MaineHealth IMPLEMENTATION STRATEGY
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- Anastasia Matthews
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1 IMPLEMENTATION STRATEGY Date Priority Ac,epted: eriority: Access to Hea Ith Ca re Assess barriers to care for Oncology/Breast Health and implement strategies to reduce barriers. Partner with community health agencies to address socioeconomic issues in access to care. Participate in Culture of Health Learning Collaborative through the Robert Wood Johnson/American Hospital Association national initiative. Partner with Healthy and Community Clinical Services to increase access to care for New Mainers. Expand financial counseling resources and services. Oncology and Breast Health staff time Participation in Healthy REACH grant for culturally and ethnically appropriate care Participation in Community Health Stakeholders Coalition Culture of Health Learning Collaborative funding and participation Community assessment of oncology barriers to accessing care Add itional staff for financial counseling services Results of community assessment for oncology Results of REACH grant initiatives (number of health care professionals trained, materials produced) Number of people assisted with health insurance market exchange
2 Chronic Disease Expand and sustain the use of Population Health specialists in primary care practices to connect patients to chronic disease prevention and treatment resources. Implement the COPD pilot to address respiratory health issues. Expand and sustain the use of the Community Paramedic program to encourage home-based interventions for chronic disease management. Expand palliative care services to improve quality of life for patients with serious illness. Budget for Population Health specialists COPD pilot partnership with MaineHealth and Pulmonary Practice Support for United Ambulance community paramedic program Budget support for palliative care serivces Expand community paramedic program. Expand palliative care services. Improve chronic disease indicators. Improve readmission rates. Increase lung and colorectal cancer screening rates.
3 Environmental Health: Lead Poisoning Partner with Green and Healthy Homes Initiative (GHHI) to reduce lead poisoning rates. Increase lead screening rates for children. Provide education for providers around lead poisoning rates, screening and prevention. Partner with Healthy Neighborhood Planning Council to address environmental health needs. Time for VP for Mission Integration to participate on GHHI network. Partnership with Community Clinical Services pediatric practice for blood tests for pediatric patients. Publicity strategies on social media to feature GHHI activities and lead prevention education. Funding for GHHI and the Healthy Neighborhood Planning Council in the local community. Training for landlords and contractors around lead poisoning prevention and abatement. Increase lead screening rates for children. Reduce the number of lead poisoned children. Improve the housing stock of Lewiston-Auburn.
4 I Mental and Behavioral Health Continue voluntary and involuntary inpatient programs. Relocate ch ild and adolescent psychiatric services. Explore expansion of child intensive outpatient programming. Explore expansion of specialized school for children with behavioral issues. Continue and expand telepsychiatry services regionally. Expand geriatric psychiatric program. Strategic plan for relocation of programs and expansion of services Additional psychiatric providers Funding Improved reimbursement for longer lengths of stay Residential (board home level of care) homes to increase discharge options Number of patients served Number of telepsychiatry consults
5 .. MaineHealth Physical Activity, Obesity and Nutrition Continue Let's Go programming at provider practices and the Nutrition Center. Ensure nutrition, cooking and/or gardening education to Lewiston schools. Provide land access, teaching and technical assistance to support low-income households in growing their own food in community garden plots. Ensure that fresh produce is a significant part of emergency food distribution through food pantry. Provide cooking skills and nutrition education through Weight Management and the Nutrition Center. Encourage physical activity through Commit to Get Fit Challenge and Health Steps programming. Weight Management practice Nutrition Center Provider practices Foundation Office Funding for community gardens work Sponsorships for Commit to Get Fit Challenge Number of classes taught Number of participants in programming Number of people assisted by the food pantry Number of pounds of fresh produce distributed
6 Substance and Alcohol Use Continue inpatient unit for detox and rehabilitation (only unit of this type in the state of Maine.) Focus adult intensive outpatient program (IOP) on recovery for co-occurring mental health and substance use. Expand Mothers with Addiction program. Explore options for Fathers with Addiction program/services. Partner with local, regional and state agencies to address opioid crisis. Strategic plan Providers with addiction specialty Grant funding for Parents with Addiction services Additional space for Adult IOP Recruit adult psychiatrist with an interest in addiction Number of people served in Mothers with Addiction program Follow-up outcomes for mothers and babies in Mothers with Addiction program Statistics for opioid crisis
7 Count~: Date Priorit~ A,cepted: Priorit~: Tobacco Use Explore and implement tobacco free/smoke free campus elements at. Oncology nurses will offer "Healthy Sessions" with one topic on smoking cessation for the community. Host a free tobacco support group weekly. Partner with Tobacco-Free Hotline at the state to provide free counseling services and 12 weeks of nicotine replacement therapy. Partner with Healthy for "Tar Wars" program for tobacco education for schools. Prevention and Wellness staff time and programming Oncology staff time for community education staff time for smoke free/tobacco free campus meetings Space for tobacco support group IS/IT resources for automatic referral to Tobacco Free Hotline Marketing resources for establishing as a tobacco/smoke free campus Healthy grant for "Tar Wars" program for schools Smoking rates for County Number of referrals to Tobacco Helpline Progress on establishing as a smoke-free campus
8 PRIORITIES NOT SELECTED I Pregnancy and Birth Outcomes Reason Not Chosen: Other community agencies focus on this health need. I injuries Reason Not Chosen: Other local hospital and community agencies focus on this health need. I infectious and Sexually Transmitted Diseases Reason Not Chosen: State Center for Disease Control addresses this health need. Reason Not Chosen: I
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