Community Health Needs Assessment - Cloudinary

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CommunityHealth NeedsAssessmentImplementation PlanPeriod: 2016-2018PROGRESS REPORT 06/29/2018Updated January 16, 2018

KEY FINDING #1:HEALTH LIVING TO PREVENT OBESITY & CHRONIC DISEASEData from the 2015 Logan County Community Needs Assessment survey shows that there is room for improvement in Logan County in terms of getting peopleto make healthier choices. For example, the survey showed that: Only about one-fourth (28.6%) of the respondents indicated that they exercised for 30 minutes at least five times per week, which is the currentrecommendation of health experts. Calculations based on the heights and weights reported by the respondents revealed that more than two-thirds (69.2%) were either overweight orobese. More than one in four (26.5%) adults reported having been diagnosed with diabetes; that’s much higher than the state and national averages (10.9%and 10.1%) The diabetes rate was high even among young adults’ ages 18-34 years at nearly 15%. More than half (53.1%) of respondents reported having been diagnosed with high blood pressure. Nearly on half (47.6%) of respondent reported having been diagnosed with high cholesterol. Coronary heart disease was reported by 10.2% of respondents, higher than state and national levels at 4.3%.Priority 1 Improvement Targets – Healthy living to prevent obesity and chronic diseaseGOAL – Equip and motivate Logan County residents to make healthier choicesMeasurable Objectives(How we will know we are making progress)Data Source1.1 Increase the percentage of residents that exercise at least 5 times each week to 30% by 2018 through thepromotion of Healthy Habits initiatives.CHA Survey1.2 Reduce the percentage of overweight and obeseresidents to 65% by 2018.CHA SurveyFrequency ofMeasurement3 years3 yearsIMPROVEMENT STRATEGIESPRIORITY 1 Strategies – Healthy living to prevent obesity and chronic diseaseGOAL – Equip and motivate Logan County residents to make healthier choicesStrategiesLeadTimeline(What we will do to achieve our goals(Who is responsible)and objectives)1.1 Lead Logan County Healthy LivingOngoingCoalition –expansion of communityMRH Communityactivities and educationRelations Dept1.2 Expand the Healthy Habits,Healthy You program providingincreased activities, communityeducation, promotion of successstories and community involvementMRH CommunityRelations Dept &LCHD/Coalition1Q 2016 FinalizePlan2016,2017,2018MeasurementAbility to meet goals setforth by CHIP-Participation Count, Pre &Post Knowledge of Education(Annual)-CHA Survey (3yr)OutcomesChristie Barns, co-chair of thecoalition meets monthly withcommunity partners to establish,prioritize and carry out goals.Healthy Habits Healthy You is beingbranded throughout Logan Countyin a variety of ways; coalitionendorsed events and activities, logodisplayed on Bellefontaine City2 P a g e

recreation athletic apparel, logoaffixed to two transit vehicles and 2MRH courier vehicles, promoted atthe Logan County Fair with healthysandwich picks & paper fans,endorsed in a letter from the healthdistrict to all food permit vendors, anumber of flyers, logo on vendingmachines offering healthy snackoptions at the YMCA, and WICliterature.In 2017, 8 locally ownedrestaurants labeled menu items, aFacebook site was developed withregular blog postings, successstories were printed in theBellefontaine Examiner, countywide 5K run/walk events tookplace, healthy living lifestylescourse in which participants takepart in a pre/post class assessmentwas created. 100% of participantsindicate greater knowledge and useof nutrition and fitness practicesafter having completed the class, AWinter Walking Program wasimplemented for ’17 and ’18 andSteve’s IGA began labeling 20healthier choice food items andprovided a “tip” for each.The 2018 CHA showed twice asmany people knowing about theHealthy Habits Healthy You brand.Going from 6.3% in 2015 to 12.8%in 2018. Those who have heardabout it but don’t know what it isincreased from 20.3% to 26.3%.1.3 Comprehensive WeightManagement Clinic centered aroundVery Low Calorie Diet & Low CalorieDirector ofCardiovascular Services1Q 2016Implement newservice lineIncrease the percentage ofparticipants by 10% annuallyAs of 12/31/2016, 276 communitymembers have participated in theNew Direction Weight3 P a g e

Diet options Medical management Individual nutrition plans Education and group supportsessions Psychosocial counseling Exercise programming2016,2017,2018Measure and trackparticipant improvementoutcomes annuallyManagement program at MRH.Average weight loss is 36 pounds inthe first 12 weeks of the program.Estimated 5,000 pounds lost in2016.As of 12/31/2017, 250 patientsparticipated with the program. Inaddition to the weight loss,participants also see a drop insystolic blood pressures by 5-10% in12 weeks. Many patients have beenable to reduce or do away with BPmedications and low other riskfactors.As of 12/31/181.4 Implement “Healthier ME”Program to assist overweightpopulation that does not meetnew MRH Weight ManagementProgram GuidelinesCommunity RelationsDept,Education,Exercise, Dietician, MRHPCMH practices1Q 2016Implement newservice line2016,2017,2018-Participation-Referrals to “Healthier ME”programCreating a Healthy Me program wasdeveloped and implemented in2016 offering quarterly sessions.114 community members enrolledin the class.In 2017, 80 community membersparticipated from 3 counties.As of 06/29/2018, 39 people haveparticipated in the program.1.5 Solid Ground Falls PreventionClasses (a new program Fall 2015) toallow senior adult to reduce fall riskand become more physically active.(baseline 60 participants)Community RelationsDepartmentBarns/HarmonQuarterly2016, 2017, 2018Increase by 30% the numberof participants annuallyClasses were offered by MRH andGreen Hills Community to thegeneral public in various locationsat least quarterly; Friendly SeniorCenter, IL Community Church,MRH, and Green Hills. 97peopleparticipated in 2016 – a 61%increase over all.In 2017 – 53 seniors participated inclasses offered by MRH and 97offered at GHC for a total 150. – a55% increase over 2016 county4 P a g e

wide. However, MRH alone did notmeet the goal.As of 06/26/2018 – 39 people haveparticipated in Solid Groundthrough MRH.1.6 Targeted screenings andeducation for school age, communityand at risk population focused onHealthy Living/Chronic Disease/Cancerand lack of screeningsCommunity Relationsand specific MRHrelated Depts.2016,2017,2018Number of Participants /risks identifiedNumerous screenings andeducational activities took place in2016 throughout Logan Countywith 38,335 touch points. All at-riskand age populations were reached.In 2017 – There were over 100community outreach appearancesreaching all populations with74,624 touch points.1.7 Video Education branded withHealthy Habits Healthy YOU initiatives– utilize Waiting Rooms, Social Media,Coalition Partners, Chamber1.8 Grocery Store labeling – HealthyHabits Health YOU choices marked/ instore education in CommunityMarkets located in at-risk areas ofLogan County of CentralBellefontaine/ IL area and privatelyowned markets in West Liberty andWest Mansfield.MRH CommunityRelations Dept/CoalitionImplement 2017,2018Measure outreach touchpointsThe Healthy Living coalition is in theprocess of determining the contentof this education piece.MRH CommunityRelations Dept/Coalition2Q 2016Implementation of 1 storeeach yearEfforts were made to partner withCommunity Markets with nosuccess. The local grocer however istaking steps on their own to offeraffordable produce on a regularbasis.In 2017 MRH reached out to Steve’sMarket in DeGraff and they wereeager to participate. In Septemberof 2017, 20 grocery items weretagged at Healthy CHOICE items.Along with tagging each productincluded a Tip for choosing thehealthiest option. The DeGrafflocation also allowed us to placevinyl lettering about producedepartment of the store and awindow decal at the front entrance.An article about the projectappeared in the Bellefontaine5 P a g e

Examiner. Because the owner alsoowns Steve’s IGA in Urbana, thelabeling also took place there.Plans to target the West MansfieldIGA are slated for 2018.1.9 Walk with a Doc/ Play with a Doc /Family MealMRH physician practices(PCMH)/MRHCommunity RelationsDept., MRH MedicalDirectorNov/Dec 2016Jan/Feb/Mar 2017ParticipationWalk with a Doc is beingreintroduced in conjunction with aWinter Walking Program incooperation with Bellefontaine CitySchools and Bellefontaine Parks &Rec. Planning took place in Nov/Decof 2016. The program will beoffered Jan/Feb/March of 2017making the BellefontaineElementary School available 4 daysa week with evening walking hours.Wednesday’s will be designatedWalk with A Doc with MRHproviders taking part.230 unique walkers participated inthe Winter Walking Program, 1034total uses. Participants walked andaverage of 45 minutes. 44 peopleattended over 8 times.1.10 Partner with area food sites toprovide education/ demonstration/Coalition/ MRHCommunity Relations/th4 Quarter 20162017, 2018-Increase participation offood sites annuallyIn 2018 the Walking Program willbe offered in cooperation with theBellefontaine Joint RecreationDistrict, Bellefontaine ElementarySchool and Indian Lake High School.The Walk will be offered Mon –Thurs. from 6 to 7:30 p.m. at bothlocations. Walk With A DocWednesday will also occur. 10 MRHproviders have volunteered theirtime to participate. 272participated with an 18% increaseover 2017.January 2016 MRH met with St.Vincent DePaul to explore ways to6 P a g e

tools for providers and participants ofMeal Sites to promote and offerhealthy nutritional meal optionsMRH Dietitianprovide better food options andeducate at-risk children on theimportance of healthier choices.ndApril 2016 representatives from 2Harvest Food Bank, LutheranCommunity Services and MRH metto explore opportunities on howbest to educate and provide betterndfood options. 2 Harvest hasunlimited access to fresh fruits andvegetables. Challenges lie in gettingthe produce to the food sites in andtimely manner. 2 Harvestprovides recipe cards toparticipants when a new item isintroduced. Educational materialsare distributed with food trucks.nd2 Harvest added a food truckevent at the Our Daily Bread site.The MRH Foundation awarded agrant to the Our Daily Bread for aconvection oven replacing the deepfat fryer to offer healthier choices.ndIn 2017 the 2 Harvest Food truckincorporated two independentproduce visits to Logan County.These were well received as eachvisit ran out of items to distribute.The MRH Foundation awarded 4,474 to the First UnitedMethodist Church to purchase aconvection oven that will allowthem to prepare additional meals.Their monthly dinner will increasefrom 150 to 200 and their annualThanksgiving meal will increasefrom 600 to 650.7 P a g e

In 20181.11 Implement School Based Health& Wellness Education Program withBelle Center AmishMRH CommunityRelationsBarns/Harmon2016Pre/Post TestIn 2016 Nancy Harmon lededucational sessions on germs andthe digestive tract for the localthAmish community March 10 andthMarch 16 . 35 childrenparticipated.1.12 Institute Logan CountyRestaurant menu labeling – promoteHealthy Habits Health YOU restaurantchoice.Coalition/ MRHCommunity Relations/MRH Dietitian2018Increase participation offood sites annuallyJune, 2016 Brewfontaine, a locallyowned eatery, tagged a number ofmenu items as Healthy HabitsApproved, having met MRH dietarystandards.1.13 Establish Formal Plan/Policy torestructure MRH café and menu tohealthier products for patients, visitor,community and staff to include meals,vending, snack bar, gift shop andcateringMRH Food & Nutrition/MRH Leadership Team/Administration,Foundation1Q/2Q 2016 Plan &Policy3Q 2016Implementation2017 reno fresh,healthy lookEmployee SurveyPatient SurveyAs of April 2017 – 8 locally ownedrestaurants are featuring healthiermenu items with the Healthy HabitsHealthy You CHOICE stickersindicating selections have met MRHdietary criteria. Most restaurantsinclude a large sticker in their frontwindow indicating theirparticipation.Formal plan was established June2016. An updated Café design wascompleted in Aug 2016 –implementation planned for 1Q2017. A gradual implementation ofaction steps has occurred in 2016;complimentary infused water isbeing offered, fried foods havebeen eliminated from the menu,increased pricing on sugarsweetened beverages throughoutthe hospital (café, snack bar, giftshop and vending), reduced pricingon bottled water, vending machinesoffer 25% healthy items, traffic lightprogram enhanced to offer fewer“red” items, more “green” items,menu list healthiest items first.8 P a g e

April 2017, Vending in the hospital’smain facility is offering 75% healthysnack items with new machines andbuy-in from supplier. As ofNovember MRH no longer offers anindependent snack bar. A vendingmachine with healthy options is thereplacement. Snacks offered in theGift Shop have been limited.1.14 Review Chronic DiseaseEducation at the bedside and in MRHphysician practices along withpromotion of management andsupport group programs (CHF,COPD,Cardiac Rehab, Diabetes, WeightManagement)MRHEducation/PCMH/Community Physician Practices4Q 2016 review2017, 2018implementation –ongoingIncreased participation inchronic disease managementprogram, support groups andPCMH data1.15 Fund Community Health &Mary Rutan Foundation2016,2017,2018Overview of programs andDecember 2017 the café remodelwas completed and is now calledCafé on Palmer and open to thepublic with mostly healthy options.Internal Medicine providers andstaff provide education materialsand review the materials withpatients. Patients with specificneeds are referred to educationresources within Mary Rutan.Additionally the providers and/orstaff contact the Care Coordinatorto assist patients that can benefitfrom community resources.Internal Medicine has a carecoordinator who provideseducation and works with patientsto assist them in identifyingcommunity resources and assistpatients in enrolling, contacting andsetting up transportation to attend.The Care Coordinator directlycontacts community resources toassists with interventions tobarriers. During the past year MaryRutan Hospital Internal Medicinehas provided several in-servicetraining to staff and providers toidentify patients with needs and toprovide information of communityresources available.Dec 2016, 10 recipients were9 P a g e

Wellness Grants for communitypartners targeting physical activity andproper nutritiongrant outcomesawarded grants totaling 49,998.December 2017, 8 recipients wereawarded grants totaling 34,616.December 201810 P a g e

KEY FINDING #2:DRUG ABUSE (OPIATE AND HEROIN)Data from the 2015 Logan County Community Needs Assessment survey shows that this is another issue that is negatively affecting the health and well-beingof too many Logan County residents. The assessment showed that: Nearly one-third (31.4%) of young adults said they knew someone that uses heroin. Over 17% of seniors indicated they misused pain medications.IMPROVEMENT TARGETSPriority 2 Improvement Targets – Drug Abuse (Opiate & Heroin)GOAL –Reduce the number of individuals and families that are negatively affected by drug abuseMeasurable Objectives(How we will know we are making progress)1.1 Increase the number of heroin addicts seeking treatment by 5% by 2018.Data SourceFrequency ofMeasurementCoalition/CHWPLC / CCI3 years1.2 Reduce the rate of opiate prescriptions in Logan County by 1% annually.OARRSAnnuallyIMPROVEMENT STRATEGIESPRIORITY 2 Improvement Strategies – Drug Abuse (Opiate & Heroin)GOAL –Reduce the number of individuals and families that are negatively affected by drug abuse.StrategiesLeadTimelineMeasurement(What we will do to achieve our goals and(Who is responsible)objectives)1.1 Remain a lead organization in the2016,2017,2018Ability to meet goalsCommunity C.O.R.E. Coalition as an activeMRH Medical Director,set forth bypartnerVP Community RelationsCoalition/CHIP1.2 Senior Leadership lead CommunityC.O.R.E. Medical Action Group2016,2017,2018Committee GoalOutcomes:Education,Treatment, PolicyMRH Medical Director,VP Community Relations1.3 Educate physicians regarding overprescribing opiates and use of the OARRsystem.2016Coalition, MRH MedicalDirector,Pharmacy, CommunityRelations Dept.-2016 ParticipationRate-2017-2018 OARRdata to trackimprovementOutcomesTammy Allison is an active memberof CORE along with Dr. GrantVarian.The Care Coordinator at Internalmedicine attends meetings andshares information with providersand staff. Dr. Varian is also a part ofthis initiative.The providers and staff havecompleted education and areenrolled in the OARRS system. Theexam process includes the use ofthe use the OARRS system.The ability to track prescribing11 P a g e

trends internally is not yet availablethrough MEDITECH due to theinability of the system toelectronically prescribe allmedications. Initiative is underway,nearing completion.1.4 Implement patient education program bymedical professionals at discharge,medication review with pharmacist andin MRH practices1.5 Review and update current prescribingprotocols and educate appropriateclinical staffMRH pharmacy, MRHPractice Managers, MRHMedical Director20162016-2017Protocol review,incorporated in EMRand educationcomplete by12/31/2017MRH Medical Director,Pharmacy Director1.6 Awareness/Prevention Educationincorporated in to Power-Up 4 FitnessProgram2016,2017,2018Community Relations/DARE Officer1.7 Host Medication Take Back and promotetake back boxes at Sheriff’s Dept andIndian Lake90% compliance rateas reported throughEMRCommunity Relations/Pharmacy/LawEnforcementPre and post test2016,2017,2018Report amount ofmedications collectedannuallyCurrently in practice, Dec 2016.Protocol review currentlyunderway, Dec 2016.Pain Protocols are under reviewand being re-written to reduceconfusing regimens. Initiative isunderway, nearing completionDue to staffing and time constraintsat the schools this was notcompleted in 2016 or 2017.PUFF is being evaluated for 2018.A survey of teachers in the fall of2017 showed no interest in addingthe drug awareness and preventionpiece. The kids already receive thiseducation through multiple othersources.MRH is partnering with the COREprevention group to furtherpromote permanent drop boxesand take back events.Medication Take Back events wereheld Spring 2016 and Fall 2016. Atotal of 110.4 pounds of pills werecollected at the events. TheSheriff’s Office collected 211.5pounds at its drop box and 46.0pounds have been taken in at theRussells Point Police Department.12 P a g e

In 2017 a Spring Take Back eventwas held on April 29. The Fall eventon October 28. For the year, 87.2pounds of pills were collected atthe Take Back events and 324pounds of pills were collected fromthe 2 drop boxes.In 20181.8 Pursue possibility of placing medicationdrop box in MRH retail pharmacy to offerdrop site within city limits.1.9 Partnership with Bellefontaine City PoliceDepartment and Pharmacies promotingdisposal of unused and unwantedmedicationsMRH PD2017OngoingImplementation ofbox and tracking ofcollected medicationsannuallyCount of flyerdisbursedJanuary 2017 - After a completeinvestigation DEA standards will notallow a permanent box to be placedin the retail pharmacy due to itsclose proximity to the EmergencyDepartment.January 2018 – Plans are slated toadd an additional permanent dropbox in the Emergency Departmentof the hospital where there is 24/7monitoring.Sept 2015, 15,000 pieces ofprevention flyers were developedand provided to the BellefontainePolice Department for distributionto area pharmacies. This to quantitywas provided for a 2-year span.April 2017 – per Chief Standley thisis still a viable initiative thedepartment wishes to continue.MRH will supply flyers as neededand also incorporate posters to behung in area pharmacies to furthersolidify the message.January 2018 – The BPD has askedMRH to develop new pieces for thispurpose. Larger posters have beenadded to the initiative, whichmirror the brochures. These posters13 P a g e

1.10 Work with Coalition to researchopportunities to bring in a consultant toassist with a community-wide plan for acomprehensive treatment program.Coalition/ Foundation2017Findings of studywill be located in pharmacy’s andon drive through windows.We have worked with the coalitionattending meetings and havebrought in trainers to review thesuicide prevention program. Wehave created resources with theirassistance to assist patients withneeds as they access communityresources. We have completedtraining with the 211 program sowe can better assist our patientswith needs and integrate theseprograms into the patient’s careplans.KEY FINDING #3:MENTAL HEALTHData from the 2015 Logan County Community Needs Assessment survey shows that there is the need to address mental illness in Logan County to improve theoverall health status of the community. For example, the survey showed that: Nearly 30% of the respondents (29.2%) reported that they had symptoms of depression for two or more weeks in the last year; in some communitiesthe rate was as high as 36.3%.Nearly one in five adults (19.7%) said that their mental health prevented them from performing their usual daily activities.Among young adults, 4.8% said they had seriously considered committing suicide in the past year.Almost 20% of young adults (19.8%) said they use drinking to deal with stress; 41.6% said they use eating and 12.9% said they use smoking as stressrelieving techniques.IMPROVEMENT TARGETSPRIORITY #3 Improvement Targets – Mental HealthGOAL – Equip and motivate Logan County residents to make healthier choicesMeasurable Objectives(How we will know we are making progress)1.1 Reduce the percentage of young adults that use drinking, eating or smoking to relievestress by 2%.1.2 Reduce the percentage of young adults that seriously consider suicide to 4.5% by 2018.Data SourceCHA SurveyCrisis HotlineCHA SurveyFrequency ofMeasurement3 yearsAnnually3 yearsIMPROVEMENT STRATEGIES14 P a g e

PRIORITY 3 Improvement Strategies – Mental HealthGOAL – Equip and motivate Logan County residents to make healthier choicesStrategiesLeadTimeline(What we will do to achieve our goals and(Who isobjectives)responsible)1.1 Partnership with OSU to institute teleMRH Medical2016psychiatry services in MRH EmergencyDirector, VP Patient ImplementationDepartmentServices, ED2017, 2018DirectorOngoing ServicesMeasurementOutcomes-Patient Volumes-Intervention # -CCI &Tele-psychiatry-Hospital PlacementOSU has not been able to providethe telepsychiatry program so tobetter serve our patients we havehired and CNP with specialty inbehavioral health to serve ourpatients in addition to the time DrMason comes to our practice toserve patient needs. The new CNPwill start 8-1-17.There is no movement as OSU isunable to move forward withstaffing. 01/08/20181.2 MRH Internal Medicine (PCMH)Practice/Care Coordinator represent medicalsector in Mental Health Suicide CoalitionMRHIM PracticeManager2016OngoingParticipationOur Care Coordinator and practicemanager continues to participate inthe Mental Health Suicide Coalition.1.3 MRH Internal Med & Pediatric (PCMH)Behavioral/Mental Health Assessment of allpatients with option of additional mental healthservices provide by Dr. Mason for totalcontinuum of care.1.4 Implement Stress Manager/ DepressionEducation as a part Healthy Habit Healthy YOUinitiativeMRHIM & MRHPeds PracticeManagersOngoing-Patient volumes bydiagnosis-MH Service Volumes-ImprovementoutcomesSee 1.1 above1.5 Pediatric Mental Health Medication Grant forindigentMRH Peds PracticeManager/ CareCoordination/CommunityRelations2016, 2017, 2018CommunityRelations Health &Wellness/ Coalition-Touch points-Pre/Post AssessmentsongoingApplication count# assistedA component has been added tothe Creating a Healthy Me programto incorporate emotional aspects ofhealthy living.118 people participated in 201680 people in 201739 in 2018To date, no patient has needed theassistance. MRH Pediatricsgenerally tries to find a medicationthat is covered by the patient’sinsurance.15 P a g e

KEY FINDING #4:ACCESS/AWARENESS/RESOURCESLogan County has many organizations that provide a wide variety of services and programs designed to meet residents’ health and social service needs.However, data from the 2015 Logan County Community Needs Assessment shows that many residents are not aware of all of the services and programs thatthey could benefit from. They also indicated they have not received important information that can help them make better lifestyle choices and/or seekappropriate care. For example, the assessment showed that: Nearly three quarters of the survey respondents (73.5%) never heard of the Healthy Habits, Healthy You campaign, a major community initiativedesigned to help residents of Logan County make healthier lifestyle choices; another 20% of residents heard about it but knew little or nothing aboutit.In focus groups that were conducted it was found that few of the participants knew about the federally qualified health center (Community Healthand Wellness Partners of Logan County) that has locations in the West Liberty and Indian Lake communities. This center provides a full range of lowcost health care services to Logan County residents.About one-third of respondents indicated they had never received information from providers regarding important health topics such as diet andeating habits (30.7%), physical activity or exercise (31.5%), quitting smoking (33.5%), drug and alcohol addiction (38.8%), and mental health issues(35.2%).During the community Call-To-Action, seventy (70) community partners shared concerns regarding the lack of knowledge and contact information foravailable resources throughout Logan County.IMPROVEMENT TARGETSPRIORITY #4 Improvement Targets – Access/Awareness/ResourcesGOAL – Effectively disseminate information about the community’s health and social service programs to all Logan County residentsMeasurable ObjectivesData SourceFrequency of(How we will know we are making progress)Measurement1.1 Increase awareness/use among residents in at-riskCHWP/ MRH PracticesAnnuallyNeighborhoods of Community Health and Wellness Partners of Logan County and MRHPhysician Practice by 2018.1.2Increase awareness among residents and agencies ofLogan County about services and community resources related to health and mentalhealth.1.3 Increase access of transportation to available resources and services.1.4 Decrease percentage of individuals traveling outside of Logan County for Urgent CareServicesCoalitionCHA SurveyAnnually3 yearsTLCCHA SurveyCHA SurveyAnnually3 years3 yearsIMPROVEMENT STRATEGIESPRIORITY 4 Improvement Strategies – Access/Awareness/ResourcesGOAL – Effectively disseminate information about the community’s health and social service programs16 P a g e

to all Logan County residents and assess availability of needed resourcesStrategiesLeadTimeline(What we will do to achieve our goals and(Who is responsible)objectives)1.1 Convenience Care Services Line as pilot1 Q 2016 Openingfor Urgent Care2017 transitionVP PhysicianPractices/AdministrativeTeam1.2 Construct and open Urgent Care Facility at33/68 property2017Director ofRehabilitation Center/Administrative Team1.4 Non-primary Care ED Referral ProgramStrategic Plan2016-2017Strategic PlanOngoingED Director/ MRHPractices Managers/CHWPLCOutcomesA convenience clinic was madeavailable to the community 1Q2016.Strategic PlanAdministrative Team1.3 Remodel & Renovation of RehabilitationCenterMeasurementAnnualIn February of 2018, theConvenience Clinic will transfer tothe full Urgent Care setting at thenewly built Mary Rutan HealthCenter.Site work began on the Mary RutanHealth Center in December of 2016.Occupancy of the new building isJanuary 31, 2018. First patients willbe seen on February 12, 2018.The new construction, known asthe Mary Rutan Health Center, willoperate an Urgent Care, TherapyServices, Sports Medicine,corporate health services, radiologyand lab, along with a retailpharmacy.Rehabilitation services wereincorporated into the Mary RutanHealth Center design plan. Slatedcompletion 1Q 2018.We continue to work with ED andConvenience care to assist patientswith establishing a relationship witha primary care provider. We haveenhanced our program and contactevery patient that was seen in ED orConvenience Clinic within 48 hoursto check on status, patientcontinuing needs, set up necessaryfollow-up appointments andeducate patients on the clinic hoursand availability of same dayappointments to encourage17 P a g e

continuity of care.1.5 Physician Recruitment for upcomingretirementsOngoingMRH Medical Director/Compliance Officer1.6 Medical Scholarship & Loan ProgramStrategic PlanOngoingFoundation1.7 Implement EMT/Paramedic ScholarshipProgram to address county shortageAnnual Participation2016- ongoingFoundation1.8 Representative of MRH to be an activepartner in CoalitionAnnual Participation2016, 2017, 2018Director of CareCoordination1.9 MRH to participate in investigation andsupport of 211 system implementation;including funding partnership and updating allMRH information regularly1.10 Participation and support of LoganCounty Transportation Advisory Board1.11 Senior Leadership Participation in LoganCounty Coalition Advisory Board –oversight/advise all CoalitionsCoalition/ Foundation/MRH Care Coordination,Marketing &Community RelationsVP CommunityRelations/ FoundationVP CommunityRelationsParticipation2016 CoalitionInvestigation2017 Plan &ImplementationOngoingOngoingOutcome – AnnualCHA Survey- 3 yrTAB- AnnualCHA Survey-3 yrCommunity PlanOutcomes-annualCHA Survey -3 yrWe have hired 3 CNPs during thepast year to improve serviceavailability and assist in thepreparation of future retirements.Medical Scholarships have beenawarded.2016 – 332017 – 422018 – 29EMT/Paramedic scholarships wereintroduced at the annual

cooperation with Bellefontaine City Schools and Bellefontaine Parks & Rec. Planning took place in Nov/Dec of 2016. The program will be offered Jan/Feb/March of 2017 making the Bellefontaine Elementary School available 4 days a week with evening walking hours. Wednesday's will be designated Walk with A Doc with MRH providers taking part.