Franciscan Health System 2013

Franciscan Health System
Community Health Needs
Assessment
September 12, 2013
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Objectives
• Define the legal requirements
• Explain the Community Health Needs Assessment
process
• Key findings
• Next steps
• Board resolution
2
The Law
• Federal rules (and state rules as well) require that
Community Health Needs Assessments (CHNA) be
undertaken at least once every three years by every
not-for-profit hospital. The requirement is effective for
tax years beginning after March 2012.
• Conduct a CHNA every three years and adopt an
implementation strategy that addresses the health
needs identified through such assessment.
• The CHNA must receive input from persons who
represent the broad interests of the community
including public health, and be made available to the
public.
3
CHNA Process
• Quantitative methodology
• Qualitative methodology
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“Key leader” focus groups
Community Workshops
Key leader review meeting
On-going “community listening” meetings
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Quantitative Data
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Demographic profiles
Pregnancy and childbirth
Selected health behaviors
Selected chronic conditions
Mortality
Access to care
5
Qualitative Data
• Community survey
– More than 500 participants
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Four “key leader” focus groups
Seven community workshops
Key leader review group
On-going “community listening” meetings
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Common Questions
• What makes a community healthy?
• What would a healthy Pierce County look like?
• What are the strengths, assets and resources of the
county?
• What are our challenges to health?
• What are the most important health issues that need to
be addressed in a community health improvement
plan?
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What we heard…
factors impacting quality of life
and health of a community
• Safe neighborhoods and low crime
• Good jobs and healthy economy
• Good schools
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What we heard…will have greatest
impact on community health
• Providing access to quality health care for all
including:
– Comprehensive mental health services
– Service equity for minority populations
– Better coordination of care between community health
systems
• Reduce preventable chronic conditions
• Address needs of special populations, specifically the
military families and persons who are homeless
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What we heard…problems that have
greatest impact on the community
• Substance abuse
• Behavioral health
issues
• Lack of access and
availability to health
care services
• Limited or no access to
treatments
• Needs of homeless
• Chronic diseases
• Provider shortages
• Disparities of services
for minorities
• Adult and childhood
obesity
• Needs of military
families and personnel
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What we heard…community leaders advised
health improvement planning should…
• Focus on strengths and deficits
• Consider the body mind and spirit
• Strengthen community based systems
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Overall themes
• Populations is aging, and growing more racially and
ethnically diverse
• Births are decreasing
• Cardiovascular disease, obesity, diabetes are on the
rise
• Behavioral health needs are significant in every
community
• Health care access and coordination is a priority
requiring urgent attention
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Next Steps
• Work with community partners, MultiCare, TacomaPierce County Health Department and others to
identify one to three community strategies with
implementation plans
• Integrate strategies into Franciscan strategic plan by
December 31, 2013
• Engage Franciscan Board of Directors in a study
session on the results of the community health needs
assessments.
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Recommended
Implementation Strategies
• Providing access to quality health care for all
– Support Medicaid Expansion (part of ACA) to improve
access to care, reducing number of uninsured and thereby
supporting the community in accessing both prevention and
active chronic disease management.
• Franciscan/Conifer patient access staff trained by Health Care
Authority so as to educate and assist people about the process.
– September 2013.
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Recommended
Implementation Strategies
• Providing access to quality health care for all
(continued)
– Partnering with King County Public Health and TacomaPierce County Health to help promote their enrollment sites
and activities within our market. Getting the word is part of
the collaborative effort.
• October 2013
– FMG identifying staff in each clinic who can help enroll
potential patients.
• September – October 2013.
– Billing stuffers to uninsured patients.
• October – December 2013.
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Recommended
Implementation Strategies
• Reducing and managing preventable chronic
conditions like obesity-related diseases such as
diabetes and heart disease.
– Internally increase the availability of healthy foods in the
hospital cafeterias and vending machines.
• Currently underway
– Reducing the 30 day readmission for chronic diseases of
Congested Heart Failure, Anterior Myocardial Infarction, and
Pneumonia through aggressive disease management.
• September - June 2014
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Creating Synergies:
Linking Franciscan with
Highline Medical Center
• Highline’s identified priorities are similar to
Franciscan’s.
• The Highline Board of Trustees approved the
following priority:
– Increase availability of healthy foods and opportunities for
physical activity with the goal of addressing both prevention
of disease and active management for those that already
have chronic health conditions.
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FRANCISCAN HEALTH SYSTEM
BOARD OF DIRECTORS
RESOLUTION
WHEREAS, the Strategic Planning Committee of the Board of Directors of Franciscan Health
System (FHS) accepted the FHS Community Health Needs Assessments for each hospital
community in June 2013.
WHEREAS, Catholic Health Initiatives (CHI), the sole member of FHS, requires compliance with
federal regulations and Washington State law, to conduct a community health needs
assessment (CHNA) for all CHI hospitals.
WHEREAS, The CHNA was a systematic process involving the community, to identify and
analyze community health needs and assets.
WHEREAS, FHS identified in collaboration with community partners and others the following
Implementation strategies of :
1.
Providing access to quality health care for all through Supporting Medicaid Expansion (part of
ACA) to improve access to care.
2.
Reducing and managing preventable chronic conditions like obesity-related diseases such as
diabetes and heart disease.
NOW THEREFORE IT IS RESOLVED, that the FHS Board of Directors hereby accepts the CHNA
Recommended Plan of Implementation as defined on this 26th day of September, 2013.
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