Jefferson County, Colorado
Community Health Needs Assessment

Jefferson County Public Health, St. Anthony Hospital - Centura Health, and Lutheran Medical Center - SCL Health partnered to conduct a joint Community Health Needs Assessment (CHNA) to comprehensively assess the current state of health in Jefferson County, Colorado and gather information on gaps and opportunities for improvement. This assessment contains information on a broad range of factors that impact community health as well as existing assets and resources to address these health issues.

The CHNA is organized into five sections: a community description, an assessment of the health determinants and factors, an assessment of health outcomes, a list of community assets and a description of the assessment methodology. The information presented on this interactive website is designed to be updated when new data are available, revised as a we learn more about specific health issues and expanded as new issues are identified. We hope this assessment will serve as a resource to improve the health of Jefferson County’s community members. 

The World Health Organization defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (1). This definition was written in 1948 following World War II when the health of societies was in question (2). Since then, the concept of social health has evolved to focus on the social factors that impact health, which are commonly known as the social determinants of health.

The social determinants of health are the circumstances in which people are born, grow up, live, work and age, and the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies and politics (3).

The social determinants of health can have direct impact on an individual’s health. When a social determinant impacts groups of people differently, it can be a health disparity or a health inequity. Health disparities are differences that exist in health status between people that are related to social and demographic factors such as race, gender, income or geographic region. Not all disparities are unjust or inequitable. Health inequities are unjust, systemic, and avoidable health differences between different population groups. These inequalities in health status are linked to many factors, including differences in exposure to risk factors and access to health care. For example, older adults are more likely to die than younger adults. This is an unavoidable disparity. However, someone living in poverty is more likely to die prematurely than someone who is wealthy. This is a health disparity and inequity.

Health inequities are avoidable inequalities in health between groups of people within countries and between countries. These inequities arise from inequalities within and between societies (3).

Data on health disparities and inequities in Jefferson County are included throughout this assessment. This section of the assessment takes an in-depth look at the determinants of health because these factors influence health outcomes. Assessing these determinants, along with health outcomes, provides a comprehensive look at the health of our community. In this assessment, the determinants are grouped into health behaviors, social and economic factors, physical environment and health care.

Please click the links below to learn more about how these determinants and factors are shaping health in Jefferson County.

Health outcomes are important measure of the health of the county. This section of the assessment looks at how long people are living (length of life), and how healthy people are when they are alive (quality of life).

Length of Life

This section of the assessment looks at how long people are expected to live (life expectancy), and the number of years of life lost when someone dies before the age of 65 (years of life lost). This section also looks at the leading causes of death in Jefferson County.

Quality of Life

This section of the assessment looks at how healthy people are, which includes physical health, mental health and spiritual health.

Please follow the links below to see how Jefferson County is doing!

Thank You!

We would like to thank all the community members, partners, and staff of our respective organizations who lent their time and passion to make this effort successful. It would not have been possible without your hard work and dedication to improve health for all Jefferson County residents.

* indicates Steering Committee Member
+ indicates Data Advisory Committee Member

Community Members and Partners

Chief Al Simmons - Jefferson County Sheriff's Office*
Alex Trujillo - CTC Youth Researcher
Alexey Duplikhin - Jefferson County Veteran's Services
Aly Ferrufino-Coqueugniot - Conservation Colorado*
Amber Wesner - City of Golden
Amy Dillon - Jefferson County Public Schools*
Andres Ruiz - CTC Youth Researcher
Angelica Moreno - Colorado School of Public Health
Annie Dorchak - Evergreen Fire*
Ariana Miller - CTC Youth Researcher
Ariel Briggs - Colorado School of Public Health
Aubree Kirgan - Colorado Community Health Alliance*
Ayshia Clark - CTC Youth Researcher
Barbara Giedraitis - City of Westminster*
Ben Wierderholt - Metro Community Provider Network
Beverly Winters - Developmental Disabilities Resource Center
Brett Friedman - Colorado School of Public Health
Cerise Hunt - Colorado School of Public Health
Senator Cheri Jahn - State Senator District 20
Chloe Murphy - CTC Youth Researcher
Cory Sedey-Seitz - Colorado School of Public Health
D. Rocky Li - CTC Youth Researcher
Chief Dan McCasky - Lakewood Police Department
Chief Ed Brady - Arvada Police Department
Elijah Medina - CTC Youth Researcher
Elizabeth Baskett - Colorado Community Health Alliance*
Emily McCormick - Denver Public Health*
Emily O'Winter - Jefferson County Public Schools*
Eric Barnett - Jefferson County Veteran's Services
Eric Pennell - Regis University*
Frankie Briganti - CTC Youth Researcher
Gabe Dinette - CTC Youth Researcher
German Zarate-Bohorquez - Colorado Statewide Parent Coalition
Heather Brozek - Seniors Resource Center*
Heather Logan - Metro Community Provider Network*
Isabella Briganti - CTC Youth Researcher
Jacki Paone - Jefferson County Extension
Jayna Lang - City of Lakewood*
Sheriff Jeff Shrader - Jefferson County Sheriff's Office
Jenna Lavallee - Colorado School of Public Health
Jillian Stongle - CTC Youth Researcher
Joel Newton - Edgewater Collective*
John Reid - Metro Community Provider Network
Julie Wilken - Jefferson County Public Schools*
Julie Zadel - Colorado School of Public Health
Justin Cutler - City of Westminster*
K. China Brian - CTC Youth Researcher
Karen Verdier - Bright by Three
Kathy Smith - Jefferson Unitarian Church & Community Action Network
Kathy Whitlow - Colorado School of Public Health
Kevin Carroll - Jefferson County Public Schools*
Kiara Kuenzler - Jefferson Center*
Kim Massey - Jefferson County Extension Office - Family Leadership            Training Institute
Former Mayor Kris Teegardin - City of Edgewater*
Kyler Tolka - CTC Youth Researcher
Laura Larson - Metro Community Provider Network*,+
Laura Robertson - Clear Creek County Public and Environmental                  Health*
Laurie Walowitz - The Action Center*
Lilian Fraser - CTC Youth Researcher
Linda Skelley - Metro Community Provider Network*
Lorena Álvarez - Colorado School of Public Health
Lynn Johnson - Jefferson County Human Services
Lynnzy McIntosh - Consortium for Older Adult Wellness*
Maddie Philley - American Heart Association*
Marrisa Mora - Colorado School of Public Health
Mary Berg - Jefferson County Human Services*
Mary Casey - Colorado School of Public Health
Matthew Anderson - City of Wheat Ridge
Monica Roers - Seniors Resource Center*
Nevaeh Valtierra - CTC Youth Researcher
Nina Hernandez - CTC Youth Researcher
Noah Atencio - Community First Foundation
Pam Bales - West Chamber*
Paola Vilaxa - Jefferson County Libraries
Patricia Valverde - Colorado School of Public Health
Patty Boyd - Tri-County Public Health*
Peg Hooper - Jefferson County Libraries *
Peggy Boccard - City of Lakewood *
Peter Mortaro - Jefferson County Veteran's Services
Phillip Baca - CTC Youth Researcher
Raina Charles - CTC Youth Researcher
Captain Rick Ihnken - West Metro Fire*
Rob Laffler - West Metro Fire*
Robert Buck - City of Lakewood*
Roberto Gurza - Jefferson Center*
Sandra García-Hernández - Colorado School of Public Health
Sara Martin - American Heart Association*
Sarah Dunham - Colorado School of Public Health
Sarah Tamura - Colorado School of Public Health
Scott Shields - Family Tree*
Shannon Gwash - Jefferson Center
Simone Groene-Nieto - Jefferson County Libraries
Steven Nguyen - CTC Youth Researcher
Valeria Montes - CTC Youth Researcher
Viviana Gonzalez - CTC Youth Researcher

St. Anthony Hospital - Centura Health

Arleen Fujimoto - Data Project Analyst*
Darcy Copeland - Nurse Scientist*,+
Douglas Muir - Behavioral Health Service Line Director*
Gisele Dias de Oliveira - Clinical Researcher*
Jason Richter - Psychiatric Services*
Kim Bentrott - Family Medicine*
Lisa Hofstra-Johnson - Faith Community Nurse*,+
Michelle Lackore - Project Coordinator*
Monica Buhlig - Group Director of Community Health*,+
Robert Hayes - RN Trauma Injury Prevention Specialist*
Scott Phillips - Director, PreHospital Services*

Lutheran Medical Center - SCL Health

Carol Salzmann - Vice President of Community and Government                  Affairs*
Chuck Ault - Regional Director, Community Health Improvement*,+
Deb Roybal - Vice President Mission Integration and Ministry                        Formation
Glenn Most - Executive Director West Pines Behavioral Health*
Katie Bovee - Mission Services Coordinator*
Kendra Casson - Director of Care Management
Lindsay Reinert - Community Liaison*,+ 
Stacy Menardi - Care Manager                                                                

Jefferson County Public Health

Allison Wilson, Healthy Food & Beverage Coordinator
Ariel Briggs, Student Intern
Ashley Moore, Public Information Manager
Bonnie McNulty, Board of Health President
Cynthia Farrar, Regional Health Connector
Dr. Dawn Comstock, Board of Health
Donna Viverette, Health Education Program Supervisor
Drew Kartos, Public Engagement Coordinator
Elise Lubell, Health Promotions and Lifestyle Management Division            Director*
Elise Waln, Special Projects Coordinator
Greg Deranleau, Board of Health
James Rada, Environmental Health Services Division Director*,+
Jennifer Anton, Early Childhood Data Liaison
Jody Erwin, Deputy Director/Administrative Services Director*,+
Kate Watkins, Epidemiologist*,+
Kelly A. Conroy, Associate Director Clinic Services
Kelly Keenan, Epidemiology and Planning Program Manager*,+
Kelly R. Kast, Epidemiologist/SIM Grant Manager
Kelsey Rivera, Registered Dietitian / Breast Feeding Peer Supervisor
Kimberley Krapek, Board of Health
Kristian Blessington, Health Planner*,+
Kylie Harrison, Community Nutrition Program Supervisor
Lane Drager, Board of Health
Dr. Margaret Huffman, Community Health Services Division Director*
Dr. Mark Johnson, Executive Director*
Marion Kalb, Food Systems Coordinator
Mary Margaret Fouse-Bishop, Maternal Child Health PHN Supervisor
Melissa Palay, Associate Director Family Services
Mindi Ramig, Supervisor, Environmental Health
Nicole Work, Public Engagement Coordinator
Noella Rios, Public Engagement Specialist
Pamela Gould, Communities That Care Facilitator
Paulina Erices, Special Projects Administrator
Rachel Cohen, Early Childhood Data Liaison
Sophie West, Injury & Violence Prevention Program Epidemiologist
Stacey Quesada, Health Planning Assistant
Tommi Vernon, Mental Health Specialist

Reference List

1. Preamble to the Constitution of WHO as adopted by the International Health Conference, New York, 19 June - 22 July 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of WHO, no. 2, p. 100) and entered into force on 7 April 19

2. Larson, J. S. (1996). The World Health Organizations definition of health: Social versus spiritual health. Social Indicators Research, 38(2), 181-192.  doi:10.1007/bf00300458

3. Key concepts. World Health Organization. (2013, May 07). Retrieved from:

4. What is Health Equity? Robert Wood Johnson Foundation. (2017, September 21). Retrieved from:

Published on July 17, 2018

Updated on September 4, 2018