Healthy Kansas HospitalsHospital Visit

Statewide Partnerships for a Healthier Kansas

• Kansas Health Foundation Initiative• Funded five organizations working to ensure that

healthy options are the routine, easy choice• Three year program with a one year extension• Awarded in July 2013

Initiative Plan – Year 1Mobilization

• Establish advisory group• Gather baseline data• Secure pledges to work on project

Community Education• Define “what is healthy”• Web site, newsletter articles, press release

Advocacy with Decision Makers• Launch efforts at KHA Convention in November• Educational Webinars making the case for change

Initiative Plan – Year 2-4 Mobilization

• Continue advisory group and gathering pledges• Develop connections with five additional KHA allied organizations• Connect with three statewide or regional groups that can work with HKH

Community Education• Community presentations

• Press release recognizing all that have adopted model policies• Press events in communities that are “Centers of Excellence” Award

Advocacy with Decision Makers• Model policies• Hold a HKH symposium

• Continue educational webinars • Create and distribute third toolkit • Hospital visits

• 50 hospitals altered current practices• “Centers of Excellence” Award

Congratulations to the 60 hospitals that have made formal policy changes to their food and beverage environments!

Allen County Regional Hospital, IolaAnderson County Hospital, GarnettAtchison Hospital, AtchisonBob Wilson Memorial Grant County Hospital, UlyssesChildren’s Mercy Hospital Kansas, Overland ParkCitizens Medical Center, ColbyClara Barton Hospital, HoisingtonClay County Medical Center, Clay CenterCloud County Health Center, ConcordiaComanche County Hospital, ColdwaterCommunity HealthCare System, Inc., OnagaCommunity Memorial Healthcare, Inc., MarysvilleDecatur Health, OberlinEdwards County Medical Center, Kinsley Fredonia Regional Hospital, FredoniaGirard Medical Center, GirardGoodland Regional Medical Center, GoodlandGove County Medical Center, QuinterGreenwood County Hospital, EurekaHamilton County Hospital, SyracuseHaysMed, The University of Kansas of Kansas Health System, HaysHiawatha Community Hospital, HiawathaHolton Community Hospital, HoltonHospital District #1 of Rice County, Lyons Hutchinson Regional Medical Center, HutchinsonKearny County Hospital, LakinKingman Community Hospital, KingmanKiowa County Memorial Hospital, GreensburgKiowa District Healthcare, KiowaLabette Health, Parsons

Lane County Hospital, DightonLawrence Memorial Hospital, LawrenceLindsborg Community Hospital, LindsborgMercy Hospital Fort Scott, Fort ScottMitchell County Hospital Health Systems, BeloitNemaha Valley Community Hospital, SenecaNewton Medical Center, NewtonOsborne County Memorial Hospital, OsbornePawnee Valley Community Hospital, LarnedPhillips County Health Systems, PhillipsburgProvidence Medical Center, Kansas CityRawlins County Health Center, AtwoodRepublic County Hospital, BellevilleRussell Regional Hospital, Russell Saint John Hospital, LeavenworthSaint Luke’s Cushing Hospital, LeavenworthSalina Regional Health Center, SalinaShawnee Mission Health, Shawnee MissionSheridan County Health Complex, HoxieSmith County Memorial Hospital, Smith CenterSt. Catherine Hospital, Garden CitySt. Luke Hospital and Living Center, MarionStormont Vail Health, TopekaSusan B. Allen Memorial Hospital, El DoradoThe University of Kansas Health System, Kansas CityThe University of Kansas of Kansas Health System, St. Francis Campus, TopekaTrego County-Lemke Memorial Hospital, WaKeeneyVia Christi Hospital, ManhattanWilliam Newton Hospital, WinfieldWilson Medical Center, Neodesha

• Pledges Signed: 81 Hospitals and 8 Allied • Formal Policy Changes: 60 Hospitals

Examples of Healthy Food and Beverage Policies

Examples of Healthy Food & Beverage Policies• No foods will be deep fat fried.• Healthy entrée options will be offered daily and have nutritional facts

posted.• The food budget will be at least 10 percent fresh fruits and vegetables.• Juice portions will be no larger than 6 ounces.• No “energy” drinks are sold.• 70% of beverages sold contain less than or equal to one gram of sugar

per fluid ounce.• Snacks sold in the cafeteria include fresh fruits and packaged snacks

containing zero grams of processed trans fat.• Drinking water must be offered at no charge at all times in the

cafeteria. • Half portions at Half price.• Will use pricing and placement strategies to make healthy products

more attractive.

Small Changes Equal Lasting Change…VENDING MACHINES• Frequently used in hospitals by staff and visitors after

cafeteria closures• Placement of healthier foods in vending• Include low-fat, reduced-fat or whole grain optionsWATER• Offer infused water• Offer regular water at no charge throughout facilityREDUCE SUGARY DRINKS OFFERED• Add iced tea• Place sugary beverages on lower shelves MEETING, STAFF EDUCATION, ETC.• Change out snacks• Change out drinks

Example: Vending Machines

Each item is coded as Green, Yellow, Red• GREEN : indicates the snack is the healthiest

offered and should be consumed more frequently than items with other colors

• YELLOW: not as healthy as green item but healthier than red items

• RED: does not meet the health standards for the vending machine and should be consumed rarely, if at all.

Judging Criteria

• Impact - makes a visible difference in improving the health and wellness of the hospital

• Innovation - takes a new, creative approach and/ or addressed an emerging challenge or needs

• Leadership - leadership team takes a proactive and supportive role in the implementation

• Partnership - works closely with local community, county, state and/ or partners to improve the health of the community/hospital.

• Sustainability - the hospital has taken steps to sustain the changes

Award Presentation and Recognition

• Awardees will be recognized in a media/award presentation in their community, in a statewide media release, touting efforts to local media.

• Cash contribution of $1,000

Healthy Kansas HospitalsCenters of Excellence Award

Centers of Excellence Award Recipients

2016 –Clara Barton Hospital, HoisingtonHaysMed, part of The University of Kansas Health System, Hays

2017 –Atchison Hospital, Atchison Labette Health, Labette HealthWilson Medical Center, Neodesha

2018 –Community HealthCare System, OnagaWilliam Newton Hospital, Winfield

2019 –Children's Mercy Hospital Kansas, Overland Park Edwards County Medical Center, Kinsley

Resources Available Sample Policies

Sample Catering Guidelines

White Papers on Nine Centers of Excellence Award Recipients

Healthy Kansas Hospitals Toolkits:

Available by:

• Paper copy

• USB drive copy

• Downloadable PDF from the HKH website

Toolkit #1: http://www.kha-net.org/CriticalIssues/HealthyKansasHospitals/HKHToolkit1/

Toolkit #2: http://www.kha-net.org/CriticalIssues/HealthyKansasHospitals/HKHToolkit2/

Toolkit #3: http://www.kha-net.org/CriticalIssues/HealthyKansasHospitals/HKHToolkit3/

Data Overview: Select Health-related Behaviors in Kansas

Source: Kansas Behavioral Risk Factor Surveillance System

29.6% 29.9% 30.0% 31.3%34.2%

31.2%

0%5%

10%15%20%25%30%35%40%45%50%

2011 2012 2013 2014 2015 2016

Perc

ent

Year

Percent of Adults Who are Obese in Kansas,2011-2016

KS HP 2020 Target

Source: Kansas Behavioral Risk Factor Surveillance System

41.4% 41.7% 43.7%

0%5%

10%15%20%25%30%35%40%45%50%

2011 2013 2015

Perc

ent

Year

Percent of Adults Who Reported Consuming Fruit Less than 1 Time Per Day in Kansas, 2011, 2013,

and 2015

Source: Kansas Behavioral Risk Factor Surveillance System

22.3% 22.9% 22.3%

0%5%

10%15%20%25%30%35%40%45%50%

2011 2013 2015

Perc

ent

Year

Percent of Adults Who Reported Consuming Vegetables Less than 1 Time Per Day in Kansas,

2011, 2013, and 2015

Source: Kansas Behavioral Risk Factor Surveillance System

16.5% 17.9% 19.3%

0%

5%

10%

15%

20%

25%

2011 2013 2015

Perc

ent

Year

Percent of Adults Doing Enough Physical Activity To Meet Both the Aerobic and Strengthening Exercise Recommendations in Kansas, 2011,

2013, and 2015

KS HP 2020 Target

Source: Kansas Behavioral Risk Factor Surveillance System

22.0%19.4% 20.0% 18.1% 17.7% 17.2%

0%5%

10%15%20%25%30%35%40%45%50%

2011 2012 2013 2014 2015 2016

Perc

ent

Year

Percent of Adults Who are Current Smokers in Kansas, 2011-2016

KS HP 2020 Target

Why Wellness?

• Reduce insurance and work comp claims expense• Improve health of your team member • More positive work environment• Reduce absenteeism• SAVES lives

Examples: Wellness Program Components

• Health Risk Assessment – Family history• Biometric screening – Height, Weight, B/P, Labwork, BMI• Health Claims information• Health Coaching• Rewards, Incentives and Penalties• Work Environment/Lifestyle• Finally….connecting to community health report and efforts for

population health improvement.

Examples: Wellness Initiatives

Understanding Hospital’s Health Benefit Plan

Healthy Kansas Hospitals Hospital Baseline Assessment

• The Kansas Hospital Association would like to aide Kansas hospitals in building strong wellness programs.

• Foundational items include • a hospital wellness committee, • effectively using data, • securing buy-in from leaders, • communicating consistently, • and developing incentives for participation.

Survey Conducted in August 2018

122Individual Responses

96 Unique Hospital Responses (out of 124 possible)

Healthy Kansas Hospitals Employer Assessment

Approximately how many employees (full time and part time) does your hospital employ? Select one.Answered: 122 Skipped: 0

Which best describes your hospital’s health benefit plan? Select one.Answered: 122 Skipped: 0

Has your hospital implemented any type of employee wellness initiatives?Answered: 122 Skipped: 0

Who can benefit/participate in your wellness initiatives? Select oneAnswered: 75 Skipped: 47

Approximately how long has your employee wellness program been in operation? Select one.Answered: 75 Skipped: 47

Does your hospital have at least one individual responsible for wellness?Answered: 75 Skipped: 47

Does your hospital have an employee wellness committee?Answered: 75 Skipped: 47

Is leadership support evident in your hospital wellness initiatives?Answered: 75 Skipped: 47

Does your employee wellness committee/program have a budget?Answered: 75 Skipped: 47

Has your hospital established goals for employee wellness?Answered: 75 Skipped: 47

Does your employee wellness committee/program have access to employee data? Select all that apply.Answered: 75 Skipped: 47

In what areas are you collecting health data on employees? Select all that apply.Answered: 75 Skipped: 47

Are you using a vendor for your employee wellness program?Answered: 75 Skipped: 47

How often has your hospital provided a health risk assessment to employees? Select one.Answered: 73 Skipped: 49

Does your hospital conduct a program assessment of your employee wellness programs/activities (track participation rates, look at outcomes, get feedback)?Answered: 73 Skipped: 49

Does your hospital measure return on investment (ROI) for employee health/wellness efforts?Answered: 73 Skipped: 49

Q23: Does your hospital regularly communicate successes and challenges of employee wellness initiatives?Answered: 73 Skipped: 49

Which incentives does your hospital/health plan offer to employees to participate in health screenings or assessments? Select all that apply.Answered: 73 Skipped: 49

Which of the following topics does your hospital/health plan provide employees information (brochures, videos, posters, newsletters, speakers, events)? Select all that apply.

Answered: 73 Skipped: 49

Does your hospital have a program that features a corporate agreement with a health club or gym (or have your own) to offer employees discounted or subsidized memberships?Answered: 73 Skipped: 49

Does your hospital provide an employee assistance program (EAP)?Answered: 73 Skipped: 49

On average, what percent of employee health insurance premium is covered by the hospital? Select one.Answered: 106 Skipped: 16

Does your basic benefit package for employees include incentives (like premium reductions) for engaging in desirable healthy behaviors such as: Select all that apply.Answered: 106 Skipped: 16

Does your hospital have any written policies or documentation supporting the following healthy behaviors? Select all that apply.Answered: 106 Skipped: 16

Considering interest, readiness, need, and momentum, rate your hospital’s priorities in addressing each of the following categories (please prioritize each):Answered: 106 Skipped: 16

Contact InformationHayley Finch-GenschorckDirector of EducationKansas Hospital Association(785) 233-7436

hfinch@kha-net.org

Questions…