Prioritization Process

Transcription

1 Healthy Montgomery Hospital Workgroup March 2, /30/2015 1

2 Prioritization Process Goal: Purposeful activities that meet identified communityhealth needs and improve health status and quality of life. Hospital Programs & Activities Identified Community Health Priorities Improved Health Status & Quality of Life Community defined based on (source: Catholic Health Association): Primary service area Secondary service area Patient categories (e.g., general population, children-only or rehabilitation-only) Areas and populations served by hospital s community benefit programs Example: Suburban Hospital Formula for Calculating Community Benefit Service Area: a) The top 20 zip codes from which Hospital ED visits originate b) The top 20 zip codes from which Hospital inpatients originate c) The top 25 zip codes for Hospital Charity Care cases d) The top 10 zip codes for Hospital Community Benefit Activities 1/30/2015 2

3 FY15 Methodology Comparisons Similarities Differences Timeline Healthy Montgomery Priorities Data Sources IRS Guidelines Variation of Hospital Priorities CBSA Zip Codes CBSA Formula Implementation Plan Strategies Input from Public Health Experts and Stakeholders Hospital Board Approval of CHNA 1/30/2015 3

4 MedStar Montgomery Medical Center A proud member of MedStar Health, is dedicated to enhancing our community's health & well-being by offering high quality, compassionate and personalized care.

5 Approach & Methodology Community Health Needs Assessment Survey Primary and Secondary Hospital Data Hospital utilization data assessed with emphasis on charity care Percent of serviced uninsured/insured population Highest serviced area (zip code) Most common diagnosed health conditions Healthy Montgomery Healthy Montgomery provides data through their website including, disparities dashboards and county demographics. Implementation Plan Community Benefit Advisory Task Force Determine areas of focus Develop implementation strategy Determine impact measures Partnering Organizations Community Health Partners of Aspen Hill, Millian Methodist Church, Proyecto Salud Clinic, Holy Cross Aspen Hill Clinic, Longwood Community Center, Mid county Community Center, American Lung Association, MedStar Visiting Nurse Association.

6 MedStar Montgomery Health Priorities Vulnerable populations: Persons not well integrated into the health care system because of ethnic, cultural, economic, geographic, or health characteristics. MedStar Montgomery Medical Center s community health needs assessment reveals a focus on low-income residents and underserved seniors linked to risk factors of developing chronic disease. 1. Cancer 2. Diabetes 3. Heart Disease 4. Overweight/Obesity Based on Healthy Montgomery priorities and overarching themes.

7 CHNA ing Timeline FY12 (July 2011 June 2012) FY13 (July 2012 June 2013) FY14 (July 2013 June 2014) FY15 (July 2014 June 2015) FY16 (July 2015 June 2016) FY17 (July 2016 June 2017) FY18 (July 2017 June 2018) FY19 (July 2018 June 2019) FY20 (July 2019 June 2020) FY21 (July 2020 June 2021) Conduct CHA 3-year CHA cycle Conduct CHA 3-year CHA cycle Annual Annual Summary Annual Annual Conduct CHA 3-year CHA cycle Conduct CHA Annual Annual Summary CHA: Published by June 30 of indicated fiscal year Annual : Presents outcomes to ATF of activities completed in prior fiscal year; Published by December of indicated fiscal year Summary : Presents outcomes via website of prior 3-year CHA cycle; Published by December of indicated fiscal year

8 Summary 1/30/2015 8

9 Planning for the Future Up-to-date data Follow guidelines from IRS (expertise to assist hospitals in meeting guidelines) Facilitate community conversations Share best practices of evaluations and outcomes based on identified priorities, technical support on completed CHNA of hospitals Integrate Hospitals input on steering committee agendas; address issues Continue to evolve and develop steering committee membership to represent all sectors of Montgomery County (private sector, grassroots, community members, etc.). Utilize the resources of the hospitals, specifically during work plan development-think about what the hospitals are already doing. 1/30/2015 9

10 Implementation Plan: Diabetes & Cardiovascular Health 1/30/

11 Adventist Healthcare- Shady Grove Medical Center Pre-Diabetes Classes Health Priority Diabetes Informational Sessions at Mobile Med Holy Cross Hospital Diabetes Prevention Program Group Lifestyle Balance OB/GYN Gestational Diabetes Education Classes MedStar Montgomery Medical Center Diabetes Education and Nutrition School: Health education on selfmanagement of the disease, which includes an adequate diet, regular physical activity and daily control of glucose levels. Suburban Hospital Mobile Med/NIH Endocrine Clinic at Suburban Hospital; Financialand in-kind support to local clinics Core Measures Adults with diabetes ER visits for diabetes Diabetes Schools at Proyecto Salud; Support Groups, Nutrition Counseling Services; Nutrition Seminars Adventist HealthCare- Washington Adventist Hospital Pre-Diabetes Classes Diabetes Support Group

12 Adventist HealthCare- Shady Grove Medical Center Health Priority Monthly Blood Pressure Testing at Damascus & Rockville Senior Center Holy Cross Hospital Senior Fit, a free 45-minute multi-component, age appropriate exercise class at various geographically accessible locations in Mont. & PG County Stanford University s Chronic Disease Self-Management Program, two and a half hour workshop, once a week, for six weeks, in community settings such as senior centers, churches, libraries and hospitals MedStar Montgomery Medical Center Conduct heart disease-related education programs and screenings events in the Aspen Hill/Bel Pre region Senior Exercise: A fitness active aging group exercise class, designed to help older adults maintain their cardiovascular health. Suburban Hospital Mobile Med/NIH Heart Clinic at Suburban Hospital Project Access & Catholic Charities HeartWell Program Re-admission Initiative Core Measures Heart disease mortality Stroke mortality High blood pressure prevalence Adventist HealthCare Washington Adventist Hospital Love Your Sweetheart Healthy Living Lecture Series

13 Healthy Montgomery Priorities 1/30/