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 fit pro g ra ms. 1
9/ 22/ 2015 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. 2
9/ 22/ 2015 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 ofit 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 ofit 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. 3
9/ 22/ 2015 CHNA - Co mmunity I nput Pro c e ss Consumer Health Needs Survey Implementation Plan Community Conversations Focus Groups Ranking And Prioritization 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 o 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. 4
9/ 22/ 2015 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* 5
9/ 22/ 2015 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 o 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 6
9/ 22/ 2015 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 7
9/ 22/ 2015 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 e atme nt fro m the me dic a l c o mmunity. Advoc ate fo r follow tr vulne ra b le individua ls a nd c o mmunitie s 8
9/ 22/ 2015 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 9
9/ 22/ 2015 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 Drug F re e Co mmunitie s F nally b y the unde d E xte r 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 Coalitions are reported as community benefit fro m Me rc y He a lth a nnua lly under ‘Community Building Activities’ 38 org a niza tion with 75 s fro m a c tive me mbe r the 12 se c to rs. 10
9/ 22/ 2015 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 11
9/ 22/ 2015 Co a litio n o f the Ye a r 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 CADCA – L unc he o n F e b rua ry 2015 re g ula r b a sis. 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. 24 12
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