COMMUNITY HEALTH NEEDS ASSESSMENT

TISHOMINGO HEALTH SERVICES, INC., DBA

NORTH MISSISSIPPI MEDICAL CENTER-IUKA

September 2019

TABLE OF CONTENTS

I. BACKGROUND AND REGULATORY REQUIREMENTS OF COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). . . . . . . . . . . . . . . . . 2

II. OBJECTIVES AND METHODOLOGY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

III. ACTIONS TAKEN SINCE 2016 CHNA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

IV. NORTH MISSISSIPPI HEALTH SERVICES AT A GLANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

V. NMMC - IUKA AT A GLANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

VI. COMMUNITY HEALTH NEEDS SURVEY TOOL AND RESULTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 23

VII. IMPLEMENTATION STRATEGIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

VIII. APPENDIX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

1

REGULATORY REQUIREMENTS OF COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)

The Patient Protection and Affordable Care Act (PPACA) of 2010 requires tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is the process by which a non-profit hospital evaluates the health needs of the community it serves, e.g., diabetes, heart disease, lung disease, and the service area’s overarching resources, e.g., food, housing, poverty, etc. This assessment identifies our community strengths, needs, care gaps, assets and opportunities relative to the health of our residents.

Our subsequent implementation plan will describe our next steps. As a not-for-profit hospital system, we are required to conduct a CHNA every three years which includes identifying priorities and implementing strategies that will address the needs of those in our defined market.

This CHNA will help us develop strategies that will improve the health of our communities by:

Identifying chronic health issues and care gaps

Recognizing health disparities particularly associated with vulnerable populations

Highlighting community resources that are either available, lacking or underutilized

Understanding health needs from a population-based perspective

Implementing plans to address identified needs

2

OBJECTIVES AND METHODOLOGY

Federal regulations allow us to define the communities we serve based on the relevant facts and circumstances including the geographic locations served by our facilities. Our overall service area includes 20 Mississippi counties and four Alabama counties. This CHNA was compiled/assembled by the Strategy Department of North Mississippi Health Services (NMHS). Significant data from the below secondary sources were gathered, assessed, evaluated and analyzed with demographic and health indicators cited as appropriate:

U. S. Census Bureau

County Health Rankings

CDC

County Health Departments

Input from the community was received via informant interviews, standardized electronic surveys from key organizations/stakeholders, healthcare advocates/leaders, and interested community partners residing in the service areas served by North Mississippi Medical Center-Iuka and the health system (see Appendix). Additionally, the Patient and Family Advisory Council members participated in the electronic survey process and provided ongoing input/support culminating in a prioritized list of community needs.

3

4

ACTIONS TAKEN SINCE 2016 CHNA

Community Activity 2017 Number of Participants

Local school vision/hearing screens (Spring 2017) 150

Athletic Physicals (April 2017) 200

Rotary Presentations (Iuka Chapter) 25

Pilot Club Back to School Health Fair 75

County Fair Health Fair 40

Relay for Life Corporate Sponsor/booth at event 200

Allied Health HS clinical rotations 8

Nurse Mentorship (Summer) 6

Summer Health Academy 7

Indigent population mammograms (Komen Foundation)

Wellness Center Health Promotions

Trunk N Treat at NMMC-Iuka (October) 100

Belmont HS Faculty Health Fair 25

5

ACTIONS TAKEN SINCE 2016 CHNA CONTINUED

Community Activity 2018 Number of Participants

Local school vision/hearing screens (Spring 2018) 120

Athletic Physicals (April 2018) 175

Rotary Presentations (Iuka Chapter) 25

Pilot Club Back to School Health Fair 80

County Fair Health Fair (October 2017) 35

Allied Health HS clinical rotations 8

Nurse Mentorship (Summer) 5

Indigent population mammograms (Komen Foundation)

Wellness Center Health Promotions

Trunk N Treat at NMMC-Iuka (October) 100

Belmont HS Faculty Health Fair 20

6

ACTIONS TAKEN SINCE 2016 CHNA CONTINUED

Community Activity 2019 Number of Participants

Local school vision/hearing screens (Assist school nurses with screens)

Athletic Physicals (April 2019) (Free physicals for young athletes, including EKG’s) 310

Rotary Presentations (Iuka Chapter) (Civic group presentations) 0

Junior Auxiliary Back to School Health Fair (pre-school event) 200

County Fair Health Fair (October 2018) 25

Allied Health HS clinical rotations (Vo-Tech student rotations) 8

Nurse Mentorship – Summer - (Shadowing for clinicians) 5

Indigent population mammograms (Komen Foundation) 40

Wellness Center Health Promotions (WC related events for community) 854

Trunk N Treat at NMMC-Iuka (October) Candy for the kids at NMMC-Iuka 150

Belmont HS Faculty Health Fair (Health screens)

NORTH MISSISSIPPI HEALTH SERVICES AT A GLANCE

North Mississippi Health Services (NMHS) is a nonprofit, integrated health care delivery system serving 24 counties in north Mississippi and northwest Alabama (twenty Mississippi counties and four Alabama counties).

NMHS’ headquarters is located in Tupelo, MS (North Mississippi Medical Center-Tupelo and the system has five community hospitals with locations in Mississippi (Amory, Eupora, Iuka, Pontotoc and West Point and one community hospital located in Alabama (Hamilton).

In addition to seven hospitals, NMHS has a regional network of more than 50 primary and specialty clinics, four nursing homes, managed care plans and offers telehealth services. NMHS’ physicians and staff are committed to providing quality patient care.

NMMC-Tupelo was honored with the Baldrige Award in 2006 and North Mississippi Health Services in 2012.

Source: https://www.nist.gov/baldrige/north-mississippi-health-services 7

Health behaviors, clinical care, social/economic factors, and

physical environment

County Ranking

Alcorn 9

Benton 21

Calhoun 19

Chickasaw 24

Choctaw 18

Clay 23

Colbert 3

Franklin 17

Itawamba 5

Lafayette 1

Lamar 7

Lee 2

Lowndes 16

Marion 15

Marshall 20

Monroe 14

Oktibbeha 6

Pontotoc 8

Prentiss 10

Tippah 12

Tishomingo 11

Union 4

Webster 13

Yalobusha 22

Source: Adapted from the University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps 2019. www.countyhealthrankings.org

RANKING OF HEALTH OUTCOMES FOR THE 24 COUNTIES IN THE NMHS SERVICE AREA

According to the American Heart Association, overweight, obesity and lack of exercise are common causes of heart disease

American Cancer Society states making healthy choices like eating right, staying active and not smoking reduces the risk of cancer

OBESITY

ADULT SMOKING

PHYSICAL INACTIVITY

10%

15%

20%

25%

Current Performance Target/Goal

20%

25%

30%

35%

40%

45%

Current Performance Target/Goal

15%

25%

35%

45%

Current Performance Target/Goal

Source: County Health Rankings (2019). Current performance shows rate for each 24 service area county in alphabetical order (Alcorn, Benton, Calhoun, Chickasaw, Choctaw, Clay, Colbert, Franklin, Itawamba, Lafayette, Lamar, Lee, Lowndes, Marion, Marshall, Monroe, Oktibbeha, Pontotoc, Prentiss, Tippah, Tishomingo, Union, Webster, and Yalobusha). The target goal is the US top performers, i.e., adult smoking (14%), obesity (26%) and physical inactivity (19%).

HEALTH BEHAVIORS IN THE NMHS SERVICE AREA

9

NMMC-IUKA AT A GLANCE

Tishomingo Health Services Inc., d/b/a NMMC-Iuka has inpatient care services that includes 24 hour direct patient care with multi-disciplinary services, including: nursing, radiology, laboratory, ultrasonography, nuclear medicine, CT, magnetic resonance imaging (MRI), physical therapy, occupational therapy, respiratory therapy, food and nutritional services, and social services. Spiritual assistance is also available 24 hours a day through a volunteer chaplain program staffed by volunteer local pastors. Specialtiesavailable for consult include orthopedics, pulmonology and urology.

The hospital also has 10 certified swing beds for patients who need extended care based on availability and resources. The two most common reasons for admission into swing bed are rehabilitation services and long term IV antibiotic therapy. Each referral to swing bed is reviewed on a case by case basis.

Nursing care at NMMC-Iuka is based on a team approach. Each of the nursing staff members are trained and maintain competency on a wide array of patient populations including infants, pediatrics, adolescent, adults and geriatrics. Some of the most commondiagnoses treated are chronic heart failure, pneumonia, chronic obstructive pulmonary disorder, stroke, gastritis, chest pain, urinary tract infection, transient ischemic attack (mini stroke), bronchitis, asthma and diabetes.

NMMC-Iuka offers 24-hour emergency services. The Emergency Department is staffed by well-equipped, highly qualified nurses and physicians. Emergency air ambulance services are readily available for critical care transport when needed. In addition, NMMC-Iuka offers paramedic-level ambulance services.

Outpatient services include physical therapy, occupational therapy, laboratory, radiology, respiratory care, infusion, wound care and cardiac monitoring.

The Rehabilitation Services Department is staffed by registered physical therapists and physical therapist assistants. The department, which is located inside the hospital, provides outpatient rehabilitation, occupational therapy, acute care and swing bed, among other services.

Source: http://www.nmhs.net/iuka/ 10

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NMMC- IUKA

1777 CURTIS DRIVE

IUKA, MS

NMMC-Iuka is a not-for-profit, 48-bed general acute care hospital. NMMC-Iuka offers the following services: full laboratory, clinical pharmacy, radiology, rehabilitation and respiratory therapy.

Source: http://www.nmhs.net/iuka/

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TISHOMINGO COUNTY

TISHOMINGO COUNTY DEMOGRAPHICSTishomingo County population is 18.5% of the NMMC- Iuka service area. The median age is 42.7, about 10% higher than the median age of 37.7 for US.

56.1% of the residents of Tishomingo County are female and 43.9% are male. Tishomingo County is 424.3 square miles with 46 people per square mile.

Per Capita income is $18, 790, about three-fifths of the amount for the US ($29,829). Median household income in Tishomingo County is $35,364, about two-thirds of the national amount at $55,322.

Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS <https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/>

Source: U.S. Census Bureau, Population Division, Release Date: June 2018, Annual Estimates of the Resident Population for Selected Age Groups by Sex July 1, 2017, retrieved July 2018

Source: U.S. Census Bureau, Population Division, Annual Estimates of the Resident Population: April 1, 2012 to July 1, 2017, retrieved July 2018

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19,619

19,542

19,300

19,350

19,400

19,450

19,500

19,550

19,600

19,650

as of July2010

as of July2011

as of July2012

as of July2013

as of July2014

as of July2015

as of July2016

as of July2017

Population Trend

Age Group Both sexes Male Female

Under 5 years 1,070 564 506

5 to 13 years 2,204 1,136 1,068

14 to 17 years 972 491 481

18 to 24 years 1,571 794 777

25 to 44 years 4,400 2,128 2,272

45 to 64 years 5,403 2,642 2,761

65 years and over 3,922 1,721 2,20168.00%

23.20%

7.90%

0.90%

0% 20% 40% 60% 80%

Under $50K

$50K - $100K

$100K - $200K

Over $200K

11.2%13.2%

10.8% 11.7%13.1%

14.3%12.7%

8.0%

5.0%

0%

5%

10%

15%

20%

0 - 9 10 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 +

TISHOMINGO COUNTY DEMOGRAPHICS CONTINUED

Ethnicity

Geographical mobility: 14.9% of population moved since the prior year, about the same as US rate (14.8%).

Population migration since previous year

There are 2.5 persons per household, a little less than the US figure (2.6). 75% of the housing units are occupied and 25% are vacant. 75% of the housing units are owner occupied with the remaining 25% occupied by renters. The median value of owner occupied housing units in Tishomingo County is $79,300, about two-fifths of the US value ($184,700).

Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS <https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/> 14

94.5%

4.2% 1.3%0.00%

20.00%

40.00%

60.00%

80.00%

100.00%

White Black Two

85.1%

11.3%

2.2%

1.2%

0.2%

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

same house year ago

from same county

from different county

from different state

from abroad

42.3%

57.7%

Marital Status

Married

Single

TISHOMINGO COUNTY OVERALL HEALTH COMPOSITE

Tishomingo County is worse than the national rate in 16 of 18 measures and better in 2 measures.

Source: http://www.countyhealthrankings.org/ 15

Measure Tishomingo County National Rate Better/Worse

Cancer incidence rate 487.6 441.2 Worse

Opioid prescription rate160.8 per 100 persons 66.5 per 100 persons

Worse

Premature deaths10,900 per 100,000 6,700 per 100,000

Worse

Adult smoking 20% 17% Worse

Physical inactivity 37% 23%

Adult obesity 34% 28% Worse

Diabetes monitoring 82% 85% Worse

Mammography screening 56% 63% Worse

Uninsured 17% 11% Worse

Preventable hospital stays83 per 1,000 Medicare

enrollees

49 per 1,000

Medicare enrollees Worse

Children in poverty 23% 20% Worse

Food insecurity 13.4% 12.9% Worse

Air pollution – particulate matter 9.3 8.7 Worse

Severe housing problems 10% 19% Better

Long commute – driving alone 29% 35% Better

% of adults with less than high school diploma 21.5% 13.1% Worse

% or adults completing some college or assoc. degree 27.7% 29.1% Worse

% of adults with bachelor’s degree or higher 10.9% 30.3% Worse

TISHOMINGO COUNTY HEALTH OUTCOMES, HEALTH FACTORS AND CLINICAL CARE

1Years of potential life lost before age 752Percent of adults aged 20 and over reporting no leisure-time physical activity

3Number of hospital stays for ambulatory-care sensitive conditions per 1,000 Medicare enrollees

Source: County Health Rankings - 2018, http://www.countyhealthrankings.org/16

Measure Tishomingo County US

Premature deaths1 - 2015 10,900 per 100,000 population 6,700 per 100,000 population

Adult smoking - 2016 20% 17%

Physical inactivity2 - 2014 37% 23%

Adult obesity - 2014 34% 28%

Measure Tishomingo County US

Uninsured - 2015 17% 11%

Primary care physicians - 2015 2,170:1 1,320:1

Dentists - 2016 19,490:1 1,480:1

Mental health providers - 2017 1,030:1 470:1

Preventable hospital stays3 - 2015 83 per 1,000 Medicare Enrollees 49 per 1,000 Medicare Enrollees

RATIO OF POPULATION (CONTIGUOUS COUNTIES/TISHOMINGO) TO PRIMARY CARE PROVIDERS

0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000

Itawamba

Prentiss

Franklin1,600:1

2,100:12,170:1

2,550:1

2,670:1

3,370:1

TISHOMINGO COUNTY HEALTH OUTCOMES, HEALTH FACTORS AND CLINICAL CARE

Fertility:

Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS <https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/> 17

3.1%

19.0%

7.8%

0.2% 0.0% 0.0% 0.0%0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

15 - 19 20 - 24 25 - 29 35 - 39 40 - 44 45 - 50 45 - 50

Women who gave birth during the past year by age group

TISHOMINGO COUNTY SOCIAL AND ECONOMIC FACTORSSource: USDA, Bureau of Labor Statistics and US Census

4Children under the age of 18 in poverty

POPULATION BY MINIMUM LEVEL OF EDUCATION

Foreign born population in Clay County is 1.6%, about 10% of the US rate (13.3%).

78.5% of the Tishomingo County population is a high school graduate or higher compared to the national rate of 87%. Residents of Tishomingo County with a bachelor’s degree or higher is 10.9%.

Sources: http://www.countyhealthrankings.org and U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS

<https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/>

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Measure Tishomingo

County

US

Unemployment – 2017 5.0 4.4

Median household income - 2016 $35,364 $55,322

High school graduate or higher, 2012-2016 78.5% 87%

Bachelor’s degree or higher, 2012-2016 10.9% 30.3%

% with less than high school diploma, 2012-2016 21.5% 13.0%

Children in Poverty4 - 2015 23% 20%

Food insecurity Rate, 2016 13.4% 12.3%

24.8%

46.0%

23.5%

3.2% 2.6%

0%

10%

20%

30%

40%

50%

No degree High school Some college Bachelor's Post-grad

Measure Tishomingo County

Language at home, children 5-17 95% English only

Language at home, adults 18+ 98% English only

TISHOMINGO COUNTY PHYSICAL ENVIRONMENT

Means of Transportation to Work

Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS, https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms and : http://www.countyhealthrankings.org/. Retrieved July 2018

The mean travel time to work in Tishomingo County is minutes compared to 24.2 minutes in Mississippi and 26.2 minutes in the US.

19

Source: County Health Rankings - 2018, http://www.countyhealthrankings.org/

Measure Tishomingo County National Rate

Air pollution – particulate matter 9.3 8.7

Severe housing problems 10% 19%

Driving alone to work 88% 76%

Long commute – driving alone 29% 35%

78.3%

18.1%

0.0%3.6%

0.0%0.00%

20.00%

40.00%

60.00%

80.00%

100.00%

Drove alone Carpooled Walked Worked at home Other

TISHOMINGO COUNTY CANCER INCIDENCE RATES

TISHOMINGO COUNTY OPIOID PRESCRIBING RATES

Tishomingo County 160.8 prescriptions per 100 persons

US 66.5 prescriptions per 100 persons

2016 PRESCRIBING RATES PER 100 PERSONS

TISHOMINGO AND CONTIGUOUS COUNTIES

Sources: CDC’s National Program of Cancer Registries, Incident Rate Report by County, 5 year trend (2011-2015) and CDC and CDC’s US County Prescribing Rates (2016)

Both sexes, all ages, all races – 2011 - 2015

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Tishomingo US

INCIDENCE RATE - ALL Sites 487.6 441.2 Worse

Breast-female 120.1 124.7 Better

Lung/Bronchus 89.5 60.2 Worse

Melanoma of Skin 16.5 21.3 Better

Uterus 25.8 20.5 Worse

Bladder 22.3 20.3 Worse

Non-Hodgkin Lymphoma 18.8 18.9 Better

Kidney & Renal Pelvis 20.7 16.4 Worse

Leukemia Suppressed 13.6 n/a

Pancreas 12.0 12.6 Better

The opioid prescribing rate for Tishomingo County is over twice that of the US rate

223.3

208.1

175.7

160.8

122.3

107.4

0 40 80 120 160 200 240

Franklin County

Colbert County

Alcorn County

Tishomingo County

Itawamba County

Prentiss County

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TISHOMINGO COUNTY CAUSES OF DEATH

CAUSE RATE

HEART DISEASE 456.6

MALIGNANT NEOPLASMS (CANCER) 256.5

OTHER DISEASES AND CONDITIONS 205.2

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)/EMPHYSEMA 107.7

UNINTENTIONAL INJURY 97.5

CEREBROVASCULAR DISEASES (STROKE) 92.4

ALZHEIMER’S DISEASE 51.3

SEPTICEMIA 30.8

CHRONIC LIVER DISEASE AND CIRRHOSIS 25.7

NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS (KIDNEY DISEASE) 25.7

DIABETES MELLITUS 20.5

PNEUMONIA AND INFLUENZA 15.4

SUICIDE 15.4

HYPERTENSION 5.1

ATHEROSCLEROSIS 5.1

CERTAIN CONDITIONS ORIGINATING IN PERINATAL PERIOD 5.1

HOMICIDE AND LEGAL INTERVENTION 5.1

OTHER EXTERNAL CAUSES 5.1

OTHER INFECTIONS AND PARASITES 5.1Source: https://mstahrs.msdh.ms.gov/forms/morttable.html - rate is per 100,000

TISHOMINGO COUNTY CHRONIC DISEASES

22Source: Mississippi Hospital Association, Dimensions – April 2019

25

26

27

28

29

30

31

CY 2015 CY 2016 CY 2017

Myocardial Infarction

40

45

50

55

60

65

70

75

80

CY 2015 CY 2016 CY 2017

Stroke

60

80

100

120

140

160

180

200

220

CY 2015 CY 2016 CY 2017

COPD

60

70

80

90

100

110

120

130

140

CY 2015 CY 2016 CY 2017

Heart Disease

20

30

40

50

60

70

80

CY 2015 CY 2016 CY 2017

Diabetes

COMMUNITY HEALTH NEEDS SURVEY

In addition to collecting social and demographic data from secondary sources, additional input was solicited from community residents who represent broadly diverse interests of the service area ranging from nonprofit community volunteers to retired educators, bankers and private business leaders (Appendix). The Strategy Team of NMHS developed an electronic SWOT (strengths, weaknesses, opportunities, threats) survey format to collect the community feedback, manage the collection process specifically designed to gather the perspectives of various community leaders’ experiences and their knowledge of the service area. The hospital administrator recruited potential community stakeholders and electronic invitations were sent to residents who expressed an interest in participating in the SWOT. Of those who agreed to participate in the Iuka Service Area SWOT, 83.3% completed the survey and a summary of their prioritized results are shown on the next five pages of this document:

Healthcare resources readily available to you Healthcare resources not available to you Unmet needs you would like to see addressed Imminent serious health threats to you/your family

23

24

Full service hospital equipped with emergency services in service area – 24/7

Primary care clinics/urgent care that meet various patient/family needs

Neighboring pharmacies

Lab facilities

Rehab services

SURVEY RESULTS

HEALTHCARE RESOURCES READILY AVAILABLE

25

Services related to dental care, mental health and drug addiction

Lack of major surgery options

Clinical specialists including oncology

Advanced cardiovascular service offerings

Extended hours clinics

SURVEY RESULTS

HEALTHCARE RESOURCES NOT AVAILABLE

26

Dental and related service offerings

Healthy lifestyle education

More surgery options – also need specialties, e.g., cardiology,

urology, ortho, pediatrics, etc.

Mental health services including drug addiction

Extended hours - clinics

SURVEY RESULTS

UNMET NEEDS THEY WOULD LIKE TO SEE ADDRESSED

27

Lifestyle and dietary education on life choices

Chronic disease management particularly heart disease and diabetes

Inadequate care for emergencies, e.g., stroke, heart attack, accidents, etc.

Drug addiction and associated “societal ills”

After hours clinics

Free clinics for the uninsured

Lack of cellular coverage – residents unable to call for help in some areas

Oncology service offerings

SURVEY RESULTS

IMMINENT SERIOUS HEALTH THREATS

28

SURVEY RESULTS

SIGNIFICANT NEEDS IDENTIFIED FOR THE IUKA SERVICE AREA

Healthy lifestyle choices and behaviors, e.g., exercise, nutrition, obesity awareness, etc.

Lack of major surgery options – general/specialty

Extended hours - clinic

Mental health service offerings including drug addiction and treatment

Clinical specialties, e.g., oncology, cardiovascular, urology, orthopedics, etc.

Dental services

IMPLEMENTATION STRATEGIES

NMMC – Iuka

29

LISTENING AND LEARNING TO IMPROVE

NMHS as the parent corporation of NMMC-Iuka routinely uses diverse methods to capture the voice of those they serve in the 24 rural counties in northeast Mississippi and northwest Alabama. A SWOT analysis was designed to identify the service area’s perceived strengths, weaknesses, opportunities and threats. The Strategy Team of NMHS developed the survey questions (methodology referenced in Sections VII and VIII). The elicited responses helped NMHS validate health-related needs and community opportunities. The SWOT along with data from various publicly available sources, e.g., regional/local organizations and agencies assisted NMHS in systematically identifying its strategic priorities. The below methods were also used to glean needs and preferences of service area residents:

Satisfaction surveys

Discharge phone calls

Face time with community leaders

Social media

Community outlets/organizations

Board and employee participation

Research30

TOP CAUSE OF DEATH IN TISHOMINGO AND THE NMHS SERVICE AREA

OKTIBBEHA

CANCER

LOWNDES

CANCERCHOCTAW

HEART DISEASE

WEBSTER

HEART DISEASE

CLAY

HEART DISEASE

MONROE

HEART DISEASE

CHICKASAW

HEART DISEASE

CALHOUN

HEART DISEASE

YALOBUSHA

HEART DISEASE

LAFAYETTE

HEART DISEASE

LAMAR

HEART DISEASE

MARION

HEART DISEASE

ITAWAMBA

HEART DISEASE

LEE

CANCERPONTOTOC

CANCER

UNION

HEART DISEASE

PRENTISS

HEART DISEASE

TIPPAH

CANCER

MARSHALL

CANCER

BENTON

HEART

DISEASE

ALCORN

HEART DISEASE

FRANKLIN

HEART DISEASE

COLBERT

HEART DISEASETIS

HO

MIN

go

HEART

DISEASE

For MS Counties: MS State Department of Health – 2016For AL Counties: AL Public Health Center for Health Statistics - 2015

31

32Source: Adapted from the University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps 2019 www.countyhealthrankings.orgShows the ranking of Tishomingo County relative to the 24 counties in the North Mississippi Health Services Service Area

STRATEGIC PRIORITIES FOR 2019

Our mission is to continuously improve the health of the people of our region. Therefore, we continually utilize data gathered from our diverse listening and learning approaches to prioritize our strategic opportunities. NMMC-Iuka is dedicated to being the provider of the best patient- and family-centered care and health services in America.

In 2012, the NMHS system was a recipient of the prestigious Malcolm Baldrige National Quality Award. Every business entity has strategically aligned goals based on the identified needs of those we serve. Improve access and obesity/chronic disease management continues to be a significant strategic priority.

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Mission and VisionWhy We ExistTo continuously improve the health of the people of our region.

What We Want To BeThe provider of the best patient- and family-centered care and health services in America.

STRATEGIC PRIORITY - MISSION-CENTRIC FOCUS

ALIGN INTERNAL AND EXTERNAL STAKEHOLDERS

INTERNAL GOAL

• Identify social and behavioral influences relative to chronic disease management and implement initiatives that will improve the health of the people of our region

EXTERNAL GOAL

• Increase beneficiary awareness of available community services and facilitate alignment of regional partners to influence health outcomes

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IMPLEMENTATION ACTIVITIES

NMMC-IUKA

• Increase available service offerings via telehealth65.52% increase in telestroke procedures Implemented teleneurology program Increased inpatient telehealth procedures by 112% Overall travel miles saved by community residents due to ambulatory telehealth

offerings – 76,626

• Evaluate and explore community partnerships that will significantly impact the identified needs (page 28) of the Iuka service area including chronic disease management

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APPENDIX

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APPENDIX – COMMUNITY SURVEY PARTICIPANTS

Participant Industry/Affiliation Description Broad Interest of Community

Private industry - finance professional/community volunteer Diverse community/patient and family advocate/financial

Public industry – community development foundation General and diverse population

Private industry –insurance Diverse and economic awareness

Public industry - mayor General and diverse community

Private industry – business owner General community

Private industry – retired medical sales Health knowledge

Private industry – retired banker Diverse community and economic awareness

Public industry – community foundation/volunteer General and diverse

Public industry – school administrator General, diverse and education

Public industry – county leader General and diverse

Private industry – beauty salon owner General

Private industry – florist owner General and diverse