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Northridge Hospital Medical Center: 2013 Community Health Needs Assessment

May 2013

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Contents 2013 Northridge Hospital Medical Center Community Health Needs Assessment Summary: An assessment of the San Fernando and Santa Clarita Valleys (the city of San Fernando and portions of the cities of Los Angeles and Santa Clarita) in Los Angeles County and a portion of the city of Simi Valley in Ventura County conducted jointly by the Northridge Hospital Medical Center and the Valley Care Community Consortium ..............................................................................................................................................................................................................8

Description of Community Served by the Hospital .................................................................................................................................................................8 Who Was Involved in Assessment ........................................................................................................................................................................................10 How the Assessment Was Conducted....................................................................................................................................................................................10 Health Needs Identified .........................................................................................................................................................................................................11 Community Assets Identified ................................................................................................................................................................................................11 Summaries: Assessments and Priorities.................................................................................................................................................................................12 Next Steps ..............................................................................................................................................................................................................................13

Attachment A: Demographic Data with Maps ......................................................................................................................................................16 Ethnicity .................................................................................................................................................................................................................................16 Household Income .................................................................................................................................................................................................................16 Foreign Born ..........................................................................................................................................................................................................................17 Language................................................................................................................................................................................................................................18 Educational Attainment .........................................................................................................................................................................................................18 Births......................................................................................................................................................................................................................................19 Mortality ................................................................................................................................................................................................................................20 Grandparents Caring for Grandchildren ................................................................................................................................................................................21 Insurance Coverage................................................................................................................................................................................................................21 Crime Statistics ......................................................................................................................................................................................................................21 Dignity Health’s Community Need Index .............................................................................................................................................................................22

Attachment B: Planning Participants.....................................................................................................................................................................48

Attachment C: Asset Analysis ...............................................................................................................................................................................50 Mental Health Care Assets.....................................................................................................................................................................................................54 Oral Health Care Assets.........................................................................................................................................................................................................59 Health and Human Services Assets .......................................................................................................................................................................................60 Parks and Recreation Assets ..................................................................................................................................................................................................66

Attachment D. Health Data....................................................................................................................................................................................68 Asthma ...................................................................................................................................................................................................................................68 Breast Cancer .........................................................................................................................................................................................................................69

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Cardiovascular Disease ..........................................................................................................................................................................................................69 Cervical Cancer......................................................................................................................................................................................................................71 Colorectal Cancer...................................................................................................................................................................................................................71 Diabetes..................................................................................................................................................................................................................................72 Domestic Violence and Sexual Assault .................................................................................................................................................................................73 Infant Health ..........................................................................................................................................................................................................................74 Intentional Injury/Suicide ......................................................................................................................................................................................................75 Lung Cancer...........................................................................................................................................................................................................................76 Mental Health.........................................................................................................................................................................................................................77 Oral Health.............................................................................................................................................................................................................................77 Overall Health Status .............................................................................................................................................................................................................78 Overweight and Obesity ........................................................................................................................................................................................................79 Prostate Cancer ......................................................................................................................................................................................................................80 Sexually Transmitted Diseases ..............................................................................................................................................................................................81 Unintentional Injury...............................................................................................................................................................................................................82 Disease Prevalence Estimates by Zip Code ...........................................................................................................................................................................83

Attachment E. Summary of Community Engagement ........................................................................................................................................110 Focus Groups .......................................................................................................................................................................................................................111 Community Forums .............................................................................................................................................................................................................113 Paper Surveys.......................................................................................................................................................................................................................115 Online Survey ......................................................................................................................................................................................................................116 Key Informant Interviews ....................................................................................................................................................................................................117

Attachment F. Prioritized Health Needs..............................................................................................................................................................125

Attachment G. Implementation Teams................................................................................................................................................................130

Appendix A: List of Secondary Data Sources.....................................................................................................................................................132

Appendix B: Community Engagment Survey Tools ...........................................................................................................................................134 Appendix C: List of Community Health Needs Used in Prioritization Process..................................................................................................158

   

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Table 1. Crime Statistics, Los Angeles Police Department, Devonshire, Van Nuys, Mission, and Topanga Divisions ......................................22 Table 2. Northridge Hospital Medical Center: Community Need Index (CNI) Scores by Highest Need Zip Codes...........................................24 Table 3. Northridge Hospital Medical Center: Income Barriers in Zip Codes with Highest Community Need Index (CNI) Scores ..................25 Table 4. Northridge Hospital Medical Center Cultural/Language Barriers in Zip Codes with Highest Community Need Index (CNI) Scores .26 Table 5. Northridge Hospital Medical Center: Education Barriers in Zip Codes with Highest Community Need Index (CNI) Scores ..............26 Table 6. Northridge Hospital Medical Center: Insurance Barriers in Zip Codes with Highest Community Need Index (CNI) Scores...............27 Table 7. Northridge Hospital Medical Center: Housing Barriers in Zip Codes with Highest Community Need Index (CNI) Scores.................28 Table 8. Northridge Hospital Medical Center: Race and Ethnicity.......................................................................................................................29 Table 10. Northridge Hospital Medical Center: Male Age Group ........................................................................................................................31 Table 11. Northridge Hospital Medical Center: Female Age Group.....................................................................................................................32 Table 12. Northridge Hospital Medical Center: Insurance Coverage Estimates 2012 and 2017 ..........................................................................33 Table 13. Northridge Hospital Medical Center: Community Need Index (CNI) Score Including Barriers by Zip Code.....................................34 Table 14. Northridge Hospital Medical Center: Educational Attainment Estimates by Zip Code........................................................................35 Table 15. Northridge Hospital Medical Center: Region of Birth Estimates..........................................................................................................36 Table 16. Northridge Hospital Medical Center: United States and Foreign Born Estimates ................................................................................37 Table 17. Northridge Hospital Medical Center: Language Spoken at Home........................................................................................................38 Table 18. Northridge Hospital Medical Center: English Fluency Estimates.........................................................................................................39 Table 19. Northridge Hospital Medical Center: Fertility Estimates for Women 15-50 ........................................................................................40 Table 20. Northridge Hospital Medical Center: Number of Live Births by Race and Age of Mother, Infant Birthweight, and Mother’s Prenatal

Care................................................................................................................................................................................................................41 Table 21. Northridge Hospital Medical Center: Number of Deaths by Sex and Age and Selected Leading Causes of Death.............................42 Table 22. Northridge Hospital Medical Center: Grandparents Responsible for Grandchildren Estimates...........................................................43 Table 23. 2013 CHNA Data Committee................................................................................................................................................................49 Table 24. Northridge Hospital Medical Center: Summary of Assets ....................................................................................................................50 Table 25. Clinics....................................................................................................................................................................................................51 Table 26. Hospitals ................................................................................................................................................................................................52 Table 27. Cancer Resources ..................................................................................................................................................................................52 Table 28. Heart Disease Resources .......................................................................................................................................................................53 Table 29. HIV Services..........................................................................................................................................................................................53 Table 30. STD Services .........................................................................................................................................................................................53 Table 31. Mental Health and Crisis Resources......................................................................................................................................................54 Table 32. Suicide Prevention Services ..................................................................................................................................................................55 Table 33. Mental Health Services for Children .....................................................................................................................................................56

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Table 34. Health Services for Adults.....................................................................................................................................................................57 Table 35: Mental Health Services for Older Adults ..............................................................................................................................................58 Table 36. Dental Services ......................................................................................................................................................................................59 Table 37. Housing and Shelters .............................................................................................................................................................................60 Table 38. Community Organizations.....................................................................................................................................................................60 Table 39. Health & Human Services .....................................................................................................................................................................62 Table 40. Youth Development Programs ..............................................................................................................................................................64 Table 41. Violence Prevention Services................................................................................................................................................................65 Table 42. Child Abuse Resources..........................................................................................................................................................................65 Table 43. Parks and Recreation Areas...................................................................................................................................................................66 Table 44. Asthma Prevalence ................................................................................................................................................................................68 Table 45. Breast Cancer Incidence per 100,000 Population..................................................................................................................................69 Table 46. Breast Cancer Mortality per 100,000 Population ..................................................................................................................................69 Table 47. Heart Disease Prevalence ......................................................................................................................................................................70 Table 48. Heart Disease Mortality Per 100,000 Population ..................................................................................................................................70 Table 49. Stroke Mortality Per 100,000 Population ..............................................................................................................................................70 Table 50. Cervical Cancer Incidence Per 100,000 Population ..............................................................................................................................71 Table 51. Cervical Cancer Mortality Rate Per 100,000 Population ......................................................................................................................71 Table 52. Colorectal Cancer Incidence, Per 100,000 Population ..........................................................................................................................72 Table 53. Colorectal Cancer Mortality Rate Per 100,000 Population ...................................................................................................................72 Table 54. Diabetes Prevalence...............................................................................................................................................................................73 Table 55. Diabetes Mortality Rate Per 100,000 Population ..................................................................................................................................73 Table 56. Domestic Violence and Sexual Assault Prevalence ..............................................................................................................................74 Table 57. Low Birth Weight Births .......................................................................................................................................................................75 Table 58. Infant Mortality Rate Per 100,000 Population.......................................................................................................................................75 Table 59. Suicide Rate Per 100,000 Population ....................................................................................................................................................75 Table 60. Lung Cancer Incidence Per 100,000 Population ...................................................................................................................................76 Table 61. Lung Cancer Mortality Rate Per 100,000 Population ...........................................................................................................................76 Table 62. Poor Mental Health................................................................................................................................................................................77 Table 63. Poor Dental Health, 18+ Years..............................................................................................................................................................77 Table 64. Poor General Health Status....................................................................................................................................................................78 Table 65. Premature Death Rate Per 100,000 Population .....................................................................................................................................79 Table 66. Population with Any Disability .............................................................................................................................................................79

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Table 67. Overweight Prevalence, Adults .............................................................................................................................................................79 Table 68. Obesity Prevalence, Adults....................................................................................................................................................................79 Table 69. Overweight and Obesity Prevalence, Youth..........................................................................................................................................80 Table 70. Prostate Cancer Incidence Per 100,000 Population...............................................................................................................................80 Table 71. Chlamydia Incidence Per 100,000 Population ......................................................................................................................................81 Table 72. HIV Prevalence Per 100,000 Population...............................................................................................................................................81 Table 73. Motor Vehicle Crash Death Rate Per 100,000 Population....................................................................................................................82 Table 74. Pedestrian Motor Vehicle Death Rate Per 100,000 Population.............................................................................................................82 Table 75. Northridge Hospital Medical Center: Aching of Joints Disease Prevalence Estimates ........................................................................84 Table 76. Northridge Hospital Medical Center: Angina Disease Prevalence Estimates .......................................................................................85 Table 77. Northridge Hospital Medical Center: Arthritis Disease Prevalence Estimates .....................................................................................86 Table 78. Northridge Hospital Medical Center: Asthma Disease Prevalence Estimates ......................................................................................87 Table 79. Northridge Hospital Medical Center: Breast Cancer Disease Prevalence Estimates ............................................................................88 Table 80. Northridge Hospital Medical Center: Cervical Cancer Disease Prevalence Estimates.........................................................................89 Table 81. Northridge Hospital Medical Center: Chronic Bronchitis Disease Prevalence Estimates ....................................................................90 Table 82. Northridge Hospital Medical Center: Colon/Rectal Cancer Disease Prevalence Estimates .................................................................91 Table 83. Northridge Hospital Medical Center: Congestive Heart Failure Disease Prevalence Estimates ..........................................................92 Table 84. Northridge Hospital Medical Center: Coronary Heart Disease Prevalence Estimates..........................................................................93 Table 85. Northridge Hospital Medical Center: Depression/Anxiety Disease Prevalence Estimates...................................................................94 Table 86. Northridge Hospital Medical Center Emphysema Disease Prevalence Estimates ................................................................................95 Table 87. Northridge Hospital Medical Center: Hay Fever Disease Prevalence Estimates ..................................................................................96 Table 88. Northridge Hospital Medical Center: Hearing Impairment Disease Prevalence Estimates ..................................................................97 Table 89. Northridge Hospital Medical Center: Heart Attack Disease Prevalence Estimates ..............................................................................98 Table 90. Northridge Hospital Medical Center: Hypertension Disease Prevalence Estimates .............................................................................99 Table 91. Northridge Hospital Medical Center: Liver Condition Disease Prevalence Estimates .......................................................................100 Table 92. Northridge Hospital Medical Center Low Back Pain Disease Prevalence Estimates .........................................................................101 Table 93. Northridge Hospital Medical Center: Lung Cancer Disease Prevalence Estimates ............................................................................102 Table 94. Northridge Hospital Medical Center: Migraine Headaches Disease Prevalence Estimates................................................................103 Table 95. Northridge Hospital Medical Center: Prostate Cancer Disease Prevalence Estimates .......................................................................104 Table 96. Northridge Hospital Medical Center: Sinusitis Disease Prevalence Estimates ...................................................................................105 Table 99. Northridge Hospital Medical Center: Stroke Disease Prevalence.......................................................................................................106 Table 98. Northridge Hospital Medical Center: Ulcers Disease Prevalence Estimates ......................................................................................107 Table 99. Northridge Hospital Medical Center: Uterine Cancer Disease Prevalence Estimates ........................................................................108

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Table 100. Northridge Hospital Medical Center: Weak Failing Kidneys Disease Prevalence Estimates...........................................................109 Table 101. Community Engagement Methods ....................................................................................................................................................110 Table 102. Health Priorities and Issues by Type of Community.........................................................................................................................114 Table 103. Health Priorities and Issues by Type of Community.........................................................................................................................116 Table 104. Priority Needs from Key Informant Interviews.................................................................................................................................119 Table 105. Resources, Barriers, and Solutions Proposed by Key Informants.....................................................................................................120 Table 106. Northridge Hospital Medical Center: Expert Public Health and Agency Consultations for Community Engagement....................121 Table 107. Northridge Hospital Medical Center: Community Engagement Methods for Underserved, Low-Income, and Chronic Disease

Populations ..................................................................................................................................................................................................124 Table 108. Northridge Hospital Medical Center Prioritization Process Participants ..........................................................................................128  Figure 1. Northridge Hospital Medical Center: Community Need Index (CNI) Scores in Catchment Area..........................................................9 Figure 2. Ethnicity .................................................................................................................................................................................................16 Figure 3. Household Income..................................................................................................................................................................................17 Figures 4 and 5. Foreign Born and Region of Birth. .............................................................................................................................................17 Figures 6 and 7. Language Preferences and English Proficiency..........................................................................................................................18 Figure 8. Educational Attainment..........................................................................................................................................................................19 Figure 9. Live Births by Racial/Ethnic Group of Mother......................................................................................................................................19 Figure 10. Causes of Death....................................................................................................................................................................................20 Figures 11 and 12. Insurance Coverage by Type, 2012 and 2017.........................................................................................................................21 Figure 13. Northridge Hospital Medical Center Service Area: Community Need Index (CNI) Score by Zip Code............................................23 Figure 14. Crime Statistics, Los Angeles Police Department, Devonshire, Van Nuys, Mission and Topanga Divisions, 2013..........................44      

 Thank you to Valley Care Community Consortium for their expertise and assistance.

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2013 Northridge Hospital Medical Center Community Health Needs Assessment Summary: An assessment of the San Fernando and Santa Clarita Valleys (the city of San Fernando and portions of the cities of Los Angeles and Santa Clarita) in Los Angeles County and a portion of the city of Simi Valley in Ventura County conducted jointly by the Northridge Hospital Medical Center and the Valley Care Community Consortium During 2012 and early 2013, a community health needs assessment (CHNA) was conducted by the Northridge Hospital Medical Center for the 1.2 million residents of the hospital’s service area in northern Los Angeles County and a portion of the city of Simi Valley in Ventura County, as well as parts of Santa Clarita Valley. This highly urbanized area is interspersed with mountain ranges and public open space. The hospital, Northridge Hospital Medical Center, serves this geographically, economically, and racially diverse region. Description of Community Served by the Hospital The hospital’s service region spans cities, communities, and unincorporated areas in the San Fernando and Santa Clarita Valleys of Los Angeles County and Ventura County. The region is bordered to the north by the Santa Susana Mountains, the 5 freeways and parklands; to the east by the communities of Canyon Country, North Hollywood, Arleta and Panorama City, the San Gabriel Mountains and the Pacoima wash; to the south by the communities of Van Nuys, Encino, Tarzana and Woodland Hills, and the Santa Monica Mountains; and to the west by the community of West Hills in Los Angeles County and Simi Valley of Ventura County. The region has higher income and middle class households juxtaposed by pockets of extreme poverty and ethnic mobility. The economy includes leading educational institutions (California State University, Northridge and a workforce-oriented community college and occupational training system) and Van Nuys airport, one of the busiest general aviation airports in the country. The entertainment, technology business services, and biomedical sectors have thrived, while manufacturing and aerospace have declined since the 1970s. In that timeframe, the economic base has shifted from durable goods to the services and retail sectors. Regarding service sector employment, higher wage occupations are found in motion picture production, software development, and health sciences, while lower wage industries include tourism, childcare, car wash, taxi driving, and retail. While this region is home to several large well-known companies, small-to-medium sized firms comprise 90% of businesses. Racial/ethnic diversity has increased substantially due to immigration from countries including Mexico, El Salvador, Iran, Israel, Armenia, Vietnam, Korea, India, and China. A nearly equal percentage of the region’s residents are Latino and Caucasian at close to 40% each, with a significant yet smaller percentage of Asian/Pacific Islanders and African Americans. Although the county and the state have begun to experience a slight increase in unemployment, the recovery has been slow following the Great Recession. While area residents are more educated on average with more graduate/professional and professional degrees compared to the rest of the county, poverty remains a significant barrier for families in certain communities.

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With the hospital’s service region encompassing 27 zip codes, fifteen of these zip codes have approximately 821,000 residents who fall into the highest needs category using Dignity Health’s Community Need Index (CNI). The CNI has been used as a powerful resource for public health planning to assess community need and strategically allocate resources. Using a combination of research, literature, and experiential evidence, Dignity Health identified five prominent barriers to quantify health care access in communities across the nation. The CNI aggregates these socioeconomic indicators known to contribute to health disparity and applies that data to hospital admissions. A map of the hospital service area by CNI score is provided below. Figure  1.  Northridge  Hospital  Medical  Center:  Community  Need  Index  (CNI)  Scores  in  Catchment  Area  

Community  Need  Index  (CNI)  Score  Rankings  

   

   4.2  -­‐  5                                                          Highest  Need  

   3.4  -­‐  4.1                                                    2nd  Highest  

   2.6  -­‐  3.3                                                    Mid-­‐Quintile  

   1.8  -­‐  2.5                                                    2nd  Lowest  

   1  -­‐  1.7                                                          Lowest  Need  

 

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Data and a map detailing the CNI scores and the barriers by each zip code as well as socio-demographic information, including but not limited to income levels, age, race/ethnicity, and educational attainment, is included in Attachment A. Who Was Involved in Assessment The assessment was initiated by Northridge Hospital Medical Center, which provided financial support to the Valley Care Community Consortium (VCCC) to conduct the data collection, analysis, and preparation of the final CHNA report. Founded in 1995, VCCC has evolved into the health and mental health planning collaborative for the San Fernando and Santa Clarita Valleys in Los Angeles County. VCCC has earned a reputation as a leading research and health planning agency, having developed significant expertise and experience in conducting community health needs assessments for nonprofit hospitals since 1997. The Patient Protection and Affordable Care Act (ACA) enacted on March 23, 2010, added new requirements that nonprofit hospital organizations must satisfy to maintain their tax-exempt status under section 501(c) 3 of the Internal Revenue Code. One such requirement added by ACA, Section 501(r) of the Code, requires nonprofit hospitals to conduct a community health needs assessment (CHNA) at least once every three years. The CHNA process undertaken and described in this report was conducted in compliance with these new federal requirements. To ensure input from persons with broad knowledge of the community, VCCC issued invitations to participate in a Data Committee that provided oversight and guidance to the CHNA. Many committee members had participated in the previous community needs assessments providing a great deal of experience and expertise, along with new individuals lending a fresh perspective. The Data Committee met on a monthly basis. Attachment B to this assessment lists the committee members who attended planning meetings during 2012 and 2013. How the Assessment Was Conducted VCCC began the Northridge Hospital Medical Center CNHA with a review of the 2010 assessment conducted by VCCC in collaboration with Northridge Hospital Medical Center and several other area nonprofit hospitals. This information was updated with more recent statistics from city, county, state and national sources. To better understand health outcomes in the hospital service area, data was summarized for 31 indicators drawing from various secondary data sources in order to describe 17 health issues (Attachment D). A complete listing of secondary data sources is available in Appendix A. Tables providing the estimated number of cases at the zip code level for diseases available using the 2012 Thomson Reuters Databook are also presented. This data was compared with available county, state, and national data as well as indicators established by Healthy People 2020. Based on this analysis, VCCC developed discussion topics to gather primary data through a variety of community engagements, including focus groups, community forums, paper surveys, an online survey, and interviews with key informants that reached across the hospital catchment area (Attachment E). A variety of community settings were selected with a special emphasis on those persons and areas most

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impacted by health disparities. Data was collected using paper surveys, online surveys through SurveyMonkey, and the TurningPoint audience response system in order to collect real-time polling information from the community forums and focus groups which included large numbers of participants. Information from secondary and primary data led to the development of a list of 26 community needs (Appendix C). Health Needs Identified VCCC data collection and analysis efforts for the Northridge Hospital Medical Center CHNA demonstrated that the health status of the 1.2 million residents in the catchment area compared on average favorably with county, state, and national data, and met or exceeded most national benchmarks published by Healthy People. These findings are similar to previous VCCC community needs assessments. Morbidity and mortality data still demonstrate that as a whole the hospital service area is near the national benchmarks for most of the Healthy People 2020 indicators and other comparable data. However, a closer examination of the socio-demographic and health information points to areas that are not faring as well as the entire hospital service area. Dignity Health’s CNI, which provides five indicators related to health disparity and hospital readmissions, provides more granular data available on the zip code level. Using this information, two-thirds of residents live in 15 zip codes that have the highest need score. These zip codes include the city of San Fernando; the communities of Canoga Park, Winnetka, Reseda, North Hollywood, Van Nuys, Panorama City, Northridge, North Hills, Pacoima, and Sylmar in the city of Los Angeles; and the Newhall portion of the city of Santa Clarita. In addition, the data gathered revealed key health needs. Heart disease and stroke mortality rates were significantly higher than the Healthy People 2020 benchmarks. Domestic violence and sexual assault occurred at a higher rate compared to the county and state. The proportion of overweight adults and overweight and obese children was higher compared to state and national data, which is a risk factor for many chronic diseases. The prevalence of chronic diseases such as diabetes and heart disease continue to be high in the hospital service planning area, mirroring the high rates of these conditions observed at the national level. It is important to note that although new coverage options will be available for many individuals through the Affordable Care Act’s insurance market reforms, the statewide health exchange (Covered California), and the Medicaid expansion, a segment of the population will continue to be uninsured according to five-year estimates from the 2012 Thomason Reuters Databook. The unmet need will be particularly high in Van Nuys and North Hollywood once full implementation of the Affordable Care Acts takes effect starting January 1, 2014, which presently have uninsured rates of over 30%. Community Assets Identified The assessment identified a number of strong community assets (Attachment C), including a broad range of health care, mental health care, oral health, health and human services, and parks and recreation resources.

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Summaries: Assessments and Priorities Assessment data from secondary sources and from the community engagement process is summarized in Attachments D and E. Attachment F lists all needs identified and describes the priority setting approach. The 10 most immediate community health needs identified are provided below, listed from highest need to lowest need: 1. Access and consistent source of primary care 2. Dental care access (adult and youth) 3. Mental health and substance abuse 4. Diabetes management (hemoglobin A1C test) 5. Poverty rates (100% and 200% FPL) 6. Healthy eating 7. Uninsured population 8. Heart disease 9. Obesity/overweight (youth and adult) 10. Prevention & wellness The 12 most pressing intermediate community health needs identified are provided below in alphabetical order: • Aging issues/Alzheimer’s disease/dementia • Asthma (youth and adult) • Cancer (breast cancer and all others) • Caregiver support • Care coordination • Child abuse & domestic violence • Education (graduation rates/no diploma) • Hypertension management • Lack of physical activity (adult & youth) • Language barriers • Teen births • Smoking

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Next Steps The 2013 Triennial Community Needs Assessment, along with the mission and values of Northridge Hospital Medical Center, will drive the program development that strives to address the needs identified in the report and serve the underserved populations residing in the San Fernando Valley of Los Angeles Northridge Hospital’s Center for Healthier Communities will provide innovative solutions to the community’s unmet health needs with a focus on collaboration and coalition building. Through high quality prevention education and treatment services, CHC strives to promote healthy behaviors and improve the quality of life for residents of the San Fernando and Santa Clarita Valleys. The Center for Healthier Communities five initiatives that currently address the community’s need for prevention, wellness and chronic disease management programs include the Center for Assault Treatment Services program and the Valley CARES Family Justice Center, the Family Practice Center, the School-based Obesity and Diabetes Initiative, and the Emergency Department Initiatives. In addition, our Crisis Services division addresses the need for mental health services. Action Plans

1. Center for Assault Treatment Services (CATS) Dedicated to the treatment of children and adults who are victims of sexual abuse/assault or domestic violence, CATS, is the only program in the San Fernando and Santa Clarita Valleys that provides forensic interviews, forensic evidence collection and counseling 24 hours-a-day, seven days-a-week. CATS’ collaborative partners include the local rape crisis center, law enforcement, District Attorney’s Office, and the Los Angeles County Department of Children and Family Services among others. CATS’ outreach component provides professionals, who are mandated child abuse reporters, with the tools necessary to identify and report any reasonable suspicion of child abuse.

2. Valley CARES Family Justice Center Family Justice Centers for victims of domestic violence, sexual assault, child abuse and elder abuse places necessary services for victims in one location to reduce the number of places a victim has to go to receive services. The outcomes include a reduction in domestic violence homicides, increased safety, and increased prosecutions. Northridge Hospital collaborates with the Los Angeles Police Department, District Attorney’s Office, City Attorney’s Office, Valley Trauma Center, Haven Hills, Domestic Abuse Center, Neighborhood Legal Services and Department of Children and Family Services.

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3. School-based Obesity and Diabetes Initiative (SODI) The School-based Obesity and Diabetes Initiative is a program designed to reduce the rate of obesity and diabetes locally by targeting primarily elementary school students, their parents and school staff in the Los Angeles Unified School District (LAUSD) schools located in the at-risk areas of the San Fernando Valley. The program recruits local, regional and national agencies to provide on-site nutrition and fitness programs, and evaluates the effectiveness of these programs.

4. Emergency Department Initiatives

The LTIP Emergency Department Initiative (EDI) is a collaboration between Northridge Hospital Medical Center and Tarzana Treatment Center (TTC) to reduce health disparities among uninsured or underinsured populations with alcohol and/or chemical dependency and mental health conditions. An MD makes referrals to the TTC Case Manager. The TTC Case Manager provides an assessment, individualized plan of care and assistance in establishing follow-up services. The goal is to decrease ED readmissions. Northridge Hospital has far exceeded this goal.

The Congestive Heart Failure Initiative (CHFI) is a collaboration between Northridge Hospital Medical Center (NHMC) and Tarzana Treatment Centers (TTC) to demonstrate a decrease in readmissions within six months of a prior Emergency Department visit for pre-identified participants in the hospital’s Congestive Heart Failure preventive health intervention long term improvement plan. An on-site TTC case manager manages patients requiring case management services. This includes intake and assessment, individualized case planning, case conferencing, coordinating with other coordinators of client care or services, referral to ambulatory care, distribution of transportation vouchers and follow-up.

5. The Northridge Family Practice Center

The Northridge Family Medicine Residency Program is affiliated with UCLA's David Geffen School of Medicine. The three-year program is fully accredited by the Accreditation Council on Graduate Medical Education. Twelve full-time faculty, additional part-time faculty, 23 resident physicians and over 100 community physicians are involved in the teaching programs each year. The Program also collaborates with Federally Qualified Community Clinics for supplementary training of resident physicians on an outpatient basis and to care for an additional under-served patient population. The Family Medicine Center/Clinic is staffed by resident physicians who under the supervision of attending physicians provide inpatient and out-patient care to indigent and at-risk populations. They also provide care to many of the patients admitted through the emergency department who are uninsured or underinsured. There were 20,956 total patient visits in the Family Medicine Center and 17,266 visits in the hospital last year. The residency program serves as one of the main admitting panel groups for these underserved patients. Inpatient management includes acute life-threatening conditions, chronic illnesses, general medical evaluations, obstetrical care, surgical problems and pediatrics.

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The Crisis Services Program This program addresses the need for access to mental health services. Northridge Hospital’s Behavioral Health Department Crisis Services Program provides crisis intervention for the urgent Mental Health care needs of individuals at risk of self-harm, at risk of danger to others, or who are gravely disabled and unable to care for themselves. The Crisis/Intake line assesses and evaluates all calls for appropriate referral resources or follow-up services. During fiscal year 2012, the Crisis Services Program served 6,165 individuals. Collaborative partners include Valley Community Mental Health, West Valley Mental Health, Adult Protective Services and the Los Angeles Police Department SMART Team. Northridge Hospital Medical Center’s Emergency Department and the emergency departments of nine area hospitals refer psychiatric cases to our Crisis Services Program Crisis Team for evaluation and intervention. Next Steps for Priorities For each priority area, Northridge Hospital Medical Center will with work with its Center for Healthier Communities, hospital departments, and collaborative partners to: • Identify community programs and activities that Northridge Hospital might build upon • Develop measurable objectives and goals • Build support for the initiatives within the community through outreach and education • Develop work plans

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Attachment A: Demographic Data with Maps Northridge Hospital Medical Center’s service area includes 1.2 million individuals residing in 27 zip codes in northern Los Angeles County and a portion of Santa Clarita and the city of Simi Valley in Ventura County. This section provides secondary data from multiple sources including the U.S. Census, Thomson Reuters, and Dignity Health’s Community Need Index (CNI) to better understand the hospital service area’s socio-demographic profile and areas in which disparities exist. To view the complete dataset for which highlights are described below along with selected charts, the tables may be found on pages 29 to 47. Ethnicity The chart below provides the racial/ethnic breakdown for the hospital’s service area (Figure 1), of which one-half are Latino residents. Figure 2. Ethnicity  

33.45%

3.57%

10.81%

49.57%

2.59%

Caucasian

African American

Asian

Latino

Other

Source: Thomson Reuters 2012 

The largest concentrations of Latinos reside in Pacoima (91331), San Fernando (91340), and Panorama City (91402) ranging from 76% to 92%. Asians comprise 30% of Porter Ranch (91326), as compared to 11% for the hospital’s service area. While African Americans comprise a relatively small proportion of the area at 4%, they are 6% of the population in Pacoima (91331), Reseda (91335), and Van Nuys (91405). Caucasians are the least represented in Pacoima (91331), San Fernando (91340) and Panorama City (91402) at 9% or less. Household Income Low household income creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status. The chart on the following page shows that one-fifth of the hospital’s service area live in households that fall into the lowest two

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income brackets with income of $24,000 or less (Figure 3). The combined zip codes of the Van Nuys community have 15% of the entire hospital service area in those two lowest income levels. Figure 3. Household Income 

0%

5%

10%

15%

20%

25%

30%

Source: Thomson Reuters 2012 

Foreign Born The two charts below show the share of the U.S. and foreign born as well as the region of birth in the hospital service area (Figures 4 and 5). Figures 4 and 5. Foreign Born and Region of Birth.  

60.29%

0.99%

38.72% Born in U.S.

Born in Puerto Rico

Foreign Born

6.18%

30.77%

1.52%

0.26%

59.69%

0.90% 0.67%

Europe

Asia

Africa

Oceania

Latin America

Northern America

Unknown

Source: U.S. Census Bureau, 2007‐2011 American Community Survey 

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While the majority of residents in the hospital service area were born in U.S. 2 in 5 were born outside of the country Regarding region of birth, nearly two-thirds of residents were born in Latin America followed by almost one-third in Asia. North Hollywood (91605) has the largest proportion of foreign-born residents at 52% as compared to other zip codes. Language The two charts below provide information about language preferences and English proficiency in the hospital service area (Figures 6 and 7), which is relevant because an inability to speak English well creates barriers to health care access, provider communications, and health literacy/education. Figures 6 and 7. Language Preferences and English Proficiency 

 

40.76%

41.12%

8.56%

7.71% 1.76% English

Spanish

Other Indo‐EuropeanLanguages

Asian/Pacific Islander

Other

           

0%

10%

20%

30%

40%

50%

60%

70%

Speak  English Only Speak  a Language OtherThan English

Speak  English "LessThan Very Wel l"

 Source: U.S. Census Bureau, 2007‐2011 American Community Survey 

San Fernando (91405), Panorama City (91402), and Van Nuys (91405) have the highest proportion of the persons speaking Spanish at home, while Pacoima (91331), Panorama City (91402), and North Hollywood (91605) have the largest share of individuals who do not speak English very well at over 40%. Canoga Park (91303), Pacoima (91331), San Fernando (91340), Panorama City (91402), and North Hollywood (91605) have populations that do not speak English very well at 25% or higher. Educational Attainment Educational attainment is considered a key driver of health status. This indicator is relevant because low levels of education are often linked to poverty and poor health. The chart on the following page provides the education achieved by the residents ages 25 and over in the hospitals service area (Figure 8).

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Figure 8. Educational Attainment 

15.10%

24.24%

22.48%

8.07%

20.63%

9.47%

>9th Grade Education

High School Graduate

Some College no degree

Associate's  Degree

Bachelor's Degree

Source: U.S. Census Bureau, 2007‐2011 American Community Survey  Pacoima (91331), San Fernando (91340), Panorama City (91402), and North Hollywood (91605) have the highest proportion of individuals ages 25 and older with less than a 9th grade education at 30% and higher, signifying the lowest levels of educational attainment that may limit them to finding lower paying employment.

Births Live births by the mother’s racial/ethnic group for the hospital’s service area are provided in the chart below (Figure 9). Figure 9. Live Births by Racial/Ethnic Group of Mother 

   

0.13%8.40%

2.85%

64.24%

21.77%

1.21%1.02%

American Indian

Asian/Pacific Islander

African American

Latino

Caucasian

2 or More Races

Other/Unknown

 Source: California Department of Public Health, 2011 Birth Records 

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Latino mothers comprise nearly two-thirds of all births followed by Caucasians and Asian/Pacific Islanders. Three zip codes – Panorama City (91402), Pacoima (91331), and Northridge (91342) – account for 25% of births. Teen births (to mothers 15 to 19 years) occurred in 15 zip codes. Eight zip codes – Canoga Park (91303), Newhall (91321), North Hills (91343), San Fernando (91340), Panorama City (91402), Van Nuys (91405), Pacoima (91331), and North Hollywood (91605) – have the highest teen birth rates ranging from 31 to 61 per 100,000 persons. This indicator is relevant because in many cases, teen parents may require unique social, economic, and health support services. Additionally, high rates of teen pregnancy may indicate the prevalence of unsafe sex practices. Mortality The chart below (Figure 10) shows that the top two leading causes of death in the hospital service area were heart disease and cancer, which is consistent with national data. Figure 10. Causes of Death 

0%

5%

10%

15%

20%

25%

30%

35%

 Source: California Department of Public Health, Death Records, 2010 

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Grandparents Caring for Grandchildren Newhall (91321), Northridge (91324), Granada Hills (91344), and San Fernando (91340) had the highest proportion of grandparents responsible for their grandchildren at over 30%, as compared to 23% for the hospital service area, while Pacoima (91331) had the largest number at over 1,500. Insurance Coverage The charts below provide insurance coverage of the hospital’s service area provides current estimates and five-year projections. Figures 11 and 12. Insurance Coverage by Type, 2012 and 2017 

15.83%

7.18%

3.57%

8.04%

46.38%

19.01%Medicaid

Medicare

Medicare/MedicaidDual Eligible

Private ‐ Direct

Private ‐ Employer‐Sponsored Insurance

Uninsured

       

18.76%

7.96%

3.93%

7.62%

44.57%

9.17%

7.99% Medicaid

Medicare

Medicare/MedicaidDual EligiblePrivate ‐ Direct

Private ‐ Employer‐Sponsored InsuranceUninsured

Exchange (CoveredCalifornia)

 Source: Thomson Reuters 2012  With the full implementation of the Affordable Care Act starting in 2014 that includes insurance market reforms, the establishment of a statewide insurance marketplace (Covered California), and an expansion of Medicaid eligibility, the proportion of uninsured is projected to decrease from 20% currently to 9% by 2017. Van Nuys (91405) and North Hollywood (91605) have particularly high rates of uninsured presently at over 30%. While the majority the hospital’s service area may potentially benefit from the increased coverage depending on the success of outreach, education, and enrollment efforts, certain areas will continue to experience ongoing need given that the Affordable Care Act offers near-universal coverage that excludes certain populations, or people may not choose to take advantage of the coverage expansions. In particular, the same two zip codes, Van Nuys (91405) and North Hollywood (91605), are projected to have a larger proportion of the remaining uninsured as compared to rest of the hospital’s service area in 2017. Crime Statistics The following table provides crime statistics in the two Los Angeles Police Department divisions (Mission, Devonshire, Topanga, and Van Nuys areas) that fall within the hospital service area. However, Northridge Hospital works closely with seven divisions of the department. 

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Table  1.  Crime  Statistics,  Los  Angeles  Police  Department,  Devonshire,  Van  Nuys,  Mission,  and  Topanga  Divisions  Crime   Devonshire  Area   Van  Nuys  Area   Mission  Area   Topanga  Area  

  2011   2013   %  Change   2011   2013   %  Change   2011   2013   %  Change   2011   2013   %  Change  Violent  Crimes                          Homicide   1   2   +100%   2   2   0%   3   5   +67%   0   1   N/A  Rape   6   5   -­‐17%   5   6   +20%   10   13   +30%   8   7   -­‐13%  Robbery   62   43   -­‐31%   91   53   -­‐42%   119   190   -­‐24%   66   51   -­‐23%  Aggravated  Assault   67   40   -­‐40%   55   55   0%   163   107   -­‐34%   72   56   -­‐22%  

Total   136   90   -­‐34%   153   116   -­‐24%   295   215   -­‐27%   479   308   -­‐36%  Property  Crimes                          Burglary   374   347   -­‐7%   220   210   -­‐5%   272   238   -­‐13%   258   294   +14%  Grand  Theft  Auto   205   192   -­‐6%   204   183   -­‐10%   288   283   -­‐2%   116   113   +15%  Burglary/Theft  from  Motor  Vehicle   525   487   -­‐7%   431   467   -­‐8%   423   495   +17%   385   393   +2%  Personal//Other  Theft   438   383   -­‐13%   492   452   -­‐8%   307   342   +11%   618   586   -­‐9%  

Total   1,542   1,409   -­‐9%   1,347   1,312   -­‐3%   1,585   1,573   -­‐1%   1,377   1,406   +2%  Child/Spousal  Abuse   147   137   -­‐7%   233   187   -­‐20%   176   193   +10%   107   159   +49%  Source:  COMPSTAT,  Devonshire,  Van  Nuys,  Mission,  and  Topanga  Area  Profiles,  3/31/13-­‐4/27/13   From 2011 to 2013, an overall decrease in the number of violent crimes occurred in all four bureaus, with an increase in Homicide occurring in each area. While the number of property crimes decreases in three bureaus, it increased in the Topanga Area. The number of Rape crimes increased in the Van Nuys and Mission Areas, and the number of Child/Spousal Abuse crimes rose in the Mission and Topanga areas, Dignity Health’s Community Need Index A map for the hospital’s service areas along with a score for each zip code using Dignity Health’s Community Need Index (CNI) is provided on the following page. The CNI was developed using a combination of research, literature, and experiential evidence. Using this information, Dignity Health identified five prominent barriers related to income, culture/language, education, insurance, and housing, which are known to contribute to health disparity, in order to quantify health care access in communities across the nation. The CNI determines the severity of barriers in a given community and assigns a score to each barrier condition. A score of 1.0 indicates a zip code with the lowest socioeconomic barriers (low need), while a score of 5.0 represents a zip code with the most socioeconomic barriers (high need). The scores are then aggregated and averaged for a final CNI score. Dignity Health’s research has shown that the CNI applies to hospital readmissions. Residents of communities with the highest CNI scores (4.2 to 5) are twice as likely to be hospitalized for manageable conditions, such as asthma, pneumonia, or congestive heart failure, as communities with the lowest CNI scores. Unnecessary hospital readmissions for conditions that could be treated at a lower level of care result in more tests and treatments, more time away from home and family, and higher health care costs. The CNI scores and associated data for all 27 zip codes in Northridge Hospital Medical Center’s catchment area may be found on the following page (Figure 14). The median score for the hospital service area is 4.2, indicating that at least half of the zip codes fall into the highest need category.

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Figure  13.  Northridge  Hospital  Medical  Center  Service  Area:  Community  Need  Index  (CNI)  Score  by  Zip  Code  

                          Sources:  Dignity  Health  Community  Need  Index,  available  at  http://cni.chw-­‐interactive.org/index.asp  and  Improving  Public  Health  &  Preventing  Chronic  Disease:  CHW’s  Community  Need  Index,  available  at  http://cni.chw-­‐interactive.org/index.asp        

Community  Need  Index  (CNI)  Score  Rankings  

   

   4.2  -­‐  5                                                          Highest  Need  

   3.4  -­‐  4.1                                                    2nd  Highest  

   2.6  -­‐  3.3                                                    Mid-­‐Quintile  

   1.8  -­‐  2.5                                                    2nd  Lowest  

   1  -­‐  1.7                                                          Lowest  Need  

 

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Two-thirds of the residents in the hospital’s catchment area (821,035 individuals) live in 15 zip codes that fall into the CNI highest need category (4.2 to 5), as summarized in the table below. While the vast majority of these vulnerable residents are located in the city of Los Angeles in the northeast, central, and western San Fernando Valley, a smaller proportion live in the city of San Fernando and in the Newhall portion of the city of Santa Clarita. For the highest need zip codes, a description of each barrier and the underlying data are described. Table  2.  Northridge  Hospital  Medical  Center:  Community  Need  Index  (CNI)  Scores  by  Highest  Need  Zip  Codes  Zip  Code   City/Community   County   CNI  Score  91303   Canoga  Park     Los  Angeles   4.8  91304   Canoga  Park     Los  Angeles   4.2  91321   Newhall     Los  Angeles   4.4  91343   North  Hills     Los  Angeles   4.8  91605   North  Hollywood     Los  Angeles   5  91324   Northridge     Los  Angeles   4.2  91331   Pacoima     Los  Angeles   4.6  91402   Panorama  City     Los  Angeles   4.8  91335   Reseda     Los  Angeles   4.2  91340   San  Fernando     Los  Angeles   4.6  91342   Sylmar     Los  Angeles   4.2  91401   Van  Nuys     Los  Angeles   4.8  91405   Van  Nuys     Los  Angeles   4.8  91406   Van  Nuys     Los  Angeles   4.6  91306   Winnetka     Los  Angeles   4.2  Source:  Dignity  Health  Community  Need  Index,  2011   Income barriers are defined as the percentage of elderly, children, and single parents living in poverty. Research shows that people living on limited incomes are more likely to forego visits to the doctor in order to meet their more pressing financial responsibilities. Low-income wage earners are also less likely to be covered by an employer’s health insurance program, and if they are covered, they are often less able to pay their share of health expenses. In the highest need zip codes in the hospital service area as provided in the table on the following page, the North Hollywood (91405) has the highest score with the greatest percentage of single parent poverty at 47%. A Van Nuys zip code (91405) has the highest elderly poverty at 15%, while another Van Nuys zip code (91405) has the greatest percentage of child poverty at 28%.

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Table  3.  Northridge  Hospital  Medical  Center:  Income  Barriers  in  Zip  Codes  with  Highest  Community  Need  Index  (CNI)  Scores  Zip  Code   City/Community   Elderly  Poverty   Child  Poverty   Single  Parent  Poverty   Barrier  Score    91303   Canoga  Park     9%   23%   33%    4    91304   Canoga  Park     3%   15%   30%    3    91321   Newhall     6%   14%   38%    4    91343   North  Hills     10%   26%   45%    4    91605   North  Hollywood     13%   27%   47%    5    91324   Northridge     7%   18%   29%    3    91331   Pacoima     11%   21%   36%    4    91402   Panorama  City     12%   25%   41%    4    91335   Reseda     12%   16%   30%    3    91340   San  Fernando     14%   18%   34%    4    91342   Sylmar     7%   14%   34%    3    91401   Van  Nuys     11%   28%   43%    4    91405   Van  Nuys     15%   24%   38%    4    91406   Van  Nuys     9%   20%   33%    3    91306   Winnetka     8%   15%   31%    3    Source:  Dignity  Health  Community  Need  Index,  2011  

Cultural/language barriers are defined as the percentage of Caucasian/non-Caucasian and percentage of adults over the age of 25 with limited English proficiency. Access to culturally and linguistically competent care is a necessary component in improving health status. These barriers can contribute to an increased prevalence of disease and lower recruitment into government health programs. Research has shown that patients whose primary language is not English may be compromised in their understanding of their medical situation, be confused about instructions following hospital discharge, and may not be able to read their prescription labels or understand self-care instructions for chronic conditions. In the highest need zip codes in the hospital service area, all 15 zip codes have the highest barrier score indicating the greatest need, as seen in the table on the following page. All zip codes as well as Sylmar (91342) and Van Nuys have the highest proportion of minority residents at greater than 80%.

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Table  4.  Northridge  Hospital  Medical  Center  Cultural/Language  Barriers  in  Zip  Codes  with  Highest  Community  Need  Index  (CNI)  Scores  Zip  Code   City/Community   Limited  English   Non-­‐Caucasian   Barrier  Score  

91303   Canoga  Park     26%   81%    5    91304   Canoga  Park     13%   60%    5    91321   Newhall     14%   50%    5    91343   North  Hills     21%   80%    5    91605   North  Hollywood     26%   85%    5    91324   Northridge     11%   62%    5    91331   Pacoima     26%   94%    5    91402   Panorama  City     28%   91%    5    91335   Reseda     15%   71%    5    91340   San  Fernando     25%   94%    5    91342   Sylmar     15%   84%    5    91401   Van  Nuys     18%   66%    5    91405   Van  Nuys     24%   82%    5    91406   Van  Nuys     17%   76%    5    91306   Winnetka     16%   73%    5    Source:  Dignity  Health  Community  Need  Index,  2011  

Education barriers are defined as the percentage without a high school diploma. Lack of education has been cited as a major indicator of poor health in many studies. Educational barriers often turn into impediments to employment, further increasing the likelihood of poverty and lack of insurance. Lack of adequate health education also impacts a person’s ability to understand medical information or recognize early symptoms of disease. Ten zip codes have the highest barrier score indicating the greatest need in the table below with over 30% of residents without a high school diploma (Table 5). Over 50% of people in Pacoima (91331) and San Fernando (91340) lack high school diplomas. Table  5.  Northridge  Hospital  Medical  Center:  Education  Barriers  in  Zip  Codes  with  Highest  Community  Need  Index  (CNI)  Scores  Zip  Code   City/Community   Without  High  School  Diploma   Barrier  Score  

91303   Canoga  Park     37%    5    91304   Canoga  Park     17%    4    91321   Newhall     18%    4    91343   North  Hills     31%    5    91605   North  Hollywood     40%    5    91324   Northridge     18%    4    91331   Pacoima     53%    5    91402   Panorama  City     40%    5    91335   Reseda     22%    4    91340   San  Fernando     51%    5    91342   Sylmar     31%    5    91401   Van  Nuys     24%    5    91405   Van  Nuys     33%    5    91406   Van  Nuys     26%    5    91306   Winnetka     20%    4    Source:  Dignity  Health  Community  Need  Index,  2011

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Insurance barriers are defined as the percentage of uninsured and unemployed. Lack of health insurance forces individuals to forgo primary care treatment options, leading to a markedly increased propensity to be hospitalized for chronic conditions. Employment status also has a substantial impact on the ability of individuals to obtain insurance. A person without health insurance who experiences an injury or a new chronic condition has greater difficulty accessing recommended medical care and takes longer to return to full health, if at all. And if health remains compromised, it could make it more difficult for an uninsured person to obtain health insurance in the future.   Seven zip codes have the highest barrier score indicating the greatest need in the table below (Table 6). Pacoima (91331), North Hills (91343), Van Nuys (91401, 91405, and 91406), Panorama City (91402), and North Hollywood (91605) have unemployment rates of 10% to 11%. While these zip codes have a proportion of uninsured at 24% or higher, Van Nuys (91405) has the highest rate at 34%. Table  6.  Northridge  Hospital  Medical  Center:  Insurance  Barriers  in  Zip  Codes  with  Highest  Community  Need  Index  (CNI)  Scores  Zip  Code   City/Community   Unemployed   Uninsured   Barrier  Score  91303   Canoga  Park     8%   24%    5    91304   Canoga  Park     7%   18%    4    91321   Newhall     6%   20%    4    91343   North  Hills     9%   25%    5    91605   North  Hollywood     11%   31%    5    91324   Northridge     8%   20%    4    91331   Pacoima     11%   21%    4    91402   Panorama  City     10%   28%    5    91335   Reseda     8%   22%    4    91340   San  Fernando     9%   21%    4    91342   Sylmar     9%   16%    4    91401   Van  Nuys     10%   26%    5    91405   Van  Nuys     10%   34%    5    91406   Van  Nuys     8%   26%    5    91306   Winnetka     9%   18%    4    Source:  Dignity  Health  Community  Need  Index,  2011  

Housing barriers are defined as the percentage renting houses. Increased use of rental housing is associated with more transitory lifestyles, a less stable home and an environment that deters health prevention. For example, rental housing is more likely than owned housing to be sub-standard, in neighborhoods with higher crime rates, lower quality schools, limited healthy food choices and fewer recreational opportunities. This measure does not reflect whether there is a significant population of homeless individuals in an area, a factor that could influence demands on local health systems in addition to the inherent increase in overall health risk from lack of stable shelter.

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Nearly all of highest need zip codes in hospital service area have the highest barrier score in the table below (Table 7). Canoga Park (91303), Van Nuys (91401, 91405, and 91406), and North Hollywood (91605) have renting rates exceeding 50% and reaching as high as 71%. Table  7.  Northridge  Hospital  Medical  Center:  Housing  Barriers  in  Zip  Codes  with  Highest  Community  Need  Index  (CNI)  Scores  Zip  Code   City/Community   Renting%   Barrier  Score  91303   Canoga  Park     71%    5    91304   Canoga  Park     46%    5    91321   Newhall     38%    5    91343   North  Hills     46%    5    91605   North  Hollywood     58%    5    91324   Northridge     43%    5    91331   Pacoima     36%    5    91402   Panorama  City     63%    5    91335   Reseda     48%    5    91340   San  Fernando     44%    5    91342   Sylmar     28%    4    91401   Van  Nuys     63%    5    91405   Van  Nuys     71%    5    91406   Van  Nuys     59%    5    91306   Winnetka     44%    5    Source:  Dignity  Health  Community  Need  Index,  2011  

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Table  8.  Northridge  Hospital  Medical  Center:  Race  and  Ethnicity  

 White  Non-­‐Hispanic        African  American  

Non-­‐Hispanic      Asian  Non-­‐Hispanic      Hispanic     All  Others  

ZIP  Code   ZIP  City  Name  2012  

Population   %    

Population      %      

Population      %      

Population      %      Population      %      

Population      %    91303   Canoga  Park   25,924   2.10%   6,021   23.23%   1,001   3.86%   2,595   10.01%   15,636   60.31%   671   2.59%  91304   Canoga  Park   49,523   4.02%   18,804   37.97%   2,347   4.74%   7,018   14.17%   19,891   40.17%   1,463   2.95%  91311   Chatsworth   36,818   2.99%   19,349   52.55%   1,563   4.25%   6,146   16.69%   8,429   22.89%   1,331   3.62%  91316   Encino   26,965   2.19%   19,675   72.96%   952   3.53%   1,658   6.15%   3,318   12.30%   1,362   5.05%  91344   Granada  Hills   51,414   4.17%   23,834   46.36%   1,654   3.22%   8,830   17.17%   15,472   30.09%   1,624   3.16%  91345   Mission  Hills   18,895   1.53%   3,258   17.24%   606   3.21%   1,723   9.12%   12,949   68.53%   359   1.90%  91321   Newhall   35,232   2.86%   14,230   40.39%   1,022   2.90%   2,444   6.94%   16,592   47.09%   944   2.68%  31343   North  Hills   60,773   4.93%   12,124   19.95%   2,395   3.94%   8,673   14.27%   36,354   59.82%   1,227   2.02%  91605   North  Hollywood   56,416   4.58%   12,635   22.40%   1,718   3.05%   5,370   9.52%   35,706   63.29%   987   1.75%  91324   Northridge   26,860   2.18%   9,761   36.34%   1,152   4.29%   4,832   17.99%   10,231   38.09%   884   3.29%  91325   Northridge   35,248   2.86%   14,299   40.57%   2,235   6.34%   5,773   16.38%   11,676   33.13%   1,265   3.59%  91331   Pacoima   103,747   8.42%   3,972   3.83%   2,678   2.58%   4,418   4.26%   91,770   88.46%   909   0.88%  91402   Panorama  City   69,925   5.67%   6,441   9.21%   1,607   2.30%   9,960   14.24%   50,886   72.77%   1,031   1.47%  91326   Porter  Ranch   33,924   2.75%   16,738   49.34%   1,104   3.25%   10,320   30.42%   4,558   13.44%   1,204   3.55%  91335   Reseda   74,919   6.08%   21,884   29.21%   2,668   3.56%   9,249   12.35%   38,945   51.98%   2,173   2.90%  91340   San  Fernando   34,801   2.82%   1,536   4.41%   502   1.44%   367   1.05%   32,124   92.31%   272   0.78%  91350   Santa  Clarita   32,512   2.64%   19,921   61.27%   823   2.53%   2,848   8.76%   7,845   24.13%   1,075   3.31%  93063   Simi  Valley   55,525   4.51%   34,993   63.02%   703   1.27%   5,615   10.11%   12,301   22.15%   1,913   3.45%  91342   Sylmar   93,100   7.56%   12,073   12.97%   3,836   4.12%   4,966   5.33%   70,882   76.14%   1,343   1.44%  91356   Tarzana   29,141   2.36%   20,360   69.87%   1,255   4.31%   1,904   6.53%   4,232   14.52%   1,390   4.77%  91401   Van  Nuys   39,064   3.17%   17,937   45.92%   1,578   4.04%   2,066   5.29%   16,555   42.38%   928   2.38%  91405   Van  Nuys   50,804   4.12%   12,988   25.56%   2,391   4.71%   4,077   8.02%   30,310   59.66%   1,038   2.04%  91406   Van  Nuys   53,444   4.34%   14,880   27.84%   2,553   4.78%   4,155   7.77%   30,572   57.20%   1,284   2.40%  91307   West  Hills   24,742   2.01%   16,408   66.32%   711   2.87%   3,213   12.99%   3,457   13.97%   953   3.85%  91306   Winnetka   46,553   3.78%   12,088   25.97%   2,043   4.39%   7,959   17.10%   23,181   49.79%   1,282   2.75%  91364   Woodland  Hills   25,721   2.09%   19,385   75.37%   998   3.88%   1,610   6.26%   2,493   9.69%   1,235   4.80%  91367   Woodland  Hills   40,237   3.27%   26,180   65.06%   1,837   4.57%   5,268   13.09%   5,127   12.74%   1,825   4.54%  

Total   1,232,227   100.00%   411,774   33.42%   43,932   3.57%   133,057   10.80%   611,492   49.62%   31,972   2.59%  Source:  Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  9.  Northridge  Hospital  Medical  Center:  Household  Income  by  Community  

Source:  Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  10.  Northridge  Hospital  Medical  Center:  Male  Age  Group  

ZIP  Code   ZIP  City  Name  2012  

Population  Male  Age  

0-­‐14  Male  Age  15-­‐24  

Male  Age  25-­‐34  

Male  Age  35-­‐44  

Male  Age  45-­‐54  

Male  Age  55-­‐64  

Male  Age  65-­‐74  

Male  Age  75-­‐84  

Male  Age  85+  

91303   Canoga  Park   25,924   3,117   1,933   2,547   2,346   1,817   980   423   204   51  91304   Canoga  Park   49,523   5,371   3,431   3,859   3,584   3,734   2,457   1,287   714   229  91311   Chatsworth   36,818   2,982   2,364   2,478   2,284   2,897   2,548   1,336   793   243  91316   Encino   26,965   1,966   1,266   1,535   2,080   2,040   1,657   1,053   901   304  91344   Granada  Hills   51,414   4,684   3,476   3,718   3,240   3,878   3,132   1,702   1011   337  91345   Mission  Hills   18,895   2,101   1,341   1,473   1,353   1,185   893   532   323   132  91321   Newhall   35,232   3,678   3,053   2,997   2,522   2,342   1,578   898   523   170  91343   North  Hills   60,773   7,303   4,510   5,001   4,632   3,949   2,590   1,351   823   270  91605   North  Hollywood   56,416   6,828   4,504   4,924   4,549   3,717   2,214   1,146   594   181  91324   Northridge   26,860   2,399   1,852   2,292   1,905   1,795   1,444   869   541   175  91325   Northridge   35,248   2,880   2,705   3,090   2,539   2,349   1,804   1,034   694   190  91331   Pacoima   103,747   13,095   9,385   9,022   7,973   6,206   3,652   2,011   937   286  91402   Panorama  City   69,925   9,331   5,433   6,382   5,617   4,265   2,402   1,107   520   210  91326   Porter  Ranch   33,924   2,999   2,261   2,391   1,709   2,582   2,477   1,234   673   167  91335   Reseda   74,919   8,078   5,085   5,836   6,045   5,374   3,447   1,801   955   434  91340   San  Fernando   34,801   4,560   2,951   2,997   2,800   2,113   1,226   618   301   102  91350   Santa  Clarita   32,512   3,718   2,725   2,362   1,742   2,613   1,827   813   290   70  93063   Simi  Valley   55,525   5,792   3,934   3,408   3,628   4,741   3,412   1,763   743   206  91342   Sylmar   93,100   11,309   7,574   7,544   6,914   5,881   3,924   2,126   1080   337  91356   Tarzana   29,141   2,559   1,685   2,035   1,872   2,085   1,853   1,084   712   239  91401   Van  Nuys   39,064   4,305   2,669   2,992   3,301   2,877   1,804   1,016   511   209  91405   Van  Nuys   50,804   6,401   3,622   4,381   4,350   3,353   1,898   976   500   217  91406   Van  Nuys   53,444   6,374   3,750   4,505   4,565   3,871   2,228   1,142   521   186  91307   West  Hills   24,742   2,272   1,729   1,600   1,218   2,019   1,570   947   573   169  91306   Winnetka   46,553   5,160   3,251   2,680   3,698   3,432   2,121   1,122   620   213  91364   Woodland  Hills   25,721   2,231   1,490   1,464   1,663   2,359   1,771   942   614   190  91367   Woodland  Hills   40,237   3,176   2,067   2,999   2,880   3,127   2,461   1,517   1082   345  

Total   1,232,227   134,669   90,046   96,512   91,009   86,601   59,370   31,850   17,753   5,862  Source:  Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.    

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Table  11.  Northridge  Hospital  Medical  Center:  Female  Age  Group  

ZIP  Code   ZIP  City  Name  2012  

Population    Female  Age  0-­‐14    

 Female  Age  15-­‐24    

 Female  Age  25-­‐34    

 Female  Age  35-­‐44    

 Female  Age  45-­‐54    

 Female  Age  55-­‐64    

 Female  Age  65-­‐74    

 Female  Age  75-­‐84    

 Female  Age  85+    

91303   Canoga  Park   25,924   3,045   1,676   2,175   2,070   1,586   1,010   544   297   103  91304   Canoga  Park   49,523   5,158   3,293   3,635   3,453   3,751   2,594   1,453   960   560  91311   Chatsworth   36,818   2,829   2,150   2,380   2,288   3,149   2,850   1,506   1,165   566  91316   Encino   26,965   1,834   1,209   1,600   2,254   2,139   2,078   1,354   1,186   509  91344   Granada  Hills   51,414   4,330   3,383   3,641   3,345   4,148   3,293   2,000   1,395   703  91345   Mission  Hills   18,895   1,965   1,341   1,414   1,262   1,211   3,293   2,000   996   273  91321   Newhall   35,232   3,591   2,648   2,559   2,364   224   1,635   1,157   829   412  91343   North  Hills   60,773   7,015   4,336   4,587   4,342   3,931   2,892   1,605   1,137   513  91605   North  Hollywood   56,416   6,716   4,112   4,322   4,141   3,474   2,376   1,397   839   382  91324   Northridge   26,860   2,336   1,800   2,189   2,506   1,785   1,602   1,008   702   325  91325   Northridge   35,248   2,731   3,045   2,932   2,506   2,338   1,967   1,204   863   387  91331   Pacoima   103,747   12,875   8,622   8,277   7,235   5,820   4,031   2,385   1,389   536  91402   Panorama  City   69,925   9,091   5,204   5,778   5,211   4,126   2,630   1,354   841   423  91326   Porter  Ranch   33,924   2,867   2,161   2,332   1,942   3,067   2,607   1,350   825   277  91335   Reseda   74,919   7,725   4,959   5,571   5,698   5,186   3,753   2,226   1,593   1,153  91340   San  Fernando   34,801   4,321   2,822   2,780   2,558   1,955   1,314   737   452   194  91350   Santa  Clarita   32,512   3,574   2,594   2,202   2,024   2,719   1,862   869   380   138  93063   Simi  Valley   55,525   5,451   3,861   3,054   3,762   4,839   3,517   1,921   984   509  91342   Sylmar   93,100   10,841   7,003   7,069   6,600   5,821   4,274   2,530   1,516   757  91356   Tarzana   29,141   2,400   1,730   1,919   1,937   2,356   2,113   1,206   880   476  91401   Van  Nuys   39,064   3,979   2,438   2,852   3,198   2,805   2,017   1,112   735   371  91405   Van  Nuys   50,804   6,077   3,376   4,010   3,970   3,197   2,036   1,163   768   509  91406   Van  Nuys   53,444   5,986   3,457   4,141   4,202   3,656   2,362   1,345   786   375  91307   West  Hills   24,742   2,123   1,644   1,522   1,253   2,139   1,754   1,085   745   380  91306   Winnetka   46,553   4,878   3,134   3,479   3,455   3,195   2,319   1,419   912   465  91364   Woodland  Hills   25,721   2,079   1,413   1,395   1,778   2,385   1,865   1,056   731   295  91367   Woodland  Hills   40,237   2,956   2,085   2,591   2,955   3,215   2,767   1,850   1,478   686  

    Total   1,232,227   128,773   85,496   90,406   88,309   84,217   66,811   38,836   25,384   12,277  Source:  Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.    

  33  

Table  12.  Northridge  Hospital  Medical  Center:  Insurance  Coverage  Estimates  2012  and  2017  

 Source:  Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.    

  34  

 

Sources:  Dignity  Health  Community  Need  Index,  available  at  http://cni.chw-­‐interactive.org/index.asp  and  Improving  Public  Health  &  Preventing  Chronic  Disease:  CHW’s  Community  Need  Index,  available  at  http://cni.chw-­‐interactive.org/index.asp

Table  13.  Northridge  Hospital  Medical  Center:  Community  Need  Index  (CNI)  Score  Including  Barriers  by  Zip  Code  

       CNI  

SCORE   INCOME   CULTURAL/LANGUAGE   EDUCATION   INSURANCE   HOUSING  

Need  Zip  Code   City   Population   2012  

Elderly  Poverty  

Child  Poverty  

Single  Parent  Poverty  

Barrier  Score  

Limited  English  

Non-­‐Caucasian  

Barrier  Score  

Without  HS  

Diploma  Barrier  Score   Unemployed   Uninsured  

Barrier  Score  

Renting  %  

Barrier  Score  

91303   Canoga  Park   25,924   4.8   9%   23%   33%    4     26%   81%    5     37%    5     8%   24%    5     71%    5    

91304   Canoga  Park   49,523   4.2   3%   15%   30%    3     13%   60%    5     17%    4     7%   18%    4     46%    5    

91306   Winnetka   46,553   4.2   6%   15%   31%    3     16%   73%    5     20%    4     9%   18%    4     44%    5    

91321   Newhall   24,742   4.4   6%   14%   38%    4     14%   50%    5     18%    4     6%   20%    4     38%    5    

91324   Northridge   36,818   4.2   7%   18%   29%    3     11%   62%    5     18%    4     8%   20%    4     43%    5    

91331   Pacoima   26,965   4.6   11%   21%   36%    4     26%   94%    5     53%    5     11%   21%    4     36%    5    

91335   Reseda   35,232   4.2   12%   16%   30%    3     15%   71%    5     22%    4     8%   22%    4     48%    5    

91340   San  Fernando   26,860   4.6   14%   18%   34%    4     25%   94%    5     51%    5     9%   21%    4     44%    5    

91342   Sylmar   35,248   4.2   7%   14%   34%    3     15%   84%    5     31%    5     9%   16%    4     28%    4    

91343   North  Hills   33,924   4.8   10%   26%   45%    4     21%   80%    5     31%    5     9%   25%    5     46%    5    

91401   Van  Nuys   103,747   4.8   11%   28%   43%    4     18%   66%    5     24%    5     10%   26%    5     63%    5    

91402   Panorama  City   74,919   4.8   12%   26%   41%    4     28%   91%    5     40%    5     10%   28%    5     63%    5    

91405   Van  Nuys   34,801   4.8   15%   24%   38%    4     24%   82%    5     33%    5     10%   34%    5     71%    5    

91406   Van  Nuys   93,100   4.6   9%   20%   33%    3     17%   76%    5     26%    5     8%   26%    5     59%    5    

Highe

st  

91605   North  Hollywood   60,773   5   13%   27%   47%    5     26%   85%    5     40%    5     11%   31%    5     58%    5    

91325   Northridge   51,414   3.6   6%   10%   23%    2     9%   59%    5     11%    2     12%   17%    4     48%    5    

91345   Mission  Hills   18,895   3.8   9%   7%   15%    2     13%   79%    5     23%    5     8%   16%    3     25%    4    

2nd  Highe

st  

91356   Tarzana   32,512   3.4   9%   11%   16%    2     8%   33%    4     8%    2     5%   17%    4     43%    5    

91311   Chatsworth   29,141   2.6   6%   5%   15%    1     5%   41%    5     7%    1     5%   11%    2     31%    4    

91316   Encino   25,721   3.2   8%   12%   16%    2     7%   27%    4     8%    1     6%   21%    4     48%    5    

91344   Granada  Hills   40,237   2.8   3%   7%   15%    2     6%   54%    5     9%    2     5%   11%    2     24%    3    

91364   Woodland  Hills   39,064   2.6   5%   5%   18%    2     3%   22%    4     3%    1     5%   9%    2     25%    4    

91367   Woodland  Hills   69,925   3   8%   6%   14%    1     4%   31%    4     5%    1     5%   18%    4     47%    5    

Mid-­‐Quintile  

93036   Simi  Valley   50,804   2.6   6%   13%   25%    3     14%   81%    5     28%    5     7%   11%    3     42%    5    

91326   Porter  Ranch   53,444   1.8   3%   4%   12%    1     5%   50%    5     4%    1     5%   7%    1     13%    1    

2nd  

Lowest  

91307   West  Hills   56,416   1.8   3%   4%   10%    1     4%   33%    4     6%    1     6%   8%    2     13%    1    

Lowest                                  

91350   Santa  Clarita   55,525   1.6   6%   4%   14%    1     2%   29%    4     6%    1     5%   6%    1     13%    1    

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 Table  14.  Northridge  Hospital  Medical  Center:  Educational  Attainment  Estimates  by  Zip  Code  ZIP  Code   ZIP  City  Name   2011  

Population  25  and  Older  

Population  with  <  9th  Grade  

Education  

%   High  School  

Graduate  

%   Some  College  No  

Degree  

%   Associate's  Degree  

%   Bachelor's  Degree  

%   Graduate/  Professional  

Degree  

%  

91303   Canoga  Park   16,034   2,888   18.0%   3,912   24.4%   3,224   20.10   898   5.6%   2,169   13.5%   962   6.0%  

91304   Canoga  Park   34,284   4,402   12.8%   7,603   22.2%   7,682   22.4%   2,644   7.7%   6,022   17.6%   3,366   9.8%  

91311   Chatsworth   26,966   1,047   3.9%   5,741   21.3%   6,150   22.8%   2,522   9.4%   6,651   24.7%   3,542   13.1%  

91316   Encino   20,217   484   2.4%   3,189   15.8%   4,512   22.3%   1,293   6.4%   6,239   30.9%   3,647   18.0%  

91344   Granada  Hills   36,603   1,809   4.9%   8,771   24.0%   7,798   21.3%   3,405   9.3%   8,226   22.5%   4,193   11.5%  

91345   Mission  Hills   12,279   1,378   11.2%   3,488   28.4%   2,490   20.3%   1,097   8.9%   1,691   13.8%   668   5.4%  

91321   Newhall   21,873   2,933   13.4%   4,367   20.0%   5,417   24.8%   1,615   7.4%   3,288   15.0%   1,599   7.3%  

91343   North  Hills   36,719   6,276   17.1%   7,395   20.1%   7,703   21.0%   2,468   6.7%   6,523   17.8%   2,216   6.0%  

91605   North  Hollywood   33,987   8,249   24.3%   7,135   21.0%   6,090   17.9%   2,589   7.6%   4,087   12.0%   1,179   3.5%  

91324   Northridge   16,854   1,598   9.5%   3,208   20.9%   3,524   7.4%   1,242   25.0%   4,213   12.8%   2,157   19.0%  

91325   Northridge   20,918   1,256   6.0%   3,671   17.5%   4,884   23.3%   1,907   9.1%   5,477   26.2%   2,526   12.1%  

91331   Pacoima   56,150   18,530   33.0%   13,614   24.2%   6,836   12.2%   1,986   3.5%   3,490   6.2%   907   1.6%  

91402   Panorama  City   40981   10,444   25.5%   9,534   23.3%   6,643   16.2%   2,416   5.9%   4,769   11.6%   976   2.4%  

91326   Porter  Ranch   24,296   511   2.1%   3,775   15.5%   4,609   19.0%   1,945   8.0%   8,245   33.9%   4,326   17.8%  

91335   Reseda   48025   7,259   15.1%   11,636   24.2%   9,735   20.3%   3,631   7.6%   8,265   17.2%   2,741   5.7%  

91340   San  Fernando   19,306   5,654   29.3%   4,782   24.8%   2,603   13.5%   1,084   5.6%   1,034   5.4%   465   2.4%  

91350   Santa  Clarita   20,429   803   3.9%   3,951   19.3%   5,447   26.7%   2,121   10.4%   5,189   25.4%   2,137   10.5%  

93063   Simi  Valley   36,470   1,317   3.6%   8,480   23.3%   10,233   28.1%   3,711   10.2%   7,887   21.6%   2,930   8.0%  

91342   Sylmar   52,810   9,550   18.1%   12,703   24.1%   10,687   20.2%   3,500   6.6%   6,351   12.0%   2,115   4.0%  

91356   Tarzana   21,668   925   4.3%   3,883   17.9%   4,549   21.0%   1,596   7.4%   6,291   29.0%   3,418   15.8%  

91401   Van  Nuys   26,689   3,704   13.9%   5,924   22.2%   5,663   21.2%   1,682   6.3%   4,994   18.7%   2,451   9.2%  

91405   Van  Nuys   32,304   5,501   17.0%   8,120   25.1%   6,154   19.1%   2,053   6.4%   4,338   13.4%   1,798   5.6%  

91406   Van  Nuys   34,274   4,482   13.1%   8,933   26.1%   7,065   20.6%   2,500   7.3%   5,105   14.9%   2,326   6.8%  

91307   West  Hills   17,138   417   2.4%   3,250   19.0%   3,703   21.6%   1,377   8.0%   4,890   28.5%   2,901   16.9%  

91306   Winnetka   30,427   4,343   14.3%   7,330   24.1%   5,902   19.4%   2,412   7.9%   5,361   17.6%   1,947   6.4%  

91364   Woodland  Hills   18,353   432.00   2.4%   2,832   15.4%   3,913   21.3%   1,023   5.6%   5,766   31.4%   4,007   21.8%  

91367   Woodland  Hills   28,509   662   2.3%   4,242   14.9%   5,805   20.4%   2,392   8.4%   9,377   32.9%   5,482   19.2%  

Source:  U.S.  Census  Bureau,  2007-­‐2011  American  Community  Survey  

  36  

Table  15.  Northridge  Hospital  Medical  Center:  Region  of  Birth  Estimates  

ZIP  Code   ZIP  City  Name  Foreign  Born  

Europe  %  from  Europe  

Asia  %  from  Asia  

Africa  %  from  Africa  

Oceania  %  from  Oceania  

Latin  America  

%  from  Latin  

America  

Northern  America  

%  from  Northern  America  

91303   Canoga  Park   11,917   598   5.0%   2,714   22.8%   17   0.1%   57   0.5%   8,429   70.7%   102   0.9%  

91304   Canoga  Park   19,865   1,183   6.0%   6,396   32.2%   267   1.3%   135   0.7%   11,760   59.2%   124   0.6%  

91311   Chatsworth   10,242   1,177   11.5%   5,360   52.3%   191   1.9%   13   0.1%   3,304   32.3%   197   1.9%  

91316   Encino   10,708   2,487   23.2%   6,513   60.8%   224   2.1%   0   0.0%   1,335   12.5%   149   1.4%  

91344   Granada  Hills   18,902   2,012   10.6%   9,842   52.1%   634   3.4%   55   0.3%   6,009   31.8%   350   1.9%  

91345   Mission  Hills   6,927   236   3.4%   1,898   27.4%   140   2.0%   0   0.0%   4,639   67.0%   14   0.2%  

91321   Newhall   10,139   579   5.7%   1,358   13.4%   182   1.8%   8   0.1%   7,901   77.9%   111   1.1%  

91343   North  Hills   26,819   680   2.5%   7,552   28.2%   358   1.3%   16   0.1%   18,011   67.2%   202   0.8%  

91605   North  Hollywood   28,214   714   2.50%   8,415   29.80%   113   0.40%   17   0.10%   18,924   67.10%   31   0.10%  

91324   Northridge   9,547   614   6.4%   4,458   46.7%   219   2.3%   14   0.1%   4,124   43.2%   118   1.2%  

91325   Northridge   11,260   1,044   9.3%   5,644   50.1%   353   3.1%   25   0.2%   3,948   35.1%   246   2.2%  

91331   Pacoima   44,297   196   0.4%   3,187   7.20%   350   0.8%   0   0.0%   40,535   91.5%   29   0.1%  

91402   Panorama  City   37,635   515   1.40%   8,961   23.80%   161   0.40%   42   0.10%   27,908   74.20%   48   0.10%  

91326   Porter  Ranch   12,426   897   7.2%   5,644   50.1%   478   3.8%   97   0.8%   1,930   15.5%   220   1.8%  

91335   Reseda   34,492   2,305   6.7%   13,206   38.3%   299   0.9%   220   0.6%   18,259   52.9%   203   0.6%  

91340   San  Fernando   13,318   20   0.2%   227   1.7%   0   0.0%   0   0.0%   13,068   98.1%   3   0.0%  

91350   Santa  Clarita   5,382   439   8.2%   2,311   42.9%   196   3.6%   4   0.1%   2,310   42.9%   122   2.3%  

93063   Simi  Valley   9,603   1,089   11.30%   3,866   40.30%   66   0.70%   49   0.50%   4,326   45.00%   207   2.20%  

91342   Sylmar   31,404   610   1.9%   4,192   13.3%   188   0.6%   69   0.2%   26,210   83.5%   135   0.4%  

91356   Tarzana   10,991   2,428   22.1%   5,254   47.8%   545   5.0%   29   0.3%   2,600   23.7%   135   1.2%  

91401   Van  Nuys   16,938   1,797   10.60%   5,158   30.50%   267   1.60%   9   0.10%   9,451   55.80%   256   1.50%  

91405   Van  Nuys   25,404   1,159   4.60%   6,002   23.60%   546   2.10%   140   0.60%   17,498   68.90%   59   0.20%  

91406   Van  Nuys   21,975   1,281   5.80%   5,262   23.90%   423   1.90%   63   0.30%   14,784   67.30%   162   0.70%  

91307   West  Hills   5,849   784   13.4%   3,916   67.0%   90   1.5%   16   0.3%   853   14.6%   190   3.2%  

91306   Winnetka   20,881   866   4.1%   8,066   38.6%   397   1.9%   7   0.0%   11,437   54.8%   108   0.5%  

91364   Woodland  Hills   6,399   1,346   21.0%   3,583   56.0%   215   3.4%   73   1.1%   798   12.5%   384   6.0%  

91367   Woodland  Hills   11,355   2,187   19.30%   6,513   57.40%   285   2.50%   88   0.80%   1,916   16.90%   366   3.20%    Source:  U.S.  Census  Bureau,  2007-­‐2011  American  Community  Survey  

  37  

 

Table  16.  Northridge  Hospital  Medical  Center:  United  States  and  Foreign  Born  Estimates  

ZIP  Code   ZIP  City  Name  2011  Total  Population   Native  

%  Native  

Born  in  the  U.S.  

%  Born  in  the  U.S.  

Born  in  Puerto  Rico,  U.S.  Island  Areas  

%  Born  in  Puerto  Rico,  U.S.  Island  Areas  

Foreign  Born  

%  Foreign  Born  

91303   Canoga  Park   26,308   14,391   54.7%   14,247   54.2%   144   0.5%   11,917   45.3%  

91304   Canoga  Park   52,249   32,384   62.0%   31,803   60.9%   581   1.1%   19,865   38.0%  

91311   Chatsworth   37,504   27,262   72.7%   26,935   71.8%   327   0.9%   10,242   27.3%  

91316   Encino   26,586   15,878   59.7%   15,470   58.2%   408   1.5%   10,708   40.3%  

91344   Granada  Hills   53,134   34,232   64.4%   33,873   63.8%   359   0.7%   18,902   35.6%  

91345   Mission  Hills   18,629   11,702   62.8%   11,506   61.8%   196   1.1%   6,927   37.2%  

91321   Newhall   34,948   24,809   71.0%   24,676   70.6%   133   0.4%   10,139   29.0%  

91343   North  Hills   59,886   33,067   55.2%   32,508   54.3%   559   0.9%   26,819   44.8%  

91605   North  Hollywood   54,052   25,838   47.8%   25,317   46.8%   521   1.0%   28,214   52.2%  

91324   Northridge   26,853   17,306   64.4%   17,086   63.6%   220   0.8%   9,547   35.6%  

91325   Northridge   32,497   21,237   65.4%   20,945   64.5%   292   0.9%   11,260   34.6%  

91331   Pacoima   97,523   53,226   54.6%   52,379   53.7%   847   0.9%   44,297   45.4%  

91402   Panorama  City   70,676   33,041   46.7%   32,342   45.8%   699   1.0%   37,635   53.3%  

91326   Porter  Ranch   34,468   22,042   63.9%   21,792   63.2%   250   0.7%   12,426   36.1%  

91335   Reseda   75,267   40,775   54.2%   39,855   53.0%   920   1.2%   34,492   45.8%  

91340   San  Fernando   34,516   21,198   61.4%   20,930   60.6%   268   0.8%   13,318   38.6%  

91350   Santa  Clarita   32,449   27,067   83.4%   26,880   82.8%   187   0.6%   5,382   16.6%  

93063   Simi  Valley   54,866   45,263   82.5%   44,613   81.3%   650   1.2%   9,603   17.5%  

91342   Sylmar   87,707   56,303   64.2%   55,390   63.2%   913   1.0%   31,404   35.8%  

91356   Tarzana   29,905   18,914   63.2%   18,577   62.1%   337   1.1%   10,991   36.8%  

91401   Van  Nuys   38,600   21,662   56.1%   21,095   54.7%   567   1.5%   16,938   43.9%  

91405   Van  Nuys   53,395   27,991   52.4%   27,656   51.8%   335   0.6%   25,404   47.6%  

91406   Van  Nuys   52,955   30,980   58.5%   30,385   57.4%   595   1.1%   21,975   41.5%  

91307   West  Hills   24,506   18,657   76.1%   18,400   75.1%   257   1.0%   5,849   23.9%  

91306   Winnetka   47,235   26,354   55.8%   25,922   54.9%   432   0.9%   20,881   44.2%  

91364   Woodland  Hills   25,087   18,688   74.5%   18,440   73.5%   248   1.0%   6,399   25.5%  

91367   Woodland  Hills   39,503   28,148   71.3%   27,261   69.0%   887   2.2%   11,355   28.7%  

 Source:  U.S.  Census  Bureau,  2007-­‐2011  American  Community  Survey  

  38  

   

Table  17.  Northridge  Hospital  Medical  Center:  Language  Spoken  at  Home  

ZIP  Code   ZIP  City  Name  

2011  Population  5  +Years  

English  Only   %   Spanish   %  

Other  Indo-­‐European  Languages   %  

Asian/Pacific  Islander  Languages   %  

Other  Languages   %  

91303   Canoga  Park   24,216   7,345   30.30%   13,161   54.30%   1570   6.5%   1,981   8.2%   159   0.7%  

91304   Canoga  Park   48,728   21,767   44.70%   18,681   38.30%   3,590   7.40%   4,026   8.30%   664   1.40%  

91311   Chatsworth   35,810   22,505   62.80%   5,313   14.80%   2,692   7.50%   4,328   12.10%   972   2.70%  

91316   Encino   24,677   12,622   51.10%   2,121   8.60%   7,160   29.00%   854   3.50%   1,920   7.80%  

91344   Granada  Hills   50,945   25,380   49.80%   10,941   21.50%   7,442   14.60%   5,313   10.40%   1,869   3.70%  

91345   Mission  Hills   17,782   7,279   40.90%   7,942   44.70%   601   3.40%   1,615   9.10%   345   1.90%  

91321   Newhall   32,585   18,804   57.70%   11,710   35.90%   897   2.80%   1,004   3.10%   170   0.50%  

91343   North  Hills   54,593   17,630   32.30%   27,973   51.20%   2,611   4.80%   5,831   10.70%   548   1.00%  

91605   North  Hollywood   50,450   10,175   20.20%   29,558   58.60%   6,550   13.00%   3,937   7.80%   230   0.50%  

91324   Northridge   25,375   12,574   49.60%   7,251   28.60%   1,776   7.00%   3,102   12.20%   672   2.60%  

91325   Northridge   30,566   16,161   52.90%   6,665   21.80%   2,937   9.60%   3,449   11.30%   1,354   4.40%  

91331   Pacoima   89,667   13,790   15.40%   71,767   80.0%   622   0.7%   3,102   3.5%   386   0.4%  

91402   Panorama  City   64,090   11,191   17.50%   42,706   66.60%   2,178   3.40%   7,772   12.10%   243   0.40%  

91326   Porter  Ranch   32,935   17,975   54.60%   3,071   9.30%   4,581   13.90%   6,246   19.00%   1,062   3.20%  

91335   Reseda   70,056   22,605   32.30%   29,824   42.60%   8,417   12.00%   7,508   10.70%   1,702   2.40%  

91340   San  Fernando   31,040   6,562   21.10%   24,163   77.80%   85   0.30%   206   0.70%   24   0.10%  

91350   Santa  Clarita   30,176   22,836   75.70%   4,054   13.40%   1,117   3.70%   1,971   6.50%   198   0.70%  

93063   Simi  Valley   51,601   38,672   74.90%   7,358   14.30%   2,732   5.30%   2,386   4.60%   453   0.90%  

91342   Sylmar   80,913   25,722   31.80%   49,882   61.60%   1,265   1.60%   3,697   4.60%   347   0.40%  

91356   Tarzana   28,088   15,159   54.00%   3,872   13.80%   6,269   22.30%   945   3.40%   1,843   6.60%  

91401   Van  Nuys   36,340   13,946   38.40%   14,329   39.40%   5,984   16.50%   1,179   3.20%   902   2.50%  

91405   Van  Nuys   48,938   11,999   24.50%   27,360   55.90%   5,622   11.50%   3,111   6.40%   846   1.70%  

91406   Van  Nuys   48,869   17,753   36.30%   23,092   47.30%   4,341   8.90%   3,033   6.20%   650   1.30%  

91307   West  Hills   23,341   16,495   70.70%   1,958   8.40%   2,171   9.30%   1,880   8.10%   837   3.60%  

91306   Winnetka   43,628   16,029   36.70%   17,255   39.60%   3,854   8.80%   5,957   13.70%   533   1.20%  

91364   Woodland  Hills   23,212   16,169   69.70%   1,473   6.30%   3,814   16.40%   870   3.70%   886   3.80%  

91367   Woodland  Hills   37,133   23,766   64.00%   3,526   9.5%   6287   16.9%   2,228   6.0%   141   3.6%      

Source:  U.S.  Census  Bureau,  2007-­‐2011  American  Community  Survey  

  39  

 

Table  18.  Northridge  Hospital  Medical  Center:  English  Fluency  Estimates  

ZIP  Code   ZIP  City  Name  

2011  Population  5+  years  

Speak  English  Only   %  

Speak  a  Language  Other  Than  English   %  

Speak  English  "Less  Than  Very  

Well"   %  

91303   Canoga  Park   24,216   7,345   30.30%   16,871   69.70%   8,326   34.40%  

91304   Canoga  Park   48,728   21,767   44.70%   26,961   55.30%   12,314   25.30%  

91311   Chatsworth   35,810   22,505   62.80%   13,305   37.20%   3,825   10.70%  

91316   Encino   24,677   12,622   51.10%   12,055   48.90%   4,320   17.50%  

91344   Granada  Hills   50,945   25,380   49.80%   25,565   50.20%   7,502   14.70%  

91345   Mission  Hills   17,782   7,279   40.90%   10,503   59.10%   4,648   26.10%  

91321   Newhall   32,585   18,804   57.70%   13,781   42.30%   7,423   22.80%  

91343   North  Hills   54,593   17,630   32.30%   36,963   67.70%   17,673   32.40%  

91605   North  Hollywood   50,450   10,175   20.20%   40,275   79.80%   22,411   44.40%  

91324   Northridge   25,375   12,574   49.60%   12,801   50.40%   5,209   20.50%  

91325   Northridge   30,566   16,161   52.90%   12,801   50.40%   5,973   19.50%  

91331   Pacoima   89,667   13,790   15.40%   75,877   84.60%   37,797   42.20%  

91402   Panorama  City   64,090   11,191   17.50%   52,899   82.50%   30,292   47.30%  

91326   Porter  Ranch   32,935   17,975   54.60%   14,960   45.40%   4,875   14.80%  

91335   Reseda   70,056   22,605   32.30%   47,451   67.70%   23,006   32.80%  

91340   San  Fernando   31,040   6,562   21.10%   24,478   78.90%   11,262   36.30%  

91350   Santa  Clarita   30,176   22,836   75.70%   7,340   24.30%   2,547   8.40%  

93063   Simi  Valley   51,601   38,672   74.90%   12,929   25.10%   4,476   8.70%  

91342   Sylmar   80,913   25,722   31.80%   55,191   68.20%   22,530   27.80%  

91356   Tarzana   28,088   15,159   54.00%   12,929   46.00%   5,072   18.10%  

91401   Van  Nuys   36,340   13,946   38.40%   22,394   61.60%   10,878   29.90%  

91405   Van  Nuys   48,938   11,999   24.50%   36,939   75.50%   18,278   37.30%  

91406   Van  Nuys   48,869   17,753   36.30%   31,116   63.70%   14,254   29.20%  

91307   West  Hills   23,341   16,495   70.70%   6,846   29.30%   2,013   8.60%  

91306   Winnetka   43,628   16,029   36.70%   27,599   63.30%   13,546   31.00%  

91364   Woodland  Hills   23,212   16,169   69.70%   7,043   30.30%   2,208   9.50%  

91367   Woodland  Hills   37,133   23,766   64.00%   13,367   36.00%   3,690   9.90%  Source:  U.S.  Census  Bureau,  2007-­‐2011  American  Community  Survey  

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Table  19.  Northridge  Hospital  Medical  Center:  Fertility  Estimates  for  Women  15-­‐50  

ZIP  Code   ZIP  City  Name  

2011  Number  of  Women  15  to  50  Who  Had  a  Birth  in  the  Last  12  months  

Women  15  -­‐50  Years  Old  (Per  1,000)  

Women  15-­‐19  Years  Old  (Per  1,000)  

Women  20-­‐34  Years  Old  (Per  1,000)  

Women  35-­‐50  Years  Old  (Per  1,000)  

91303   Canoga  Park   501   68   50   102   37  

91304   Canoga  Park   581   44   19   71   30  

91311   Chatsworth   360   39   0   56   36  

91316   Encino   463   70   0   78   73  

91344   Granada  Hills   488   36   14   65   25  

91345   Mission  Hills   202   43   0   94   13  

91321   Newhall   587   71   51   120   28  

91343   North  Hills   1,044   69   31   99   50  

91605   North  Hollywood   724   49   61   62   30  

91324   Northridge   260   37   19   66   0  

91325   Northridge   364   40   0   46   46  

91331   Pacoima   1,526   58   38   106   13  

91402   Panorama  City   1,336   70   41   117   28  

91326   Porter  Ranch   179   22   0   26   24  

91335   Reseda   1,306   67   9   111   44  

91340   San  Fernando   842   91   50   132   56  

91350   Santa  Clarita   421   50   0   96   32  

93063   Simi  Valley   773   57   0   94   44  

91342   Sylmar   1,354   59   0   101   41  

91356   Tarzana   333   44   0   76   26  

91401   Van  Nuys   512   45   27   70   25  

91405   Van  Nuys   837   57   56   81   33  

91406   Van  Nuys   1,032   73   5   120   42  

91307   West  Hills   287   55   0   120   29  

91306   Winnetka   807   65   20   110   30  

91364   Woodland  Hills   304   52   0   105   28  

91367   Woodland  Hills   363   36   0   50   35  Source:  U.S.  Census  Bureau,  2007-­‐2011  American  Community  Survey  

  41  

Table  20.  Northridge  Hospital  Medical  Center:  Number  of  Live  Births  by  Race  and  Age  of  Mother,  Infant  Birthweight,  and  Mother’s  Prenatal  Care  

 Source:  California  Department  of  Public  Health,  2011  Birth  Records  

 

  42

Table 21. Northridge Hospital Medical Center: Number of Deaths by Sex and Age and Selected Leading Causes of Death 

                       

        

Source: California Department of Public Health, Death Records, 2010

  43  

 

Table  22.  Northridge  Hospital  Medical  Center:  Grandparents  Responsible  for  Grandchildren  Estimates  

ZIP  Code   ZIP  City  Name  #  of  Grandparents  Living  with  own  Grandchildren  (Younger  than  18)  

Responsible  for  Grandchildren   %  Responsible  for  Grandchildren  

91303   Canoga  Park   698   87   12.50%  

91304   Canoga  Park   1,474   315   21.40%  

91311   Chatsworth   751   177   23.60%  

91316   Encino   274   14   5.10%  

91344   Granada  Hills   2,218   782   35.30%  

91345   Mission  Hills   790   120   15.20%  

91321   Newhall   764   297   38.90%  

91343   North  Hills   2,001   314   15.70%  

91605   North  Hollywood   2,312   674   29.20%  

91324   Northridge   594   228   38.40%  

91325   Northridge   387   110   28.40%  

91331   Pacoima   6,726   1,527   22.70%  

91402   Panorama  City   2,984   866   29.00%  

91326   Porter  Ranch   919   186   20.20%  

91335   Reseda   3,193   597   18.70%  

91340   San  Fernando   1,983   647   32.60%  

91350   Santa  Clarita   676   237   35.10%  

93063   Simi  Valley   1,020   176   17.30%  

91342   Sylmar   3,895   887   22.80%  

91356   Tarzana   713   155   21.70%  

91401   Van  Nuys   884   216   24.40%  

91405   Van  Nuys   1,395   290   20.80%  

91406   Van  Nuys   1,417   302   21.30%  

91307   West  Hills   631   135   21.40%  

91306   Winnetka   1,897   250   13.20%  

91364   Woodland  Hills   554   116   20.90%  

91367   Woodland  Hills   548   111   20.30%  

Source:  U.S.  Census  Bureau,  2007-­‐2011  American  Community  Survey  

 

  44  

Figure  14.  Crime  Statistics,  Los  Angeles  Police  Department,  Devonshire,  Van  Nuys,  Mission  and  Topanga  Divisions,  2013  

  45  

  46  

  47  

  48  

Attachment B: Planning Participants Conducting a community health needs assessment would not be possible without the contributions of many members of Northridge Hospital Medical Center, public health department, VCCC partner agencies, faith-based-organizations, and community residents. Over the course of this project, VCCC staff and interns to worked endless hours on data gathering, asset mapping, and assisting with key informant interviews, focus groups, community forums, and survey gathering. We wish to express our deepest gratitude and appreciation for the tireless efforts and contributions of all that participated in this assessment. This includes Bonnie Bailer, Director, Center for Healthier Communities at Northridge Hospital Medical Center and President of the VCCC Board; Teddi Grant, Vice President, Marketing, Mission Integration, and Community Services at Northridge Hospital Medical Center; the other members of the VCCC Data Committee; public health experts; physicians, VCCC Board of Directors; VCCC partner agencies; and community residents. We would like to also give a special nod to the California State University Northridge (CSUN) public health students collected surveys in the hospital catchment areas and two interns assisted with data gathering, transcribing, and videotaping. Their efforts have been instrumental in completing this report. VCCC’s team developed the needs assessment in close consultation with Northridge Hospital Medical Center. Three of the team members are VCCC full-time staff, two paid part-time internships, and one contracted consultant to provide part-time services on a temporary basis. VCCC acknowledges and honors the contributions of time, dedication, and expertise of the agencies and individuals that participated in key informant interviews, focus groups, community forums, and other community engagement methods. We are appreciative of the following agencies for making this possible: • California State University, Northridge • Child and Family Center • Childcare Resource Centers of Los Angeles • Church on the Way, Van Nuys, CA • Fernangeles Elementary School • Guadalupe Community Center • Kid's Community Dental Clinic • LACDHS, Mid-Valley Comprehensive Health Center and Olive View Medical Center • LACDMH • LACDPH, SPA 1 and 2 Area Health Office • Los Angeles Unified School District, Local Districts 1 and 2 • Mission Community Hospital • Northeast Valley Health Corporation • Partners in Care Foundation • Providence Health & Services

  49  

The CHNA Data Committee provided oversight to the VCCC staff and consultant, and advised on the data elements to be collected for this report as well as a larger effort. This committee reflects the diverse public and private stakeholders that contribute time, expertise, and resources to VCCC on a voluntary basis. Without their ongoing support, this project would not have been possible. The members of each committee along with their respective agency are provided in the following table.

Table  23.  2013  CHNA  Data  Committee  

Name   Agency  Dale  Gorman   Kid's  Community  Dental  Clinic  

Marie  Mayen-­‐Cho   Providence  Health  and  Services  

Gigi  Mathew   LACDPH  

Hsin-­‐I  Chen   Tarzana  Treatment  Center  

Dr.  Douglas  Melnick   LACDPH  

Ron  Sorensen   Providence  Health  and  Services  

Teddi  Grant   Northridge  Hospital  Medical  Center  

Bonnie  Bailer   Northridge  Hospital  Medical  Center  

Martha  Zuniga   Northridge  Hospital  Medical  Center  

Teresa  Unsinn   Northridge  Hospital  Medical  Center  

Joni  Novosel   VCCC  

Surekha  Vasant   VCCC  

Maribel  Aguilar   VCCC  

  50  

Attachment C: Asset Analysis An array of organizations provides health, mental health, dental, and social services tailored to unique needs of the diverse communities in the hospital service area. In addition, parks and open space are an important resource to play and engage in physical activity. The assets available to the residents in the Northridge Hospital Medical Center catchment area were inventoried to better understand the existing landscape so that new partnerships may be forged and gaps warranting attention could be identified in order to address unmet community need. The table below summarizes the types of assets that were collected by the categories included in each one. A complete listing of community assets may be found on pages 51 to 67: Table  24.  Northridge  Hospital  Medical  Center:  Summary  of  Assets  Type  of  Asset   Category    Health  Care   Clinics  

Hospitals  Cancer  Resources  Heart  Disease  Resources  HIV  Services  STD  Services  

Mental  Health  Care   Mental  Health  and  Crisis  Resources  Suicide  Prevention  Services  Mental  Health  Services  for  Children  Mental  Health  Services  for  Adults  Mental  Health  Services  for  Older  Adults  

Oral  Health  Care   Dental  Services  Health  and  Human  Services   Housing  and  Shelters  

Community  Organizations  Health  and  Human  Services  Youth  Development  Services  Violence  Prevention  Services  Child  Abuse  Resources  

Parks  and  Recreation   Parks  and  Recreation  Resources  Sources:  VCCC  Resource  Directory  provided  by  the  Los  Angeles  Unified  School  District,  available  at  http://www.valleyccc.org/services.php  and  http://www.valleyccc.org/lausd-­‐district-­‐1.php;  VCCC,  Assessing  the  Community's  Needs:  A  Triennial  Report  on  San  Fernando  and  Santa  Clarita  Valleys,  2010  (clinic  and  hospital  information);  San  Fernando  Valley  Business  Journal.  (November  22,  2010.)  2011  Philanthropy  Guide:  Directory  of  San  Fernando  Valley-­‐Based  Not-­‐For-­‐Profit  Organizations,  HealthyCity.org,  accessed  December  17,  2012,  available  at  http://www.healthycity.org/c/service,  County  of  Los  Angeles  -­‐  Department  of  Mental  Health,  Service  Area  2  Providers,  October  2012;  and  Google  Maps

  51  

Health  Care  Assets    

Table  25.  Clinics  

Name   Address   City   Zip  Code   Phone  Number  

Jewish  Home  Geriatric  Clinic   7150  Tampa  Ave   Reseda   91335   818-­‐774-­‐3000  

JHA  Geriatric  Clinic   18855  Victory  Blvd   Reseda   91335   818-­‐744-­‐3000  

Dual  Diagnosis  Assessment  and  Treatment  Center   16550  W.  Ventura  Blvd   Encino   91430   866-­‐417-­‐5163  

El  Proyecto  Del  Barrio,  Inc  -­‐  Canoga  Park  Clinic   20800  Sherman  Way   Winnetka   91306   818-­‐883-­‐2273  

Independence  Community  Treatment  Clinic   19231  Victory  Blvd,  Ste  554   Reseda   31335   818-­‐776-­‐1755  

El  Proyecto  Del  Barrio,  Inc  –  Arleta   8902  Woodman  Ave   Arleta   91331   818-­‐896-­‐1135  

Los  Angeles  Mission  College,  Student  Health  Center   13356  Eldridge  Ave   Sylmar   91342   818-­‐364-­‐7600  

Meet  Each  Need  with  Dignity  (MEND)   10641  N.  San  Fernando  Rd   Pacoima   91331   (818)  896-­‐0246  

Maclay  Health  Center  for  Children   12540  Pierce  St   Pacoima   91331   818-­‐897-­‐2193  

Mission  City  Community  Network  -­‐  Mission  Hills   10200  Sepulveda  Blvd,  Ste  300   Mission  Hills   91345   818-­‐830-­‐6373  

Mission  City  Community  Network,  Inc   15206  Parthenia  St   North  Hills   91343   818-­‐895-­‐3100  

Mission  City  Community  Network,  Inc  -­‐  Pacoima  Middle  School   9919  Laurel  Canyon  Blvd   Pacoima   91331   818-­‐686-­‐4290  

Northeast  Valley  Health  Corporation  Homeless  Mobile  Clinic   1172  N.  Maclay  Ave   San  Fernando   91340   818-­‐898-­‐1388  

Newhall  Health  Center   23772  Newhall  Ave   Newhall   91321   661-­‐291-­‐1777  

Northeast  Valley  Health  Corporation  LAC  -­‐  Canoga  Park  Health  Center   7107  Remmet  Ave   Canoga  Park   91303   818-­‐340-­‐3570  

Northeast  Valley  Health  Corporation   7843  Lankershim  Blvd   North  Hollywood   91605   818-­‐765-­‐8656  

Northeast  Valley  Health  Corporation   1600  San  Fernando  Rd   San  Fernando   91340   818-­‐365-­‐8086  

Northeast  Valley  Health  Corporation   11133  O'Melveny  Ave   San  Fernando   91340   818-­‐365-­‐7517  

Northeast  Valley  Health  Corporation  -­‐  Early  Intervention   6551  Van  Nuys  Blvd,  Ste  201   Van  Nuys     91401   818-­‐988-­‐6335  

Pediatric  Health  and  WIC  Center   7138  Van  Nuys  Blvd   Van  Nuys     91405   818-­‐778-­‐6240  

Planned  Parenthood  Los  Angeles  Van  Nuys  Center   7100  Van  Nuys  Blvd,  Ste  108   Van  Nuys     91405   800-­‐576-­‐5544  

Planned  Parenthood  Los  Angeles  Canoga  Park  Center   21001  Sepulveda  Blvd   Canoga  Park   91303      

Pregnancy  Counseling  Center   10211  Sepulveda  Blvd   Mission  Hills   91345   818-­‐895-­‐2500  

Santa  Clarita  Medical  and  Mental  Health  Services   24625  Arch  St   Newhall   91321   (661)  288-­‐2644  

Tarzana  Treatment  Center  Family  Medical  Clinic   8330  Reseda  Blvd   Northridge   91324   818-­‐534-­‐1820  

Valley  Community  Clinic   6801  Coldwater  Canyon  Blvd   North  Hollywood   91605   818-­‐763-­‐8836  

El  Proyecto  Del  Barrio,  Inc   9140  Van  Nuys  Blvd   Panorama  City   91402   818-­‐895-­‐2206  

El  Proyecto  Del  Barrio,  Inc   8902  Woodman  Ave   Arleta   91331   818-­‐896-­‐1135  

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Table  26.  Hospitals  

Name   Address   City   Zip  Code   Phone  Number  

Henry  Mayo  Newhall  Memorial  Hospital   23845  McBean  Parkway   Valencia   91355      

Joyce  Eisenberg  Keefer  Medical  Center   7150  Tampa  Ave   Reseda     91335      

Kaiser  Fnd  Hosp  -­‐  Woodland  Hills   5601  De  Soto  Ave   Woodland  Hills   91367      

Motion  Picture  And  Television  Hospital   23388  Mulholland  Drive   Woodland  Hills   91364      

Tarzana  Treatment  Center   18646  Oxnard  St   Tarzana   91356      

West  Hills  Hospital  And  Medical  Center   7300  Medical  Center  Drive   Canoga  Park   91307      

Kaiser  Foundation  Hospital  Panorama  City   13652  Cantara  St   Panorama  City   91042      

Northridge  Hospital  Medical  Center   18300  Roscoe  Blvd   Northridge   91328      

Valley  Presbyterian  Hospital   15107  Vanowen   Van  Nuys   91405      

Glendale  Adventist  Medical  Center  -­‐  Wilson  Terrace   1509  E.  Wilson  Terrace   Glendale   91206      

Mission  Community  Hospital  -­‐  Panorama  City   14850  Roscoe  Blvd   Panorama  City   91402      

LA  County  Olive  View  -­‐  UCLA  Medical  Center   14445  Olive  View  Dr   Sylmar   91342      

Encino  Hospital  Medical  Center   16237  Ventura  Blvd   Encino   91436      

Glendale  Memorial  Hospital  and  Health  Center   1420  South  Central  Ave   Glendale   91204      

Hollywood  Community  Hospital  of  Van  Nuys   14433  Emelita  St   Van  Nuys   91401      

Pacifica  Hospital  of  the  Valley   9449  San  Fernando  Rd   Sun  Valley   91352      

Providence  Holy  Cross  Medical  Center   15031  Rinaldi  St   Mission  Hills   91345      

Providence  Saint  Joseph  Medical  Center   501  South  Buena  Vista   Burbank   91505      

Providence  Tarzana  Medical  Center   18321  Clark  St   Tarzana   91356      

Sherman  Oaks  Hospital   4929  Van  Nuys  Blvd   Sherman  Oaks   91403      

Verdugo  Hills  Hospital   1812  Verdugo  Blvd   Glendale   91208      

Table  27.  Cancer  Resources  

Name   Address   City   Zip  Code   Phone  Number  NORTHEAST  VALLEY  HEALTH  CORPORATION  -­‐  LAC  -­‐  CANOGA  PARK  HEALTH  CENTER   7107  Remmet  Ave   Canoga  Park   91303    (818)  270-­‐9777  

American  Cancer  Society  -­‐  SCV  Unit   25020  W.  Avenue  Stanford  #170   Valencia     91355   (661)  298-­‐0886  PLANNED  PARENTHOOD  LOS  ANGELES  CANOGA  PARK  HEALTH  CENTER   21001  Sherman  Way,  Ste.  9     Canoga  Park   91303   (800)  576-­‐5544  

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Table  28.  Heart  Disease  Resources  

Name   Address   City   Zip  Code   Phone  Number  

American  Red  Cross  -­‐  West  San  Fernando  Valley  District  Office   6800  Owensmouth  Ave.,  Ste.  140     Canoga  Park   91303      

Providence  Tarzana  Medical  Center   18321  Clark  St.     Tarzana   91356   (800)  227-­‐3669  

SHERMAN  OAKS  HOSPITAL   4929  Van  Nuys  Blvd.     Sherman  Oaks   91403   (818)  907-­‐2835  

YMCA  NORTH  VALLEY  FAMILY  PORTER  RANCH   11336  Corbin  Ave     Northridge   91326   (818)  368-­‐3231  

Table  29.  HIV  Services  

Name   Address   City   Zip  Code   Phone  Number  

ABILITYFIRST  HOUSING  -­‐  RANCHO  DEL  VALLE  APARTMENTS   6560  Winnetka  Ave   Woodland  Hills   91367   (818)  347-­‐1440  

ADULT  SKILLS  CENTER,  THE   17400  Vanowen  St.   Van  Nuys   91406      

AHF  HEALTHCARE  CENTER  -­‐  SAN  FERNANDO  VALLEY   4835  Van  Nuys  Blvd.,  Ste  200   Sherman  Oaks   91403      

ONEGENERATION  -­‐  SENIOR  ENRICHMENT  CENTER   18255  Victory  Blvd.     Reseda     91335    (818)  705-­‐2345  

MARY  MAGDALENE  PROJECT  -­‐  DROP  IN  CENTER   7136  Haskell  Ave.,  Ste.  125   Van  Nuys   91406   (818)  988-­‐4970  

TARZANA  TREATMENT  -­‐  TRANSITIONAL  HOUSING  FOR  PAROLEES  WITH  HIV/AIDS   7101  Baird  Ave   Reseda     91335    (818)  342-­‐5897  

TARZANA  TREATMENT  CENTER  INC   18646  Oxnard  St   Tarzana   91356      

Valley  Village     20830  Sherman  Way   Winnetka   91306   (818)  587-­‐9450  

Department  of  Public  Health  STD  Clinic   5800  Tujunga  Ave   North  Hollywood          

Table  30.  STD  Services  Name   Address   City   Zip  Code   Phone  Number  MISSION  CITY  COMMUNITY  NETWORK  -­‐  NORTHRIDGE   8363  Reseda  Blvd.,  Ste  11   Northridge   91324   (818)  998-­‐3579  NORTHEAST  VALLEY  HEALTH  CORPORATION  -­‐  LAC-­‐  CANOGA  PARK  HEALTH  CENTER   7107  Remmet  Ave     Canoga  Park   91303   (818)  270-­‐9777  PLANNED  PARENTHOOD  LOS  ANGELES  -­‐  CANOGA  PARK  CENTER   21001  Sherman  Way,  Ste.,  9   Canoga  Park   91303      

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Mental  Health  Care  Assets    

Table  31.  Mental  Health  and  Crisis  Resources  

Name   Address   City   Zip  Code   Phone  Number  

Bridges  -­‐  TruStart   6267  Variel  Ave,  Suite  B   Woodland  Hills     91367   (818)  657-­‐0411  

Center  for  Assault  Treatment  Services   14531  Gault  St.     Van  Nuys   91405   (818)  785-­‐3489  

Center  For  Individual  and  Family  Counseling     5445  Laurel  Canyon  Blvd   North  Hollywood   91607   (818)  761-­‐2227  

Central  Valley  Youth  and  Family  Center  SFVCMHC,  Inc.     14538  Sherman  Circle  Suites  502  &  508   Van  Nuys   91405   (818)  908-­‐4990  

Child  &  Family  Center     21545  Centre  Point  Parkway   Santa  Clarita     91350   (661)  285-­‐6847  

Child  &  Family  Center  -­‐  Sequoia  Charter  School   21445  Center  Pointe  Park   Santa  Clarita     91350   (661)  259-­‐9439  

Child  &  Family  Guidance  Center   9650  Zelzah  Ave   Northridge     91325   (818)  993-­‐9311  

Children  of  the  Night   14530  Sylvan  St   Van  Nuys   91411   (818)  908-­‐4474  

Cri-­‐Help  Inc.   11027  Burbank  Blvd.   North  Hollywood   91601   (818)  985-­‐8323  

Domestic  Violence  Center  of  SCV   PO  BOX  220037     Newhall   91322   (661)  259-­‐8175  

Down  Syndrome  Association  of  Los  Angeles   16461  Sherman  Way  #180   Van  Nuys   91406   (818)  786-­‐0001  

El  Centro  de  Amistad   566  S.  Brand  Blvd   San  Fernando   91340   (818)  898-­‐0223  

FAMILY  PHASES  COUNSELING   21243  Ventura  Blvd,  Ste.  121   Woodland  Hills     91364    (818)  883-­‐9962  

Help  Group   13130  Burbank  Blvd.   Sherman  Oaks   91401   (818)  781-­‐0360  

HELPING  PATH   5649  W  Camino  Cielo   Santa  Barbara   93105-­‐9706      

Hillview  Mental  Health  Center  Inc.   12450  Van  Nuys  #200   Pacoima     91331   (818)  896-­‐1161  LOS  ANGELES  COUNTY  DEPARTMENT  OF  MENTAL  HEALTH  -­‐  WEST  VALLEY  MENTAL  HEALTH  CENTER  

7621  Canoga  Ave   Canoga  Park   91304    (818)  610-­‐6700  

Narcotics  Anonymous  World  Services   PO  BOX  9999   Pacoima     91331   (818)  773-­‐9999  National  Council  on  Alcoholism  and  Drug  Dependence  of  the  San  Fernando  Valley    

6640  Van  Nuys  Suite  C   Van  Nuys   91405   (818)  997-­‐0414  

North  Los  Angeles  County  Regional  Center   15400  Sherman  Way  #170   Van  Nuys   91406   (818)  778-­‐1900  

NOTHING  MATTERS  BUT  THE  CHILDREN   26308  W  PLATA  LN   CALABASAS   91302-­‐2611      

Pacific  Ridge  School  (AB  3632  only)   15339  Saticoy  St   Van  Nuys   91405   (818)  267-­‐2623  

PERSONAL  GROWTH  INSTITUTE  INC   5536  TAMPA  AVE   TARZANA   91356-­‐3027      

PROJECT  UPLIFT   PO  BOX  625   SANTA  YNEZ     93460-­‐0625      

PSYCHALIVE   5383  Hollister  Ave   Santa  Barbara   93111-­‐2304      

San  Fernando  Valley  Child  Abuse  Council   PO  BOX  3501   Granada  Hills   91394   (818)  754-­‐1441  

San  Fernando  Valley  Community  Mental  Health  Center  Inc.   6842  Van  Nuys  6th  Floor   Van  Nuys   91405   (818)  901-­‐4830  

STILLPOINT  RESOURCES  CHARITABLE  TR   PO  BOX  5103   West  Hills     91308-­‐5103      

Summit  View  (AB  3632  only)   6455  Coldwater  Canyon  Blvd   Valley  Glen   91606   (818)  779-­‐5238  

  55  

Table  31.  Mental  Health  and  Crisis  Resource-­‐  Continued  

Name   Address   City   Zip  Code   Phone  Number  

TAY  -­‐  Transitional  Youth  -­‐  DTI  TAY  FSP/FCCS   14535  Sherman  Circle   Van  Nuys   91401   (818)  374-­‐4080  

Terra  Del  Sol  Foundation   9919  Sunland  Blvd.   Sunland   91040   (818)  352-­‐1419  

The  Glendon  Association   115  West  Canon  Perdido   Santa  Barbara   93101      

Therapeutic  Behavioral  Services   6305  Woodman  Ave   Van  Nuys   91401      

Tierra  Del  Sol  Foundation   9919  Sunland  Blvd.   Sunland   91040   (818)  352-­‐1419  

Turning  Point  (Wrap)  -­‐  SFVCMHC,  Inc.   6305  Woodman  Ave   Van  Nuys   91401   (818)  901-­‐6376  

Valley  Family  Center   302  S.  Brand  Blvd     San  Fernando   91340   (818)  365-­‐8588  

VALLEY  WOMEN'S  CENTER   22110  Roscoe  Blvd.,  Ste  204   Canoga  Park   91304    (818)  713-­‐8700  

VALLEY  WOMEN'S  CENTER   14430  Sherman  Way   Van  Nuys   91405   (818)  785-­‐9119  

Ventura  County  Chapter  -­‐  Betty  Plotkin  Center   836  Calle  Plano   Camarillo   93012      

Verdugo  Mental  Health  Inc.   1540  E.  Colorado  St   Glendale   91205   (818)  244-­‐7257  

Village  Family  Services   6736  Laurel  Canyon  Blvd.  #200   North  Hollywood   91606   (818)  755-­‐8786  

YOGA  BLUE  INC   3130  E  OJAI  AVE   OJAI   93023-­‐9319  

   

Yes  ICAN  (International  Child  Abuse  Network)   7657  Winnetka  Ave.  #155   Canoga  Park   91306   (888)  224-­‐4226  

31st  District  PTSA   17445  Cantlay  St.     Van  Nuys   91406   (818)  344-­‐3581  

Table  32.  Suicide  Prevention  Services  

Name   Address   City   Zip  Code   Phone  Number  

VALLEY  TRAUMA  COUNSELING  CENTER   8700  Reseda  Blvd.,  Ste.  209   Northridge   91324    (818)  772-­‐9982  

Sherman  Oaks  Hospital   4929  Van  Nuys  Blvd.     Sherman  Oaks   91403    (818)  907-­‐2835  

Sherman  Oaks  Hospital  -­‐  Outpatient   4911  Van  Nuys  Blvd   Sherman  Oaks   91403    (818)  907-­‐2835  

VALLEY  TRAUMA  COUNSELING  CENTER-­‐  SOPHIA  AVE  VAN  NUYS  OFFICE   7116  Sophia  Ave.     Van  Nuys   91406   (818)  756-­‐5330  

HOLLYWOOD  AND  VINE  RECOVERY  CENTER   19642  Ballinger  St.     Northridge   91324   (818)  886-­‐0453  

  56  

 

Table  33.  Mental  Health  Services  for  Children  

Name   Address   City   Zip  Code   Phone  Number  

Asian  Pacific  Counseling  &  Treatment  Center   15400  Sherman  Way,  Suite  220   Van  Nuys   91406   (818)  267-­‐1100  

Aviva  Center   5200  Lankershim  Blvd   North  Hollywood   91606   (818)  980-­‐3200  

Child  &  Family  Center  -­‐  Newhall   23504  Lyons  Ave  Suite  #204   Newhall   91350   (661)  286-­‐2550  

Child  &  Family  Center  -­‐  Santa  Clarita   21545  Centre  Pointe  Parkway   Santa  Clarita   91350   (661)  259-­‐9439  

Child  &  Family  Guidance  Center  Family  Stress  Center   16861  Parthenia  Street   North  Hills   91343   (818)  830-­‐0200  

Child  and  Family  Guidance  Center   6851  Lennox  Avenue,  Suite  100   Van  Nuys   91404   (818)  739-­‐5400  

Child  and  Family  Guidance  Center   9650  Zelzah  Ave     Northridge   91325   (818)  993-­‐9311  

Child  FCCS/FSP  -­‐  SFVCMHC,  Inc.   6305  Woodman  Ave   Van  Nuys   91401   (818)  908-­‐4999  

Counseling4Kids   601  S.  Glenoaks  Blvd.,  Suite  200   Burbank   91502   (818)  441-­‐7800  

Dib  off  Center  -­‐  Public  School  Center   4306  Victory  Blvd   Burbank   91505   (818)  558-­‐6955  

Didi  Hirsh  Community  Mental  Health  Center   1540  E.  Colorado  St   Glendale     91205   (818)  244-­‐7257  

El  Centro  De  Amistad   6800  Owensmouth  Ave  Suite  310   Canoga  Park   91303   (818)  347-­‐8565  

El  Centro  De  Amistad   566  S.  Brand  Blvd.   San  Fernando   91340   (818)  898-­‐0223  

Hathaway  -­‐  Sycamores  -­‐  Office  #1   12450  Van  Nuys   Pacoima   91331   (818)  896-­‐8366  

Hathaway  -­‐  Sycamores  -­‐  Office  #2   12510  Van  Nuys     Pacoima   91331   (818)  896-­‐2255  

Hillview  Mental  Health  Center,  Inc.     12450  Van  Nuys  Blvd.  #200   Pacoima   91331   (818)  896-­‐1161  x211  

IMCES  -­‐  Institute  for  Multi-­‐Cultural  Counseling  and  Educational  Services,  Inc.   431  N.  Brand  #201   Glendale     91203   (213)  381-­‐1250  

Magnolia  Park  School  (AB  3632  only)   827  North  Avon  St   Burbank   91505   (626)  744-­‐5230  

Pacific  Asian  Counseling  Services   6851  Lennox  Avenue,  Suite  400   Van  Nuys   91405   (818)  898-­‐9214  

Pacific  Clinics  -­‐  HYE  WRAP  Program     237  N.  Central  Ave     Glendale     91203   (818)  547-­‐9544  

Penny  Lane  (aka  National  Foundation  for  Emotionally  Handicapped)   15317  Rayen  Street   North  Hills   91343   (818)  892-­‐3423  

Phoenix  House  of  Los  Angeles   11600  Eldridge  Ave   Lake  View  Terrace   91342   (818)  896-­‐1121  

San  Fernando  Mental  Health  Center   10605  Balboa  Blvd.,  Suite  100   Granada  Hills   91344   (818)  832-­‐2400  

San  Fernando  Valley  Community  Mental  Health  Center,  Inc.  (SFVCMHC,  Inc.)   6824  Van  Nuys  Blvd.,  6th  Floor   Van  Nuys   91405   (818)  901-­‐4830  

SFVCMHC,  Inc.  -­‐  Central  Valley  Youth  &  Family  Center     14624  Sherman  Way,  Suite  508   Van  Nuys   91405   (818)  908-­‐4990  

SFVCMHC,  Inc.  -­‐  East  Valley  Youth  &  Family  Center   6305  Woodman  Ave   Van  Nuys   91408   (818)  908-­‐4999  

SFVCMHC,  Inc.  -­‐  Juvenile  Justice  Programs  Youth  Contact   14550  Sherman  Oaks  Blvd.   Van  Nuys   91405   (818)  901-­‐4879  

SFVCMHC,  Inc.  -­‐  North  Valley  Youth  &  Family  Center     11565  Laurel  Canyon  Blvd.,  Suite  117   Mission  Hills   91340   (818)  361-­‐5030  

Sterling  Behavioral  Health  Institute   6931  Van  Nuys  Blvd.,  Suite  102   Van  Nuys   91405   (818)  3376-­‐0134  

Sterling  Behavioral  Health  Institute   31824  Village  Center  Road,  Suite  E-­‐F   Westlake  Village   91361   (818)  991-­‐1063  

Tarzana  Treatment  Centers   18646  Oxnard  St.   Tarzana   91356   (818)  996-­‐1051  

  57  

Table  33.    Mental  Health  Services  for  Children  -­‐  Continued  

Name   Address   City   Zip  Code   Phone  Number  The  Eugene  Ferkich  Mental  Health  Clinic  (formerly  Tobinworld)   920  E.  Broadway     Glendale     91205   (818)  242-­‐8403  

x254  The  Help  Group  -­‐  Pacific  Ridge  School  (AB3632  only)   15339  Saticoy  St   Van  Nuys   91405   (818)  267-­‐2623  The  Help  Group  -­‐  Summit  View  (AB3632  only)   6455  Coldwater  Canyon  Blvd.   Valley  Glen   91606   (818)  623-­‐6300  The  Help  Group  Child  and  Family  Services   15339  Saticoy  St   Van  Nuys   91405   (818)  267-­‐2747  The  Help  Group  Child  and  Family  Services     13130  Burbank  Blvd   Sherman  Oaks   91401   (818)  781-­‐0360  The  Village  Family  Services   6736  Laurel  Cyn.  Blvd.,  Suite  200   North  Hollywood   91606   (818)  755-­‐8786  Valley  Coordinated  Children  Services   19231  Victory  Blvd.,  #110   Reseda     91335   (818)  708-­‐4500  Valley  Trauma  Center   7116  Sopia  Ave.     Van  Nuys   91406   (818)  756-­‐5330  Children’s  Relief  Mission   1431  Columbia  Dr.  #200   Glendale     91205   (818)  502-­‐1989  

Table  34.  Health  Services  for  Adults  

Name   Address   City   Zip  Code   Phone  Number  Asian  Pacific  Counseling  and  Treatment  Center     15400  Sherman  Way,  Suite  220     Van  Nuys     91406   (818)  267-­‐1100  Client  Run  Center   6501  Van  Nuys  Blvd   Van  Nuys     91401   (818)  989-­‐7475  Didi  Hirsh  Glendale   1540  East  Colorado  St   Glendale     91205-­‐1514   (818)  244-­‐7257  El  Centro  De  Amistad  -­‐  Site  1   6800  Owensmouth  Ave  #310   Canoga  Park   91303   (818)  347-­‐8565  El  Centro  De  Amistad  -­‐  Site  2   566  S.  Brand  Blvd   San  Fernando   91340   (818)  898-­‐0223  Hillview  Mental  Health  Center   12450  Van  Nuys  Blvd.,  Suite  200   Pacoima   91331   (818)  896-­‐1161  x211  Hillview  Mental  Health  Center   6842  Van  Nuys  Blvd.   Van  Nuys     91405   (818)  374-­‐5383  

Independent  Living  Program/FCCS   1411  Vanowen  Street,  Suite  201   Van  Nuys   91405   (818)  374-­‐5383  Olive  View  Community  Mental  Health  Urgent  Care  Center   14659  Olive  View  Dr   Sylmar   91342   (818)  485-­‐0888  Patient's  Rights  Office   550  S.  Vermont  Ave.   Los  Angeles   90020   (800)  700-­‐9996  Psychiatric  Mobile  Response  Team  (PMRT)  San  Fernando  Mental  Health  Center   10605  Balboa  Blvd.     Granada  Hills     91345   (818)  832-­‐2410  San  Fernando  Mental  Health  Center   10605  Balboa  Blvd.     Granada  Hills     91345   (818)  832-­‐2400  San  Fernando  Valley  Community  Mental  Health  Center,  Inc.   6842  Van  Nuys  Blvd.,  6th  Floor   Van  Nuys     91405   (818)  901-­‐4830  Santa  Clarita  Valley  Mental  Health  Center   23501  Cinema  Dr.,  Suite  210   Valencia     91335   (661)  288-­‐4800  SFVCMHC,  INC.  -­‐  Center  for  Family  Living     14545  Sherman  Circle     Van  Nuys     91405   (818)  901-­‐4854  

SFVCMHC,  Inc.  -­‐  Cornerstone   14660  Oxnard  St   Van  Nuys     91411   (818)  901-­‐4836  SFVCMHC,  Inc.  -­‐  MacDonald  Carey  East  Valley  MHC   11631  Victory  Blvd.,  Suite  203   North  Hollywood   91606   (818)  908-­‐3855  SFVCMHC,  Inc.  -­‐  Transitions   14545  Sherman  Circle     Van  Nuys     91405   (818)  901-­‐4930  SFVCMHC,  Inc.  -­‐  Victory  Wellness  Center   14411  Vanowen  St   Van  Nuys     91405   (818)  989-­‐7475  Tarzana  Treatment  Center   18646  Oxnard  St   Tarzana   91606   (818)  996-­‐1051  Urgent  Community  Services  Project  -­‐  San  Fernando  Mental  Health  Center  (temp)   10605  Balboa  Blvd.     Granada  Hills     91345   (818)  832-­‐2406  West  Valley  Mental  Health  Center   7621  Canoga  Ave   Canoga  Park   91304   (818)  598-­‐6900  

  58  

Table  35:  Mental  Health  Services  for  Older  Adults  

Name   Address   City   Zip  Code   Phone  Number  

Center  for  Aging  Resources   443  N.  El  Molino  Ave   Pasadena     91101   (626)  577-­‐8480  

Center  for  Aging  Resources  (CFAR)  -­‐  Heritage  Clinic   447  N.  El  Molino  Ave   Pasadena     91101   (626)  577-­‐8480  

Hillview  Mental  Health  Center   12450  Van  Nuys  Blvd   Van  Nuys   91331   (818)  896-­‐1161  

Jewish  Family  Services   12821  Victory  Blvd   North  Hollywood   91606   (818)  432-­‐5025  

Olive  View  Community  Mental  Health  Urgent  Care  Center   14659  Olive  View  Drive     Sylmar   91342   (818)  485-­‐0888  

San  Fernando  Mental  Health  Center   10605  Balboa  Blvd.     Granada  Hills     91345   (818)  832-­‐2400  

San  Fernando  Valley  Community  Mental  Health  Center  Inc.  (Homebound)   6842  Van  Nuys  Blvd  5th  Floor   Van  Nuys   91405   (818)  37-­‐6901  

Special  Services  For  Groups   5900  S.  Sepulveda  Bald.  #425   Van  Nuys   91101   (213)  236-­‐9394  

Special  Services  For  Groups  Pacific  Clinics  APFC   9353  E.  Valley  Blvd.     Rosemead   91770   (626)  287-­‐2988  

Urgent  Community  Services  Project  San  Fernando  Mental  Health  Center   10605  Balboa  Blvd.     Granada  Hills     91345   (818)  832-­‐2406  

West  Valley  Mental  Health  Center   7621  Canoga  Ave     Canoga  Park   91304   (818)  598-­‐6900  

  59  

Oral  Health  Care  Assets  

 Table  36.  Dental  Services  

Name   Address   City   Zip  Code   Phone  Number  

MEND   10641  N.  San  Fernando  Rd   Pacoima   91340   818-­‐686-­‐7355  

Mission  City  Community  Network  Inc   15206  Parthenia  St   North  Hills   91343   818-­‐895-­‐3100  

Mission  Community  Hospital  UCLA  Dental  Clinic   732  Mott  St,  Ste  110   San  Fernando   91340   818-­‐837-­‐0398  

Northeast  Valley  Health  Corporation  -­‐  San  Fernando  Clinic   1600  San  Fernando  Rd   San  Fernando   91340   818-­‐365-­‐8086  

El  Proyecto  Del  Barrio  -­‐  Center  for  a  Healthy  Community   20800  Sherman  Way   Winnetka   91306   818-­‐883-­‐2273  

Samuel  Dixon  Family  Health  Center  -­‐  Newhall   23772  Newhall  Ave   Newhall   91321   661-­‐291-­‐1777  

  60  

Health  and  Human  Services  Assets    Table  37.  Housing  and  Shelters  

Name   Address   City   Zip  Code   Phone  Number  

Burbank  Housing  Corporation   1819  Grimmer  Ave   Burbank   91504   (818)  559-­‐2336  

California  Community  Reinvestment  Corporation   225  W.  Broadway  #210   Glendale   91204   (818)  550-­‐9800  

CARE  Housing  Services  Corporation   18757  Burbank  Blvd  #102   Tarzana     91356   (818)  774-­‐1200  

Corporation  for  Better  Housing     15303  Ventura  Blvd  #1100   Sherman  Oaks   91403   (818)  905-­‐2430  

Front  Porch  Communities  and  Services   303  N.  Glen  oaks  Blvd  #1000   Burbank   91502   (818)  729-­‐8100  

Habitat  for  Humanity  San  Fernando/Santa  Clarita  Valleys   21031  Ventura  Blvd  #610   Woodlands  Hills   91364   (818)  884-­‐8808  

L.A.  Family  Housing     7843  Lankershim  Blvd   North  Hollywood   91605   (818)  892-­‐4091  

Table  38.  Community  Organizations  

Name   Address   City   Zip  Code   Phone  Number  

Assistance  League  of  Santa  Clarita   PO  BOX  220145   Santa  Clarita   91322   (661)  255-­‐1991  

Association  of  Fundraising  Professionals  -­‐  Greater  San  Fernando  Valley  Chapter   PO  BOX  2365   Mission  Hills     91393   (818)  708-­‐6626  

Black  Baseball  Players  Association   2321  West  Olive  Ave.  Suite  E   Burbank   91506   (818)  563-­‐2655  

Build  Worksource   9207  Eton  Ave.   Chatsworth     91311   (818)  701-­‐9800  

Castaic  Lions  Club   PO  BOX  312   Castaic   91310      

Community  Enhancement  Services  (CES)   16743  Schoenberg  St.   North  Hills   91343   (818)  894-­‐8121  

Community  Foundation  of  the  Verdugos   330  Arden  Ave  #130   Glendale     91203   (818)  241-­‐040  

East  Valley  PALS   11640  Burbank  Blvd   North  Hollywood     91601   (818)  623-­‐4001  

El  Nido  Family  Centers   10200  Sepulveda  Blvd  #350   Mission  Hills     91345   (818)  830-­‐3646  

Fernando  Award  Foundation  Inc.   12520  Magnolia  Blvd  #212   North  Hollywood     91607   (818)  817-­‐4218  

Friends  of  Hart  Park  &  Museum   24151  Newhall  Ave.   Newhall   91350   (661)  254-­‐4584  

Friends  of  the  Family   15350  Sherman  Way  #140   Van  Nuys   91406   (818)  988-­‐4430  

HandsOn  Santa  Clarita   25663  Avenue  Stanford   Santa  Clarita   91355   (661)  294-­‐2573  

Heartstone  Builder  Award  Foundation   16133  Ventura  Blvd  #1400   Encino   91436   (818)  385-­‐3541  

Jewish  Community  and  Recreational  Center  of  the  West  Valley   22622  Vanowen  St.     West  Hills   91307   (818)  464-­‐3300  

Jewish  Family  Service  of  Los  Angeles   13949  Ventura  Blvd  #308   Sherman  Oaks   91423   (818)  789-­‐1293  

Jewish  World  Watch   17514  Ventura  Blvd  #206   Encino   91316   (818)  501-­‐1836  

Mid  Valley  Jeopardy  Foundation   6015  Woodman  Ave.     Van  Nuys   91401   (818)  756-­‐9802  

National  Assistance  League   PO  BOX  6637     Burbank   91510   (818)  846-­‐3777  

  61  

Table  38.  Community  Organizations  -­‐  Continued  

Name   Address   City   Zip  Code   Phone  Number  

Neighborhood  Legal  Services  of  Los  Angeles  County   1102  E.  Chevy  Chase  Dr.   Glendale     91205   (800)  433-­‐6251  

Old  Town  Newhall  Association   24336  Main  St   Newhall   91321   (661)  253-­‐0730  

Operation  Gratitude   16444  Refugio  Rd.     Encino   91436   (818)  909-­‐0039  

Rickey  and  Robbi  Gelb  Charitable  Foundation   17547  Ventura  Blvd.  #201   Encino   91316   (818)  377-­‐2277  

Rotary  Club  of  Granada  Hills   PO  BOX  3365   Granada  Hills   91394   (213)  219-­‐8351  

San  Fernando  Valley  Community  Foundation     5121  Van  Nuys  Blvd  #200   Sherman  Oaks   91403   (818)  379-­‐7000  

Santa  Clarita  Community  Development  Corporation   24901  Orchard  Village  Rd.   Santa  Clarita   91355   (661)  259-­‐1298  

SCV  School  &  Business  Alliance   21515  Centre  Pointe  Parkway   Santa  Clarita   91350   (661)  753-­‐5740  

Soroptimist  International  of  Santa  Clarita  Valley   PO  BOX  802275     Santa  Clarita   91380   (661)  803-­‐9070  

SVC  Historical  Society     PO  BOX  221925     Newhall   91322   (661)254-­‐1275  

Topanga  BOOSTERS   21501  Schoenborn  St.   Canoga  Park   91304   (818)  756-­‐4800  United  Armenian  Fund   1101  N.  Pacific  Ave  #204   Glendale     91202   (818)  241-­‐8900  

Valley  Economic  Alliance   5121  Van  Nuys  Blvd  #200   Sherman  Oaks   91403   (818)  379-­‐7000  

Valley  Economic  Development  Center  Inc.   5121  Van  Nuys  Blvd  3rd  Floor     Van  Nuys   91403   (818)  907-­‐9977  

Valley  group     17547  Ventura  Blvd.  #201   Encino   91316   (818)  377-­‐2277  

Valley  Industry  &  Commerce  Association  (VIAC)   5121  Van  Nuys  Blvd  #203   Sherman  Oaks   91403   (818)  817-­‐0545  

Valley  Industry  Association  (VIA)   25709  Rye  Canyon  Rd.  105   Valencia     91355   (661)  294-­‐8088  

Valley  Nonprofit  Resources   5435  Balboa  Blvd.  #115   Encino   91316   (818)  591-­‐9321  

Volunteer  Center  of  Los  Angeles   8134  Van  Nuys  Blvd  #200   Panorama  City     91402   (818)  908-­‐5066  

West  Valley  Police  BOOSTERS   17547  Ventura  Blvd.  #201   Encino   91316   (818)  377-­‐2277  

Winnetka  Community  Foundation,  Inc.   17547  Ventura  Blvd.  #201   Encino   91316   (818)  377-­‐2277  

Woodland  Hills  Rotary  Foundation   PO  BOX  144     Woodland  Hills   91365   (818)  754-­‐4743  

World  MAP   1419  N  San  Fernando  Blvd   Burbank   91504   (818)  843-­‐7233  

Santa  Club  of  Santa  Clarita  Valley   PO  BOX  802332   Santa  Clarita   91380   (661)  252-­‐9351  

  62  

 

Table  39.  Health  &  Human  Services  

Name   Address   City   Zip  Code   Phone  Number  

A.R.C.   6456  Whitsett  Ave   North  Hollywood     91606   (818)  762-­‐4365  

Adult  Industry  Medical  Health  Care  Foundation   4630  Van  Nuys  Blvd  1stFloor   Sherman  Oaks   91403   (818)  981-­‐5681  

Alfred  Mann  Foundation   PO  BOX  905     Santa  Clarita     91380   (661)  702-­‐6700  Alzheimer's  Greater  San  Fernando  Valley  Regional  Office    

16933  Parthenia  St.  #200   Northridge     91343   (818)  830-­‐8590  

American  Cancer  Society  SCV  Unit   25020  W.  Avenue  Society  -­‐SCV  Unit  #170  

Valencia   91355   (661)  398-­‐0886  

American  Cancer  Society  SFV  Unit   500  N.  Victory  Blvd     Burbank   91502   (818)  905-­‐7766  

American  Diabetes  Association   5200  W.  Century  Blvd  #480   Los  Angeles     90045   (323)  966-­‐2890  

American  Institute  of  Medical  Education   3255  Cahuenga  Blvd  West  #111     Los  Angeles     90068   (323)  874-­‐5500  American  Red  Cross  of  Los  Angeles   11355  Ohio  Ave   Los  Angeles     90025   (310)  445-­‐9900  

Angels  Way   PO  BOX  70   Woodland  Hills   91365   (818)  346-­‐2229  

Ararat  Nursing  Home   15099  Mission  Hills  Rd   Mission  Hills   91345   (818)  837-­‐6854  

Avenues  Supported  Living  Services  Inc   28415  Industry  Dr.  #502   Valencia   91355   (661)  702-­‐9788  

Build  Rehabilitation  Industries   1323  Truman  St.     San  Fernando   91340   (818)  989-­‐0020  

Build  Rehabilitation  Industries   1304  W.  Burbank  Blvd     Burbank   91506   (818)  848-­‐2822  

CareNex  Health  Services   15477  Ventura  Blvd.  Suite  LL   Sherman  Oaks   91403   (818)  205-­‐2500  

CareNow  Foundation   PO  BOX  878   Agoura  Hills     91376   (818)  597-­‐2451  

Casa  De  La  Paloma   133  S.  Kenwood  St   Glendale     91205   (818)  243-­‐5836  

Center  for  Living  and  Learning   14549  Archwood  St.  #221   Van  Nuys   91405   (818)  781-­‐1073  

Circle  of  Hope  Inc.   PO  Box  221461   Newhall   91322   (661)  254-­‐5218  

Community  Speech  and  Hearing  Center   18740  Ventura  Blvd  #100   Tarzana   91356   (818)  774-­‐0224  

Comprehensive  Community  Health  Centers  Inc.   801  S.  Chevy  Chase  Dr.  #20   Glendale     91205   (818)  265-­‐2213  

El  Proyecto  Del  Barrio  Inc   8902  Woodman  Ave   Arleta   91331   (818)  830-­‐7133  

Glendale  Association  for  the  Retarded   6512  San  Fernando  Rd.     Glendale     91201   (818)  242-­‐2434  

Goodwill  Southern  California   14600  Roscoe  Blvd.     Panorama  City   91402   (818)  892-­‐1231  

Grandparents  As  Parents,  Inc.   22048  Sherman  Way  #217     Canoga  Park   91303   (818)  264-­‐0880  

Guadalupe  Center   6933  Remmet  Ave   Canoga  Park   91303   (818)  340-­‐2050  

Haven  Hills  Inc.   PO  BOX  260     Canoga  Park   91305   (818)  887-­‐7481  

Help  the  Children   25030  Avenue  Tibbitts  Suite  L   Valencia   91355   (661)  702-­‐8852  

Hungry  Children  Project   16520  Vintage  St   North  Hills   91343   (818)  832-­‐1890  

Independent  Living  Center  of  Southern  California   14407  Gilmore  St  #101   Van  Nuys   91401   (818)  785-­‐6934  

Inner  Circle  Foster  Care  &  Adoption  Services   7120  Hayvenhurst  Ave  #204   Van  Nuys   91406   (818)  988-­‐6300  

International  Myeloma  Foundation   12650  Riverside  Dr.  #206   North  Hollywood     91607   (818)  487-­‐7455  Jay  Nolan  Community  Services  Inc.   15501  San  Fernando  Mission  Blvd  #200   Mission  Hills   91345   (818)  361-­‐6400  

Los  Angeles  Jewish  Home   7150  Tampa  Ave   Reseda   91335   (818)  774-­‐3000  

  63  

Table  39.  Health  &  Human  Services  -­‐  Continued  

Name   Address   City   Zip  Code   Phone  Number  

Los  Angeles  Retarded  Citizens  Foundation  -­‐  L.A.R.C.  Ranch   29890  N  Bouquet  Canyon  Rd.   Saugus   91390   (661)  296-­‐8636  

MEND  -­‐  Meet  Each  Need  With  Dignity     10641  N.  San  Fernando  R.     Pacoima   91331   (818)  897-­‐2443  

Mission  City  Community  Network  Inc.     15206  Parthenia  St   North  Hills   91343   (818)  895-­‐3100  

Motion  Picture  &  Television  Fund  Foundation   22388  Mulholland  Dr   Woodland  Hills   91364   (818)  876-­‐1900  

New  Horizons   15725  Parthenia  St   North  Hills   91343   (818)  894-­‐9301  

Northeast  Valley  Health  Corporation   1172  N.  Maclay  Ave     San  Fernando   91340   (818)  898-­‐1388  

ONEgeneration   17400  Victory  Blvd.   Van  Nuys   91406   (818)  705-­‐2345  

Pacific  Lodge  Youth  Services   4900  Serrano  Ave   Woodland  Hills   91364   (818)  347-­‐1577  

Partners  in  Care  Foundation   732  Mott  St.  #150   San  Fernando   91340   (818)  837-­‐3775  

Penny  Lane  Centers   15305  Rayen  St   North  Hills   91343   (818)  892-­‐3423  Phoenix  House     11600  Eldridge  Ave.   Lake  View  Terrace   91342   (818)  686-­‐3000  

Pleasantview  Industries  Inc.   27921  Urbandale  Ave.   Santa  Clarita   91350   (661)  296-­‐6700  

Renal  Support  Network   1311  N.  Maryland  Ave   Glendale   91207   (818)  543-­‐0896  

Ride  On  L.A.   10860  Topanga  Canyon  Blvd.   Chatsworth   91311   (818)  700-­‐2971  

Safe  Passage  /Women  Crowned  in  Glory  Inc.   PO  BOX  40034   Studio  City     91614   (818)  232-­‐7476  

Samuel  Dixon  Family  Health  Centers  Inc.   25115  W.  Avenue  Stanford  #A-­‐104   Valencia   91355   (661)  257-­‐2384  

Santa  Clarita  Valley  Senior  Center   22900  Market  St.     Santa  Clarita   91321   (661)  259-­‐9444  

SCV  -­‐  Newhall  Optimist  Club   PO  BOX  1446   Canyon  Country   91351   (661)  252-­‐7313  

SCV  Pregnancy  Center   23838  Valencia  Blvd  #270   Santa  Clarita   91360   (661)  255-­‐0082  

Single  Mothers  Outreach   24271  Main  St.   Santa  Clarita   91321   (661)  288-­‐0117  

Southern  California  Presbyterian  Home   516  Burchett  St.   Glendale   91203   (818)  247-­‐0420  

Special  Olympics  -­‐  Tri-­‐Valley   24779  Valley  St.   Santa  Clarita   91321   (818)  342-­‐0017  

Specialized  Health  Services,  Inc   6400  Laurel  Canyon  Blvd.  #580   North  Hollywood   91606   (818)  762-­‐3855  

Therapeutic  Living  Centers  for  the  Blind  Inc.   7915  Lindley  Ave.   Reseda     91335   (818)  708-­‐1740  

Total  Family  Support  Clinic   13741  Foothill  Blvd.  #240   Sylmar   91342   (818)  833-­‐9789  

UCP  Wheels  for  Humanity   12750  Rhyme  St.  Unit  4   North  Hollywood   91605   (818)  255-­‐0100  United  Cerebral  Palsy  of  Los  Angeles,  Ventura  and  Santa  Barbara  Counties  

6430  Independence  Ave.   Woodland  Hills   91367   (818)  782-­‐2211  

Valley  Care  Community  Consortium     7515  Van  Nuys  Blvd.  5th  Floor   Van  Nuys   91405   (818)  947-­‐4040  

Valley  Community  Clinic   6801  Coldwater  Canyon  Ave   North  Hollywood   91605   (818)  763-­‐1718  

Valley  Village     20830  Sherman  Way     Winnetka   91306   (818)  587-­‐9450  

weSPARK  Cancer  Support  Center   13520  Ventura  Blvd   Sherman  Oaks   91423   (818)  906-­‐3022  

Willie  Ross  Foundation   14547  Gilmore  St   Van  Nuys   91411   (818)  786-­‐7677  

  64  

Table  40.  Youth  Development  Programs  

Name   Address   City   Zip  Code   Phone  Number  ABC  Learn  Inc   134  North  Maclay  Ave.   San  Fernando     91340   (818)  256-­‐0044  31st  District  PTSA   17445  Cantlay  St.   Van  Nuys   91406   (818)  344-­‐3581  ATEAM   PO  BOX  800277   Santa  Clarita   91380   (661)  251-­‐3733  Betty  Ferguson  Foundation   25510  W.  Ave  Stanford  #104     Valencia     91355   (661)  702-­‐8712  Bookends   6520  Platt  Ave  #331   West  Hills   91307   (818)  716-­‐1198  Boy  Scouts  of  America  -­‐  Western  Los  Angeles  County  Council   16525  Sherman  Way  Suite  C-­‐8   Van  Nuys   91406   (818)  785-­‐8700  Boys    &  Girls  Club  of  Burbank  and  Greater  East  Valley   2244  N.  Buena  Vista  St.     Burbank     91504   (818)  842-­‐9333  Boys    &  Girls  Club  of  Conejo  and  Las  Virgenes   5137  Clareton  Dr.  #210     Agoura  Hills   91301   (818)  706-­‐0905  Boys  &  Girls  Club  of  Santa  Clarita  Valley   24909  Newhall  Ave.   Newhall   91321   (661)  254-­‐2582  Boys  &  Girls  Club  of  Santa  Clarita  Valley  Foundation   24790  Newhall  Ave     Newhall   91321   (661)  254-­‐3063  Boys  &  Girls  Club  of  the  SFV   11251  Glenoaks  Blvd   Pacoima     91331   (818)  896-­‐5261  Boys  &  Girls  Club  of  the  West  Valley   7245  Remmet  ave     Canoga  Park   91303   (818)  610-­‐1054  California  Youth  Chess  League   25405  Via  Nautica     Valencia     91355   (661)  288-­‐1705  Child  Care  Resource  Center  (CCRC)   20001  Prairie  St.   Chatsworth   91311   (818)  717-­‐1000  Child  Development  Institute   6340  Variel  Ave  Suite  A   Woodland  Hills   91367   (818)  888-­‐4559  Child  S.H.A.R.E  Program  Inc   1544  W.  Glenoaks  Blvd   Glendale     91201   (818)  649-­‐8000  Civil  Air  Patrol  Cadet  Squadron  3   PO  BOX  8377   Van  Nuys   91409   (818)  464-­‐3478  David  Horowitz  Freedom  Center   PO  BOX  55089   Sherman  Oaks   91499   (818)  849-­‐3470  Dubnoff  Center  for  Child  Development   10526  Dubnoff  Way   North  Hollywood   91606   (818)  755-­‐4950  Girl  Scouts  of  Greater  Los  Angeles  -­‐  Santa  Clarita  Office   21515  Soledad  Canyon  Rd.  #118   Santa  Clarita   91350   (661)  287-­‐1985  Gymnastics  Olympica  USA  Inc   7735  Haskell  Ave   Van  Nuys   91406   (818)  785-­‐1537  Hands  for  Hope   11210  Otsego  St   North  Hollywood   91601   (818)  763-­‐4673  International  Trade  Education  Programs  Inc  (ITEP)   3786  La  Crescenta  Ave  #103   Glendale     91208   (818)  249-­‐6281  Keep  Youth  Doing  Something  (KYDS)  Inc   7026  Sophia  Ave   Van  Nuys   91405   (818)  908-­‐2029  LAPD  Devonshire  PALS   8721  Wilbur  Ave   Northridge   91324   (818)  885-­‐6432  New  Directions  for  Youth   7315  N.  Lankershim  Blvd   North  Hollywood   91605   (818)  503-­‐6330  R.  M.  Pyles  Boys  Camp   27211  Henry  Mayo  Dr.   Valencia     91355   (661)  294-­‐1394  Remember  When  Foundation    2321  W.  Olive  Ave  Suite  E   Burbank     91506   (818)  563-­‐2969  SCV  Youth  Project   PO  BOX  801982   Santa  Clarita   91381   (818)  257-­‐9688  Shane's  Inspiration     15213  Burbank  Blvd   Sherman  Oaks   91411   (818)  988-­‐5676  Stone  Soup-­‐  Child  Care  Programs   15910  Ventura  Blvd  #1702   Encino   91436   (818)  905-­‐1441  Students  Run  LA   5252  Crebs  Ave   Tarzana   91356   (818)  654-­‐3360  YMCA  -­‐  Burbank   321  E.  Magnolia  Blvd.   Burbank     91502   (818)  845-­‐8551  YMCA  -­‐  Glendale   140  N.  Louise  St   Glendale     91206   (818)  240-­‐4130  YMCA  -­‐  Mid  Valley   6901  Lennox  Ave   Van  Nuys   91405   (818)  989-­‐3800  YMCA  -­‐  North  Valley     11336  Corbin  Ave     Northridge   91326   (818)  368-­‐3231  YMCA  -­‐  Santa  Clarita  Valley   26147  McBean  Parkway     Santa  Clarita   91355   (661)  253-­‐3593  Young  Women's  Christian  Association  of  Glendale   735  E.  Lexington  Dr.     Glendale     91206   (818)  242-­‐4155  Youth  Speak!  Collective   11243  Glenoaks  Blvd.  #11   Pacoima     91331   (818)  890-­‐2928  

  65  

Table  41.  Violence  Prevention  Services  Name   Address   City   Zip  Code   Phone  Number  Los  Angeles  County  Victim-­‐Witness  Assistance  Program   6230  Sylmar  Ave.  #201     Van  Nuys     91406   (818)  37-­‐3075  

Table  42.  Child  Abuse  Resources  

Name   Address   City   Zip  Code   Phone  Number  

Child  and  Family  Guidance  Center   9650  Zelzah  Ave.     Northridge     91325   (818)  993-­‐9311  

Child  Help  USA               (800)  422-­‐4453  

Department  of  Social  Services   12020  Chandler  Blvd  Suite  150   North  Hollywood   91607   (818)  755-­‐5215  

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Parks  and  Recreation  Assets   Table  43.  Parks  and  Recreation  Areas  

Park   Street   City   Zip  Code  Dearborn  Park   17141  Nordhoff  St   Northridge     91325  

Vanalden  Park   8956  Vanalden   Northridge     91324  

Limekiln  Park   10300  Limekiln  Canyon  Rd   Porter  Ranch   91326  

Moonshine  Canyon  Park   West  of  Tampa  Ave  and  South  of  Sesnon   Porter  Ranch   91326  

Porter  Ridge  Park   Reseda  Blvd  &  Sesnon  Blvd   Porter  Ranch   91326  

Viking  Park   Viking  and  Nau   Porter  Ranch   91326  

North  Hills  Community  Park   8756  Parthenia  Place   North  Hills     91343  

Sepulveda  Park  West   8756  Parthenia  Place   North  Hills     91343  

Chase  Park   22525  Chase  St   Canoga  Park     91304  

Parthenia  Park   21444  Parthenia  St   Canoga  Park     91304  

Quimby  (John)  Park   7008  Desoto  Ave   Canoga  Park     91303  

Valley  Circle/Hillhurst  Drive  Park   24220  1/2  Clarington   Canoga  Park     91304  

Runnymede  Park   20200  Runnymede  St   Winnetka     91306  

Cohasset-­‐Melba  Park   On  Cohasset  St  and  Melba  Ave   West  Hills     91307  

Knapp  Ranch  Park   25000  Kittridge   West  Hills     91307  

Mae  Boyer  Park   23936  Highlander  Rd   West  Hills     91307  

Roscoe/Valley  Circle  Park   Valley  Circle  Roscoe  Blvd   West  Hills     91307  

Shadow  Ranch  Park   22633  Vanowen  St   West  Hills     91307  

Knapp  Ranch  Park  West   Wooded  Vista  and  Twisted  Oak  Drive   West  Hills       91307  

Browns  Creek  Park   Browns  Canyon  Rd   Chatsworth     91311  Chatsworth  Oaks  Park   9301  Valley  Circle  Blvd   Chatsworth     91311  

Chatsworth  Park  North   22300  Chatsworth  St   Chatsworth     91311  

Chatsworth  Park  South   22360  Devonshire  Street   Chatsworth     91311  

Mason  Park   10500  Mason  Ave   Chatsworth     91311  

Stoney  Point  Park   On  Topanga  Cyn  Bl  btw  Chatsworth  St  &  118  Fwy   Chatsworth   91311  

Encino  Park   16953  Ventura  Blvd   Encino     91316  

Sepulveda  Basin  Dog  Park   17550  Victory  Blvd   Encino     91316  

Branford  Park   13310  Branford  St   Pacoima     91331  

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Table  43.  Parks  and  Recreation  Areas  -­‐  continued  

Park   Street   City   Zip  Code  Devonshire/Arleta  Park   Arleta  Ave  and  Devonshire  St   Pacoima     91331  

Jessup  (Roger)  Park   12467  W  Osborne   Pacoima     91331  

Paxton  Park   10731  Laurel  Canyon  Blvd   Pacoima     91331  

Ritchie  Valens  Park   10731  Laurel  Canyon  Blvd   Pacoima     91331  

Eddleston  Park   11820  Reseda  Blvd   Reseda     91335  

Jessie  Owens  Mini  Park   7100  White  Oak   Reseda     91335  

Reseda  Parks   18411  Victory  Blvd   Reseda     91335  

West  Valley  Park   6731  Wilbur  Ave   Reseda     91335  

Carey  Ranch   Laurel  Canyon  Blvd  &  Aztec  St   Sylmar     91342  

Kagel  Canyon  Park   11435  Kagel  Canyon  St   Sylmar     91342  

Stetson  Ranch  Park   13877  Glenoaks  Blvd   Sylmar     91342  

Sylmar  Park   13109  Borden  Ave   Sylmar     91342  

O'melveny  Park   17300  Sesnon  Blvd   Granada  Hills     91344  

Zelzah  Park   11690  Zelzah  Ave   Granada  Hills     91344  

Brand  Park   15174  San  Fernando  Mission  Rd   Mission  Hills     91345  

Mission  Park   15174  San  Fernando  Mission  Rd   Mission  Hills     91345  

Alizondo  Drive  Park   Mulholland  and  Alizondo   Woodland  Hills     91364  

Serrania  Avenue  Park   20864  Wells  Dr   Woodland  Hills     91364  

Warner  Center  Park   21820  Califa  Ave  (5800  Topanga  Cyn  Blvd)   Woodland  Hills     91367  

Kittridge  Mini-­‐Park   Kittridge  &  Greenbush   Van  Nuys     91401  

Blythe  Street  Park   14740  Blythe  St   Panorama  City     91402  

Devonwood  Park   10230  Woodman  Ave   Panorama  City     91402  

Haines  Canyon  Park   South  Terminus  Haines  Canyon  Ave   Panorama  City     91402  

Panorama  Park         Panorama  City     91402  

Sepulveda  Recreation  Center         Panorama  City     91402  

Hartland  Mini  Park   Hartland  /  Woodman   Van  Nuys     91405  

Balboa  Park   6300  Balboa  Boulevard   Van  Nuys     91406  

Louise  Park   7140  Louise  Ave   Van  Nuys     91406  

Strathern  Park  North   Strathern  and  Whitsett   North  Hollywood     91605  

Strathern  Park  West   12541  Saticoy   North  Hollywood     91605    

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Attachment D. Health Data Measuring morbidity and mortality rates allows the assessment of linkages among social determinants of health (described in Attachment A), assets in the community (provided in Attachment C), and health outcomes. To better understand health outcomes in the hospital service area, this section presents 30 indicators in order to describe 16 health issues. For each indicator, county, state, and national data as well as Healthy People 2020 benchmarks are compared to the hospital service area information when available. Data for the San Fernando and Santa Clarita Valleys in Los Angeles County, also known as Service Planning Area 2 or SPA 2, is used to describe the hospital service area since data is available at this level for most indicators. If data was not available for SPA 2, then county-level information is used for the hospital service area while recognizing the limitations in using this information. In addition, tables providing the estimated number of cases at the zip code level for selected diseases from the 2012 Thomson Reuters Databook may be found starting on page 84. A complete listing of secondary data sources that were used may be found in Appendix A. Asthma Asthma is a disease that affects your lungs. It is one of the most common chronic diseases in children, but adults are also impacted. Asthma causes wheezing, breathlessness, chest tightness, and coughing at night or early in the morning. Sometimes asthma symptoms are mild and go away on their own or after minimal treatment with asthma medicine. Other times, symptoms continue to get worse and require medical care. Asthma is often exacerbated by poor environmental conditions (CDC, Asthma – Basic Information). This indicator reports the percentage of adults ages 18 and older who self-report that doctor, nurse, or other health professional has ever told them that they had asthma. This indicator is relevant because asthma is a prevalent problem in the U.S. The following secondary indicator is used to understand asthma health status: Asthma Prevalence percentage of estimated number of cases ages 18 and over Table  44.  Asthma  Prevalence  SPA  2   L.A.  County   California   U.S.  

11.3%   12.5%   13.7%   13.09%  Sources:  California  Health  Interview  Survey,  2009  and  Centers  for  Disease  Control  and  Prevention,  Behavioral  Risk  Factor  Surveillance  System,  2006-­‐2010  

Although the rates of asthma were lower in SPA 2 than the county, state, and nation, certain zip codes with the hospital’s service planning area may be more at risk for asthma due to a higher number of certain factors. These risk factors include poverty rates; environmental conditions such as poor air quality, housing, and tobacco exposure; obesity and overweight; and low birth weight.

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Breast Cancer Breast cancer is a cancer that forms in the tissues of the breast, usually in milk ducts and glands that produce milk. Even though breast cancer can occur in both women and men, it is rare among the male population. Some of the breast cancer risk factors include obesity, alcohol consumption and family history of breast cancer. Performing regular exercise, early pregnancy, and breastfeeding can reduce the risk for breast cancer. Breast cancer can be detected by mammogram (breast cancer screening), which is recommended between the ages of 40 to 70 and reduces breast cancer mortality (National Cancer Institute, Breast Cancer, 2012). The following secondary indicators are used to understand breast cancer health status: Breast Cancer Incidence age-adjusted incidence rate (cases per 100,000 population per year) Breast Cancer Mortality age-adjusted mortality rate (per 100,000 population) Table  45.  Breast  Cancer  Incidence  per  100,000  Population  L.A.  County   California   U.S.  

117.9   123.3   122.0  Source:  Centers  for  Disease  Control  and  Prevention,  and  the  National  Cancer  Institute:  State  Cancer  Profiles,  2005-­‐2009  

Table  46.  Breast  Cancer  Mortality  per  100,000  Population  SPA  2   L.A.  County   California   Healthy  People  2020  Target  

19.2   20.4   22.5   20.6  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  and  American  Cancer  Society,  Cancer  Facts  and  Figures,  2012  

While information on the breast cancer incidence was not available for the hospital’s catchment area, the countywide rate was lower as compared to the statewide and national figures. The mortality rate for the hospital service area is lower than the countywide rate and Healthy People 2020 benchmark. Related indicators for breast cancer mortality include heavy alcohol consumption, alcohol expenditures, breast cancer screening (mammogram), and overweight and obesity. Cardiovascular Disease Cardiovascular disease is a leading cause of death in the U.S. Cardiovascular disease includes coronary heart disease and stroke, and is related to high blood pressure, high cholesterol, and heart attacks. Coronary heart disease occurs when a waxy, fat-like substance called plaque starts building up in the arteries that supply blood to the heart. Stroke occurs when either a blood clot blocks the blood supply to a part of the brain or a blood vessel in the brain bursts. There are two types of strokes. The majority of strokes are ischemic at 85%, where a blood clot or plaque blocks the blood supply. The second type is hemorrhagic stroke, where a blood vessel in the brain bursts. Risk factors for heart disease and stroke include high blood cholesterol, high blood pressure (hypertension), diabetes, tobacco use, overweight, obesity,

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diet, lack of physical activity, alcohol use, and family history, age, gender, and ethnicity (CDC, Heart Disease and Stroke, 2012). A heart attack occurs when blood flow to a part of your heart is blocked for a long enough time that part of the heart muscle is damaged or dies. Heart failure is often a long-term condition, but it can sometimes develop suddenly. It can be caused by many different heart problems, which cause the heart to become unable to pump enough oxygen-rich blood to the rest of your body. As the heart's pumping becomes less effective, congestive heart failure may occur. The most common cause of heart failure is coronary artery disease, a narrowing of the small blood vessels that supply blood and oxygen to the heart. High blood pressure that is not well controlled may also lead to heart failure. Angina pectoris is chest pain due to ischemia of the heart muscle, generally due to obstruction or spasm of the coronary arteries. The following secondary indicators are used to understand cardiovascular disease health status: Heart disease prevalence percentage of adults who have ever been told by a doctor that they have any kind of heart disease Heart disease mortality age-adjusted death rate due to coronary heart disease per 100,000 population Stroke mortality age-adjusted death rate due to stroke per 100,000 population Table  47.  Heart  Disease  Prevalence  SPA  2   L.A.  County   California  

5.1%   5.9%   5.9%  Source:  California  Health  Interview  Survey,  2009  

Table  48.  Heart  Disease  Mortality  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.   Healthy  People  2020  Target  

129.9   128.6   131.3   123.7   100.8  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  and  California  Department  of  Public  Health,  Death  Statistical  Master  File,  2008-­‐2010  

Table  49.  Stroke  Mortality  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.   Healthy  People  2020  Target  

32.2   33.7   41.0   39.1   33.8  Sources:  LACDPH,  Key  Indicators  of  Health,  2013,  and  the  National  Cancer  Institute,  State  Cancer  Profiles,  2005-­‐2009  

Although heart disease prevalence for the hospital service area was similar to the county and state figures, the heart disease mortality rate was significantly higher and the stroke mortality rate is slightly lower than the Healthy People 2020 benchmarks. The risk of Americans developing and dying from cardiovascular disease would be substantially reduced if major improvements were made in diet and physical activity, control of high blood pressure and cholesterol, smoking cessation, and appropriate aspirin use (HealthyPeople.gov, 2020 Topics and Objectives, Heart Disease and Stroke).

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Cervical Cancer Cervical cancer occurs in the tissue of the cervix, the organ connecting uterus and vagina. This slow-growing, symptomless cancer can be detected by a Pap smear test. Human Papilloma Virus (HPV) almost always is the cause of cervical cancers. It is estimated that 12,170 new cases of cervical cancer have been reported in 2012 nationwide resulting in 4,220 deaths. The most common risk factor for cervical cancer is HPV infection. However, risky behaviors such as smoking can increase the risk for cervical cancer. Getting ongoing regular screening test (Pap smear) or receiving HPV vaccination are the most effective methods of reducing risk for cervical cancer. (NCI, What You Need to Know about Cervical Cancer, 2012). The following secondary indicators are used to understand cervical cancer incidence: Cervical cancer incidence age-adjusted rate (cases per 100,000 population per year) of females with cervical cancer Cervical cancer mortality age-adjusted rate (cases per 100,000 population per year) of female deaths from cervical cancer Table  50.  Cervical  Cancer  Incidence  Per  100,000  Population  L.A.  County   California   U.S.   Healthy  People  2020  Target  

9.9   8.3   8.0   7.1  Sources:  Centers  for  Disease  Control  and  Prevention,  and  the  National  Cancer  Institute:  State  Cancer  Profiles,  2005-­‐2009.  

Table  51.  Cervical  Cancer  Mortality  Rate  Per  100,000  Population  L.A.  County   California   U.S.   Healthy  People  2020  Target  

2.7   2.3   2.4   2.2  Sources:  LACDPH,  Key  Indicators  of  Health,  2013,  and  the  National  Cancer  Institute:  State  Cancer  Profiles,  2005-­‐2009  

While cervical cancer information was unavailable for the hospital service area, the countywide cervical cancer incidence was significantly higher than the Healthy People 2020 benchmark. Although the countywide cervical cancer mortality rate was slightly higher than the statewide and national numbers, improvement will be required to meet the Healthy People 2020 benchmark. In addition to increasing screening and HPV vaccination, risk factors to be addressed include poverty rates, teen births, inadequate fruit and vegetable consumption, tobacco use, HIV, chlamydia, and overweight and obesity. Colorectal Cancer Colorectal cancer develops over the course of several years by starting as a simple growth of tissue (polyp) or as a flat lesion in the lining of the colon or rectum. Colon cancer develops in the tissue of the colon, the longest part of the large intestine. Most colon cancers are cancers that start in the cells that produce and release mucus and other fluids. Rectal cancer forms in the tissue of the rectum, the last part of the large intestine close to the anus. However, a cancer that starts at either of these areas is known as colorectal cancer. Risk factors for colorectal

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cancer include family history, age 50 years or more, or polyps in colon or rectum. Even though most polyps are non-cancerous, some could become cancerous. Other risk factors that were identified were personal history of cancer, diet, and smoking (NCI, What You Need to Know about Colorectal Cancer, 2012). The following secondary data indicators are used to understand the colorectal cancer status: Colon and rectum cancer incidence age adjusted incidence rate (cases per 100,000 population per year) Colorectal cancer mortality rate age-adjusted rate (cases per 100,000 population per year) Table  52.  Colorectal  Cancer  Incidence,  Per  100,000  Population  California   U.S.   Healthy  People  2020  Target  

43.7   40.2   38.6  Sources:  Centers  for  Disease  Control  and  Prevention,  and  the  National  Cancer  Institute:  State  Cancer  Profiles,  2005-­‐2009.  

Table  53.  Colorectal  Cancer  Mortality  Rate  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.   Healthy  People  2020  Target  

13.5   14.3   14.6   15.7   14.5  Sources:  LACDPH,  Key  Indicators  of  Health,  2013,  National  Cancer  Institute:  State  Cancer  Profiles,  2005-­‐2009,  U.S.  Cancer  Statistics  Working  Group.  United  States  Cancer  Statistics:  1999–2009  Incidence  and  Mortality  Web-­‐based  Report.  Atlanta,  Centers  for  Disease  Control  and  Prevention  and  National  Cancer  Institute;  2013  

While colorectal cancer incidence was unavailable for the hospital service area, and the county the statewide rate was significantly higher than the Healthy People 2020 benchmark. The colorectal cancer mortality rate for the hospital service planning area was lower than the countywide and national numbers as well as the Healthy People 2020 benchmark. With screening, growths in the colon or rectum can be detected early and removed before they progress to cancer. If colon cancer is found early, the 5-year survival rate is 90 percent. Indicators contributing to the rates of colorectal cancer include inadequate fruit/vegetable consumption among adults, physical inactivity among adults, heavy alcohol consumption, tobacco usage, alcohol expenditure, fruit/vegetable expenditures, tobacco expenditures, access to liquor stores, access to fast food restaurants, grocery store access, WIC authorized food store access, population living in food deserts, park access, walkability, recreation and fitness facility access, colon cancer screenings (sigmoid/colonoscopy), overweight and obesity in adults, and diabetes. Diabetes Diabetes is a prevalent problem in the U.S. that may indicate an unhealthy lifestyle and puts individuals at risk for further health issues. Diabetes is a condition that is a result of high blood sugar levels that includes three types: Type I where the pancreas produces little or no insulin. Type II diabetes is most commonly a result of overweight and obesity where the body becomes resistant to insulin, and gestational diabetes is when pregnant women who are free of diabetes in the past develop high blood sugar. Type II is the most common diabetes and can

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be prevented by consuming whole grains, fruits and vegetables, limiting high fat or calorie foods, lean meat, fish, low-fat dairy products, reducing sweetened drinks, losing excess body weight and regular physical activity. Risk factors include being obese, age, heredity, race/ethnicity, poor dietary habits, and lack of physical activity or history of diabetes during pregnancy. The following secondary indicators are used to understand diabetes health status: Diabetes prevalence percentage of adults aged 20 and older who have ever been told by a doctor that they have diabetes Diabetes mortality age-adjusted rate (cases per 100,000 population per year) Table  54.  Diabetes  Prevalence  SPA  2   L.A.  County   California   U.S.  7.0   8.7   7.6   8.8.  Sources:  Centers  for  Disease  Control  and  Prevention,  National  Diabetes  Surveillance  System,  2009  

Table  55.  Diabetes  Mortality  Rate  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.  15.7   20.2   20.6   20.8  Sources:  LACDPH,  Key  Indicators  of  Health,  2012  and  California  Department  of  Public  Health,  Diabetes  Mortality  Data  Trends  for  2000-­‐2008  

 The diabetes prevalence and mortality rate were lower for the hospital service planning area as compared to countywide, state, and national results. However, it is important to note that diabetes prevalence has increased by 50% from 1997 to 2011 in Los Angeles County with a higher percentage among Latinos, African Americans and Caucasians, a trend that most likes applies to the hospital service area as well (LACDPH, Trends in Diabetes: A Reversible Public Health Crisis, 2012). Domestic Violence and Sexual Assault Domestic violence and sexual assault are pervasive and life-threatening crimes that affect many individuals throughout the country regardless of age, economic status, race, religion, or education. Domestic violence and sexual assault not only severely impact victims but the larger community. Domestic violence is the willful intimidation, physical assault, battery, sexual assault, and/or other abusive behavior perpetrated by an intimate partner against another. Domestic violence results in physical injury, psychological trauma, and sometimes death. Nearly one in every 4 women are beaten or raped by a partner during adulthood. Over 22 percent of women surveyed reported being physically assaulted by a current or former partner in their lifetime. Approximately 15.5 million children are exposed to domestic violence every year (Domestic Violence and Sexual Assault Fact Sheet, National Network to End Domestic Violence, 2010). In addition to the emotional and physical toll experienced by victims and their loved ones, health systems, employers, and society shoulder the costs of domestic violence. The cost of intimate partner violence exceeds $5.8 billion annually, including $4.1 billion in direct health care

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expenses. Approximately 37% of women seeking injury-related treatment in hospital emergency rooms were there because of injuries inflicted by a current or former spouse/partner. Rape is the most costly crime to its victims, totaling $127 billion a year including medical costs, lost earnings, pain, suffering and lost quality of life nationally. New research shows that intimate partner violence costs a health plan $19.3 million each year for every 100,000 women between the age of 18 and 64 enrolled. Between one-quarter and one-half of domestic violence victims report that they lost a job, at least in part, due to domestic violence. The cost to employers in the U.S. has been estimated to be up to $13 billion each year (Domestic Violence and Sexual Assault Fact Sheet, National Network to End Domestic Violence, 2010).. Many contributing risk factors for sexual and physical assault perpetration have been identified in childhood and adolescence, which should be incorporated into prevention goals. Changing the norms and climate about relationships and providing students and teachers with the skills needed to foster healthy relationships is essential for prevention efforts to be effective. (Wolfe DA and Jaffe PG, Prevention of Domestic Violence and Sexual Assault, National Resource Center on Domestic Violence, 2011). The following secondary indicators are used to understand domestic violence and sexual assault health status: Domestic violence and sexual assault prevalence percentage of those who ever experienced physical or sexual violence by an intimate

partner since age 18 Table  56.  Domestic  Violence  and  Sexual  Assault  Prevalence  SPA  2   L.A.  County   California  

15.6%   12.7%   14.8%  Sources:  California  Health  Interview  Survey,  2009  

While this information was not available on a national level, the prevalence of domestic violence and sexual assault was higher for the hospital service planning area as compared to the county and the state, indicating a need for services to address this stigmatized issue. Infant Health Infants are children between the ages 0 to 3. Low birth weight is when a baby born under the weight of 2,500 grams. This indicator is relevant because low birth weight infants are at high risk for health problems. This indicator can also highlight the existence of health disparities. Low birth weight can cause severe short and long term health consequences and determines the morbidity, mortality and disability of infants. Poor nutrition or insufficient nutrition during pregnancy not only affects the mother’s health, but also can impact the birth weight and early development of the infant (WHO: Fetal Maternal Nutrition and Low Birth Weight, 2012). According to the Centers for Disease Control and Prevention (CDC), death of an infant before their first birthday is classified as infant mortality. Infant mortality rate is used as an indicator to measure the health of a nation, as the factors that affect the health of a nation could also impact the health of an infant. According to CDC each year about 25,000 infants die in the U.S (CDC, Infant Mortality, 2012).

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Risk factors for infant mortality include low birth weight, serious birth defects, sudden infant death syndrome, and maternal complications during pregnancy and injuries such as suffocation. In 2010, these risk factors accounted for more than 50% of all infant deaths in the U.S (CDC, Infant Mortality, 2012). The following secondary indicators are used to understand infant health status: Low birth weight percentage of total births that were low birth weight (under 2500g) Infant mortality rate of deaths to infants less than one year of age per 1,000 births Table  57.  Low  Birth  Weight  Births  NHMC   California  7.5%   6.8%  Sources:  California  Department  of  Public  Health,  Birth  Profiles  by  ZIP  Code,  2010  and  Centers  for  Disease  Control  and  Prevention,  National  Vital  Statistics  System,  2003-­‐2009.  

Table  58.  Infant  Mortality  Rate  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.   Healthy  People  2020  Target  4.4   4.6   5.1   6.2   6.0  Sources:  LACDPH,  Key  Indicators  of  Health,  2013,  and  Centers  for  Disease  Control  and  Prevention,  National  Vital  Statistics  System,  2003-­‐2009.  

The proportion of babies born with low birth weight was higher in the hospital service area as compared to the state, while infant mortality rate was significantly lower than the Healthy People 2020 benchmark. Good preconception health care means living a safe, healthy lifestyle and managing any current health conditions before getting pregnant. Pregnancy-related health outcomes are influenced by factors such as race, ethnicity, age, and income, and a woman's health. Intentional Injury/Suicide Mental health is a major health issue. One possible outcome of mental illness is suicide, and various related indicators were identified that contribute to people committing suicide. It is important to understand that suicide rates are a measure of poor community safety and is a leading cause of premature death. The following secondary data indicator is used to understand mental health status: Suicide rate age-adjusted rate per 100,000 population Table  59.  Suicide  Rate  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.   Healthy  People  2020  Target  

8.3   7.5   9.8   12.4   10.2  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  and  California  Department  of  Public  Health,  Death  Statistical  Master  File,  2008-­‐2010

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The suicide rate was markedly lower in the hospital service area than the Healthy People 2020 benchmark but significantly higher than the countywide figure. Resources in the community addressing these issues include support groups, after-school activities for kids and recreational activities for adults, the current mental health service infrastructure, psychiatric hospital beds, and other mitigation measures. Lung Cancer Lung cancer usually develops in the cells lining the air passages. Lung cancer consists of three main types: small cell, non-small cell, and neuroendocrine tumors. About 85% of the lung cancers are non-small cell cancers, Small cell cancers account for an additional 10 to 15% of lung cancers, with neuroendocrine tumors occurring the least frequently of the three types. Risk factors include tobacco use, radon, inhaling chemicals not excluding arsenic, beryllium, cadmium, silica, vinyl chloride, nickel compounds, chromium compounds, coal products, mustard gas, and chloromethyl ethers, diesel exhaust, radon, asbestos, some dietary supplements, family history of lung cancer, and air pollution. Lung cancer deaths are 28% of the total cancer deaths in the U.S. Lung cancers normally occur in people older than 65 years. Lung cancer prevalence and mortality is higher among men compared to women. The following secondary data indicators are used to understand lung cancer health status: Lung cancer incidence age-adjusted rate per 100,000 population Lung cancer mortality rate age-adjusted rate (cases per 100,000 population per year) Table  60.  Lung  Cancer  Incidence  Per  100,000  Population  L.A.  County   California   U.S.  

45.6   52.4   67.2  Sources:  Centers  for  Disease  Control  and  Prevention,  and  the  National  Cancer  Institute:  State  Cancer  Profiles,  2005-­‐2009 Table  61.  Lung  Cancer  Mortality  Rate  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.   Healthy  People  2020  Target  

32.0   31.3   52.6   47.6   45.5  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  and  California  Department  of  Public  Health,  Death  Statistical  Master  File,  2008-­‐2010 While the lung cancer incidence was not available for the hospital service area, the countywide rate was lower compared to the statewide and national numbers. The lung cancer mortality rate was also lower than state and national figures and the Healthy People 2020 benchmark. Factors that increase risk include smoking, exposure to secondhand smoke, exposure in the home and workplace, and diet.

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Mental Health Mental health is defined as someone functioning at a satisfactory level of emotional and behavioral adjustment. The World Health Organization also describes poor mental health is associated with stressful work environment, risk of violence, rapid social changes, unhealthy lifestyle and ill health. Persistent social stressors such as loss of employment, economic hardship, poverty and low level of education are also identified with poor mental health of an individual or community (WHO, 2010). Alcoholism and substance abuse is a pattern of harmful use of any illicit or legally permitted substance. A measure of general poor mental health status is important because it may indicate a demand for mental health and behavioral health services. The following secondary data indicator is used to understand mental health status: Poor mental health percentage of population that likely has had serious psychological distress during past year Table  62.  Poor  Mental  Health  SPA  2   L.A.  County   California  

5.3%   7.3%   6.4%  Source:  California  Health  Interview  Survey,  2009 Residents in the hospital service area report a lower percentage of mental health issues as compared to the county and the state. Oral Health According to the Centers for Disease Control and Prevention reports that about 40% of poor adults ages 20 or more are identified as having at least one untreated decayed tooth compared to 16% of non-poor adults. In the past decade, the percent of adults 60 years or older how is missing all their teeth went down from 31% to 25%. The percent of people who are between the ages of 40 to 59 decreased to 5%, or one out of 20 middle -aged adults are missing all their teeth (CDC, Oral Health, 2012). Risk factors can be reduced by drinking fluoridated water, avoiding tobacco, limiting alcohol, healthy eating, and regular dental checkups including teeth cleaning (CDC, Oral Health for Adults: Fact Sheet, 2012). This indicator is relevant because it indicates lack of access to dental care and/or social barriers to utilization of dental services. The following secondary data indicators are used to understand oral health status: Poor dental health percentage of adults age 18 and older who self-report that six or more of their permanent teeth have been

removed due to tooth decay, gum disease, or infection Table  63.  Poor  Dental  Health,  18+  Years  L.A.  County   California   U.S.  

11.6%   11.3%   15.6%  Source:  Centers  for  Disease  Control  and  Prevention,  Behavioral  Risk  Factor  Surveillance  System,  2006-­‐2010.

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While this information is not available for the hospital service area, the countywide rate was similar to the statewide figure and lower than the national number. This health need is likely being impacted by the poverty rates, lack of dental care access, consumption of soft drinks, lack of dental insurance and dental care utilization. Overall Health Status Overall health means a person getting and staying healthy to lead a full, active life and a contributing member of the community. This indicator is the percentage of adults age 18 and older who self-report having poor or fair health. This indicator is relevant because it is a measure of general poor health status. Measuring premature mortality focuses attention on deaths that could have been prevented. Premature deaths are deaths that occur before a person reaches an expected age, e.g., age 75. Many of these deaths are considered to be preventable. By investigating the underlying causes of premature death, resources can be targeted toward strategies that will extend years of life (County Health Rankings, Premature Death, 2012). This indicator is relevant because a measure of premature death can provide a unique and comprehensive look at overall health status. More than 50 million people in the U.S. report having some type of disability. Disability does not mean that the person cannot be healthy or can get healthy. Individuals with disabilities need proper health care and information to make healthy choices and prevent illness. People with disabilities need health care that addresses their need as a whole person instead of just focusing on their disability. Disability rates up with age, only 10% of population under the age of 15 has reported disabilities, whereas 75% of the population over the age of 80 has reported disabilities. It might be harder for people with disabilities to stay healthier compared to people without disabilities. Following health behaviors such as daily physical activity, healthy eating, moderate alcohol consumption, not smoking, getting regular checkups, using medicines wisely, getting help for substance abuse, having a social life and seeking preventative services can help the disabled to get and stay healthy (CDC, Disability and Health, Healthy Living, 2012). This indicator is relevant because disabled individuals comprise a vulnerable population that requires targeted services and outreach by providers. The following secondary data indicators are used to understand the overall health status: Poor general health status percentage of adults ages 18 and older who self-report having poor or fair health Premature death rate age-adjusted rate of Years of Potential Life Lost (YPLL) before age 75 per 100,000 population for all

causes of death Population with any disability percentage of the total civilian non-institutionalized population with a disability Table  64.  Poor  General  Health  Status  SPA  2   L.A.  County   California   U.S.  

18.5%   20.7%   18.5%   16.1%  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  and  Centers  for  Disease  Control  and  Prevention,  Behavioral  Risk  Factor  Surveillance  System,  2004-­‐2010

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Table  65.  Premature  Death  Rate  Per  100,000  Population  L.A.  County   California   U.S.  

5,776   5,971   7,131  Sources:  Centers  for  Disease  Control  and  Prevention,  National  Vital  Statistics  System,  2008-­‐2010  (As  Reported  in  the  2012  County  Health  Rankings) Table  66.  Population  with  Any  Disability  L.A.  County   California   U.S.  

9.4%   10.0%   12.0%  Source:  U.S.  Census  Bureau,  2008-­‐2010  American  Community  Survey  3-­‐Year  Estimates The hospital service area fared better with regards to self-reported health status than the county and similar to the state. While information was not available for the hospital service area for premature death and population with any disability, Los Angeles County had a lower premature death rate and those with any disability as compared to the state and nation. Overweight and Obesity Obesity and overweight have become prevalent problems in the U.S. Obesity and overweight are measures of excess weight (Body Mass Index or BMI) that indicate an unhealthy lifestyle and put individuals at risk for further health issues including obesity, heart disease, diabetes, and other health issues. Overweight and obesity are among the most preventable health problems and causes type II diabetes, which could potentially lead to other chronic diseases such as heart disease, stroke, arthritis and many forms of cancers. Obesity and overweight are not only prevalent among adults, but also children. The following secondary indicators are used to understand obesity and overweight health status: Overweight Prevalence percentage of overweight adults 18 years and over (25 ≤ BMI > 30) Obesity Prevalence percentage of obese adults 18 years/20 years and over (BMI ≥ 30) Overweight and Obesity Prevalence percentage of children in grades 5, 7, and 9 who ranked overweight or obese on the Fitnessgram test Table  67.  Overweight  Prevalence,  Adults  SPA  2   L.A.  County   California   U.S.  

36.4%   37.1%   35.3%   35.5%  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  and  Centers  for  Disease  Control  and  Prevention,  Behavioral  Risk  Factor  Surveillance  System,  2004-­‐2010 Table  68.  Obesity  Prevalence,  Adults  SPA  2   L.A.  County   California   U.S.  

21.1%   23.6%   23.3%   28.3%  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  ad  Centers  for  Disease  Control  and  Prevention,  National  Diabetes  Surveillance  System,  2009

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Table  69.  Overweight  and  Obesity  Prevalence,  Youth  L.A.  County   California  

43%   38%  Source:  A  Patchwork  of  Progress:  Changes  in  Overweight  and  Obesity  Among  California  5th,  7th,  and  9th  Graders,  2005-­‐2010,  UCLA  Center  for  Heath  Policy  Research  and  California  Center  for  Public  Health  Advocacy,  November  2011,  available  at  http://www.publichealthadvocacy.org/research/patchworkdocs/OFT%20brief_final.pdf    

While the proportion of obese adults was lower in the hospital service area as compared to the county, state, and nation, the percentage of overweight adults was slightly higher than state and national numbers. The proportion of overweight and obese children was not available for the hospital service area, but the countywide proportion was significantly higher than the statewide figure. Overweight and obesity may be addressed through physical activity and nutrition programming as well as addressing public safety, the built environment, and television viewing.

Prostate Cancer The prostate is a gland that is only found in men. Prostate cancer is a cancer that develops in the prostate gland, which is located below the bladder and in front of the rectum. Prostate cancer generally occurs in older men. Common risk factors include over 50 years of age, ethnicity, and family history of prostate cancer. Researchers are trying to determine what causes prostate cancer. The following secondary indicators are used to understand prostate cancer health status: Prostate Cancer Incidence age-adjusted rate per 100,000 population Table  70.  Prostate  Cancer  Incidence  Per  100,000  Population  L.A.  County   California   U.S.  

139.0   143.0   151.0  Source:  Centers  for  Disease  Control  and  Prevention,  and  the  National  Cancer  Institute:  State  Cancer  Profiles,  2005-­‐2009 Although the prostate cancer incidence was not available for the hospital service area, the countywide rate is significantly lower compared to the statewide and national figures. Avoiding risk factors such as smoking, being overweight and lack of physical activity can help prevent some types of cancers. Eating a healthy diet, regular exercise and avoiding tobacco use may reduce the risk of cancer in general (CDC, Prostate Cancer Basic Information, 2012; National Cancer Institute, Prostate Cancer Prevention, 2012; American Cancer Society, Prostate Cancer Overview, 2012).

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Sexually Transmitted Diseases There are various Sexually Transmitted Diseases (STDs) with syphilis, gonorrhea, and chancroid considered the main ones. However, there are many other viruses and pathogens that can be sexually transmissible. Herpes, chlamydia, human papillomaviruses (HPV), HIV, and hepatitis B are some of the commonly known STDs. Adolescent women are more at risk for STDs and remaining asymptomatic (without any symptoms) can unintentionally spread the STDs. The risk of contracting STDs is high in urban areas, low socioeconomic population, in youth and in people associated with illicit drug use and prostitution. In the U.S, gonorrhea and syphilis are high among African Americans and Latinos. African American and Latina women suffer from severe complications such as pelvic inflammatory disease caused by the bacterial infections and cervical cancer due to HPV (WHO: STD, 2012). STDs affect pregnancy by causing spontaneous abortions, stillbirths, preterm delivery, and postpartum endometriosis. Children born to the mothers with some of the STDs can be infected by gonococcal conductivities that could lead to blindness, or chlamydia which may lead to chronic lung disease and herpes. In addition, HPV infection is associated with cervical cancer and death in women (WHO: STD, 2012). STDs indicate poor health status and the prevalence of unsafe sex practices. The following secondary indicators are used to understand sexually transmitted disease health status: Chlamydia Incidence rate of chlamydia cases per 100,000 population HIV Prevalence rate of HIV cases per 100,000 population Table  71.  Chlamydia  Incidence  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.  

320.5   512.9   399.4   457.6  Source:  LACDPH,  Key  Indicators  of  Health,  2009  and  Centers  for  Disease  Control  and  Prevention  and  the  National  Center  for  HIV/AIDS,  Viral  Hepatitis,  STD,  and  TB  Prevention,  2009  

Table  72.  HIV  Prevalence  Per  100,000  Population  L.A.  County   California   U.S.  

480.3   345.5   334.0  Source:  Centers  for  Disease  Control  and  Prevention  and  the  National  Center  for  HIV/AIDS,  Viral  Hepatitis,  STD,  and  TB  Prevention,  2008 The chlamydia incidence in the hospital service area was significantly lower than the countywide, statewide, and national rates. While HIV prevalence data is not available for the hospital service area, the rate is significantly higher in the county as compared to the state and nation. A report on HIV/AIDS epidemiology in Los Angeles County reveals that SPA 2 had the third highest number of AIDS cases in the county concentrated in North Hollywood and Van Nuys with 90% males and high proportions of Latinos and Caucasians (LACDPH, HIV Epidemiology Program, An Epidemiologic Profile of HIV and AIDS in Los Angeles County, 2009).

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Unintentional Injury Motor vehicle crash deaths are one of the top leading causes of death in the U.S. among all ages. The years of life lost, motor vehicle crash is ranked third behind cancer and heart disease. This indicator is defined as collisions with another motor vehicle, a nonmotorist, a fixed object, and a non-fixed object, an overturn, and any other non-collision. The motor vehicle crashes not only impact the life of the victim and their families, but also cost the state of California $4.16 billion a year in medical expenses (CDC, 2012). Pedestrians are 1.5 times more likely than passenger vehicle occupants to be killed in a car crash on each trip, with older adults, children, and drivers and pedestrians who are alcohol-impaired being most at risk. Higher vehicle speeds increase both the likelihood of a pedestrian being struck by a car and the severity of injury. In addition, most pedestrian and bicyclist deaths occur in urban areas, non-intersection locations, and at night (CDC, Injury Prevention & Control: Motor Vehicle Safety, 2010). These indicators are important because they are preventable and therefore are the causes for premature deaths. The following secondary indicators are used to understand sexually transmitted disease health status: Motor vehicle crash death rate age-adjusted rate of death due to motor vehicle crashes per 100,000 population Pedestrian motor vehicle death rate age-adjusted rate of pedestrians killed by motor vehicles per 100,000 population Table  73.  Motor  Vehicle  Crash  Death  Rate  Per  100,000  Population  SPA  2   L.A.  County   California   U.S.   Healthy  People  2020  Target  6.4   6.5   8.1   11.3   12.4  Sources:  LACDPH,  Key  Indicators  of  Health,  2013  and  National  Highway  Traffic  Safety  Administration,  Fatality  Analysis  Reporting  System,  2008-­‐2010 Table  74.  Pedestrian  Motor  Vehicle  Death  Rate  Per  100,000  Population  L.A.  County   California   U.S.   Healthy  People  2020  Target  

1.9   1.5   1.4   1.3  Source:  National  Highway  Traffic  Safety  Administration,  Fatality  Analysis  Reporting  System,  2008-­‐2010 The motor vehicle crash death rate for the hospital service area was similar to countywide and statewide figures, and lower compared to the national average and Healthy People 2020 benchmark. While the pedestrian motor vehicle death rate was not available for the hospital service planning area, the proportion for the county was higher than statewide and national figures as well as the Healthy People 2020 benchmark. Factors that may help to reduce risk include encouraging pedestrians to be careful at intersections, where drivers may fail to yield the right-of-way, to increase their visibility at night by carrying a flashlight when walking and by wearing retro-reflective clothing, and to cross the street at a designated crosswalk (CDC, Injury Prevention & Control: Motor Vehicle Safety, 2010).

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Disease Prevalence Estimates by Zip Code Tables providing the estimated number of cases at the zip code level using the 2012 Thomson Reuters Databook disease prevalence information may be found on pages 84 to 109. Information for the following 26 diseases are included: • Aching of Joints • Angina • Arthritis • Asthma • Breast Cancer • Cervical Cancer • Chronic Bronchitis • Colorectal Cancer • Congestive Heart Failure • Coronary Heart Disease • Depression/Anxiety • Emphysema • Hay Fever

• Hearing Impairment • Heart Attack • Hypertension • Liver Condition • Low Back Pain • Lung Cancer • Migraine Headaches • Prostate Cancer • Sinusitis • Stroke • Ulcers • Uterine Cancer • Weak Failing Kidney

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Table  75.  Northridge  Hospital  Medical  Center:  Aching  of  Joints  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   4,508   1.81%   3,772   2.00%   736   1.22%   4,944   9.67%  

91304  Canoga  Park   49,523   10,285   4.13%   7,867   4.16%   2,419   4.02%   10,471   1.81%  

91311  Chatsworth   36,818   9,234   3.71%   6,603   3.49%   2,631   4.37%   9,426   2.08%  

91316  Encino   26,965   7,619   3.06%   5,060   2.68%   2,558   4.25%   7,787   2.21%  

91344  Granada  Hills   51,414   12,004   4.82%   8,677   4.59%   3,327   5.53%   12,264   2.17%  

91345  Mission  Hills   18,895   3,659   1.47%   2,538   1.34%   1,121   1.86%   3,712   1.45%  

91321  Newhall   35,232   7,348   2.95%   5,451   2.88%   1,897   3.15%   7,637   3.93%  

91343  North  Hills   60,773   11,007   4.42%   8,428   4.46%   2,579   4.29%   11,369   3.29%  

91605  North  Hollywood   56,416   9,980   4.01%   7,917   4.19%   2,063   3.43%   10,341   3.62%  

91324  Northridge   26,860   5,872   2.36%   4,188   2.22%   1,685   2.80%   6,015   2.44%  

91325  Northridge   35,248   7,857   3.15%   5,811   3.07%   2,046   3.40%   8,129   3.46%  

91331  Pacoima   103,747   16,205   6.50%   12,888   6.82%   3,317   5.51%   17,006   4.94%  

91402  Panorama  City   69,925   10,785   4.33%   8,824   4.67%   1,961   3.26%   11,324   5.00%  

91326  Porter  Ranch   33,924   8,030   3.22%   5,969   3.16%   2,061   3.43%   8,512   6.00%  

91335  Reseda   74,919   14,968   6.01%   11,206   5.93%   3,763   6.26%   15,541   3.83%  

91340  San  Fernando   34,801   5395   2.17%   4,326   2.29%   1,069   1.78%   5,580   3.43%  

91350  Santa  Clarita   32,512   7,007   2.81%   5,827   3.08%   1,180   1.96%   7,469   6.59%  

93063  Simi  Valley   55,525   13,037   5.23%   10,185   5.39%   2,852   4.74%   13,762   5.56%  

91342  Sylmar   93,100   16,298   6.54%   12,521   6.62%   3,777   6.28%   17,145   5.20%  

91356  Tarzana   29,141   7,607   3.05%   5,401   2.86%   2,206   3.67%   7,681   0.97%  

91401  Van  Nuys   39,064   8,336   3.35%   6,516   3.45%   1,820   3.03%   8,591   3.06%  

91405  Van  Nuys   50,804   9,159   3.68%   7,254   3.84%   1,905   3.17%   9,491   3.62%  

91406  Van  Nuys   53,444   10,068   4.04%   8,057   4.26%   2,011   3.34%   10,486   4.15%  

91307  West  Hills   24,742   6,329   2.54%   4,477   2.37%   1,852   3.08%   6,391   0.98%  

91306  Winnetka   46,553   9,009   3.62%   6,844   3.62%   2,166   3.60%   9,172   1.81%  

91364  Woodland  Hills   25,721   6,934   2.78%   5,103   2.70%   1,831   3.04%   7,178   3.52%  

91367  Woodland  Hills   40,237   10,638   4.27%   7,316   3.87%   3,322   5.52%   10,953   2.96%  

Total   1,232,227   249,178   100.00%   189,026   100.00%   60,155   100.00%   258,377   3.69%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  76.  Northridge  Hospital  Medical  Center:  Angina  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012    Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   287   1.59%   187   1.93%   100   1.20%   330   14.98%  

91304  Canoga  Park   49,523   741   4.09%   405   4.17%   337   4.06%   776   4.72%  

91311  Chatsworth   36,818   714   3.94%   349   3.59%   366   4.41%   251   -­‐64.85%  

91316  Encino   26,965   618   3.41%   257   2.65%   362   4.36%   645   4.37%  

91344  Granada  Hills   51,414   910   5.03%   451   4.65%   460   5.54%   952   4.62%  

91345  Mission  Hills   18,895   287   1.59%   133   1.37%   153   1.84%   296   3.14%  

91321  Newhall   35,232   632   3.49%   273   2.81%   260   3.13%   572   -­‐9.49%  

91343  North  Hills   60,773   796   4.40%   436   4.49%   360   4.34%   845   6.16%  

91605  North  Hollywood   56,416   686   3.79%   402   4.14%   284   3.42%   729   6.27%  

91324  Northridge   26,860   448   2.47%   212   2.18%   236   2.84%   471   5.13%  

91325  Northridge   35,248   569   3.14%   283   2.91%   286   3.45%   608   6.85%  

91331  Pacoima   103,747   1,110   6.13%   670   6.90%   440   5.30%   1,197   7.84%  

91402  Panorama  City   69,925   722   3.99%   452   4.66%   270   3.25%   788   9.14%  

91326  Porter  Ranch   33,924   604   3.34%   314   3.23%   290   3.49%   658   8.94%  

91335  Reseda   74,919   1,095   6.05%   575   5.92%   520   6.27%   1,171   6.94%  

91340  San  Fernando   34,801   370   2.04%   226   2.33%   144   1.74%   392   5.95%  

91350  Santa  Clarita   32,512   454   2.51%   295   3.04%   159   1.92%   510   12.33%  

93063  Simi  Valley   55,525   920   5.08%   528   5.44%   391   4.71%   1,015   10.33%  

91342  Sylmar   93,100   1,161   6.41%   656   6.76%   505   6.09%   1,259   8.44%  

91356  Tarzana   29,141   583   3.22%   274   2.82%   309   3.72%   599   2.74%  

91401  Van  Nuys   39,064   580   3.20%   328   3.38%   252   3.04%   613   5.69%  

91405  Van  Nuys   50,804   628   3.47%   366   3.77%   262   3.16%   672   7.01%  

91406  Van  Nuys   53,444   684   3.78%   411   4.23%   274   3.30%   739   8.04%  

91307  West  Hills   24,742   491   2.71%   234   2.41%   256   3.08%   504   2.65%  

91306  Winnetka   46,553   652   3.60%   352   3.63%   300   3.61%   687   5.37%  

91364  Woodland  Hills   25,721   527   2.91%   269   2.77%   258   3.11%   557   5.69%  

91367  Woodland  Hills   40,237   836   4.62%   371   3.82%   465   5.60%   880   5.26%  

Total   1,232,227   18,105   100.00%   9,709   100.00%   8,299   100.00%   18,716   3.37%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  86  

Table  77.  Northridge  Hospital  Medical  Center:  Arthritis  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012    Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   2,695   1.61%   1,932   1.86%   763   1.21%   3,071   13.95%  

91304  Canoga  Park   49,523   6,980   4.18%   4,428   4.26%   2,552   4.04%   7,231   3.60%  

91311  Chatsworth   36,818   6,756   4.04%   3,970   3.82%   2,786   4.41%   7,003   3.66%  

91316  Encino   26,965   5,785   3.46%   3,051   2.93%   2,734   4.33%   6,012   3.92%  

91344  Granada  Hills   51,414   8,554   5.12%   5,049   4.86%   3,506   5.55%   8,842   3.37%  

91345  Mission  Hills   18,895   2,506   1.50%   1,335   1.28%   1,171   1.85%   2,560   2.15%  

91321  Newhall   35,232   4,940   2.96%   2,935   2.82%   2,006   3.18%   5,228   5.83%  

31343  North  Hills   60,773   7,169   4.29%   4,469   4.30%   2,700   4.28%   7,538   5.15%  

91605  North  Hollywood   56,416   6,250   3.74%   4,094   3.94%   2,156   3.42%   6,645   6.32%  

91324  Northridge   26,860   4,100   2.45%   2,327   2.24%   1,773   2.81%   4,272   4.20%  

91325  Northridge   35,248   5,351   3.20%   3,193   3.07%   2,158   3.42%   5,640   5.40%  

91331  Pacoima   103,747   9,591   5.74%   6,217   5.98%   3,375   5.35%   10,295   7.34%  

91402  Panorama  City   69,925   6,385   3.82%   4,357   4.19%   2,028   3.21%   6,912   8.25%  

91326  Porter  Ranch   33,924   5,772   3.45%   3,614   3.48%   2,158   3.42%   6,198   7.38%  

91335  Reseda   74,919   10,071   6.03%   6,094   5.86%   3,977   6.30%   10,637   5.62%  

91340  San  Fernando   34,801   3169   1.90%   2,077   2.00%   1,092   1.73%   3,365   6.18%  

91350  Santa  Clarita   32,512   4,619   2.76%   3,395   3.27%   1,223   1.94%   5,054   9.42%  

93063  Simi  Valley   55,525   9,028   5.40%   6,044   5.81%   2,984   4.73%   9,742   7.91%  

91342  Sylmar   93,100   10,376   6.21%   6,473   6.23%   3,903   6.18%   11,117   7.14%  

91356  Tarzana   29,141   5,584   3.34%   3,237   3.11%   2,346   3.72%   5,703   2.13%  

91401  Van  Nuys   39,064   5,550   3.32%   3,627   3.49%   1,922   3.04%   5,864   5.66%  

91405  Van  Nuys   50,804   5,800   3.47%   3,793   3.65%   2,007   3.18%   6,178   6.52%  

91406  Van  Nuys   53,444   6,412   3.84%   4,308   4.14%   2,104   3.33%   6,863   7.03%  

91307  West  Hills   24,742   4,684   2.80%   2,726   2.62%   1,958   3.10%   4,767   1.77%  

91306  Winnetka   46,553   5,991   3.59%   3,722   3.58%   2,270   3.60%   6,216   3.76%  

91364  Woodland  Hills   25,721   5,086   3.04%   3,148   3.03%   1,939   3.07%   5,348   5.15%  

91367  Woodland  Hills   40,237   7,902   4.73%   4,364   4.20%   3,538   5.60%   8,246   4.35%  

Total   1,232,227   167,106   100.00%   103,979   100.00%   63,129   100.00%   176,547   5.65%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  87  

Table  78.  Northridge  Hospital  Medical  Center:  Asthma  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   2,045   2.00%   1,866   2.11%   179   1.26%   2,153   5.28%  91304   Canoga  Park   49,523   4,217   4.11%   3,648   4.13%   570   4.01%   4,212   -­‐0.12%  91311   Chatsworth   36,818   3,472   3.39%   2,859   3.24%   612   4.31%   3,507   1.01%  91316   Encino   26,965   2,738   2.67%   2,161   2.45%   577   4.06%   2,730   -­‐0.29%  91344   Granada  Hills   51,414   4,670   4.56%   3,892   4.41%   778   5.47%   4,713   0.92%  91345   Mission  Hills   18,895   1,487   1.45%   1,220   1.38%   268   1.89%   1,493   0.40%  91321   Newhall   35,232   2,994   2.92%   2,555   2.89%   439   3.09%   3,060   2.20%  91343   North  Hills   60,773   4,731   4.62%   4,114   4.66%   618   4.35%   4,775   0.93%  91605   North  Hollywood   56,416   4,362   4.26%   3,865   4.38%   497   3.50%   4,377   0.34%  91324   Northridge   26,860   2,396   2.34%   2,001   2.27%   395   2.78%   2,414   0.75%  91325   Northridge   35,248   3,319   3.24%   2,841   3.22%   478   3.36%   3,362   1.30%  91331   Pacoima   103,747   7,324   7.15%   6,501   7.36%   823   5.79%   7,481   2.14%  91402   Panorama  City   69,925   5,023   4.90%   4,540   5.14%   484   3.40%   5,094   1.41%  91326   Porter  Ranch   33,924   3,138   3.06%   2,644   2.99%   494   3.47%   3,318   5.74%  91335   Reseda   74,919   6,212   6.06%   5,320   6.03%   892   6.27%   6,295   1.34%  91340   San  Fernando   34,801   2421   2.36%   2,161   2.45%   260   1.83%   2,432   0.45%  91350   Santa  Clarita   32,512   2,828   2.76%   2,548   2.89%   280   1.97%   2,965   4.84%  93063   Simi  Valley   55,525   5,009   4.89%   4,339   4.91%   670   4.71%   5,202   3.85%  91342   Sylmar   93,100   6,981   6.81%   6,065   6.87%   917   6.45%   7,190   2.99%  91356   Tarzana   29,141   2,821   2.75%   2,321   2.63%   500   3.52%   2,821   0.00%  91401   Van  Nuys   39,064   3,401   3.32%   2,978   3.37%   423   2.98%   3,392   -­‐0.26%  91405   Van  Nuys   50,804   3,987   3.89%   3,534   4.00%   453   3.19%   3,977   -­‐0.25%  91406   Van  Nuys   53,444   4,320   4.21%   3,840   4.35%   480   3.38%   4,346   0.60%  91307   West  Hills   24,742   2,315   2.26%   1,888   2.14%   427   3.00%   2,336   0.91%  91306   Winnetka   46,553   3,814   3.72%   3,291   3.73%   523   3.68%   3,794   -­‐0.52%  91364   Woodland  Hills   25,721   2,510   2.45%   2,093   2.37%   418   2.94%   2,559   1.95%  91367   Woodland  Hills   40,237   3,967   3.87%   3,206   3.63%   761   5.35%   4,038   1.79%  

Total   1,232,227   102,502   100.00%   88,291   100.00%   14,216   100.00%   104,036   1.50%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  88  

   

Table  79.  Northridge  Hospital  Medical  Center:  Breast  Cancer  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  

2012  Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   155   1.45%   85   1.72%   70   1.21%   180   16.13%  91304   Canoga  Park   49,523   451   4.20%   213   4.31%   239   4.14%   479   6.21%  91311   Chatsworth   36,818   464   4.33%   201   4.06%   263   4.55%   494   6.47%  91316   Encino   26,965   403   3.76%   147   2.97%   256   4.43%   427   5.96%  91344   Granada  Hills   51,414   579   5.40%   249   5.03%   329   5.69%   609   5.18%  91345   Mission  Hills   18,895   171   1.59%   64   1.29%   107   1.85%   174   1.75%  91321   Newhall   35,232   325   3.03%   133   2.69%   192   3.32%   349   7.38%  91343   North  Hills   60,773   472   4.40%   220   4.45%   252   4.36%   502   6.36%  91605   North  Hollywood   56,416   384   3.58%   190   3.84%   195   3.38%   411   7.03%  91324   Northridge   26,860   276   2.57%   113   2.28%   163   2.82%   294   6.52%  91325   Northridge   35,248   344   3.21%   147   2.97%   197   3.41%   372   8.14%  91331   Pacoima   103,747   550   5.13%   287   5.80%   262   4.54%   587   6.73%  91402   Panorama  City   69,925   406   3.79%   215   4.35%   191   3.31%   445   9.61%  91326   Porter  Ranch   33,924   394   3.67%   192   3.88%   202   3.50%   441   11.93%  91335   Reseda   74,919   679   6.33%   290   5.86%   388   6.72%   721   6.19%  91340   San  Fernando   34,801   173   1.61%   94   1.90%   79   1.37%   183   5.78%  91350   Santa  Clarita   32,512   266   2.48%   157   3.17%   109   1.89%   306   15.04%  93063   Simi  Valley   55,525   558   5.20%   285   5.76%   273   4.73%   625   12.01%  91342   Sylmar   93,100   634   5.91%   306   6.19%   327   5.66%   685   8.04%  91356   Tarzana   29,141   370   3.45%   155   3.13%   215   3.72%   386   4.32%  91401   Van  Nuys   39,064   341   3.18%   164   3.32%   177   3.06%   365   7.04%  91405   Van  Nuys   50,804   362   3.37%   173   3.50%   189   3.27%   388   7.18%  91406   Van  Nuys   53,444   387   3.61%   197   3.98%   190   3.29%   418   8.01%  91307   West  Hills   24,742   319   2.97%   134   2.71%   185   3.20%   331   3.76%  91306   Winnetka   46,553   397   3.70%   180   3.64%   217   3.76%   419   5.54%  91364   Woodland  Hills   25,721   323   3.01%   148   2.99%   175   3.03%   350   8.36%  91367   Woodland  Hills   40,237   543   5.06%   207   4.19%   335   5.80%   581   7.00%  

Total   1,232,227   10,726   100.00%   4,946   100.00%   5,777   100.00%   11,522   7.42%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  89  

 

Table  80.  Northridge  Hospital  Medical  Center:  Cervical  Cancer  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  

2012  Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases    <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change    

91303   Canoga  Park   25,924   83   1.79%   75   1.88%   8   1.26%   89   6.74%  91304   Canoga  Park   49,523   190   4.10%   164   4.11%   26   4.10%   187   -­‐1.60%  91311   Chatsworth   36,818   171   3.69%   143   3.58%   28   4.42%   167   -­‐2.40%  91316   Encino   26,965   156   3.37%   126   3.16%   29   4.57%   154   -­‐1.30%  91344   Granada  Hills   51,414   220   4.75%   185   4.64%   35   5.52%   219   -­‐0.46%  91345   Mission  Hills   18,895   62   1.34%   51   1.28%   12   1.89%   32   -­‐93.75%  91321   Newhall   35,232   142   3.07%   120   3.01%   22   3.47%   141   -­‐0.71%  91343   North  Hills   60,773   186   4.02%   161   4.03%   25   3.94%   186   0.00%  91605   North  Hollywood   56,416   181   3.91%   159   3.98%   22   3.47%   186   2.69%  91324   Northridge   26,860   101   2.18%   84   2.10%   17   2.68%   99   -­‐2.02%  91325   Northridge   35,248   144   3.11%   122   3.06%   21   3.31%   143   -­‐0.70%  91331   Pacoima   103,747   280   6.05%   249   6.24%   31   4.89%   292   4.11%  91402   Panorama  City   69,925   177   3.82%   159   3.98%   18   2.84%   183   3.28%  91326   Porter  Ranch   33,924   141   3.05%   120   3.01%   20   3.15%   143   1.40%  91335   Reseda   74,919   270   5.83%   229   5.74%   41   6.47%   271   0.37%  91340   San  Fernando   34,801   98   2.12%   88   2.20%   10   1.58%   101   2.97%  91350   Santa  Clarita   32,512   153   3.31%   140   3.51%   13   2.05%   155   1.29%  93063   Simi  Valley   55,525   271   5.85%   240   6.01%   31   4.89%   274   1.09%  91342   Sylmar   93,100   290   6.26%   251   6.29%   38   5.99%   297   2.36%  91356   Tarzana   29,141   156   3.37%   132   3.31%   24   3.79%   155   -­‐0.65%  91401   Van  Nuys   39,064   171   3.69%   150   3.76%   21   3.31%   173   1.16%  91405   Van  Nuys   50,804   170   3.67%   150   3.76%   20   3.15%   173   1.73%  91406   Van  Nuys   53,444   189   4.08%   167   4.18%   22   3.47%   192   1.56%  91307   West  Hills   24,742   124   2.68%   103   2.58%   20   3.15%   122   -­‐1.64%  91306   Winnetka   46,553   154   3.33%   131   3.28%   23   3.63%   151   -­‐1.99%  91364   Woodland  Hills   25,721   144   3.11%   124   3.11%   20   3.15%   145   0.69%  91367   Woodland  Hills   40,237   205   4.43%   168   4.21%   37   5.84%   202   -­‐1.49%  

Total   1,232,227   4,629   100.00%   3,991   100.00%   634   100.00%   4,632   0.06%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  90  

 

Table  81.  Northridge  Hospital  Medical  Center:  Chronic  Bronchitis  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  

2012  Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   557   1.79%   477   1.95%   80   1.18%   601   7.32%  91304   Canoga  Park   49,523   1,306   4.19%   1,027   4.21%   279   4.11%   1,306   0.00%  91311   Chatsworth   36,818   1,180   3.78%   875   3.59%   306   4.51%   1,185   0.42%  91316   Encino   26,965   1,016   3.26%   700   2.87%   316   4.66%   1,030   1.36%  91344   Granada  Hills   51,414   1,521   4.88%   1,141   4.68%   381   5.61%   1,533   0.78%  91345   Mission  Hills   18,895   431   1.38%   312   1.28%   120   1.77%   428   -­‐0.70%  91321   Newhall   35,232   938   3.01%   714   2.93%   224   3.30%   952   1.47%  91343   North  Hills   60,773   1,338   4.29%   1,061   4.35%   277   4.08%   1,348   0.74%  91605   North  Hollywood   56,416   1,225   3.93%   998   4.09%   227   3.35%   1,258   2.62%  91324   Northridge   26,860   736   2.36%   543   2.23%   193   2.84%   740   0.54%  91325   Northridge   35,248   1,008   3.23%   771   3.16%   237   3.49%   1,024   1.56%  91331   Pacoima   103,747   1,849   5.93%   1,531   6.27%   318   4.69%   1,904   2.89%  91402   Panorama  City   69,925   1,275   4.09%   1,080   4.43%   195   2.87%   1,308   2.52%  91326   Porter  Ranch   33,924   1,017   3.26%   788   3.23%   229   3.37%   1,063   4.33%  91335   Reseda   74,919   1,853   5.94%   1,431   5.86%   422   6.22%   1,880   1.44%  91340   San  Fernando   34,801   620   1.99%   513   2.10%   106   1.56%   628   1.27%  91350   Santa  Clarita   32,512   922   2.96%   788   3.23%   134   1.97%   967   4.65%  93063   Simi  Valley   55,525   1,698   5.44%   1,367   5.60%   330   4.86%   1,763   3.69%  91342   Sylmar   93,100   1,937   6.21%   1,539   6.31%   398   5.87%   1,988   2.57%  91356   Tarzana   29,141   1,012   3.24%   742   3.04%   270   3.98%   1,017   0.49%  91401   Van  Nuys   39,064   1,088   3.49%   870   3.57%   216   3.18%   1,113   2.25%  91405   Van  Nuys   50,804   1,146   3.67%   932   3.82%   214   3.15%   1,173   2.30%  91406   Van  Nuys   53,444   1,261   4.04%   1,034   4.24%   227   3.35%   1,291   2.32%  91307   West  Hills   24,742   828   2.65%   607   2.49%   221   3.26%   829   0.12%  91306   Winnetka   46,553   1,107   3.55%   868   3.56%   239   3.52%   1,100   -­‐0.64%  91364   Woodland  Hills   25,721   925   2.97%   702   2.88%   224   3.30%   951   2.73%  91367   Woodland  Hills   40,237   1,395   4.47%   992   4.07%   403   5.94%   1,418   1.62%  

Total   1,232,227   31,189   100.00%   24,403   100.00%   6,786   100.00%   31,798   1.92%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  91  

 

Table  82.  Northridge  Hospital  Medical  Center:  Colon/Rectal  Cancer  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  

2012  Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   50   1.34%   25   1.81%   26   1.10%   58   16.00%  91304   Canoga  Park   49,523   159   4.25%   60   4.34%   99   4.19%   167   5.03%  91311   Chatsworth   36,818   166   4.43%   56   4.05%   110   4.66%   175   5.42%  91316   Encino   26,965   154   4.11%   40   2.89%   114   4.83%   161   4.55%  91344   Granada  Hills   51,414   207   5.53%   70   5.06%   137   5.81%   215   3.86%  91345   Mission  Hills   18,895   60   1.60%   18   1.30%   42   1.78%   59   -­‐1.67%  91321   Newhall   35,232   115   3.07%   37   2.67%   78   3.31%   123   6.96%  31343   North  Hills   60,773   162   4.33%   60   4.34%   102   4.32%   169   4.32%  91605   North  Hollywood   56,416   128   3.42%   53   3.83%   75   3.18%   136   6.25%  91324   Northridge   26,860   101   2.70%   32   2.31%   69   2.92%   105   3.96%  91325   Northridge   35,248   126   3.37%   42   3.03%   84   3.56%   134   6.35%  91331   Pacoima   103,747   174   4.65%   77   5.56%   97   4.11%   183   5.17%  91402   Panorama  City   69,925   128   3.42%   58   4.19%   70   2.97%   137   7.03%  91326   Porter  Ranch   33,924   137   3.66%   53   3.83%   84   3.56%   150   9.49%  91335   Reseda   74,919   234   6.25%   82   5.92%   152   6.44%   244   4.27%  91340   San  Fernando   34,801   55   1.47%   25   1.81%   29   1.23%   57   3.64%  91350   Santa  Clarita   32,512   89   2.38%   46   3.32%   43   1.82%   102   14.61%  93063   Simi  Valley   55,525   193   5.15%   83   6.00%   111   4.70%   215   11.40%  91342   Sylmar   93,100   212   5.66%   83   6.00%   129   5.47%   225   6.13%  91356   Tarzana   29,141   139   3.71%   43   3.11%   97   4.11%   143   2.88%  91401   Van  Nuys   39,064   121   3.23%   47   3.40%   74   3.14%   128   5.79%  91405   Van  Nuys   50,804   125   3.34%   49   3.54%   76   3.22%   133   6.40%  91406   Van  Nuys   53,444   132   3.53%   56   4.05%   76   3.22%   141   6.82%  91307   West  Hills   24,742   117   3.13%   37   2.67%   79   3.35%   121   3.42%  91306   Winnetka   46,553   135   3.61%   51   3.68%   84   3.56%   141   4.44%  91364   Woodland  Hills   25,721   121   3.23%   42   3.03%   78   3.31%   129   6.61%  91367   Woodland  Hills   40,237   204   5.45%   59   4.26%   145   6.14%   214   4.90%  

Total   1,232,227   3,744   100.00%   1,384   100.00%   2,360   100.00%   3,965   5.90%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  92  

 

Table  83.  Northridge  Hospital  Medical  Center:  Congestive  Heart  Failure  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  

2012  Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   207   1.50%   123   1.88%   85   1.17%   246   18.84%  91304   Canoga  Park   49,523   577   4.17%   279   4.26%   297   4.08%   612   6.07%  91311   Chatsworth   36,818   578   4.18%   249   3.80%   329   4.52%   614   6.23%  91316   Encino   26,965   504   3.65%   165   2.52%   339   4.66%   529   4.96%  91344   Granada  Hills   51,414   728   5.27%   319   4.87%   409   5.62%   765   5.08%  91345   Mission  Hills   18,895   224   1.62%   93   1.42%   131   1.80%   231   3.13%  91321   Newhall   35,232   408   2.95%   172   2.63%   236   3.24%   448   9.80%  91343   North  Hills   60,773   607   4.39%   306   4.67%   302   4.15%   655   7.91%  91605   North  Hollywood   56,416   507   3.67%   266   4.06%   242   3.33%   546   7.69%  91324   Northridge   26,860   358   2.59%   151   2.31%   207   2.84%   383   6.98%  91325   Northridge   35,248   446   3.23%   191   2.92%   255   3.50%   482   8.07%  91331   Pacoima   103,747   794   5.74%   438   6.69%   356   4.89%   871   9.70%  91402   Panorama  City   69,925   532   3.85%   319   4.87%   213   2.93%   592   11.28%  91326   Porter  Ranch   33,924   492   3.56%   245   3.74%   247   3.39%   539   9.55%  91335   Reseda   74,919   852   6.16%   399   6.09%   454   6.24%   917   7.63%  91340   San  Fernando   34,801   260   1.88%   142   2.17%   118   1.62%   283   8.85%  91350   Santa  Clarita   32,512   332   2.40%   193   2.95%   139   1.91%   381   14.76%  93063   Simi  Valley   55,525   695   5.03%   349   5.33%   347   4.77%   779   12.09%  91342   Sylmar   93,100   868   6.28%   437   6.67%   431   5.92%   951   9.56%  91356   Tarzana   29,141   463   3.35%   174   2.66%   289   3.97%   480   3.67%  91401   Van  Nuys   39,064   432   3.13%   203   3.10%   229   3.15%   465   7.64%  91405   Van  Nuys   50,804   465   3.36%   234   3.57%   230   3.16%   504   8.39%  91406   Van  Nuys   53,444   508   3.68%   268   4.09%   241   3.31%   559   10.04%  91307   West  Hills   24,742   391   2.83%   159   2.43%   232   3.19%   406   3.84%  91306   Winnetka   46,553   509   3.68%   255   3.89%   254   3.49%   539   5.89%  91364   Woodland  Hills   25,721   410   2.97%   171   2.61%   239   3.28%   440   7.32%  91367   Woodland  Hills   40,237   674   4.88%   247   3.77%   427   5.87%   718   6.53%  

Total   1,232,227   13,821   100.00%   6,547   100.00%   7,278   100.00%   14,935   8.06%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  93  

Table  84.  Northridge  Hospital  Medical  Center:  Coronary  Heart  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   516   1.50%   299   1.91%   217   1.18%   598   15.89%  91304   Canoga  Park   49,523   1,432   4.16%   662   4.23%   770   4.17%   1,506   5.17%  91311   Chatsworth   36,818   1,418   4.12%   575   3.67%   842   4.56%   1,501   5.85%  91316   Encino   26,965   1,261   3.67%   407   2.60%   584   3.16%   1,312   4.04%  91344   Granada  Hills   51,414   1,790   5.21%   740   4.73%   1,050   5.69%   1,847   3.18%  91345   Mission  Hills   18,895   553   1.61%   216   1.38%   337   1.83%   568   2.71%  91321   Newhall   35,232   1,012   2.94%   427   2.73%   586   3.17%   1,099   8.60%  91343   North  Hills   60,773   1,527   4.44%   712   4.55%   815   4.41%   1,620   6.09%  91605   North  Hollywood   56,416   1,267   3.68%   639   4.08%   628   3.40%   1,352   6.71%  91324   Northridge   26,860   895   2.60%   352   2.25%   543   2.94%   943   5.36%  91325   Northridge   35,248   1,129   3.28%   467   2.98%   661   3.58%   1,207   6.91%  91331   Pacoima   103,747   1,983   5.77%   1,055   6.74%   928   5.03%   2,142   8.02%  91402   Panorama  City   69,925   1,314   3.82%   727   4.64%   587   3.18%   1,440   9.59%  91326   Porter  Ranch   33,924   1,198   3.48%   532   3.40%   666   3.61%   1,313   9.60%  91335   Reseda   74,919   2,095   6.09%   936   5.98%   1,159   6.28%   2,241   6.97%  91340   San  Fernando   34,801   647   1.88%   350   2.24%   297   1.61%   688   6.34%  91350   Santa  Clarita   32,512   827   2.41%   471   3.01%   356   1.93%   949   14.75%  93063   Simi  Valley   55,525   1,727   5.02%   845   5.40%   882   4.78%   1,934   11.99%  91342   Sylmar   93,100   2,151   6.26%   1,049   6.70%   1,102   5.97%   2,337   8.65%  91356   Tarzana   29,141   1,164   3.39%   436   2.79%   728   3.94%   1,195   2.66%  91401   Van  Nuys   39,064   1,090   3.17%   516   3.30%   574   3.11%   1,158   6.24%  91405   Van  Nuys   50,804   1,172   3.41%   584   3.73%   588   3.18%   1,256   7.17%  91406   Van  Nuys   53,444   1,270   3.69%   658   4.20%   612   3.31%   1,378   8.50%  91307   West  Hills   24,742   973   2.83%   378   2.42%   595   3.22%   1,004   3.19%  91306   Winnetka   46,553   1,248   3.63%   583   3.72%   664   3.60%   1,316   5.45%  91364   Woodland  Hills   25,721   1,035   3.01%   431   2.75%   604   3.27%   1,096   5.89%  91367   Woodland  Hills   40,237   1,692   4.92%   605   3.87%   1,087   5.89%   1,783   5.38%  

Total   1,232,227   34,386   100.00%   15,652   100.00%   18,462   100.00%   36,783   6.97%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  94  

Table  85.  Northridge  Hospital  Medical  Center:  Depression/Anxiety  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %    

2012    Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   2,142   2.05%   1,973   2.17%   169   1.27%   2,265   5.74%  

91304  Canoga  Park   49,523   4,165   3.99%   3,644   4.00%   521   3.91%   4,192   0.65%  

91311  Chatsworth   36,818   3,279   3.14%   2,719   2.99%   560   4.20%   3,333   1.65%  

91316  Encino   26,965   2,561   2.45%   2,033   2.23%   528   3.96%   2,560   -­‐0.04%  

91344  Granada  Hills   51,414   4,475   4.29%   3,757   4.12%   718   5.39%   4,553   1.74%  

91345  Mission  Hills   18,895   1,617   1.55%   1,350   1.48%   267   2.00%   1,652   2.16%  

91321  Newhall   35,232   3,049   2.92%   2,640   2.90%   409   3.07%   3,157   3.54%  

91343  North  Hills   60,773   4,918   4.71%   4,338   4.76%   580   4.35%   5,022   2.11%  

91605  North  Hollywood   56,416   4,626   4.43%   4,152   4.56%   474   3.56%   4,662   0.78%  

91324  Northridge   26,860   2,317   2.22%   1,955   2.15%   362   2.72%   2,350   1.42%  

91325  Northridge   35,248   3,194   3.06%   2,758   3.03%   436   3.27%   3,271   2.41%  

91331  Pacoima   103,747   8,555   8.19%   7,695   8.45%   860   6.46%   8,826   3.17%  

91402  Panorama  City   69,925   5,424   5.20%   4,958   5.44%   466   3.50%   5,535   2.05%  

91326  Porter  Ranch   33,924   2,808   2.69%   2,372   2.60%   436   3.27%   2,964   5.56%  

91335  Reseda   74,919   6,349   6.08%   5,504   6.04%   845   6.34%   6,529   2.84%  

91340  San  Fernando   34,801   2883   2.76%   2,600   2.85%   283   2.12%   2,920   1.28%  

91350  Santa  Clarita   32,512   2,704   2.59%   2,454   2.69%   250   1.88%   2,846   5.25%  

93063  Simi  Valley   55,525   4,758   4.56%   4,153   4.56%   605   4.54%   4,956   4.16%  

91342  Sylmar   93,100   7,804   7.47%   6,895   7.57%   909   6.82%   8,128   4.15%  

91356  Tarzana   29,141   2,650   2.54%   2,198   2.41%   451   3.39%   2,650   0.00%  

91401  Van  Nuys   39,064   3,427   3.28%   3,037   3.33%   390   2.93%   3,417   -­‐0.29%  

91405  Van  Nuys   50,804   4,191   4.01%   3,768   4.14%   423   3.18%   4,206   0.36%  

91406  Van  Nuys   53,444   4,517   4.33%   4,070   4.47%   447   3.36%   4,592   1.66%  

91307  West  Hills   24,742   2,146   2.06%   1,762   1.93%   384   2.88%   2,164   0.84%  

91306  Winnetka   46,553   3,835   3.67%   3,352   3.68%   483   3.63%   3,869   0.89%  

91364  Woodland  Hills   25,721   2,348   2.25%   1,974   2.17%   374   2.81%   2,396   2.04%  

91367  Woodland  Hills   40,237   3,662   3.51%   2,973   3.26%   689   5.17%   1,929   -­‐47.32%  

Total   1,232,227   104,404   100.00%   91,084   100.00%   13,319   100.00%   104,944   0.52%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  95  

Table  86.  Northridge  Hospital  Medical  Center  Emphysema  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name   2012  Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  Cases  <  Age  65   %  

2012  Estimated  Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   186   1.47%   111   1.82%   75   1.14%   213   14.52%  

91304  Canoga  Park   49,523   539   4.25%   264   4.33%   275   4.18%   559   3.71%  

91311  Chatsworth   36,818   547   4.31%   245   4.02%   302   4.59%   571   4.39%  

91316  Encino   26,965   500   3.94%   191   3.13%   308   4.68%   525   5.00%  

91344  Granada  Hills   51,414   685   5.40%   307   5.03%   378   5.74%   711   3.80%  

91345  Mission  Hills   18,895   184   1.45%   73   1.20%   111   1.69%   183   -­‐0.54%  

91321  Newhall   35,232   387   3.05%   175   2.87%   213   3.24%   408   5.43%  

91343  North  Hills   60,773   532   4.19%   253   4.15%   279   4.24%   552   3.76%  

91605  North  Hollywood   56,416   450   3.55%   232   3.80%   218   3.31%   480   6.67%  

91324  Northridge   26,860   329   2.59%   138   2.26%   191   2.90%   343   4.26%  

91325  Northridge   35,248   424   3.34%   189   3.10%   234   3.55%   447   5.42%  

91331  Pacoima   103,747   592   4.67%   319   5.23%   273   4.15%   628   6.08%  

91402  Panorama  City   69,925   429   3.38%   235   3.85%   194   2.95%   460   7.23%  

91326  Porter  Ranch   33,924   461   3.63%   222   3.64%   239   3.63%   501   8.68%  

91335  Reseda   74,919   759   5.98%   352   5.77%   407   6.18%   795   4.74%  

91340  San  Fernando   34,801   196   1.55%   107   1.75%   89   1.35%   203   3.57%  

91350  Santa  Clarita   32,512   342   2.70%   208   3.41%   133   2.02%   383   11.99%  

93063  Simi  Valley   55,525   705   5.56%   378   6.20%   327   4.97%   774   9.79%  

91342  Sylmar   93,100   712   5.61%   350   5.74%   363   5.51%   751   5.48%  

91356  Tarzana   29,141   469   3.70%   203   3.33%   267   4.06%   485   3.41%  

91401  Van  Nuys   39,064   425   3.35%   218   3.57%   207   3.14%   456   7.29%  

91405  Van  Nuys   50,804   424   3.34%   217   3.56%   207   3.14%   455   7.31%  

91406  Van  Nuys   53,444   465   3.67%   249   4.08%   216   3.28%   498   7.10%  

91307  West  Hills   24,742   394   3.11%   173   2.84%   221   3.36%   406   3.05%  

91306  Winnetka   46,553   451   3.56%   215   3.52%   237   3.60%   465   3.10%  

91364  Woodland  Hills   25,721   425   3.35%   203   3.33%   222   3.37%   452   6.35%  

91367  Woodland  Hills   40,237   672   5.30%   274   4.49%   397   6.03%   706   5.06%  

Total   1,232,227   12,684   100.00%   6,101   100.00%   6,583   100.00%   13,410   5.72%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  96  

 

Table  87.  Northridge  Hospital  Medical  Center:  Hay  Fever  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   1,158   1.88%   1,048   1.99%   110   1.23%   1,244   7.43%  

91304  Canoga  Park   49,523   2,605   4.23%   2,247   4.27%   357   4.00%   2,600   -­‐0.19%  

91311  Chatsworth   36,818   2,295   3.73%   1,908   3.62%   387   4.34%   2,297   0.09%  

91316  Encino   26,965   1,823   2.96%   1,444   2.74%   379   4.25%   1,836   0.71%  

91344  Granada  Hills   51,414   3,008   4.89%   2,516   4.78%   493   5.53%   3,023   0.50%  

91345  Mission  Hills   18,895   838   1.36%   673   1.28%   164   1.84%   834   -­‐0.48%  

91321  Newhall   35,232   1,791   2.91%   1,510   2.87%   280   3.14%   1,825   1.90%  

91343  North  Hills   60,773   2,741   4.45%   2,365   4.49%   377   4.23%   2,775   1.24%  

91605  North  Hollywood   56,416   2,475   4.02%   2,166   4.11%   309   3.46%   2,520   1.82%  

91324  Northridge   26,860   1,480   2.40%   1,231   2.34%   249   2.79%   1,491   0.74%  

91325  Northridge   35,248   2,012   3.27%   1,708   3.24%   304   3.41%   2,043   1.54%  

91331  Pacoima   103,747   3,729   6.06%   3,233   6.14%   496   5.56%   3,839   2.95%  

91402  Panorama  City   69,925   2,746   4.46%   2,462   4.68%   284   3.18%   2,827   2.95%  

91326  Porter  Ranch   33,924   2,133   3.46%   1,830   3.48%   303   3.40%   2,226   4.36%  

91335  Reseda   74,919   3,685   5.98%   3,137   5.96%   548   6.14%   3,747   1.68%  

91340  San  Fernando   34,801   1226   1.99%   1,061   2.01%   166   1.86%   1,243   1.39%  

91350  Santa  Clarita   32,512   1,829   2.97%   1,651   3.14%   178   2.00%   1,906   4.21%  

93063  Simi  Valley   55,525   3,320   5.39%   2,891   5.49%   429   4.81%   3,438   3.55%  

91342  Sylmar   93,100   3,790   6.16%   3,228   6.13%   561   6.29%   3,908   3.11%  

91356  Tarzana   29,141   1,866   3.03%   1,537   2.92%   330   3.70%   1,864   -­‐0.11%  

91401  Van  Nuys   39,064   2,070   3.36%   1,797   3.41%   273   3.06%   2,105   1.69%  

91405  Van  Nuys   50,804   2,262   3.67%   1,984   3.77%   279   3.13%   2,303   1.81%  

91406  Van  Nuys   53,444   2,497   4.06%   2,199   4.18%   299   3.35%   2,549   2.08%  

91307  West  Hills   24,742   1,570   2.55%   1,294   2.46%   276   3.09%   1,567   -­‐0.19%  

91306  Winnetka   46,553   2,281   3.70%   1,963   3.73%   318   3.57%   2,273   -­‐0.35%  

91364  Woodland  Hills   25,721   1,719   2.79%   1,443   2.74%   276   3.09%   1,756   2.15%  

91367  Woodland  Hills   40,237   2,625   4.26%   2,132   4.05%   493   5.53%   2,680   2.10%  

Total   1,232,227   61,574   100.00%   52,658   100.00%   8,918   100.00%   62,719   1.86%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  97  

 

Table  88.  Northridge  Hospital  Medical  Center:  Hearing  Impairment  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  Cases  <  Age  65   %  

2012  Estimated  Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   606   1.49%   371   1.85%   235   1.13%   687   13.37%  

91304  Canoga  Park   49,523   1,732   4.25%   859   4.29%   872   4.21%   1,777   2.60%  

91311  Chatsworth   36,818   1,741   4.27%   779   3.89%   961   4.64%   1,801   3.45%  

91316  Encino   26,965   1,612   3.96%   625   3.12%   986   4.76%   1,654   2.61%  

91344  Granada  Hills   51,414   2,175   5.34%   992   4.95%   1,183   5.71%   2,234   2.71%  

91345  Mission  Hills   18,895   601   1.47%   240   1.20%   361   1.74%   600   -­‐0.17%  

91321  Newhall   35,232   1,252   3.07%   586   2.93%   666   3.21%   1,305   4.23%  

91343  North  Hills   60,773   1,718   4.22%   817   4.08%   901   4.35%   1,771   3.08%  

91605  North  Hollywood   56,416   1,455   3.57%   774   3.87%   682   3.29%   1,538   5.70%  

91324  Northridge   26,860   1,056   2.59%   447   2.23%   609   2.94%   1,084   2.65%  

91325  Northridge   35,248   1,367   3.35%   626   3.13%   741   3.57%   1,420   3.88%  

91331  Pacoima   103,747   1,941   4.76%   1,063   5.31%   878   4.23%   2,061   6.18%  

91402  Panorama  City   69,925   1,401   3.44%   768   3.84%   633   3.05%   1,500   7.07%  

91326  Porter  Ranch   33,924   1,453   3.57%   696   3.48%   757   3.65%   1,568   7.91%  

91335  Reseda   74,919   2,471   6.06%   1,158   5.78%   1,312   6.33%   2,561   3.64%  

91340  San  Fernando   34,801   629   1.54%   361   1.80%   268   1.29%   658   4.61%  

91350  Santa  Clarita   32,512   1,096   2.69%   702   3.51%   394   1.90%   1,206   10.04%  

93063  Simi  Valley   55,525   2,244   5.51%   1,254   6.26%   990   4.77%   2,434   8.47%  

91342  Sylmar   93,100   2,277   5.59%   1,147   5.73%   1,130   5.45%   2,404   5.58%  

91356  Tarzana   29,141   1,498   3.68%   662   3.31%   836   4.03%   1,522   1.60%  

91401  Van  Nuys   39,064   1,379   3.38%   733   3.66%   647   3.12%   1,445   4.79%  

91405  Van  Nuys   50,804   1,390   3.41%   732   3.66%   658   3.17%   1,465   5.40%  

91406  Van  Nuys   53,444   1,503   3.69%   830   4.15%   674   3.25%   1,581   5.19%  

91307  West  Hills   24,742   1,235   3.03%   555   2.77%   680   3.28%   1,261   2.11%  

91306  Winnetka   46,553   1,438   3.53%   697   3.48%   741   3.57%   1,471   2.29%  

91364  Woodland  Hills   25,721   1,346   3.30%   657   3.28%   688   3.32%   1,406   4.46%  

91367  Woodland  Hills   40,237   2,141   5.25%   891   4.45%   1,250   6.03%   2,213   3.36%  

Total   1,232,227   40,757   100.00%   20,022   100.00%   20,733   100.00%   42,627   4.59%    Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  98  

Table  89.  Northridge  Hospital  Medical  Center:  Heart  Attack  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   406   1.52%   239   1.92%   167   1.17%   471   16.01%  91304   Canoga  Park   49,523   1,106   4.15%   523   4.21%   584   4.11%   1,164   5.24%  91311   Chatsworth   36,818   1,090   4.09%   453   3.65%   637   4.48%   1,153   5.78%  91316   Encino   26,965   969   3.64%   327   2.63%   642   4.52%   1,006   3.82%  91344   Granada  Hills   51,414   1,380   5.18%   585   4.71%   796   5.60%   1,445   4.71%  91345   Mission  Hills   18,895   429   1.61%   171   1.38%   258   1.81%   441   2.80%  91321   Newhall   35,232   788   2.96%   344   2.77%   444   3.12%   854   8.38%  31343   North  Hills   60,773   1,178   4.42%   559   4.50%   618   4.35%   1,251   6.20%  91605   North  Hollywood   56,416   986   3.70%   510   4.10%   477   3.36%   1,053   6.80%  91324   Northridge   26,860   687   2.58%   276   2.22%   411   2.89%   724   5.39%  91325   Northridge   35,248   868   3.26%   368   2.96%   500   3.52%   928   6.91%  91331   Pacoima   103,747   1,554   5.83%   840   6.76%   713   5.02%   1,684   8.37%  91402   Panorama  City   69,925   1,022   3.84%   573   4.61%   449   3.16%   1,122   9.78%  91326   Porter  Ranch   33,924   921   3.46%   415   3.34%   506   3.56%   1,008   9.45%  91335   Reseda   74,919   1,621   6.08%   741   5.96%   880   6.19%   1,735   7.03%  91340   San  Fernando   34,801   507   1.90%   280   2.25%   227   1.60%   541   6.71%  91350   Santa  Clarita   32,512   649   2.44%   378   3.04%   271   1.91%   740   14.02%  93063   Simi  Valley   55,525   1,347   5.06%   677   5.45%   671   4.72%   1,504   11.66%  91342   Sylmar   93,100   1,673   6.28%   832   6.70%   841   5.92%   1,819   8.73%  91356   Tarzana   29,141   897   3.37%   348   2.80%   548   3.85%   921   2.68%  91401   Van  Nuys   39,064   850   3.19%   414   3.33%   436   3.07%   901   6.00%  91405   Van  Nuys   50,804   909   3.41%   463   3.73%   446   3.14%   975   7.26%  91406   Van  Nuys   53,444   989   3.71%   523   4.21%   465   3.27%   1,071   8.29%  91307   West  Hills   24,742   751   2.82%   301   2.42%   450   3.17%   776   3.33%  91306   Winnetka   46,553   965   3.62%   459   3.69%   506   3.56%   1,018   5.49%  91364   Woodland  Hills   25,721   801   3.01%   345   2.78%   457   3.21%   848   5.87%  91367   Woodland  Hills   40,237   1,299   4.88%   481   3.87%   817   5.75%   1,367   5.23%  

Total   1,232,227   26,642   100.00%   12,425   100.00%   14,217   100.00%   28,520   7.05%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  99  

Table  90.  Northridge  Hospital  Medical  Center:  Hypertension  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   4,270   1.75%   3,258   2.00%   1,012   1.24%   4,829   13.09%  91304   Canoga  Park   49,523   10,054   4.11%   6,802   4.17%   3,252   4.00%   10,522   4.65%  91311   Chatsworth   36,818   9,173   3.75%   5,658   3.47%   3,515   4.32%   9,645   5.15%  91316   Encino   26,965   7,323   3.00%   4,022   2.47%   3,301   4.06%   7,622   4.08%  91344   Granada  Hills   51,414   11,901   4.87%   7,428   4.56%   4,472   5.50%   12,418   4.34%  91345   Mission  Hills   18,895   3,867   1.58%   2,309   1.42%   1,558   1.92%   4,009   3.67%  91321   Newhall   35,232   7,004   2.87%   4,505   2.76%   2,499   3.07%   7,559   7.92%  91343   North  Hills   60,773   11,161   4.57%   7,583   4.65%   3,578   4.40%   11,876   6.41%  91605   North  Hollywood   56,416   9,742   3.99%   6,906   4.24%   2,836   3.49%   10,263   5.35%  91324   Northridge   26,860   5,919   2.42%   3,656   2.24%   2,263   2.78%   6,246   5.52%  91325   Northridge   35,248   7,673   3.14%   4,941   3.03%   2,732   3.36%   8,179   6.59%  91331   Pacoima   103,747   16,605   6.80%   11,840   7.26%   4,765   5.86%   11,755   -­‐29.21%  91402   Panorama  City   69,925   10,885   4.45%   8,076   4.95%   2,810   3.45%   11,757   8.01%  91326   Porter  Ranch   33,924   8,075   3.30%   5,250   3.22%   2,825   3.47%   8,768   8.58%  91335   Reseda   74,919   14,970   6.13%   9,826   6.03%   5,144   6.32%   16,003   6.90%  91340   San  Fernando   34,801   5420   2.22%   3,918   2.40%   1,501   1.85%   5,732   5.76%  91350   Santa  Clarita   32,512   6,260   2.56%   4,693   2.88%   1,567   1.93%   6,925   10.62%  93063   Simi  Valley   55,525   12,037   4.93%   8,258   5.07%   3,779   4.65%   13,137   9.14%  91342   Sylmar   93,100   16,609   6.80%   11,350   6.96%   5,259   6.46%   17,938   8.00%  91356   Tarzana   29,141   7,164   2.93%   4,315   2.65%   2,848   3.50%   7,343   2.50%  91401   Van  Nuys   39,064   7,725   3.16%   5,328   3.27%   2,397   2.95%   8,086   4.67%  91405   Van  Nuys   50,804   8,849   3.62%   6,246   3.83%   2,603   3.20%   9,339   5.54%  91406   Van  Nuys   53,444   9,681   3.96%   6,960   4.27%   2,720   3.34%   10,366   7.08%  91307   West  Hills   24,742   6,095   2.49%   3,670   2.25%   2,425   2.98%   6,251   2.56%  91306   Winnetka   46,553   9,121   3.73%   6,133   3.76%   2,987   3.67%   9,589   5.13%  91364   Woodland  Hills   25,721   6,462   2.64%   4,097   2.51%   2,365   2.91%   6,815   5.46%  91367   Woodland  Hills   40,237   10,325   4.23%   5,985   3.67%   4,341   5.34%   10,907   5.64%  

Total   1,232,227   244,370   100.00%   163,013   100.00%   81,354   100.00%   253,879   3.89%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  100  

Table  91.  Northridge  Hospital  Medical  Center:  Liver  Condition  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  

2012  Population  

2012  Estimated  Total  Cases   %  

2012    Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   288   2.01%   259   2.12%   29   1.36%   316   9.72%  91304   Canoga  Park   49,523   569   3.97%   484   3.97%   85   3.98%   589   3.51%  91311   Chatsworth   36,818   459   3.20%   371   3.04%   88   4.12%   477   3.92%  91316   Encino   26,965   328   2.29%   258   2.11%   70   3.28%   338   3.05%  91344   Granada  Hills   51,414   625   4.36%   509   4.17%   116   5.43%   651   4.16%  91345   Mission  Hills   18,895   231   1.61%   189   1.55%   42   1.97%   241   4.33%  91321   Newhall   35,232   400   2.79%   341   2.79%   59   2.76%   430   7.50%  91343   North  Hills   60,773   693   4.83%   590   4.84%   102   4.78%   733   5.77%  91605   North  Hollywood   56,416   635   4.43%   555   4.55%   80   3.75%   655   3.15%  91324   Northridge   26,860   320   2.23%   261   2.14%   59   2.76%   430   34.38%  91325   Northridge   35,248   418   2.92%   350   2.87%   68   3.18%   443   5.98%  91331   Pacoima   103,747   1,214   8.47%   1,073   8.79%   141   6.60%   1,284   5.77%  91402   Panorama  City   69,925   771   5.38%   681   5.58%   90   4.21%   817   5.97%  91326   Porter  Ranch   33,924   413   2.88%   331   2.71%   83   3.89%   444   7.51%  91335   Reseda   74,919   880   6.14%   743   6.09%   137   6.41%   941   6.93%  91340   San  Fernando   34,801   405   2.82%   364   2.98%   41   1.92%   422   4.20%  91350   Santa  Clarita   32,512   357   2.49%   314   2.57%   44   2.06%   387   8.40%  93063   Simi  Valley   55,525   650   4.53%   550   4.51%   100   4.68%   699   7.54%  91342   Sylmar   93,100   1,097   7.65%   952   7.80%   145   6.79%   1,178   7.38%  91356   Tarzana   29,141   343   2.39%   280   2.29%   63   2.95%   347   1.17%  91401   Van  Nuys   39,064   444   3.10%   387   3.17%   57   2.67%   455   2.48%  91405   Van  Nuys   50,804   560   3.91%   491   4.02%   69   3.23%   581   3.75%  91406   Van  Nuys   53,444   608   4.24%   536   4.39%   72   3.37%   642   5.59%  91307   West  Hills   24,742   294   2.05%   235   1.93%   58   2.72%   566   92.52%  91306   Winnetka   46,553   540   3.77%   455   3.73%   85   3.98%   566   4.81%  91364   Woodland  Hills   25,721   310   2.16%   258   2.11%   53   2.48%   322   3.87%  91367   Woodland  Hills   40,237   485   3.38%   385   3.16%   100   4.68%   509   4.95%  

Total   1,232,227   14,337   100.00%   12,202   100.00%   2,136   100.00%   15,463   7.85%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  92.  Northridge  Hospital  Medical  Center  Low  Back  Pain  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases  

%  Change  

91303   Canoga  Park   25,924   4,715   1.97%   4,210   2.12%   504   1.24%   5,048   7.06%  91304   Canoga  Park   49,523   9,659   4.03%   8,029   4.03%   1,630   4.01%   9,777   1.22%  91311   Chatsworth   36,818   8,004   3.34%   6,242   3.14%   1,763   4.34%   8,157   1.91%  91316   Encino   26,965   6,356   2.65%   4,670   2.35%   1,686   4.15%   6,416   0.94%  91344   Granada  Hills   51,414   10,765   4.49%   8,522   4.28%   2,243   5.52%   10,989   2.08%  91345   Mission  Hills   18,895   3,645   1.52%   2,877   1.45%   768   1.89%   3,715   1.92%  91321   Newhall   35,232   7,021   2.93%   5,752   2.89%   1,269   3.12%   7,283   3.73%  91343   North  Hills   60,773   11,081   4.62%   9,320   4.68%   1,761   4.33%   11,381   2.71%  91605   North  Hollywood   56,416   10,275   4.29%   8,865   4.45%   1,411   3.47%   10,449   1.69%  91324   Northridge   26,860   5,454   2.28%   4,322   2.17%   1,133   2.79%   5,561   1.96%  91325   Northridge   35,248   7,365   3.07%   5,996   3.01%   1,369   3.37%   7,583   2.96%  91331   Pacoima   103,747   18,208   7.60%   15,900   7.99%   2,308   5.68%   18,907   3.84%  91402   Panorama  City   69,925   11,828   4.94%   10,467   5.26%   1,361   3.35%   12,213   3.25%  91326   Porter  Ranch   33,924   6,971   2.91%   5,574   2.80%   1,397   3.44%   7,378   5.84%  91335   Reseda   74,919   14,533   6.06%   11,979   6.02%   2,554   6.28%   15,016   3.32%  91340   San  Fernando   34,801   6120   2.55%   5,377   2.70%   743   1.83%   6,239   1.94%  91350   Santa  Clarita   32,512   6,398   2.67%   5,602   2.82%   796   1.96%   6,772   5.85%  93063   Simi  Valley   55,525   11,544   4.82%   9,623   4.84%   1,922   4.73%   12,110   4.90%  91342   Sylmar   93,100   17,053   7.12%   14,470   7.27%   2,583   6.35%   17,864   4.76%  91356   Tarzana   29,141   6,475   2.70%   5,016   2.52%   1,459   3.59%   6,510   0.54%  91401   Van  Nuys   39,064   7,874   3.29%   6,655   3.34%   1,219   3.00%   7,955   1.03%  91405   Van  Nuys   50,804   9,294   3.88%   8,008   4.02%   1,286   3.16%   9,447   1.65%  91406   Van  Nuys   53,444   10,076   4.20%   8,717   4.38%   1,359   3.34%   10,343   2.65%  91307   West  Hills   24,742   5,344   2.23%   4,106   2.06%   1,239   3.05%   5,400   1.05%  91306   Winnetka   46,553   8,780   3.66%   7,305   3.67%   1,475   3.63%   8,896   1.32%  91364   Woodland  Hills   25,721   5,802   2.42%   4,590   2.31%   1,213   2.98%   5,957   2.67%  91367   Woodland  Hills   40,237   9,018   3.76%   6,811   3.42%   2,207   5.43%   9,235   2.41%  

Total   1,232,227   239,658   100.00%   199,005   100.00%   40,658   100.00%   246,601   2.90%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  93.  Northridge  Hospital  Medical  Center:  Lung  Cancer  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   21   1.40%   10   1.82%   11   1.16%   24   14.29%  91304   Canoga  Park   49,523   63   4.21%   23   4.18%   40   4.23%   66   4.76%  91311   Chatsworth   36,818   65   4.34%   20   3.64%   45   4.76%   69   6.15%  91316   Encino   26,965   60   4.01%   15   2.73%   45   4.76%   63   5.00%  91344   Granada  Hills   51,414   80   5.35%   25   4.55%   55   5.81%   84   5.00%  91345   Mission  Hills   18,895   24   1.60%   8   1.45%   16   1.69%   24   0.00%  91321   Newhall   35,232   45   3.01%   15   2.73%   31   3.28%   49   8.89%  31343   North  Hills   60,773   66   4.41%   24   4.36%   42   4.44%   70   6.06%  91605   North  Hollywood   56,416   52   3.48%   22   4.00%   31   3.28%   56   7.69%  91324   Northridge   26,860   40   2.67%   12   2.18%   28   2.96%   42   5.00%  91325   Northridge   35,248   50   3.34%   16   2.91%   34   3.59%   54   8.00%  91331   Pacoima   103,747   77   5.15%   40   7.27%   36   3.81%   81   5.19%  91402   Panorama  City   69,925   53   3.54%   23   4.18%   30   3.17%   57   7.55%  91326   Porter  Ranch   33,924   52   3.48%   16   2.91%   36   3.81%   58   11.54%  91335   Reseda   74,919   93   6.22%   32   5.82%   61   6.45%   99   6.45%  91340   San  Fernando   34,801   24   1.60%   14   2.55%   10   1.06%   25   4.17%  91350   Santa  Clarita   32,512   35   2.34%   17   3.09%   18   1.90%   41   17.14%  93063   Simi  Valley   55,525   74   4.95%   29   5.27%   45   4.76%   84   13.51%  91342   Sylmar   93,100   90   6.02%   41   7.45%   49   5.18%   96   6.67%  91356   Tarzana   29,141   54   3.61%   16   2.91%   38   4.02%   56   3.70%  91401   Van  Nuys   39,064   48   3.21%   19   3.45%   29   3.07%   51   6.25%  91405   Van  Nuys   50,804   51   3.41%   20   3.64%   31   3.28%   55   7.84%  91406   Van  Nuys   53,444   54   3.61%   24   4.36%   30   3.17%   58   7.41%  91307   West  Hills   24,742   45   3.01%   13   2.36%   31   3.28%   47   4.44%  91306   Winnetka   46,553   54   3.61%   19   3.45%   35   3.70%   57   5.56%  91364   Woodland  Hills   25,721   47   3.14%   16   2.91%   31   3.28%   50   6.38%  91367   Woodland  Hills   40,237   79   5.28%   21   3.82%   58   6.13%   84   6.33%  

Total   1,232,227   1,496   100.00%   550   100.00%   946   100.00%   1,600   6.95%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  94.  Northridge  Hospital  Medical  Center:  Migraine  Headaches  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303   Canoga  Park   25,924   2,735   2.10%   2,641   2.15%   94   1.32%   2,844   3.99%  91304   Canoga  Park   49,523   5,208   4.00%   4,937   4.02%   271   3.80%   5,164   -­‐0.84%  91311   Chatsworth   36,818   3,994   3.07%   3,704   3.01%   290   4.06%   3,988   -­‐0.15%  91316   Encino   26,965   3,072   2.36%   2,809   2.29%   263   3.69%   3,015   -­‐1.86%  91344   Granada  Hills   51,414   5,536   4.26%   5,158   4.20%   378   5.30%   5,564   0.51%  91345   Mission  Hills   18,895   1,940   1.49%   1,795   1.46%   145   2.03%   1,961   1.08%  91321   Newhall   35,232   3,771   2.90%   3,556   2.89%   215   3.01%   3,838   1.78%  91343   North  Hills   60,773   6,138   4.72%   5,834   4.75%   304   4.26%   6,184   0.75%  91605   North  Hollywood   56,416   5,816   4.47%   5,555   4.52%   261   3.66%   5,788   -­‐0.48%  91324   Northridge   26,860   2,868   2.21%   2,680   2.18%   188   2.63%   2,869   0.03%  91325   Northridge   35,248   4,022   3.09%   3,794   3.09%   228   3.20%   4,055   0.82%  91331   Pacoima   103,747   10,614   8.16%   10,099   8.22%   514   7.20%   10,838   2.11%  91402   Panorama  City   69,925   6,933   5.33%   6,682   5.44%   251   3.52%   6,986   0.76%  91326   Porter  Ranch   33,924   3,543   2.72%   3,319   2.70%   224   3.14%   3,688   4.09%  91335   Reseda   74,919   7,876   6.06%   7,437   6.05%   439   6.15%   7,975   1.26%  91340   San  Fernando   34,801   3588   2.76%   3,415   2.78%   174   2.44%   3,589   0.03%  91350   Santa  Clarita   32,512   3,528   2.71%   3,386   2.75%   141   1.98%   3,640   3.17%  93063   Simi  Valley   55,525   6,040   4.64%   5,711   4.65%   329   4.61%   6,178   2.28%  91342   Sylmar   93,100   9,608   7.39%   9,087   7.39%   521   7.30%   9,888   2.91%  91356   Tarzana   29,141   3,246   2.50%   3,014   2.45%   232   3.25%   3,215   -­‐0.96%  91401   Van  Nuys   39,064   4,316   3.32%   4,109   3.34%   207   2.90%   4,245   -­‐1.65%  91405   Van  Nuys   50,804   5,266   4.05%   5,042   4.10%   224   3.14%   5,214   -­‐0.99%  91406   Van  Nuys   53,444   5,673   4.36%   5,428   4.42%   245   3.43%   2,663   -­‐53.06%  91307   West  Hills   24,742   2,615   2.01%   2,417   1.97%   199   2.79%   2,613   -­‐0.08%  91306   Winnetka   46,553   4,787   3.68%   4,532   3.69%   255   3.57%   4,751   -­‐0.75%  91364   Woodland  Hills   25,721   2,874   2.21%   2,682   2.18%   193   2.70%   2,886   0.42%  91367   Woodland  Hills   40,237   4,433   3.41%   4,082   3.32%   350   4.91%   4,449   0.36%  

Total   1,232,227   130,040   100.00%   122,905   100.00%   7,135   100.00%   128,088   -­‐1.50%  Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  95.  Northridge  Hospital  Medical  Center:  Prostate  Cancer  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   96   1.33%   42   1.86%   54   1.09%   114   18.75%  

91304  Canoga  Park   49,523   303   4.21%   99   4.39%   204   4.12%   319   5.28%  

91311  Chatsworth   36,818   314   4.36%   89   3.95%   225   4.55%   334   6.37%  

91316  Encino   26,965   305   4.23%   62   2.75%   243   4.91%   315   3.28%  

91344  Granada  Hills   51,414   397   5.51%   113   5.01%   283   5.72%   413   4.03%  

91345  Mission  Hills   18,895   111   1.54%   30   1.33%   82   1.66%   111   0.00%  

91321  Newhall   35,232   210   2.92%   61   2.71%   149   3.01%   230   9.52%  

31343  North  Hills   60,773   313   4.35%   99   4.39%   214   4.32%   330   5.43%  

91605  North  Hollywood   56,416   249   3.46%   88   3.90%   161   3.25%   267   7.23%  

91324  Northridge   26,860   201   2.79%   52   2.31%   149   3.01%   211   4.98%  

91325  Northridge   35,248   251   3.48%   68   3.02%   183   3.70%   267   6.37%  

91331  Pacoima   103,747   355   4.93%   129   5.72%   226   4.57%   385   8.45%  

91402  Panorama  City   69,925   235   3.26%   96   4.26%   138   2.79%   260   10.64%  

91326  Porter  Ranch   33,924   270   3.75%   85   3.77%   185   3.74%   295   9.26%  

91335  Reseda   74,919   413   5.73%   135   5.99%   278   5.62%   442   7.02%  

91340  San  Fernando   34,801   114   1.58%   42   1.86%   72   1.45%   121   6.14%  

91350  Santa  Clarita   32,512   171   2.37%   73   3.24%   98   1.98%   201   17.54%  

93063  Simi  Valley   55,525   370   5.14%   133   5.90%   237   4.79%   423   14.32%  

91342  Sylmar   93,100   421   5.84%   137   6.08%   284   5.74%   452   7.36%  

91356  Tarzana   29,141   275   3.82%   66   2.93%   210   4.24%   281   2.18%  

91401  Van  Nuys   39,064   229   3.18%   74   3.28%   155   3.13%   245   6.99%  

91405  Van  Nuys   50,804   229   3.18%   80   3.55%   149   3.01%   248   8.30%  

91406  Van  Nuys   53,444   253   3.51%   93   4.13%   160   3.23%   278   9.88%  

91307  West  Hills   24,742   225   3.12%   60   2.66%   165   3.33%   233   3.56%  

91306  Winnetka   46,553   253   3.51%   86   3.82%   167   3.37%   265   4.74%  

91364  Woodland  Hills   25,721   246   3.42%   69   3.06%   177   3.58%   259   5.28%  

91367  Woodland  Hills   40,237   394   5.47%   93   4.13%   301   6.08%   412   4.57%  

Total   1,232,227   7,203   100.00%   2,254   100.00%   4,949   100.00%   7,711   7.05%    Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  105  

Table  96.  Northridge  Hospital  Medical  Center:  Sinusitis  Disease  Prevalence  Estimates    

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012    Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   352   1.58%   221   1.97%   131   1.19%   406   15.34%  

91304  Canoga  Park   49,523   909   4.08%   462   4.11%   447   4.04%   959   5.50%  

91311  Chatsworth   36,818   876   3.93%   385   3.43%   490   4.43%   930   6.16%  

91316  Encino   26,965   753   3.38%   273   2.43%   480   4.34%   782   3.85%  

91344  Granada  Hills   51,414   1,119   5.02%   503   4.48%   617   5.58%   1,174   4.92%  

91345  Mission  Hills   18,895   378   1.70%   165   1.47%   212   1.92%   393   3.97%  

91321  Newhall   35,232   652   2.93%   307   2.73%   346   3.13%   711   9.05%  

91343  North  Hills   60,773   1,005   4.51%   519   4.62%   486   4.40%   1,075   6.97%  

91605  North  Hollywood   56,416   849   3.81%   476   4.24%   373   3.37%   903   6.36%  

91324  Northridge   26,860   556   2.50%   243   2.16%   313   2.83%   589   5.94%  

91325  Northridge   35,248   706   3.17%   325   2.89%   381   3.45%   757   7.22%  

91331  Pacoima   103,747   1,466   6.58%   865   7.70%   601   5.44%   1,583   7.98%  

91402  Panorama  City   69,925   917   4.12%   552   4.92%   366   3.31%   1,002   9.27%  

91326  Porter  Ranch   33,924   726   3.26%   345   3.07%   381   3.45%   797   9.78%  

91335  Reseda   74,919   1,386   6.22%   676   6.02%   710   6.42%   1,485   7.14%  

91340  San  Fernando   34,801   481   2.16%   291   2.59%   190   1.72%   511   6.24%  

91350  Santa  Clarita   32,512   519   2.33%   320   2.85%   199   1.80%   588   13.29%  

93063  Simi  Valley   55,525   1,065   4.78%   565   5.03%   500   4.52%   1,185   11.27%  

91342  Sylmar   93,100   1,507   6.76%   822   7.32%   685   6.20%   1,641   8.89%  

91356  Tarzana   29,141   698   3.13%   293   2.61%   405   3.66%   719   3.01%  

91401  Van  Nuys   39,064   697   3.13%   365   3.25%   332   3.00%   730   4.73%  

91405  Van  Nuys   50,804   785   3.52%   429   3.82%   356   3.22%   835   6.37%  

91406  Van  Nuys   53,444   843   3.78%   482   4.29%   361   3.27%   910   7.95%  

91307  West  Hills   24,742   585   2.63%   248   2.21%   337   3.05%   605   3.42%  

91306  Winnetka   46,553   818   3.67%   416   3.70%   402   3.64%   867   5.99%  

91364  Woodland  Hills   25,721   615   2.76%   282   2.51%   334   3.02%   653   6.18%  

91367  Woodland  Hills   40,237   1,017   4.56%   399   3.55%   618   5.59%   1,073   5.51%  

Total   1,232,227   22,280   100.00%   11,229   100.00%   11,053   100.00%   23,863   7.11%    Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  106  

Table  99.  Northridge  Hospital  Medical  Center:  Stroke  Disease  Prevalence  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   352   1.58%   221   1.97%   131   1.19%   406   15.34%  

91304  Canoga  Park   49,523   909   4.08%   462   4.11%   447   4.04%   959   5.50%  

91311  Chatsworth   36,818   876   3.93%   385   3.43%   490   4.43%   930   6.16%  

91316  Encino   26,965   753   3.38%   273   2.43%   480   4.34%   782   3.85%  

91344  Granada  Hills   51,414   1,119   5.02%   503   4.48%   617   5.58%   1,174   4.92%  

91345  Mission  Hills   18,895   378   1.70%   165   1.47%   212   1.92%   393   3.97%  

91321  Newhall   35,232   652   2.93%   307   2.73%   346   3.13%   711   9.05%  

91343  North  Hills   60,773   1,005   4.51%   519   4.62%   486   4.40%   1,075   6.97%  

91605  North  Hollywood   56,416   849   3.81%   476   4.24%   373   3.37%   903   6.36%  

91324  Northridge   26,860   556   2.50%   243   2.16%   313   2.83%   589   5.94%  

91325  Northridge   35,248   706   3.17%   325   2.89%   381   3.45%   757   7.22%  

91331  Pacoima   103,747   1,466   6.58%   865   7.70%   601   5.44%   1,583   7.98%  

91402  Panorama  City   69,925   917   4.12%   552   4.92%   366   3.31%   1,002   9.27%  

91326  Porter  Ranch   33,924   726   3.26%   345   3.07%   381   3.45%   797   9.78%  

91335  Reseda   74,919   1,386   6.22%   676   6.02%   710   6.42%   1,485   7.14%  

91340  San  Fernando   34,801   481   2.16%   291   2.59%   190   1.72%   511   6.24%  

91350  Santa  Clarita   32,512   519   2.33%   320   2.85%   199   1.80%   588   13.29%  

93063  Simi  Valley   55,525   1,065   4.78%   565   5.03%   500   4.52%   1,185   11.27%  

91342  Sylmar   93,100   1,507   6.76%   822   7.32%   685   6.20%   1,641   8.89%  

91356  Tarzana   29,141   698   3.13%   293   2.61%   405   3.66%   719   3.01%  

91401  Van  Nuys   39,064   697   3.13%   365   3.25%   332   3.00%   730   4.73%  

91405  Van  Nuys   50,804   785   3.52%   429   3.82%   356   3.22%   835   6.37%  

91406  Van  Nuys   53,444   843   3.78%   482   4.29%   361   3.27%   910   7.95%  

91307  West  Hills   24,742   585   2.63%   248   2.21%   337   3.05%   605   3.42%  

91306  Winnetka   46,553   818   3.67%   416   3.70%   402   3.64%   867   5.99%  

91364  Woodland  Hills   25,721   615   2.76%   282   2.51%   334   3.02%   653   6.18%  

91367  Woodland  Hills   40,237   1,017   4.56%   399   3.55%   618   5.59%   1,073   5.51%  

Total   1,232,227   22,280   100.00%   11,229   100.00%   11,053   100.00%   23,863   7.11%    Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  98.  Northridge  Hospital  Medical  Center:  Ulcers  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   373   2.01%   338   2.14%   35   1.26%   406   8.85%  

91304  Canoga  Park   49,523   719   3.88%   611   3.87%   108   3.90%   743   3.34%  

91311  Chatsworth   36,818   572   3.09%   455   2.89%   116   4.19%   592   3.50%  

91316  Encino   26,965   431   2.32%   328   2.08%   103   3.72%   438   1.62%  

91344  Granada  Hills   51,414   782   4.22%   633   4.01%   149   5.38%   811   3.71%  

91345  Mission  Hills   18,895   302   1.63%   251   1.59%   51   1.84%   316   4.64%  

91321  Newhall   35,232   526   2.84%   446   2.83%   80   2.89%   661   25.67%  

91343  North  Hills   60,773   883   4.76%   758   4.81%   125   4.51%   932   5.55%  

91605  North  Hollywood   56,416   822   4.43%   728   4.62%   93   3.36%   581   -­‐29.32%  

91324  Northridge   26,860   400   2.16%   325   2.06%   76   2.74%   416   4.00%  

91325  Northridge   35,248   631   3.40%   442   2.80%   189   6.82%   559   -­‐11.41%  

91331  Pacoima   103,747   1,619   8.73%   1,469   9.31%   150   5.41%   1,709   5.56%  

91402  Panorama  City   69,925   987   5.32%   885   5.61%   102   3.68%   1,043   5.67%  

91326  Porter  Ranch   33,924   487   2.63%   386   2.45%   102   3.68%   523   7.39%  

91335  Reseda   74,919   1,133   6.11%   960   6.09%   174   6.28%   1,203   6.18%  

91340  San  Fernando   34,801   546   2.94%   505   3.20%   41   1.48%   567   3.85%  

91350  Santa  Clarita   32,512   459   2.48%   407   2.58%   52   1.88%   492   7.19%  

93063  Simi  Valley   55,525   821   4.43%   698   4.43%   124   4.47%   876   6.70%  

91342  Sylmar   93,100   1,449   7.82%   1,282   8.13%   166   5.99%   1,550   6.97%  

91356  Tarzana   29,141   443   2.39%   355   2.25%   88   3.18%   447   0.90%  

91401  Van  Nuys   39,064   583   3.14%   508   3.22%   76   2.74%   591   1.37%  

91405  Van  Nuys   50,804   732   3.95%   645   4.09%   87   3.14%   754   3.01%  

91406  Van  Nuys   53,444   791   4.27%   701   4.44%   89   3.21%   827   4.55%  

91307  West  Hills   24,742   367   1.98%   288   1.83%   79   2.85%   372   1.36%  

91306  Winnetka   46,553   678   3.66%   575   3.65%   104   3.75%   707   4.28%  

91364  Woodland  Hills   25,721   392   2.11%   319   2.02%   73   2.63%   404   3.06%  

91367  Woodland  Hills   40,237   613   3.31%   473   3.00%   139   5.02%   633   3.26%  

Total   1,232,227   18,541   100.00%   15,771   100.00%   2,771   100.00%   19,153   3.30%    Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

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Table  99.  Northridge  Hospital  Medical  Center:  Uterine  Cancer  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   44   1.58%   35   1.80%   9   1.07%   50   13.64%  

91304  Canoga  Park   49,523   121   4.35%   85   4.37%   37   4.39%   125   3.31%  

91311  Chatsworth   36,818   118   4.24%   77   3.96%   42   4.98%   121   2.54%  

91316  Encino   26,965   98   3.53%   52   2.67%   46   5.46%   101   3.06%  

91344  Granada  Hills   51,414   148   5.32%   99   5.09%   49   5.81%   152   2.70%  

91345  Mission  Hills   18,895   39   1.40%   26   1.34%   14   1.66%   29   -­‐25.64%  

91321  Newhall   35,232   83   2.99%   51   2.62%   32   3.80%   87   4.82%  

31343  North  Hills   60,773   124   4.46%   93   4.78%   32   3.80%   129   4.03%  

91605  North  Hollywood   56,416   103   3.71%   77   3.96%   26   3.08%   107   3.88%  

91324  Northridge   26,860   72   2.59%   48   2.47%   24   2.85%   75   4.17%  

91325  Northridge   35,248   92   3.31%   61   3.14%   31   3.68%   96   4.35%  

91331  Pacoima   103,747   134   4.82%   114   5.86%   21   2.49%   140   4.48%  

91402  Panorama  City   69,925   118   4.24%   97   4.99%   20   2.37%   125   5.93%  

91326  Porter  Ranch   33,924   109   3.92%   81   4.17%   28   3.32%   116   6.42%  

91335  Reseda   74,919   176   6.33%   118   6.07%   58   6.88%   181   2.84%  

91340  San  Fernando   34,801   43   1.55%   36   1.85%   7   0.83%   44   2.33%  

91350  Santa  Clarita   32,512   74   2.66%   58   2.98%   16   1.90%   81   9.46%  

93063  Simi  Valley   55,525   147   5.29%   105   5.40%   42   4.98%   158   7.48%  

91342  Sylmar   93,100   155   5.58%   117   6.02%   38   4.51%   162   4.52%  

91356  Tarzana   29,141   92   3.31%   54   2.78%   38   4.51%   94   2.17%  

91401  Van  Nuys   39,064   89   3.20%   60   3.09%   29   3.44%   93   4.49%  

91405  Van  Nuys   50,804   96   3.45%   69   3.55%   28   3.32%   101   5.21%  

91406  Van  Nuys   53,444   104   3.74%   77   3.96%   28   3.32%   109   4.81%  

91307  West  Hills   24,742   79   2.84%   49   2.52%   30   3.56%   80   1.27%  

91306  Winnetka   46,553   107   3.85%   77   3.96%   30   3.56%   109   1.87%  

91364  Woodland  Hills   25,721   81   2.91%   51   2.62%   31   3.68%   86   6.17%  

91367  Woodland  Hills   40,237   134   4.82%   77   3.96%   57   6.76%   140   4.48%  

Total   1,232,227   2,780   100.00%   1,944   100.00%   843   100.00%   2,891   3.99%    Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  109  

Table  100.  Northridge  Hospital  Medical  Center:  Weak  Failing  Kidneys  Disease  Prevalence  Estimates  

ZIP  Code   ZIP  City  Name  2012  

Population  

2012  Estimated  Total  Cases   %  

2012  Estimated  

Cases  <  Age  65   %  

2012  Estimated  

Cases  Age  65+   %  

2017  Projected  Total  Cases   %  Change  

91303  Canoga  Park   25,924   266   1.78%   196   2.10%   70   1.26%   300   12.78%  

91304  Canoga  Park   49,523   587   3.93%   371   3.97%   216   3.88%   620   5.62%  

91311  Chatsworth   36,818   518   3.47%   287   3.07%   231   4.15%   551   6.37%  

91316  Encino   26,965   418   2.80%   200   2.14%   217   3.90%   431   3.11%  

91344  Granada  Hills   51,414   686   4.60%   389   4.16%   297   5.33%   722   5.25%  

91345  Mission  Hills   18,895   262   1.76%   146   1.56%   116   2.08%   277   5.73%  

91321  Newhall   35,232   425   2.85%   259   2.77%   166   2.98%   467   9.88%  

91343  North  Hills   60,773   696   4.66%   451   4.82%   245   4.40%   748   7.47%  

91605  North  Hollywood   56,416   620   4.15%   421   4.50%   198   3.56%   651   5.00%  

91324  Northridge   26,860   349   2.34%   198   2.12%   151   2.71%   371   6.30%  

91325  Northridge   35,248   450   3.01%   266   2.84%   184   3.30%   483   7.33%  

91331  Pacoima   103,747   1,209   8.10%   828   8.85%   381   6.84%   1,305   7.94%  

91402  Panorama  City   69,925   710   4.76%   511   5.46%   199   3.57%   768   8.17%  

91326  Porter  Ranch   33,924   432   2.89%   251   2.68%   181   3.25%   472   9.26%  

91335  Reseda   74,919   921   6.17%   569   6.08%   351   6.30%   995   8.03%  

91340  San  Fernando   34,801   405   2.71%   281   3.00%   124   2.23%   430   6.17%  

91350  Santa  Clarita   32,512   343   2.30%   244   2.61%   99   1.78%   385   12.24%  

93063  Simi  Valley   55,525   662   4.44%   421   4.50%   242   4.35%   733   10.73%  

91342  Sylmar   93,100   1,140   7.64%   744   7.95%   396   7.11%   1,249   9.56%  

91356  Tarzana   29,141   400   2.68%   216   2.31%   184   3.30%   410   2.50%  

91401  Van  Nuys   39,064   459   3.08%   298   3.19%   161   2.89%   477   3.92%  

91405  Van  Nuys   50,804   553   3.70%   375   4.01%   178   3.20%   583   5.42%  

91406  Van  Nuys   53,444   599   4.01%   413   4.41%   186   3.34%   646   7.85%  

91307  West  Hills   24,742   336   2.25%   180   1.92%   156   2.80%   346   2.98%  

91306  Winnetka   46,553   552   3.70%   347   3.71%   205   3.68%   587   6.34%  

91364  Woodland  Hills   25,721   353   2.37%   200   2.14%   153   2.75%   372   5.38%  

91367  Woodland  Hills   40,237   575   3.85%   293   3.13%   282   5.06%   605   5.22%  

Total   1,232,227   14,926   100.00%   9,355   100.00%   5,569   100.00%   15,984   7.09%    Source:    Thomson  Reuters  2012  Note:  Population  counts  displayed  are  derived  from  race  specific  population  cohorts.  Insignificant  differences  from  population  totals  on  other  reports  may  be  observed.  Prevalent  case  estimates  include  population  18+  only.  

  110  

Attachment E. Summary of Community Engagement VCCC solicited input from a broad cross-section of nearly 530 professionals, students, and community members in the hospital service area over a seven-month period from September 2012 to March 2013. VCCC used five methods to collect information from stakeholders and residents on health problems and concerns, community resources and barriers, and solutions. The table below provides the community engagement methods, sites, types of stakeholders involved, and dates, with a more detailed listing available on pages 121 to 124. The survey instruments used for collecting data are provided in Appendix B on page 134. Table  101.  Community  Engagement  Methods  Method     Location   Participants   Date(s)  

LAC  DHS-­‐Olive  View  UCLA  Medical  Center  Sylmar,  CA  

Physicians,  physician  assistants,  and  nurses:  22  adults   9/5/12  

California  State  University,  Northridge  Northridge,  CA  

Health  Sciences  Dept.  professors:  10  adults   10/1/12  

Fernangeles  Elementary  School  Sun  Valley,  CA  

Community  residents:  10  adults 10/22/12,  8  am

Fernangeles  Elementary  School  Sun  Valley,  CA  

Community  residents:  12  adults 10/22/12,  9  am

Northeast  Valley  Health  Corporation  San  Fernando,  CA  

Diabetes  and  hypertension  patients:  9  adults   10/25/12  

Focus  Groups  

Guadalupe  Community  Center  Canoga  Park,  CA  

Community  residents  and  service  providers:  11  adults   1/25/13  

The  Church  on  the  Way  Van  Nuys,  CA  

Community  residents:  58  adults   9/26/12  

The  Church  on  the  Way  Van  Nuys,  CA  

Community  residents:  57  adults   9/30/12,  11  am  

Community  Forums  

The  Church  on  the  Way  Van  Nuys,  CA  

Community  residents:  53  adults   9/30/12,  1  pm  

California  State  University,  Northridge  Northridge,  CA  

Students  from  Public  Health  Education  class:  119  adults   10/1/12  

California  State  University,  Northridge  Northridge,  CA  

Students  from  Health  Administration  class:  71  adults   10/1/12  

Paper  Surveys  

LAUSD  Walking  Groups  Various  locations  

Community  residents:  15  adults   10/22/12  

Online  Survey   SurveyMonkey   Church  on  the  Way  congregation  members:  170  adults   11/2012  Key  Informant  Interviews   Conducted  via  phone  or  email   City  and  county  government,  clinics,  hospitals,  housing  providers,  mental  

health  agencies,  and  community  organization  leaders:  12  adults    

11/2/12  –  11/13/12  

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Data was collected using paper surveys, online surveys using SurveyMonkey, and the TurningPoint audience response system in order to collect real-time polling information from the community forums and focus groups which included large numbers of participants. A list of 26 needs emerged as the most pressing concerns for the communities in the hospital service area based on the cumulative results from the community engagement methods. This list, which is provided in Appendix C on page 157, was used for the prioritization process described starting on page 125. The results from each community engagement method are summarized below. Focus Groups A total of six focus groups were convened to gather a wide range of perspectives from 73 residents and professionals. Five focus groups were conducted with community residents at Fernangeles Elementary School, California, State University, Northridge, Northeast Valley Health Corporation, and Guadalupe Community Center. The majority of community residents were confirmed to live in the hospital service area by their zip code of residence obtained during the sign-in process. An additional focus group was conducted with a seasoned group of LACDHS physicians, physician assistants, and nurses at Olive View-UCLA Medical Center, with 80% having at least 5 years of experience in working with vulnerable populations. The top issues identified by the focus groups are provided below. The focus group participants felt that the five most significant health problems impacting their communities were: • Diabetes (80%) • Cancer-at every age (80%) • Hypertension/low blood pressure (44%) • Cardiovascular diseases (44%) • Cholesterol (36%) The focus group participants felt that the five most significant educational/environmental/socio-economic factors impacting their communities were: • Affordable housing (homelessness) (83%) • Jobs/unemployment (83%) • Lack of affordable and accessible dental care (68%) • Lack of access to primary care (54%) • Lack of affordable and accessible health insurance (38%) The focus group participants felt that the five most significant risky health behaviors impacting their communities were: • Drugs/narcotics/increased marijuana dispensaries in the area, around high schools and parks (69%) • Alcoholism (52%)

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• Lack of physical activity/sedentary lifestyle (52%) • Prescription drug abuse (38%) • Over-the-counter drug abuse (38%) The focus group participants felt that the five most significant community resources that were available to address these issues were: • Community clinics (47%) • Hospitals/non-profit hospitals (47%) • LADHS Outpatient Reduced-Cost Simplified Application (program for low-income families) (26%) • Walking groups/classes (26%) • Community-based organizations (i.e., child care, reproductive health, rehabiliation, LAUSD parent centers) (26%) The focus group participants felt that the five most significant barriers to accessing these community resources were: • Language barriers (73%) • Fear (undocumented, illegal status) (73%) • Cost (47%) • Transportation (47%) • Lack of trust (47%) The focus group participants felt that the seven most significant solutions to addressing these issues were: • Education (47%) • Coordination (47%) • Increase community support (26%) • Someone who would actually listen (26%) • Raising the minimum wage (26%) • More activists (26%) • Politicians making wiser spending decisions (26%) The data on the prioritization of community needs and solutions was broken out by residents participating in five focus groups and by LACDHS staff who participated in the focus group at Olive View-UCLA Medical Center. The top five community needs and solutions prioritized by community residents were:

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• Improve access to primary medical care (26%) • Job placement services (26%) • Low-cost legal services (26%) • Increase police vigilance (26%) • Corruption in county departments (26%) The top five community needs and solutions prioritized by LACDHS staff were: • Improve access to primary medical care (22%) • Wellness, screening, and prevention programs (17%) • Mental health services that are affordable and accessible (16%) • Affordable housing (14%) • Health insurance that is affordable and portable (13%) Community Forums Three forums were conducted at the Church of the Way located in Van Nuys, CA. The Church on the Way is one of the largest churches in the hospital service area with a congregation of 20,000 members, half of whom attend English-speaking services and half of whom attend Spanish-speaking services. The church draws its membership from a broad cross-section of the San Fernando Valley that reflects the area’s racial/ethnic and socioeconomic diversity. The survey was distributed to approximately 2,000 active congregants via email; 168 responses were received. Survey respondents were 40 years and over (81%), female (64%), Caucasian (50%) followed by African American (21%) and Latino (14%), married/living together (47%) or never married/single (46%), with a college degree or a higher level of education (67%), and had health insurance or Medicare (75%). The table on the following page summarizes the health priorities and issues that survey respondents identified for the community in which they resided as well as the church community. While the most important factors in a healthy community, health problems, and rating of community health status were similar between the two types of communities, the identified risky behaviors were prioritized differently.

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Table  102.  Health  Priorities  and  Issues  by  Type  of  Community  Health  Priorities  and  Issues   Community  of  Residence   Church  Community  

Most  important  factors  in  a  healthy  community    

• Low  crime/safe  neighborhoods  (23%)  • Good  jobs  and  a  healthy  economy  (21%)  • Good  schools  (10%)  

• Low  crime/safe  neighborhoods  (21%)  • Clean  environment  (11%)  • Good  schools  (10%)  

Most  Important  health  problems    

• Diabetes  (14%)  • Heart  disease  and  stroke  (14%)  • High  blood  pressure  (11%)  

• Diabetes  (15%)  • Heart  disease  and  stroke  (13%)  • High  blood  pressure  (13%)  

Most  significant  risky  behaviors    

• Overweight  (22%)  • Drug  abuse  (14%)  • Poor  eating  habits  (13%)  

• Alcohol  (23%)  • Overweight  (19%)  • Drug  abuse  (16%)  

Rating  of  community  health  status    

• Healthy  or  very  healthy  • Somewhat  healthy  • Poor  or  fair  health  

• Healthy  or  very  healthy  • Somewhat  healthy  • Poor  or  fair  health  

Results from respondents answering questions about their personal and family health priorities and concerns are summarized below. • Almost one-half rated their own personal health as healthy” or very healthy, which were the top two options using a 5-point scale.

However, two-thirds rated the church community’s health status lower as somewhat healthy, and a nearly equal proportion rated the community in which they resided the same (somewhat healthy).

• The health problems affecting respondents were overweight, high blood pressure, high blood pressure, diabetes, mental health issues, cancer, heart disease, stroke, and HIV/AIDS, listed in order of having the greatest impact to the least on their lives.

• Two-thirds of respondents with high blood pressure reported checking their blood pressure regularly, and a similar percentage of respondents with diabetes checked their blood sugar regularly.

• While the majority of respondents reported that their weight was appropriate (51%), significant proportions classified themselves as overweight (45%).

• While the majority of respondents did not participate in unhealthy behaviors, the most common substance used in excess was food for 29% of respondents.

• While one-third of respondents slept well, two-thirds said they did not receive from sufficient rest or they did not sleep well. • The majority of respondents reported that they were stressed or overwhelmed, with 42% saying that they were balanced. • Respondents with children or grandchildren under age 12 reported their health concerns to be poor eating habits, no safe places to play

outside, school or behavioral problems, overweight, minimal or absence of exercise, lack of access to medical care, and lack of access to dental care, listed in order of having the greatest impact to the least on their lives.

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• The majority reported seeing their doctor in the past 2 years (84%), receiving regular dental care (72%), and having a support system of family or friends (90%).

• Nearly one-quarter of respondents exercise up to one time in a week, and another one-third exercise two to three times in a week. Sixteen respondents exercise every day, with 5% reporting that they never exercise.

• Lack of time was the main barrier that 30% of respondents identified as preventing them from reaching their health goal, followed by discouragement and finances by 15% each.

• The majority of respondents report that they do an ideal or good job at eating a balanced diet (51%), while 37% say they are borderline in their nutritional status.

Paper Surveys Paper surveys were conducted with students from two classes in Public Health Education and Health Administration at California State University, Northridge and with community residents from walking groups convened by VCCC at various LAUSD schools in the hospital service area; 205 surveys were collected. The majority of survey respondents were 25 years or less (87%), female (71%), Latino (36%) followed by Asian Pacific Islander (18%) and Caucasian (12%), not married/single (75%), with some college education (90%), incomes $40,000 or less (75%) and had health insurance (46%). Key survey results are summarized below. • Over one-third of respondents reported that they needed to go see a doctor in the last 12 months but could not due to the cost • One-half of respondents reported that they go to their doctor’s office most often when they are sick, followed by one-quarter going to a

community clinic or free clinic. • One-half of respondents reported having limited or no physical activity on a daily basis. • Seven in 10 respondents reported that their health was the same as a year ago, and the same proportion rated their health as good, very

good, or excellent. • Nearly 40% of respondents consumed 5 or more alcoholic drinks in a day at a frequency of one to five times in the past 30 days; 96% did

not smoke. • Fourteen percent reported that they were obese or overweight according to a doctor, nurse, or other health professional. • One in 10 reported high blood pressure and high cholesterol, with only 5% reporting being diagnosed with diabetes. • Only 8% had received a mental health diagnosis, with 96% reporting their mental health status as good, very good, or excellent. • Eight in 10 respondents reported participating in physical activity that made them sweat or breathe hard three times or less in the past

seven days.

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• The number of vegetables eaten in the previous day was three times or less for 83% of respondents; 38% had one can/glass of non-diet soda and 8% had 3 or more glasses. One-half of respondents eat at a fast food restaurant one to three times per week.

• Six in ten respondents reported seeing a family doctor for routine care, followed by 29% seeking care in a community clinic. • The top 5 health concerns in the communities of the respondents were: 1) Cancers; 2) Diabetes; 3) Child abuse/neglect; 4) Obesity; and

5) Heart disease and stroke • The most common source of health information was a doctor/nurse (38%) for respondents, followed by the Internet (33%) and friends and

family (21%) • Nine in 10 respondents reported that their neighborhood was somewhat or very safe, with a nearly equal proportion saying the same for

walking or playing in the neighborhood park. • While the majority of respondents reporting being satisfied with the health care system, a significant proportion (38%) reported that they

are somewhat unsatisfied to very unsatisfied. Online Survey An online survey was distributed via email to Church on the Way members who did not attend the community forums that reflected the viewpoints of 170 respondents. The majority of the survey respondents were 40 years and over (86%), female (69%), Caucasian (57%) followed by African American (18%) and Latino (12%), married/living together (51%), with a college degree or a higher level of education (67%), and had health insurance or Medicare (75%). The table below summarizes the health priorities and issues that survey respondents identified for the community in which they resided as well as the church community. While the most important factors in a healthy community, health problems, and rating of community health status were similar between the two types of communities, the identified risky behaviors were prioritized differently. Table  103.  Health  Priorities  and  Issues  by  Type  of  Community  

Health  Priorities  and  Issues   Community  of  Residence   Church  Community  

Top  three  Important  Factors  for  a  healthy  community   • Low  crime/safe  neighborhood  (67%)  • Good  jobs/healthy  economy  (47%)  • Good  place  to  raise  children  (42%)  

• Low  crime/safe  neighborhood  (63%)  • Good  jobs  and  healthy  community  (63%)  • Good  place  to  raise  children  (44%)  

Top  three  Important  health  problems   • Cancer  (57%)  • Heart  disease  and  stroke  (53%)  • Diabetes  (49%)  

• Cancer  (63%)  • High  blood  pressure  (60%)  • Diabetes  (56%)  

Top  three  significant  risky  behaviors    

• Drug  abuse    (58%)  • Alcohol  (52%)  • Overweight  (46%)  

• Lack  of  exercise  (80%)  • Overweight  (78%)  • Poor  eating  habits  (75%)  

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Results from respondents answering questions about their personal and family health priorities and concerns are summarized below. • The three most important factors in a healthy community that the respondents identified were low crime/safe neighborhoods (63%), good

jobs and a healthy economy (63%), and good places to raise children (44%). • Two-thirds rated their own personal health as healthy” or very healthy, which were the top two options using a 5-point scale. However,

57% rated the church community’s health status lower as somewhat healthy, and a nearly equal proportion gave the community in which they resided the same rating (somewhat healthy).

• The health problems affecting respondents included overweight, high cholesterol high blood pressure, diabetes, heart disease, mental health issues, cancer, stroke, and HIV/AIDS, listed in order of having the most impact to the least on their lives.

• Seven in 10 respondents with high blood pressure reported checking their blood pressure regularly, and an equal proportion with diabetes checked their blood sugar regularly.

• While the majority of respondents reported that their weight was appropriate (55%), a significant proportion (43%) classified themselves as overweight.

• While two-thirds of respondents did not participate in unhealthy behaviors, the most common substance used in excess was food for 30% of respondents.

• While nearly half of respondents slept well, the remainder said they did not benefit from sufficient rest or they did not sleep well. • Eight percent of respondents reported being depressed, with another one-third saying that they were stressed or overwhelmed. • Respondents with children or grandchildren under age 12 reported their health concerns to be poor eating habits (29%), school or

behavioral problems (24%), no safe places to play outside (22%), and minimal or absence of exercise (21%). • The majority reported seeing their doctor in the past 2 years (89%), receiving regular dental care (75%), and having a support system of

family or friends (91%). • Nearly one-quarter of respondents exercise once in a week, and another one-quarter exercise two to three times in a week. Only 1 in 10

respondents exercise every day, with 7% reporting that they never exercise. • Lack of time was the main barrier that two-fifths of respondents identified as preventing them from reaching their health goal, followed by

one-quarter citing pain or immobility. Key Informant Interviews Interviews were conducted with 12 experienced leaders from the city and county government, clinics, hospitals, housing providers, mental health agencies, and community organizations. The results are summarized below.

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The key informants identified the top five most significant health problems impacting the community as: • Diabetes (73%) • Obesity (64%) • All chronic diseases (55%) • Mental health (55%) • Lack of insurance (45%) The key informants identified the age groups of community residents who were most impacted by these health issues as: • All ages (73%) • 18-64 years (64%) • Over 65 (64%) • 5-18 years (55%) • 0-5 years (45%) While a list of priority educational issues did not emerge, the five most significant environmental barriers identified were: • Lack of safe areas for physical activity (64%) • Lack of safe places to walk, play, exercise (45%) • Not enough resources are available to residents (36%) • Too much dependency on cars, not enough biking or walking (36%) • Lack access to information, educational opportunities, and housing (27%) The key informants identified the five most significant socio-economic barriers as: • Lack of resources (73%) • Language barrier affects the entire family (64%) • Lack of employment (45%) • Economic situation is a major concern for borderline low-income people who are not used to having to navigate the system or may be too

proud to access the services available (45%) • Injuries among older adults with fixed incomes (45%) The key informants identified the three most risky health behaviors they observed in the community as:

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• Drug and alcohol abuse (55%) • Unsafe sex (adults and teens) (55%) • Diet & physical activity (18%) The nine most common health issues that key informants observed were: • Mental health issues (91%) • Obesity (82%) • Lack of access to care (55%) • Lack of work (45%) • Lack of resources (45%) • Transportation (45%) • Chronic diseases (45%) • Poor diet habits (45%) • Lack of exercise (45%) A clear consensus did not emerge on the top five priority health concerns, which may be due to the broad cross-section of key informants representing multiple disciplines. The table below shows that although the top two health concerns identified were obesity and lack of access to medical care, a number of possibilities were offered for the remaining three priorities. Table  104.  Priority  Needs  from  Key  Informant  Interviews  Priority  #1   Priority  #2   Priority  #3   Priority  #4   Priority  #5  • Obesity  

• Lack  access  to  

medical  care    

• Diabetes    • Environmental  (lack  of  green  

space)  • Reduce  homelessness  • Mental  health  • Diabetes    • Poverty  • Drug  abuse  • Lack  of  culturally  appropriate  

information  about  resources  • High  blood  pressure/hypertension  • Cardiovascular  disease  

• Declining  physical  and  institutional  infrastructures    

• Money  not  going  in  and  out  of  the  communities  

• Nutrition  • Oral  Health,  especially  for  adults  and  seniors  • Unemployment  rate  and  poverty  • Diabetes  • Access  to  mental  services  for  veterans  • Lack  of  good  mental  health  services  

• Congestive  Heart  Failure

• Homelessness  • Immigration  law  that  separates  

families  • Language  barriers  • Optometry  • Stress  including  mental,  physical,  

financial  • Health  disease  • Access  to  dental  care  

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A broad list of resources, barriers, and solutions was proposed, as summarized in the table below. Table  105.  Resources,  Barriers,  and  Solutions  Proposed  by  Key  Informants  Community  Resources   Barriers  to  Accessing  Resources   Solutions  • Board  of  Education  • Board  of  Supervisors  • Community  Agencies                                                                            • Community  Clinics  /FQHCs/dental  services  • County  hospitals  and  clinics  • Dental  schools  (USC,  UCLA  and  Western  University)  • Free  dental  services  • Diabetes  Teaching  Kitchen                                                            • LACDPH  • LACDPSS  • Exercise  programs  in  schools                                                                    • Farmers  markets  taking  EDT  &  99  cent  stores  that  

carry  fruits  and  veggies              • Free  or  low  cost  programs  for  residents  through  the  

Department  of  Parks  and  Recreation  • Grant  Funding            • Health  Fairs                                                              • NAMI  • Other  non-­‐profits  • Peer  One  Groups                                • Private  organizations  • Project  Return    • Promotora  programs        • San  Fernando  Valley  Dental  Society  • Santa  Clarita  Mental  Health  • Schools                                                      • Town  Family  Center                                                                                • WIC  program  • YMCA                                                                                                        

• Access  to  care  in  the  evening  and  weekends                                                                                                                        • Specialty  care  access                                    • Afraid  of  dentists  or  scared  of  dental  work  • Budgeting  • Child  Care  • Compliance  with  appointment                          • Complicated  to  navigate  health  care  in  LA  for  

underinsured,  low-­‐income  community  due  to  fragmentation                                                                      

• Cultural  beliefs  about  seeking  help                • Educational  level                                                                                • Government  funding  taken  away  • Ignorance                                • Lack  of  dental  insurance  • Lack  of  funding  for  programs                                            • Lack  of  green  space                                                                    • Lack  of  health  insurance                                                                • Lack  of  healthy  meal  choices  for  kids          • Lack  of  health  insurance                                                                                    • Lack  of  knowledge  • Lack  access  to  mental  health  services                                                                                    • Language    • Lack  of  integrated  services  • More  community  based  programs                          • No  comprehensive  list  of  all  the  resources  that  is  

available  in  each  community      • Not  enough  dental  and  vision  providers  • Poverty  • Stigma                                                                                      • Transportation    • Trust                                                                                                                    

• Access  to  employment  opportunities  • Arrange  transportation                                                                          • Better  communication  between  providers    • Better  research  • Collaboration  • Disseminate  information  • Education                                                                      • Expansion  of  dental  chairs  and  primary  care  clinics  • Expansion  of  Valley  Care  Community  Consortium    • Focus  on  low-­‐income  population            • Have  best  suited  people  serve  the  community  when  

implementing  health  programs  such  as  promotoras    • Health  care  navigators  to  help  patients  • Health  Care  Reform                                                                            • Identify  key  influences  in  the  private  sector  to  

bridge  the  gaps  and  provide  support  • If  people  pay  for  a  service,  they  will  use  it  more  

effectively  due  to  the  invested  interest                                • Increase  capacity  for  dental  care                                                                                          • Increase  dental  care  for  homeless  adults                                    • Increase  access  to  mental  health  services                                                  • Involve  local  businesses  to  increase  access  to  

healthier  foods  • Look  at  other  models  to  develop  more  efficiencies  

to  meet  the  demands  for  care  • Financial  support  to  provide  value  added  services                                                                                                                                              • Core  operating  support  • Need  to  fund  allied  health  such  as  dieticians,  health  

educators,  and  mental  health  providers        • Orthodontia  Programs          • Transportation                                                                                

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Table  106.  Northridge  Hospital  Medical  Center:  Expert  Public  Health  and  Agency  Consultations  for  Community  Engagement  

Name  (Last,  First,  Academic  Distinction)  

Title   Affiliation   Knowledge/Expertise   Date  of  Consult     Type  of  Consult  

Mathews,  Gigi,  MPH   Data  Analyst   LAC  DPH   With  Los  Angeles  County  Department  of  Public  Health  in  the  Data  Analysis  Department  

1/9/13   CHNA  Data  Committee  Informant  

Melnick,  Douglas,  MD,  MPH   Physician  Specialist   LAC  DPH   With  Los  Angeles  County  Department  of  Public  Health  in  the  STD  clinic  for  SPA  1  and  2  

1/9/13   CHNA  Data  Committee  Informant  

Gorman,  Dale   Executive  Director   Kid's  Community  Dental  Clinic  

Medically  underserved,  low  income,  minority  population  

1/9/13   CHNA  Data  Committee  Informant  

Mayen-­‐Cho,  Marie   Director   Providence  Access  to  Care-­‐Health  Education  Outreach  

Medically  underserved,  low  income,  minority  population  

1/9/13   CHNA  Data  Committee  Informant  

Sorensen,  Ron,  MHA   Data  Analyst   LAC  DPH     Medically  underserved,  low  income,  minority  population  

1/9/13   CHNA  Data  Committee  Informant  

Mendez-­‐Nasrallah,  Suzanna,  NP  

Family  Nurse  Practitioner   LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Phan,  Melanie,  MD     Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Reznikova,Yuliya  NP   Nurse  Practitioner  Adult  Clinic  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Cheung,  Shung,  MD   Medical  Doctor,  Pediatrician    

LAC  DHS  Olive  View  UCLA  Medical  Center      

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Cope,  Jacqueline,  MD     Medical  Doctor  Family  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Darie,  Silvia,  MD     Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Emmons,  Jennifer,    NP   Family  Nurse  Practitioner,  Family/Primary  Care  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Fruto,  Jean,  NP     Nurse  Practitioner  Family   LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Green,  Stephanie,  MD   Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Huynh,  Betty,  NP   Nurse  Practitioner  Family  Medicine    

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Kim,  Jungeun  Karen,  NP   Nurse  Practitioner  Family   LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

  122  

Name  (Last,  First,  Academic  Distinction)  

Title   Affiliation   Knowledge/Expertise   Date  of  Consult     Type  of  Consult  

Maniago,  Gladys,  NP     Nurse  Practitioner  Adult  Clinic  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Mavrinaz,  Maureen,  MD   Medical  Doctor  Family  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Ngugi,  James,  NP   Family  Nurse  Practitioner  ,  Primary  Care  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Nguyen,  Diem-­‐Thu,  MD   Medical  Doctor,  Internal  Medicine    

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Nyman,  Linda,  NP   Family  Nurse  Practitioner   LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Ohanneddian,  Arthur  MD   Medical  Doctor  Family  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Phan,  Melanie,  MD     Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center      

LAC  DHS  Olive  View  UCLA  Medical  Center   9/5/12   Focus  Group  

Reznikova,  Yuliya.  NP   Nurse  Practitioner  Adult  Clinic  

LAC  DHS  Olive  View  UCLA  Medical  Center      

LAC  DHS  Olive  View  UCLA  Medical  Center   9/5/12   Focus  Group  

Richardson,  Susana,  NP     Nurse  Practitioner  Women’s  Health  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Shali,  George,  MD   Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Velasco,  Luz  Selene,  MD     Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

Licensed  and  practicing  clinician  at  safety  net  hospital  and/or  clinic  

9/5/12   Focus  Group  

Green,  Stephanie,  MD   Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

LAC  DHS  Olive  View  UCLA  Medical  Center   9/5/12   Focus  Group    

Basiratmard,  Siamak,  MD   Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

LAC  DHS  Olive  View  UCLA  Medical  Center   9/5/12   Focus  Group    

Cheng,  Mindy,  MD   Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

LAC  DHS  Olive  View  UCLA  Medical  Center   9/5/12   Focus  Group    

Chin,  Mun,  MD   Medical  Doctor  Internal  Medicine  

LAC  DHS  Olive  View  UCLA  Medical  Center  

LAC  DHS  Olive  View  UCLA  Medical  Center   9/5/12   Focus  Group    

Mendez-­‐Nasrallah,  Suzanna,  NP  

Family  Nurse  Practitioner   LAC  DHS  Olive  View  UCLA  Medical  Center  

LAC  DHS  Olive  View  UCLA  Medical  Center   9/5/12   Focus  Group    

Blank,  Joseph,  MD   Medical  Director   Ambulatory  Care  Network  (OliveView  Mid  Valley  Comprehensive  Health  Center)  

Served  as  a  PI  director,  employee  health  administrator  

9/5/12   Focus  Group  

  123  

Name  (Last,  First,  Academic  Distinction)  

Title   Affiliation   Knowledge/Expertise   Date  of  Consult     Type  of  Consult  

Burke,  Sloane,  PhD,  CHES     Associate  Professor     CSUN   Dept.  of  Public  Health  Areas  of  interest  Latino  health,  women's  health  college  health  

10/1/12   Focus  Group    

Correa,  Blanca  M.S.   Community  Liaison   UCLA  Community  Liaison  for  UCLA  CTSI  Institute  

UCLA  researches  and  comes  together  with  communities  that  want  to  participate  in  research.  

11/2/12   Key  Informant  Interview  

Blank,  Joseph,  MD   Medical  Director   Ambulatory  Care  Network  (OliveView  Mid  Valley  Comprehensive  Health  Center)  

Served  as  a  PI  director,  employee  health  administrator  

11/2/12   Key  Informant  interview  

Aguila,  Ismael   Operation  Manager   City  of  San  Fernando     Low  income,  minority  population   11/2/12   Key  Informant  Interview  

Simons,  Audrey   Director  of  Community  Benefits,  Grants  Administrator  

Mission  Community  Hospital  

Medically  underserved,  low  income,  minority  population  

11/2/12   Key  Informant  Interview  

Mayen-­‐Cho,  Marie   Director     Providence  Access  to  Care-­‐Health  Education  Outreach  

Medically  underserved,  low  income,  minority  population  

11/5/12   Key  Informant  Interview  

Milman,  Lorna   Parent  Educator  Coach,     LAUSD   Low  income,  minority  population     11/5/12   Key  Informant  Interview  

Schallert,  Larry   Director  of  Program  Development  

Child  and  Family  Center   Medically  underserved,  low  income,  minority  population  

11/5/12   Key  Informant  Interview  

Randall,  Jim,  MSW   Outreach  Coordinator   LA  County  Department  of  Mental  Health    

Department  of  Mental  Health     11/6/12   Key  informant  Interview  

Dunn,  Jody   Vice  President,  Service  Integration  

Partners  in  Care  Foundation  

Medically  underserved,  low  income,  minority  population  

11/6/12   Key  Informant  Interview  

Baker,  Shiarron   Community  Liaison  Nurse   LAC  DPH   Medically  underserved,  low  income,  minority  population  

11/13/12   Key  Informant  Interview  

Campos,  Sonia   Health  Manager   Childcare  Resource  Centers  of  Los  Angeles  

Low  income,  minority  population     11/13/12   Key  Informant  Interview  

Nitescu,  Missy   Chief  Operating  Officer   Northeast  Valley  Health  Corp.  

Medically  underserved,  low  income,  minority  population  

11/13/12   Key  Informant  Interview  

  124  

Table  107.  Northridge  Hospital  Medical  Center:  Community  Engagement  Methods  for  Underserved,  Low-­‐Income,  and  Chronic  Disease  Populations  

Member  Type  Description  of  leadership,  representative,  or  member  role    

What  group(s)  do  they  represent?  (medically  underserved,  low  income,  minority  population,  population  with  chronic  disease)  

Date  of  Consult    

Type  of  consult  

24  Adults   LAC  DHS-­‐Olive  View  UCLA  Medical  Center  

Physicians,  physician  assistants,  and  nurses   9/5/2012   Focus  Group  

10  Adults     CSUN  Professors     Group  is  a  mixture  of  low  income,  a  minority  population,  or  dealing  with  chronic  disease    

10/1/12   Focus  Group  

22  Adults   Fernangeles  Elementary  School  Sun  Valley,  CA  

Low  income,  minority  population 10/22/12  8  am  9  am  

Focus  Group  (2)  

9  Adults     Northeast  Valley  Health  Corporation  Diabetes  and  Hypertension  Patients  

Low  income,  medically  underserved,  minority  population,  chronic  disease    

10/25/12   Focus  Group  

11  Adults   Guadalupe  Community  Center   Low  income,  underserved  population,  service  providers  working  with  low  income  populations  

1/25/13   Focus  Group  

58  Adults     Church  members,  The  Church  on  the  Way    

Group  is  a  mixture  of  low  income,  a  minority  population,  or  dealing  with  chronic  disease  

9/26/12   Community  Forum  

110  Adults   Church  members,  The  Church  on  the  Way    

Group  is  a  mixture  of  low  income,  a  minority  population,  or  dealing  with  chronic  disease  

9/30/12  11  am  1  pm  

Community  Forum  (2)  

119  Adults     CSUN  Students     Low  income,  minority  population     10/1/12   CHNA  Paper  Survey  

71  Adults     CSUN  Students     Low  income,  minority  population     10/22/12   CHNA  Paper  Survey  

15  Adults   Elementary  School  Parents\  Community  residents  

Low  income,  minority  population  in  LAUSD  Title  1  Schools    

10/22/12   CHNA  Paper  Survey  

170  Adults   Church  members,  The  Church  on  the  Way  

Group  is  a  mixture  of  low  income,  a  minority  population,  or  dealing  with  chronic  disease  

11/2012   CHNA  Online  Survey  

12  Adults   VCCC  experts   Leaders  representing  city  and  county  government,  clinics,  hospitals,  housing  providers,  mental  health  agencies,  and  community  organizations  

11/2012   Key  Informant  Interviews  

  125  

Attachment F. Prioritized Health Needs An online survey tool was distributed using SurveyMonkey to the 35 experts on the VCCC distribution list requesting participation in prioritizing the 26 community health needs identified through the community engagement methods. VCCC members responded representing a diverse array of geographies and sectors throughout the hospital service area, including county health services and public health, community clinics, community colleges, K-12 schools, dentists and dental services, mental health, and seniors. A listing of respondents is provided starting on page 128, which includes their extensive experience and expertise. Survey respondents were asked to rank the community health needs using the following criteria: 1) Severity of the issue; 2) Whether there are feasible interventions the hospital can work with the community to help create a healthier community; 3) The scope of the issue/How many people affected; 4) If the issue was getting worse over time; and 5) Does the community prioritize this issue over other ones. The priority health needs that were selected are described below, along with some key comments from the survey respondents. The 10 most immediate community health needs identified by survey respondents were: 1. Access and consistent source of primary care 2. Dental care access (adult and youth) 3. Mental health and substance abuse 4. Diabetes management (hemoglobin A1C test) 5. Poverty rates (100% and 200% FPL) 6. Healthy eating 7. Uninsured population 8. Heart disease 9. Obesity/overweight (youth and adult) 10. Prevention & wellness Several survey respondents commented on the impact of a lack of access to primary care, mental health issues, and a high presence of interpersonal violence:

Mental health is the biggest unmet need …stress is the number one impediment to academic success. Uninsured students see our providers, are referred out and there is no one other than the county where they face a long wait to receive services. There is no coordination between the student health center and county hospitals or mental health facilities.

The economy and lack of access to consistent high-quality primary care, as well as underlying mental health issues influenced my decisions…Lack of services causes the uninsured to utilize ER visits as their health care.

Many homeless people lack access to stable health services, have multiple co-morbidities and tend to be uninsured.

  126  

The evaluation of depression and PTSD (due to high levels of interpersonal violence) is absent in primary care settings. Doctors do not perform these screenings because there are not enough resources to offer patients; therefore, they focus on treating those needs which can be met. Working with a large undocumented and under employed/educated community, the lack of universal health insurance prevents these individuals receive necessary and critical services until they are in emergent need.

Other respondent mentioned chronic diseases, which may occur with mental illness and/or substance abuse issues: Diabetes is prevalent in Latino and other minority communities Substance abuse is a need for those numbing their trauma…clients on intake report issues with diabetes, hypertension and asthma in addition to their mental health needs

The 12 most pressing intermediate community health needs identified are provided below in alphabetical order: • Aging issues/Alzheimer’s disease/dementia • Asthma (youth and adult) • Cancer (breast cancer and all others) • Caregiver support • Care coordination • Child abuse & domestic violence • Education (graduation rates/no diploma) • Hypertension management • Lack of physical activity (adult & youth) • Language barriers • Teen births • Smoking Respondent provided the following explanation for selecting prevention and wellness, education, and language barriers:

I chose care/prevention, education and language barriers as the top needs to be addressed in an effort to improve the overall health of our community…The key to achieving that prevention is the ability of the individual to understand that, which is only possible by having a high school level of educational ability to understand and no language barriers to prevent that understanding.

  127  

General wellness and alternative coping to emotional suffering is needed.

One respondent commented on interpersonal violence and its impact on individuals and the larger community: Adverse childhood experiences with domestic and sexual violence are significant contributors to an individuals overall well-being. There is little awareness in the public arena as to the long-term consequences to these crimes, the engagement in community to prevent further abuse.

These prioritized needs will serve as the basis for the implementation strategy that Northridge Hospital Medical Center will develop.

  128  

                   Table  108.  Northridge  Hospital  Medical  Center  Prioritization  Process  Participants  Name  (Last,  First,  Academic  Distinction)  

Title   Affiliation   Knowledge/Expertise   Date  of  Consult     Type  of  Consult  

Vigdorchik,  Olga,  MPH,  MCHES  

Health  Educator   LAC  DPH   With  Los  Angeles  County  Department  of  Public  Health  in  the  STD  clinic  for  SPA  1  and  2  

1/8/13   Prioritization  Process  Participant    

Mozian,  Rita,  MPH,  CHIS   Health  Educator   LAC  DPH   With  Los  Angeles  County  Department  of  Public  Health  in  the  STD  clinic  for  SPA  1  and  2  

1/8/13   Prioritization  Process  Participant    

Alvarez,  Frank,  MD,  MPH   Area  Health  Officer   LAC  DPH   LAC  DPH   1/8/13   Prioritization  Process  Participant    

Sanders,  Eddie   Grant  Development  Specialist  

Northeast  Valley  Health  Corporation  and  Co-­‐Chair,  San  Fernando  Valley  Homeless  Coalition  

Medically  underserved,  low  income,  minority  population  

3/6/13   Prioritization  Process  Participant    

Goldberg-­‐Roth,  Kim,  MS   Executive  Director   Valley  Trauma  Center   Providing  advocacy,  intervention,  education  and  prevention  services  to  San  Fernando  and  Santa  Clarita  Valley  residents  experiencing  child  maltreatment,  domestic  and  sexual  violence  

3/6/13   Prioritization  Process  Participant    

Benne,  Elizabeth,  RN,  PHN,  MA  

Director,  Student  Health  Center  

Pierce  College   Working  for  20  years  in  community  college  health  care  

3/6/13   Prioritization  Process  Participant    

Arriola,  Helen   Director,  External  Affairs   Northeast  Valley  Health  Corporation  

Medically  underserved,  low  income,  minority  population  

3/6/13   Prioritization  Process  Participant    

Melnick,  Douglas,  MD,  MPH   Physician  Specialist   Physician  Specialist   Medically  underserved,  low  income,  minority  population  

3/7/13   Prioritization  Process  Participant  

Jaffe,  Jackie,  MSW  candidate  

Community  Resource  Specialist  

Los  Angeles  Unified  School  District  

 20  years  experience  social  service  work  in  multi-­‐ethnic/  cultural  communities  

3/7/13   Prioritization  Process  Participant    

Carla  Nino      

Administrator   Dept  of  Health  Services,  Ambulatory  Care  Network,  Mid-­‐Valley  CHC  

27  years  working  with  the  Department  of  Health  Services  on  access  to  health  care  for  low-­‐income  minority  populations  

3/7/13   Prioritization  Process  Participant  

Ozols,  T.  Andris   Executive  Director   San  Fernando  Valley  Dental  Society  

Dentists  volunteer  in  a  wide  variety  of  community  service  programs  including  free  dental  clinics,  children's  oral  health  screening  and  follow-­‐up  care  provision  of  follow-­‐up  care,,  community  education  at  health  fairs,  school  meetings,  etc.  

3/11/13   Prioritization  Process  Participant    

Pontius,  Margaret,  MA   Director   Guadalupe  Center   Informed  from  observation  and  familiarity  with  clients  and  media  

3/11/13   Prioritization  Process  Participant      

  129  

Name  (Last,  First,  Academic  Distinction)  

Title   Affiliation   Knowledge/Expertise   Date  of  Consult     Type  of  Consult  

Lake,  Janis,  RN,  PHN,  MS    Organizational  Facilitator   Los  Angeles  Unified  School  District  Educational  Service  Center  North  

Work  closely  with  LA  County  Public  Health  Department  and  Title  1  schools  

3/11/13   Prioritization  Process  Participant    

Wrightson,  C.N.  (Skip),  MS   Outreach/Learning  Center  Coordinator  

Guadalupe  Community  Center  

Low  income,  minority  population   3/11/13   Prioritization  Process  Participant    

Gorman,  Dale  BA   Executive  Director   Kids  Community  Dental  Clinic  

Serves  7,000  children  annually  for  dental  care   3/11/13   Prioritization  Process  Participant    

Moore,  Sheila,  MSW,  LCSW   Director,  Senior  Center  Services  

Jewish  Family  Services   LA  Experience  with  Dementia/Memory  Loss,  Caregiver  issues,  geriatric  services,  and  mental  health  

3/11/13   Prioritization  Process  Participant    

Sheperd,  Michele,  MA   Assistant  Director  of  Older  Adult  Services  

San  Fernando  Valley  Community  Mental  Health  Corporation,  Inc.        

Working  with  community  mental  health  issues  for  low  income  communities  

3/11/13   Prioritization  Process  Participant    

Oydemwen,  Valentina,  CNA,           Taking  care  of  elderly  low-­‐income  population   3/13/13   Prioritization  Process  Participant    

Bailer,  Bonnie  .JD   Director,  Center  for  Healthy  Communities  

Northridge  Hospital  Medical  Center  

Low  income,  minority  population   3/15/13   Prioritization  Process  Participant  

Grant,  Teddi   Vice  President,  Marketing,  Mission  Integration,  &  Community  Services  

Northridge  Hospital  Medical  Center  

Low  income,  minority  population   3/15/13   Prioritization  Process  Participant  

Zuniga,  Martha,  MPH   Program  Manager   Northridge  Hospital  Medical  Center  

Low  income,  minority  population   3/15/13   Prioritization  Process  Participant  

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Attachment G. Implementation Teams Northridge Hospital Medical Center’s commitment to a wide range of community benefit and outreach program ensures that adequate resources are allocated to respond to the unmet health needs as identified in the community needs assessment. The Community Board of Directors, Foundation Board of Directors, Senior Leadership Team and key departments are at the forefront of meeting our commitment to improve the health status of the local community and address contributing factors to poor health. The President/CEO and Senior Leadership Team are involved in the community benefit process as the strategic plan is developed. Community Benefit is a major pillar of the hospital’s 2013 strategic plans: • Quality/Patient Experience • Human Capital • Financial • Growth • Community Benefit As part of orientation for new managers and directors, a presentation is given on community benefits. This helps maintain the understanding and support of departments throughout the hospital who are vital in contributing resources and reports to the hospital’s community benefit programs. The Community Board operates as a committee of the whole for community benefit purposes. Presentations and discussions are on the Board agenda throughout the year to seek their input and update them on the progress made toward identified goals. The Community Board is representative of our service area and its cultural diversity. The Board composition is: 62% male and 38% female with 7% Asian, 21.5% Caucasian, 21.5% Latino, 14% African American and 36% other. The Northridge Hospital Medical Center Senior Leadership Team (SLT) involved in setting priorities includes: • Saliba Salo, President & Chief Executive Officer • Ron Rozanski, Senior Vice President, Operations • Noachim Marco, MD, Vice President, Medical Affairs • Michael Taylor, Chief Financial Officer • Teddi Grant, Vice President, Marketing, Mission Integration, and Community Services • Nana Deeb, Vice President, Clinical Services • Megan Micaletti, Assistant Vice President • Adrienne Crone, Manager, Administration Support • Susan Paulsen, Director, Human Relations • Brian Hammel, President, Northridge Hospital Foundation

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• Bonnie Bailer, Director, Center for Healthier Communities (Ad Hoc) The hospital’s Advisory/Implementation Committee works on all facets of the Community Benefit Program. Members include: • Teddi Grant, Vice President, Marketing, Mission Integration, and Community Services • Bonnie Bailer, Center for Healthier Communities • Kathy Adams, Center for Assault Treatment Services • Martha Zuniga, School-based Obesity & Diabetes Initiative • Teresa Unsinn, Northridge Hospital Medical Center • American Heart Association • Health Net • Tri-Valley YMCA • Los Angeles Unified School District, Educational Service Center North

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Appendix A: List of Secondary Data Sources The assessment drew on varied and rich sources of secondary data, which are provided below: • American Cancer Society, Cancer Facts and Figures, 2012 • California Department of Public Health, Death Statistical Master File, 2008-2010 • California Department of Public Health, Diabetes Mortality Data Trends for 2000-2008 • California Department of Public Health, 2010 • California Department of Public Health, Birth Profiles by ZIP Code, 2010 • California Department of Public Health, 2011 Birth Records • California Health Interview Survey 2009 • Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010 • Centers for Disease Control and Prevention, National Diabetes Surveillance System, 2009 • Centers for Disease Control and Prevention and the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, 2008 and

2009 • Centers for Disease Control and Prevention, National Vital Statistics System, 2003-2009. • COMPSTAT, Devonshire, Van Nuys, Mission, and Topanga Area Profiles, 3/31/13-4/27/13 • County of Los Angeles - Department of Mental Health, Service Area 2 Providers, October 2012 • Dignity Health Community Need Index, available at http://cni.chw-interactive.org/index.asp • Google Maps • Improving Public Health & Preventing Chronic Disease: CHW’s Community Need Index, available at http://cni.chw-

interactive.org/index.asp • LACDPH, Key Indicators of Health, March 2013 • LACDPH, Los Angeles County Health Survey, 2011 • National Cancer Institute, State Cancer Profiles, 2005-2009 • National Cancer Institute, 2012 • National Highway Traffic Safety Administration, Fatality Analysis Reporting System, 2008-2010 • Domestic Violence and Sexual Assault Fact Sheet, National Network to End Domestic Violence, 2010, available at www.nnedv.org • A Patchwork of Progress: Changes in Overweight and Obesity Among California 5th, 7th, and 9th Graders, 2005-2010, UCLA Center for

Heath Policy Research and California Center for Public Health Advocacy, November 2011, available at http://www.publichealthadvocacy.org/research/patchworkdocs/OFT%20brief_final.pdf

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• San Fernando Valley Business Journal, 2011 Philanthropy Guide: Directory of San Fernando Valley-Based Not-For-Profit Organizations, November 22, 2010

• HealthyCity.org, accessed December 17, 2012, available at http://www.healthycity.org/c/service • Thomason Reuters Databook 2012 • U.S. Census Bureau, 2007-2011 American Community Survey and 2008-2010 American Community Survey 3-year estimates • U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2009 Incidence and Mortality Web-based Report • VCCC Resource Directory provided by the Los Angeles Unified School District, available at http://www.valleyccc.org/services.php and

http://www.valleyccc.org/lausd-district-1.php • VCCC, Assessing the Community's Needs: A Triennial Report on San Fernando and Santa Clarita Valleys, 2010 (clinic and hospital

information)

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Appendix B: Community Engagement Survey Tools  

LACDHS Clinician Focus Group 1.) Physician’s Age (multiple choice)

a. 25-34 years b. 35-44 years c. 45-54 years d. 55-64 years e. 65+

2.) Physician Specialty (fill in the blank) 3.) Physician Office Location- Choose all that apply (multiple choice)

a. OliveView b. MVCHC c. Glendale HC d. SFHC

4.) What is your perception of the health of your patients? (multiple choice) a. Very Poor b. Poor c. Fair d. Average e. Good f. Excellent

5.) What percentage of your patients do you think are uninsured? (multiple choice) a. 0-5% b. 5-10%

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c. 10-25% d. 25-50% e. 50-75% f. More than 75%

6.) What do you think are the risky behaviors of your patients? (multiple choice) a. Smoking b. Alcoholism c. Narcotics d. Prescription drug abuse e. Over the counter drug abuse f. Poor diet g. Sedentary lifestyle h. Other

7.) What are the chronic diseases you see in the low-income communities? Choose all that may apply (multiple choice) a. Diabetes b. Hypertension c. Cardiovascular Disease d. Stroke e. Cancer f. Other

8.) In the 2010 CHNA we identified the following areas as greatest need- Rank the top Four (priority ranking) a. Housing that is affordable b. Home care and long term care c. Dental care: Affordable & Accessible d. Health insurance that is affordable in portable e. Mental health services: Affordable and accessible

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f. Transportation g. Primary medical care h. Chronic disease management i. Case management for individuals and families j. Wellness, screening and prevention programs

9.) How many years of experience do you have working with vulnerable population? (multiple choice)

a. 0-1 years b. 1-2 years c. 2-3 years d. 3-4 years e. 4-5 years f. 5+

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 CHNA Physician Focus Group Questions

Olive View-UCLA Medical Center September 5, 2012

1. What is your vision for the health of the community?

2. What can the local non-profit hospitals do to improve the health of the community?

3. Where do you think the gaps are in the health system and how can they be bridged?

Thank you for taking the time to complete the questionnaire. Please turn in the form before leaving.

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Focus Group Questions

1. What is the most significant educational/environmental/socioeconomic factors affecting your community? What ages are most

impacted?

2. What are the most risky health behaviors affecting your community?

3. What are the community resources that are in place to support the community to address the issues?

4. What are some of these barriers to accessing the resources?

5. What do you think are the solutions to these problems?

6. Rank the community issues (top 5)

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Community Forum Survey Instrument 1.) What age range do you fall in?

a. 25 or less b. 26-39 c. 40-54 d. 55-64 e. 65 or over

2.) What is your gender?

a. Male b. Female

3.) Ethnic group you most identify with? African American

a. Hispanic/Latino b. White/ Caucasian c. Asian/Pacific Islander d. Native American e. Other

4.) What is your marital status?

a. Married/living together b. Married/currently separated c. Widowed d. Not married/living together e. Not married/single

5.) What is your highest level of education?

a. Less than high school b. High school diploma GED c. Some college d. Associate degree e. Undergraduate

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f. Graduate g. Post graduate h. Other

6.) How do you pay for health care? (check all that apply)

a. Pay cash (no insurance) b. Medicaid c. Veterans Administration d. Health insurance e. Medicare f. Indian health services g. Other

7.) What do you think are the three most important factors for a “Healthy Community” in your church community?

- Good place to raise children - Low crime/safe neighborhoods - Good schools - Parks and recreations - Clean environment - Affordable housing - Good jobs and healthy economy - Access to health care(e.g. family doctor) - Arts and cultural events - Other

8.) What do you think are the three most important factors for a “Healthy Community” you live in? (priority ranking)

- Good place to raise children - Low crime/safe neighborhoods - Good schools - Parks and recreations - Clean environment - Affordable housing - Good jobs and healthy economy

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- Access to health care(e.g. family doctor) - Arts and cultural events - Other

9.) What do you think are the three most important “Health Problems” in your church community? (priority ranking)

- Cancer - Dental problems - Diabetes - Hearth disease and stroke - High blood pressure - Mental health problems - Respiratory /Lung disease - Sexually Transmitted Diseases - Teenage pregnancy - Other

10.) What do you think are the three most important “Health Problems” in your city?

- Cancer - Dental problems - Diabetes - Hearth disease and stroke - High blood pressure - Mental health problems - Respiratory /Lung disease - Sexually Transmitted Diseases - Teenage pregnancy - Other

11.) What do you think are the three most important “Risky Behaviors” in your church community? - Alcohol abuse - Overweight - Dropping out of school - Drug abuse - Lack of exercise

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- Poor eating habits - Tobacco use - Not using birth/child control - Unsafe sex - Other

12.) What do you think are the three most important “Risky Behaviors” in our city? (priority ranking)

- Alcohol abuse - Overweight - Dropping out of school - Drug abuse - Lack of exercise - Poor eating habits - Tobacco use - Not using birth/child control - Unsafe sex - Other

13.) How would you rate your own personal health?

a. Very unhealthy b. Unhealthy c. Somewhat healthy d. Healthy e. Very healthy f. I lack the nutritional knowledge to evaluate my status

14.) How would you rate the church community as a “Healthy Community”?

a. Very unhealthy b. Unhealthy c. Somewhat healthy d. Healthy e. Very healthy

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15.) How would you rate the community you live in as a “Healthy Community”? a. Very unhealthy b. Unhealthy c. Somewhat healthy d. Healthy e. Very healthy

16.) Which of the health problems affect you? (rate them in order of impact on your life from most to least)

- Cancer - Diabetes - Heart disease - High blood pressure - High cholesterol - HIV/AIDS - Mental Health issues - Overweight - Stroke - None of the above

17.) If you have high blood pressure do you check it regularly (at least weekly)? (multiple choice)

- Yes - No - Not applicable

18.) If you have diabetes do you check your blood sugar regularly (every two weeks)? (multiple choice)

- Yes - No - Not applicable

19.) Which of the following describes your weight?

a. Overweight b. Underweight c. Appropriate

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20.) Do you think you use or participate in any of the following in excess? (check all that apply)

- Alcohol - Gambling - Tobacco - Prescription drugs - Recreational drugs - Unsafe driving - Food - None of the above

21.) How well do you rate your sleep?

a. I sleep well and feel refreshed in the morning b. I sleep but feel it is not sufficient rest c. I do not sleep well

22.) How do you rate your mental health?

a. Balanced b. Stressed c. Overwhelmed d. Depressed

23.) If you have children (under age 12) what do you consider to be their greatest health issues? (Rank from most to least impact) - Being overweight - Poor eating habits - Minimal or absence of exercise - No safe place to play outside - Unable to access medical care - Unable to access dental care - School or behavioral problems - I do not have any concerns - This does not apply to me

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24.) Have you seen your regular doctor in the past two years?

a. Yes b. No c. I do not have one

25.) Do you receive regular dental care?

a. Yes b. No c. I do not have a dentist

26.) Do you have a support system (family or friends) with whom you can talk and share?

A. Yes B. No

27.) How many days a week do you exercise?

a. 0-1 b. 2-3 c. More than 3 d. Everyday e. Never

28.) What do you feel is keeping you from reaching your health goal(s)? (Number in order from greatest to the least challenging)

- Lack of time - Finances - Discouragement - Limited nutritional or caloric knowledge - Unable to find an appropriate exercise program - Pain or immobility - I achieved and maintained my health goal - None of the above

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29.) How do you rate your nutritional status (do you eat a balance diet)? a. Ideal b. Good c. Borderline d. Not so good e. Poor f. I don’t know. Need to learn about nutrition

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Valley Care Community Consortium (VCCC) 2013 Community Health Survey

To preserve your confidentiality, do not put your name or other personal identifiers on the survey. If you are at least 18 years of age, please take a few minutes to complete the survey below. The purpose of the survey is to create a snapshot of the health of the communities in which you live. Information gathered by the Community Health Needs Assessment can then be used for planning, programs and community benefit resource allocation. The results of the questionnaire will help identify problematic key issues that will be addressed through community input. If you have any questions about this survey, please call 818-947-4040. Make your opinion count by completing this survey. Thank you. 1)Zip code: ____________ 2) City: ________________

3) Age: (Please check one) ____25 or less ____26-39 ____40-54 ____55-64 ____65 or older 4) Sex: (Please check one) ____Male ____Female 5) Ethnic group you most identify with: (Please check one) ____African American/Black ____Asian/Pacific Islander ____Hispanic/Latino ____Native American ____White/Caucasian ____Other: _____________________ 6) Marital Status: (Please check one) ____Married ____Divorced/Separated ____Single _____Widow/Widower ____Domestic Partners

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7) Education: (Please check one) ____Less than High School ____High School diploma/GED ____Some college ____College degree or higher 8) What is your household income? (Check one) ____Less than $20,000 ____$20,000 to $39,999 ____$40,000 to $59,999 ____$60,000 to $79,999 ____$80,000 or higher 9) How do you primarily pay for your health care? (Check all that apply) ____Cash (No Insurance) ____Health insurance (e.g., private insurance, Humana, Anthem, etc.) ____Medicaid ____Medicare with or without Medicare supplemental coverage ____Healthy Way LA ____Veterans’ Administration/Military ____Don’t go to a Doctor because I can’t pay ____Other: ____________________ 10) During the past 12 months, was there any time when you needed to see a doctor, but could not because of the cost? (Check one) ____Yes ____No 11) During the past 12 months, was there any time that you did not have any health insurance or coverage? (Check one) ____Yes ____No 12) Where do you go to most often when you are sick or need advice about your health? Please check only one. (Check one) ____Doctor's Office/Family Doctor ____Community Clinic ____Local health department ____Hospital emergency room ____Urgent care center ____Free Clinic ____Hospital outpatient clinic ____Other:

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13) Which of the following best describes your typical daily physical activity level? (Check one) ____No Activity ____Limited ____Moderate ____Active ____Very Active 14) Compared to a year ago, how is your health now? (Check one) ____Much better now than 1 year ago ____Better now than 1 year ago ____About the same ____Worse now than 1 year ago 15) How would rate your own personal health? (Check one) ____Excellent ____Very Good ____Good ____Fair ____Poor 16) Considering all types of alcoholic beverages, how many times during the past 30 days did you have 5 or more drinks in a day? (Check one) (8oz wine, 12oz beer, 1.5oz shot) _____ None _____1-5 times _____6-10 times _____More than 10 times 17) How many cigarettes do you smoke per day? (Check one) ____ Per Day

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18) Have you ever been told by a doctor, nurse, or other health professional that you are overweight or obese? _____ Yes _____ No 19) Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure? _____ Yes _____ No 20) Have you ever been told by a doctor, nurse, or other health professional that your blood cholesterol is high? _____ Yes _____ No 21) Have you ever been told by a doctor that you have diabetes? _____ Yes ____ Yes, but only during pregnancy _____ No 22) Have you ever been diagnosed with a mental health disorder? _______Yes _______No 23) How do you rate your mental health? (Select one choice that fits best) _______ Excellent ______Very Good _______Good _______Fair ______Poor 24) On how many of the past 7 days did you exercise or participate in physical activity for at least 20 minutes that made you sweat or breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities? (Check one) _____0 _____1 _____2 _____3 _____4 _____5 _____6 _____7 25) Yesterday, how many times did you eat vegetables? (Check one) DO count: Cooked and uncooked vegetables; salads; and boiled, baked and mashed potatoes. DO NOT count: French fries, potato chips, or lettuce that is on a sandwich or sub. ____I did not eat vegetables yesterday ____1 time ____2 times ____3 times ____5 or more

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26) Yesterday, how many cans or glasses of non-diet soda did you drink? (Check one) DEFINITION: A non-diet soda is a soda with sugar in it, such as Coke, Pepsi ®, Sprite®, ginger ale, or root beer. Count a 20- ounce bottle as 2 glasses. ____I did not drink any non-diet soda yesterday ____1 can or glass ____2 cans or glasses ____3 or more cans or glasses 27) How often do you eat at fast food restaurants? _____4 or more times per week _____1-3 per week _____Less than 1 per week _____Never 28) What type of medical provider do you use for routine care? (Check all that apply) ____Family doctor ____Community Health Center/Clinic ____Health Department ____Emergency Room/Hospital ____Specialist ____Other: ___________________________ 29) What concerns you most about health within your community? (Select 5 concerns; rate 1-5 with 1 being the most concerning and 5 being the least concerning) ____Aging problems ____Infant death ____High blood pressure ____Cancers ____Infectious disease ____HIV/AIDS ____Child abuse/neglect ____Mental health problems ____Obesity ____Dental Problems ____Motor vehicle crash injuries ____Teenage pregnancy ____Diabetes ____Rape/Sexual assault ____Homicide ____Domestic violence ____Respiratory diseases ____Other:____________________________ ____Firearm-related injuries ____Sexually transmitted diseases ____Heart disease and stroke ____Suicide

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30) What source do you primarily use to get your health-related information? (Check one) ____ Friends and family ____ Hospital ____ Doctor/nurse ____ Health department ____ Pharmacist ____ Help lines ____ Church ____ Books/magazines ____ Internet ____ Other: ________________________ ____ My child’s school 31) How safe is your neighborhood? ___Very safe ___Somewhat safe ___Somewhat unsafe ___Very safe 32) How safe is it to walk or play in the neighborhood park? ___Very safe ___Somewhat safe ___Somewhat unsafe ___Very unsafe 33) Are you satisfied with the health care system in your County? (Consider health care options, access, cost, availability, quality, etc.) (Circle One)

Very Unsatisfied 1 2 3 4 Very Satisfied 34) What 2 health topic(s)/ disease(s) would you like to learn more about? _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 35) What services are needed in your community to create a healthier community? _________________________________________________________________________________________________________

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Please return completed survey to person conducting the survey or by mail to VCCC 7515 Van Nuys Blvd. Van Nuys, CA 91405 Attention: Joni Novosel

Thank you for your time and valuable feedback.

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Key Informant Interview Questions Name: Degree: Title: Agency: City, Zip code where they work: Email: Phone: Experience and expertise in public health or working with low-income, indigent population:

1. What are the most significant health problems in the community you serve? What ages are affected by the issue? 2. What are the most significant educational/environmental & socio-economic factors affecting the community? What ages are impacted? 3. What are the most risky behaviors affecting the community? What age groups most impacted? 4. What problems affect the health of your clients? If you could prioritize the issues, what are the top 5 issues, what age groups? Please rank the

issues 1 being the most important and 5 being the least important. 5. After we collected primary and secondary data, the following health issues came up to be the top concerns. If you could rank the top 5 of these

issues what would they be? • Cancer (all types) • Asthma • Health care access • Infant health • Suicides • Mental health • Overweight and obesity • STDs • Homicides

6. How often do you see the above list in the communities you serve? 7. To address the list of concerns, what are some of the community resources that you could think of that could help address the issues? 8. What are some of the barriers? 9. Could you please suggest some solutions?

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Northridge  Hospital  Medical  Center  Prioritization Ranking Survey Instrument Please note that due to limitations of this survey tool we need to complete this process with two ranking questions. For question one only rank in priority order the needs you consider as the top ten most immediate needs to address. In question two you will then rank again for the 15 most intermediate needs. It is VERY IMPORTANT that you do not duplicate any of the selections you ranked in question one as an immediate need as an intermediate need. Responses for question two must contain 15 unique needs (not selected in question 1) that we can then reflect in our report as identified intermediate needs. This process will then allow us to capture 10 immediate needs and 15 intermediate needs with the balance of the needs falling into a third future need category. Just a reminder that this process is very important to narrow a long list of health needs down so that priorities to all will rise to the top even if it may not be the first choice at the individual level. Once all results are tabulated we will inform each of the respondents of the results. Please keep in mind why you have made the selections so that you can share that with us in question 3. When responding please consider the following criteria: 1) Severity of the issue; 2) Are there feasible interventions the hospital can work with the community to help create a healthier community; 3) What is the scope of the issue/How many people affected; 4) Is the issue getting worse over time; and 5) Does the community prioritize this issue over other issues. 1. Please rank the following list of community health needs from 1 to 10 with 1 being the most immediate community health need. • Access to primary care • Aging issues/Alzheimer’s disease, dementia • Asthma (youth and adult) • Breast cancer • Cancer (all others) • Care coordination • Care (prevention and wellness) • Care coordination • Caregiver support • Dental care access (youth and adult) • Diabetes management (Hemoglobin A1C test) • Domestic violence and child abuse • Education (graduation rates/no diploma) • Healthy eating • Heart disease • Hypertension management • Lack of consistent source of primary care

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• Lack of physical activity (adult and youth) • Language barriers • Mental health • Obesity/overweight (youth and adult) • Poverty rates (100% and 200% FPL) • Smoking • Substance abuse • Teen births • Uninsured population 2. Please rank the following list of community health needs from 1 to 15 with 1 being the most intermediate community health need. Please

do not duplicate any of your responses to Question 1 as we are not determining how to rank the next set of health needs. • Access to primary care • Aging issues/Alzheimer’s disease, dementia • Asthma (youth and adult) • Breast cancer • Cancer (all others) • Care coordination • Care (prevention and wellness) • Care coordination • Caregiver support • Dental care access (youth and adult) • Diabetes management (Hemoglobin A1C test) • Domestic violence and child abuse • Education (graduation rates/no diploma) • Healthy eating • Heart disease • Hypertension management • Lack of consistent source of primary care • Lack of physical activity (adult and youth) • Language barriers • Mental health

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• Obesity/overweight (youth and adult) • Poverty rates (100% and 200% FPL) • Smoking • Substance abuse • Teen births • Uninsured population 3. Please state your name, title and experience in either public health and/or with low-income minority populations. 4. Please explain how you determined your list of the top ten. What were the key factors that lead you to state these as the most immediate

community health needs in Northridge?

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Appendix C: List of Community Health Needs Used in Prioritization Process The following 26 health issues were identified through the community engagement methods discussed in Attachment E. These health issues were used in the prioritization process described in Attachment F. • Access to primary care • Aging issues/Alzheimer’s disease, dementia • Asthma (youth and adult) • Breast cancer • Cancer (all others) • Care coordination • Care (prevention and wellness) • Care coordination • Caregiver support • Dental care access (youth and adult) • Diabetes management (Hemoglobin A1C test) • Domestic violence and child abuse • Education (graduation rates/no diploma) • Healthy eating • Heart disease • Hypertension management • Lack of consistent source of primary care • Lack of physical activity (adult and youth) • Language barriers • Mental health • Obesity/overweight (youth and adult) • Poverty rates (100% and 200% FPL) • Smoking • Substance abuse • Teen births • Uninsured population