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Winter Park Memorial 12014-16 Community Health PlanMay 15, 2014Florida Hospital Winter Park conducted a tri-county Community Health Needs Assessment (CHNA) in 2013 in collaboration with Orlando Health, Aspire Health Partners (formerly Lakeside Behavioral HealthCenter), the Orange County Department of Health, and the Health Council of East Central Florida. With oversight by a community-inclusive Community Health Impact Council that served as the hospital’sCommunity Health Needs Assessment Committee, the Assessment looked at the health-related needs of our broad community as well as those of low-income, minority, and underserved populationsi. TheAssessment includes both primary and secondary data.The community collaborative first reviewed and approved the Community Health Needs Assessment. Next, the Community Needs Assessment Committee, hospital leadership, and the hospital board reviewedthe needs identified in the Assessment. Using the Priority Selection processes described in the Assessment, hospital leadership and the Council identified the following issues as those most important to thecommunities served by Florida Hospital Winter Park. The hospital Board approved the priorities and the full Assessment.1. Obesity2. Diabetes3. Chronic Disease ManagementWith a particular focus on these priorities, the Council helped Florida Hospital Winter Park develop this Community Health Plan (CHP) or “implementation strategyii.” The Plan lists targeted interventions andmeasurable outcome statements for each effort. Many of the interventions engage multiple community partners. The Plan was posted by May 15, 2014 at the same web location noted below.Florida Hospital Winter Park’s fiscal year is January – December. For 2014, the Community Health Plan will be deployed beginning May 15 and evaluated at the end of the calendar year. In 2015 and beyond, thePlan will be implemented and evaluated annually for the 12-month period beginning January 1 and ending December 31. Evaluation results will be posted annually and attached to our IRS Form 990.If you have questions regarding this Community Health Plan or Community Health Needs Assessment, please contact Verbelee Nielsen-Swanson, Vice President of Community Impact, at Verbelee.NielsenSwanson@flhosp.org.iThe full Community Health Needs Assessment can be found at www.floridahospital.com under the Community Benefit heading.iiIt is important to note that the Community Health Plan does not include all Community Benefit efforts. Those activities are also included on Schedule H of our Form 990.Outcome statements marked with a “**” are system initiatives. Funds are distributed to one central program rather than to each campus

Winter Park Memorial 2OUTCOME GOALSStrategies/OutputsOUTCOME MEASUREMENTSCurrentYearBaselineOutcome MetricYear 1OutcomeGoal - #Year 1ActualYear 2OutcomeGoal - #Year 2ActualYear 3OutcomeGoal - #Year 3ActualHospital Matching CHNA PriorityOutcome StatementTarget PopulationObesity/ ChronicDiseaseManagement/Healthy CentralFlorida InitiativesContinue to support“walking school bus”program throughHealthy Central Floridain cooperation with theWinter Park HealthFoundationChildren from schoolsenrolled ininterventionsPromote throughWinter Park Consortiumschools via “Walk andRoll” every Monday andWednesdayNumber of childrenwho participate inprogram412450500550 290,000 290,000(WinterParkHealthFoundation)Staff supportandpromotion/marketingFacilitate walkingprograms that aid inincreasing leisure timephysical activityEatonville, Maitland,and Winter Parkresidents“Walk and talk with theMayor”, “Walk with adoc,” “Mayors SoleChallenge”, and“Maitland Walks”Number of residentswho participate inwalking interventions490705820925 290,000 290,000(WinterParkHealthFoundation)Staff support;promotion/marketingIncrease the likelihoodof medicationadherence amonguninsured patientsUninsured andunderinsured patientsProvide prescriptionmedications at little tono cost to the patientTotal cost ofprescriptionmedications disbursedto patients 45,071 45,000TBDTBDEngage Florida HospitalMedical Group (FHMG)providers to continuemeaningful usemeasures and createCERNER automation torefer obese patientsinto weightmanagement practiceSupport and createopportunities forincreased quality of lifefor residents ofEatonville, Maitland,and Winter ParkPatients of the 5 FHMGprimary care practicesin the primary servicearea (PSA)Build an automated flaginto the medical recordthat prompts referralinto weightmanagement programfor all patients with BMIover 30Proportion of patientencounters that includea referral into efrom year 110%increasefrom year esidents of Eatonville,Maitland, and WinterParkNumber of adoptedpolicies that supportcommunity health5Continue tosupport theimplementation ofresolutionsalreadypassedContinue tosupport theimplementation ofresolutionsalreadypassedTBDLeadershipand supportProvide opportunitiesfor increasing socialcapital and physicalactivityAll residents of CentralFloridaHealthy Central Floridato support, draft, andinfluence policychanges that supportcommunitydevelopment such assmoke-free resolutionsAnnual 5k and 10k racesNumber of persons whoparticipate18,000Increaseannually by1%Increaseannually by1%Increaseannually by1%Outcome statements marked with a “**” are system initiatives. Funds are distributed to one central program rather than to each campusComments

Winter Park Memorial 3CHNA PriorityOutcome StatementTarget come MetricYear 1OutcomeGoal - #Year 1ActualYear 2OutcomeGoal - #Year 2ActualYear 3OutcomeGoal - #**Create awareness forinternational walk toschool day and nationalbike to school dayChildren who attendLake Sebelia schoolPromote throughWinter Park Consortiumschools via “Walk andRoll” every Monday andWednesdayNumber of childrenwho participate inprogram412450500550Increase knowledge ofand accountability forphysical activitiesEatonville, Maitland,and Winter Park3 days a week for 30minutes a day for 3months; includingonline and social mediaaccountability checkpointsNumber of participantsTBDTBDTBDTBDProvide servicesdesigned to meet theneeds of geriatricpatients with a chronicillnessGeriatric patients in theprimary service area(PSA)Geriatric residencyprogram, throughlongevity medicineinstituteNumber of patientsaged 70 or older seen inthe geriatric emergencydepartment01,216TBDTBDProvide servicesdesigned to meet theneeds of geriatricpatients with a chronicillnessGeriatric patients in thePSAHealth navigators forpatients 65 and olderon an inpatient,outpatient, andemergency department(ED) levelNumber of geriatricpatients who receiveeducation from a healthnavigator0TBDTBDTBDSupport efforts toreduce heart relatedconditions through thefunding of research andprogramsResidents of theprimary service areaProvide support andboard membership tothe American HeartAssociationValue of support 100,000 100,000 100,000 100,000Encourage employeeparticipation in theannual Heart WalkNumber of FH walkers500600650675Annual Healthy 100sponsored communityRun for Rescues, SPCA5kParticipation in 5k0300350400Increase opportunitiesfor leisure time physicalactivity in a socialsettingResidents of theprimary service areaOutcome statements marked with a “**” are system initiatives. Funds are distributed to one central program rather than to each campusYear 3ActualHospital Matching 290,000 toHealthyCentralFlorida fromFloridaHospital 290,000to nCommentsStaff supportandmarketingTBD 100,000In-kindsupportStaffing andpromotion

Winter Park Memorial 4CHNA PriorityOutcome StatementTarget PopulationStrategies/OutputsOutcome MetricCurrentYearBaselineYear 1OutcomeGoal - #Year 1ActualYear 2OutcomeGoal - #Year 2ActualYear 3OutcomeGoal - #Year 3ActualHospital Matching CommentsOffer educationprogram aimed atincreasing energy vianutrition, stressmanagement, andexerciseSpouses of FloridaHospital employees(who are not alsoemployed by thesystem)Energy for Performance4-hour workshopNumber of nonemployees who attendclass173180200220In-kind staffsupport andmaterials** Provide education toincrease knowledge ofand positive behaviorstoward healthy eatingand exerciseChildren in the primaryservice area (PSA)Mission FIT PossibleProgram for childrenNumber of childrenwho have completedprogram3,4613,6003,6503,700 130,000 170,00Staffing andoperationalsupportReduce household foodinsecurity byintroducing low cost,SNAP eligible, fresh fruitand vegetable optionsto the communityResidents of EatonvilleDeploy Hebni NutritionConsultants’ MobileFarmer’s Market to stopin Eatonville once perweek# of individuals whopurchase produce fromMobile Farmer’s Market02,0004,0006,000 329,050over 2 years 550,000over 3yearsHebniNutritionConsultantsValue of supportdonated to operate theMobile Farmer’s Market0 218,850 110,200TBDIncrease the availabilityof fruits to the diets ofthe population aged 2and olderResidents of EatonvilleDeploy Mobile Farmer’sMarket to provide freshfruits and vegetablesalongside educationopportunitiesReport of increasedconsumption bypersons aged 2 andolder0-0.5 cupequivalentper 1,000calories0.5 cupequivalentper 1,000calories0.7 cupequivalentper 1,000calories0.9 cupequivalentper 1,000caloriesIncrease the availabilityof total vegetables tothe diets of thepopulation aged 2 andolderResidents of EatonvilleMobile Farmer’s Marketoffering food andeducation to stop inEatonville once perweekReport of cupequivalent totalvegetables consumedby persons aged 2 andolder0-0.8 cupequivalentper 1,000calories0.8 cupequivalentper 1,000calories1.0 cupequivalentper 1,000calories1.1 cupequivalentper 1,000calories**Offer educateprogram aimed atincreasing energy vianutrition, stressmanagement, andexerciseSpouses of FloridaHospital Employees(who are not alsoemployed by thesystem)Energy for Performance4-hour workshopNumber of nonemployees who attendclass173180200220Outcome statements marked with a “**” are system initiatives. Funds are distributed to one central program rather than to each campusHebniNutritionConsultants 329,050over 2years 550,000over ltants

Winter Park Memorial 5CurrentYearBaselineYear 1OutcomeGoal - #Year 1ActualYear 2OutcomeGoal - #Year 2ActualYear 3OutcomeGoal - #Year 3ActualHospital CHNA PriorityOutcome StatementTarget PopulationStrategies/OutputsOutcome MetricAccess to Care**Increase theavailability of free orlow-cost mammogramsUninsured andunderinsured women inPSAWomen’s mobile coachsites and diagnosticcentersNumber of women whoare screened3,9063,9804,0564,133**Continue to supportaccess to primary carefor uninsured andunderinsured residentsof Orange CountyUninsured andunderinsured patientsProvide financialsupport for operationsand case managementto Grace Medical HomeFinancial Support 100,000 100,000 100,000 100,000Continue to supportmaternal and childhealth initiatives inOrange CountyPregnant women inOrange CountyProvide financialsupport to the HealthyStart Coalition ofOrange CountyValue of donation 15,000 15,000 15,000 15,000Provide office space tothe Healthy StartCoalitionValue of office spacesubsidized 3,620 3,620 3,620 3,620Nursing and medicalstudents of ValenciaCollege, Seminole StateCollege, University ofCentral Florida, FloridaState University, andAdventist University ofHealth SciencesFinancially support theprofessionaldevelopment andeducation of medicaland nursing studentsValue of support 28 millionTBDTBDTBDTBDUCF, VC, SSC, Vo-Tech,Technical EducationCenter of OsceolaCounty (TECO) andadditional schoolsProvide sites for clinicalrotations and residencysites for graduates ofmedical educationprogramsNumber of DTBDHomeless andprecariously housedresidents of CentralFloridaiDignityFinancial support 25,000 25,000TBDTBD 25,000Support the educationand training of medicalpractitioners in the tricounty regionSupport efforts toprovide IDs forindividuals who do nothave identificationOutcome statements marked with a “**” are system initiatives. Funds are distributed to one central program rather than to each campusMatching TBDCommentsStaffing andoperationsOrlandoHealth