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Introduction

Uintah Basin Healthcare contracted with Rural Health Innovations (RHI), a subsidiary of the National Rural Health Resource Center for

Community Health Needs Assessment (CHNA) services.

The CHNA includes:

secondary data analysis (pre-existing data)
primary data analysis (community perception)

a series of focus groups
key stakeholder interviews

Duchesne & Uintah County were included in the data.

Due to size, Daggett County (Manila, UT) is included within Uintah County statistical data.

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Secondary Data

(Pre-existing Data)

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Demographics

POPULATION (as of 7/1/22, census.gov)

Duchesne County, UT: 20,161
Uintah County, UT: 37,141
Daggett County, UT: 1014

—58,316—

POPULATION BY RACE & ETHNICITY

The population in both counties is largely white (approx 85%)
Duchesne County: 8.2% hispanic/latino, 4.3% native american, others
Uintah County: 8.5% hispanic/latino, 7% native american, others

POPULATION BY AGE RANGE

The age ranges with the highest percentage of residents for the counties were: Duchesne 35-44 years (13.8%) and Uintah 25-34 years (14%).

This is similar to UT and the US, though most of rural America is generally older populations.

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Social & Economic Factors

Unemployment rates in both counties are higher than UT & US
Duchesne	Uintah	UT	US
3.9%	4.2%	2.6%	3.7%

Median Household Income in both counties is lower than UT & US
Duchesne	Uintah	UT	US
$59,437	$62,541	$75,705	$65,712

Poverty Level in both counties is higher than UT & US
Duchesne	Uintah	UT	US
13.9%	13.2%	9.1%	11%

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Top Health Concerns

TOP HEALTH CONCERNS in the community include

mental health
substance abuse disorders (SUDs)
obesity/diabetes

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Concern #1: Mental Health

Poor Mental Health (Avg # Days/Mo) for both counties is higher than UT & US
Duchesne	Uintah	UT	US
4.8	4.9	4.4	4

Death due to Suicide (Per 100k population) for both counties is much higher than UT & US
Duchesne	Uintah	UT	US
26.1	24.3	17	14

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Concern #2: Substance Abuse

# of Drug Overdose Deaths (Per 100k population) for both counties is higher than UT/US
Duchesne	Uintah	UT	US
20	25	11	19

# of ER Visits (Alcohol) (Per 10k population) for our tricounty area is much higher than UT
	Tri County Local Health District	Other Local Health�Districts in UT
Alcohol Abuse ICD-10 Code, F10.1	40.96	11.5
Alcohol Dependence ICD-10 Code, F10.2	21.1	16.72
Alcohol Use ICD-10 Code, F10.9	6.59	1.84

Opioid mortality rates 2015-19: DC 29.9, UC 18.2 (UT 22, US 20.2)

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Concern #3: Obesity/Diabetes

Prevalence of Diabetes for both counties is higher than UT, but similar to US
Duchesne	Uintah	UT	US
10%	11%	8%	11%

Prevalence of Obesity for both counties is higher than UT & US
Duchesne	Uintah	UT	US
33%	36%	30%	30%

Poor Physical Health (Avg # Days/Mo) for both counties is higher than UT & US
Duchesne	Uintah	UT	US
4.4	4.6	3.8	3

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Concern #3:

Obesity/Diabetes Continued

Adults Reporting No Leisure Time for Physical Activity for both counties is higher than UT, but similar to US
Duchesne	Uintah	UT	US
26%	25%	19%	23%

Adults Reporting Access to Physical Activity for both counties is lower than UT & US
Duchesne	Uintah	UT	US
50%	55%	83%	84%

Limited Time

Limited Access

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Other Outstanding Concerns:

(per secondary data resources)

# of Cancer Incidents (Per 100k population) for Duchesne County is higher than UT & US
Duchesne	Uintah	UT	US
503.1	386.9	405.4	448.6

% of Heart Disease for both counties is much higher than UT & US
Duchesne	Uintah	UT	US
6.7%	6%	2.3%	3.9%

Teen Birth Rate (Per 100k females age 15-19) for both counties is much higher than UT & US
Duchesne	Uintah	UT	US
30	27	15	21

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Items Affecting Health:

Access to Care

Ratio of Population to Primary Care Physicians for both counties is higher than UT & US
Duchesne	Uintah	UT	US
2,220:1	3,250:1	1,740:1	1,320:1

Ratio of Population to *Mental Health Providers for both counties is higher than UT & US
Duchesne	Uintah	UT	US
550:1	690:1	280:1	380:1

*Includes psychiatrists, psychologists, licensed clinical social workers, counselors, marriage and family therapists, and mental health providers and advanced practice nurses specializing in mental health care.

Uninsured for both counties is higher than UT & US
Duchesne	Uintah	UT	US
15.39%	14.82%	10.41%	10.43%
11.8%	12.9%	8.1%	5.6%

adults

kids

Limited Access & High Uninsured Rate

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Primary Data

(Community Perception)

Focus Groups

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Focus Groups:

Intro & Background

RHI was contracted by UBH to conduct focus group interviews to provide qualitative data on the strengths and needs of local health care services. Focus group comments reflect the perceptions of the individual and may differ or support secondary data findings.
Four focus groups occurred between 11/7/22-11/11/22 and 11/28/22-12/2/22.
RHI reached out to 52 individuals with an invitation to participate, and 11 signed up for and completed the focus group series.

Gender: 2 males, 9 females
Estimated ages: 25 – 34 (1); 35 – 44 (3); 45 – 54 (3); 55 – 64 (3); 65 – 74 (1); 75+ (0)
Race/ethnicity: Caucasian dominant

Each focus group was approximately two hours in length and included an overview of the CHNA purpose, discussion of survey questions, and a review of the secondary data.
Attendees included representatives from local businesses, health care consumers, parents, school representatives, and lifelong residents.

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Focus Groups:

Greatest Health Needs

The responses lined up with the Secondary Data, stating that the following were the greatest health needs in our community:

Mental Health
Substance Use Disorders (SUDs)
Exercise and Nutrition Opportunities

Note: Responses were very in line, with the exception of the wording

“exercise and nutrition opportunities” replacing “obesity and diabetes”

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Primary Data

(Community Perception)

Stakeholder

Interviews

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Key Stakeholder Interviews:

Intro & Background

RHI was contracted by UBH to conduct eight key stakeholder interviews to provide qualitative data on the strengths and needs of local health care services.
Eight key stakeholder interviews were scheduled to occur over the course of two weeks in November 2022.
RHI reached out to 12 individuals with an invitation to participate, and 8 signed up for and completed the key stakeholder interviews.

Gender: 2 males, 6 females
Estimated ages: 25 – 34 (0); 35 – 44 (4); 45 – 54 (1); 55 – 64 (2); 65 – 74 (0); 75+ (0); 1 unknown
Race/ethnicity: Caucasian dominant

Each interview was approximately two hours in length and included an overview of the CHNA purpose, discussion of survey questions, and a review of the secondary data.
Attendees included government officials, educators, health professionals, and health-related community collaborators.

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Key Stakeholders:

Greatest Health Needs

The responses lined up with the Secondary Data, stating that the following were the greatest health needs in our community:

Mental Health Services
Substance Use Disorders (SUDs)
Obesity & Diabetes

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Other Noted Concerns

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Other Noted Concerns

According to community perception

Below are common themes in responses:

Transportation

Public transportation (limited access and lack of awareness for seniors)
Rural community = long distance from services for some residents

Financial Issues

Lack of awareness regarding resources to help pay for care
Lack of insurance or high deductibles

Language barriers

Lack of, or shortage of translators

Note: “Other” concerns noted in secondary data resources (cancer, heart disease, teen birth rate, access to care) were not mentioned in primary data community perception.

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Action Plan

Perception & Goals

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Top Initiative: Collaboration

Promote shared educational resources & calendar of events

—Uintah Basin Community Health & Wellness

Uintah Basin Health & Wellness Facebook group

social media admins from community partners invited
community posts allowed; requiring approval from UBH social admin

shared community calendar

shared on social media, and on UBH and partner websites
UBH Marketing to check monthly for new resources and/or events, send monthly email reminder, and monitor page/calendar

Community members can

opt in to receive monthly emails

for calendar notifications.

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GOALS: Mental Health

*Develop Mental Health Collaborative with Ashley Regional, TriCounty Health, and Northeastern Counseling Center to centralize resources and increase awareness for guided treatment options.

Other Strategies

Targeting all ages

Expand suicide prevention training (TCH QPR)
Expand mental health first aid training (UBTech/USU/NECC)

UBH to offer training for all receptionists/call center (anyone in contact with patients in person or over the phone)

Maintain Behavioral Health resources on campus (Dr. Colver / Megan Hopkins)

awareness messages on water bottles (dietary, clinics, events, etc)

Advance involvement in Prevention Advisory Coalition (PAC)

—Push efforts such as 988, Live on Utah, Safe UT

Targeting youth (Jr High & High School) *Local school districts, HOPE squads)

Social Media Campaign

Instagram, Tik Tok, Snapchat
Measure by tracking impressions/CTR/etc

Awareness Event

Suicide awareness event in September (in conjunction with YOU GOT THIS)

Targeting adults (farm & oilfield industry)

Partner with NECC, USU to target farm/oilfield industry

Measure by reach (event attendance, etc) and item/cards taken

Partner with local agencies offering education, ie:

FAFV “Healthy Relationships and Communication”, “Love & Logic”
TCH “Strengthening Families”

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GOALS: Substance Abuse

Work with DCSD/UCSD & Law Enforcement to raise awareness targeting youth

High School Example: AHS Resiliency Week (Educational booth re: dangers of SUDs)

Booth with prizes

Elementary Example: Red Ribbon Week / DARE sponsor

poster contest with prizes (use posters in September awareness month campaign)

Work with Local SUD Prevention Resources (NECC, USU/Tribe, Law Enforcement) to raise awareness targeting adults

Partner with NECC to target farm/oilfield industry

ie: gun sleeves @ Hunting Expos, Gun & Knife Show
Measure by reach (event attendance, etc)

Work with USU on local TROI-RCenter (Tribal and Rural Opioid Initiative Resource)

Providers videos, etc
Naloxone training

Work with law enforcement to maintain drug drop box locations. Also, continue to work with NECC to provide Rx bags with Substance Abuse education.
Speak with local liquor store agencies / bars - possibly provide bottle openers with SUD/Suicide info

Collaborate with Local Recovery Resources (Thompsen House of Hope, Addicts to Athletes, Be The Light) targeting adults

Continue partnership with Thompsen House of Hope (marketing assistance)

testimonial campaigns showcasing positive recovery stories

Partner with other recovery resources (marketing assistance)
Support effort to establish transitional housing (sponsorship)

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GOALS: Obesity/Diabetes

Partner with Local Resources

UBTech & USU (Local gardens, nutrition classes, cooking classes)
School Districts (Healthy fundraisers; ie: move-a-thon))
TCH/IHS/USU/UBH Diabetes program coordination to grow Diabetes Education program and education

Sponsor Runs, Sports & Active Events, ie:

Runs

Neola Run (UBH taking over 2023)
1k and 5k Fun Color Run
Dino Half
Tower Rock Run
UBIC Triathlon
Turkey Trot
Elementary Move-a-Thons

High School Athletics
Youth Rec Sport Leagues

Grow access to physical activity access in Duchesne County

Ufitness gym opened 3/1/23

Free access to UBH Staff
Discounted community rates

Nature Park

Trail System (including ADA trails), fishing pond

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GOALS: Addressing ALL

HEALTH FAIR: August 2024

(Integrate with 80th anniversary plans.)�

All local health resources invited to participate, ie:

UBH (Diabetes Education, Family Practice)
UBH (Behavioral Health Providers - DBH and DNP)
Northeastern Counseling Center
You Got This; Local Suicide Prevention Resources
Thompsen House of Hope & Be The Light
Ute Tribe
Law Enforcement
Friends Against Family Violence
Children’s Justice Center
Family Support Center
Public Health
Ute Tribe
Local School Districts & Higher Education (USU/UB Tech)
Uintah Basin Association of Governments
Senior Centers

Grow UBH Population Health efforts in tandem with Marketing/PR.

UBH Marketing to integrate all CHNA concerns in quarterly marketing plans.

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GOALS: Addressing OTHER

Other Top Concerns (Following Top 3)