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OrthoColorado Hospital‐ Community Health Needs Assessment 2012 1

OrthoColorado Hospital2012 Community Health Needs Assessment


TABLE OF CONTENTS

1 INTRODUCTION.............................................................................................................................................. 3

1a Brief description of hospital, history and services provided .................................................................... 3

1b Mission statement .................................................................................................................................... 3

1c Organizational commitment to community benefit ................................................................................. 4

1d Commitment statement to the uninsured and underinsured .................................................................. 4

2 COMMUNITY HEALTH NEEDS ASSESSMENT .................................................................................................. 6

2a Community ............................................................................................................................................... 6

2a i Definition of community served by the hospital ............................................................................. 6

2a ii Demographics of the community .................................................................................................... 6

2a iii Uninsured persons, low‐income persons, and minority groups ...................................................... 9

2b Data collection ........................................................................................................................................ 11

2b i Process used to gather data .......................................................................................................... 11

2b ii Information gaps ............................................................................................................................ 13

2c Health needs of the community ............................................................................................................. 13

2c i Process to identify and prioritize needs ........................................................................................ 13

2c ii Prioritized list and description of community health needs .......................................................... 14

2c iii Healthcare resources available in the community to meet the needs .......................................... 15

3 CONTACT INFORMATION ............................................................................................................................. 16

Attachment A‐ References ............................................................................................................................... 17


1 INTRODUCTION

1A BRIEF DESCRIPTION OF HOSPITAL, HISTORY AND SERVICES PROVIDED

OrthoColorado Hospital admitted its first patient on June 16, 2010, having dedicating its work to providing

advanced orthopedic and spine care with an unsurpassed level of service to help patients achieve the best quality

of life. The Hospital is located on the St. Anthony Medical Campus which includes the neighboring St. Anthony

Hospital (a level 1 trauma hospital) and two Medical Plazas (which provide an array of outpatient services).

Every detail within OrthoColorado Hospital has been designed to enhance the patient experience and

create a true place of wellness and healing. Experts say there are seven criteria that must come

together to create a true place of healing. These are nature, color, light, environment, security,

wayfinding and culture. All of these have been explored and included in the creation of this new

hospital. Here are some highlights:

OrthoColorado Hospital's commitment to provide a five‐star patient experience begins at the front

portico. Outside, heated sidewalks counter Colorado's ice and snow. Inside, nature‐inspired surfaces

and water elements create a sense of calm.

Private and small‐group preoperative sessions will prepare patients and their "coaches" to be

empowered participants in the healing process. The dedicated education room features an advanced

audiovisual system with special listening devices for the hearing impaired.

Each of the 48 private patient rooms at the hospital are designed with the special care and

comfort needs of the orthopedic patient in mind. Many feature state‐of‐the‐art LikoTM lifting

systems to assure safe movement and transfer of all patients.

For more information about OrthoColorado Hospital visit www.orthocolorado.org.

1B MISSION STATEMENT


OrthoColorado Hospital is dedicated to providing advanced orthopedic and spine care with an unsurpassed

level of service to help patients achieve the best quality of life. Our team of physicians, nurses and staff

members work collaboratively to support the healing ministry of Christ by caring for those who are ill and by

nurturing the health of the people in our communities.

Our goal is to provide patients with a remarkable experience and excellent outcomes. So from pre‐admission

through your surgery and recovery, we are dedicated to creating the ultimate patient experience ‐ calming

your fears, answering questions, promoting quicker healing, and exceeding your expectations.

1C ORGANIZATIONAL COMMITMENT TO COMMUNITY BENEFIT

Colorado’s needs are growing. To live our mission in an economy that challenges more people than ever

before, Centura Health continues to lead the way in helping Coloradans access quality health care. The

connected network of facilities, entities and foundations that form the Centura Health family are serving

community needs through education, preventive care, safety initiatives, health advocacy, counseling and

support groups.

Our work in our communities is born out of the second part of our mission, which compels us to serve others

“…by nurturing the health of our communities.” From serving as a voice for health care in the state

legislature, to community classes and education to build strong, healthy communities, Centura Health is a

partner for life. We are more committed than ever before to making our world a better place, and we seek to

make the most impact in every community we touch.

OrthoColorado Hospital provided $400K in total community benefit in fiscal year 2012.

1D COMMITMENT STATEMENT TO THE UNINSURED AND UNDERINSURED

According to Centura.org, more than 700,000 Coloradans are without health insurance and, as a result,

growing numbers are facing difficulties paying for medical care. Centura Health believes that hospitals should

have the ability to offer discounts to those who are unable to obtain insurance and do not meet charity care

criteria. It is the policy of Centura Health to provide uninsured patients with discounted rates for all hospital

bills. The discount is applied to all hospital inpatient, and outpatient bills that have been screened and do not

have third‐party insurance, Medicare, Champus, or other governmental payer programs and do not meet the

Centura charity guidelines. Centura Health strives to compassionately serve uninsured patients with an

understanding of the financial burdens they may face. Centura supports and advocates for meaningful and

appropriate changes in legislation that improve access to affordable, quality medical care for the uninsured.

Centura Health will treat uninsured patients in the following manner:

Uninsured patients will be treated fairly and with respect during and after treatment, regardless of their

ability to pay.

Uninsured patients will be provided with financial counseling, including assistance applying for local, state

and federal health care programs such as Medicare.

Uninsured patients will be informed of and assisted in applying for charity care available through Centura

Health as appropriate.


Centura Health utilizes a charity discount schedule that takes into account state or federal poverty

guidelines to aid in the qualification of patients seeking assistance in meeting their financial obligations.

Financial counselors will attempt to meet with all uninsured patients prior to discharge from the hospital.

Financial counselors will use best efforts to personally contact uninsured patients before any collection

activities are initiated.

Uninsured patients that do not qualify for assistance will receive a 30 percent discount off billed charges.

This will automatically be adjusted during the billing process, so that all statements and collection efforts

will be based on the discounted amount.

Centura will also offer an additional 15 percent Prompt Pay Discount for accounts paid in full within 60

days of receiving the first statement of patient liability.

If at any point an alternative payment source is identified, all discounts stated in this policy will be

reversed.

A call center is available so that patients may speak to an individual who can help them with questions on

their bills; the call center phone number is prominently displayed on all billing correspondence.

Hospital‐based physicians and related entities will be encouraged to follow the Centura Health Principles

Regarding Uninsured Patients but this is done at their discretion.

Centura Health will not engage in the following activities:

Centura Health will not pursue legal action for nonpayment of hospital bills against any patient who has

worked with Centura to demonstrate his or her inability to pay and who is unemployed or otherwise

financially unable to pay.

Centura Health will not pursue legal action for nonpayment if the only way to collect payment would be

to place a lien on the patient's home.

Centura Health always has distinguished itself from other hospitals and systems in its treatment of the

uninsured:

Centura Health hospitals will continue to treat patients without regard to the patient's ability to pay. All

patients will continue to be triaged and treated as appropriate.

Centura Health has provided numerous outreach programs to the community in its pursuit of healthy

communities and constantly seeks opportunities to advance its health care ministry.

It is not the practice of Centura Health to place a lien on a patient's home when it is the patient's only

asset.

Centura Health will continue to work for increased access and coverage for the uninsured through

legislative and community activity.


It is the practice of Centura Health not to pursue legal action for nonpayment unless it has first examined

the patient's eligibility for other assistance or charity care.

2 COMMUNITY HEALTH NEEDS ASSESSMENT

2A COMMUNITY

2A I DEFINITION OF COMMUNITY SERVED BY THE HOSPITAL

To ensure alignment with publicly available Colorado Department of Public Health and Environment (CDPHE)

data, leaders decided that Colorado counties would comprise the geographic area for the 2012 Community

Health Needs Assessment (CHNA). Individual hospital facilities then examined their primary market areas and

identified Colorado counties where at least 10% of their patient population resided. The counties identified by

each facility comprise the “Primary Service Area” used in the data reports. The Primary Service Area for

OrthoColorado Hospital includes Jefferson, Denver and Clear Creek Counties.

2A II DEMOGRAPHICS OF THE COMMUNITY

Population Information:


Jefferson County’s population as of 2010 was 534,543, Denver County’s was 600,158, and Clear Creek

County’s was 9,088. Jefferson County has a high population density as does the west border line of Denver

County. Clear Creek County shows a significant decrease in population density between the years of 2000 and

2010.1

Population studies drawn from data between 2000

and 2010 indicate that Denver and Jefferson

Counties are growing in numbers at rates less (1.4%

and 8.2% respectively) than the state‐wide average

of 17%. During the same time period, Clear Creek

County’s population decreased by 2.5%.

Jefferson, Denver and Clear Creek Counties have

populations of 18 year olds and younger less than

the state average of 24% (21.5%, 22.3% and 17.4%

respectively). Jefferson and Clear Creek Counties

have populations over 65 years of age that are in

excess of the state average of almost 11% (12.6%

1 Note: Graphs refer to a “MNDOG” Primary Service Area. The acronym “MNDOG” refers to the Mountains‐

North Denver Operating Group which is a Centura Health regional operating group comprised of the following

hospitals: St. Anthony Hospital (Lakewood, CO), St. Anthony North Hospital (Westminster, CO), Avista

Adventist Hospital (Broomfield, CO), St. Anthony Summit Medical Center (Frisco, CO), and OrthoColorado

Hospital (Lakewood, CO). The acronym used in the following data also refers to “SAH” which stands for St.

Anthony Hospital. This same data also applies to OrthoColorado Hospital given its proximity immediately

adjacent to St. Anthony Hospital.


and 12.5% respectively) while Denver County population over age 65 is just under the state average at 10.4%.

Race Information:

The population in Jefferson, Denver and Clear Creek Counties is predominantly white. Jefferson and Clear

Creek Counties have relatively small percentages of other races (6.4% and 2.3%) while Denver County’s

percentage of other races is much higher at

17.7%. Hospital experience suggests that the

two zip codes of Denver County which has

populations most served by St. Anthony Hospital

have a high percentage of Hispanics/Latinos.

Gender Information

Gender demographics from 2010 show that

Jefferson, Denver and Clear Creek Counties have

very close to 50% males and 50% females.

Educational Levels Information:

Educational demographics from 2005‐2009

show that Jefferson, Denver and Clear Creek

Counties have populations which exceed the

state average (34%)for those with a bachelor’s

degree or higher (38.4%, 39.3% and 40.3%

respectively). With regard to high school

diplomas, Jefferson and Clear Creek Counties

exceed the state average of 88% (92.6% and 95%

respectively) while Denver County falls below

the state average at 83.3%.

Economic Information

With regard to Median Household Incomes,

Jefferson and Clear Creek Counties exceed the

state average of approximately $55,000

($66,059 and $64,241) while Denver County falls

below the state average at $46,693. With

regard to Persons Living Below Poverty Level,

Denver County exceeds the state average of

approximately 12% by measuring at 18.8%.

Both Jefferson and Clear Creek Counties have

percentages that are well below the state

average (8.1% for both Jefferson and Clear Creek

Counties).Recent data show a dramatic increase

in single parent families living in poverty.


Data recorded since 1948 shows an increase in the percentage of Americans with no religious affiliation of 2%

to 12%.

Median values of owner‐occupied Housing Units by County are $281,900 in Clear Creek County, $257,800 in

Jefferson County, and $236,700 in Denver County. The state average is approximately $230,000.

The state unemployment rate as of the end of 2010 stood at approximately 8.8%. By County the

unemployment rates were Denver – 9.7%, Jefferson – 8.6%, and Clear Creek – 8.5%.

2A II I UNINSURED PERSONS, LOW‐ INCOME PERSONS, AND MINORITY GROUPS

Jefferson County is, relative to many other Colorado counties, a county with a higher‐than‐average Median

Household Income and Median Value of Owner‐Occupied Housing Units. Jefferson County’s population as a

whole also exceeds the state average for those with health insurance. With regard to Persons Living Below

Poverty Level, Jefferson County has a percentage that is well below the state average. Jefferson County’s

population is also predominantly white with a small percentage of other races. These indicators suggest that,

taken as a whole, Jefferson County, has relatively low levels of primary and chronic disease needs of

uninsured persons, low‐income persons, and minority groups. The Jefferson County Public Health

Department, however, has expressed concerns that this data is deceiving because it would appear that

Jefferson County has few such needs. From its past work experience, the Health Department is aware that

there are indeed zip codes, census tracts, neighborhoods and corridors where all of these needs exist and

significant unmet health needs are present. The following data provided by the Health Department

demonstrates that low income and poverty levels significantly increase the likelihood of primary and chronic

disease.

Median household income in the past 12 months

Percent of Obese Adults (BMI≥30)

(in 2010 inflation adjusted dollars) 2009-2010 Jefferson County

All 63,826 Income Percent

Asian 67,984

$50,000 and above

19.1

Non-Hispanic White 66,705

$25,000 - $49,999

19.3

Blacks 58,083Less than $25,000

27

Hispanic/Latino 45,860

Percent of adults with high blood pressure by income 2009-2010 Jefferson

County Percent of adults who smoke cigarettes by income 2009-2010 Jefferson County

Income Percent Income Percent


$50,000 and above 19.6

$50,000 and above 10.2

$25,000 - $49,999 24.1

$25,000 - $49,999 16.1

Less than $25,000 39.5

Less than $25,000 27.5

Percent of adults who rated their general health fair-poor (rather than good-excellent) 2009-2010

Jefferson County

Income Percent $50,000 and above 4.7$25,000 - $49,999

12Less than $25,000

24.1

Percent of adults who do not have any kind of health coverage* 2009-2010 Jefferson County

* The numbers are to be interpreted with caution since the estimates are based on fewer than 50 observations and are statistically unreliable

Income Percent $50,000 and above

3.2$25,000 - $49,999

11.7Less than $25,000 40.5

The Jefferson County Public Health Department is conducting its own CHNA, gathering data with the target

date for completion of the analysis of data being September – October 2012.

In the meantime, overall statewide data reveals that the top ten causes of death in Colorado are (in order of

highest occurrence to lowest occurrence):

Cardiovascular Disease

Malignant Neoplasms

Chronic Lower Respiratory Diseases

Unintentional Injuries

Alzheimer’s Disease

Suicide

Diabetes Milletus

Chronic Liver Disease and Cirrhosis


Influenza and Pneumonia

Nephritis, Nephrosis, Nephrotic Disease

With uninsured persons, low‐income persons and minority groups having difficulty accessing preventive and

wellness health care systems in Colorado, the occurrence of chronic diseases such asthma, cancer, heart

disease, COPD and diabetes continue to rise among people in this demographic.

2B DATA COLLECTION

2B I PROCESS USED TO GATHER DATA

The Center for Health Administration at the University of Colorado Denver was retained to conduct the data

collection for the Centura Health system and its respective hospital facilities.

OrthoColorado Hospital also collaborated with St. Anthony Hospital, Exempla Lutheran Medical Center and

the Jefferson County Public Health Department in gathering community health needs assessment data.

PUBLIC HEALTH DATA

Data for the Community Health Needs Assessment (CHNA) was predominantly collected from the Colorado

Department of Public Health and Environment (CDPHE). The CDPHE’s Colorado Behavioral Risk Factor

Surveillance System Survey (2003‐2010) was used to determine information about adult behaviors that

impact health, such as substance abuse, eating and exercise habits, and smoking. The national Youth Risk

Behavior Survey (2003‐2010) was queried to determine behaviors that impact the health of students from 9th

through 12th grades. The CDPHE’s database was also probed for information on mortality rates for a variety

of health indicators. Many other sources were used to provide information relevant to each topic area.

COMMUNITY LEADER INTERVIEWS

Community members were interviewed for their perspectives on the predominant health issues in their

communities. They were interviewed in either a one‐on‐one interview format or a focus group. The

interviewees were comprised of representatives from the following groups:

Jefferson County Public Health Department (Mark Johnson, MD, Executive Director*; Elise Lubell,

Director of Health Promotion*; Ana Marin‐Cachu, Epidemiologist*), February 1, 2012 and March 23,

2012.

Health Consulting Agency (J. Elaine Borton, SageHealth Consulting and expert in PhotoVoice), January

20, 2012 and January 25, 2012.

Law Enforcement (Mary Heller, Chief of Police, City of Edgewater; Mike Marchese, Commander, City

of Edgewater Police Department), April 23, 2012 and May 15, 2012.

Jefferson County School District (Cindy Stephenson, Superintendent; VJ Johnston, Jefferson County

Public Schools Student Services; Emily O’Winter, Jefferson County Public Schools Healthy Schools

Initiative; Linda Buzard, Director of Health Services, April 24, 2012, May 29, 2012 and July 16, 2012.


Federally Qualified Community Health Center (David Myers, Executive Director, and John Reid, Vice

President of Funds Development, Metro Community Provider Network), June 8, 2012 and July 19,

2012.

Senior Health Services/Jewish Family Services (Alicia Joucovsky, NORC Program Director, Jewish

Family Services of Colorado), May 14, 2012.

Home Health/Hospice (Stephanie Ortiz‐Grabe, Director of Clinical Services, Centura Health at Home;

Melissa Mattes, Marketing Director, Gardens of St. Elizabeth, Krisandra Panting, Executive Director,

Dominican Sisters Home Health Agency), May 14, 2012.

Ministerial Associations (West Denver Deanery of the Archdiocese of Denver, Father James Goggins,

Dean), May 3, 2012.

Emergency Medical Service (Scott Phillips, Director, St. Anthony Hospital Pre‐Hospital Services; Bill

Spialek, Outreach Coordinator, Flight For Life Colorado), March 19, 2012 and April 13, 2012.

Low Income Population Representatives (Metro Community Provider Network (see above for dates)

and The Action Center, (Mag Strittmatter, Executive Director**, Brooke DeGroat, Director of

Program Services**, Joe Haines, Director of Development**), May 2, 2012.

Senior‐aged Health Fair participants (four couples age 65+), April 14, 2012.

American Lung Association (Diane Draper, Tobacco Program Manager), April 23, 2012.

American Cancer Society (Jamie Mager, Community Relationship Manager), April 30, 2012.

Donor Alliance, Tissue and Organ Recovery Organization for Colorado and Wyoming, (Karan Moffitt,

Hospital Development Coordinator), February 13, 2012 and March 7, 2012.

* Person with special knowledge of or expertise in public health

**Representative of medically underserved, low‐income, and minority populations

RANKING QUESTIONNAIRE

Who? were asked to rank several health issues using a scale of 1 to 5, with 1 meaning “not a critical issue” and

5 meaning a “very critical issue.” The results of 175 completed surveys were compiled in two ways: (a) scoring

by “top box” rankings of 5’s and (b) scoring by an aggregate of rankings of 4’s and 5’s. The following is the top

ten health issues according to scoring by an aggregate of rankings of 4’s and 5’s:

1. Access (125)

2. Heart Disease and Stroke (111)

3. Nutrition and Diet (107)

4. Obesity (100)

5. Cancer (98)

6. Education and Community Based Programs (96)

7. Mental Health (94)

8. Diabetes (94)

9. Child Health (92)

10. Physical Activity and Fitness (89)


Many of the highest ranked health issues on the above list correlate with one another and with a common

means of prevention. The occurrence of heart disease, stroke, cancer, diabetes, mental health, and child

health problems can be significantly reduced by providing education and community‐based programs on

obesity reduction through nutrition/diet management and physical activity/fitness programs.

2B II INFORMATION GAPS

While the data provided by the Center for Health Administration provided helpful information relative to

state‐wide and county‐wide data, gaps exist regarding data that is broken down by zip codes, census tracts,

neighborhoods and corridors. The population within Jefferson County varies significantly by demographic and

health needs and data developed for these smaller population areas will be essential for specifying

collaborative health improvement interventions. The Jefferson County Public Health Department is currently

working on developing the data for these smaller regions. The target date for this data to be available is

September 2012 and this data will significantly fill a current information gap. It has already been stated that

data gaps for various health needs were discovered for Clear Creek County.

It is to be noted that since the Clear Creek County has a relatively low population, some of the data from its

area was minimal or not available as it was either not collected at all or the sample size was so small that the

county was not included lest it have a misleading result.

To compensate for small sample size, we have combined multiple years of data and have averaged the results

over this time period to provide a more accurate comparison with the other larger counties. Even with this

approach (which is also used by the CDPHE), the data can be weak, so we have indicated those times in the

footnotes. In these cases, the weak data is typically due to (a) a sample size of three to four people per

reporting year, or (b) only one to two years of reported data out of a potential sample size of four to five

years. Strong data typically encompasses (a) five or more people per reporting year, and in most cases “n” is

in the double digits, or (b) three or more years of data reported in the average. Counties that are not

included in some charts are because their sample sizes were typically less than three occurrences or the data

was simply not collected.

2C HEALTH NEEDS OF THE COMMUNITY

2C I PROCESS TO IDENTIFY AND PRIORITIZE NEEDS

The first step in the process used to identify and prioritize our community’s health needs was to recruit

members for the Community Health Needs Assessment Advisory Committee (CHNA Advisory Committee).

With the assistance of the Hospital’s CEO, Jude Torchia, representatives from various Hospital Departments

were the first members of the CHNA Advisory Committee:

Jude Torchia, Chief Executive Officer

Brian Vaughan, Chief Financial Officer

David Peters, Manager of Community Benefit (Chairperson)

Vicky Cassabaum, Trauma Services, Injury Prevention Specialist

Teresa Daniels, PR/Marketing

Beth Elland, SAH Foundation/ Director of Grants and Communication


Lynette Frink, Case Management

Wendy Mathewson, Quality

Melissa Mattes, Centura Health at Home

Monica Nicholson, Finance

Stephanie Ortiz‐Grabe, Centura Health at Home

Vicki Poplaski, Director of Case Management

Scott Phillips, EMS Institute

Gloria Raigoza, Pastoral Nurse

After an initial meeting, other community members were added to the Committee for subsequent meetings:

Ben Wiederholt, Centura Health Mountains and North Denver Operating Group Vice President of

Mission Integration

Elise Lubell, Jefferson County Health Department

Ana Marin‐Cachu, Jefferson County Health Department

Carol Salzmann, Exempla Lutheran Medical Center

Joanne Field, St. Anthony Hospital Board of Trustees

Marcia Hughes, St. Anthony Hospital Board of Trustees

William Kistler, Health Passport

Nicole Iarrobino, Health Passport

Molly Hanson, LiveWell Wheat Ridge and Jefferson County Health Department

Wendy Zieker, Injury Preventionist, Jefferson County Health Department

Linda Buzard, Director of Health Services, Jefferson County School District

Kimberly Watkins, Tri‐County Health Department and Colorado State Falls Prevention Network

Chris Katzenmeyer, Coalition for Older Adult Wellness

After an initial orientation meeting held on January 16, 2012, the Manager of Community Benefit began

holding community interviews and focus group meetings as well as circulating the Ranking Questionnaire.

Meetings were also held with the St. Anthony Hospital Senior Leadership team, representatives of the

Jefferson County Public Health Department, Exempla/Lutheran Medical Center, and other Centura CHNA

leaders. In March 2012, the Manager of Community Benefit attended the Association of Community Health

Improvement national conference at which further national data was gathered and Community

Benefit/Community Health Needs Assessment report formats were shared.

On April 22, 2012, a second meeting of the CHNA Advisory Committee was held at which Executive

Summaries of the state and county health data was presented and discussion was held regarding what health

needs issues might become the priorities for the Hospital. During April and May, more community meetings

were held, including those with representatives of the Jefferson County School District, the Metro Community

Provider Network, the Action Center, the Edgewater Police Department, LiveWell Colorado, and the St.

Anthony Hospital Oncology leadership team.

2C II PRIORITIZED LIST AND DESCRIPTION OF COMMUNITY HEALTH NEEDS

The following list represents the health needs determined to be significant for the Hospital’s community:

Access *


Cancer *

Diabetes *

Heart Disease and Cerebrovascular Disease *

Injury *

Mental Health *

Obesity, Nutrition & Physical Activity *

Communicable Disease Overall Health Status

Oral Health

Sexual Health & HIV/AIDS

Substance Abuse

Tobacco

By assessing data trends and conducting a gap analysis of the above list of health needs, those marked by an

asterisk were designated as the priority health needs.

2C II I HEALTHCARE RESOURCES AVAILABLE IN THE COMMUNITY TO MEET THE NEEDS

OrthoColorado is located in the City of Lakewood, immediately adjacent to St. Anthony Hospital, and on the

campus of St. Anthony Medical Campus. The two next closest hospitals are Exempla Lutheran Medical

Center in Wheat Ridge (northern Jefferson County) and Denver Health Medical Center (in Denver County).

Also adjacent to OrthoColorado Hospital are two Medical Plazas. The services provided in Medical Plaza 1 are

DaVita Clinical Research, Colorado Ophthalmology/Optical Store, Hanger Prosthetics, InterMountain

Neurosurgery, St. Anthony Cancer Center and St. Anthony Sleep Disorders Center. The services provided in

Medical Plaza 2 are Altitude Family Medicine, Colorado Heart and Vascular, Colorado Lab Services, South

Denver Cardiology, St. Anthony Breast Center, St. Anthony Cardiac Rehabilitation, St. Anthony Imaging Center

& St. Anthony Pain Management Center, St. Anthony Pharmacy, St. Anthony Pre‐Procedure Testing, St.

Anthony Senior Health Center, and St. Anthony Specialty Surgical Services.

Within 5 miles of OrthoColorado Hospital is a federally qualified community health center, Metro Community

Provider Network (MCPN), one of 17 clinics in the Metro Denver area. MCPN is an integrated health care

delivery system providing primary medical care, dental care, social work and mental health care services for

underserved and uninsured families in the Metro Denver area. OrthoColorado Hospital connects MCPN

patients back to MCPN for follow‐up, primary care services when those patients access our Hospital.

Adjacent to MCPN is The Action Center which has the mission “to provide an immediate response to basic

human needs and promote pathways to self‐sufficiency” through its food bank, clothing bank, housing

referral programs, counseling services and referral services. Through its partnership with St. Anthony

Hospital, OrthoColorado Hospital has financially supported the development of a family oral health

prevention program and Hospital associates are encouraged to volunteer time for community service at The

Action Center.

Another significant health resource in our community is the Jefferson County School District and its extensive

Health Services Department. This School District has 86,000 students in its school day care system. Even with

recent cuts in district funding, the District employs 35 District RNs (1 RN for every 5‐8 schools), 75 school

psychologists, and 62 licensed clinical social workers. Health issues addressed by the district include


increasing numbers of students with Type 1 and Type 2 Diabetes, decreasing numbers of families with access

to health care, increasing numbers of students with mental health and substance abuse problems, and

increasing numbers of students diagnosed within the Autistic Spectrum Disorders (ASD). Through the

Community Benefit program, OrthoColorado Hospital continues to meet with the School District’s Health

Services Department leaders to determine ways in which the Hospital can collaborate with the District to

implement health improvement projects.

Another community health partner with OrthoColorado Hospital is West Metro Fire and Rescue. Community

health partnerships in education and prevention have included numerous events such as the 9/11 Stair Climb

at Red Rocks and Injury Prevention programs in child car seat safety and child bike helmet fittings.

Specifically, West Metro Fire and Rescue is participating with our Hospital and the City of Lakewood’s Parks

and Recreation Department to facilitate a falls prevention for seniors (65+) Pilot Project (see Falls Prevention

Intervention Strategy in Section 3 below).

It is anticipated that each of the agencies listed in this section will be drawn into the collaborative group that

implements this Plan’s assessment and interventions. The expansion of the collaborative group’s resources is

a goal of the four initial partners (OrthoColorado Hospital, St. Anthony Hospital, Exempla Lutheran Medical

Center, and the Jefferson County Public Health Department.

3 CONTACT INFORMATION

OrthoColorado Hospital

11650 W 2nd Place

Lakewood, CO 80228

720‐321‐5000

www.orthocolorado.org


ATTACHMENT A‐ REFERENCES

“Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation”, by the Institute of Medicine’s

Committee on Accelerating Progress in Obesity Prevention, Food and Nutrition Board, published by the

National Academies Press, Washington, DC. Found on the website www.nap.edu on May 14, 2012.

“Appendix F: Health People 2010 Physical Activity and Overweight/Obesity Objectives”, found on the HHS

website: www.healthypeople.gov on May 14, 2012.

Application Form for 2012‐2013 TBI Trust Fund Education Grant Proposal, by Susan Saito, West Metro Fire

and Rescue.

Assessing & Addressing Community Health Needs, Discussion Draft: Revised February, 2012, by the Catholic

Health Association of the United States.

Assessing and Addressing Community Health Needs, CD of Seminar presented on October 25, 2011, copyright

2011 by the Catholic Health Association of the United States.

“Beyond Compliance”, Philip Betbeze, for HealthLeaders Media, March 13, 2012, found on the website:

www.healthleadersmedia.com on April 3, 2012.

Colorado Health Indicators: Falls Prevention in Jefferson County, The Colorado Department of Public Health

and Environment, copyright 2011.

Colorado Health Indicators: Physical Activity in Jefferson County, The Colorado Department of Public Health

and Environment, copyright 2011.

Colorado’s Public Health Improvement Plan 2009: From Act to Action, December 28, 2009, Colorado

Department of Public Health and Environment.

“Community Benefit”, a Powerpoint Presentation to the President’s Council of KentuckyOne Health, February

28, 2012.

“Community Health Assessment: Executive Summary for Centura Health”, by Eileen Aire, Associate Director,

and Erica Henry, Research Assistant, University of Colorado/Denver Center For Health Administration, June

20006

Community Health Assessment Checklist: Guidelines for Process Evaluation. By VHA, Inc., copyright 1994,

Irving, Texas.

Community Health Needs Assessment 2012: Centura Health/St. Anthony Hospital, by the University of

Colorado Denver’s Center for Health Administration.

“Creating Synergy Between Hospitals and Public Health to Successfully Lead Community Health Assessments:

Case Presentation from a National Demonstration”, by the National Association of County & County Health

Officials at the Association of Community Health Improvement Conference, March 14, 2012.


“Evolution of Health System Community Benefit Programs: Practical Examples from Across the United States”,

by coordinated by Verite Healthcare Consulting (including reports by Dignity Health Community Benefit,

North Shore LIJ Health System Community Benefit, Boston Children’s Hospital, Texas Health Resources and

Provena Health), at the Association of Community Health Improvement Conference, March 14, 2012.

“Harnessing the Power of Community Collaborations: Use Seven Tools to Get Results”, Lyle Wray and Paul

Epstein, PM Magazine, March 2012, Volume 94, Number 2. Found on the website: www.webapps.icma.org

on April 3, 2012.

“Healthy People 2020: Promoting Health and Preventing Disease Throughout the Nation”, by the HHS Office

of Disease Prevention and Health Promotion, at the Association of Community Health Improvement

Conference, March 14, 2012.

Health People 2020: Summary of Objectives: Nutrition and Weight Status, Department of Health and Human

Service, accessed at the website: www.healthypeople.gov on May 7, 2012.

“Joliet Community 2012 Community Benefit Plan”, provided by Julie Edwards, Director of Mission Services,

Provena Saint Joseph Medical Center on October 14, 2011.

“Lucas County Adult Health Assessment”, commissioned by Healthy Lucas County accessed on the website:

www.lucascountyhealth.com on March 6, 2012.

Mortality, Unintentional Falls: Age 65 – 99, from the Jefferson County Public Health Department and Colorado

Health Information Dataset, forwarded by Ana Marin‐Cachu, Epidemiologist, Jefferson County Public Health

Department by email on April 26, 2012.

“Moving Beyond the Community Profile and Creating Opportunities for Action” by the Health

Collaborative/Bexar County’s Community Health Leadership and Health Resources in Action at the Association

of Community Health Improvement Conference, March 14, 2012.

“Moving from Community Assessment to Priorities and Action: Hospital and Public Health Collaboration” by

Healthier Together St. Croix County Wisconsin at the Association of Community Health Improvement

Conference, March 14, 2012.

“Preventing & Reducing Obesity through Sustainable Change”, Presentation by LiveWell Colorado to Centura

Community Benefit Council on March 28, 2012.

“Putting ‘COMMUNITY’ Back Into COMMUNITY Action Planning: An Engaged Implementation Strategy”, by

the Children’s National Medical Center at the Association of Community Health Improvement Conference,

March 14, 2012.

“Putting the ‘Community’ in Community Health Needs Assessment: Who, How & Why”, by the Michigan

Public Health Institute at the Association of Community Health Improvement Conference, March 14, 2012.

Recommended Community Strategies and Measurements to Prevent Obesity in the United States, The Center

for Disease Control, accessed on the website: www.cdc.gov on May 17, 2012.


Release of 2011 ITR Form 990, Schedule H, CD of Seminar presented on February 15, 2012, copyright 2012 by

the Catholic Health Association of the United States

“Taking the High Road: Partnership for a Meaningful community Health Needs Assessment” by The Alliance of

Billings, Montana (including Riverstone Public Health Department, St. Vincent Healthcare, and The Billings

Clinic) at the Association of Community Health Improvement Conference, March 14, 2012.

“The Colorado Health Access Survey”, by the Colorado Trust, found on the website:

www.cohealthaccesssurvey.org on February 29, 2012.

“The Relevance of Using Community Based Participatory Evaluation (CBPE) Methods for Coalition Work”, by

the Massachusetts General Hospital at the Association of Community Health Improvement Conference,

March 14, 2012.

“The Spectrum of Prevention: Developing a Comprehensive Approach to Injury Prevention”, by The

Prevention Institute, accessed on the website: www.preventioninstitute.org on April 27, 2012.

“The Weight of the State: 2009 Report on Overweight and Obesity in Colorado”, The Colorado Department of

Public Health and Environment, accessed on the website: www.cdphe.state.co.us on May 17, 2012.

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