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2019 Community Health Needs Assessment

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2019 Community Health Needs Assessment 2019 Community Health Needs Assessment Edward Lamb, FACHE President and CEO, Mount Carmel Health System 6001 East Broad Street, Columbus, Ohio 43213 Mount Carmel East 2019 Community Health Needs Assessment Mount Carmel East, one of five Mount Carmel Health System hospitals, has the busiest adult emergency department (ED) in greater Columbus. With growing demands for heart and maternity care on Columbus’ east side, Mount Carmel responded by creating the Mount Carmel East Heart Center and Mount Carmel East Maternity Center. The Heart Center features cath labs, electrophysiology lab, cardiovascular neuro services center, post-surgery ICU, and a coronary care unit with a step-down unit. The Maternity Center includes private, home-like labor and delivery suites, cesarean operating rooms, antepartum rooms, and a Level III special care nursery. Among the other state-of-the-art facilities at our hospital in Columbus, Ohio, are multiple intensive care units, endoscopy lab, neuroscience unit with epilepsy monitoring beds, and the Bruce E. Siegel Center for Health Education. A campus-wide modernization project is underway to ensure Mount Carmel East can provide people-centered health care of tomorrow. This includes the addition of a new five-story patient tower, the conversion to all-private rooms, the introduction of level II trauma care, and a new surgical suite with 12 operating rooms and 40 perioperative spaces. An expanded cafeteria and kitchen with bistro-like dining and room service, new main entrance and lobby, and expanded parking, along with peaceful respite areas and park-like outdoor spaces create an unprecedented patient, family and visitor experience. ii | P a g e Mount Carmel East 2019 Community Health Needs Assessment Mission We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. Vision As a mission-driven, innovative health organization, we will become a leader in improving the health of our communities and each person we serve. We will be the most trusted partner for life. Core Values To connect with our mission and to care for ourselves, our fellow colleagues and those we serve, we live these five core values: Reverence We honor the sacredness and dignity of every person. Commitment to Those Who Are Poor We stand with and serve those who are poor, especially those most vulnerable. Justice We foster right relationships to promote the common good, including the sustainability of Earth. Stewardship We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care. Integrity We are faithful to who we say we are. iii | P a g e Mount Carmel East 2019 Community Health Needs Assessment Mount Carmel Health System, based in Franklin County, Ohio, is where 70% of our patients reside. To understand the health needs facing the majority of our patients, Mount Carmel Health System is part of the steering committee that conducts the Franklin County Community Health Needs Assessment. This Community Health Needs Assessment was adopted in tax year 2018. The 2019 Mount Carmel East Franklin County Health Needs Assessment was accepted and approved by the Mount Carmel Health System Board of Trustees on May 30, 2019. This report was made available online at mountcarmelhealth.com on June 14, 2019. To request free printed copies or to have questions/comments addressed, please email [email protected]. iv | P a g e Mount Carmel East 2019 Community Health Needs Assessment 2016—2018 Mount Carmel East Community Health Needs Impact Report The 2016 Mount Carmel East Community Health Needs Assessment, Franklin County HealthMap 2016: Navigating Our Way to a Healthier Community Together and the 2016—2018 Implementation Plan for Mount Carmel East are available at www.mountcarmelhealth.com. Mount Carmel East did not receive written comments or questions regarding these reports. Mount Carmel Health System, as part of the 2016 Franklin County Community Health Needs Assessment Steering Committee, worked collaboratively with community partners to develop and prioritize health needs, as listed below in order of importance: 1. Obesity 2. Infant Mortality 3. Access to Care 4. Mental Health and Addiction 5. Chronic Conditions 6. Infectious Diseases As outlined in the 2016—2018 Mount Carmel East Hospital Implementation Plan, the prioritized health needs addressed by the facility were obesity, infant mortality, access to care, and chronic conditions. Below are the descriptions of the prioritized health needs, their goals, and impact made by Mount Carmel East to address these particular needs in our community during the fiscal years (July—June) of 2016, 2017, and 2018. Obesity DESCRIPTION OF NEED: Studies estimate the annual health care costs of obesity- related illness are a staggering $190.2 billion, or nearly 21% of annual medical spending in the United States. Childhood obesity alone is responsible for $14 billion in direct medical costs nationally. People who are obese, compared to those with a normal or healthy weight, are at increased risk for many serious diseases and health conditions, including high blood pressure, Type 2 diabetes, coronary heart disease, stroke, osteoarthritis, some cancers and mental illness. In Franklin County, the percentage of obese adults (30.7%) is higher than the national average (27.6%). Franklin County children fare even worse, with 19.8% of children considered obese compared to a 13.7% national average. The percentage of Franklin County adults who are overweight (31.2%) and obese v | P a g e Mount Carmel East 2019 Community Health Needs Assessment (30.7%) have decreased slightly from the previous HealthMap (32.5% and 31.4%, respectively). The percentage of overweight adults is lower than the statewide percentage, while the percentage of obese adults is just over the statewide percentage (HealthMap 2016). GOAL: Improve health, fitness, and quality of life through physical activity (HP2020 Physical Activity Goal). Cancer Survivorships Services – Cancer patients and survivors in our community are welcomed to use the programs and services at Mount Carmel East Cancer Survivorship Center. The Survivorship Center opens its doors to thousands of patients and survivors to utilize an array of activities to maintain a healthy weight and support a physically active lifestyle. This includes physical activity programs such as aerobic exercises, weight training, and gentle yoga. FY16: 2,613 patients encounters FY17: 2,364 patients encounters FY18: 2,053 patients encounters To increase the impact in addressing obesity, the following Mount Carmel Health System hospitals also addressed obesity: Mount Carmel St. Ann's and Mount Carmel West. Infant Mortality DESCRIPTION OF NEED: Franklin County’s infant mortality rate is far above the national rate. Every week in Franklin County, more than three families experience the death of a baby before his or her first birthday. Franklin County’s infant mortality rate for 2013 is as high as the national rate from the early 1990s. The infant mortality rate for black babies is two-and-a-half times that of white babies in Franklin County. Not only are too many babies dying before they reach their first birthdays, too many – 13% of babies in Franklin County – are born too early. Disorders related to prematurity and low birth weights are the leading causes of infant deaths, but those same disorders can cause ongoing challenges for babies who survive (HealthMap 2016). GOAL: Improve the health and well-being of women, infants, children, and families (HP2020 Mother, Infant, and Child Health goal). vi | P a g e Mount Carmel East 2019 Community Health Needs Assessment Welcome Home – Available to mothers living in Franklin County and the adjoining counties who deliver at a Mount Carmel maternity facility, specially trained Mount Carmel Registered Nurses provide free in-home wellness visits for moms and new babies. Nursing assessments for moms include a postpartum depression screening and answering any questions or concerns they may have, including questions about breastfeeding. Baby's weight, umbilical cord, sleeping and eating habits are checked and discussed during the health assessment for baby. Mount Carmel's Welcome Home program also provides educational information regarding baby's growth and development, as well as other helpful community resources. FY16: 10,499 patient encounters FY17: 11,666 patient encounters FY18: 10,998 patient encounters Hosting Moms2B Program – Mount Carmel's Healthy Living Center is a community health and wellness center that provides free holistic health and wellness programs for everyone, empowering and equipping each individual to embrace long-term health behavior changes in a safe, inclusive space. By hosting The Ohio State University program, Moms2B, at the Healthy Living Center, accessibility is increased for expecting moms. The program provides education and support to moms for the best health outcomes for newborns. FY16: 1,014 patient encounters FY17: 1,116 patient encounters FY18: 839 patient encounters Breastfeeding Support – A certified lactation nurse is available at the Mount Carmel Healthy Living Center to provide a private, nurturing environment where breastfeeding mothers to ask questions, get advice, and share experiences. FY16: 49 patient encounters FY17: 79 patient encounters FY18: 129 patient encounters Health Stations – Understanding the need to address infant mortality, in October 2017, one Mount Carmel Health Station began offering
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