Mercy Hospital Berryville Community Health Improvement Plan (CHIP) Created: October 1, 2014 Reviewed/Updated: PRIORITY AREA (1) Access to health care for uninsured and/or underserved individuals. GOAL #1 Improve access to care thru clinic partnerships for uninsured/underserved individuals. MERCY LEADER(S) Kristy Estrem, President Sherry ClouseDay, VP Finance & Regional CFO Tammy Hipps, Director Guest Services PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By, decrease self pay accounts by 10% and decrease utilization of ECHO vouchers. Mercy Internal Financial Statement Quarterly Long Term Indicators Source Frequency By July 2017, decrease self pay accounts by 20% Mercy Internal Financial Statement Yearly OBJECTIVE #1 Provide medical vouchers for uninsured/underserved individuals accessing free care clinic. BACKGROUND ON STRATEGY: Eureka Christian Health Outreach (ECHO) is a faith based free medical clinic for uninsured and low income individuals. Mercy Hospital Berryville provides lab and x ray vouchers monthly to assist patients with necessary testing for treatment. Source: Affordable Care Act es Provide 10 Lab & X rays vouchers to ECHO clinic. Assist self pay patients enrolling in Medicaid or provide resources on Health Exchange. Monthly 240 yearly Quarterly None Internal Payer Mix Report Tammy Hipps / Mercy Janet Arnet / ECHO Sherry ClouseDay/ Mercy Monitor vouchers utilized. Decrease in self pay accounts T Hipps will update. S ClouseDay will update Page 1
OBJECTIVE #2 Partnership with Alpena School. BACKGROUND ON STRATEGY: Alpena superintendant approached Mercy Hospital administration with desire to partner and identify children s health and wellness needs in the school setting. Source: US Department of Education es Investigate feasibility of school based medical clinic Establish regular meetings with Mercy and Alpena School system to identify and prioritize health/wellness needs of students. July 2016 Quarterly Clinic/Hospital administration Mercy Administrative team / Alpena School system Kristy Estrem/Mercy Kristy Estrem & Tammy Hipps / Mercy Dr. Andrea Martin / Superintendent Partnership with Alpena School District Partnership with Alpena School District Kristy Estrem will update committee Quarterly meetings beginning Dec 2014 ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Arkansas Dept Human Services: Private Option Access to Health AHS 1.1 Affordable Care Act enrollment data 2 Arkansas Department of Education http://www.arkansased.org/divisions/learningservices/school health services/school basedhealth center US Dept of Education Michele Obama / Health Initiative http://www.letsmove.gov/about http://www.ed.gov/news/pressreleases/us educationdepartment joins usdepartment health and humanservices announce n DESCRIBE PLANS FOR SUSTAINING ACTION 1) a. Monitor the number of vouchers issued vs. number of vouchers utilized. ECHO will provide a list of voucher recipients monthly. b. Financial Counselor/Medicaid Eligibility clerk will assist uninsured patients with Medicaid enrollment or resources on Private Option. 2) Establish regular meetings with Mercy & Alpena School system to identify and prioritize health/wellness needs of students. Discuss options with Hospital/Clinic Administrative staff regarding feasibility of medical based school clinic. Page 2
PRIORITY AREA Access and health/wellness education and services for women and children. (2) GOAL #1 Improve Health/Wellness services for children through children s food programs. MERCY LEADER(S) Kristy Estrem, President Michele Gann, Vice President Patient Care Services Tammy Hipps, Director Guest Services PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By, reach 150 women and children with Health/Wellness education. CBISA report Quarterly Long Term Indicators Source Frequency By July 2017, reach 500 women and children with Health/Wellness education. CBISA report Yearly OBJECTIVE #1 Continue partnership with Loaves & Fishes Food Bank and area public schools to provide nutrition assistance. BACKGROUND ON STRATEGY: The objective of the program is to supplement the existing free and reduced cost lunch programs in the schools with consistent nutrition on the weekends for children living in poverty. Providing consistent nutrition will help children to improve school attendance and performance. Source: No Child Hungry National Campaign es Support Operation Food for Hungry Kids (OFHK) through sponsorships and volunteering to sustain program. Expand OFHK to Green Forest School August 2014 Monitor program success through Loaves & Fishes program director. Monitor program success through Loaves & Fishes program director Tammy Hipps/Mercy Dale Hunter/ Loaves & Fishes Food Bank Tammy Hipps / Mercy Dale Hunter / Loaves & Fishes Food Bank / Green Forest School Nurse Monetary support and provide volunteer staff Enroll 50 kids from Green Forest School in OFHK Monitor Monitor Page 3
OBJECTIVE #2 Initiate education around family health. BACKGROUND ON STRATEGY: The objective of this strategy is to provide students and families access to health/wellness education. Source: CDC / Adolescent and School Health (Standard 1) es Provide educational material on family health/wellness to families accessing the food bank. Monthly Distribution Ark Dept Health / Mercy Injury Prevention Tammy Hipps / Mercy Reach 150 families Monitor ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Arkansas Prevention Needs Assessment Student Survey Arkansas Department Health Healthy People 2020 / Section: Nutrition & Weight Status No Child Hungry http://www.nokidhungry.org/sites/default/files/2011 childhood hunger facts.pdf 2 Arkansas Dept Health / Section: Healthy Living Healthy People / Healthrelated quality of life & well being Centers for Disease Control and Prevention Standard 1 Adolescent & School Health DESCRIBE PLANS FOR SUSTAINING ACTION 1) Collaborate with Loaves & Fishes food bank to monitor needs of OFHK program. Provide ongoing support of program including sponsorship, marketing, volunteers and other areas of need. 2) Develop action plan with Food bank board to provide educational material (Flyers & pamphlets) on family health/wellness. Provide this information to families accessing the food bank & Operation Food for Hungry Kids campaign. Flyers will be inserted in back packs monthly. Page 4
PRIORITY AREA Access and health/wellness education and services for women and children. (2) GOAL #2 Improve health/wellness education for children through school health education. MERCY LEADER(S) Kristy Estrem, President Michele Gann, Vice President Patient Care Services Tammy Hipps, Director Guest Services PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By, achieve 150 HealthTeacher lessons through the engagement of 70 teachers within six active school districts. HealthTeacher Yearly Long Term Indicators Source Frequency Mercy will cease Health Teacher contract in August 2015 Mercy Health System Contract ends 8 15 OBJECTIVE #1 Health Teacher Background on strategy: Health Teacher s interactive products are used by teachers, parents, and kids to address important youth health issues, including physical activity, nutrition, and social and emotional wellbeing. Source: Health Teacher Initiate contact with school superintendent to discuss utilization of HealthTeacher resources. Complete 5 year contract with Health Teacher Contract will end Aug 2015 Aug 2015 Health Teacher Kristy Estrem & Cody Qualls / Mercy Continue utilization through Health Teacher Ministry Office Contract will end August 2015 Page 5
OBJECTIVE #2 Provide hand hygiene education to local schools. BACKGROUND ON STRATEGY: Provide local Head Start programs and Carroll County Learning Center with education on proper hand hygiene. Source: Center for Disease Control and Prevention (CDC) Provide educational material to students in Carroll County on proper hand washing techniques to prevent sickness. Educational material to families through local food bank. Mercy / Center for Disease Control Mercy / Center for Disease Control Tammy Hipps & Larry Ginn / Mercy Tammy Hipps / Mercy Lieu Smith / Loaves & Fishes Food Bank Reach 200 students to promote personal health.. Reach 100 families to promote personal health. CBISA CBISA Objective State Healthy People 2020 National Prevention Strategy 1 N/A http://www.healthypeople.gov/2020 /topics objectives/topic/adolescent Health http://www.ihi.org/ resources/pages/other Websites/NICHQ.aspx 2 Arkansas Dept Health / Environmental Health / 3 DESCRIBE PLANS FOR SUSTAINING ACTION Healthy People 2020 / Determinants of Health / http://www.healthypeople.gov/2020/about/ foundation health measures/determinantsof Health Centers for Disease Control & Prevention / http://www.cdc.gov /handwashing/ 1) Discuss utilization of HealthTeacher with School Superintendent by December 2014. 2) Provide educational sessions on proper hand washing technique to area Head Start and Carroll County Learning Center with a goal of impacting 200 students. 3) Distribute educational material to families utilizing local food bank. Page 6
PRIORITY AREA Access and health/wellness education and services for women and children. (2) GOAL #3 Improve access to smoking cessation education and assistance. MERCY LEADER(S) Kristy Estrem, President Michele Gann, Vice President Patient Care Services Tammy Hipps, Director Guest Services PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By, provide smoking cessation educational materials to 100 patients/families. Arkansas Department of Health/ Stamp Out Smoking Campaign Quarterly Long Term Indicators Source Frequency By July 2017, provide smoking cessation educational materials to 150 patients/families. Arkansas Department of Health/ Stamp Out Smoking Campaign Yearly OBJECTIVE #1 Collaborate with community partners to provide smoking cessation educational material to community. Background on strategy: Community members approached Mercy about collaborating efforts on smoking cessation education for residents of Carroll County. Arkansas Department of Health (ADH) launched the Stamp out Smoking campaign in 2002. Source: Arkansas Stamp Out Smoking Campaign Provide educational material on smoking cessation to families accessing the food bank. Provide smoking cessation educational material to patients in the hospital setting. Collaborate with community partners to provide smoking cessation educational material to residents of Carroll County Monthly Distribution As needed As needed Arkansas Department of Health / Stamp out Smoking Campaign Arkansas Department of Health / Stamp out Smoking Campaign Arkansas Department of Health / Stamp out Smoking Campaign Tammy Hipps / Mercy Lieu Smith / Loaves & Fishes Food Bank Tammy Hipps & Michele Gann / Mercy Tammy Hipps, Kristy Estrem, Cody Qualls / Mercy Sarah Grigg / Carroll County Health Unit Reach 40 families Reach 20 families. Reach 40 families Monitor Monthly Monitor Monthly EPIC report. Monitor Monthly Page 7
ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Arkansas Dept Health / Stamp Out Smoking Campaign Healthy People / Tobacco Use US Dept of Health &Human Services /Surgeon General http://www.surgeongeneral.gov/initiatives/tobacco/ 2 Arkansas Dept Health / Stamp Out Smoking Campaign 3. Arkansas Dept Health / Stamp Out Smoking Campaign Healthy People / Tobacco Use Healthy People / Tobacco Use US Dept of Health &Human Services /Surgeon General http://www.surgeongeneral.gov/initiatives/tobacco/ / US Dept of Health &Human Services /Surgeon General http://www.surgeongeneral.gov/initiatives/tobacco/ DESCRIBE PLANS FOR SUSTAINING ACTION Provide educational material / resources on smoking cessation to residents of Carroll County. Collaborate with local Health Department and food bank to identify target areas. Page 8
PRIORITY AREA Development of community collaborations/partnerships. (3) GOAL #1 Continue to look for opportunities to assist our community through various partnerships and events. MERCY LEADER(S) Kristy Estrem, President Michele Gann, Vice President Patient Care Services Tammy Hipps, Director Guest Services PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By, ensure that 25% of Map eligible leaders are engaged with organizations to impact the local hospital community health improvement plan (CHIP) or support those who are economically poor. Community Health Improvement Plan Yearly Long Term Indicators Source Frequency By July 2017, ensure that 27% of Map eligible leaders are engaged with organizations to impact the local hospital community health improvement plan (CHIP) or support those who are economically poor. Community Health Improvement Plan Yearly OBJECTIVE #1 Collaborate with local community partners to promote health and wellness within our community. BACKGROUND ON STRATEGY: Hometown Health Improvement (HHI) provides an organized approach to identify and implement effective community health strategies. Source: Arkansas Department of Health / Hometown Health Improvement Initiate a meeting with local Heath Department & HHI specialist to focus on community health educational needs. Mercy leadership / local Health Department / HHI specialist Kristy Estrem, Michele Gann, Tammy Hipps/ Mercy & Sarah Grigg / Heath Department /Linda Thompson Meeting will identify community health needs. Page 9
OBJECTIVE #2 Mercy Leaders will assist in local community health / wellness events. BACKGROUND ON STRATEGY: Mercy Leaders will coordinate & participate in local community health / wellness events. Source: Arkansas Department of Health / Hometown Health Improvement Participate in local health/wellness community events. Community Partnerships Tammy Hipps / Mercy Participate in a minimum of 5 events. CBISA Quarterly Ensure that 25% of Map eligible executive leaders are engaged with organizations to impact the local hospital community health improvement plan (CHIP) or support those who are economically poor. Mercy leaders / Community Partnerships Kristy Estrem / Michele Gann / Sherry ClouseDay / Mercy Minimum of 25% participation. CBISA ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Arkansas Department of Health Hometown Health Improvements http://www.healthy.arkansas.gov /programs Services/HometownHealth /HHI/Pages/History.aspx Healthy People 2020 /Social Determinantshttp://www.healthypeople.gov /2020/leading health indicators /2020 lhi topics/social Determinants National Prevention Council http://www.surgeongenera l.gov/initiatives/prevention /resources/npc_factsheet _community_508.pdf 2 Arkansas Department of Health Hometown Health Improvements http://www.healthy.arkansas.gov /programsservices/hometownhealth /HHI/Pages/History.aspx Healthy People 2020 /Social Determinantshttp://www.healthypeople.gov /2020/leading health indicators /2020 lhi topics/social Determinants National Prevention Council http://www.surgeongenera l.gov/initiatives/prevention /resources/npc_factsheet _community_508.pdf DESCRIBE PLANS FOR SUSTAINING ACTION Participate/collaborate in a minimum of 5 local health/wellness community sponsored events. Activities will include local civic events and school sponsored events such as the Ice Cream Social 5K walk/run, Victorian Classic, Adopt A Highway trash pick up, and Operation Food for Hungry Kids. Ensure that 25% of Map eligible executive leaders are engaged with organizations to impact the local hospital community health improvement plan (CHIP) or support those who are economically poor. Activities included are listed in Community Health Improvement Plan Page 10
PRIORITY AREA Injury Prevention (4) GOAL #1 Injury Prevention through school education services. MERCY LEADER(S) Kristy Estrem, President Michele Gann, Vice President Patient Care Services Tammy Hipps, Director Guest Services PERFORMANCE MEASURES How we will know we are making a difference Short Term Indicators Source Frequency By May 2015, provide Injury Prevention education to 400 students. CBISA entry Yearly Long Term Indicators Source Frequency By May 2017, provide Injury Prevention education to 450 students. CBISA entry Yearly OBJECTIVE #1 Provide assessment and injury prevention education to students in Carroll County. BACKGROUND ON STRATEGY: Provide injury prevention education /assessment to Carroll County students. Source: Center for Disease Control and Prevention / Injury Prevention & Control Provide free physicals to the athletes in Berryville, Green Forest, and Alpena School districts to identify injuries and potential health issues prior to participating in sports. Participate in Carroll County Teen Summit to promote ATV / Motor Vehicle safety May 2015 Collaboration between Mercy Hospital / Clinic and district school nurses. Mercy Injury Prevention team Taya Flippo and Suzanne Bradley / Mercy Berryville & Green Forest School Nurses Tammy Hipps & Daphne Greenly / Mercy Provide 400 free athletic physicals Provide education to 200 Carroll County teens. CBISA entry CBISA entry Page 11
OBJECTIVE #2 Physical Therapist will evaluate and assess student athlete injuries BACKGROUND ON STRATEGY: Physical Therapist will be available to evaluate student athlete injuries in Berryville School system. Source: Center for Disease Control and Prevention / Injury Prevention & Control Approach athletic faculty at Berryville School to determine the need of therapy assistance. January 2015 Mercy Therapy Services Kristy Estrem & Jodie Hill / Mercy Continue previous efforts Update status ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Arkansas Department of Health / Injury Prevention / http://www.healthy.arkansas.gov /programsservices/injuryprevention Control/injuryPrevention/Pages/default.aspx Healthy People 2020 / Injury and Violence Prevention US Department of Health and Human Services /http://www.surgeongeneral.gov /initiatives/prevention/strategy/injuryand violence free living.html 2 Arkansas Department of Health / Injury Prevention / http://www.healthy.arkansas.gov /programsservices/injuryprevention Control/injuryPrevention/Pages/default.aspx 3 DESCRIBE PLANS FOR SUSTAINING ACTION Healthy People 2020 / Injury and Violence Prevention CDC / http://www.cdc.gov/injury/ 1) Provide free physicals to the athletes in Berryville, Green Forest, and Alpena School districts to identify injuries and potential health issues prior to participating in sports. Event will be held in the spring of 2015. 2) Mercy leadership and therapy services will meet with Berryville schools to determine a need for evaluations of injuries. Page 12