RFGH will offer community education, disease prevention and wellness initiatives based on community need. Provide access to prehospital

Transcription

1 RFGH Community Health Work-Plan Community Health Improvement-directly, or in collaboration with others, identifies and provides health, prevention and education services throughout the community. Topic Area Healthy People 2020 Access to Health Services Adolescent Health Arthritis, Osteoporosis and Chronic Back Conditions proportion of individuals who are unable to obtain or delay in obtaining necessary prescription medications Nationally 3.1 % of all persons were unable to obtain or delayed in obtaining in 2007: Target 2.8% (10% improvement) Increase proportion of persons who have access to rapidly responding pre-hospital EMS - Population covered by BLS / pop. By ACLS Multiple school related objectives Increase proportion of adults with doctor-dx arthritis who have had effective, evidencebased arthritis education as an integral part of the management of their condition Baseline: 10.6% of adults in 2006 Target: 10% improvement Reduce activity limitation due to chronic back conditions Baseline: 30.7/1000 Goal 10% improvement RFGH will offer community education, disease prevention and wellness initiatives based on community need. State Health Improvement Plan Reduce proportion of individuals who are unable to obtain or delay in obtaining necessary prescription medications Provide access to prehospital EMS: School related objectives addressed at local districts. Reduce activity limitations due to chronic back conditions Prescription Assistance Program assists eligible patients in receiving prescription medications through manufacturer sponsored programs and to refer to other resources for which they may quality Transportation system Somerset Explorer sponsored through collaboration with KVCAP Service the area s population with RFGH - EMS BLS, ACLS and PALS RFGH will collaborate with strategies to include tobacco, service learning (SAD 59), physical activity Provide education (web based article, community newsletter, presentation) Provide education, promote physical activity Jan and Feb patients new to program; 24 completed applications with retail value $5148 Transportation system Somerset Explorer sponsored through collaboration with KVCAP Area serviced as described through strategies tobacco, service learning (SAD 59), physical activity 1

2 Blood Disorders and Blood Safety Cancer Reduce proportion of persons who did not receive a transfusion due to a blood product shortage Increase the proportion of cancer survivors who are living 5 years or longer after diagnosis State Health Improvement Plan Increase the proportion of cancer survivors who are living 5 years or longer after diagnosis Support survivors Support Red Cross initiatives of blood drive Support cancer survivors and current cancer patients / caregivers Blood Drive - Support Group offered monthly attended by 14 each month Prostate Health community presentation by G. Stringos June 27th Chronic Kidney Disease Dementias including Alzheimer s Following screening objectives combined: cervical screening, colorectal screening, breast cancer Increase the proportion of persons who participate in behaviors that reduce their exposure to harmful UV irradiation and avoid sunburn Addressed with diabetes or heart disease Increase the proportion of persons with diagnosed dementias who are aware of the dx Following screening objectives cervical screening, colorectal screening, breast cancer same Addressed with diabetes or heart disease the proportion of persons with diagnosed dementias who are aware of the dx Support free screening initiatives to eligible women. Plan for /provide skin screening Addressed with diabetes or heart disease Provide education for caregivers Awareness /prevention Addressed with diabetes or heart disease Planned with Dr. Goodman

3 DIABETES Improve glycemic control among the population with diagnosed diabetes 1. the proportion of the diabetic pop with an A1c value > 9% by 10% (baseline 16.2%) 2. the proportion of the diabetic pop with an A1c less than 7% by 10% (baseline 53.5%) 3 the proportion of the diagnosed diabetes whose B/P is under control by 10% (baseline 51.8%) 4. the proportion of adults with diabetes who have at least an annual foot exam by 10% (baseline 68%) 5. the proportion of adults with diabetes who perform self blood glucose monitoring at least once daily by 10% (baseline 64% ) Environmental Health % of homes with an operating radon mitigation system for persons living in homes at risk for radon exposure State Health Improvement Plan RFGH Health Plan / Improve glycemic control among the population with diagnosed diabetes Increase awareness of potential of risk for radon exposure in homes Group DSMT 4X / year 1: 1 DSMT as needed Telephonic DSMT ongoing Provide educational programs at community level Support group with monthly program averaging 7 participants per program DSME/T program group and 1:1 Lead screening for 37 pre-school children in 4 school districts, no follow up needed Food Safety Reduce infections caused by key pathogens transmitted commonly through food (e-coli, listeria, salmonella, vibrio, yersinia, Reduce infections caused by key pathogens transmitted commonly through food Provide certified SafeServe program (schools, hospital, other) as requested Promote handwashing Infection Control Practitioner addressed handwashing at Kidapalooza event where 1400 attended Kitchen staff are certified SafeServe 3

4 Healthy Maine 2020 HEALTH COMMUNICATION the proportion of persons who report their health care provider always explain things so they can understand them: national baseline 60% in 2007 target 10% improvement the proportion of persons who report that their health care providers have satisfactory communication skills: baseline 59%F in 2007 Target 10% improvement the proportion of persons who report their health care provider always explain things so they can understand them Use TeachBack as preferred method (i.e. DSMT) Monitor Press Ganey Teachback is used as preferred method the proportion of persons who report their HCP always showed respect for what they had to say: national baseline in 2007, 62%, target 10% improvement Healthcare- Associated Infections Focus on hospital Central line, MRSA proportion with hypertension baseline 29.9% of adults in Target 10% improvement the proportion of adults with high total blood cholesterol levels baseline 15% of adults age 20 and older had total cholesterol level of 240 mg/dl or> in target 10% improvement e the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a heart attack (i.e call # baseline 39.2% of adults aged 20 years ; warning S&S of a heart attack(baseline 42%; aware of accessing rapid emergency care Baseline 92.9 Target in all above 10% improvement the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a stoke No baselines identified therefore no targets identified for improvement Increase the # of community members who are informed about hand washing proportion with hypertension & proportion of adults with high total blood cholesterol levels the proportion of adults who are aware of and respond to, early warning symptoms and signs of a heart attack the proportion of adults aged who are aware of and respond to, early warning symptoms and signs of a stoke Hand Hygiene education in schools (collaborative effort) and with worksites Provide screenings on request Provide presentations and educational materials Website information Offer community BLS Infection Control Practitioner addressed handwashing at Kidapalooza event where 1400 attendees B/P screenings 2/2018 Total 37 (normal =7; prehypertensive 1=5; stage 1= 9; stage 2 =7) Fab Fair focus heart health education March 2018 with B/P screening : Total 17 Healthy Heart Support group offered twice with average attendance 44 each Education classes for Cardiac Rehab X7 with 4 attending each class BLS and or First aid courses to 114 community members 4

5 Immunization, eliminate, or maintain and elimination of cases of vaccine- Infectious preventable diseases Disease Pneumococcal infections Influenza pediatric Influenza - adult Healthy Maine 2020, eliminate, or maintain elimination of cases of vaccinepreventable diseases Pneumococcal infections Influenza pediatric Influenza adult Influenza school clinics TBD Fall January community flu clinic offered (community) - 19 attended Fall community and school clinics planned Tick Talk by Infection Preventionist to community on Tick borne illness prevention 29 attended Injury and Violence Prevention Maternal, Infant, and Child Health Medical Product Safety Increase use of safety belts age appropriate vehicle restraint system use helmet usage (bicycles, motorcycles Reduce sports and recreation injuries pedestrian death drowning deaths violence proportion of pregnant women who attend a series of prepared child birth classes No baseline the safe and effective treatment of pain I use of safety belts age-appropriate vehicle restraint system use in children Reduce pedestrian death Increase helmet usage (bicycles, motorcycles sports and recreation injuries Reduce drowning deaths Appropriate protective gear when engaged in school sponsored intramural activities Violence reduction Reduce Family violence proportion of pregnant women who attend a series of prepared child birth classes goal 90% will attend the safe and effective treatment of pain Provide car seat safety training Athletic training and appropriate protective gear when engaged in school sponsored intramural activities Collaborative effort with family violence project and others for abuse prevention poster CBE class offered monthly Monitor Channel 11 program done for avoidance of overconsumption of antibiotic usage and topic on preventing tick borne diseases Car seat training for all new parents of newborns at RFGH Concussions community presentation by Scot Padelford, Athletic Trainer, August 7th Skowpendus April family violence prevention overall theme 600 attendees / RFGH focus sports injury and concussion prevention with 300 attending booth Poster campaign month of April CBE class offered monthly (labor / delivery and newborn classes) 5

6 Nutrition and Weight Status the proportion of adults who are at a healthy weight baseline in were at healthy wt proportion of adults obese Baseline and over were obese in proportion of children and adolescents who are considered obese Children age 2-5 baseline 10.7 in same years Healthy Maine 2020 the proportion of adults who are at a healthy weight proportion of adults who are obese proportion of children and adolescents who are considered overweight or obese Offer 8 wk wt loss program for individuals who need to lose > 100# Offer Medical nutritional therapy per referral Weigh to go 3 4X / year Offer 8 wk wt loss program for individuals who need to lose > 100# MNT per referral WTG to with 104 individuals completing program Jan June; average wt loss 4 lbs. Average sustained weight loss / person for 68 individuals in database of those who have participated in WTG for >1 year = 30.46/ Road to wellness Jan to March program for individuals needing to lose >100 lbs 7 completed program Occupation al Safety and Health Oral Health Older Adults Physical Activity Increase the proportion of employees who have access to workplace programs that prevent workplace stress Addresses schools / dental health / Fluoride sealants 2020 goal 49% persons with dental visit Prevention of Falls, Abuse the proportion of adults who engage in no leisure-time physical activity baseline 36.2 % in 2008 portion of children with restricted TV, video, or play video games per guidelines Target 10% improvement Require children to engage in vigorous or moderate physical activity (to become state the proportion of employees who have access to workplace programs that prevent workplace stress School initiative the # of falls & abuse of older adults the proportion of adults who engage in no leisure-time physical activity the amount of children and adults who consume fruits and vegetables 5 or more times / day the % of children with regular physical activity (at least 60 min on 5 of last 7 days) Support workplaces with programming re: stress reduction and goal setting Support efforts in schools. Promote oral health update patient education materials / toothbrushes for Pediatric offices Fall prevention hospital wide initiative Promote SHH Move More program, Promote participation in and activity portion Gluten Free program March 2018 attended by 49 Ongoing Channel 11 health changes Fall prevention / balance hospital wide initiative Channel 11 program on topic Healthy Fun Night 125 attended Initiatives included ; physical activities, cooking demo, highway safety 6

7 requirement for schools) Topic Area Healthy People 2020 Sexually Transmitted Diseases Substance Abuse Targets 10 % improvement for HPV, herpes and other sexually transmitted diseases Addresses adolescents, alcohol, prescription drug abuse State Health Improvement Plan Educate to reduce sexually transmitted diseases Addressed through OSA grant work plan Educational materials available for community Collaboration with RFGH pharmacy, police, SPH substance abuse program coordinator and CHE Respiratory Diseases Asthma hospital ed visits ages 5-64 Baseline 56.4/10,000 Children <five Baseline visits / 10,000 Persons w/current asthma who receive education about appropriate response to an episode, include recognizing early S&S or monitoring peak flow results Baseline 64.8% Those w/ current asthma who have been told by a health professional to make Δ in their environments to exposure to irritants or allergens to which they are sensitive Baseline 50.7% in 2008 activity limitations among adults with COPD (baseline 23.2 % age 45 and older experience activity limitations due to chronic lung and breathing problems in baseline Maine SC baseline Maine baseline % (SC 9.1%) hospital emergency visits of children and adults Persons with current asthma who receive education about appropriate response to an episode, including recognizing early S&S or monitoring peak flow results Persons with current asthma who have been advised by a Health professional to change things in their home, school, and work environments to reduce exposure to irritants or allergens to which they are sensitive activity limitations among adults with COPD % Somerset County COPD data Reduce hospitalizations for COPD Offer pulmonary support group Pulmonary Rehab Better Breathers Support Group monthly program with average of 25 / program 7

8 TOBACCO tobacco use by adults Baseline in were current cig smokers cigarette usage by adolescents baseline 19.5 % of adolescents in grades 9-12 smoked cigarettes in the past 30 days in Target 16.0% tobacco screening and counseling State Health Improvement Plan Baseline Maine % SC % Maine % SC % tobacco use by adults cigarette usage by adolescents tobacco screening and counseling Offer worksite presentations. Provide resources, communicate 1-800#, tobacco intervention trainings to healthcare professionals Offer Tar Wars to youth (4 th and 5 th graders) as evidenced based tobacco prevention curriculum Tobacco prevention with elementary students 1/ students Tobacco support group twice monthly with average of 3 attending each session HS classes at SAD 54 X6 to 125 students 1:1 Tobacco Cessation 1:1 tobacco consults (9) Tobacco Support group bi-monthly Vision Other Objectives include vision screening, eye injury, protective eyewear use Take steps to create / support tobacco-free hsp environment and supporting tobacco-free lifestyles for patients, staff and the community. RFGH health website education RFGH benefits fair Ongoing Student tours Advance Directive Outreach program to community by Lori Michaud, LSW, Michelle Aldrich, D. Hitchcock for Organ and Tissue conversation with opportunity for individual support to fill out an Advance Directive 49 attended this May 15th 8