COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY PLAN 2013 DESCRIPTION OF WHAT MCHI WILL DO TO ADDRESS COMMUNITY HEALTH NEEDS

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1 I. INTRODUCTION: COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY PLAN 2013 Memrial Cmmunity Health is a private, nn-prfit crpratin that perates Memrial Hspital, a Critical Access Hspital. Memrial Hspital wrked with the cmmunity and the Central District Health Department t assess the health needs f the cmmunity. Over the past tw years, MCHI has participated with the Health Department thrugh a prcess called Mbilizing fr Actin thrugh Planning and Partnership (MAPP). As a result f that assessment, MCHI has identified besity and cancer as the tp needs t be addressed. Fr mre infrmatin n the assessment, please see the cmpanin dcument entitled Cmmunity Health Needs Assessment. This dcument utlines the implementatin strategies and plan assciated with pririty needs f besity and cancer. II. DESCRIPTION OF WHAT MCHI WILL DO TO ADDRESS COMMUNITY HEALTH NEEDS Memrial Cmmunity Health uses health infrmatin and cmmunity feedback in the develpment f its strategic plan. The planning prcess begins with a review f the Missin and Visin f MCHI. The Cmmunity Health Needs Assessment (CHNA) has been a valuable resurce in the hspital s planning prcess. The reprt has been shared with senir leadership, directrs and managers, as well as physician leaders. MCHI has a rich histry f wrking with the cmmunity t address cmmunity health needs. As a partner, the cmmunity lks t MCHI t lead the charge fr any health, healthcare and wellness activities. MCHI s Missins Statement is Frm Beginning t End, Imprving Lives thrugh Cmmunity Health Services. Living that Missin encmpasses a brad variety f services T live that Missin, MCHI recgnizes that addressing the health needs f the cmmunity, is as imprtant as prviding medical care. In keeping with its Missin, MCHI will cntinue t address cmmunity needs by prviding quality and safe care t thse in need accrding t ur charity care plicy. III. ACTION PLANS A. Obesity: Obesity was identified as the number ne health cncern in the Cmmunity

2 Health Needs Assessment. Specific actins include: Annual Health Fair: Each year MCHI spnsrs a health fair fr the cmmunity. Screening labratry wrk is prvided at a greatly reduced rate but the value f the fair is the educatinal bths by every department f the Hspital and varius ther health related vendrs in the cmmunity. Annual Health Challenge: With ther spnsrs, MCHI will cntinue t fund thrugh dnatins and in kind services the Hamiltn Cunty Health Challenge. Winning teams are selected by the percentage f weight lss. Rckin Family Fun: Led by the MCHI Rehab team, and in partnership with Aurra Jazzercise and the Aurra Fitness Center, this grup fcuses n ways t encurage families t get ut tgether t be active and t make healthy eating chices daily. Educating parents, guardians, and mentrs t be supprtive rle mdels fr children in ur cmmunity, is a primary gal. It invlves getting adults t be active with their kids, bth in physical activity and in activities such as grcery shpping and cking, t prmte healthy family lifestyles. In cnjunctin with the annual Fun Run, this grup develped a training chart t help families prepare their kids fr the Kid s Run. Other activities will be planned thrughut the year Annual Fun Run: During the A ROR N Days MCHI spnsred a Fun Run f 5K r 10K and a Childrens 1K. Included is als a wellness walk which is pen t everyne withut registratin. Natinal Farmers Market: Eating healthy and safely with fresh fruits and vegetables is the message we give at the Farmers Market.

3 Step Up t the Plate: This initiative was develped in cperatin with the Central District Health Department (CDHD). The name envisined fcuses n the Chse My Plate initiative as well as stepping up t encurage exercise and activity. Besides these fcuses, this grup cmpleted a survey f area businesses n determining their readiness t initiate healthy plicies in their businesses and/r a wellness prgram fr their emplyees. While the grant perid fr the prgram is sn t end, the Health Department and MCHI have cmmitted t cntinue t fcus n the wrksite wellness activities that the grant initiated. Rckin Wednesdays: Beginning with the schl year , the MCHI Occupatinal Therapist will be in charge f a prgram f after schl activity and fun at the Edgertn Explrit Center. The Edgertn Center is Nebraska s nly recgnized science center and is lcated in Aurra. Starting last schl year, Aurra Public Schl started n a schedule where the students were let ut early every Wednesday t allw time fr teacher inservice and planning. This created a vid fr many students f wrking parents. This prgram at the Edgertn Center will be structured with healthy snack, a perid f exercise, hmewrk and play. MCHI is excited t have ur schl based OT as the crdinatr f this prject. B. Cancer Preventin and Early Detectin: Cancer was identified as the secnd largest cncern n the Cmmunity Health Needs Assessment. The impact that MCHI culd have n this issue is in the areas f preventin and early detectin. The May Clinic identifies 7 habits fr the preventin r reductin in the risk f cancer. Our implementatin strategies are rganized arund thse 7 prven habits fr ur cmmunity. N Tbacc: Hamiltn Cunty des nt currently have a regular prgram fr helping citizens becme tbacc free. A gal will be t wrk with the Central District Health Department and MCHI staff t implement a prgram as needed. Healthy Diet: As discussed in the besity sectin, MCHI will cntinue t wrk n many areas t encurage health eating. Besides thse already discussed, we will cntinue t supprt a free diabetic supprt grup and prvide regular educatin in ur newsletter called Heath Matters. At the health fair educatin will be prvided n healthy eating chices and as able cking demnstratins fr recipe cnversin.

4 Be Physically Active : MCHI has several initiatives fr encuraging peple t be mre active. These are discussed in the besity sectin. Prtect Frm the Sun: Prvide educatin in the newsletter Health Matters n the risk f sun expsure and tanning. Encurage the prviders t discuss this with their patients. Wrk with the schl, thrugh the schl nurse, t prvide educatin t students n the risk f skin cancer. Get Immunized: MCHI cnducts the cmmunity Immunizatin Clinic. We will cntinue t cnduct cmmunity clinics and reach ut t businesses. Avid Risky Behavirs: Educatin n the crrelatins between risky behavirs and cancer will be prvided at the health fair. Regular Medical Care: In 2014 MCHI will be implementing a new Electrnic Medical Recrd. Part f this will prvide autmatic health screening reminders fr each patient when they are being seen. These reminders will allw the prvider t discuss the value f any imprtant screenings based n the patient s age, sex, etc. The prviders at MCHI will be better able t help their patients keep n track f everything frm vaccinatins t clnscpies. Breast Cancer: A large initiative fr early detectin f breast cancer began with the installatin f a new digital mammgraphy. MCHI will hld an annual Breast Health Event pen t all wmen t educate them n the benefits f early detectin and the advantages f mammgraphy and self breast exam. The gal is t increase the percentage f wmen t receive screenings as indicated by the American Cancer Sciety. Prstate Cancer Screening: As discussed under the Obesity sectin, MCHI hlds and annual health fair. Part f the labratry wrk included is a PSA. While there is sme cntrversy arund screening PSA fr prstate cancer, it has prven a value as screening and as a less expensive way fr sme men t fllw their levels as being fllwed by the dctr. Cln Cancer Screening: As mre peple have wellness and health screening cverage in their health insurance, cmpleting a screening clnscpy accrding t recmmendatin will be easier fr many. The EMR will help prviders tract patients wh need screened. IV. COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED: A. There are several lwer pririty needs identified in the Cmmunity Health Assessment that are nt being addressed in this plan. B. Staffing is nt available t plan and implement any additinal prgrams. MCHI determined that it is better t cmplete fewer activities better than t nt d anything well.

5 C. Financial resurces are als limited t be able t staff and implement additinal prjects. D. MCHI believes that fcusing n the tw areas identified will have the biggest impact n the health f the cmmunity. V. ADOPTION AND APPROVAL: The Memrial Cmmunity Health Bard f Directrs apprved the Cmmunity Health Needs Assessment Implementatin Strategy Plan n August 20, 2013.

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