RFGH will offer community education, disease prevention and wellness initiatives based on community need.

Transcription

1 2014 ~ 2016 RFGH Community Health Work-Plan Community Health Improvement-directly, or in others, identifies and provides health, prevention and education services throughout the. Topic Area Healthy People Access to Health Services Reduce 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 prehospital EMS - Population covered by BLS / pop. By ACLS RFGH will offer education, disease prevention and wellness initiatives based on need. (established 2013) proportion of persons with a usual primary care provider (from 82 to 89%) proportion of people of all ages with health insurance (from 90-% to complete coverage) proportion who are unable to obtain or delay obtaining necessary medical (reduce from 10% to 9.4%) proportion of persons with a usual PCP Reduce proportion of individuals who are unable to obtain or delay in obtaining necessary prescription medications Provide access to pre-hospital EMS: 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 Explorer sponsored through KVCAP Service the area s population with RFGH - EMS BLS, ACLS and PALS PAP continues Jan Dec patients received assistance total of : 132 applications processed Move More Kids initiatives transportation committee using NB funding and matching Fed and local funding offered MMK Summer Transportation for a total of 2,016 riders for opportunities to be physically active, commute to work, doctor s office, obtain needed food or supplies. Continue to service area with RFGH s ambulance service (paramedic level pre-hospital EMS staff have BLS, ACLS, PALS, NRP) 2015 PAP those who received assistance: 29 Applications processed = 105 Year Round public transportation services now provided in Skowhegan, Norridgewock, Madison and Anson through Move More Kids Support Yearly participation Explorer 7,488 riders for opportunities be physically active, commute to work, doctor s office, obtain needed food or supplies. Available as through PAP those who received assistance: 37 Applications processed = 95 Year Round public transportation services now provided in Skowhegan, Norridgewock, Madison and Anson through Move More Kids Explorer 7,692 riders for opportunities be physically active, commute to work, doctor s office, obtain needed food or supplies. Continued; EMS provided many AED trainings to venues Multiple Narcan Use Trainings to Police and Sherriff by EMS See injury prevention 1

2 Topic Area Healthy People Adolescent Multiple school related Health objectives School related objectives addressed at local districts. RFGH will collaborate Continued 2014 where applicable SPH supported physical activity work in schools Community Health programs tobacco and nutrition SPH supported PA work in schools Community Health programs tobacco at HS classroom (health) and 4 th /5 th grades for Tar wars SPH supported PA work in schools Community Health programs tobacco at HS classroom (health) and 4th/5th grades for Tar WARS see tobacco Arthritis, Osteoporosis and Chronic Back Conditions Blood Disorders and Blood Safety Cancer Increase proportion of adults with doctor-dx arthritis who have had effective, evidence-based 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 Reduce proportion of persons who did not receive a transfusion due to a blood product shortage cancer survivors who are living 5 years or longer after diagnosis Maine 30% 2003 Maine % Maine % Maine data source (BRFSS) % of cancer detected at local stage. Reduce rates of late stage breast cancers and colorectal cancer Reduce activity limitations due to chronic back conditions proportion of cancer survivors who are living 5 years or longer after diagnosis Support survivors Provide education (web based article, newsletter, presentation) Provide education, promote physical activity Support Red Cross and local high school initiative of blood drive Support cancer survivors and current cancer patients / caregivers Website information offered RFGH pool classes Women s Health: Breast and Bone Nuclear Technicians presented on bone health 12 Hand arthritis presentations by OT 129 participants RFGH pool classes See PA initiatives See PA initiatives same 2 blood drives in 2014 at RFGH in Red Cross total of 96 units collected Fatty Liver March by Dr. Henry 48 attend Cancer Support Gp- 178 the 11 programs offered in 2014 (aver16/session) Breast Cancer Article by A. Forster, MD 2 blood drives in 2015 total 72 units collected Breast Cancer presentation with Oncologist 11 Radon presentations (Cedar Ridge by CHE and at RFGH by Maine DHHS; total participation 57) Concussion Presentation - 15 Exercise Cedar Ridge 35 Movement Matters Panel discussion 45 Community Members 2 blood drives in Red Cross Breast Cancer Survivor s Story October 2016 (Survivor, MD, Radiology)28 attend Colorectal Cancer prevention and Early Detection 7 attend 2

3 Topic Area Healthy People Cancer continued in Winter, 2014 RFGH Caring for the Community Newsletter Women s Health: Breast and Bone with Dr. Forster 12 Colorectal prevention 24 Cancer support Group 10 sessions offered with average 15 per month Radon presentation 75 members Road to Recovery training 2participated Following screening objectives combined: cervical screening, colorectal screening, breast cancer persons who participate in behaviors that reduce their exposure to harmful UV irradiation and avoid sunburn Following screening objectives cervical screening, colorectal screening, breast cancer same Support free screening initiatives to eligible women. Plan for /provide skin screening SPH participated in Relay for Life support free screening initiatives to eligible women (funds available) Skin Cancer prevention poster and discussion with individuals triathalon 125; presentations by RN and CHE to two worksite groups 37 attend Oncology nurse and CHE presented to 30 members onsite support free screening initiatives to eligible women (funds available) Skin cancer prevention topic: adolescents 20 Worksite 22 Farmer s Mkt - 50 Support free screening initiatives to eligible women (funds available) Promote screening Skin Cancer Prevention Awareness Farmer s Market 50 participated Relay for life 329 participated in early detection of skin, lung, colorectal and breast cancer prevention and early detection education Local pharmacy outreach education for skin cancer prevention with 30 participants Pancreatic Cancer prevention awareness EMS participation 100 3

4 Topic Area Healthy People Chronic Addressed with diabetes or Kidney heart disease Disease Addressed with diabetes or heart disease Addressed with diabetes or heart disease Addressed with Addressed with diabetes or heart diabetes or heart disease disease outcomes Addressed with diabetes or heart disease Addressed with diabetes or heart disease Dementias including Alzheimer s persons with diagnosed dementias who are aware of the dx the proportion of persons with diagnosed dementias who are aware of the dx Provide education for caregivers Senior Spectrum Savvy Caregiver provided for caregivers (five wk program offered X 2 18 total See older adult section Dementia presentation by Dr. Goodman provided to UM Senior Companions 25 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%) 2012 The % Diagnosis Maine 10% County 11% 90% of adults with DM have Type II Maine Goal by 2015, increase % of adults who have taken DSMT from 61% to 80% Improve glycemic control among the population with diagnosed diabetes Group DSMT 6X / year 1: 1 DSMT as needed Telephonic DSMT ongoing Pre-diabetes & Type 2 Diabetes in Kids 25 Diabetes and Nutrition (Senior independent living) 12 presentation by dietitian Diabetes BBQ/Education exercise, mindful eating (September, 2014) Support group ongoing average 8 in the 10 sessions offered Diabetes support group barbeque / education 40 attend Monthly support group offered X9 with average of 9 each session Monthly bulletin board by Certified Diabetes Educator Diabetes support group barbeque / education Monthly support group offered X9 with average of 7 each session Monthly bulletin board by Certified Diabetes Educator Diabetes Together AIC Champions 25 attend Diabetes Education Bag Stuffers provided to local pharmacy and distributed 1000 CDE discussion with members at local pharmacy 25 participants 4

5 Topic Area Healthy People Diabetes cont Environmental Health % of homes with an operating radon mitigation system for persons living in homes at risk for radon exposure # of homes with an operating radon mitigation system in those homes at risk for radon exposure Reduce the proportion of children with elevated blood lead levels Increase awareness of potential of risk for radon exposure in homes Nutrition and Diabetes for elderly (see older adults) Provide educational programs at level Diabetes prevention program ongoing with SPH Radon & Behavior Change skills (Diabetes Support Group) 10/7/ Lead Poison Prevention Grant work (SPH) Lead Screening RFGH lab and KVCAP preschools Radon in our Homes article in the newsletter written by CHE. (winter, 2014 edition) Diabetes prevention program ongoing with SPH Radon exposure 30 Also see cancer section for other radon presentations Lead Poison prevention grant SPH Preschool Lead Screenings Lab and KVCAP 3 schools total of 31 preschoolers tested Free lead dust test kits for Maine families for those with children <6 outcomes Diabetes prevention program ongoing with SPH: National Diabetes Prevention Program participants - 23 who lost over 267 lbs collectively in 16 weeks to lower their prediabetes risk. 10 of 23 exceed the 7% weight loss goal. Preschool Lead Screenings Lab and KVCAP 9 locations/ schools total of preschoolers tested = 57 with 2 children A total of fifty-seven (57) children were screened for lead. Of those screened, two children had elevated lead levels requiring follow-up per State of ME lead protocols. Radon exposure see cancer prevention 5

6 Topic Area Healthy People 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 Same same same SafeServe program (schools, hospital, other) as requested Promote handwashing Health Communicati on persons who report their health care provider always explain things so they can understand them: national baseline 60% in 2007 target 10% improvement persons who report that their health care providers have satisfactory communication skills: baseline 59%F in 2007 Target 10% improvement 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 Avatar Doctor Explained Illness/Treatment Understandably Doctor Explained Illness/Treatment Understandably Teach-back is used as preferred method hospitalwide Healthcare- Associated Infections persons who report their HCP always showed respect for what they had to say: national baseline in 2007, 62%, target 10% improvement Focus on hospital Central line, MRSA infections caused by key pathogens transmitted commonly through food # of members who are informed about hand washing Hand Hygiene education in schools (collaborative effort) and with worksites Hospital wide hand hygiene focus Hospital wide hand hygiene focus RFGH/SPH mirror hand hygiene stickers placed throughout to promote hand hygiene 6

7 Topic Area Healthy People Heart Reduce proportion with Disease and hypertension baseline Stroke 29.9% of adults in Target 10% improvement Reduce 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 greater in target 10% improvement 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 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 Maine % high blood Pressure (2010) 30% County rate (35%) Maine % High Cholesterol (2010) 29% % high Cholesterol rate 32% goal increase the proportion of adults who report htn who are at healthy wt Baseline 22.1;goal 24% Reduce proportion with hypertension Reduce the proportion of adults with high total blood cholesterol levels proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a heart attack proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a stoke Provide screenings on request Provide presentations and educational materials Website information Healthy Heart Group with 413 attending 9 sessions (average 46 per session 0 Cardiac Rehab education classes X 24 to 77 individuals Planning for February 2015 health program on Stroke with Dr. Goodman as well as news article Healthy Heart Support Group with 460 attending 9 sessions (average 51 per session ) Cardiac Rehab education classes X 26 to 96 individuals B/P screenings multi settings 192 B/P s taken with education provided by nursing Stroke presentation Dr. Goodman and Speech Therapy 30 Website information Healthy Heart Support Group with 422 attending 10 sessions (average 42 per session ) Cardiac Rehab education classes X 29 to 90 individuals B/P screenings multi settings 181 B/P s taken with education provided by nursing {20% normal range 33% pre-hypertensive 29% Stage 1 hypertensive 6% stage 2 hypertensive} Heart Health table at Fab Fair with 200 attendees; repeat venue at local pharmacy with 30 attendees; Repeat venue at triathlon with 60 visiting Educational resources available Website health information 7

8 Topic Area Healthy People Immunization and maintain elimination of Reduce, eliminate, or Infectious cases of vaccinepreventable diseases Disease Pneumococcal infections Influenza pediatric Influenza - adult Injury and Violence Prevention Increase use of safety belts Increase age-appropriate vehicle restraint system use in children Reduce pedestrian death Increase helmet usage (bicycles, motorcycles Reduce sports and recreation injuries Reduce drowning deaths Appropriate protective gear when engaged in school sponsored intramural activities Violence reduction 2012: Maine rates 73% influenza (> age 65) County 70 goal: Increase routine vaccination coverage levels for children and adolescents % ever physically hurt by intimate partner county 9%; Maine 12% % physical violence or unwanted sex from intimate partner Reduce, eliminate, or maintain elimination of cases of vaccinepreventable diseases Pneumococcal infections Influenza pediatric Influenza adult Increase use of safety belts Increase ageappropriate vehicle restraint system use in children Reduce pedestrian death Increase helmet usage (bicycles, motorcycles Reduce sports and recreation injuries Reduce drowning deaths Appropriate protective gear when engaged in school sponsored intramural Influenza school clinics Fall vaccination TBD Fall clinics school to 4 districts and 2 schools (students and staff) = 944 and members = 253 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 ICP presented Ticks / Lyme Disease to two worksites 34 and to members at RFGH to another 61 RFGH athletic trainers provide ongoing support to coaches and athletics Every newborn s parent trained in car seat safety 18 Convertible Car Seats, 1 High Back Booster Seat, and 2 Combination Car Seats were given out in 2014 and parents trained. Collaborative effort with family violence project and others for abuse prevention through poster display in lobby with handouts. Community Flu clinics children vaccinated = 9; adults vaccinated 158 School flu clinics = 4 school districts, 2 schools: children vaccinated = 481; adults vaccinated = 218 ICP presented at Skowpendus Fair: ticks and mosquitos 225 and worksites X2 RFGH athletic trainers provide ongoing support to coaches and athletics Every newborn s parent trained in car seat safety AARP Driver Safety 14 (July. 2015) Community and school Flu clinics children vaccinated 411 adults Total of 6 clinics; 3 schools and 4 school districts ICP presented about: ticks and mosquitos / prevention worksites X3-137 RFGH athletic trainers provide ongoing support to coaches and athletics Every newborn s parent trained in car seat safety AARP Driver Safety 14 (July ) 8

9 Topic Area Healthy People Injury prevention continued Maternal, Infant, and Child Health Medical Product Safety Increase proportion of pregnant women who attend a series of prepared child birth classes No baseline safe and effective treatment of pain activities Violence reduction Reduce Family violence Increase proportion of pregnant women who attend a series of prepared child birth classes goal 90% will attend safe and effective treatment of pain through poster In Kind KVCAP for Kids First Parenting class quarterly. CBE class offered monthly Safesitter- ages (41 adolescents in 2014 trained in safe national standards) Community Basic Life Support and First Aid to 624 Local Fire, Schools, church groups and other individuals Safety, first aid by EMS to 3 locations 400 youth and family CBE class offered monthly to a total of 45 expectant mothers Lead screening in five local preschools KVCAP is involved in (SAD 74 & SAD 54) approximately 60 preschoolers with 3 follow up recommendations to PCPs Community Basic Life Support and First Aid to 849 Local Fire, Schools, church groups and other individuals Safesitter- ages adolescents in 2015 trained in safe national standards In Kind collaboration with KVCAP for Kids First Parenting class quarterly. CBE class offered monthly to a total of 31 expectant mothers See environmental health section for lead screening efforts all follow up recommendations to PCPs Monitor monitor monitor monitor In Kind KVCAP for Kids First Parenting class quarterly. Community Basic Life Support and First Aid to 508 Local Fire, Schools, church groups and other individuals Additional AED training to centers. Safesitter program (for ages 11-13) 30 adolescents in 2016 trained in safe national standards Labor and Delivery classes offered monthly to a total of 47 expectant mothers, the majority new moms (approx. 33% of total births in 2016) and 27 mothers newborn care class. See environmental health section for lead screening efforts all follow up recommendations to PCPs 9

10 Topic Area Healthy People Nutrition and Weight adults who are at a healthy Status weight baseline in age 20 and older were at healthy wt Reduce proportion of adults obese Baseline and over were obese in Reduce proportion of children and adolescents who are considered obese Children age 2-5 baseline 10.7 in same years 2010: Adult overweight County 40% Maine 37% Adult obese County 28% Maine 28% Youth overweight county 14% Maine 16% Obese county 14% Maine 13% Goal: Reduce the portion of children and adolescents who are considered obese proportion of adults who are at a healthy wt. Increase fruit and veggie consumption proportion of adults who are at a healthy weight Reduce proportion of adults who are obese Reduce 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 Referrals sent to nutritional therapy per Nutrition Services for referral NMT Weigh to go 3 4X / year Offer 8 wk wt loss program for individuals who need to lose > 100# Fruit & Veggie Program June month grant program 108 participants 26 families collaborative effort with SHH, cooking matters, Cooperative Ext, RFGH, Master Gardiners, Dr. Lambke Supports efforts of Let s Go! Program; Support Eating Well for Healthy Weight family focused childhood obesity initiative 157 individuals completed Weigh to Go, losing an average of 4.55# each over 8 weeks. for those who need to lose >100#. Weight loss not evaluated although one participant reports 34 # wt loss. Average size of class 10 15, 45% completion rate. All ten schools (elementary) in all four school districts are registered and engaged with Let s Go. 100% of head start programs are enrolled as well. 16 sites received Let s Go recognition. Redington Family Practice and Redington Pediatrics received Healthcare Sites of Distinction individuals reached through the SPH work of SNAP-Ed Referrals sent to Nutrition Services for NMT 139 individuals completed WTG losing an ave of 4.97# each over 8 wks. Total wt loss 691# Road to Wellness, ave size of class15; 27 participants completed class 27 of 41 sites recognized in Move More Kids; Let s Go Program Healthy grains education and cookbook to approximately 400 at following sites: Farmer s Market Kneading Conference Triathalon Cedar Ridge SPH- 73 Teens and Adults took Cooking Matters class SPH-21 older adults took Eat Smart, Live strong SNAP ED nutrition class Referrals sent to Nutrition Services for NMT Nutrition and Exercise with MSAD 74 students 83 students total Healthy Snacking topic at Skowpendus Fair with 350 contacts Nutrition and Weight Loss with worksite participants completed Weigh to Go program in 2016 with an average 4.0 lb weight loss per individual completing the program Weekly weigh in s in between Weigh to Go programs support individuals 35 individuals completed the Road to Wellness program in 2016 (for those who need to lose >100#). Note: weight loss not measured Nutrition table at Kneading Conference 350 individuals visited the table and interacted 10

11 Topic Area Healthy People Nutrition Continued Occupational Safety and Health employees who have access to workplace programs that prevent workplace stress proportion of employees who have access to workplace programs that prevent workplace stress Support workplaces with programming re: stress reduction and goal setting Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all programing SPH-Exceeded goal of having 1,750 participants in SNAP Ed program SPH-375 kids in grades K-3 enrolled in Pick a better snack and act curriculum SPH-872 involved in a single session of SNAP ED nutrition class Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all programing SPH Nutrition Promotion: 60 teens too Cooking Matters classes; 905 kids in grades K-3 were enrolled in Pick a Better Snack Curriculum; 1933 adults and children participated in SNAP-ED classes (July 2015 June 2016) Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all programing Older Adults Prevention of Falls, Abuse the # of falls & abuse of older adults Fall prevention hospital wide initiative Offering prevention programs at workplace Savvy Care Giver program 18 participants X 5 week program (July August, 2014) AARP Driver Safety 14 (July. 2014) Nutrition and Diabetes June, this offsite program for independent living Balance Screening rehab for fall prevention 47 screened Savvy Care Giver program 7 participants X 5 week program AARP Driver Safety 18 Worksite presentation by CHE on stress 16 Medicare Part D Maze Pharmacist collaboration presentation 67 AARP driver safety 16 Balance and Healthy aging 50 participated Senior Strong SPH coalition and older adult residents 11

12 Topic Area Healthy People Oral Health Addresses schools / dental health / Fluoride sealants goal 49% persons with dental visit Physical Activity Reduce the proportion of adults who engage in no leisure-time physical activity baseline 36.2 % in 2008 Increase 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 requirement for schools) % sedentary Maine 21% (no physical activity) % county 26% % Regular physical activity (60 minutes 5 out of 7 days 39% Maine; 39% PA Is a requirement in Maine School initiative Reduce the proportion of adults who engage in no leisure-time physical activity amount of children and adults who consume fruits and vegetables 5 or more times / day % of children with regular physical activity (at least 60 min on 5 of last 7 days) Support efforts in Addressed through schools Public Promote oral health Health grant update patient education materials / toothbrushes for Pediatric offices Promote SHH Move More program, Promote participation in and activity portion Yearly participation in MMK equipment usages before, during, and after school in 3 school districts and parks and recreation = 34,000+ 6,237 after school program usages Promotion of County Indoor Walking in winter, 2014 RFGH newsletter through posting of all gyms with public winter walking access through Move More Addressed through Central District Grant and SPH work SPH- Yearly participation in MMK equipment usages in 4 school districts and parks and recreation 11,346 after school program usages; Winter walking open in 12 sites Addressed through Central District Grant and SPH work Movement Matters panel discussion with Dr. Lambke, CHE, and others on importance of exercise 45 SPH Move More Kids and 5210: 14 after school PA programs; 12 sites open for winter walking; 8 schools participated in a program for increased PA to run and walk 100 miles during the school year with a total of 32, 072 miles completed by the participants in these 8 schools Childcares, schools, lunchrooms, and out of school programs learning and working on healthy food choices through 5210 Let s Go program ( 12

13 Topic Area Healthy People Respiratory Asthma hospital ed visits Diseases Children and adults aged 5-64 Baseline 56.4/10,000 Children under five Baseline visits / 10,000 Sexually Transmitted Diseases Sleep Health Persons with current asthma who receive education about appropriate response to an episode, including recognizing early S&S or monitoring peak flow results Baseline 64.8% Persons with current asthma who have been advised by a Health professional to change things in their home, school, and work 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 08 Targets 10 % improvement for HPV, herpes and other sexually transmitted diseases Increase proportion of persons with symptoms of obstructive sleep apnea who seek evaluation : baseline 25.5% (minimal) Reduce hospital ED visits for asthma Bronchus and asthma ED visit rate County 1495 / 100,000 % COPD 4.2 (Maine) Maine hospitalization rates baseline 337/100,000 Reduce 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 Reduce activity limitations among adults with COPD % County COPD data Reduce hospitalizations for COPD Educate to reduce sexually transmitted diseases Increase proportion of persons with symptoms of obstructive sleep apnea who seek evaluation Offer pulmonary Pulmonary support support group group averages 10 programs offered Pulmonary Rehab with 308 individuals attending in 2014 (averages 31 / session) Educational materials available for Chronic Respiratory Issues (Senior Companion Program Volunteers) with P. Alexander, RT, 25 (senior program) Educational materials available Sleep Health presentation November Pulmonary support group averages 10 programs offered with 212 individuals attending in 2015 (averages 28 / session) Educational materials available Patients referred to sleep lab in Augusta Pulmonary support group averages 12 programs offered with 280 individuals attending in 2016 (averages / session) COPD program Nov 22 S&S; dx, tx, by RT and PharmD with 30 attendees Educational materials available Sleep studies done through RFGH Respiratory Dept and Pulmonary Rehab 13

14 Topic Area Healthy People Substance Addresses adolescents, Abuse alcohol, prescription drug abuse Tobacco Reduce tobacco use by adults Baseline in and under were current cig smokers Reduce cigarette usage by adolescents baseline 19.5 % of adolescents in grades 9-12 smoked cigarettes in the past 30 days in Target 16.0% Increase tobacco screening and counseling goals Reduce the past year nonmedical se of prescription drugs proportion of teens never using substances Adult Maine 2010 tobacco use 22% county 26% Youth: 20% Maine 22% (MIYAS 2009) Goals: Reduce tobacco use by teens Reduce tobacco use by adults Addressed through OSA grant work plan Reduce tobacco use by adults Reduce cigarette usage by adolescents Increase tobacco screening and counseling Collaboration with RFGH Addressed through pharmacy, police, GSPHC OSA grant work substance abuse plan program coordinator and SPH (formally CHE GSPHC) work, policy and environmental change, youth summit 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 1:1 Tobacco Cessation Tobacco Support group bi-monthly Take steps to create / support tobacco-free hsp environment and supporting tobaccofree lifestyles for patients, 2014 Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts 1:1 tobacco cessation on request RFGH became 100% tobacco free campus on 9/1/ early 2014 and 273 late th and 5 th graders (4 districts + 1 school) participated in Tar Wars program CHE facilitated tobacco prevention program for 25 HS students (March, 2014 Tobacco Free presentation by CHE for Great American Smokeout Addressed through OSA grant work plan SPH (formally GSPHC) work, policy and environmental change, youth summit 2015 Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts Met 9/10 standards 1:1 tobacco cessation on request Tobacco Free presentation by CHE for Great American Smokeout November Tobacco support group 21 sessions with 102 total attendees (average 4-5 per session) 9/15: CHE reports 73/191 consults over 10 yrs have quit > 6 mos (38% abstinence rate) Addressed through OSA grant work plan SPH work, policy and environmental change, youth summit 2016 Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts Met 9/10 standards 1:1 tobacco cessation on request. CHE reports 78 out of 211 tobacco consults over 11 years quit for 6 months or longer 37% abstinence rate Tobacco Free presentation by CHE for Great American Smokeout November - 2 Tobacco support group 24 sessions with 84 total attendees (average 3-4 per session) 14

15 Topic Area Healthy People Vision Other Objectives include vision screening, eye injury, protective eyewear use staff and the with 6 attend. Tobacco support group 24 sessions with 79 total attendees (average 3-4 per session) RFGH health website education (note: 67 out of 180 consults over 10 years have quit for 6 months or longer 37% abstinence rate for individual consults) RFGH health website education Literacy volunteer program offered X2 Career exploration presentations in Madison High School 10 presentations by health care professionals to 5 students each time Career exploration presentations held at RFGH approx.50 students from 2 school districts outcomes RFGH health website education Advance Directives what it is / how to fill out 51 Career exploration presentations in Madison High School 10 presentations by health care professionals to 5 students each time Tobacco presentation to 115 Skowhegan HS 9 th grade students Tobacco presentation to 12 Day 1students X 2 Tobacco prevention to 4 th and 5 th graders 4 schools 243 students Tobacco prevention SAD 54 HS after school program 15 students; Athens Elem 15 students Worksite presentation 16 Information readily available to posters throughout hospital Career exploration presentations in Madison High School 10 presentations by health care professionals to 5 students each time EMS (Special Olympics) 55 15