The population of Brooklyn is greater than that of 15 U.S. states.
More than half of that population is on Medicaid or uninsured.
Brooklyn is a borough rich with culture and diversity, with a mix of high, medium and low income neighborhoods and a broad range of racial and ethnic populations. Each of these communities has unique needs related to traditions, language, education, and economics.
A number of Brooklyn neighborhoods have high concentrations of public housing. These areas, which often have concentrated poverty, are sometimes referred to as neglected neighborhoods, lacking appropriate services for meeting basic needs. At the same time, rapid gentrification is evident in many traditionally lower income and minority Brooklyn neighborhoods, resulting in reduced affordable housing and higher prices at local businesses. The consequences of gentrification are described by some in positive terms, including increased access to healthy foods.
A high percentage of CCB’s patient population comes from Brooklyn’s most at-risk neighborhoods. Therefore, CCB strategically selected DSRIP projects that presented the greatest opportunities to benefit these communities’ needs.
Community Needs Assessment
A key component of initial DSRIP planning involved conducting a Community Needs Assessment (CNA). The PPSs with significant Medicaid populations in Brooklyn partnered with the New York Academy of Medicine to conduct the assessment, which was completed in October of 2014. The complete Community Needs Assessment is available here.
CCB’s DSRIP initiatives were both informed and influenced by the Community Needs Assessment that highlighted hotspots and issues, including:
Areas of the Brooklyn consistently rank poorly in markers of socioeconomic determinants of health such as household poverty, unemployment, lack of health insurance, low levels of education and high prevalence of disease.
Barriers to accessing care that can be prevalent in Brooklyn’s immigrant populations (e.g., linguistic, eligibility for insurance, familiarity with the US healthcare system) can result in delayed care.