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2021 Community Health Needs Assessment | Midmichigan Medical Center

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2021 Community Health Needs Assessment | Midmichigan Medical Center 2021 Community Health Needs Assessment MidMichigan Medical Center-West Branch Creating Healthy Communities - Together 1 Table of Contents Table of Contents ............................................................................................................................ 2 Executive Summary ......................................................................................................................... 3 Background & Communities ........................................................................................................... 5 Community Served .......................................................................................................................... 9 Introduction/Framework ................................................................................................................ 9 Demographics ............................................................................................................................... 12 Determinants of Health ................................................................................................................ 15 Access to Care ............................................................................................................................... 17 Health Behaviors ........................................................................................................................... 20 Health Conditions ......................................................................................................................... 25 Prioritization Process .................................................................................................................... 28 Final Steps ..................................................................................................................................... 29 Improvement Plan ........................................................................................................................ 30 Appendix A .................................................................................................................................... 31 Appendix B .................................................................................................................................... 32 2 Executive Summary The Community Health Team of MidMichigan Health supports the Community Health Needs Assessment (CHNA) as a key component of improving population health. Our assessments and corresponding plans are a reflection of the purpose and core values of MidMichigan Health. We truly believe that health happens were we live, learn, work and play and that all people should have the opportunity to make choices that allow them to live a long, healthy life, regardless of their income, education or ethnic back ground. MidMichigan Medical Center-West Branch conducted a CHNA using a modified MAPP process that assessed the current health status of the communities the medical center serves based on identified needs according to benchmark comparisons, Primary data collection through community surveying for community input, and the development of a Community Health Improvement Plan (CHIP). The process included 19 community leaders that submitted information for the assessment to review health data, analyzed public health data, complete and distribute the Wellbeing Survey, identify priorities and set goals for the 2021 CHIP. 1. Community Health Status This assessment evaluated each county identified as the community served by MidMichigan Medical Center-West Branch and the community collaborative organizations that were involved in the assessment, which included Ogemaw, Roscommon, Arenac, Isoco and Oscoda counties. Evaluation included demographics and public health data from a variety of sources and agencies including Ten16, District Health Department #2, countyhealthrankings.org, and other county level data. The combined population of all five counties is 93,234 residents in 2019. Each county ranges from 93.4%-95.2% white, 0.3%-0.7% African American, 1.0%-1.2% American Indian, and 2%-2.4% Hispanic or Latino. Povery levels for children under 18 years of age range from 24% for Arenac County, to 33% being the highest in Roscommon County. The Michigan Average is 19%. Those that are below the ALICE population threshold is between 38% and 47%. Obesity rates are increasing with Oscoda county at the highest of those evaluated with 39% reporting obesity, and Iosco county with the lowest at 30%. Roscommon and Arenac counties were in the top five highest invasive cancer incident rates in the state of Michigan. 3 Maternal tobacco use ranged from 29% in Oscoda County to 40% in Iosco County. 44% of pregnant moms in Oscoda county received late or no prenatal care, along with 32% in Arenac County. Each census tract in all five counties ranked in the lowest quartile for health literacy. 2. 2021 Wellbeing Survey for Community Vitality The wellbeing survey was a primary survey that looked at the vitality of the community and assessed the current strengths and themes within each community served. The survey was sent out both electronically, using surveymonkey.com, and also paper surveys were sent to harder to reach populations such as meals on wheels and senior services. 213 people completed the survey electronically, and 121 complete the paper survey. 40% of respondents that postponed or did not receive care when needed was due to cost, while 36% was due to Covid concerns and 24% due to no available appointments. Residents identified jobs with livable wages, affordable/quality housing, low-cost/free exercise opportunities, healthy food options and access to healthcare as the top 5 needs that if addressed, would improve the health of the community. 3. Community Health Improvement Plan The Community Health Improvement Plan will guide the next efforts of the community health team, while aligning with the strategic plan of MidMichigan Health, for the next three years. The plan includes the efforts of the community collaborative team in order to create partnerships in community health improvement, with the goal of improving health outcomes. Health Priorities: 1. Chronic Disease Prevention & Treatment Areas of high priority are cardiovascular disease, Obesity, Diabetes and Cancer 2. Behavioral Health Behavioral Health will include Substance Use Disorder, Mental health providers and suicide prevention. 3. Access to Care While this is a broad spectrum of possibilities, the ares of focus will be on provider engagement, utilizing and education on Advanced Practice Providers for primary care, healthy food access, exercise opportunities, broadband internet access and health literacy. 4. Prenatal/Perinatal Quality Each of the counties have high rates of maternal tobacco use, and high rates of late/no prenatal care. Focus will be given to these two categories while providing additional support services to new and young mothers within our recently re-opened OB. 4 Background & Communities MidMichigan Health, a non-profit health system headquartered in Midland, Michigan, is a leader in providing award-winning, high-quality care to the 23-county region it serves. With Medical Centers in Alpena, Clare, Gladwin, Gratiot, Midland, Mt. Pleasant and West Branch, MidMichigan Health provides a full continuum of care across a wide array of settings, including urgent care centers, home health, virtual care, as well as medical offices in more than 30 specialties and subspecialties including cardiology, hematology/oncology, orthopedics, vascular surgery, family medicine and more. MidMichigan Health demonstrates its commitment to the future of medicine by partnering with leading institutions to offer medical education programs that train medical students, physicians, nurse practitioner and physician assistant students, nursing students and other clinical experts for our region. Its more than 8,800 employees, volunteers, health care providers and other personnel work together to create healthy communities through solutions designed to meet the ever-changing needs of the 938,000 residents in the health system’s 23-county service area. In fiscal year 2020, MidMichigan Health provided more than $91 million in community benefits, as well as supported its patients and families with new equipment, services and programs with funds raised by the MidMichigan Health Foundation. 5 MidMichigan Medical Center - Alpena A 139 licensed-bed hospital located in northeast Michigan on the shores of Lake Huron, Alpena's first community hospital opened in 1915 as the Donald McRae Hospital. It served until 1939, when a petition was passed to build a new public hospital. On April 16, 1940, a new 88- licensed bed hospital opened called Alpena General Hospital. On April 1, 2016, Alpena Regional Medical Center joined MidMichigan Health, making it the fifth Medical Center in the MidMichigan Health system. To reflect the hospital joining MidMichigan, the Medical Center changed its name to MidMichigan Medical Center - Alpena. Accredited by The Joint Commission, the Medical Center has approximately 1,000 employees, 200 volunteers and about 100 physicians. In 2017, the Medical Center in Alpena was recognized as a Top Rural 6 Community Hospital by the National Rural Health Association, was named to the Becker's Hospital Review 2017 list of 100 Great Community Hospitals, and received Michigan’s Quality Improvement Organization (MPRO) 2019 Governor’s Awards of Excellence for outstanding achievement in Effective Reporting and Measurement in Outpatient Quality
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