(CHIP) FY 2017-2019 (CHAP) FY 2018 - Centura Health · Through the Partnership ... (CHIP) FY 2017-2019 (CHAP) FY 2017 11 Limited English Proficiency 5.6% ... Community (CHIP) FY 2017-2019

(CHIP) FY 2017-2019 (CHAP) FY 2017 1

Fremont County

Area Served

Priorities

Heart Disease Lung Disease

Obesity/Overweight,

Physical Activity and Nutrition

Community Health Implementation Plan (CHIP) FY 2017-2019

Community Health Action Plan (CHAP) FY 2018

2 ST. THOMAS MORE HOSPITAL/CENTURA HEALTH

Introduction The Patient Protection and Affordable Care Act, enacted March 23, 2010, added new requirements for nonprofit hospitals to maintain their tax-exempt status, including a requirement to conduct a Community Health Needs Assessment (CHNA) once every three years to gauge the health needs of their communities and to develop strategies and implementation plans for addressing them.

Additionally, following the CHNA a Community Health Implementation Plan (CHIP), which defines specific goals on how the prioritized needs will be addressed, is required. A yearly Community Health Action Plan (CHAP) will provide the specific actions and metrics for each goal.

The CHNA, CHIP, and CHAP were conducted in compliance with these new federal requirements and as an opportunity for St. Thomas More Hospital to fulfill our commitment to our organizational mission to “extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities.”

(CHIP) FY 2017-2019 (CHAP) FY 2017 3

chna

chip

chapFY 2017

chapFY 2018

chapFY 2019

Community Health Needs AssessmentEvery 3 Years

Posted to www.centura.org and individual hospital websites.

Community Health Implementation Plan FY2017-2019 An overarching 3 year strategy to address prioritized needs identified by the CHNA with specific goals.

Community Health Action Plan FY 2017

A one year plan with specific, measureable, achievable, relevant, and time bound (SMART) goals and actions with an

evaluation design.


A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an evaluation design.


A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an

evaluation design.


Prioritized Need:

Heart Disease

Heart disease is a priority for St. Thomas More Hospital because in Fremont County, 5.1% of adults have heart disease, compared to 2.7% of adults in the state. This is roughly twice the percentage of adults with heart disease compared to the Colorado State average. Additionally, 26% of adults in our community have high blood pressure, higher than the 23.1% of adults in the state. We also have issues with high cholesterol, with 40.4% of adults having high cholesterol, compared to 33.5% of adults in the state. People in our community are dying from heart disease at a rate of 183.3 per 100,000, compared to 137.4 per 100,000 in the state.

Preventing and treating heart disease is something that St. Thomas More strives to accomplish. One of our goals is to increase the amount of cardiology services not only at St. Thomas More, but also throughout Fremont County. We have a visiting specialty clinic at St. Thomas More that includes cardiology, so we frequently refer patients to this program. Additionally, we provide free cardiovascular education at community events and health fairs throughout the year, and are recruiting for a full-time, non-invasive cardiologist.

Partners and Inputs: Centura South State Recruitment Team, Centura Health Physician Group (CHPG), Director of Marketing and Communications at St. Thomas More, St. Thomas More Cardiopulmonary Services.

Death Rate due to Coronary Heart Disease per 100,000

St. Thomas More Community

Colorado

210

180

150

120

90

60

30

0

183.3

137.4

(CHIP) FY 2017-2019 (CHAP) FY 2017 5

Goal1

Increase cardiology services in Fremont County.

METRICS (How we did for FY17): Three cardiologists made site visits to Canon City but no one expressed any interest. Because of budget considerations, no recruiting is currently taking place.

CHAP FY18: Budget considerations have halted all recruiting efforts for the foreseeable future.

ACTIVITY 1: Increase recruiting efforts for cardiology services by the Chief Medical Officer and Administrative Director of Ambulatory Services in FY2017.

METRICS (How we did for FY17): A PSF physician comes once a month to STM for a clinic. Health Fairs and other events have high lights “good heart health”.

METRICS (How we did for FY17): Two grand rounds have been available to STM physicians in FY 2016-2017.

METRICS (How we did for FY17): Two of the four quarterly INSPIRE magazines referenced good health and services available within the community.

CHAP FY18: Anticipate much of the same in FY18.

CHAP FY18: Local education events will be made to group/system in FY18.

CHAP FY18: Contents for FY18 for inclusion in INSPIRE magazine not determined yet. All health fairs will have a cardiac component.

ACTIVITY 2: Promote current cardiology services/clinics internally.

ACTIVITY 3: Increase education to Centura Health Physician Group cardiology providers.

ACTIVITY 4: Educate the community about cardiology services and specialty clinics.


Prioritized Need:

Lung Disease

Fremont County has almost double the num-ber of tobacco users than the Colorado State average, with almost half of our 25-34 year olds using tobacco products regularly. In our community, 29.1% of adults report that they currently smoke. The Colorado percentage of smokers is much lower, 16.8%. The mortality rate for lung disease in our community is 60.5 per 100,000, higher than Colorado’s rate of 49.8. This is likely due to the higher rates of smoking in our community. St. Thomas More has become a tobacco free campus and has partnered with one local business to help them become tobacco free. Centura Health no longer hires tobacco users. We plan to

work with the community to educate them on the dangers of tobacco use and to help our community quit smoking once and for all. We will do this by referring current smokers to our tobacco cessation programs and the Colorado Quitline.

Partners and Inputs: Centura Health Physician Group (CHPG), Colorado Quit Line, St. Thomas More tobacco cessation program, Fremont County Public Health Department, Local Businesses, St. Thomas More Wellness Coordinator, St. Thomas More Cardiopulmonary Services.

Percentage of Adults who report they currently smoke


Colorado

35%

30%

25%

20%

15%

10%

5%

0%

29.1%

16.8%

(CHIP) FY 2017-2019 (CHAP) FY 2017 7

Goal1

Decrease tobacco use in Fremont County.

METRICS (How we did for FY17): Within the recruiting process, all potential associates (100%) hear of the nonsmoking policy.

CHAP FY18: In FY18 will have 100% compliance with non-smoking candidates.

ACTIVITY 1: Create and implement hiring policies and practices to extend new employment to non-tobacco users only.

METRICS (How we did for FY17): Associate are offered education and opportunities. HR has told me they have no way to assure any associates have actually stopped smoking for any given time.

METRICS (How we did for FY17): Eight associates are currently in a tobacco cessation program per HR.

METRICS (How we did for FY17): Over 15 per cent of IMPACT (weekly electronic newsletter) has included educational materials.

CHAP FY18: Develop a metric to track associates’ efforts to give up smoking. Track results for FY18.

CHAP FY18: Fifty percent of associates who fail cotinine test will successfully complete the tobacco cessation program in FY18.

CHAP FY18: Weekly newsletter (IMPACT) will include education materials in 25% of the issues.

ACTIVITY 2: Encourage employees to quit using tobacco by offering incentives in health insurance.

ACTIVITY 3: Encourage employees to participate in the hospital tobacco cessation program.

ACTIVITY 4: Creating and delivering tobacco cessation and health risk education to employees.


Prioritized Need:

Obesity/ Overweight

St. Thomas More also prioritized obesity/overweight, physical activity and nutri-tion. In our community 23.1% of adults are obese and 41.8% are overweight. Together, almost 2/3 of our population is above a healthy weight. In the state, 20.2% of adults are obese and 35.3% are overweight. St. Thomas More is excited to lead the com-munity by example. Through the Partnership for a Healthier America and the Colorado Healthy Hospital Compact, we are mak-ing sustainable environmental changes that models healthy lifestyles and provides our St. Thomas More associates and hospital visitors with tools and resources to make healthy decisions while at work or visiting the hospital. We know that in our community,

18.7% of adults get no leisure time physi-cal activity (15.2% in Colorado) and 79% of adults eat less than 5 fruits and vegetables per day (75% in Colorado). We recognize the importance of eating well and exercising, and we plan to educate the community on fitness and nutrition as a way to impact the overall health of Fremont County.

Partners and Inputs: Partnership for a Healthier America, Colorado Healthy Hospital Compact, Hospital Food Services, Canon City Parks and Recreation, Local employ-ers, Thomas More Wellness Coordinator, St. Thomas More Marketing.

Overweight


Colorado

44%

42%

40%

38%

36%

34%

32%

41.8%

35.3%

(CHIP) FY 2017-2019 (CHAP) FY 2017 9

Goal1

Goal2

Improve healthy food availability in the St. Thomas More cafeteria.

Provide support and education regarding obesity prevention and weight management to the St. Thomas More community in partnership with local organizations.

METRICS (How we did for FY17): 1. Because of a contract with an outside vendor (Morrison Foods) STM is able to offer alternatives but not remove specific sources of revenue like soda. The alternatives are juice waters and they are free.

2. Fried foods will be decreased over the upcoming months.

METRICS (How we did for FY17): 1. Data is the same as the smoking ces-sation. Both are presented at the same fairs (included in the CBISA report.)

2. STM does not offer a bariatric program, howev-er, weight loss programs are offered to associates and the community.

3.-5. Found in CBISA report.

6. River Walk Exercise Stations remains a pro-gram to be met by FY19.

CHAP FY18: Will continue same metrics for FY18.

CHAP FY18: 1.-5. Increase data for each of these included in the CBISA report by 25%.

6.Plan for completion by FY19.

ACTIVITY 1: Improve nutrition labeling, healthy food marketing, well-ness meal offerings, eliminate deep fat fryers, increase healthy bever-ages, increase fruits and vegetables offered, ensure healthy options are priced equal to or less than other offerings, only offer healthy items within five feet of the cash registers and adver-tise only healthy items that meet MyPlate standards.

ACTIVITY 1: Nutrition education at major community events, such as employer health fairs and Pamper Your Heart, 5 Health Fair.

Population Demographics in St. Thomas More Hospital’s Service Area

Ethnicity

Race

Non-Hispanic87.7%

Hispanic12.3%

0% 20% 40% 60% 80% 100%

n White 85.6% n Black 5.8% n Asian 1% n Native American/Alaska Native 1.9%n Native Hawaiian/Pacific Islander .1% n Other 3.9% n Multiple races 1.7%


(CHIP) FY 2017-2019 (CHAP) FY 2017 11

Limited English Proficiency

5.6%6.7%

St. Thomas More Service Area

Unemployment Rate

5.5%4.0%


Households Below 200% of Federal Poverty Level

36.5%29.6%


77.6%

Associate’s Degree or Higher

High School Graduation Rate

23.1%

44.7%

74.8%


State Average


State Average

State Average State AverageState Average


Public Policy

CommunityCultural values, norms

OrganizationalEnvironment, ethos

InterpersonalSocial network

IndividualKnowledge, attitude, skills

The Socio-Ecological Model that Informs Our Goals

To achieve long-term health outcomes among our communities, changes at every level of the model will both support people making the healthy choices and removing the barriers to making the healthy choices.

(CHIP) FY 2017-2019 (CHAP) FY 2017 13

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St. Thomas More Hospital

1338 Phay Avenue • Canon City, CO 81212

719-285-2000

www.stmhospital.org

Documents

(CHIP) FY 2017-2019 (CHAP) FY 2018 - Centura Health · Through the Partnership ... (CHIP) FY 2017-2019 (CHAP) FY 2017 11 Limited English Proficiency 5.6% ... Community (CHIP) FY 2017-2019