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1/30/2015 1
Healthy Montgomery
Hospital WorkgroupMarch 2, 2015
1/30/2015 2
Prioritization ProcessPrioritization Process
Goal: Purposeful activities that meet identified community health needs
and improve health status and quality of life.
Hospital Programs
&
Activities
Identified
Community Health
Priorities
Improved Health Status
&
Quality of Life
Example: Suburban Hospital Formula for Calculating Community Benefit Service Area:
a) The top 20 zip codes from which Hospital ED visits originate
b) The top 20 zip codes from which Hospital inpatients originate
c) The top 25 zip codes for Hospital Charity Care cases
d) The top 10 zip codes for Hospital Community Benefit Activities
Community defined based on (source: Catholic Health Association):• Primary service area
• Secondary service area
• Patient categories (e.g., general population, children-only or rehabilitation-only)
• Areas and populations served by hospital’s community benefit programs
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FY15 Methodology FY15 Methodology
ComparisonsComparisons
Similarities Differences
• Timeline
• Healthy Montgomery Priorities
• Data Sources
• IRS Guidelines
• Input from Public Health Experts
and Stakeholders
• Hospital Board Approval of CHNA
• Variation of Hospital Priorities
• CBSA Zip Codes
• CBSA Formula
• Implementation Plan Strategies
Mission: We demonstrate God’s care by improving the health of people and
communities through a ministry of physical, mental and spiritual healing.
Adventist HealthCare Shady
Grove Medical Center CBSA
Adventist HealthCare Washington
Adventist Hospital CBSA
Adventist HealthCareAdventist HealthCare
Data Sources/Community Input-Primary, secondary (HM, ACS, Census, SHIP, etc.), and hospital data
-Input from local public health experts and stakeholders (Advisory Board, Community Partnerships)
Partners-Multiple community groups and clinics, including Montgomery County
DHHS, Asian American Health Initiative, Pan Asian Clinic, Lung Cancer Alliance, Montgomery Cares, Mercy Health Center, Muslim Community Clinic
Utilizing Healthy Montgomery
-To help identify and prioritize focus areas, and as a data source
Implementation Plan-Advisory board and hospital leadership prioritized identified needs
-1 or 2 focus areas selected for each hospital, to align with mission and strategy
Approach & Methodology:Approach & Methodology:
SGMC and WAH
• Cancer
• Diabetes
Adventist HealthCare Shady Grove
Medical Center Health PrioritiesHealth Priorities
• Behavioral
Health
• Influenza
Adventist HealthCare Washington
Adventist Hospital Health Priorities
FY12(July 2011 –
June 2012)
FY13(July 2012 –
June 2013)
FY14(July 2013 –
June 2014)
FY15(July 2014 –
June 2015)
FY16(July 2015 –
June 2016)
FY17(July 2016 –
June 2017)
FY18(July 2017 –
June 2018)
FY19(July 2018 –
June 2019)
FY20(July 2019 –
June 2020)
FY21(July 2020 –
June 2021)
FY12(July 2011 –
June 2012)
FY13(July 2012 –
June 2013)
FY14(July 2013 –
June 2014)
FY15(July 2014 –
June 2015)
FY16(July 2015 –
June 2016)
FY17(July 2016 –
June 2017)
FY18(July 2017 –
June 2018)
FY19(July 2018 –
June 2019)
FY20(July 2019 –
June 2020)
FY21(July 2020 –
June 2021)
Summary
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
3-year CHA
cycle3-year CHA cycle
3 year
Summary
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
3-year CHA cycleConduct CHA
Annual
Progress
Report
Conduct
CHA
Last updated 3/14/2014 by JLR
Conduct
CHAConduct CHA
Imple-
mentation
Strategy
Imple-
mentation
Strategy
Annual
Progress
Report
CHNA Reporting TimelineCHNA Reporting Timeline
Conduct
CHA
Holy Cross HealthHoly Cross Health
We, Holy Cross Health and Trinity Health, serve together in the spirit of the
Gospel as a compassionate and transforming healing presence within our
communities. We carry out this mission in our communities through our
commitment to be the most trusted provider of health care services.
Holy Cross Germantown Hospital
Community Benefit Service Area
Holy Cross Hospital
Community Benefit Service Area
Approach & MethodologyApproach & Methodology
• Holy Cross Health identifies unmet community health care needs in our community in a variety of ways.– We collaborate with other healthcare providers to support Healthy
Montgomery, Montgomery County's community health improvement process. • The majority of our data is obtained from Healthy Montgomery documents, the Healthy
Montgomery website, community conversations and the priority setting process.
• We use available reports and assessments such as – Community Health Need Index,
– County Health Rankings and Roadmaps
– and other needs assessments from non-profit organizations in Montgomery and Prince George’s County
• We conduct an extensive analysis of demographics, health indicators and social determinants of health of the communities we serve, including hospital specific readmission data and prevention quality indicators.
• We seek expert guidance from a panel of external participants with expertise in the needs of our community.
• Holy Cross Health adopted the HM top-ranked priority areas and the three overarching themes.
• Demographic analysis from Holy Cross Health's needs assessment also reveals that the senior population of Montgomery and Prince George’s Counties is growing at an unprecedented rate, increasing the need for senior services such as housing and health care.
– In an effort to be proactive in meeting the growing needs of this population we have included seniors as a priority focus in addition to the priorities set by Healthy Montgomery.
• We focus our community benefit activities on the most vulnerable and underserved individuals and families, including women/children, seniors, and racial, ethnic and linguistic minorities.
Based on Healthy Montgomery priorities and overarching themes.
1. Maternal/Infant Health
2. Seniors
3. Cardiovascular Health
4. Obesity
5. Diabetes
6. Behavioral Health
7. Cancers
Holy Cross HealthHoly Cross Health
Health PrioritiesHealth Priorities
FY11(July 2010 –
June 2011)
FY12(July 2011 –
June 2012)
FY13(July 2012 –
June 2013)
FY14(July 2013 –
June 2014)
FY15(July 2014 –
June 2015)
FY16(July 2015 –
June 2016)
FY17(July 2016 –
June 2017)
FY18(July 2017 –
June 2018)
FY19(July 2018 –
June 2019)
FY20(July 2019 –
June 2020)
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Amend
CHNA w/ new
HM Data –
Board
Approves
Holy Cross Health CHNA Reporting Timeline
Conduct
CHNA
Multi-year
Implementation Strategy
3-year CHNA cycle
Conduct
CHNA
3-year CHNA cycle
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Amend
CHNA w/ new
HM Data –
Board
Approves
Multi-year
Implementation Strategy
New
3-year CHNA cycle
Multi-year
Implementation Strategy
Annual
Progress
Report
Annual
Progress
Report
Conduct
CHNA
Multi-year
Implementation Strate
3-year CHA cyc
CHNA Reporting TimelineCHNA Reporting Timeline
A proud member of MedStar Health, is dedicated to enhancing our community's
health & well-being by offering high quality, compassionate and personalized
care.
MedStar Montgomery MedStar Montgomery
Medical CenterMedical Center
� Community Health Needs Assessment Survey
� Primary and Secondary Hospital Data
• Hospital utilization data assessed with emphasis on charity care
• Percent of serviced uninsured/insured population
• Highest serviced area (zip code)
• Most common diagnosed health conditions
� Healthy Montgomery
• Healthy Montgomery provides data through their website including, disparities
dashboards and county demographics.
� Implementation Plan
• Community Benefit Advisory Task Force
• Determine areas of focus
• Develop implementation strategy
• Determine impact measures
� Partnering Organizations
• Community Health Partners of Aspen Hill, Millian Methodist Church, Proyecto Salud
Clinic, Holy Cross Aspen Hill Clinic, Longwood Community Center, Mid county
Community Center, American Lung Association, MedStar Visiting Nurse Association.
Approach & MethodologyApproach & Methodology
MedStar MontgomeryMedStar Montgomery
Health PrioritiesHealth Priorities
• Vulnerable populations:
Persons not well integrated
into the health care system
because of ethnic, cultural,
economic, geographic, or
health characteristics.
• MedStar Montgomery Medical
Center’s community health
needs assessment reveals a
focus on low-income residents
and underserved seniors linked
to risk factors of developing
chronic disease.
Based on Healthy Montgomery priorities and overarching themes.
1. Cancer
2. Diabetes
3. Heart Disease
4. Overweight/Obesity
FY12(July 2011 –
June 2012)
FY13(July 2012 –
June 2013)
FY14(July 2013 –
June 2014)
FY15(July 2014 –
June 2015)
FY16(July 2015 –
June 2016)
FY17(July 2016 –
June 2017)
FY18(July 2017 –
June 2018)
FY19(July 2018 –
June 2019)
FY20(July 2019 –
June 2020)
FY21(July 2020 –
June 2021)
Conduct
CHA
3-year CHA cycle
Annual
Progress
Report
Annual
Progress
Report
Conduct
CHA
Summary
Progress
Report
3-year CHA cycle
Annual
Progress
Report
Annual
Progress
Report
Conduct
CHA
Summary
Progress
Report
3-year CHA cycle
Annual
Progress
Report
Annual
Progress
Report
Conduct
CHA
CHA: Published by June 30 of indicated fiscal yearAnnual Progress Report: Presents outcomes to ATF of activities completed in prior fiscal year; Published by December of indicated fiscal year
Summary Progress Report: Presents outcomes via website of prior 3-year CHA cycle; Published by December of indicated fiscal year
CHNA Reporting TimelineCHNA Reporting Timeline
Mission:
To improve health
with skill and
compassion
Mission:
To improve health
with skill and
compassion
Suburban HospitalSuburban Hospital
Improved Health
Status & Quality
of Life
Implementation Strategy
Data Collection Data Collection
Approach & MethodologyApproach & Methodology
Healthy Montgomery priorities and overarching themes.
Suburban HospitalSuburban Hospital
Health PrioritiesHealth Priorities
FY12(July 2011 –
June 2012)
FY13(July 2012 –
June 2013)
FY14(July 2013 –
June 2014)
FY15(July 2014 –
June 2015)
FY16(July 2015 –
June 2016)
FY17(July 2016 –
June 2017)
FY18(July 2017 –
June 2018)
FY19(July 2018 –
June 2019)
FY20(July 2019 –
June 2020)
FY21(July 2020 –
June 2021)
3-year CHA cycle
3-year CHA cycle
3-year CHA
cycle
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Annual
Progress
Report
Conduct
CHNA
Conduct
CHNA
Conduct
CHNA
CHNA Reporting TimelineCHNA Reporting Timeline
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SummarySummary
1/30/2015 22
Planning for the FuturePlanning for the Future
• Up-to-date data
• Follow guidelines from IRS (expertise to assist hospitals in
meeting guidelines)
• Facilitate community conversations
• Share best practices of evaluations and outcomes based on
identified priorities, technical support on completed CHNA of
hospitals
• Integrate Hospitals input on steering committee agendas;
address issues
• Continue to evolve and develop steering committee
membership to represent all sectors of Montgomery County
(private sector, grassroots, community members, etc.).
• Utilize the resources of the hospitals, specifically during work
plan development- think about what the hospitals are already
doing.
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Implementation Plan:
Diabetes
&
Cardiovascular Health
Suburban Hospital
MedStar Montgomery Medical Center
Holy Cross Hospital
Core Measures
Adventist HealthCare- Washington Adventist Hospital
Adventist Healthcare- Shady Grove Medical Center
• Adults with diabetes
• ER visits for diabetes
Diabetes Education and Nutrition School: Health education on self-
management of the disease, which includes an adequate diet, regular physical activity and daily control of glucose levels.
Diabetes Prevention Program Group Lifestyle Balance™
OB/GYN Gestational Diabetes Education Classes
Pre-Diabetes Classes
Diabetes Support Group
Pre-Diabetes Classes
Diabetes Informational Sessions at Mobile Med
Mobile Med/NIH Endocrine Clinic at Suburban Hospital; Financial and in-kind
support to local clinics
Diabetes Schools at Proyecto Salud; Support Groups, Nutrition Counseling
Services; Nutrition Seminars
Health Priority
Suburban Hospital
MedStar Montgomery Medical Center
Holy Cross Hospital
Core Measures
Adventist HealthCare Washington Adventist Hospital
Adventist HealthCare- Shady Grove Medical Center
• Heart disease mortality
• Stroke mortality
• High blood pressure
prevalence
Senior Fit, a free 45-minute multi-component, age appropriate exercise class
at various geographically accessible locations in Mont. & PG County
Stanford University’s Chronic Disease Self-Management Program, two and a
half hour workshop, once a week, for six weeks, in community settings such
as senior centers, churches, libraries and hospitals
Conduct heart disease-related education programs and screenings events in
the Aspen Hill/Bel Pre region
Senior Exercise: A fitness active aging group exercise class, designed to help
older adults maintain their cardiovascular health.
Love Your Sweetheart
Healthy Living Lecture Series
Monthly Blood Pressure Testing at Damascus & Rockville Senior Center
Mobile Med/NIH Heart Clinic at Suburban Hospital
Project Access & Catholic Charities
HeartWell Program
Re-admission Initiative
Health Priority
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Healthy Montgomery Healthy Montgomery
PrioritiesPriorities