Community Health Needs Assessment 2015-16


To provide high quality health care to our diverse community enhanced through teaching, research, charity care and financial responsibility.


The methodology of this report follows the recommendations of the American College of Surgeons’ the Commission on Cancer1, Association of American Medical Colleges (AAMC)2 and the National Committee on Vital and Health Statistics3.

The report includes statistical data and scholarly opinions from federal, state, and local government health agencies, private organizations, and community stakeholders about the community health needs in the Miami Beach community. Additional input was sought from local health experts and people representing the broad interests of the community.

The Mount Sinai is one of Florida’s original statutory teaching hospitals providing the next generation of healthcare leaders. Each year, Mount Sinai invests more than $20 million in its teaching programs to train approximately 160+ residents and fellows to be doctors in 16 medical specialties. Our nursing program trained 575 nursing students and our medical education (UME) program rotated more than 340 medical students. The allied health program trained 220 students for health care professions.

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Defining the Primary Service Area

Mount Sinai is the only hospital and emergency service provider on the barrier islands of Miami-Dade County. These are 32 manmade islands, which total 10.5 square land miles. The city of Miami Beach is the largest Census Designated Place (CDP) on the Northeastern Barrier islands and is the primary service area.

Northeastern Barrier Island Municipalities

Miami Beach

North Bay Village


Bay Harbor Islands

Sunny Isles Beach

Indian Creek

Golden Beach

Bal Harbor

Miami (island)

According to use statistics, only 31.02% of Mount Sinai inpatient discharges were from Miami Beach.  Residents from other island communities and other “mainland” zip codes.  34.3% of inpatient discharges were 53.68% residents

Residents additionally, 13.3% of discharges were from out-of-county, out-of-state or international zip codes.

Demographic Summary


The barrier islands are estimated to have 130,638 year round residents.  Of this total, 87,779 are within the immediate service area of Miami Beach.  Miami-Dade County’s population is 2,500,625.


The primary service area has a larger percentage of males (51%) than females (49%).  This is similar to the Miami-Dade County composition of males (48%) and females (52%).


The primary service area is an older population.  The median age is 40.3 years old.  This is slightly older than the County and national median age.  The significance of this is that disease related death increases with age.

Race & Ethnicity

The primary service area’s residents are 87.4% white, 4% black and 8.4% all others.  The county by contrast is 74% white, 19% black with 5.7% all others.  In the primary service area, 51% report their ethnicity as Hispanic.  Countywide, 65% report their ethnicity as Hispanic.


The median household income for the primary service area is $42,265.  This is lower than the county, state, and national median.  However, Miami Beach has pockets of extreme wealth with 7.2% of the population earning more than $200,000 and extreme poverty with 15.3% living below the federal poverty line.

Educational Attainment

The primary service area has a high rate of adults over 25 with four-year college degrees – 42.3%.[1]  In contrast, the county’s rate is 25.2%.

Health Insurance   Status

26.8 percent of Miami Beach residents do not have health insurance.  This compares to 31.8% of Miami-Dade residents, 21.3% of Florida residents, and 15.5% nationally.

Health Disparity Assessment

Wide differences in income and education, new US residency and lesser English skills are factors that point to a niche of residents for which there may be a healthcare disparity and a need of safety net healthcare services.


The community health priorities presented are based on an analysis of demographic, environmental, statistical, and behavioral public health data.

Leading Causes of Disease Related Death Population Health Priorities
Heart Disease Addressing the Physician Shortage
Cancer Safety Net Services – Uninsured
Stroke Chronic Disease Management
Chronic Obstructive Pulmonary Disease Maternity & Prenatal Medicine
Mental & Behavioral Disorders Emergency Medical Services
 Geriatric Medicine
Environmental Health Priorities Behavioral Health & Other Priorities
Sun Protection/ UV Radiation Nutrition & Physical Activity
Prevent Drowning Injury/Death Reducing Tobacco & Alcohol Use
AIDS/HIV Prevention & Treatment

Implementation Strategy

Provide a wide range of Safety Net services

Mount Sinai provides a wide variety of community health services in its role as a teaching and community hospital, and sole hospital and emergency services provider on the northeastern barrier islands of Miami Dade County.

  • Training to address Florida’s physician and healthcare worker shortage
  • Charity care for the uninsured and underinsured;
  • Disaster first response health services and regional leadership
  • Emergency medical services;
  • Adult psychiatric and behavioral care;
  • Intensive geriatric / senior care;
  • Maternity services and neonatal emergent care;
  • Health and disease prevention education;
  • Interventional and community health screenings. 

Focus on Mission Drive Community Health Priorities

Mount Sinai will focus resources on the leading disease related conditions that cause fatalities and other identified local health care needs for its teaching mission and fiscal responsibility.


Heart Disease


Alzheimer’s Disease/Behavioral Health

Chronic Obstructive Pulmonary Disease

Injury – Emergency Services

[1] The American College of Surgeons.  (2014). Sources Of Community Assessment Data & Xyz Cancer Program Community Assessment.

[2] Conroy, Joanne M, M.D, Chief Health Care Officer.  A letter from the Association of American Medical Colleges (AAMC) to the Internal Revenue Service Regarding: Notice 2010-39, Requests for Comments Regarding Additional Requirements for Tax-Exempt Hospitals. July 19, 2010.

[3] National Committee On Vital and Health Statistics. (2010) Recommendations on Community Health Assessment and the Roles of State Health Agencies and the Federal Government  Retrieved from