Community Health Implementation Strategy FY 2014-16 Page 0
Introduction Formerly Mary Chiles Hospital, Saint Joseph Mount Sterling became a member of Saint Joseph Health System on August 1, 2007. From its founding in 1921, the hospital has been committed to its goal of serving the people of Montgomery, Bath, Menifee, and Powell Counties. A new facility located in Montgomery County was opened on June 16, 2011 featuring 42 licensed acute-care beds and the latest technology including MRI services and digital mammography, all-private rooms, 14 private emergency treatment rooms, 4 operating rooms, an Intensive Care Unit, a Birthing Center, Infusion Center, cardiovascular services and a faith-based healing environment. Saint Joseph Mount Sterling 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 Mount Sterling, with this mission: 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. Saint Joseph Mount Sterling is located in Montgomery County, Kentucky. The 2010 census listed the population of this county as 26,499. More than 53% of the hospital s discharges in 2011 originated in Page 1
Montgomery County. Bath County is situated to the northeast; Menifee County is to the southeast, and Powell County is to the south. Mount Sterling, the county seat of Montgomery County, is located about 35 miles east of Lexington on I-64 and is considered the Gateway to the Mountains. This document provides a summary of Saint Joseph Mount Sterling s plan to develop new and enhance established community benefit programs and services. This plan is focused on addressing the top community health priorities identified in the community health needs assessment conducted by Saint Joseph Mount Sterling and the Montgomery County Health Department in FY2013. Identifying Health Needs Saint Joseph Mount Sterling identified community health needs by undergoing an assessment process in collaboration with the Montgomery County Health Department. Roughly 1200 residents provided input via community forums and through a paper and on-line survey (available in both English and Spanish). In addition, secondary data was compiled from demographic and socio-economic 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 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. Subsequently, Saint Joseph Mount Sterling leadership entered into a dialogue with representation from the Montgomery County Health Department to discuss the results of the evaluation and select 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 four priorities to deal with health issues for Saint Joseph Mount Sterling in their Primary Service Area: 1. Policy Change 2. Education 3. Preventative Services 4. Early Detection and Screening The issues of substance use disorders, teen pregnancy and obesity emerged as the priorities that task force groups with the Montgomery County Health Department are targeting specifically for Montgomery County. The hospital and the Health Department, along with other community partners, will collaborate in addressing these priorities whenever possible. Page 2
PRIORITY: Policy Change Goal 1: Increase Physical Activity in School Age Children (Intermediate School) A. Collaborate with community partners to complete the School Health Index tool (SHI) for Montgomery County School System by June 30, 2014. (www.cdc.gov/healthyyouth/shi) B. Utilize data from completed SHI tool to assist in providing resources and supporting positive policy change during the 2014-2015 School Year. Goal 2: Limit high sugar content snacks and drinks within Montgomery County School System A. Collaborate with community partners to complete the SHI tool for Montgomery County School System by June 30, 2014. B. Utilize data from completed SHI tool to assist in providing resources and supporting positive policy change during the 2014-2015 School Year. Goal 3: Support Clean Indoor Air Ordinance in Montgomery County. A. Hospital President will submit a letter to Board of Health in support of a county-wide ordinance by May 1, 2013. B. Hospital Executive Team will communicate Hospital s support of ordinance to all employees by February 28, 2013. C. Hospital will encourage Medical Staff to submit letters to Board of Health in support of ordinance by May 1, 2013. PRIORITY: Education Goal 1: Increase community awareness/education of pertinent health issues/topics A. Schedule monthly educational sessions on local Radio show by May 1, 2013. B. Establish schedule of topics and speakers for the next 12 month period by May 1, 2013. C. Submit quarterly articles to the Mt. Sterling Advocate related to pertinent health topics by June 2013. Goal 2: Introduce the AHA Heart Chase to Montgomery County A. Explore AHA Heart Chase with AHA representatives by September 2013. B. Co-sponsor AHA Heart Chase in Montgomery County by December 2014. Goal 3: Provide Diabetes Education to Patients and Families served by SJMS A. Have Certified Diabetes Educator on Staff by April 2014. B. Offer Group Courses on Diabetes on a routine basis by January 2014. Page 3
C. Offer One-on-One Counseling on Diabetes on a routine basis by January 2014. PRIORITY: Preventive Services Goal 1: Introduce Walk With a Doc Program to Montgomery County A. Introduce to and obtain support of Hospital Medical Staff by May 2013. B. Identify physicians for Walk With a Doc program (to be held on a quarterly basis) by December 2013. C. Offer Walk With a Doc program by May 2014. Goal 2: Increase community awareness/education of preventive services A. Schedule monthly educational sessions on local Radio show by May 1, 2013. B. Establish schedule of topics and speakers for the next 12 month period by May 1, 2013. C. Submit quarterly articles to the Mt. Sterling Advocate related to pertinent health topics by June 2013. Goal 3: Increase availability of, and access to, preventive services A. Explore opportunities for offering screening/preventive services beyond regular working hours by June 2014. B. Collaborate with Industrial Leaders to complete an organizational needs assessment for preventive services by January 2014. PRIORITY: Early Detection and Screening Goal 1: Implement Parish Nursing Program A. Research and organize necessary resources to implement program by June 2014. B. Compile a basic Tool Kit and How to Guide for Parish Nursing by September 2014. C. Collaborate with local churches to implement program by January 2015. Goal 2: Explore opportunity for School Health Programs A. Research rules and regulations related to providing school health services by August 2013. B. Determine a model for providing services by August 2013. C. Collaborate with community leaders to implement a program by August 2014. Page 4
Needs Not Addressed Some issues identified through the community health needs assessment have not been addressed in this plan. In initial discussion and subsequent prioritization, Saint Joseph Mount Sterling 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 Mount Sterling. The following chart outlines how some of the needs identified in the assessment are addressed by others or in different ways: Community Need Lower cost of health care and prescription drugs Lack of Primary Care Physicians Uninsured Adult Smoking Children in Poverty Addiction/Substance How Need is Addressed SJMS works with the Foundation to provide off-sets to the cost of health care through the Patient and Family Assistance Fund. This emergency fund, as well as our charity care, assists patients and families with their costs. SJMS provides staffing for the Post Clinic (a free clinic in Montgomery County) and partners with the Health Department and Sterling Health Solutions, Inc. (FQHC) to meet needs through lower-cost and/or free programs. (See Uninsured explanation below.) SJMS has consistently worked to recruit and retain primary care providers for our service area. In the last year, we employed a PCP and successfully recruited another provider who begins practicing in that medical office in July 2013. SJMS also assisted a local pediatrician in successfully recruiting another provider for that medical office with a start date of May 2013. The hospital is working to add another employed PCP, a general surgeon, and has contracted with another pediatrician to provide pediatric and nursery call. SJMS is exploring the possibility of providing primary care through School Health services, as well. With a primary service area of Montgomery, Bath and Menifee Counties, Sterling Health Solutions, Inc, a Federally Qualified Health Center (FQHC), opened in Mount Sterling in October 2012 to provide comprehensive primary and preventive care, including mental health services to persons of all ages regardless of their ability to pay. This presence of this facility increases access to care for the uninsured. The FQHC will have a 340B pharmacy, making prescriptions available to patients of the FQHC at a reduced cost. SJMS also participates in the 340B pharmacy program. SJMS and Montgomery County Health Department each provide smoking cessation programs. These are available to the public throughout the year. The Montgomery County Board of Health is also considering a local smoke free ordinance, for which SJMS will provide support. Hosp leadership actively support Statewide Smoke Free law See the uninsured section above. In addition, the strategies involved in the goal of impacting policy change with the School system should assist with identifying and addressing the needs of local children who live in poverty. This issue is one of three top strategic initiatives identified by community partners during the Community Health Assessment. Cur- Page 5
Abuse Access to fresh fruits and vegetables More Specialists Children in Single Parent Households Assistance to other communities with obtaining Urgent Treatment Facilities Prescription Costs Assistance Help support school programs DARE, PSI, Tattoo After Hours Health Care rently, a community workgroup, with representatives from local government, law enforcement, mental health, public health, SJMS, drug treatment, local business and concerned citizens are exploring ways to address this issue. Vouchers for the local Farmers Market are provided to WIC program participants during the summer months. SJMS created additional time share space in the new Medical Office Building, which opened in 2011 on the SJMS campus. This new space allowed for the addition of the following services: Oncology, Pain Management, and OB-GYN. When the new hospital was created (opened in 2011), the following services were added: Infusion and Chemotherapy, additional pediatric oral surgery, digital mammography, and MRIs. This general situation is outside the specific scope of expertise of SJMS although many of the services and programs offered by both SJMS and MCHD directly affect children in single parent households. SJMS has assisted other areas with the provision of services and access to specialists, specifically in Stanton and Clay City, by opening primary care clinics. Primary Care providers are on-site in each clinic and specialists are available through tele-health consults. MCHD and the FQHC provide assistance to patients in obtaining prescription drugs through the Kentucky Prescription Assistance Program. Additionally, patients of the FQHC will have access to prescriptions at a reduced cost through the 340B pharmacy program. SJMS also participates in the 340B pharmacy program. If and when these programs would be offered in our schools SJMS is willing to consider support as we have done for some pre-school and primary school literacy and character-building programs. SJMS provides services in many areas, including Lab and Imaging, on a 24/7 basis. Patients who need out-patient services are not restricted to weekdays, as the House Administrator will accept and provide treatment to out-patients who present after hours. The Med- Surg Nursing unit and OB will provide care for Observation patients 24/7. Page 6
Page 7