(CHIP) FY 2017-2019 (CHAP) FY 2017

(CHIP) FY 2017-2019 (CHAP) FY 2017 1

Fremont County

Area Served

Priorities

Heart Disease Lung Disease

Obesity/Overweight,

Physical Activity and Nutrition

Community Health Implementation Plan (CHIP) FY 2017-2019

Community Health Action Plan (CHAP) FY 2017

2 ST. THOMAS MORE HOSPITAL/CENTURA HEALTH (CHIP) FY 2017-2019 (CHAP) FY 2017 3

Introduction The Patient Protection and Affordable Care Act, enacted March 23, 2010, added new requirements for nonprofit hospitals to maintain their tax-exempt status, including a requirement to conduct a Community Health Needs Assessment (CHNA) once every three years to gauge the health needs of their communities and to develop strategies and implementation plans for addressing them.

Additionally, following the CHNA a Community Health Implementation Plan (CHIP), which defines specific goals on how the prioritized needs will be addressed, is required. A yearly Community Health Action Plan (CHAP) will provide the specific actions and metrics for each goal.

The CHNA, CHIP, and CHAP were conducted in compliance with these new federal requirements and as an opportunity for St. Thomas More Hospital to fulfill our commitment to our organizational mission to “extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities.”

chna

chip

chapFY 2017

chapFY 2018

chapFY 2019

Community Health Needs AssessmentEvery 3 Years

Posted to www.centura.org and individual hospital websites.

Community Health Implementation Plan FY2017-2019 An overarching 3 year strategy to address prioritized needs identified by the CHNA with specific goals.

Community Health Action Plan FY 2017

A one year plan with specific, measureable, achievable, relevant, and time bound (SMART) goals and actions with an

evaluation design.


A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an evaluation design.


A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an

evaluation design.


Goal1Prioritized Need:

Heart Disease

Heart disease is a priority for St. Thomas More Hospital because in Fremont County, 5.1% of adults have heart disease, compared to 2.7% of adults in the state. This is roughly twice the percentage of adults with heart disease compared to the Colorado State average. Additionally, 26% of adults in our community have high blood pressure, higher than the 23.1% of adults in the state. We also have issues with high cholesterol, with 40.4% of adults having high cholesterol, compared to 33.5% of adults in the state. People in our community are dying from heart disease at a rate of 183.3 per 100,000, compared to 137.4 per 100,000 in the state.

Preventing and treating heart disease is something that St. Thomas More strives to accomplish. One of our goals is to increase the amount of cardiology services not only at St. Thomas More, but also throughout Fremont County. We have a visiting specialty clinic at St. Thomas More that includes cardiology, so we frequently refer patients to this program. Additionally, we provide free cardiovascular education at community events and health fairs throughout the year, and are recruiting for a full-time, non-invasive cardiologist.

Partners and Inputs: Centura South State Recruitment Team, Centura Health Physician Group (CHPG), Director of Marketing and Communications at St. Thomas More, St. Thomas More Cardiopulmonary Services

Increase cardiology services in Fremont County.

ACTIVITY: Increase recruiting efforts for cardiology services by the Chief Medical Officer and Administrative Director of Ambulatory Services in FY2017.

METRIC: Number of recruiting conversations.

ACTIVITY: Promote current cardiology services/clinics internally.

METRIC: Percentage of weekly newsletters (IMPACT) that have information about cardiology services and clinics and/or heart health. Goal is 15%

ACTIVITY: Increase education to Centura Health Physician Group cardiology providers.

METRIC: Number of presentations at quarterly provider meetings.

ACTIVITY: Educate the community about cardiology services and specialty clinics

METRIC: Articles in 25% of INSPIRE magazine publications.

Death Rate due to Coronary Heart Disease per 100,000

St. Thomas More Community

Colorado

210

180

150

120

90

60

30

0

183.3

137.4


Goal1

Prioritized Need:

Lung DiseaseLung disease is a priority for St. Thomas

Fremont County has almost double the number of tobacco users than the Colorado State average, with almost half of our 25-34 year olds using tobacco products regularly. In our community, 29.1% of adults report that they currently smoke. The Colorado percentage of smokers is much lower, 16.8%. The mortality rate for lung disease in our community is 60.5 per 100,000, higher than Colorado’s rate of 49.8. This is likely due to the higher rates of smoking in our community. St. Thomas More has become a tobacco free campus and has partnered with one local business to help them become tobacco free. Centura Health no longer hires tobacco

users. We plan to work with the community to educate them on the dangers of tobacco use and to help our community quit smoking once and for all. We will do this by referring current smokers to our tobacco cessation programs and the Colorado Quitline.

Partners and Inputs: Centura Health Physician Group (CHPG), Colorado Quit Line, St. Thomas More tobacco cessation program, Fremont County Public Health Department, Local Businesses, St. Thomas More Wellness Coordinator, St. Thomas More Cardiopulmonary Services

ACTIVITY: Create and implement hiring policies and practices to extend new employment to non-tobacco users only.

METRIC: 100% of potential new employees are educated about Centura Health’s hiring policy about tobacco.

METRIC: 80% of potential new employees not passing cotinine testing for tobacco are offered tobacco smoking cessation classes.

ACTIVITY: Encourage employees to quit using tobacco by offering incentives in health insurance.

METRIC: Decrease number of employees who use tobacco by 2% calculated by number who use tobacco / number who complete biometric testing.

ACTIVITY: Encourage employees to participate in the hospital tobacco cessation program.

METRIC: Number of St. Thomas More employees who attend the tobacco cessation program.

ACTIVITY: Creating and delivering tobacco cessation and health risk education to employees.

METRIC: 15% of weekly newsletter (IMPACT) will have education on tobacco cessation and health risk education to employees.

Decrease tobacco use in Fremont County.

Percentage of Adults who report they currently smoke


Colorado

35%

30%

25%

20%

15%

10%

5%

0%

29.1%

16.8%


ACTIVITY: Partner with local businesses to make their facilities tobacco free.

ACTIVITY: Provide education regarding tobacco cessation and tobacco health risks at community events such as health fairs.

ACTIVITY: Provide education at specific employer health fairs in Fremont County.

METRIC: Number of businesses that St. Tomas More Wellness Coordinator spoke with regarding tobacco free environments.

METRIC: 25% of INSPIRE magazine publications discuss tobacco cessation and tobacco health risks.

METRIC: Number of events where education is delivered.

METRIC: Number of people at the events where education is delivered.

METRIC: Number of employer health fairs where tobacco education is delivered.

METRIC: Number of people at the health fairs where education is delivered.

Prioritized Need:

Obesity/ Overweight

St. Thomas More also prioritized obesity/overweight, physical activity and nutri-tion. In our community 23.1% of adults are obese and 41.8% are overweight. Together, almost 2/3 of our population is above a healthy weight. In the state, 20.2% of adults are obese and 35.3% are overweight. St. Thomas More is excited to lead the com-munity by example. Through the Partnership for a Healthier America and the Colorado Healthy Hospital Compact, we are mak-ing sustainable environmental changes that models healthy lifestyles and provides our St. Thomas More associates and hospital visitors with tools and resources to make healthy decisions while at work or visiting the hospital. We know that in our community,

18.7% of adults get no leisure time physi-cal activity (15.2% in Colorado) and 79% of adults eat less than 5 fruits and vegetables per day (75% in Colorado). We recognize the importance of eating well and exercising, and we plan to educate the community on fitness and nutrition as a way to impact the overall health of Fremont County.

Partners and Inputs: Partnership for a Healthier America, Colorado Healthy Hospital Compact, Hospital Food Services, Canon City Parks and Recreation, Local employ-ers, Thomas More Wellness Coordinator, St. Thomas More Marketing

Overweight


Colorado

44%

42%

40%

38%

36%

34%

32%

41.8%

35.3%


Goal1

Goal2

ACTIVITY: Improve nutrition labeling, healthy food marketing, wellness meal offerings, elimination of deep fat fryers, increase in healthy beverages, increase in fruits and vegetables offered, ensure healthy options are priced equal to or less than other offerings, only offer healthy items within five feet of the cash registers and advertise only healthy items that meet MyPlate standards.

METRIC: Percentage of sugary drinks sold at St. Thomas More.

METRIC: Percentage of fried food sold at St. Thomas More.

Improve healthy food availability in the St. Thomas More cafeteria.

ACTIVITY: Nutrition education at major community events, such as employer health fairs and Pamper Your Heart, 5 Health Fair.

METRIC: Number of employer health fairs attended.

METRIC: Number of people at health fairs

METRIC: Number of community health events attended.

METRIC: Number of healthy community events sponsored.

ACTIVITY: Continue to deliver St. Thomas More sponsored weight loss/bariatric support group.

Provide support and education regarding obesity prevention and weight manage-ment to the St. Thomas More community in partnership with local organizations.

METRIC: Number of individuals attending weight loss/bariatric support group.

ACTIVITY: Continue to deliver St. Thomas More sponsored nutrition and diabetes counseling.

METRIC: Number of consultations.

ACTIVITY: Partner with Canon City Parks and Recreation to promote healthy family activity and fitness at community events.

METRIC: Number of events partnered on.

METRIC: Number of people who attended events.

ACTIVITY: Offer Health Management Classes to the community.

METRIC: Number of classes offered and number of class participants.

ACTIVITY: Sponsor the River Walk Exercise Stations construction

METRIC: Number of installed exercise stations.

(CHIP) FY 2017-2019 (CHAP) FY 2017 13

Population Demographics in St. Thomas More Hospital’s Service Area

Ethnicity

Race

Non-Hispanic87.7%

Hispanic12.3%

0% 20% 40% 60% 80% 100%

n White 85.6% n Black 5.8% n Asian 1% n Native American/Alaska Native 1.9%n Native Hawaiian/Pacific Islander .1% n Other 3.9% n Multiple races 1.7%

Limited English Proficiency

5.6%6.7%

St. Thomas More Service Area

Unemployment Rate

5.5%4.0%


Households Below 200% of Federal Poverty Level

36.5%29.6%


77.6%

Associate’s Degree or Higher

High School Graduation Rate

23.1%

44.7%

74.8%


State Average


State Average

State Average State AverageState Average

12 ST. THOMAS MORE HOSPITAL/CENTURA HEALTH


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FremontFremont

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PuebloPueblo

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ST78

ST67

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ST165

ST69

ST115

ST96

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CoalCoalCreekCreek

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BeulahBeulah

CascadeCascade

WilliamsburgWilliamsburg

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VictorVictor

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Public Policy

CommunityCultural values, norms

OrganizationalEnvironment, ethos

InterpersonalSocial network

IndividualKnowledge, attitude, skills

The Socio-Ecological Model that Informs Our Goals

To achieve long-term health outcomes among our communities, changes at every level of the model will both support people making the healthy choices and removing the barriers to making the healthy choices.

St. Thomas More Hospital

1338 Phay Avenue • Canon City, CO 81212

719-285-2000

www.stmhospital.org

tel:719-285-2000

http://www.stmhospital.org/

Documents

(CHIP) FY 2017-2019 (CHAP) FY 2017