COMMUNITY HOSPITAL MANAGEMENT ACTION PLAN

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COMMUNITY HOSPITAL MANAGEMENT ACTION PLAN The following Management Action Plan (MAP) provides Hospital management with a standalone tool for operationalizing its response to the community health needs that were identified.

Community Hospital Management Action Plan Community Hospital (CH) Community Need Response to Needs Identified as HIGH PRIORITY and where CH Holds HIGH RESPONSIBILITY Issue to Address Fundamental Desired Change Sought Other to Access to Health Care Tobacco Use Obesity Increase access to and capacity of health care services Decrease tobacco use; Unintended Pregnancy Lower the prevalence of unhealthy habits; Obesity (end result and leading indicator(s) used to measure change) Recruit three or four new primary care physicians in this service area; improve utilization of health care services by encouraging a medical home; additional access points for those with Medicaid, Medicare, and the uninsured and underinsured; continue to work with employer groups to increase access to care Create and conduct three community tobacco cessation classes Work toward Bariatric Center of Excellence and Diabetes Center of Excellence; Increase utilization of the health coaching service through Grand Valley Primary Care; Conduct cooking classes; Create and implement weight management programs ([H] Has sole/primary responsibility to enact change; [L] Take leadership role to enact change; [C] Coordinate actions primarily taken by others; [A] Allocate resources to address Monitor issue for change; [O] Other role as specified) L A, L, E A, L, E full time physician recruiter with budget of $300,000; health coach staffing staffing allocation and budget of $3000 Kristin Gundt, CNO; staffing allocation & staffing allocation and a budget of $400,000 (what collaboration or other actions are required by others; what resource contributions/commitme nts Partner with other local agencies to coordinate and not duplicate services Continue to partner with local agencies and businesses

Issue to Address Fundamental Desired Change Sought Other to Screening and Early Detection Improve the number of screening opportunities; (end result and leading indicator(s) used to measure change) Establish comprehensive worksite wellness programs ([H] Has sole/primary responsibility to enact change; [L] Take leadership role to enact change; [C] Coordinate actions primarily taken by others; [A] Allocate resources to address Monitor issue for change; [O] Other role as specified) H, L, A, E Connie Mack, VP; staffing allocation and a budget of $160,000 Coordinate & partner with employed providers, including retail pharmacy and local businesses Built Environment Promote health through advocacy for a well constructed and inclusive built environment Mobilize the community to support efforts aimed to enhance active transportation in Mesa County; Mesa County planning officials will have identified solutions to ensure there are safe routes to all schools with a high pedestrian population as well as highly used recreation facilities; Mesa County planning officials will have identified solutions to ensure contiguous active transportation pathways on community streets L,M Chris Thomas, President & CEO; New hospital campus will have a sidewalk/trail system around and throughout the 40 acre property Work with community leaders to extend our sidewalk to connect with Canyon View Park and eventually to the River Front Trail System

Issue to Address Fundamental Desired Change Sought Other to Building a Sense of Community Parenting Engage community partners in commons approach collaboration Improve the health of children by empowering parents (end result and leading indicator(s) used to measure change) Mesa County agencies will have complete understanding of the design principles of the Commons; identify programs that provide similar services and propose ways to collaborate; develop a comprehensive resource and recruitment plan Establish a coordinated system to build capacity related to parents role in children s health & 60% of Mesa County parents will be able to identify at least one resource for enhancing their health base knowledge and skills ([H] Has sole/primary responsibility to enact change; [L] Take leadership role to enact change; [C] Coordinate actions primarily taken by others; [A] Allocate resources to address Monitor issue for change; [O] Other role as specified) A, E, M Chris Thomas, President & CEO; Budget to be determined M None

Issue to Address Fundamental Desired Change Sought Other to Emotional and Social Wellbeing Improve the health of Mesa County by recognizing and addressing social, emotional and physical risk factors (end result and leading indicator(s) used to measure change) Establish a coordinated system to build capacity related to mental health as a determinant of poor physical health; Mesa County residents will be able to identify at least one mental health resource; develop system to address behavioral health risk and protective factors; enhance data collection of key behavioral determinants ([H] Has sole/primary responsibility to enact change; [L] Take leadership role to enact change; [C] Coordinate actions primarily taken by others; [A] Allocate resources to address Monitor issue for change; [O] Other role as specified) C, E, M None CH employed behavioral health specialists continue to educate clients on appropriate mental health resources