Community Health Needs Assessment 2013-Books Pdf

Community Health Needs Assessment 2013
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Table of Contents,Executive Summary 1,IRS Requirements 3. Process Methodology 4,Summary of System Wide Findings 9. Implementation Strategy 12,Morristown Medical Center 13. Description of Community Served 13,Community Representative Engagement 14. Prioritized Community Health Needs 17,Existing Community Resources 21.
Implementation Plan 22,Newton Medical Center 29,Description of Community Served 29. Community Representative Engagement 30,Prioritized Community Health Needs 33. Existing Community Resources 35,Implementation Plan 37. Overlook Medical Center 44,Description of Community Served 43. Community Representative Engagement 46,Prioritized Community Health Needs 50.
Existing Community Resources 52,Implementation Plan 54. References 62,List of Tables, Table 1 Roles and Responsibilities of Key AHS Personnel for the CHNA 5. Table 2 Disparities in Access to Care Behavioral Health and Healthy Behaviors 11. Table 3 MMC Community Health Committee Members 16, Table 4 Prioritized Needs List Morris County Meeting 17. Table 5 List of Existing Resources by Need Area 21. Table 6 Implementation Plan for Access to Care and Preventive Services MMC 26. Table 7 Implementation Plan for Behavioral Health MMC 27. Table 8 Implementation Plan for Healthy Eating Active Living MMC 28. Table 9 NMC Community Health Committee Members 31, Table 10 Prioritized Needs List Sussex County Meeting 33. Table 11 List of Existing Sussex County Resources by Area of Need 36. Table 12 Implementation Plan for Behavioral Health NMC 41. Table 13 Implementation Plan for Healthy Eating Active Living NMC 41. Table 14 Implementation Plan for Access to Care and Preventive Services NMC 43. Table 15 OMC Community Health Committee Members 47. Table 16 Prioritized Needs List Western Union County Meeting 48. Table 17 Prioritized Needs List Union County Meeting 49. Table 18 List of Existing Resources by Need Area 53. Table 19 Implementation Plan for Behavioral Health Seniors OMC 58. Table 20 Implementation Plan for Behavioral Health Resilience OMC 59. Table 21 Implementation Plan for Physical Activity and Nutrition OMC 60. Table 22 Implementation Plan for Access to Care and Preventive Services OMC 61. List of Figures,Figure 1 The Community Wheel 7,Figure 2 System wide Priority Health Needs 9.
Figure 3 Implementation Plan Process 13,List of Maps. Map 1 The Combined Services Areas of Three AHS Hospitals 4. Map 2 Service Area of Morristown Medical Center 14. Map 3 Service Area of Newton Medical Center 29,Map 4 Service Area of Overlook Medical Center 44. Executive Summary, Atlantic Health System is a multi hospital comprehensive health system serving. approximately 1 7 million people in Northern New Jersey In compliance with the. requirements of the Patient Protection and Affordable Care Act Pub L No 111 148. Stat 199 Atlantic Health System completed a Community Health Needs Assessment. CHNA for each of its three hospitals in 2013 This report summarizes the process by. which data were collected priorities assessed and community representatives engaged. to identify and address the health needs of the community. The Process, Atlantic Health System s approach was based on the guidelines established by the IRS. and builds on best practices in Community Health Needs Assessment CHNA e g. Barnett 2012 CHNAs are important tools for assessing current needs of populations. with an eye to health disparities and the goal of matching community benefit resources. to addressing priorities for the health of the community. To conduct the most comprehensive assessment possible the Community Health. Alliance of Northwestern Central New Jersey CHANC NJ was formed CHANC NJ. was comprised of ten total hospitals These included Atlantic Health System. Morristown Medical Center Overlook Medical Center Newton Medical Center Saint. Clare s Health System Denville Dover Boonton Sussex Robert Wood Johnson. Rahway Chilton Hospital Trinitas Regional Medical Center The hospitals agreed to. share costs in conducting the assessment and to work together to identify Community. Health Needs across the region Holleran a national research and consulting firm was. hired to collect the primary data and some secondary data for the project. Data were collected in three phases First a phone survey of residents across the. region was conducted Built from questions included in the Center for Disease Control. and Prevention s Behavioral Risk Factor Surveillance Survey these primary data we. designed to provide greater understanding into the health needs of the community from. a representative sample of the population These data were matched with secondary. data from multiple sources including the New Jersey Hospital Association New Jersey. Department of Health Statistics and the Centers for Disease Control and Prevention. After collecting the primary and secondary quantitative data a variety of methods were. used to solicit feedback from community representatives These methods included web. based surveys interviews and prioritization meetings in which leaders expressed their. opinions about the most pressing needs of the community Special attention was paid to. minority voices and those suffering from chronic illness Specific lists of participating. organizations and a detailed synopsis of the process are listed in the individual reports. for each hospital,The Results, While the community health needs were identified prioritized and will be implemented.
at the local hospital level three common system wide priorities emerged. Behavioral Health Approximately one in ten people reported a diagnosed mental. illness and many battled substance use behaviors that put them at risk. Healthy Behaviors Despite lower rates than some places many people are at risk. of developing diabetes and an unhealthy weight status due to physical inactivity and. poor nutrition habits resulting in obesity diabetes and other chronic illnesses. Access to Care and Preventive Services While many across the region have. great medical care disparities are prevalent between lower income individuals and. Hispanic Latinos on many indicators of access to care and utilization of preventive. services Incidentally these groups report fewer healthy behaviors and poorer. mental health status than their comparison populations. Implementation Planning, After completing the Community Health Needs Assessment in early 2013 Atlantic. Health System continued to meet with diverse workgroups of community. representatives at each site to develop detailed implementation plans for each site This. process and the resulting plans are outlined in the chapter for each hospital site. IRS Requirements, On March 23 2010 the U S Congress approved the Patient Protection and Affordable. Care Act Included in section 9007 a of this act Pub L No 111 148 124 Stat 119. are requirements for all tax exempt U S hospitals to complete a Community Health. Needs Assessment CHNA every three years The requirements of this mandate state. that hospitals must 1 define the community served by the facility 2 consider input of a. diverse array of persons served by the facility 3 prioritize those needs and 4 identify. existing community resources that are available to meet the prioritized needs An. implementation strategy must be developed within the same fiscal year as the CHNA is. completed and must be approved by the Board of the organization The report herein for. each AHS hospital satisfies these requirements for the fiscal year beginning January 1. Process Methodology, Atlantic Health System AHS is a comprehensive health care system serving a. population of approximately 1 7 million residents As shown in Map 1 the area. served by the three AHS hospitals Morristown Medical Center Overlook Medical. Center Newton Medical Center spans from urban centers near New York City to. the rural counties in Northwestern New Jersey and eastern Pennsylvania For the. CHNA the primary and secondary service areas of each hospitals were included. i e zip codes from which 75 of inpatient market share is drawn While the. service areas extend to parts of many counties the three AHS hospitals chose to. more narrowly define their Community Benefit Service Areas CBSAs as follows. Morristown Medical Center Morris County NJ,Newton Medical Center Sussex County NJ. Overlook Medical Center Western Union County NJ including the municipalities. of Summit Westfield and Union, Details on the communities served for each site are described in the section for each.
individual hospital, Map 1 The Combined Service Areas of the Three AHS Hospitals. The AHS Community Health Needs Assessment CHNA was a team effort Many. individuals across the organization were involved in the development and initiation of. the CHNA The roles are responsibilities for each are outlined in Table 1. Roles and Responsibilities of Key AHS Personnel for CHNA. Department Group Role Responsibility,Process framework. AHS Corporate Department,Data Analysis,of Mission Development. Technical assistance,Community Health Project oversight. Management each site Community Representative Engagement. Data review and Implementation strategy, AHS Staff and Physicians Expertise in medical care public relations and.
community engagement,Community Health,Endorsement of process and prioritized goals. Committees each site,Hospital Advisory Boards,Endorsement of implementation strategy. AHS Board of Trustees Approval of implementation strategy. The Community Health Needs Assessment was conducted in three phases This. process was iterative with each conversation and meeting raising additional questions. leading to deeper data inquiries The three phases were. 1 Primary Data Collection and Analysis CHNA Phone Survey. 2 Secondary Data Analysis, 3 Community Representative Engagement meetings interviews and focus. 1 Primary Data CHNA Phone Survey, Primary data were collected by Holleran a national research and consulting firm. headquartered in Lancaster Pennsylvania Founded in 1992 Holleran is a recognized. leader in health and human services and senior living serving clients in 43 states and. Canada Working with the Alliance Holleran provided a customized Community Health. Needs Assessment based upon the service areas of the participating hospitals. Interviews were conducted by Holleran s teleresearch center between the dates of April. 18 2012 and August 3 2012 Interviewers contacted respondents via land line. telephone numbers generated from a random call list Each interview lasted. approximately 12 15 minutes depending on the criteria met and was completely. confidential Only respondents who were at least 18 years of age and lived in a private. residence were included, The survey tool was adapted from the Center for Disease Control and Prevention s.
Behavioral Risk Factor Surveillance System BRFSS BRFSS is the largest telephone. health survey in the world It is used nationally to identify new health problems monitor. current problems and goals and establish and evaluate health programs and policies. The survey tool used for this need assessment consisted of approximately 100 factors. selected from the 2006 2009 2010 and 2011 BRFSS tools The factors were chosen. by the CHANC NJ a collaboration of ten hospitals in Central and Northwest New. Jersey Questions addressed 31 health related topics ranging from general health. status to childhood immunization, All data sets utilized in the report are statistically weighted to counter for demographic. imbalances e g over representation of females compared to males All presented. statistics are weighted with the exception of the demographic information. 2 Secondary Data Analysis, Secondary data were collected by Holleran and hospital staff Several sources were. identified including the New Jersey Hospital Association Countywide Profiles existing. County Health Improvement Plans vital statistics data from the New Jersey Department. of Health Statistics County Health Rankings the United State Census Bureau and the. Behavioral Risk Factor Surveillance Survey from the Center for Disease Control and. Prevention Secondary data were used to fill gaps not covered by the primary data and. confirm or clarify data from the primary data set,3 Community Representative Engagement. Multiple opportunities were provided for local community representatives to collaborate. with the Alliance Community members from a diverse array of organizations were. invited to participate As shown in Figure 1 the Community Wheel was used as a tool to. identify partners across the spectrum including health care government business. education social services public health law enforcement and grassroots. organizations Invitations were made via personal conversation email and written. On September 13 2012 the data from the CHNA were unveiled in a meeting at Atlantic. Health System Corporate in Morristown New Jersey This meeting was comprised of. hospital representatives and community leaders including public health officers elected. officials and non profit organizations i e the United Way Following these meetings a. Figure 1 The Community Wheel, broader list of community representatives was generated by these partners and hospital. staff This extensive list of community representatives within each area Morris County. All data sets utilized in the report are statistically weighted to counter for demographic imbalances e g over representation of females compared to males All presented statistics are weighted with the exception of the demographic information 2 Secondary Data Analysis Secondary data were collected by Holleran and hospital staff Several

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