MERCY HOSPITAL LEBANON COMMUNITY HEALTH IMPROVEMENT PLAN (2016-2019) An IRS-mandated Community Health Needs Assessment (CHNA) was recently completed for each hospital within the Central Community: * Hospital Lebanon * Hospital Springfield * Hospital Mountain View * Hospital Aurora * Hospital Cassville The CHNA reports for each hospital may be accessed at: https://www.mercy.net/about/community-benefits. Upon completion of these assessments, the IRS requires hospitals to implement a threeyear plan to improve the community s health through strategies that address a significant community health need, as identified through the CHNA. The Community Health Improvement Plan (CHIP) must: 1. Describe the actions that the hospital intends to take to address the health need, the anticipated impact of these actions, and the plan to evaluate such impact 2. Identify the programs and resources that the hospital plans to commit to address the health need 3. Describe any planned collaboration between the hospital and other agencies in addressing the health need. Attached is the CHIP for Hospital Lebanon (MHL). The health needs that have been prioritized in this CHIP are: * Reduce Cardiac Disease in our community * Reduce Lung Disease in our community *Increase understanding of mental health in our community The Community Health Council for Hospital Lebanon will oversee the Community Health Improvement Plan and monitor its progress.
MERCY HOSPITAL LEBANON COMMUNITY HEALTH IMPROVEMENT PLAN (2016-2019) PRIORITY AREA/COMMUNITY NEED: Reduce Cardiac Disease in our Community Narrative: Cardiovascular disease (CVD) is a disease of the heart and blood vessels. This includes conditions such as arrhythmias, congestive heart failure, hypertension, stroke and numerous other related conditions. CVD is the leading cause of death in the United States and is responsible for approximately 24% of all deaths. Key risk factors for developing CVD include preexisting health conditions (high blood pressure, high cholesterol and diabetes), unhealthy lifestyles (poor diet, physical inactivity, obesity, alcohol abuse and tobacco use) and a family history of CVD.10 Three key risk factors: high blood pressure, high cholesterol and smoking, are present in nearly half (47%) of Americans. High blood pressure, or hypertension, occurs when the force in the blood vessels is too high. Approximately, one in three adults has hypertension, and 48% have hypertension that is not controlled. It is often known as the silent killer because many people are not aware of their elevated blood pressure until they have a more serious health issue, such as a heart attack. Likewise, there are no signs or symptoms of high cholesterol and it must be measured by a simple blood test. Goal #1: Increase the number of Cardiac Rehab patients in our community. Objective: Patients with 2-3 risk factors for heart disease will be referred onto phase 3 cardiac rehab for exercise and management of risk factors. Promote evidence- based care to manage chronic disease Increase referrals to diabetes education Increase referrals to tobacco cessation Increase referrals to nutrition consults Provide education regarding disease process Improve referrals to Cardiac rehab Attend section meetings to educate physicians on cardiac rehab Meet with PCP s and Hospitalist face- to- face to educate them on programs Leaders/Programs/s Judy O Conner-Snyder Mary Heaston-Supervisor Cardio Rehab Samantha Day-= Director Emergency
Evaluation Plan for Goal: The Lebanon Team will establish baseline data and 3-year measurable outcomes. about risk factors for heart disease Short- term Outcomes: More referrals to Cardiac Cardiac Rehab Rehab Less Incidence of Heart related Emergency Room visits Goal #2: Increase the number of Diabetic Education consults in our community. Objective: Patients who come into the hospital who are identified as needing diabetic education, or are referred from a medical provider, will receive diabetic education. Hospitalist or PCP referral to Diabetic education classes Attend clinic meeting to share information Attend section meetings to educate physicians on Diabetic Education classes Meet with PCP s and Hospitalist face- to- face to educate them on programs Leaders/Programs/s Judy O Conner-Snyder- Executive Director Shannon Smith- Diabetic Education Evaluation Plan for Goal: The Lebanon Team will establish baseline data and 3-year measurable outcomes. about risk factors for diabetes
Short- term Outcomes: More referrals to Diabetic Diabetic Education Education Less Incidence of Diabetic related Emergency Room visits Goal #3: Encourage Lebanon Co- workers to participate in the Healthification program Objective: Coworkers are provided a free program that is designed for those that may need assistance on achieving their health and wellness goals. Biometric screening Functional movement screen Lunch and learns Grocery store resources Educational classes Leaders/Programs/s Russ Pickup Crystal Ray Sandy Johnson Mary Heaston Dr Hassel Shannon Smith Evaluation Plan for Goal: The Lebanon Team will establish baseline data and 3-year measurable outcomes. about Healthification
Short- term Outcomes: More participation in Healthification Healthification program Coworker retention in Healthification Healthification program Program Goal #4: Increase dental health in our community Objective: Increase the number of underserved patients that get assistance with their oral care Meet with dentist on a current education, determine additional needs Give out dental coupons to patients in our Emergency department presenting with dental pain. Leaders/Programs/s Judy O Conner-Snyder-Executive Director Samantha Day Jordan Valley Health Center Evaluation Plan for Goal: The Lebanon Team will establish baseline data and 3-year measurable outcomes. Dentist about oral health Short- term Outcomes: How many coupons for dental care are given out How many patients present at the ED with dental pain
PRIORITY AREA/COMMUNITY NEED: Reduce Lung Disease in our Community Narrative: Lung disease is a broad category of conditions affecting the lungs including: asthma, bronchitis, Chronic Obstructive Pulmonary Disorder [COPD], emphysema and pneumonia. These diseases result in a significant negative impact to an individual in both quality of life and lives lost. Goal #1: Increase the number of Pulmonary Rehab patients in our community. Objective: Patients with mild or untreated lung disease will be referred onto phase 3 pulmonary rehab for exercise and management of risk factors. Promote evidence- based care to manage chronic disease Increase referrals to tobacco cessation Increase referrals to nutrition consults Provide education regarding disease process Improve referrals to Pulmonary rehab Attend section meetings to educate physicians on Pulmonary rehab Meet with PCP s and Hospitalist face- to- face to educate them on programs Leaders/Programs/s Judy O Conner-Snyder Mary Heaston-Supervisor Cardio Rehab Samantha Day-= Director Emergency Evaluation Plan for Goal: The Lebanon Team will establish baseline data and 3-year measurable outcomes. about risk factors for lung disease Short- term Outcomes: More referrals to Cardiac Rehab Pulmonary Rehab
Less Incidence of lung related Emergency Room visits PRIORITY AREA/COMMUNITY NEED: Increase understanding of Mental Health in our Community Narrative: According to the U.S. of Health and Human Services (HHS), mental health may be defined as a state of well- being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community. Oppositely, mental illness, which also is described by DHSS as all diagnosable mental disorders or health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning.27 Often used interchangeably with mental health, behavioral health Goal #1: Increase the number of Lebanon industry coworker education sessions in regards to better handling of stress Objective: Help community members learn how to deal with stress in their lives Capture education and tools surrounding all four pillars: o Eat for life o Balance for life o Breathe for life o Move for life Lunch and learns Educational classes Community Events/Resource Hub Leaders/Programs/s Judy O Conner-Snyder Mary Heaston-Supervisor Cardio Rehab Samantha Day-= Director Emergency
Evaluation Plan for Goal: The Lebanon Team will establish baseline data and 3-year measurable outcomes. about risk factors for stress Short- term Outcomes: Referrals to mental health Room providers Less Incidence of Mental health Emergency Room visits Additional Needs being Addressed: Other identified needs not being addressed and why not, if applicable: