Van Diest Medical Center PSA CHNA Implementation Plan (Version 1 as of 01/20/15) 2014 Health Needs - Primary Service Area (Hamilton County IA + )

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# CHNA Helth Ares of Nee Speifi Ations to Aress Nee LEAD Prtners Timefrme Resoures 1 Vn Diest Meil Center PSA CHNA Implementtion Pln (Version 1 s of 01/20/15) 2014 Helth Nees - Primry Servie Are (Hmilton County IA + ) Enourge ollortion & oopertion mongst otors Conut n ll provier stisftion/nees survey through 3r prty (etermine root uses / ulture); Hospitl Provier groups (lrge physiin groups); ptients; usiness leers; ounty leership; hmer; ity; meitor 2 Enourge lol elivery of helthre (Keep re t home). Enourge ll lol physiins to e "tive" in hospitl re elivery. Develop ommunity helthre onsumer group. Determine & shre speifi linkge volumes / ollrs over pst 3 yers leving Hmilton County. Hol isussion etween Mery System physiins n lol physiins to fin ommon elivery Conut VDMC CEO le meil stff isussion/onverstion out the nee for hnge, inluing ACO n wht keeps the ommunity helthy e Eute proviers relte to ollortion out rurl helth; Implement Telepsyh Servies - sreening; f 3 Provie fforle ehviorl/mentl helth plement servie options Investigte reinstting Hmilton County meition nurse to llow lol mngement of mes. Puli Helth n Centrl IA Community Servies/Helth Dept. Shools; lw enforement; Hospitl Explore & provie 'Urgent" MH ptient trnsporttion for Hmilton ounty resients. Hol MH Hmilton County work y. Explore ontinment of violent episoes with ounty lw enforement, hospitl n high plins mentl helth. Conut n Community Inventory Survey to oument sope of mentl helth servies vilility n hours of servie. Promote existing mentl helth servies, filities n proviers. e Eute hospitl ER stff regring mentl helth issues n how to ress them. 4 Reruit itionl otors: Onology, Urology, Pulmonology, Pin, n Nephrology Conut VDMC Physiin Mnpower Assessment for PSA to etermine pproprite levels of visiting speilist's lini ys Prtner with Mery Des Moines & Mson City for onology, urology, pulmonry pin n Nephrology overge. Hospitl; Physiin Groups Chmer; Community 5 Reue sustne use oth Alohol & Drugs ( Meth, Mrijun, Crk, Coine, n Presriptions). Continue to monitor presription rug use. Support re physiins in isourging presription rug use. Develop eutionl hnouts for meil proviers to istriute to ptients when presriing sheule II rugs Community Fmily Resoures; Helthy Hmilton Puli Helth Dept.; Lw enforement; shools; hospitl; Centrl IA Community Servies Inrese (& trin) shool-se progrms regring sustne use. VDMC_CHNAImplementtionPln_2014_V1.xls

Vn Diest Meil Center PSA CHNA Implementtion Pln (Version 1 s of 01/20/15) 2014 Helth Nees - Primry Servie Are (Hmilton County IA + ) # CHNA Helth Ares of Nee Speifi Ations to Aress Nee LEAD Prtners Timefrme Resoures Complete Hmilton County Inventory Survey to oument sope of mentl helth servies vilility n hours of servie. Strt lol mpign to omt rinking. Eute prents on rmifitions. e Write IA Stte grnt to fun mpign on unerge rinking. f Investigte Clinis opportunity to ontrt with mentl helth professionls. 6 Provie helthre trnsporttion. Explore ommunity progrms tht provie free trnsporttion Puli Helth Senior Volunteer Progrm; Mis Develop ommunity trnsporttion servies on sliing sle. 7 Improve mulne servies n trin EMT stff to work with lol ER. Crete Hmilton steering ommittee to improve the ollortion etween mulne servies n the ED. Hmilton County EMS Assoition Hospitl; Iow Centrl Community College for trining; proviers Estlish reltionship with ommunity EMT trining sites. 8 Improve wter qulity (oth g & resientil) Loy Iow Stte offiils fir funing to. Dept. of Nturl Resoures City; County Prtner with lol Puli Helth Deprtment to explore ples of hzrous wste n pollution 9 Crete itionl ilingul helth re info/eutionl mterils Crete ilingul HC literture outline lol servies. All Cultures Equl Puli Helth; Builing Fmilies; Polie Dept.; Shools; Hospitl; Iow Stte Extension Contt influene ilingul ommunity memers to provie input on est wy to isseminte informtion Fight Oesity (nutrition n fitness) 10 Crete ommunity eutionl series fousing on ooking emos, foo lels, groery store tours, resturnts helthy mels / portions options, helth firs, lsses, spekers et. Puli Helth Hospitl; physiin groups; shools; Helthy Hmilton Strt ommunity-wie fitness "hllenge" inititive fousing on fitness, nutrition n physil tivity. Promote Community Helth. Crete effetive mei (i.e.. Print, rio, igitl) Strt qurterly "Community" Helth Mgzine. Inrese ess to helthy foos in shools n for seniors. Provie helthier shool vening options. e Crete wlking pth roun the hospitl grouns. f Crete n inventory of ville ommunity wellness resoures in PSA. g Continue to promote WIC n foo stmp progrms. VDMC_CHNAImplementtionPln_2014_V1.xls

Vn Diest Meil Center PSA CHNA Implementtion Pln (Version 1 s of 01/20/15) 2014 Helth Nees - Primry Servie Are (Hmilton County IA + ) # CHNA Helth Ares of Nee Speifi Ations to Aress Nee LEAD Prtners Timefrme Resoures h Promote & expn frmer's mrket. i Host Community Fun Run. j k l m Estlish forml "Hmilton Helthily Eting" progrm. Seek grnt(s) to provie helthily eting ulletin to ll PSA househols. Develop ommunity gren t Meil Center. Estlish progrm to provie proue to lower inome iniviuls with poor ess to helthy foos. Develop fitness enters t hurhes. Donte ol fitness equipment. Provie eution to employers through work-site helth firs n eutionl progrms, inluing vrious sreenings. n Conut n inventory of fitness enters in re. o Crete exerise n physil fitness opportunities uring shool y, inluing reess. VDMC_CHNAImplementtionPln_2014_V1.xls

Vn Diest Meil Center PSA CHNA Implementtion Pln 2014 Helth Nees - Primry Servie Are (Hmiliton County IA + ) # CHNA Helth Ares of Nee Speifi Ations to Aress Nee LEAD Prtners Timefrme Resoures 1 2 Enourge ollortion & oopertion mongst otors *Merge 1 & 2 Enourge ll lol physiins to e "tive" in hospitl re elivery. Conut n ll provier stisftion/nees survey through 3r prty (etermine ulture); Develop ommunity helthre onsumer group; Eute proviers relte to ollortion out rurl helth; Implement Telepsyh Servies - sreening; Connet with existing outptient servie; CEO le meil stff isussion/onverstion out the nee for hnge, inluing ACO n wht keeps the ommunity helthy Hospitl Provier groups (lrge physiin groups); ptients; usiness leers; ounty leership; hmer; ity; meitor 3 Provie fforle ehviorl/mentl helth plement servie options Puli Helth n Centrl IA Community Servies/Helth Dept Shools; lw enforement; Hospitl 4 6 Reruit itionl otors: Onology, Urology, Pulmonology, Pin, n Nephrology *Potentilly merge 4 & 6 Ientify urrent speilists; Ientify who is leving n for wht servies Hospitl; Physiin Groups Chmer; Community Enourge lol elivery of helthre (Keep re t home). Hospitl Physiin groups; ommunity; lol usiness; hmer 5 Develop eutionl hnouts for meil proviers Reue sustne use oth Alohol & to istriute to ptients when presriing sheule II Drugs ( Meth, Mrijun, Crk, Coine, n Presriptions). rugs Community Fmily Resoures; Helthy Hmilton Puli Helth Dept; Lw enforement; shools; hospitl; Centrl IA Community Servies Inrese (& trin) shool-se progrms regring sustne use. Complete Hmilton County Inventory Survey to oument sope of mentl helth servies vilility n hours of servie. Eute hospitl ER stff regring mentl helth issues n how to ress them. Reruit Mentl Helth provier(s) to meet speifi MH inventory nee ientifie. Enourge & inrese epression sreenings y primry re physiins VDMC_CHNAImplementtionPln_2014_V1.xls

7 Provie helthre trnsporttion. Puli Helth Senior Volunteer Progrm; Mis 8 Improve mulne servies n trin EMT stff to work with lol ER. Hmilton County EMS Assoition Hospitl; Iow Centrl Community College for trining; proviers VDMC_CHNAImplementtionPln_2014_V1.xls

9 Improve wter qulity (oth g & resientil) Dept of Nturl Resoures City; County 10 Crete itionl ilingul helth re info/eutionl mterils All Cultures Equl Puli Helth; Builing Fmilies; Polie Dept; Shools; Hospitl; Iow Stte Extension VDMC_CHNAImplementtionPln_2014_V1.xls