority and faith-based groups came back together to: 1). Review the outcomes of the 2005 health needs assessment and 2). Launch the 2009-2010 county-wide assessment of the overall health status and priority health issues facing Clay County residents.
