(CHIP) FY 2017-2019 (CHAP) FY 2017 1
Community Health Implementation Plan (CHIP) FY 2017-2019
Community Health Action Plan (CHAP) FY 2017
Finney County
Area Served
Priorities
Healthy Eating Active Living
Behavioral Health
Health Equity/Access to Care
2 ST. CATHERINE HOSPITAL/CENTURA HEALTH (CHIP) FY 2017-2019 (CHAP) FY 2017 3
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 [Hospital Name] 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.”
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.
Community Health Action Plan FY 2018
A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an evaluation design.
Community Health Action Plan FY 2019
A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an
evaluation design.
4 ST. CATHERINE HOSPITAL/CENTURA HEALTH (CHIP) FY 2017-2019 (CHAP) FY 2017 5
Goal2
Goal1Prioritized Need:
Healthy Eating/Active Living (HEAL)
Diabetes, Hypertension, Stroke, Obesity Prevention
In our community, 22.5% of adults don’t get the recommended leisure time activity, 20.4% of adults smoke, and 83.4% of adults eat less than 5 fruits and vegetables per day. Over 43.6% of adults are overweight, and 34.5% are obese. These numbers are much higher than state averages, and point to our need to improve healthy eating/active living in our community in order to fulfill our 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.
Partners and Inputs: LiveWell Finney County, Kansas Health Foundation-Healthy Communities Initiative,Garden City Com-munity Health Advisory Board, WorkWell Kansas, Kansas Department of Health & Environment
Utilizing evidence-based programming, we will provide diabetes prevention classes and diabetes screening to the public. Classes will be offered free-of-charge in the community and classes will be held at St. Catherine Hospital for patients referred by hospital and community providers.
ACTIVITY 1: Deliver Diabetes Prevention (DPP) and Screening classes to the community and hospital clinic patients.
METRIC: Continue partnership with Garden City Community College to deliver courses once per month beginning January 1, 2017. Using in-house and community provider referrals, offer monthly DPP classes at St. Catherine Hospital Siena Medical Clinic.
ACTIVITY 1: WorkWell Kansas Programming provides worksite based programs in lifestyle changes including weight management, active living, healthy eating and stress management.
METRIC: A trained St. Catherine Hospital associate will host a WorkWell Kansas Mental Health and Stress Management Training for Worksites.
ACTIVITY 2: We will continue ongoing wellness work with employees of Finney County through their Employee Wellness Programs.
METRIC: We will deliver a series of 30 minute stress management classes for Finney County employees.
Percentage of adults who are overweight
St. Catherine Community
Kansas
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
43.6%
35.3%
Utilizing trained Wellness staff at St. Catherine Hospital, offer WorkWell Kansas programs in the community designed to provide worksite supported lifestyle and behavior change.
6 ST. CATHERINE HOSPITAL/CENTURA HEALTH (CHIP) FY 2017-2019 (CHAP) FY 2017 7
Goal2
Goal1
ACTIVITY 1: Participate in community partners in the grant-funded planning phase of an evidence-based Zero Suicide suicide prevention program.
Seek grant funding to work with community partners in suicide prevention programs.
Positively impact children and families in Finney County through awareness of and screening for Adverse Childhood Experiences or Toxic Stress in childhood development leading to poor health outcomes.
Prioritized Need:
Behavioral Health
Violence/Substance Abuse Prevention
In our community, almost 16% of adults report heavy alcohol consumption and roughly 23.4% of adults report a lack of social or emotional support, compared to 15.7% in Kansas.Additionally, the rate of violent crimes reported by law enforcement is 384.5 per 100,000 residents, higher than the Kansas rate of 363.6 per 100,000.
Partners and Inputs: LiveWell Finney County, Russell Child Development Center, Compass Behavioral Health, USD 457 (Garden City Public Schools)
ACTIVITY 1: Explore ways to increase awareness and train health and early-childhood providers in the Adverse Childhood Experiences (ACEs) screening.
Rate of violent crimes reported by law enforcement (per 100,000 residents)
St. Catherine Community
Kansas
390
385
380
375
370
365
360
355
350
384.5
363.6
METRIC: If funded, St. Catherine Hospital will work with community members and Centura Health system leaders to develop and deliver the suicide prevention program to teens from 12-20.
METRIC: Working with community partners, develop and deliver programs to improve diagnoses of ACEs and steps to intervene in families with high scores.
8 ST. CATHERINE HOSPITAL/CENTURA HEALTH (CHIP) FY 2017-2019 (CHAP) FY 2017 9
Goal2
Goal1
ACTIVITY 1: Beginning in October 2016, partner with Genesis Family health (FQHC) to have one of their case managers work out of St. Catherine Hospital.
ACTIVITY 1: Develop an annual asthma screening program for Finney County students.
Prioritized Need:
Health Equity/Access to Care
By increasing access to healthcare, we seek to both prevent illness as well as reduce costs to the community by preventing more serious complications through consistent care and medical attention. According to Small Area Health Insurance Estimates, in 2012 26.3% of adults were uninsured and 10.2% of children were uninsured in our community. This is higher than the Kansas rates of 17.6% and 7.1% respectively.
Partners and Inputs: LiveWell Finney County, Kansas Department of Health & Environment, Chronic Disease Risk Reduction, Genesis Family Health, Finney County, Finney County Senior Center, USD 457 (Garden City Public Schools), USD 363 (Holcomb School District), Kansas Association for the Medically Underserved
Create a case management-linked program for bi-directional referrals and continuity of care across the community.
Provide free asthma screening to all fifth grade students in Finney County.
METRIC: Case manager will work with inpatient staff, patients and providers to develop all post discharge continuity of care planning, especially ensuring that patients admitted through the Emergency Department are assigned a primary care provider upon discharge. The case manager at Genesis will be in touch with case managers at St. Catherine Hospital to provide upstream referrals and continuity of care. This new partnership will improve access to care and appropriate follow-up.
METRIC: During Quarters 3-4, 2016 provide asthma screenings and education to all fifth grade students in Finney County through organized outreach and partnership with school personnel. Some children will be newly identified as asthmatic or at risk and will be referred to primary care providers. Teams may also discover children who do not have a designated provider, or perhaps do not have insurance coverage. These children will be referred to the navigator and case managers listed in this section.
(CHIP) FY 2017-2019 (CHAP) FY 2017 11
Goal3
METRIC: The majority of the employees at Tyson Foods are members of the refugee or Latino communities. These groups have been identified as having limited access to healthcare. While all employees are provided health insurance after 90 days, many do not understand that they have the ability to enroll their families. Likewise, many do not understand how to navigate the healthcare system in the community. The navigator(s) will be able to assist with enrollment and setting up a relationship with a primary care provider in the community.
Develop and implement a work-site benefits enrollment and navigator program in partnership with the primary employer of minority and refugee members of the community.
ACTIVITY 1: Develop and deploy a partnership with Tyson Foods Human Resources staff to provide a culturally appropriate health navigator to attend employee orientation and open enrollment.
Associate’s Degree or Higher
High School Graduation Rate
31.8%
37.9%
67.6%
77.6%
St. Catherine Service Area
State Average
Limited English Proficiency
19.5%4.5%
St. Catherine Service Area
State Average
Unemployment Rate
2.9%5.2%
St. Catherine Service Area
State Average
Households Below 200% of Federal Poverty Level
40.3%32.7%
St. Catherine Service Area
State Average
Ethnicity
Race
Population Demographics in St. Catherine Hospital’s Service Area
Non-Hispanic55.32%
Hispanic44.68%
0% 20% 40% 60% 80% 100%
n White 83.95% n Black 1.95% n Asian 1.85% n Native American/Alaska Native .84%n Native Hawaiian/Pacific Islander .01% n Other 9.24% n Multiple races 2.31%
St. Catherine Service Area
State Average
10 ST. CATHERINE HOSPITAL/CENTURA HEALTH
St. Catherine Hospital
401 East Spruce Street • Garden City, KS 67846
620-272-2222
www.stcatherinehosp.org
RooksRooks
RushRush
EllisEl lis
ScottScott
Ochi l treeOchil tree LipscombLipscomb
TexasTexas BeaverBeaver HarperHarper
GrayGray
LoganLogan
FordFord
SewardSeward
GrantGrant
NessNess
KearnyKearny
TregoTrego
ClarkClark
FinneyFinney
LaneLane
MeadeMeade
GoveGove
HaskellHaskell
StevensStevens
WichitaWichita
ThomasThomas SheridanSheridan
HodgemanHodgeman
GrahamGraham
BacaBaca
HamiltonHamilton
StantonStanton
GreeleyGreeley
MortonMorton
ShermanSherman
WallaceWallace
ST1262 ST207
ST190
ST96
ST18
ST116
ST149 ST46
ST23
ST94
ST95
ST144
ST136
ST4
ST51
ST25 ST34
ST147
ST96
ST27
ST89
ST23
ST25
ST156
£¤64
£¤56
£¤400
£¤50
£¤400
£¤160
£¤54
£¤183
£¤283
£¤56
£¤283
£¤50
£¤160
£¤54
£¤83
£¤64
£¤56
£¤283
£¤412
£¤270
£¤40
£¤83
£¤412
§̈¦70
§̈¦70
N H
wy
283
Roa
d 9
Roa
d 18
Road NRoad 20
OK
-23
OK
-95
US
-283
US-183
US-56US-270
KS-51
US-160
KS
-25
KS
-34
K S-96
US-64
US-56
KS
-27
KS-2 3
US
-283
KS-156
TyroneTyroneHookerHooker
OptimaOptima
GoodwellGoodwell
SharonSharonSpringsSprings
LakinLakin
HugotonHugoton
RichfieldRichfield
LeotiLeoti
WinonaWinona
ManterManter
SatantaSatanta
SyracuseSyracuse
WeskanWeskan
HoraceHorace
RollaRolla
HardestyHardesty
HollyHolly
TribuneTribune
CoolidgeCoolidge
UlyssesUlysses
DeerfieldDeerfield
MonumentMonument
KendallKendall
MoscowMoscow
JohnsonJohnsonCityCity
RussellRussellSpringsSprings
ScottScottCityCity
OakleyOakley
WallaceWallace
BuffaloBuffaloRosstonRosston
GateGate
FortFortSupplySupply
HanstonHanston
EnsignEnsign
NessNessCityCity
DightonDighton
SubletteSublette
FordFord
CollyerCollyer
UticaUtica
PlainsPlains
KismetKismet
RansomRansom
AshlandAshland
CimarronCimarron
GrinnellGrinnell
MullinvilleMullinvilleCopelandCopeland
EnglewoodEnglewood
BrownellBrownellHealyHealy
OgallahOgallahEllisEllis
MontezumaMontezuma
BeaverBeaver KnowlesKnowles
MayMay
LaverneLaverne
ForganForgan
Fort DodgeFort Dodge
PalcoPalco
SpearvilleSpearville
McCrackenMcCracken
OfferleOfferle
ParkPark
GoveGove
BurdettBurdett
QuinterQuinter
ArnoldArnold
ProtectionProtection
WakeeneyWakeeney
AlexanderAlexander
BazineBazine
MinneolaMinneola
GrainfieldGrainfield
IngallsIngalls
BucklinBucklin
FowlerFowler
MeadeMeade
JetmoreJetmore
GuymonGuymon
LiberalLiberal
DodgeDodgeCityCity
OklahomaOklahoma
Col
orad
oC
olor
ado
Col
orad
oC
olor
ado
Col
orad
oC
olor
ado
OklahomaOklahoma
TexasTexas TexasTexasTexasTexasTexasTexas
OklahomaOklahoma
Col
orad
oC
olor
ado
OklahomaOklahoma
TexasTexas
Col
orad
oC
olor
ado
Col
orad
oC
olor
ado
OklahomaOklahomaOklahomaOklahoma
Col
orad
oC
olor
ado
TexasTexas TexasTexas
OklahomaOklahoma
Col
orad
oC
olor
ado
Kan
sas
Kan
sas
KansasKansas
Kan
sas
Kan
sas
KansasKansasKansasKansas
OklahomaOklahomaOklahomaOklahoma
Kan
sas
Kan
sas
OklahomaOklahoma
KansasKansas
Kan
sas
Kan
sas
KansasKansas
OklahomaOklahoma
Kan
sas
Kan
sas
Kan
sas
Kan
sas
KansasKansasKansasKansas
Kan
sas
Kan
sas
OklahomaOklahoma OklahomaOklahoma
KansasKansas
Kan
sas
Kan
sas
®vSt Cather ine Hospi ta lSt Cather ine Hospi ta l
!
St. Catherine StarkService Area Facilities Map
LegendStark Service Area
Centura Facilities®v Hospital
""? NHC
GF Urgent Care
! Other