Community Assessment 2019

Fort Myers, Florida

Community Assessment 2019

Section 1: Community Identification & Features

Instructions Use complete sentences; cite each box
1a. Geography Location in State: complete

Area in square miles: complete

1b. Topography Elevation: complete

Type of Terrain: complete

Major bodies of water: complete

1c. Economic Primary industries: complete

Largest employers: complete

1d. Infrastructure Public transportation: complete

Major roads/highways: complete

Airports: complete

1e. Education Public school districts and public schools: complete

Higher education institutions: complete

Section 2: Population Demographics

Instructions Use data only, not complete sentences; all info from US Census Bureau; cite each box.
Local State US
2a. Total Pop. Pop. Estimate 2017: number Pop. Estimate 2017: number Pop. Estimate 2017: number
2b. Age <5yrs: %

<18yrs: %

>/=65yrs: %

<5yrs: %

<18yrs: %

>/=65yrs: %

<5yrs: %

<18yrs: %

>/=65yrs: %

2c. Gender Female: % Female: % Female: %
2d. Race White: %

Black: %

American Indian/Alaska native: %

Asian: %

Native Hawaiian: %

Hispanic or Latino: %

White: %

Black: %

American Indian/Alaska native: %

Asian: %

Native Hawaiian: %

Hispanic or Latino: %

White: %

Black: %

American Indian/Alaska native: %

Asian: %

Native Hawaiian: %

Hispanic or Latino: %

2e. Foreign born Persons (2013-2017): % Persons (2013-2017): % Persons (2013-2017): %
2f. Population growth/decline Population change 2010-2018: + or – % Population change 2010-2018: + or – % Population % change 2010-2018: + or -%

Section 3: Community Resources and Workforce

Healthcare Services

Instructions Write your answers in complete sentences. You may use internet search engines to begin your search per assignment instructions.
3a. Hospitals (general not specialty) Number in local area, general description with some details in a few short sentences.
3b. Urgent care centers (can include after hours walk in clinics or freestanding ERs) Number in local area, general description with some details in a few short sentences.
3c. Community Health Centers (FQHCs) Number in local area, general description with some details in a few short sentences.
3d. Mental Health Services (outpatient) Number in local area, general description with some details in a few short sentences.
3e. Homecare Agencies Number in local area, general description with some details in a few short sentences.
3f. Hospice Agencies Number in local area, general description with some details in a few short sentences.

Services for Vulnerable populations

Instructions Write your answers in complete sentences. You may use internet search engines to begin your search per assignment instructions.
3g. Agency that provides Services to elderly Name one agency here followed by a few sentences discussing the services they provide
3h. Agency that provides Services to homeless Name one agency here followed by a few sentences discussing the services they provide.
3i. Agency that provides Services to children Name one agency here followed by a few sentences discussing the services they provide.
3j. Agency that provides drug treatment services Name one agency here followed by a few sentences discussing the services they provide.
3k. Agency that provides healthcare services to uninsured/indigent Name one agency here followed by a few sentences discussing the services they provide.

HRSA Designations

Instructions Yes or No with complete sentences for any explanation; use HRSA website as directed in instructions.
3l. Health Provider Shortage Area (HPSA) Yes/No and type of provider that are of shortage if
3m. Medically Underserved Area (MUA) Yes/No

Healthcare Providers

Instructions Data only needed as prompted.
3n. Area Name: Write Your Metropolitan/nonmetropolitan area name here

Data Period: Write month/date here

3o. Physicians Number employed: number
3p. Physician’s Assistants Number employed: number
3q. Nurse Practitioners Number employed: number
3r. Population to primary care physician Ratio
3s. Population to other primary care providers Ratio
3t. Your interpretation of HRSA and Healthcare Provider data above Write a few sentences.

Section 4: Indicators of Health Status and Quality of Life

Mortality, Morbidity & Health Risk Factors

Instructions Data only, not complete sentences.
Local State US
4a. Mortality: Leading Causes of Death (top 3) List causes

Data year

List causes

Data year

List causes

Data year

4b. Mortality: Infant mortality Rate List rate

Data year

List rate

Data year

List rate

Data year

4c. Mortality: Drug Induced Rate List rate

Data year

List rate

Data year

List rate

Data year

4d. Morbidity: List Indicator here (choice) List statistic

Data year

List statistic

Data year

List statistic

Data year

4e. Health Risk Factor: Adult Tobacco Use List statistic

Data year

List statistic

Data year

List statistic

Data year

4f. Health Risk Factor: Adult Obesity List statistic

Data year

List statistic

Data year

List statistic

Data year

Social Determinates of Health

Instructions Data only with clear data identification; not complete sentences.
Local State US
4g. Economic: % Living in Poverty List %

Data year

List %

Data year

List %

Data year

4h. Economic: % Unemployment Rate List %

Data date

List %

Data date

List %

Data date

4i. Education: % with High School graduate List %

Data year

List %

Data year

List %

Data year

4j. Education: % with bachelor’s degree List %

Data year

List %

Data year

List %

Date year

4k. Health: % without health insurance <65yrs List %

Data year

List %

Data year

List %

Data year

4l. Crime: Violent Crime rate List rate

Data year

List rate

Data year

List rate

Data year

4m. Food Insecurity: % who lack adequate access to food List %

Data year

List %

Data year

List %

Data year

Physical Determinates of Health

Instructions Data only/complete sentences if needed for clarity.
4n. Mean MAX Annual Temperature Degree Fahrenheit

List years of data

4o. Mean MIN Annual Temperature Degree Fahrenheit

List years of data

4p. Mean ANNUAL Precipitation Inches

List years of data

4q. Air Quality List Results (follow instruction)

List dates of data

4r. Water Quality List Results (follow instruction)

List dates of data

Health People 2020 Goals and Progress complete sentences first column /data only for rest

Instructions Complete sentences in the first column, data only for the rest. First column from HP2020 website.
Local State US
4s. Target goal 1: Write it here-goal plus target measure List statistic with identifier

List year of data

List statistic with identifier

List year of data

List statistic with identifier

List year of data

4t. Target goal 2: write it here-goal plus target measure List statistic with identifier

List year of data

List statistic with identifier

List year of data

List statistic with identifier

List year of data

4u. Target goal 3: write it here-goal plus target measure List statistic with identifier

List year of data

List statistic with identifier

List year of data

List statistic with identifier

List year of data

Section 5: Health Priorities and Interventions

Instructions Use complete sentences.
Intervention 1 Intervention 2 Intervention 3
5a. Priority #1: State your priority here in 1 complete sentence State intervention for priority in 1-2 sentences State intervention for priority in 1-2 sentences State intervention for priority in 1-2 sentences
5b. Priority #2: State your priority here in 1 complete sentence State intervention for priority in 1-2 sentences State intervention for priority in 1-2 sentences State intervention for priority in 1-2 sentences
5c. Priority #3: State your priority here in 1 complete sentence State intervention for priority in 1-2 sentences State intervention for priority in 1-2 sentences State intervention for priority in 1-2 sentences

Section 7: References

APA Reference list here (starts on separate page)

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