Community Health Needs Assessment

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Lakeview Medical Center - Community Health Needs Assessment
TABLE OF CONTENTS
About
Page
Lakeview Medical Center ……………………………………………………………………………………………… 3
Background
Steering Committee Members...…………………………………………………………………………………. .5
Planning Timeline……………………………………………………………………………………………………….. 7
Data
Demographics ……………………………………………………………………………………………….. 8
Community Perception …………………………………………………………………………………. 8
Healthy Wisconsin 2020……………………………………………………………………………….… 9
Community Planning Day ……………………….……………………………………………… 10
Community Health Improvement Plan Development …………………… 14
Supporting Materials
Your Opinion Counts – Press Release …………………………………………………………….
Surveys
English …………………………………………………………………….………………
Spanish …………………………………………………………………….……………..
Somali ……………………………………………………………………….……………
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Data Sheets ……………………………………………………………………………………………….……………... 28
Partnering Together – Press Release ……………………………………………………………..…………... 49
Partnering Together – Newspaper Ad ………………………………………………………….……….…… 51
Health Priority SWOT Analysis …………………………………………………………………….….…….….. 52
Community Health Action Team Commitment Agreement ……………………………..……….. 59
Prepared by Lisa Laatsch
Marketing and Community Relations Manager
Lakeview Medical Center
December 20, 2012
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About
Lakeview Medical Center
Lakeview Medical Center (LMC) is a non-profit 40-bed community hospital located in Rice Lake,
Wisconsin. Founded by the Wisconsin Methodist Hospital Association as Rice Lake Hospital in 1919, LMC
has grown to become a regional medical center of choice.
In 1922, 100 dozen eggs were sold to provide the first operating capital for Rice Lake Hospital. Early on,
the hospital became a leader in the area as the first to initiate ambulance service in 1926 and paramedic
service in 1978. LMC remains committed to bringing needed healthcare solutions to the area, being the
first hospital to add Peritoneal Dialysis in 1992, as well as adding Ultrasound and Chemotherapy the
same year. In 2002, LMC was proud to begin offering Pulmonary Rehab and Wound Ostomy Continence
Care. Lakeview Medical Center, along with its affiliate Marshfield Clinic, continue to assess the
healthcare needs of the community to determine what other programs services may be needed.
Today, Lakeview Medical Center is one of two Sole Community Provider hospitals in Wisconsin. LMC
services a primarily rural area and is greater than 35 miles from the next similar (non-Critical Access)
Hospital. As a Disproportion Share Hospital, LMC sees a high percentage of Medicaid and low-income
patients. Lakeview Medical Center has shown an increase in community program dollars, from $294,000
in 2008 to $425,000 in 2011, as well as a growth in the use of charity care from $284,000 in 2010 to
$503,000 in 2011. LMC has always provided care to patients covered by BadgerCare, the state program
for the uninsured. The Hospital also offers a discount for private pay patients without insurance. Last
year, LMC provided nearly $7 million in community benefit through uncompensated care,
Medicare/Medicaid shortfall and community programs.
LMC also provides numerous wellness and prevention programs otherwise not available in Barron
County. For the wellbeing of the community, the Hospital opened a fully-staffed health and wellness
center in 2000 at Cedar Mall to provide a medically-managed exercise option for the community. Plus,
provides a multitude of educational opportunities for our community throughout the year, providing
classes and community programs focusing on nutrition and fitness, screenings and vaccinations, prenatal classes, support groups and more. The hospital continues to serve the community by adhering to
its mission, vision and values.
Mission
To enhance the health of the communities we serve through healthcare, education, and research.
Vision
The Marshfield Clinic/Lakeview Medical Center Campus will be the premiere regional referral center
providing primary and secondary care to residents of Northwest Wisconsin.
The campus will be distinguished by its wide breadth of services and programs for patients referred by
both Marshfield and independent providers.
As measured by improvement in the community’s health, the patient’s experience, and the cost of care
provided, Lakeview Medical Center will be among the leading Wisconsin hospitals in providing value to
those it serves.
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Values
Patient safety and clinical quality
Efficiency and cost-effectiveness
Teamwork
Integrity and honesty
Embrace our whole community
Patient privacy and dignity
Sensitivity and compassion
LMC’s service area includes Barron County encompassing the communities of Rice Lake, Chetek,
Cameron, Barron, Spooner, Cumberland and Birchwood. For fiscal year 2011-2012, 54% of the hospital’s
total discharges were from Barron County. It was a natural fit for LMC’s CHNA to focus on Barron
County since over half of the patients served by the hospital come from that county alone.
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Background
Steering Committee Members
In January 2011, a group of health care leaders came together to form a steering committee to lead the
community health needs assessment (CHNA) for Barron County. Founding members of the steering
committee include:
Jolene Anderson, Marshfield Clinic
Deb Dietrich, Mayo Health System
Kelli Engen, Barron County Public Health
Laura Johnson, Be Well Barron County Coalition
Lisa Laatsch, Lakeview Medical Center
Beverly Mahler, University of Eau Claire Student Nurse
Heidi Massey, Western Regional Office, Public Health
Char Mlejnek, Lakeview Medical Center
Karen Morris, Western Regional Office, Public Health
Danessa Sandmann, AmeriCorps, Lakeview Medical Center
Laura Sauve, Barron County Public Health
Sarah Turner, Safe and Stable Family Coalition
Bobbi Wyss, Cumberland Health Care
Joe Willger, Marshfield Clinic
Steering Committee Members
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Community Health Expertise
Since it was the first health needs assessment that many of the steering committee had worked on,
expertise from the Wisconsin State Department of Health was enlisted to provide guidance on the
process.
With guidance from Karen Morris and Heidi Massey, the Steering Committee began to research best
practices on conducting community assessments by reviewing materials and talking to representatives
from other counties that had already completed the task. As the process for Barron County started to
take shape, a planning timeline and outline for the assessment was developed to keep the project
moving forward.
Kelli Engen, Barron County Public Health Officer
In 2008 Kelli started at the Ho-Chunk Health Care Center in the clinic as a clinic nurse, and educator.
This job showed Kelli what “community health” looks like. During her tenure at the Ho-Chunk Nation
(HCN), a community health assessment had been completed. Working for a tribal health department,
demonstrated the perfect picture of how a specific community; assesses, identifies and plans for
improving health. Since beginning at Barron County as Health Officer in Jan of 12, Kelli has been a part
of Thrive Barron County’s steering committee.
Karen Morris, Western Region Office of Public Health
Karen is a Public Health Nurse Consultant with the Division of Public Health in the Western Regional
Office in Eau Claire. One of her responsibilities is to provide technical assistance and consultation to
Local and Tribal Health Departments, other organizations and partners to enhance and support public
health programs and services that address the priorities identified in Healthiest Wisconsin 2020.
Specifically by providing assistance on Community Health Improvement Process and Plan (CHIPP). Over
the years she had worked with six counties in the western region, including Barron to complete their
CHIPP.
Heidi Massey, Western Region Office of Public Health
Heidi is a Public Health Educator with the Division of Public Health in the Western Regional Office
located in Eau Claire. She provide technical assistance and support to Local Health Departments and
other state and local partners on a wide variety public health services. This includes guidance on
Community Health Improvement Process and Plan (CHIPP) to public health agencies when requested.
She has worked with 4 counties in the western region, providing consultation at various stages of their
CHIPP.
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Planning Timeline
November 2011: Lakeview Medical Center approached Barron County Public Health Department about
collaborating on this project
January 2011: Steering committee formed
February 2011: Assessment plan/Timeline developed
March 2011: Data collection begun
January 2012: Kelli Engen (Barron County Public Health Officer) joined the committee
February/March 2012: Promotion of community survey (newspaper/radio/flyers)
March 2012: Electronic/paper community survey conducted
June 2012: Initiative gets its own brand, “Thrive Barron County, Growing Together in Health”
August 2012: Promotion of Community Meeting (invitations, newspaper, radio)
September 2012: Community Meeting to Prioritize Health Initiatives for Barron County
October 10, 2012: Community meeting to kick off the Community Health Improvement Planning
Process
October 15, 2012: Alcohol and Drug Abuse, Mental Health and Chronic Disease workgroups begin
meeting.
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Data
Data for Barron County was compiled by the committee for the following 3 areas to use in the CHNA
process:
Demographics,
Community perceptions
Healthy Wisconsin 2020 Health Priorities
Demographics:
Lakeview Medical Center is an acute care community hospital located in Rice Lake, Wisconsin. Rice Lake
has a population of 15,363 and is located in Barron County, which is home to 44,963 people, 17,851
households, and 12,352 families. The racial makeup of the county is 97.69% White, 0.14% Black or
African American, 0.81% Native American, 0.32% Asian, 0.04% Pacific Islander, 0.32% from other races,
and 0.69% from two or more races. 0.96% of the population is Hispanic or Latino of any race. 34.4% is of
German ancestry, 21.8% is Norwegian and 5.3% is of Irish ancestry.
There are 17,851 households, out of which 31.3% have children under the age of 18 living with them,
56.9% are married couples living together, 8.2% have a female householder with no husband present,
and 30.8% were non-families. 25.4% of all households were made up of individuals and 12.2% have
someone living alone who was 65 years of age or older. The average household size is 2.48 and the
average family size is 2.97.
In the county, the population is spread out with 25.3% under the age of 18, 8.1% from 18 to 24, 26.8%
from 25 to 44, 23.4% from 45 to 64, and 16.4% who were 65 years of age or older. The median age is 39
years. For every 100 females there were 98.2 males. For every 100 females age 18 and over, there were
96.00 males
The county hosts a variety of markets including rural agriculture, manufacturing, frac-sand mining and a
seasonal tourist economy.
Data for this section was pulled for the US 2000 Census.
Community Perception Survey
The committee decided to conduct a survey to engage the community in the process and gather input
on what the community at large felt were the health concerns for Barron County. The surveys were
distributed by committee members to libraries, hospitals, clinics, the free clinic, food pantries, and
senior centers. On March 1, 2012, a press release was released to the Rice Lake Chronotype, Barron
News-Shield, Chetek Alert, Cumberland Advocate and The Washburn County Register in Shell Lake
announcing the initiative and asking for community participation. The survey process was also
explained and promoted on the Sally B morning talk radio show on WJMC in Rice Lake on Thursday
March 1, 2012.
The survey was translated into both the Spanish and Somali languages (prevalent populations in Barron
County) to ensure that the opinions of those populations were included and distributed at key
community centers for both populations. The committee received 13 Somali Translated surveys and 12
Spanish Translated surveys. Care was taken to personally forward the survey to Public Health Contacts
at the St. Croix Tribal Health Clinic in Hertel, WI to get the information to this Native American
population in the county.
Over 1,100 surveys were completed both online and on paper and the results tabulated.
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Based on the surveys returned, community members felt the health issues in Barron County were:
1. Alcohol and Drugs
2. Chronic Disease
3. Nutrition
3. Physical Activity
5. Tobacco
6. Mental Health
7. Injury and Violence
8. Oral Health
9. Growth and Dev.
10. Reproductive health
11. Communicable Disease
12. Environment
No answer
23.0%
12.0%
10.8%
10.8%
8.6%
7.4%
6.5%
4.6%
4.2%
4.1%
3.2%
2.2%
0.4%
The results from the survey were weighted and included in the voting process of the Community
Planning Day on September 26, 2012
Healthiest Wisconsin 2020
The steering committee used Healthiest Wisconsin (HW) 2020 as a foundation to conduct the data
collection for the process. HW 2020 encompasses 2 main focus areas. Crosscutting, this includes
eliminating health disparities and socioeconomic and educational determinants. The other main focus
area is Health which includes 12 focus areas:
Alcohol and Drug Use
Chronic Disease Prevention and Management
Communicable Diseases
Environmental and Occupational Health
Healthy Growth and Development
Injury and Violence Prevention
Mental Health
Nutrition and Healthy Foods
Oral Health
Physical Activity
Reproductive and Sexual health
Tobacco Use and Exposure
The committee compiled a data sheet for each of the 12 focus areas to be given to all participants of the
Community Planning Day on September 26, 2012. Key points from the sheets along with the community
survey results and demographic data was included in a PowerPoint presentation given to the attendees.
Data for the sheets were pulled from a variety of sources but footnoted.
Community Planning Day
The committee hosted a Community Planning Day on September 26, 2012, and invited business leaders,
health experts and the general community to come together to help select the top three health
priorities for Barron County. Ninety-nine community leaders, health experts and community members
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from Barron County were in attendance. A PowePoint presentation including data on the 12 health
priorities for Healthiest Wisconsin 2020 was presented in the morning to attendees. After lunch, small
groups broke out on each of the 12 priority areas and were charged to come up with three reasons why
that priority should be chosen as a Barron County Health Priority. Community experts with expertise in
each of the 12 areas were invited to the day to ensure that along with community members, people
who have a working understanding of the issues were included in the process. These small groups made
a case to the large group why their priority are should be selected for one of the top 3 issues during the
voting process.
After the presentations to the group were made and community input from the March 2012 surveys
was considered, a vote was taken to determine the top three priorities which were:
1. Alcohol and Drugs
2. Mental Health
3. Chronic Disease
Once the top 3 priorities were identified, attendees interested in working on one of the top 3 issues
turned in a commitment form expressing their interest.
On October 10, 1012, the steering committee is planning another day to bring the parties interested in
working on the 3 topics together to do some root cause analysis work and begin to form the work
groups that will carry on. The groups will develop work plans and measurable goals.
Opening Presentation Community Planning Day
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Auditorium on Community Planning Day
Community Planning Day Attendees
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Voting Tabulation
Voting Results -Top 3 Health Priorities for Barron County
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Community Health Improvement Plan
On October 10, 2012, the Community Health Improvement Plan was kicked off with a planning day lead
by Dorothy Chaney. Dorothy is an accomplished organizational leader who offers a unique and resultsfocused blend of experience in community health improvement, community organizing, non profit
management, adult education and corporate training. She is an effective strategic thinker and dynamic
leader with demonstrated ability to clarify vision, facilitate communication, and motivate change to
achieve results along with a deep passion for and commitment to community development and social
justice. In 2010- 2011, Dorothy chaired the State Council on Alcohol and Other Drug Abuse’s Controlled
Substances Work Group which resulted in the landmark report “Reducing Wisconsin’s Prescription Drug
Abuse: A Call To Action” www.scaoda.state.wi.us. In 2012, after years of community outreach work,
Dorothy started her own company called the “Wisconsin Community Health Alliance”.
As part of the Barron County Community Health Improvement Planning Day, Dorothy worked with the
attendees on how to do root cause analysis to help identify what really is the bottom line cause of the
health issue they are trying to address. Identifying the root cause is importance so that you can fully
understand the underlying issues and develop targeted strategies to affecting the larger health priority.
Attendees also learned how to create logic models which will be used by the steering committee to
monitor the progress of the work groups. The logic models are designed to study, plan for, and evaluate
the community interventions that have been identified by the 3 work groups.
Each of the 3 work groups is focusing on one of the 3 top health priorities for Barron County and are
currently developing their logic models. To continue to manage the process, the steering committee has
asked the 3 workgroups to turn in their logic models by Mid February 2013.
Once all of the logic models have been submitted to the steering committee, Lakeview Medical Center
will look at ways that they can support the strategies identified and develop their own CHIP plan.
Currently, Lakeview Medical Center staff Lisa Laatsch and Char Mlejnek are serving on the Chronic
Prevention group that has identified Diabetes management as their first undertaking and Cindy ArtsStrenke is on the Mental Health Work Group.
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Supporting Materials
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Press Release
Your Opinion Counts
March 1, 2012
Released to:
Rice Lake Chronotype
Barron News-Shield
Cumberland Advocate
Chetek Alert
Washburn County Register
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Surveys: English, Somalian, Spanish
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Press Release
Partnering Together
August 13, 2012
Released to:
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Rice Lake Chronotype
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Barron News-Shield
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Cumberland Advocate
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Chetek Alert
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Washburn County Register
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Newspaper Ad
Community Planning Meeting
Wednesday September 19, 2012
Released to:
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Rice Lake Chronotype
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Barron News-Shield
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Cumberland Advocate
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Chetek Alert
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Washburn County Register
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SWOT Analysis
Health Priorities for Barron County
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Community Health Action Team Commitment Form
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