Elmbrook Memorial Campus
Transcription
Elmbrook Memorial Campus
WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Table of Contents Introduction ......................................................................................................... 2 Wheaton Franciscan Healthcare Statistics .................................................. 3 Wheaton Franciscan Healthcare Mission .................................................... 3 Wheaton Franciscan Healthcare 2015 Community Benefit ........................ 4 Wheaton Franciscan- Elmbrook Memorial Campus Description ............... 4 Our Community ................................................................................................... 6 Wheaton Franciscan- Elmbrook Memorial Campus Demographics .......... 9 Community Health Needs Assessment .......................................................... 16 Process and Methodology ........................................................................... 16 Health Telephone Survey ............................................................................. 17 Secondary Data Report ................................................................................ 18 Key Informant Interview Report ................................................................... 20 Comparative Analysis ...................................................................................... 21 Waukesha County Data Analysis ................................................................. 22 Evaluation of 2013 Implementation Plan ........................................................ 23 Significant Needs 2015 ..................................................................................... 25 Implementation Plan Overview 2015 ............................................................... 25 Appendices .................................................................................................. 28-31 1 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Wheaton FranciscanElmbrook Memorial Campus Community Health Needs Assessment Report Overview 2 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Milwaukee Health Care Partnership Wheaton Franciscan Healthcare is a member of the Milwaukee Health Care Partnership, a public / private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, five health systems aligned resources for the funding and design of a community health needs assessment (CHNA) in 2015; conducted in collaboration with the Milwaukee, Waukesha and Racine Health Departments as well as other municipal health departments. Supported by analysis from the Center for Urban Population Health, the Waukesha County CHNA Report includes findings from a community health survey of 400 adults, significant key informant interviews and a secondary data report. This shared CHNA serves as the foundation for Wheaton Franciscan Healthcare’s implementation strategy to improve health outcomes and reduce disparities in Waukesha County. Our Organization Started by the Wheaton Franciscan Sisters more than 130 years ago, Wheaton Franciscan Healthcare is a Catholic, not-for-profit organization with nearly 100 health and shelter organizations in Wisconsin, Iowa, Colorado, and Illinois. We are proud to be the second largest private employer in Southeast Wisconsin with more than 15,000 employees in Wisconsin, Illinois, Iowa and Colorado; in addition to more than 500 employed physicians. Hospitals in Southeast Wisconsin include Wheaton Franciscan Healthcare- All Saints in Racine County; Wheaton Franciscan- Elmbrook Memorial, Midwest Spine and Orthopedic Hospital and Wisconsin Heart Hospital Campus, Wheaton Franciscan Healthcare - St. Francis, Wheaton Franciscan Healthcare - Franklin, and Midwest Orthopedic Specialty Hospital in Milwaukee County; and Wheaton Franciscan – Elmbrook Memorial Campus in Waukesha County. The region also includes Wheaton Franciscan Medical Group with more than 350 physicians in more than 50 locations, a network of outpatient centers, two transitional and extended care facilities, Home Health, and Hospice. Our Mission Wheaton Franciscan Healthcare is committed to living out the healing ministry of Jesus by providing exceptional and compassionate health care that promotes the dignity and well being of the people we serve. 3 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Wheaton Franciscan Healthcare Community Benefit FY15 System Community Benefit $3,545,491 $730,610 $8,043,187 $493,532 $2,501,914 $403,703 Unreimbursed Cost of Government Sponsored Programs Charity Care Subsidized Health Services $10,016,482 Health Professions Education $34,472,456 Community Health Improvement Services Research $115,878,726 Community Building Activities Financial Contributions Community Benefit Operations Total Community Benefit: $176,086,101 For more than 130 years, Wheaton Franciscan – Elmbrook Memorial has had a special place in the community – offering compassionate, expert health care. Wheaton Franciscan - Elmbrook Memorial Campus, founded in 1969, is a full-service, acute care hospital conveniently located on a picturesque hillside in Brookfield, Wisconsin. One of the top hospitals in Waukesha County, Elmbrook Memorial Campus is a national awardwinning leader in patient satisfaction, clinical excellence and quality care. Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Elmbrook Memorial is a member of Wheaton Franciscan Healthcare System, Inc., and is sponsored by the Wheaton Franciscan and Felician Sisters. 4 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Our exceptional team of doctors offers a full range of healthcare services using the latest, cutting-edge diagnostic and surgical approaches. Some of our key services include: Comprehensive Heart Care Pregnancy & Birthing Surgical Services - including the latest minimally invasive approaches Cancer Care Center Our Elmbrook Memorial Campus is also home to Franciscan Woods, a sub-acute transitional care facility. 5 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Our Community: Waukesha County 6 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Wisconsin: Waukesha County- Population 392,511 7 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Waukesha County Communities served by Embrook Memorial Description of our community: Wheaton Franciscan- Elmbrook Memorial is located in Waukesha County. According to the most recent estimate by the U.S. Census Bureau, the population of Wisconsin 2015 was 5,771,357. Waukesha County alone stands at a population of 392,511. The top five ZIP codes in the community served by WF- Elmbrook Memorial are 53045, 53005, 53151, 53072, and 53186. Based on the population served by WF- Elmbrook, Wheaton defined its community based off of the population of patients the facility sees, input from key informants and socioeconomic status of the surrounding communities. Our hospital site views our community as extremely diverse taking into account not only internal patient demographic data, but outside demographics of the areas we serve. Most of the population of Waukesha County are between the ages of 25 and 54-years-old and have at least a high school degree. 8 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Based on 2014 information from the U.S. Census Bureau from our secondary data reports, the demographics of the population of Waukesha County are as follows: 9 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT 10 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Not only did the Elmbrook Memorial leadership team do an in depth analysis of the geographic and demographic data surrounding the site, but other determinants affecting the community were also taken into account when preparing an implementation plan. 11 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Secondary data reports also helped determine age demographics: Based on internal data from June, 2014 and July, 2015, Wheaton Franciscan- Elmbrook Memorial found the following demographics from the patients who visited our facility: Age Group Infant (Less than 1) 1-5 Years 6-12 Years 13-19 Yrs Teen 20-30 Yrs 31-40 Yrs 41-50 Yrs 51-60 Yrs 61-70 Yrs 71-80 Yrs 81-90 Yrs 91-100 Yrs Greater than 100 Total EMH 1.2% 0.5% 0.7% 2.3% 5.4% 7.6% 13.4% 20.2% 20.0% 16.6% 10.1% 1.9% 0.0% 100% 12 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Ethnicity AFRICAN AMERICAN/BLACK WHITE/CAUCASIAN OTHER ASIAN UNKNOWN AMERICAN INDIAN OR ALASKA NATIVE HAWAIIAN/PACIFIC ISLANDER MULTIRACIAL Grand Total EMH 5.3% 91.4% 0.0% 1.6% 1.4% 0.1% 0.1% 0.2% 100% The following demographic categories were listed as the most predominant groups residing in the population that WF- Elmbrook serves: Parks and Rec Achieved the dream of home ownership by living within means and buying an affordable older home in a well-established neighborhood. They are practical suburbanites who are two-income, married couples approaching retirement age; however, still working because they are comfortable in their jobs and homes with no plans to retire soon. Stocking up on staples at warehouse stores and thoroughly researching big-ticket items before purchase confirm consumer caution. This also extends to vehicles; price and practicality are primary considerations before selecting a domestic truck or SUV. Exercising is part of routine; they take advantage of local parks, gyms, and home equipment. Movies, dinner out, and gambling online or at casinos fill leisure hours. In Style Professional couples or singles with strong work ethics and no kids. They embrace urbane lifestyles that support the arts, travel, and extensive reading. To reflect style, they focus on home maintenance and improvement; will undertake remodeling projects or hire contractors. Always connected, they carry smartphones and use many of the features. Healthy investment income boosts wages and net worth. Well-invested and well-insured, they are already preparing for retirement. When shopping, they check for the best prices and redeem both regular and mobile coupons for even better deals. Green Acres They're older, self-reliant, married couples who are still working, but edging toward retirement. Most of them have no children living at home. They earn income from wages and salaries, investments, and increasingly, Social Security benefits. Country life is for them, so you'll find them in the rural pockets of urban areas, living in older 13 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT single-family homes with acreage. Because their homes are older, they handle maintenance and remodeling projects themselves, and own the proper tools to accomplish the tasks. Vegetable gardening is a priority. They're active in the community and are members of fraternal organizations and veterans' clubs. Even though they're pessimistic about the economy, they're not afraid of carrying some debt, such as home and car loans. They spend cautiously, focusing on quality and durability. Technology isn't important; even though they shop and bank online, the Internet is primarily for entertainment. Old and Newcomers Their neighborhoods are in transition: most of them are singles on a budget and renting because they're either beginning our careers or retiring. The differences in their ages somewhat dictates their tastes: the younger residents are comfortable with technology, may still be in college, or would support environmental causes. Older residents may take adult education classes or prefer to keep their landline. They focus on convenience and economy. They're just as likely to bank online as in person. Some will go online to play games and visit dating sites; other entertainment includes watching movies at home, listening to country music, and reading newspapers. Food tends to be convenient, frozen meals and fast food. Savvy Suburbanites They're empty nesters or empty-nester wannabes who still have adult children living at home in established, owner occupied suburban neighborhoods. They're well-educated, well-read, and well-capitalized. They research products prior to purchase, and seek quality instead of price. Technology is used for everything including communicating, shopping, banking, and staying current on the news. Even though they're financially secure, they use a variety of resources for informed investing. They're not afraid of debt and may carry first and second mortgages and a line of credit. Late-model SUVs, station wagons, and minivans may be in their driveways. They're foodies and enjoy cooking; natural or organic products are preferred. They exercise, and buy top-of-the-line gear for golf and skiing. Good food and wine and cultural events are also not to be missed. Professional Pride They're well-educated, two income, goal-oriented professionals who prospered during the Great Recession. To support their upscale suburban lifestyle, both parents work, tolerating long hours and long commutes. Their schedules are complicated, balancing work and activities for their school-aged kids. Because they’re all so busy, organization is critical to daily life. To save time, they contract for home maintenance services such as housekeeping and professional cleaners. They’re experts on all of our devices. Financially savvy, they continue to invest wisely and grow our portfolios. Interest payments and dividends boost household income. The comforts of home are priorities; they're proud of our picture-perfect 14 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT homes, constantly upgrading, and will spend time and money on projects. Everyone in the family reads on tablets, e-readers, or smartphones, but prefer hard copies of epicurean, home, or sports magazines. Comfortable Empty Nesters You can find them in the suburbs and small towns of metro areas across the country. Transitioning from child-rearing to retirement, those still working are earning a comfortable living from jobs in government, health care, or manufacturing. Financial well-being is a priority; they've invested prudently in stocks, real estate, mutual funds, and CDs throughout the years. They attend to home maintenance issues and physical exercise; play golf, ski, ride bikes, and work out regularly. Going online isn't particularly important; they log on occasionally on older computers. Golden Years You'll find them in large metro areas outside major cities scattered across the US. They're active, independent seniors who are either retired or nearing the end of our careers. Those who are still working have professional jobs. Most of them are singles or empty nesters. They're enjoying life: they stay busy with lots of interests such as travel, sports, eating out, visiting museums, attending concerts, and focusing on their physical fitness and good health. They go online for everything: banking, shopping, checking investments, and entertainment. They donate generously to the arts and other organizations. They read daily newspapers, particularly the Sunday edition, when they have more time. They keep a landline and use cell phones only as a convenience. TV is for news, sports, and on-demand movies Exurbanites Married couples who are empty nesters or who have no children, they're approaching retirement, but not slowing down. They're sociable and hard-working. Even though they live farther out from large metros, their lifestyle is cultural and urbane; they support the arts and public radio/TV. They rely on advice from our financial planners, and hold a wide range of investments in their healthy portfolios. They still carry mortgages on their large and valuable single-family homes. Gardening and home improvement projects are priorities; however, they'll also hire home care, maintenance, and personal care services. They go online for everything. Quality instead of price governs their shopping choices. 15 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT 2015 Community Health Needs Assessment Process and Methodology 16 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Wheaton Franciscan Healthcare partnered with the Milwaukee Health Care Partnership (the Partnership) which includes Aurora Health Care, Children’s Hospital of Wisconsin, Columbia St. Mary’s Health System, Froedtert Health and public health departments to collaboratively conduct a community health needs assessment. Third-party organizations, JKV Research, LLC and Center for Urban Population Health were contracted to help conduct the assessment. The assessment consisted of 3 key processes in order to obtain data, a telephone health survey, secondary data research and key informant interviews and focus groups. Health Telephone Survey The first was a health survey which consisted of questions to the broader community through a telephone interview. Through a third-party organization, JKV Research, LLC, a telephone interview was conducted to a random sample of community members which included the medically underserved, low-income and minority populations. A total of 400 telephone interviews were completed between February 2 and February 23, 2015 for Waukesha County. The sampling strategy was a random digit dial landline sample of telephone numbers and a cell phone sample. We recognize that gaps would include the inability to reach respondents so 8 attempts were made to reach each interviewee. Respondents were asked a series of questions developed by the Partnership in the following categories: • • • • • • • • • • • • • • • • • • Overall health Health care coverage Care needed and not received Health information and services Routine procedures Vaccinations Health conditions in past 3 years Physical health Women’s health Men’s health Screenings Cigarette use Exposure to smoke Mental health status Personal safety Alcohol use Household problems Children in household Respondents were also asked to rate their top 3 of 8 health concerns. A more in depth analysis of these findings will be discussed further in the report. Respondents were asked to rate the top community health issues out of eight listed. 17 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Those top concerns for Waukesha County are as follows: Chronic Diseases Alcohol or Drug Use Violence For the full Health Telephone Survey Report, click here. Secondary Data Research The second piece of the assessment was secondary data research. In collaboration with the Milwaukee Health Care Partnership, Wheaton Franciscan- Elmbrook Memorial enlisted the Center for Urban Population Health to develop a report highlighting demographics, socioeconomic status and other key learnings. Information from the 2014 U.S. Census Bureau, County Health Rankings and Healthy People 2020 were a few of the reliable resources contributing to the report. The secondary data report was specifically developed to compliment the telephone survey for Waukesha County. Because of their complimentary nature, the secondary data report is not all inclusive. All of the data used in the report came from publicly available data sources. Below is a table which summarizes the Waukesha County Health Rankings. Waukesha County clearly ranks higher than both Wisconsin and National benchmarks in many categories. Key takeaways from the 2015 County Health Rankings for Waukesha County that were key drivers of the Wheaton Franciscan- Elmbrook Implementation Plan were the population’s health was fair or poor at 10% compared to the top U.S. performers at 10%; poor physical days at 3.1 compared to U.S. top performers of 2.5;and obesity remaining at 27% compared to top U.S. performers at 25%. 18 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT For the full secondary data report, click here. 19 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Key Informant Interviews The third piece of the assessment process was conducting interviews and focus groups with key stakeholders in the community in the spring and summer of 2015. This process was primarily important to add input from those organizations that represent the broader interests of the community as well as provide public health input. Wheaton Franciscan Healthcare collaborated with ProHealth Care and the Waukesha County health department to conduct these interviews and focus groups. (A full list of participants can be found in Appendix B) A total of 50 key informants were interviewed and key themes that emerged from the participants related to rising health concerns were poverty, race, chronic diseases, social marketing, schools, health literacy and health insurance coverage and access to care. When asked to rank their top 5 health related issues in the county the issues ranked most consistently were: Mental health Alcohol and other drug use Chronic disease Access to health services Physical Activity Other unmet needs in the community that were identified were oral health, reproductive and sexual health, healthy growth and development, communicable disease prevention, tobacco use and exposure, and environmental and occupational health. For a full Key Informant Interview Report, click here. 20 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Wheaton FranciscanElmbrook Memorial Comparative Analysis 21 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT During the 2013-2016 timeframe in which the 2013 Community Health Needs Assessment and Implementation Plans were posted on our website, no submitted comments were received directly to Wheaton Franciscan Healthcare from the general public regarding the work. However, through the 3 years of implementation, several meetings and updates were given to participating groups as well has key groups in the community on the progress of our work in making an impact on the needs identified for each of our sites. Below provides an analysis of the three-year change in data and the significance in how impactful the work has been in a short amount of time. Wheaton Franciscan Healthcare has been a key component in the support of various programs and services offered to make a difference within our communities. 2012 Data vs. 2015 Data: When comparing the overall health concerns identified by the telephone survey respondents, Wheaton Franciscan Healthcare found that the top three concerns remained the same during the analysis. Those top concerns for Waukesha County are as follows: Waukesha County: Health Concern Chronic Disease Alcohol or Drug Use Mental Health or Depression 2012 68% 70% 36% 2015 75% 72% 41% Other Waukesha County select findings 2015: From 2012-2015 there was a statistical change in the overall percentage of respondents who reported: No health care coverage (from 6% to 2%) Their health as fair or poor (from 10% to 11%) High blood pressure (from 26% to 33%) Asthma (from 8% to 8%) Diabetes (from 7% to 9%) Overweight (from 65% to 70%) Considered suicide (from 2% to 4%) 22 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Evaluation of Wheaton Franciscan Healthcare 2013 Implementation Plan 23 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Evaluation of Wheaton Franciscan Healthcare 2013 Implementation Plan At the time of publishing this report, evaluations were made on the timeframe of July 1, 2013 through December 31, 2015. In 2013, Wheaton Franciscan- Elmbrook Memorial carefully evaluated the data that was collected and focused on health needs that would be greatly benefited by the resources available. Those key health needs were: Access to Care Promoting a Healthy Lifestyle with a focus on: o Obesity o High Blood Pressure o Diabetes Over the three years that this plan was in place for the community surrounding Elmbrook’s Campus, several strategies were used to help impact the community. Specifically for access to care, strategies included assisting 2532 new patients obtain coverage through WI Medicaid or financial assistance through the WFH Community Care/Charity program and making outreach to the self-pay patient population to help with questions they may have around Marketplace enrollment. Another goal that Wheaton Franciscan- Elmbrook Campus focused on was a healthy lifestyle, specifically focusing on obesity, high blood pressure and diabetes. Since 2013, Elmbrook Memorial Campus has taken several steps to help impact the community in a positive way when it comes to the healthy lifestyle of the communities we serve. Some of those initiatives were offering pre-diabetes classes to help educate the community on ways to reduce the risk for developing Type II diabetes, continuing to offer the Walk with a Wheaton Doc year round, holding National Nutrition Month activities, holding the ReNew You Program and educating school age children about the importance of a healthy lifestyle. After a thorough evaluation of the impact that Elmbrook Campus made in the community, we found that there were negative trends in the Waukesha County data as received by the community health telephone surveys: Implementation Plan Health Concern Access (Unmet care) Overweight High Blood Pressure Diabetes 2012 2015 4% 65% 26% 7% 9% 70% 33% 9% This data only confirmed the importance of continuing our efforts in meeting these health needs. While we do believe that our support in these community wide efforts have made a positive impact on these needs, we still feel that continued focus will only help positively change the health outcomes moving forward. After careful consideration and the reality of a negative trend in the survey results for the above needs, Elmbrook will continue to focus 24 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT on efforts for the next three years in meeting these specific needs of the community as well as support other efforts in a secondary capacity as needed. Significant Needs Identified 2015: Wheaton Franciscan Healthcare market presidents appointed key leaders in the organization to analyze data that was gathered, determine resource availability of the facility and identify the needs that would be addressed at this time. Several meaningful meetings were held with sub-committees in each of the top areas identified prior to setting the priority needs to address in our initial plan. Through our assessment and review of all of the findings from the research, our summary of the top community needs are: Access to care Coverage Alcohol and drug use Injury and violence Chronic Disease High blood pressure Infant mortality Nutrition and obesity Mental and behavioral health Wheaton Franciscan Healthcare has assessed the resources available at the WF- Elmbrook facility when choosing the following priorities to address at this time. Please see the full 2016 Implementation Plan for ways in which we are addressing the following needs: Access to Care Promoting a Healthy Lifestyle with a focus on Obesity, High Blood Pressure and Diabetes While our organization understands the importance of meeting all of the needs of the community, an in depth assessment was completed in which the key leaders involved with work within the Elmbrook facility were able to identify the needs that would be most impacted by the site. The top health needs identified by the Elmbrook leadership team through the community health needs assessment that were not a part of the current implementation plan were as follows: Coverage: Wheaton Franciscan- Elmbrook Memorial feels that this significant need is outside of our scope of services. We are committed to focusing efforts on providing access to care to those within our community regardless of their coverage. We will continue to support other initiatives regarding this need in a secondary capacity when necessary. Alcohol and Drug Use: While Wheaton Franciscan- Elmbrook Memorial understands this growing concern, at the time of assessment, the resources and expertise were not available to address and make a meaningful impact on alcohol 25 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT and drug use. During the community health needs assessment process, the Milwaukee Health Care Partnership was made aware of several existing strategies through our key informants. Key informants indicated a number of organizations across sectors are already addressing these issues by providing services, and education is in place within the schools. Specific strategies named include needle exchange and Sharps collection programs, public campaigns and media coverage of the issues, prescription drug drop off locations, the Wisconsin Prescription Drug Monitoring Program (PDMP), medication lock boxes sold at cost, the Community Health Improvement Plan, and community capacity building. We are committed to supporting these efforts in a secondary capacity as necessary. Injury and Violence: Wheaton Franciscan- Elmbrook Memorial feels that this significant need is outside of our scope of services. During the community health needs assessment process, the Milwaukee Health Care Partnership was made aware of several existing strategies through our key informants. Existing strategies to address injury prevention include home assessment, injury prevention programs for seniors, newsletters, car seat checks and car safety programs, bicycle rodeos, messages in school planners, promotion of helmet use, and pedestrian safety messaging. Related to crime, validated risk assessment tools, addressing poverty, community policing, the Community Justice Council, hotspotting, Project Ujima, the Medical College of Wisconsin Injury Research Center, and the Milwaukee Peace Summit were existing strategies named. Regarding family violence and child abuse, Sojourner Family Peace Center’s programs; the Hmong American Women’s Association’s programs, services, and support within the clan system; the Safe and Sound Collaborative; family support services; implementing trauma informed care principles; Denim Day and other awareness campaigns; and mindfulness programs were named as existing strategies to address violence. Due to the lack of resources and expertise within Wheaton Franciscan- Elmbrook Memorial in this area, we have committed to supporting this need in a secondary capacity as necessary. Mental and Behavioral Health: While Wheaton Franciscan- Elmbrook Memorial understands this growing concern, at the time of assessment, the resources and expertise were not available to address and make a meaningful impact on Mental and Behavioral Health. During the community health needs assessment process, the Milwaukee Health Care Partnership was made aware of several existing strategies through our key informants. Key informants named the following existing strategies in the county to address mental health: inpatient and outpatient mental health services; increased bullying awareness; housing first strategy; community behavioral health redesign is underway; Milwaukee Center for Independence programming that manages medication and re-integrates people with mental health issues into the community, jobs, and housing; crisis intervention training for employees; efforts within schools and school-community partnerships; mental and behavioral health task forces; implementing trauma informed care; and more mental health providers are being added in the community. As noted above, the team leading the implementation process found that not only were some of these needs being addressed through other aspects of the plan, but that they were also being addressed by other programs within the community with more of an expertise on the issues as well as a capacity of resources available to focus on those efforts. Wheaton Franciscan- Elmbrook Memorial is committed to continue to support those other health care components in a secondary capacity when necessary. 26 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Wheaton Franciscan- Elmbrook Memorial will partner with the following organizations to address the needs identified in our assessment: Resources Identified to Address Significant Health Needs Milwaukee Health Care Partnership Public Health Departments Educational Systems The health of our community has always been important to those of us at Wheaton Franciscan Healthcare. We would like to thank the many people who contributed to this important research, and we are committed to doing our part to address the needs identified. Together, we are making our community stronger, healthier, and better. 27 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Appendix A Partners Involved- 2015 Community Health Needs Assessment: Milwaukee Health Care Partnership: • • • • • Aurora Health Care Children’s Hospital of Wisconsin Columbia St. Mary’s Health System Froedtert Health System Milwaukee Public Health Department JKV Research, LLC Center for Urban Population Health Management Decisions Incorporated Waukesha County Health Department 28 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Appendix B Key Informant Interview Participants and Focus Groups: 29 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT 30 WHEATON FRANCISCAN – ELMBROOK MEMORIAL CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT Appendix C References in this Report: 2012 Waukesha County Community Health Survey Report 2012 Waukesha Secondary Data Report 2012 Waukesha Key Informant Interview Report 2015 Waukesha County Community Health Survey Report 2015 Waukesha Secondary Data Report 2015 Waukesha Key Informant Interview Report American Fact Finder/ 2010 U.S. Census Healthy People 2020 County Health Rankings and Roadmaps Esri Tapestry Segmentation 31