Presence Mercy Medical Center Presence Fox Knoll Presence

Transcription

Presence Mercy Medical Center
Presence Fox Knoll
Presence McAuley Manor
Presence Home Care
Community Health Needs Assessment
Implementation Strategy
2013 - 2016
Table of Contents
Ministry Overview .................................................................................................................... 1
Target Areas and Populations ............................................................................................................ 3
Identification of Community Needs ..................................................................................................... 9
Identifying Community Priorities .................................................................................................................................... 15
Development of the Implementation Strategy ................................................................................... 17
Action Plan with Presence Health’s Involvement in Addressing the Needs.................................... 19
Next Steps for Priorities .................................................................................................................... 37
Priorities Not Being Addressed by Presence Mercy Medical Center................................................ 38
Implementation Strategy Approval .................................................................................................... 39
Implementation Strategy Communication ......................................................................................... 40
Kane County Community
2013 - 2016 Implementation Strategy
Ministry Overview
Provena Health and Resurrection Health Care merged on November 1, 2011 to form a new
health system, Presence Health, creating a comprehensive family of not-for-profit health care
services and the single largest Catholic health system in Illinois. Presence Health embodies the
act of being present in every moment we share with those we serve and is the cornerstone of a
patient, resident and family-centered care environment. “Presence” Health embodies the way
we choose to be present in our communities, as well as with one another and those we serve.
Building on the faith and heritage of our founding religious congregations, we commit ourselves
to these values that flow from our mission and our identity as a Catholic health care ministry:
 Honesty: The value of Honesty instills in us the courage to always speak the truth, to act
in ways consistent with our Mission and Values and to choose to do the right thing.
 Oneness: The value of Oneness inspires us to recognize that we are interdependent,
interrelated and interconnected with each other and all those we are called to serve.
 People: The value of People encourages us to honor the diversity and dignity of each
individual as a person created and loved by God, bestowed with unique and personal
gifts and blessings, and an inherently sacred and valuable member of the community.
 Excellence: The value of Excellence empowers us to always strive for exceptional
performance as we work individually and collectively to best serve those in need.
Presence Mercy Medical Center (PMMC) has been meeting the health needs of Kane County
residents for over 100 years. Founded by the Sisters of Mercy, PMMC continues to carry out its
mission of providing “compassionate, holistic care with a spirit of healing and hope in the
communities” it serves.
PMMC is a 350-bed facility located in Aurora, Illinois, a growing suburb 40 miles west of
Chicago. Consistent with the mission and vision set forth by the founding Sisters of Mercy,
PMMC diligently works to meet the needs of the community. This is achieved through a
commitment to provide high quality, state-of-the-art, cost-effective care, within a Catholic,
culturally sensitive environment, to all members of the community regardless of religious
preference.
With over 1,200 employees and a medical staff of over 340 physicians across multiple
specialties, PMMC offers a full range of inpatient and outpatient medical services for the Greater
Aurora area. In concert with other Presence ministries, PMMC strives to live out its mission of
providing compassionate, holistic care with a spirit of healing and hope in the communities it
serves.
Presence Fox Knoll
Presence Fox Knoll (PFK) is a Senior Living Community in Aurora that includes an 88-unit
Independent Living building for persons 65 and older, and a 75 unit, IDPH-licensed Assisted
Living building which was formerly St. Joseph Mercy Hospital. Assisted Living services include
meals, housekeeping, assistance with activities of daily living and memory care. Social
opportunities and spiritual enrichment are available for all Presence Fox Knoll residents.
Page 1 of 40
Ministry Overview
Presence McAuley Manor
In 1985, Presence McAuley Manor (PMM) began providing short- and long-term skilled nursing
care to the Aurora and Fox Valley communities. The ministry has 87 Medicare-certified beds, of
which 9 are also certified for Medicaid. The short-term Transitional Care Unit comprises 50% of
the population Presence McAuley Manor serves. The services provided at Presence McAuley
Manor include 24-hour skilled nursing care, physical, occupational and speech therapy services,
as well as spiritual health, art, music and other complementary therapies that address the needs
of the entire person. Presence McAuley Manor employs approximately 130 employees and is
accredited by The Joint Commission.
Presence Home Care
Presence Home Care (PHC) is a ministry of Presence Life Connections and part of the
integrated healthcare delivery network of Presence Health. Presence Health includes five acute
care hospitals, one long term acute care hospital, 17 long-term care facilities, 9 residential
housing ministries, five home health agencies, two hospice agencies, a private duty agency, an
intergenerational center, adult daycare centers, pharmacies and clinics. Presence Life
Connections ministries are located in Illinois and Indiana. Presence Home Care consists of five
home health agencies (Chicago, Elgin, Joliet, Kankakee and Champaign-Urbana), two hospice
agencies (Elgin and Champaign/Urbana) and one private duty agency covering all service
areas. The average daily census in the home health agencies is approximately 950, of which
75-80% are Medicare recipients, with the remaining being a mix of Medicaid, commercial and
self-pay. The average daily census in the hospice agencies is approximately 45, with a
comparable distribution in terms of payer sources. Private duty currently has approximately
1,500 people subscribed to our patient monitoring system in the home. Presence Home Care
employs approximately 375 employees of which 80% are clinical staff.
This report summarizes the plans for PMMC, PFK, PMM and PHC to sustain and develop new
community benefit programs that 1) address prioritized needs from the 2011 Kane County
Community Health Needs Assessment (CHNA) conducted by Kane County Health Department
and 2) respond to other identified community health needs.
Page 2 of 40
Target Areas and Populations
Description of Community
Kane County is the fifth largest county in Illinois, with a
2010 population of 515,269. It has grown by 30% since
2000 and by 60% since 1990. Kane County is located
40 miles west of Chicago, within the Chicago
Metropolitan Area. Its land area is about 520 square
miles, with a population density of about 776.5 people
per square mile. It has a small rural area (2.3% of total
population), mostly in the western half of the County.
Most of its urban population is clustered around the Fox
River. Southern Kane makes up about 37% of the Kane
County population and comprises seven communities
located in the southern third of Kane County by land
mass. The largest community in Kane County is Aurora
with a population of 197,899.
Primary Service Area
PMMC’s service area comprises Aurora, North Aurora
and Montgomery, with a total population of 233,097 in its
service area. Aurora is the largest municipality which
makes up about 85% of the service area with a total
population of 197,899. Aurora straddles four counties
(Dupage, Kane, Kendall and Will) and is the second
largest city in Illinois. It is racially and ethnically diverse,
with 44% of the population White, 38% Hispanic and
Asian and African Americans comprising 6% and 10% of
its population, respectively.
Aurora has the second
largest Hispanic population in the state.
Kane County
 40 miles west of Chicago
 515,269 people who reside in
30 municipalities.
 Median age in Kane is 35.4
years
 The 2010 U.S. Census reports
the Hispanic population has
tripled since 1990 and now
stands at 158,390, or 31% of
the total population, the
highest proportion of Hispanic
residents of all Illinois counties.
Aurora, Illinois
 Total Population: 197,899
 Gender: 51% Female, 49%
Male
 Ethnicity: 41% Hispanic, 40%
Caucasian, 10% African
American, 7% Asian, 2% other
 Age Distribution Years: 30-39=
17%, 10-19=16%, 20-29=14%,
40-49=14%, 50-51=10%
 Median Household Income:
61K
 Language Spoken: 54%
English, 39% Spanish Only
 Unemployed: 8.5%
Demographics
Southern Kane County makes up about 37% of the Kane
County population, with a 2010 population of 192,259. It comprises seven communities located
in the southern third of Kane County by land mass. The largest communities in the Southern
Planning Area (SPA) are Aurora, comprising 68% of SPA as a whole, and Batavia which
represents 14% of SPA.
Age. The age distribution showed that the SPA is also a younger community, with a third of the
population age less than 18 years and 9% under 5 years old. In Aurora, the largest age
distribution was 30-39 years (17%), 10-19 (16%), 20-29 (14%), 40-49 (14%), and 50-51 (10%).
Gender. There were more females (51%) residing in Aurora than males (49%).
Population. Kane County has a population of 515,269 people who reside in 30 municipalities.
Aurora has a total population of 197,899.
Page 3 of 40
Ethnicity. Aurora is home to the largest Hispanic community in Illinois outside of Chicago. It is
quite racial/ethnically diverse, with 46% of the population White, 42% Hispanic, 9% African
American and 2% Asian.
Language Spoken. 54% of Aurora residents speak English and 39% of residents speak
Spanish.
Income. The median household income in Aurora is $61,000. Like most other communities, this
area was also affected by the economic downturn. All the major municipalities in the service
area had their unemployment rates in 2010 increase more than double the rate in 2000. The
unemployment rate for Aurora is currently 10.9%.
Poverty Status. Similarly, poverty status in Aurora increased to 13.9%. It is estimated that a
one-parent family with a preschooler and school-age child will need at least $60,472 to be selfsufficient in Kane County. Of the 59,663 homes in Aurora, almost a third are renter-occupied,
with 47% of the renters spending 35% or more of their income on rent.
Education. About 72% of high school students graduated in the major school districts serving
the area (D129 and D131), with a composite ACT score of 17.9.
Target Population. The CHNA revealed that 89% of Kane adult residents reported that they had
health insurance coverage compared to 87.8% in 2002. The U.S. Census reported that 86.8%
of the total population had health insurance, compared to 86.2% for Illinois, and lower than the
Healthy People 2020 goal of 100%. The target population for this Presence Mercy Medical
Center is underserved adults in the hospitals primary service area which includes eight
Medically Underserved Areas (MUAs).
Gender:
51% Female
49% Male
Race/Ethnicity:
41% Hispanic
Source: Kane County Health Department, 2012. Kane 201-2016 Community Health
Improvement Plan. Available: http://kanehealth.com/PDFs/CHIP/CHIP-short.pdf
Page 4 of 40
High School Graduates:
21.4%
Total Population:
193,582
Median Household
Income: $61K
Source: Kane County Health Department, 2012. Kane 2012-2016 Community Health Improvement Plan.
Available: http://kanehealth.com/PDFs/CHIP/CHIP-short.pdf
Page 5 of 40
Northern Kane County
60102 Algonquin
60010 Barrington Hills
60103 Bartlett
60109 Burlington
60110 Carpentersville
60118 East Dundee
60123 Elgin
60136 Gilberts
60140 Hampshire
60142 Huntley
60140 Pingree Grove
60118 Sleepy Hollow
60177 South Elgin
60118 West Dundee
Central Kane County
60119 Campton Hills
60119 Elburn
60134 Geneva
60142 La Fox
60151 Lily Lake
60151 Maple Park
60174 St. Charles
60151 Virgil
60184 Wayne
Southern Kane County
60504 Aurora
60505 Aurora
60506 Aurora
60507 Aurora
60510 Batavia
60511 Big Rock
60144 Kaneville
60538 Montgomery
60542 North Aurora
60554 Sugar Grove
PMMC Primary Service Area
Page 6 of 40
Source: Kane County Health Department, 2012. Kane 2012-2016
Community Health Improvement Plan.
Page 7 of 40
Page 8 of 40
Identification of Community Needs
Process Used to Identify Community Needs
Approach.
Kane County approached the 2011 Community Health Needs Assessment
differently than in years past. In late 2010, the Kane County Health Department (KCHD)
engaged the five hospitals in the county and the INC Board in a formal Community Health
Assessment Committee to fund and lead the assessment effort. In early 2011, the Fox Valley
United Way and the United Way of Elgin both formally agreed to fund and support the
assessment process as well. This partnership allowed all agencies to meet their community
assessment requirements and provided an efficient use of assessment and planning resources
from all involved agencies.
Indicators and Secondary Data Sources. The assessment
included the collection and analysis of the most-up-to-date
health, social, economic housing and other data including:
2010 U.S. Census, Centers for Disease Control and
Prevention, Illinois Department of Public Health, Illinois
Department of Employment Security, Kane County Health
Department, Youth Risk Behavior Surveillance Survey, and
other Kane County offices and departments. In addition, the
assessment included qualitative input directly from residents
gathered through focus groups, Community Cafés,
Community Meetings and Quality of Kane Open Houses.
Secondary Data Sources
 2010 U.S. Census
 Center for Disease
Control and Prevention
 Illinois Department of
Public Health
 Illinois Department of
Employment Security
 Kane County Health
Department
 Youth Risk Behavior
Survey
Methodology. The assessment partnership funded a
comprehensive telephone survey of Kane County residents to collect health status information
for over 1,500 adults and the caregivers of over 400 children. The survey questions were
created based on the Behavioral Risk Factor Surveillance System survey, allowing the results
to be compared with state and national figures. The Northern Illinois University Public Opinion
Laboratory was contracted to conduct the phone survey between March and July of 2011. In
addition to quantitative data, the department gathered qualitative information from residents
about the health of the community through the Quality of Kane Public Meetings, Focus Groups,
Community Cafés and Community Meetings. These events provided an opportunity to hear
directly from residents about the factors most influencing health in their communities. This
information was used to help planners understand the health data collected. Over 200 residents
participated in at least one of these events.
Community and Stakeholder Participation. Community and stakeholder input were obtained to
determine the needs of the community. The Quality of Kane Public Meetings were held in April,
May, and November 2011. These meetings provided community members an opportunity to
hear about and provide their input on planning initiatives in Kane County from different planning
disciplines: health, land use, and transportation. There were six meetings total, two from each
of the three planning areas in the county. The planning areas are defined by the county and are
used by all departments.
Page 9 of 40
Focus groups were a key component in this community health assessment. Use of focus
groups provided additional information in a less structured setting. Multiple sessions in different
areas during different times ensured that enough information was gathered to identify common
themes in all responses. Twelve of the groups consisted of residents recruited by Northern
Illinois University Public Opinion Laboratory and were held in the three planning areas (North,
Central, South) of the county with four meetings in each area.
Two Community Cafés were held in conjunction with the Strengthening Families organization
and used their “Parent Café” model. The model had specially trained parent coordinators who
hosted and facilitated the discussion. Three questions were presented at each session, one per
table, and participants moved from table to table, building on what was discussed by the prior
group. The Strengthening Families Parent Cafés are a valuable part of the community, that help
serve as a vehicle to help bring parents together to discuss topics that help keep families strong
and children safe by looking at the social-emotional side of health.
For the Community Meetings, the department targeted existing groups to ask another series of
questions relating to health, education, and income/employment. This method was effective
because it did not require special recruitment of participants; meetings were held during existing
meeting times to increase participation.
Type of Meeting
Quality of Kane Public
Meetings
Community Café
Number of Meetings
8
NIU Focus Groups
Community Meetings
12
6
2
Number of Participants
210
10: Spanish-Speaking Session
9: English-Speaking Session
88
52
369 Total Participants
Table 1: Methods of Qualitative Data Collection
Community and Stakeholder Key Findings. The results of the survey, focus groups, Community
Cafés, and Community Meetings were analyzed along with the secondary data collected to
identify potential threats to community health.
Community Assets and Resources. As part of the assessment, the department examined the
assets in the community: hospitals, physicians, agencies, and partnerships. There are five
hospitals in Kane County, (two in Elgin, one in Geneva, and two in Aurora) all of whom work
closely with the department on the assessment and many other projects including health
access, wellness programs, and the Fit Kids 2020 Plan initiative. Five Federally Qualified
Health Centers (FQHC) serve Kane County and together they provided essential health
services for 68,943 patients, dental services for 18,976 patients, and mental health services for
6,038 patients in 2010. These centers are crucial in helping vulnerable populations get access
to the services they need. There are 46.3 primary care physicians (including pediatricians) per
100,000 population, as compared to the national median of 54.6 per 100,000 population. Kane
Page 10 of 40
County has 9 pediatricians per 100,000 population as compared to the national median of 4 per
100,000. This is beneficial to the county because of its large population of children under 18.
The number of specialist in Kane County is higher (85.8 per 100,000) than the national (31.7 per
100,000) median as well. Finally, dentists in the county per 100,000 is 53.7, higher than the
national median of 33. The county does not have a community mental health center; however,
there are 20 agencies coordinating the provision of services through the Kane County Mental
Health Council.
Key Findings. Analysis of the 2011 Community Health
Survey data, secondary data, online survey results, and
qualitative data, the Kane County Health Assessment
results pointed to six major threats to community health
and well-being.
These issues contribute to a lower quality of life for many
Kane County residents, as well as increased spending on
health care costs. To improve the overall quality of life in
Identified Community Health
Needs in Kane County
1.
2.
3.
4.
5.
6.
Obesity
Chronic Disease
Infant Mortality
Childhood Lead Poisoning
Communicable Disease
Poor Social and Emotional
Wellness
Kane County, the Community Health Improvement Plan (CHIP) recommends four cross-cutting
priorities to address these threats. Each priority will be addressed through implementation of
one or more evidence-based strategies.
Results of the 2012 Needs Assessment
Obesity. The problem of obesity in the United States has reached epidemic levels and Kane
County is experiencing equally high rates for adults and children. For adults, obesity is defined
as having a Body Mass Index (BMI) equal to or greater than 30. The calculation for BMI uses a
person’s height and weight. For children and teens, the calculation is more precise, using
height, weight, age, and gender.
The current percentage of adults in Kane County who are overweight (BMI between 25 and
29.9) is 34.5%. Those who are obese make up 29.4% which means, together, 63.9% of Kane
County adults are considered overweight and obese. According to the Centers of Disease
Page 11 of 40
Control and Prevention, being overweight or obese can increase the risk for health problems
including heart disease, type 2 diabetes, high blood pressure, cancer, stroke, and osteoarthritis.
Chronic Disease. Chronic diseases such as heart disease, stroke, cancer, diabetes, and
arthritis are among the most common, costly, and preventable of all health problems in the U.S.
Chronic disease accounts for 80% of all deaths in Kane County. With the rapidly growing older
population in the county, these diseases will become more prevalent unless preventative action
is taken. Without proper insurance, people are unable to keep their conditions under control
and will end up in hospital emergency rooms for issues that could be more effectively managed
by regular visits to a physician.
Infant Mortality. In Kane County, there is a disparity in the infant mortality rate when compared
by race/ethnicity; the rate is two times higher for African Americans than for Hispanic and white
residents.
Looking at the current trend, which is improving, it will still take another two
generations to close the gap in rates. By implementing various strategies, like increasing the
number of African-American women who enter prenatal care in the first trimester, that gap can
be closed by 2030. Source: Kane County Health Department, 2012. Kane 2012-2016 Community Health Improvement Plan.
Page 12 of 40
Childhood Lead Poisoning. Lead poisoning is entirely preventable. Unfortunately, Illinois leads
the nation in the percentage of lead poisoned children. Outside of Cook County, Kane County
has the highest rate of childhood lead poisoning in the state. Nearly 1,500 children in Kane
were documented to have elevated blood lead levels and need to have their homes evaluated
for lead hazards and have the lead hazards reduced or eliminated.
Communicable Disease. Vaccines are among the most cost-effective clinical preventive
services and are a core component of any preventive services package. Unfortunately, only
56% of 2 year olds in Kane County received the recommended vaccinations in 2010.
Outbreaks of communicable disease lead to increased absenteeism in workplaces and schools
and increased health care costs. A healthcare system in Kane County working to prevent,
identify early, and treat communicable diseases is critical and can help close the gap to reduce
the burden of communicable disease.
Page 13 of 40
Poor Social and Emotional Wellness. Mental disorders are among the most common causes of
disability. Mental health plays a major role in people’s ability to maintain good physical health.
Mental illness such as depression and anxiety, affect people’s ability to participate in healthpromoting behaviors. Southern Kane County had the highest percentage of adults who
reported that their mental health was not good.
A key objective of the hospital is to integrate the CHNA findings with the Community Health
Improvement Plan and Implementation Strategy. To begin, PMMC looked back at the priorities
from the last community benefit plan. An evaluation of the past plan was important in helping
determine if what was implemented actually had a positive outcome and people’s lives had
improved.
PMMC’s review of current community benefit programs found that the hospital is meeting
existing community needs by delivering prevention and management programs and providing
advocacy and support to local campaigns and initiatives.
Obesity:
 Prevention: I’m Reducing Obesity in Children (IROC) Nutrition Program
 Advocacy and Support: Making Kane County Fit for Kids Partnership
 Advocacy and Support: Healthy Living Council of Greater Aurora
Chronic Disease:
 Prevention: A-List: Achieving Good Health Diabetes Prevention Program
 Management: A1C Achiever Diabetes Program
 Management: Live Well, Be Well Program Chronic Disease Management
 Prevention: Community Wellness Program
Poor Social and Emotional Wellness
 Advocacy and Support: Kane County Mental Health Council Partnership
Page 14 of 40
Identifying Community Priorities
PMMC recognizes that priority setting is a critically important step in the community benefit
planning process. Decisions around priorities have a pivotal impact upon the effectiveness and
sustainability of the endeavor. PMMC worked with the Kane County CHNA Steering Committee
to identify priority issues for the county. This allowed PMMC to be actively engaged in the
current county assessment to fully understand the health needs of the county residents.
The CHNA steering committee developed the following process for prioritizing the issues that
were identified in the assessment:
First, the results of the survey, focus groups, Community Cafés, and Community Meetings were
analyzed along with the secondary data collected to identify potential threats to community
health. Next, for the first time, the results of the Kane County Community Health Assessment
were made available online in a webinar format in October and November 2011. The webinar
provided new, updated information on the overall health of the community, a progress report on
the last community health improvement plan and nine recommended key opportunities for
community health improvement over the next five years. The webinars were available ondemand which allowed people to view them at their own convenience and pace and permitted
pausing/restarting at the click of a button. 169 individuals from many different agencies and
communities viewed the webinar over a three week period.
Residents, stakeholders, and other interested parties were asked to prioritize the nine
recommended key opportunities for community health improvement, provide input on who
should be involved in addressing the issues, and comment on what resources are currently
available in the community. In addition, members of the Kane County Board of Health and
Health Advisory Committee participated in a retreat to review the data and discuss the results.
After issues were identified, workgroups were formed for each priority to develop goals and
strategies of how to address the issues. The CHNA Steering Committee saw some overlapping
strategies under each issue and agreed to structure the workgroups that would work on each
issue.
PMMC identified internal resources to serve on the appropriate action items. Staff resources
were identified to work collaboratively toward implementation of the objectives, goals and
strategies under the health issues that PMMC was best equipped to address.
The Kane County CHNA findings served as tools to use in determining the overall health of the
community and identifying the key health issues facing the community.
Page 15 of 40
Identifying Community Priorities
The following indicators served as a guide to identify the community priorities:
Size of the Problem. Results were analyzed to provide insight to the size of the current health
problems the community is facing.
Seriousness of the Problem. Results were analyzed to assess the seriousness of the current
health problems the community is facing. What impact did the current problem have on the
individual, family and at the community level? For example, obesity was the number one threat
facing Kane County, therefore, implementing interventions aimed at obesity prevention was
critical to improving the health of the community.
Economic Feasibility. All community benefit initiatives are an integral component of PMMC’s
strategic and financial plans, inclusive of budgeting to provide financial and human resources
adequate for successful program implementation.
Disparities. Health disparities exist when inequalities that exist when members from certain
population groups do not benefit from the same health status as other groups. PMMC
approaches all community benefit initiatives taking into account the disparities that exist in the
community. Although health disparities are often identified along racial/ethnic lines, PMMC
leadership also considers other disparities such as access to healthcare, socioeconomic status,
gender and behavioral factors when identifying community priorities.
Available Expertise. PMMC Leadership has identified internal resources to serve on action
teams that will help to move the Health Implementation Strategy Agenda forward within the next
three years. These internal resources will offer expertise in the following areas: chronic disease
(diabetes, heart disease, stroke), nutrition, obesity, program implementation, development and
evaluation, and behavioral health.
Necessary Time Commitment. PMMC’s organizational commitment for implementation of this
strategy will be monitored by the Mission Committee of the Board. The Mission Committee will
oversee the progress of the Health Implementation Strategy plan. The VP of Mission Services
and Director of Community Health are the dedicated resources for implementation of the plan.
In addition, implementation of the Health Implementation Strategy will involve time commitment
from action teams to move the implementation agenda forward.
Page 16 of 40
Development of the Implementation
Strategy
PMMC’s Implementation Strategy was developed based on the findings and priorities
established by the Kane County CHNA and a review of the hospital’s existing community benefit
activities.
PMMC served as one of eight partners that participated in the
Kane County Community Health Needs Assessment.
This
provided the opportunity for PMMC to actively provide
expertise, input, and financial support.
Partners also involved in this process included the 4 other
hospitals in Kane County including Delnor Hospital, Presence
Saint Joseph Hospital, Rush-Copley Medical Center, Sherman
Hospital, Fox Valley United Way and the United Way of Elgin.
Community Health
Assessment Partners
Delnor Hospital
Fox Valley United Way
INC Board
Presence Mercy Medical
Center
Presence Saint Joseph
Hospital
Rush-Copley Medical Center
Sherman Hospital
United Way of Elgin
After the health issues were identified in the assessment,
meetings involving PMMC leadership (Community Health, Mission
Services, Strategy, Faith Community Nursing, Center for Diabetic Wellness) were held to begin
identifying current programs and/or interventions that already existed and those that could be
developed.
Next, PMMC leadership identified internal resources to serve on the appropriate action teams.
After considering staff resources and expertise, staff was matched with the most appropriate
objectives, goals and strategies under each health issue within the community. The action
teams were assigned to work collaboratively toward implementation of the objectives, goals and
strategies under the health issues that PMMC was best equipped to address.
Goals and strategies were set by the VP of Mission Services and the Director of Community
Health. Once the goals and strategies were determined, a program proposal was submitted to
Senior Leadership identifying the need based on community assessment findings, internal
resources with expertise, program goals and objectives, measures of success, evaluation.
PMMC has a highly skilled team of experts in the areas of chronic disease, heart disease, stroke
and diabetes. In addition, PMMC has a community outreach team including both the Community
Health Nursing department and the Faith Community Nursing department.
The past year has been a time of organizational transition. During 2013, Presence Fox Knoll and
Presence McAuley Manor will be evaluating opportunities to partner with community
organizations, as well as Presence Mercy Medical Center, to identify specific programs and
strategies to focus their efforts in the coming year.
Page 17 of 40
Development of the Implementation
Strategy
Based on the CHNA findings, internal resources, and internal expertise the areas of focus for
the 2013 Implementation Strategy Plan that PMMC will help to address include:
Kane County
Health Threat
Obesity
Chronic
Disease
Poor
Social
and Emotional
Wellness
Goal / Priority
Strategy
Support Health
Behaviors that
Promote Well-Being &
Prevent Disease
Increase access to,
and consumption of
fresh fruits and
vegetables
PSJH
IROC Nutrition
Program
Community Partner
Local School Districts
Family Focus
American Cancer
SocietyKane County Health
Department
Support Health
Behaviors that
Promote Well-Being &
Prevent Disease
Reduce tobacco
use and exposure
to environmental
tobacco smoke.
Freedom from
Smoking Program
Increase Access to
High Quality, Holistic
Preventive &
Treatment Services
Across the Health
Care System
Increase the
proportion of
residents of all
ages who receive
appropriate,
evidence-based
clinical preventive
services
Living Well with
Diabetes Program
Live Well, Be Well
Program
Local Physicians
Madrinas Go Red!
Heart Disease
Awareness Program
American Heart
Association
Enhance systems
to support the
prevention, early
identification and
evidence-based
treatment of mental
health conditions.
Kane County Mental
Health Services
Council Partnership
Kane County Mental
Health Services
Council
Focus culturally
appropriate outreach
and engagement
efforts to eliminate
racial disparities in
health outcomes
Increase Access to
High Quality, Holistic
Preventive &
Treatment Services
Across the Health
Care System
Although some needs are the same as they were identified in 2012 (i.e. obesity, chronic
disease) there are also additional areas that were identified by PMMC that are of concern such
as language assistance.
Page 18 of 40
Action Plan with Presence Health’s
Involvement in Addressing the Needs
The PMMC Executive Team and Governing Board have a strong commitment to community
health initiatives. Community initiatives and activities have ongoing monitoring and evaluation
for program effectiveness. The Mission Committee of the Board is actively involved in review of
the Health Implementation Strategy Plan to ensure proposed programs are aligned with our
mission and with the needs identified in the 2011 Community Health Needs Assessment. The
Mission Committee of the Board meets quarterly and as needed.
The first step in this process involves the Director of Community Health submitting the proposed
Implementation Strategy to the VP of Mission Services. The plan is then submitted by the VP of
Mission Services to the Executive Team for review. Once approved, the plan is then submitted
to the Mission Committee of the Board and to the Board of Directors for annual review,
feedback and approval. Once approval is received from both boards, the Implementation
Strategy is then sent to the System Director of Community Health Strategy for inclusion in a
system-wide report, which will be submitted to the Attorney General’s office.
I’M REDUCING OBESITY CHILDREN (IROC) NUTRITION PROGRAM
Program Description
I’m Reducing Obesity in Children (IROC) Nutrition program is designed to provide a series of
eight 1.0 hour workshops that will emphasize proper nutrition education for parents and children
including goal setting and motivation related to healthy behavior issues. The workshops will
also provide families with information and resources relevant to the topics covered. Each 8week session involves parents attending an education workshop presented by a registered
dietitian as children concurrently participate in a cooking demonstration activity led by a
registered nurse. Children will create and eat some healthy snacks in this hands-on class that
introduces little cooks to the kitchen with easy recipes, simple measurements and kitchen
safety.
Community Need: Obesity Prevention: I’m Reducing Obesity in Children (IROC) Nutrition Program
Aim Statement: Reduce and/or prevent childhood obesity in Kane County by providing nutrition education for
children and parents to promote lifelong health eating habits amongst parents and children.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Evaluation Plan/
Partner Role
Measures of
Success
American
Knowledge
Financial
Create
1. 80% of
Provide nutrition
education/cooking knowledge
program
Cancer
Questionnaire
Supporter
questionnaire,
Society: CoPreprogram and
workshops for
participants will
report increased parents and
Facilitator for
Post program
Expertise
Create
children
knowledge of
workshops
education
proper nutrition
and menu
Staff
modules,
Resources
for children.
planning
Schedule
education
Fox Valley
Park District:
Page 19 of 40
workshops with
community
partners
2. Increase the
number of
children whose
BMI was
maintained or
decreased after
6 months.
Provide nutrition
education/cooking
workshops for
parents and
children
3. Increase
healthy
behaviors in
children post
program as
evidenced by:
 % of children
who report
decreased
soda and juice
consumption
 % of children
who report
eating
breakfast
 % of children
who report
eating more
fresh fruit and
vegetables
 %of children
who report
watching TV
 % of children
who report
more physical
Activity
Provide nutrition
education/cooking
workshops for
parents and
children on
healthy behaviors
and healthy
eating
Create
education
module on
obesity and BMI
Data Collector
Instructing
Team
Supply BMI
charts
Create
children’s
curriculum;
educate
children on
what healthy
behaviors look
like.
Instructing
Team
Expertise
Data Collector
Provide education
to parents on the
impact on
unhealthy
behaviors on
children’s health.
Create Lifestyle
Questionnaire
for parents to
assess current
risk behaviors
Create
Wellness
Questionnaire
to assess
current nutrition
and physical
activity status
Provided Use
of Space to
host
workshops
American
Cancer
Society: CoFacilitator for
workshops
and menu
planning
Fox Valley
Park District:
Provided Use
of Space to
host
workshops
American
Cancer
Society: CoFacilitator for
workshops
and menu
planning
Fox Valley
Park District:
Provided Use
of Space to
host
workshops
Body Mass Index
(BMI) Charts
Weight and
Height
Measurements
Wellness
Questionnaire
Lifestyle
Questionnaire
Wellness
Questionnaire
Page 20 of 40
4. Increase the
number of
families who
report having
access to proper
nutrition
education by
qualified
healthcare
professionals
Provide access to
healthcare
professionals for
each workshop
Recruit
participants
Market the
program
throughout the
community
Inform local
healthcare
professionals
and other
agencies about
services
Served as
main
registration
center
Budget for
Registered
Dietitians,
Registered
Nurses, and
Certified
Diabetes
Educators for
instructing
team for all
workshops
American
Cancer
Society
assisted with
recruitment
Wellness
Questionnaire
Fox Valley
Park District:
assisted with
registration
and
recruitment
Page 21 of 40
A1C ACHIEVER DIABETES MANAGEMENT PROGRAM
Program Description
"Life with Diabetes" is a 2-3 month program that combines diabetes self-management education
and medical nutrition therapy concurrently. Patients are referred by their primary healthcare
provider to meet with a diabetes educator for an individual initial assessment to determine the
plan of care. Patients attend six 1.5 hour sessions and two individual medical nutrition therapy
sessions. Healthy behavior goals are selected by the patient and diabetes educator to be reevaluated midway through the program and upon program completion or as needed. All patients
that achieve an A1C of less than 7% become part of the “A 1C Achiever” program which is a
patient recognition program that rewards patients for achieving glycemic control.
Community Need: Chronic Disease Management: A1C Achiever Program
Aim Statement: The Life with Diabetes Program provides access to diabetes services so that program
participants can attain glycemic control (A1C less than 7%) and improve current health status. Participants that
achieve glycemic control are recognized A1C Achievers.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Evaluation Plan/
Partner Role
Measures of
Success
Continuous
Referrals from A1C laboratory
Budget for
Provide access
60% of program
to Diabetes
participants will
development of
local primary
diabetes
results
Selfachieve target
Life With
care providers preprogram and
services and
Management
A1C of less than
Diabetes
for new onset
Instructing
post program
Education
7%.
program
and
Team
services
curriculum to
uncontrolled
reflect most
patients with
updated
diabetes
evidence based
Referrals from A1C Achiever
approach.
Federally
program
Provide access
Qualified
completion roster
Weekly Clinical
Health
to Medical
Team staffing to
Centers
Nutrition
monitor patient
Therapy
progress
services
Provide access
to necessary
pharmaceutical
agents to
control gylcemic
levels
Work with
Physician and
pharmacy to
provide access
for uninsured
patients of the
CDW
Provide
assistance for
diabetes
supplies and
pharmaceutical
agents
Cosmopolitan
Club of
Aurora:
Contributes to
Diabetes
Emergency
Fund
Page 22 of 40
90% of program
participants will
report an
increase in
diabetes selfmanagement
knowledge
Provide access
to education
services
Create diabetes
education care
plans for
patients
Assess
knowledge level
pre-program
and postprogram
Create
knowledge
questionnaire
Provide access
to diabetes
education
services for
patients
Referrals from
local primary
care providers
for new onset
and
uncontrolled
patients with
diabetes
Pre-program and
Post-program
Knowledge
Questionnaire
Referrals from
Federally
Qualified
Health
Centers
A-LIST: ACHIEVING GOOD HEALTH DIABETES PREVENTION PROGRAM
Program Description
A diabetes screening and education program that focuses to prevent the onset of type 2 diabetes.
Established in 2011, the A-List: Achieving Good Health Diabetes Prevention program is an 8-week
program that combines diabetes prevention education strategies and medical nutrition therapy
concurrently. Participants must have at least one risk factor for type 2 diabetes but must not be
diagnosed upon program entry. Participants meet with a diabetes educator for an individual initial
assessment to determine the plan of care. Participants will then attend eight 1.5 hour workshops and
two individual medical nutrition therapy sessions.
Healthy behavior goals are selected by
participants and a diabetes educator at the beginning of the program and then to be re-evaluated
midway through the program and upon program completion or as needed. All participants that can
demonstrate optimal glycemic levels or improved glycemic levels are invited to attend a recognition
celebration that rewards them for achieving improved health status.
Community Need: Chronic Disease Prevention: A-List Achieving Good Health Diabetes Prevention
Program
Aim Statement: Increase participants’ knowledge on prevention strategies and sills to prevent or delay the
onset of type 2 diabetes.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Evaluation Plan/
Partner Role
Measures of
Success
Provide
Create type 2
Provide access
Referrals from Pre-program and
80% of program
access to
diabetes
Post Pro-gram
to diabetes
local primary
participants will
prevention
prevention
care providers Knowledge
report increased
diabetes
education
education
for individuals Questionnaire
knowledge of
prevention
modules
workshops for
at risk for type
diabetes risk
education
individuals at
factors upon
services for at- 2 diabetes
Schedule
risk for type 2
program
risk
Page 23 of 40
completion
80% of program
participants will
report increased
knowledge of
diabetes
prevention
strategies upon
program
completion
diabetes
Provide access
to diabetes
prevention
education
workshops for
individuals at
risk for type 2
diabetes
80% of program
participants will
report having
access to proper
nutrition and
diabetes
education by
qualified
healthcare
professionals
Provide access
to healthcare
professionals
for each
workshop
80% of program
participants will
Provide access
to diabetes
diabetes
prevention
workshops
throughout the
year
participants
Assess current
diabetes
prevention
knowledge
Create type 2
diabetes
prevention
education
modules
Budget for
instructing
team
Schedule
diabetes
prevention
workshops
throughout the
year
Assess current
diabetes
prevention
knowledge
Recruit
participants
Market the
program
throughout the
community
Inform local
healthcare
professionals
and other
agencies about
services
Create 6-month
follow up
Marketing of
program
Referrals from
Federally
Qualified
Health
Centers
Provide
access to
diabetes
prevention
education
services for atrisk
participants
Referrals from
local primary
care providers
for individuals
at risk for type
2 diabetes
Marketing of
program
Referrals from
Federally
Qualified
Health
Centers
Budget for
instructing
team
Post Program
Evaluation
Budget for
Registered
Dietitians,
Registered
Nurses, and
Certified
Diabetes
Educators for
instructing
team for all
workshops
Dunham Fund
awarded
funding to
deliver
program
Post Program
Evaluation
Budget for
Registered
Dunham Fund
awarded
Fasting blood
glucose, A1C, BP,
Page 24 of 40
report retained
knowledge and
have
demonstrated
results within
optimal glycemic
levels 6 months
after program
completion
Increase healthy
behaviors
reported in
program
participants as
evidenced by:
 % of
participants
who report
eating
breakfast
 % of
participants
who report
decreased
sweetened
beverage
consumption
 % of
participants
who report
eating more
fresh fruits and
vegetables
 % of
participants
who report
more physical
activity
prevention
education
workshops for
individuals at
risk for type 2
diabetes
questionnaire
Provide access
to nutrition
education
workshops for
participants
that reinforce
My Plate and
Rethink Your
Drink
campaigns
Create type 2
diabetes
prevention
education
modules on
Nutrition 1:
Introduction to
General
Nutrition and
Nutrition 2:
Advance
Concepts
Provide access
to education for
participants on
the impact on
unhealthy
behaviors on
diabetes risks.
Create
education
modules on
Stress, Coping
and Behavior
Change
Concepts
Follow up with
participants 3
months post
program and 6
months
Dietitians,
Registered
Nurses, and
Certified
Diabetes
Educators for
instructing
team for all
workshops
Budget for
Registered
Dietitians,
Registered
Nurses, and
Certified
Diabetes
Educators for
instructing
team for all
workshops
funding to
deliver
program
Height, Weight,
Waist
Circumference
Measurements
Referrals from
local primary
care providers
for individuals
at risk for type
2 diabetes
Pre-program and
Post program
Wellness
Questionnaire
Referrals from
Federally
Qualified
Health
Centers
Pre-program and
Post Pro-gram
Knowledge
Questionnaire
Assess current
knowledge
Page 25 of 40
LIVE WELL, BE WELL CHRONIC DISEASE SELF-MANAGEMENT PROGRAM
Program Description
The Live Well, Be Well Chronic Disease Self-Management Program is a 6-week, participants
education workshop that is evidence based Chronic Disease Self-Management Program
developed by Stanford School of Medicine Patient Education Research Center. The program
provides information and teaches practical skills on managing chronic health problems. Live
Well, Be Well program gives people the confidence and motivation they need to manage the
challenges of living with chronic disease including communication with physicians, symptom
management, action planning & strategies for disease prevention. Caregivers are encouraged
to attend.
Community Need: Chronic Disease Prevention: Live Well Be Well
Aim Statement: Increase knowledge and confidence with self-management skills for managing chronic
diseases.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Evaluation
Partner Role
Plan/
Measures of
Success
PMMC and
Provide access
Recruit
80% of program
Referrals from Program
PSJH budgets local primary
to Live Well, Be participants for
participants will
Evaluation
for the
Well workshops program (faith
report increased
care providers Tool
instructors to
communities,
knowledge of self- for individuals
for individuals
teach this
Center for
management skills diagnosed with
at risk for type
2 diabetes
program.
at least one
Diabetic
upon program
chronic disease. Wellness, local
completion
physicians,
PMMC and
PSJH finances
PMMC case
the participant Referrals from
managers)
materials for
Federally
this program.
Track the
Provide 4
Qualified
evaluation tool
workshops a
Health
PMMC case
responses for
Centers
year in Aurora
managers
each participant
and Elgin Area
refer patients
for all 4
with chronic
workshops
disease that
are discharge
from the
hospital
Referrals from Program
PMMC and
Recruit
Provide access
80% of program
Evaluation
PSJH budgets local primary
to Live Well, Be participants for
participants will
care providers Tool
for the
Well workshops program (faith
report increased
for individuals
instructors to
communities,
for individuals
self-efficacy
Page 26 of 40
diagnosed with
at least one
chronic disease.
Provide 4
workshops a
year in Aurora
and Elgin Area
80% of program
participants will
report better
communication
with their health
care providers
upon program
completion
Provide access
to Live Well, Be
Well workshops
for individuals
diagnosed with
at least one
chronic disease.
Provide 4
workshops a
year in Aurora
and Elgin Area
Increase healthy
behaviors reported
in program
participants as
evidenced by:
 % of participants
who report more
physical activity
 %of participants
who report more
coping
management
techniques
Provide access
to Live Well, Be
Well workshops
for individuals
diagnosed with
at least one
chronic disease.
Provide 4
workshops a
year in Aurora
and Elgin Area
Center for
Diabetic
Wellness, local
physicians,
PMMC case
managers)
Track the
evaluation tool
responses for
each participant
for all 4
workshops
Recruit
participants for
program (faith
communities,
Center for
Diabetic
Wellness, local
physicians,
PMMC case
managers)
Track the
evaluation tool
responses for
each participant
for all 4
workshops
Recruit
participants for
program (faith
communities,
Center for
Diabetic
Wellness, local
physicians,
PMMC case
managers)
Track the
responses for
each participant
for all workshops
teach this
program.
PMMC and
PSJH finances
the participant
materials for
this program.
PMMC and
PSJH budgets
for the
instructors to
teach this
program.
PMMC and
PSJH finances
the participant
materials for
this program.
PMMC and
PSJH budgets
for the
instructors to
teach this
program.
PMMC and
PSJH finances
the participant
materials for
this program.
at risk for type
2 diabetes
Referrals from
Federally
Qualified
Health
Centers
Referrals from
local primary
care providers
for individuals
at risk for type
2 diabetes
Program
Evaluation
Tool
Referrals from
Federally
Qualified
Health
Centers
Referrals from
local primary
care providers
for individuals
at risk for type
2 diabetes
Program
Evaluation
Tool
Referrals from
Federally
Qualified
Health
Centers
Page 27 of 40
COMMUNITY WELLNESS PROGRAM
Program Description
The Community Wellness Program provides community education and screening programs on
a variety of health and wellness topics both in the community and main hospital location.
Components of the program include: blood pressure, blood glucose, blood lipid, body fat and
body mass index (BMI) screenings.
Health education topics on chronic disease include
hypertension, stroke, diabetes, obesity and heart disease.
Community Need: Chronic Disease Prevention: Community Wellness Program
Aim Statement: Provide early detection and health education on chronic disease
Outcomes
Strategy
Action Steps
Ministry Role
Community
Partner Role
80% of blood
pressure
screening
participants will
report increased
awareness of
stroke.
80% of blood
lipid screening
participants will
report increased
awareness of
heart disease.
Provide
screenings in
the community
on a reoccurring
basis.
Engage
screening
participants in
asking
questions about
hypertension,
diabetes,
stroke, heart
disease and
obesity.
Provide
screenings in
the community
on a reoccurring
basis.
Engage
Participate in
local health fairs
Work with faith
community
nurses to host
screenings at
local parishes
Track number of
participants at
each screening
PMMC
budgets for
community
health nurses
to participate
in local health
fairs
PMMC
budgets for
screening
supplies
Track results
from Pre and
Post knowledge
Questionnaire
Participate in
local health fairs
Work with faith
community
nurses to host
screenings at
local parishes
Track number of
PMMC
budgets for
community
health nurses
to participate
in local health
fairs
PMMC
Faith
Communities
Companeros
en Salud
Latina Health
Festival
Steering
Committee
Evaluation Plan/
Measures of
Success
Participant Roster
Pre and Post
Knowledge
Questionnaire
Aurora African
American
Community
Health Fair
Steering
Committee
Local Food
Pantry’s
Faith
Communities
Companeros
en Salud
Latina Health
Festival
Steering
Committee
Participant Roster
Pre and Post
Knowledge
Questionnaire
Aurora African
Page 28 of 40
80% of blood
glucose
screening
participants will
report increased
awareness of
diabetes
80% of Body
Mass Index (BMI)
participants will
report increase
awareness of
modifiable risk
factors for
obesity.
screening
participants in
asking
questions about
hypertension,
diabetes,
stroke, heart
disease and
obesity.
Provide
screenings in
the community
on a reoccurring
basis.
Engage
screening
participants in
asking
questions about
hypertension,
diabetes,
stroke, heart
disease and
obesity.
Provide
screenings in
the community
on a reoccurring
basis.
Engage
screening
participants in
asking
questions about
hypertension,
diabetes,
stroke, heart
disease and
obesity.
participants at
each screening
budgets for
screening
supplies
Track results
from Pre and
Post knowledge
Questionnaire
Participate in
local health fairs
Work with faith
community
nurses to host
screenings at
local parishes
Track number of
participants at
each screening
Local food
pantries
PMMC
budgets for
community
health nurses
to participate
in local health
fairs
PMMC
budgets for
screening
supplies
Track results
from Pre and
Post knowledge
Questionnaire
Participate in
local health fairs
Work with faith
community
nurses to host
screenings at
local parishes
Track number of
participants at
each screening
Track results
from Pre and
Post knowledge
Questionnaire
American
Community
Health Fair
Steering
Committee
PMMC
budgets for
community
health nurses
to participate
in local health
fairs
Faith
Communities
Companeros
en Salud
Latina Health
Festival
Steering
Committee
Participant Roster
Pre and Post
Knowledge
Questionnaire
Aurora African
American
Community
Health Fair
Steering
Committee
Local food
pantries
Faith
Communities
Companeros
en Salud
Latina Health
Festival
Steering
Committee
Participant Roster
Pre and Post
Knowledge
Questionnaire
Aurora African
American
Community
Health Fair
Steering
Committee
Page 29 of 40
MADRINAS GO RED! HEART DISEASE AWARENESS PROGRAM
Program Description
This heart disease awareness and prevention program is a collaboration between PMMC and
the American Heart Association.
The purpose of the program is to increase visibility of
cardiovascular disease and stroke within the bilingual Latino population in the Kane County
area, primarily Aurora and Elgin. The program is designed to motivate Hispanic females to take
action towards improved cardiovascular health.
Community Need: Chronic Disease Prevention: Madrinas Go RED! Heart Disease Awareness Program
Aim Statement: Increase participants’ knowledge on risk factors for heart disease and heart attack in Latino
women.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Evaluation Plan/
Partner Role
Measures of
Success
Provide multiple Attend Madrinas PMMC will
80% of program
Pre Knowledge
American
training
workshops
provide the
and Post
Heart
participants will
presented by
throughout the
report increased
healthcare
Knowledge
Association
the American
community for
knowledge of
professionals
Questionnaire
provides the
Heart
Latino Women.
heart disease
(nurses, nurse education
Association in
practitioners,
material,
controllable risk
November
factors and heart
registered
presentation
attack warning
2012.
dietitians, faith and
Workshop
signs
community
attendance
Evaluation
Meet with
nurses) for
incentives for
PMMC
this program.
all
Madrinas team
participants.
to brainstorm
possible
PMMC will
Faith
locations to host host the Kick
Community
workshops.
Off Event
Parishes will
February
be hosting
Engage the
seminars
2013.
community with
throughout the
AHA resources
year.
and tools.
Companeros
en Salud
Latina Health
Create pre-post
Festival
knowledge
Steering
questionnaire
Committee
for participants
Page 30 of 40
Educate 1,000
Latino women on
Heart Disease
including heart
attack warning
signs and
diabetes risk.
Recruit
additional
Madrinas and
volunteers to
host workshops.
Engage PMMC
Marketing team
to host Kick Off
Event February
2013.
Attend Madrinas
training
presented by
the American
Heart
Association in
November
2012.
Meet with
PMMC
Madrinas team
to brainstorm
possible
locations to host
workshops.
Engage the
community with
AHA resources
and tools.
Create pre-post
knowledge
questionnaire
for participants
PMMC will
host Kick Off
Event
February 2013
and create
calendar for
workshops to
be held.
Association
provides the
education
material,
presentation
and
attendance
incentives for
all
participants.
Attendance
rosters and track
number of
participants.
Faith
Community
Parishes will
be hosting
seminars
throughout the
year.
Companeros
en Salud
Latina Health
Festival
Steering
Committee
Community
agencies will
host workshop
locations.
FREEDOM FROM SMOKING PROGRAM
Program Description
Although smoking cessation was not one of the six major threats identified in the CHNA it was
listed as a priority for Kane County. Smoking cessation is included in the Community Health
Implementation Strategy Plan because of the impact that smoking has on the health of an
individual when addressing chronic disease management and prevention. Smoking cessation
initiatives was identified as a priority to address.
Freedom from Smoking® is a 7-week, small group, program for adults trying to quit smoking
and covers topics on what triggers the need to continue smoking, how to cope with changes in
quitting and how to find the necessary support. The program teaches participants how to
understand their habit, increase their motivation, help them develop an individualized plan for
quitting, and teach them skills to maintain a healthy lifestyle.
Page 31 of 40
Community Need: Chronic Disease Management: Freedom from Smoking Program
Aim Statement: Reduce tobacco use and exposure to environmental tobacco smoke.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Partner Role
80% of program
participants will
report smoking
cessation post
program and at
6 month follow
up.
Offer three (3)
cessation
groups in a
series of seven
(7) week course
in offsite
community –
calendar to be
coordinated
within the
regional
planning area-locations
commensurate
with the
smoking
demographics
• Promote
Illinois Quit Line
among
participants and
to the
community
• Medical Home
referrals as
needed for
attendees
Promote
cessation
services and
quit line in
regular
publications and
among
community
partners-and
submit record of
communication
messages and
venues
Collaboration on
5 A’s refresher
orientation
developed by
KCHD to be
conducted at
physician
committee
meetings
Budget for
FFS
instructors to
teach a
minimum of 3
workshops
and provide
location for
workshops
Kane County
Health
Department•provide grant
funding to
support
program
delivery
•provide
education
materials and
resources to
program
workshops
Evaluation Plan/
Measures of
Success
Session
Questionnaire for
each participant
and summary at
project
conclusion:
• Record of
attendees/
number of
sessions/location
and outcomes
• Referral data
from physicians
and other sources
• Physician and
community
communications
documents
• Six month follow
up outcome form
• Provide
nicotine therapy
at the hospital
pharmacy rate
at no charge to
the patient
Page 32 of 40
FAITH COMMUNITY NURSING PROGRAM
Program Description
The Faith Community Nursing (FCN) program at PMMC integrates faith and health in order to
serve the health care needs of members of faith congregations and the community. The FCN
role is a specialty of nursing focused on the integration of the spiritual dimension into the health
system through visits involving advocacy, referral, wellness education and navigation of the
health system.
Community Need: Chronic Disease Prevention: Faith Community Nursing Program
Aim Statement: Provide faith communities with health information and resources integrating the spiritual
dimension with evidence based knowledge to enhance decision making for optimal healthy choices.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Evaluation Plan/
Partner Role
Measures of
Success
Provide access
Promote FCN
Local Parishes Participant
85% of
Budget for
to FCN services services in
Satisfaction
that partner
congregation
FCN FTE
for
members
of
Survey
community
with PMMC
members and
congregations
calendars and
families who
Assist with
Department
parish
utilized FCN
marketing of
scorecard data
newsletters
services will
services
report enhanced
Referral data from
physicians and
Promote FCN
decision making
Support FCN
other sources
services
among
regarding their
initiatives
members
of
the
health
consistent with
Physician and
congregation
HIS plan
community
and community
communications
documents
Provide Medical
Home referrals
as needed for
individuals
LANGUAGE ACCESS TO HEALTHCARE (LAH) INTERPRETING SERVICES
Program Description
Language Access to Healthcare is a community-based interpreting and translating services
program. In an effort to provide equal access to health care, LAH was designed to help break
the language barriers for limited English proficient and non-English speaking individuals.
Interpreting and translating services are available to individuals and organizations within the
hospital’s primary and secondary service area.
Page 33 of 40
Although language barriers were not a specific need in the CHNA, this program is included in
the Community Health Implementation Strategy Plan because of the impact that language
barriers has on the health of an individual.
Community Need: Language Assistance
Aim Statement: Reduce the language barriers in healthcare settings for limited English proficient and nonEnglish speaking individuals and families as well as for community organizations.
Outcomes
Strategy
Action Steps
Ministry Role
Community
Evaluation Plan/
Partner Role
Measures of
Success
Promote
Patient
Health Care
Track the
Budget for
80% of program
interpreting
Satisfaction
agencies
number of
interpreting
participants will
services
patients utilizing services staff
report that they
Surveys
throughout the
Local
our services
were better able
Physicians
Department
to explain to their community
Analyze patient
healthcare
Scorecard
provider the
satisfaction
Provide access
reasons for
results
to interpreting
seeking care.
services as part
of community
benefit planning
Patient
Health Care
Budget for
Track the
Promote
80% of program
interpreting
participants will
Satisfaction
agencies
interpreting
number of
services
report that the
Surveys
Local
our services
quality of medical throughout the
Physicians
community
attention they
Department
received was
Scorecard
Analyze patient
satisfaction
improved
Provide access
results
to interpreting
services as part
of community
benefit planning
Promote
Patient
Health Care
Track the
Budget for
80% of program
interpreting
Satisfaction
agencies
number of
interpreting
participants will
report that they
Surveys
services
our services
were able to
Local
throughout the
make better
community
Physicians
Department
informed
Analyze patient
Scorecard
decisions about
satisfaction
Provide access
their health care
results
to interpreting
needs.
services as part
of community
benefit planning
Page 34 of 40
In addition, Presence Mercy Medical Center will continue to meet community needs by providing
charity care, Medicaid and SHIP services, and by continuing to provide advocacy and support to
local partnerships that help in the development and implementation of select initiatives within
the 2012-2016 Kane County Community Health Improvement Plan (CHIP).
MAKING KANE COUNTY FIT FOR KIDS
Partnership Description
PMMC continues its partnership with the Kane County Health Department (KCHD) to provide
advocacy and support with select initiatives within the structure of the Kane County's Making
Kane Fit for Kids initiative. The development of the Fit Kids 2020 Plan was launched in 2008.
PMMC provides leadership in specific work groups aimed at obesity interventions. This initiative
aims to prevent obesity and its complications, and provide programming to help community
members make healthy choices.
Target Population
Individuals residing in the Kane County portions of PMMC service area, with focus both on
assisting those struggling with obesity as well as helping others make healthier decisions to
prevent obesity and its complications.
HEALTHY LIVING COUNCIL OF GREATER AURORA
The Healthy Living Council of Greater Aurora (HLCGA) was formed in 2008 to participate in the
Making Kane Fit for Kids Initiative. The current focus of the HLCGA is to explore attitudes,
behaviors and cultural differences in the population about obesity and wellness and to obtain
empirical evidence on existing community organizations and institutions and barriers to healthy
behaviors.
This evidence will be used to shape the opinions of key stakeholders in the
community so that changes in the environment can be made.
Target Population
Individuals residing in the Greater Aurora area of PMMC service area.
KANE COUNTY MENTAL HEALTH COUNCIL
The Kane County Mental Health Council was created in January of 2007. The County’s mental
health services providers partnered together to form an alliance dedicated to improving mental
health services for children, adults and families in their communities. The alliance formed in
response to community demand, and to the findings of the Kane County Health Department’s
IPLAN (Illinois Project for Local Assessment of Needs). The independent Council formed to
Page 35 of 40
coordinate services and to make the system more responsive by bringing together provider
organizations, mental health authorities, major funders of mental health services, mental health
advocacy groups and public officials. PMMC serves as a representative of the council.
Target Population
Individuals residing in Kane County in the PMMC service area.
Page 36 of 40
Next Steps for Priorities
For each of the priority areas listed above, Presence Mercy Medical Center will work with
Presence McAuley Manor, Presence Fox Knoll, Presence Life Connections and community
partners to:
 Identify any related activities being conducted by others in the community that could be
enhanced by collaborating with one another.
 Develop measurable goals and objectives so that the effectiveness of their efforts can be
measured.
 Build support for the initiatives within the community and other health care providers.
 Develop detailed work plans and continually monitor progress.
Page 37 of 40
Priorities Not Being Addressed by
Presence Mercy Medical Center
The Kane County Community Health Improvement Plan (CHIP) is a comprehensive set of policy
and program recommendations for our community based on the most up to date information.
PMMC, PFK, PMM and PHC have identified the areas where we can have the largest impact on
improving the quality of life for all Kane residents-particularly the most vulnerable residents of
our community. PMMC, PFK, PMM and PHC will continue to collaborate with Kane Health
Department and other community partners to continue to meet the needs of the community.
Page 38 of 40
Implementation Strategy Communication
Presence Mercy Medical Center will share the 2013 Implementation Strategy with all internal
stakeholders including employees, volunteers and physicians. This document is available at
www.presencehealth.org and is also broadly distributed within our community to stakeholders
including community leaders, government officials, service organizations and community
collaborators.
The following notice is posted in several areas of Presence Mercy Medical Center to assure
community awareness of the Community Benefit Act. This report is on file with the Illinois
Attorney General’s Office:
Illinois Community Benefits Act
This hospital annually files a report
of its Community Benefit Plan with the
Illinois Attorney General’s Office.
This report is public information and
available to the public by
contacting:
Charitable Trusts Bureau
Office of the Attorney General
100 West Randolph Street, 3rd Floor
Chicago, Illinois 60601-3175 (312)
814-3942
Required by Section 20(c) of Public Act 093-0480
Page 40 of 40

Presence Mercy Medical Center Presence Fox Knoll Presence

Transcription

Similar documents

2MVA Package sub-stations for British Telecom

Bryn- Ghanaian Coffin Makers

Adventure Cards - Pinnacle Entertainment Group

NIDDK Medical Student Research Program in Diabetes and Obesity

Hawaiian-English Glossary of Hawaiian gods

Smothered Press Kit

Sunday - UnitedHealthcare US OPEN Racquetball Championships

NEW FACES With Red Dot Café now galloping, the