Community Health Needs Assessment Community Health Strategic Plan Bedford and Blair Counties
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Community Health Needs Assessment Community Health Strategic Plan Bedford and Blair Counties June 30, 2019 Enhancing the Health of Our Communities Bedford and Blair Counties COMMUNITY HEALTH NEEDS ASSESSMENT UPDATE COVERING UPMC BEDFORD UPMC ALTOONA Table of Contents Introduction Regional Progress Report: 2016 – 2019 . Page 1 I. Executive Summary................................................................Page 4 II. Overview and Methods Used to Conduct the Community Health Needs Assessment .........Page 8 III. Results of the Community Health Needs Assessment and In-Depth Community Profile .......Page 14 IV. UPMC Hospitals: Community Health Improvement Progress and Plans .....................Page 28 2016 – 2019 Progress Reports and 2019 – 2022 Implementation Plans by Hospital UPMC Bedford . Page 26 UPMC Altoona . Page 35 V. Appendices.......................................................................Page 45 Appendix A: Secondary Data Sources and Analysis . Page 46 Appendix B: Detailed Community Health Needs Profile . Page 48 Appendix C: Input from Persons Representing the Broad Interests of the Community . Page 51 Appendix D: Concept Mapping . Page 56 Appendix E: Healthy Blair County Coalition: Community Health Needs Assessment and Implementation Plan . Page 60 2016-2019 UPMC is stepping forward to help our neighbors in Bedford and Blair counties by offering REGIONAL programs and services to improve health and PROGRESS REPORT quality of life in our communities . PROVIDING LOCAL ACCESS TO NATIONALLY • Caring for More Patients with Telemedicine: Founded in 2013, the RANKED, WORLD-CLASS CARE UPMC Bedford Teleconsult Center is a multi-specialty outpatient clinic that uses advances in technology to connect patients with UPMC is taking steps to make health care more convenient for those specialists. From 2013 to 2017, the UPMC Bedford Teleconsult we serve. By transforming our physical locations, recruiting more clinicians, and employing the latest technologies, we’re providing Center had 1,466 telemedicine visits, saving more than $190,000 local access to nationally-ranked, world-class care. in travel expenses and an astounding 355,000 miles traveled. • Working Together to Recruit Physicians: UPMC Bedford and UPMC Altoona are partnering on initiatives to bring both primary care and specialty care physicians to the region. The UPMC Bedford Teleconsult Center offers access to 12 specialties, including • Increasing Access to Primary Care with a New Walk-In Clinic in Bedford: In June 2016, UPMC Bedford established a new Diabetes Management, Infectious walk-in clinic, which has had more than 3,000 patient visits Disease, Maternal Fetal Medicine, and since its opening. In addition to the new facility, the hospital also Pediatric Gastroenterology. successfully recruited additional physician assistants, which allowed the clinic to extend hours to evenings and weekends. • Building a One-Stop-Shop for Care in Ebensburg: In June COLLABORATING WITH LOCAL PARTNERS 2018, UPMC opened an Outpatient Center in Ebensburg, which TO PROMOTE HEALTHY LIFESTYLES offers primary and specialty care, lab testing, x-ray, ultrasound, Through its partnership with the Healthy Blair County Coalition, mammography, and behavioral health services. Specialties include UPMC Altoona works with other hospitals, agencies, and nonprofit ob-gyn, cardiology, neurology, dermatology, and orthopedics. organizations in Blair County to help people lead healthier lives This large complex is an example of UPMC’s new model for the through various community programs. One of these initiatives is delivery of outpatient primary and specialty care. Let’s Move Blair County – an extension of the national Let’s Move campaign, which encourages children and adults to eat healthy and become more physically active. Through Let’s Move Blair County, UPMC Altoona is collaborating with community partners on health fairs, programs, and events to achieve greater results: • Targeting food deserts and establishing community vegetable gardens • Creating new walking routes throughout the county, an effort led by the Blair County Planning Commission 1 REACHING OUT TO COMMUNITY UPMC Altoona empowers residents MEMBERS IN CRISIS to make healthier choices by offering UPMC Altoona’s Mobile Crisis Team provides on-site, face-to-face a variety of educational programs – mental health services for individuals and families experiencing a from “Senior Health and Fitness Day” mental health crisis. Over the last three years, the hospital has to a “Read the Label” food tour at expanded the program to better meet the needs of its community by: a local supermarket. • Visiting people who miss their first outpatient visit following discharge from an inpatient stay. • Launching a community education campaign to increase public HELPING TO MANAGE DIABETES awareness of the Mobile Crisis Team service. UPMC provides diabetes care and offers education and support • Increasing the size and capabilities of the team with two new programs. For most people living with diabetes, their quality of life staff members and two new vehicles. depends on how much they know about the disease and how well • Educating local law enforcement and encouraging them they use this knowledge to successfully manage their condition. to contact the Mobile Crisis Team. UPMC helps individuals improve control of diabetes independently and confidently through: Additionally, UPMC Bedford is improving the mental health of Bedford County’s older residents by screening seniors for depression. Glucose to Goal: Through the Glucose to Goal program, UPMC • In 2017, the initiative screened 1,670 seniors, which resulted in 9 Bedford links patients to certified diabetes educators who can referrals to a doctor, a behavioral health nurse, or for a telepsychiatry help modify behaviors, such as controlling sugar levels through appointment. healthier eating. This approach is considered highly effective in primary care settings. • National Diabetes Day Health Fair: Both UPMC Bedford and UPMC Altoona host annual diabetes health fairs to help UPMC Altoona is the first facility in community members learn how to prevent, detect, and manage Pennsylvania to provide inpatient the disease. In November 2016, UPMC Altoona hosted its first behavioral health teleconsults. annual National Diabetes Day Health Fair, which was planned in partnership with UPMC Bedford. At the health fair, community members learned about nutrition, sleep apnea, wound care, and foot care. 2 UPMC is addressing important community health needs. • Diabetes • Behavioral Health • Obesity • Access to Primary Care and Specialty Care SYS509362 LGH/CD 1018 3 © 2018 UPMC I . EXECUTIVE SUMMARY UPMC’s mission is to serve our community by providing outstanding patient care and to shape tomorrow’s health system through clinical and technological innovation, research, and education. UPMC Plays a Major Role in Its Community: UPMC is one of the world’s leading Integrated Delivery and Financing Systems (“IDFS”), combining a major Health Services Division with 40 hospitals and more than 700 clinical locations, with a 3.4 million-member Insurance Services Division. One of the largest nonprofit health systems in the United States, UPMC is headquartered in Pittsburgh, Pennsylvania, and serves patients seeking highly specialized medical care primarily from communities across Pennsylvania, as well as throughout the nation and around the world. UPMC is also the largest medical insurer in western Pennsylvania, and is the largest insurer of Medical Assistance, Medicare Advantage, Children’s Health Insurance, and Behavioral Health populations in the region. UPMC’s Community Benefit Committed to its mission of service, UPMC provides approximately $1 billion a year Commitment in benefits to the communities it serves, and delivers more care to the region’s poor and underserved than any other health system in the state. FY2018 $1.2 billion UPMC’s commitment to service is seen in the following ways: FY2017 $960 million FY2016 $912 million • Establishing a healthy culture in the communities we serve: UPMC enhances health and wellness through more than 3,000 community-focused programs. • Caring for the vulnerable: In Fiscal Year 2017, UPMC subsidized $303 million in charity care and coverage for unreimbursed costs of care provided to Medicaid beneficiaries. • Providing state-of-the-art, life-saving care to the community: In partnership with the University of Pittsburgh, UPMC makes significant investments in translational science, technology, research, and education designed to improve clinical quality, promote patient-centered care, and benefit the overall health of residents of our communities. • Contributing to a thriving future for the state: UPMC fosters economic prosperity through direct investment and new product development, which improves the health of communities large and small. The largest nongovernmental employer in Pennsylvania, UPMC supports more than one in four hospital jobs in the commonwealth and has a $36 billion economic impact in the region each year. >> UPMC invested $400 million in education and research in 2017, primarily at the University of Pittsburgh, which ranks #5 in National Institutes of Health (NIH) dollars. >> UPMC sponsors 97 percent of all hospital-funded research in western Pennsylvania. 4 Assessing the Significant Community Health Needs for Bedford and Blair Counties: In Fiscal Year 2019, UPMC’s two licensed hospitals located in and serving Bedford and Blair counties, in central Pennsylvania, conducted