Presence Saint Joseph Medical Center Presence Villa Franciscan
Transcription
Presence Saint Joseph Medical Center Presence Villa Franciscan
Presence Saint Joseph Medical Center Presence Villa Franciscan Presence Home Care Community Health Needs Assessment (CHNA) Implementation Strategy 2013 - 2016 Table of Contents Ministry Overview............................................................................................................................ 2 Target Areas and Populations ........................................................................................................ 5 Identification of Community Needs ................................................................................................. 8 Identifying Community Priorities ..................................................................................................... 15 Development of the Implementation Strategy ................................................................................. 19 Action Plan with Presence Health’s Involvement in Addressing the Needs .................................... 20 Next Steps for Priorities .................................................................................................................. 35 Implementation Strategy Approval .................................................................................................. 36 Implementation Strategy Communication ....................................................................................... 37 Will County Community 2013 - 2016 Implementation Strategy 1 Ministry Overview Provena Health and Resurrection Health Care merged on November 1, 2011 to form a new health system, Presence Health, creating a comprehensive family of not-for-profit health care services and the single largest Catholic health system in Illinois. Presence Health embodies the act of being present in every moment we share with those we serve and is the cornerstone of a patient, resident and family-centered care environment. “Presence” Health embodies the way we choose to be present in our communities, as well as with one another and those we serve. Presence Health is sponsored by five congregations of Catholic religious women: the Franciscan Sisters of the Sacred Heart, the Servants of the Holy Heart of Mary, the Sisters of the Holy Family of Nazareth, Sisters of Mercy of the Americas and the Sisters of the Resurrection. Our Mission guides all of our work: Inspired by the healing ministry of Jesus Christ, we Presence Health, a Catholic health system, provide compassionate, holistic care with a spirit of healing and hope in the communities we serve. Building on the faith and heritage of our founding religious congregations, we commit ourselves to these values that flow from our mission and our identity as a Catholic health care ministry: Honesty: The value of Honesty instills in us the courage to always speak the truth, to act in ways consistent with our Mission and Values and to choose to do the right thing. Oneness: The value of Oneness inspires us to recognize that we are interdependent, interrelated and interconnected with each other and all those we are called to serve. People: The value of People encourages us to honor the diversity and dignity of each individual as a person created and loved by God, bestowed with unique and personal gifts and blessings, and an inherently sacred and valuable member of the community. Excellence: The value of Excellence empowers us to always strive for exceptional performance as we work individually and collectively to best serve those in need. PRESENCE SAINT JOSEPH MEDICAL CENTER Presence Saint Joseph Medical Center (PSJMC) is a 480 bed regional leader of health services, providing excellence in health care to a 23-community population of close to 700,000. PSJMC has a medical staff of more than 570 physicians representing over 50 medical specialties and employs 2,600 professional, technical and support personnel, making it one of the largest employers in Will County. PSJMC’s mission of providing healing and hope is enhanced by the facility’s state-of-the-art technology and the bed tower’s centered approach to care. The new facility allows PSJMC to provide the highest level of patient care for the best health outcomes. With PSJMC’s new facility, Will County residents can access the best doctors and highest quality healthcare without having to travel to Chicago. Will County Community 2013 - 2016 Implementation Strategy 2 Ministry Overview PSJMC has been part of the Joliet community for over 130 years and continues to carry out the mission of its dedicated founding Sisters, the Franciscan Sisters of the Sacred Heart, and set the highest standards of medical care for the community. PSJMC’s roots in the community are matched only by our unwavering commitment to stay in Will County and grow so we may continue to provide the best of care to residents here in the future. PRESENCE VILLA FRANCISCAN Presence Villa Franciscan (PVF) is a 176 bed skilled nursing home in Joliet. The ministry includes a 34-bed licensed Alzheimer unit, a 48-bed dedicated short-term rehabilitation unit, and 94 beds of long-term care and short-term rehabilitation units. The short-term rehabilitation patients comprise 40% of the total population at PVF. PVF employs 242 employees, ranging from highly skilled professional positions to entry level positions. The ministry serves the communities of Joliet, Shorewood, Plainfield, New Lenox and Morris. The greater Will County area is an extended service area, but the majority of residents come from the Joliet area. The services provided at PVF include 24-hour nursing care, physical, occupational and speech therapy services, as well as help with physical care and activities of daily living. The nursing care includes 24-hour skilled nursing assessments, care and treatment for post-hospital care. PRESENCE HOME CARE Presence Home Care (PHC) is a ministry of Presence Life Connections and part of the integrated healthcare delivery network of Presence Health. Presence Life Connections ministries are located in Illinois, Indiana and Wisconsin. Presence Home Care consists of five home health agencies (Gurnee, Elgin, Joliet, Kankakee and Champaign-Urbana), two hospice agencies (Elgin/Aurora/Frankfort and Champaign/Urbana) and one private duty agency covering all service areas. The average daily census in the home health agencies is approximately 950, of which 75-80% are Medicare recipients, with the remaining being a mix of Medicaid, commercial and self-pay. The average daily census in the hospice agencies is approximately 45, with a comparable distribution in terms of payer sources. Private duty currently has approximately 1,500 people subscribed to our patient monitoring system in the home. Presence Home Care employs approximately 375 employees of which 80% are clinical staff and the remainder clerical or corporate staff. Will County Community 2013 - 2016 Implementation Strategy 3 Ministry Overview This report summarizes the plans for Presence Saint Joseph Medical Center, Presence Villa Franciscan, and Presence Home Care to sustain and develop new community benefit programs that 1) address prioritized needs from the Community Health Needs Assessment (CHNA) conducted by the Will County MAPP Collaborative and 2) respond to other identified community health needs. Will County Community 2013 - 2016 Implementation Strategy 4 Target Areas and Populations PSJMC, PVF and PHC’s primary and secondary service areas have a combined population of 632,513 in 2010. The 2010 population breakdown is as follows: Race Percentage 76.4% 10.8% 3.9% 0.3% 6.3% 2.3% 0.03% White African American Asian Native American Other Race Multi-racial Native Hawaiian/Pacific Islander The 2010 population shows that 16.2% are Hispanic, while 83.8% are non-Hispanic. As shown in the chart below, the majority of Hispanic residents are under the age of 45. 210,000 180,000 150,000 120,000 90,000 60,000 30,000 0 Hispanic NonHispanic Ages 0-17 Hispanic NonHispanic Hispanic Ages 18-44 NonHispanic Ages 45-64 Hispanic NonHispanic Age 65+ In 2010, the average household income of our primary service area is $79,175; the average household income of our secondary service area is $86,823. 18.6% of the service area population income is below $34,999. 81.1% of the population primarily speaks English at home, while 11.4% speaks Spanish at home and 7.5% speaks other languages at home. Will County Community 2013 - 2016 Implementation Strategy 5 Target Areas and Populations The educational attainment of Will County residents is as follows: Educational Attainment of Will County Residents < High School 4.2% Some High School 6.4% High School Diploma/GED 28.5% Some College 22.6% Two-year/Associate’s Degree 8.3% Four-year/Bachelor’s Degree 19.9% Post-graduate Degree 10.0% The map below illustrates the primary (purple), secondary (orange) and tertiary (green) service areas. These areas are the main focus of the PSJMC, PVC, and PHC community benefit programs. Will County Community 2013 - 2016 Implementation Strategy 6 Target Areas and Populations PSJMC also reviewed its own Emergency Department (ED) data to determine if there were ways to target access to care by identifying those patients in need of primary care services that were presenting to the ED. From January 2011 through December 2011, the payor distribution of patients for all ED visits is listed below. PSJMC ED Payor Distribution Other 4.2% Medicare 20.6% Self‐pay 10.8% Commercial 34.9% Medicaid 29.4% The target areas for PSJMC’s community benefit initiatives are disproportionate unmet healthrelated needs (DUHN) communities. Will County Community 2013 - 2016 Implementation Strategy 7 Identification of Community Needs Process Used to Identify Community Needs Every five years, local health departments in Illinois must complete a community needs assessment and health plan as a requirement for recertification with the Illinois Department of Public Health (IDPH). This process is known as Illinois Project for Local Assessment of Need, (IPLAN). For the 2010 assessment and planning process, the Will County Health Department used the Mobilizing for Action through Planning and Partnerships (MAPP) process as an equivalent for IPLAN. In June 2008, the Will County Health Department and Presence Saint Joseph Medical Center partnered to facilitate the MAPP process. MAPP is a process that provides a comprehensive framework for assessing community needs, and developing and addressing strategic issues. The purpose of the Will County MAPP process is to provide a community plan that is developed by and for the community. The benefits of Will County engaging in this process include: • A healthier community that improves the quality of life for the people who live and work in it. • Increased visibility of public health in the community. • Increased awareness and knowledge about public health issues. • Preparation of our local public health system to better anticipate, manage and respond to changes in the county. • Greater collaboration and sharing of resources among partners. • Reflection of priorities in hospital implementation strategies. MAPP has six phases. The first five phases were completed over twenty-two months. Phase six, the action cycle, is an ongoing process of planning, implementing and evaluating. Will County is currently in phase six of the process. Phase 1: Organizing for Success The Will County Health Department and PSJMC identified staff that would co‐lead the MAPP Project. Staff attended MAPP training in May 2008. Several meetings were held between June and October 2008 to plan the process, identify potential partners for the MAPP Steering Committee and to identify resources needed to carry out MAPP. A core group of partners met in October 2008 to review the MAPP process, the benefits of engaging in MAPP and the initial list of potential partners to participate on the MAPP Steering Committee. Additional partners were identified and invited to participate. In January 2009, the MAPP Steering Committee was initiated with a broad cross‐section of participants comprising the 25‐member Steering Committee that guided the overall MAPP process. Will County Community 2013 - 2016 Implementation Strategy 8 Identification of Community Needs Phase 2: Visioning During February and March 2009, a survey was developed and distributed among Steering Committee member organizations to solicit input from consumers on what defined a healthy community. Fifty‐eight surveys were returned and the results were incorporated into the visioning process held with MAPP Steering Committee members in April 2009. Additionally, two focus groups were held with survey respondents to field test the vision statement prior to the MAPP Steering Committee’s adoption of the following vision: Will County Vision In Will County, every life has value. All individuals have the opportunity to realize their full potential and to achieve the highest quality of life. We are a community rich in diversity, where involvement and commitment have deep roots among our residents. We strive to be a progressive community that maximizes the use of community partnerships and collaboration among all sectors to ensure, enhance and promote comprehensive, quality and equitable education, healthcare and social services. Phase 3: Conducting Four MAPP Assessments Four separate assessments were conducted during this phase of the MAPP process between June 2009 and March 2010. Assessment subcommittees were established with members of the MAPP Steering Committee serving as chairs to oversee the groups. Local Public Health System Assessment (LPHSA) Over 100 public health system partners were invited to participate in the Will County Public Health System forum held in September 2009 at New Life Church in New Lenox. Approximately 70 partners participated in assessing how well the Will County public health system provides the ten Essential Public Health Services (EPHS) in Will County. The highest ranking service was EPHS 2: diagnose and investigate health problems and health hazards. This essential service includes: • Epidemiologic investigation of disease outbreaks and patterns of infectious and chronic diseases, environmental hazards, and other health threats • Active infectious disease and epidemiology programs • Access to a public health laboratory capable of conducting rapid screening and high volume testing Will County Community 2013 - 2016 Implementation Strategy 9 Identification of Community Needs The lowest ranking service was EPHS 7: link people to personal health services. This essential service includes: • Identifying populations with barriers to personal health services • Identifying personal health service needs of populations with limited access to a coordinated system of clinical care • Assuring the linkage of people to appropriate personal health services through coordination of provider services and development of interventions that address barriers to care (e.g. culturally and linguistically appropriate staff and materials transportation services) The complete listing of voting results from the LPHSA is below: Summary of Essential Public Health Services Scores Monitor health status to identify community health problems Diagnose and investigate health problems and health hazards Inform, educate and empower people about health issues Mobilize community partnerships to identify and solve health problems Develop policies and plans that support individual and statewide health efforts Enforce laws and regulations that protect health and ensure safety Link people to needed personal health services and assure the provision of health care when otherwise unavailable Assure a competent public and personal health care workforce EPHS 8 Evaluate effectiveness, accessibility and quality of personal and populationEPHS 9 based health services Research for new insights and innovative solutions to health problems EPHS 10 Overall Score EPHS 1 EPHS 2 EPHS 3 EPHS 4 EPHS 5 EPHS 6 EPHS 7 91 100 71 60 86 92 41 53 68 66 78 Community Themes and Strengths Assessment (CTSA) Three separate methods of data collection were used in conducting the CTSA: a community survey, focus groups and photovoice. In a county-wide random sample, 5,000 residents were mailed a community survey between October and December 2009. The survey was 10 pages in length and took about 20 minutes to complete. It asked questions about residents’ perceptions on the quality of life in Will County. There were 485 respondents. After survey results were collected, the MAPP Steering Committee realized that the survey respondents did not reflect the demographics of Will County. In order to obtain the perspective of residents underrepresented in the survey, ten targeted focus groups were held from January through March 2010 to get a broader perspective from those who did not complete the survey. Over 100 participants gave their input on strengths and assets of their community and their perception about the quality of life in Will County through these focus groups. Will County Community 2013 - 2016 Implementation Strategy 10 Identification of Community Needs Photovoice was the third method used for data collection. Photovoice is a technique that enables community residents of all ages and languages to share information about their communities through pictures. Five residents responded by submitting photos of their community. Many crosscutting themes were identified across the community survey, focus groups and photovoice project: • Communication – There is a need for better communication of the resources and availability of programs and services in the county. Some residents are aware of programs and services available to them in the county, but many are not aware of these existing services. Better communication would alleviate this issue. • Equity/Accessibility – Sometimes people are aware of services, however, these services are not always accessible to them. Transportation and affordability were the two issues that arose most often concerning accessibility. Equity was another cross-cutting theme throughout the reports. Not all communities have the same quality of services available to them. • Youth – Youth involvement in the community provides an opportunity for developing mentoring programs and leadership. There is a disconnect between adult perception of resources and program availability for youth and how the youth view access to these services themselves. • Building Relationships – Collaborations with organizations and leveraging existing resources is important to not only the residents of the community, but also to the service providers. More sharing of information and resources is important to improve the quality of life in Will County. Community Health Status Assessment (CHSA) The CHSA committee comprised of MAPP Steering Committee members, data and planning staff from the three local hospitals and the health department’s epidemiologist. The assessment initiated in June 2009 and was completed in March 2010. This team reviewed key health indicators and the health department’s epidemiologist analyzed the data gathered to provide insight into the trends and top issues. Forces of Change Assessment (FOCA) The FOCA was completed in March 2010 with 30 participants, consisting of MAPP Steering Committee members and other community leaders. Factors and trends most impacting Will County includes the current economy with rising unemployment, loss of services and programs, and increased need for mental health services. Additional forces of change noted that are reflective of many issues on the national agenda. For example, health care reform, immigration reform, regulation of medical malpractice, use and overuse of technology, and need for sustainable energy resources are issues being considered on the national level, but they would also have an impact on local and state health care and social service delivery systems. Will County Community 2013 - 2016 Implementation Strategy 11 Identification of Community Needs Phase 4: Identifying Strategic Issues In May 2010, the Illinois Public Health Institute (IPHI) facilitated a half‐day strategic issues session. Participants consisted of the MAPP Steering Committee members, committee members from each assessment and additional community leaders. Approximately 25 participants attended the strategic issues session. Data points were drawn from each of the four assessments and reviewed with the group. Brainstorming and nominal voting processes were used to identify and prioritize issues and problems that were cross-cutting throughout the assessments. Small group discussion further explored the problems to determine if they met the criteria for strategic issues. Additional community involvement in this phase was solicited via an online survey to assist in identifying priorities. Community partners participating in the LPHSA, in addition to all committee members, were e-mailed an invitation to participate in the online survey, with 50 partners responding. During this strategic planning session, the following priorities were identified for Will County over the next five years are: • Access to primary and specialty health care • Awareness of services • Behavioral health and substance use disorders • Prevention and management of chronic care issues • Youth services Phase 5: Formulating Goals and Strategies All partners participating in the survey to identify and prioritize strategic issues were given the opportunity to sign up for participation in the planning and implementation phases of the process. Additionally, they were asked to recommend other members of their organizations or community they felt would be appropriate for the planning committees. Based on self‐identified interests; members participated in workgroups to set goals, objectives and strategies for the identified priorities. The work groups met in June and August 2010 to complete the strategic plan. The following goals were developed for the identified strategic issues. Access to Primary and Specialty Health Care • Increase access to primary and specialty health care for the under-insured and uninsured populations of Will County. • Increase access to age-based and culturally competent behavioral health and substance abuse related services. Awareness of Services • Keep Will County residents informed about services available to promote health, wellness, and safety. • Increase Will County residents’ understanding of the importance of having a primary care provider/ health care home. • Reduce the stigma related to behavioral health and substance use disorders. Will County Community 2013 - 2016 Implementation Strategy 12 Identification of Community Needs Prevention and Management of Chronic Care Issues • Reduce the number of chronic care illnesses in Will County. • Increase the awareness of Will County residents on the signs and symptoms of chronic illnesses. • Decrease obesity among Will County youth. Systems Collaboration and Linkage • Increase cohesiveness amongst systems across Will County that impact youth and their families to ensure that youth receive the necessary services throughout all stages of development. Phase 6: Action Cycle Planning, implementation and evaluation of the strategic plan are the key components to this phase of the MAPP process. After the goals, objectives and strategies were completed, the work groups continued to meet and transitioned into action teams. Four action teams were identified to address the strategic priorities. There was some additional grouping of issues based on overlapping strategies; however, the goals and objectives for each priority were maintained. • Access to Care – addresses issues of access to primary and specialty healthcare, behavioral health and substance use disorders. • Awareness of Services – addresses communication gaps between organizations and residents and communication gaps between providers. Health promotion and health education not related to the other priorities will also be addressed in this priority area. • Systems Collaboration and Linkages – addresses linkages of services, particularly among youth in Will County, ages 0‐18. This action team will look at continuity of services as youth move along the developmental stages. How the Will County public health system works together to collaborate and link individuals to needed services will also be addressed with this team. • Prevention and Management of Chronic Care Issues – addresses the prevention and management of certain chronic care conditions including: asthma, diabetes, obesity, heart disease and their many risk factors. Additionally, a Monitoring and Evaluation team is being developed to provide ongoing data collection, assessment, monitoring and evaluation of the strategic plan. As the MAPP Project moved into to the action cycle, the MAPP Steering Committee identified the need to continue the momentum and the process. The MAPP Steering Committee was initially formed to oversee the MAPP planning process. After submission of the plan to the Illinois Department of Public Health, the MAPP Steering Committee formed a transition team to define the future structure of the MAPP Collaborative. The MAPP Steering Committee became the MAPP Executive Committee and bylaws were developed to set guidelines for the future of the MAPP Collaborative. Will County Community 2013 - 2016 Implementation Strategy 13 Identification of Community Needs Results of the 2012 Needs Assessment Based on the MAPP CHNA, the top identified needs in Will County are: Access to care (primary, specialty, behavioral health, substance use disorders) Awareness of services and how to access them Collaboration and linkage within systems Prevention and management of chronic care issues Although some needs are the same as they were in 2006 (access to care and chronic care issues), there are also additional areas that were identified through the MAPP process that are of concern to community residents (awareness of services and collaboration/linkage among the public health system). PSJMC’s review of current community benefit programs found that the medical center is meeting community needs through: Addressing access to care issues (primary, specialty, behavioral health and substance use disorders) through Mental Health First Aid and mobile health units. Developing a federally-qualified health center (FQHC) outside of our Emergency Department to increase access to primary care services. Expanding and enhancing the existing Healthy Kids Club initiative targeting childhood obesity, as well as expanding the Joliet Partners for Healthy Families (JPHF) into all community sectors. Working with the MAPP Systems Collaboration and Linkages (SCL) Action Team with the goal of increasing cohesiveness amongst systems in Will County. PSJMC will partner with Will County organizations to address other needs in the community as feasible. PVF and PHC will work specifically with the MAPP Prevention and Management of Chronic Care Issues Action Team to address respiratory issues in the county]. Will County Community 2013 - 2016 Implementation Strategy 14 Identifying Community Priorities PSJMC, PVF and PHC recognize that priority setting is a critically important step in the community benefit planning process. Decisions around priorities have a pivotal impact upon the effectiveness and sustainability of the endeavor. PSJMC, PVF, and PHC worked with the Will County MAPP Collaborative to identify priority issues for the county. Description and Purpose MAPP defines strategic issues as “those fundamental policy choices or critical challenges that must be addressed in order for a community to achieve its vision.” During this phase of the MAPP process, participants developed an ordered list of the most important issues facing the community. Strategic issues were identified by reviewing the results of the four MAPP assessments, identifying recurring themes, issues and ideas, and determining how those issues affect the achievement of the shared vision of Will County. This process is necessary in setting priorities and for future goal setting for the Community Health Plan. Community Involvement The community was engaged in the strategic issues phase on several levels. The MAPP Steering Committee, assessment committees and invited community members participated in an all-day planning session to review data, identify issues and develop a prioritized list of issues and health problems. Broader community participation was sought via a brief online survey where they were given the list of potential strategic issues and asked to rank them. Thirty partners attended the all-day strategic issues session. Fifty partners participated in the online survey. Process On May 17, 2010, the Will County MAPP Steering Committee, assessment committee and other invited community members, engaged in an all-day strategic issues planning session, facilitated by the IPHI. Approximately thirty people participated. Prior to the meeting, participants were sent meeting packages with the defined criteria to identify a strategic issue as well as an e-mail link to access the reports online to review and identify any issues, needs or themes across the four assessments. MAPP staff presented an overview of the data and provided data points from each assessment for review. Aunt Martha’s Youth Service Center presented data and information on their upcoming FQHC being built in Will County. A large group discussion followed, allowing participants the opportunity to identify and discuss any cross-cutting themes or issues emerging from the assessment results. Some grouping of similar issues occurred. A list of potential strategic issues was developed followed by using a nominal voting process to narrow the potential strategic issues for discussion in smaller breakout groups. Will County Community 2013 - 2016 Implementation Strategy 15 Identifying Community Priorities Participants’ self-assigned to groups based on their interest and knowledge of the strategic issue. The task for the groups was to review the data and potential strategic issues to determine if it was strategic. Each group was given a strategic issues worksheet and relationship diagram to guide and record their discussion. Copies of the assessment data points and hard copies of the assessments were made available to each team. The following criterion was used: • Issue is grounded in data from the MAPP assessments • Issue is forward-thinking • Issue is cross-cutting • Issue seizes on current opportunities • Issue represents a fundamental choice to be made at the highest levels of the community and local public health system • Issue centers on a tension or conflict to be resolved • Issue may have no obvious solution • Issue is something the public health system can address • Issue requires multi-sector, collaborative approach The small groups reported out to the larger group to review the findings. Using the nominal group process, the participants identified the top five priorities. A three-question survey was developed to validate the prioritization and to gain additional input from public health system partners. Using an online survey, all assessment committee members, MAPP Steering Committee members and partners attending the LPHSA were invited to participate in the identification and prioritization of strategic issues. The MAPP Steering Committee decided to use the full list of potential issues in the community survey in order to ensure the group had captured the priorities of the community. • • • • • • • • • • • • • • Potential Strategic Issues Identified Awareness of services and how to access them Access to quality primary care for uninsured/under‐insured Chronic care management (i.e. obesity, diabetes, asthma) Inequity of services Mental health/behavioral health needs Workforce development Youth needs Crime/personal safety issues Food borne illness Infant mortality Traffic congestion Unemployment Addressing the needs of the growing senior population Addressing the needs of the growing Latino population Will County Community 2013 - 2016 Implementation Strategy 16 Identifying Community Priorities The rankings from the strategic issues meeting and the two survey questions were listed in rank order under their respective categories. Staff identified the strategic issues listed in all three categories. The top five issues were identified as the priority issues to address. The MAPP Steering Committee gave final approval of the strategic issues. Summary of Key Findings Fourteen potential strategic issues were identified during the large group brainstorming session (see page 14.) Following the group discussions and second voting, the participants identified the following five strategic issues: • Access to quality primary and specialty care for the uninsured and under-insured • Awareness of services and how to access them • Chronic care management • Mental health/behavioral health • Youth services Comparison of meeting prioritization and survey results yielded the same priorities. (Note: all other responses represent the combination of all other responses selected). Will County Community 2013 - 2016 Implementation Strategy 17 Identifying Community Priorities The five strategic issues/health problems identified were: • • • • • Strategic Issue #1: Access to Healthcare Strategic Issue #2: Awareness of Services Strategic Issue #3: Chronic Care Management Strategic Issue #4: Mental Health/Behavioral Health Strategic Issue #5: Youth Services Will County Community 2013 - 2016 Implementation Strategy 18 Development of the Implementation Strategy PSJMC, PVF and PHC’s CHNA Implementation Strategy was developed based on the findings and priorities established by the Will County MAPP CHNA and a review of the hospital’s existing community benefit activities. PSJMC co-facilitated the MAPP CHNA process with the Will County Health Department and was involved not only in the initial planning of how to assess the county but also organized the community assessments and helped develop the action teams working on implementation. Other partners involved in the Will County MAPP Collaborative are listed in Appendix A (see page 27). The local hospitals and the health department financially contributed to the MAPP CHNA, while other community partners provided in-kind support through their time in serving on the Executive Committee and MAPP Action Teams, as well as by providing meeting space, printing and other resources as needed. The Will County MAPP Collaborative has grown in size during the implementation phase. New partners were added who had expertise in the respective action teams. Their insight is crucial to move the work of the action teams forward to improve the quality of life for Will County residents. After consolidating overlapping issues identified in the MAPP CHNA, the top identified needs in Will County are: • Access to care (primary, specialty, behavioral health, substance use disorders) • Awareness of services and how to access them • Collaboration and linkage within systems • Prevention and management of chronic care issues For 2013, PSJMC will continue to serve on the MAPP Executive Committee and MAPP Action Teams to address the identified needs in Will County within the next three to five years. Our overall focus will be on: • Addressing access to care issues (primary, specialty, behavioral health and substance use disorders) through mental health first aid and mobile health units. • Developing a federally-qualified health center (FQHC) outside of our emergency department to increase access to primary care services. • Expanding and enhancing the existing Healthy Kids Club initiative targeting childhood obesity, as well as expanding the Joliet Partners for Healthy Families into all community sectors. • Working with the MAPP Systems Collaboration and Linkages (SCL) action team with the goal of increasing cohesiveness amongst systems in Will County. Will County Community 2013 - 2016 Implementation Strategy 19 Action Plan with Presence Health’s Involvement in Addressing the Needs PARTNERSHIP WITH THE WILL-GRUNDY MEDICAL CLINIC (WGMC) & AUNT MARTHA’S YOUTH SERVICES CENTER Program Description PSJMC has budgeted $35,000 to donate to the Will-Grundy Medical Clinic in 2013. In addition to this donation, PSJMC will continue to provide clinical staff volunteers, and will contribute free services and leadership through service on WGMC’s board of directors. PSJMC will also continue to accept patients from Will-Grundy Medical Clinic for surgical procedures and related services to provide better access to care, particularly specialty care. In December 2012, an Aunt Martha’s Federally Qualified Healthcare Center (FQHC) was opened adjacent to our Emergency Department. PSJMC is providing rental space to the FQHC for $1 per year. Community Need: Access to Care Aim Statement: The WGMC is a not-for-profit 501(c)3 organization that provides free medical and dental care to adults who have no health insurance or medical care entitlements and meet prescribed income guidelines. Care is provided by physicians, dentists and other professionals who volunteer their time and expertise to WGMC. Aunt Martha's Youth Service Center's is a non-for-profit 501c3 organization that provides an array of social services that offer a safe haven for youth in crisis and empower them to succeed and high quality and accessible healthcare for the whole family regardless of the ability to pay. 2013 Objectives 2013 Strategies 2013 Progress Ministry Role Provide free or discounted healthcare services to the residents of Will County. Federally-qualified health centers • WGMC’s partnership with PSJMC and other local hospitals • PSJMC’s development of an FQHC (Aunt Martha’s) outside of its Emergency Department (ED). In 2012, 904 WGMC patients were treated at the Medical Center including 29 surgical cases. PSJMC donates $35,000 annually to the WGMC and provides clinical staff volunteers. PSJMC will also continue to accept patients from WGMC for surgical procedures and related services to provide better access to care, particularly specialty care. Aunt Martha’s West Clinic was opened in late December 2012 proving primary, pediatric as well as OB/GYN care. Community Partner Role Silver Cross Hospital, Adventist Bolingbrook Hospital and Morris Hospital also financially contribute to WGMC and provide free services for patients. Measureable Outcomes The number of patients who receive free or discounted healthcare. PSJMC provides rental space to Aunt Martha’s West for $1 per year to offset Will County Community 2013 - 2016 Implementation Strategy 20 Action Plan with Presence Health’s Involvement in Addressing the Needs clinic operating costs. PSJMC also provides reimbursement costs for OB/GYN recruitment as well as reimbursement for self-pay patients. 2013 Baseline The number of patients who receive free or reduced healthcare. 2013 Outcome In 2012, the WGMC clinic had 6,050 patient visits. In 2012 PSJMC treated 904 WGMC patients including 29 surgical cases. 2014 Target Objective To continue partnership with WGMC & Aunt Martha’s to increase number of patients who can receive free or reduced healthcare. 2014 Measureable Outcomes Number of patient visits for 2013. The Aunt Martha’s West Clinic did not open until late December 2012, so no data is available at this time. Through October 2013, the clinic saw 6,796 patients. Will County Community 2013 - 2016 Implementation Strategy 21 Action Plan with Presence Health’s Involvement in Addressing the Needs MAPP ACCESS TO CARE ACTION TEAM Program Description The MAPP Access to Care Action Team is one of the teams created under the Will County MAPP Collaborative. This team is comprised of PSJMC, other local hospital staff, the health department and other behavioral health providers with the goal of increasing access to primary, specialty and behavioral health services for Will County residents. The two strategic questions this team looks to address over the next three years are: • How can the Will County community collaborate to maximize and expand resources that will increase access to and awareness of primary and specialty health care that is affordable, geographically accessible and culturally sensitive? Community Need: Access to Care Aim Statement: To increase access to primary and specialty health care for the underinsured and uninsured populations of Will County. 2013 Objectives 2013 Strategies 2013 Progress Ministry Role Community Partner Role By 2015, the percentage of Will County emergency room visits due to Ambulatory Care Sensitive Conditions (ACSCs) will decrease by 3%. To determine a baseline of patients to monitor & develop an evaluation plan. • Hospital data staff met December 2012 to determine appropriate ED reports to monitor data. • The EDs are reporting avoidable ED visits for patients 55 & older. PSJMC Decision Support staff will run the ED reports and analyze the data from other hospitals. 2013 Baseline 2013 Outcome 2014 Target Objective 2014 Measureable Outcomes In 2012, PSJMC has 314 avoidable ED visits by patients 55 & older. A decrease in number of avoidable ED visits by patient 55 & older. The number of avoidable ED visits by patients 55 & older. Will County Community 2013 - 2016 Implementation Strategy Edward Hospital is leading this action team. Adventist Bolingbrook Hospital and Silver Cross Hospital are also engaged. Measureable Outcomes In 2012, PSJMC has 314 avoidable ED visits by patients 55 & older. The number of visits in 2013. 22 Action Plan with Presence Health’s Involvement in Addressing the Needs JOLIET PARTNERS FOR HEALTHY FAMILIES (JPHF) COALITION Program Description In 2007, PSJMC created the JPHF coalition to help combat childhood obesity in Will County. The partnership includes the Joliet Public School District 86, the Joliet Park District, Greater Joliet Area YMCA, Harvey Brooks Foundation, University of St. Francis, the University of Illinois Extension and the Will County Health Department. The mission of JPHF is to enhance the quality of life and improve the overall health and wellness of our community for people of all ages, abilities and diverse backgrounds. In keeping with its mission, PSJMC identified vulnerable populations to target with its Healthy Kids Club initiative. The target areas that PSJMC serves have disproportionate unmet health-related needs (DUHN). In Joliet Public Schools District 86, 70% of the student population is at poverty level with a diverse mix of students: • Hispanic: 48% • African American: 29% • Caucasian: 16% • Other: 7% JPHF expanded in 2012 to include the Rockdale School District, whose student population is 80% at or below poverty level, as well as the Harvey Brooks Foundation where after-school care is offered to students from underserved areas. JPHF has been innovative in its collaboration and approaches to childhood obesity by creating the Healthy Kids Club. This initiative focuses on educating students and families about the importance of balanced nutrition and regular physical activity through three unique, after-school programs: Camp Fitness, Kids 'n Nature Adventure and Smith Opportunities for Activities and Recreation (SOAR). Camp Fitness The Camp Fitness program works with 3rd grade students within Joliet School District 86 and Rockdale School District to promote access to play by encouraging exercise and modified eating habits through after-school programming. The program includes 40 minutes of physical activity and 20 minutes of nutrition education. It also includes parent workshops and family events such as the Worldwide Day of Play and Family Wellness Fair to encourage families to get active and eat healthier. Upon completion of the Camp Fitness program, students receive many items such as healthy snacks and tennis shoes to encourage them to stay active and eat healthier. This program has increased in size for the 2012/2013 Will County Community 2013 - 2016 Implementation Strategy 23 Action Plan with Presence Health’s Involvement in Addressing the Needs school year and now accommodates over 500 students, including a summer component. Kids ‘n Nature Adventure Kids ‘n Nature teaches fourth-graders how to grow and cultivate gardens while exposing students to play behaviors in nature at Pilcher Park Nature Center in Joliet. A naturalist and master gardener teach the students about nature and how to play in nature through exploration. Nutrition and physical activity through gardening and hiking 40 minutes are incorporated into each day’s activities. Children develop skills for growing and preparing fresh foods and engaging in physical activity that will promote lifelong healthy behaviors. During the 2012/2013 school year, Kids ‘n Nature had 185 participants enrolled, an expansion from the previous year. Smith Opportunities for Activities and Recreation (SOAR) The SOAR program targets fifth grade students within District 86 and Rockdale School District. SOAR provides a half hour of swim instruction, followed by a half hour of nutrition education and exercise in the gym at the Smith YMCA. Free transportation is provided to and from the program for all participants. For the 2012/2013 school year, SOAR had 85 students in its first session, with 80 signed up for the second session. The goal of expanding and developing new partnerships and programs within the Healthy Kids Club initiative is to provide continuity so students from third through fifth grade will have the opportunity to participate in physical activity and will receive proper nutrition education. With this linkage comes the opportunity to measure impact over time. More detailed information on the programs is listed below. Commit to Be Fit Contest In 2013, The JPHF coalition started a three month physical activity contest with the purpose of encouraging Will County students to incorporate more physical activity into their daily lives. Similar to reading contests within the schools, the Commit to Be Fit Contest was offered to all Will County students. Students “committed” to the program by signing up and tracking their daily physical activity. They did this manually on forms distributed by their teachers or online on the Will County Regional Office of Education’s website. All participants in the program received a free daily pass to be used at one of several county agencies (i.e. Will County Community 2013 - 2016 Implementation Strategy 24 Action Plan with Presence Health’s Involvement in Addressing the Needs Splash Station, the YMCA, Channahon roller rink, etc.) Students who exceed the recommended 60 minutes of daily physical activity were entered to win raffle prizes. Incentives were also given to teachers to encourage their classes to participate. Community Need: Childhood Obesity Aim Statement: To enhance the quality of life and improve the overall health and wellness of our community for people of all ages, abilities and diverse backgrounds. 2013 Objectives 2013 Strategies 2013 Progress Ministry Role Community Partner Role Measureable Outcomes In Camp Fitness, students will increase flexibility, strength, endurance and knowledge. Camp Fitness is an after-school program that includes 40 minutes of physical activity and 20 minutes of nutrition education for students. • PE teachers lead the Camp Fitness program • Dieticians or school nurses teach the education portion • JPHF partners provide financial and in-kind support as well as monitor the progress of the program PSJMC provides financial support for the programs as well as healthy snacks and tennis shoes as giveaways. • Joliet School District 86 provides free transportation for students to participate in the program. They also cover the cost of staff who led the program (PE teachers and nurses.) • The Joliet Park District’s Registered Dietician leads the nutrition component at several schools. • USF students volunteer to assist with the program. For Kids ‘n Nature (KNN), the program measures the amount of calories burned in the activities as well as the soft skills learned (leadership, team building, socialization, etc.) KNN teaches fourthgraders how to grow and cultivate gardens while exposing them to play behaviors in nature. Nutrition and physical activity through gardening and hiking 40 minutes are • A naturalist and master gardener teach the students about nature and how to play in nature through exploration. PSJMC provides financial support for the program, as well as grant writing skills when needed to apply for additional funding. PSJMC also provides healthy snacks for all Healthy Kids Club • The Joliet Park District donated the land to be used for the KNN garden and has dedicated staff to lead the program. • The U of I Extension provides master gardeners to teach Students are given the following assessments at the beginning and end of Camp Fitness to measure success. • Sit and reach test (flexibility) • Pacer test (endurance) • Nutrition quiz (knowledge) • Amount of sit ups (strength) • BMI For the 2012-13 school year, 65% of the student sample participating in Camp Fitness increased in all assessment areas. For the 2012-13 school year, the 185 students burned approximately 1564 calories each as well as increased social skills and knowledge for healthy living cultivation. Will County Community 2013 - 2016 Implementation Strategy 25 Action Plan with Presence Health’s Involvement in Addressing the Needs incorporated into each day’s activities. programs. • In SOAR, students will advance to the next swim level through targeted instruction. To encourage Will County students to incorporate more physical activity into their daily lives SOAR provides a half hour of swim instruction, followed by a half hour of nutrition education and exercise in the gym at the Smith YMCA. Implementation of the three month activity contest, Commit to Be Fit. Will County Community 2013 - 2016 Implementation Strategy • SOAR lifeguards teach students how to swim • SOAR will expand to include additional schools The contest took place in January through March of 2013. students about gardening and nature. USF students volunteer to assist with the program. The YMCA provides lifeguards to teach children how to swim. Joliet Public School District 86 provides staff to oversee the students. USF students volunteer at the program. PSJMC provides financial support for the program, as well as grant writing skills when needed to apply for additional funding. PSJMC also provides healthy snacks for all programs. • PSJMC provided staff time to plan, implement & promote the program. We also provided marketing materials & design. • Will County Regional Office of Education provided a tracking website as well as promoted contest among schools. • The YMCA provided funding for prizes. • The Joliet Park District provided Splash Station passes. • • Students are given a swim aptitude test at the beginning and end of each session. For the 2013 school year, SOAR had 221 participants, 76% of which met the goals set for SOAR and 42% of participants passed to the next swim lesson level. Nineteen schools participated in the inaugural year of the contest logging 129,580 minutes of physical activity. 26 Action Plan with Presence Health’s Involvement in Addressing the Needs Key Lessons Learned The JPHF Coalition is looking for additional strategies to provide the program(s) to all the students in Will County. The partners plan to complete a strategic planning session in early 2014 to further focus the collaborative. For the Commit to Be Fit Contest, we realized that many of the students needed paper copies of log forms. The partners are looking for ways to provide this to the schools with the highest poverty levels in the county. 2013 Baseline 2013 Outcome For the 2011- 2012 school year, 71% of the students participating in Camp Fitness increased in four assessment areas (sit-ups, Pacer, quiz & sit/reach). In 2011-2012, over 20,000 calories were burned in KNN and students learned how to socialize with one another For the 2012-13 school year, 65% of the student sample participating in Camp Fitness increased in five assessment areas (sit-ups, Pacer, quiz, sit/reach & BMI). For the 2012-13 school year, the 185 students burned approximately 1,564 calories each as well as increased social skills and knowledge base for healthy living cultivation. For the 2012-13 school year, SOAR had 221 participants, 76% of which met the goals set for SOAR and 42% of participants passed to the next swim lesson level. Nineteen schools participated in the inaugural year of the In 2011-12, 95% of students advanced to the next swim level in SOAR. 2013 was the first year for the Commit to Be Fit contest. Will County Community 2013 - 2016 Implementation Strategy 2014 Target Objective 2014 Measureable Outcomes Increased fitness in all assessment areas. Exceed 2012-13 school year results. Increase the calories burned per student. Exceed 2012-13 school year results. Increase the percentage of students who met their goals and who pass on to next swim level. Exceed 2012-13 school year results. Increase number of schools that participate in the contest as well as Exceed 2013 results. 27 Action Plan with Presence Health’s Involvement in Addressing the Needs contest logging 129,580 minutes of physical activity. minutes of physical activity. COMMUNITY ENROLLMENT IN MARKETPLACE EXCHANGE Program Description With the implementation of the Affordable Care Act (ACA) consumers will need various options for enrolling in the marketplace insurance exchanges. The Medical Center as well as community partners will provide enrollment options for the community we serve. The Medical Center trained a pool of staff to become Certified Application Counselors (CAC). Our community partners applied for state grant funding to hire In-Person Counselors to be located in various key locations around the county. Community Need: Access to Care Aim Statement: To assist community members with enrolling in the Marketplace Exchanges or Medicaid. 2013 Objectives 2013 Strategies 2013 Progress Ministry Role Community Partner Role The Will County To train our existing We have partnered Partner with other Increase insurance Health Department as staff to become CAC non-profit agencies as with the Will County coverage by assisting as well as partner with well as Aunt Martha’s Health Department to well as cross train an residents with and Care Services, local nonprofit place two of their IPC internal pool of enrollment into the Inc. received grant organizations to in our Emergency employees to assist Affordable Care Act funding to hire and provide additional Department one day residents with signing (ACA) Exchange train IPCs for enrollment per week to enroll up for insurance. Marketplace as well community enrollment. opportunities for the community members. as Medicaid. community. We have trained seven of our existing financial counselors to become Certified Applications Counselors (CAC) to assist with enrolling Will County Community 2013 - 2016 Implementation Strategy Measureable Outcomes The number of residents who sign up for the Marketplace & Medicaid. 28 Action Plan with Presence Health’s Involvement in Addressing the Needs community members. MiraMed, our third party Medicaid enrollment vendor currently staffs seven days a week (A shift) to meet with all Self Pay patients at the bedside for screening and applications to Medicaid. Potentially partnering with additional nonprofit organizations (Aunt Martha’s; Care Services, Inc) to provide more IPC in our Emergency Department during peak times. 2013 Baseline There is not baseline for 2013 at this is a new initiative. 2013 Outcome The number of residents who sign up for the Marketplace & Medicaid. Will County Community 2013 - 2016 Implementation Strategy 2014 Target Objective The number of residents who sign up for the Marketplace & Medicaid by PSJMC CACs as well as partnered IPCs. 2014 Measureable Outcomes The number of residents enrolled in 2013. 29 Action Plan with Presence Health’s Involvement in Addressing the Needs WEWILL WORKHEALTHY AWARD PROGRAM Program Description The WEWILL WorkHealthy award program was created by the MAPP Prevention and Management of Chronic Care (PMCCI) Action Team to recognize Will County workplaces that are committed to improving employee health and well-being through six main areas of worksite wellness: 1. Health Promotion/Education 2. Physical Activity 3. Mental Health 4. Environmental Health 5. Nutrition 6. Safety This award program will eventually include five different sectors: worksites, schools, restaurants, early childhood programs and afterschool programs. Community Need: Chronic Care AIM STATEMENT: The goal is to highlight the successful wellness initiatives in all sectors of the county and to help organizations who would like to implement similar programs to improve the health of those they serve. 2013 Objectives 2013 Strategies 2013 Progress Ministry Role Community Partner Measureable Role Outcomes Silver Cross Hospital, Fifteen businesses PSJMC & PVF The application was The MAPP Chronic To implement the submitted applications Will County Health assisted in promoting Care Action Team will created and WeWill Work Healthy in 2013. Also, a post Department, the Award distributed by the develop criteria for Award, the first survey was conducted American Cancer applications among Prevention and award, create the worksite wellness with 11 of the 15 Society as well as area businesses & Management of application, promote recognition program business responding. other partners in the organizations. We the award among Will Chronic Care Issues in Will County. Fifty percent of the Chronic Care Action assisted with judging action team. County businesses & respondents believe Team assisted with of small-sized organization, judge that the application various steps in the businesses & To advertise the award applicants & process has changed implementation organizations. program, this action then present the Will County Community 2013 - 2016 Implementation Strategy 33 Action Plan with Presence Health’s Involvement in Addressing the Needs awards. team used marketing methods including press releases, presentations by MAPP members, phone calls, flyers, and emails. The application was sent out in January. The team reviewed applications in June. A post survey was created by the team & conducted in June. Recipients received their awards in September. process of the award. As the largest employer Will County, PSJMC also applied for the award to set a positive example in the community and to encourage others to apply. how they will view their employee wellness efforts. In addition, 50% of the respondents said they will make changes to their employee wellness programs and 40% will change their employee wellness policies. Key Lessons Learned Based on feedback from area businesses on the post survey as well as discussion among Chronic Care team members, the goals are to improve marketing as well as outreach efforts for 2014; improve the online application process to be more user friendly with clearer directions; possibly conduct an employee survey to gather staff input on their own company’s worksite wellness programs & policies. 2013 Baseline 2013 Outcome Because this was the first year for the award process, there is not a baseline. Fifteen businesses submitted applications in 2013. Also, a post survey was conducted with 11 of the 15 business responding. Will County Community 2013 - 2016 Implementation Strategy 2014 Target Objective Increase number of business that submit applications in 2014 to generate awareness and change in their 2014 Measureable Outcomes Number of business that participate in 2014. 31 Action Plan with Presence Health’s Involvement in Addressing the Needs Fifty percent of the respondents believe that the application process has changed how they will view their employee wellness efforts. In addition, 50% of the respondents said they will make changes to their employee wellness programs and 40% will change their employee wellness policies. Will County Community 2013 - 2016 Implementation Strategy wellness programs and policies. 32 Action Plan with Presence Health’s Involvement in Addressing the Needs WILL COUNTY CHRONIC CARE COLLABORATIVE (Will Co. CCC) Program Description In 2013, The Will County Chronic Care Collaborative was formed to address a targeted chronic care need in Will County that will assist the underserved with managing their illness. PSJMC, PVLF & PHH have allocated staff time to assist with this initiative. Additional partners include the Franciscan Communities in both Lemont & Homer Glen. In 2013, the group identified the Will-Grundy Medical Clinic as agency to partner with to provide assistance to their clients. In addition, PSJMC, PVF & PHC will continue to meet community needs by providing charity care, Medicaid and State Health Insurance Assistance Program (SHIP) services. Community Need: Chronic Care Aim Statement: The goal is to participate with the Will-Grundy Free Clinic QI project. Focus is on reducing readmissions of their clients to hospitals/ER’s by providing education and volunteer time at the clinic sites to assist in creating education, counseling/teaching their clients, and assisting in other various ways as decided. 2013 Objectives Development of collaboration with the Franciscan Communities. (Will Co. CCC) The goal was to analyze the Will County community needs and assess what opportunities the collaboration will choose to work on in 2014. 2013 Strategies Will Co. CCC met monthly to evaluate opportunities. Will County Community 2013 - 2016 Implementation Strategy 2013 Progress Will Co. CCC met 9 times in 2013. Evaluated 5 different ideas. Invited potential community partners to join meetings and present their community program and need. Assessed feasibility of the idea, benefit to community and success of the initiative. Team chose to partner with the WillGrundy Medical Clinic. Ministry Role Community Partner Role PVLF Administrator organized and coordinated Will Co. CCC (PVLF, PSJMC, PHH, Franciscan Communities) meetings. Managed meetings. Will Co. CCC team worked together to manage assignments between meetings. Each member participated in organizing and communicating with potential community partners including inviting them to team meetings. Will Co. CCC (PVLF, PSJMC, PHH, Franciscan Communities) established collaboration with the Will-Grundy Medical Clinic to work together in 2014 to establish a formal plan to participate/volunteer in the Clinic with a focus on their QI project to reduce readmissions to hospitals and ERs. Measureable Outcomes Created successful partnership with Franciscan Communities in 2013 and met 9 times. Evaluated 5 community ideas. Chose Collaboration with Will-Grundy Medical Clinic. Goal to focus on the QI to reduce readmissions to the hospital and ER for their clients through education, counseling, etc. 33 Action Plan with Presence Health’s Involvement in Addressing the Needs 2013 Baseline This was the first year of establishing the Will Co. CCC team and establishment of community collaboration with the Will-Grundy Medical Clinic. There is not a base line for 2013. 2013 Outcome Accomplished establishing collaborating team and a community partner. Will County Community 2013 - 2016 Implementation Strategy 2014 Target Objective Establish formal plan with the Will-Grundy Medical Clinic through continued Will Co. CCC team meetings, completion of volunteer orientation at the clinic, establishment of tasks and a schedule. 2014 Measureable Outcomes Clinic data on reduction of readmissions to hospitals and ERs in 2014 through analyzation of education, counseling programs with clients and any other programs established in the 2014 Will Co. CCC team plan. 34 Next Steps for Priorities For each of the priority areas listed above, PSJMC, PVF and PHC will work with the Will County MAPP Collaborative and community partners to: Identify any related activities being conducted by others in the community that could be enhanced by collaborating with one another. Develop measurable goals and objectives so that the effectiveness of their efforts can be measured. Build support for the initiatives within the community and other healthcare providers. Develop detailed work plans and continually monitor progress. Will County Community 2013 - 2016 Implementation Strategy 35 Implementation Strategy Approval In alignment with our mission of providing compassionate, holistic care with a spirit of healing and hope in the communities we serve, Presence Health is committed to providing meaningful and measurable community benefit activities. In order to accomplish our mission, a formal approval process has been established both at the board and leadership levels. Annually the Implementation Strategy must be reviewed and approved by the Senior Leadership Team, Ministry Mission Committee of the Board and the Board of Directors. The following plan has been developed based on documented community need and analysis that reviewed community and ministry resources. This plan will be implemented in 2014. The below signatures signify that this plan has been reviewed and approved for 2014. ___________________________________ President & CEO Presence Saint Joseph Medical Center _______________ Date ___________________________________ President & CEO Presence Life Connections _______________ Date ___________________________________ Vice President, Mission Services Presence Saint Joseph Medical Center _______________ Date ___________________________________ Vice President, Mission Services Presence Life Connections _______________ Date Insert names and titles of primary staff responsible: _________________________________________________________________ Plan Prepared By ______________________________________ Mission Committee of the Board Adoption Date Presence Saint Joseph Medical Center ______________________________________ Mission Committee of the Board Adoption Date Presence Life Connections _______________________________ Board of Directors Approval Date Presence Saint Joseph Medical Center ____________________________________ Board of Directors Approval Date Presence Life Connections Will County Community 2013 - 2016 Implementation Strategy 36 Implementation Strategy Communication Presence Saint Joseph Medical Center, Presence Villa Franciscan and Presence Home Care will share the annual updates to the Implementation Strategy with all internal stakeholders including employees, volunteers and physicians. This document is available at www.presencehealth.org/community and is also broadly distributed within our community to stakeholders including community leaders, government officials, service organizations and community collaborators. The following notice is posted in several areas of PSJMC, PVF and PHC to assure community awareness of the Community Benefit Act. This report is on file with the Illinois Attorney General’s Office: Illinois Community Benefits Act This hospital annually files a report of its Community Benefit Plan with the Illinois Attorney General’s Office. This report is public information and available to the public by contacting: Charitable Trusts Bureau Office of the Attorney General 100 West Randolph Street, 3rd Floor Chicago, Illinois 60601-3175 (312) 814-3942 Required by Section 20(c) of Public Act 093-0480 Will County Community 2013 - 2016 Implementation Strategy 37