Park Nicollet Health Services Community Health Needs Assessment 2016 Implementation Update

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1 Park Nicollet Health Services Community Health Needs Assessment 2016 Implementation Update Priority #1: Mental and Behavioral Health Objective Action Steps Responsible Leader(s) Improve education about mental illness Provide education and increase awareness of eating disorders among community clinicians Behavioral Health Estimated Year CY 2016 CY 2017 CY 2018 Key Results : Melrose Center for Eating Disorders to 50,000 metro providers New Pediatrics/Adolescents brochures distributed 35+ presentations to non-park Nicollet provider groups 68 days of exhibits at professional conferences Reduce the stigma surrounding mental illness Support community organizations offering Mental Health First Aid, Youth Mental Health First Aid and other educational programs about mental health through annual grants and ongoing partnerships Support community organizations offering programs focused on reducing the stigma surrounding mental illness through annual grants and ongoing partnerships : Foundation Year 2 of a 3-year, $50,000 grant to NAMI to provide deliver Youth and Adult Mental Health First Aid classes and other educational programming Partnership with the Center for Community Health to promote Mental Health First Aid and other educational programming : Foundation Supported the Center for Community Health to collaboratively promote the Make it OK program during May Mental Health Awareness month Partner with HealthPartners to train Make it OK ambassadors and offer Make it OK sessions to team members within Park Nicollet Foundation x 2016: Park Nicollet Health Services Proclamation of PNHS as an organization that will strive to Make it OK to talk about mental illenss Assigned promotion of the Make it OK initiative to the employee Be Well initiative to be expanded in

2 Improve access to mental health services Complete plan to have 25 mental health practitioners on staff in 2016 Behavioral Health x 2016: Hired 10 new therapists and three new mental health prescribers Now have over 80 mental health practitioners on staff Expand access to mental health services through integration with Primary Care: e.g., the use of depression protocols, group therapy and embedding of therapists at primary and subspecialty care clinics Behavioral Health; Primary Care : Embedded therapists in three additional primary care sites; now have embedded therapists at seven sites Added a psychologist in Physical Medicine and Rehabilitation two days/week Depression protocols are being actively used Complete the launch at the Maple Grove clinic of a new model of mental health care using a team of providers located at the same location to comanage patient care Behavioral Health : Eight of the new clinicians were hired for the new Maple Grove Behavioral Health unit, including six therapists and two M.D. psychiatrists Develop a survivorship program to support cancer survivors in dealing with the emotional and psychological aftereffects of cancer Frauenshuh Cancer Center : Survivorship program offered educational opportunities and a Survivorship Celebration Event with motivational speaker Kevin Kling Continue to embed mental health professionals in the cancer center to improve access to mental health services and support crisis management needs of cancer patients Frauenshuh Cancer Center Ongoing Ongoing Ongoing 2016: There are currently an oncology psychiatrist, psychologist and social worker embedded in the cancer center 2

3 Maintain a capital campaign to raise philanthropic support for the cancer survivorship program Foundation x 2016: Campaign was completed and surpassed its $4 million goal Expand NOW! (No Obstacles to Well Being!), a telemedicine based, Park Nicollet driven program to provide youth mental health services, to the Richfield community Foundation x 2016: The NOW! program was implemented at Richfield High School with a Spanish-speaking therapist Support schools and community programs providing mental health services to youth through annual grants and partnerships Launch a capital campaign to raise additional funds to support and expand mental health services for youth Reduce conditions negatively affecting the mental health of seniors by providing grant support to community organizations addressing isolation and lack of community connectedness Continue to offer services to promote the mental wellbeing of Park Nicollet team members, including the Be Well and Your Life Support programs Foundation x 2016 Employee Health Ongoing Ongoing Ongoing 2016 Awarded $262,000 in grants to support school-based and community programs providing mental health services to youth Children s Mental Health campaign initiated $90,000 in grants was awarded to community organizations providing transportation or food delivery services for seniors to help reduce isolation Promoted Vital Work Life Employee Assistance resources to employees, including onsite, in-person meetings with counselors and physician-specific programs 3

4 Promoted online Be Well resources, including tips for stress management Priority #2: Access and Affordability of Healthcare Objective Action Steps Responsible Leader(s) Make health care Implement a Call, Click, Come In easier to use; Reduce campaign to offer patients expanded barriers to options for accessing care access Estimated Year CY 2016 CY 2017 CY 2018 Key Results Patients can now access care through scheduled telephone visits and e-visits via MyChart Convene a telemedicine steering committee to guide the expansion of telemedicine efforts to improve access to services Continue to support existing Park Nicollet school-based health centers providing free or low cost medical, dental and vision services to youth in need (financial support, personnel and other resources) Expand access to free and low cost health care services for youth in need by opening a new, school-based health center in Richfield Expand annual free skin cancer screening services to provide access to greater numbers of community members IS&T; Care Delivery x 2016 Foundation Ongoing Ongoing Ongoing 2016 Foundation x 2016 Frauenshuh Cancer Center Telemedicine steering committees were established for both acute care and ambulatory care $505,000 was granted to support staffing, medications and supplies for four school-based health resource centers Richfield Health Resource Center opened in the Richfield High School in 2016 and provided nearly 500 visits with Park Nicollet physicians Skin cancer screening event was held in May

5 Continue to support, through annual grants, Park Nicollet and community programs that provide patients in need with free medications, transportation and other resources to remove financial and other barriers to accessing care Improve access to health care for seniors by: 1. Convening a work group of seniors, non profit organizations and other stakeholders to address the need for increased transportation options, and 2. Providing grant support to community organizations providing transportation services Foundation Ongoing Ongoing Ongoing 2016 Over $800,000 was awarded in grants to organizations focused on removing barriers to accessing health care This convening was cancelled when the State of MN convened its own transportation work group $20,000 grant to VEAP to support senior transportation services. A portion of a $15,000 grant to STEP was also earmarked for transportation. Priority #3: Chronic Disease and Illness Prevention Objective Improve healthy behaviors / Reduce obesity Action Steps Expand the use of technology ( s, text messages, MyChart messages, etc.) to engage patients between visits and promote healthy behaviors Continue to partner with the Brookdale YMCA on the pre diabetes prevention program; solicit funding to expand to additional locations Continue partnering with the yumpower program to teach youth about healthy eating Responsible Leader(s) Estimated Year CY 2016 CY 2017 CY 2018 Primary Care Ongoing Ongoing Ongoing 2016 Primary Care x 2016 Key Results Parents of children ages birth to 11 years can sign up to receive text message reminders about recommended preventive care, screening and immunizations Funding was obtained to continue the program through 2017 yumpower materials are distributed to children and families at every well child visit 5

6 Expand the Fruit and Veggie prescription program to more Park Nicollet clinics to give youth an incentive to learn how to shop for and prepare healthy foods Make further refinements to the Flash FWD program, an intensive multidisciplinary approach to obesity for elementary and middle school children and their families Reduce food insecurity among seniors by providing grant support to community organizations addressing the issue Primary Care x 2016 Program was expanded to additional sites in 2016 Primary Care x 2016 Several refinements were made to the program in 2016 $88,000 in grants was awarded to organizations supporting food security among seniors End the sale of all sugar sweetened beverages at Methodist Hospital and Park Nicollet clinics Continue to offer the Be Well program to support Park Nicollet team members in maintaining healthy behaviors PN Institute Better Eating Collaborative Employee Health x 2016 Ongoing Ongoing Ongoing 2016 As of 1/1/16, no beverages with added sugar are sold at any Park Nicollet location Behavior change campaigns are offered quarterly, addressing such issues as maintaining a healthy weight and reducing consumption of sugared beverages The Heart and Vascular Center fitness center is open to employees Frequent fitness program offers health club discounts Yoga classes are offered at some Park Nicollet locations Over 1000 employees attended a Wellness Fair in April Farmers markets were held during summer months 6

7 Develop innovative methods for addressing chronic diseases Employ risk stratification methods to help identify patients who are not managing their chronic conditions well, allowing for earlier intervention to prevent the need for hospitalization or other high cost treatment options Ongoing Expand the team management model of care, with physicians, nurses, pharmacists, dietitians, care coordinators and other providers collaborating to work with patients with chronic diseases Ongoing Prevent / reduce the prevalence of Infectious Diseases Continue routine screening for STIs in the target age group during Primary Care visits Primary Care Ongoing Ongoing Ongoing 2016 Ongoing Coordinate with the HealthPartners Children s Health Initiative team to identify and implement best practices in working with adolescents on sexual health issues Ongoing Continue to provide grant and other resource support to the Park Nicollet school based health centers and community organizations offering free immunizations and sexual health services to adolescents Foundation Ongoing Ongoing Ongoing 2016 Foundation grants supported four school-based health centers in providing 642 sexual health-related patient visits and 1,643 immunizations Expand free immunizations, primary care and sexual health services to a new, school based health center in Richfield Foundation The Richfield Health Resource Center opened in 2016 at Richfield High School 7

8 Priority #4: Equitable Care Objective Action Steps Responsible Leader(s) Increase cultural competency and humility throughout the organization; Cultivate a culture that embraces diversity Monitor the effectiveness of the community health worker (CHW) at the Minneapolis clinic; hire CHWs for other clinics, as indicated Continue to offer It s Time to Talk, Team Dialogues and other diversity and inclusion focused trainings for leaders and employees throughout the organization Estimated Year CY 2016 CY 2017 CY 2018 Human Resources Ongoing Ongoing Ongoing 2016 Key Results A pilot program using a CHW was found to not be financially sustainable Team dialogues focused on language and poverty were offered across service lines Team talks about race were led by senior leadership with all services lines and teams All leaders attended a symposium on diversity and inclusion at Pillsbury House All team members were offered the opportunity to attend a Breaking the Ice experience and discussion Increase employee recruitment and retention strategies to create a more diverse workforce Human Resources Participated in Make it MSP Mingle, a diverse professional networking event Cross-posted all job announcements with the MinnesotaDiversity.com network Participated in the March Forum on Workplace Inclusion Career Fair and the November National Black MBA Virtual Career Fair Implement an Equitable Care Champion program to increase awareness of Equitable Care Champion Team 170 champions were recruited across the organization Four champion orientations were held 8

9 organizational priorities and resources around health equity Seven editions of Cultural Roots were written and distributed, addressing such topics as health literacy, health disparities and cultural humility Equitable Care website was relaunched Equitable Care presentations were added to the Clinical Quality Training Program Reduce disparities in breast cancer screening rates for patients of color (11.2% in 2015) Reduce disparities in breast cancer screening rates for patients of color (11.2% in 2015) Improve data collection regarding race and primary language of patients Provide for Primary Care to directly schedule mammograms to remove the barrier of the patient having to make a separate call to schedule Partner with nonprofits serving diverse communities and women in need to provide free breast cancer screening events (mobile mammography and diagnostic services); Seek funding to sustain and expand the program Maintain a community outreach coordinator to build relationships and trust in diverse communities and facilitate screening events Develop culturally sensitive and translated educational materials about breast cancer screening All Service Lines Jane Brattain Breast Center; Foundation Jane Brattain Breast Center; Foundation Jane Brattain Breast Center x 2016 Achieved strong collection rates for both race and language (Race = 98.3%; Language = 99.5%) Direct scheduling was found to not be feasible, but staff have been trained in doing immediate and warm handoffs to the mammogram schedulers patient is transferred to a live person, not a recording, to schedule In 2016, 1,034 women received breast cancer screenings through the Mammo-a-go-go program Community outreach coordinator is embedded in the Women s Center Several educational materials were translated into Spanish and Hmong; work continues to translate others 9

10 Conduct a pilot study of potential cultural reasons why patients of color aren t getting screening mammograms Primary Care; Specialty Care This study was discontinued when the individual leading it left Park Nicollet Reduce disparities in colorectal cancer screening rates for patients of color (11.5% in 2015) Encourage and support diversity and health equity in communitybased organizations and services Offer Fecal Immunochemical Testing (FIT) for colorectal cancer to increase the likelihood of patients of color following through on screening In making grant decisions, consider how community grant applicants incorporate diversity and health equity into their culture, focus and manner of providing services Focus grant making in locations that have been shown to have high levels of health inequities FIT was implemented in all primary care clinics Questions about diversity were included on grant applications and considered in the application review process Priority was given to grant applications from organizations providing services in the communities served by the Park Nicollet school-based health centers, which are located in areas of high levels of health inequities 10

Checklist for Ocean County Community Health Improvement Plan Implementation of Strategies- Activities for Ocean County Health Centers: CHEMED & OHI

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