2015 IU HealthGoshen

Community HealthNeeds Assessment

Executive Summary

Mission Statement

The mission of IU Health Goshen is to improve the health of

our communities by providing innovative, outstanding care and

services, through exceptional people doing exceptional work.

2 - 2015 Community Health Needs Assessment

Our Commitment to your Health 3

Exemplary IU Health Goshen Service Providers 4

Our Community Health Needs Assessment 5

Methodology 6

Results of the Health Needs Assessment 7

Key Indicators: Medically Underserved Areas 8

Partnership with Maple City Health Care Center 9

Community Health Programs 10

Health Priorities for IU Health Goshen 11

Table of Contents

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Our Commitment to your Health

We are committed to improving your health and that of every member of our community through innovative, integrated and excellent care, education, research and service. Our outreach efforts to our community since 2012 include:

• Reaching over 50,000 people with more than 45 health education, wellness and service programs.

• Providing more than $3 million annually in financial assistance to members of our community.

• Partnering and sponsorships with public agencies and private sector organizations to improve the health of the community.

Our commitment to the healthcare of the community is guided by our CARE values of compassion, accountability, respect and excellence in everything we do.– Randal Christophel, President and Chief Executive Officer

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Exemplary IU Health Goshen Service Providers

Our commitment to excellence is reflected through the services of ourIU Health Goshen care teams, who provide extraordinary service.

• IU Health Goshen Hospital

• IU Health Goshen Center for Cancer Care

• The Retreat Women’s Health Center of IU Health Goshen

• IU Health Goshen Acid Reflux Center

• IU Health Goshen Home Care and Hospice

• IU Health Goshen Hospital Heart and Vascular Center

• IU Health Goshen Physicians

• IU Health Goshen Gastroenterology

• IU Health Goshen Physicians Internal Medicine

• IU Health Goshen Physicians Neurology

• IU Health Goshen Physicians OB/GYN

• IU Health Goshen Physicians Orthopedics and Sports Medicine

• IU Health Goshen Physicians Pediatrics

• IU Health Goshen Physicians Team Bariatrics

• IU Health Goshen Center for Minimally Invasive Surgery

• IU Health Goshen Rehabilitation Services

• IU Health Goshen Sleep Disorders Center

• IU Health Goshen Wound Center

• IU Health Goshen Home Medical

We continue to expand services, and are committed to growing as needed to meet the health needs of the community.– Richard Tarske, Vice President IU Health Goshen Physician Network

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Our Community Health Needs Assessment

In 2015, IU Health Goshen prepared a Community Health Needs Assessment (CHNA) for Elkhart County, Indiana, as required by the Patient Protection and Affordable Care Act of 2010. The purpose of the report was to understand and prioritize the health needs of the community and develop strategies reported to the needs. IU Health Goshen’s prior CHNA Report and corresponding Implementation Plan were adopted in 2012.

The 2015 CHNA Report is based on quantitative and qualitative community health information and provides a comprehensive understanding of health improvements that are needed. The health needs of Elkhart County were identified and prioritized through a systematic data informed process and with the input of individuals throughout Elkhart County and in the Elkhart County Health Department.

IU Health Goshen began assessing community health needs long before the Affordable Care Act of 2010, developing programs to benefit the community.– Susan Franger, Vice President, Cancer Services & Marketing

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Surveys in English or Spanish were completed by over 600 members of the community, providing a broad cross-section of perspectives by local residents regarding community health issues. The IU School of Medicine, Bowen Research Center, Department of Family Medicine and the Indiana University School of Medicine analyzed the survey data, as well as demographic, health and economic secondary data for Elkhart County. Elkhart County Health Department officials identified critical public health-oriented priority concerns in the community.

After carefully evaluating this information, a comprehensive picture of the community’s health needs emerged, as well as the community’s prioritization of these needs.

We evaluated primary and secondary data, paying particular attention to needs expressed by community members, and expert opinions shared by public health professionals.– Deb Stack, Market Informatics Manager/Analyst

Methodology

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Results of the Health Needs Assessment

The same health needs identified in 2012 were also identified in 2015, although the order of the rankings changed.

2012 2015

Obesity/Exercise/Healthy Eating 1 1

Access to Health Services 3 2

Treatment of Chronic Diseases 2 3

Mental Health/Addiction/Depression 4 4

Poverty 7 5

Health Literacy 6 6

Tobacco Use/Smoking 5 7

Tobacco use is still the leading cause of preventable death in the United States.– Daniel Nafziger, MD, MS, Health Officer Elkhart County Health Department

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Elkhart County borders the state of Michigan and is located about 100 miles southeast of Chicago.

Key Indicators:Medically Underserved Areas

Elkhart County

Elkhart

Goshen

Dunlap

Bristol

Simonton LakeI-80

CollegeStat

e R

oad

19

Cou

nty

Roa

d 11

County Road 38

County Road 18

Main

County Road 46

Kercher

State Road 119

Cou

nty

Roa

d 7

Cou

nty

Roa

d 13

United States Highway 6

New

County Road 40

River

Lincoln

Hively

County Road 34

United States Highway 20

Cou

nty

Roa

d 17

Indiana

Mishawaka

County Road 52

0

Cou

nty

Roa

d 19

County Road 42

County Road 32

County Road 22

Wilden

County Road 142

County Road 50

County Road 36

County Road 30

County Line

5th

State Road 120

Stat

e R

oad

15

Lusher

State Road 4

County Road 29

County Road 28

Greenleaf

Stat

e R

oad

13

Cou

nty

Roa

d 35

Wolf

Cou

nty

Roa

d 1

Cou

nty

Roa

d 9

County Road 20

Market

Toledo

Clinton

County Road 4

Roosevelt

John

son

State Line

D I

County Road 2

Cou

nty

Roa

d 25

County Road 44Elkhart

1350

I

750

County Road 26

Waterford

Walnut

County Road 14

Oso

lo

Lake

Beck

County Road 6

75

Henke

County Road 146

County Road 24

300

Wayne

County Road 48

Co Road 30

250

Cou

nty

Roa

d 43

Cou

nty

Roa

d 21

County Road 56

Oak

land

950

500

400

Bar

600

150

CLexington

100

Cou

nty

Roa

d 15

200

8th

County Road 104

Woodview

710

York

Ida

Nelsons

Reedy

State

Pine

Railroad

46th

B

Cheyenne

Antone

700

Viol

et

County Road 126

County Road 112

Verd

ant C

ount

y R

oad

37

Long

Rege

nt

Leer

Zolli

nger

Elm

Put

Kulp

Teall

Ce Dah

Family

E

Hilltop

Cou

nty

Roa

d 12

7

Cou

nty

Roa

d 31

Cou

nty

Roa

d 3

Gary

I-80

Elkhart

I-80I-80

County Road 20

County Road 26

I-80

Cou

nty

Line

County Road 146

County Road 46

County Road 4

County Road 38

Cou

nty

Roa

d 1 County Road 44

Cou

nty

Roa

d 9

County Road 18

I-80

River

County Road 40

State Line

River

Cou

nty

Roa

d 43

300

Medically Underserved Areas (MUAs)MUA

Medically Underserved Areas (MUAs)

We are implementing plans to enhance healthcare access in medically underserved areas.– Steve Garboden, Vice President of Planning & Managed Care

In order to address the Dunlap medically underserved area, an urgent care facility is currently being constructed.

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Partnership with Maple City Health Care Center

Since 2012, IU Health Goshen has worked to increase community access to health services.

A leading initiative is its partnership with Maple City Health Care Center.

We have enhanced healthcare access through our partnership with the Maple City Health Care Center in Goshen.– Mark Lindemood, Chief Philanthropy Officer IU Health Goshen Foundation

IU Health Goshen and Maple City Health Care Center (MCHCC) have created a partnership committed to expanding access to primary care for an additional 5,000 members of the community. In November 2013 IU Health Goshen purchased the property located in North Goshen, often referred to as the Abshire Mansion. Through renovation of the existing structure and new clinical construction in 2014, a second location for MCHCC has been developed.

consult

exam rooms

consult

navigationoffice

office/work

check-in/out

staff core

lab

rr

rr

laun.

data.

mech.

group office group office

staff entry

proc.

exam roomsexam rooms

exam

staff kitchen

main entry

lobbygroup room 2

group room 1

group room 3

rr

rr

mansion + clinic first floor

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Community Health Programs

In 2012, IU Health Goshen enhanced its community programs in order to aggressively address other health needs identified in the 2012 Community Health Needs Assessment.

In response to community needs identified as priorities through the 2012 assessment, IU Health Goshen undertook initiatives and enhanced programming in a variety of areas. Among these were an array of fitness classes offered in a dedicated fitness center as well as fitness assessments for children and adults, obesity screenings and prevention programs. Educational workshops addressed nutrition, weight management and health literacy topics. Diabetes came particularly into focus as the topic of health fairs, preventive educational seminars and ongoing support group meetings. Cancer screening and education programs were offered with an emphasis on tobacco cessation.

In prioritizing the health needs which IU Health Goshen can best address, we carefully considered the effectiveness and feasibility of those interventions we could best undertake.– Dr. Larry Allen, Chief Medical Officer

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Health Priorities for IU Health Goshen

After taking into account the health needs identified by the 2015 assessment of community and secondary data, IU Health Goshen has determined that its efforts can have the greatest impact on the following needs in the coming months and years.

Obesity. As the leading need of concern across the community, IU Health Goshen plans on continued and growing focus offering fitness, wellness, healthy lifestyle choices, and where appropriate, clinical interventions, to promote optimal health and quality of life for all members of the community.

Access to health services. Additional sites for providing convenient, excellent care are planned, such as the urgent care clinic under way, as well as adding more providers to serve the community. Efforts to educate all community members as to their options for health insurance and financial aid will also continue.

Mental health services. Tele-health access to behavioral health professional services is being arranged, to provide sorely needed services while offering convenience to the community and efficiency for the limited providers available.

Treatment of chronic conditions, with a focus on diabetes, hypertension and cancer risks. Early detection and vigilant management are keys to enjoying high quality of life in the face of chronic conditions. IU Health Goshen will continue evaluating and implementing highest-impact initiatives driving success, such as regular screenings, supportive groups and coaching, and medical management where appropriate.

Tobacco use. Community classes, individual education, remote educational sessions and outreach events and activities aimed at helping people quit, or never start smoking, are ongoing and expected to grow with staff dedicated to the effort.

We will continuously assess and strengthen programs that address health needs identified in the 2015 community health needs assessment.– Randal Christophel, President and Chief Executive Officer