II. Methodology
c. CHNA & Town Hall Research Process
Hannibal Regional Healthcare System (HRHS) Community Health Needs Assessment
process began in the spring of 2013. At that time an inquiry was made by Julie Levernz,
VP Strategy & Planning to VVV Research & Development to explore the possibility of
conducting a comprehensive IRS aligned CHNA for HRHS. On April 3rd of 2013 a
meeting was held to learn more about HRHS CHNA collaborative options with 6
county (HRHS PSA) health department leaders and other partners in community
health. On that date VVV Research & Development INC reviewed: VVV Research &
Development CHNA experience, CHNA requirements (in-depth regulations), CHNA
development steps / options to meet IRS requirements, and next steps after option
approval.
VVV CHNA Deliverables:
? Confirm Hannibal Regional Healthcare System service area meets 80/20% patient origin
rule,
? Uncover/Document Basic Secondary Research – Health of 6 Counties Organized by 10
TABS,
? Conduct & report CHNA Primary Research in HRHS primary service area counties.,
? Conduct Town Hall Meeting to discuss secondary data and uncover/prioritize county
health needs, and
? Prepare and publish IRS-aligned CHNA report to meet requirements.
(NOTE: To ensure proper (80/20%) Town Hall representation, the following patient
origin 3 years summary were generated – by county & by zip. For HRHS 6 MO Counties
resident’s views need to be collected and reported to determine PSA health needs.
Hannibal Regional Healthcare System
#
1
2
3
4
5
6
Inpatient
ED
OP
PSA
YR 12.11.10
Counties
Accum 3YR % I/O/E totals 2012 2011 2010 2012 2011 2010 2012 2011 2010
Marion, MO
53.0% 53.0%
93,724 2,700 3,070 3,233 9,980 9,738 9,542 19,631 16,737 19,093
Ralls, MO
63.0%
9.9%
17,591 501 588 637 1,570 1,551 1,451 3,711 3,599 3,983
Monroe, MO 70.1%
7.2%
12,704 289 340 369
901
720
750 3,432 2,795 3,108
Pike, MO
76.7%
6.6%
11,599 532 525 550
870
847
824 2,647 2,217 2,587
Shelby, MO
83.1%
6.4%
11,386 186 242 262
550
543
571 3,353 2,529 3,150
Lewis, MO
88.1%
5.0%
8,769 260 267 276
586
535
498 2,256 1,920 2,171
Others
100.0% 11.9%
21,054 796 959 1,039 2,254 2,145 2,113 4,049 3,720 3,979
Totals
100.0%
176,827 5,264 5,991 6,366 16,711 16,079 15,749 39,079 33,517 38,071
Hannibal Regional Healthcare System -Patient Origin
Inpatient
# ZIP
City
County Accum 3 YR To 2012 2011 2010
1 63401 Hannibal, MO
M