COMMUNITY BENEFIT ASSESSMENT AND IMPLEMENTATION PLAN PAGE 20
Stelzer Road Trailer Park Faith Mission Lower Lights Christian
Health Center Southeast Inc. Heart of Ohio Family Health
Centers
� – Capital Family Health Center � – Whitehall Family Health
Center
*** The community health needs and the implementation strategy
are based on data supporting the health needs and resources
available for a certain period of time.These needs and resources
may change and therefore the implementation strategy must also
change to remain relevant to the community and hospital system
MOUNT CARMEL EAST
Structure Bookmarks6001 EAST BROAD STREET COLUMBUS, OHIO 43213
mountcarmelhealth.com mountcarmelhealth.com
FigureCOMMUNITY BENEFIT ASSESSMENT AND IMPLEMENTATION PLAN
2013-2016 FigureMount Carmel Health System Community Health Needs
Assessment Implementation Plans Mount Carmel Health System
Community Health Needs Assessment Implementation Plans Accepted by
the Mount Carmel Health System Board of Trustees as a Component of
the Community Benefit Plan and Approved on May 15, 2013
Contents Contents 1. Mount Carmel Health System a. a. a. Our
Purpose and Overview
b. b. The Community We Serve;Area Demographics
2. Assessment, Methodology and Findings a. a. a. Link to the
HealthMap 2013 (Franklin County Health Needs Assessment)
b. b. Community Benefit Advisory Board
c. c. Mount Carmel Health Community Benefit System-wide
Strategies Goals
3. 3. 3. Facility Specific Overview
4. 4. Community Benefit Reporting (Link to Community Benefit
Report)
5. 5. Specific Facility Response to Finding
6. 6. Unaddressed Identified Needs
7. 7. 7. Attachments
a. a. a. Data Sources
b. b. Anticipated Partners
Mount Carmel Health System OUR PURPOSE AND OVERVIEW Mount Carmel
Health System OUR PURPOSE AND OVERVIEW Mount Carmel Health System
was founded in 1886 by two area physicians and the Sisters of the
Holy Cross with the mission to help the poor and underserved.
Presently a part of CHE-Trinity Health, it is one of the largest
Catholic healthcare organizations in the United States. Located in
Columbus, Ohio with a target service area that includes all of
Franklin County it serves a population of about 800,000 with 1,350
inpatient beds.We employ more than 8,000 employees, and have 1,500
physicians and nearly 900 volunteers. MCHS includes Mount Carmel
East, Mount Carmel West, Mount Carmel St.Ann’s, Mount Carmel New
Albany Surgical Hospital, Diley Ridge Medical Center, and community
based ambulatory centers,Women’s Health, Physical Rehab and Cancer.
MCHS exists to improve the health of our communities by providing
compassionate care and service to people in time of illness and
suffering.
Mission Mission Mission
We serve together in Trinity Health, in the spirit of the
Gospel, to heal body, mind and spirit, to improve the health of our
communities, and to steward the resources entrusted to us.
Vision Vision Vision
Inspired by our Catholic faith tradition,Trinity Health will be
distinguished by an unrelenting focus on clinical and service
outcomes as we seek to create excellence in the care experience.
Trinity Health will become the most trusted health partner for
life.
Values Values Values
Respect Social Justice Compassion Care of the Poor and
Underserved Excellence
THE COMMUNITY WE SERVE; AREA DEMOGRAPHICS THE COMMUNITY WE
SERVE; AREA DEMOGRAPHICS County Health Rankings and Roadmaps /
Franklin County http://www.countyhealthrankings.org/app
TableTRRank (of 88) Franklin County Error Margin Ohio National
Benchmark*
Health Outcomes Health Outcomes 58
MortalityMortality 56
Premature death Premature death 7,870 7,694-8,046 7,457
5,317
MorbidityMorbidity 64
Poor or fair health Poor or fair health 14% 13% - 16% 15%
10%
Poor physical health days Poor physical health days 3 - 7 3.3 -
4.0 3.6 2.6
Poor mental health days Poor mental health days 4 3.6 - 4.3 3.8
2.3
Low birth weight Low birth weight 9.4% 9.2 - 9.5% 8.6% 6.0%
Health Factors Health Factors 41
Health Behaviors Health Behaviors 47
Adult Smoking Adult Smoking 21% 19 - 23% 22% 13%
Adult Obesity Adult Obesity 31% 29 - 33% 30% 25%
Physical inactivity Physical inactivity 25% 23 - 27% 27% 21%
Excessive drinking Excessive drinking 19% 17 - 21% 18% 7%
Motor vehicle crash death rate Motor vehicle crash death rate 9
8 - 9 11 10
Sexually transmitted infections Sexually transmitted infections
703 422 92
Teen birth rate Teen birth rate 45 44 - 46 38 21
Clinical Care Clinical Care 11
Uninsured Uninsured 15% 14 - 16% 14% 11%
Primary care physicians** Primary care physicians** 1,065:1
1,348:1 1,067:1
Dentists** Dentists** 1,317:1 1,928:1 1,516:1
Preventable hospital stays Preventable hospital stays 70 68 - 73
79 47
Diabetic screening Diabetic screening 85% 83 - 87% 83% 90%
Mammography screening Mammography screening 60% 58 - 62% 63%
73%
Social & Economic Factors Social & Economic Factors
52
High school graduation** High school graduation** 83% 78%
Some college Some college 69% 61% 70%
Unemployment Unemployment 7.6% 8.6% 5.0%
Children in poverty Children in poverty 27% 24 - 29% 24% 14%
Inadequate social support Inadequate social support 19% 17 - 21%
20% 14%
Children in single-parent households Children in single-parent
households 39% 37 - 40% 34% 20%
Violent crime rate Violent crime rate 537 332 66
Physical environment Physical environment 46
Daily fine particulate matter Daily fine particulate matter 13.5
13.3 - 13.7 13.4 8.8
Drinking water safety Drinking water safety 0% 2% 0%
Access to recreational facilities Access to recreational
facilities 10 10 16
Limited access to healthy foods** Limited access to healthy
foods** 6% 6% 1%
Fast food restaurants Fast food restaurants 59% 55% 27%
* 90th percentile, i.e., only 10% are better. ** Data should not
be compared with prior years due to change in definition. Note:
Blank values reflect unreliable or missing data.
Area Demographics, continued Area Demographics, continued
788,696 people live in Columbus.The racial demographics of our
patients follow the same composition as our community with the
majority of the population, 73 percent, Caucasian; African American
patients are the second highest number at 21 percent, followed by
Hispanic at 1 percent.All other races make up the remaining 5
percent. Columbus, Ohio
The surrounding population in zip code 43213 encompassing MCE is
made up of 29,835 persons.The 2011 demographic description is as
followed: White - 55.7 % Black - 30.9 % Hispanic - 7.3 % Asian and
Pacific Islander - 3.2 % Other - 2.9%Race/Ethnicity 3
18 to 64 years – 63.9% Under 18 years – 23.3% 65 and over –
12.9% Age Group
The average household income is $49,555, 27% lower than the
national average. Due to this factor, the amount of individuals
living below the poverty level is 21.4 %, 7.2 % higher than the
state of Ohio.2
14 $49,500 12 $49,000 10 $48,500 $48,000 $48,000 Millions8 6
$47,500 $47,500 $47,500
4 4
$47,000 $47,000
$46,500 $46,500 2
$46,000 $46,000 Median Household Income 0 Total Population
100% 100%
90% 90%
80% 80%
70% 70%
60% 60%
50% 50%
40% 40%
30% 30%
20% 20%
10% 10%
Ohio Ohio 0%
TRIndividuals Living Individuals < 18 High School
Franklin County Franklin County Below Poverty years Living
Graduate
TRLevel Below Poverty
TRLevel
HealthMap 2013 Community Need Index for Zip Code 43213 HealthMap
2013 Community Need Index for Zip Code 43213 Health is not only
defined as free of disease; it is something that is affected by
education and income, along with other social needs, which are all
determinants of health.The Community Need Index (CNI), developed by
Catholic Healthcare West (CHW), in partnership with Thomson
Reuters, helps organizations gain a better understanding of public
health disparities for every zip code in the United States. This
information empowers organizations to determine community benefit
programming that will better serve iCHW and Thomson Reuters
identified five socio-economic barriers that quantify health access
to communities: income, education, culture/language, insurance, and
housing. Each barrier has been assigned a numerical score from 1 to
5. A score of 1 represents the least amount of socio-economic
barriers (low need).A score of 5 represents the largest amount of
socioeconomic barriers (high need).The scores are averaged to
obtain the final CNI score. The description of how each category
was calculated has been itali-
Income (3) – percentage of elderly, children, and single parents
living in poverty. Those with limited income have fewer visits to
primary care due to decisions being made between paying a much
needed bill or receiving care. Low income homes may not have
insurance, or unable to pay associated costs if they do.
Cultural/Language (5) – percentage of Caucasian/Non-Caucasian and
the percentage of adults over the age of 25 with limited English.
Those whose primary language is not English may not fully
understand their medical situation, be confused on discharge
instructions, may not be able to read medication labels or
understand self-care instructions for chronic conditions. Education
(2) – percentage of without high school diplomas. Lack of education
can often lead to lack of employment and the lack of health
insurance.Without health education, the ability to understand
medical information or to recognize symptoms may be impacted.
Insurance (4) – percentage of uninsured and the percentage of
unemployed. Without health insurance, individuals may forego
primary treatment which may lead to hospitalization due to chronic
conditions. After hospitalization, those with injuries or chronic
conditions may not continue medical care due to costs, which could
increase recovery time. If problems persist, the uninsured may have
difficulty obtaining health insurance in the future. Housing (5) –
percentage renting housing. Increased use of rental housing is
associated with transitory lifestyles, an unstable home and an
environment unfavorable to health prevention. Most rental units are
sub-standard, in high crime areas, lower quality schools and
limited food choices and less recreational opportunities.
Homelessness was not factored in this score. Figure
Community need index (map showing color coded severity)
Community need index (map showing color coded severity) Community
need index (map showing color coded severity)
The final CNI (3.8) - shows correlation between high need and
high hospital utilization. Admission rates in high need areas were
two times higher than low need areas in regards to pneumonia,
congestive heart failure, and cellulitis.This may be due to the use
of primary care or assistance in managing chronic diseases or
conditions. Intercity hardship index Intercity hardship index
The Intercity Hardship Index, calculated every ten years, is a
comparative analysis of cities in the United States that have a
population of 480,000 or more. It began with 55 cities in 1970 and
has grown to include 86 cities that were incorporated in 1990. Six
key factors are used to determine the Intercity Hardship Index
score from zero to 100.The higher the score, the greater the
hardship.The key factors are: • Unemployment – percent of civilians
16 years and older who are unemployed • Dependency – percent of
population under 18 years and over 64 year • Education – percent of
population 25 years and older who have less than a high school
education • Income – per capita income • Crowded housing – percent
of occupied housing units with more than one person per room •
Poverty – percent of people living below the federal poverty level,
adjusted for local cost of living Although the study reflected that
cities in the Midwest had a high index score, since the inception
of the Intercity Hardship Index, Columbus has always been one of
the cities with the least hardship.3
*Dignity Health Community Needs Index /
http://cni.chw-interactive.org
TableTR1970 1980 1990 2000
Index Score Index Score 34.8 24.2 22.5 18.6
Rank Rank 46 42 78 79
Total # Cities Total # Cities 55 55 86 86
Assessment, Methodology and Findings Assessment, Methodology and
Findings Assessment, Methodology and Findings
In 2012, Mount Carmel Health System joined area hospitals and
community agencies in preforming a community health needs
assessment that met the requirement of the Patient Care Protection
Affordable Care Act.This assessment was completed and made public
January 2013. The document form this assessment is the Franklin
County HealthMap 2013: Navigating Our Way to a Healthier Community
Together (HealthMap 2013).The collaborative effort was headed by
the Central Ohio Hospital Council.The team included
representatAccess to care Chronic Disease Infectious Disease
Behavioral HealthHighIncidence of Cancer InterpersonalViolence
Unintentional Injuries High-RiskPregnancy CommunityHealth Access to
care Chronic Disease Infectious Disease Behavioral
HealthHighIncidence of Cancer InterpersonalViolence Unintentional
Injuries High-RiskPregnancy CommunityHealth *HealthMap 2013
Link to the HealthMap2013 (Franklin County Health Needs
Assessment) Link to the HealthMap2013 (Franklin County Health Needs
Assessment) Link to the HealthMap2013 (Franklin County Health Needs
Assessment)
The community health needs assessment identified and prioritized
health needs consisting of 8 priorities and 140 indicators.
Specific information about these indicators can be found in
Franklin County HealthMap 2013: Navigating Our Way to a Healthier
Community Together.The HealthMap 2013 can be found at
http://www.mountcarmelhealth.com
Understanding the prevalence of chronic health conditions,
barriers in access to care, and other health issues, all of the
central Ohio hospitals involved in this process aligned resources
to determine which indicator they could adopt and develop programs,
if not already in place, to address any of the eight indicators.
MCHS has programs in place to address all eight of these health
indicators. MCHS has also chosen to begin a new initiative to
address infant mortality.
Community Benefit Advisory Board Community Benefit Advisory
Board Community Benefit Advisory Board
The decision to focus resources on infant mortality was decided
by Mount Carmel Health System and the Community Benefit Advisory
Board with statistics from the Franklin County Health Needs
Assessment, HeallthMap2013 supporting this decision.The Mount
Carmel Community Benefit Advisory Board members consist of
individuals from the community, as well as Mount Carmel Health
associates. Together, we work to ensure that community benefit
programs are addressing the needs of the Health System Community
Benefit Mincommunity.We have developed a Mount Carmel
Mount Carmel Health Community Benefit System-wide Strategies
Goals Mount Carmel Health Community Benefit System-wide Strategies
Goals
Ensure equitable provision of care Improve access to health care
services Invest in access solutions for those most vulnerable
Embrace, celebrate and learn from diversity Achieve health
equity
Expand chronic disease management programs Enhance the health of
the community Educate and inform community on healthy behaviors
Promote evidence based programs and activities that create health
improvement Focus on health needs identified in local community
health assessment Promote physical, social and policy activities
that create health improvement Advance medical/healthcare knowledge
Enhance the health of the community
Document metrics and outcomes of all programs Partner with
community organizations Give community voice in decisions regarding
community benefit strategy and activities Demonstrate a return on
investment Maintain and improve knowledge of community health
Demonstrate transparency Relieve/reduce the burden of
government/other community efforts Demonstrate value of community
benefit
Although we are looking at identified needs system wide, each
facility is focusing on the area surrounding the hospitals with the
highest need and or determinates of health and reviewing needs from
a life course perspective. Determinates of health are factors that
contribute to a person's current state of health.“These factors may
be biological, socioeconomic, psychosocial, behavioral, or social
in nature. Scientists generally recognize five determinants of
health of a population: disparities.We are including the
• Biology and genetics. Examples: sex and age • Individual
behavior. Examples: alcohol use, injection drug use (needles),
unprotected sex, and smoking • Social environment. Examples:
discrimination, income and gender • Physical environment. Examples:
where a person lives and crowding conditions • Health services.
Examples:Access to quality health care and having or not having
health insurance.”
http://www.cdc.gov/socialdeterminants/Definitions.html
Life course perspective looks how an individual’s lifestyle
choices and health outcomes are affected by their family history.
It connects past family social, economic and health history to very
important when planning preventative health measures. Equity in
care is also a priority at Mount Carmel Health System. Mount Carmel
sponsored leaders to complete an executive disparities leadership
program. The Disparities Leadership Program is the first program of
its kind in the nation, and is designed for leaders individual
behavior and outcomes in the present. (Bengtson and Allen 1993).We
believe this is Massachusetts.As
FACILITY SPECIFIC OVERVIEW FACILITY SPECIFIC OVERVIEW Mount
Carmel East Hospital
In 1972, Mount Carmel East was completed, containing 233 beds,
on the 140 acre farm purchased by The Sisters of Mount Carmel in
1908. At that time, MCE’s location was considered quite a distance
from town. Over the years, MCE grew with our surrounding community,
adding a critical care core in 1983, additional surgery space in
1985 and maternity Services in 1990.The South Tower was added in
1993, the same year Mount Carmel East opened the Bruce E. Siegel
Center for Health Education focused on providing educaMount Carmel
East offers a wide range of services through a number of specialty
centers and has made an ongoing commitment to technology that has
helped set the facility apart. Our orthopedic surgical expertise is
so respected that knee replacement surgeries from Mount Carmel East
are broadcast live to students and visitors at Ohio's Center Of
Science and Industry (COSI Columbus). MCE has nationally recognized
heart care, with a Heart Center featuring cath labs, an
electrophysiology lab, a cardiovascular neMount Carmel East is
located in zip code 43213 but has some of its most frequent users
of the emergency department from zip code 43232 and 43068. Many of
these patients are without primary care so access to care is a real
issue for this area. Mount Carmel East is making this unmet need
the priority focus and is attempting to meet this need with
programs such as Health Stations and SOAR.
Health Stations Health Stations Health Stations
Health Stations are facilities anchored at a local church and a
public high school. Health care is conveniently available in the
neighborhood and everyone is able to receive primary medical care
and health education at these locations.The underserved, uninsured
and poor populations are included in the targeted population. In
alliance with our mission and values, MCHS vows to provide
professional medical, administrative and management services to
families, individuals, seniors and children who are in need. M
Reynoldsburg Health Station Reynoldsburg Health Station 6699
Livingston Ave Reynoldsburg, Ohio 43068 g
First Church of God Health Station First Church of God Health
Station 3480 Refugee Rd Columbus, Ohio 43232 Figure
SOAR SOAR SOAR
Mount Carmel East also started another program to help elevate
access to care problems for some of our patients.That program is
SOAR (Social Security Insurance/Social Security Disability
Insurance, Outreach,Access and Recovery (SOAR) Initiative) Franklin
County has a higher percentage of people without health coverage
(14.6%) compared to the State of Ohio at 12.2%. Franklin County
also has documented a higher number of uninsured receiving primary
care through the city hospitals emergency departments. The SOAR
Program implemented by Mount Carmel Health System assists patients
who are homeless, at risk of being homeless, and/or disabled to
navigate the Social Security Administration application process, as
well as applying for Medicaid and/or Medicare in less time than if
they were to do so on their own or through other entities. This
process helps decrease barriers to primary care that also decreases
the number of individuals using the Emergency Department as primary
care; it will increase the economic s
Community Benefit Reporting (Link to Community Benefit Report)
Community Benefit Reporting (Link to Community Benefit Report)
Community Benefit Reporting (Link to Community Benefit Report)
Many of our other programs are highlighted in the Community
Benefits Report at this link http://www.mountcarmelhealth.com
Specific Facility Response Plan to Findings Specific Facility
Response Plan to Findings Specific Facility Response Plan to
Findings
The following implementation plan lists each of the eight needs
identified by HealthMap 2013. Each need was then reviewed for lack
of access, awareness or education and then plans were made to meet
these needs. Mount Carmel East implementation plan: 2013 – 2015
CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING PROFILE 2013 –
2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING PROFILE
2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING
PROFILE
Mount Carmel Campus: Mount Carmel Campus: Mount Carmel East
CHNA HEALTH ISSUE: CHNA HEALTH ISSUE: Access to Care
CHNA REFERENCE PAGE: Pages 5 & 19 RANKING: 1 Brief
Description of Issue: Emergency Departments in Franklin County
experience higher utilization when comparing rates per population
when comparing rates per population, than do ED's across the state.
ED's in Franklin County are used for less severe cases than other
state ED's. In terms of specific conditions where access to care
poses a problem, Franklin County adults have more difficulty in
accessing dental care when compared to adults across Ohio. CHNA
REFERENCE PAGE: Pages 5 & 19 RANKING: 1 Brief Description of
Issue: Emergency Departments in Franklin County experience higher
utilization when comparing rates per population when comparing
rates per population, than do ED's across the state. ED's in
Franklin County are used for less severe cases than other state
ED's. In terms of specific conditions where access to care poses a
problem, Franklin County adults have more difficulty in accessing
dental care when compared to adults across Ohio.
GOAL: To improve access to timely and appropriate care for
uninsured and vulnerable populations in Franklin County with
special attention to the needs of homeless and disabled
populations. GOAL: To improve access to timely and appropriate care
for uninsured and vulnerable populations in Franklin County with
special attention to the needs of homeless and disabled
populations.
OBJECTIVE: Mount Carmel East will improve access by: 1.
Addressing personal cost as a barrier to seeking care 2. Increase
community awareness of primary care and prevention resources in the
community 3. Support primary care resources targeting the needs of
local underserved and vulnerable populations OBJECTIVE: Mount
Carmel East will improve access by: 1. Addressing personal cost as
a barrier to seeking care 2. Increase community awareness of
primary care and prevention resources in the community 3. Support
primary care resources targeting the needs of local underserved and
vulnerable populations
STRATEGIES: 1. Support "Health Stations" to provide primary care
and improve community awareness of available resources. 2. Maintain
support for primary care resources to address underserved
populations including Outpatient Clinics and local FQHC's. 3.
Continue and enhance use of SOAR Program targeting the Homeless and
Disabled to address uninsurance as a barrier to timely and
appropriate care and personal cost as barrier to
prevention/maintenance services. 4. Increase number of individuals
wSTRATEGIES: 1. Support "Health Stations" to provide primary care
and improve community awareness of available resources. 2. Maintain
support for primary care resources to address underserved
populations including Outpatient Clinics and local FQHC's. 3.
Continue and enhance use of SOAR Program targeting the Homeless and
Disabled to address uninsurance as a barrier to timely and
appropriate care and personal cost as barrier to
prevention/maintenance services. 4. Increase number of individuals
w
ANTICIPATED OUTCOME(S): 1. Increase number of individuals who
have coverage and/or access to financial assistance; 2. Measurable
reduction of utilization of ED ANTICIPATED OUTCOME(S): 1. Increase
number of individuals who have coverage and/or access to financial
assistance; 2. Measurable reduction of utilization of ED
KEY PARTNERS: United Methodist Church for All People; First
Church of God; Reynoldsburg High School, Heart of Ohio Family
Health Centers, the Coalition on Homelessness and Housing in Ohio,
Lower Lights Christian Health Center and Columbus Neighborhood
Health Centers. KEY PARTNERS: United Methodist Church for All
People; First Church of God; Reynoldsburg High School, Heart of
Ohio Family Health Centers, the Coalition on Homelessness and
Housing in Ohio, Lower Lights Christian Health Center and Columbus
Neighborhood Health Centers.
2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING
PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE
PLANNING PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH
ISSUE PLANNING PROFILE
Mount Carmel Campus: Mount Carmel Campus: Mount Carmel East
CHNA HEALTH ISSUE: CHNA HEALTH ISSUE: Chronic Disease
CHNA REFERENCE PAGE: 6 RANKING: 2 Brief Description of Issue:
Chronic diseases – such as heart disease, stroke, cancer, diabetes
– are the leading causes of death and disability at the local,
state and national levels. According to the Centers for Disease
Control and Prevention medical care costs of people with chronic
diseases account for more than 75% of total medical care costs in
the U.S. In Franklin County, over 60% of all deaths were due to
chronic disease. Franklin County has a higher prevalence of bCHNA
REFERENCE PAGE: 6 RANKING: 2 Brief Description of Issue: Chronic
diseases – such as heart disease, stroke, cancer, diabetes – are
the leading causes of death and disability at the local, state and
national levels. According to the Centers for Disease Control and
Prevention medical care costs of people with chronic diseases
account for more than 75% of total medical care costs in the U.S.
In Franklin County, over 60% of all deaths were due to chronic
disease. Franklin County has a higher prevalence of b
GOAL: Improve management of chronic disease, specifically heart
failure and diabetes GOAL: Improve management of chronic disease,
specifically heart failure and diabetes
OBJECTIVE: Improve self-management of diabetes and heart failure
in partnership with community based organizations and ensuring
uninsured individuals have access to pharmaceuticals through
pharmaceutical assistance programs. OBJECTIVE: Improve
self-management of diabetes and heart failure in partnership with
community based organizations and ensuring uninsured individuals
have access to pharmaceuticals through pharmaceutical assistance
programs.
STRATEGIES (BY OBJECTIVE): 1. Community education through
speakers and disease specific and prevention literature. 2. Provide
resources to improve self-management through Health Coach Program.
STRATEGIES (BY OBJECTIVE): 1. Community education through speakers
and disease specific and prevention literature. 2. Provide
resources to improve self-management through Health Coach
Program.
ANTICIPATED OUTCOME(S): 1. Reduction of avoidable admissions as
a result of unmanaged diabetes or heart failure. 2. Identification
of undiagnosed chronic disease in the community. ANTICIPATED
OUTCOME(S): 1. Reduction of avoidable admissions as a result of
unmanaged diabetes or heart failure. 2. Identification of
undiagnosed chronic disease in the community.
KEY PARTNERS: First Church of God, Health Stations, Church
Partnerships and Pharmaceutical programs. KEY PARTNERS: First
Church of God, Health Stations, Church Partnerships and
Pharmaceutical programs.
2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING
PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE
PLANNING PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH
ISSUE PLANNING PROFILE
Mount Carmel Campus: Mount Carmel Campus: Mount Carmel East
CHNA HEALTH ISSUE: CHNA HEALTH ISSUE: Infectious Disease
CHNA REFERENCE PAGE: 7 RANKING: 3 Brief Description of Issue:
Incidences of infectious diseases, especially those that are
sexually transmitted, more prevalent in Franklin County than in
Ohio. Franklin County rates for pertussis and tuberculosis are
higher than Ohio rates. The incidence rates for two
hospital-acquired infections -methicillin-sensitive Staphylococcus
Aureus (MSSA) and methicillin-resistant Staphylococcus Aureus
(MRSA) -- are slightly higher in Franklin County than in Ohio.*
CHNA REFERENCE PAGE: 7 RANKING: 3 Brief Description of Issue:
Incidences of infectious diseases, especially those that are
sexually transmitted, more prevalent in Franklin County than in
Ohio. Franklin County rates for pertussis and tuberculosis are
higher than Ohio rates. The incidence rates for two
hospital-acquired infections -methicillin-sensitive Staphylococcus
Aureus (MSSA) and methicillin-resistant Staphylococcus Aureus
(MRSA) -- are slightly higher in Franklin County than in Ohio.*
-
GOAL: Reduce instances of infectious diseases. GOAL: Reduce
instances of infectious diseases.
OBJECTIVE: Increase community awareness and prevent the spread
of infectious diseases. OBJECTIVE: Increase community awareness and
prevent the spread of infectious diseases.
STRATEGIES (BY OBJECTIVE): 1. Collaboration with the Columbus
Public Health Department to educate community regarding flu and
pandemics. 2. Look to leadership from the Health Department for
prevention of other infectious diseases. 3. Promote prevention,
education, and access to vaccinations STRATEGIES (BY OBJECTIVE): 1.
Collaboration with the Columbus Public Health Department to educate
community regarding flu and pandemics. 2. Look to leadership from
the Health Department for prevention of other infectious diseases.
3. Promote prevention, education, and access to vaccinations
ANTICIPATED OUTCOME(S): Decrease the cases of preventable
infectious diseases through increased use of vaccinations in
vulnerable communities ANTICIPATED OUTCOME(S): Decrease the cases
of preventable infectious diseases through increased use of
vaccinations in vulnerable communities
KEY PARTNERS: Columbus Public Health, Church Partnerships KEY
PARTNERS: Columbus Public Health, Church Partnerships
2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING
PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE
PLANNING PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH
ISSUE PLANNING PROFILE
Mount Carmel Campus: Mount Carmel Campus: Mount Carmel East
CHNA HEALTH ISSUE: CHNA HEALTH ISSUE: High Incidence of
Cancer
CHNA REFERENCE PAGE: 8 RANKING: 5 Brief Description of Issue:
Cancer places a tremendous emotional and financial burden on
patients, families and society. The number of new cancer cases can
be reduced, and many cancer deaths can be prevented through early
detection, vaccination, and maintaining healthy behaviors, such as
being physically active and maintaining a healthy weight. In
Franklin County, cancer is the second leading cause of death. The
top five cancer mortality rates in Franklin County are lung, cCHNA
REFERENCE PAGE: 8 RANKING: 5 Brief Description of Issue: Cancer
places a tremendous emotional and financial burden on patients,
families and society. The number of new cancer cases can be
reduced, and many cancer deaths can be prevented through early
detection, vaccination, and maintaining healthy behaviors, such as
being physically active and maintaining a healthy weight. In
Franklin County, cancer is the second leading cause of death. The
top five cancer mortality rates in Franklin County are lung, c
GOAL: Reduce cancer incidence and increase cancer screenings.
GOAL: Reduce cancer incidence and increase cancer screenings.
OBJECTIVE: Reach vulnerable populations at risk for cancer and
over-represented OBJECTIVE: Reach vulnerable populations at risk
for cancer and over-represented
STRATEGIES (BY OBJECTIVE): 1. Continue colon health program
outreach and targeting of African American males. 2. Continue
financial assistance for qualifying persons needing mammograms
STRATEGIES (BY OBJECTIVE): 1. Continue colon health program
outreach and targeting of African American males. 2. Continue
financial assistance for qualifying persons needing mammograms
ANTICIPATED OUTCOME(S): 1. Reduce cancer prevalence in high risk
populations. 2. Increase number of women receiving mammograms
ANTICIPATED OUTCOME(S): 1. Reduce cancer prevalence in high risk
populations. 2. Increase number of women receiving mammograms
KEY PARTNERS: Taylor Station Ambulatory Surgery Center, Mount
Carmel Medical Group. KEY PARTNERS: Taylor Station Ambulatory
Surgery Center, Mount Carmel Medical Group.
2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING
PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE
PLANNING PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH
ISSUE PLANNING PROFILE
Mount Carmel Campus: Mount Carmel Campus: Mount Carmel East
CHNA HEALTH ISSUE: CHNA HEALTH ISSUE: High-Risk Pregnancy
CHNA REFERENCE PAGE: 9 RANKING: 7 Brief Description of Issue:
Infant mortality rate, preterm birth rate and infant birth weights
are all important measures of the care pregnant women and their
newborns receive during pregnancy. In 2009, the March of Dimes gave
Ohio an “F” for its efforts to reduce preterm births. Ohio is
ranked 34th among the 50 states, Puerto Rico and the District of
Columbia. Unfortunately, Franklin County fares even worse than the
state in several areas of these. In Franklin County, the CHNA
REFERENCE PAGE: 9 RANKING: 7 Brief Description of Issue: Infant
mortality rate, preterm birth rate and infant birth weights are all
important measures of the care pregnant women and their newborns
receive during pregnancy. In 2009, the March of Dimes gave Ohio an
“F” for its efforts to reduce preterm births. Ohio is ranked 34th
among the 50 states, Puerto Rico and the District of Columbia.
Unfortunately, Franklin County fares even worse than the state in
several areas of these. In Franklin County, the
GOAL: Reduce infant mortality rate and low birth weight babies.
GOAL: Reduce infant mortality rate and low birth weight babies.
OBJECTIVE: Increase community awareness of infant mortality,
preterm birth rate and low birth weight babies. OBJECTIVE: Increase
community awareness of infant mortality, preterm birth rate and low
birth weight babies.
STRATEGIES (BY OBJECTIVE): 1. Convene process to identify three
potential programs/methods to increase public awareness. 2.
Continue programs directed at infant mortality, including
participation in community collaborative groups STRATEGIES (BY
OBJECTIVE): 1. Convene process to identify three potential
programs/methods to increase public awareness. 2. Continue programs
directed at infant mortality, including participation in community
collaborative groups
ANTICIPATED OUTCOME(S): Measurable decrease in infant mortality
rates ANTICIPATED OUTCOME(S): Measurable decrease in infant
mortality rates
KEY PARTNERS: Ohio Better Birth Outcomes, Health Stations, Ohio
Hospital Association, Women, Infant and Children (WIC), Action for
Children, Franklin County Jobs and Family Services, Local Churches,
Childcare Facilities, Nationwide Children's Hospital. KEY PARTNERS:
Ohio Better Birth Outcomes, Health Stations, Ohio Hospital
Association, Women, Infant and Children (WIC), Action for Children,
Franklin County Jobs and Family Services, Local Churches, Childcare
Facilities, Nationwide Children's Hospital.
2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE PLANNING
PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH ISSUE
PLANNING PROFILE 2013 – 2015 CHNA IMPLEMENTATION STRATEGY HEALTH
ISSUE PLANNING PROFILE
Mount Carmel Campus: Mount Carmel Campus: Mount Carmel East
CHNA HEALTH ISSUE: CHNA HEALTH ISSUE: Unintentional Injuries
CHNA REFERENCE PAGE: 10 RANKING: 8 Brief Description of Issue:
Unintentional injuries are a leading cause of death for Americans
of all ages, regardless of gender, race, or economic status.
According to the Center for Disease Control, every six minutes
someone in the United States dies from causes such as motor vehicle
crashes, falls, poisoning, drowning, fire, bicycle crashes,
suffocation, or pedestrians being struck by motor vehicles. In
Franklin County, unintentional injuries are the leading cause of
deaCHNA REFERENCE PAGE: 10 RANKING: 8 Brief Description of Issue:
Unintentional injuries are a leading cause of death for Americans
of all ages, regardless of gender, race, or economic status.
According to the Center for Disease Control, every six minutes
someone in the United States dies from causes such as motor vehicle
crashes, falls, poisoning, drowning, fire, bicycle crashes,
suffocation, or pedestrians being struck by motor vehicles. In
Franklin County, unintentional injuries are the leading cause of
dea
GOAL: Reduce the occurrence of unintentional injuries. GOAL:
Reduce the occurrence of unintentional injuries.
OBJECTIVE: Assess for risk for unintentional injuries in
high-risk populations. OBJECTIVE: Assess for risk for unintentional
injuries in high-risk populations.
STRATEGIES (BY OBJECTIVE): 1. Provide access to exercise classes
for strength and balance for seniors in a safe environment. 2.
Public awareness and education of seat belt safety. STRATEGIES (BY
OBJECTIVE): 1. Provide access to exercise classes for strength and
balance for seniors in a safe environment. 2. Public awareness and
education of seat belt safety.
ANTICIPATED OUTCOME(S): Reduce risk for unintentional injuries
in high risk populations. ANTICIPATED OUTCOME(S): Reduce risk for
unintentional injuries in high risk populations.
KEY PARTNERS: Church Partnerships, First Church of God. KEY
PARTNERS: Church Partnerships, First Church of God.
Unaddressed Identified Needs Unaddressed Identified Needs
Unaddressed Identified Needs
All priority needs identified by HealthMap 2013 have been
addressed by at least one of Mount Carmel Health System
facilities.These needs may not have been addressed by all
facilities due to limited resources. Identified Need: MCE or
Addressed by: 1. 1. 1. Access to Care x
2.2. Chronic Disease x
3.3. Infectious Disease x
4.4. Behavioral Health x MCSA and resources on pg. 8 of
HealthMap 2013
5. 5. High Incidence of Cancer x
6. 6. Interpersonal Violence x MCNA and resources on pg. 9 of
Franklin County HealthMap 2013.
7. 7. High Risk Pregnancy x
8.8. Untentional Injuries x
X= not addressed by this facility MCE = Mount Carmel East MCW =
Mount Carmel West MCSA = Mount Carmel St.Ann’s MCNA = Mount Carmel
New Albany DR = Diley Ridge
Attachments Attachments Attachments
Appendix A- Data Sources Appendix A- Data Sources
1. 1. 1. Health Map 2013
2. 2. Reference: 2 – U.S. Census Bureau, 2010 Census.Accessed:
http://quickfacts.census.gov/qfd/states/30/3018000.html
3. 3. CNI (web site)
http://cni.chw-interactive.org/printout.asp
4. 4. Research Health Partners (web site)
5. 5. Demographics Expert 2.7: 2011 Demographic Snapshot of Zip
code 43213, 2011 Nielson Company, 2012 Thomson Reuters. Accessed
6/13/12.
Appendix B – Anticipated Partners Appendix B – Anticipated
Partners
MCHS Constituents MCHS Constituents
• The MCHS Foundation • Mission Services • Service Line
Administration • Outreach • Neighborhood Services • Finance •
Administration • Emergency Department Services • Communication and
Public Affairs • The College of Nursing . Community
Constituents
• American Cancer Society • Columbus City Schools • Columbus
Health Department • Columbus State Community College • Heart of
Ohio Family Health Centers • Mid-Ohio Food Bank • Westerville South
High School • Avondale School • Gladden Community House • Franklin
County Red Cross • Columbus Police Department • United Way of
Central Ohio • Westerville Area Resource Ministry (WARM) • YMCA of
Central Ohio • Coalition on Homelessness and Housing in Ohio •
Christ The King, Bishop Griffin Center • Clintonville Community
Resource Center • Holy Family Soup Kitchen • Second Servings •
Reynoldsburg Shepherd’s Place • Salvation Army • Stowe Baptist
Church • Church For All People • First Church of God • Reynoldsburg
High School • Stelzer Road Trailer Park • Faith Mission • Lower
Lights Christian Health Center • Southeast Inc. • Heart of Ohio
Family Health Centers . – Capital Family Health Center . –
Whitehall Family Health Center *** The community health needs and
the implementation strategy are based on data supporting the health
needs and resources available for a certain period of time.These
needs and resources may change and therefore the implementation
strategy must also change to remain relevant to the community and
hospital system
