Community Benefits Plan

Transcription

1 Community Benefits Plan Fiscal Year 2016

2 Table of Contents Mission and Values... 2 About Us... 3 Community Benefits Mission Statement... 4 Community Benefits Statement of Purpose... 4 Needs Assessment... 5 Community Benefits Plan... 6 Community Benefits Advisory Committee

3 Mission and Values 2

4 About Us Hospital is a community hospital in, Massachusetts and a member of the Steward Health Care System, a community-based accountable care organization and community hospital network with more than 17,000 employees serving more than one million patients annually in more than 150 communities in Massachusetts, New Hampshire and Rhode Island. Hospital is a 215-bed acute care community hospital with state-of-the-art medical technology and a highly skilled staff. The hospital s major clinical services include advanced surgical services, obstetrics, cardiology, neurology, orthopedics, gastroenterology, psychiatry, cancer care and pediatrics. As the only acute care hospital in, Hospital operates the principal emergency department for the town of 30,602. Hospital () also serves the Massachusetts towns of Canton, Dedham, Foxboro, Franklin, Mansfield, Medfield, Millis, Norfolk, North Attleboro, Norton,, Plainville, Sharon, Walpole, Westwood, and Wrentham. The hospital also serves the towns of Cumberland and Lincoln in Rhode Island. Further information is available at To learn about community health programs, follow the Hospital Facebook page at 3

5 Community Benefits Mission Statement Hospital is committed to collaborating with community partners to improve the health status of community residents. We accomplish this by: Addressing root causes of health conditions and disparities Educating community members around prevention and self care, particularly for chronic diseases such as diabetes Addressing the social determinants of health including education and access to healthrelated resources Community Benefits Statement of Purpose Hospital acts in compliance with the Massachusetts Attorney General s Guidelines for Non-Profit Hospitals as promised to our community and government at the time of our transition to Steward Health Care System, LLC in Our community benefits purpose is to: Improve the overall health status of people in our community Provide accessible, high quality care and services to all those in our community, regardless of their ability to pay Collaborate with staff, providers and community representatives to deliver meaningful programs that address statewide health priorities and local health issues Identify and prioritize unmet needs and select those that can most effectively be addressed with available resources Contribute to the well-being of our community through outreach efforts including, but not limited to, reducing barriers to accessing health care, preventative health education, screening, wellness programs, and community-building Regularly evaluate our community benefits program 4

6 Needs Assessment Hospital conducted a community health needs assessment in December 2015 with the goal of identifying the most imminent concerns in the hospital primary service area and the areas where the hospital could have the greatest impact in improving population health. The Community Health Needs Assessment results are based on data from primary and secondary sources, including: Survey of community health and human services providers, including hospital staff Local community health and human services providers and resident focus group Publicly available databases, including the U.S. Census Bureau and the Massachusetts Community Health Information Profile (MassCHIP) Internal health system informatics Meetings with hospital leadership to assess the needs of the hospital in terms of quality, patient experience, and costs Areas of concern were identified by two or more of the following criteria: Rate higher than the state average Rate increasing over time Identified as concerns by focus group participants, community provider survey respondents, or the Community Benefits Advisory Committee 5

7 Attleboro Canton Dedham Foxborough Franklin Sharon Walpole Westwood Wrentham Massachusetts Attleboro Canton Dedham Foxborough Franklin Sharon Walpole Westwood Wrentham Community Benefits Plan Priority 1 Chronic Disease Chronic disease continues to be a major problem. Circulatory disease, cancer, and respiratory disease are the top three causes of death statewide and in our Primary Service Area. Input from survey respondents and focus group participants also reflected concern for chronic disease as a serious community health issue and remarked that it is significant and should not be overshadowed by the substance abuse problem in the area. Community members voiced the need for increased education and preventative interventions. Figure 1 - Mortality- All Causes (2012), source Massachusetts Department of Public Health (DPH) Cancer: All Types Circulatory System Diseases: All Endocrine: Diabetes Mellitus Respiratory System Diseases: All Figure 2 - Mortality- Age Adjusted Rates per 100,000 (2012), source Massachusetts Department of Public Health (DPH) Cancer: All Types Circulatory System Diseases: All Respiratory System Diseases: All 6

8 Chronic Disease Tactics / Short-Term Goals: Increase education on chronic disease prevention in community spaces. Utilize small media to inform and remind patients to get screened for chronic disease. Share information on chronic disease support groups that would be most effective for the population. Chronic Disease Tactics / Long-Term Goals: Provide additional support to selected groups in the community that were highlighted by focus group participants in needs assessment, including: o English as a second language population o Elderly, low income population The following events and activities will focus on Priority 1 - Chronic Disease: MONTH (2016) January December TOWN All 17 Towns TARGET POPULATION / HEALTH PRIORITY Adults RE: Respiratory, Cardiovascular COMMUNITY PARTNER/NORWOOD HOSPITAL DEPT. American Cancer Society / Freshstart EVENT/ACTIVITY Smoking Cessation Support Group January - December Women/Adults RE: Cardiovascular, Cancer Community Cable PSA s RE: Heart Health, Women s Health and Cancer care February, May, August, November March All 17 Towns Sharon Adults & Children RE: Respiratory, Diabetes, Nutrition, Cancer Families/Seniors RE: Nutrition, Circulatory, Osteoarthritis, Cardio Board of Health, COA, Middle & High Schools, Police Dept., Fire Dept., Parish Nurses, Food Pantries HESSCO Community Health Providers mailing: Diabetes Support, Smoking Cessation, Guide to Good Health 5k Road Race Sponsor 7

9 Spring All/Families RE: Nutrition, Exercise, Diabetes Neponset Valley Chamber of Commerce Chamber Wellness Challenge Sponsor April November Canton Veterans/Seniors RE: Respiratory, Stroke, Chronic Illness, Nutrition Canton Veterans, Canton Senior Center, Canton Board of Health Wellness Seminar May October All 17 Towns Adults RE: Diabetes Hospital Nutrition Clinic Diabetes Support Group May - November All 17 Towns Adults RE: Cancer American Cancer Society Free Cancer Screening June, Foxboro, Sharon Adults/Families Re: Cancer American Cancer Society Relay for Life Sponsor June Adults RE: Stroke, Nutrition Analog Devices, Inc. Employee Wellness Fair June Foxboro Adults RE: Cancer Hospital Cancer Center Celebration of Life June October All/Families RE: Diabetes, Healthy Diets Mass. Farmers Market Diabetes Voucher Program September All/Families RE: Nutrition, Stroke, Respiratory, Osteoarthritis Recreation Department Day September All 17 Towns All/Families RE: Cardiovascular American Heart Association AHA Boston Walk October Foxboro All/Families/Retirees RE: Respiratory, Nutrition, Diabetes Town of Walpole Town Employees Health Fair 8

10 November Canton, Adults RE: Exercise, Blood Pressure/Cardio Meditech Employee Wellness Fair Priority 2 Obesity There are higher proportions of overweight or obese children and young adults in the communities surrounding Hospital than within the state population. Approximately 15-40% of children in Grades 1, 4, 7, 10 in the hospital s service area are overweight or obese, with higher concentrations of obese children in Attleboro, Canton, Dedham and. Obesity contributes to the incidence of circulatory disease, diabetes and other chronic ailments. Accordingly, community input mentioned obesity as a top 5 community health concern. Interventions cited to address obesity were nutrition education programs, exercise programs, and programs promoting lifestyle changes. Figure 3 - Grades 1, 4, 7, 10 - Percent Overweight or Obese in Public School (2014), source Executive Office of Health and Human Services (EOHHS) Attleboro Canton Dedham Foxboro Walpole Westwood MA 0.0 Grade 1 Grade 4 Grade 7 Grade 10 9

11 Attleboro Canton Dedham Foxborough Franklin Sharon Walpole Westwood Wrentham Massachusetts Total Obesity increases the risk of a number of health conditions including hypertension, adverse lipid concentrations, type 2 diabetes and bone and joint disease. According to stanfordhealthcare.org, obesity s far-ranging negative impact on healthcare costs over 150 billion dollars annually and causes an estimated 300,000 premature deaths in the United States. Figure 4 - Hospitalizations- Age Adjusted Rates per 100,000 (2012), source Massachusetts Department of Public Health (DPH) Cancer: All Types Circulatory System Diseases Endocrine, Metab., Nutrit. Diseases Respiratory System Diseases: All Obesity Tactics/Short-Term Goals: Implement nutrition education initiatives Offer education on healthy food preparation on-site at local farmers markets and through other community venues Promote and sponsor physical activity and education programs to address childhood obesity Prescribe farmers market vouchers to diabetic patients who are at risk for obesity Obesity Tactics / Long-Term Goals: Assist in decreasing obesity rates in the community through educational seminars, support groups, and charitable giving to community based organization that work on obesity issues. 10

12 The following events and activities will focus on Priority 2 - Obesity: MONTH (2016) TOWN TARGET POPULATION / HEALTH PRIORITY All Year All 17 Towns Seniors RE: Nutrition COMMUNITY PARTNER/NORWOOD HOSPITAL DEPT. NH Nutrition Dept. EVENT/ACTIVITY Senior Suppers January - December Adults RE: Nutrition, Weight Loss, Exercise Public Access/Announcements Dr. Glasgow re nutrition & weight loss February Children/Families RE: Healthy Plate, Nutrition, Exercise Cleveland Elementary School,, School Superintendent Early Childhood Health Fair February, May, August, November All 17 Towns Adults & Children RE: Nutrition, Diabetes Board of Health, COA, Middle & High Schools, Police Dept., Fire Dept., Parish Nurses, Food Pantries, DA Office, Chambers Community Health Providers mailing- Sugar Sweetened Beverages (SSB), Sr. Suppers, Diabetes Support, Nutrition March Children/Families RE: Nutrition, Excercise April/May Foxboro Children/Families RE: Nutrition May Canton Children/Families RE: Nutrition, Exercise, Safety May Walpole Town Day Re: Nutrition, Exercise Community Wellness Fair at High School Hockomock Gillette Stadium Canton Board of Health, Canton Public Schools Walpole Town Day Wellness Fair Healthy Plate Event Sponsor Health and Safety Family Fair Town Day Sponsor 11

13 June October Adults/Families RE: Nutrition Mass. Farmers Market Assoc. Chef s Table Nutrition Demos October Canton All/Families Re: Exercise, Nutrition Reebok Canton Road Race 5k Road Race Priority 3 Behavioral Health The behavioral health problem is evident to both community service providers and residents, with some towns in the Primary Service Area having hospitalization rates higher than the state average. A contributing factor to the behavioral health problem is mental health stigma. Mental health stigma has been identified as one of the major obstacles to accessing behavioral health resources. Figure 5 - Mental Disorders: All (Related) Hospitalizations Age Adjusted Rate per 100,000 (2012), Source Massachusetts DPH

14 Figure 6 - Mental Disorders: All (Related) Hospitalizations to ED YEAR OVER YEAR Age Adjusted Rate per 100,000 (2012), Source Massachusetts DPH This issue was reflected in the community survey, which named behavioral health and suicide/depression as a serious community health issue. Suggestions to combat this problem included education regarding mental health issues and more accessible behavioral health resources for those with behavioral health concerns as well as their friends and families. Behavioral Health Tactics/Short-Term Goals: Provide education to frontline caregivers, community leaders, and residents on the signs of mental illness and how to access necessary resources. Share information on behavioral health support groups that would be most effective for the population. Support an environment of open dialog and acceptance of behavioral health issues to destigmatize the affliction of mental illness Behavioral Health Tactics/Long-Term Goal: Educate community on available treatment resources and support groups, with special emphasis on resources for youth. 13

15 The following events and activities will focus on Priority 3 Behavioral Health: MONTH (2016) TOWN TARGET POPULATION / HEALTH PRIORITY All Year All 17 Towns Adults & Children RE: Mental Health All Year All 17 Towns Adults / Female RE: Domestic Violence, Mental Health COMMUNITY PARTNER/NORWOOD HOSPITAL DEPT. Mass. Resources, BOH Domestic Violence Ended (DOVE) EVENT/ACTIVITY Community Resource List Domestic Violence Support Group Sponsor February - October Canton Middle School Children Grades 6-8 Canton Alliance Against Substance Abuse, Canton Middle School Depression/suicide seminar with students and parents May August Foxboro, Canton,, Walpole Seniors RE: Mental Health, Memory, Depression, Fall Prevention Council on Aging Wellness Tour February, May, August, November All 17 Towns Adults & Children RE: Mental Health Board of Health, COA, Middle & High Schools, Police Dept., Fire Dept., Parish Nurses, Food Pantries, DA Office, Chambers Community Health Providers mailing Domestic Violence -Mass. Resources website October Canton Families/Seniors RE: Mental Health, Nutrition Fall 2016 All 17 Towns Seniors/Adults Re: Caregivers Canton Board of Health HESSCO, Council on Aging Canton Health Fair Annual Caregiver Event Sponsor 14

16 Priority 4 - Access to Health Care Health insurance coverage for most of the Hospital service area is relatively good with uninsured rates below the state average, with the exception of Attleboro showing an uninsured rate of almost 5%. When stratifying the population by sex, a larger proportion of males are uninsured when compared to females. Figure 7 - Uninsured population (Source - US Census) 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% Figure 8 - Males v females uninsured (Source US Census) 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% Uninsured Females Uninsured Males 15

17 Survey respondents cited financial concerns, language barriers, transportation, lack of primary care physicians, and the inability to get time off of work as the top 5 obstacles to accessing healthcare in the community. When the question of what populations were most underserved in regards to healthcare was posed to survey participants, they cited the mentally ill, low income, elderly, uninsured and disabled populations as the most in need of healthcare services. Access to Health Care Tactics / Short-Term Goals: Ease access to primary care physicians to encourage wellness and preventative healthcare. Provide information and assistance to patients on enrolling in insurance or seeking financial assistance. Increase community health education efforts utilizing multiple media channels. Access to Health Care Tactics / Long-Term Goal: Provide information on transportation resources for elders and others seeking treatment for chronic illness. The following events and activities will focus on Priority 4 Access to Health Care: MONTH (2016) January December TOWN TARGET POPULATION / HEALTH PRIORITY Canton, Families/Seniors RE: Uninsured/underinsured Health Insurance COMMUNITY PARTNER/NORWOOD HOSPITAL DEPT. Canton Food Pantry, Food Pantry, EVENT/ACTIVITY Community Health Advocate (CHA) Sessions January - March All 17 Towns Families/Seniors RE: Uninsured/Under Insured Health Insurance Hospital Patient Access Department/MA Community Health Community Health Advocate Program (CHA) 16

18 January December All 17 Towns All/Families/Seniors RE: Uninsured/Under Insured Health Insurance Hospital Patient Access Department/MA Community Health Needy Meds Discount Prescription Program January - December All 17 Towns Seniors RE: Uninsured/Under Insured Health Insurance Navicare & Tufts, Medicare Preferred Enrollment Assistance Sessions February July Canton, Adult Students/Families RE: : Access to Health Care PCPs, Nutrition, Exercise, Substance Abuse Prevention Blue Hills Regional Technical School, ESOL Adult Education, ESOL, ASE Students Wellness Fair April Dedham Families/Seniors RE: Uninsured/Under Insured Health Insurance Dedham 7-Day Adventist Church Haitian Family Health Fair Priority 5 - Substance Abuse Substance abuse may directly involve the misuse of drugs and alcohol, but it is also associated with a range of destructive social conditions. Such conditions include family disruptions, financial problems, lost productivity, failure in school, domestic violence, child abuse, and crime. Moreover, both social attitudes and legal responses to the consumption of alcohol and illicit drugs make substance abuse one of the most complex public health issues. The data reflect an increase in alcohol or substance-related hospitalizations for about half of the towns from 2011 to 2012, including Dedham, Foxboro, Franklin, Westwood, and Wrentham. Clinicians and community stakeholders have seen significant increases in hospitalizations, injuries and overdoses since 2012, indicating that the problem is growing rapidly. 17

19 Figure 9 - Alcohol or Substance Related Age Adjusted Hospitalizations Rate, Source Massachusetts DPH Community input also cited substance abuse as the number one health issue within the community. Focus group participants described the problem as epidemic and cited lack of services, easy access to e-cigarettes and marijuana, mental health issues and the normalization of drug use as contributive causes of the substance abuse problem. Participants suggested increased substance abuse education at an earlier age (late elementary and middle school) would be beneficial to combat the growing substance abuse problem. Figure 10 - Injuries: Opioid-related fatal overdoses- Age Adjusted Mortality Rates, Source Massachusetts DPH

20 Substance Abuse Tactics /Short-Term Goals: Collaborate with community organizations to develop action plans and education to mitigate the substance abuse problem. Share information on substance abuse support groups that would be most effective for the population. Substance Abuse Tactics/Long-Term Goal: Increase awareness of the detrimental effects of Substance Abuse The following events and activities will focus on Priority 5 Substance Abuse: MONTH (2016) January - December TOWN TARGET POPULATION / HEALTH PRIORITY Canton Youth/Students/Families Re: Substance and alcohol abuse prevention COMMUNITY PARTNER/NORWOOD HOSPITAL DEPT. Canton Alliance Against Substance Abuse Coalition (CAASA), Town of Canton, Canton Public, Middle Schools EVENT/ACTIVITY Brain Drain Program -- Student/Parent presentations with health speakers Sponsor January December Children/Families RE: Substance Abuse Impact, Hospital Psychiatry, Board of Health, Police Dept., Norfolk County DA s Office Impact / Substance Abuse Coalition Sponsor January December All 17 Towns Children/Families RE: Substance Abuse/Smoking Town Libraries/Public Schools, PTAs CHP Mailing, Drugs, Smoking and Alcohol Aren t for Me 19

21 January, Walpole, Dedham, Canton, Westwood Families/Seniors Re: Nutritious meals made and delivered to 180 families Abundant Table, Community Meals Program February, May, August, November All 17 Towns Adults & Children RE: Substance Abuse Resources Board of Health, COA, Middle & High Schools, Police Dept., Fire Dept., Parish Nurses, Food Pantries, DA Office, Chambers Community Health Providers mailing - Domestic Violence, Guide to Good Health April, September All 17 Towns Adults/Families RE: Substance Abuse NORCAP Lodge Substance Abuse Info Sessions Community Donations Using hospital giving guidelines, Hospital will provide financial support to our neighborhood organizations whose programs and events aid or support targeted, underserved populations. The funds are directed by the receiving organizations to best assist patients who are marginalized because of immigration status, income, lack of insurance, etc. Statewide Priority: Promoting Wellness in Vulnerable Populations Short/Long-Term Goal: Continue to support organizations that provide continuum of care services to vulnerable populations after they leave the hospital setting. The following events and activities will focus on Community Donations: MONTH (2016) January December, Weekly TOWN TARGET POPULATION / HEALTH PRIORITY All 17 Towns Adults, Families RE: Donation / Community Support COMMUNITY PARTNER/NORWOOD HOSPITAL DEPT. AA, Al-Anon EVENT/ACTIVITY Support Group, Donate Meeting Space 20

22 January December, Monthly All 17 Towns Adults, Families RE: Donation / Community Support National Alliance on Mental Illness (NAMI) Support Group, Donate Meeting Space January December, Weekly All 17 Towns Adults/Families RE: Donation / Community Support Overeaters Anonymous (OA) Support Group, Donate Meeting Space January December, Monthly Canton Families/Seniors RE: Donation / Community Support Canton Food Pantry Food Pantry Donate Grocery Tote Bags January, April, July, November, Quarterly All 17 Towns Adults/Families RE: Donation / Community Support American Cancer Society Look Good Feel Better Sessions, Donate Meeting Space May Franklin Children/Families Franklin Elks Franklin 5K Road Race Donate Runners Bags June August Walpole Children/Families RE: Donation / Community Support Summer Education Program at Walpole Middle School Special Needs Summer Education Program (focus on nutrition and exercise); Donate health info, bags, pedometers October All 17 Towns Seniors RE: Donation / Community Support Norfolk County Elder Dental Organization Senior Dental Exams, Donate Exam Gloves November Walpole All/Families RE: Donation / Community Support Clerici 5k Charitable/ Cancer Run Road Race, Donate Runners Bags 21

23 Community Benefits Advisory Committee and Hospital Representatives We use our expertise and resources, and leverage the expertise of our community partners, to target the particular needs of underserved and at-risk populations. Ellen Borgenicht, Director, Adult Education (ESOL, ASE), Blue Hills Regional Technical School Kimberly Cohen, Senior Director of Association Health Innovation, Hockomock Area YMCA Charles Doody, Fire Chief, Canton Fire Department Cheryl Dunnington, RN, COO, Hospital Joan Jacobs, Hospital Trustee, Chairwoman, Board of Health Kimberly Kelley, Hospital Representative, Marketing and PR Director Margaret Lutz, Hospital Representative, Community Benefits Kerri McCarthy, Executive Director, Senior Center Mary Jean McDermott, Executive Director, HESSCO Elder Services Sigalle Reiss, MPH, RS, Superintendent/Director of Public Health, George Usevich, Committee Chairman, Hospital Trustee 22

24 800 Washington Street, MA