St. Joseph Community Health Needs Assessment

Read the entire St. Joseph, Missouri Community Health Needs Assessment

Following best practice as specified by Missouri Hospital Association, we gathered information for the Community Health Needs Assessment from a variety of sources:

Community Survey
A community survey was conducted to determine the health need priorities, according to the opinion of individuals in Mosaic Life Care at St. Joseph - Medical Center’s service area. The survey was administered by American Viewpoint, one of the most widely-respected public opinion research and strategic message consulting firms in the United States.

Focus Groups
To complete the qualitative aspect of the data gathering associated with community health needs, the query was introduced to six focus groups comprised of community members, including those with broad interests and those with special knowledge of the subject. Mosaic Life Care recruited all participants and LAN Resources, LLC, moderated each group.

Analysis of Existing Data
Several groups have survey data concerning health issues. A scorecard was developed from the existing data to factor in when determining the primary community health needs. To monitor our success in improving the health of the community, we have been gathering our own population health data for more than 25 years. The health scorecard represents the newer data, from July of 2012, more than three years newer than data available from national sources.

We analyzed a wide variety of data in each of these areas. Below is a list of data sources used. 

• Agency for Healthcare Research and Quality (AHRQ) PQI (prevention quality indicators)
• Missouri Department of Health
• Local Behavioral Risk Factor Surveillance System (BRFSS) (
• State BRFSS
• Missouri Hospital Association (MHA) report: Assessing the Health of Our Communities
• County Health Rankings
• University of Wisconsin Population Health Institute
• St. Joseph Health Department.
• American Community Survey (ACS)
• Missouri Economic Research and Information Center (MERIC)
• Success by Six/United Way
• Head Start

The Primary Health Issues
By combining the data from the community survey, external data sources and the community focus groups, the top three community health needs were determined:
• Mental Health services
• Adult and childhood obesity
• Education on health and health resources

Mosaic Life Care Current Response to These Issues
Mental Health
Mosaic Life Care has an overarching mental health strategy. The plan has three phases:

Phase I – Mosaic Life Care’s initiatives and services
Phase II – Community-based initiatives
Phase III – A new delivery system

Adult and Childhood Obesity
Mosaic Life Care has a dual approach to managing obesity in our population; a clinical method
and community programming.

Education on Health and Health Resources
Mosaic Life Care offers nearly 50 educational programs throughout the year to help maintain a healthy lifestyle. These are well-advertised and most of them are free of charge.

Prior Community Benefit Reporting
In FY11, Mosaic Life Care made a total community investment of $47,536,594. In addition, Mosaic Life Care annually donates standby ambulance and first aid services to support community events. In 2012, Mosaic Life Care donated 195 hours of ambulance time costing the organization $54,150.00. 

Based on the specified primary community health needs identified in this assessment, Mosaic Life Care’s community benefit giving strategy will be realigned to address community efforts dedicated to meeting these needs.

CHNA Action Plan
To fully meet the needs specified by the CHNA research results, Mosaic Life Care will implement a three-year action plan. 

Specific steps in the action plan include:

Mental Health Services
• Community opinion is that Mosaic Life Care should take the lead in this initiative, but encourages Mosaic Life Care to work with community partners. Mosaic Life Care is willing to assume this role and collaborate when possible, but will address the need whether or not a partnership is possible.
• Review and update Communities of Hope community readiness, needs and resource assessment report
• Offer telemedicine to other sites

Adult and Childhood Obesity
• Continue and expand Pound Plunge and 4th Grade Challenge
• Compile a comprehensive web-based information area with calendar of all activity-based events in our area, for easy reference and planning
• Increase access to healthy food and health experts in underserved areas

Health and Health Resource Education
• Compile a comprehensive web-based information area with calendar of all health education opportunities in our area, for easy reference and planning
• Earned media stories
• Encourage Mosaic Life Care caregivers to participate in education events in the community, focusing on their area of expertise
• Incorporate into primary care physician visits

If you would like to have a representative from Mosaic Life Care come to your business or organization to share about the Community Health Needs Assessment, please email Tracey Clark at