Implementation Strategy Summary
Transcription
Implementation Strategy Summary
Implementation Strategy Summary FHN Memorial Hospital December 30, 2013 McGladrey, LLP 1 Health Needs to be Addressed: Prevention – General Wellness Action Item Population Served Community Screenings Entire Community Walk-in Wednesday Women Young Hearts Program Youth Dial A Doc Program Entire Community Healthy Kids Program Youth Miles for Minutes Youth Meals on Wheels Elderly, Low Income, Disabled Health Resource Library Entire Community Nutrition Outreach and Education Entire Community Community Exercise Resource Map Entire Community McGladrey, LLP Objective Continuing free community screening programs in an effort to support health awareness. Continuing and expanding the “Walk-in Wednesday” program to promote mammography screening within the community. Continuing and expanding the “Young Hearts” program of screening for student athletes in the community. Continuing to promote the “Dial A Doc” program within the community as an educational resource for healthy living. Continuing to support the “Healthy Kids” program run in conjunction with the YMCA to promote healthy lifestyles. Continuing and expanding the Miles for Minutes initiative in all three counties to support physical activity. Continuing the Meals on Wheels program. Continuing to maintain a Health Resource Library to facilitate community residents’ identification of existing resources available to support health. Establishing a Freeport collaboration among the YMCA, local public and private schools, the Freeport Area Church Cooperative, the Stephenson County Health Department, and local grocery stores including Cub Foods to coordinate current nutrition outreach and education and to identify new ways with to reach children and adults. Areas of programmatic focus will be designed to be culturally effective and reach lowincome access points in the community such as Head Start, Food Banks, Churches, and other social organizations. Working with Freeport Park District, Carroll County Health Department and JoDaviess County Health Department to map all places and assets in the Hospital Community where residents can readily access physical activity. This map will be used as an educational tool alongside the CATCH food and nutrition curriculum being used at the Boys and Girls Club, the YMCA, and the Freeport public schools. 2 Burchard Hills Walking Path McGladrey, LLP Entire Community Helping to expand and maintain the Burchard Hills walking path to support physical activity within the community. 3 Health Needs to be Addressed: Poverty and Uninsurance Action Item Population Served Community Screenings Entire Community Discounted Care Uninsured Meals on Wheels Elderly, Low Income, Disabled Pharmaceutical Assistance Uninsured, Low Income FHN Community Clinic Low Income Affordable Care Act Outreach and Education Uninsured, Low Income, Entire Community Reducing Financial Barriers Uninsured, Low Income Financial Education Uninsured, Low Income, Entire Community Charity Assistance Uninsured, Low Income Financial Counselors Uninsured, Low Income, Entire Community Workforce Development Low Income, Entire Community McGladrey, LLP Objective Continue free community screening programs in an effort to support health awareness. Continue providing discounts for uninsured patients seeking care in the FHN system. Continue Meals on Wheels program. Continue providing pharmaceutical assistance for community residents who cannot afford medications. Continue operating the FHN Community Clinic, which provides flexible payment options, charity care, and discounts, making health care more affordable for the low-income population. Identifying internal staff to work closely with the Stephenson County Health Department in its outreach efforts on the Affordable Care Act and to expand the work initiated in the Hospital community for both Medicaid and for subsidized health insurance on the Illinois Health Exchange. Outreach events will be held in locations within underserved neighborhoods. Identifying existing financial barriers to lowincome families in accessing services and developing a response to reducing those financial barriers. Ensure all financial administrative staff at primary care locations, especially those that serve a larger underserved population, understand eligibility for Illinois Medicaid and where to refer patients for enrollment into the Affordable Care Act through the Health Exchange. Screen self-pay patients for presumptive charity assistance. Have dedicated financial counselors available to assist community residents in negotiating the costs of health care. Collaborate with the Freeport Housing Authority on its Workforce Development Initiative in job placement for its graduates. 4 Health Needs to Be Addressed: Health System Navigation and Cultural Competency Action Item Population Served Increase Information Availability Entire Community Translator Services Non-English Speakers Community Outreach and Education Entire Community Understanding Culture of African American Community African American Population McGladrey, LLP Objective Enhance current marketing materials about the FHN network to ensure information is available to all populations in the Hospital community. Tactics include developing a brochure and additional website content that is readily understandable and available in other languages common in the community. The brochure will include information such as information relating to expanded hours, financial assistance programs, and the importance of having a regular primary care “medical home”. Continue providing translator services in the FHN facilities. Conducting outreach events to educate community residents about health system access will be held in locations within underserved neighborhoods. The Freeport Housing Authority has offered that their locations would be ideal for such events. Facilitating focus group/discussion groups of African-American residents and other African American leaders in the community (not political leaders) to discuss their perceptions of health and how they maintain health. This content will be framed into teaching points that could help FHN staff and faculty understand the culture of this community, specifically around the issues of health and wellness in the Freeport area. 5 Health Needs to Be Addressed: Transportation and Accessing Providers Action Item Sports Physical Program Community Screenings Transportation Vouchers Enhance Services at Community Clinic Explore Possibility of FQHC Status Expand Nursing Home and Advanced Care Programs Population Served Entire Community Expand Hours and Days for Primary Care Working Population Increase Mental Health Coverage in Rural Areas Rural Community Residents McGladrey, LLP Objective Continue and expand the sports physical Youth program. Continue community-based screenings and identify additional venues that are readily Entire Community accessible and convenient to vulnerable populations. Enhance the initiative of offering subsidized Pretzel Bus transportation vouchers to lowLow Income income individuals and families for transportation to and from FHN facilities, in conjunction with the City of Freeport. Explore opportunities to enhance primary care Working Population, Low services at the SCHD facility near the Eastside of Income Freeport so that services are comprehensive and offered at convenient hours for working families. Explore working with the SCHD to reapply for Low Income federally qualified health center status for the onsite health clinic. Expand nursing home and advanced care programs, including post-discharge medical visits. Provide early and late hours in addition to some Saturdays to increase appointment availability at times convenient for individuals who cannot access care during traditional work week hours. Work to bring greater behavioral health, physical therapy, and specialist provider coverage to its rural sites. 6 Health Needs to Be Addressed: Prevention – Hypertension and Stroke FHN is indirectly addressing this health need through several of its objectives related to promoting healthy lifestyle choices and delivering health educational programming within the community. Action Item Population Served Community Screenings Entire Community Stroke Prevention Classes and Screenings Entire Community Stroke Response Team Stroke Patients McGladrey, LLP Objective Continuing to provide free community screening for blood pressure to increase awareness of this issue. FHN will continue to engage community members in stroke prevention programs by offering classes and screenings in the community. While not a direct prevention measure, FHN has created a stroke response team for patients diagnosed by EMS as “stroke in evolution”. 7 Health Needs to Be Addressed: Prenatal Care and Teen Birth Rate In responding to other unmet needs within the community, FHN is indirectly addressing this issue through several of its objectives related to promoting healthy lifestyle choices and delivering health educational programming within the community. Action Item Population Served Lactation and Breastfeeding Program Mothers and Babies Parent Enrichment Programming Parents Community Resource Connection Mothers and Babies McGladrey, LLP Objective Expanding its lactation and breast feeding partnership with the Stephenson County Health Department. Continuing to offer parent enrichment programming. Continuing to connect mothers with community resources and existing programming. 8