Community Health Implementation Strategy FY

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1 Community Health Implementation Strategy FY

2 Introduction Saint Joseph East, a community hospital with 217 beds, is located in the rapidly growing southeastern part of Lexington, Kentucky. Saint Joseph East Hospital complements Saint Joseph Hospital s health care mission through multiple services and specialties. At Saint Joseph East, maternal and childcare, cardiovascular services, ambulatory surgery and 24-hour emergency care are supported through traditional inpatient and outpatient programs. Additional specialty services include the Heart Institute, Breast Center, Sleep Wellness Center and the Center for Weight Loss Surgery. The Women s Hospital at Saint Joseph East Hospital is the only hospital of its kind in Lexington and Central Kentucky dedicated exclusively to the health and well-being of women. The Women s Hospital offers a full range of services to meet the needs of every woman no matter what stage of life they are infrom adolescence to mature adulthood. Saint Joseph East is part of KentuckyOne Health, the largest health system in Kentucky with more than 200 locations including hospitals, outpatient facilities and physician offices and more than 3,100 licensed beds. An 18-member volunteer board of directors governs KentuckyOne Health, its facilities and operations, including Saint Joseph East, with this mission: We bring hope, improve health and change lives. Our Purpose To bring wellness, healing and hope to all, including the underserved. Our Future To transform the health of communities, care delivery and health care professions so that individuals and families can enjoy the best of health and wellbeing. Our Values Reverence: Respecting those we serve and those who serve. Integrity: Doing the right things in the right way for the right reason. Compassion: Sharing in others joys and sorrows. Excellence: Living up to the highest standards Page 1

3 Saint Joseph East is located in Lexington. Lexington (officially Lexington-Fayette Urban County) is a major city the second largest in the state of Kentucky. As of 2011, the Lexington-Fayette metro area had a population of 301,569, ranking it 63rd in size nationally. The Lexington-Fayette metro area is home to six counties: Clark, Fayette, Jessamine, Bourbon, Woodford and Scott. Lexington-Fayette metro is located in the center of the inner Bluegrass Region. This document provides a summary of Saint Joseph East s plan to develop new and enhance established community benefit programs and services from FY This plan is focused on addressing the top community health priorities identified in the community health needs assessment conducted by Saint Joseph East in FY2013. Identifying Health Needs Saint Joseph East identified community health needs by undergoing an assessment process in collaboration with the Lexington-Fayette County Health Department and the Lexington-Fayette County Mobilizing for Action through Planning and Partnership (MAPP) Coalition. Over 1,200 residents provided input through an community health survey. Another 77 adults participated in three focus groups intended to identify needs in minority and low-income households and five individuals with specialized knowledge participated in key informant interviews.in addition, secondary data was compiled from demographic and socioeconomic sources as well as national, state and local sources of information on disease prevalence, health indicators, health equity and mortality. This was analyzed and reviewed to identify health issues of uninsured persons, low-income persons and minority groups, and the community as a whole. Health needs were prioritized utilizing a method that weighs: 1) the impact on vulnerable populations; 2) the importance to the community; 3) the size of the problem; 4) the seriousness of the problem; 5) prevalence of common themes; 6) how closely the need aligns with the strategies and strengths of the hospital and KentuckyOne Health; and 7) an evaluation of existing hospital programs responding to the identified need. The hospital engaged BKD, LLP to assist with compiling secondary data and prioritizing identified health needs. Subsequently, Saint Joseph East s leadership entered into a dialogue to discuss the results of the evaluation and select health priorities. Participants were given the opportunity to revise rankings and debate issues until a consensus was reached on a composite ranking of health issues. The process identified the following issues with scores of 14 or more (on a scale of 28): Obesity Chronic Health Diseases Access to Health Services-Cost of Care Uninsured Lack of Health Knowledge/Health Promotion Cancer Heart Disease Stroke Drug Abuse Lack of Primary Care Physicians Physical Inactivity Chronic Lower Respiratory Disease Excessive Drinking Adult Smoking Limited Access to Healthy Foods Children in Poverty Children in Single-Parent Households Page 2

4 As a result of the analysis, the following areas were identified as priority areas on which we will focus over the next three years. Saint Joseph Hospital Priorities Correlated Community Health Need Obesity Obesity Lack of Health Knowledge/Health Promotion Limited Access to Healthy Foods Lung Cancer/Smoking Cessation Chronic Health Diseases Cancer Heart Disease Adult Smoking Lack of Health Knowledge/Health Promotion Cardiovascular Disease Heart Disease Lack of Health Knowledge/Health Promotion Access to Services/Health Disparities Safe Neighborhoods Maternal and Children s Health Access to Health Services-Cost of Care Uninsured Lack of Health Knowledge/Health Promotion Lack of Primary Care Physicians Drug Abuse Violence Child Obesity Furthermore, the goals and strategies outlined in this implementation plan span the range of factors affecting health as outlined by the Centers for Disease Control. Page 3

5 PRIORITY: Obesity Goal 1: Promote employee-based and community wellness programs. Strategies: A. Expand employee and community education about the benefits of healthy eating and active living. B. Promote existing hospital programs that benefit employees and the community (bariatrics, diabetes, wellness, etc). C. Maintain professional memberships to assist with programs offered through lunch & learn, churches, wellness programs, school programs, and the YMCA. Goal 2: Promote healthy food choices in the counties served. Strategies: A. Explore the feasibility of facilitating patient referrals to community-based resources to include local farmer s markets. B. Offer free community education programs on healthy eating and living. C. Promote and participate in the Partnership for a Healthier America program, an initiative supported by Catholic Health Initiatives and other large health systems to improve the environment by eliminating waste and fostering more sustainable practices. D. Post nutrition information on foods served in the hospital cafeteria and promote healthier menu options for both children and adults. E. Collaborate with approved vendors to increase purchasing of local food products and actively promote items branded as Kentucky Proud. Goal 3: Promote awareness of prevention, control, and self management of diabetes. Strategies: A. Continue to offer diabetes education classes and individual counseling. B. Provide pre-diabetes and diabetes refresher education offerings to enhance disease prevention. PRIORITY: Lung Cancer/Smoking Cessation Goal 1: Decrease the number of patients diagnosed with late stage lung cancer. Strategies: A. Increase the number of low-cost lung cancer screenings to eligible patients. Goal 2: Enhance community education about the benefits of notsmoking. Strategies: A. Partner with the Lexington Fayette County Health Department to promote Cooper Clayton smoking cessation classes throughout the community at a cost of $100 per 10- week class. B. Increase the number of participants in smoking cessation classes by displaying pamphlets at the Cancer Resource Center and physician offices and registering residents at health fairs and other community outreach events. C. Provide increased training to nurses and staff members to improve smoking cessation interventions when patients are discharged from the hospital. D. Promote QUIT NOW on the hospital website. Page 4

6 Goal 3: Enhance prevention efforts within the community Strategies: A. Partner with the hospital s cardiovascular team to provide education in area high schools. B. Support Teens Against Tobacco Use (TATU) groups in local high schools. PRIORITY: Cardiovascular Diseases Goal 1: Increase awareness of cardiovascular health through wellness initiatives. Strategies: A. Partner with area companies to offer employees cardiovascular screening services and healthy lifestyle education. B. Partner with churches, colleges, and health agencies to provide cardiovascular screening services and healthy lifestyle education. C. Decrease community risk factors of cardiovascular diseases through culturally appropriate education for healthy lifestyles. Goal 2: Partner with American Heart Association s Go Red for Women program as the local Cause Sponsor. Strategies: A. Participate with American Heart Association in developing and implementing programs to educate females in Central Kentucky about the risk factors, prevention and treatment of heart disease. B. Provide health screenings in conjunction with American Heart Association at major community events including the Legends Ballgame, UK basketball games, and Junior League Horse Show. Goal 3: Provide heart attack education, outcomes, and support to emergency responders. Strategies: A. Improve patient outcomes across the care continuum by providing referring facilities and emergency responders with STEMI (stands for ST Segment Elevation Myocardial Infarction a severe heart attack) outcome data on acute cases. B. Provide educational information and best practices with EMS providers in order to achieve optimal STEMI time. PRIORITY: Access to Services (Addressing Health Disparities) Goal 1: Establish two new primary care clinics in the eastern Kentucky service area of KentuckyOne Health. Strategies: A. Identify two communities with high disease burden or disparities and open/operate a primary care clinic in each to address unmet needs. Page 5

7 Goal 2: Improve community resources for education and triage. Strategies: A. Explore the feasibility of implementing an Ask-A-Nurse model that provides free telephonic support for community education, triage, and referral based on consumer inquiry/information. Goal 3: Improve the health status of patients in vulnerable populations. Strategies: A. Explore the feasibility of implementing a health screening program to communities of high disease incidence in the Lexington area. B. Implement a pediatric hospitalist program to provide infants without a designated physician with a discharge caregiver for follow-up purposes. PRIORITY: Safe Neighborhoods Goal 1: Provide education, knowledge, skills, and mentoring to promote non-violent behavior and academic success for at-risk youth. Strategies: A. Form a partnership with Motivated All Day Everyday (MADE) to support education programming to teach at-risk youth in Lexington-area middle and high schools about conflict resolution, violence prevention, cultural diversity, prevention of drug abuse and gang involvement, and social/emotional skills. B. Increase the number of youth receiving MADE programming, working with the area school system to incorporate it into the school curriculum. C. Create an evaluation plan using qualitative (i.e. surveys, focus groups) and quantitative (i.e. grades, attendance, behavior reports) methods to measure the effectiveness of MADE. Goal 2: Support after-school, community-based tutoring and homework programs for students in underserved areas. Strategies: A. Partner with local schools, libraries, churches, and other community agencies to fund and implement the Education Safehouse, an after-school mentoring and homework assistance program for students and parents in underserved areas, with special focus on Spanish-speaking families. B. Evaluate and measure the effectiveness of the program through student academic performance and attendance. C. Support the expansion of Education Safehouse into areas of need that have high poverty and crime rates (e.g. Winburn, Woodhill) Goal 3: Organize and empower parent and community residents to create safe neighborhoods. Strategies: A. Explore ways to educate and empower residents from one to-be-identified an underserved/high crime area to prevent and reduce violence through community involvement. B. Offer monthly guidance to community residents and grassroots organizations such as neighborhood associations to create programs and activities that promote non-violence and safety. C. Educate and encourage residents to apply for community improvement grants. Page 6

8 D. Participate and promote the development of a county-wide educational conference focused on issues of youth violence in September PRIORITY: Maternal and Children s Health Goal 1: Improve family knowledge of community resources by enhancing education related to maternal and infant care. Strategies: A. Continue to offer care navigation to patients throughout pregnancy and beyond to connect families to community resources. B. Create and distribute a comprehensive list of community resources available to families. C. Continue providing perinatal education programs. D. Provide nutritional healthy choices for infants and children at primary care offices by partnering with our community outreach dietician program, the health department and other agencies. Goal 2: Support family knowledge and enhance a safe and healthy home environment through education and mentoring of at- risk fathers. Strategies: A. Provide National Fatherhood Initiative Program to provide perinatal and postnatal education, mentoring, and community resources through the Fayette County Fatherhood Initiative. Page 7

9 Needs Not Addressed The remaining needs identified through the community health needs assessment have not been addressed in this plan. In initial discussion and subsequent prioritization, Saint Joseph East s Community Needs Assessment Team considered the levels to which some needs were already being addressed in the service area. Additionally, some community needs fall out of the scope of expertise and resources of Saint Joseph East. The following chart outlines how some of the needs identified in the assessment are addressed by others or in different ways: Community Need Excessive Drinking How Need is Addressed Substance abuse treatment services are offered by numerous organizations within the Lexington, Kentucky area. A partial listing of treatment facilities can be found at Children in Poverty Children in Single-Parent Households The state of Kentucky provides various forms of assistance for children living in poverty. Information about state programs may be found at chfs.ky.gov. This is out of scope of services that Saint Joseph East can address Page 8

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