Created: Reviewed/Updated: PRIORITY AREA Improve access to health care GOAL #1 Increase access to primary and specialty care MERCY LEADER(S), VP Finance/Regional CFO Mercy Hospital Aurora/Cassville Community Health Improvement Plan (CHIP) PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By 2015, reach 200 of community members with education on health coverage Logs from activities Quarterly options. By December 2015, develop an infrastructure plan to provide telehealth services in Quarterly our community. Long Term Indicators Source Frequency By 2020, identify Mercy patients accessing local Mercy facilities who do and do not have a Primary Care Provider (PCP) and maintain that at least 75% patients have a PCP. OBJECTIVE #1 Provide awareness and education to patients and community regarding health insurance exchange options. Source: Truven Health Analytics, County Health Rankings, HIDI, Physicians Buxton TBD Collaborate with Mercy Springfield to determine resources available for enrolling patients. This includes determining who in Springfield can assist and what education for our local staff may be available. Develop a communication plan in connection with local businesses to enhance awareness of options. 12/2014 Information on Springfield process 7/2015 Business contacts, MarCom materials Keith Daniels Marilyn Schellen Keith Daniels Natalie Hill Outline of process including contact individuals Awareness and possible increase in covered lives Page 1
OBJECTIVE #2 Ensure patients are connected to primary care providers. Source: Truven Health Analytics Work with community primary care providers to determine availability for new patients and create ways to communicate to patients at time of service. Identify access gaps that exist and work with Mercy Clinic to create a plan to close these gaps. Ensure all staff are aware of how to and importance of, capturing primary care provider information or sharing information with patient on available access. Encourage patients at every access point to get connected to a primary care provider. 3/2015 Provider and clinic participation 7/2015 Provider and clinic participation 7/2015 Provider and clinic participation, possible Epic participation Ginger Atkins Georgina Snider Ginger Atkins Georgina Snider Ginger Atkins Georgina Snider List of availability Strategic plan to address gaps 100% document of PCP at point of service, updated according to new process OBJECTIVE #3 Develop telehealth services Source: Mercy s Virtual Care Center Database Develop an infrastructure plan and timelines. To include capital needs, staff resources, space needs, and technology support needs. Identify areas of need for outreach services and determine what services are a good match for providing access by using telehealth. 7/2015 Telehealth team support, MTS support 7/2015 Input from community and local physicians, telehealth team support Executive Team Executive Team Specific list of capital/operating needs for FY16 budget Prioritized list of outreach services Page 2
ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 Prevention Strategy 1 Hospital Association http://www.healthypeople.gov/2020/topicsobjectives/topic/access to Health Services 2 Hospital Association http://www.healthypeople.gov/2020/topicsobjectives/topic/access to Health Services 3 Hospital Association http://www.healthypeople.gov/2020/topicsobjectives/topic/access to Health Services DESCRIBE PLANS FOR SUSTAINING ACTION PRIORITY AREA Increase access to health care GOAL #2 Develop outpatient cancer treatment support services MERCY LEADER(S) George Roden PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By 2016, complete provider assessment, resource analysis and document referral TBD plan to ensure all Mercy oncology patients are connected to resources available within Mercy to support their cancer treatment plan. Long Term Indicators Source Frequency By 2020, provide 75% of oncology patients who receive care at local Mercy facilities with resources available in their community to support their cancer treatment plan. TBD OBJECTIVE #1 Establish a collaborative relationship with health care providers that are caring for cancer patients in our community. Source: Truven Health Analytics Assessment of primary care and oncology providers in our community. 07/2015 Survey, printing, postage, George Roden Completed Assessment Page 3
Establish a patient referral process. 12/2015 Epic, meetings, mailing, postage, EPIC workflow additions George Roden Mercy MTS Efficient and documentable Referral Process OBJECTIVE #2 Assessment of local cancer resources including but not limited to treatment, education, transportation, and support. Source: Conduct a gap analysis of resources provided locally. Develop a plan for resources needed that were identified by the gap analysis. 07/2016 Needs Analysis George Roden Completed Assessment 7/2016 PCP, oncologist, George Roden Completed & multidiscipline Doug Stroemel Implementation Plan providers OBJECTIVE #3 Provide educational and support services to patients receiving cancer or post cancer treatment. Source: Develop a nutritional program for patients receiving chemo therapy. Develop and provide cancer support to our community. 12/2015 Dietitian George Roden Nutritional Program for Chemo Patients 07/2016 Physicians Dietitian Social Services George Roden Completed Community Cancer Support Services. ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 Prevention Strategy 1 Hospital http://www.healthypeople.gov/2020/topicsobjectives/topic/cancer http://www.cancer.org/index Association 2 Hospital http://www.healthypeople.gov/2020/topicsobjectives/topic/cancer http://www.cancer.org/index Association 3 Hospital Association http://www.healthypeople.gov/2020/topicsobjectives/topic/cancer http://www.cancer.org/index Page 4
DESCRIBE PLANS FOR SUSTAINING ACTION PRIORITY AREA Increase access to health care GOAL #3 Improve access to community health and wellness education and services MERCY LEADER(S) PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency To increase the amount of mothers within our community that are breastfeeding, as evidenced by, an increase of 5% by 2016 in our overall breastfeeding measurement scores reported in the Quality Practice Measure Benchmark Report conducted by the Center of Disease Control and Prevention (CDC). Note: Last reported overall breastfeeding measurement scores 2009 2011 were 67%. Goal to increase to 72% by 2016. Breastfeeding Coalition, Center of Disease Control and Prevention (CDC), The Annie E. Casey Foundation Kids Count Data Center; Partnership for Children Quarterly Establishment of a car seat safety program in house by having CPS technicians on staff, resource materials developed, outreach needs identified, and inclusion of this education in our local prenatal classes by 2016. 2012 County Health Rankings provided by the Robert Wood Johnson Foundation and University of Wisconsin Population Healthy Institute, Transportation, Child Passenger Safety, Highway Traffic Safety, Safe Kids Worldwide Quarterly Long Term Indicators Source Frequency Page 5
To increase the amount of mothers within our community that are breastfeeding, as evidenced by, an increase of 10% by 2019 in our overall breastfeeding measurement scores reported in the Quality Practice Measure Benchmark Report conducted by the Center of Disease Control and Prevention (CDC). Note: Last reported overall breastfeeding measurement scores 2009 2011 were 67%. Goal to increase to 77% by 2019. To decrease the death rate caused by motor vehicle crashes in our local counties/communities by 5 persons by the year 2025 through automobile and car seat safety programs. Note: The current Motor Vehicle Crash Death Rate in Barry County is 39 and in Lawrence County it is 31. Our goal would be to decrease Barry County to 34 and Lawrence County to 26 by 2025. Breastfeeding Coalition, Center of Disease Control and Prevention (CDC), The Annie E. Casey Foundation Kids Count Data Center; Partnership for Children 2012 County Health Rankings provided by the Robert Wood Johnson Foundation and University of Wisconsin Population Healthy Institute, Transportation, Highway Traffic Safety OBJECTIVE #1 Provide health education to parents in order to improve the nutritional status and overall health of families in our community. Source: Breastfeeding Coalition, Center of Disease Control and Prevention (CDC), 2012 County Health Rankings provided by the Robert Wood Johnson Foundation and University of Wisconsin Population Healthy Institute, The Annie E. Casey Foundation Kids Count Data Center; Partnership for Children Improve nutritional health through establishing and supporting a breastfeeding coalition within our community. 2015 Access to meeting space, collaboration with the following agencies; WIC, OACAC, Health, local schools, Tri County Pregnancy Resource, Becky Collins Brandi Rohm Quarterly meetings with local agencies to improve educational resources, manpower, and support breastfeeding to expecting and new mothers. Development and support of a Page 6
Provide prenatal education to pregnant women to include a focus on smoking cessation during pregnancy. 2015 Center, and faith based organizations. Hospital meeting space, prenatal educational resources, prenatal educator, and smoking cessation educator. Becky Collins Ashley Forgey Cheryl Rutledge local support group of breastfeeding moms. Regularly scheduled prenatal classes to provide parents with the education needed to have a healthy pregnancy and delivery. OBJECTIVE #2 Improve car seat safety for children. Source: 2012 County Health Rankings provided by the Robert Wood Johnson Foundation and University of Wisconsin Population Healthy Institute, Transportation, Child Passenger Safety, Highway Traffic Safety, Safe Kids Worldwide Policy Change (Y/N): Y A number of co workers (# to be determined) will become certified as a Child Passenger Safety Technician (CPS). Provide education to expectant parents regarding proper car seat installation and fit (by CPS). 2016 2016 Transportation, Child Passenger Certification training, car seats and training costs/resources. Transportation, Child Passenger Safety Association, Highway Traffic Safety Administration, Safe Kids Worldwide Becky Collins Becky Collins Provide an adequate number of certified CPS coworkers to increase resources within our local communities to increase car seat safety. Reduce injuries to children due to nonrestraint use or incorrect installation of car seas. Page 7
OBJECTIVE #3 Improve automobile safety education. Source: 2012 County Health Rankings provided by the Robert Wood Johnson Foundation and University of Wisconsin Population Healthy Institute, Transportation, Highway Traffic Safety Provide seatbelt education to the schools in our local community. Examples of these programs include; Rock Your Seatbelt, Battle of Belt, Arrive Alive programs. Provide No Texting education to the schools in our local community. Examples of these programs include; Safe Texting Campaign, It Can Wait campaign, and Parents Must Stop Texting. Provide safe and sober education to the schools in our community through the use of educational resources and docudramas. 2016 2016 2016 Local schools, public health local police Highway Traffic Safety, hospital departments, marketing materials, Transportation. Local schools, public health local police Highway Traffic Safety, hospital departments, marketing materials, Transportation. Local schools, EMS, public health local police local fire Highway Traffic Safety, hospital departments, marketing ER Directors ER Directors ER Directors Reduce motor vehicle related fatalities in our local community by the increased use of seatbelts. Reduce motor vehicle related fatalities in our local community by decreasing the amount of distracting driving caused by texting. Reduce motor vehicle related fatalities in our local community by decreasing and/or preventing drinking and driving. Page 8
ALIGNMENT WITH STATE/NATIONAL PRIORITIES materials, victims and crash vehicle for docudrama, local funeral home/coroner, Transportation. 3 Health and Senior Services DESCRIBE PLANS FOR SUSTAINING ACTION Objective State Healthy People 2020 Prevention Strategy 1 http://www.healthypeople.gov/2020/topicsobjectives/topic/early and middle childhood Health and Senior Services 2 Health and Senior Services http://www.healthypeople.gov/2020/topicsobjectives/topic/injury and violenceprevention http://www.healthypeople.gov/2020/topicsobjectives/topic/injury and violenceprevention Page 9