2014 ~ 2016 RFGH Community Health Work-Plan · Community Health programs – tobacco – at HS classroom (health) and 4th/5th grades for Tar wARS SPH supported PA work in schools

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2014 ~ 2016 RFGH Community Health Work-Plan Community Health Improvement-directly, or in collaboration with others, identifies and provides health, prevention and education services throughout the community.

RFGH will offer community education, disease prevention and wellness initiatives based on community need.

Topic Area Healthy People 2020 National Health Plan

Healthy Maine 2020 (established

2013)

RFGH Health Plan / Goals / Objectives

RFGH Strategies RFGH 2014 Outcomes

2015 Outcomes RFGH 2016 Outcomes

Access to Health Services

Reduce proportion of individuals who are unable to obtain or delay in obtaining necessary prescription medications Nationally 3.1 % of all persons were unable to obtain or delayed in obtaining in 2007: Target 2.8% (10% improvement)

proportion of persons with a usual primary care provider (from 82 to 89%) proportion of people of all ages with health insurance (from 90-% to complete coverage)

proportion who are unable to obtain or delay obtaining necessary medical (reduce from 10% to 9.4%) proportion of persons with a usual PCP

Reduce proportion of individuals who are unable to obtain or delay in obtaining necessary prescription medications

Prescription Assistance Program assists eligible patients in receiving prescription medications through manufacturer sponsored programs and to refer to other resources for which they may quality Transportation system “Somerset Explorer” sponsored through collaboration with KVCAP

PAP continues Jan – Dec. 2014 – 32 patients received assistance – total of : 132 applications processed Move More Kids initiatives – transportation committee using NB funding and matching Fed and local funding offered MMK Summer Transportation for a total of 2,016 riders for opportunities to be physically active, commute to work, doctor’s office, obtain needed food or supplies.

PAP –those who received assistance: 29 Applications processed = 105 Year Round public transportation services now provided in Skowhegan, Norridgewock, Madison and Anson through Move More Kids Support – Yearly participation Somerset Explorer – 7,488 riders for opportunities be physically active, commute to work, doctor’s office, obtain needed food or supplies.

PAP –those who received assistance: 37 Applications processed = 95 Year Round public transportation services now provided in Skowhegan, Norridgewock, Madison and Anson through Move More Kids Somerset Explorer – 7,692 riders for opportunities be physically active, commute to work, doctor’s office, obtain needed food or supplies.

Increase proportion of persons who have access to rapidly responding pre-hospital EMS - Population covered by BLS / pop. By ACLS

Provide access to pre-hospital EMS:

Service the area’s population with RFGH - EMS BLS, ACLS and PALS

Continue to service area with RFGH’s ambulance service (paramedic level pre-hospital EMS staff have BLS, ACLS, PALS, NRP)

Available as through 2012 - 2014

Continued; EMS provided many AED trainings to community venues Multiple Narcan Use Trainings to Police and Sherriff by EMS See injury prevention

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RFGH 2015 Outcomes

RFGH 2016

Adolescent Health

Multiple school related objectives

School related objectives addressed at local districts.

RFGH will collaborate where applicable

Continued 2014 SPH supported physical activity work in schools Community Health programs – tobacco and nutrition

SPH supported PA work in schools Community Health programs – tobacco – at HS classroom (health) and 4th/5th grades for Tar wARS

SPH supported PA work in schools Community Health programs – tobacco – at HS classroom (health) and 4th/5th grades for Tar WARS – see tobacco Concussion Presentation - 15

Arthritis, Osteoporo-sis and Chronic Back Conditions

Increase proportion of adults with doctor-dx arthritis who have had effective, evidence-based arthritis education as an integral part of the management of their condition Baseline: 10.6% of adults in 2006 Target: 10% improvement

Maine 30% 2003 Maine 2011 30% Maine 2013 30% Maine data source (BRFSS)

Provide education (web based article, community newsletter, presentation)

Website information offered RFGH pool classes Women’s Health: Breast and Bone – Nuclear Technicians presented on bone health – 12 attended

Hand arthritis presentations by OT – 129 participants RFGH pool classes

Exercise presentation @ Cedar Ridge – 35 attended Movement Matters – Panel discussion 45 Community Members attended

Reduce activity limitation due to chronic back conditions Baseline: 30.7/1000 Goal 10% improvement

Reduce activity limitations due to chronic back conditions

Provide education, promote physical activity

See PA initiatives See PA initiatives same

Blood Disorders and Blood Safety

Reduce proportion of persons who did not receive a transfusion due to a blood product shortage

Support Red Cross and local high school initiative of blood drive

2 blood drives in 2014 at RFGH in collaboration with Red Cross – total of 96 units collected

2 blood drives in 2015 – total 72 units collected

2 blood drives in collaboration with Red Cross

Cancer Increase the proportion of cancer survivors who are living 5 years or longer after diagnosis

Increase the % of cancer detected at local stage. Reduce rates of late stage breast cancers and colorectal cancer

Increase the proportion of cancer survivors who are living 5 years or longer after diagnosis Support survivors

Support cancer survivors and current cancer patients / caregivers

Fatty Liver March by Dr. Henry – 48 attend Cancer Support Gp- 178 attended the 11 programs offered in 2014 (aver16/session) Breast Cancer Article by A. Forster, MD

Breast Cancer presentation with Oncologist – 11 attended Radon presentations (Cedar Ridge by CHE and at RFGH by Maine DHHS; total participation 57)

Breast Cancer Survivor’s Story October 2016 (Survivor, MD, Radiology)28 attend Colorectal Cancer prevention and Early Detection – 7 attend

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RFGH 2015 Outcomes

RFGH 2016 Outcomes

Cancer continued

in Winter, 2014 RFGH Caring for the Community Newsletter Women’s Health: Breast and Bone with Dr. Forster 12 attended

SPH participated in Relay for Life

Colorectal prevention – 24 Cancer support Group – 10 sessions offered with average 15 per month

Radon presentation – 75 community members Road to Recovery training – 2participated

Following screening objectives combined: cervical screening, colorectal screening, breast cancer

Following screening objectives cervical screening, colorectal screening, breast cancer

Support free screening initiatives to eligible women.

Support fr support free screening initiatives to eligible women (funds available)

support free screening initiatives to eligible women (funds available)

Support free screening initiatives to eligible women (funds available) Promote screening

Increase the proportion of persons who participate in behaviors that reduce their exposure to harmful UV irradiation and avoid sunburn

same Plan for /provide skin screening

Skin Cancer prevention – poster and discussion with individuals triathalon – 125; presentations by RN and CHE to two worksite groups – 37 attend Oncology nurse and CHE presented to 30 community members onsite

Skin cancer prevention topic: adolescents – 20 Worksite – 22 Farmer’s Mkt - 50

Skin Cancer Prevention Awareness Farmer’s Market – 50 participated

Relay for life – 329 participated in early detection of skin, lung, colorectal and breast cancer prevention and early detection education

Local pharmacy outreach education for skin cancer prevention with 30 participants

Pancreatic Cancer prevention awareness – EMS participation – 100

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RFGH 2015 outcomes

RFGH 2016

Chronic Kidney Disease

Addressed with diabetes or heart disease







Dementias including Alzheimer’s

Increase the proportion of persons with diagnosed dementias who are aware of the dx

the proportion of persons with diagnosed dementias who are aware of the dx

Provide education for caregivers

Senior Spectrum Savvy Caregiver provided for caregivers (five wk program offered X 2– 18 total attended

See older adult section

Dementia presentation by Dr. Goodman provided to UM Senior Companions – 25 attended

Diabetes Improve glycemic control among the population with diagnosed diabetes 1. the proportion of the diabetic pop with an A1c value > 9% by 10% (baseline 16.2%) 2. the proportion of the diabetic pop with an A1c less than 7% by 10% (baseline 53.5%) 3 the proportion of the diagnosed diabetes whose B/P is under control by 10% (baseline 51.8%) 4. the proportion of adults with diabetes who have at least an annual foot exam by 10% (baseline 68%) 5. the proportion of adults with diabetes who perform self blood glucose monitoring at least once daily by 10% (baseline 64%)

2012 The % Diagnosis Maine 10% Somerset County 11% 90% of adults with DM have Type II Maine Goal by 2015, increase % of adults who have taken DSMT from 61% to 80%

Improve glycemic control among the population with diagnosed diabetes

Group DSMT 6X / year 1: 1 DSMT as needed Telephonic DSMT ongoing

Pre-diabetes & Type 2 Diabetes in Kids – 25 attended Diabetes and Nutrition (Senior independent living) 12 attended presentation by dietitian Diabetes BBQ/Education - 60 attended - exercise, mindful eating (September, 2014) Support group ongoing – average 8 in the 10 sessions offered

Diabetes support group barbeque / education 40 attend Monthly support group offered X9 with average of 9 each session Monthly bulletin board by Certified Diabetes Educator

Diabetes support group barbeque / education Monthly support group offered X9 with average of 7 each session Monthly bulletin board by Certified Diabetes Educator Diabetes Together AIC Champions – 25 attend Diabetes Education Bag Stuffers provided to local pharmacy and distributed – 1000 CDE discussion with community members at local pharmacy – 25 participants

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RFGH 2016 outcomes

Diabetes cont

Nutrition and Diabetes for elderly (see older adults) Diabetes prevention program ongoing with SPH

Diabetes prevention program ongoing with SPH

Diabetes prevention program ongoing with SPH: National Diabetes Prevention Program participants - 23 who lost over 267 lbs collectively in 16 weeks to lower their prediabetes risk. 10 of 23 exceed the 7% weight loss goal.

Environ-mental Health

% of homes with an operating radon mitigation system for persons living in homes at risk for radon exposure

Increase the # of homes with an operating radon mitigation system in those homes at risk for radon exposure Reduce the proportion of children with elevated blood lead levels

Increase awareness of potential of risk for radon exposure in homes

Provide educational programs at community level

Radon & Behavior Change skills (Diabetes Support Group) 10/7/2014 - 10 attended Lead Poison Prevention Grant work (SPH) Lead Screening collaboration with RFGH lab and KVCAP preschools “Radon in our Homes” article in the community newsletter written by CHE. (winter, 2014 edition)

Radon exposure – 30 Also see cancer section for other radon presentations Lead Poison prevention grant – SPH Preschool Lead Screenings – collaboration with Lab and KVCAP – 3 schools – total of 31 preschoolers tested Free lead dust test kits for Maine families for those with children <6

Preschool Lead Screenings – collaboration with Lab and KVCAP – 9 locations/ schools – total of pre-schoolers tested = 57 with 2 children A total of fifty-seven (57) children were screened for lead. Of those screened, two children had elevated lead levels requiring follow-up per State of ME lead protocols. Radon exposure – see cancer prevention

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RFGH 2015 Outcomes

RFGH 2016

Food Safety Reduce infections caused by key pathogens transmitted commonly through food (e-coli, listeria, salmonella, vibrio, yersinia,

Reduce infections caused by key pathogens transmitted commonly through food

Provide certified SafeServe program (schools, hospital, other) as requested

Promote handwashing

Same same same

Health Communication

Increase the proportion of persons who report their health care provider always explain things so they can understand them: national baseline 60% in 2007 target 10% improvement Increase the proportion of persons who report that their health care providers have satisfactory communication skills: baseline 59%F in 2007 Target 10% improvement Increase the proportion of persons who report their HCP always showed respect for what they had to say: national baseline in 2007, 62%, target 10% improvement

Increase the proportion of persons who report their health care provider always explain things so they can understand them

Use TeachBack as preferred method (i.e. DSMT) Monitor Avatar

Doctor Explained Illness/Treatment Understandably 92.36

Doctor Explained Illness/Treatment Understandably 90.58

Teach-back is used as preferred method hospital-wide

Healthcare-Associated Infections

Focus on hospital Central line, MRSA

infections caused by key pathogens transmitted commonly through food

Increase the # of community members who are informed about hand washing

Hand Hygiene education in schools (collaborative effort) and with worksites

Hospital wide hand hygiene focus

Hospital wide hand hygiene focus

RFGH/SPH mirror hand hygiene stickers placed throughout community to promote hand hygiene

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RFGH 2015 Outcomes

RFGH 2016 Outcomes

Heart Disease and Stroke

Reduce proportion with hypertension baseline 29.9% of adults in 2005-08 Target 10% improvement

Reduce the proportion of adults with high total blood cholesterol levels baseline 15% of adults age 20 and older had total cholesterol level of 240 mg/dL or greater in 2005-008 target 10% improvement Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a heart attack (i.e call 9-1-1 # baseline 39.2% of adults aged 20 years ; warning S&S of a heart attack(baseline 42%; aware of accessing rapid emergency care Baseline 92.9 Target in all above 10% improvement

Maine % high blood Pressure (2010) 30% Somerset County rate (35%) Maine % High Cholesterol (2010) 29% Somerset % high Cholesterol rate 32% 2020 goal – increase the proportion of adults who report htn who are at healthy wt Baseline 22.1;goal 24%

Reduce proportion with hypertension Reduce the proportion of adults with high total blood cholesterol levels Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a heart attack

Provide screenings on request Provide presentations and educational materials

Healthy Heart Group with 413 attending 9 sessions (average 46 per session 0 Cardiac Rehab education classes X 24 to 77 individuals

Healthy Heart Support Group with 460 attending 9 sessions (average 51 per session ) Cardiac Rehab education classes X 26 to 96 individuals B/P screenings multi settings – 192 B/P’s taken with education provided by nursing

Healthy Heart Support Group with 422 attending 10 sessions (average 42 per session ) Cardiac Rehab education classes X 29 to 90 individuals B/P screenings multi settings – 181 B/P’s taken with education provided by nursing {20% normal range 33% pre-hypertensive 29% Stage 1 hypertensive 6% stage 2 hypertensive}

Heart Health “table” at Fab Fair with 200 attendees; repeat venue at local pharmacy with 30 attendees; Repeat venue at triathlon with 60 visiting

Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a stoke No baselines identified therefore no targets identified for improvement

Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a stoke

Website information

Planning for February 2015 community health program on Stroke with Dr. Goodman as well as community news article Website health information

Stroke presentation Dr. Goodman and Speech Therapy – 30 attended Website information

Educational resources available

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RFGH 2015 Outcomes

RFGH 2016 Outcomes

Immuniza-tion and Infectious Disease

Reduce, eliminate, or maintain elimination of cases of vaccine-preventable diseases Pneumococcal infections Influenza – pediatric Influenza - adult

2012: Maine rates – 73% influenza (> age 65) Somerset County – 70 2020 goal: Increase routine vaccination coverage levels for children and adolescents

Reduce, eliminate, or maintain elimination of cases of vaccine-preventable diseases Pneumococcal infections Influenza – pediatric Influenza – adult

Influenza school clinics TBD Fall

Fall vaccination clinics school to 4 districts and 2 community schools (students and staff) = 944 and community members = 253 ICP presented Ticks / Lyme Disease to two worksites – 34 attended and to community members at RFGH to another 61

Community Flu clinics – children vaccinated = 9; adults vaccinated 158 School flu clinics = 4 school districts, 2 community schools: children vaccinated = 481; adults vaccinated = 218 ICP presented at Skowpendus Fair: ticks and mosquitos – 225 and worksites X2

Community and school Flu clinics children vaccinated – 411 adults - 442 Total of 6 community clinics; 3 community schools and 4 school districts

ICP presented about: ticks and mosquitos / prevention worksites X3 -137

Injury and Violence Prevention

Increase use of safety belts Increase age-appropriate vehicle restraint system use in children Reduce pedestrian death Increase helmet usage (bicycles, motorcycles Reduce sports and recreation injuries Reduce drowning deaths Appropriate protective gear when engaged in school sponsored intramural activities Violence reduction

% ever physically hurt by intimate partner Somerset county 9%; Maine 12%

% physical violence or unwanted sex from intimate partner

Increase use of safety belts Increase age-appropriate vehicle restraint system use in children Reduce pedestrian death Increase helmet usage (bicycles, motorcycles Reduce sports and recreation injuries Reduce drowning deaths Appropriate protective gear when engaged in school sponsored intramural

Provide car seat safety training Athletic training and appropriate protective gear when engaged in school sponsored intramural activities Collaborative effort with family violence project and others for abuse prevention

RFGH athletic trainers provide ongoing support to coaches and athletics

Every newborn’s parent trained in car seat safety

18 Convertible Car Seats, 1 High Back Booster Seat, and 2 Combination Car Seats were given out in 2014 and parents trained.

Collaborative effort with family violence project and others for abuse prevention through poster display in lobby with handouts.

RFGH athletic trainers provide ongoing support to coaches and athletics Every newborn’s parent trained in car seat safety AARP Driver Safety – 14 attended (July. 2015)

RFGH athletic trainers provide ongoing support to coaches and athletics Every newborn’s parent trained in car seat safety AARP Driver Safety – 14 attended (July. 2016 )

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RFGH 2016

Injury prevention continued

activities Violence reduction Reduce Family violence

through poster In Kind collaboration with KVCAP for Kids First Parenting class quarterly.

Safesitter- ages 11-13 (41 adolescents in 2014 trained in safe national standards)

Community Basic Life Support and First Aid to 624 Local Fire, Schools, church groups and other individuals

Safety, first aid by EMS to – 3 locations – 400 youth and family

Community Basic Life Support and First Aid to 849 Local Fire, Schools, church groups and other individuals Safesitter- ages 11-13 42 adolescents in 2015 trained in safe national standards In Kind collaboration with KVCAP for Kids First Parenting class quarterly.

In Kind collaboration with KVCAP for Kids First Parenting class quarterly. Community Basic Life Support and First Aid to 508 Local Fire, Schools, church groups and other individuals Additional AED training to community centers. Safesitter program (for ages 11-13) 30 adolescents in 2016 trained in safe national standards

Maternal, Infant, and Child Health

Increase proportion of pregnant women who attend a series of prepared child birth classes No baseline

Increase proportion of pregnant women who attend a series of prepared child birth classes – goal 90% will attend

CBE class offered monthly

CBE class offered monthly to a total of 45 expectant mothers Lead screening in five local preschools KVCAP is involved in (SAD 74 & SAD 54) – approximately 60 preschoolers with 3 follow up recommendations to PCPs

CBE class offered monthly to a total of 31 expectant mothers See environmental health section for lead screening efforts all follow up recommendations to PCPs

Labor and Delivery classes offered monthly to a total of 47 expectant mothers, the majority new moms (approx. 33% of total births in 2016) and 27 mothers attended newborn care class.

See environmental health section for lead screening efforts all follow up recommendations to PCPs

Medical Product Safety

Increase the safe and effective treatment of pain

Increase the safe and effective treatment of pain

Monitor monitor monitor monitor

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RFGH 2015 Outcomes

RFGH 2016 Outcomes

Nutrition and Weight Status

Increase the proportion of adults who are at a healthy weight baseline in 2005-08 30.8 age 20 and older were at healthy wt Reduce proportion of adults obese Baseline 34 20 and over were obese in 2005 – 08’ Reduce proportion of children and adolescents who are considered obese Children age 2-5 baseline 10.7 in same years

2010: Adult overweight Somerset County 40% Maine 37% Adult obese Somerset County 28% Maine 28% Youth overweight Somerset county 14% Maine 16% Obese Somerset county 14% Maine 13% 2020 Goal: Reduce the portion of children and adolescents who are considered obese Increase the proportion of adults who are at a healthy wt. Increase fruit and veggie consumption

Increase the proportion of adults who are at a healthy weight Reduce proportion of adults who are obese Reduce proportion of children and adolescents who are considered overweight or obese Offer 8 wk wt loss program for individuals who need to lose > 100#

Offer Medical nutritional therapy per referral

Weigh to go 3 – 4X / year

Offer 8 wk wt loss program for individuals who need to lose > 100#

Fruit & Veggie Program – June 2012 – 4 month grant program – 108 participants 26 families – collaborative effort with SHH, cooking matters, Cooperative Ext, RFGH, Master Gardiners, Dr. Lambke

Supports efforts of 5-2-1-0 Let’s Go! Program; Support “Eating Well for Healthy Weight” family focused childhood obesity initiative

Referrals sent to Nutrition Services for NMT 157 individuals completed Weigh to Go, losing an average of 4.55# each over 8 weeks.

for those who need to lose >100#. Weight loss not evaluated although one participant reports 34 # wt loss. Average size of class 10 – 15, 45% completion rate. All ten schools (elementary) in all four school districts are registered and engaged with Let’s Go. 100% of head start programs are enrolled as well. 16 sites received Let’s Go recognition. Redington Family Practice and Redington Pediatrics received Healthcare Sites of Distinction. 1791 individuals reached through the SPH work of SNAP-Ed

Referrals sent to Nutrition Services for NMT 139 individuals completed WTG losing an ave of 4.97# each over 8 wks. Total wt loss 691# Road to Wellness, ave size of class15; 27 participants completed class 27 of 41 sites recognized in Move More Kids; Let’s Go Program Healthy grains education and cookbook to approximately 400 at following sites: Farmer’s Market Kneading Conference Triathalon Cedar Ridge SPH- 73 Teens and Adults took Cooking Matters class SPH-21 older adults took Eat Smart, Live strong SNAP ED nutrition class

Referrals sent to Nutrition Services for NMT Nutrition and Exercise with MSAD 74 students – 83 students total Healthy Snacking topic at Skowpendus Fair with 350 contacts Nutrition and Weight Loss with worksite – 16 143 participants completed Weigh to Go program in 2016 with an average 4.0 lb weight loss per individual completing the program Weekly weigh in’s in between Weigh to Go programs support individuals 35 individuals completed the Road to Wellness program in 2016 (for those who need to lose >100#). Note: weight loss not measured Nutrition table at Kneading Conference – 350 individuals visited the table and interacted

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RFGH 2015 Outcomes

RFGH 2016

Nutrition Continued

SPH-Exceeded goal of having 1,750 participants in SNAP Ed program SPH-375 kids in grades K-3 enrolled in Pick a better snack and act curriculum SPH-872 involved in a single session of SNAP ED nutrition class

SPH Nutrition Promotion: 60 teens too Cooking Matters classes; 905 kids in grades K-3 were enrolled in Pick a Better Snack Curriculum; 1933 adults and children participated in SNAP-ED classes (July 2015 – June 2016)

Occupational Safety and Health

Increase the proportion of employees who have access to workplace programs that prevent workplace stress

Increase the proportion of employees who have access to workplace programs that prevent workplace stress

Support workplaces with programming re: stress reduction and goal setting

Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all community programing Offering prevention programs at workplace

Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all community programing

Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all community programing Worksite presentation by CHE on stress – 16

Older Adults Prevention of Falls, Abuse

the # of falls & abuse of older adults

Fall prevention – hospital wide initiative

Savvy Care Giver program – 18 participants X 5 week program (July – August, 2014) AARP Driver Safety – 14 attended (July. 2014) Nutrition and Diabetes June, 2014 – 10 attended this offsite program for independent living

Balance Screening – rehab for fall prevention – 47 screened Savvy Care Giver program – 7 participants X 5 week program AARP Driver Safety – 18 attended

Medicare Part D Maze – community Pharmacist collaboration – presentation – 67 attended AARP driver safety – 16 attended Balance and Healthy aging – 50 participated Senior Strong collaboration with SPH coalition and older adult residents

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Healthy Maine 2020



RFGH 2015 Outcomes

RFGH 2016

Oral Health Addresses schools / dental health / Fluoride sealants 2020 goal – 49% persons with dental visit

School initiative Support efforts in schools Promote oral health – update patient education materials / toothbrushes for Pediatric offices

Addressed through Somerset Public Health grant

Addressed through Central District Grant and SPH work

Addressed through Central District Grant and SPH work

Physical Activity

Reduce the proportion of adults who engage in no leisure-time physical activity baseline 36.2 % in 2008

Increase portion of children with restricted TV, video, or play video games per guidelines Target 10% improvement

Require children to engage in vigorous or moderate physical activity (to become state requirement for schools)

% sedentary Maine 21% (no physical activity) % Somerset county 26%

% Regular physical activity (60 minutes 5 out of 7 days 39% Maine; 39% Somerset

PA Is a requirement in Maine

Reduce the proportion of adults who engage in no leisure-time physical activity

Increase the amount of children and adults who consume fruits and vegetables 5 or more times / day

Increase the % of children with regular physical activity (at least 60 min on 5 of

last 7 days)

Promote SHH Move More program, Promote participation in 5-2-1-0 and activity portion

Yearly participation in MMK equipment usages before, during, and after school in 3 school districts and parks and recreation = 34,000+ 6,237 after school program usages Promotion of Somerset County Indoor Walking in winter, 2014 RFGH community newsletter through posting of all gyms with public winter walking access through Move More

SPH- Yearly participation in MMK equipment usages in 4 school districts and parks and recreation 11,346 after school program usages; Winter walking open in 12 sites

Movement Matters – panel discussion with Dr. Lambke, CHE, and others on importance of exercise – 45 attended SPH Move More Kids and 5210: 14 after school PA programs; 12 sites open for winter walking; 8 schools participated in a program for increased PA to run and walk 100 miles during the school year with a total of 32, 072 miles completed by the participants in these 8 schools Childcares, schools, lunchrooms, and out of school programs learning and working on healthy food choices through 5210 Let’s Go program (

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RFGH 2015 Outcomes

RFGH 2016

Respiratory Diseases

Asthma – hospital ed visits Children and adults aged 5-64 Baseline 56.4/10,000 Children under five Baseline 132.7 visits / 10,000 Persons with current asthma who receive education about appropriate response to an episode, including recognizing early S&S or monitoring peak flow results Baseline 64.8% Persons with current asthma who have been advised by a Health professional to change things in their home, school, and work environments to exposure to irritants or allergens to which they are sensitive Baseline 50.7% in 2008 activity limitations among adults with COPD (baseline 23.2 % age 45 and older experience activity limitations due to chronic lung and breathing problems in 08

Reduce hospital ED visits for asthma Bronchus and asthma ED visit rate Somerset County 1495 / 100,000

% COPD 4.2 (Maine) Maine hospitalization rates baseline 337/100,000

Reduce hospital emergency visits of children and adults

Persons with current asthma who receive education about appropriate response to an episode, including recognizing early S&S or monitoring peak flow results

Persons with current asthma who have been advised by a Health professional to change things in their home, school, and work environments to reduce exposure to irritants or allergens to which they are sensitive

Reduce activity limitations among adults with COPD % Somerset County COPD 7.9 – 2010 data Reduce hospitalizations for COPD

Offer pulmonary support group Pulmonary Rehab

Pulmonary support group averages 10 programs offered with 308 individuals attending in 2014 (averages 31 / session) Chronic Respiratory Issues (Senior Companion Program Volunteers) with P. Alexander, RT, 25 attended (senior program)

Pulmonary support group averages 10 programs offered with 212 individuals attending in 2015 (averages 28 / session)

Pulmonary support group averages 12 programs offered with 280 individuals attending in 2016 (averages 23 - 24 / session) COPD program Nov 22 S&S; dx, tx, by RT and PharmD with 30 attendees

Sexually Transmitted Diseases

Targets 10 % improvement for HPV, herpes and other sexually transmitted diseases

Educate community to reduce sexually transmitted diseases

Educational materials available for community

Educational materials available



Sleep Health Increase proportion of persons with symptoms of obstructive sleep apnea who seek evaluation : baseline 25.5% 05-08 (minimal)

Increase proportion of persons with symptoms of obstructive sleep apnea who seek evaluation

Sleep Health presentation November 2014 – 38 attended

Patients referred to sleep lab in Augusta

Sleep studies done through RFGH Respiratory Dept and Pulmonary Rehab

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RFGH 2015 Outcomes

RFGH 2016

Substance Abuse

Addresses adolescents, alcohol, prescription drug abuse

2020 goals Reduce the past year nonmedical se of prescription drugs

Increase the proportion of teens never using substances

Addressed through OSA grant work plan

Collaboration with RFGH pharmacy, police, GSPHC substance abuse program coordinator and CHE

Addressed through OSA grant work plan SPH (formally GSPHC) work, policy and environmental change, youth summit

Addressed through OSA grant work plan SPH (formally GSPHC) work, policy and environmental change, youth summit

Addressed through OSA grant work plan SPH work, policy and environmental change, youth summit

Tobacco Reduce tobacco use by adults Baseline in 08 20.6 18 and under were current cig smokers Reduce cigarette usage by adolescents baseline 19.5 % of adolescents in grades 9-12 smoked cigarettes in the past 30 days in 2009. Target 16.0% Increase tobacco screening and counseling

Adult Maine 2010 tobacco use 22% Somerset county 26% Youth: 20% Maine 22% Somerset (MIYAS 2009) 2020 Goals: Reduce tobacco use by teens Reduce tobacco use by adults

Reduce tobacco use by adults Reduce cigarette usage by adolescents Increase tobacco screening and counseling

Offer worksite presentations.

Provide resources, communicate 1-800#, tobacco intervention trainings to healthcare professionals

Offer tar Wars to youth (4th and 5th graders) as evidenced based tobacco prevention curriculum

1:1 Tobacco Cessation

Tobacco Support group bi-monthly

Take steps to create / support tobacco-free hsp environment and supporting tobacco-free lifestyles for patients,

2014 – Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts 1:1 tobacco cessation on request RFGH became 100% tobacco free campus on 9/1/14 265 early 2014 and 273 late 2014 4th and 5th graders (4 districts + 1 community school) participated in Tar Wars program CHE facilitated tobacco prevention program for 25 HS students (March, 2014 “Tobacco Free” presentation by CHE for Great American Smokeout

2015 – Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts Met 9/10 standards 1:1 tobacco cessation on request Tobacco Free” presentation by CHE for Great American Smokeout November Tobacco support group – 21 sessions with 102 total attendees (average 4-5 per session) 9/15: CHE reports 73/191 consults over 10 yrs have quit > 6 mos (38% abstinence rate)

2016 – Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts Met 9/10 standards 1:1 tobacco cessation on request. CHE reports 78 out of 211 tobacco consults over 11 years quit for 6 months or longer – 37% abstinence rate Tobacco Free” presentation by CHE for Great American Smokeout November - 2 Tobacco support group – 24 sessions with 84 total attendees (average 3 - 4 per session)

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Healthy Maine 2020



RFGH 2015 outcomes

RFGH 2016

staff and the community.

with 6 attend Tobacco support group – 24 sessions with 79 total attendees (average 3-4 per session) (note: 67 out of 180 consults over 10 years have quit for 6 months or longer – 37% abstinence rate for individual consults)

Tobacco presentation to 115 Skowhegan HS 9th grade students

Tobacco presentation to 12 Day 1students X 2

Tobacco prevention to 4th and 5th graders – 4 schools – 243 students

Tobacco prevention SAD 54 – HS after school program – 15 students; Athens Elem – 15 students

Vision Objectives include vision screening, eye injury, protective eyewear use

RFGH health website education



Other Literacy volunteer program offered X2

Career exploration presentations in Madison High School – 10 presentations by health care professionals to 5 students each time

Career exploration presentations held at RFGH – approx.50 students from 2 school districts

EMS (Special Olympics) 55

Advance Directives – what it is / how to fill out – 51 attended Career exploration presentations in Madison High School – 10 presentations by health care professionals to 5 students each time

Worksite presentation – 16 attended Information readily available to community – posters throughout hospital Career exploration presentations in Madison High School – 10 presentations by health care professionals to 5 students each time

Documents

2014 ~ 2016 RFGH Community Health Work-Plan · Community Health programs – tobacco – at HS classroom (health) and 4th/5th grades for Tar wARS SPH supported PA work in schools