Civista Medical Center Inc

Programs: Program service activity #1 charles regional medical center, inc. (um crmc) is a component of a regional integrated healthcare system serving the health needs of charles county and the citizens of southern maryland. Governance is provided through a community volunteer board of directors and community health improvement strategies are included in the organizations strategic plan. Um crmcs community benefits program utilizes a planned, managed, organized, and measured approach to meeting the identified community needs of the area we serve. The mission is to improve overall community health by improving access to health care, enhancing the health of the community, advancing healthcare knowledge and working with health - providing agency partners. From july 2014 to march 2015, um crmc, in collaboration with the charles county department of health (ccdoh) undertook a comprehensive assessment of the health needs of charles county, maryland. An epidemiologist with a masters degree in public health epidemiology was contracted to analyze the qualitative and quantitative data. To provide a comprehensive assessment of the health needs of the county, a four-method plan was developed which included four different sources of data: a long online survey of charles county residents perceptions of health and health behaviors, a short paper survey on health perceptions throughout the county, 15 focus groups with community leaders, citizens, and stakeholders, and a quantitative data analysis of secondary, published data. Data collection occurred between july 2014 and february 2015. The use of the multiple data collection methods strengthened the validity of the assessments findings as well as ensuring that charles county residents had an opportunity to participate in the assessment process and to feel invested in its outcome. Fifteen focus groups were performed throughout the county between july 2014 and february 2015. The focus group topics included: chronic disease specific health, special populations, county leadership, drug and alcohol council members, charles county substance abuse advisory coalition members, school nurses, in-house health department nurses, fitness and nutrition, minority health and health disparities, prevention and safety, faith-based leaders, behavioral health, reproductive and infant health, cancer, and access to care. Approximately 235 people participated in the county focus groups. Attendance for those meetings ranged from 5 to 100 people. Participants represented all service organizations within the community. They provide services to all facets of the community including women, infants, school aged children, those who are incarcerated, those with mental health problems, those with financial/housing/employment/health issues, the un-and underinsured, the hungry, those with chronic health conditions, the homeless, the elderly, college students, medically underserved, all faiths and religions, and minorities, just to name a few. A complete listing of the names of the community representatives participating in the focus groups is located as an addendum to um crmcs chna (um crmc 2015 chna) beginning on page 242. 806 charles county residents completed the 27 question online survey that was created using survey monkey. The link to the survey was available on the university of maryland charles regional medical center website. The first section of the survey asked participants about their perception of health and health services within the county. The second section asked them about their health behaviors, in order to determine their risk for the development of certain health conditions. Most of the respondents are from charles county (82. 4%). The second largest percentage is from st marys county (7. 22%). Only 4% reported living outside of southern maryland (charles, calvert, st marys, or pg). Approximately 69% of the respondents were between the ages of 35-64 years. The highest percentage was in the 45-54 year age group (30%). The overwhelming majority of the respondents were female (81%). Minorities were under-represented in the fy 2012 survey. Therefore, increased outreach was done with the help of community partners and agencies to bolster minority participation in the fy 2015 survey. These efforts were successful. Minorities made up 35% of the total 2014 survey population. African americans comprised 30% of the respondents, followed by 4% asian/pacific islander and 1% american indian/native american. Fourteen respondents self-reported as 2 or more races. Approximately 4% of the survey respondents self-identified as hispanic. This is similar to the county overall hispanic population of 5%. A short 4 question survey was distributed throughout the county regarding perceptions of health within the county. A total of 1,002 short surveys were completed. Ongoing survey collection was conducted at the charles county department of healths nursing, substance abuse, and mental health clinics; um crmcs waiting rooms and cardiac rehabilitation program; the center for children; health partners inc; the western county family medical center; and cambridge pediatrics. The community was also surveyed at large events such as mission of mercy, charles county homeless resource day, the charles county fair, college of southern maryland health and wellness fair, lifestyles food distribution days, nanjemoy back to school fair, nanjemoy national night out, and nanjemoy heritage days. A critical part of the needs assessment process is to invite the community to express their perceptions of health status. Qualitative data cumulated from this process was used in conjunction with the quantitative health data to determine the most important health issues within the county. Accomplishments: um crmc provided $10. 8 million in charity care, health professions education, community benefit operations, community health improvement services, subsidized health services, cash and in-kind donations and community building activities in fy 2017. The hospital provided many programs, services, activities and screenings throughout the community. Listed here are program accomplishments specific to identified needs from the most recent chna: - three teams of representatives from the local health improvement coalition were formed to address the identified needs in the fy 2015 chna. Four 3-year action plans were developed within the teams to address the needs using benchmarks such as county performance (md ship) data, healthy people 2020, cdc guidelines, um crmc population health strategic plan, etc. Thirty action items were developed. Chronic disease management and prevention - chronic disease self-management program (cdsmp): trained staff in university of stanfords program; offered 16 free cdsmp classes with a total of 137 participants - community resource guide: developed to promote services and programs for people with chronic disease; 2000 distributed - stroke education and outreach: stroke awareness; community events; 625 educated - better breathers club: educated 77 people for copd and asthma management - colorectal cancer education: charles county fair inflatable colon; 1000 people educated on early detection behavioral health - charles county prescription drug take back: partnered with cc government, md governor's office and local pharmacies; launch in fy 16; 1283 prescription take backs in fy 17 - community education and outreach: community events, project graduation, opiate awareness campaign (van go), community presentation to parents @ csm on drug awareness; 9700 educated - mental health first aid training: all ccps school counselors and principals trained; law enforcement and first responders in process of training; 387 trained - behavioral health counselor in ed: contract with calvert memorial hospital; evaluating the feasibility of tele-psych services in fy 17 access to care - recruited 3 health care providers to the community - urgent care: opened in september 2015; generated 13,584 visits in fy 17; 34% of respondents stated going to urgent care instead of ed - launched a community education campaign on when to use ed vs. Urgent care; 15,000 distributed - population health department: one manager and two nurse navigators; hired 7 new positions in fy 17 with a total of 12 positions in the department - mobile integrated health program: in partnership with ccdoh and cc ems, secured $350,000 in 3 year grant funding for pilot to improve access to care and wrap around health care to community members with barriers. In addition to participating in the program um crmc will contribute financially to the program for 3 years. Fy 17 was used as the planning year, program will launch in fy 18 - health literacy: in partnership with the umms, developed and presented a health literacy education video and document checklist for health care workers: 2 group presentations to date - promoted county health resources at 25 county events - promoted county health resources at 25