The Power of Collaboration- When Competitors Become Collaborators - - PowerPoint PPT Presentation

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The Power of Collaboration- When Competitors Become Collaborators - - PowerPoint PPT Presentation

The Power of Collaboration- When Competitors Become Collaborators Community Indicators Consortium Conference "A group becomes a team when each member is sure enough of himself and his contribution to praise the skills of others."


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The Power of Collaboration- When Competitors Become Collaborators

Community Indicators Consortium Conference

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"A group becomes a team when each member is sure enough

  • f himself and his contribution to praise the skills of others."

Norman Shidle

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It’s in our DNA…

BayCare’s 2018 Community Benefit contribution was $462 million totaling 11%

  • f annual operating revenue!

All 3 of these are measured in un-reimbursed costs.

Medicaid/Income-based Programs - $311 million Underinsured – Patients with some insurance but not enough to cover medical bills. Charity Care - $117 million Patients will have their medical bills waived if they fall under the criteria set in BayCare’s Financial Assistance Policy Unbilled Community Services - $34 million Health professional education, community health services, cash and contributions to community groups, and other services.

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What is a Community Health Needs Assessment?

CHNA completed every 3 years

✓ Comprehensive analysis of health priorities

▪ Rigorous review of available data ▪ Focus on the voices of our community

✓ Develop Implementation Plan

▪ Evidence based data driven interventions ▪ Impactful and measurable outcomes to improve health

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Our New Vision

New survey design

  • Literacy Review
  • Validated Questions
  • Focus on emerging trends
  • Adverse Childhood Events
  • Food Insecurity
  • Housing instability
  • Opiate use
  • Social Isolation

Boots on the ground Shared Implementation Strategy

  • County focus
  • Increased impact
  • Strong support from hospital leadership

and Boards

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Leaning Into Collaboration Across the System

Creating a shared vision Identify and address

  • rganizational

needs Establish regular and consistent communication Shared resources, common deliverables

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Does Strong Vision Ensure Success?

We challenged the local industry norms

  • Never worked together
  • Competing brands
  • Established a new standard for

collaboration and accountability

Integrity Commitment Values Truth Listen Consistency

Trust

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Challenges Turn to Wins: Survey Methodology

Representative sample- raising the bar

  • Weekly data review

Shared contact lists to expand survey reach Internal alignment and support Deeper insight into community

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Demographic Breakdown

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Outreach

  • Faith Community Nurses
  • Community Health Team
  • Free Clinics
  • FQHC’s
  • Libraries
  • Local community events
  • Housing Authority
  • Barbershops
  • City/County connections
  • Tax Collectors Office
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Improvement: Survey Numbers

Survey responses across our footprint

19,534

3,920 6,494 5,304 3,038

Balm!!!

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Joint Prioritization Meetings

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EXERCISE, NUTRITION & WEIGHT

453 981 1,004 968 902 230 59 18-24 25-34 35-44 45-54 55-64 65-74 75 or older FOOD INSECURE INDIVIDUALS BY AGE (N = 4,597)

29.4% of survey respondents who self-reported food insecurity

39.4% (N = 714) 38.5% (N = 353) 33.5% (N = 488) 33.0% (N = 464) Hillsborough County Pasco County Pinellas County Polk County SURVEY RESPONDENTS WITH CHILDREN IN THE HOME WHO SELF-REPORTED FOOD INSECURITY (N = 2,019) Childhood Risk Factors for Obesity Parent survey respondents who answered “NO” to the following: Do children living in your home… Question Hillsborough Pasco Pinellas Polk Eat at least 3 servings of fruits and vegetables every day? 25.1% 34.6% 27.9% 25.6% Exercise at least 60 minutes every day? 32.1% 38.0% 31.2% 32.7% 27.6% 31.0% 64.7% 30.3% 30.5% 63.2% Middle School Students High School Students Adults

OVERWEIGHT OR OBESE RATES 2016

Footprint Florida

In the last 12 months, did you or anyone living in your home ever get emergency food from a church, a food pantry, or a food bank, or eat in a soup kitchen?

13.0% responded ‘yes’

Hillsborough

32.7%

Pasco

32.0%

Pinellas

26.7%

Polk

27.4%

11,161 ED Visits including a diagnosis of Congestive Heart Failure 8,413 ED Visits for Uncontrolled Diabetes

Zip codes with the highest number of ED visits across the system

Top Zip Codes Winter Haven 33881 Winter Haven 33880 Bartow 33830 Plant City 33563 Clearwater 33756 Dunedin 34698

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2019 Top Health Priorities

Behavioral Health

1

Access to Healthcare

2

Exercise, Nutrition & Weight

3

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Social Determinants to Health: Food Insecurity

29.4% of respondents

self-reported food insecure In the last 12 months, did you or anyone living in your home ever get emergency food from a church, a food pantry, or a food bank, or eat in a soup kitchen?

13.0% responded ‘yes’

200 400 600 800 1,000 1,200 18-24 25-34 35-44 45-54 55-64 65-74 75 or older

Food Insecure Individuals by Age

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Are you worried or concerned that in the next 2 months you may not have stable housing that you own, rent, or stay in as part of a household?

10.2% responded ‘yes’

Hillsborough: 12.1%

Social Determinants to Health: Unstable Housing

Has there been any time in the past 2 years when you were living on the street, in a car, or in a temporary shelter?

5.1% responded ‘yes’

Hillsborough and Pinellas: 6.0%

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Social Determinants to Health: Social Isolation

Social Isolation Questions % Disagreed

"I am happy with my friendships and relationships”

8.2%

“I have enough people I can ask for help at any time”

15.8%

"My relationships are as satisfying as I would want them to be"

16.3%

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Adverse Childhood Experiences

Percentage of survey respondents reporting four or more Adverse Childhood Experiences:

OR

28.2% 4,208 Respondents

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Self Harm

Over the past 12 months, how often have you had thoughts that you would be better off dead or of hurting yourself in some way?

OR 1,814 Respondents

11.6%

Indicated they had these thoughts several days, more than half of the days or nearly every day over the last 12 months.

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BayCare Health System ED Utilization Mental Health and Substance Abuse

8417 4318 2250

1000 2000 3000 4000 5000 6000 7000 8000 9000

2 Visits 3-4 Visits 5 or More Visits

Number of Individuals

2018 Mental Health and Substance Abuse ED Utilization: Repeat Visits

2018: 78,715 ED Encounters Repeat Visits:

2,250 individuals with 5+ visits

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Heat Maps: ED Utilization for Uncontrolled Diabetes

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Every Voice Matters

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“If you are working on something exciting that you really care about, you don’t have to be pushed. The vision pulls you.”