Community Health Needs Assessment

2016
Community
Health Needs
Assessment
A JOINT REPORT FOR OUR LADY OF LOURDES
REGIONAL MEDICAL CENTER,
HEART HOSPITAL OF LAFAYETTE AND
PARK PLACE SURGICAL HOSPITAL
WHO WE ARE
Our Lady of Lourdes Regional Medical Center is one of five (5) hospitals within the Franciscan Missionaries of Our Lady Health System. We are a
Catholic healthcare system established in Louisiana over 100 years ago.
Our current location, 4801 Ambassador Caffery, Lafayette, Louisiana is a replacement facility completed in 2011. We are located on the southern border of
the City of Lafayette. Our original location was 611 St. Landry Street, Lafayette, Louisiana, close to the downtown area of Lafayette. This original facility was
built in 1949. At that time Our Lady of Lourdes was the third hospital to be built by our Health System. The original hospital, named St. Francis, opened in
1913 in Monroe, Louisiana,
Our Mission was and continues to be to provide healthcare to Jesus’s children, especially those most in need. We are a not-for-profit hospital with 186 beds.
Our Mission and ministry extend past the physical walls of this building into the community we are privileged to serve. Our Community Services
Department currently has several programs and projects to serve those most in need: St. Bernadette Community Clinic, Northside High School Health
Clinic, Congregational Health Services and partnerships for nutritional and medical assistance for the clients and residents of Catholic Services of Acadiana.
These will be discussed in greater detail in the Implementation Phase of this Community Health Needs Assessment.
Heart Hospital of Lafayette is located at 1105 Kaliste Saloom Road, Lafayette, Louisiana. This entire hospital is focused on heart disease care and
prevention with a Heart Emergency Center open 24/7.
Park Place Surgical Hospital is a surgical facility that is primarily an out-patient surgery center, although there are 10 in-patient beds and 5 observation
beds when necessary. This facility is located on the same campus as Our Lady of Lourdes on Ambassador Caffery Parkway and is linked to the hospital by a
ped-way on the 2nd floor of both facilities. The address of Park Place Surgical Hospital is 4811 Ambassador Caffery Parkway, Lafayette, Louisiana.
Our Lady of Lourdes owns 60% of Heart Hospital and 45% of Park Place.
TARGET POPULATION
Although Our Lady of Lourdes does not focus on a specific population, we do not
routinely treat pediatric patients, with the exception of burn patients in an in-patient
setting. However, one of our community services program, Northside High School
Health Clinic, does treat high school students on campus for acute injuries and
illnesses. It also provides athletes’ physicals each spring. This facility is located in the
70501 zip code area, the neediest in our community.
OUR COMMUNITY HEALTH NEEDS
ASSESSMENT WORKGROUP
Our methodology for completing the 2016 Community Health Needs Assessment
was to interview those stakeholders in the community, including those in related
departments of state government and those in our own organization, who have an
interest, expertise or insight concerning those in our community who are deemed
“most in need”. Ultimately, the adoption of the final results of this Community Health
Needs Assessment rests with the Board of Directors of Our Lady of Lourdes Regional
Medical Center, Heart Hospital of Lafayette and Park Place Surgical Hospital. Once
approved by all governing bodies of these facilities, the completed Community
Health Needs Assessment will be made widely available to the public by being placed
on each facility’s website.
Many members of our hospital and joint venture facilities serve on the 2016
Community Health Needs Assessment team (see Attachment A).
A smaller group comprised of the Vice President of Mission and Community
Services, the Director of Community Services of Our Lady of Lourdes and the
Executive Director of Lourdes Foundation oversaw the process of data collection,
analysis and results. While this is a joint CHNA report between Our Lady of Lourdes,
Heart Hospital of Lafayette and Park Place Surgical Hospital, other hospitals chose
not to participate in this report. Although the invitation was extended, these other
facilities chose to do their own assessments. Likewise, we did not engage any
independent contractors to help us with this process.
Those interviewed were the Director of the Department of Health and Hospitals
for the State of Louisiana, the Director and nurse practitioner for St. Bernadette
Community Clinic, which provides acute medical and dental care for the uninsured
of Acadiana, primarily the homeless population. This Director is a member of Good
Hope Baptist Church, which is located in zip code area 70501, an area designated as
one with the least access to healthcare as described below. The interviews and surveys
were conducted in August through November of 2015. See Attachment B for a
complete listing of all organizations who participated in the survey.
In addition, we solicited written comments on our most recently conducted CHNA
and recently adopted Implementation Strategy (2013). These responses, received in
the fall of 2015, were from Dr. Stefanski, Bradley Cruice, Lafayette Parish School
System Advocate, and Joan Landry, PhD, Project Lead, The Healthy Living Club,
BCBSLAF Challenge Grant Program. Dr. Stefanski praised Northside High School
Health Clinic for its work with the students with acute needs, and for education and
prevention regarding personal actions to reduce their risk from identified priority
issues of obesity, heart disease, diabetes and cancer. She also pointed out that a social
worker on staff at Northside High addresses students’ mental health issues.
Dr. Stefanski acknowledged St. Bernadette Community Clinic as an acute care
clinic for the homeless and poor of Acadiana. It provides treatment and lab services
for the patients of the clinic. Mr. Cruice recognized that through a collaboration
between Our Lady of Lourdes Community Services and the Junior League of
Lafayette, The Care Bus provided medical care to middle school children located in
the 70501 zip code area. Although, this program no longer exists through the Junior
League, Our Lady of Lourdes continues to provide medical care at Acadian Middle
School, including acute care, screenings, and education and counseling targeting
obesity, diabetes, cancer and other illnesses. Last, according to Dr. Joan Landry, PhD,
her own written comments were “more about document flow and presentation than
about content.” These written comments further reinforced that, although some
progress is being made with significant community health issues, there clearly is more
work to be done.
SCOPE/PURPOSE
The purpose of a Community Health Needs Assessment is more than to fulfill a
regulatory requirement (Affordable Care Act of 2010). The ultimate purpose is to
improve community health. In our 2013 assessment, we determined what significant
community health needs existed at that time. What we hope to accomplish in this
current assessment is to determine what, if any, headway we as a community have
made in meeting those recognized significant community health needs of 2013 and
what are now significant community health needs in 2016. More specifically, we
will analyze the goals set forth in the 2013 Implementation Strategy and attempt to
provide outcomes for each or in the absence of measurable results, explain why these
deficits in measurable outcomes occurred.
SERVICE AREA
Our Lady of Lourdes Regional Medical Center treats patients from across Acadiana.
Acadiana is defined as a nine (9) parish area: Lafayette Parish, Acadia Parish,
St. Landry Parish, St. Martin Parish, St. Mary Parish, Iberia Parish, Vermilion Parish,
Evangeline Parish, and Jefferson Davis Parish. For purposes of this Community
Health Needs Assessment, Our Lady of Lourdes, Heart Hospital of Lafayette and
Park Place Surgical Hospital define their community as Lafayette Parish, since this is
the area in which the greatest percentage of our patients reside. 60% of the patients
treated at Our Lady of Lourdes are from Lafayette Parish. 52% of those treated at
Heart Hospital of Lafayette are residents of Lafayette Parish and 56% of patients
treated at Park Place are residents of Lafayette Parish. The definition of
“community served” does not exclude medically underserved, low-income, or
minority populations who live in the geographic areas from which these facilities
draw its patients. In addition, our definition of “community served” takes into
account all patients without regard to whether (or how much) they or their insurers
pay for the care received or whether they are eligible for assistance under the
hospital’s financial assistance policy.
Zip codes contained in the service area of Our Lady of Lourdes Regional Medical
Center are as follows: City of Lafayette, 70501, 70502,70503, 70504, 70505, 70506,
70507, 70508, 70509, 70585, 70596; Broussard, 70518; Carencro, 70520; Duson,
70529; Scott, 70583; and
Youngsville, 70592. All
of these zip code areas
comprise Lafayette
Parish. Our Lady of
Lourdes Regional Medical
Center is physically located
in the 70508 zip code area.
Evangeline
St. Landry
Jefferson
Davis
Acadia
Lafayette St. Martin
Vermilion
DEMOGRAPHICS
Iberia
St. Martin
St. Mary
Population
Lafayette Parish has a population of 235, 851. Of this, 25.89% are African American
and 68.69% are Caucasian. The remaining percentages are made up of American
Indian (0.37%), Native Hawaiian or other Pacific Islander (0.05%), Asian (1.64%),
2 or more races (1.82%) and other race (1.54%).
Economy-Income and Employment
The primary industry in Lafayette Parish has historically been oil and gas exploration
and production. Within the top 100 businesses according to the 2013 report, 37 were
oil & gas related (see Lafayette Economic Development Authority, 2013 Lafayette
Parish Top Employers Report). In addition, manufacturing, healthcare, retail and
hospitality, construction, finance, and information and technology play a significant
role in the overall Lafayette economy. In October of 2014, the Acadiana area began to
experience a downturn in the oil and gas industry, now leaving many without jobs.
By all accounts, it appears this will continue to impact our overall economy for at
least another year.
Unemployment in Lafayette Parish is relatively low, however, within certain areas the
rate is somewhat greater. Overall unemployment for Lafayette Parish in September
2015, was 5.6%. The reported national average was 5.2%. However, the unemployment rate for the “Lafayette Area” was higher, at 6.8% in October 2015. “Lafayette
Area” is defined as five (5) parishes: Lafayette, Vermilion, Acadia, St. Martin and
Iberia (see Bureau of Labor Statistics, www.bls.gov/regions/economic-summaries.htm).
DEMOGRAPHICS
Families Living Below Poverty Level: 70507
Poverty
What we determined in 2013 and what continues to be true is that with poverty
comes a lack of access to quality healthcare.
The poverty level for families of 4 living in the United States is $24,250 (see Federal
Register, notice of 2015 poverty guidelines). The percentage of families living below
the level of poverty in Lafayette Parish is 12.7%. In comparison with the State of
Louisiana, where 18.3% of families live below the poverty level, Lafayette Parish
appears to be doing better. However, the following zip codes within Lafayette Parish
have higher rates of poverty than the State of Louisiana, one much greater: 70501
with 27.6%, and 70507 with 14.5% (Healthy Communities Institute, Demographics,
2015 Families below poverty).
Families Living Below Poverty Level: Lafayette Parish
Education
The number of people over the age of 25 with a high school degree in zip code
70501 is only 70.5%, and 70507 is 85.5%. The median for the United States is 85.9%.
Lafayette Parish has 85.5%, whereas Louisiana as a whole has 82.6%. (see www.census.
gov/Quickfacts). Both zip codes, 70501 and 70507, are definitely lower than the
median, however, 70507 is substantially higher than 70501.
This tri-color dial represents the distribution of values from reporting areas, in this
case the counties of the United States. The top 50% is represented by green and is the
best, yellow represents 25% and is the median while red, bottom 25% quartile,
represents the worst (Healthy Communities Institute, Community Dashboard, 20092013 Measurement Period).
One can see that a disparity exists in the overall poverty rate for Lafayette Parish,
which appears to be relatively affluent. The following areas within the City of
Lafayette and Lafayette Parish show greater signs of poverty:
Families Living Below Poverty Level: 70501
70501 70.5%
70507 85.5%
Lafayette 85.5%
In addition, the residents of these zip codes continue to rank poorly on multiple
health related indices, such as the SocioNeeds Index and Index Values (see Healthy
Communities Institute).
Risk Factors
The 2015 SocioNeeds Index, created by Healthy Communities Institute, is a measure
of socioeconomic need that is correlated with poor health outcomes. All zip codes,
counties, and county equivalents in the United States are given an Index Value
from 0 (low need) to 100 (high need). To determine the areas of highest need in a
community, the selected locations are ranked from 1 (low need) to 5 (high need)
based on their Index Value (Healthy Communities Institute). Two of the significant
risk factors affecting access to healthcare are the percentage of families below the
poverty level and the percentage of the population 25 years or older with a high
school diploma or greater. In both instances, zip codes 70501 and 70507 rank higher
than the median for other U.S. counties and higher than Lafayette Parish. As a result,
both rank high on the SocioNeeds Index and Index Value.
Although the demographics of the zip codes in Lafayette Parish may vary, those with
the greatest need or least amount of access to healthcare at first glance appear to be
those residents in 70501, 70507 and 70583 zip codes, with rankings of 5, 4 and 3
respectively (Healthy Communities Institute, 2015 SocioNeeds Index):
Zip Code
Index
Rank
Pop.
Parish
70501
94.7 5
31,499Lafayette
70583
63.5 4
11,441Lafayette
70507
52.8 3
17,250Lafayette
This is a slight deviation from the results of our CHNA of 2013. Although zip code
areas 70501 and 70507 continue to hold this designation as was the case in 2013,
the addition of the Town of Scott, 70583 was somewhat surprising (see Healthy
Communities Institute, 2015 SocioNeeds Index). What we have determined upon
further review of the scoring and data is that the SocioNeeds Index does not paint a
complete picture. What also needs to be taken into account is the Index Value given
to each zip code. The Town of Scott was ranked at 63.5% and 70501 was ranked at
94.7% (see Healthy Communities Institute, 2015 SocioNeeds Index). The lesson we
learned is that we cannot simply focus on one index but must also consider the Index
Value (national ranking of zip codes from 0%-100% with 100% being the worst) and
information gathered from stakeholders in these communities through our surveys.
Our determination of those areas within Lafayette Parish who have least access to
healthcare continue to be 70501 and 70507. We have based our decision on the data
provided by Healthy Communities Institute (HCI), and our surveys and discussions
with stakeholders Lafayette Parish.
COMMUNITY HEALTH NEEDS ASSESSMENT
Implementation Strategy 2013
As part of our Implementation Strategy in 2013, we focused on resources within our
organization that could address the issues we identified as significant community
health needs and those which we felt we could impact. Our joint ventures, Heart
Hospital of Lafayette and Park Place Surgical Hospital, joined us to devise an
Implementation Strategy for each of these issues. Heart Hospital focused its efforts
on the Heart Disease issue, as this is their scope of expertise. Park Place, which is
a surgical facility partnered with Our Lady of Lourdes, decided to fund a nurse
practitioner position for the Community Services Department. That nurse
practitioner floats between each of the Community Services programs, providing
medical care to the patients in each. In addition, Heart Hospital also provides funding
for a registered nurse position at Northside High School Health Clinic.
In order to fully understand how this Implementation Plan was indeed implemented,
a description of programs used in this phase is necessary.
Community Services Department of Our Lady of Lourdes has several
programs which provide medical and dental care to those most in need in our
community, primarily zip code areas 70501 and 70507. These programs are:
St. Bernadette Community Clinic; Northside High School Health Clinic, and
Congregational Health Services.
St. Bernadette Community Clinic provides acute medical and dental services to the
poorest of the poor in Acadiana. Although physically located in 70501, they treat
patients from locations and parishes all around Acadiana. Many of these patients are
street homeless. Northside High School Health Clinic is the only health care clinic
located in a high school in Lafayette Parish. This clinic has been in this school since
1996. It is staffed with a nurse practitioner, registered nurse, a social worker and a
receptionist. This clinic provides acute medical care for students, faculty and staff, as
well as athletic physicals. This school is physically located in 70501 and has the most
at-risk youth in the city. Last, Congregational Health Services is a program with its
roots in the church. This program, which started approximately 10 years ago,
provides services and resources to area congregations and church parishes. The
purpose of this program is to link churches with healthcare resources from available
community agencies to meet the healthcare needs of each church’s members. This is
accomplished with a liaison funded by Lourdes Foundation. Another program
mentioned in the 2013 Implementation Plan is The Care Bus. This was a program
developed and funded, in part, by the Junior League of Lafayette. This organization
partnered with Our Lady of Lourdes Community Services Department, who assisted
in providing medical staff and a bus which acted as a mobile health clinic. Although
The Care Bus is no longer in existence as of 2015, this program was designed for a
nurse practitioner and Junior League volunteer to travel to Acadian Middle School to
provide acute care for their students. At the time of this report, a nurse practitioner in
the Community Services Department of Our Lady of Lourdes is currently seeing
middle school students every week at Acadian Middle School to address their acute
medical issues.
The following are the significant community health needs identified and adopted by
Our Lady of Lourdes in our 2013 Community Health Needs Assessment. For a
detailed description of each issue, activities, metrics and outcomes, see Attachment C,
Our Lady of Lourdes-Implementation Plan, CHNA Scorecard.
Obesity – the goal was to increase the number of individuals with a healthy Body
Mass Index (less than 25) and to provide weight loss and education on healthier
eating habits in the 70501 and 70507 zip code areas. Our Lady of Lourdes Community
Services Department programs: Congregational Health, Northside High School
Health Clinic, The Care Bus and St. Bernadette Community Clinic all provided
activities to help reach this goal and to provide measurable outcomes. At
St. Bernadette Community Clinic BMI (body mass index) decreased overall by
7.14% from April to June 2015. Congregational Health Services provided BMI
checks at several churches in 2015 and handed out brochures on women’s and
men’s health issues. The initial assessments were done to provide a baseline for the
church members.
Diabetes – the goal was to decrease the risk of complications and morbidity related
to diabetes for residents in the 70501 and 70507 zip code areas. Community services
programs provided increased access to diabetes medications and screenings
for diabetes and promoted healthy eating and preventive health for diabetic
patients. Data is not available to determine what difference these activities have
made in patients.
Cancer – the goal was to increase the number of individuals screened for cancer and
provide early detection for residents of 70501 and 70507. Residents were provided
with cancer screenings for skin, breast, colon and prostate cancer. In addition, HPV
vaccines were made available to the students at Acadian Middle School through the
Care Bus program and Northside High School Health Clinic. Lourdes Primary Care
physician practices also made available lung cancer screenings for under and
uninsured patients. St. Bernadette Community Clinic saw an increase of 60% in
appointments made by patients for preventive health care testing, such as mammograms, prostate exams and colonoscopies. St. Bernadette Community Clinic saw a
13% increase in breast cancer screenings in 2014 and a 4% increase in the number of
patients screened for cervical cancer in 2014. As a result of the breast cancer screening,
3% received a positive diagnosis in 2014, hopefully, early detection of disease.
Heart Disease – the goal was to improve cardiovascular health and provide early
detection of individuals at risk for heart disease for residents in 70501 and 70507.
Congregational Health Services increased access to heart medication for the poor of
this community along with health fairs, screenings for blood pressure and cholesterol
and increased access to expert heart healthy knowledge and education. Further, Heart
Hospital partnered with St. Bernadette to conduct Carotid screenings for the patients
of St. Bernadette Community Clinic. In 2014 St. Bernadette reported that there was a
drop in Systolic pressure of 1.56% and Diastolic blood pressure reduction of 1.26%.
In December 2013, Congregational Health Services conducted several health
screenings in area churches. In several congregations, stroke assessments, blood
pressure checks and glucose screenings were conducted. Of those tested, 25 had
abnormal blood pressures, 18 abnormal glucose results and 5 were determined to be
at high risk for stroke. These assessments provided these patients with information
prior to the onset of disease or complication that would not have been available to
them otherwise.
Based upon the CHNA Scorecard, it appears some progress was made in each area
or issue, but much work remains to affect change in these areas of poverty, limited
education and, ultimately, limited access to healthcare. The full impact of the
programs implemented in our 2013 Implementation Strategy is not complete.
However, we have some evidence that screenings and testing have shown early stages
of disease or the potential for same. This provides our patients with an opportunity
for preventive care in many situations or early detection that aids in the further
treatment and care.
Surveys
In 2013, we identified obesity, heart disease, mental health issues, alcoholism/drug
addition, diabetes and cancer as the top significant community health needs of our
area. In this current CHNA, we posed many of the same questions, see Attachment
D. It was no surprise that these categories were still identified by those who
participated in the survey as significant community needs in our community (see
Attachment E). Those significant community health needs identified by our community
leaders and survey participants were Mental Health, Obesity, Cancer, Heart Disease,
Diabetes, Access/lack of transportation to health care and Substance Abuse.
As with our previous Community Health Needs Assessment, we received many
responses to our surveys. We had no difficulty obtaining responses from required sources.
Prioritized Health Needs
Taking into account the input provided by the community leaders and other survey
participants, the health needs were prioritized as follows:
1. Mental Health
2.Obesity
3.Cancer
4. Heart Disease
5.Diabetes
6. Access to/Lack of Transportation to Health Care
7. Substance Abuse
A determination will be made of what significant community health issues will be
part of the hospital’s 2016 Implementation Strategy.
In addition to the resources tapped by Our Lady of Lourdes for the Implementation
Plan of 2013, other community resources may be available to address many of these
issues. University Hospital Medical Center (UHMC), Lafayette Community Health
Care Clinic (LCHCC), Catholic Services of Acadiana (CSA) and Tyler Mental Health
are facilities located within the City of Lafayette. University Hospital is part of the
state’s charity health care system, whose management contracted with Lafayette
General Medical Center. This hospital cares for those most in need, and many of the
patients seen at St. Bernadette Community Clinic (SBCC) and Northside High
School Health Clinic are also patients of UHMC. Since Our Lady of Lourdes does not
operate this facility, it is unclear whether any of these significant community needs will
be addressed through their programs and/or clinics at this time. Lafayette Community
Health Care Clinic (LCHCC) is a free clinic for the working poor of Lafayette Parish.
In order to become a patient, one must provide proof of employment and wages to
establish the baseline for poverty levels and proof of residency in Lafayette Parish.
The clinic currently see patients on Tuesday and Thursday evenings, with limited
appointments available. This clinic provides acute care and treatment for chronic
conditions, many of which have been identified in this CHNA. But because of LCHCC’s
limited hours, St. Bernadette’s will see and treat many of their acute patients during the
day hours of operation, Monday through Friday, 8am to 4 pm. Unfortunately,
St. Bernadette’s is not staffed or equipped to manage and treat chronic conditions. Those
patients are treated for the acute issue presented at the time of the visit but then referred
to LCHCC or UHMC for continuing chronic care. Last, Catholic Services of Acadiana
is a collaborating partner with Our Lady of Lourdes Community Services department.
They are a referral agency to St. Bernadette Community Clinic for their clientele, mostly
homeless. Most recently, Lourdes Foundation provided funding to CSA for a social
worker who is dedicated to working with the street homeless in the City of Lafayette. In
this way, we hope to provide critically needed counseling services that will ultimately
lead to employment and permanent shelter. Another mental health facility in Lafayette
Parish is Tyler Mental Health. There are few beds available for the mentally ill, and often
none are available for the patients of St. Bernadette’s. Although mental health is ranked
low on the list of priorities for Our Lady of Lourdes, nevertheless, this issue is high in
ranking by community leaders and survey participants. A discussion of whether or not
we will address this issue will be presented in our 2016 Implementation Strategy.
Once this CHNA is approved by the governing bodies of Our Lady of Lourdes Regional
Medical Center, Heart Hospital of Lafayette and Park Place Surgical Hospital, these
identified significant community health needs will be addressed individually in the 2016
Implementation Plan. This Implementation Plan will contain goals, objectives and
measurable metrics or outcomes for each issue which we determine to address. For
those issues not included in the Implementation Plan, an explanation will be provided
of why the hospitals have chosen not to address the need.
ATTACHMENT A
2016 COMMUNITY HEALTH NEEDS ASSESSMENT TEAM
Jim Schellman, VP Mission Integration, Our Lady of Lourdes RMC
Bently Senegal, Director, Community Services Department, Our Lady of Lourdes RMC
Jeigh Stipe, Executive Director, Lourdes Foundation
Elisabeth Arnold, AVP, Marketing and Community Relations, Our Lady of Lourdes RMC
Adam Credeur, Accounting Department, Our Lady of Lourdes RMC
Tammy Boutte, Director, Quality, Our Lady of Lourdes RMC
Rachel Hebert, CFO, Heart Hospital of Lafayette
Jason West, Park Place Surgical Hospital
Jacqueline Mallett, Surgery, Our Lady of Lourdes RMC
Iris Malone, Nurse Practitioner, Community Services Department, Our Lady of Lourdes RMC
Linda Peters, Congregational Health Services, Community Services Department, Our Lady of Lourdes RMC
ATTACHMENT B
2016 COMMUNITY HEALTH NEEDS ASSESSMENT
Survey Participants
Good Hope Baptist Church
St. Bernadette Community Clinic
Lafayette Parish School System Parent & Advocate
Boys and Girls Clubs of Acadiana
Department of Health & Hospitals/Office of Public Health, Region 4, State of Louisiana
FoodNet, Executive Director
Junior League of Lafayette, Community Vice President
Catholic Services of Acadiana, Executive Director
Lafayette Community Health Care Clinic
Lafayette Community Health Care Clinic, Community Pharmacy
Congregational Health Services, Liaison
PACE program, Franciscan Missionaries of Our Lady
Heart Hospital of Lafayette
United Way of Acadiana
Our Lady of Lourdes Regional Medical Center*
*Many of the Senior and Leadership team members from various departments participated in the initial and follow up surveys.
ATTACHMENT C
CHNA INITIATIVE – GOAL
OUR LADY OF LOURDES – IMPLEMENTATION PLAN
CHNA SCORECARD 2014
ACTIVITIES
METRICS
DIABETES
OBESITY
To increase the number of
individuals with a healthy BMI - Congregational Health – Health Fairs,
Pre & Post Evaluations indicating
Body Mass Index (Less than 25) , Screenings, Education on Nutrition
change in knowledge and
Weight Loss and Healthier eating BMI screening
health behaviors
habits education in the 70501
Zip Code area.
Northside High School Based Health Center – BMI screening of Students, Counseling on Eating Disorders, Nutritional Program partnership with
ULL dietetic Seniors
Pre & Post Evaluations indicating
change in knowledge and health
behaviors, eating habits
The Care Bus – BMI, BP Screenings, Pre & Post Evaluations indicating
Educate Students on Nutrition, Counseling change in knowledge and
Students on eating disorders as needed
health behaviors
OUTCOMES
Health Knowledge increased by 60%
60% increase in fruit intake
Ideal weight maintained/weight loss Weight decrease overall 5%
Health Knowledge increase by 80%
St. Bernadette’s
Decrease Need for Chronic Medications
Risk Assessments reduced by 20%
Risk assessments for Chronic
diseases reduced
CHNA INITIATIVE – GOAL
ACTIVITIES
METRICS
OUTCOMES
To decrease the risk of further complications and morbidity related to diabetes for residents in the 70501 Zip Code area.
Congregational Health – Increase access
to Diabetes Mellitus (DM) medications, Promote Healthy eating, Promote Preventive health for DM patients,
Educational programs, workshops and
seminars on Diabetes
Ideal weight maintained. Healthy
medication, Normal BP, cholesterol, Glucose
Weight Decreased by 10%
Ideal weight maintained. Healthy wellness check-ups, Decrease need
for chronic medication, Normal BP,
cholesterol, Glucose
Weight Decreased by 5%
Diabetes support groups & educational programs Northside High School – Screenings for Diabetes, Counseling on Eating Disorders, BMI screenings
ATTACHMENT C
HEART DISEASE
CANCER
CHNA INITIATIVE – GOAL
OUR LADY OF LOURDES – IMPLEMENTATION PLAN
CHNA SCORECARD 2014 (CONT’D)
ACTIVITIES
METRICS
Cancer free after early detection
and treatment
To increase the number of individuals screened for cancer and provide early detections for residents in the 70502 Zip Code Area. Reduction in cancer mortality and
morbidity rate of high risk groups
due to early detection and
treatment
Congregational Health – Cancer screenings
for skin, breast, colon and prostate. The Care Bus – HPV vaccines, Pamphlets, Brochures
Northside Health School – Cancer
screenings, HPV vaccines Primary Care
Network Lung cancer screenings for under
and uninsured with mail outs placed in
Primary Care physician offices.
OUTCOMES
St. Bernadette’s
Appointments made for
preventative health care
(mammograms, prostate exams,
colonoscopies)
Increase by 60%
CHNA INITIATIVE – GOAL
METRICS
OUTCOMES
Decrease ER and Hospital visits
Decrease by 5%
ACTIVITIES
To improve cardiovascular health Congregational Health – Increase access
and provide early detection of to heart medication, Health fairs and
individuals at risk for heart screenings for blood pressures and
disease for residents in the cholesterol, Increase client access to expert
70501 Zip Code Area.
heart healthy knowledge and education.
Heart Hospital – Heart Vantage program and Heart Health Program in partnership
with St. Bernadette’s for Carotid Screenings.
Risk Assessment for chronic
diseases reduced
Decrease need for chronic medications
Normal Blood Pressure
Increase by 3%
ATTACHMENT D
Our Lady of Lourdes
COMMUNITY HEALTH NEEDS ASSESSMENT (2015)
Thank you for taking part in Lourdes’ 2015 Community Health Needs
Assessment (CHNA). Yours is one of dozens of community organizations
being asked to take part. Your response will help us identify and address the
top health issues in our community.
Please respond to these questions as concisely as possible and return
this questionnaire by Thursday August 20th to Jim Schellman at Our Lady
of Lourdes
Email: james.schellman@lourdesrmc.com OR Fax: 337-470-2574
Name of Organization:
Your Name:
Contact Information:
In our previous CHNA, we identified the following as the top health issues in
Lafayette Parish.
oCancer
o Heart Disease
oObesity
oDiabetes
1.Do you feel that these are still the primary health issues in Lafayette Parish?
Can you help us identify others?
2.What do you see as barriers to the health issues you identified?
3.In your opinion, what are the most effective methods of addressing the health
needs you identified?
4.What area (i. e., zip code) do you see as having the greatest unmet
health needs?
5.Other comments?
ATTACHMENT E
2016 COMMUNITY HEALTH NEEDS ASSESSMENT
Agency
Medically unserved,
low-income or Minority
Population Agency serves
Question 1:
Do you feel that these
are still the primary health
issues in Lafayette Parish?
Can you help us identify
others?
Question 2:
What do you see as
barriers to the health
issues you identified?
Question 3:
In your opinion, what
are the most effective
methods of addressing
the health needs
you identified?
Question 4:
What are (i.e., zip code)
do you see as having
the greatest unmet
health needs?
Question 5:
Other comments?
Good Hope
Baptist
Congregation is located in
zip code area 70501
Yes, Arthritis
Suffer in silence; remedy
creams have bad odors
Trying to find remedy
creams that are odorless
and affordable
70501
Mental health is
a great need
Acute medical and dental
care clinic located in 70501
and serves the impoverished and homeless of
community
Dental care, general
medical care & vision care/
prescription assistance
Access to care is the
number one barrier and
the inability to pay for
the access.
More dental clinic days at
SBCC could decrease the wait
time for an appointment
and provide better quality of
life for hundreds of patients.
Free clinics that monitor
chronic conditions; providers
and clinics that accept Medicaid or Medicare.
70501, 70506, 70570,
70520 and 70508
Access to quality
healthcare is a
growing concern in
our community.
These are still the primary
health issues in Lafayette
Parish
Dietitians often have
limited time to educate
patients in the hospital and
have very limited referral
resources upon discharge
Thorough education and
adequate follow up.
70507
St. Bernadette
Community Clinic
Our Lady of Lourdes
Regional Medical
Center Leadership
Director of
Nutritional Services
Lafayette
Parish School
Board Advocate
Children of Lafayette
Parish who attend all public
schools, some of which are
located in zip code areas
of 70501 and 70507
Healthy Lifestyles &/or
choices
Health information,
supportive policies,
engaging programs
A community wide coalition
focused on raising the health
indices of Acadiana. One
which guides healthcare policy, collaboratively develops
healthy programs, and assists
with the implementation of
health initiatives
All of Acadiana, but
more so 70501
Boys & Girls
Clubs
Members are children
who are typically from
areas/schools which are
medically underserved,
from low-income households and are in a minority
population of Lafayette
Parish
Mental illness/mental
disease
Affordable healthcare
for individuals who
do not qualify for the
medical card yet they
are unable to afford
medical insurance due
to low wages, and other
daily household/family
expenses
More variety of reputable
options for individuals with
mental illnesses and
mental diseases. Also, access
to follow-up treatment to
insure that patients are fully
recovering. Need to stop
these individuals from
“falling through the cracks”
70501
I look forward to
reviewing the final
document and helping
to enact change.
ATTACHMENT E
Agency
Medically unserved,
low-income or Minority
Population Agency serves
Our Lady of Lourdes
Regional Medical
Center, Leadership
Safety Management
Our Lady of Lourdes
Regional Medical
Center Leadership
Department of
Health and Hospitals
/Office of Public
Health, Acadiana
Region 4
Regulates all health and
hospital facilities in the
State of Louisiana, particularly of Acadiana, Region 4
2016 COMMUNITY HEALTH NEEDS ASSESSMENT CONT’D
Question 1:
Do you feel that these
are still the primary health
issues in Lafayette Parish?
Can you help us identify
others?
Question 2:
What do you see as
barriers to the health
issues you identified?
Question 3:
In your opinion, what
are the most effective
methods of addressing
the health needs
you identified?
Question 4:
What are (i.e., zip code)
do you see as having
the greatest unmet
health needs?
Hypertension
Unhealthy eating habits
Congregational Health
services which offer education
and assessments
70501 and 70503
Overuse of prescription
meds in addition to those
previously identified
Income and media over
advertising drugs and
poor nutritional choices
Stop advertising that you
need a drug for every aspect
of your daily life
Mental Health and
Addictive Disorders,
Stroke
Limited resources, difficulty accessing resources
that are available and
not a good understanding of what is available,
stigma attached to
mental health. Lack
of understanding the
importance of seeking
treatment early if signs
of stroke are present
Mental Health-better
education for policy
makers and better funding,
public education; work to
de-stigmatize mental health
Stoke-educate the general
public on signs of stroke and
importance of seeking care
immediately
affect all socioeconomic groups
Building OLOL outpatient
services; more specialists in
Acadiana community
North Lafayette,
Vermilion Parish/rural
areas
Our Lady of Lourdes
Regional Medical
Center, Leadership
Income, lack of health inMental Health & Substance surance/inadequate covAbuse, Renal Failure
erage; no family support
Patient non-compliance;
delays for outpatient
treatment/follow-up
cause readmissions
Our Lady of Lourdes
Regional Medical
Center, Leadership
Mental Health
De-funding or
under-funding of
mental health services
Lobby to reinstate funding;
community outreach services
Downtown area
High Blood Pressure
Lack of understanding
diet and how it relates to
health issues
Nutritional education
through community outreach/
cooking demonstrations
70501, now however
there are more health
clinics than ever before
in this area
FoodNet
Food Bank used by the
impoverished of Acadiana
Question 5:
Other comments?
More education about
choosing the right health
care plan.
Gutting of Medicaid
services has placed at-risk
populations at greater risk
of being neglected
ATTACHMENT E
2016 COMMUNITY HEALTH NEEDS ASSESSMENT CONT’D
Agency
Medically unserved,
low-income or Minority
Population Agency serves
Question 1:
Do you feel that these
are still the primary health
issues in Lafayette Parish?
Can you help us identify
others?
Question 2:
What do you see as
barriers to the health
issues you identified?
Question 3:
In your opinion, what
are the most effective
methods of addressing
the health needs
you identified?
Question 4:
What are (i.e., zip code)
do you see as having
the greatest unmet
health needs?
Junior League of
Lafayette
Organization of women
committed to promoting
volunteerism, developing
the potential of women,
and improving the community through the effective action and leadership
of trained volunteers. Its
purpose is exclusively education and charitable.
Mental Health
Access and education
Access to treatment and
education
70501, 70507, 70520,
70583
Mental Health
Reimbursement; lack of
treatment facilities
Working with other agencies
to provide access to more
mental health treatment
facilities
Mental Health
Ltd treatment options
and long wait times for
MD appointments; lack
of continuity in treating
physicians; no follow-up
care; no refills for prescriptions; lack of short or
long-term beds
Comprehensive Mental
Health Reform on a national
level
70501
Mental Disorders
Funding and lack of
facilities for placement,
minimal reimbursement
Communicating to federal/
state government about the
lack of placement facilities for
these disorders
70501
Mental Health
Access to health care;
lack of understanding of
how to navigate through
the medical system;
Support for free medical
clinics and those that work on
sliding scales
Our Lady of Lourdes
Regional Medical
Center, Administrative Assistant
Catholic Services of
Acadiana
Organization that offers
human services to individual and families experiencing hunger, poverty and
homelessness in Acadiana
Our Lady of Lourdes
Regional Medical
Center, Leadership
Director of Oncology
Lafayette
Community
Health Care Clinic,
Past Chairman
Agency provides medical
and dental care to the
working uninsured of
Lafayette
70501
70501, 70529 (Duson)
Question 5:
Other comments?
Tremendous population
of homeless laying on the
sidewalk in front of SBCC
Continued support for
the Community Pharmacy
to provide free meds to
working uninsured, underinsured and homeless
ATTACHMENT E
2016 COMMUNITY HEALTH NEEDS ASSESSMENT CONT’D
Agency
Medically unserved,
low-income or Minority
Population Agency serves
Question 1:
Do you feel that these
are still the primary health
issues in Lafayette Parish?
Can you help us identify
others?
Question 2:
What do you see as
barriers to the health
issues you identified?
Question 3:
In your opinion, what
are the most effective
methods of addressing
the health needs
you identified?
Question 4:
What are (i.e., zip code)
do you see as having
the greatest unmet
health needs?
Lafayette
Community Health
Care Clinic,
Community
Pharmacy
Program of Lafayette
Community Health Care
Clinic that provides medication for patients of the
Clinic who are the working
uninsured of Lafayette
Mental Health
access to medical care;
funding; education,
transportation
education, patient
advocacy; access
All of Acadiana
Congregational
Health Services
Program of Our Lady of
Lourdes Community Services Department working
with church congregations
to identify health needs
and resources to meet
those needs within the
community.
Learning & Developmental
issues for children
access to information
and treatment;
limitations of health
insurance
Importance of information to
be available in a non-clinical
setting
70501
Physical Inactivity
Lack of education
Our Lady of Lourdes
Regional Medical
Center, Leadership
Medical Staff
Services
Yes these are still relevant
health issues
Availability of specialists
willing to treat un/under
insured patients
Unsure
Carencro, Crowley,
Opelousas
Our Lady of Lourdes
Regional Medical
Center, Leadership
Quality Services
Bicycle Safety
Lack of safety education
Classes at ULL and other
schools
70501
Our Lady of Lourdes
Regional Medical
Center, Leadership
Director of Health
Promotion Center
Physicians & medical
executives need to direct
the message of more daily
activity
Question 5:
Other comments?
ATTACHMENT E
Agency
Medically unserved,
low-income or Minority
Population Agency serves
Our Lady of Lourdes
Regional Medical
Center, Leadership
Director Intensive
Care Unit
Our Lady of Lourdes
Regional Medical
Center, Leadership
Palliative Care
PACE Program –
Programs of Allinclusive Care for
the Elderly
2016 COMMUNITY HEALTH NEEDS ASSESSMENT CONT’D
Question 1:
Do you feel that these
are still the primary health
issues in Lafayette Parish?
Can you help us identify
others?
Question 2:
What do you see as
barriers to the health
issues you identified?
Question 3:
In your opinion, what
are the most effective
methods of addressing
the health needs
you identified?
Question 4:
What are (i.e., zip code)
do you see as having
the greatest unmet
health needs?
Smoking & uncontrolled
hypertension
education; patient
compliance; access to
health care
Follow-up post discharge;
improved transportation;
community education
Unsure
Dementia, COPD and renal
disease
insurance, financial,
community resources,
transportation, late referrals from physicians
collaboration with our
community partners, increase
social worker support
Communities outlying
Lafayette
Major depressive disorders; access to care, lack
chronic paranoid schizophre- of housing for the
nia; bipolar disorder
mentally ill
More housing for mentally ill
individuals; access to quality
healthcare for the mentally ill
70501
Heart Hospital of
Lafayette, CFO
Alcohol/drug abuse
affordable healthcare/
treatment
Education
70501 & 70507
Our Lady of Lourdes
Regional Medical
Center, Leadership
RAC Supervisor
childhood obesity/
psychiatric disorders
Transportation; failure
of population to seek
healthcare services; lack
of knowledge
free and open health
symposiums/free screenings/
testings
rural areas/North
Lafayette, Maurice
patient compliance with
plan of care; financial
resources/ health care
benefits
effective discharge planning;
transition clinics; education
Northside of Lafayette
Lack of reimbursement
that equals the costs of
providing such care
an effective business plan that
makes it possible to provide
mental health treatment
70501
Our Lady of Lourdes
Regional Medical
Center, Leadership
Quality Services/Medical Staff Services Div.
Director
Our Lady of Lourdes
Regional Medical
Center, Leadership
VP of Support
Services
Health care for low-income elderly
Asthma/COPD
Mental Health
Question 5:
Other comments?
Need to revisit providing
mental health, perhaps in
the old park place building
ATTACHMENT E
Agency
Question 1:
Do you feel that these
are still the primary health
issues in Lafayette Parish?
Can you help us identify
others?
Question 2:
What do you see as
barriers to the health
issues you identified?
Question 3:
In your opinion, what
are the most effective
methods of addressing
the health needs
you identified?
Question 4:
What are (i.e., zip code)
do you see as having
the greatest unmet
health needs?
Question 5:
Other comments?
Lack of access to primary
care follow-up; wellness
care; drug abuse;
chronic pain
transportation;
funding; available
providers resource
schedulers
Use NP’s instead of MD’s
to assist in availability of
continuing care models
through proper follow up
and notification of testing/
results, etc. Many don’t have
internet access and cannot
access home portal
70501,70503, 70506,
70510
Follow up is an integral part of decreasing
re-admits/emergency
department overuse and
wellness. Proper NP usage
would allow for a continuity of care through primary
care/hospitalist service to
allocate proper resources
for specific targets
Our Lady of Lourdes
Regional Medical
Center, Leadership
VP Ambulatory and
Lourdes Primary Care
Physician Practices
Psych/behavioral/pain/
afflictions re elderly
funding, available
specialists; medicaid;
cost of meds
comprehensive care structure
with appropriate resources
for referrals a multi-specialty
clinic with available resources & comprehensive care
offerings
St. Martin, Vermilion,
St. Landry Parishes;
70501
Our Lady of Lourdes
Regional Medical
Center, Leadership
Nurse Practitioner
Dementia, COPD and
renal disease
Finances, social support/
not enough community
resources
United Way
Acadiana
Nutrition/Healthy Eating/
Childhood hunger; mental
health counseling;
insurance barriers
lack of insurance,
insufficient amount of
mental health services;
duplication of services
Our Lady of Lourdes
Regional Medical
Center, Leadership
Director of
Emergency
Department
Medically unserved,
low-income or Minority
Population Agency serves
2016 COMMUNITY HEALTH NEEDS ASSESSMENT CONT’D
collaboration with
community partners
collaboration and
coordination between
healthcare providers to
avoid duplication of programs
that focus on prevention;
advocacy on health-related
public policy issues
Unsure
70501, 70506, 70508
337-470-2000 / LourdesRMC.com
4801 Ambassador Caffery Parkway / Lafayette, LA 70508
Made with Sway
Park Place Surgical Hospital, as a partner with Our Lady of Lourdes Medical
Center, participates in the Implementation Plan Phase of the Affordable Care
Act. As a Tier 2 Hospital that specializes in surgical services, Park Place’s
administration works closely with the Our Lady of the Lourdes team to help
identify ways to most effectively impact the system’s overall mission and plan.
Park Place’s objective is to support those system needs in fulfilling their goals.
Park Place’s administration, with the direction of the team at Our Lady of
Lourdes, has determined the following to be avenues to help reach the
community’s needs and goals:
• Park Place Surgical Hospital supplies, through financial
contribution, the funding for a fulltime nurse practioner at St
Bernadette’s Clinic servicing the indigent of the community. This
program provides access to care for a population of people who
otherwise would be unserved.
• Park Place Surgical Hospital, identifies needs and helps to
contribute and reinvest financially in the community through
Lourdes Foundation directed initiatives.
• Park Place Surgical Hospital provides support both financially and
through volunteer time to the Miles Perret Cancer Center. The
center is focused on the support of cancer patients in several
phases of cancer care. Many patients serviced by this organization
phases of cancer care. Many patients serviced by this organization
were Park Place patients. These support services include
counseling services for family and patients, nutritional services,
treatment items and supplies, and patient health system navigation
and support.
• Park Place Surgical Hospital contributes to the Lafayette
Community Healthcare Clinic. This organization aids the
underserved in the community who are not eligible for Medicare or
Medicaid, but do not have the economic resources for traditional
health insurance.
Park Place provides access to care for the patients of Acadiana and beyond
through its physician partners and the cases these physicians refer to the facility.
Of those served at Park Place, 10% of all services are provided to patients in the
three zip codes which are identified by the Community Needs Assessment as
underserved:
• 70501
• 70583
• 70507
As a physician-owned facility, Park Place Surgical Hospital’s purpose is to
provide patients with cost effective, less invasive, quality healthcare in a unique
environment that promotes individual attention to the needs as a patient.
Facility size, nurse to patient ratio, and a team of experienced staff and
physicians are key components in making Park Place Surgical Hospital the
perfect setting for elective healthcare procedures.
Park Place is committed through its surgical services to providing excellent
diagnosis and treatment of cancer in the following specialties:
• COLON AND RECTAL SURGERY
• EAR, NOSE & THROAT (OTOLARYNGOLOGY)
• GENERAL SURGERY
• GYNECOLOGY
• ORTHOPEDICS
• UROLOGY
Park Place’s goal is to remain a resource for the community through its
service lines as well as continued support of the Lourdes Foundation, the system
as a whole, and other outside community focused programs.
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Park Place
Surgical Hospital
901 Wilson Street | Lafayette, LA 70503
Community
Health Needs
Assessment
Implementation Plan
NOVEMBER 2012
Description of community served
Table
OF
Contents
As an active, caring member of the communities we serve, Our Lady of Lourdes Regional Medical
Center is vigilant in carrying out its mission to serve those of Jesus’ children who are most in need.
Parish. These interviews all occurred during October, November and December of 2011.
PAGE
3
PAGE
Narrative
1. Community Benefit Service Area, Defined 2. Description of Community Benefit Service Area 3. Community Health Assessment Partners 4. Those involved in the Decision Making Process 5. Justification of Community Identified Priorities 6. Our Lady of Lourdes Current Community
Benefit Activities 7. Other Health Disparities Identified in CHNA 8. Our Lady of Lourdes Implementation
of Strategic Plan PAGE 4
PAGE 4
PAGE 4
PAGE 5
PAGE 7
12
Implementation Strategy Plan
PAGE 8
PAGE 10
PAGE 10
2
Narrative
3
Narrative
1
Define the hospital’s Community
Benefit Service Area (CBSA) and
identify the hospital’s community
benefit priorities.
Park Place Surgical Hospital is a joint venture between Park Place Surgical
Hospital and Our Lady of Lourdes Regional Medical Center located in
Lafayette, Louisiana. Park Place Surgical Hospital’s vision is to provide
patients with highly technical, less invasive, quality healthcare in a unique
environment that promotes individual attention to patient needs. Facility
size, nurse to patient ratio and team of experienced staff and physicians are
key components in making Park Place Surgical Hospital the perfect setting
for healthcare procedures.
For purposes of this 2012 Community Health Needs Assessment, Park
Place Surgical Hospital defines its “community” as Lafayette Parish. This
is based upon the fact that at least 58% of all patients are from Lafayette
Parish with the remaining patients sprinkled over an 8 parish area. Our
Lady of Lourdes Regional Medical Center (Lourdes), our partner in this
joint venture, has identified Lafayette Parish as its community for purposes
of its own Community Health Needs Assessment. Lourdes went through
a detailed and thorough community health needs assessment process in
order to identify the health needs of the residents of Lafayette Parish. As
such, Park Place Surgical Hospital, hereby adopts the information gathered,
analysis performed and community health needs identified by Lourdes in
the Our Lady of Lourdes Regional Medical Center’s 2012 Community
Health Needs Assessment.
The prioritization of identified health needs of the community is a process
whereby the Community Health Needs Assessment team reviewed the
actual number of responses from interviews and then reviewed the in-patient
and out-patient procedure reports of Lourdes for the 70501 zip code area.
From this process we gleaned the following priority of identified health care
needs for the community we serve: (1) Obesity; (2) heart disease; (3) mental
health issues; (4) alcoholism/drug abuse; (5) diabetes; and (6) cancer. However,
this Implementation Strategy will only focus on four of these six issues.
2
Provide a description of the CBSA.
Lafayette Parish encompasses both urban and rural areas known as the
“Acadiana Region.” However, the broader Acadiana Region is much more
rural in nature with numerous smaller municipalities. The entire area is largely
dependent on the oil and gas industry although not as dependent as in the
past. Other major industries include manufacturing, construction, finance,
retail, information technology and healthcare (Source: http://lafayette.org/
uploads/LafayetteLAEconomicProfile121611.pdf).
Demographically, Lafayette Parish is comprised of 67.2% Caucasian, 25.8%
African American, 3.6% Hispanic, 1.6% two or more races, 1.5% Asian
and .3% American Indian. Within the parish there is approximately 13.7%
of its population living in poverty; uninsured adults comprise 30% of the
population; and 19% of children under the age of 18 are living in poverty
(Sources: countyhealthrankings.org, quickfacts.census.gov).
4
Narrative
3
Identify community health assessment
program partners and their expertise
or contribution to the process.
The assessment process was initiated by Our Lady of Lourdes Regional
Medical Center beginning with a review of the 2006 Our Lady of Lourdes
Community need and benefit study. Also reviewed was the 2010 Strategic
Planning Fact book prepared for Our Lady of Lourdes Regional Medical
Center. Other sources of information include County Health Rankings,
Community Needs Index data from Thompson Reuters, additional data
from Our Lady of Lourdes employees, leaders of community organizations
and other sources as cited in this assessment. In addition to this information,
we developed questions to be used during all interviews.
Since this was a “Community Health Needs Assessment,” we felt that
employee input from different departments and many areas of Lafayette
Parish and the Acadiana Region would provide valuable information about
the health needs specific to their individual communities. As a result, much
was learned about the healthcare issues prevalent in their lives outside of
Our Lady of Lourdes Regional Medical Center.
As part of the Implementation Strategy phase, the CHNA team met with
joint venture partners, Heart Hospital of Lafayette and Park Place Surgical
Hospital, to discuss an approach to the prioritized list. Each partner has
a specific ability to address one or more of the issues identified in Part 1:
Community Health Needs Assessment. Briefly, we will discuss current
charity work and plans for future expansion of charity care.
Park Place Surgical Hospital (PPSH)’s charitable work consists of treating
without charge certain patients of Lafayette Community Health Care
Clinic that have an identified financial need. These procedures are done at
the request of the staff of Lafayette Community Health Care Clinic. The
services provided are done so with volunteer physicians affiliated with Park
Place Surgical Hospital.
4
State who was involved in the
decision making process.
To ensure input from persons with a broad range of knowledge and interests
of the community, several employees of Our Lady of Lourdes in different
facets of the organization were enlisted to conduct interviews of persons
with knowledge and interests of the community. No other organization
was involved in conducting the assessment. However, representatives of
organizations serving the community were interviewed as well as church
leaders, groups of Lourdes employees, civic leaders, local government
officials, physicians, state and local health departments and volunteers to
obtain the information contained in this document. Interviews of public
health experts such as Dr. Tina Stephanski, Office of Public Health, primary
care physicians for Lourdes; and leaders within the medically underserved
areas (Zip Code Area 70501) were relied upon heavily for interpretation of
data and trends in healthcare in Louisiana and Lafayette Parish.
5
Narrative
Participants of Community
Focus Groups
Community Health Needs Assessment Team
Barbara Feske, Vice President Management/Support Services
Jeigh Stipe, Executive Director, Lourdes Foundation
Stacy Patin, Physician Recruiter
Adam Credeur, Financial Analyst II
Christina Naquin, Marketing Analyst
Iris Malone, Nurse Practitioner
Lani Smith, Phd., Director Clinical Research
Jan Martin, Executive Assistant
Interview Participants
Dr. Earl Washington, Physician Executive
Donna Landry, Vice President Business Development
Michelle Crain, Vice President Patient Care Services
Michelle Hensgens, Chair Service Excellence Committee
Traci Thibodeaux, Director Physician Practice Management
Bently Senegal, Director Community Services
Laura Williams, Director Utilization Management
Vicki Provost-Anderson, Clinical Manager
Sam Price, Director Hyperbarics
Kate Oliver, Director Surgical Services
Valerie Kratzer, Clinical Manager
Elaine Gordon, Clinical Manager
Emily Dressel, Clinical Manager
Terry Broussard, Assistant Vice President Patient Care Services
Stacy Comeaux, Director Lab/Blood Center
Elizabeth Champion, Corporate Compliance Director
Ed Broussard, Director Pharmacy
Natalie Blanchard, Nurse Practitioner
Dr. Kathryn Strother, Family Medicine
Dr. Ed Lafleur, Family Medicine
Dr. Bridget Girouard, Family Practice
Dr. Kelly Cahill, Family Medicine
Dr. Tina Stephanski, Office of Public Health
Shanon McLaughlin, Supervisor North Side School Health Center
Scott Family Clinic, Herbert Druilhet Family Nurse Practitioner
SWLAHEC, Jennifer Burris
Chris Martin, Executive Director Boys & Girls Club of Acadiana
Larry Van Pelt, Diocese Justice & Peace Office
Barbara Friedrichs, Lafayette Parish School Board
Holly Howatt and Shauna Landry, Cecil J. Picard for Childhood
Development and Lifelong Learning
Progressive Baptist Church Outreach Center, Kitty Joseph
Covenant Methodist Church, Pastor Chris Blanchard
Christa Billeaud, President Junior League of Lafayette
Jan Swift, Executive Director Upper Lafayette
Chief Jim Craft, Lafayette Police Department
Raymond Hebert, Executive Director Community Foundation of Acadiana
Dee Stanley, CAO Lafayette Consolidated Government
Angela Morrison, Chief of Community Impact United Way of Acadiana
Nicole Jones, Executive Director Miles Perret Cancer Services
Faith House, Crystal Scrantz Program Director
Our Lady of Lourdes Participants
Martha Paddio, Housekeeping
Therese Haywood, Gift Shop
6
Narrative
Our Lady of Lourdes Participants, Continued
Verda Alexander, Housekeeping
Thomas Herpin, Reprographics
Myra Joseph, Housekeeping
Mary Lilly, Housekeeping
Georgie Roy, Reprographics
Shellie Prejean, Food Services
Joyce Obey, Dietary
Sherry Gobert, Cafe’
Kimberly Short, Food Services
Mary Stagg, Food Services
Gay Coles, Radiology
Patrick Potier, Operating Room
Adrienne Davis, Radiology
Lisa Griffin, Radiology
Laura Mills, Dietary
Geraldine Martin, Dietary
Annette Lavergne, Radiology
Laura Thacker, Cashier
Joseph Francis, Radiology
Lorita Roy, Housekeeping
5
Justify why the hospital selected its
community benefit priorities.
The opinions of our interviewees were supported by data from the research
sources identified above. Initially, the issues with the greatest number of
responses identified from the questionnaire and interviews were defined.
Next, national level data were reviewed. It was found that those issues
identified by members of the Lafayette community mirrored those identified
on both a national and state level. Although statistics show that Lafayette
Parish is much healthier than the state of Louisiana as a whole, it apparent
that health disparities exist between zip code areas. This belief was evident in
the answer to our question: “What location or area do you see as having the
greatest unmet health care need?” The interview participants had a similar
overwhelming response…the northern portion of the city of Lafayette.
These opinions were supported by our findings in the Community Needs
Index (CNI).
The Community Needs Index (CNI) score is an average of five different
barrier scores that measure various socio-economic indicators of each
community by zip code. These barriers, and the statistics that comprise
them, were carefully chosen and tested individually by both Catholic
Healthcare West and Thomson Reuters. (Refer to Exhibit B on page
7) According to the Community Needs Index (scores based upon 2010
Population data) areas within Lafayette Parish showing the greatest need for
healthcare access were zip code areas 70501 with a score of 5 and zip code
area 70507 with a score of 4.2. The 70501 zip code area had scores of 5 for all
of the five barrier scores.
Based upon the interviews conducted during the Community Health Needs
Assessment Surveys, the top unmet healthcare issues were identified in
Lafayette Parish by those with a broad interest in the community and public
health officials/participants.
7
Narrative
6
Does the hospital currently have
community benefit activities that
support other key health needs
that were identified as important
in the Community Health
Needs Assessment?
In partnering with Our Lady of Lourdes Regional Medical Center, Park Place
Surgical Hospital supports the medical and community outreach activities of
Lourdes. Our Lady of Lourdes Regional Medical Center currently operates
several community outreach programs to address the healthcare needs of the
poor in our area, namely, St. Bernadette Community Clinic, Northside
High School Health Clinic and Congregational Health Services. Each
plays a vital role in our care of those most in need in our community.
St. Bernadette Community Clinic is a primary care clinic serving the
homeless, sheltered and uninsured poor in our community. Located in the
70501 zip code, the Family Nurse Practitioner and two Registered Nurses
care for the medical, dental, mental and spiritual needs of those they serve.
This clinic is an acute care clinic providing: medical examinations, treatments
and referrals; pelvic examinations and PAP Smears for women; evaluation and
treatment for sexually transmitted infections; flu and pneumonia vaccinations;
TB skin testing; weekly dental extractions; and referrals for dental hygiene
appointments. With current staffing levels, they average approximately 254
medical visits and 46 dental visits per month. All services are free of charge
to the patients.
Northside High School Health Clinic is a school based health clinic located
in the 70501 zip code. Our Lady of Lourdes Regional Medical Center has
operated this clinic within the walls of Northside High School for 16 years.
In 1996, Community Services Department of Our Lady of Lourdes partnered
with the Lafayette Parish School Board to create this school-based health
clinic after determining that the students at Northside High had the least
amount of access to health care. Since its inception, this clinic has served as
the only primary health care for many of the students. Currently, the clinic’s
patients are about 91% African American and 71% receive Medicaid benefits.
This clinic provides sports and comprehensive physical exams; diagnosis,
treatment and follow up care of medical conditions; provides laboratory
services; administers over the counter medications for minor aches or illness;
provides education and supportive counseling by a licensed social worker with
appropriate referral; provides prescription medication if needed; conducts
obesity, hypertension and diabetes screenings; and provides for testing and
treatment of sexual transmitted diseases. During the 2011–2012 school year,
the staff of Northside High School Health Clinic conducted 3,052 patient
visits, all free of charge to the students and faculty.
Northside High School Health Clinic provides much needed awareness,
diagnosis and treatment of obesity and potential heart disease as a routine part
of their course of treatment. In addition, through the licensed social worker,
mental health issues of these young people are being observed, diagnosed
and referred for additional treatment. Although Lourdes is not specifically
addressing the issue of mental health on a broad scale, this service is reaching
the young people of the affected zip code area. Hopefully, this early detection
and treatment can begin to reduce the high rate of unaddressed mental health
issues in our community.
8
Narrative
Congregational Health Services (CHS) is a community outreach program
whereby Our Lady of Lourdes Regional Medical Center partners with
church congregations and parishes to help them promote health and wellness
among their members. This is done through a liaison that is also a healthcare
professional. The liaison makes available hospital and community resources
to the churches that they might not otherwise be aware. Such resources
are educational brochures, programs, flyers, seminars and health classes to
address health issues on a holistic approach. The liaison will help a church
establish a healthcare ministry team made up of church volunteers or work
with an existing ministry team. Together they promote access to a Family
Nurse Practitioner, Medication Assistance Program, or any other healthcare
needs specific to that church community. Currently, CHS serves six (6)
church congregations and/or parishes exceeding 7,000, most of which are in
the 70501 zip code or surrounding areas.
Park Place Surgical Hospital has committed to funding the salary of a Nurse
Practitioner that will support all three of the above-mentioned outreach
programs as discussed further in this Implementation Strategy.
Our Lady of Lourdes has programs in place to serve this population, such
as St. Bernadette Community Clinic, Northside High School Clinic and
Congregational Health Services. St. Bernadette Community Clinic is
an acute care clinic serving mainly the homeless population from all zip
codes of the northern part of the City of Lafayette. Northside High School
Health Clinic serves students from primarily the 70501 zip code area. This
clinic serves the mental and physical needs of the students of Northside
High School. Last, Congregational Health Services is a program whereby
a Liaison, in this case a nurse, works with health ministry committees in
church parishes and congregations to bring health and wellness to those
churches through health fairs, health workshops and screenings. Although
this program is spread throughout the city, its roots are in the 70501 zip
code area. Each of these serve a particular niche in the area, however, from
this assessment, there is clearly more work to be done.
9
Narrative
7
List other health disparities that were
identified in the CHNA and describe
why the Hospital did not select them.
Park Place Surgical Hospital has decided that it will not attempt to address the
issues of Mental Health and Alcoholism/Drug Addiction as this is outside our
scope of practice. However, mental health issues and addictions are diagnosed
and referred by our community outreach clinics to other community agencies
such as The Extra Mile, Lafayette Community Health Clinic and University
Medical Center. However, in most cases, these conditions are monitored by
the healthcare providers at each of Lourdes’ clinics. Thus PPSH indirectly
will help address these needs through the funding of the Nurse Practitioner
who will work in these clinics and will help diagnose and refer needy
individuals to these other community agencies but an ongoing, long-term
plan to address these wide-reaching conditions is outside the scope of our
Implementation Strategy.
8
Describe how the hospital will
institutionalize community benefit
programming to support the
implementation strategy.
Park Place Surgical Hospital Implementation Strategy Plan will serve as a
guide to address the community health needs identified during the CHNA
process of Lafayette Parish. The areas identified through this process will be
addressed through coordination and cooperation with key partners identified
during this process to improve the health and wellness of the community.
10
Implementation
Strategy Plan
11
Implementation Strategy Plan
Park Place Surgical Hospital, herein referred to as “PPSH” is a joint venture
with Our Lady of Lourdes Regional Medical Center located in Lafayette,
Louisiana. Park Place Surgical Hospital’s vision is to provide patients with
highly technical, less invasive, quality healthcare in a unique environment
that promotes individual attention to patient needs. Facility size, nurse
to patient ratio and team of experienced staff and physicians are key
components in making Park Place Surgical Hospital the perfect setting for
healthcare procedures.
As a result of the 2012 Community Health Needs assessment completed by
Our Lady of Lourdes Regional Medical Center, PPSH adopts the findings
of said assessment and acknowledges the needs identified therein:
(1) Obesity
(2) Heart Disease
(3) Mental Health Issues
(4) Alcoholism/Drug Addiction
(5) Diabetes
(6) Cancer
For many years, PPSH’s charitable work has consisted of providing
procedures for certain patients of Lafayette Community Health Care Clinic
at no charge to the patient. These procedures are done at the request of the
staff of Lafayette Community Health Care Clinic. The services provided
are done so with volunteer physicians affiliated with Park Place Surgical
Hospital. PPSH will continue its program treating without charge certain
patients with an identified financial need. Many of these patients are in the
zip codes of 70501 and 70507. Increasing access to surgical procedures to
patients in these zip codes will serve to improve outcomes for those suffering
with the identified health needs outlined above.
PPSH also provides care to Medicaid patients. Serving Medicaid patients is
an important service PPSH provides to the community. Improving access to
care for the poor of our community improves outcomes for each identified
community need. PPSH will help address the identified community needs
by continuing to offer procedures to Medicaid patients even at its reduced
rate of reimbursement.
In addition, PPSH has committed funding to establish another Nurse
Practitioner position in the Community Services Department of Our Lady
of Lourdes Regional Medical Center. This position will float between the
community service programs: Northside High School Health Clinic,
St. Bernadette Community Clinic, and Congregational Health Services.
This additional staff in the Community Services Department will insure a
continuum of care for all the patients served in these programs, most of who
reside in the 70501 and 70507 zip code areas. Also, this additional medical
staff will allow Community Services to increase patients seen at the various
clinics, while providing additional opportunities for expanding components
of existing community services programs. The community health needs
identified and addressed by Our Lady of Lourdes Regional Medical Center
and adopted by PPSH, particularly, obesity, heart disease, diabetes and
cancer, will be the focus of this Nurse Practitioner’s role as he or she treats
the patients in each of these outreach clinics.
This commitment by Park Place Surgical Hospital is a direct result of the
findings of the Community Health Needs Assessment and the Joint Venture
with Our Lady of Lourdes Regional Medical Center.
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337.237.8119 | parkplacesurgery.com | 901 Wilson Street | Lafayette, LA 70503