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Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

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Page 1: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented
Page 2: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Assessment

Message to Our Community …………..…….……….……….……..….… 3

Executive Summary ……………………….……………….…………….…. 4

About Us ………….…….………………………….…….…………….……… 5

The Health Needs of Our Community ………….………………………...… 6

Our Progress since 2015 ………….………….………………………..….… 7

Implementation

Strategic Implementation Plan ………….………..…..……………………. 8

Priority #1 …….…………………..…....………………………….……..….… 9

Priority #2 …………..….……………………..………………….………...… 11

Priority #3 ………………………………………………...………………….… 13

Going Forward ……………………………….…….…….………………..… 15

Appendices

Prioritizing Health Needs ……….……….………………..……………...… 17

Process Tools ……….……….………………………..……………...… 18

CHNA collaborators …………………..……………………..……..…….… 21

SSM Health St. Anthony Hospital – Shawnee |

Page 3: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

SSM Health St. Anthony Hospital - Shawnee, a member of SSM Health, has

delivered exceptional, compassionate care to Pottawatomie County for over 50

years. Inspired by our founding Franciscan Sisters of Mary and guided by our

Mission – Through our exceptional health care services, we reveal the healing

presence of God – we cherish the sacredness and dignity of each person as

demonstrated through our Values of compassion, respect, excellence, stewardship

and community.

Our sustained community commitment can be seen through our collaborative

partnerships with residents and organizations. We rely on these relationships to

help us identify and develop plans to address high-priority community health

needs. We are grateful for the opportunity to partner with many local organizations.

Over the last 12 months, in collaboration with our community partners, we have

conducted a community health needs assessment by gathering health-related

information from Healthy Communities Institute (HCI), Community Commons.org,

and through collaboration with community partners regarding Pottawatomie

County. We have also interviewed key health officials, conducted community

discussion forums to identify concerns about the health of our community and the

number of area-based programs and organizations that exist to address their

needs. These discussions identified needs that were prioritized based on the level

of importance to community members and the hospital’s ability to truly make an

impact.

The priorities we will address over the next three years:

Chronic Disease Prevention and Management

Substance Abuse

Food Scarcity

During this time, SSM Health St. Anthony Hospital – Shawnee will further develop

its community partnerships and deliver an exceptional experience through high-

quality, accessible and affordable care to all residents. Please visit our website at

ssmhealth.com to learn more about how we will continue to make a difference in

our community.

I welcome your thoughts on how we can create a healthier Shawnee and

Pottawatomie County.

Sincerely,

Charles E. “Chuck” Skillings

President & CEO

SSM Health St. Anthony Hospital - Shawnee

3SSM Health St. Anthony Hospital – Shawnee l

Page 4: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

St. Anthony Hospital – Shawnee is pleased to present the 2019-Community Health Needs Assessment (CHNA). This CHNA report provides an overview of the health needs and priorities associated with our service area. The goal of this report is to provide persons with a deeper understanding of the health needs in their community, as well as help guide the hospital in its community benefit planning efforts and development of an implantation strategy to address evaluated needs.

The Affordable Care Act (ACA) requires

501 (c) (3), tax exempt hospitals to conduct a CHNA every three years and adopt a strategic implementation plan for addressing identified needs.

The hospital will collaborate with its community partners to

leverage available resources available in Pottawattamie

County. Strategies for priority needs are:

Chronic Disease Prevention and Management – Healthy

lifestyle is a key component for better management and

prevention of chronic disease. We will continue our

partnership with Blue Zones Project for Pottawatomie County,

the medical staff at SSM Health Medical Group, and

Pottawatomie County Health Department to address heart

disease and obesity.

Substance abuse –We will work with the SSM Health Medical

Group, Pottawatomie Alliance towards Community Health and

other community partners to address the tobacco/vape health

issue and opioid abuse, as we partner to create a well-being

district in our community.

Food Scarcity – We will continue and expand our

collaboration with the Community Market of Pottawatomie

County and Blue Zones Project for Pottawatomie County to

identify and improve healthy food access and promote

healthier community food environments, focusing the intensity

of our efforts in our most vulnerable zip code of 74801.

SSM Health St. Anthony Hospital – Shawnee selected three

focus priorities that were identified through the community

health needs assessment process.

Chronic Disease Prevention and Management

Substance Abuse

Food Scarcity

4SSM Health St. Anthony Hospital – Shawnee |

Page 5: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

community benefit

In 2017, St. Anthony Hospital –Shawnee provided $2.5 million in community benefit, comprised of $2.3 million in Financial Assistance and Means-tested Government Programs; $253,355 in community benefit; and nearly $2000 in community building activities.

Examples of our community benefit programs include:

Volunteer Health Clinic

Community Market

Childbirth education

American Heart Association

American Lung Association

Blue Zones Project for

Pottawatomie County

Pottawatomie Alliance Toward

Community Health (PATCH)

Volunteer Health Center

SSM Health Medical Group

Central Oklahoma Community

Action Agency

highlight of services

St. Anthony Hospital – Shawnee offers a comprehensive array of acute inpatient services, along with ambulatory network consisting of urgent care, primary care and specialist providers.

Some of our specialist include family practice, internal medicine, general surgery, obstetrics, gynecology, pediatrics, orthopedics, cardiology, urology, nephrology, pulmonology, medical and radiation oncology, radiology, pathology and emergency medicine.

community partnerships

We are proud to be part of community projects that work to improve health outcomes in the areas we serve: We partner with United Way of Pottawatomie County, Community Market of Pottawatomie County and Blue Zones Project for Pottawatomie County.

SSM Health St. Anthony Hospital – Shawnee

SSM Health

SSM Health St. Anthony Hospital – Shawnee

3,875

75,770

47,500

830

96

787

71

40

$7,363,601

5SSM Health St. Anthony Hospital – Shawnee l

Page 6: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Social Determinants

of Health: Food

Scarcity

Tobacco/vape use: 24.5% of adults smoke in Pottawatomie County compared to the state’s average of 23.3%

Opioid addiction: Unintentional Poisoning Death Rates Involving at Least One Prescription Opioid 2012-2016 Rates per 100,000 population

Pottawatomie County 9.5 – 11.5 State rate: 10.9

In 2016, there were 444 opioid-related overdose deaths in Oklahoma—a rate of 11.6 deaths per 100,000 persons—compared to the national rate of 13.3 deaths per 100,000.

Healthy Food Access: SNAP

(Food Stamp) Program overview

for Pottawatomie County

Potawatomie County:

• 6,076 monthly averages cases

• Monthly average per case:

$292.00SNAP Statistics for

Oklahoma Congressional District

5

• Total Households: 46,139

• 1 or more people 50 +: 27.3%

• With children under 18 yrs. of

age: 48.8%

• With disabled individual(s):

50.3%

Oklahoma Regional Food Bank

• 11,660 people hungry

including 4,460

Chronic Disease

Prevention and

Management

Heart disease includes a range of conditions that affect the health of one’s heart. In Pottawatomie County, heart disease is still the leading cause of death for all ages combined at 240.1 deaths per 100,000 population (2011-2015).29 The rate increased 1.7% from the previous 2008-2012 data (236.2 deaths per 100,000 population).

Obesity is defined as life-long, life threatening, genetically related and costly disease of excess fat storage. Obesity is a primary cause of adult deaths and is defined as having a BMI greater than 30.0 kg/m2 (BMI = weight in kg/square of height in m). Pottawatomie County’s obese adult rate is 39.6% compared to Oklahoma’s 35.0%.

Community health needs were identified from existing sources of secondary data (regarding demographics, health status indicators, as well as measures of health care admissions). Additionally the collection of data was resourced from the community perspectives of individuals

who live, work, shop, play, and go to church in the community.

6SSM Health St. Anthony Hospital – Shawnee |

Descriptive Statistic

Goes Here

The voice of the community

39.6%

Obesity

Rate

Heart Disease Opioid Abuse Healthy Food Access

Chronic Disease Prevention / Management

Healthcare Access Health Literacy medication costs

Substance Abuse

Transportation limitations Tobacco Diabetes Obesity

Food Scarcity Suicide Cancer Drug and Alcohol Abuse Lack of physical activity

Mental Health / Depression Dental Health Nutrition

Page 7: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we

identified, the strategies we implemented to address them and the progress that has been made.

7SSM Health St. Anthony Hospital – Shawnee l

Decrease the number of deaths due to

prescription drug abuse in

Pottawatomie County from 22.5 in 2015

to 21.2 by 2018 (Oklahoma State

Health Department)

State

Health

Departme

nt

2yr lag

22.5

(2007-

2013)

22.5

(2007-

2013)

22.5

(2007-

2013)

22.5

2007-

2013

24

(2014-

2016)

24

(2014-

2016)

37

(2012-

2017)

Reduce the number of prescription

overdose patients seen in Saint

Anthony’s Emergency Department from

14 in 2016 to 13 in 2018 (Epic)

Epic Ad hoc 14 14 15 15 15 10 10

Reduce the number of deaths due to

coronary heart disease in Pottawatomie

County from 161.1 deaths per 100,000

persons in 2015 to 159.1 deaths per

100,000 persons by 2018 (HCI)

HCI/

Community

Commons

(CY18TD &

CY18 YE)

2yr lag

161.1

(2011-

2013)

148.9

(2012-

2014)

147.4

(2013-

2015)

147.4

(2013-

2015)

147.4

(2013-

2015)

243.4

(2012-

2016)

243.4

(2012 –

2016)

Decrease the percentage of 30-day

congestive heart failure readmissions at

St. Anthony Shawnee Hospital from

18.6% in 2016 to 15.25% by 2018 (PIR)

PIR Ad hoc 18.6% 18.6% 15.63% 14.0% 13.0% 15.3% 15.3%

Reduce the age-adjusted death rate due to diabetes

in Pottawatomie County from 31.6 deaths per

100,000 persons reported in 2015 to 29.3 deaths

per 100,000 persons (state average) by 2018 (HCI)

HCI/

Community

Commons (CY18TD

& CY18 YE – age-

adjusted percent of

adults aged 20 or

older who have ever

been told they have

diabetes)

2yr lag

31.6

(2011-

2013)

28.9

(2012-

2014)

33

(2013-

2015)

33

(2013-

2015)

33

(2013-

2015)

12.7

(2012-

2016)

12.7

(2012 -

2016)

Decrease the percentage of obese adults in

Pottawatomie County from 36.4% in 2015 to 34.4%

by 2018 (HCI)

HCI/

Community

Commons

3yr lag36.4%

(2012)

34.2%

(2013)

34.2%

(2013)

34.2%

(2013)

34.2%

(2013)

39%

(OSHD)

39%

(OSHD)

Reduce the average BMI of individuals enrolled in

the prevention program from 34.7 in 2016 to 34.2 by

2018 (Source Program Tracking)

Source

Program

Tracking

Ad hoc 34.7 34.7Data not

available

Data not

available

Data not

available

Data not

available

Data not

Available

Page 8: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

SSM Health St. Anthony Hospital – Shawnee utilized an internal CHNA steering committee to prioritize the needs in

Shawnee and Pottawatomie County that were identified and validated through data analysis. The Community Health Needs

Assessment reviewed multiple data sources, including demographics, health status indicators, as well as the hospital’s top

DRG’s, in addition to data derived from information gathering activities from community members and person who represent

the broad interests of the community, including those with expertise in public health and those directly involved in the Blue

Zones Project of Pottawatomie County.

Chronic Disease Prevention / Management

Substance Abuse

Food Scarcity

Page 9: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Chronic Disease Prevention and Management

Six in ten Americans live with at least one chronic disease, like heart disease and obesity. These contribute to the leading causes of death and disability in the United States, and the leading driver of healthcare costs. Healthy lifestyle is a key component for better management and even prevention of chronic disease. Making healthier choices easier is a major contributor to assisting individuals in resulting with healthier lifestyles, and as a result living healthier longer.

• Chronic diseases are defined broadly as conditions that last one year or

more, requiring ongoing medical attention and/or limit activities of daily

living.

• The term “heart disease” refers to several types of heart conditions, but in

the United States, the most common type of heart disease is coronary

artery disease (CAD) which affects the blood flow to the heart and can lead

to heart attack.

• Obesity is a risk factor that is commonly associated with heart disease. It

is defined as a medical condition in which excess body fat has

accumulated to an extent that it may have a negative effect on health. A

measurement of Body Mass Index of 30 kg/m.

• Obesity has been found to reduce life expectancy, and it is one of the

leading preventable causes of death worldwide.

• There is convincing evidence that the consumption of high levels of

processed foods which are high in fats and sugars, promotes obesity, as

compared to whole foods such as fruits and vegetables, which actually

decrease the risk for chronic health conditions, such as heart disease.

• In Pottawatomie County, heart disease is still the leading cause of death

for all ages combined, at 240.1 deaths per 100,000 population (2011-

2015). The rate increased from the previous 2008-2012 data at 236.2

deaths per 100,000 population.

• Obesity / overweight was selected by the focus group as the #1 health

challenge for the community.

• According to the Gallup Well-Being Index 2017, 70.7% of Shawnee

residents are obese / overweight.

Page 10: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

The VeggieRx program will have the maximum 50 participants in its first campaign

• The overarching vision for the Fruit and VeggieRX Pilot Program is to broadly integrate fruit and vegetable

prescription programs into the SSM St. Anthony Hospital – Shawnee healthcare system as a powerful tool for

combating diet-related chronic disease.

• The Fruit and VeggieRX Pilot Program aims to initiate and strengthen conversations between healthcare

providers and patients to provide education for the benefits of fresh fruits and vegetables in relationship to heart

disease and obesity, increase access to fresh foods and reduce obstacles of nourishment.

• Participants are recruited through a screening process for readiness by physician and/or care managers.

Enrollment includes Baseline Program Survey with required health metrics of height, weight, BMI, was

circumference Blood pressure, and blood sugar.

• Participants receive required program elements for participation to include check-ins, educational cooking

classes, grocery store tours, and 12 week follow-up visit.

• Each participant receives a packet of vouchers dependent on family size equivalent to $120 for single/couple or

$240 for families, to be redeemed for fresh fruits and vegetables at the local participating grocery store.

• At the completion of the program the data is collected to provide a de-identified file of participant pre- and post-

metrics.

• SSM Health Medical Group

• Blue Zones Project Pottawatomie County

• Firelake Discount Foods

• Farmer’s Market vendors to be determined

• Pottawatomie County Medical Alliance

Page 11: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Substance Abuse

Utilization of additive substances, including tobacco/vape use and prescription drug misuse remain high in Pottawatomie County. Tobacco use has predominantly negative effects on human health and concern about health effects of tobacco has a long history, which can lead to lung cancer, and increases the risk of heart disease and strokes. Research has focused primarily on cigarette tobacco smoking. Tobacco smoke contains more than fifty chemicals that cause cancer. Tobacco also contains nicotine, which is a highly addictive psychoactive drug. When tobacco is smoked, nicotine causes physical and psychological dependency. In addition the effects of vaping include a toxic aerosol that is found to be highly detrimental to the lungs and body. Opioid use and addiction have negative physical and mental effects on the body and subsequent health risks, including overdose and death.

• Tobacco / vape use: Tobacco use is high in Pottawatomie County, with 24.5%

of adults smoking compared to the state’s average of 23.3%.

• Opioid addiction: Unintentional Poisoning Death Rates involved at least one

prescription opioid 2012 -2-16 Rates per 100,000 population for Pottawatomie

County of 9.5 – 11.5 compared to state rate of 10.0

• In 2016, there were 444 opioid related overdose deaths in Oklahoma – a rate

of 11.6 deaths per 1000,000 person – compared to the national rate of 13.3

deaths per 100,000

• There is a culture of tobacco use in the community, especially in the

manufacturing sector and among low-income populations.

• The state of Oklahoma has strong pre-emption laws that restrict what city

governments can do in regards to tobacco policy. Only recently were cities

allowed to enact tobacco-free policies for city property.

• Challenges with enforcement are identified through focus-group participants

stating that older smokers tend to ignore tobacco-free signage and some adults

continue to smoke on school property during sporting events despite signage.

However, most people respect the policies.

• There is an abundance of tobacco retailers through the city of Shawnee, and

many have drive-thru windows, which are so popular that create dangerous

traffic situations with waiting line queues.

• According to the CDC, Community Environment and individual behaviors are

the key factors in determining well-being. The Well-Being District model is a

geographical approach to addressing these factors through evidenced based

environmental adjustments and programs. This model is designed to set a

new standard of excellence in providing a healthy environment for those who

live, work, and play in Shawnee, as well as putting a process in place to

regulate and encourage participation.. Tackling Tobacco Environment is one

such way to support and engage in well-being.

Page 12: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Designation of Well-Being District in the city of Shawnee will be completed by 12/31/2019

• SSM Health St Anthony Hospital – Shawnee leadership serves as key stakeholders on the Well-Being Coalition

to facilitate completion of the four components of the designated Well-Being District, which encompasses

approximately one-third of the city.

• To facilitate District Tobacco Enforcement, comply with district certification criteria and support other businesses

in the district:

• Have and enforce a Tobacco free policy

• Eliminate sales of tobacco products in all grocers in district

• All public parks in district posted as Tobacco Free, with implementation of signage for enforcement phone #

• Facilitate opportunities for smoking cessation to current tobacco users:

• Provide referral to Oklahoma Quit Line to all inpatients identified on admission as users of tobacco products.

• Supply activity kits for hands-on education

• Facilitate opportunities for smoking education toward prevention

• Provide education and assist to employers seeking resources for tobacco cessation

• Partner with after school programs for education on prevention (ie: Community Renewal Friendship House, YMCA)

• Blue Zones Project Pottawatomie County

• Well-Being District partners

• Shawnee YMCA

• Community Renewal

• PATCH

• Gateway to Prevention and Recovery

• Oklahoma Quit Line

• American Lung Association

Page 13: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Food Scarcity

In 2017 it was estimated that 1 in 8 Americans were food insecure, equating to 40 million Americans including more than 12 million children. In Oklahoma, one in six people struggle with hunger with one in four children being food insecure. Hospitals are uniquely positioned to address hunger issues and boost resource utilization because of the link between food insecurity, nutrition, obesity, and overall health.

• The US Department of Agriculture defines food insecurity as a lack of

consistent access to enough food for an active, healthy lifestyle.

• Hunger refers to a personal, physical sensation of discomfort, while food

insecurity refers to a lack of available financial resources for food at the

level of the household.

• Nearly half of the households that receive SNAP (Supplemental Nutrition

Assistance Program) benefits in Oklahoma have children.

• Over 16% of residents are food insecure.

• Food Insecurity leads to negative health implications:

• Increased incidence of chronic conditions including diabetes, cardiovascular disease, and poverty-related obesity;

• Exacerbation of existing health issues, particularly for elderly patients with chronic and acute diseases, which can also speed the onset of degenerative diseases;

• Poor maternal and infant health linked to higher rates of infant mortality and low birthweight babies;

• Fragile pediatric health associated with two to four times as any individual health problems in children, including weight loss, fatigue, headaches, stomach aches, and frequent colds;

• Psychosocial deficiencies linked to developmental delays, learning and behavioral problems.

According to Population Health Advisor research and analysis, 2014

Estimated costs attributable to food insecurity in the U.S.:

• $155B: Direct health-related costs (e.g., hospitalizations, treatments of

nutrition-related conditions like upper GI disorders, anemia, diabetes,

mental health problems)

• $5B: Indirect health-related costs (e.g.: lost work time due to illness or

caring for sick family members)

• $19B: Additional indirect costs (e.g., special education and school

dropouts)

• Total: $179 Billion

• 74801 zip code identified as at greatest risk.

Page 14: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

• Incorporate short, validated screening questions into patient assessment tool upon admission and deploy social worker/case manager to confirm food insecurity and immediately follow-up with referral to resource.

• Establish a resource for an established collection of food that could be provided immediately upon discharge, if other resources are not available:

• Work with local experts from Shawnee High School, as subject matter expert for best practices.

• Identify a location in the hospital as a storage point for food items

• Stock items as needed, following guidelines and current regulatory processes.

• Community Market of Pottawatomie County

• Blue Zones Project Pottawatomie County

• Community Renewal

• Kickapoo Park Community Garden

Establish the hospital as a resource and community partner to address food scarcity as a health issue.

• Oklahoma Regional Foodbank

• Shawnee Public Schools

• SSM Health St Anthony Medical Group

Page 15: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

[Add contact name and contact info here.]

Healthy People 2020 provides 10-year national objectives for improving American’s health by establishing benchmarks and tracking progress. Details, including interactive data, are available at www.HealthyPeople.gov.

County Health Rankings, a collaboration between Robert Wood Johnson foundation and the University of Wisconsin population Health Institute, in an annual assessment of vital health factors for nearly every county in America. Details are available at http://www.countyhealthrankings.org

The SSM Health St Anthony Hospital – Shawnee 2018 CHNA is available online at www.ssmhealth.comand upon request from the hospital at 405-878-8110. The 2019-2021 Community Health Improvement Plan was approved by the SSM Health Oklahoma Regional Board on 5/22/2019.

www.ssmhealth.com

[email protected]

Page 16: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

16SSM Health St. Anthony Hospital – Shawnee |

SSM Health St. Anthony Hospital - Shawnee

1102 West MacArthur | Shawnee, OK 74804

Page 17: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

As part of the CHNA requirement, hospitals are required to evaluate the needs that are identified and validated through the

data analysis. In order to do so, hospitals must establish specific criteria that will be used to assess each of the identified

community needs. The system has recommended criteria and ratings that each hospital can use during prioritization. The

method used to evaluate the needs as well as potential weighting is customizable based on the hospital's approach.

Prior to review of the data, a list of criteria was developed to aid in the selection of priority areas. During the data-review

process, attention was directed to health issues that met any of these criteria:

• Health issues that impact a lot of people or for which disparities exist, and which put a greater

burden on some population groups

• Poor rankings for health issues in Pottawatomie County as compared to other counties and the State of Oklahoma.

Health issues for which trends are worsening

To identify our community health needs, St. Anthony Hospital – Shawnee looked at the community that is served to

prioritized the consistent concern and pervasive needs for accessible and affordable health care; accessible mental health

care and substance abuse treatment; income, employment and poverty; housing; and improvement of healthy behaviors.

Those concerns are repeated in this assessment and some more specific needs are defined. This assessment looked at

both traditional health needs along with social determinants of health. We identified that zip code 74801 was considered

the vulnerable population that we served.

To prioritize, St. Anthony Hospital – Shawnee did a thorough review of the online community health survey, community

partner input and the hospital’s top DRG’s to identity the top 10 health care priorities in our community. To narrow the top

10 health care needs, the hospital used the initiative set forth by SSM Health. We took careful consideration of the social

determinants of health, our collaborative partners, and what health care needs to we could address and implement change

in the community that we serve.

| Prioritizing Health Needs

17|

Page 18: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

community perception

| Data Sources

18SSM Health St. Anthony Hospital - Shawnee|

Primary

The primary data consisted of a community online survey, with overall review with community partners. The community

survey was available online and conducted in the following manner:

• The health needs survey was available online and marketed to our external community partners through social

media outlets as well as an email invite. In addition, we posted an online link for our internal audience to

participate.

• The ten question survey covered of topics from access to care, chronic disease, and community changes.

• 187 people took the survey

• Once the survey responses were tabulated, the survey results were evaluated and analyzed for health and

demographic trends.

• The survey results were discussed with community focus group.

• The full results were distributed to and discussed by Administrative Council of SSM Health St. Anthony

Hospital - Shawnee.

Online survey questions

• Please select the top three health challenges you believe our community faces

• What is needed to improve the health of your family and neighbors? (check three)

• What types of health screenings and/or services are needed in our community to improve the health of the public?

(Check up to five.)

• In your opinion, are there any issues that prevent access to care in our community? (Check all that apply.)

• Where do you get most of your health information? (Check all that apply.)

• Please choose all statements below that apply to you.

• Which of the following preventive procedures have you had in the past 12 months?

• Are you at your ideal weight for your height?

• What is your zip code

• What suggestions do you have that you believe would improve the health and well-being of our community?

Page 19: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Secondary

Community Health Ranking

In addition to a review of demographics, we gathered and reviewed data from broad sources to set the initial direction

and priorities of the community health needs assessment. The secondary data was derived from a variety of sources

including the Community Health Ranking http://www.countyhealthrankings.org/ . The annual County Health Rankings

measure vital health factors, including high school graduation rates, obesity, smoking, unemployment, access to

healthy foods, the quality of air and water, income inequality, and teen births in Pottawatomie County.

Oklahoma State Department of Health, State of the County’s Health Report

We also utilized information from Oklahoma State Department of Health, State of the County’s Health Report. The

purpose of the State of the State’s Health Report is to explain how various health outcomes and behaviors affect the

overall health status of Oklahoma residents, as well as to guide the reader in how to interpret the data provided.

Grades and ranks are provided to help identify patterns (not statistical differences) that occur across the state, over

time, and within particular groups.

| Data Sources

19|

Page 20: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Population footprint below poverty level

20

Community Commons

SSM Health St. Anthony Hospital - Shawnee l

Page 21: Assessment - SSM Health · 2019. 5. 6. · Our last Community Health Needs Assessment was conducted in 2015. Below are the health needs we identified, the strategies we implemented

Our community partners provide valuable information and resources, that are critical to the success of the assessment

of the health needs. It is with great appreciation that we recognize their collaboration while representing the aging,

uninsured, unemployed and underserved.

The process benefited from input from several individual community leaders representing diverse constituencies.

Those leaders associated with primary data collection are listed with their affiliations is listed below. We have a strong

partnership with our community leaders and organizations and value their input and collaboration.

Community Representation

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Brenda Potts, Administrative Director

Pottawatomie County Health Department

Rachael Melot, Community Program Manager

Blue Zones Project of Pottawatomie County

Miriam Bell, Organization Leader

Blue Zones Project of Pottawatomie County

David Henry, Executive Director

Family Promise of Shawnee

Lindsay Dyer, Executive Director

United Way of Pottawatomie County