TUOMEY HEALTHCARE SYSTEM SUMTER, SOUTH CAROLINA

Transcription

TUOMEY HEALTHCARE SYSTEM
SUMTER, SOUTH CAROLINA
2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND
IMPLEMENTATION PLAN
ADOPTED BY BOARD RESOLUTION JULY 22, 20131
1
Response to Schedule H (Form 990) Part V B 2
Dear Community Resident:
Tuomey Healthcare System (THS) welcomes you to review this document as we strive to meet the
health and medical needs in our community. All not-for-profit hospitals are required to develop this
report in compliance with the Affordable Care Act.
The “2013 Community Health Needs Assessment” identifies local health and medical needs and
provides a plan to indicate how THS will respond to such needs. This document suggests areas
where other local organizations and agencies might work with us to achieve desired improvements
and illustrates one way we, THS, are meeting our obligations to efficiently deliver medical services.
THS will conduct this effort at least once every three years. As you review this plan, please see if, in
your opinion, we have identified the primary needs and if our intended response should make
appropriate needed improvements.
We do not have adequate resources to solve all the problems identified. Some issues are beyond the
mission of the hospital and action is best suited for a response by others. Some improvements will
require personal actions by individuals rather than the response of an organization. We view this as a
plan for how we, along with other organizations and agencies, can collaborate to bring the best each
has to offer to address the more pressing, identified needs.
The report is a response to a federal requirement of not-for-profit hospital’s to identify the
community benefit it provides in responding to documented community need. Footnotes are
provided to answer specific tax form questions; for most purposes, they may be ignored. Of greater
importance, however, is the potential for this report to guide our actions and the efforts of others to
make needed health and medical improvements.
Please think about how to help us improve the health and medical services our area needs. I invite
your response to this report. We all live and work in this community together and our collective
efforts can make living here more enjoyable and healthier.
Thank You
Tuomey Healthcare System
Sumter, South Carolina
Community Health Need Assessment
Page i
Table of Contents
Executive Summary ........................................................................................................................................... 1 Project Objectives ......................................................................................................................................... 2 Brief Overview of Community Health Needs Assessment .................................................................... 2 Financial Opportunity Summary ................................................................................................................. 4 Approach............................................................................................................................................................. 5 Findings .............................................................................................................................................................10 Definition of Area Served by the Hospital Facility ................................................................................11 Demographic of the Community ..............................................................................................................12 Leading Causes of Death ...........................................................................................................................15 Primary and Chronic Disease Needs and Health Issues of Uninsured Persons, Low-Income
Persons, and Minority Groups ..................................................................................................................16 Findings ........................................................................................................................................................21 Conclusions from Public Input to Community Health Needs Assessment .......................................21 Summary of Observations from Sumter County Compared to All Other South Carolina Counties,
in Terms of Community Health Needs ...................................................................................................22 Summary of Observations from Sumter County Peer Comparisons ..................................................23 Conclusions from the Demographic Analysis Comparing Sumter County to National Averages .24 Key Conclusions from Consideration of the Other Statistical Data Examinations ..........................25 Existing Health Care Facilities and Resources and Implementation Plan...............................................27 Significant Needs .........................................................................................................................................29 Other Needs identified during the CHNA process ...............................................................................50 Overall Community Need Statement and Priority Ranking Score:......................................................71 Appendices........................................................................................................................................................73 Appendix A – Area Resident Survey Response ......................................................................................74 Appendix B – Process to Identify and Prioritize Community Need ...................................................80 Appendix C – Illustrative Schedule H (Form 990) Part V B Potential Response .............................86 Proprietary
Community Health Needs Assessment
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EXECUTIVE SUMMARY
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Executive Summary
Tuomey Healthcare System ("THS" or the "Hospital") is organized as a not-for-profit hospital. A
Community Health Needs Assessment (CHNA) is part of the required hospital documentation of
“Community Benefit” under the Affordable Care Act (ACA), required of all not-for-profit hospitals
as a condition of retaining tax-exempt status. A CHNA assures THS identifies and responds to the
primary health needs of its residents.
This study is designed to comply with standards required of a not-for-profit hospital2. Tax reporting
citations in this report are superseded by the most recent 990 H filings made by the hospital.
In addition to completing a CHNA, and funding necessary improvements, a not-for-profit hospital
must document the following:

Financial assistance policy and policies relating to emergency medical care;

Billing and collections; and

Charges for medical care.
Further explanation and specific regulations are available from Health and Human Services (HHS),
the Internal Revenue Service (IRS), and the U.S. Department of the Treasury3.
Project Objectives
THS partnered with Quorum Health Resources (QHR) for the following4:

Complete a CHNA report, compliant with Treasury – IRS;

Provide the Hospital with information required to complete the IRS – 990h schedule; and

Produce the information necessary for the Hospital to issue an assessment of community
health needs and document its intended response.
Brief Overview of Community Health Needs Assessment
Typically, non-profit hospitals qualify for tax-exempt status as a Charitable Organization, described
in Section 501(c) 3 of the Internal Revenue Code; however, the term 'Charitable Organization' is
undefined. Prior to the passage of Medicare, charity was generally recognized as care provided to the
less fortunate without means to pay. With the introduction of Medicare, the government met the
burden of providing compensation for such care.
Part 3 Treasury/IRS – 2011 – 52 Notice … Community Health Needs Assessment Requirements…
As of the date of this report Notice of proposed rulemaking was published 6/26/2012 and available at
http://federalregister.gov/a/2012-15537
4 Part 3 Treasury/IRS – 2011 – 52 Section 3.03 (2) third party disclosure notice
2
3
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In response, IRS Revenue ruling 69-545 eliminated the Charitable Organization standard and
established the Community Benefit Standard as the basis for tax-exemption. Community Benefit
determines if hospitals promote the health of a broad class of individuals in the community, based
on factors including:

Emergency room open to all, regardless of ability to pay;

Surplus funds used to improve patient care, expand facilities, train, etc.;

Controlled by independent civic leaders; and

All available and qualified physicians are privileged.
Specifically, the IRS requires:
5

Effective on tax years beginning after March 23, 2012, each 501(c) (3) hospital facility is
required to conduct a CHNA at least once every three taxable years and adopt an
implementation strategy to meet the community needs identified through such assessment;

The assessment may be based on current information collected by a public health agency or
non-profit organization and may be conducted together with one or more other
organizations, including related organizations;

The assessment process must take into account input from persons who represent the broad
interests of the community served by the hospital facility, including those with special
knowledge or expertise of public health issues;

The hospital must disclose in its annual information report to the IRS (Form 990 and related
schedules) how it is addressing the needs identified in the assessment and, if all identified
needs are not addressed, the reasons why (e.g., lack of financial or human resources);

Each hospital facility is required to make the assessment widely available and ideally
downloadable from the hospital web site;

Failure to complete a CHNA in any applicable three-year period results in a penalty to the
organization of $50,000. For example, if a facility does not complete a CHNA in taxable
years one, two, or three, it is subject to the penalty in year three. If it then fails to complete a
CHNA in year four, it is subject to another penalty in year four (for failing to satisfy the
requirement during the three-year period beginning with taxable year two and ending with
taxable year four); and

An organization that fails to disclose how it is meeting needs identified in the assessment is
subject to existing incomplete return penalties.5
Section 6652
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Financial Opportunity Summary
THS intends to work toward maintaining a Community Benefit allocation similar to current
expenditures6 and as augmented in the Implementation Strategy in its response to Community
Benefit7 obligations (see chart below).
12 Months Ending October 20128
Net Revenue
$199,638,080
Bad Debt
$10,492,116
Total Net Revenue
$189,145,964
$5,674,379
Community Benefit Goal
to
3% to 5% of Total Net Revenue
$9,457,928
Current Charity
$39,112,568
990 Documented Community
$5,093,1249
Benefit
Response to Schedule H (Form 990) Part V B 6 f
“Community Benefit” is defined as the term used in the Affordable Care Act and by the IRS 990 instructions. This
term may be defined differently by the Hospital when complying with reporting requirements of “Community Benefit”
or “Charity” as defined by the State. Amounts shown are for planning and budgetary purposes only. Actual dollar
allocations will vary year to year and are documented on the Corporate 990 return.
8 All values unless otherwise cited are obtained from the QHR comparative database, except “990 Documented
Community Benefit” and “CHNA Anticipated Expenditures” both of which are sourced from the hospital.
9 From THS 9/30/2011 Form 990 Schedule H, Line 7K Column (e)
6
7
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APPROACH
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Approach
To complete a CHNA, the hospital must:


Describe the processes and methods used to conduct the assessment;
o
Sources of data and dates retrieved;
o
Analytical methods applied;
o
Information gaps impacting ability to assess the needs; and
o
Identification of with whom the Hospital collaborated.
Describe how the hospital gained input from community representatives;
o
When and how the organization consulted with these individuals;
o
Names, titles, and organizations of these individuals; and
o
Any special knowledge or expertise in public health possessed by these individuals.

Describe the process and criteria used in prioritizing health needs;

Describe existing resources available to meet the community health needs; and

Identify the programs and resources the hospital facility plans to commit to meeting each
identified need and the anticipated impact of those programs and resources on the health
need.
QHR takes a comprehensive approach to assess community health needs. We perform several
independent data analyses based on secondary source data, augment this with local survey data, and
resolve any data inconsistency or discrepancies from the combined opinions formed from local
experts. We rely on secondary source data - and most secondary sources use the county as the
smallest unit of analysis. We asked our local expert area residents, to note if they perceived the
problems, or needs, identified by secondary sources to exist in their portion of the county.10
The data displays used in our analysis are presented in the Appendices. Data sources include:11
Web Site or Data Source
Data Element
Date Accessed
Data Date
www.countyhealthrankings.org
Assessment of health needs of
Sumter County compared to all
SC counties
October 16, 2012
2002 to 2010
www.communityhealth.hhs.gov
Assessment of health needs of
Sumter County compared to its
national set of “peer counties”
October 16, 2012
1996 to 2009
10
11
Response to Schedule H (Form 990) Part V B 1 i
Response to Schedule H (Form 990) Part V B 1 d
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Web Site or Data Source
Data Element
Date Accessed
Truven (formerly known as Thomson)
Market Planner
Assess characteristics of the
hospital’s primary service area, at
a zip code level, based on
classifying the population into
various socio-economic groups,
determining the health and
medical tendencies of each group
and creating an aggregate
composition of the service area
according to the contribution
each group makes to the entire
area; and, to access population
size, trends and socio-economic
characteristics;
October 16, 2012
2012
www.capc.org and
www.getpalliativecare.org
To identify the availability of
Palliative Care programs and
services in the area
October 16, 2012
2012
www.caringinfo.org and iweb.nhpco.org
To identify the availability of
hospice programs in the county
October 16, 2012
2012
www.healthmetricsandevaluation.org
To examine the prevalence of
diabetic conditions and change in
life expectancy
October 16, 2012
1989 through
2009
www.dataplace.org
To determine availability of
specific health resources
October 16, 2012
2005
www.cdc.gov
To examine area trends for heart
disease and stroke
October 16, 2012
2007 to 2009
www.CHNA.org
To identify potential needs among
a variety of resource and health
need metrics
February 15, 2013
2003 to 2010
www.datawarehouse.hrsa.gov
To identify applicable manpower
shortage designations
October 16, 2012
2013
www.worldlifeexpectancy.com/usahealth-rankings
To determine relative importance
among 15 top causes of death
February 28, 2013
2010 published
11/29/12

12
Data Date
In addition, we deployed a CHNA survey within the local population for any resident to
complete.12
Response to Schedule H (Form 990) Part V B 1 h
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
We received community input from 165 area residents; survey responses started Monday,
August 27, 2012 at 8:21 a.m. and ended with the last response on Tuesday, October 9, 2012
at 8:45 p.m.;

The terms of gaining input stipulated each respondent would remain anonymous;

The internet-based survey was promoted through an email list maintained by the Hospital
and distributed to local civic and health organizations with a request for participation.
Preliminary conclusions were presented to a local group of experts, who were asked to
validate prior assessments and establish priority among various identified health and medical
issues13; and

Information analysis augmented by local opinions showed how Sumter County relates to its
peers in terms of primary and chronic needs and other issues of uninsured persons, lowincome persons, and minority groups; respondents commented on if they believe certain
population groups (or people with certain situations) need help to improve their condition,
and if so, who needs to do what14.
When the analysis was complete, we put the information and summary conclusions before our local
group of experts15 who were asked to agree or disagree with the summary conclusions. They were
free to augment potential conclusions with additional statements of need; and new needs did emerge
from this exchange.16 Consultation with 17 local experts occurred again via an internet-based survey
(explained below) during the period beginning Friday, November 2, 2012 8:28 A.M. and ending
Wednesday November 14, 2012 2:34 P.M.
With the prior steps identifying potential community needs, the local experts participated in a
structured communication technique called a Delphi method, originally developed as a systematic,
interactive forecasting method which relies on a panel of experts. Experts answer questionnaires in a
series of rounds. We contemplated and implemented one round as referenced during the above
dates. After each round, we provide an anonymous summary of the experts’ forecasts from the
previous round, as well as reasons provided for their judgments. The process encourages experts to
revise their earlier answers in light of the replies of other members of their panel. Typically, this
process decreases the range of answers and moves the expert opinions toward a consensus "correct"
answer. The process stops when we identify the most pressing, highest priority community needs.
In the THS process, each local expert allocated 100 points among all identified needs, having the
opportunity to introduce needs previously unidentified and challenge conclusions developed from
the data analysis. A rank order of priorities emerged, with some needs receiving none or virtually no
support and other needs receiving identical point allocations.
Part response to Schedule H (Form 990) Part V B 3
Response to Schedule H (Form 990) Part V B 1 f
15 Part response to Schedule H (Form 990) Part V B 3
16 Response to Schedule H (Form 990) Part V B 1 e
13
14
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We dichotomized the rank order into two groups: high priority needs and low priority needs. The
determination of the break point - high as opposed to low - was a qualitative interpretation by QHR
and the THS executive team where a reasonable break point in rank occurred, indicated by the
weight amount of points each potential need received and the number of local experts allocating any
points to the need. When presented to the THS executive team, the dichotomized need rank order
identified which needs the Hospital considered high responsibility to respond vs. low responsibility
to respond. The result provided a matrix of needs and guided the Hospital in developing its
implementation response17.
17
Response to Schedule H (Form 990) Part V Section B 6 g, h and Part V B 1 g
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FINDINGS
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Findings
Definition of Area Served by the Hospital Facility18
THS, in conjunction with QHR, defines its service area as Sumter County in South Carolina, which
includes the following ZIP codes:
29128 – Rembert
29154 – Sumter
29152 – Shaw, AFB
29040 – Dazell
29150 – Sumter
29168 – Wedgefield
29153 – Sumter
29104 – Mayesville
29125 - Pinewood
In 2011, the Hospital received 83.5% of its patients from this area.19
18
19
Responds to IRS Form 990 (h) Part V B 1 a
Truven MEDPAR patient origin data for the hospital; Responds to IRS Form 990 (h) Part V B 1 a
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Demographic of the Community20
The 2012 population for Sumter County is estimated to be 110,28221 and expected to increase at a
rate of 2.7%. This is in contrast to the 3.9% national rate of growth and the South Carolina growth
rate of 6.4%. Sumter County in 2017 anticipates a population of 113,207.
According to the population estimates utilized by Truven, provided by The Neilson Company, the
2012 median age for the county is 35.8 years, which is younger than the South Carolina median age
(37.5 years) and the national median age (36.8 years). The 2012 Median Household Income for the
area is $37,403, which is lower than the South Carolina median income of $42,583 and the national
median income of $49,559. Median Household Wealth value also is below the National and the
South Carolina values. The Median Home Values show the same pattern as Household Wealth.
Sumter’s unemployment rate as of October 2012 was 9.5%22, which is worse than the 8.6%
statewide and the national civilian unemployment rates.
The portion of the population in the county over 65 is 13.6%, the same as the South Carolina
average. The portion of the population of women of childbearing age is 20.5%, above the South
Carolina and national average of 20.1%. 47% of the population is Black non-Hispanic and 46.3% is
White non-Hispanic. The Hispanic population comprises 3.5% of the total.
Dem ographics Expert 2.7
2012 Dem ographic Snapshot
Area: Sum pter Co SC
Level of Geography: ZIP Code
DEMOGRAPHIC CHARACTERISTICS
Selected
Area
106,193
110,282
113,207
2.7%
$48,351
2000 Total Population
% Change 2012 - 2017
Average Household Incom e
USA
281,421,906
313,095,504
325,256,835
3.9%
$67,315
Total Male Population
Total Fem ale Population
Fem ales, Child Bearing Age (15-44)
POPULATION DISTRIBUTION
2012
23,961
4,810
11,760
13,895
28,575
12,289
14,992
110,282
% of Total
21.7%
4.4%
10.7%
12.6%
25.9%
11.1%
13.6%
100.0%
2017
25,230
4,605
11,103
15,822
26,258
13,705
16,484
113,207
% of Total
22.3%
4.1%
9.8%
14.0%
23.2%
12.1%
14.6%
100.0%
USA 2012
% of Total
20.2%
4.3%
9.7%
13.5%
28.1%
11.4%
12.9%
100.0%
EDUCATION LEVEL
2012 Adult Education Level
Less than High School
Som e High School
High School Degree
Som e College/Assoc. Degree
Bachelor's Degree or Greater
Total
2017
% Change
54,073
3.1%
59,134
2.3%
22,168
-1.7%
HOUSEHOLD INCOME DISTRIBUTION
Age Distribution
Age Group
0-14
15-17
18-24
25-34
35-54
55-64
65+
Total
2012
52,456
57,826
22,559
2012 Household Incom e
<$15K
$15-25K
$25-50K
$50-75K
$75-100K
Over $100K
Total
Incom e Distribution
USA
HH Count % of Total
% of Total
7,931
19.0%
13.0%
5,984
14.3%
10.8%
13,224
31.6%
26.7%
7,710
18.4%
19.5%
3,516
8.4%
11.9%
3,439
8.2%
18.2%
41,804
100.0%
100.0%
RACE/ETHNICITY
Education Level Distribution
USA
Pop Age 25+ % of Total % of Total
4,347
6.2%
6.3%
8,862
12.7%
8.6%
22,044
31.6%
28.7%
22,124
31.7%
28.5%
12,374
17.7%
27.8%
69,751
100.0%
100.0%
Race/Ethnicity
White Non-Hispanic
Black Non-Hispanic
Hispanic
Asian & Pacific Is. Non-Hispanic
All Others
Total
Race/Ethnicity Distribution
USA
% of Total % of Total
46.3%
62.8%
47.0%
12.3%
3.5%
17.0%
1.2%
5.0%
2.1%
2.9%
100.0%
100.0%
2012 Pop
51,034
51,794
3,873
1,320
2,261
110,282
© 2012 The Nielsen Com pany, © 2012 Thom son Reuters. All Rights Reserved
Responds to IRS Form 990 (h) Part V B 1 b
All population information, unless otherwise cited, sourced from Truven (formally Thomson) Market Planner
22http://research.stlouisfed.org/fred2/series/SUMT945URN; http://research.stlouisfed.org/fred2/series/UNRATE
20
21
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Current Households by Income Group
Population Distribution by Age Group
14,992
0-14
3,439
3,516
<$15K
15-17
12,289
23,961
28,575
7,931
18-24
4,810
25-34
11,760
35-54
$25-50K
7,710
65+
Population Age 25+ by Education Level
Less than High
School
12,374
Some High School
4,347
5,984
13,224
55-64
13,895
1,320
2,261
3,873
$75-100K
Over $100K
White NonHispanic
Black NonHispanic
High School Degree
51,034
Some
College/Assoc.
Degree
Bachelor's Degree
or Greater
$50-75K
Population Distribution by Race/Ethnicity
8,862
22,124 22,044
$15-25K
Hispanic
51,794
Asian & Pacific Is.
Non-Hispanic
All Others
The population also was examined according to characteristics presented in the Claritas Prizm
customer segmentation data. This system segments the population into 66 demographically and
behaviorally distinct groups. Each group, based on annual survey data, is documented as exhibiting
specific health behaviors. The makeup of the service area, according to the mix of Prizm segments
and its characteristics, is contrasted to the national population averages to discern the following table
of probable lifestyle and medical conditions present in the population. Items with red text are
viewed as statistically important adverse potential findings. Items with blue text are viewed as
statistically important potential beneficial findings. Items with black text are viewed as either not
statistically different from the national normal situation or not being a favorable nor an unfavorable
consideration in our use of the information.
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Health Service Topic
Dem and
as % of
National
% of
Population
Effected
Health Service Topic
Weight / Lifestyle
BMI: Morbid/Obese
Vigorous Exercise
94.6%
Chronic Diabetes
119.3%
92.7%
Very Unhealthy Eating Habits
113.3%
29.1% Routine Screen: Cardiac Stress 2yr
47.9% Chronic High Cholesterol
12.4% Routine Cholesterol Screening
27.5% Chronic High Blood Pressure
3.1% Chronic Heart Disease
Behavior
I Will Travel to Obtain Medical Care
% of
Population
Effected
Heart
113.8%
Healthy Eating Habits
Dem and
as % of
National
95.1%
14.8%
102.6%
22.9%
94.1%
47.8%
111.1%
29.2%
127.3%
10.6%
102.4%
90.4%
99.3%
42.0%
89.8%
41.9%
102.4%
19.7%
Routine Services
100.0%
31.7% FP/GP: 1+ Visit
I Follow Treatm ent Recom m endations
90.6%
36.6% Used Midlevel in last 6 Months
I am Responsible for My Health
95.3%
56.3% OB/Gyn 1+ Visit
Am bulatory Surgery last 12 Months
Pulmonary
Chronic COPD
129.5%
6.6%
Tobacco Use: Cigarettes
120.8%
31.3% Use Internet to Talk to MD
Chronic Allergies
106.7%
22.7% Facebook Opinions
Internet Usage
Looked for Provider Rating
Cancer
79.2%
11.5%
105.0%
10.8%
88.5%
12.7%
Mam m ography in Past Yr
95.5%
43.4%
Cancer Screen: Colorectal 2 yr
93.9%
23.7% Charitable Contrib: Hosp/Hosp Sys
92.0%
21.9%
Cancer Screen: Pap/Cerv Test 2 yr
93.9%
56.5% Charitable Contrib: Other Health Org
89.0%
34.8%
Routine Screen: Prostate 2 yr
96.0%
30.6% HSA/FSA: Em ployer Offers
93.2%
47.9%
104.4%
35.8%
97.7%
23.0%
Orthopedic
Misc
Emergency Service
Chronic Low er Back Pain
113.8%
25.7% Em ergency Room Use
Chronic Osteoporosis
115.5%
11.2% Urgent Care Use
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Leading Causes of Death
Cause of Death
SC
Rank
Sumter
Rank
Condition
Rank among
all counties in
state (#1 rank
= worse in
state)
Rate of Death
per 100,000
age adjusted
SC
Observation
Sumter
1
1
Heart Disease
20 of 46
182.1
234.0
As expected
2, 6, 9,
15, 19,
21, 26,
29, 30,
31, 32,
34, 35,
36, 42
2
Cancer
16 of 46
179.5
213.3
Higher than expected
3
3
Stroke
5 of 46
48.8
78.2
4
4
Lung
16 of 46
46.6
48.7
As expected
11, 23
5
Accidents
43 of 46
47.8
42.5
As expected
7
6
Diabetes
8 of 46
22.4
38.2
5
7
Alzheimer’s
15 of 46
30.6
33.6
13
8
Blood
Poisoning
22 of 46
13.3
16.3
12
9
Flue/
Pneumonia
34 of 46
15.6
15.3
Lower than expected
8
10
Kidney
43 of 46
18.0
14.3
As expected
10
11
Hypertension
14 of 46
8.5
14.3 Higher than expected
27
12
Homicide
16 of 45
7.7
10.3 Higher than expected
18
13
Liver
31 of 46
10.2
10.1
16
14
Suicide
42 of 46
13.1
8.0 Lower than expected
24
15
Parkinson’s
34 of 46
5.8
4.0 Lower than expected
As expected
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Primary and Chronic Disease Needs and Health Issues of Uninsured Persons, LowIncome Persons, and Minority Groups
Some information is available to describe the size and composition of various uninsured persons,
low income persons, minority groups, and other vulnerable population segments. Specific studies
identifying needs of such groups, distinct from the general population at a county unit of analysis,
are not readily available from secondary sources.
The National Healthcare Disparities Report results from a Congressional directive to the Agency for
Healthcare Research and Quality (AHRQ). This production is an annual report to track disparities
related to "racial factors and socioeconomic factors in priority populations." The emphasis is on
disparities related to race, ethnicity, and socioeconomic status. The directive includes a charge to
examine disparities in "priority populations," which are groups with unique health care needs or
issues that require special attention.23
Nationally, this report observes the following trends:

Measures for which Blacks were worse than Whites and are getting better:
o
o
o

HIV and AIDS – New AIDS cases per 100,000 population age 13 and over; and
Functional Status Preservation and Rehabilitation – Female Medicare beneficiaries age
65 and over who reported ever being screened for osteoporosis with a bone mass or
bone density measurement.
Measures for which Blacks were worse than Whites and staying the same:
o
o
o
o
23
Diabetes – Hospital admissions for short-term complications of diabetes per 100,000
population;
Cancer – Breast cancer diagnosed at advanced stage per 100,000 women age 40 and
over ; breast cancer deaths per 100,000 female population per year; adults age 50 and
over who ever received colorectal cancer screening; colorectal cancer diagnosed at
advanced stage per 100,000 population age 50 and over; colorectal cancer deaths per
100,000 population per year;
Diabetes – Hospital admissions for lower extremity amputations per 1,000 population
age 18 and over with diabetes;
Maternal and Child Health – Children ages 2-17 who had a dental visit in the calendar
year; Children ages 19-35 months who received all recommended vaccines;
Mental Health and Substance Abuse – Adults with a major depressive episode in the
last 12 months who received treatment for depression in the last 12 months; people
age 12 and over treated for substance abuse who completed treatment course;
http://www.ahrq.gov/qual/nhdr10/Chap10.htm 2010
Proprietary
o
o
o
o


Respiratory Diseases – Adults age 65 and over who ever received pneumococcal
vaccination; hospital patients with pneumonia who received recommended hospital
care;
Supportive and Palliative Care – High-risk long-stay nursing home residents with
pressure sores; short-stay nursing home residents with pressure sores; adult home
health care patients who were admitted to the hospital; hospice patients who received
the right amount of medicine for pain;
Timeliness – Adults who needed care right away for an illness, injury, or condition in
the last 12 months who got care as soon as wanted; emergency department visits where
patients left without being seen; and
Access – People with a usual primary care provider; people with a specific source of
ongoing care.
Measures for which Asians were worse than Whites and getting better:
o
Cancer – Adults age 50 and over who ever received colorectal cancer screening; and
o
Patient Safety – Adult surgery patients who received appropriate timing of antibiotics.
Measures for which Asians were worse than Whites and staying the same:
o
o

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Respiratory Diseases – Adults age 65 and over who ever received pneumococcal
care; and
Access – People with a usual primary care provider.
Measures for which American Indians and Alaska Natives were worse than Whites for most
recent year and staying the same:
o
o
o
o
o
o
Heart Disease – Hospital patients with heart failure who received recommended
hospital care;
HIV and AIDS – New AIDS cases per 100,000 population age 13 and over;
Respiratory Diseases – Hospital patients with pneumonia who received recommended
hospital care;
bone density measurement;
Supportive and Palliative Care – Hospice patients who received the right amount of
medicine for pain; high-risk, long-stay nursing home residents with pressure sores;
adult home health care patients who were admitted to the hospital; and
Access – People under age 65 with health insurance.
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

Measures for which American Indians and Alaska Natives were worse than Whites for most
recent year and getting worse:
o
Cancer – Adults age 50 and over who ever received colorectal cancer screening; and
o
Patient safety – Adult surgery patients who received appropriate timing of antibiotics.
Measures for which Hispanics were worse than non-Hispanic Whites for most recent year
and getting better:
o
o
o

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Maternal and Child Health – Children ages 2-17 who had a dental visit in the calendar
year;
Lifestyle Modification – Adult current smokers with a checkup in the last 12 months
who received advice to quit smoking; adults with obesity who ever received advice
from a health provider about healthy eating; and
bone density measurement.
and staying the same:
o
o
o
o
o
o
o
o
Cancer – Women age 40 and over who received a mammogram in the last 2 years;
adults age 50 and over who ever received colorectal cancer screening;
Diabetes – Adults age 40 and over with diagnosed diabetes who received all three
recommended services for diabetes in the calendar year;
Heart Disease – Hospital patients with heart attack and left ventricular systolic
dysfunction who were prescribed angiotensin-converting enzyme inhibitor or
angiotensin receptor blocker at discharge; hospital patients with heart failure who
received recommended hospital care;
HIV and AIDS – New AIDS cases per 100,000 population age 13 and over;
Mental Health and Substance Abuse – Adults with a major depressive episode in the
last 12 months who received treatment for depression in the last 12 months;
Respiratory Disease – Adults age 65 and over who ever received pneumococcal
care;
Lifestyle Modification – Adults with obesity who ever received advice from a health
provider to exercise more;
Supportive and Palliative Care – Long-stay nursing home residents with physical
restraints; high-risk, long-stay nursing home residents with pressure sores; short-stay
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nursing home residents with pressure sores; adult home health care patients who were
admitted to the hospital; hospice patients who received the right amount of medicine
for pain;
o
o
o
o

Patient Safety – Adult surgery patients who received appropriate timing of antibiotics;
Timeliness – Adults who needed care right away for an illness, injury, or condition in
the last 12 months who got care as soon as wanted;
Patient Centeredness – Adults with ambulatory visits who reported poor
communication with health providers; children with ambulatory visits who reported
poor communication with health providers; and
Access – People under age 65 with health insurance; people under age 65 who were
uninsured all year; people with a specific source of ongoing care; people with a usual
primary care provider; people unable to get or delayed in getting needed care due to
financial or insurance reasons
and getting worse:
o
Maternal and Child Health – Children ages 3-6 who ever had their vision checked by a
health provider.
We asked in the community survey about such unique needs and reviewed their response to identify
if any of the above trends were obvious in the service area. Accordingly, we place great reliance on
the commentary received to identify unique population needs to which we should respond. Literally,
we received a handful of responses from the 165 participants (offering 152 comments), concluding
such needs were not dominant considerations and topics presented were not materially different
from considerations for the public at large. Specific comments as quoted by participants included:

Care of child in K-12;

Care of indigents; an aging population, cuts in Medicare and Medicaid;

Cost of healthcare for those of us who have to pay for insurance and healthcare;

Lack of education to community regarding valid ED visits; need more facilities to see
indigent patients with no primary medical doctor; ED waiting room often looks like a place
for social gatherings;

Mental health facilities not available, especially for children;

No help for mentally ill patients;

People are not willing to go out and look for employment, thereby depending on not-forprofit hospitals to take care of ALL of their medical needs;
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
People not paying for their healthcare, making it the responsibility of others or the
government;

Lack of Medicare and Medicaid funding and the welfare system being used as a crutch that
enables lazy people who just want to milk the system;

Need for specialty services for the underserved community. Primary care is available;
however, when a patient has a medical need for a referral to a specialist, often times they
have to be referred out of town or are not able to go because they can't afford the visit; and

Until we get people educated and/or begin correcting the problems of teen pregnancy, drug
use, and alcohol abuse, all the other things will be half done because we can't afford to do it
all.
Statistical information about special populations follows:
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Findings
Upon completion of the CHNA, QHR identified several issues within the THS community:
Conclusions from Public Input to Community Health Needs Assessment

165 area residents participated in a survey asking opinions about their perception of local
health care needs. In descending order of opinion, nine topics were identified as being of
"Major Concern" or "Most Important Issue to Resolve":
1. Diabetes - 78% listed as a major concern;
2. Heart disease - 77% listed as a major concern;
3. People Making Unhealthy Food Choices/Obesity - 68% listed as a major concern;
4. Not Having Health Insurance - 66% listed as a major concern;
5. Low Education Level - 66% listed as a major concern;
6. Teen Pregnancy - 65% listed as a major concern;
7. Cancer - 65% listed as a major concern; and
8. Poverty - 58% listed as a major concern.
Adult abuse of alcohol and/or drugs was noted by 52% of responses as a concern.

In the past two years, 71% observed a problem with Healthy Living; 61% observed a
problem with Individual and Family Health Concerns; and 52% observed a problem with
Healthcare Availability. The most important issue to resolve was noted as Individual and
Family Health Concerns. Written comments emphasized the above points as many people
believe health care insurance, education, obesity, safety, and mental problems exist in the
community. Violence and emergency are secondary concerns;

The typical respondent is a married white, non-Hispanic female living in a tobacco free
home in Sumter who has some college education, children living at home, a primary care
physician, a dentist, and an eye care provider. 11% had a mental health advisor. 13% of
respondents were Black. Responses came from 13 zip codes and all income classifications
other than a household income of less than $5,000. 44% had earnings of at least $100,000.
6% of respondents were retired and 2% were unemployed. 4% did not have any health
insurance. Respondents averaged 2.8 days of illness in the month preceding taking the
survey, with 3% responding being ill all 30 days and 61% reported no illness. Respondents
also reported on average of having one mental illness day in the last 30 days, with 83%
reporting no days ill. 2/3 of respondents reported not having a medical payment problem in
the last two years;
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
Overall perceived health status was relatively good - 7.68 on a scale of 1 to 10. The local
economy is perceived to have gotten worse during the last year; and

The majority of respondents did not leave the county for care. The primary reasons residents
left the county for care was for travel to Charleston or Columbia for surgery or pediatric and
cardiology conditions. Several minor mentions were made of various subspecialty medicine
reasons, with orthopedic and ophthalmology being the more prominent of the minor
reasons for leaving.
Summary of Observations from Sumter County Compared to All Other South
Carolina Counties, in Terms of Community Health Needs

In general, Sumter County residents are at about average health for South Carolina;

In a health status classification termed "Health Outcomes", Sumter ranks number 20 among
the 46 ranked counties (best being #1). On the beneficial side of the ledger, Low Birth
Weight births among Sumter mothers is 10.4%, a value approaching the state average but
considerably above the national goals. Premature Death rate (death prior to age 75) in
Sumter County is statistically above the state average and close to twice the national goal.
Self-reported health status measures show Sumter residents at about the state average but
above the national goal; and

In another health status classification "Health Factors", Sumter County does not fare as well,
ranking 26th among the 46 counties. Clinical Care measures are at the state average, except
for the physician to population ratio which is more than double the national goal (not
enough physicians to serve the population) and about 50% higher than state average. Other
conditions where improvement remains to achieving state average rates and then national
goals include:
o
Adult Obesity;
o
Physical Inactivity;
o
Sexually Transmitted Disease;
o
Teen Birth Rate;
o
Children in Single Parent Households;
o
Violent Crime Rate;
o
Limited Access to Healthy Food; and
o
Percent of Fast Food Restaurant.
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Summary of Observations from Sumter County Peer Comparisons
The federal government administers a process to allocate all counties into "Peer" groups. County
"Peer" groups have similar social, economic, and demographic characteristics. Health and wellness
observations when Sumter County is compared to its national set of Peer Counties and compared to
national rates make the following observations:
UNFAVORABLE observations occurring at rates worse than national AND worse than among
Peers

Low Birth Weight;

Very Low Birth Weight;

Premature Births;

Infant Mortality;

Post-Neonatal Infant Mortality;

Female Breast Cancer;

Colon Cancer;

Coronary Heart Disease;

Homicide;

Lung Cancer;

Motor Vehicle Injuries; and

Stroke.
SOMEWHAT A CONCERN observations because occurrence is EITHER above national average
or above Peer group average:

Neonatal Infant Mortality;

Births To Women Under 18;

Births To Unmarried Women; and

White, Non Hispanic Infant Mortality.
BETTER PERFORMANCE than peers and national rates:

Births To Women Ages 40 to 54;

Black, Non Hispanic Infant Mortality;

Suicide; and

Unintentional Injury.
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Conclusions from the Demographic Analysis Comparing Sumter County to National
Averages
Sumter County in 2012 comprises 110,282 residents. During the next five years, it is expected to see
a population increase of 2.7% to achieve 113,207 residents. This growth is slower than anticipated
state (6.4%) and national (3.9%) growth. The population is younger and has a lower median income
than the state or national comparisons. 13.6% of the population is age 65 or older, the same
percentage as SC. 3.5% are non-Hispanic White, Asian, and Pacific Island origin; non-Hispanics
constitute 1.2% of the population; Blacks comprise 47% of the population; Whites 46.3%. Females
ages 14 to 44 comprise 20.7% of the population, slightly more than the percentage in SC (20.1%) or
the nation (20.1%).
The following areas were identified comparing the county to national averages.24 Metrics impacting
more than 30% of the population and which are statistically significantly different from the national
average:

Pap/Cervix Screening was 6% below average, impacting 56% - an adverse finding;

Cholesterol Screening was 6% below average, impacting 48% - an adverse finding;

Vigorous exercise was 5% below average, impacting 48% - an adverse finding;

Employer Health Savings Accounts was 7% below average, impacting 48% - neither a
beneficial or adverse finding;

OB/GYN Visit was 10% below average, impacting 42% - an adverse finding;

Compliant With Treatment Recommendations was 9% below average, impacting 37% - an
adverse finding;

Making Charitable Contributions to Non-Health Organizations was 11% below average,
impacting 35% - neither a beneficial or adverse finding; and

Smoking was 21% above average, impacting 31% - an adverse finding.
Situations and Conditions statistically significantly different from the national average, but impacting
less than 30% of the population include:

Chronic High Blood Pressure was 11% above average, impacting 29% - an adverse finding;

Morbid Obese was 14% above average, impacting 29% - an adverse finding;

Healthy Eating Habits was 7% below average, impacting 28% - an adverse finding

Chronic Lower Back Pain was 14% above average, impacting 26% - an adverse finding;
24 The bullet point following discussion comes from a corrected demographic analysis from what was presented to the
local experts for their agreement or disagreement. The significant findings are not materially different as in the prior
analysis. The changes are considered minor, technical corrections and do not impact the overall findings of the analysis.
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
Colorectal Screening was 6% below average, impacting 24% - an adverse finding;

Looked for Provider Ratings was 12% below average, impacting 13% - neither a beneficial
or adverse finding;

Chronic Allergies was 7% above average, impacting 23% - an adverse finding;

Making Charitable contributions to Health Organizations was 8% below average, impacting
22% - neither a beneficial or adverse finding;

Chronic diabetes was 19% above average, impacting 12% - an adverse finding;

Talked to MD by Internet was 21% below average, impacting 12% - neither a beneficial or
adverse finding;

Posting/Reading Facebook Healthcare Opinions was 5% above average, impacting 11% neither a beneficial or adverse finding;

Chronic Osteoporosis was 16% above average, impacting 11% - an adverse finding;

Chronic Heart Disease was 27% above average, impacting 11% - an adverse finding;

Chronic COPD 30% was above average, impacting 7% - an adverse finding; and

Very Unhealthy Eating Habits was 13% above average, impacting 3% - an adverse finding.
Key Conclusions from Consideration of the Other Statistical Data Examinations
Additional observations of Sumter County found:

Palliative Care programs (programs focused not on curative actions but designed to relieve
disease symptoms pain and stress arising from serious illness) exist in the county; and

Hospice 2 programs exist in the county.
Ranking the causes of death in Sumter finds the leading causes to be the following (in descending
order of occurrence):

Heart Disease #1 cause of death statewide and in Sumter 234/100,000 ranking #20 among
46 SC Counties;

Cancer # 2 cause of death statewide and in Sumter 213.3/100,000 ranking #16 SC County significantly higher than expected;

Stroke #3 cause of death statewide and in Sumter 78.2/100,000 ranking #5 SC County significantly higher than expected;

Lung Disease #4 cause of death in Sumter, statewide #5 - 48.7/100,000 ranking #16 SC
County;
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
Accidents #5 cause of death in Sumter, statewide #4 – 42.5/100,000 ranking #43 SC
County - significantly higher than expected; statewide Traffic Accidents #5 cause of death
for males, #14 for females;

Diabetes #6 cause of death in Sumter, statewide #7 – 38.2/100,000 ranking #8 SC County;

Alzheimer’s #7 cause of death in Sumter, statewide #6 – 33.6/100,000 ranking #15 SC
County - significantly lower than expected;

Blood Poisoning #8 cause of death in Sumter, statewide #10 – 16.3/100,000 ranking #22
SC County - significantly higher than expected;

Flue #9 cause of death statewide and in Sumter 15.3/100,000 ranking #34 SC County significantly lower than expected;

Kidney Disease #10 cause of death in Sumter, statewide #8 14.3/100,000 ranking #43 SC
County; and

Among other leading causes of death, Hypertension and Homicide are significantly higher
than expected; Parkinson’s and Suicide are significantly lower than expected, Suicide ranking
is an average, as it is #7 cause of death for males and #22 for females.
According to a different organization, the incident of Heart Disease is above state and national
average, with a very high comorbidity rate.
According to a different organization, the incident of Stroke deaths is above state and national
average; diabetes and hypertension also have a high comorbidity incident.
According to a different organization, diabetes is well above state average.
Life expectancy for Sumter males in 1989 was 68.7 years, 12.9 years behind the top counties,
improving in 2009 to 72.3 years, only 9.3 years behind the top counties.
Life expectancy for Sumter females in 1989 was 76 years, 9.8 years behind the top counties,
improving in 2009 to 79.1 years, only 6.7 years behind the top counties.
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EXISTING HEALTH CARE FACILITIES AND RESOURCES AND
IMPLEMENTATION PLAN
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Significant Health Needs
We used the priority ranking of area health needs to organize the search for locally available
resources.25 The following list identifies locally available resources corresponding to each priority
need:
 Identifies the rank order of each identified Significant Need;
 Presents the factors considered in developing the ranking;
 Establishes a Problem Statement to specify the problem indicated by use of the Significant
Need term;
 Identifies THS current efforts responding to the need;
 Establishes the Implementation Plan programs and resources THS will devote to attempt to
achieve improvements;
 Documents the Leading Indicators THS will use to measure progress;
 Presents the Lagging Indicators THS believes the Leading Indicators will influence in a
positive fashion, and;
 Presents the locally available resources noted during the development of this report as
believed to be currently available to respond to this need.
In general, THS is the major hospital in the service area. THS is a 283-bed, acute medical center
located in Sumter, SC. The next closest facilities are outside the service area and include:
25

Carolinas Health System – 431-bed regional center in Florence, SC; 45.7 miles from
Sumter (57 minutes)

Providence Hospital – 314-bed regional center in Columbia, SC; 43 miles from Sumter
(1 Hour and 3 minutes)

Palmetto Health Richland – 649-bed regional center in Columbia, S.C.; 45 miles from
Sumter (1 hour 7 minutes)

Palmetto Health Baptist – 489-bed regional center in Columbia, S.C.; 45 miles from
Sumter (1 hour 8 minutes)

Lexington Medical Center – 414-bed regional center in West Columbia, S.C.; 48 miles
from Sumter (1 hour 14 minutes)

McLeod Health – 453-bed regional center in Florence, S.C.; 40.2 miles from Sumter (1
hour 1 minute)

Kershaw County Medical Center – 121-bed hospital in Camden, S.C.; 30.2 miles from
Sumter (45 minutes)
Response to IRS Form 990 h Part V B 1 c
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Clarendon Health Center – 56-bed hospital in Manning, S.C.; 25 miles from Sumter (39
minutes)
In rank order of need, the local resources, listed in the tables beginning on the next page, could be
available to respond to the need. All data items analyzed to determine significant needs are “Lagging
Indicators”, measures presenting results after a period of time, characterizing historical performance.
Lagging Indicators tell you nothing about how the outcomes were achieved. In contrast the THS
Implementation Plan utilizes “Leading Indicators”. Leading Indicators anticipate change in the
Lagging Indicator. Leading Indicators focus on short-term performance, and if accurately selected,
anticipate the broader achievement of desired change in the Lagging Indicator. In the QHR
application Leading Indicators also must be within the ability of the hospital to influence and
measure.
Significant Needs
1. HEART DISEASE - #1 cause of death, #20 SC county, major concern by 77% of
responding consumers, 27% above average incident; incident above national and
state average. (Ranked 1 out of 29).
Problem Statement: Heat Disease death rate needs to decrease.
HOSPITAL SERVICES AVAILABLE TO RESPOND TO THIS NEED INCLUDE:

Tuomey Emergency Department and EMS STEMI program.

Community Health Initiatives education and screening.

SmartBeat Program.

Tuomey Health Guides

Tuomey Cardiac Cath Lab and Telemetry Services.
HOSPITAL IMPLEMENTATION PLAN PROGRAMMATIC INITIATIVES:26

Coordinating efforts with the organizations listed below – regarding services, education, and
screening.

Tuomey will work closely with Medical Emergency Response services and surrounding
hospitals to coordinate care.

Promote healthy living and health lifestyle choices.
ANTICIPATED RESULTS FROM HOSPITAL IMPLEMENTATION PLAN
This section in each need for which the hospital plans an implementation strategy responds to Schedule H (form 990)
Part V Section B 6. a. and 6. b.
26
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Tuomey’s efforts can help address the symptoms of and results from adverse lifestyle
choices and other factors.
Tuomey can treat heart disease in an aggressive and proactive manner.
LEADING INDICATOR HOSPITAL WILL USE TO MEASURE PROGRESS:
 STEMI Program Statistics
o STEMI patients median transfer time less than 30 minutes.
LAGGING INDICATOR HOSPITAL WILL USE TO IDENTIFY IMPROVEMENT
 Production of Sumter County Rate of Heart Disease Death per 100,000
population to less than 234.
Opportunity Statement: Promote the use of screening and treatment services
Other Local Resources identified during the CHNA process which are believed available to
respond to this need include the following:
YMCA
50 Willow Drive,
803-773-1404
Sumter, SC 29150
American Heart Association
2381 Peach Orchard Rd,
Sumter, SC 29154
Birnie Hope Center
210 S. Purdy St ,
803-436-2645
Sumter, SC 29150
North Hope Center
904 N. Main St,
803-436-2691
Sumter SC 29150
South Hope Center
1125 S. Lafayette Blvd,
803-436-2653
Sumter SC 29150
Sumter School District
1345 Wilson Hall Rd,
803-469-6900
Sumter SC 29150
Midlands Cardiology Assoc
213 W. Hampton Ave,
803-773-1379
Sumter SC 29150
Sumter Medical Consultants CV Div
540 Physicians Ln,
803-778-1941
Sumter SC 29150
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McLeod Cardiology Assoc
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115 N. Sumter St,
803-418-5969
Sumter SC 29150
Sumter County Public Health Dept
105 N. Magnolia St,
803-773-5511
Sumter SC 29150
Sumter Family Health Center
1278 N. Lafayette Blvd,
803-774-4500
Sumter SC 29150
2. CANCER and SCREENING– # 2 cause of death, #16 SC County, incident
significantly higher than expected, major concern by 65% of responding consumers;
FEMALE BREAST CANCER incident higher than national and peer averages;
COLON CANCER incident higher than national and peer averages; LUNG
CANCER incident above national and peer averages. CANCER SCREENING
PAP/CERV screening 6% below average incident; COLORECTAL SCREENING
6% below average incident. (Ranked 2 out of 29).
Problem Statement: Cancer cases and death rates need to decrease.

Tuomey Inpatient cancer treatment services.

Tuomey Outpatient Radiation Cancer Treatment Center.

Mammography Services and other Imaging Services.

Tumor Board

Tuomey Foundation and Community Health Initiatives
HOSPITAL IMPLEMENTATION PLAN PROGRAMMATIC INITIATIVES:

Coordinate efforts with the organizations listed below which offer resources responding
to this need by identifying how Tuomey services will establish and/or maintain contact
with these organizations to coordinate care.

Work through Tuomey’s Community Health Initiatives and Education Department to
provide screenings and education.

Utilities to Tuomey sponsored the Wig Boutique and support groups to serve cancer
victims.

Research use of a nurse navigator for cancer patients.
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Increased screenings leading to earlier intervention.
Increased survival rates.

Screening Mammography exams should increase. Fiscal Year 2013 volumes expected to
be 9500.

Contacts with Support Groups > 350 and the Wig Boutique > 75 in Fiscal Year 2014.

Decrease rate of Cancer Death per 100,000 in Sumter County to less than 215.
Opportunity Statement: Promote the use of screening and treatment services
Local resources include the following:
American Cancer Society
128 Stone Lane,
843-882-9030
Columbia, SC 29210
Tuomey Wig Boutique (From Tuomey
with Love)
Tuomey Breast Cancer Support Group
Contact Phyllis
Buckner at
803-774-8678
129 N. Washington Street,
803-774-8678
Sumter, SC
Tuomey Look Good Feel Better
Support Group
Sumter, SC
Families fighting Prostate Cancer
Tuomey Cancer Treatment Center
877-227-9398 or
774-8678
775-1324
803-774-8888
Sumter, SC
Hematology/Oncology Center
115 N. Sumter Street,
803-934-8348
Sumter, SC
Santee Hematology Oncology
1105 N. Lafayette Street,
803-934-0775
Sumter, SC
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3. OBESITY- 68% of responding consumers list as major concern, 14% above average
incident, Bad eating habit 13% above average incident, lack of health eating 7% below
average incident; improvement to ADULT OBESITY needed to achieve National and State
averages; PHYSICAL INACTIVITY below state and national goals; LIMITED ACCESS
TO HEALTHY FOOD below state and national goals; VIGOROUS EXERCISE 5%
below average incident; PERCENT OF FAST FOOD RESTAURANT above goal level.
(Ranked 3 out of 29).
Problem Statement: The incidence of the need to decrease.

The Industrial Medicine and Wellness Program (IMWP) provide wellness education
which includes activity encouragement and nutritional advice when appropriate.

The THS Medical Library includes provision of information on healthy living and
obesity specific information such as “Exercise for the seriously unfit” and the interactive
tool “Obesity basics: What is it? How is it treated?”
THS DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION PLAN FOR THIS NEED FOR
THE FOLLOWING REASON(S):


A lack of identified effective interventions to address the need as preventive responses
are best addressed by primary care practitioners
Need is addressed by other facility or organization including those listed below
ANTICIPATED RESULTS FROM IMPLEMENTATION PLAN OF OTHERS

The assumption is others are better positioned in the healthcare system to respond
LEADING INDICATOR THS WILL USE TO MEASURE PROGRESS:

None as THS will not actively engage in implementation efforts but will monitor and
support the efforts taken by others, including the organizations shown below as
resources.
LAGGING INDICATOR THS WILL USE TO IDENTIFY IMPROVEMENT

None as THS is not directing implementation efforts in response to this need.
Opportunity Statement: Emphasis on healthy eating and exercise programs
Proprietary
Sumter County Public Health Dept.
Page 34
105 N. Magnolia St.,
803-773-5511
Sumter, SC, 29150
YMCA
50 Willow Dr.,
803-774-1404
Sumter, SC, 29150
Sumter Mall
1057 Broad St.,
803-775-6387
Sumter, SC, 29150
Birnie Hope Center
210 S. Purdy St.,
803-436-2645
Sumter, SC, 29150
North Hope Center
904 N. Main St.,
803-436-2691
Sumter, SC, 29150
South Hope Center
1125 S. Lafayette Blvd.,
803-436-2653
Sumter, SC, 29150
Sumter School Dist
1345 Wilson Hall Rd.,
803-469-6900
Sumter, SC, 29150
Wilson Hall Academy
803-469-3475
Sumter, SC, 29150
Thomas Sumter Academy
5265 Camden Hwy.,
803-499-3378
Rembert, SC, 29128
Shepards Center
24 Council St.,
803-773-1944
Sumter ,SC, 29150
4. DIABETES – #6 cause of death, #8 SC county, well above state average, high
comorbidity to other conditions, major concern by 78% of responding consumers,
19% above average incident. (Ranked 4 out of 29).
Problem Statement: Death rates due to Diabetes need to decrease.

Tuomey Diabetes Support Group

Tuomey Food and Nutrition Department

Tuomey Foundation – Community Health Initiatives

Tuomey Health Guides
Proprietary
Page 35

Coordinate efforts internally and with the organizations listed below with Tuomey
Services.

Work with the community to develop obesity prevention and intervention programs.

Use Community Health Initiatives, Tuomey Health Guides, and the Education
Department to identify risk factors and educate citizens on healthy lifestyle choices.

Tuomey efforts can help address the symptoms of and results from adverse lifestyle
choices and other factors.

Increased enrollment in Tuomey Health Guides program to greater than FY 3013
level of 260.
 Decrease rate of death per 100,000 age adjusted to less than 38 per 1,000
population.
Opportunity Statement: Diabetic education and treatment resources should be expanded to
enhance education and continue to reduce the impact of this disease.
Tuomey Diabetes Support Group
Education Department, 129 N. Washington
Street, Sumter, SC 29150
803-774-8678
1278 N Lafayette Dr.
803-774-4500
Sumter, SC 29150,
Sumter County Health Department
105 N Magnolia St.
803-773-5511
Sumter, SC 29150
Carolina Diabetes & Kidney Center
635 W Wesmark Blvd.
803-469-7500
Sumter, SC 29150
All Family Practice and Internal
Medicine physicians in the area
National Diabetes Education Program
ndep.nih.gov
NDEP is a partnership of the National Institutes of Health, the
Centers for Disease Control and Prevention, and more than 200
public and private organizations.
Proprietary
Page 36
5. HYPERTENSION – Deaths significantly higher than expected and high incident of
comorbidity to other conditions; 11% above average incidence. (Ranked 5 out of 29).
Problem Statement: Hypertension death rate needs to decrease.

Tuomey Health Guides program.

Tuomey Smart Beat program.

Tuomey Community Health and Wellness – Foundation.

Tuomey Education and Food and Nutrition Departments.

Coordinate efforts with the organizations listed below to identify how Tuomey services
will work with these organizations to coordinate patient care.

Increase efforts of Health Guides, Smart Beat, and Community Health Initiatives.

Utilize Food and Nutrition dieticians to increase awareness of diet on hypertension.

To increase the awareness and therefore change behaviors that lead to hypertension.

Increase enrollment in Tuomey Health Guides program to greater than FY 2013 level of
260.

Increase the number of blood pressure screenings through Smartbeat and Community
Health Initiatives from Fiscal Year’s anticipated number of 440.

Decrease the death rate per 100,000 to below 14.
Opportunity Statement: Expand education, screening and treatment resources to properly identify
problems and manage hypertension
129 N. Washington St.,
803-774-9000
Sumter, SC, 29150
Proprietary
Mcleod Cardiology Associates Sumter
Page 37
115 N Sumter St # 410,
803-883-5171
Sumter, SC 29150
Midlands Cardiology Associates
213 W Hampton Ave.,
803-773-1379
Sumter, SC 29150
Columbia Heart Clinic
1017 Professional Ct.,
803-433-7434
Manning, SC 29102
Sumter Medical Consultants
540 Physicians Ln.,
803-778-1941
Sumter, SC 29150
Lexington Heart Clinic
Serving the Sumter Area
803-739-6500
Carolina Cardiovascular Associates PA
108 Palmetto Blvd Palmetto Park Center,
Lexington, SC 29072
803-356-0949
Providence Hospital/Heart Institute
Providence Hospital Heart VA,
803-256-5320
Columbia, SC 29201
Clarendon Cardiovascular Associates
21 E Hospital St.
803-435-5275
Manning, SC 29102
South Carolina Heart Center
1330 Haile St.,
803-432-6771
Camden, SC 29020
Camden Heartcare
1045A W Dekalb St.,
803-432-8622
Camden, SC 29020
William L Schoolmeester
2043 W Dekalb St.,
803-432-8622
Camden, SC 29020
Providence Hospital
2435 Forest Dr.,
803-256-5300
Columbia, SC 29204
Medicine physicians
6. MATERNITY AND CHILD HEALTH – Teen pregnancy a major concern by 65%
of responding consumers; teen birth rate above national and State average; 10%
below average use of OB/GYN; Unfavorable performance for LOW BIRTH
WEIGHT, VERY LOW BIRTH WEIGHT, PREMATURE BIRTHS, INFANT
MORTALITY, POSTNEONATAL INFANT MORTALITY; better than peer but
Proprietary
Page 38
worse than national average performance for NEONATAL INFANT MORTALITY,
BIRTHS TO WOMEN UNDER 18, BIRTHS TO UNMARRIED WOMEN,
WHITE non-HISPANIC INFANT MORTALITY; better than average performance
in BIRTHS TO WOMEN AGE 40 to 54 and BLACK non-HISPANIC INFANT
MORTALITY; LOW BIRTH WEIGHT births approach State average but above
national average. (Ranked 6 out of 29).
Problem Statement: Teen pregnancies need to decrease.

Tuomey’s Women’s and Infants Services.

Tuomey Medical Professionals – Sumter OB/GYN.

Tuomey Foundation.

Tuomey Care Reach program.

Coordinate Tuomey Services with the Community Services listed below to educate and
serve women and children.

Use Care Reach, Safe Kids and Child Birth Programs to serve women and children.

To decrease complication rates due to poor prenatal care and to decrease accident rates
related to car accidents or bicycle injuries.




Sustain Care Reach encounters expected to be 9300.
Safe Kids Program car seats and helmets at or above 400.
Sustain enrollment in infant/maternal health classes at or above 600.
Implementation of patient-centered pregnancy.

Reduction of teenage pregnancy per 100,000 population.
Opportunity Statement: Promote education about and compliance with prenatal care as a proper
intervention for low birth weight/premature births.
Tuomey Healthcare System Women
and Children Education
129 N Washington St.,
803-774-8828
Sumter, SC
Proprietary
March of Dimes
Page 39
240 Stoneridge Dr., Suite 206,
803-403-8531
Columbia, SC, 29210
Palmetto Health Richland
5 Richland Medical Park Dr.,
803-434-7000
Columbia, SC 29203
Palmetto Health Starts
2625 Hardee Cove,
803-905-4343
Sumter, SC
Shaw Air Force Base Family
Advocacy Program
803-895-6201
Sumter County Department of
Health and Environmental Control
105 N Magnolia St.,
1278 N. Lafayette Dr.,
803-778-1531
Sumter, SC
803-774-4500
Sumter, SC
Sumter OB/GYN Associates
115 N Sumter St. #200,
803-775-8351
Sumter SC
Sumter Pregnancy Center
207 N. Main St.,
803-773-8858
Sumter, SC
The Advocacy Pregnancy &
Parenting Center
190 S Lafayette Dr.,
United Way Diamonds
26 Council St.,
803-774-5600
Sumter SC
803-774-2240
Sumter, SC
United Way Diamonds Teen
Pregnancy Prevention Program
803-774-2240
Sumter, SC
7. STROKE - #3 cause of death, #5 SC County, significantly higher than expected
incident; above state and national average number of expected deaths. (Ranked 7 out
of 29).
Problem Statement: Death rates as a result of Strokes need to decrease.

Tuomey Emergency Room.

TMP Vascular Surgery Services.
Proprietary

Tuomey Home Health.

Tuomey Rehabilitation.
Page 40

Teleneurology services.

Recruitment of a neurology physician services.

Use of Smart Beat program.

Coordinate of Tuomey Services with the Community Services listed below.

Tuomey’s patients will receive more timely attention from a neurology physician.

Successful recruitment of Neurology Physician.

Implementation of Tele-Neurology.
 Rate of Death (age adjusted) per 100,000 population to less than 78.
Opportunity Statement: Increase awareness of stroke prevention and treatment resources
Sumter Neurology and Pain
Management
312 Broad St.,
Sumter Active Day Center
930 Oswego Rd.,
803-774-7246
Sumter, SC
803-775-4281
Sumter SC 29153
Magnolia Adult Day Center
20 South Magnolia St.,
803-778-1086
Sumter, SC, 29150
Branco Adult Daycare Center, LLC
238 Commerce St.,
803-435-9780
Manning, SC, 29102
Omnipresent Adult Day Care
696 Davis St.,
843-326-5042
Lamar SC 29069
Ruth Louis Adult Health Day Care,
Kingstree Office
111 East Mill Street,
843-221-5848
Kingstree SC 29556
Proprietary
Pee Dee Active Day Center
Page 41
2120 Enterprise Drive,
843-665-1919
Florence SC 29501
New Generations Adult Day Center
of Florence
2111 West Jody Road,
Florence, SC 29501
843-629-0103
843-629-0794
1-866-760-7065
MUSC Stroke Center
843-792-3020
USC Stroke Clinic
803-545-6050
Long Term Acute Care facilities
Regency Hospital in Florence
Intermedical - Taylor at Marion Street
843-661-3474
Columbia, SC
803-296-5425
Home Health Agencies – Sumter County
Tuomey Home Health
500 Pinewood Rd, Suite 2,
803-773-4663
Sumter, SC 29154
Tri-County
AMEDYISYS
2560 Tahoe Dr.,
Sumter, SC 29150
803-905-3510
Hospice:
803-905-7720
3481 Declaration Blvd.,
803-905-5240
Sumter, SC 29154
Bridge Program and Hospice
500 Pinewood Rd., Suite 2,
803-773-4663
Sumter, SC 29154
Gentiva CareCentrics (Cigna Only)
7725 Woodland Center Blvd. Suite 100,
Tampa, FL 33614
800-218-2505
CarePro
1800 Main St, Ste. 100,
803-758-4000
Columbia, SC 29210
Heavenly Home Health
1234 Peach Orchard Rd.,
803-494-2590
Sumter, SC 29154
Reliable Home Care
2601 Read St.,
Columbia, SC 29204
Columbia Phone:
803-748-8612
Sumter Phone:
803-236-1415
Proprietary
Fairway Home Care
Page 42
327 North Main Street (Physical)
103 Anne Park (Mailing) Sumter, SC 29150
803-775-9000
Home Health Agencies – Clarendon County
Clarendon Memorial Home Health
Wateree DHEC
619 South Mill St.,
Manning, SC 29102
803-495-4494 ;
Diane Barwick,
Director:
803-435-5211
PO Box 729,
803-435-4355
Manning, SC, 29102
Bridge Program and Hospice
803-773-4663
Gentiva (Cigna Only)
800-218-2505
Home Health Agencies – Lee/Kershaw County
Wateree DHEC Lee/Kershaw County
PO Box 307,
Bishopville, SC 29010
Bridge Program and Hospice (Lee)
Kershaw Home Health
877-871-9089
803-484-6612
803-484-6912
803-773-4663
1315 Roberts St.,
803-425-1182
Camden, SC 29020
McLeod Home Health (Lee,
Darlington, Florence, Hartsville,
Mullins)
300 S Dargan St.,
Florence, SC 29501
Gentiva (Cigna Only)
Florence Visiting Nurses
800-382-7161
843-669-3050
800-218-2505
PO Box 4598,
800-638-3445
Florence, SC 29502
Carolinas Home Health and Hospice
PO Box 100550,
843-629-6800
Florence, SC 29501
Amedysis Kershaw/Lee County
1110 B Broad St.,
803-905-5240
Camden, SC 29020
Home Health Agencies – Williamsburg/Kingstree County
Proprietary
Total Care
Page 43
4101 Mayfair St.,
843-354-3377
Myrtle Beach, SC 29577
DHEC Williamsburg
520 Thurgood Marshall Blvd.,
843-355-9639
Kingstree, SC 29556
Amedisys HHS – Georgetown
1105 Church St.,
Georgetown, SC 29440
800-946-9244
843-546-1730
Home Health Agencies – Florence County
McLeod Home Health
300 S Dargan St.,
800-382-7161
Florence, SC 29501
DHEC – Florence/Darlington
1705 West Evans St.,
843-398-4401
Florence, SC 29501
Gentiva
Florence Visiting Nurses
800-218-2505
PO Box 4598,
800-638-3445
Florence, SC 29502
Home Health Agencies – Lexington/Richland County
Amedisys Home Health
714 South Lake Drive, Suite 250,
888-318-7323
Lexington, SC 29072
Carolina Home Health
810 Dutch Square Blvd.,
803-791-3704
Columbia, SC 29210
DHEC – Lexington County
2111 Wilson Rd.,
803-576-2700
Newberry, SC 29108
DHEC – Richland County
D’Loach Home Health
803-576-2700
3600 Fernandina Rd.,
803-798-1300
Columbia, SC 29210
Home Health Inc
93 Medical Circle,
803-939-0266
West Columbia, SC 29169
Love/Care Home Health
7340 Parkland Road, Suite 204 D,
803-708-4730
Columbia, SC 29221
Proprietary
Palmetto Baptist Home Services
Page 44
1400 Pickens St.,
803-296-3100
Columbia, SC 29201
Southern Care Inc
720 Gracern Rd., Ste 122,
803-750-9600
Columbia, SC 29210
Tri-County Richland, Lexington,
Saluda
1950 Bush River Rd.,
Columbia, SC 29210
800-849-4685
803-561-7680
CarePro
1800 Main St, Ste. 100,
803-758-4000
Columbia, SC 29201
Springs Memorial
902 West Meeting St, Columbia, SC 29720
803-286-1214
Winya
Richland, Lexington, Fairfield: 888-318-7323, 803-705-7323
Richland, Lexington, Fairfield Fax: 803-750-7365
Newberry: 803-276-9359
Orangeburg, Calhoun Phone: 888-534-2022
Edgefield Phone: 877-637-6971
Georgetown, Williamsburg Phone: 800-946-9244
Home Health Agencies – Lancaster County
Springs Memorial HHS
803-236-1472
Home Health Agencies – Orangeburg County
Amedisys Home Health
1708 Village Park Dr.,
803-534-2022
Orangeburg, SC 29118
DHEC
PO Box 1250,
803-496-3324
Holly Hill, SC 29059
8. AFFORDABLE ACCESS – NOT HAVING HEALTH INSURANCE 66% survey
participants listed a major concern; EMPLOYER HEALTH SAVINGS ACCOUNTS
7% below average incident. (Ranked 8 out of 29).
Problem Statement: Increase the number of residents enrolled in health insurance
which will decrease residents in this category.

Tuomey’s Financial Assistance Policy.

Tuomey’s Medicaid Enrollment program.
Proprietary
Page 45

Tuomey’s Emergency Department.

Tuomey’s Health Reach Program.

Tuomey Medical Professionals Hospitalist Program.

Participate in efforts to establish medical homes, especially with the Federally Qualified
Health Clinics.

Work in cooperation with the Community Resources listed below.

Recruit Healthcare Providers to the Community.

Encourage enrollment in Medicaid and upcoming Health Insurance Exchanges.


To increase access to mere affordable healthcare.
To increase access to primary care.

The number of successful applications for Charity Care at or above 800.

To increase the number of patients referred to Tuomey’s Financial Assistance program.

To recruit 2 new primary care physicians to the community.

Number of Sumter residents enrolled in Medicaid.

Number of Sumter residents enrolled in the upcoming Health Insurance Exchanges.
Opportunity Statement: Efforts need to be devoted to achieve enhanced availability of affordable
medical and wellness services.
Sumter County DHEC
105 N Magnolia St.,
803-773-5511
Sumter, SC 29150
Governor’s Office, Affordable Care Act
1612 Marion St.,
803-737-5682
Columbia, SC 29201
South Carolina State Government
Richland County Medicaid Office
3220 Two Notch Rd.,
803-714-7562
Columbia, SC 29204
Proprietary
Page 46
Department of Health and Human
Services, Medicaid
7499 Parklane Rd. Ste. 164,
Blue Cross Blue Shield of South Carolina
7909 Parklane Rd. # 300,
803-741-0826
Columbia, SC 29223
803-741-1656
Columbia, SC 29223
I-20 E & Alpine Rd.,
803-788-0222
Columbia, SC 29219
2501 Faraway Dr.,
803-788-0222
Columbia, SC 29223
9. DRUG AND ALCOHOL ABUSE - YOUTH DRUG USE 57% reported as a major concern;
ADULT ABUSE of alcohol and/or drugs was noted by 52% of responses as a concern. (Ranked 9
out of 29).
Problem Statement: The incidence of Drug and Alcohol abuse needs to decrease.

Emergency department service to assess and facilitate appropriate referral

The THS Medical Library includes provision of information on healthy living and
substance use specific information such as “Alcohol and Pregnancy” and the interactive
tool “Addiction Quiz?”

Psychiatry Associates credentialed medical staff members


Lack of expertise of competency (i.e. no inpatient service available)


resources.

Proprietary
Page 47
Opportunity Statement: Raise awareness of the problem of drug and alcohol abuse and resources
available to respond to incidents
Outpatient Treatment Facilities
1278 N Lafayette Dr.,
774-4500
Sumter, SC
Sumter Behavioral Health Services
Gyn Psy
P.O. Box 39,
Sumter, SC 29151
Glenn Peagler:
803-778-2835
2 Medical Court,
803-774-4020
Sumter, SC
Drug & Alcohol Counseling Services
1154 Ronda St.,
803- 775-5080
Sumter, SC 29154
Helping Hands
5 Medical Court,
803-773-2088
Sumter, SC
Santee Wateree Community Mental
Health
Healthy Minds
246 W Calhoun St.,
803-775-9364
Sumter, SC
803-775-3522
Sumter, SC
Loradac
2711 Colonial Drive
803-256-3100,
ext. 201
Sumter Psychiatry
803-905-5650
Sumter, SC
New Alternatives
441 N Main St.,
803-775-5080
Sumter, SC
Inpatient Treatment Facilities
Aurora Pavilion
302 University Parkway,
803-641-5959
Aiken, SC
G Werber Bryan Psych Hospital
220 Faison Dr.,
803-935-7143
Columbia, SC
Proprietary
The Lighthouse
Page 48
152 Waccamaw Medical Pk Dr.,
843-347-8871
Conway, SC
Morris Village
220 Faison Dr.,
803-935-7101
Columbia, SC
Palmetto Health Baptist/Richland
Springs
11 Richland Medical Park,
Palmetto Behavioral
2777 Speisseger Dr.,
803-434-4813
Columbia, SC
843-747-5830
Charleston, SC
Three Rivers
2900 Sunset Blvd,
803-796-9911
W. Columbia, SC,
William S. Hall Psych Hospital
1800 Colonial Dr.,
803-898-1662
Columbia, SC
William Jennings Bryan Dorn VA
Medical Center
6439 Garners Ferry Rd.,
Columbia, SC,
Phone (803)-7764000 ext 6167 for
Tempe Evans or
page if she’s not
there; at night or
weekends, call
ext. 7200
10. ACCIDENTS - #5 cause of death, #43 SC County (#1 County rank is the Worst in the State:
#46 is the Best possible ranking), significantly higher than expected, statewide Traffic accidents #5
cause of death for males; better performance than national and peer averages; MOTOR VEHICLE
INJURY above national and peer average. (Ranked 10 out of 39).
Problem Statement: Deaths from accidents need to decrease.

THS Emergency Department provides accident triage, stabilization and several surgical
interventions but not as a designated trauma center

THS Pain Treatment Center, Wound Healing Center and Rehabilitation services provide
post accident recovery treatments
Proprietary


Page 49
A lack of identified effective interventions to address the need because preventive
responses are best addressed by others and THS functions best in accident emergency
and restorative capacities


resources.

Opportunity Statement: Identify and implement actions to reduce the number of accidental injuries
Alive At 25, South Carolina National
Safety Council
121 Ministry Dr.,
Children’s Trust of South Carolina
1634 Main St, Suite 100,
800-773-6185
Irmo, SC
803-733.5430
Columbia, SC 29201
MADD, South Carolina Chapter
630 St Andrew Rd.,
803-748-7333
Columbia SC, 29210
South Carolina Department of Health
and Environmental Control, Division of
Injury Prevention
1800 St. Julian Place,
South Carolina Highway Patrol
10311 Wilson Blvd.,
803-545-4330
Columbia, SC 29204
803-896-7920
Blythewood, SC 29016
Sumter Aquatics
1125 Lafayette Dr.,
803-774-3998
Sumter SC
Sumter County Fire Department
129 N E Hampton St.,
803-436-2600
Sumter, SC
Proprietary
Sumter County Library (internet safety)
Page 50
180 W Wesmark,
803-469-8110
Sumter, SC
Sumter County Parks and Recreation
(sports safety)
765 Oakland Av.,
Sumter County Safe Kids
803-778-5039
Sumter, SC
803-774-9000
Sumter, SC 29150
Sumter County Commission on Alcohol
and Drug Abuse
115 N Harvin St.,
Sumter County Coroner
17 E. Canal St.,
803-775-6815
Sumter, SC
803-774-9000
Sumter, SC 29150
Other Needs identified during the CHNA process
11. SEXUALLY TRANSMITTED DISEASES - Above state and national goals. (Ranked 11 out
of 29).
Opportunity Statement: More community awareness of sexually transmitted diseases including
condition, management, education, prevention and treatment.
Sumter County Department of Health
and Environmental Control STD Clinic
105 N Magnola St.,
Children’s Trust of South Carolina
1634 Main St., Ste. 100,
803-778-1531
Sumter, SC
803-733.5430
Columbia, SC 29201
1278 N. Lafayette Dr.,
803-774-4500
Sumter, SC
Sumter OB/GYN Associates
115 N Sumter #200,
803-775-8351
Sumter, SC
Sumter Pregnancy Center
207 N. Main St.,
803-773-8858
Sumter, SC
Sumter STD Testing
144 Garrett St Suite B.,
803-393-9421
Sumter, SC
Proprietary
Page 51
Wateree AIDS Task Force
108B East Liberty St.,
803-778-0303
Sumter, SC 29151
12. PREDISPOSING ADVERSE HEALTH FACTORS - Children in SINGLE PARENT
HOUSEHOLDS above state and national goals; COMPLIANT with treatment recommendations
9% below average incident; LOW EDUCATION LEVEL 66% listed as a major concern;
POVERTY 58% listed as a major concern. (Ranked 12 out of 29).
Opportunity Statement: Personal behavioral issues and local societal conditions need investigation
to identify meaningful interventions leading to health status improvement.
Sumter County Health Department
105 N Magnolia St.,
803- 773-551
Sumter, SC 29150
South Sumter Resource Center
37 Manning Avenue,
803-436-2277
Sumter, SC 29150
Vocational Rehabilitation
1760 N Main St.,
803-469-8045
Sumter, SC 29153
Planned Parenthood
2712 Middleburg Dr.,
803-256-4908
Columbia, SC 29204
SC DHEC
WIC Program, 105 N Magnolia St.,
803-773-5511
Sumter, SC 29150
Vocational Rehabilitation
1760 N Main St.,
803-469-8045
Sumter, SC 29153
Planned Parenthood
2712 Middleburg Dr.,
803-256-4908
Columbia, SC 29204
SC DHEC – WIC Program
105 N Magnolia St.,
803-773-5511
Sumter, SC 29150
13. HOMICIDE - Significantly higher than expected incident; incident above national and peer
average; VIOLENT CRIME RATE above state and national goals. (Ranked 13 out of 29).
Proprietary
Page 52
Opportunity Statement: Research how the health care delivery system can respond to meaningfully
reduce homicide deaths.
Tuomey Emergency Department
All local law enforcement officers
803-774-9111
107 E Hampton Ave.,
Sumter, SC 29150
Crimestoppers
107 E Hampton Ave.,
803-436-2739,
Sherriff’s office
436-2158, and
SC Highway
Patrol 803-7755353
803-436-2718
Sumter, SC 29150
Solicitor’s Office
141 N Main St,.
803-436-2185
Sumter, SC 29150
Department of Social Services
105 N Magnolia St.,
803-915-4700
Sumter, SC 29150
Drug & Alcohol Counseling Services
1154 Ronda St.,
803-775-5080
Sumter, SC 29154
Domestic Violence Counseling
803-773-7158
14. PHYSICIAN SUPPLY - 50% below State average, half the desired supply to achieve national
goal level.(Ranked 14 out of 29).
Opportunity Statement: Continue recruitment and retention to enhance local resident ability to
access physician and extender services
South Carolina Office of Rural Health
(job board and sourcing)
107 Saluda Pointe Dr.
Practice Match (online job board,
sourcing and locum tenens physicians)
600 Emerson Rd-Ste 450.,
Practice Alert (sourcing)
P.O. Box 920215,
803-454-3850
Lexington, SC 29072
314-485-6205
St.Louis, MO 63141
866-772-2590
Norcross, GA 30010
Proprietary
PracticeLink Magazine (advertising)
Page 53
415 2nd Avenue,
800-776-8383
Hinton, WV 25951
University of SC School of Medicine
(residency programs)
6311 Garner’s Ferry Rd,
Medical University of South Carolina
(residency programs)
96 Jonathan Lucas St-Ste 601-MSC 617,
Charleston, SC 29425
Medical Doctor Associates (locum
tenens physicians)
145 Technology Pkwy.,
The Inline Group (primary care job
board and sourcing)
530 E. Corporate Dr-Ste 100,
CompHealth (contingency recruiting
firm)
6440 South Millrock Dr-Ste 175,
The Curare Group (contingency
recruiting firm)
2990 E. Covenanter Dr.,
Southern Hospitalists (contingency
recruiting firm)
73 First St.,
803-216-3300
Columbia, SC 29209
800-780-3500
Norcross, GA 30092
866-211-3874
Lewisville, TX 75057
800-453-3030
Salt Lake City, UT 84127
800-880-2028
Bloomington, IN 47401
888-368-4177
Hoschton, GA 30548
15. LUNG DISEASE - #4 cause of death, #16 SC County; COPD incident 29% above average;
SMOKING 21% above average incident. (Ranked 15 out of 29).
Opportunity Statement: Decrease pulmonary related deaths by increasing condition awareness,
condition management, education and treatment resources.
Tuomey Smoking Cessation classes
803-774-8682
Sumter Medical Consultants
(pulmonologist)
540 Physicians Lane,
American Lung Association
44A Markfield Dr.,
803-774-1941
Sumter, SC
803-556-8451
Charleston, SC
Medicine physicians in the area.
Proprietary
Page 54
16. HOSPICE AND PALLIATIVE CARE - Programs exist. (Ranked 16 out of 29.)
Opportunity Statement: Increase utilization of Palliative care and Hospice services.
Tuomey Hospice and Palliative Care
500 Pinewood Rd.,
803-774-4663
Sumter, SC 29154
Agape Hospice
13 Caldwell St.,
803-774-1075
Sumter, SC 29150
Ahava Hospice
1303 W Evans St.,
843-468-9700
Florence, SC 29501
Amedisys (Winyah)
55 Lin-Do Ct.,
803-469-3047
Sumter, SC 29150
Ascension Hospice
226 State St.,
803-796-9296
Beacon Hospice
2635A Hardee Ct.,
803-469-9590
Sumter, SC 29150
Care Pro Hospice
1800 Main St., Suite 100,
803-758-4000
Columbia, SC 29201
Community Hospice
125 Broad St.,
803-403-9157
Sumter, SC 29150
Heartland Hospice
141 Stoneridge Dr.,
803-939-2788
Columbia, SC 29201
Hospice Care of SC
121 N Main St.,
803-484-6869
Bishopville, SC 29010
Solaris Hospice
246 Broad St.,
803-774-8400
Sumter, SC 29150
Southern Care Hospice
217 Dozier Blvd, #20,
843-664-9889
Florence, SC 29501
Tri-County Hospice
2560 Tahoe Dr.,
803-905-7720
Sumter, SC 29150
Proprietary
Arista Hospice
Page 55
1300 Sumter St.,
803-256-6868
Columbia, SC 29201
Embrace Hospice
1831 W Evans St.,
843-679-4999
Florence, SC 29501
Hospice Care of Sumter
314 N Magnolia St.,
803-883-5606
Sumter, SC 29150
Dynamic Hospice
220 Stoneridge Dr.,
803-765-2247
Columbia, SC 29201
Gentle Care Hospice
9400 Two Notch Rd.,
803-708-2405
Columbia, SC 29223
17. ALZHEIMERS - #7 cause of death, #15 SC County, incident significantly lower than
expected. (Ranked 17 out of 29).
Opportunity Statement: Increase the awareness of Alzheimer Disease treatment and support
resources
Tuomey Alzheimer Support Group
Covenant Place of Sumter
803-905-7720
2825 Carter Rd.,
803-469-7007
Sumter, SC
Deslys Floyd Russell
Hopkins
803-261-5603
Elmcroft of Florence
3006 Hoffmeyer Rd.,
843-673-0766
Florence, SC
McElveen Manor
2065 McCrays Mill Rd.,
803-778-9690
Sumter, SC
Northwoods Senior Living and Memory
Care
1267 N. Main St.,
Senior Life Improvement Center
207A N. Washington St.,
803-774-5700
Sumter, SC
803-774-2634
Sumter, SC
All family practice physicians in the area
Proprietary
Page 56
18. CHOLOESTEROL SCREENING - 6% below average incident. (Ranked 18 out of 29).
Opportunity Statement: Promote and evaluate programs related to the management and treatment
of cholesterol
Sumter Medical Consultants CV
Division
540 Physicians Ln.,
Sumter County Public Health
Department
803-778-1941
Sumter, SC 29150
803-773-5511
Sumter, SC 29150
Sumter, SC 29154
Birnie Hope Center
210 S. Purdy St.,
803-436-2645
Sumter, SC, 29150
North Hope Center
904 N. Main St.,
803-436-2691
Sumter, SC 29150
South Hope Center
1125 S. Lafayette Blvd.,
803-436-2653
Sumter, SC, 29150
Midlands Cardiology Association
213 W. Hampton Ave.,
803-773-1379
Sumter, SC, 29150
McLeod Cardiology Association
115 N. Sumter St.,
803-418-5969
Sumter, SC, 29150
19. KIDNEY DISEASE - #10 cause of death, #43 SC County. (Ranked 19 out of 29).
Opportunity Statement: Kidney Disease education and treatment resources should be expanded to
enhance education and continue to reduce the impact of this disease.
Sumter Dialysis
615 West Wesmark Blvd.,
803-469-4225
Sumter, SC 29150
Proprietary
Page 57
635 West Wesmark Blvd.,
803-469-7500
Sumter, SC 29150
Columbia Nephrology Associates PA
121 Park Central Dr.,
803-563-6646
Columbia, SC 29203
Carolina Kidney Specialists
1655 Bernardin Ave # 200,
803-256-1137
Columbia, SC 29204
Peedee Nephrology
1100 E Cheves St.,
843-662-6742
Florence, SC 29506
South Carolina Nephrology &
Hypertension Center Inc.
3709 Magnolia St.,
Florence Dialysis Center
435 North Cashua Dr.,
803-531-2220
843-661-5378
Florence, SC 29501
Pee Dee Nephrology
255 Warley St.,
843-669-6694
Florence, SC 29501
Pee Dee Nephrology
215 N Brooks St.,
843-355-9033
Kingstree, SC 29556
Nephrology Associates
212 Swift Creek Rd.,
843-339-9194
Hartsville, SC 29550
Palmetto Nephrology PA
1175 Cook Rd. # 115,
803-531-2677
Dialysis Access Institute
3000 Saint Matthews Rd.,
803 395-2145
South Caroline Nephrology &
Hypertension
1164 Orangeburg Mall Cir.,
803-531-2270
20. MENTAL HEALTH - Presents as an unidentified problem as noted by Local Experts.
Opportunity Statement: Expand prevention and treatment resources
Outpatient Treatment Facilities
Proprietary
Senior Life Improvement Center
Page 58
207A N. Washington St.,
803-774-2634
Sumter, SC
Santee Wateree Community Mental
Health
Santee-Wateree Elder Services –
Children and Adolescents
1175 N Guignard Dr.,
803-775-9364
Sumter, SC
803-775-7898
Sumter, SC
803-774-4500
Sumter, SC
Gyn Psy
P.O. Box 39,
Sumter, SC 29151
Glenn Peagler
803-778-2835
2 Medical Court,
803-774-4020
Sumter, SC
Helping Hands
5 Medical Court,
803-773-2088
Sumter, SC
Healthy Minds
246 W Calhoun St.,
803-775-3522
Sumter, SC
Loradac
2711 Colonial Drive
803-256-3100,
ext. 201
Sumter Psychiatry
803-905-5650
Sumter, SC
New Alternatives
441 N Main St.,
803-775-5080
Sumter, SC
Inpatient Treatment Facilities
Aurora Pavilion
803-641-5959
Aiken, SC
220 Faison Dr.,
803-935-7143
Columbia, SC
The Lighthouse
152 Waccamaw Medical Park Dr.,
843-347-8871
Conway, SC
Proprietary
McLeod Behavioral
Page 59
701 Cashua Ferry Rd.,
843-777-4234
Darlington, SC
Morris Village
220 Faison Dr.,
803-935-7101
Columbia, SC
MUSC
67 President St.,
843-792-9888
Charleston, SC
Springs
Palmetto Behavioral
803-434-4813
Columbia, SC
843-747-5830
Charleston, SC
Three Rivers
2900 Sunset Blvd.,
803-796-9911
W. Columbia, SC
1800 Colonial Dr.,
803-898-1662
Columbia, SC
Medical Center
Columbia, SC
Ralph H. Johnson, VA Medical Center 109 Bee St.,
803-776-4000
ext. 6167 for
Tempe Evans or
page if she’s not
there; at night or
weekends, call
ext.7200
843-789-7216
Charleston, SC
21. FLU - #9 cause of death, #34 SC County, incident significantly lower than expected.
Opportunity Statement: Increase influenza vaccination and prevention efforts.
12789 Lafayette Dr.,
803-774-4500
Sumter, SC
Proprietary
Faster Care
Page 60
3440 Declaration Blvd.,
803-905-3278
Sumter, SC
Doctors Care
2475 Broad St.,
803-778-6555
Sumter, SC
Colonial Family Practice
325 Broad St.,
803-773-5227
Sumter, SC
Sumter Internal Medicine Associates
12 Barnett Dr.,
803-773-5442
Sumter, SC
Cedars Medical Clinic
325 Liberty St.,
803-774-7000
Sumter, SC
Sandhills Medical Foundation
425 N. Salem St.,
803-778-2442
Sumter, SC
Excelsior Medical Clinic
448 N. Main St.,
803-778-2429
Sumter, SC
Sumter Family Medicine
738-A Liberty St.,
803-775-6374
Sumter, SC
Palmetto Adult Medicine
Wilson Hall Rd.,
803-436-5974
Sumter, SC
Sumter Pediatrics
237 Church St.,
803-775-6311
Sumter, SC
Palmetto Family Practice
115 N. Sumter St., Suite 315,
803-934-0810
Sumter, SC
MacDonald DuBose, M.D.
240 Church St.,
803-773-441
Sumter, SC
Mayes DuBose, M.D.
240 Church St.,
803-775-1001
Sumter, SC
Arland Compton, M.D.
430 N. Main St.,
803-775-5349
Sumter, SC
CVS Pharmacy
41 E. Calhoun St.,
803-418-0819
Sumter, SC,
Proprietary
CVS Pharmacy
Page 61
1080 Alice Dr.,
803-778-0460
Sumter, SC
Rite Aid Pharmacy
1077 Broad St.,
803-778-6551
Sumter, SC
Rite Aid Pharmacy
375 Pinewood Rd.,
803-775-5356
Sumter, SC,
Rite Aid Pharmacy
803-778-5436
Sumter, SC
Walgreens Pharmacy
1000 Broad St.,
803-773-7302
Sumter, SC
Walgreens Pharmacy
201. N. Lafayette Dr.,
803-773-4959
Sumter, SC
Walgreens Pharmacy
1990 McCrays Mill Rd.,
803-934-0847
Sumter, SC
S.C Department of Health and
Environmental Control
Center for Disease Control
1600 Clifton Rd.,
803-773-5511
Sumter, SC
800-232-4636
Atlanta, GA
22. CHRONIC ALLERGIES - 7% above average incident. (Ranked 22 out of 29).
Opportunity Statement: More residents need chronic allergy condition management and education
awareness.
Allergy Asthma & Sinus Center
115 N Sumter Suite # 315,
803-934-1488
Sumter, SC 29150
Sumter Ear Nose Throat
100 N Sumter Suite # 400,
803-778-5970
Sumter, SC 29150
Palmetto Allergy & Asthma PA
803-765-9435
Columbia, SC 29203
Proprietary
Page 62
701 Medical Park Dr.,
843-332-3191
Allergy Partners Of The Midlands
103 Midlands Ct.,
803-794-3581
Allergy & Asthma Care Llc.
7045 Saint Andrews Rd.,
803-407-0385
Columbia, SC, 29212
Coleman Dewitt TY Jr. MD
1001B Fairlawn Dr.,
803-424-2041
Camden, SC 29020
Allen, Harry S III MD
805 Pamplico Hwy,
843-661-0500
Florence, SC, 29505
800 East Cheves St-Ste 420,
843-679-9335
Florence, SC 29506
All family practice physicians in the
area
23. SUICIDE - Deaths lower than expected, but higher for males than females; lower rate than
national and peer averages. (Ranked 23 out of 29).
Opportunity Statement: Suicide screening and prevention resources need to increase.
Santee-Wateree Elder Services
Children and Adolescents: 1175 N Guignard,
Sumter, SC
803-775-7898
803-774-4500
Sumter, SC
Gyn Psy
P.O. Box 39,
Sumter, SC 29151
Glenn Peagler,
803-778-2835
2 Medical Court,
803-774-4020
Sumter, SC
Helping Hands
5 Medical Court,
803-773-2088
Sumter, SC
Proprietary
Healthy Minds
Page 63
246 W Calhoun St,
803-775-3522
Sumter, SC
Sumter Psychiatry
803-905-5650
Sumter, SC
New Alternatives
441 N Main St.,
803-775-5080
Sumter, SC
Aurora Pavilion
803-641-5959
Aiken, SC
220 Faison Dr.,
803-935-7143
Columbia, SC
The Lighthouse
152 Waccamaw Medical Park Dr.,
843-347-8871
Conway, SC
McLeod Behavioral
701 Cashua Ferry Rd.,
843-777-4234
Darlington, SC
Morris Village
220 Faison Dr.,
803-935-7101
Columbia, SC
MUSC
67 President St.,
843-792-9888
Charleston, SC
Springs
Palmetto Behavioral
803-434-4813
Columbia, SC
843-747-5830
Charleston, SC
Three Rivers
2900 Sunset Blvd,
803-796-9911
W. Columbia, SC
1800 Colonial Dr.,
803-898-1662
Columbia, SC
Proprietary
Medical Center
Page 64
Columbia, SC
Ralph H. Johnson, VA Medical Center 109 Bee St.,
803-776-4000
ext. 6167 for
Tempe Evans or
page if she’s not
there; at night or
weekends, call
ext. 7200
843-789-7216
Charleston, SC
24. HEALTH EDUCATION, PREVENTION AND SCREENING - Presents as an
unidentified problem as noted by Local Experts. (Ranked 24 out of 29).
Opportunity Statement: Awareness and use of health education, wellness and preventative service
needs to increase.
Sumter Public Health Department
803-773-5511
Sumter, SC 29150
Sumter, SC 29154
128 Stonemark Lane,
803-750-1693
Columbia, SC 29210
Sumter County Active Lifestyles
155 Haynesworth St.,
803-436-2400
Sumter, SC 29150
YMCA
50 Willow Dr.,
803-773-1400
Sumter SC 29150
25. BLOOD POISIONING - #8 cause of death, #22 SC County, incident significantly
higher than expected.(Ranked 25 out of 29).
Proprietary
Page 65
Opportunity Statement: Efforts to identify and treat early infections to reduce incidence of Blood
Poisoning (sepsis)
Sumter County Public Health
Department
105 North Magnolia St.,
Doctors Care Sumter
2475 Broad St.,
803-773-5511
Sumter ,SC 29150;
803-778-6555
Sumter, SC 29150
Sumter Family Health Center (Sumter
Office)
1278 North Lafayette Dr.,
(Pinewood Office)
25 East Clark Street
Sumter Medical Clinic (Sandhills
Medical Foundation, Inc.)
425 North Salem Avenue,
Sumter County Clinic (William
Jennings Bryan Dorn VA Medical
Center)
407 North Salem Avenue,
Wateree Aids Task Force – STD
Clinic
108 East Liberty St.,
Sumter County DHEC
PO Box 1628,
803-773-4500
Sumter, SC 29150
803-452-5151
Pinewood, SC 29125
803-778-2442
Sumter, SC 29150
803-938-9901
Sumter SC 29150
803-778-0303
Sumter, SC 29150
803-934-2885
Sumter, SC 29151
Richland County Public Health
Department
2000 Hampton St.,
Centers for Disease Control and
Prevention
1600 Clifton Rd.,
803-576-2980
Columbia, SC, 29204
Atlanta, GA, 30333
1-800-CDC-INFO
800-232-4636
Proprietary
Page 66
26. PARKINSON’S DISEASE - Death rate lower than expected. (Ranked 26 out of 29).
Opportunity Statement: Parkinson’s disease education and treatment resources should be
expanded to enhance education and determine proper interventions to reduce the impact of this
disease.
Tuomey Outpatient Rehabilitation
Wesmark Boulevard,
803-774-5201
Sumter, SC 29150
Sumter Neurology & Pain Management
312 Broad St.,
803-774-7246
Sumter, SC 29150
325 Broad St. Suite 100,
803-773-5227
Sumter, SC 29150
635 W Wesmark Blvd.,
803-469-7500
Sumter, SC 29150
South Carolina Neurological Clinic PA
1333 Taylor St.,
803-254-6391
Columbia, SC 29201
Palmetto Neurosurgery & Spine
803-434-8323
Columbia, SC 29203
Eastern Carolina Neurological
1594 Freedom Blvd, Ste. 205,
843-347-4196
Florence, SC 29505
Comprehensive Neurological Services
436 W Palmetto St.,
843-669-2007
Florence, SC 29501
Florence Neurosurgery & Spine
1204 E Cheves St.,
843-673-0122
Florence, SC 29506
Florence Neurosurgery & Spine
701 Medical Park Dr.,
843-857-9838
Kammer Kenneth S MD FACS
101 S Ravenel St.,
843-665-4758
Florence, SC 29506
Carolinas Pulmonology
805 Pamplico Hwy.,
843-673-7529
Florence, SC 29505
Proprietary
Access Physical Therapy
Page 67
198 E Wesmark Blvd-Ste 1,
803-774-2781
Sumter, SC 29150
Sumter Physical Therapy Clinic
803-469-3213
Sumter, SC 29150
Tranquility Green Therapeutic
830 S Pike W Suite 2,
803-773-4404
Sumter, SC 29150
Cathy's Massage Therapy
6135 Dubose Siding Rd.,
803-316-6663
Sumter, SC 29153
Total Rehab Services
9600 Two Notch Rd.,
803-736-5540
Columbia, SC 29223
Lakeview Physical Therapy
122 N Brooks St.,
803-433-9001
Manning, SC, 29102
Camden Rehab
301 E Dekalb St.,
803-432-2432
Camden, SC, 29020
First Physical Therapy Of Camden
1202 Mill Street,
803-432-1147
Camden, SC 29020
Excel Physical Therapy LLC
810 Mallet Hill Rd.,
803-661-8522
Columbia, SC 29223
First Physical Therapy
21 Gateway Corners Park Suite 102,
Columbia, SC 29203
803-699-9775
Heartland of Columbia Rehabilitation
& Nursing Center
2601 Forest Dr.,
803-256-4983
Morrill Alternative
5060 Sunset Blvd.,
Columbia, SC 29204
803-957-3116
Lexington, SC
Parkinson's Support Group
2720 Sunset Blvd.,
W. Columbia 29169
Proprietary
Page 68
27. TOBACCO USE - Presents as an unidentified problem as noted by local experts. (Ranked 27
out of 29).
Opportunity Statement: The number of local residents who use tobacco products needs to decline
Sumter County Commission
115 North Harvin St.,
803-775-6815
Sumter, SC
Chrysalis Center
New Alternatives
1430 South Cashua Dr.,
Florence, SC
843-673-0660
ext 213
441 North Main St.,
803-775-5080
Sumter, SC
Clarendon City Commission on Alc/Trt
14 North Church St.,
803-435-2121
Manning, SC
325 Broad St.,
Sumter, SC 29150
803-773-5227
ext 5362
SC Department of Health and
Tobacco Cessation Program Services, 2600
Bull Street, Columbia, SC 29201
803-898-DHEC
Tobacco Cessation Quitline
1-800-QUIT-NOW (784-8669), the South Carolina Department
of Health and Environmental Control’s toll-free “quitline”
South Carolina Cancer Alliance
2711 Middleburg Dr-Ste 313-A,
1-866-745-5680
Columbia, SC 29204
128 Stone Lane,
843-882-9030
Columbia, SC 29210
American Lung Association
1301 Pennsylvania Ave. NW, Suite 800,
Washington, DC 20004
202-785 3355
Tobacco Free Kids
1400 I Street NW, Suite 1200,
202-296-5469
Washington, DC 20005
Life Care Center Of Columbia
2514 Faraway Dr.,
803-223-7254
Columbia, SC 29223
White Oak Columbia Nursing Home &
Rehabilitation
3001 Beechaven Rd, Columbia, SC 29204
803-782-4363
Proprietary
Page 69
Summer House Detox
877-933-3869
28. DOMESTIC ABUSE - Presents as an unidentified problem as noted by Local Experts.
Opportunity Statement: Raise awareness of the problem of domestic violence and resources
available to respond to incidents
Domestic Violence Support Services
3905 Saint Marks Rd.,
803-968-1724
Sumter, SC 29154
Criminal Domestic Violence Office
Sumter, SC 29150
803-436-2046
Family Violence Services Domestic
Violence Office
246 Church St.,
803-773-7158
St Eugene Demazenod Shelters
304 W Wesmark Blvd.,
Sumter, SC 29150
803-469-4312
Sumter, SC 29150
Wateree Community Actions Inc.
32 E Liberty St.,
803-773-6512
Sumter, SC 29150
Wateree Community Action Inc.
13 S Main St.,
803-432-0743
Sumter, SC 29150
Sumter County Disabilities
13 Kendrick St.,
803-775-9466
Sumter, SC 29150
Salvation Army
16 Kendrick St.,
803-775-9336
Sumter, SC 29150
Alston Wilkes Society
207 N Main St.,
803-773-7334
Sumter, SC 29150
Home Health Services DHEC
105 N Magnolia St.,
803-773-5511
Sumter, SC 29150
Child Abuse & Neglect
105 N Magnolia St.,
803-773-5531
Sumter, SC 29150
United Way-Sumter/Clarendon
215 N Washington St.,
803-773-7935
Sumter, SC 29150
Proprietary
Sumter Child Advocacy Center
Page 70
803-774-5600
Sumter, SC 29150
Sumter Volunteers
407 W Hampton Ave.,
803-775-7423
Sumter, SC 29150
Berea Community Svc Center
803-773-3077
Sumter, SC 29150
American Legion
28 S Artillery Dr.,
803-773-9644
Sumter, SC 29150
29. ENVIORNMENTAL ISSUES - Presents as an unidentified problem as noted by Local
Experts. (Ranked 29 out of 29).
Opportunity Statement: Raise awareness of the problems originating from environmental and
pollution issues and resources available to respond to incidents
City of Sumter Fire Department
129 E. Hampton Ave.,
803-436-2600
Sumter, SC
City of Sumter Public Works
303 E. Liberty St.,
803-436-2558
Sumter, SC
Sumter County Environmental
Engineering
13 E. Canal St.,
Sumter County Department of Health
803-436-2114
Sumter, SC
803-773-5511
Sumter, SC
Sumter County Public Works
1289 N. Main St.,
803- 436-2241
Sumter, SC
Sumter County Emergency
Management
141 N. Main St.,
Shaw AFB Public Health
431 Meadowlark St.,
803-436-2158
Sumter, SC
803-895-6193
Shaw AFB, SC
S.C. Department of Health and
3600 Bull St.,
803-898-3432
Columbia, SC
Proprietary
Emerald, Inc.
Page 71
2520 Tahoe Dr.,
803-469-5454
Sumter, SC
Overall Community Need Statement and Priority Ranking Score:
Significant Needs Where Hospital Has an Implementation Plan
1. Heart Disease;
2. Cancer and Screening;
4. Diabetes;
5. Hypertension;
6. Maternity and Child Health;
7. Stroke;
8. Affordable Access.
Significant Needs Where Hospital Did Not Develop an Implementation Plan27
3. Obesity
9. Drugs & Alcohol Abuse
10. Accidents
Other Needs Where Hospital Did Not Develop an Implementation Plan
11. Sexually Transmitted Disease;
12. Predisposing Adverse Health Factors & Life Expectancy
13. Homicide;
14. Physician Supply;
15. Lung Disease;
16. Hospice and Palliative Care;
17. Alzheimer’s;
18. Cholesterol Screening;
19. Kidney Disease;
27
Reference Schedule H (Form 990) Part V Section B 7.
Proprietary
Page 72
20. Mental Health;
21. Flu;
22. Chronic Allergies;
23. Suicide;
24. Health Education, Screening and Prevention;
25. Blood Poisoning.
26. Parkinson’s;
27. Tobacco Use;
28. Domestic Abuse;
29. Environmental (lead, water, etc).
Total first year budget for providing services that address the needs identified in the Needs
Assessment = $1,265,000.28
28
Reference Schedule H (Form 990) Part V Section B 6. f
Proprietary
Page 73
APPENDICES
Proprietary
Page 74
Appendix A – Area Resident Survey Response
A total of 165 residents participated in an on-line survey to offer opinions regarding their
perceptions of community health needs. The following is an analysis of their responses:
The first question was open-ended: “What do you believe to be the most important health or
medical issues confronting the community?” Answers were placed in a “Word Cloud” format for
analysis and generated the following image:
Word Clouds are analytical tools which give greater visual prominence to words appearing more
frequently in the source text. This information visualization establishes a portrait of the aggregate
responses, presenting the more frequently used terms with greater text size and distinction in the
visual depiction. Common article word (i.e., “a,” “the,” etc.), non-contextual verbs (i.e., “is,” “are,”
etc.) and similar words used when writing sentences are suppressed by this application.
The interpretation of the image tracks with the statistical analysis of what are major concerns (topics
identified by over 50% of community opinions).
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The second question asked about identifying major concerns:
Are Any of the Following a Concern? 100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
78% 77%
68% 68% 65% 65%
53% 49%
21% 16% 15% 14%
Major Issue
Moderate Issue
Minor Issue
Not an Issue
No Opinion/Don't Know
Are Any of the Following of Concern?
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
57%
Major Issue
49%
Moderate Issue
45%
44%
Minor Issue
42%
Not an Issue
40%
20%
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Are Any of the Following of Concern?
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
66%
Major Issue
58%
42%
31%
Moderate Issue
30%
20%
Minor Issue
18%
15%
Not an Issue
11%
10%
We then asked about the experiences of the area resident.
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100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
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71% 61%
52% 45% 44% 44%
YES I perceive problems
NO I do not see concerns
27% 25%
No Opinion
Individual/Family Health Concerns was the only classification of needs receiving a majority opinion
of having a priority need to respond to perceived problems (as shown below).
Importance of Resolving Problems
450
400
350
52%
42% 41%
300
250
200
150
21%
18% 16%
12%
100
7%
50
0
Weighted Priority Response with Percent of Total Votes
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We asked if people left the area in search of care and received the following information.
In the Last 2 Years Did Any Household Member Leave the County in Search of Medical Care?
Don't Know
or
Remember
9%
YES
38%
NO
53%
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After gather demographic information and other responses which did not generate actionable
information, we asked one final question seeking opinions about issues the respondents wanted to
emphasize for our analysis. The additional information continued to confirm earlier expressed
opinions. The following image was generated from 18 responding individuals.
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Appendix B – Process to Identify and Prioritize Community Need29
E xp e rts
Ca s ting
Vo te s
T o ta l
V o te s
Ca s t
Cummu %
144
141
125
115
84
74
65
57
50
48
39
38
38
35
31
30
25
25
25
19
16
15
14
14
11
9
7
5
1
13
11
13
12
12
12
11
9
10
11
8
9
8
7
7
7
9
8
7
2
7
7
7
2
7
6
3
2
1
13
144
285
410
525
609
683
748
805
855
903
942
980
1018
1053
1084
1114
1139
1164
1189
1208
1224
1239
1253
1267
1278
1287
1294
1299
1300
11.1%
21.9%
31.5%
40.4%
46.8%
52.5%
57.5%
61.9%
65.8%
69.5%
72.5%
75.4%
78.3%
81.0%
83.4%
85.7%
87.6%
89.5%
91.5%
92.9%
94.2%
95.3%
96.4%
97.5%
98.3%
99.0%
99.5%
99.9%
100.0%
1,300
P o int
Bre a k
3
16
10
31
10
9
8
7
2
9
1
0
3
4
1
5
0
0
6
3
1
1
0
3
2
2
2
4
P rio rity
D e te rmina tio n
High Priority
1. HEART DISEASE
2. CANCER and SCREENING
3. OBESITY
4. DIABETES
5. HYPERTENSION
6. MATERNITY AND CHILD HEALTH
7. STROKE
8. AFFORDABLE ACCESS
9. DRUG & ALCOHOL ABUSE
10. ACCIDENTS
11. SEXUALLY TRANSMITTED DISEASE
12. PREDISPOSING ADVERSE HEALTH FACTORS &
13. HOMICIDE
14. PHYSICIAN SUPPLY
15. LUNG DISEASE
16. HOSPICE AND PALLIATIVE CARE
17. ALZHEIMER’S
18. CHOLESTEROL SCREENING
19. KIDNEY DISEASE
20. Mental Health
21. FLUE
22. CHRONIC ALLERGIES
23. SUICIDE
24. Health Education, Screening and Prevention
25. BLOOD POISONING
26. PARKINSON’S
27. Tobacco Use
28. Domestic Abuse
29. Environmental (lead, water,etc)
Total Votes
T o ta l
V o te s b y
Need
Low Priority
P o te ntia l N e e d T o p ic
Individuals Participating as Local Expert Advisors
Name:
Company or Organization:
Title or Position
Email Address:
Area of Expertise:
Michelle DeVine
RN BSN NCSN-Assistant Coordinator
Care Reach
[email protected]
School Health (Pre-school-12th Grade) in Sumter Community
Name:
Title or Position
Email Address:
Area of Expertise:
Mayes DuBose, MD
Owner
Carplina Geriatric Specialists, LLC
[email protected]
Geriatric Medicine
Name:
Title or Position
Email Address:
Area of Expertise:
Tim Hardee
President
Central Carolina Technical College
[email protected]
Higher Education
29
Responds to IRS Schedule H (990) Part V B 1. g. and V B 1. h.
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Name:
Title or Position
Email Address:
Area of Expertise:
GC James
Judge
SC Judicial Dept
[email protected]
Long time area resident
Name:
Title or Position
Email Address:
Area of Expertise:
Kevin Johnson
Executive Director
Wateree AIDS Task Force
[email protected]
Infectious Disease prevention treatment and care referral service.
Name:
Title or Position:
Email Address:
Area of Expertise:
Linda Johnson
Interim Regional Health Director
SC DHEC
[email protected]
Public Health
Name:
Title or Position
Email Address:
Area of Expertise:
Mary Kolb
Assistant Vice President
BB&T
[email protected]
banking and non profits
Name:
Title or Position
Email Address:
Area of Expertise:
Lissa C. Lara
CEO
[email protected]
Patient Centered Medical Homes and Quality Initiatives
Name:
Title or Position
Email Address:
Area of Expertise:
Andre McBride
Plant Manager
International Paper
[email protected]
resident
Name:
Title or Position
Email Address:
Area of Expertise:
C. Suzette McClellan
Regional Director of Professional Services/Health Education
SCDHEC- Region 4
[email protected]
Public Health/Health Education
Name:
Title or Position
Email Address:
Area of Expertise:
Janice Poplin
VP HR & Risk Management
Thompson Construction Group
[email protected]
industrial
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Name:
Title or Position
Email Address:
Area of Expertise:
Cindy S Reese
Palmetto Family Practice
MD
[email protected]
local physician
Name:
Title or Position
Email Address:
Area of Expertise:
Nick Shorter
Administrative Services Dir.
City of Sumter
[email protected]
Risk Management
Name:
Title or Position
Email Address:
Area of Expertise:
Mary Sheridan
Public Information
Sumter School District
[email protected]
Certified guidance counselor and public information with PK-12 school district
Name:
Title or Position
Email Address:
Area of Expertise:
Chris Watson
Care Reach Manager
Tuomey Medical Professionals
[email protected]
public health - pediatrics
Name:
Title or Position
Email Address:
Area of Expertise:
Robin Watson
Director of Nursing
[email protected]
Community health
Name:
Title or Position
Email Address:
Area of Expertise:
Nancy Lee Zimpleman
VP of Membership Development
Greater Sumter Chamber of Commerce
[email protected]
Small Business
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Advice Received from Local Experts
Q. Do you agree with the observations formed about the comparison of Sumter County to all other
South Carolina counties?
Do You Agree With the Observations Comparing Sumter Within SC
I disagree with some or all of the above observations
6%
I agree with the above observations
94%

I also think that the following conditions should be considered: infant mortality and tobacco
use.

I believe that the Violent Crime Rate can be addressed through increasing our response from
the Department of Social Services and other Social Service Providers to children that are
being allowed to remain in homes where there is chronic neglect of their basic needs, as well
as children that are witnesses to chronic Criminal Domestic Violence and chronic physical
and emotional abuse. I have seen children in elementary school that are either allowed to
remain in these environments or are subject to be moved back and forth from foster home
to parent home numerous times and as a result, become increasingly angry individuals. These
children then reach adolescence and the anger turns into rebellion and ultimately places them
at high risk for committing a violent crime in our community in the future.

Childhood obesity is very high along with being ranked third for AIDS and fourth for HIV
in the state as of last state rankings. Also very high in unintentional injuries.

Need improved/increased access to mental health services.

I do think there is access to healthy food but patients do not make healthy choices.

I agree, but with some justifications. Although we are known for a high crime rate, a lot of it
is 'crime on crime' activity, so I feel that it is somewhat inflated. As for limited access to
healthy food, there is plenty available but the overall socio-economic climate makes it
unobtainable for some.
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Q. Do you agree with the observations formed about the comparison of Sumter County to its Peer
counties?
Do You Agree With Comparison of Sumter With Its Peers?
19%
81%

I am surprised that the Black non-Hispanic infant mortality is listed as better than peers and
national rates.

Sexually transmitted diseases are not rated.

Births to women under 18 should be a greater concern than ranked.
Q. Do you agree with the observations formed about the population characteristics of Sumter
County?
Do You Agree With the Observations Made About Sumter County
100%
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Q. Do you agree with the observations formed about the opinions from local residents?
Do You Agree With the Summary of Local Resident Opinions
6%
94%

I am concerned as to whether or not the survey captured a representative sample of Sumter
County's population to complete the survey.

There is a need for more mental health providers for children in our community that are
Medicaid providers.

Not sure survey respondents accurately reflect the "average" citizen (44% have income of
$100,000 or more).

In #7, it says cancer was listed by 65% as a major concern. #11 says it was listed as a major
concern by 51%. One has to be incorrect. Answer: #7 - 65% is correct, #11 is an error in
reporting results.
Q. Do you agree with the observations formed about the additional data analyzed about Sumter
County?
Do You Agree With the Summary of Other Data Analyzed?
I agree with the above observations I agree with the above observations
100%
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Appendix C – Illustrative Schedule H (Form 990) Part V B Potential
Response
Illustrative IRS Schedule H Part V Section B (form 990)30
Community Health Need Assessment Answers
1. During the tax year or any prior tax year, did the hospital facility conduct a
community health needs assessment (CHNA)? If "No," skip to line 9
Illustrative Answer – Yes
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a. A definition of the community served by the hospital facility
b. Demographics of the community
c. Existing health care facilities and resources within the community that are
available to respond to the health needs of the community
d. How the data was obtained
e. The health needs of the community
f. Primary and chronic disease needs and health issues of uninsured persons,
low-income persons and minority groups
g. The process for identifying and prioritizing community health needs and
services to meet the community health needs
h. The process for consulting with persons representing the community’s interests
i. Information gaps that limit the hospital facility’s ability to assess the
community’s health needs
j. Other (describe in Part VI)
Illustrative Answer – check a. through i. Answers available in this report are found as
follows:
1. a. – See Footnotes #18 (page 11) & #19 (page 11)
1. b. – See Footnotes #20 (page 12)
1. c. – See Footnote #25 (page 28)
1. d. – See Footnotes #11 (page 6)
1. e. – See Footnotes #16 (page 8)
1. f. – See Footnotes #14 (page 8)
30
Questions are drawn from 2012 f990sh.pdf Forms and may change when the hospital is to make its 990 h filing
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1. g. – See Footnote #17 (page 9) & #28 (page 80)
1. h. – See Footnote #12 (page8) & #28 (page 80)
1. i. – See Footnote #10 (page 6)
1. j. – No response needed
2. Indicate the tax year the hospital facility last conducted a CHNA: 20 _ _
Illustrative Answer – 2013
See Footnote #1 (Title page)
3. In conducting its most recent CHNA, did the hospital facility take into account
input from representatives of the community served by the hospital facility,
including those with special knowledge of or expertise in public health? If “Yes,”
describe in Part VI how the hospital facility took into account input from persons
who represent the community, and identify the persons the hospital facility consulted
Illustrative Answer – Yes
See Footnotes #13 (page 8), #15 (page 8)
4. Was the hospital facility’s Need Assessment conducted with one or more other
hospital facilities? If “Yes,” list the other hospital facilities in Part VI.
Illustrative Answer – No
5. Did the hospital facility make its CHNA widely available to the public? If “Yes,”
indicate how the Needs Assessment was made widely available (check all that apply)
a. Hospital facility’s website
b. Available upon request from the hospital facility
c. Other (describe in Part VI)
Illustrative Answer – check a. and b.
The hospital will need to obtain Board approval of this report, document the date of
approval, and then take action to make the report available as a download from its web site.
It may also be prudent to place a notice in a paper of general circulation within the service
area noting the report is available free upon request.
6. If the hospital facility addressed needs identified in its most recently conducted
CHNA, indicate how (check all that apply to date):
a. Adoption of an implementation strategy that addresses each of the
community health needs identified through the CHNA
b. Execution of an implementation strategy
c. Participation in the development of a community-wide plan
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d. Participation in the execution of a community-wide plan
e. Inclusion of a community benefit section in operational plans
f. Adoption of a budget for provision of services that address the needs
identified in the CHNA
g. Prioritization of health needs in its community
h. Prioritization of services that the hospital facility will undertake to meet
health needs in its community
i. Other (describe in Part VI)
Illustrative Answer – check a, b, f, g, and h.
6. a. – See footnote #26 (page 29)
6. b. – See footnote #26 (page 29)
6. f. – See footnotes #6 (page 4) and #28 (page 72)
6. g. – See footnote #17 (page 9)
6. h. – See footnote #17 (page 9)
7. Did the hospital facility address all of the needs identified in its most recently
conducted CHNA? If “No,” explain in Part VI which needs it has not addressed
and the reasons why it has not addressed such needs?
Illustrative Answer – No
Part VI suggested documentation – See Footnote #27 (page 71)
8. a. Did the organization incur an excise tax under section 4959 for the hospital
facility's failure to conduct a CHNA as required by section 501(r)(3)?
b. If “Yes” to line 8a, did the organization file Form 4720 to report the section
4959 excise tax?
c. If “Yes” to line 8b, what is the total amount of section 4959 excise tax the
organization reported on Form4720 for all of its hospital facilities?
Illustrative Answers – 8. a, 8 b, 8 c – No
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TUOMEY HEALTHCARE SYSTEM SUMTER, SOUTH CAROLINA

Transcription

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