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Healthy Montgomery

Hospital WorkgroupMarch 2, 2015

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Prioritization ProcessPrioritization Process

Goal: Purposeful activities that meet identified community health needs

and improve health status and quality of life.

Hospital Programs

&

Activities

Identified

Community Health

Priorities

Improved Health Status

&

Quality of Life

Example: Suburban Hospital Formula for Calculating Community Benefit Service Area:

a) The top 20 zip codes from which Hospital ED visits originate

b) The top 20 zip codes from which Hospital inpatients originate

c) The top 25 zip codes for Hospital Charity Care cases

d) The top 10 zip codes for Hospital Community Benefit Activities

Community defined based on (source: Catholic Health Association):• Primary service area

• Secondary service area

• Patient categories (e.g., general population, children-only or rehabilitation-only)

• Areas and populations served by hospital’s community benefit programs

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FY15 Methodology FY15 Methodology

ComparisonsComparisons

Similarities Differences

• Timeline

• Healthy Montgomery Priorities

• Data Sources

• IRS Guidelines

• Input from Public Health Experts

and Stakeholders

• Hospital Board Approval of CHNA

• Variation of Hospital Priorities

• CBSA Zip Codes

• CBSA Formula

• Implementation Plan Strategies

Mission: We demonstrate God’s care by improving the health of people and

communities through a ministry of physical, mental and spiritual healing.

Adventist HealthCare Shady

Grove Medical Center CBSA

Adventist HealthCare Washington

Adventist Hospital CBSA

Adventist HealthCareAdventist HealthCare

Data Sources/Community Input-Primary, secondary (HM, ACS, Census, SHIP, etc.), and hospital data

-Input from local public health experts and stakeholders (Advisory Board, Community Partnerships)

Partners-Multiple community groups and clinics, including Montgomery County

DHHS, Asian American Health Initiative, Pan Asian Clinic, Lung Cancer Alliance, Montgomery Cares, Mercy Health Center, Muslim Community Clinic

Utilizing Healthy Montgomery

-To help identify and prioritize focus areas, and as a data source

Implementation Plan-Advisory board and hospital leadership prioritized identified needs

-1 or 2 focus areas selected for each hospital, to align with mission and strategy

Approach & Methodology:Approach & Methodology:

SGMC and WAH

• Cancer

• Diabetes

Adventist HealthCare Shady Grove

Medical Center Health PrioritiesHealth Priorities

• Behavioral

Health

• Influenza

Adventist HealthCare Washington

Adventist Hospital Health Priorities

FY12(July 2011 –

June 2012)

FY13(July 2012 –

June 2013)

FY14(July 2013 –

June 2014)

FY15(July 2014 –

June 2015)

FY16(July 2015 –

June 2016)

FY17(July 2016 –

June 2017)

FY18(July 2017 –

June 2018)

FY19(July 2018 –

June 2019)

FY20(July 2019 –

June 2020)

FY21(July 2020 –

June 2021)

FY12(July 2011 –

June 2012)

FY13(July 2012 –

June 2013)

FY14(July 2013 –

June 2014)

FY15(July 2014 –

June 2015)

FY16(July 2015 –

June 2016)

FY17(July 2016 –

June 2017)

FY18(July 2017 –

June 2018)

FY19(July 2018 –

June 2019)

FY20(July 2019 –

June 2020)

FY21(July 2020 –

June 2021)

Summary

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

3-year CHA

cycle3-year CHA cycle

3 year

Summary

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

3-year CHA cycleConduct CHA

Annual

Progress

Report

Conduct

CHA

Last updated 3/14/2014 by JLR

Conduct

CHAConduct CHA

Imple-

mentation

Strategy

Imple-

mentation

Strategy

Annual

Progress

Report

CHNA Reporting TimelineCHNA Reporting Timeline

Conduct

CHA

Holy Cross HealthHoly Cross Health

We, Holy Cross Health and Trinity Health, serve together in the spirit of the

Gospel as a compassionate and transforming healing presence within our

communities. We carry out this mission in our communities through our

commitment to be the most trusted provider of health care services.

Holy Cross Germantown Hospital

Community Benefit Service Area

Holy Cross Hospital

Community Benefit Service Area

Approach & MethodologyApproach & Methodology

• Holy Cross Health identifies unmet community health care needs in our community in a variety of ways.– We collaborate with other healthcare providers to support Healthy

Montgomery, Montgomery County's community health improvement process. • The majority of our data is obtained from Healthy Montgomery documents, the Healthy

Montgomery website, community conversations and the priority setting process.

• We use available reports and assessments such as – Community Health Need Index,

– County Health Rankings and Roadmaps

– and other needs assessments from non-profit organizations in Montgomery and Prince George’s County

• We conduct an extensive analysis of demographics, health indicators and social determinants of health of the communities we serve, including hospital specific readmission data and prevention quality indicators.

• We seek expert guidance from a panel of external participants with expertise in the needs of our community.

• Holy Cross Health adopted the HM top-ranked priority areas and the three overarching themes.

• Demographic analysis from Holy Cross Health's needs assessment also reveals that the senior population of Montgomery and Prince George’s Counties is growing at an unprecedented rate, increasing the need for senior services such as housing and health care.

– In an effort to be proactive in meeting the growing needs of this population we have included seniors as a priority focus in addition to the priorities set by Healthy Montgomery.

• We focus our community benefit activities on the most vulnerable and underserved individuals and families, including women/children, seniors, and racial, ethnic and linguistic minorities.

Based on Healthy Montgomery priorities and overarching themes.

1. Maternal/Infant Health

2. Seniors

3. Cardiovascular Health

4. Obesity

5. Diabetes

6. Behavioral Health

7. Cancers

Holy Cross HealthHoly Cross Health

Health PrioritiesHealth Priorities

FY11(July 2010 –

June 2011)

FY12(July 2011 –

June 2012)

FY13(July 2012 –

June 2013)

FY14(July 2013 –

June 2014)

FY15(July 2014 –

June 2015)

FY16(July 2015 –

June 2016)

FY17(July 2016 –

June 2017)

FY18(July 2017 –

June 2018)

FY19(July 2018 –

June 2019)

FY20(July 2019 –

June 2020)

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Amend

CHNA w/ new

HM Data –

Board

Approves

Holy Cross Health CHNA Reporting Timeline

Conduct

CHNA

Multi-year

Implementation Strategy

3-year CHNA cycle

Conduct

CHNA

3-year CHNA cycle

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Amend

CHNA w/ new

HM Data –

Board

Approves

Multi-year

Implementation Strategy

New

3-year CHNA cycle

Multi-year

Implementation Strategy

Annual

Progress

Report

Annual

Progress

Report

Conduct

CHNA

Multi-year

Implementation Strate

3-year CHA cyc

CHNA Reporting TimelineCHNA Reporting Timeline

A proud member of MedStar Health, is dedicated to enhancing our community's

health & well-being by offering high quality, compassionate and personalized

care.

MedStar Montgomery MedStar Montgomery

Medical CenterMedical Center

� Community Health Needs Assessment Survey

� Primary and Secondary Hospital Data

• Hospital utilization data assessed with emphasis on charity care

• Percent of serviced uninsured/insured population

• Highest serviced area (zip code)

• Most common diagnosed health conditions

� Healthy Montgomery

• Healthy Montgomery provides data through their website including, disparities

dashboards and county demographics.

� Implementation Plan

• Community Benefit Advisory Task Force

• Determine areas of focus

• Develop implementation strategy

• Determine impact measures

� Partnering Organizations

• Community Health Partners of Aspen Hill, Millian Methodist Church, Proyecto Salud

Clinic, Holy Cross Aspen Hill Clinic, Longwood Community Center, Mid county

Community Center, American Lung Association, MedStar Visiting Nurse Association.

Approach & MethodologyApproach & Methodology

MedStar MontgomeryMedStar Montgomery

Health PrioritiesHealth Priorities

• Vulnerable populations:

Persons not well integrated

into the health care system

because of ethnic, cultural,

economic, geographic, or

health characteristics.

• MedStar Montgomery Medical

Center’s community health

needs assessment reveals a

focus on low-income residents

and underserved seniors linked

to risk factors of developing

chronic disease.

Based on Healthy Montgomery priorities and overarching themes.

1. Cancer

2. Diabetes

3. Heart Disease

4. Overweight/Obesity

FY12(July 2011 –

June 2012)

FY13(July 2012 –

June 2013)

FY14(July 2013 –

June 2014)

FY15(July 2014 –

June 2015)

FY16(July 2015 –

June 2016)

FY17(July 2016 –

June 2017)

FY18(July 2017 –

June 2018)

FY19(July 2018 –

June 2019)

FY20(July 2019 –

June 2020)

FY21(July 2020 –

June 2021)

Conduct

CHA

3-year CHA cycle

Annual

Progress

Report

Annual

Progress

Report

Conduct

CHA

Summary

Progress

Report

3-year CHA cycle

Annual

Progress

Report

Annual

Progress

Report

Conduct

CHA

Summary

Progress

Report

3-year CHA cycle

Annual

Progress

Report

Annual

Progress

Report

Conduct

CHA

CHA: Published by June 30 of indicated fiscal yearAnnual Progress Report: Presents outcomes to ATF of activities completed in prior fiscal year; Published by December of indicated fiscal year

Summary Progress Report: Presents outcomes via website of prior 3-year CHA cycle; Published by December of indicated fiscal year

CHNA Reporting TimelineCHNA Reporting Timeline

Mission:

To improve health

with skill and

compassion

Mission:

To improve health

with skill and

compassion

Suburban HospitalSuburban Hospital

Improved Health

Status & Quality

of Life

Implementation Strategy

Data Collection Data Collection

Approach & MethodologyApproach & Methodology

Healthy Montgomery priorities and overarching themes.

Suburban HospitalSuburban Hospital

Health PrioritiesHealth Priorities

FY12(July 2011 –

June 2012)

FY13(July 2012 –

June 2013)

FY14(July 2013 –

June 2014)

FY15(July 2014 –

June 2015)

FY16(July 2015 –

June 2016)

FY17(July 2016 –

June 2017)

FY18(July 2017 –

June 2018)

FY19(July 2018 –

June 2019)

FY20(July 2019 –

June 2020)

FY21(July 2020 –

June 2021)

3-year CHA cycle

3-year CHA cycle

3-year CHA

cycle

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Annual

Progress

Report

Conduct

CHNA

Conduct

CHNA

Conduct

CHNA

CHNA Reporting TimelineCHNA Reporting Timeline

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SummarySummary

1/30/2015 22

Planning for the FuturePlanning for the Future

• Up-to-date data

• Follow guidelines from IRS (expertise to assist hospitals in

meeting guidelines)

• Facilitate community conversations

• Share best practices of evaluations and outcomes based on

identified priorities, technical support on completed CHNA of

hospitals

• Integrate Hospitals input on steering committee agendas;

address issues

• Continue to evolve and develop steering committee

membership to represent all sectors of Montgomery County

(private sector, grassroots, community members, etc.).

• Utilize the resources of the hospitals, specifically during work

plan development- think about what the hospitals are already

doing.

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Implementation Plan:

Diabetes

&

Cardiovascular Health

Suburban Hospital

MedStar Montgomery Medical Center

Holy Cross Hospital

Core Measures

Adventist HealthCare- Washington Adventist Hospital

Adventist Healthcare- Shady Grove Medical Center

• Adults with diabetes

• ER visits for diabetes

Diabetes Education and Nutrition School: Health education on self-

management of the disease, which includes an adequate diet, regular physical activity and daily control of glucose levels.

Diabetes Prevention Program Group Lifestyle Balance™

OB/GYN Gestational Diabetes Education Classes

Pre-Diabetes Classes

Diabetes Support Group

Pre-Diabetes Classes

Diabetes Informational Sessions at Mobile Med

Mobile Med/NIH Endocrine Clinic at Suburban Hospital; Financial and in-kind

support to local clinics

Diabetes Schools at Proyecto Salud; Support Groups, Nutrition Counseling

Services; Nutrition Seminars

Health Priority

Suburban Hospital

MedStar Montgomery Medical Center

Holy Cross Hospital

Core Measures

Adventist HealthCare Washington Adventist Hospital

Adventist HealthCare- Shady Grove Medical Center

• Heart disease mortality

• Stroke mortality

• High blood pressure

prevalence

Senior Fit, a free 45-minute multi-component, age appropriate exercise class

at various geographically accessible locations in Mont. & PG County

Stanford University’s Chronic Disease Self-Management Program, two and a

half hour workshop, once a week, for six weeks, in community settings such

as senior centers, churches, libraries and hospitals

Conduct heart disease-related education programs and screenings events in

the Aspen Hill/Bel Pre region

Senior Exercise: A fitness active aging group exercise class, designed to help

older adults maintain their cardiovascular health.

Love Your Sweetheart

Healthy Living Lecture Series

Monthly Blood Pressure Testing at Damascus & Rockville Senior Center

Mobile Med/NIH Heart Clinic at Suburban Hospital

Project Access & Catholic Charities

HeartWell Program

Re-admission Initiative

Health Priority

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Healthy Montgomery Healthy Montgomery

PrioritiesPriorities