Executive Summary

Executive Summary

UCI Health comprises the clinical enterprise of the University of California, Irvine. UCI Medical Center (UCIMC) is a 417-bed acute care hospital providing tertiary and quaternary care, ambulatory and specialty medical clinics, behavioral health and rehabilitation. It is the primary teaching location for UCI School of Medicine.

Community Health Needs Assessment

UCIMC has undertaken a Community Health Needs Assessment (CHNA). The Patient Protection and Affordable Care Act through IRS section 501(r)(3) regulation direct nonprofit hospitals to conduct a CHNA every three years and develop a three-year Implementation Strategy that responds to community needs.

Service Area

UCIMC is located at 101 The City Drive South, Orange, Calif., 92868. The service area comprises all of Orange County, California. Orange County cities include: Aliso Viejo, Anaheim, Brea, Buena Park, Costa Mesa, Cypress, Dana Point, Fountain Valley, Fullerton, Garden Grove, Huntington Beach, Irvine, La Habra, La Palma, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Los Alamitos, Mission Viejo, Newport Beach, Orange, Placentia, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Santa Ana, Seal Beach, Stanton, Tustin, Villa Park, Westminster and Yorba Linda. Additionally, there are a number of unincorporated areas in the county.

Methodology

Secondary Data Secondary data were collected from a variety of county and state sources to present community demographics, social determinants of health, access to health care, maternal and infant health, leading causes of death, disability and disease, COVID-19, health behaviors, mental health, substance use and preventive practices. These data are presented in the context of Orange County and California. Analysis of secondary data includes an examination and reporting of health disparities for some health indicators. The report includes benchmark comparison data that measure the data findings as compared to Healthy People 2030 objectives, where appropriate. Healthy People objectives are a national initiative to improve the public’s health by providing measurable objectives that are applicable at national, state, and local levels.

Primary Data Fourteen (14) phone interviews were conducted during December 2021 and January

UCI MEDICAL CENTER 2022 COMMUNITY HEALTH NEEDS ASSESSMENT 4

2022. Community stakeholders identified by the hospital were contacted and asked to participate in the needs assessment interviews. Interview participants included a broad range of stakeholders concerned with health and wellbeing in Orange County, who spoke to issues and needs in the communities served by the hospital.

Significant Community Needs

Significant needs were identified through a review of the secondary health data and validation through stakeholder interviews. The identified significant needs included: • Access to health care • Chronic diseases (Alzheimer’s disease, asthma, cancer, diabetes, heart disease, liver, stroke) • COVID-19 • Housing and homelessness • Mental health • Overweight and obesity • Preventive practices (vaccines and screenings) • Substance use

COVID-19

COVID-19 continues to have an unprecedented impact on the health and well-being of the community. This CHNA identified an increase in economic insecurity, food insecurity, housing and homelessness, mental health conditions and substance use as a direct or indirect result of the pandemic. Additionally, access to routine care, preventive screenings, disease maintenance, healthy eating and physical activity declined. Community stakeholder comments on the effect of COVID in the community are included in the CHNA.

Prioritization of Health Needs

The identified significant community needs were prioritized with input from the community. Interviews with community stakeholders were used to gather input on the significant needs. Mental health, access to care, chronic diseases, housing and homelessness and preventive practices were ranked as the top five priority needs in the service area.

Report Adoption, Availability and Comments

This CHNA report was adopted by the UC Irvine Chancellor on June 27, 2022. This report is widely available to the public on the hospital’s web site, ucihealth.org/community-health. Written comments on this report can be submitted to Christopher M. Leo, UCI Health Director of Government Affairs, at cmleo@hs.uci.edu.

UCI MEDICAL CENTER 2022 COMMUNITY HEALTH NEEDS ASSESSMENT 5