Green River District Health Department and Methodist Hospital Henderson

1. Green River District Health Departmentand Methodist HospitalHenderson Deborah Fillman, MS, RD, LD, CDE Cathy O’Nan, DNP, RN Pamela Moran, MPS/PA, ACHE

2. Green River District Health Department • 7 Counties • Daviess, Hancock, Henderson, McLean, Ohio, Union and Webster • Serves a population of approximately 212,000 • Henderson is the 2nd largest county in the district with a population of 46,000 • Ranked 72 in the County Health Rankings

3. GRDHD and Methodist Hospital • Previous collaborations • Informally through coalitions such as • Henderson County Diabetes Coalition

4. GRDHD and Methodist Hospital Formal Collaboration-January 2012 MOU Community Health Assessment Community Forums/Surveys

5. Community Health Assessment Goal: • Conduct an organized discussion of the health of our community • Utilize information to prioritize health goals and proceed to action plans

6. Henderson County • Community Health Assessment Process • Gathered Henderson County Data • Conducted two Henderson County Community Forums • Attended primarily by organization representatives • Conducted Electronic and Paper Surveys • Completed by individual citizens

7. Henderson County - Data • Henderson County Data: • Obtained from: • Kentucky Health Facts • Census Data

8. What the data says about Henderson County… High Teen Pregnancy Birth Rate High rates of obesity High Diabetes Rates High Rate of Cancer Deaths Low rates of Excessive Drinking

9. Henderson County – Community Forums Vocational Rehabilitation Girl Scouts Henderson Housing Authority HCDC Methodist Hospital Henderson Community College Henderson County Schools A New Beginning KCTCS St. Anthony’s Hospital Henderson EMA Red Banks Mathews 25 GRDHD staff NAMI UK Dental Outreach OMHS United Way First United Methodist Church Methodist Hospital Foundation St. Anthony’s Hospice Fiscal Court Representatives Henderson Chamber of Commerce Education Coalition Kentucky Department of Public Health UK College of Dentistry

10. Community Forum Information • Health Status Concerns • Obesity • Teen Pregnancy • Youth Issues – Violent Crime, Smoking • STDs • Substance Abuse

11. Community Forum Information COMMUNITY RISKS COMMUNITY THREATS Lack of accessible/affordable health care Unemployment Lack of Safe Walking Areas Lifestyle Choice – Obesity, High STDs; Youth Crime, Smoking Rates Influx of seniors and international populations without appropriate services Lack of service jobs/Unemployment Uninsured/Increase in Medication Costs

12. Community Surveys

13. Three Perspectives • What the DATA says about Henderson County • Community Forum – • Health Status Concerns • Health Risks/Threats • Community Survey Responses – • Top Health Issues • Health Risks/Threats

14. What next? • Moving from Community Health Assessment to Community Health Improvement Plan • Strategic Initiatives Identification • Ownership of Initiatives • Goals/Objectives • Moving Forward Together

15. Strategic Initiative Identification • Obesity/Diabetes • Substance Abuse/Tobacco • Teen Issues

16. Two Hospital System • Methodist Hospital – Henderson, Ky. • 209 Licensed Beds • Established in 1946 • Methodist Hospital Union County – Morganfield, Ky • 26 bed Critical Access Hospital • Established in 1970 • Family Practice and Specialty Physician Offices • 16 Offices • 4 Counties: Henderson, Union, Webster and Hopkins

17. Green River Area Development District - GRADD

18. Methodist Hospital System

19. Methodist HospitalCommunity Benefit Committee Community Benefit Committee formed in 2011 Purpose: To formally establish in the board room a system to address unmet health needs and further community involvement ..” Mission: “… collaboration with the board, administration, physicians, staff and key community stakeholders, … to improve the health status…”

20. IRS Form 990, Schedule H • Affordable Care Act placed new requirements on not-for-profit hospitals • Question 20 – “did the organization operate one or more hospitals”… • If Yes Complete Schedule H • Schedule H: • Part I: Financial Assistance and Community Benefit • Part II: Community Building Activities • Part III: Bad Debt • Part IV: Management Companies and Joint Ventures

21. IRS Form 990, Schedule H - Cont. • Question 20 – “did the organization operate one or more hospitals”… • Part V: Facilities • Community Health Needs Assessment • CHNA’s preference is that persons with special knowledge of or expertise in public health be included in the process • Methodist Hospital partnered with the Green River District Health Department to conduct the Community Health Needs Assessment

22. Why Collaboration?? Common mission – improve the health status of the residents Methodist Hospital’s service area includes the three western counties of the ADD – the same area served by the GRDHD History of addressing community needs collaboratively – Diabetes Coalition Confidence that the key issues affecting the health status of the citizens in our region have no county or regional boundaries.

23. Strength in Collaboration Collaborate on education and research of the evidence-based practice, models that work and the best performers Remove the silos and involve the community Pool our resources to focus on the actions Present a common message and common efforts on our common goals

24. Substance Abuse/Tobacco Partnership –GRDHD, A-OPTIC, Mayo Clinic PBRN, MH Health Research Collaborative Purpose Health Research Collaborative Activities Research Question Tool Development Data Collection/Next Steps

26. Thank you! Deborah Fillman, MS, RD, LD, CDE Cathy O’Nan, RN, PhD Pamela Moran, MPS/PA, ACHE