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Campbell County Memorial Hospital and Campbell County Public Health
Community Health Needs Assessment --- A Process for Improvement
Implementation Action Plan --- 2013 - 2016
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Community Health Needs Assessment -- Table of Contents
PAGE Purpose 3. Process and Acknowledgements 4. CHNA Process Chart 5. Walking through the assessment process‖ 6. CHNA Process 7. CHNA Overview of Benefits 8. About Campbell County 9. Medical Service Area Population & Future Projections 10. CCMH Medical Service Area, Population by Age/Change 11. CCMH Medical Service Area, Population by Race/Ethnicity 12. CCMH Medical Service Area, Employers and Major Industry 13. CCMH Medical Service Area, Social and Economic Indicators 14. Campbell County Health Rankings – 2012 Wyoming Rankings Study 15. Health Outcomes, Morbidity, Health Factors, Health Behaviors 15. Clinical Care, Social and Economic Factors, Physical Environment 16. Campbell County Health Status Key Comparisons 17. A. Risk Factors 17., 18 B. Chronic Disease Factors 19. C. Lack of Health Care Access 20. D. Nonuse of Preventative Services 21. E. Oral Health 22. F. General Health Measures 23. Setting Action Plan: ―Low Hanging Fruit‖ 24. Areas Where We Are Doing Well 25. Identified Areas for Improvements 26. Priorities 27. Action Plan 28., 29 Next Steps 30. Appendix: List of Participants 31., 32, 33, 34
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Purpose
The purpose of this Community Health Needs Assessment (CHNA) is to provide Campbell County Memorial Hospital and Campbell County Public Health with a functioning tool that meets the federal guidelines and provides strategic insight for resource development, clinical development, and regional and County networking and collaboration. The results of the CHNA will guide the development of Campbell County Memorial Hospital‘s community benefit programs and implementation strategy. It is anticipated that this report will not only be used by the hospital, but also by other community agencies in developing their programs to meet the health needs of Campbell County. The CHNA is a community asset, providing information that will assist many organizations in strengthening the impact and effectiveness of their individual services toward improving health in our community. The CHNA was performed with the assistance of The Champion Group, a healthcare consulting firm with offices in Seattle Washington.
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Process and Acknowledgements
Campbell County Memorial Hospital has been dedicated to the region‘s health through its distinctive health educational programs and services. The hospital and other community entities have been working together creating and sustaining innovative programs that address complex community-wide health issues. In 2012, Campbell County Memorial Hospital (CCMH) embarked on the Community Health Needs Assessment project in joint research and study with Campbell County Public Health. The project addressed Campbell County Health Needs and defined health priorities and key actions to improve health status in Campbell County. Campbell County Memorial Hospital and Campbell County Public Health launched the Community Health Needs Assessment in 2013 by inviting a comprehensive representation of community entities and assets to join the assessment stage of the project. Three Community Meetings were held between January and May 2013. Additionally, a community survey was conducted gathering rich primary data from every community sector. There were over 400 completed surveys. A second qualitative survey was completed through the Campbell County Chamber of Commerce to solicit input from the business members. Information was gathered at each community meeting including input from the following sectors: Community at Large Sector Institutions/Organizations Sector Health Sector Work Site Sector Schools Sector The Community Assessment Group wants to acknowledge the many community participants who worked to gather data and plan for a healthier community. The organizations are included in the Appendix.
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CHNA Process … Walking through the Action Steps utilized in the
Assessment Process
Steps: Snapshot of Action Steps: Assemble Team Task Force:
10-12 key community representatives from diverse sectors to raise awareness if issues. Members must be individuals who can appropriately support the work. Health Department is required participant. The hospital functions as leader and facilitator.
Need to generate funding opportunities Provide opportunities for appreciation, evidence of impact, momentum. Task force may include leaders in sectors
Develop Team Strategy
Strategy is two-three meetings: Kick-Off and Follow-up Meetings Divide up into Sector Sub-group Task Forces (minimum 2 members per sub-group) to review the data and report
back to whole team. Review their policies, bylaws, and standard operating procedures to create a decision-making process Project decision based on majority vote Determine methodology, desired outcomes Focus on agency policy, systems, environmental change
Review 5 Sectors : Elements of a Community Task Force Team
1. Community at large Sector: The UMBRELLA SECTOR overall of the others may include the Police Chief, Mayor or City Council Member (areas that impacts food access, social, built environments, walkability, transportation, tobacco-free, personal safety)
2. School Sector: School Principal/Superintendent (Includes primary and secondary learning institutions, private and public)
3. Health Sector: Hospital CEO, Health Promotion Leader, Health Insurer, Physicians, Foundation Executive (preventative care, treatment, emergency services, private doctors)
4. Community Institution Organization: Faith Leader, Senior Centers, Boys and Girls Clubs YMCA, Parks Recreation Director
5. Work Sector: Chamber Director, Business/Corporate Leader (places of employment, government, County Department Development, restaurants, retail)
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CHNA Process Utilized with action steps
Gather Data for each Sector Involves organizing your sector task force Assessment Phase: gathering data from each location within your sector of influence. (i.e. Community at Large:
could be county government, news media, restaurants, grocery stores, health department) Gathering community demographic data and applying to individual sector assessments. Analyzing data, answering questions about the community, talking to constituents, community leaders to gather
additional information, circulating through the community eyes on, working through the questions as a sector team, reviewing policies and procedures and effectiveness, identifying problem areas, implement policy changes, put policies in place to document change, and bringing back to the larger group your sector changes.
Ability to use focus groups, walkability audits, telephone survey, policy review etc. Brainstorm within the sector…and with other sector leaders/team members I.e. CDI may indicate that the prevalence of childhood obesity is higher in your county compared to a neighboring
county. Use that data, your sector team to communicate to the large task force to begin to devise strategies on how to address that evidence-based need. Use state and national comparisons for strategic dialogue to identify priorities.
Collect data from at least 13 sites for each sector Keep good files, catalogue all data files to ensure thoroughness and efficiency
Review all Data: Data comes in many forms Discuss the relationship between sectors. Review collected data for each site. Each team discusses findings and priorities (1-5 scale) identifying evidence to
support Gather teams to brainstorm and review findings Designate a data manager in sector responsible to gather and organize data Each sector reviews each module questions (Handout to each Sector Chair) Each sector prioritizes each module (Handout)
Build Community Action Plan and Implementation Create a summary statement across all modules Reference all sectors and module scores List communities assets and needs (Low medium and high) for each module Across all data for needs and assets, identify strategies that are in place and missing to develop the plan. Complete a Community Health Needs Assessment Improvement Plan Draft Craft strategies for the action plan by primary contact for action, timeline for completion by priority and allocated
resources. Identify others who need to be brought into the project
Evaluation Process: Review quarterly and update annually for three years.
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Overview of Assessment … Benefits
Benefits of the Community Health Needs Assessment
- Walks the community leaders through the assessment process
- Provides a snapshot of policy, systems and environmental change strategies - ‗assets‘ and ‗needs‘
- Frames and understands the current status of community health utilizing surveys and health data
- Allows communities to track progress over time so incremental changes can be noted and celebrated
- Allows stakeholders to work together in a collaborative process to survey the community and recognize identify needs.
- Offers suggestions and examples of policy and environmental change strategies to be implemented
- Provides feedback as change is initiated to support healthy living
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Campbell County Primary Service Area Identified by Patient Origin.
Campbell County, WY …..
Gillette is the county seat, centrally located ―Energy Capital of the Nation‖ Vast quantities of coal, oil and natural gas Over the past ten years, the City of Gillette‘s population increased by 48.1% to over 30,000 The median household income was $78,797 in 2009. This compares to Wyoming‘s MHI of $54,400 Campbell County Memorial Hospital is a
healthcare system serving parts of several adjacent counties. The hospital is a 90 bed, acute care community hospital with a 150 bed long term care facility and 13 specialty clinics. The hospital is governed by a publically elected Board of Trustees.
Insert picture from your community here
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CCMH Medical Service Area Identified by Zip Codes from Patients Served
Population and Future Projections Shared from Census Data
CCMH Medical Service AreaZip Code City County 2012 Pop 2017 Pop
82716 Gillette Campbell 19,767 22,015 82717 Gillette PO Box Campbell82718 Gilette Campbell 24,443 28,059 82725 Recluse Campbell 104 121 82727 Rozet Campbell 1,284 1,433 82731 Weston Campbell 234 258 82732 Wright Campbell 2,059 2,296 82720 Hulett Crook 977 967 82721 Moorcroft Crook 3,816 4,258 82730 Upton Weston 1,525 1,595 82729 Sundance Crook 2,312 2,440 82701 Newcastle Weston 5,583 5,813 82831 Arvada Sheridan 222 239 82723 Osage Weston 182 185
62,508 69,679
Campbell
County
Crook
County
Weston
County
0-17 13,557 1,704 1,624 18-44 19,076 2,062 2,323 45-64 12,606 2,209 2,170 65-74 1,608 703 634 75-84 764 310 374 85+ 280 117 165 Females 15-44 10,171 1,139 1,184 Median age 30 38 31
P.O. Box
County Demographics 2012
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CCMH Medical Service Area… Populations by Age/Change
2012-2017
2012
Est
Pct of Tot
Pop
2017
Proj
Pct of Tot
Pop
Pct Chg
2012-2017
Tot. Pop. 62,508 100.0% 69,679 100.0% 11.5%Pop. By Age
0-17 16,926 27.1% 18,840 27.0% 11.3% 18-44 23,524 37.6% 25,316 36.3% 7.6% 45-64 17,070 27.3% 18,761 26.9% 9.9% 65-74 2,965 4.7% 4,346 6.2% 46.6% 75-84 1,458 2.3% 1,715 2.5% 17.6% 85+ 565 0.9% 701 1.0% 24.1%
Tot. 0-64 57,520 92.0% 62,917 90.3% 9.4%Tot. 65 + 4,988 8.0% 6,762 9.7% 35.6%
Fem. 15-44 12,526 20.0% 13,418 19.3% 7.1%Source: Nielsen Claritas
CCMH Medical Service Area Population 2012, 2017
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CCMH Medical Service Area… Population by Race/Ethnicity
Campbell County Wyoming
Source: US Census Bureau & County QuickFacts
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CCMH Medical Service Area… Employers and Major Industry
Employer 2010 Employees 2011 Employees
Campbell County School District 1,659 2,259 Peabody Energy 1,936 2,098 Arch Coal 1,750 1,759 Campbell County Memorial Hospital 1,000 1,050 Cloud Peak Energy 1,588 805 Alpha Coal West 657 679 Campbell County 623 541 Wal-Mart 540 520 Buckskin Mining 346 370 City of Gillette 278 275 L&H Industrial 200 266 Cyclone Drilling, Inc. 201 207 Joy Global 146 160
SOURCE: Campbell County Economic Development Corporation
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CCMH Medical Service Area … Social and Economic Indicators
Campbell Co. Wyoming
Source: US Census Bureau State and & County QuickFacts
15
Survey Process
411 responses (selected data in next slides) from surveys distributed randomly by participants in the CHNA group sectors including United Way, Woman Health Group, clinics, and a wide cross section of providers in Campbell County.
Additional thirty-seven qualitative responses from the Campbell County Chamber Commerce member businesses –shared with CHNA group.
The survey results data was included in discussion and identification of Community needs.
Some of the results were included in this final report.
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Survey Findings: (Community and Survey Monkey Combined)
Question and Total Number of Responses Responses by Importance
1. How rate our community as a healthy community (466)
Excellent (16) Very Good (47) Good (246) Fair (139) Poor (18)
2. How would you rate your own personal health? (466) Excellent (37) Very Good (193) Good (190) Fair (41) Poor (5)
3. In the following list, what do you think are the FIVE most important factors for a “healthy community?” (2317)
Access to Healthcare 267
Healthy behaviors and lifestyle 225
Good jobs and healthy economy 206
Access to primary care physician 152
Affordable health insurance 150
Strong family life 128
Smoke free in public places 121
Clean Environment 113
Good schools 109
Low crime rate/safe neighborhoods 108
Good place to raise children 89
Low adult death and disease rates 83
Mental health services 75
Religious or spiritual values 74
Chronic disease management (cancer, diabetes, heart disease etc.) 69
Affordable Housing 68
Affordable prescription drugs 68
Substance abuse services 57
Parks and recreation 55
Reliable health information 51
Low level of child abuse 32
Arts Cultural Events 13
Low infant deaths 4
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Survey Findings: (Community and Survey Monkey Combined)
Question and Total Number of Responses
Responses by Importance
5. In the following list, what do you think are the FIVE most important “health problems” in our community? (Please check
the 5 that most apply) (2150)
Obesity 206
Suicide 188
Mental health problems 184
Smoking 180
Cancers 167
Substance abuse services 161
Heart disease and stroke 129
Domestic violence 118
Child abuse/ neglect 109
High blood pressure 100
Diabetes 96
Chronic pain 84
Aging problems (arthritis, hearing/ vision loss) 80
Teenage pregnancy 71
Respiratory/ lung disease 69
Dental services 68
Asthma 46
Motor vehicle crash injuries 36
Sexually transmitted infections (STI’s) 22
Rape/ sexual assault 21
Infectious disease (Hepatitis, TB, etc.) 9
Firearm related injuries 4
HIV/ AIDS 2
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Survey Findings: (Community and Survey Monkey Combined)
Question and Total Number of Responses
Responses by Importance
6. In the following list, what do you think are the FIVE most important “risky behaviors” in our community? (Please check the 5 that most apply) (2153)
Alcohol abuse 374
Drug abuse 327
Tobacco use (chewing/ smoking) 251
Being overweight 249
Lack of exercise 189
Poor eating habits 174
Exposure to second hand smoke 92
Unsafe sex 91
Dropping out of school 90
Not going to the doctor for checkups 80
Not using birth control 65
Not using seat belts/ child safety seats 64
Not wearing bike/ motorcycle helmet 31
Not using safety equipment 22
Not using sunscreen 20
Not getting shots to prevent disease 18
Few safe, maintained bike/ walk trails 11
Vending machines in schools 5
19
Survey Findings: (Community and Survey Monkey Combined)
Question and Total Number of Responses
Responses by Importance
32. What type of medical insurance do you currently have? (Please check all that apply) (535)
33. In your opinion, who are the most vulnerable populations affected by the most pressing health needs in Campbell County? (1082)
Low income 239
Senior citizens 202
Uninsured 199
Working poor 176
Unemployed 86
Homeless 70
Youth 59
Hispanics 38
Other ethnic populations 13
Blue Cross/Blue Shield 286
Employer sponsored 171
Self pay 19
Medicare 18
None 13
Other: Cigna, Assurant, Aetna 12
VA/Military 10
State child coverage 6
20
Survey Findings: (Community and Survey Monkey Combined)
Question and Total Number of Responses
Responses by Importance
34. Identify the greatest barriers to accessing healthcare services in Campbell County? (2 choices) (801)
35. What are the greatest gaps in healthcare services for Campbell County residents? (804)
Cost of health services 277
Being uninsured 139
Appointments not available after hours/Weekends 120
Lack of available needed services in our area 115
Lack of knowledge of available resources 93
Transportation 23
Other:Lack customer service, confidence, trust 19
Language and/or cultural differences 15
Low income 145
Available healthcare resources 108
Dental care 106
Mental health 103
Prescription drug assistance 79
Substance abuse 73
Services for Medicare clients 71
Services for children 48
Different languages/cultures 27
Reproduction health 21
End-of-life care (hospice/palliative care) 12
Other: out of network, prevention 11
21
Survey Findings: (Community and Survey Monkey Combined)
Question and Total Number of Responses
Responses by Importance
36. What do you consider the top social concerns for Campbell County? (1056)
Substance abuse 272
Broken families 207
Domestic violence 129
Mental Health 105
Lack of social support 73
Lack of job/employment opportunity 68
Poverty 63
Crime/violence 57
Language/cultural barriers 35
Homelessness 24
Other: Low paying jobs, alcohol abuse, Liberalism, youth suicide attempts 22
Discrimination 12
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Survey – Demographics (Community and Survey Monkey Combined) Note – Employers survey was
included to address limitations of community survey which showed a bias of income level and female input.
What is your zip code? 82716 Gillette 82718 Gillette 82717 Gillette 82721 Moorcroft
82732 Moorcroft
82732 Wright
82727 Rozet
82701 Newcastle
82730 Upton
82729 Sundance
82731 Weston
82731 Arvada
82725 Recluse Total
% total 28% 61% 3% 1% - 3% 2% - -- - -- - - 100% Count 113 250 13 5 1 13 9 1 1 2 1 0 2 411
What is your age range? 18-25 26-35 36-45 46-55 56-65 66-75 75+
% total 3% 23% 24% 28% 19% 2% 1% 100% Count 12 90 96 109 76 9 4 396
What is your gender? Male Female
% total 24% 76% 100%
Count 91 313 404
With which ethnic group do you most identify?
African American Black
Asian Pacific Islander Hispanic Latino Native
American White
Caucasian Other
% total - - - 1% 97% 2% 100%
Count 0 1 2 5 392 4 404
What is the highest level of education you have completed?
Less then high school High School Diploma/GED
Associate Degree
Some College
College Degree or higher
% total - 12% 36% 52% 100%
Count 1 43 132 194 370
What is your marital status? Single Married Separated Divorced Widowed
% total 12% 75% 10% 3% 100%
Count 47 284 38 11 380
Do you have children living with the home?
No Yes Ages
% total 58% 42% 100%
Count 191 137 328
Do you provide care to an elderly family member?
No Yes
% total 79% 21% 100% Count 251 68 319
What is your annual family household income range?
Less than $14,000 $14,000-$24,999
$25,000-$34,999
$35,000-$49,999 $50,000-$74,999 $75,000-
$99,999 $100,000 or over
% total - 2% 3% 5% 25% 22% 43% 100%
Count 4 7 12 17 90 77 149 356
23
Campbell County Chamber of Commerce Employer Surveys per Worksite.
Survey conducted by the Campbell County Chamber of Commerce
24
Health Information
Campbell County Health Rankings: Information obtained from 2012 Rankings Survey (Wyoming Department of Health).
Results utilized to identify health needs of service area (see next 9 slides).
25
Campbell County Health Rankings – 2012 Wyoming Rankings Study
Health Factor Campbell County
National Benchmark
Wyoming Rank (23)
Health Outcomes • Mortality • Premature death
7,765
5,466 8,092
13th
Morbidity • Poor or fair health • Poor physical health days • Poor mental health days • Low birth rate
13% 3.1 2.8
9.2%
10% 2.6 2.3
6.0%
13% 3.2 3.2
8.7%
14th
Health factors Health behaviors • Adult smoking • Adult obesity • Physical inactivity • Excessive drinking • Motor vehicle crash deaths (#) • Sexually transmitted infections • Teen births (# annual avg.)
24% 32% 27% 20% 34
490 51
14% 25% 21% 8% 12 84 22
21% 26% 24% 17% 28
369 45
16th 23rd
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Campbell County Health Rankings -- 2012
Health Factor Campbell County
US Benchmark Wyoming Rank (23)
Clinical Care • Uninsured • Preventable hospital stay • Diabetic screening • Mammogram screening
14% 106 70% 52%
11% 49
89% 74%
17% 63
73% 61%
13th
Social and Economic Factors • High school graduation • Some college • Unemployment • Children in poverty • Inadequate social support • Children in single-parent households • Violent crime rate
85% 59% 6.0% 9%
17% 24% 175
-
68% 5.4% 13% 14% 20% 73
80% 63% 7.0% 15% 16% 27% 234
4th
Physical Environment • Access to recreational facilities • Limited access to healthy foods • Fast food restaurants
11 2%
56%
16 0%
25%
13 6%
44%
15th
27
Campbell County Health Status Key Comparisons
A. Risk Factors 95%
Confidence Interval
Campbell County (%) Population
Rank Order 23 Counties (1=best)
Wyoming (%)
US Median (%)
Overweight or obese 55.7-61.8 58.8 10th 62.2 63.0
Obesity BMI>30 22.4-27.5 24.8 18th 26.0 25.0
Very Obese BMI>35 6.3-9.5 7.7 16th - -
No leisure time physical activity 20.1-25.0 22.5 16th 21.7 22.6
Does not meet physical activity recommendations 42.8-50.6 46.7 17th 43.3 50.5
Inadequate fruit and vegetable consumption 78.6-84.3 81.6 22nd 75.6 75.6
Any alcohol in past month 56.8-62.6 59.7 19th - -
Binge drinking 15.4-20.5 17.8 20th 15.2 13.7
Heavy drinking 3.7-6.7 5.0 15th 4.9 5.2
Extreme drinking 4.1-8.9 6.1 20th - -
Drinking and driving 1.9-5.5 3.3 19th - -
Current cigarette smoking 23.0-28.4 25.6 19th 22.1 19.8
Current smokeless tobacco use 19.0-27.0 22.7 19th 17.6 7.8
Exposed to secondhand smoke at work 16.2-23.2 19.5 18th 15.7 -
No worksite policy prohibiting smoking 23.6-31.7 27.5 22nd 18.4 15.2
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Campbell County Health Status Key Comparisons
A. Risk Factors …Continued 95%
Confidence Interval
Campbell County (%) Population
Rank Order 23 Counties (1=best)
Wyoming (%)
US Median (%)
No rule prohibiting smoking in the home 23.9-29.3 26.5 12th 21.8 25.0
Any of 6 CVD risk factors 81.0-87.4 84.5 6th - -
3+ CVD risk factors 22.2-28.5 25.2 9th 28.4 29.7
Does not always use seat belts 24.1-43.5 38.7 11th 35.4 20.1
Frequent sunburn (6 or more times past year) 7.3-12.6 9.6 21st 7.5 3.6
29
Campbell County Health Status Key Comparisons
B. Chronic Disease Factors 95%
Confidence Interval
Campbell County (%) Population
Rank Order 23 Counties (1=best)
Wyoming (%)
US Median (%)
Diabetes (told by their doctor had diabetes) 3.8-6.0 4.8 3rd 7.0 8.0
No awareness of community diabetic activities 58.8-64.6 61.7 9th 59.7 -
Current Asthma 5.8-8.7 7.1 10th 8.1 8.4
Arthritis 24.0-30.4 27.1 9th 27.9 27.5
High Blood Pressure 18.2-24.1 21.0 4th 25.1 27.8
High Cholesterol 23.8-30.2 26.9 6th 29.4 29.4
Cardiovascular Disease (CVD) 4.2-7.1 5.5 4th 7.0 8.0
Heart Disease 3.5-6.2 4.7 6th 5.7 6.4
Stroke 0.6-2.4 1.2 4th 2.0 2.6
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Campbell County Health Status Key Comparisons
C. Lack of Health Care Access 95%
Confidence Interval
Campbell County (%) Population
Rank Order 23 Counties (1=best)
Wyoming (%) US Median (%)
No health coverage 14.0-18.8 16.2 9th 15.9 14.2
No personal doctor 23.8-29.4 26.5 17th 26.1 18.4
Unable to get care needed 8.5-12.0 10.1 3rd 12.3 12.3
31
Campbell County Health Status Key Comparisons
D. Nonuse of Preventative Services 95%
Confidence Interval
Campbell County (%) Population
Rank Order 23 Counties (1=best)
Wyoming (%)
US Median
(%)
No mammogram past 2 years (Women age 40+) 27.4-36.1 31.6 10th 30.5 23.5
No PAP smear within three years (Women with intact cervix) 11.1-17.6 14.0 4th 18.8 16.0
No cholesterol check past 5 years 20.1-27.3 23.5 7th 26.6 25.2
No Flu Shot past 12 months (Age 50+)
49.8-58.3 54.1 23rd 42.4 44.0
Never had a Sigmoidoscopy or Colonoscopy (Age 50+) 52.6-64.0 58.4 21st 47.4 42.9
No Blood Stool Test past 2 years (Age 50+) 70.9-80.8 76.2 5th - -
Never tested for HIV (Age 18-64) 65.2-71.2 68.2 11th 68.8 62.2
No recent check-up 24.6-31.6 27.9 9th 27.5 19.2
Not up-to-date (Age 50+) Preventative Health Services 75.3-84.2 80.1 23rd - -
32
Campbell County Health Status Key Comparisons
E. Oral Health 95%
Confidence Interval
Campbell County (%) Population
Rank Order 23 Counties (1=best)
Wyoming (%)
US Median (%)
No dental visit past year 27.3-34.5 30.7 6th 31.1 29.7
Lost 6 or more teeth (Age 45+) 21.1-28.6 24.7 7th 25.2 27.6
Lost any teeth 36.0-43.3 39.6 3rd - -
No dental cleaning past year 30.2-37.9 34.0 7th - -
33
Campbell County Health Status Key Comparisons
F. General Health Measures 95% Confidence
Interval
Campbell County (%) Population
Rank Order 23 Counties (1=best)
Wyoming (%)
US Median (%)
Fair or poor health status 10.3-14.1 12.1 9th 12.7 14.9
Frequent mental distress 8.3-12.3 10.1 19th 9.0 9.7
Frequent physical distress 7.0-10.2 8.5 7th - -
Frequent activity limitation 3.9-6.7 5.2 8th - -
Disability (―need use special equipment‖) 14.4-18.4 16.3 4th - -
Dissatisfaction with life 2.0-5.2 3.3 8th 3.7 5.5
Rarely get social or emotional support 4.2-8.0 5.8 13th 5.8 7.5
34
Immediate Opportunities Identified by community
members $100,000 for flu shots could have a significant impact on
the workforce and community. How could this be extended to the community? What community members and business people would be interested in this project?
Using the Bountiful Baskets program more productively. Great health benefit to Gillette and Campbell County. What education do residents need to use the baskets, i.e., recipes and preparation techniques?
Using Gillette Public Access TV and social media (YouTube, Twitter, Facebook) to promote health education to residents
Utilize CCSD Culinary program as an educational tool
35
Action Plan: Areas Where Campbell County is Doing Well
(strengths) as identified by CHNA group.
Cancer Care
Collaboration among the community
Funding for recreational opportunities in the community
Expanding wellness in the community—aggregate data is available
Good support for public health
Nutrition program in schools
36
Action Plan: Areas for Improvements as identified by the CHNA
group.
Campbell County Identified Areas for Improvement through data collected and resident survey responses:
Alcohol and drug abuse
Tobacco use
Overweight/lack of exercise
Education about primary care physicians Gap between health screening and action/follow-up
Campbell County is rated last place or 23rd out of 23 counties in health behaviors (slide 17)
Access/availability of health screenings Reach the population that wasn‘t represented in the quantitative survey
37
Priorities Identified by the CHNA group
1.Behavioral Heath Concerns: Suicide, Alcohol and Drug Abuse, and Tobacco Use 2.Implementation of the School based Health Clinic partnership with CCSD, CCMH 3.Increase the number of residents receiving vaccinations/flu shots: funding, collaboration, target prevention, screening tests, immunizations 4.Improve access to care for: Dental screening for Medicaid recipients , uninsured, Veterans, Schools 5.Encourage primary care providers to provide care for Medicare recipients and growing older populations. 6.Decrease time gap between health screening and follow-up 7.Coordination and communication of services available in Campbell County 8.Increase availability of health education for chronic care disease, screening/management 9.Increase availability of wellness clinic activities 10.Improve physical activity/nutrition education for residents.
38
Action Plan: Goals Identified by CHNA Group
Goals
1. Improve Community Health through Prevention, Wellness and
access to Education by reaching an additional 10% of Campbell
County residents by 2016.
2. Coordinate and enhance ongoing wellness prevention activities in
all sectors of community and Campbell County.
39
Action Plan: Strategies Identified by CHNA Group
1. Develop a Wellness Council to act as a clearinghouse to communicate and coordinate services through task forces to work on specific identified needs, track data and implement projects.
2. Implement the School Based Health Clinic, a partnership with CCSD to provide primary care and mental health counseling services to students in Campbell County and their pre-school siblings. The SBHC will also work to implement prevention strategies with children and families. This program could provide continuity for healthcare services with the community connected through the children.
40
Action Plan: Identified by the CHNA Group
# Priority Strategy Champion Annual Goal Three Year Goal
1 Behavioral Health Inform the community of children and adult behavioral/mental health services through the Wellness Council and marketing to every sector.
Wellness Council Members Peter Edis, Director
Address prevention activities including stop smoking, obesity, diabetes and suicide prevention, alcohol and drug use, and screening and treatment options.
20% of Campbell County children and adult behavioral health population have increased access to services.
2 School-Based Health Care Center for Children and families
Launch a School-Based Health Care Center utilizing grant funding.
Kipp Farnum, CCSD Peter Edis, CCMH Team include CC School District, College and private school members, Hospital Administration.
Implement SBHHC by January 2014 30 medical referrals /day 9.2 Behavioral Health referrals/day
Improve access to primary care for children enrolled in CCSD. Ongoing internet-based evaluation system
3 Vaccinations/influenza Increase number of flu shots for all Campbell county residents through business partnerships and education about immunization.
Della Amend, Public Health Department Wellness council
Increase number of flu shots and immunizations by 10% over 2012 numbers (8000)
Immunize an additional 1,000 eligible residents per year who have not had a flu shot in the past 12 months
4 Increase Medicare and Medicaid access to health care
Identify and Understand barriers to access . Utilize SBHC to register eligible children for Medicaid, Kidcare
Wellness council to identify a task force of Campbell County Physicians and non-physicians
Develop a recommendation through the Wellness Council to improve access for all residents
Implement recommendation and measurement tool.
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Action Plan
# Priority Strategy Champion Annual Goal Three Year Goal
5 Decrease gap from health screening to Follow-up
Identify gap between screening and follow-up services to provide access and allow for timely treatment. Provide information on preventative care
Wellness Council Complete a process to identify barriers between screening and timely care.
Prioritize and address barriers between screening and treatment.
6 Coordination and communication of services available for Campbell Co. residents.
Develop a working Wellness Council comprised of members of all sectors of the community to enhance coordination and communication of services to residents. Wellness Council should be affiliated with a nonprofit organization in order to do fundraising.
Wellness Council – comprised of community members
1. Select a community cross-section of 10-15 members and a community nonprofit partner.
2. Wellness Council to develop statement of purpose, bylaws, program of work to include communication and coordination of health information, events and resources in the community.
Evaluate preventable health risk behavior statistics and compare with baseline data from 2013 CHNA.
7 Health and prevention education offerings
Funding sources identified to provide health education projects including grants, sponsors, etc.
Wellness council Secure event and project funding based upon the annual program of work.
Health Education projects reach an additional 20% of the population including children, over age 50, Medicare, Medicaid and uninsured.
8 Increase physical activity/nutrition education for school-age children
Ensure students are physically active during school physical education classes. Provide access to a broad range of competitive and noncompetitive activities through the school year and summer education emphasizing the health benefits.
School Administration, Wellness Council, Hospital Team and SBHC.
School-age children have greater access to physical activities
20% of school age children have improved access to physical activities and educational opportunities to comprehend the benefits of physical activity.
42
Next Steps in 2013
Hospital and Campbell County Public Health approval obtained in August 2013.
The Campbell County Health Action Plan posted on CCMH Website including which strategies the hospital will identify as their priorities.
Recommend that a representative from each sector also post the Community Action Plan.
Present Action Plan to Campbell County Healthcare Foundation for discussion on Wellness Council.
Recommend that a PowerPoint Presentation be developed to use with media, town hall presentations, service groups, and other community forums.
Evaluate and report progress annually.
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Appendix… List of CHNA Community Participants
List of Sector Participants: Project Steering Committee 1. Andy Fitzgerald, CCMH CEO 2. Veronica Taylor, CCMH Infection Prevention, Professional Development, & Disaster Preparedness 3. Karen Clarke, CCMH Community Relations and Marketing 4. Della Amend, RN, Director Campbell County Public Health 5. Sandy Champion, Facilitator Community at Large Sector
Gillette Rotary Club Community at Large
Campbell County Emergency Management Community at Large
Wyoming Comprehensive Cancer Control Coalition Community at Large
Gillette Police Department Community at Large
Campbell County Commissioner Community at Large
Campbell County Administrator Community at Large
Pioneer Manor Advisory Board Community at Large
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Appendix… List of CHNA Community Participants
Health Sector
CCMH Walk-In CLinic Healthcare Sector
CCMH VP Patient Care Services Healthcare Sector
CCMH Behavioral Health Services Healthcare Sector
Campbell County Public Health, Director Healthcare Sector
CCMH Home Health and Hospice Healthcare Sector
Physician – CC Public Health Officer Healthcare Sector
Pioneer Manor Administrator Healthcare Sector
Gillette Reproductive Health Healthcare Sector
CCMH Recruitment Healthcare Sector
CCMH Patient Relations Healthcare Sector
CCMH Wright Clinic Healthcare Sector
CCMH Medical Library Healthcare Sector
Coalition Family Health Center Healthcare Sector
CCMH Quality and Risk Management Healthcare Sector
Medicap Pharmacy Healthcare Sector
CCMH Board of Trustees Healthcare Sector
45
Appendix… List of CHNA Community Participants
Work Site Sector
FourFront Design Worksite Sector
Adecco Worksite Sector
Sign Boss Worksite Sector
Basin Electric Power Cooperative Worksite Sector
Campbell County Chamber of Commerce President Worksite Sector
Cloud Peak Energy Worksite Sector
First National Bank and CC legislator Worksite Sector
46
Appendix… List of CHNA Community Participants
Schools Sector Institutions/Organizations
Children’s Developmental Services of Campbell County School Sector
Campbell County School District administrator School Sector
Campbell County School District, school nurse School Sector
John Paul II Catholic School School Sector
Gillette College School Sector
United Way of Campbell County Institutions/Organizations Sector
Youth Emergency Services Institutions/Organizations Sector
Substance Abuse Advisory Council Institutions/Organizations Sector
Youth Emergency Services Institutions/Organizations Sector
Wright Community Assistance Institutions/Organizations Sector
Campbell County Healthcare Foundation Institutions/Organizations Sector
Campbell County Healthcare Foundation Institutions/Organizations Sector
Substance Abuse Advisory Council Institutions/Organizations Sector
Substance Abuse Advisory Council Institutions/Organizations Sector
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