Harnett Health Community Needs Assessment Implementation Plan January 2014
|
|
- Sherman Sims
- 6 years ago
- Views:
Transcription
1 Introduction Harnett Health Community Needs Assessment Implementation Plan January 2014 In accordance with the Affordable Care Act, not-for-profit hospitals are required to develop Community Health Needs Assessments (CHNA) and associated Implementation Plans. In 2013, Harnett Health collaborated with First Choice Community Health Centers (FCCHC), the Harnett County Public Health Department (HCPHD), and Campbell University to create its first required CHNA. The Harnett Health Board approved the CHNA on September 10, 2013 prior to the end of its 2013 Fiscal Year. The CHNA was updated in December of 2013, based on new information received in the fall. This can be viewed on the Harnett Health website at This collaboratively developed CHNA is essentially the same as the CHNA submitted by the Harnett County Public Health Department to the North Carolina Public Health Department and it is the CHNA that is driving the HCPHD s own implementation plan. The Affordable Care Act (ACA) also requires not-for-profit hospitals to develop an Implementation Plan indication how they intend to address the identified needs. The following profile summarizes Harnett Health s Plan for FY In 2014, the resources available to fund new program initiatives will be greatly constrained by available finances. Fortunately, Harnett Health will also be able to continue and expand on several existing programs that have already been addressing the identified challenges. Without considering steps to reduce the financial barrier to care (such as the write off of unpaid bills) or the continuing uncompensated cast and cash flow challenges of opening a new hospital site in FY 2013, the following community programs reflect investments of operating resources in excess of $4.7 million. Community Responsibilities Versus Hospital Responsibilities Harnett Health is greatly concerned about the health status of the population it serves. This concern goes far beyond its role in providing health care services. Nonetheless, as cited on page four of the CHNA, From community need and health improvement perspectives, it is critical to note that neither the Harnett Health System nor any other organization alone can fully address the many social determinants of health or health behaviors that affect health status. However, multiple, diverse community organizations can work together to address some of these issues. Harnett Health will be a collaborating partner within the availability of its resources. In addition, the CHNA states, Furthermore, it is neither right nor possible for Harnett Health or any other organization to take on the significant challenges of delivering all needed services unilaterally. Many of the issues are profound community issues, not just Harnett Health issues, and they require community strategies and community responsibility. Harnett Health is committed to working with other community partners to address such needs. Harnett Health Community Health Needs Assessment Implementation Plan January
2 Giving the instability of current reimbursement and its existing commitments to its fundamental priorities, Harnett Health is challenged in addressing its continuous responsibilities for providing access to high quality health care services. It cannot address all of the community health issues identified in the CHNA within its current economic capacity. The following discussion addresses the hospital CHNA related priorities for Predominant Clinical Health Status Concerns The CHNA identified many issues related to health status that should be considered for some form of intervention. The following indicate those areas of most immediate clinical health status concerns as well as concerns associated with access to physicians and other providers. Each identified need is followed by Harnett Health s primary strategies to address these needs. In all cases, especially in areas where community health issues are not Harnett Health s primary responsibility, Harnett Health is committed to being an active partner and engaging in discussions with other community organizations and individuals to develop shared intervention strategies. In order to recruit and retain physician providers, Harnett Health employs physicians. Medical home strategies, integrated care, quality initiatives, and practice-based strategies to address many of the individual community health issues are components of the practices on-gong operations and the cost included in each individual practice s budget. The cost of addressing just the CHNA-related needs cannot be easily segregated. Due to the significant number of patients insured by Medicare and Medicaid, as well as patients without insurance, overall practice operations, including the CHNA-related services are subsidized in most hospital practices. The operating cost subsidies are identified below. In addition, Harnett Health also compensates some private practicing physicians for essential services to the hospital and the community, such as call coverage. Subsidies for several services for 2014 are anticipated to be approximately equal to the hospital s experience in FY FY 2013 figures are used in most of the following estimates. Identified Need: Oral Health (Oral health care for children is a particular concern as reflected by the Department of Public Health and First Choice.) Harnett Health will collaborate with its CHNA partners to develop strategies to work with Eastern Carolina University as it establishes a Lillington site for its Dental Residency. Discussions will include the development of strategies to integrate the needs of primary medical care and behavioral health patients seen in Harnett Health s primary care practices and by FCCHC with the services provided by residents and faculty. There will also be an assessment of how the new residency program can be integrated with caring for patients, who present in the hospital s two emergency rooms with oral health problems. Harnett Health Community Health Needs Assessment Implementation Plan January
3 Harnett Health will continue its commitment to developing its primary care practices as Health Homes. It will work with its providers to the improve integration of oral health with primary medical care. Harnett Health will also continue to pursue options for providing children with dental sealants in its primary care practices. Discussions with the Harnett County School System about oral health will occur in conjunction with the ECU discussions. Identified Need: Conditions related to Mental Health and Substance Abuse (including concerns about the illegal use of prescription drugs) Health Home Model Development: Harnett Health will continue its commitment to developing its primary care practices as Health Homes. It will work with its providers to improve integration of behavioral health with primary medical care. Telepsychiatry Services: There are no full-time psychiatrists in Harnett County. Harnett County has limited behavioral health services, resulting in many patients seeking behavioral health services in the Emergency Departments. Harnett Health provides telepsychiatry services to patients in the Emergency Departments and on the inpatient units, particularly in cases where involuntary commitment may be involved and patients may need to be accommodated in medical-surgical beds waiting placement. Expansion of telehealth to address the needs of primary care patients on an outpatient basis will be further considered. Estimated investment: The telepsychiatry service is subsidized by Harnett Health in the amount of approximately $215,000-$300,000 in FY 13. Most of the patients do not have coverage that reimburses for this service. Inpatient Behavioral Health Patients and Safety Sitters During FY13, Harnett Health s Betsy Johnson hospital site averaged 4.5 inpatients per day with primary mental health diagnoses. Some behavioral health admissions have medical comorbidities requiring stabilization, but most are IVC status (involuntary commitment) awaiting placement in a mental health facility. The patient placement is randomly contingent on the bed space available the County s assigned inpatient facility. The prolonged length of stay is largely a function of this process, complicated by a statewide paucity of acute care mental health beds and underdeveloped access to outpatient treatment. The care of mental health patients is uniquely challenging for a community hospital with limited psychiatric resources. The preponderance of IVC patients requires that nearly every patient to have a 1:1 Protective Safety Sitter. This translates to an average of 28 hours of care per patient per day, compared to an average medical surgical patient daily requirement of 9 hours. Mainstreaming mental health patients with the medical surgical population is standard practice in the region. Considering potential for patient elopement, general disruption, staff injury and other risk related events, BJ places mental health patients in one of 6 safe rooms on the third Harnett Health Community Health Needs Assessment Implementation Plan January
4 floor medical unit. These rooms were retrofitted to remove many of the potentially dangerous objects in the environment, which could be used to injure the patient or care provider. These beds are not licensed as a psychiatric unit; the unit is not staffed with mental health workers; and, it does not meet the physical requirements of a psychiatric facility. In FY 2013, wage expenditures for Protective Safety Sitters exceeded $500,000 for the IVC population. Associated labor costs of $140,000 included on orientation training and benefits. In FY 2014 Harnett Health anticipates continuing to make this uncompensated investment of $640,000. Chronic pain management and use of controlled substances has been identified as a major issue by Harnett Health System primary care providers. They will be participating in a 3-hour seminar, "A Guide to Rational Opoid Prescribing for Chronic Pain" as a springboard for standardizing the systems approach to chronic pain management. The seminar is a part of the Lazarus Project, a project of Community Care of the Sandhills, and is funded by the Governor's Council. Identified Need: Diabetes (Early diagnosis and treatment are concerns across all age and racial groups with particular concerns in African American populations.) Our Primary care practices coordinate improvement for diabetes patient outcomes with SR- AHEC, which benchmarks our practices with other like practices. There is a need for diabetes education classes for patients in the County. Due to a lack of community resources, Harnett Health Physician Practices are currently trying to establish diabetes classes taught by Certified Diabetes Educators through two pharmaceutical companies in the eastern and western part of the County. Identified Need: Obesity (Increases in childhood obesity are of particular concern from a prevention perspective. In 2009 over 34% of the children in Harnett County were considered overweight or obese.) In October, 2013, Premiere Pediatrics started a pediatric obesity program entitled "Kick Start Today". This program is now conducted twice monthly with children who have elevated BMIs. Specially trained nurses and a case manager from Community Care of the Sandhills assist with patient/family education and goal setting after the physician visit. Classes have been coordinated with the Harnett County Cooperative Extension Agency and their EFNEP (Expanded Food and Nutrition Education Program). A series of six EFNEP classes are taught by their instructors in the Rehab Department at Betsy Johnson Hospital. Separate classes are provided for parents/ caregivers and children. Referrals to these classes are made from Kick Start Today participants. Harnett Health will continue this program in The Kick Start Today team continues to discuss other community led initiatives to include a possible "summer camp" for children with elevated BMIs and expansion to the Western Harnett County area. Harnett Health Community Health Needs Assessment Implementation Plan January
5 Identified Need: Breast Cancer (Of all the cancers, breast cancer was the second most commonly diagnosed in Harnett County during ) Harnett Health physician practices will begin in January 2014 to print periodic reports to identify and call patients who are past due for recommended mammograms. In FY 2014, Harnett Health will engage its provider staff in evaluating options to develop a more substantive, integrated breast health program. Identified Need: Prenatal and perinatal needs (For minority mothers the percentages of low and very low birth weights are approximately twice the rate among white mothers or mothers overall in Harnett County and statewide.) The Harnett OB/GYN practice has been a Pregnancy Medical Home since early 2011 and coordinates with Community Care of the Sandhills and Care Managers from Harnett County Health Department to reduce preterm deliveries and primary cesareans in the Medicaid population. When high risk patients are identified (chronic disease, tobacco use, etc) they are linked with a Care Manager to work individually with the patient to reduce preterm delivery and cesarean deliveries. Community Care of the Sandhills certifies Pregnancy Medical Homes, provides special funding for the program, and trends results on a quarterly basis. Harnett Health will continue this program in (See the following discussion related to the cost of supporting this practice.) Identified Need: Hypertension and other cardiovascular disease (particularly in black males) Significant quality improvement efforts focus on cardiovascular disease in Harnett Health Primary Care practices. Benchmarking and education efforts are conducted in collaboration with Carolinas Center for Medical Excellence. Monthly Quality meetings are held to discuss patient outcomes for blood pressure control, aspirin use, LDL control and tobacco cessation assessment and counseling in patients with a diagnosis of ischemic vascular disease. Resources are utilized from the NC Prevention Partners for patient education and the NC Quitline for tobacco cessation counseling and follow-up. Educational materials were provided to patients during February--Heart Health Month and May--Stroke Awareness Month. These initiatives will be continued in Identified Need: Asthma and other respiratory disease (with particular attention to pediatric asthma and to chronic lower respiratory disease) Harnett Health Community Health Needs Assessment Implementation Plan January
6 In the spring 2012, Premiere Pediatrics initiated a Pediatric Asthma Clinic which continues to be conducted twice monthly with specially trained providers and staff assessing and educating patients/families about asthma control. These efforts are coordinated with Community Care of the Sandhills, which provides a case manager who participates in teaching and makes home and school visits for enrolled patients. Quality data is submitted to SR-AHEC for comparison of patient outcomes to surrounding physician practices with results being reviewed monthly. This program will be continued in Identified Need: The challenges of patients with compounding chronic diseases (and the need for multiple disease, management strategies) Harnett Health System is committed to a Patient Centered Medical Home (PCMH) strategy for its primary care practices. PCMH standards, which focus on patient access to care, patient education and involvement in management of their diseases, care management for chronic diseases, and preventive health care, serves as the foundation for how our practices manage patient care and services. In 2012, Angier Medical Services, Premiere Pediatrics, Lillington Medical Services, and Dunn Medical Services each received Level 3 Recognition from NCQA for Patient Centered Medical Home. In the fall of 2013, Harnett OB/GYN also received Level 3 Recognition. Implementation of PCMH standards in all Harnett Health physician practices is a priority. In 2014, Harnett Health will apply for recognition for its newest practice, Coats Medical Services. Identified Need: Reducing preventable admissions and readmissions (highly related to primary care access) Identified Need: Access to Services and Associated Provider Access Issues All of the partners that participated in the CHNA concur that access to appropriate health services is critical to community health. Nonetheless, there are many reasons why people in Harnett Health s service area may experience access barriers. Some of the significant reasons are believed to include low health literacy, insufficient awareness of available health services, cultural and racial barriers, language barriers, high health care costs, and other financial barriers, and an absence of adequate transportation. Not only are these parameters access issues, but they are also contributing causes to poor health status. There is also concurrence that these are community issues, not just hospital issues. Better strategies to address these concerns need to be developed through greater multiorganizational collaboration. They will be more thoroughly addressed in future discussions during Access to Physicians and Other Providers Harnett Health Community Health Needs Assessment Implementation Plan January
7 All partners participating in the CHNA cited a lack of local medical, oral health, and mental health providers and the need to promote recruitment and retention as significant community issues. Further discussion of this topic is found in Appendix E on the CHNA. Assisting the community with access to primary care and specialty care providers is the most significant area of Harnett Health investment in community health strategies. Primary Care The need for additional primary care providers was most frequently cited in the CNHA work group s discussions and reference data. Even while recognizing the broad factors that determine a community s health, appropriate primary care is seen as the core of community health. It is the primary building block. The determination of insufficient access to primary care is most often based on clinical experience and the perceived demand for services. It is also based on the participating partners experience with the difficulties of recruiting and retaining providers. Beyond these observations, the needs are also supported by data and discussion included in the CHNA. Dunn Medical Services: Established to meet the increasing demand for Primary Care Services in the Dunn/Erwin area, this practice has 2 physicians and one PA to provide care. The practice is a certified Patient Centered Medical Home. The practices offer a sliding fee schedule based on the Harnett Health s Charity Care program and is NHSC qualified for loan forgiveness for health professionals. Estimated investment: In FY 2013 the Practice was subsidized from the general revenues of Harnett Health in the amount of $250,000. This subsidy in expected to continue in Angier Medical Services: This practice was established to meet the increasing demand for Primary Care Services in the Dunn/Erwin area. This practice has 1 physician and two PA(s) to provide care. The practice is a certified Patient Centered Medical Home. The practice offers a sliding fee schedule based on Harnett Health s Charity Care program and is NHSC qualified for loan forgiveness for health professionals. Estimated investment: In FY 2013 the Practice was subsidized from the general revenues of Harnett Health in the amount of $250,000. This subsidy in expected to continue in Lillington Medical Services: This practice was established to meet the increasing demand for Primary Care Services in the Lillington area. This practice has 2 physician(s) and 1 PA(s) to provide care. The practice is a certified Patient Centered Medical Home. The practice offers a sliding fee schedule based on Harnett Health s Charity Care program and is NHSC qualified for loan forgiveness for health professionals. Estimated investment: In FY 2013 the Practice was subsidized from the general revenues of Harnett Health in the amount of $250,000. This subsidy in expected to continue in Harnett Health Community Health Needs Assessment Implementation Plan January
8 Premier Pediatrics: This practice provides inpatient and outpatient care to the pediatric patients in Harnett County. The practice is open extended hours. The providers cover the labor and delivery suite for emergencies and C-Sections, the Emergency Department, and inpatient Unit. Estimated investment: The practice is subsidized by Harnett Health over $700,000 annually in 2013 as the Medicaid and charity care payer mix do not cover the cost of the program. This subsidy in expected to continue in Anderson Creek Medical Services: Harnett Health is working on a joint venture with Campbell University to establish and ambulatory care practice in Anderson Creek in the western region of the service area. It is anticipated that this will require planning time in 2014 and investment in capital and operations start-up in FY2015. Family Medicine Residency Program: During FY 2014, Harnett Health and Campbell University will jointly assess the feasibility of establishing a primary care residency at Harnett Health. It is believed that this will help to assure the adequacy of the primary care workforce in the service area, as well as to attract additional providers interested in faculty positions. Harnett OB/GYN: Harnett Health provides obstetrical and gynecologic services through the physician(s) of this practice. The practice is a Patient Centered Medical Home. The physician(s) provide coverage for the Harnett Health Emergency Department and the Labor and Delivery service at Harnett Health s Betsy Johnson Hospital site. Estimated investment: In FY 2013, the Practice was subsidized from the general revenues of Harnett Health in the amounted to $250,000. This subsidy in expected to continue in Obstetrical Call Services: Harnett Health provides 24/7 call coverage to the emergency departments and Labor and Delivery (BJH only) services at Betsy Johnson and Central Harnett Hospital (s). Estimated investment: The call coverage is subsidized by Harnett Health in FY 2013 at $150,000. This subsidy in expected to continue in Non-Primary Care Providers Harnett Health s research indicates shortages and challenges to meeting the communities needs in several non-primary medical care categories, consistent with the goals defined in Appendix E. The Harnett Health is committed to addressing these needs within available resources and through collaboration with other community providers and organizations, e.g., Campbell University. Harnett Health Community Health Needs Assessment Implementation Plan January
9 Cardiology Services: Harnett Health in partnership with Wake Med has established a community cardiology practice to serve the needs of the residents of Harnett County. The community has high levels of CHF, Hypertension, and atherosclerotic cardiovascular disease. The clinic provides direct and consultative services to the inpatients of Harnett Health System, to the patients of the community and as a referral for primary care providers in the community. Estimated investment: It is estimated that in FY 2014, this practice will be subsidized from the general revenues of Harnett Health in the amount of $250,000. Harnett Health Hospitalist Program: The Harnett Health Hospitalist Program is a partnership, with WakeMed physicians. The program provides inpatient hospitalists for Betsy Johnson Hospital and Central Harnett Hospital. The program provides care for patients of over 20 outpatient-only providers as well as patients from the emergency department. Estimated investment: The mix of Medicare, Medicaid, and uninsured patients does not cover the cost of this program. The operating deficit is approximately $1,500,000 annually. This balanced by other operating funds. Surgical Call Services: Harnett Health provides 24/7 Call coverage to the emergency departments and inpatient services at Betsy Johnson and Central Harnett Hospital (s) through an agreement with its general surgeons. Estimated investment: The cost of obtaining call coverage is $225,000. Emergency Services: Harnett Health and Community Care of the Sandhills are piloting an Emergency Department Navigator Program. Together they have embedded a social worker in the Emergency Department at Betsy Johnson Hospital. The focus in on reducing inappropriate ED visits, educating patient on the importance of identifying and using a medical home, assisting patient with follow-up appointments, assisting patient in obtaining social services and other community resources, and referring patient to Care Management. (Depending on success and funding this program it may be extended to the Emergency Department at Central Hospital in Lillington.) Other Implementation Plan Strategies Assuring an Adequate Workforce: Harnett Health supports the education of a diverse mix of health professional students, such as nurses, physical therapists, and medical students. It has entered into arrangement with Campbell University to support numerous medical students associated with the University s new School of Osteopathic Medicine. This includes supporting the salary of several faculty members who practice part-time in Harnett Health Practices. The time of hospital staff associated with educating students is largely uncompensated and in some cases, such as time spent by practicing physician, leads to lost revenue. In other cases, lost productivity must be made up by hiring additional staff. This is part of Harnett Health s Harnett Health Community Health Needs Assessment Implementation Plan January
10 educational investment, as a not-for-profit hospital. In FY 2014, Harnett Health will further assess and document its investments in these areas. Expanding Dialogue with the Harnett county School System: Harnett Health and the Harnett County Public Health Department plan to engage the Harnett County School Department in discussions to determine several community needs affecting children can be better addressed through collaboration. This will include such issues as oral health care, obesity, nutrition, and teen pregnancy. Health Harnett: Harnett Health will continue to support and participate in the Healthy Harnett Community Health Coalition and its efforts to address any of the identified community health needs. Conclusion This Implementation Plan reflects the anticipated strategies to address numerous significant clinical and health status challenges faced by the population served by the Harnett Health System and identified in its Community Health Needs Assessment. All strategies are subject to changes in action steps, investment, timing, and priority based on changes in needs, workforce, regulatory impacts, and financial capacity. This Plan will be reviewed throughout the fiscal year and updated by the end of September Harnett Health Community Health Needs Assessment Implementation Plan January
FirstHealth Moore Regional Hospital. Implementation Plan
FirstHealth Moore Regional Hospital Implementation Plan FirstHealth Moore Regional Hospital Implementation Plan For 2016 Community Health Needs Assessment Summary of Community Health Needs Assessment Results
More information2016 Community Health Needs Assessment Implementation Plan
2016 Community Health Needs Assessment Following the 2016 Community Health Needs Assessment, Saint Mary s Hospital developed an Implementation Strategy to illustrate the hospital s specific programs and
More informationMedical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management
G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify Medical Management G.6 When to Notify Medical Management G.11 Case Management Services G.14 Special Needs Services
More informationCommunity Health Needs Assessment IMPLEMENTATION STRATEGY. and
2015-2018 Community Health Needs Assessment IMPLEMENTATION STRATEGY and Collaborative Health Improvement Plan Palisades Medical Center Implementation Strategy - 1- Introduction: Palisades Medical Center
More informationMedical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management
G.2 At a Glance G.2 Procedures Requiring Prior Authorization G.3 How to Contact or Notify G.4 When to Notify G.7 Case Management Services G.10 Special Needs Services G.12 Health Management Programs G.14
More informationDELAWARE FACTBOOK EXECUTIVE SUMMARY
DELAWARE FACTBOOK EXECUTIVE SUMMARY DaimlerChrysler and the International Union, United Auto Workers (UAW) launched a Community Health Initiative in Delaware to encourage continued improvement in the state
More informationHamilton Medical Center. Implementation Strategy
2016 Hamilton Medical Center Implementation Strategy 0 2016 Hamilton Medical Center Hamilton Medical Center For FY2017-2019 Summary Hamilton Medical Center is regional, acute-care hospital with 282 beds.
More informationContinuing Certain Medicaid Options Will Increase Costs, But Benefit Recipients and the State
January 2005 Report No. 05-03 Continuing Certain Medicaid Options Will Increase Costs, But Benefit Recipients and the State at a glance Florida provides Medicaid services to several optional groups of
More informationFunding of programs in Title IV and V of Patient Protection and Affordable Care Act
Funding of programs in Title IV and V of Patient Protection and Affordable Care Act Program Funding Level Type of Funding Responsibility Title IV - Prevention of Chronic Disease and Improving Public Health
More informationImplementation Strategy
Implementation Strategy Community Health Improvement Plan Community Memorial Hospital Fiscal Year 2016-2018 Plan Approved by Community Outreach Steering Committee on 12/11/2015 Plan last reviewed on 12/8/2017
More information2015 DUPLIN COUNTY SOTCH REPORT
2015 DUPLIN COUNTY SOTCH REPORT Reported March 2016 State of the County Health Report The State of the County Health Report provides a review of the current county health statistics and compares them to
More informationChecklist for Ocean County Community Health Improvement Plan Implementation of Strategies- Activities for Ocean County Health Centers: CHEMED & OHI
Checklist for Community Health Improvement Plan Implementation of Strategies- Activities for Lead Organizations Activities Target Date Progress to Date Childhood Obesity (4 Health Centers 1-Educate on
More informationQUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program:
QUALITY IMPROVEMENT Molina Healthcare maintains an active Quality Improvement (QI) Program. The QI program provides structure and key processes to carry out our ongoing commitment to improvement of care
More informationMethodist McKinney Hospital Community Health Needs Assessment Overview:
Methodist McKinney Hospital Community Health Needs Assessment Overview: 2017-2019 October 26, 2016 Prepared by MHS Planning CHNA Requirement: Overview In order to maintain tax exempt status, the Affordable
More information2012 Community Health Needs Assessment
Indiana University Health Goshen 2012 Community Health Needs Assessment A Report on Implementation Strategies to Address Community Health Needs Summary Report Our Commitment to You We are here for you,
More informationSt. Mary Medical Center, Langhorne, PA Community Health Needs Assessment Implementation Strategy Fiscal Year 2018
St. Mary Medical Center, Langhorne, PA Community Health Needs Assessment Implementation Strategy Fiscal Year 2018 St. Mary Medical Center (St. Mary) completed a comprehensive Community Health Needs Assessment
More informationColorado s Health Care Safety Net
PRIMER Colorado s Health Care Safety Net The same is true for Colorado s health care safety net, the network of clinics and providers that care for the most vulnerable residents. The state s safety net
More informationThe Affordable Care Act, HRSA, and the Integration of Behavioral Health Services
The Affordable Care Act, HRSA, and the Integration of Behavioral Health Services Indiana Council of Community Mental Health Centers Ft. Wayne, Indiana May 19, 2011 David B. Bingaman, LCSW, ACSW U.S. Department
More informationSouth Dakota Health Homes Care Coordination Innovation
South Dakota Health Homes Care Coordination Innovation Senator Deb Soholt NCSL Health Innovation Task Force December 6, 2016 South Dakota Health Homes Health Homes (HH)- provide enhanced health care services
More informationModel Community Health Needs Assessment and Implementation Strategy Summaries
The Catholic Health Association of the United States 1 Model Community Health Needs Assessment and Implementation Strategy Summaries These model summaries of a community health needs assessment and an
More informationIssue Brief. Maine s Health Care Workforce. January Maine s Unique Challenge. Current State of Maine s Health Care Workforce
January 2009 Issue Brief Maine s Health Care Workforce Affordable, quality health care is critical to Maine s continued economic development and quality of life. Yet substantial shortages exist at almost
More informationCOMMUNITY HEALTH NEEDS ASSESSMENT
COMMUNITY HEALTH NEEDS ASSESSMENT Approved June 23, 2016 Published June 28, 2016 Implementation Strategies: Approved October 27, 2016 Published, November 14, 2016 Jefferson Hospital Association, Inc.,
More informationImplementation Strategy Community Health Needs Assessment
Implementation Strategy 2017-2019 Community Health Needs Assessment Wentworth-Douglass Hospital CHNA Implementation Strategy Adopted by the Wentworth-Douglass Hospital Board of Directors on: October 3,
More informationSummit Healthcare Regional Medical Center Implementation Strategy Community Health Needs Assessment Updated February 2016
Summit Healthcare Regional Medical Center 2013-2016 Implementation Strategy Community Health Needs Assessment Updated February 2016 Overview Summit Healthcare Regional Medical Center conducted its first
More informationTABLE OF CONTENTS. Primary Care 3. Child Health Services. 10. Women s Health Services. 13. Specialist Health Services 16. Mental Health Services.
TABLE OF CONTENTS Primary Care 3 Child Health Services. 10 Women s Health Services. 13 Specialist Health Services 16 Mental Health Services. 24 2 PRIMARY CARE What is it? Primary care is a patient's first
More informationImplementation Strategy for the 2016 Community Health Needs Assessment
Shenandoah Memorial Hospital 2017 2019 Implementation Strategy for the 2016 Community Health Needs Assessment Serving Our Community by Improving Health Table of Contents A Letter from the Hospital President...1
More informationIU Health Goshen CHNA Action Plan:
IU Health Goshen CHNA Action Plan: 2016-2018 The mission of IU Health Goshen is to improve the health of our communities, by providing innovative, outstanding care and services through exceptional people
More informationFiscal Year 2017 Statistical Profile
Fiscal Year 2017 Statistical Profile Oct. 1, 2016 - Sept. 30, 2017 We re on a journey to transform the health care experience for our patients and their families. is the largest and most comprehensive
More informationNote: Accredited is the highest rating an exchange product can have for 2015.
Quality Overview Accreditation Exchange Product Accrediting Organization: NCQA HMO (Exchange) Accreditation Status: Accredited Note: Accredited is the highest rating an exchange product can have for 215.
More informationCOMMITTED to our COMMUNITIES Community Benefit Report
COMMITTED to our COMMUNITIES 206 Benefit Report MISSION, VISION & VALUES Indiana University s mission is to improve the health of our patients and community through innovation and excellence in care, education,
More informationAscension Columbia St. Mary s Ozaukee
Ascension Columbia St. Mary s Ozaukee Community Health Needs Assessment & Implementation Strategy 2017 2020 1 Community Served by the Hospital Although Ascension Columbia St. Mary s Ozaukee (CSM) serves
More informationSTATE OF KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES OSAWATOMIE STATE HOSPITAL OPERATIONS ASSESSMENT EXECUTIVE SUMMARY
STATE OF KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES OSAWATOMIE STATE HOSPITAL OPERATIONS ASSESSMENT Prepared by: THE BUCKLEY GROUP, L.L.C. OVERVIEW The Osawatomie State Hospital (OSH) in Osawatomie
More informationNCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11
NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11 28 PCMH 1: Enhance Access and Continuity PCMH 1: Enhance Access and Continuity 20 points provides access to culturally and linguistically
More information2017 SPECIALTY REPORT ANNUAL REPORT
2017 SPECIALTY REPORT ANNUAL REPORT National Commission on Certification of Physician Assistants Table of Contents Message from the President... 3 About the Data Collection and Methodology...4 All Specialties....
More information2012 Community Health Needs Assessment
2012 Community Health Needs Assessment University Hospitals (UH) long-standing commitment to the community spans more than 145 years. This commitment has grown and evolved through significant thought and
More informationCommunity Health Needs Assessment July 2015
Community Health Needs Assessment July 2015 1 Executive Summary UNM Hospitals is committed to meeting the healthcare needs of our community. As a part of this commitment, UNM Hospitals has attended forums
More informationCOMMUNITY HEALTH IMPLEMENTATION PLAN
COMMUNITY HEALTH IMPLEMENTATION PLAN 2017 2017-2020 Table of Contents Letter from Jeff Feasel, President & CEO 1 About Halifax Health 3 Executive Summary 6 Halifax Health Community Health Plan 2017-2020
More information2015 Community Health Needs Assessment Saint Joseph Hospital Denver, Colorado
2015 Community Health Needs Assessment Saint Joseph Hospital Denver, Colorado December 11, 2015 [Type text] Page 1 Contributors Denver County Public Health Dr. Bill Burman, Director, and the team from
More informationCommunity Health Needs Assessment: St. John Owasso
Community Health Needs Assessment: St. John Owasso IRC Section 501(r) requires healthcare organizations to assess the health needs of their communities and adopt implementation strategies to address identified
More informationBig Rapids Hospital Community Health Needs Assessment (CHNA) Implementation Plan July 2015 June 2018
Big Rapids Hospital Community Health Needs Assessment (CHNA) Implementation Plan July 2015 June 2018 Attachment A Spectrum Health Big Rapids Hospital Community Health Needs Assessment Summary of Significant
More informationImplementation Strategy Addressing Identified Community Health Needs
2014-2017 Implementation Strategy Addressing Identified Community Health Needs Response to Schedule H Form 990 Table of Contents Page Overview of the Patient Protection and Affordable Care Act 3 Defined
More informationQuality Measurement Approaches of State Medicaid Accountable Care Organization Programs
TECHNICAL ASSISTANCE TOOL September 2014 Quality Measurement Approaches of State Medicaid Accountable Care Organization Programs S tates interested in using an accountable care organization (ACO) model
More informationCommunity Health Needs Assessment Implementation Strategy Adopted by St. Vincent Charity Medical Center Board of Directors on April 5, 2017
St. Vincent Charity Medical Center Community Health Needs Assessment Implementation Strategy Adopted by St. Vincent Charity Medical Center Board of Directors on April 5, 2017 Introduction In 2016, St.
More informationCarthage Area Hospital, Inc.
Carthage Area Hospital, Inc. 1. Mission: Carthage Area Hospital provides quality comprehensive healthcare services in a community setting. 2. Service Area: Located in Northern New York, Carthage Area Hospital
More informationGrande Ronde Hospital, Inc. Community Needs Health Assessment Implementation Strategy Fiscal Years
Grande Ronde Hospital, Inc. Community Needs Health Assessment Implementation Strategy Fiscal Years 2016-2018 In 2015, Grande Ronde Hospital (GRH) completed a wide-ranging, regionally inclusive Community
More informationPRIORITY 1 - OBESITY AND CHRONIC DISEASE
PRIORITY 1 - OBESITY AND CHRONIC DISEASE Goal: Promote health and reduce chronic disease risk through the consumption of healthy diets and achievement and maintenance of healthy body weights in Otsego,
More informationExploring Public Health Barriers and Opportunities in Eye Care: Role of Community Health Clinics
Exploring Public Health Barriers and Opportunities in Eye Care: Role of Community Health Clinics Susan A. Primo, O.D., M.P.H., F.A.A.O. Director, Vision and Optical Services Emory Eye Center Professor
More informationBenefits. Benefits Covered by UnitedHealthcare Community Plan
Benefits Covered by UnitedHealthcare Community Plan As a member of UnitedHealthcare Community Plan, you are covered for the following MO HealthNet Managed Care services. (Remember to always show your current
More informationWake Forest Baptist Health Lexington Medical Center. CHNA Implementation Strategy
Wake Forest Baptist Health Lexington Medical Center CHNA Implementation Strategy Background Wake Forest Baptist Health - Lexington Medical Center (LMC) is committed to understanding, anticipating, assessing,
More informationCMHC Healthcare Homes. The Natural Next Step
CMHC Healthcare Homes The Natural Next Step Partners in Planning A collaborative effort involving Dept. of Social Services (Mo HealthNet) Dept. of Mental Health Primary Care Association (FQHCs) Coalition
More informationCOMMUNITY HEALTH NEEDS ASSESSMENT HINDS, RANKIN, MADISON COUNTIES STATE OF MISSISSIPPI
COMMUNITY HEALTH NEEDS ASSESSMENT HINDS, RANKIN, MADISON COUNTIES STATE OF MISSISSIPPI Sample CHNA. This document is intended to be used as a reference only. Some information and data has been altered
More informationTotal Cost of Care Technical Appendix April 2015
Total Cost of Care Technical Appendix April 2015 This technical appendix supplements the Spring 2015 adult and pediatric Clinic Comparison Reports released by the Oregon Health Care Quality Corporation
More informationWest Virginia Hospitals
West Virginia Hospitals The Heart of a Healthier West Virginia Hospital Community Benefits Report Message to our Communities With more West Virginians having access to coverage than ever before, the goal
More informationColorado Choice Health Plans
Quality Overview Health Plans Accreditation Exchange Product Accrediting Organization: Accreditation Status: URAC Health Plan Accreditation (Marketplace ) Full Full: Organization demonstrates full compliance
More informationElliot Health System is a non-profit organization serving your healthcare needs since New Hampshire is living better.
E L L I O T H E A L T H S Y S T E M C O M M U N I T Y B E N E F I T R E P O R T 2 0 1 4 Elliot Health System is a non-profit organization serving your healthcare needs since 1890. New Hampshire is living
More informationSUMMARY OF THE STATE GRANT OPPORTUNITIES IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT: H.R (May 24, 2010)
National Conference of State Legislatures 444 North Capitol Street, N.W., Suite 515 Washington, D.C. 20001 SUMMARY OF THE STATE GRANT OPPORTUNITIES IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT: H.R.
More informationAn Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care
An Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care AIM Partnership Forum June 5, 2014 Lynda C. Meade, MPA Director of Clinical Services Michigan Primary Care Association
More informationHealth Home Flow Hypothetical Patient Scenario
Health Home Flow Hypothetical Patient Scenario Client Background: Soozie SoonerCare Soozie is a single female, age 42, 5'6" tall 215 pounds. She smokes 2 packs of cigarettes a day. At age 24, Soozie was
More informationFast Facts 2018 Clinical Integration Performance Measures
IMPORTANT: LHP providers who do not achieve a minimum CI Score in 2018 will not be eligible for incentive distribution and will be placed on a monitoring plan for the 2019 performance year. For additional
More informationANNUAL REPORT Witness the transformation of healthcare
ANNUAL REPORT 2013 Witness the transformation of healthcare A message to our community See Change, Harris Health System s FY2013 Report to Our Community, shares recent accomplishments and successful efforts
More informationObesity and corporate America: one Wisconsin employer s innovative approach
Focus On... Obesity Obesity and corporate America: one Wisconsin employer s innovative approach Amy Helwig, MD, MS; Dennis Schultz, MD, MSPH; Len Quadracci, MD Introduction The United States has an obesity
More informationModule 9: GPSC Initiated Fees
Module 9: 9.1 Background and Update Incentive Fees 9.2 Expanded Full Service Family Practice Condition Based Payments 9.3 Full Service Family Practice Incentive Program 9.4 Facility Patient Conference
More informationOMC Strategic Plan Final Draft. Dear Community, Working together to provide excellence in health care.
Dear Community, Working together to provide excellence in health care. This mission statement, established nearly two decades ago, continues to be fulfilled by our employees and medical staff. This mission
More informationPartnership for Fair Caregiver Wages
Partnership for Fair Caregiver Wages December 2, 2014 Request for Appropriations in FY 2015-16 Department of Community Health Budget to Increase Wage Rate of Direct Support Staff About the Partnership:
More informationABOUT THE CONE HEALTH NETWORK OF SERVICES
THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive
More informationCorporate Partners Program
Mercy Health Foundation St. Louis Mercy Health Foundation 615 S. New Ballas Road St. Louis, MO 63141 Office: 314-251-1800 Fax: 314-251-1801 mercyhealthfoundation.stl@mercy.net Corporate Partners Program
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Florida FLORIDA (FL) Medicaid s EPSDT benefit provides comprehensive health care services to children under age 21,
More informationCOLLABORATING WITH HOSPTIALS TO HELP HOMELESS POPULATIONS
COLLABORATING WITH HOSPTIALS TO HELP HOMELESS POPULATIONS How the Reinvention of Community Benefit Presents New Opportunities for Collaboration Vondie Woodbury Vice President, Community Benefit Trinity
More informationCommunity Health Needs Assessment Three Year Summary
Community Health Needs Assessment Three Year Summary 2013 2016 Community Health Needs Assessment Three Year Summary 2014 2016 Key needs were identified by community stakeholders which included the following:
More informationpaymentbasics The IPPS payment rates are intended to cover the costs that reasonably efficient providers would incur in furnishing highquality
Hospital ACUTE inpatient services system basics Revised: October 2015 This document does not reflect proposed legislation or regulatory actions. 425 I Street, NW Suite 701 Washington, DC 20001 ph: 202-220-3700
More informationTelehealth. Administrative Process. Coverage. Indications that are covered
Telehealth These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information
More informationPCA/HCCN Health Center Program Update
PCA/HCCN Health Center Program Update National Association of Community Health Centers Community Health Institute August 30, 2016 Tonya Bowers, MHS Acting Associate Administrator Bureau of Primary Health
More informationPatient-centered medical homes (PCMH): eligible providers.
ACTION: Final DATE: 09/21/2018 3:40 PM 5160-1-71 Patient-centered medical homes (PCMH): eligible providers. (A) A Patient-centered medical home (PCMH) is a team-based care delivery model led by primary
More informationTO BE RESCINDED Patient-centered medical homes (PCMH): eligible providers.
ACTION: Final DATE: 09/21/2018 3:40 PM TO BE RESCINDED 5160-1-71 Patient-centered medical homes (PCMH): eligible providers. (A) A Patient-centered medical home (PCMH) is a team-based care delivery model
More informationCommunity Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY:
Community Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY: November 2012 Approved February 20, 2013 One Guthrie Square Sayre, PA 18840 www.guthrie.org Page 1 of 18 Table of Contents
More informationSurvey of Nurse Employers in California 2014
Survey of Nurse Employers in California 2014 Conducted by UCSF Philip R. Lee Institute for Health Policy Studies, California Institute for Nursing & Health Care, and the Hospital Association of Southern
More informationCommonwealth Fund Scorecard on State Health System Performance, Baseline
1 1 Commonwealth Fund Scorecard on Health System Performance, 017 Florida Florida's Scorecard s (a) Overall Access & Affordability Prevention & Treatment Avoidable Hospital Use & Cost 017 Baseline 39 39
More informationAnalysis of 340B Disproportionate Share Hospital Services to Low- Income Patients
Analysis of 340B Disproportionate Share Hospital Services to Low- Income Patients March 12, 2018 Prepared for: 340B Health Prepared by: L&M Policy Research, LLC 1743 Connecticut Ave NW, Suite 200 Washington,
More informationCommunity Health Needs Assessment Implementation Strategies
Community Health Needs Assessment Implementation Strategies Valley Medical Center participated in the King County Hospitals for a Healthier Community (HHC) collaborative of all 12 hospitals and health
More informationIntegrated Health System
Integrated Health System Please note that the views expressed are those of the conference speakers and do not necessarily reflect the views of the American Hospital Association and Health Forum. Page 2
More informationOHIO PREGNANCY ASSOCIATED MORTALITY REVIEW (PAMR) TEAM ASSOCIATED FACTORS FORM
OHIO PREGNANCY ASSOCIATED MORTALITY REVIEW (PAMR) TEAM ASSOCIATED FACTORS FORM Please Circle: OFFICIAL WORKING COPY Case # DEATH REVIEW PROCESS 1. Estimate the degree of relevant information (records)
More informationLehigh Valley Health Network and Component Entities
Lehigh Valley Health Network and Component Entities Combined Statements of Financial Position (In Thousands) For the periods ended June 30, 2007 and 2006 ASSETS Current assets 2007 2006 Cash and cash equivalents
More information2013 Community Health Needs Assessment Implementation Strategy
2013 Needs Assessment Implementation Strategy Introduction As required by RSA 7:32-c-l, Every health care charitable trust shall, either alone or in conjunction with other health care charitable trusts
More informationHEALTHCARE SERVICES MUNICIPAL SERVICE REVIEW & SPHERE OF INFLUENCE UPDATES
FINAL REPORT HEALTHCARE SERVICES MUNICIPAL SERVICE REVIEW & SPHERE OF INFLUENCE UPDATES APPENDICES Prepared for Contra Costa LAFCO Prepared by Berkson Associates In association with the Abaris Group richard@berksonassociates.com
More informationMcLaren Health Plan Quality Improvement Update 2014
McLaren Health Plan Quality Improvement Update 2014 Since the incorporation of McLaren Health Plan (MHP) in November 1997, the staff has continued to utilize their extensive clinical and administrative
More informationImplementation Strategy
Implementation Years 2014-2016 Akron Children s Hospital One Perkins Square Akron, OH 44308 www.akronchildrens.org The Implementation contains the activities that Akron Children s Hospital will conduct
More informationCommunity Health Needs Assessment
Baptist Medical Center Nassau Community Health Needs Assessment Implementation Strategy As a result of this process, we ve highlighted key areas in which we can improve care to our Nassau County residents,
More informationMaternal and Child Health Services Title V Block Grant for New Mexico Executive Summary Application for 2016 Annual Report for 2014
Maternal and Child Health Services Title V Block Grant for New Mexico Executive Summary Application for 2016 Annual Report for 2014 NM Title V MCH Block Grant 2016 Application/2014 Report Executive Summary
More informationAPPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS
Appendix 2 NCQA PCMH 2011 and CMS Stage 1 Meaningful Use Requirements 2-1 APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS CMS Meaningful Use Requirements* All Providers Must Meet
More informationCommunity Needs Assessment. Swedish/Ballard September 2013
Community Needs Assessment Swedish/Ballard September 2013 Why Do This? Health Care Reform Act requirement Support our mission to give back to community while targeting its specific health needs Strategically
More informationBluePrints for the Community Advisory Council. Blue Cross Blue Shield of Delaware Board of Directors. Community Representatives. BCBSD Board Members
Blue Cross Blue Shield of Delaware Board of Directors BluePrints for the Community Advisory Council Max S. Bell, Jr., Chair Robert F. Rider BCBSD Board Members Community Representatives Thomas E. Archie
More informationEnhancing Outcomes with Quality Improvement (QI) October 29, 2015
Enhancing Outcomes with Quality Improvement (QI) October 29, 2015 Learning Objectives! Introduce Quality Improvement (QI)! Explain Clinical Performance Person-Centered Medical Home (PCMH) Measures! Implement
More informationWakeMed Rehab Hospital Stroke Rehabilitation Scope of Service
WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service WakeMed Rehab Hospital provides an integrated, comprehensive delivery of rehabilitation services utilizing evidenced-based practice directed
More informationMinnesota CHW Curriculum
Minnesota CHW Curriculum The Minnesota Community Health Worker curriculum is based on the core competencies that are identified in Minnesota s CHW "Scope of Practice." The curriculum also incorporates
More informationHUNTERDON MEDICAL CENTER COMMUNITY NEEDS IMPLEMENTATION PLAN
HUNTERDON MEDICAL CENTER 2013-2015 COMMUNITY NEEDS IMPLEMENTATION PLAN Introduction Hunterdon Medical Center (HMC), part of the Hunterdon Healthcare System (HHS) and the only hospital in Hunterdon County,
More informationHealthy Kids Connecticut. Insuring All The Children
Healthy Kids Connecticut Insuring All The Children Goals & Objectives Provide affordable and accessible health care to the 71,000 uninsured children Eliminate waste in the system Develop better ways to
More informationKaiser Foundation Health Plan, Inc. A NONPROFIT HEALTH PLAN - HAWAII REGION
Kaiser Foundation Health Plan, Inc. A NONPROFIT HEALTH PLAN - HAWAII REGION 2019 Summary of Important Changes for Contract Renewals for the Kaiser Permanente Group Plan (These changes are subject to regulatory
More informationAnthem BlueCross and BlueShield HMO
Quality Overview BlueCross and BlueShield Accreditation Exchange Product Accrediting Organization: NCQA (Exchange) Accreditation Status: Accredited Note: Accredited is the highest rating an exchange product
More informationUC Irvine Medical Center
2017-2019 UC Irvine Medical Center Implementation Strategy Table of Contents Introduction... 2 Addressing the Health Needs... 3 Access to Health Care and Preventive Health Care... 4 Cancer... 5 Chronic
More informationThe Florida KidCare Program Evaluation
The Florida KidCare Program Evaluation Calendar Year 2015 MED147 Deliverable # 59 12/6/16 Prepared by the Institute for Child Health Policy University of Florida Under Contract to the Agency for Health
More information