Ho spita ls & Co mmunity Be ne fit Bring ing he a lth c a pa c - - PDF document

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Oct 19, 2022 104 likes •284 views

9/ 22/ 2015 Ho spita ls & Co mmunity Be ne fit Bring ing he a lth c a pa c ity to the c o mmunity thro ug h pa rtne rships, c o a litio ns a nd ho spita l T he Co mmunity Be ne fit Pro g ra ms o f Me rc y He a lth c o mmunity b e ne

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Ho spita ls & Co mmunity Be ne fit

T he Co mmunity Be ne fit Pro g ra ms o f Me rc y He a lth

Bring ing he a lth c a pa c ity to the c o mmunity thro ug h pa rtne rships, c o a litio ns a nd ho spita l c o mmunity b e ne fit pro g ra ms.

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He a lthc a re is Cha ng ing He a lthc a re ha s CHANGE D

 Vulne ra b le po pula tio ns ha ve to me e t in the ir o wn e nviro nme nt  Sig nific a nt ne e ds re q uire o ut-o f-the -bo x thinking .  Pa yme nt c ha ng e s unde r ACA, ma ke it ne c e ssa ry to c o o rdina te tha t c a re a c ro ss the multiple he a lth silo s.  Po pula tio n He a lth initia tive s hig hly so ug ht a fte r.  Co mmunity He a lth I mpro ve me nt no w e xpe c te d o f ho spita ls.  Co mmunity Be ne fit e xpe c ta tio ns ve ry hig h.

Wha t’ s the Diffe re nc e ? Po pula tio n, Pub lic & Co mmunity He a lth

Public Health the critical functions of state and local public health departments such as preventing epidemics, containing environmental hazards, and encouraging healthy behaviors. Community Health is similar to public health although not necessarily a function of government and heavily reliant on intersectoral partnerships that draw on the perspectives and resources of diverse communities and actively engage them in health action. Population Health is defined as the health outcomes of a group of individuals, including the distribution of such outcomes within the group. These groups are often geographic populations such as nations or communities, but can also be other groups such as employees, ethnic groups, disabled persons, prisoners, or any other defined group.

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Co mmunity Be ne fit Cha ng e s

 Sta r

ting in 2007, the Cong r e ss for mally star te d asking about non pr

fit hospitals status. IRS

r e sponde d to que stions by c ongr e ssional and othe r polic ymake r s about non- pr

c ommunity be ne fit c laims:

 Is the c ommunity be ne fit

standar d suffic ie nt?

 Ar

e hospitals c har itable e nough?

 Should the r

e be a le ve l of e ffor t te st?

I nte rna l Re ve nue Se rvic e Rule s

 Sc he dule 990-H must b e c o mple te d a nd file d fo r a No n-pro fit He a lth Syste m to ma inta in ta x e xe mpt sta tus.  Ac c o unta b ility fo r Ho spita l Syste m: I s the ho spita l truly using its Co mmunity Be ne fit do lla rs fo r c o mmunity he a lth purpo se s?  I t re q uire s tha t:

 A c o mmunity he a lth ne e ds a sse ssme nt b e c o nduc te d o nc e e ve ry 3 ye a rs.  T his must b e ma de a va ila b le pub lic ly o n a wide b a sis.  Must ide ntify the he a lth ne e ds ra ise d in the c o mmunity.  An imple me nta tio n stra te g y must b e de vise d ide ntifying ho w the ho spita l will re spo nd to the CHNA input a nd whe re / ho w it will a llo c a te its c o mmunity b e ne fit do lla rs.

 Sub je c t to I RS Audit. F a iling to me e t the se re q uire me nts c a n re sult in a $50K fine a nd po te ntia l lo ss o f ta x-e xe mpt sta tus.

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CHNA - Co mmunity I nput Pro c e ss

Consumer Health Needs Survey Community Conversations Focus Groups Ranking And Prioritization

Implementation Plan

I mple me nta tio n Stra te g ie s

 Ho spita l must pic k a nd prio ritize issue s within c o mmunitie s.  Sho uld a ddre ss a t le a st thre e issue s to imple me nt stra te g ie s.  Othe r issue s tha t a re ra nke d b ut no t prio ritize d sho uld ha ve imple me nta tio n stra te g y fo r c o mmunity e xpla ine d.

 Pub lic He a lth wo rking o n issue .  L

c a l pre ve ntio n g ro up e ng a g e d in issue s.

 Pre ve ntio n c o lla b o ra tive g ro ups a re e xc e lle nt pa rtne rs.  Sub sta nc e Ab use T re a tme nt a lig nme nt o ppo rtunitie s.  Po pula tio n He a lth Stra te g ie s a lso b e c o ming pro mine nt.

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Wa shing to n Re q uire me nts

 HB 2341 in 2012 pla c e d re q uire me nts fo r Wa shing to n No n Pro fit Ho spita ls.  Re q uire me nts fo r o pe n disc lo sure o f CHNAs.  I mple me nta tio n stra te g ie s must e ng a g e Pub lic He a lth a nd Co mmunity Ba se d Org a niza tio ns a nd if ho spita l c ho o se no t to imple me nt, the y ne e d to e xpla in why.

CHNA – Wa shing to n E xa mple

 Se a ttle 's Childre n Ho spita l’ s CHNA in 2013.

 Ac c e ss to hig h q ua lity c a re .  Co o rdina te d c a re fo r c hildre n with c hro nic dise a se .  He a lth e q uity a nd a c c e ss in So uth K ing Co unty.  Ob e sity  Me nta l a nd Be ha vio ra l He a lth  Ado le sc e nt He a lth *  Pa re nt a nd F a mily E duc a tio n*

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Jo urne y to Co mmunity Be ne fit

He a lth Pro je c t la unc he d in 1993  W. K . K e llo g g F

unda tio n pa rtne rship to mo b ilize

c o mmunity a ro und he a lth; * I mpro ve c o mmunity he a lth sta tus * E xte nd c o ve ra g e a nd a c c e ss to c a re – Ac c e ss He a lth a nd MI Child * Addre ss dispa rity  Ac q uisitio n 2008 – 2010  F unc tio ns a s e xte r

nal Community Be ne fit

Offic e fo r Me rc y He a lth  De ve lo ps a nd te sts I nno va tio ns fo r T rinity He a lth

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Co mmunity He a lth Ne e ds Asse ssme nt

He a ring fro m o ur c o mmunity a b o ut wha t we ne e d a nd de c iding ho w to re spo nd .

He a lth o f the Co mmunity.

 E duc a tio n

 L a ke sho re L ung Pro g ra m  Chro nic Dise a se Se lf-Ma na g e me nt  Advo c a c y

 Pre ve ntio n

 Drug F re e Co mmunitie s  Me dic a tio n Dispo sa l Pro g ra m  HI V/ AI DS

 Co mmunity E ng a g e me nt

 Co mmunic a b le Dise a se Co a litio n  1 in 21  Co a litio n de ve lo pme nt, fa c ilita tio n a nd suppo rt

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Pro g ra ms fo r the po o r a nd unde rse rve d



Community Outre a c h

 Whe e ls o f Me rc y  Spe c ia l e ve nts 

E nrollme nt Assista nc e

 He a lth Co ve ra g e + Co unse ling  Ho spita l F ina nc ia l Suppo rt + o the r So c ia l Suppo rt Pro g ra ms  Pha rma c e utic a l Ac c e ss Pro g ra m 

Popula tion He a lth/ Ca re Coordina tion

 Co mmunity He a lth Wo rke rs  Co mmunity Hub Mo de l

Co mmunity He a lth Wo rke rs

Are indig e nous to the c ommunity in whic h the y wo rk. Assist pa tie nts with na vig a ting a c o mple x he a lthc a re syste m a nd a c c ompa ny pa tie nts thro ug h tre a tme nt, mo nito ring so c ia l se rvic e ne e ds, a nd he lping the m ove r

c ome obstac le s to the ir o wn he a lth a nd a bility to follow tr e atme nt fro m the me dic a l c o mmunity. Advoc ate fo r

vulne ra b le individua ls a nd c o mmunitie s

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I T to o ls sa vy

 Che c klists a sse ss e lig ib ility a nd ide ntify a c c e ss to c a re , fina nc ia l issue s a nd he a lth impro ve me nt b a rrie rs  Pathways wo rk thro ug h b a rrie rs; pro vide do c ume nta tio n a nd accountability fo r the pa tie nt, a g e nc y a nd he a lth syste m

Sa mple Pa thwa ys

 Me dic al Home  Me dic al Re fe r

r al

 He alth Cove r

age

 Soc ia l Se rvic e  T

r anspor tation

 Pr

e gnanc y

 Smoking Ce ssation  Youth Risk F

ac tor s

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Ge tting Upstre a m:

Co mmunity e ng a g e me nt a nd c o lla b o ra tive wo rk

Co mmunity He a lth I mpro ve me nt  F

unde d E xte r nally b y the

Offic e o f Na tio na l Drug Co ntro l Po lic y a nd SAMSHA/ Pa rtne rship fo r Suc c e ss I I  Annua l budg e t o f $210,000, a ppro xima te ly 50% is sta ff; 10% a dmin; 15% is c a pa c ity b uilding , a nd 35% o f funding is use d fo r c o mmunity use in imple me nting stra te g ie s.  L

e ve ra g e s $22-35,000

fro m Me rc y He a lth a nnua lly  38 org a niza tion with 75

a c tive me mbe r s fro m

the 12 se c to rs.

Drug F re e Co mmunitie s

Coalitions are reported as community benefit under ‘Community Building Activities’

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Ne stle d a lo ng the L a ke Mic hig a n sho re line , Muske g o n is a urb a n/ rura l c o unty o f 172,188 re side nts with dive rsity tha t is o fte n c o nside re d a mic ro c o sm o f the Unite d Sta te s. With o ve r 26,400 (15% o f the po pula tio n) stude nts a mo ng the 13 sc ho o l distric ts, the ne e d fo r c o unty wide c o lla b o ra tio n a nd c o o rdina tio n fo r sub sta nc e a b use is hig h.

Active Subcommittees

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 47% dro p in te e n b ing e drinking .  61% dro p in driving a fte r drinking .  37% dro p in te e n smo king .  8 to ns o f me ds c o lle c te d in fo ur ye a rs.  Ove r 70 pe o ple invo lve d o n re g ula r b a sis.

Co a litio n o f the Ye a r

CADCA – L unc he o n F e b rua ry 2015

Pre sc riptio n Drug s in Muske g o n Co unty

 Yo uth Surve y re ve a ls 17.5% o f yo uth trying pre sc riptio ns no t pre sc rib e d.  Pre sc riptio n drug e xc e ssive ly pre sc rib e d b y physic ia ns.  Pa tie nts sha ring a nd using e xpire d me ds tha t we re unsa fe .  Po lic e no tic e d inc re a se b re a k ins.  Pe o ple re se lling the ir drug s.

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DF C Pla nning to I mple me nting Dispo sa l

 Co a litio n c a lle d fo r a c tio n pla n a nd b ro ug ht ho spita l a nd c o mmunity to g e the r.  L

g ic Mo de l re ve a ls dispo sa l in

se ve ra l stra te g ie s.  K e y le a de rs e me rg e d fro m la w e nfo rc e me nt, pre ve ntio n, ho spita l a nd a ffilia te d o rg a niza tio ns….  Affinia He a lth, a physic ia n se rvic e

rg a niza tio n ta ske d with c re a ting

a n a c c o unta b le c a re o rg a niza tio n in We st Mic hig a n.

Ho w ha s the ho spita l he lpe d MAMDP?

 Suppo rt fro m the ho spita l de pa rtme nts  T

g e t MAMDP sta rte d, ho spita l unde rwro te first two e ve nts.

 He lpe d de ve lo p a re so urc e de ve lo pme nt pla n.  Ho spita l c o ntra c t ma na g e me nt he lpe d wo rk with e xisting

dispo sa l c o ntra c to rs.

 Susta ina b ility pla nning le a ds to lo ng te rm ho spita l re so urc e s.

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Ma rke ting & PR

 Me dia Pla n  Bra nding  F lye rs  Pre ss Re le a se s  We b site  Po we rpo int T e mpla te s  Printing  Ba nne rs

 De ve lo ping stra te g ic pla ns  I nitia te d pe rma ne nt da ily c o lle c tio n a t a ll Me rc y He a lth Pha rma c ie s  Alig ning re side nc y pro g ra ms with pre ve ntio n  Pha rma c y sta ff re c ruitme nt a nd c o o rdina tio n fo r e ve nts  De ve lo ping pa in ma na g e me nt a nd e duc a tio na l pro g ra ms  Me dia c o nte nt fo r ne ws sto rie s, fe a ture a rtic le s, so c ia l me dia a nd a dvising sta ff

n me dic a tio n tre nds

DF C E ng a g e d Pha rma c ists

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ffo rts –2 CME E duc a tio n fo r physic ia ns o n pre sc rib ing pra c tic e s with info rma tio n a b o ut wa ste d me ds. –60 plus physic ia ns a tte nding e ve nts –Advo c a ting with he a lth pla ns to c ha ng e a b ility to pre sc rib e 90 da ys o n first.

 Physic ia n / E

nfo rc e me nt c o mmunic a tio n wo rkg ro ups e sta b lishe d.

E duc a tio na l Oppo rtunitie s with Do c s Ho w ha s DF C he lpe d Me rc y He a lth?

 F e a ture d in se ve ra l pub lic a tio ns a nd sto rie s.  I nc lude d in a wa rds a nd g ra nt a pplic a tio ns.  He lps with c o mplia nc e with I RS.  I nc re a se d c o lla b o ra tio n with la w e nfo rc e me nt, physic ia ns, pha rma c ists, a nd le a de rship.  Se ve ra l c o lla b o ra tive e ffo rts g o ing o n

 So b e ring Ce nte r  SBI RT  E nha nc e d Co mmunic a tio n

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I ssue s to c o nside r…..

 No t a ll ho spita ls e mb ra c e c o mmunity initia tive s.  L

e a de rs a nd sta ff ma y no t se e the c o nne c tio n.

 Ho spita ls g o ve rne d b y stric t re g ula tio ns.  HI

PAA, I RS, HHS, Jo int Co mmissio n, CMS

 Whe re a re the ir o ppo rtunitie s to a lig n with yo ur

c o a litio n?

Alig nme nt Oppo rtunitie s

I RS Sc he dule H

Ho spita l CHNA prio ritize s Alc o ho l Ab use Must a ddre ss issue in Co mmunity

T ra uma Ce nte r De sig na tio n

Must ide ntify sub sta nc e a b use issue s Ne e d to ha ve pre ve ntio n pro g ra m o r SBRIT

Sta te Me dic a l So c ie ty

De c la re s sub sta nc e a b use # 1 issue fo r ye a r L

o king fo r wa ys

fo r physic ia ns to ma ke impa c t

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Go o d Pla c e to Sta rt

Co mmunity He a lth Ne e ds Asse ssme nts
Ho spita l CE

O / Bo a rd Me mb e rs

PR & Co mmunic a tio n
Co mmunity Be ne fit Dire c to r
Missio n Dire c to r
Pha rma c y De pa rtme nts (Pre sc riptio n Drug )
Ca nc e r Co ntro l (T
b a c c o )
T

ra uma Ce nte r Ma na g e r/ E R Ma ng e r (Alc o ho l/ Drug s)

L e t’ s Co nne c t.



L IKEus o n F

a c e b o o k

F

llow us o n T