2016 CHNA Implementation Plan

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1 2016 CHNA Implementation Plan Summary of planned actions to address needs identified in the 2016 Community Health Needs Assessment of Oktibbeha County, MS and the OCH Regional Medical Center Service Area Richard G. Hilton, FACHE Finalized by Administration 01/04/2017 Administrator/CEO Approved by Board of Trustees 01/09/2017 OCH Regional Medical Center Posted to OCH Web Site 01/10/2017 PO Box 1506 Starkville, MS

2 2016 OCH CHNA Implementation Strategy 1 PRIORITY NEEDS IRS REQUIRED COMPONENTS 1 *** the assessed and the source Chronic Diseases (Heart Disease, Diabetes, Hypertension, Stroke, Respiratory Disease) how the hospital ; or Reduce the prevalence of chronic diseases by education, support groups, and monitoring events Explanation of why the hospital facility does not intend to n/a actions the hospital facility intends to take to health need and the anticipated impact of these actions 1. Mass media campaign to educate a large and broad audience 2. Identify programs the hospital and community already have in place to address chronic illnesses 3. Marketing department to assist in production of media to distribute 4. Have more appropriate programs to address chronic illness (diabetes education, heart healthy diet and exercise programs, etc.) hosted by hospital into community settings resources the hospital commit to address the 1. Marketing dept. to lead media campaign. 2. Department heads prioritize and request budget resources to increase marketing and group programs 3. Department heads to help identify places in the community outside the hospital in which to take programs to the community 4. Advertise cardiac rehab any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need 1. Local newspapers, radio, and TV 2. OCH website, app, and social media to promote programs. 3. Explore involvement of faith-based communities. 4. Community organizations (Healthy Starkville, Volunteer Starkville, American Heart Association local chapter, MS Diabetes Foundation local chapter, etc.) *Community Provided **OCH Research Provided ***Both

3 2016 OCH CHNA Implementation Strategy 2 PRIORITY NEEDS IRS REQUIRED COMPONENTS 2 *** the assessed and the source Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) how the hospital ; or 1. Increase access to primary care providers and increase community and service area awareness of available resources (including preventative care and screenings) 2. Improve communicatio n to public regarding availability of onsite Explanation of why the hospital facility does not intend to N/A actions the hospital facility intends to take to health need and the anticipated impact of these actions See Appendix 1 for specific hospital programs that have and will continue to address health needs. 1. OCH recently recruited and employed a full-time primary care physician for the community and has increased the number of nurse practitioners available to see primary care patients. Existing family practice physician to collaborate with nurse practitioners and plans already in place to re-open Rural Health Clinic when feasible (in mid-2017) resources the hospital commit to address the 1. Marketing dept. to producing media for distribution 2. PR director to coordinate visiting area health facilities and other organizations to distribute information on available programs and primary care providers any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need 1. Local health facilities 2. Local newspapers, radio, and TV 3. OCH website, app, and social media to promote programs *Community Provided **OCH Research Provided ***Both

4 2016 OCH CHNA Implementation Strategy 3 PRIORITY NEEDS IRS REQUIRED COMPONENTS the assessed and the source how the hospital ; or Medicaid enrollment service 3. Explore ways of expanding Medicaid enrollment service to include MS Health Insurance Exchange 4. Provide resources for uninsured who are seeking care to apply for Medicaid and S-CHIP (children) when appropriate Explanation of why the hospital facility does not intend to actions the hospital facility intends to take to health need and the anticipated impact of these actions 2. Visit area health facilities and other organizations to distribute information on available programs and primary care providers 3. Consider feasibility in operating a free clinic staffed with volunteer providers (Physicians, NPs, RNs, etc.) once a month or as often as possible by mid Highlight plans for rural health center by mid-2017 and consider possibility and feasibility of developing and operating a Federally Qualified Health Center FY 2018 resources the hospital commit to address the any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need *Community Provided **OCH Research Provided ***Both

5 2016 OCH CHNA Implementation Strategy 4 PRIORITY NEEDS IRS REQUIRED COMPONENTS 3 *** the assessed and the source Obesity (adult and child) Lack of physical activity how the hospital ; or Reduce prevalence of obesity among community and service area through promotion of healthy eating and physical activity Explanation of why the hospital facility does not intend to N/A actions the hospital facility intends to take to health need and the anticipated impact of these actions See Appendix 2 for specific hospital programs that have and will continue to address s. 1. Mass media campaign to educate a large and broad audience 2. Explore collaboration with local primary care providers to advertise Healthy You Clinic to which providers could refer patients with appropriate health care coverage for exercise and nutrition counseling for which independently run clinics may not have the resources to develop and implement resources the hospital commit to address the 1. Marketing Dept. to lead campaign 2. Fitness staff to organize and manage health fairs and health fair participation 3. and education staff 4. Employee volunteers 5. Determine feasibility of OCH providing NP, RNs, nutritionists and fitness staff to operate Healthy You & School based clinic by FY 2018 any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need 1. Local newspapers, radio, and TV 2. OCH website, app, and social media to promote programs 3. School systems and their websites and social media outlets 4. School nurses *Community Provided **OCH Research Provided ***Both

6 2016 OCH CHNA Implementation Strategy 5 PRIORITY NEEDS IRS REQUIRED COMPONENTS the assessed and the source how the hospital ; or Explanation of why the hospital facility does not intend to actions the hospital facility intends to take to health need and the anticipated impact of these actions 3. Sponsor health fairs for adults and children with height, weight, and BP screens with health information provided at children s level 4. Offer weight loss programs in partnership with Weight Watchers, faith-based communities, local community organizations, etc. 5. Consider programs already in place at OCH 6. Explore ways to increase the visibility of Wellness Connection & services offered in the community and surrounding area resources the hospital commit to address the any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need *Community Provided **OCH Research Provided ***Both

7 2016 OCH CHNA Implementation Strategy 6 PRIORITY NEEDS IRS REQUIRED COMPONENTS the assessed and the source how the hospital ; or Explanation of why the hospital facility does not intend to actions the hospital facility intends to take to health need and the anticipated impact of these actions 7. Continue community sports physicals with local physicians and NPs 8. Discuss feasibility of implementing school based clinic staffed with NPs and nurses to provide screenings/wellchild checks/epsdt visits and sick visits for students and school staff of Starkville/Oktibbeha Co. to reduce absenteeism and increase the frequency of child well-visits in FY 2018 resources the hospital commit to address the any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need See Appendix 3 for specific hospital programs that have and will continue to address health needs. *Community Provided **OCH Research Provided ***Both

8 2016 OCH CHNA Implementation Strategy 7 PRIORITY NEEDS IRS REQUIRED COMPONENTS the assessed and the source *** Lack of coordination of available community health resources how the hospital ; or Improve access and coordination of available community health resources Explanation of why the hospital facility does not intend to *** Mental Illness N/A 1. Facility (Region 7) is in the community to manage mental health needs 2. OCH lacks the expertise and resources to manage mental health needs N/A actions the hospital facility intends to take to health need and the anticipated impact of these actions 1. Develop and implement a community health resource databank of available local community health resources in FY Provide coordinated information and assistance for community members and local health care providers resources the hospital commit to address the 1. PR Director to lead development and implementation of community health resource databank 2. PR Director to coordinate visits to clinics, local organizations, and providers N/A N/A N/A any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need 1. Local newspapers and radio. 2. OCH website, app, and social media to promote databank. 3. Local MDs, NPs, Dentists, OCH, and local organizations *Community Provided **OCH Research Provided ***Both

9 2016 OCH CHNA Implementation Strategy 8 PRIORITY NEEDS IRS REQUIRED COMPONENTS the assessed and the source *** Lack of Transportation how the hospital ; or N/A Explanation of why the hospital facility does not intend to 1. City of Starkville provides SMART BUS transport throughout the city including stops at OCH several times daily 2. The state provides for transportation of Medicaid participants actions the hospital facility intends to take to health need and the anticipated impact of these actions resources the hospital commit to address the N/A N/A N/A any planned collaboration between the hospital facility and other facilities or organizations in addressing the health need *Community Provided **OCH Research Provided ***Both

10 2016 OCH CHNA Implementation Strategy 9 Appendix 1 Priority 1 - Chronic Diseases (Diabetes, Hypertension, Stroke, Respiratory Disease) - Specific programs provided by OCH Regional Medical Center during FY 2016: Asthma education services COPD disease management Diabetes self-management training Diabetes support group Let s do lunch community programs Metabolic testing for dietary wellness OCH Health Fair-at OCH Pulmonary rehab programs R.O.A.D. program Sleep medicine lab Stroke support group /Nursing Nursing/ / //Medical Staff/Physical Therapy/ / /Marketing/Nursing/Physical Therapy/Public Relations/Speech-Language// Wound Center /Nursing/Speech-Language Pathology Priority 1 - Chronic Diseases (Diabetes, Hypertension, Stroke, Respiratory Disease) - Specific programs provided by OCH Regional Medical Center during FY 2015: Annual diabetes fair Asthma education services COPD disease management Diabetes self-management training Diabetes support group Let s do lunch community programs Metabolic testing for dietary wellness Pulmonary rehab programs R.O.A.D. program Sleep medicine lab Stroke support group / /Nursing Nursing/ / //Medical Staff/Physical Therapy/ / /Nursing/Speech-Language Pathology Priority 1 - Chronic Diseases (Diabetes, Hypertension, Stroke, Respiratory Disease) - Specific programs provided by OCH Regional Medical Center during FY 2014: Annual diabetes fair Asthma education services Diabetes self-management training Diabetes support group Let s do lunch community programs / /Nursing / //Medical Staff/Physical Therapy/

11 2016 OCH CHNA Implementation Strategy 10 Pulmonary rehab programs Sleep medicine lab Stroke support group /Nursing/Speech-Language Pathology Priority 1 - Chronic Diseases (Diabetes, Hypertension, Stroke, Respiratory Disease) - Specific programs provided by OCH Regional Medical Center during FY 2013: Center for tobacco treatment (ACT) Annual diabetes fair Asthma education services Diabetes self-management training Diabetes support group Let s do lunch community programs Pulmonary rehab programs Sleep medicine lab Smoking cessation program Stroke support group /Respiratory Therapy / /Nursing / //Medical Staff/Physical Therapy/ /Nursing/Speech-Language Pathology Priority 1 - Chronic Diseases (Diabetes, Hypertension, Stroke, Respiratory Disease) - Specific programs provided by OCH Regional Medical Center during FY 2012: Center for tobacco treatment (ACT) Asthma education services Diabetes self-management training Diabetes support group Let s do lunch community programs Pulmonary rehab programs Sleep medicine lab Stroke support group /Respiratory Therapy /Nursing / //Medical Staff/Physical Therapy/ /Nursing/Speech-Language Pathology Priority 1 - Chronic Diseases (Diabetes, Hypertension, Stroke, Respiratory Disease) - Specific programs provided by OCH Regional Medical Center during FY 2011: Asthma education services Diabetes self-management training Diabetes support group Let s do lunch community programs Pulmonary rehab programs Sleep medicine lab Stroke support group /Nursing / //Medical Staff/Physical Therapy/ /Nursing/Speech-Language Pathology

12 2016 OCH CHNA Implementation Strategy 11 Priority 1 - Chronic Diseases (Diabetes, Hypertension, Stroke, Respiratory Disease) - Specific programs provided by OCH Regional Medical Center during FY 2010: Asthma education services Diabetes self-management training Diabetes support group Let s do lunch community programs Staff/Physical Therapy/ Pulmonary rehab programs Sleep medicine lab Stroke support group /Nursing / //Medical /Nursing/Speech-Language Pathology

13 2016 OCH CHNA Implementation Strategy 12 Appendix 2 Priority 2 - Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) during FY 2016: Annual world breastfeeding celebration Mothers, babies and advocates Arthritis foundation exercise program (AFEP) Arthritis foundation aquatic program (AFAP) Arthritis support group Breast/cervical screening Breast-feeding hotline Breast is best classes Cardiac rehabilitation Car seat safety inspection Community blood drive Community blood pressure checks Community and hospital advancing maternity practices Comprehensive risk reduction program Congenital heart defect screening Contract for outstation eligibility worker to assist In processing applications and providing CHIP/Medicaid outreach CPR training Cradle call hotline Disaster preparedness community First aid training Hand washing programs for pre-school/ Kindergarten/1 st grade classes Hearing screening Host monthly cancer support group meeting Lactation clinic in cooperation with the Mississippi State Department of Health/WIC program (support services for mothers and infants) Mammogram assistance fundraising (Pink Heals) Maternity and infant fair Newborn follow-up clinic Nicotine dependency counseling Prepared childbirth classes Safe sitters program Saturday morning sports clinic football Sports medicine concussion management program Sports pre-participation physicals Stress management Marketing/ / Breast Center/Family Health Clinic Labor & Delivery / Laboratory/ / Social Services Infection Control/Staff /Employee Health Disaster Committee Infection Control/Staff Speech-Language Pathology Physical Therapy/ Breast Center/ Marketing//Public Relations / /Marketing/Nursing/Public Relations/

14 2016 OCH CHNA Implementation Strategy 13 VHA rapid adoption network Visits to schools (promote good health) Accreditation Infection Control/Marketing/Nursing/Public Relations / Public Relations/ /Physical Therapy Priority 2 - Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) during FY 2015: Annual world breastfeeding celebration Mothers, babies and advocates Arthritis foundation exercise program (AFEP) Arthritis foundation aquatic program (AFAP) Arthritis support group Breast/cervical screening Breast-feeding hotline Breast is best classes Cardiac rehabilitation Car seat safety inspection Community blood drive Community blood pressure checks Community and hospital advancing maternity practices Comprehensive risk reduction program Congenital heart defect screening Contract for outstation eligibility worker to assist In processing applications and providing CHIP/Medicaid outreach CPR training Cradle call hotline Disaster preparedness community First aid training Hand washing programs for pre-school/ Kindergarten/1 st grade classes Hearing screening Host monthly cancer support group meeting Lactation clinic in cooperation with the Mississippi State Department of Health/WIC program (support services for mothers and infants) Mammogram assistance fundraising (Pink Heals) Maternity and infant fair Newborn follow-up clinic Nicotine dependency counseling Prepared childbirth classes Safe sitters program Saturday morning sports clinic football Sports medicine concussion management program Marketing/ / Breast Center/Family Health Clinic Labor & Delivery / Laboratory/ / Social Services Infection Control/Staff /Employee Health Disaster Committee Infection Control/Staff Speech-Language Pathology Physical Therapy/ Breast Center/ Marketing//Public Relations /

15 2016 OCH CHNA Implementation Strategy 14 Sports pre-participation physicals Stress management VHA rapid adoption network Visits to schools (promote good health) /Marketing/Nursing/Public Relations/ Accreditation Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy Priority 2 - Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) during FY 2014: Arthritis foundation exercise program (AFEP) Arthritis foundation aquatic program (AFAP) Arthritis support group Breast/cervical screening Breast-feeding hotline Breast is best classes Cardiac rehabilitation Car seat safety inspection Community blood drive Community blood pressure checks Comprehensive risk reduction program Contract for outstation eligibility worker to assist In processing applications and providing CHIP/Medicaid outreach CPR training Cradle call hotline Disaster preparedness community First aid training Hand washing programs for pre-school/ Kindergarten/1 st grade classes Hearing screening Host monthly cancer support group meeting Lactation clinic in cooperation with the Mississippi State Department of Health/WIC program (support services for mothers and infants) Mammogram assistance fundraising (Pink Heals) Newborn follow-up clinic Nicotine dependency counseling Patient assistance fund Prepared childbirth classes Safe sitters program Sports medicine concussion management program Sports pre-participation physicals / Breast Center/Family Health Clinic/Regional Health Clinic Labor & Delivery / Laboratory/ Social Services Infection Control/Staff /Employee Health Disaster Committee Infection Control/Staff Speech-Language Pathology Physical Therapy/ Breast Center/ Breast Center / /Marketing/Nursing/Public Relations/

16 2016 OCH CHNA Implementation Strategy 15 Stress management VHA rapid adoption network Visits to schools (promote good health) Accreditation Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy Priority 2 - Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) during FY 2013: Arthritis foundation exercise program (AFEP) Arthritis foundation aquatic program (AFAP) Arthritis support group Breast/cervical screening Breast-feeding hotline Breast is best classes Cardiac rehabilitation Car seat safety inspection Community blood drive Community blood pressure checks Comprehensive risk reduction program Contract for outstation eligibility worker to assist In processing applications and providing CHIP/Medicaid outreach CPR training Cradle call hotline Disaster preparedness community First aid training Hand washing programs for pre-school/ Kindergarten/1 st grade classes Hearing screening Host monthly cancer support group meeting Lactation clinic in cooperation with the Mississippi State Department of Health/WIC program (support services for mothers and infants) Newborn follow-up clinic Nicotine dependency counseling Patient assistance fund Prepared childbirth classes Safe sitters program Sports pre-participation physicals Stress management VHA rapid adoption network Visits to schools (promote good health) / Breast Center/Family Health Clinic/Regional Health Clinic Labor & Delivery / Laboratory/ Social Services Infection Control/Staff /Employee Health Disaster Committee Infection Control/Staff Speech-Language Pathology Physical Therapy/ Breast Center / /Marketing/Nursing/Public Relations/ Accreditation Infection Control/Marketing/Nursing/Public Relations /

17 2016 OCH CHNA Implementation Strategy 16 /Physical Therapy Priority 2 - Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) during FY 2012: Arthritis foundation exercise program (AFEP) Arthritis foundation aquatic program (AFAP) Arthritis support group Breast/cervical screening Breast-feeding hotline Breast is best classes Cardiac rehabilitation Car seat safety inspection Community blood drive Community blood pressure checks Comprehensive risk reduction program Contract for outstation eligibility worker to assist In processing applications and providing CHIP/Medicaid outreach CPR training Cradle call hotline Disaster preparedness community First aid training Hand washing programs for pre-school/ Kindergarten/1 st grade classes Hearing screening Host monthly cancer support group meeting Lactation clinic in cooperation with the Mississippi State Department of Health/WIC program (support services for mothers and infants) Newborn follow-up clinic Nicotine dependency counseling Prepared childbirth classes Safe sitters program Sports pre-participation physicals Stress management VHA rapid adoption network Visits to schools (promote good health) / Breast Center/Family Health Clinic/Regional Health Clinic Labor & Delivery / Laboratory/ Social Services Infection Control/Staff /Employee Health Disaster Committee Infection Control/Staff Speech-Language Pathology Physical Therapy/ / /Marketing/Nursing/Public Relations/ Accreditation Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy

18 2016 OCH CHNA Implementation Strategy 17 Priority 2 - Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) during FY 2011: Arthritis foundation exercise program (AFEP) Arthritis foundation aquatic program (AFAP) Arthritis support group Breast/cervical screening Breast-feeding hotline Breast is best classes Cardiac rehabilitation Car seat safety inspection Community blood drive Community blood pressure checks Comprehensive risk reduction program Contract for outstation eligibility worker to assist In processing applications and providing CHIP/Medicaid outreach CPR training Cradle call hotline First aid training Hand washing programs for pre-school/ Kindergarten/1 st grade classes Lactation clinic in cooperation with the Mississippi State Department of Health/WIC program (support services for mothers and infants) Newborn follow-up clinic Nicotine dependency counseling Prepared childbirth classes Safe sitters program Sports pre-participation physicals Stress management / Breast Center/Family Health Clinic/Regional Health Clinic Labor & Delivery / Laboratory/ Social Services Infection Control/Staff /Employee Health Infection Control/Staff Physical Therapy/ / l /Marketing/Nursing/Public Relations/ / /Physical Therapy Priority 2 - Access to affordable care & lack of access to preventive care and screenings (insurance/primary care providers) during FY 2010: Arthritis foundation aquatic program (AFAP) Arthritis support group Breast-feeding hotline Breast is best classes Cardiac rehabilitation / Labor & Delivery

19 2016 OCH CHNA Implementation Strategy 18 Car seat safety inspection Community blood drive Community blood pressure checks Comprehensive risk reduction program Contract for outstation eligibility worker to assist In processing applications and providing CHIP/Medicaid outreach CPR training Cradle call hotline First aid training Hand washing programs for pre-school/ Kindergarten/1 st grade classes Lactation clinic in cooperation with the Mississippi State Department of Health/WIC program (support services for mothers and infants) Newborn follow-up clinic Nicotine dependency counseling Prepared childbirth classes Safe sitters program Sports pre-participation physicals Stress management / Laboratory/ Social Services Infection Control/Staff /Employee Health Infection Control/Staff Physical Therapy/ / /Marketing/Nursing/Public Relations/ / /Physical Therapy

20 2016 OCH CHNA Implementation Strategy 19 Appendix 3 Priority 3 - Obesity (adult and child) Lack of physical activity during FY 2016: Athletic trainer services for area schools Eating disorders counseling services Metabolic testing for dietary wellness Personal training Swimming lessons and lifeguard training Visits to schools (promote good health) Yoga Physical Therapy/ / / Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy Priority 3 - Obesity (adult and child) Lack of physical activity during FY 2015: Athletic trainer services for area schools Eating disorders counseling services Metabolic testing for dietary wellness Personal training Swimming lessons and lifeguard training Visits to schools (promote good health) Yoga / Physical Therapy/ / Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy Priority 3 - Obesity (adult and child) Lack of physical activity during FY 2014: Athletic trainer services for area schools Eating disorders counseling services Personal training Sports nutrition education to high schools (one on one consults) Swimming lessons and lifeguard training Physical Therapy/ /

21 2016 OCH CHNA Implementation Strategy 20 Visits to schools (promote good health) Yoga Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy Priority 3 - Obesity (adult and child) Lack of physical activity during FY 2013: Athletic trainer services for area schools Eating disorders counseling services Personal training Sports nutrition education to high schools (one on one consults) Swimming lessons and lifeguard training Visits to schools (promote good health) Yoga Physical Therapy/ / Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy Priority 3 - Obesity (adult and child) Lack of physical activity during FY 2012: Athletic trainer services for area schools Eating disorders counseling services Personal training Sports nutrition education to high schools (one on one consults) Swimming lessons and lifeguard training Visits to schools (promote good health) Yoga Physical Therapy/ / Infection Control/Marketing/Nursing/Public Relations / /Physical Therapy Priority 3 - Obesity (adult and child) Lack of physical activity during FY 2011: Athletic trainer services for area schools Eating disorders counseling services Personal training Physical Therapy/

22 2016 OCH CHNA Implementation Strategy 21 Sports nutrition education to high schools (one on one consults) Swimming lessons and lifeguard training Yoga / / /Physical Therapy Priority 3 - Obesity (adult and child) Lack of physical activity during FY 2010: Athletic trainer services for area schools Eating disorders counseling services Personal training Sports nutrition education to high schools (one on one consults) Swimming lessons and lifeguard training Yoga Physical Therapy/ / / /Physical Therapy

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