Community Health Needs Assessment – 2016
Building healthier lives and communities. TABLE OF CONTENTS
Letter from the CEO Executive Summary Community Health Needs Assessment Requirement...... 1 Community Health Needs Assessment Overview, Methodology and Approach...... 3 CHNA steering committee...... 3 Consultant qualifications and collaboration...... 3 Beaumont Health community served definition...... 3 Assessment of health needs – methodology and data sources...... 4 Quantitative assessment of health needs...... 4 Qualitative assessment of health needs (community input)...... 5 Methodology for defining community need...... 5 Information gaps...... 6 Existing resources to address health needs...... 6 Prioritizing community health needs...... 6 Evaluation of implementation strategy impact...... 7 Beaumont Community Health Needs Assessment...... 9 Demographic and socio-economic summary...... 9 Public health indicators...... 14 Community input: Focus groups and key informant interviews...... 15 Health needs matrix...... 16 Prioritizing community health needs...... 17 Description of the health needs to be addressed by Beaumont Health...... 18 CHNA implementation strategy...... 20 Summary...... 20 Beaumont Hospital, Dearborn...... 23 Community served...... 23 Demographic and socio-economic summary...... 23 Truven Health community data...... 27 Community input...... 29 Beaumont Hospital, Farmington Hills...... 31 Community served...... 31 Demographic and socio-economic summary...... 31 Truven Health community data...... 35 Community input...... 37 Beaumont Hospital, Grosse Pointe...... 39 Community served...... 39 Demographic and socio-economic summary...... 39 Truven Health community data...... 43 Community input...... 45 Beaumont Hospital, Royal Oak...... 47 Community served...... 47 Demographic and socio-economic summary...... 47 Truven Health community data...... 51 Community input...... 53 TABLE OF CONTENTS BEAUMONT HEALTH
Beaumont Hospital, Taylor...... 55 Beaumont Health is Michigan’s largest health care system (based on inpatient admissions and net patient Community served...... 55 revenue) formed in 2014 to provide patients with compassionate, extraordinary care, no matter where they live Demographic and socio-economic summary...... 55 in Southeast Michigan. Truven Health community data...... 59 Beaumont Health was formed through the integration of three southeast Michigan legacy health systems: Community input...... 61 Beaumont Health System, Botsford Health Care and Oakwood Healthcare. Beaumont Hospital, Trenton...... 63 Community served...... 63 Mission, Vision and Values Demographic and socio-economic summary...... 63 Truven Health community data...... 67 Compassion is a fundamental attribute to be a Beaumont Health physician, employee or volunteer. It is so Community input...... 69 critically important, compassion is reflected in our mission, vision and values: Beaumont Hospital, Troy...... 71 Community served...... 71 Our Mission Demographic and socio-economic summary...... 71 Compassionate, extraordinary care every day Truven Health community data...... 75 Community input...... 77 Our Vision Beaumont Hospital, Wayne...... 79 Community served...... 79 To be the leading high-value health care network focused on extraordinary outcomes through education, Demographic and socio-economic summary...... 79 innovation and compassion Truven Health community data...... 83 Community input...... 85 Our Values Appendix A: Beaumont Health CHNA Steering Committee...... 87 •Compassion Appendix B: Community Served Definition...... 89 •Respect Appendix C: Key Health Indicator Sources...... 95 •Integrity Appendix D: Community Resources Available To Potentially Address Significant •Teamwork Health Needs...... 99 Appendix E: Evaluation of 2013 Implementation Strategies...... 101 •Excellence Appendix F: Federally Designated Health Professional Shortage Areas and Our Mission to serve others is why we exist as an organization. Our Vision is what we want to become. Our Medically Underserved Areas and Populations...... 121 Values guide our behavior and actions in everything we do for patients, families, colleagues and communities. Appendix G: Interview and Focus Group Participants with the Communities and Populations Represented...... 125 Appendix H: CHNA Prioritization Session Representatives...... 129 Appendix I: Focus Group Summaries...... 131 hospitals Beaumont Hospital, Dearborn...... 131 8 Beaumont Hospital, Farmington Hills...... 133 health centers Beaumont Hospital, Grosse Pointe...... 135 168 Beaumont Hospital, Royal Oak...... 137 Beaumont Hospital, Taylor...... 139 5,000 physicians Beaumont Hospital, Trenton...... 141 Beaumont Hospital, Troy...... 143 35,000 employees Beaumont Hospital, Wayne...... 145 CHNA Implementation Strategy 2017-2019...... 149 Beaumont Health contributes to the health and well-being of residents throughout southeast Michigan and beyond. LETTER FROM THE CEO
In September 2014, three of southeast Michigan’s leading health systems — Beaumont, Botsford and Oakwood — joined together in unprecedented fashion to enhance and expand a shared commitment to delivering compassionate, extraordinary health care to millions of residents who call our region home. Together as Beaumont Health, our dedication to building healthier lives and communities is stronger than ever. Through leading health services, education and extensive community outreach, Beaumont strives daily to improve the overall health and well-being of our patients, their families and our neighbors. In order to maximize these efforts and better align our resources, every three years we do a comprehensive community assessment to identify the unique health needs of the populations we serve. The following publication is our 2016 Community Health Needs Assessment, which thoroughly outlines the most pressing health concerns of the communities served by Beaumont Health, and our strategies to address them moving forward. Compiled from several months of research, this document offers an insightful and detailed analysis of our service areas using quantitative data and significant input from a diverse group of residents, health experts and organizations representing a broad cross-section of our region. As one of Michigan’s largest health care systems with eight hospitals, 168 health centers, 5,000 physicians and 35,000 employees serving dozens of communities throughout Macomb, Oakland and Wayne counties, this report serves as an invaluable resource for our entire system as we create healthier communities and redefine standards of care in southeast Michigan. It is a privilege to serve our region as a leading health care provider. We look forward to many years of delivering high quality health care and wellness services to you and your family with compassionate, extraordinary care every day.
Sincerely,
John T. Fox Compassionate, extraordinary care every day. EXECUTIVE SUMMARY
Beaumont Health (Beaumont) In June 2016, the Beaumont CHNA Prioritization Workgroup met to review the health needs matrix and understands the importance of prioritize significant needs for the communities. The meeting was moderated by Truven Health and included an serving the health needs of its overview of the community demographics, summary of health data findings, and review of each community’s identified health needs. communities. In order to do that successfully, we must first take a Participants all agreed the health needs that deserved the most attention and were considered significant were those identified through both the quantitative analysis as worse than benchmark by a greater magnitude, comprehensive look at the and highlighted as common themes through the qualitative discussions. issues our patients, their families and neighbors face when making In January 2016, the Beaumont CHNA Steering Committee selected criteria for the Prioritization Workgroup to identify the most significant health needs for each community. Using that criteria, the community’s significant healthy life choices and health health needs were rated and scored. The list of significant health needs was then prioritized based on the care decisions. overall scores. The session participants subsequently reviewed the prioritized health needs for each Each of the Beaumont legacy community and chose the three community health needs with the highest prioritization scores as those to be hospitals published their first addressed by Beaumont through subsequent implementation strategies. federally compliant community health needs assessment in 2013.
Beginning in January 2016, Beaumont began the process of re-assessing the health needs of the communities THE HEALTH NEEDS TO BE ADDRESSED BY BEAUMONT INCLUDE: served by the eight Beaumont hospital facilities for an updated community health needs assessment. Truven Health Analytics was engaged to help collect and analyze the data for this process, and to compile a final report made publicly available by Dec. 31, 2016.
The community served by Beaumont includes Macomb, Oakland and Wayne counties. These counties Obesity comprise the majority of the geography covered by the combined primary service areas of each of the eight hospitals and contain 3.8 million people. Each hospital’s primary service area is defined by the contiguous ZIP Cardiovascular Disease codes where 80 percent of the hospital’s admitted patients live.
A quantitative and qualitative assessment was performed by Truven Health Analytics, an IBM Company (Truven Health). More than 100 public health indicators were evaluated for the quantitative analysis. Diabetes Community needs were identified by comparing each community’s value for each health indicator to that of the state and nation. Where the community value was worse than the state, the indicator was identified as a community health need. After initial community needs were identified, an index of magnitude analysis was A description of these needs is included in the and approved by the Beaumont Health board of conducted to determine relative severity. body of this report. The hospital facilities will directors, and the full assessment is available to Input from the community was gathered for the qualitative analysis via focus groups and interviews each develop implementation strategies with the public at no cost for download and conducted by Truven Health. Focus group participants and interviewees included community leaders, public specific initiatives to address the chosen health comment on our website at beaumont.org/chna. needs, to be completed and adopted by health experts and those representing the needs of individuals with chronic diseases, minority, underserved This assessment and corresponding Beaumont by April 15, 2017. and indigent populations. implementation strategies are intended to meet The outcomes of the quantitative and qualitative analyses were aligned to create a comprehensive list of health A summary report and evaluation of the the requirements for community benefit planning needs for each community. Next, the health needs were compiled to create a health needs matrix for the implementation strategies drafted after the and reporting as set forth in federal law, community to illustrate where the qualitative and quantitative data correspond and differ. 2013 assessments is included in Appendix E including but not limited to the Internal Revenue of this document. The Community Health Needs Code Section 501(r). Assessment for Beaumont has been presented COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENT
As a result of the Patient Protection and Affordable Care Act (the PPACA), all tax-exempt organizations operating hospital facilities are required to assess the health needs of their community through a CHNA once every three years. A CHNA is a written document developed for a hospital facility that defines the community served by the organization, explains the process used to conduct the assessment and identifies the salient health needs of the community. The written CHNA report must include descriptions of the following: PPACA also requires hospitals to adopt an • The community served and how the community was implementation strategy to address prioritized determined. community health needs identified through the assessment. An implementation strategy is a written • The process and methods used to conduct the plan that addresses each of the significant community assessment, including a description of the data, health needs identified through the CHNA and is a data sources and other information used in the separate but related document to the CHNA report. assessment, as well as the methods utilized to The written implementation strategy must include: collect and analyze the data and information. • list of the prioritized needs the hospital plans to • Any organizations with whom the hospital has address, and the rationale for not addressing the worked on the assessment. significant health needs not selected • How the organization took into account input from • description of the planned actions and intended persons representing the broad interests of the impact for the chosen health needs community served by the hospital, including a description of when and how the hospital • resources the hospital plans to commit to address consulted with these persons or the organizations the health needs they represent. • any planned collaboration between the hospital • The prioritized significant community health needs and other facilities or organizations in addressing identified through the CHNA, as well as a the health needs description of the process and criteria used in the A CHNA is considered conducted in the taxable year identification and prioritization process. that the written report of its findings as described • The existing resources within the community above, is approved by the hospital’s governing body available to potentially meet the significant and made widely available to the public. The community health needs. implementation strategy is considered adopted on the date it is adopted by the governing body. • An evaluation of the impact of any actions that Organizations must adopt their implementation were taken since the hospital’s most recent CHNA strategy by the fifteenth day of the fifth month to address the significant health needs identified in following the end of the tax year. CHNA compliance that last CHNA. is reported on IRS Form 990, Schedule H.
Community Health Needs Assessment – 2016 beaumont.org/chna 1 OVERVIEW, METHODOLOGY AND APPROACH
Beaumont partnered with Truven Health Analytics, an Community Affairs served as the executive sponsor of IBM Company (Truven Health), to complete a CHNA the CHNA. The vice president of Community Health for the community served by the following eight and Outreach served as the project manager while Beaumont hospitals. the director of Community Health and Outreach • Beaumont Hospital, Dearborn served as project coordinator. Members of the CHNA Steering Committee can be found in Appendix A. • Beaumont Hospital, Farmington Hills • Beaumont Hospital, Grosse Pointe Consultant qualifications and • Beaumont Hospital, Royal Oak collaboration • Beaumont Hospital, Taylor Truven Health and its legacy companies have been delivering analytic tools, benchmarks and strategic • Beaumont Hospital, Trenton consulting services to the health care industry for • Beaumont Hospital, Troy more than 50 years. Truven Health combines rich • Beaumont Hospital, Wayne data analytics in demographics (including the Community Needs Index developed with Catholic CHNA Steering Committee Healthcare West, now Dignity Health), planning and disease prevalence estimates with experienced The health system formed a committee to oversee strategic consultants to deliver comprehensive and and advise the CHNA process. Beaumont’s senior actionable CHNAs. vice president of Government Relations and
Beaumont community served definition For the purpose of this assessment, the geographic boundary for this study encompasses the combined, contiguous geography of the Beaumont hospitals’ primary service areas. Each hospital’s primary service area is defined by the contiguous ZIP codes where 80 percent of the hospital’s admissions originate. The combined primary service areas of the eight hospitals includes Macomb, Oakland and Wayne counties in southeastern Michigan. The ZIP codes that define each of the hospital communities can be found in Appendix B. In 2015, the total population of the community served by Beaumont was estimated to be 3.8 million people.
Source: Beaumont Health, 2016
Community Health Needs Assessment – 2016 beaumont.org/chna 3 OVERVIEW, METHODOLOGY AND APPROACH
Assessment of health needs – conducted. Benchmarks collected included (when and focus groups were structured to collect both methodology and data sources Population Mental health available) national, state and goal setting benchmarks large- and small-group feedback. such as Healthy People 2020 and County Health To assess the health needs of the community served, 16 indicators 6 Indicators Participation for the focus groups and interviews was Rankings Best Performer. a quantitative and qualitative approach was taken. In solicited from state, local, tribal or regional governmental addition to collecting data from public and Truven Health According to the America’s Health Rankings, Michigan public health departments (or equivalent departments proprietary sources, interviews and focus group were Health behaviors Environment ranks 35th out of the 50 states. The health status of or agencies) with knowledge, information or expertise conducted by Truven Health with individuals 17 indicators 9 indicators Michigan compared to other states in the nation relevant to the health needs of the community. Also representing public health, community leaders and identifies many opportunities to impact health within included were individuals or organizations serving and/or groups, public organizations and other providers. local communities, even for those communities that rank representing the interests of the medically under served, Injury & death Health outcomes highly within the state. Therefore, the benchmark for the low-income and minority populations. Community Quantitative assessment of health needs 10 indicators 40 indicators community served was set to the state value. Needs leaders, local groups, public health organizations, health were identified when one or more of the indicators for care organizations and other health care providers also Public health indicators were collected as community the community served did not meet state benchmarks. participated to represent the broad interest of the health needs metrics. Eight categories consisting of 119 Prevention Access to care An index of magnitude analysis was then conducted on communities. indicators were collected and evaluated for the counties 9 indicators 12 indicators those indicators that did not meet state benchmarks in where data was available. In some cases, more than one Hospitals are also required to take into consideration order to understand to what degree they differ from the written input received on their most recently conducted measure was collected for an indicator. The categories benchmark to show the relative severity of need. of indicators collected are included in the table below. A CHNA and subsequent implementation strategies. Each list of the indicators and sources utilized in the To evaluate the public health indicators which indicate a The outcomes of the quantitative data analysis were then of the Beaumont legacy organizations made the full quantitative assessment can be found in Appendix C. community health need, a benchmark analysis was compared to the qualitative findings. report available on their legacy websites and welcomed public comment or feedback on the findings. To date, Qualitative assessment of health needs we have not received such written input, but continue to (community input) welcome feedback from the community. Health Indicator Benchmark Analysis Example Between March and April of 2016, Truven conducted The information collected from the interviewees and Lung Cancer Incidence eight focus groups (one for each Beaumont community focus group participants were organized into primary Need Differential = and collectively including 71 participants) and 37 key 100.0 themes surrounding community needs. The identified Percentage Difference informant interviews. These were done to collect needs were then compared to the quantitative data from Benchmark information from people representing the broad findings. interests of the communities Beaumont serves, and to 90.0 87.9 solicit feedback from leaders and representatives who Methodology for defining community 83.7 serve the community and had insight into its needs. need The focus groups and interviews were designed to gain The health needs matrix on the following page 80.0 22% Need an understanding of the overall health status of the consolidates information from interviews, focus groups
(age-adjusted) Differential community. Additional objectives of the sessions and health indicator data to assist with identification of 72.9 included greater insight into the individual perceptions of the significant health needs for the community served. State
New Cases per 100,000 70.0 Benchmark community health needs and the primary drivers The upper right quadrant of the matrix is where the (68.8) 65.3 contributing to the identified health issues. These forums qualitative data (interview and focus group feedback) assisted with identifying other community organizations 61.2 and quantitative data (health indicators) converge. 60.0 currently addressing health needs in the community. Interviews were conducted with one to three individuals, 54.1
50.0 Community Community Community Community Community Community A B C D E F
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 4 5 OVERVIEW, METHODOLOGY AND APPROACH
Putting it all together: The Health Needs Matrix Evaluation of implementation strategy impact
High Data = Indicators worse than state benchmark by greater magnitude As part of the current assessment, Beaumont conducted an evaluation of the implementation strategies adopted by its legacy facilities as part of the 2013 CHNAs. In 2013, the legacy organizations chose to address the following High Data & Low Qualitative High Data & High Qualitative identified needs: High Qualitative = Frequency of Data was worse than state Data was worse than state benchmark by a greater benchmark by a greater magnitude magnitude Beaumont Botsford Oakwood
BUT Dat a AND Asthma Overweight/obesity Access to care Topic was not raised in Topic was frequent theme in interviews and focus groups interviews and focus groups Diabetes Physical activity Diabetes T opic in Interviews & Focus Groups Qualitative Qualitative Drug-related admissions Mental health Heart/cardiovascular disease Data was worse than state Data was worse than state Availability/access to benchmark by a lesser benchmark by a lesser Obesity Obesity physicians magnitude magnitude (or no data) AND Dat a AND Suicide Preventive health actions Topic was not raised in Topic was frequent theme in interviews and focus groups interviews and focus groups Implementation strategies were put into place in 2013 to address the above needs. Those strategies have been evaluated as to effectiveness and impact. Details for that evaluation can be found in Appendix E with the report of Low Data & Low Qualitative Low/No Data & High Qualitative interventions and activities outlined in the implementation strategy drafted after the 2013 assessment. Source: Truven Health Analytics, 2016
Information gaps address the significant health needs identified through the CHNA. A description of these resources can be The majority of public health indicators are available at found in Appendix D. the county level and often do not exceed this level of granularity. In evaluating data for entire counties versus Prioritizing community health needs more localized data, it is difficult to understand the health needs for specific populations within a county. It can The list of priority community health needs was based on also be a challenge to tailor programs to address the weight of the quantitative and qualitative data specific community health needs as placement and identified during the assessment. It also included an access to such programs may not actually impact the evaluation of the severity of each need as it pertains to individuals in need of the service. Truven Health the state benchmark, the value the community places supplemented the health indicator data with Truven on the need, and the prevalence of the need within the Health’s ZIP code estimates to assist in identifying community. A thorough description of the process can specific populations within a community where health be found in the “Prioritizing Community Health Needs” needs may be greater. section of the assessment.
Existing resources to address health needs Part of the assessment process included gathering input on community resources potentially available to
Community Health Needs Assessment – 2016 | beaumont.org/chna 6 7 BEAUMONT COMMUNITY HEALTH NEEDS ASSESSMENT
Demographic and socio-economic higher proportion of children in poverty, and a higher summary unemployment rate. Socio-economic variances are The total population of the community served by more apparent when comparing different counties. Beaumont is not expected to grow over the next five Macomb and Oakland counties are generally more years, which matches the state of Michigan; the favorable than U.S. and state benchmarks, but Wayne distribution by age is also very similar. Overall, the County performs significantly worse. The Wayne community’s median household income (MHI) is lower County MHI is $39,440, 29 percent of children live in than both the U.S. and Michigan average, there is a poverty, and the unemployment rate is 13 percent.
Demographic and Socio-economic Comparison: Community Served and Benchmarks
Demographic/ Benchmarks Community Served Socio-economic Variable
Total United Michigan Macomb Oakland Wayne Beaumont States County County County Health Community
Total Current 319,459,991 9,9 07, 2 85 861,726 1,272,430 1,747,955 3,882,111 Population
5 Year Projected 4% <1% 2% 3% -3% 0% Population Change
Population 0-17 23% 22% 22% 22% 24% 23%
Population 65+ 15% 16% 16% 15% 14% 15%
Woment Age 15-44 20% 19% 19% 19% 20% 19%
Non-White Population 29% 22% 18% 24% 47% 33%
Insurance Medicaid 19% 21% 18% 13% 33% 23% Coverage Uninsured 8% 5% 4% 4% 8% 6%
Median HH Income $56,682 $47,988 $53,882 $64,511 $39,440 $47,461
Children in Poverty 18% 19% 16% 12% 29% 21%
Limited English 9% 3% 6% 5% 5% 5%
No High School Diploma 13% 10% 11% 6% 15% 11%
Un-employment 7% 8% 7% 6% 13% 9%
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 beaumont.org/chna 9 BEAUMONT COMMUNITY HEALTH NEEDS ASSESSMENT
While the total population of most of the Beaumont hospital communities is not projected to grow, the primary The majority of Beaumont’s population is white non-Hispanic; however, the Beaumont community is becoming markets for Beaumont Hospital, Troy and Beaumont Hospital, Royal Oak are expected to experience a positive increasingly diverse. Most minority groups in the community are anticipated to grow by 2020, while the white, black population change by 2020. The areas anticipated to grow the most are Macomb ZIP codes 48044 and 48042, and non-Hispanic population is expected to decrease. The Asian Pacific Islander population will experience the and New Baltimore ZIP code 48047. The Dearborn community will experience the greatest contraction in population, greatest growth, followed by the multiracial population. primarily from Detroit ZIP codes. Population by Race Projected Population Growth 2015 Total Population 5 Year Projected Population Growth Rate 2015 Total Population 5 Year Projected Population Change 161,267 4% 183,889 5% 3,000,000 16% 14% 963,008 25% 25% 2,500,000 960,701 12% 2,000,000 10% 8% 1,500,000 6% 2,590,809 67% 2,560,351 66% 1,000,000 4% 2% 500,000 0%
- -2% White Black Multiracial Other Asian Pacific Native Islander American 2015 Population 2020 Population 5 year % change
Source: Truven Health Analytics, 2016
Population by Hispanic Ethnicity 2015 Total Population 5 Year Projected Population Growth Rate
4% Source: Truven Health Analytics, 2016
Non-Hispanic Similar to the U.S. and Michigan population, Beaumont’s population is aging rapidly. It is expected that by 2020, the 65+ population will increase by 15 percent. The number of women of child bearing age is expected to decrease by 2 percent in the community; this is more than double the decrease expected in Michigan.
Population Age Cohort Hispanic 2015 Total Population 5 Year Projected Population Growth Rate 96% 4,500,000 4,000,000 1,400,000 20% - 1,000,000 2,000,000 3,000,000 4,000,000 579,802 3,500,000 1,200,000 15% Hispanic Non-Hispanic 2020 2015 3,000,000 1,000,000 1,099,264 10% Source: Truven Health Analytics, 2016 2,500,000 800,000 2,000,000 5% 600,000 1,500,000 The majority of the community is privately insured (55 percent). Twenty-three percent of the community is covered 1,320,969 0% 1,000,000 400,000 by Medicaid and 14 percent has Medicare coverage. The Medicare population will experience the greatest growth -5% 500,000 882,076 200,000 by 2020, with an anticipated increase of 16 percent. Less than 5 percent of the population is uninsured, and the - - -10% uninsured population is expected to decrease by 44 percent in the next five years. 2015 Population < 18 18-44 45-64 65+ < 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change
Source: Truven Health Analytics, 2016
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Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Covered Lives 5 Year Projected Growth by Category The Beaumont community has an overall CNI score 180,000 20% of 3.0, which is comparable to the U.S. median 6% 160,000 score; the individual hospital communities have 18% 10% 140,000 CNI scores ranging from 2.4 to 3.7. Specific areas 0% 120,000 in the overall community that have the highest CNI 5% 100,000 -10% score of 5.0 include several Detroit ZIP codes, Hamtramck (48212), Highland Park (48203), 80,000 -20% Pontiac (48342), Ecorse (48229) and River Rouge 14% 60,000 55% -30% (48218). 40,000 2% 20,000 -40% - -50% Medicaid - Medicaid Medicare Pre Expansion Medicare Dual PrivateU ninsured Reform Eligible 2015 Covered Lives 50,672 12,068 35,618 7,220 168,784 15,412 2020 Covered Lives 46,724 13,822 41,333 7,974 170,301 8,655 5 year % change -8% 15% 16% 10% 1% -44%
Source: Truven Health Analytics, 2016
2015 Estimated Uninsured Lives by ZIP Code The uninsured population in the Beaumont community is highest in Detroit and Dearborn ZIP codes 48228 and 48126. Additional areas with Source: Truven Health Analytics, 2016 high uninsured population include Hamtramck ZIP code 48212 and Detroit ZIP codes 48205, 48219, 48227 and 48224. The Truven Health Community Need Index (the CNI) is a statistical approach to identifying health needs in a community. The CNI takes into account vital socio-economic factors (income, cultural, education, insurance and housing) about a community to generate a CNI score for every populated ZIP code in the United States. The CNI is measured on a scale of one to five, with five indicating the greatest need. The variables that comprise the CNI score are strongly linked to variations in community health care needs and the score is a good indicator of a community’s demand for various health care services. The CNI score by ZIP code identifies specific areas within a community where health care needs may be greater. Source: Truven Health Analytics, 2016
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Public health indicators The community includes 61 Health Professional Shortage Areas and 23 Medically Underserved Areas, as designated by the U.S. Department of Health and Human Services Health Resources and Services Administration.1 Public health indicators were collected and analyzed to assess the community’s health needs. For each health This flags areas that are potentially underserved. Appendix F includes the details on each of these designations. indicator, a comparison was made between the most recently available community data and benchmarks for the United States and the state of Michigan. A health need was identified when the community indicator did not meet the state’s comparative benchmark. The indicators that did not meet the state benchmark for one or more of the Health Professional Shortage Areas and Medically Underserved Areas and Populations Beaumont communities included the following:
Medically Cancer Health care access Mental health Underserved • discharge rate: cancer (malignant • no health care coverage • discharge rate: Psychoses Health Professional Shortage Areas Area/Population neoplasms) • uninsured adults • population to mental health (HPSA) (MUA/P) • cancer diagnosis (all causes) • health care costs provider ratio Dental Mental Primary TOTAL • breast cancer incidence • no health care access due to cost • poor mental health days COUNTY Health Health Care HPSA MUA/P • colon cancer incidence • population to primary care • depression • lung cancer incidence physician ratio • suicide rate Macomb County 2 1 2 5 2 • overall cancer death rate • population to other primary care • social associations Oakland County 2 2 2 6 1 • colorectal cancer screening providers ratio • lack of social and emotional • breast cancer screening • population to dentist ratio support Wayne County 16 17 17 50 20 • prostate cancer screening • no dental visits in past year TOTAL 20 20 21 61 23 • cervical cancer screening • preventable hospital stays Other conditions • discharge rate: Septicemia Source: Health Resources and Services Administration, 2016 Cardiovascular conditions Healthy lifestyle • discharge rate: Osteoarthrosis and • discharge rate: heart disease • physical inactivity allied disorders • discharge rate: cerebrovascular • low daily fruit/vegetable • kidney disease diagnosis disease consumption • arthritis diagnosis Community input: Focus groups and key • assess the health status of the community • hypertension diagnosis • food environment index informant interviews • angina or coronary heart disease • food insecurity Respiratory conditions • identify the top health needs of the community diagnosis • insufficient sleep • discharge rate: Pneumonia Beaumont engaged Truven Health to conduct a series of • discuss the similarities/differences between the needs • stroke diagnosis • chronic obstructive pulmonary community focus groups and key stakeholder • heart attack diagnosis HIV / STIs / teen pregnancy disease (COPD) diagnosis identified in the prior exercise and the needs identified • heart disease death rate • HIV prevalence • currently have asthma interviews in order to complete a qualitative assessment in prior assessments • stroke death rate • sexually transmitted infections • chronic lower respiratory disease of overall health in the community. These sessions were • teen births (CLRD) death rate conducted between March and April of 2016. Many of • identify community resources (health/community Prevention • daily air pollution organizations) that exist to address the top health • colorectal cancer screening Injury and death the participants work with at-risk, medically underserved, needs identified • diabetic monitoring • discharge rate: injury and Social determinants low-income, minority and chronic disease populations. In • cancer screenings poisoning • high school graduation addition, participation was solicited from state, local or Truven Health also conducted key informant interviews • HIV screening • unintentional injury death rate • high school dropouts • flu vaccine • premature death • some college regional governmental public health representatives with designed to help understand and gain insight into how • pneumonia vaccine • fatal injuries • median household income knowledge, information or expertise relevant to the health participants feel about the general health status of the • students eligible for free or needs of the communities served by Beaumont. Each community and the various drivers contributing to health Diabetes Maternal health reduced priced lunch focus group represented an individual hospital issues. • diabetes diagnosis • infant mortality • residential segregation • diabetic monitoring • late or no prenatal care • births to unmarried women community and included 71 participants in total. The qualitative data collected during the community • diabetes diagnosis Medicare • births to mothers with no diploma • children in poverty Thirty-seven community representatives with specialized focus groups and key informant interviews provided beneficiaries or GED • children in single-parent knowledge in community health or experience working • Medicaid paid births households important insights into the perception of health in the Health status • low or very low birth weight • individuals living below poverty with underrepresented populations in the community Beaumont community. The participants shared health • poor or fair health • preterm births level were also interviewed as key informants. needs specific to each hospital community, but there • poor physical health • individuals who report being Substance abuse disabled The focus groups were facilitated by a Truven Health were themes that repeatedly surfaced across the eight Obesity • drug overdose deaths • unemployment representative and included both large and small group hospital communities. Eight themes were consistently • adult obesity • adult smoking • violent crime rate discussions. The sessions were oriented around the reported and applicable to the Beaumont system as a • children and adolescents • adults engaging in binge drinking • homicide considered obese during the past 30 days • severe housing problems following topics: whole. The key themes common across the Beaumont • excessive drinking community include (in alphabetical order):
1 U.S. Department of Health and Human Services, Health Resources and Services Administration, 2016
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• availability of specialty providers populations they serve for each community are Beaumont Health Community Health Needs Matrix • care coordination documented in Appendix G. High Data = Indicators worse than state benchmark by greater magnitude
• chronic conditions (cardiovascular, diabetes and Health needs matrix k High Data & Low Qualitative High Data & High Qualitative
respiratory) High Qualitative = Frequency of T Quantitative and qualitative data were analyzed and • health care access displayed as a health needs matrix to help identify the •Cancer (e.g. incidence by type, screenings) •Cardiovascular Conditions (e.g. heart disease, hypertension, stroke) • health education and literacy most significant community health needs for the •Maternal Health (e.g. infant mortality, preterm births) •Diabetes (e.g. prevalence, diabetic monitoring) •Respiratory Conditions (e.g. drug overdose, alcohol abuse, drug use, tobacco) Beaumont community. During the assessment, specific •Mental and Behavioral Health (e.g. COPD, asthma, air quality)
• mental and behavioral health Data •Healthcare Access (e.g. insurance coverage, providers, cost, preventable needs were marked when an indicator for a admissions, transportation, dental care) • obesity community did not meet the corresponding state •Obesity •Prevention – Screening and Vaccinations • prevention benchmark. Then, an index of magnitude analysis was •Substance Abuse (e.g. drug overdose, alcohol abuse, drug use, tobacco conducted to determine the degree of difference from Collectively, the themes represent the community’s the benchmark to show relative severity. The results of opic in Interviews & Focus Groups perspectives on the overall health of residents living in this quantitative analysis were combined with the Qualitative Qualitative Beaumont’s service area. Many of these themes were qualitative findings from the community input sessions to validated by the secondary data in the quantitative bring forth a list of health needs for each of the assessment. Participants discussed three themes that •Availability of Specialists Beaumont hospital communities. These health needs •Health Education (e.g. health literacy, medications, resources) were not substantiated by secondary data sources: •Care Coordination and Integration were then classified into one of four quadrants within the Community access to specialty providers, care
health needs matrix: High data, low qualitative; low data, Data coordination and health education. The themes were low qualitative; low data, high qualitative; or high data, identified during discussions, but did not have a high qualitative. Needs identified in qualitative input corresponding data point available for measurement. It is sessions for which there is no health important to note that while these themes are The results were then aggregated across the indicator to measure consistent across the Beaumont community, the communities in order to identify the predominant health included in the matrix are worse than state benchmar All health indicator data individual hospital communities have unique populations, needs for the overall Beaumont community. The Low Data & Low Qualitative Low/No Data & High Qualitative contributing factors, and impact on the local community. following pages show the resulting matrix for the Focus groups and key informants also identified themes Beaumont community served. Needs appeared on the Source: Truven Health Analytics, 2016 specific to each individual hospital community, which are overall matrix if they were common across the eight Beaumont hospital communities. Additionally, needs are not necessarily issues for other Beaumont hospitals. The Note: Needs in the lower right quadrant of the matrix which are highlighted in purple text are those identified in placed in the high data quadrants if any of the key findings for each Beaumont facility are included in the qualitative input for which there is not a corresponding quantitative measure the individual hospital sections in the latter part of this communities demonstrated an indicator value that report. differed from the benchmark by a greater magnitude. The interview and focus group participants and the Prioritizing community health needs our ability to make an impact. The criteria of resources acknowledges that we need to work within the capacity In order to identify and prioritize the significant needs of of our organization’s budget, partnerships, infrastructure, each of the communities, Beaumont used a and ability to access a limited pool of funding. To be comprehensive method of taking into account all sure we reach the most people, the criteria of magnitude available relevant data, including community input. considers the number of people the problem affects In January 2016, the CHNA Steering Committee either actually or potentially. Lastly, in order to address identified five criteria for prioritizing health needs the health disparities that exist, we consider the impact identified through the assessment: Importance, of the problem on vulnerable populations. Members of alignment, resources, magnitude and vulnerable the CHNA Steering Committee can be found in populations. Importance of the problem to the Appendix A. community ensures the priorities chosen reflect the On June 9, 2016, a prioritization session was held with community experience. Alignment with the health representatives from across Beaumont, moderated by system’s strengths is important to ensure we leverage Truven Health. The goal was to review the assessment
Community Health Needs Assessment – 2016 | beaumont.org/chna 16 17 BEAUMONT COMMUNITY HEALTH NEEDS ASSESSMENT
findings for the community, establish the significant Description of the health needs to be Detroit City reports childhood obesity rates at 23 service area. Representatives felt that there was a need health needs, and then to prioritize those needs using addressed by Beaumont percent (county level information is not reported).10 to increase community education initiatives to provide residents with a better understanding of obesity and its the prioritization criteria established by the steering Obesity Experts attribute increases in obesity to lower levels of committee. A summary of demographics, health data physical activity and poor choices related to food and impact on overall health. Education around nutrition and Obesity is a complex medical condition that can have a findings and health needs matrix were reviewed during nutrition. Behavioral statistics on physical activity are healthy food choices were also identified as an significant impact on physical and emotional well- this session. This overview also included an consistent with Michigan’s obesity rates. The opportunity for improving the health of Southeast being. Individuals are considered obese when their explanation of the quadrants of the health needs percentage of adults reporting no leisure-time physical Michigan residents. weight exceeds the range accepted as medically healthy, matrix. Prioritization session participants can be found in activity in Michigan is 24 percent compared to national Cardiovascular disease measured by having a Body Mass Index (BMI) of 30 Appendix H. rates of 23 percent.11 Wayne County reports the areas or higher. Obesity is linked to increased rates of other Heart disease is the leading cause of death in America.15 highest rates of adults with limited physical activity (26 After a robust discussion, the participants agreed that chronic conditions, including Type II diabetes, high blood Cardiovascular disease is a category of diseases and percent) and the highest rates of adult obesity (34 the needs in the upper right quadrant of the matrix (those pressure, hyperlipidemia, stroke, coronary heart disease conditions that include coronary artery disease, high percent). Macomb County reports rates of adults with identified as high data/high qualitative) were significant. and cancer. Obesity is associated with the county’s blood pressure, cardiac arrest, congestive heart failure, Session participants broke out into four sub-groups. In limited physical activity at the state rate of 24 percent. leading causes of preventable death.2 Obesity is a arrhythmia, peripheral artery disease, stroke and Oakland County reports the lowest rates of limited the sub-groups, the Beaumont community’s significant health concern because of its association with poor congenital heart disease. More than 27.6 million physical activity (20 percent) and the lowest rates of health needs were individually rated on each of the health outcomes and reduction in the quality of life. Americans are diagnosed with cardiovascular disease. 12 five previously identified criteria utilizing a scale of one obese adults (26 percent). The community input for Beaumont’s service area Recent trends in the prevalence of obesity in America is (low) to 10 (high). The scores by each sub-group were Statistics related to access to healthy food options and identified cardiovascular disease as a community priority equally concerning. According to the National Institutes summed for each need, creating an overall score. The the ability to make sound nutrition decisions are mixed in because it has a major impact on overall health, and is of Health, obesity rates in the United States have more scores by need were then averaged across all four Southeast Michigan. Fifteen percent of Americans report preventable in many cases. than doubled over the last 50 years.3 In 2014, more sub-groups to create an overall score for each need. The that they lack adequate access to food.13 The percent of than one-third (34.9 percent or 78.6 million) of U.S. The percent of adults who reported ever being told by a list of significant health needs was than prioritized based people who lack access to food in Michigan is slightly adults were considered obese.4 Obesity is a problem in doctor that they had angina or coronary heart disease in on the overall scores. higher at 16 percent. Oakland and Macomb counties Michigan; the state spends almost $3 billion annually in the Beaumont service area is similar to the rate reported The session participants subsequently reviewed the have rates of Americans without adequate access to 16 medical costs associated with obesity.5 The percentage at state (5 percent) and national levels (4 percent). Six food at 14 percent. Wayne County reports 21 percent prioritized health needs for the community and made a of adults that report a BMI of 30 or more in the State percent of adults in Macomb County report having been of the population as having inadequate access to food. recommendation as to which of the prioritized significant of Michigan (31 percent) is slightly lower than national diagnosed with angina or coronary heart disease. health needs Beaumont should address. The Another measure of community food security in the rates (35 percent).6 Rates in Southeast Michigan are Oakland County reports the rate of adults diagnosed United States is the percent of low-income residents recommendation was based on the three needs with the mixed. Wayne and Macomb counties report higher rates with angina or coronary heart disease at 5 percent. living in close proximity to grocery stores. Nationally, 57 highest overall score. The resulting community health of obese adults, at 34 percent and 33 percent, Wayne County reports rates separately for the city of needs to be addressed by Beaumont Health include: percent of low-income Americans report not living near a respectively.7 Oakland County reports adult obesity rates Detroit and Wayne County (excluding Detroit). Wayne grocery store. The State of Michigan reports dramatically below state rates at 26 percent.8 Southeast Michigan County (excluding Detroit) reports 4 percent of adults lower rates, with only 6 percent of low-income reports higher rates of children with obesity. Childhood are diagnosed with angina of coronary heart disease, Obesity Americans reporting limited access to grocery stores. obesity is defined as a BMI at or above the 120 percent with rates in Detroit slightly higher at 5 percent.17 Rates of low-income residents with limited access to of the 95th percentile for children of the same age and Southeast Michigan’s rate of heart disease diagnosis is grocery stores in Southeast Michigan are even lower; sex.9 The Centers for Disease Control and Prevention relatively consistent with state and national rates, but the Cardiovascular Disease Wayne and Oakland counties report rates at 4 percent, (CDC) reports childhood obesity rates at 13 percent area’s death rate due to heart disease is much higher. Macomb County reports rates at 5 percent.14 nationally and 14 percent for the State of Michigan. In 2013, heart disease deaths for the State of Michigan Diabetes Southeast Michigan’s childhood obesity rates are Focus group participants discussed obesity as a top were 199.9 per 100,000 (national death rates were significantly higher than state and national rates. health concern for communities in the Beaumont reported at 169.8 per 100,000).18 Deaths attributed to
2http://www.cdc.gov/obesity/data/adult.html 10 3http://www.heart.org/HEARTORG/HealthyLiving/WeightManagement/Obesity/Understanding-the-American-Obesity-Epidemic_UCM_461650_Article.jsp#. http://www.cdc.gov/healthyyouth/data/yrbs/index.htm 11 V4WLDk3fMkI http://www.countyhealthrankings.org/ 12 4http://www.cdc.gov/obesity/data/adult.html http://www.countyhealthrankings.org/ 13 5http://www.michigan.gov/documents/healthymichigan/Making_a_Difference_in_Obesity_Priority_Strategies_2014_-_2018_BE_ACTIVE_EAT_HEALTHY_ Percentage of population who are low-income and do not live close to a grocery store 14 Publish_4_21_14_454433_7.pdf http://www.countyhealthrankings.org/ 15 6http://www.michigan.gov/mdhhs/0,5885,7-339-71550_5104_5279_39424---,00.html http://www.cdc.gov/heartdisease/facts.htm 16 7http://www.countyhealthrankings.org/ http://www.michigan.gov/mdhhs/0,5885,7-339-71550_5104_5279_39424---,00.html 17 8http://www.countyhealthrankings.org/ http://www.michigan.gov/mdhhs/0,5885,7-339-71550_5104_5279_39424---,00.html 18 9http://www.countyhealthrankings.org/dhood.html http://www.healthindicators.gov/
Community Health Needs Assessment – 2016 | beaumont.org/chna 18 19 BEAUMONT COMMUNITY HEALTH NEEDS ASSESSMENT
heart disease were significantly higher for communities CHNA implementation strategy The overall Beaumont community is the aggregate of in the Beaumont service area. Wayne County reports individual hospital communities. It is important to note In addition to identifying and prioritizing significant rates at 293.4 per 100,000, Oakland County reports that individual hospital communities overlap. The community health needs through the CHNA process, rates at 210.6 per 100,000 and Macomb County reports Beaumont hospitals are located in, and each serve, some PPACA requires creating and adopting an rates at 269.2 per 100,000.19 The counties death rates portion of Macomb, Oakland and Wayne counties. implementation strategy. An implementation strategy is due to heart disease are between 5 percent and 47 Beaumont approached the CHNA process as a a written plan addressing each of the community health percent higher that statewide rates. collaborative effort between their hospitals but have also needs identified through the CHNA. The implementation included information specific to each hospital community Focus group participants discussed the need for strategy must also include a list of the prioritized needs where the data collection was able to provide hospital prevention and education initiatives aimed at improving the hospital plans to address and the rationale for not community specific information. The health needs that the impact of heart disease on the community. These addressing the other identified health needs. programs should coordinate with other related initiatives Beaumont has chosen to address are common across all The implementation strategy is considered (addressing obesity in the community) to increase overall eight hospital communities, but understanding localized implemented on the date it is adopted by the hospital’s effectiveness. data is key to creating and customizing the CHNA governing body. The CHNA implementation strategy implementation strategies to the unique characteristics Diabetes is filed along with the organization’s IRS Form 990, of the diverse communities served by Beaumont. Diabetes is the seventh leading cause of death in the Schedule H and must be updated annually. A summary United States.20 In 2014, more that 29.1 million people of Beaumont’s implementation strategy for the significant were living with diabetes in the United States — that’s community health needs they have chosen to address 1 out of 11 people.21 The disease is diagnosed when can be found at beaumont.org/chna. blood glucose levels are above normal and the body cannot make enough insulin, causing sugar to build up Summary in your blood. The disease is associated with blindness, Beaumont conducted a CHNA beginning January 2016 kidney failure, stroke, and the loss of toes, feet and to identify the health needs of the community it serves. legs.22 Communities with high populations of diabetic Using both qualitative community feedback as well as and pre-diabetic residents must address the gaps in publically available and proprietary health data, care effectively and efficiently, because the disease Beaumont was able to identify and prioritize community poses a significant burden on overall health. health needs for the community served by its hospital In 2013, the percentage of Medicare fee-for-service facilities. With the goal of improving the health of the beneficiaries with diabetes was 27 percent. The State community, implementation plans with specific tactics of Michigan reports rates at 30 percent. Southeastern and time frames have been developed for the health Michigan reports higher rates of Medicare fee-for- needs Beaumont has chosen to address for the service beneficiaries with diabetes; Oakland County community it serves. Beaumont’s community health reports rates at 31 percent, Macomb County reports priorities will be addressed through strategies and rates at 33 percent, and Wayne County reports rates at activities described in the implementation strategy. Beaumont’s leaders will participate in developing work 37 percent.23 plans and establishing metrics to measure progress. Focus group participants believe that the overall health Beaumont will build on existing community programs of diabetic residents can be improved with increased and partnerships to address the health needs identified community education initiatives. Programs should focus through the CHNA process. on how to effectively manage diabetes, prevention education, and overall health and nutrition education.
19http://www.healthindicators.gov/ 20ttp://www.cdc.gov/diabetes/library/socialmedia/infographics.html 21http://www.cdc.gov/diabetes/library/socialmedia/infographics.html 22http://www.cdc.gov/diabetes/library/socialmedia/infographics.html 23http://www.healthindicators.gov/
Community Health Needs Assessment – 2016 | beaumont.org/chna 20 21 BEAUMONT HOSPITAL, DEARBORN
Beaumont Hospital, Dearborn (formerly Oakwood Hospital - Dearborn) has proudly served residents across southeastern Michigan since 1953. It became part of Beaumont Health in September 2014. With 632 beds, Beaumont Hospital, Dearborn is a major teaching and research hospital and home to three medical residency programs in partnership with the Wayne State University School of Medicine. Beaumont, Dearborn is verified as a Level II trauma center and has been recognized for clinical excellence and innovation in the fields of orthopedics, neurosciences (Stroke Center of Excellence), women’s health, heart and vascular care, and cancer care.
Community served The Beaumont Hospital, Dearborn community (Beaumont, Dearborn) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community served (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B.
Source: Beaumont Health, 2016
Demographic and socio-economic summary The population for Beaumont, Dearborn is expected to decrease by 2 percent (17,955 lives) over the next five years. The decrease will primarily impact ZIP codes around Detroit. The age composition of Dearborn is representative of that in the state of Michigan and the country as a whole. The cohort aged 65 years and older makes up the smallest segment of the population (only 14 percent), however, it is expected to experience the most growth over the next five years. This age group is expected to increase 11 percent (11,389 lives) while the other age groups are expected to decrease 4 to 5 percent. Due to the community’s aging population, need for health care services in the community will likely increase in the upcoming years.
Community Health Needs Assessment – 2016 beaumont.org/chna 23 BEAUMONT HOSPITAL, DEARBORN
Population by Age Cohort The community is largely non-Hispanic (89 percent), but has a proportionately larger Hispanic population than Michigan. Hispanics currently comprise 11 percent of the Beaumont, Dearborn population and are expected to grow 2015 Total Population 5 Year Projected Population Growth Rate by 5 percent (4,271 lives) over the next five years. 800,000 300,000 12% 10% 700,000 101,910 Population by Hispanic Ethnicity 250,000 8% 600,000 2015 Total Population 5 Year Projected Population Growth Rate 193,626 200,000 6% 500,000 4% 400,000 150,000 2% 11% 0% 300,000 265,136 Non-Hispanic 100,000 -2% 200,000 50,000 -4% 100,000 183,759 -6% - - -8% 2015 Population < 18 18-44 45-64 65+ Hispanic < 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Source: Truven Health Analytics, 2016 89% The community is primarily white (71 percent) and black (19 percent). Despite its apparent lack of diversity from a 0 200,000 400,000 600,000 800,000 racial perspective, the city of Dearborn, has the highest proportion of Arab Americans in the country. 24 Persons of Arab ancestry make up 8.5 percent of the Beaumont, Dearborn community population, or 61,572 lives. The Arab Hispanic Non-Hispanic 2020 2015
population is most highly concentrated in Dearborn (ZIP codes 48126 and 48120) and Dearborn Heights (ZIP code Source: Truven Health Analytics, 2016 48127), with more than 76 percent of the Arab population residing in these three ZIP codes. The community is expected to become increasingly diverse over the next five years. The white population is The majority of the Beaumont, Dearborn community population is privately insured. Forty-six percent of Dearborn has expected to decrease by 2 percent (12,790 lives), and the black population will decrease by 6 percent (8,072 lives). private insurance; this includes people who are purchasing health insurance through the insurance exchange The Asian/Pacific Islander population will experience the largest increase (7 percent), while the other and multiracial marketplace (5 percent), those who are buying directly from an insurance provider (3 percent), and those who communities will increase by 5 percent and 3 percent respectively. The graphs below display the community’s receive insurance through an employer (38 percent). Approximately one third of the population has Medicaid population breakdown by race and the projected five-year change in racial composition. (31 percent), 13 percent has Medicare, and 6 percent are Medicare and Medicaid dual eligible. The Medicare population will experience the greatest growth and is expected to increase 10 percent by 2020. This is Population by Race primarily fueled by a growing 65 and older population in the community. The private insurance category is projected to increase at a slower rate. The number of people purchasing insurance via PPACA health insurance exchanges is 2015 Total Population 5 Year Projected Population Growth Rate projected to increase by 82 percent, driving most of the growth. Overall, the Medicaid population will decrease by
600,000 8% 4 percent; however, the number of people receiving Medicaid coverage due to the PPACA Medicaid expansion will increase by 12 percent. This change is projected to impact the uninsured population as well. In this community 144,540 19% 136,468 19% 6% 500,000 currently, 7 percent of the population is uninsured; 4% 400,000 however, the proportion of the population that is 2% uninsured is expected to decrease dramatically over 300,000 0% the next five years (-44 percent). 530,007 71% 517,217 71% -2% 200,000 -4% 100,000 -6% 2015 2015 % of 2020 2020 % of Population total Population total - -8% White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other Asian/Pacific Islander Native American 2015 Population 2020 Population 5 year % change
Source: Truven Health Analytics, 2016 24U.S. Census Bureau, 2010
Community Health Needs Assessment – 2016 | beaumont.org/chna 24 25 BEAUMONT HOSPITAL, DEARBORN
Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate The Beaumont community has an overall CNI score of 3.0. The Beaumont, Dearborn 400,000 20% community’s CNI is 3.7, the highest CNI score 8% 350,000 10% of the eight hospital communities. The areas
26% 300,000 with the highest anticipated need include River 0% Rouge, Ecorse, Taylor, Inkster, and southwest 250,000 Detroit. -10% 200,000 -20% 150,000 49% 14% -30% 100,000
3% 50,000 -40%
- -50% Medicaid - Medicaid Medicare Pre Expansion Medicare Dual Private Uninsured Reform Eligible Medicaid - Pre Reform Medicaid Expansion 2015 Covered Lives 183,533 45,593 97,638 19,423 343,699 54,546 Medicare Medicare Dual Eligible 2020 Covered Lives 167,903 51,193 107,441 20,631 348,773 30,534 Private Uninsured 5 year % change -9% 10% 6% 1% -44% Source: Truven Health Analytics, 2016 Source: Truven Health Analytics, 2016 2015 Estimated Uninsured Lives by ZIP Code Truven Health community data The following ZIP codes comprise the Truven Health Analytics supplemented the publically available data with estimates of localized disease prevalence of largest number of individuals that are heart disease and cancer as well as emergency department visit estimates. uninsured: 48228 (Detroit) and 48126 Truven Health’s heart disease estimates identified hypertension as the most prevalent heart disease diagnosis in the (Dearborn). Beaumont, Dearborn community; arrhythmias and ischemic heart disease are the next highest volumes.
2015 Estimated Heart Disease Cases
250,000
200,000
150,000
100,000
Source: Truven Health Analytics, 2016 50,000
- ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART FAILURE HEART DISEASE
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 26 27 BEAUMONT HOSPITAL, DEARBORN
Compared to state and national estimates, the community has a higher proportion of new breast and colorectal 2014 Estimated Non-Emergent Visits by ZIP Code cancer cases. These two, followed by lung cancer, make up the three most frequently diagnosed cancers in the community estimated to occur during 2015.
2015 Estimated New Cancer Cases
1,200 1,000 800 600 400 200 0 r l r l te g st e a e a ia s y id n in a a n a d s... m u e tic o ch u th ct d n o m rp n a ria vity a ra st L re re o id e yr a m B rvic ro B O la ki n ke K cr h va e P lo B g la u C n T O l C to o d e e e a ra S C C o M L P e H rin O n te rin o U te N U
2015 New Cancer Cases Source: Truven Health Analytics, 2016 Source: Truven Health Analytics, 2016
Emergent emergency department (ED) visits are expected to increase 8 percent by 2019, while non-emergent ED Community input visits are projected to decrease by 5 percent (6,780 ED visits). Non-emergent ED visits are lower acuity A summary of the focus group conducted for the Beaumont, Dearborn community can be found in Appendix I. visits that present in the ED but possibly can be treated in other more appropriate, less intensive outpatient settings. Non-emergent ED visits can be an indication that there are systematic issues with access to primary care or managing chronic conditions. Detroit (ZIP code 48228) has the highest number of non-emergent ED visits and accounts for approximately 9 percent of the total non-emergent ED visits in the Dearborn area.
Emergent and Non-Emergent ED Visits
250,000 16% 14% 200,000 12% 10% 8% 150,000 6% 4% 100,000 2% 0% 50,000 -2% -4% - -6% EMERGENT INPATIENT NON EMERGENT ADMISSION
2014 2019 5 yr % change
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 28 29 BEAUMONT HEALTH HOSPITAL COMMUNITY FINDINGS BEAUMONT HOSPITAL, FARMINGTON HILLS
Beaumont Hospital, Farmington Hills (formerly Botsford Hospital) opened on Jan. 19, 1965 as a 200-bed community hospital named Botsford General Hospital. Today, the hospital is a 330-bed facility with Level II trauma status. It is a major osteopathic teaching facility with 20 accredited residency and fellowship programs with 180 residents and fellows. Beaumont Hospital, Farmington Hills is the base teaching hospital for Michigan State University College of Osteopathic Medicine and for Arizona College of Osteopathic Medicine.
Community served The Beaumont Hospital, Farmington Hills community (Beaumont, Farmington Hills) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community definition (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B
Source: Beaumont Health, 2016
Demographic and socio-economic summary Beaumont, Farmington Hills’ population is expected to decrease 2 percent (18,000 lives) by 2020. The portion of the community that includes the city of Detroit will experience the greatest contraction, while Novi will grow slightly. The age composition of the community is similar to the state of Michigan and the country. The cohort aged 65+ makes up the smallest segment of the population (16 percent), but is expected to experience the most growth over the next five years. This age group is expected to increase approximately 12 percent while the other age groups are expected to decrease 4 to 6 percent. As the community ages, it is likely that need for health care services will also increase.
Community Health Needs Assessment – 2016 beaumont.org/chna 31 BEAUMONT HOSPITAL, FARMINGTON HILLS
Population by Age Cohort Population by Hispanic Ethnicity 2015 Total Population 5 Year Projected Population Growth Rate 2015 Total Population 5 Year Projected Population Growth Rate 1,000,000 350,000 14% 12% 3% 900,000 149,068 300,000 800,000 10% 250,000 8% Non-Hispanic 700,000 259,094 600,000 6% 200,000 4% 500,000 150,000 2% 400,000 323,396 0% 300,000 100,000 -2% 200,000 -4% Hispanic 50,000 100,000 210,871 -6% - - -8% 2015 Population 97% < 18 18-44 45-64 65+ 0 200,000 400,000 600,000 800,000 1,000,000
< 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Hispanic Non-Hispanic 2020 2015 Source: Truven Health Analytics, 2016 Source: Truven Health Analytics, 2016
Beaumont, Farmington Hills’ population is much more diverse relative to both the Michigan and U.S. population. The Forty-eight percent of the Beaumont, Farmington Hills community is privately insured; this includes people who are two largest groups by race are white (49 percent) and black (44 percent), and both are expected to decrease purchasing health insurance through the insurance exchange marketplace (4 percent), those who are buying approximately 3 percent in the next five years. All other minority groups are projected to increase; Asian Pacific directly from an insurance provider (4 percent), and those who receive insurance through an employer (40 percent). Islanders will experience the most growth, closely followed by the multiracial group. Compared to state and national levels, the community has a higher proportion of people who are insured by either Medicare or Medicaid. Over one fourth of the community has Medicaid (27 percent) and 15 percent has Medicare. Population by Race The Medicare population is projected to increase by 10 percent, primarily due to growth in the 65+ population. The 2015 Total Population 5 Year Projected Population Growth Rate private insurance category overall is also projected to increase, though only by 1 percent. However, there will be a shift within the private insurance category as the number of people purchasing insurance via PPACA health 500,000 20% insurance exchanges is projected to increase by 82 percent. Overall, the Medicaid population will decrease by 5 450,000 percent, but there will be a shift within Medicaid as well as the number of people receiving Medicaid coverage due to 15% 415,006 44% 403,551 44% 400,000 the PPACA Medicaid expansion which will increase by 12 percent. 350,000 300,000 10% 250,000 200,000 5% 462,853 49% 448,417 48% 150,000 100,000 0% 50,000 2015 2015 % of 2020 2020 % of Population total Population total - -5% White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other Asian/Pacific Islander Native American 2015 Population 2020 Population 5 year % change
Source: Truven Health Analytics, 2016
Hispanics currently comprise only 3 percent of the community’s population, but is expected to grow slightly over the next five years.
Community Health Needs Assessment – 2016 | beaumont.org/chna 32 33 BEAUMONT HOSPITAL, FARMINGTON HILLS
Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate The Beaumont, Farmington Hills CNI score is 3.5. The areas with the highest anticipated need include 500,000 20% ZIP codes in the city of Detroit and in Taylor. 450,000 7% 10% 400,000 22% 350,000 0% 300,000 -10% 250,000 -20% 5% 200,000
48% 150,000 -30% 100,000 15% -40% 50,000 3% - -50% Medicaid - Medicaid Medicare Pre Expansion Medicare Dual Private Uninsured Reform Eligible Medicaid - Pre Reform Medicaid Expansion 2015 Covered Lives 204,915 52,311 141,569 24,192 457,139 62,304 Medicare Medicare Dual Eligible 2020 Covered Lives 186,015 58,554 156,318 25,619 462,844 35,244 Private Uninsured 5 year % change -9% 12% 10% 6% 1% -43% Source: Truven Health Analytics, 2016 Source: Truven Health Analytics, 2016
Truven Health community data 2015 Estimated Uninsured Lives by ZIP Code Truven Health Analytics supplemented the publically available data with estimates of localized disease prevalence of In the Beaumont, Farmington Hills community, heart disease and cancer as well as emergency department visit estimates. 7 percent of the population is uninsured but Hypertension is the most prevalent heart disease in the community and accounts for 67 percent of new heart projected to decrease by 43 percent in the next five disease cases. New hypertension cases are heavily concentrated in the Taylor (16,898 cases) and Westland years due, in part, to Medicaid expansion. The portion (13,757 cases) communities. of the population that is uninsured is highest in ZIP codes 48228 and 48126. 2015 Estimated Heart Disease Cases 300,000
250,000
200,000
150,000
100,000 Source: Truven Health Analytics, 2016 50,000
- ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART FAILURE HEART DISEASE Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 34 35 BEAUMONT HOSPITAL, FARMINGTON HILLS
Compared to state and national estimates, Beaumont, Farmington Hills has a higher proportion of prostate and 2014 Estimated Non-Emergent Visits by ZIP Code breast cancer. These two, followed by lung cancer, make up the three most frequently diagnosed cancers in the Non-emergent ED visits are highest in the same community during 2015. areas where the uninsured population is highest. Detroit ZIP code 48228 has the highest number of 2015 Estimated New Cancer Cases non-emergent ED visits and accounts for 1,000 approximately 7 percent of the total non-emergent 900 800 ED visits in the community. 700 600 500 400 300 200 100 0 l r l te st g a r e ia s y a n in a a a n e d s... u tic e ch id u ct th d n m rp a n m a ria o vity ra st re L re o e id o yr a B rvic ro B O la ki ke cr K n m va h e P lo B g u C n la to O T l C o d e e a e S ra C C o L P M e H rin O n rin o te te N U U
Source: Truven Health Analytics, 2016 2015 New Cancer Cases Source: Truven Health Analytics, 2016
Emergent ED visits are expected to increase almost 10 percent by 2019, while non-emergent ED visits are projected Community input to decrease by 4 percent. Non-emergent, ED visits are lower acuity visits that present in the ED but possibly can be A summary of the focus group conducted for the Beaumont, Farmington Hills community can be found in treated in other more appropriate, less intensive outpatient settings. Non-emergent ED visits can be an indication Appendix I. that there are systematic issues with access to primary care or managing chronic conditions.
Emergent and Non-Emergent ED Visits 300,000 16% 14% 250,000 12% 10% 200,000 8% 150,000 6% 4% 100,000 2% 0% 50,000 -2% -4% - -6% EMERGENT INPATIENT NON EMERGENT ADMISSION
2014 2019 5 yr % change Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 36 37 BEAUMONT HOSPITAL, GROSSE POINTE
Beaumont Hospital, Grosse Pointe is a 250-bed hospital located in the heart of Grosse Pointe. Opened in 1945 by the Sisters of Bon Secours, it was acquired by Beaumont Health System in October 2007, making Beaumont Health System a three-hospital regional health care provider. Beaumont Hospital, Grosse Pointe offers medical, surgical, emergency, obstetric, pediatric and critical care services.
Community served The Beaumont Hospital, Grosse Pointe community (Beaumont, Grosse Pointe) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community served (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B.
Source: Beaumont Health, 2016
Demographic and socio-economic summary Beaumont, Grosse Pointe’s population is expected to decrease less than 2 percent, with Roseville experiencing slight growth and the surrounding Detroit area experiencing a contraction. The age composition of the community is similar to the state of Michigan and the country. The cohort aged 65+ makes up the smallest segment of the population (15 percent), but is expected to experience the most growth over the next five years. This age group is expected to increase by almost 15 percent while the other age groups are expected to decrease. The pediatric population (<18 years) will experience the largest decrease.
Community Health Needs Assessment – 2016 beaumont.org/chna 39 BEAUMONT HOSPITAL, GROSSE POINTE
Population by Age Cohort Population by Hispanic Ethnicity 2015 Total Population 5 Year Projected Population Growth Rate 2015 Total Population 5 Year Projected Population Growth Rate
600,000 200,000 15% 2% 180,000 500,000 78,826 160,000 10% Non-Hispanic 400,000 140,000 143,550 120,000 5% 300,000 100,000 80,000 0% 200,000 173,718 60,000 Hispanic 100,000 40,000 -5% 115,445 20,000 - - -10% 98% 2015 Population < 18 18-44 45-64 65+ 0 100,000 200,000 300,000 400,000 500,000 600,000 < 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Hispanic Non-Hispanic 2020 2015
Source: Truven Health Analytics, 2016 Source: Truven Health Analytics, 2016
Beaumont, Grosse Pointe’s population is primarily white (55 percent) and black (40 percent). The other and Asian Pacific Islander populations are expected to increase, with the Asian Pacific Islander group experiencing the most Compared to state and U.S. estimates, Beaumont, Grosse Pointe has a smaller percentage of privately insured growth. The impact of these changes on the overall racial composition of the community will be minimal as the racial residents and a larger percentage of Medicaid insured residents. Forty-six percent of the community is privately breakdown will remain relatively stable over the next five years. insured; this includes people who are purchasing health insurance through the insurance exchange marketplace (4 percent), those who are buying directly from an insurance provider (3 percent), and those who receive insurance Population by Race through an employer (38 percent). Thirty percent of the community has Medicaid and 15 percent has Medicare. 2015 Total Population 5 Year Projected Population Growth Rate Similar to other Beaumont communities, the Medicare population will experience the greatest growth and is 300,000 100% expected to increase 12 percent by 2020. This is primarily fueled by a growing 65+ population in the community. The private insurance category is also projected to increase slightly. The number of people purchasing insurance via 250,000 80% 203,562 40% 205,370 41% PPACA health insurance exchanges is projected to increase by 83 percent. Overall, the Medicaid population will 60% 200,000 decrease by 5 percent, but the number of people receiving Medicaid coverage due to the PPACAs Medicaid 40% expansion will increase by 11 percent. 150,000 20% 100,000 283,112 55% 268,755 54% 0%
50,000 -20%
2015 2015 % of 2020 2020 % of Population total Population total - -40% White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other Asian/Pacific Islander Native American 2015 Population 2020 Population 5 year % change
Source: Truven Health Analytics, 2016
The community is predominantly non-Hispanic (98 percent) and has a smaller Hispanic population compared to both the state and national estimates. The Hispanic community will grow only slightly (+1,400 lives) by 2020.
Community Health Needs Assessment – 2016 | beaumont.org/chna 40 41 BEAUMONT HOSPITAL, GROSSE POINTE
Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate The community’s overall CNI score is 3.6, with a marked contrast between areas of relatively low need (CNI score 0-2.9) 300,000 20% and very high need (CNI score 3-5). CNI scores are highest in 10% the areas which include Detroit. 4% 250,000 0% 24% 200,000 -10% 150,000 -20% 46% 7% 100,000 -30%
50,000 -40% 17% -50% 2% - Medicaid - Medicaid Medicare Pre Expansion Medicare Dual Private Uninsured Reform Eligible Medicaid - Pre Reform Medicaid Expansion 2015 Covered Lives 124,876 30,028 75,871 10,729 234,633 35,402 Medicare Medicare Dual Eligible 2020 Covered Lives 113,069 33,462 85,226 11,548 238,330 20,248 Private Uninsured 5 year % change -9% 11% 12% 8% 2% -43%
Source: Truven Health Analytics, 2016
2015 Estimated Uninsured Lives by ZIP Code Source: Truven Health Analytics, 2016 Seven percent of Beaumont, Grosse Pointe’s population is uninsured, and the uninsured population is expected to Truven Health community data decrease by 43 percent over the next five years due in part to Truven Health Analytics supplemented the publically available data with estimates of localized disease prevalence of the expansion of Medicaid in Michigan. The uninsured heart disease and cancer as well as emergency department visit estimates. population is primarily concentrated in areas that include the Hypertension is the most prevalent heart disease in the community and accounts for 67 percent of new heart city of Detroit, in particular ZIP codes 48205 and 48224. disease cases. New hypertension cases are heavily concentrated in Roseville (13,369 cases) and Clinton Township (10,151 cases). Arrhythmias are the second most common type of heart disease.
2015 Estimated Heart Disease Cases
160,000 140,000 120,000 100,000 80,000 60,000 40,000 20,000 Source: Truven Health Analytics, 2016 - ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART FAILURE HEART DISEASE Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 42 43 BEAUMONT HOSPITAL, GROSSE POINTE
Compared to state and national estimates, Grosse Pointe has a higher proportion of new prostate, lung, and breast 2014 Estimated Non-Emergent Visits by ZIP Code cancer cases. These comprise the three most frequently diagnosed cancers in the community during 2015 and make Detroit ZIP codes account for 10 percent (12,384 visits) of the up almost half of all cancer cases. total non-emergent ED visits in the area.
2015 Estimated New Cancer Cases 600 500 400 300 200 100 0 l r r . l te g st a e e ia y s a n in a a n a ct d s.. e tic u m ch id vity u th d n m n a rp o a ria o ra st L re re O id e o m yr a B rvic ro B la ki ke K cr n va h e P lo B g u n C la to O T l C o d e a e e S ra C C o L M e H P rin O n rin o te te N U U
2015 New Cancer Cases Source: Truven Health Analytics, 2016
Emergent ED visits are expected to increase 13 percent by 2019, while non-emergent ED visits are projected to Source: Truven Health Analytics, 2016 decrease by 1 percent. Community input Emergent and Non-Emergent ED Visits A summary of the focus group conducted for the Beaumont, Grosse Pointe community can be found in Appendix I.
160,000 15% 140,000 10% 120,000 100,000 5% 80,000 60,000 0% 40,000 -5% 20,000 - -10% EMERGENT INPATIENT NON EMERGENT ADMISSION
2014 2019 5 yr % change
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 44 45 BEAUMONT HOSPITAL, ROYAL OAK
Beaumont Hospital, Royal Oak opened on Jan. 24, 1955 as a 238-bed community hospital. Today, the hospital is a 1,082-bed major academic and referral center with Level I adult trauma and Level II pediatric trauma status. A major teaching facility, Beaumont has 40 accredited residency and fellowship programs with 434 residents and fellows at Royal Oak. Beaumont is the exclusive clinical partner for the Oakland University William Beaumont School of Medicine, with more than 1,400 Beaumont doctors on faculty.
Community served The Beaumont Hospital, Royal Oak community (Beaumont, Royal Oak) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community definition (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B.
Source: Beaumont Health, 2016
Demographic and socio-economic summary Beaumont, Royal Oak is the most heavily populated among the eight hospital communities that Beaumont serves, and one of only two areas that will experience growth in the next five years. The age composition of the community is similar to the state of Michigan and the country. The cohort aged 65+ makes up the smallest segment of the population (16 percent), but is expected to experience the most growth over the next five years. This age group will increase 18 percent (57,000 lives) while the 18 to 44 age cohort will grow much slower (+5,000 lives). The 18 and under population will experience the largest decrease (-5 percent).
Community Health Needs Assessment – 2016 beaumont.org/chna 47 BEAUMONT HOSPITAL, ROYAL OAK
Population by Age Cohort Population by Hispanic Ethnicity 2015 Total Population 5 Year Projected Population Growth Rate 2015 Total Population 5 Year Projected Population Growth Rate 20% 2,500,000 800,000 7% 700,000 15% 2,000,000 320,653 Non-Hispanic 600,000 10% 1,500,000 500,000 597,646 400,000 5% 1,000,000 300,000 0% 680,540 200,000 500,000 -5% Hispanic 447,350 100,000 - - -10% 93% 2015 Population < 18 18-44 45-64 65+ 0 500,000 1,000,000 1,500,000 2,000,000 2,500,000 < 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Hispanic Non-Hispanic 2020 2015 Source: Truven Health Analytics, 2016
Source: Truven Health Analytics, 2016 Beaumont, Royal Oak’s population is predominantly white (70 percent), and the community is home to a large Arab population. The community has 43,762 people of Arab ancestry which make up 2.1 percent of the population. The Arab community is most highly concentrated in Sterling Heights (ZIP code 48310), with 11.8 percent of the The majority of Beaumont, Royal Oak’s population is estimated to be privately insured. Compared to state and community’s Arab population residing in this ZIP code. Beaumont Royal Oak is expected to become increasingly national estimates, the community has a higher percentage of privately insured residents and a lower percentage of diverse as all minority groups are projected to increase by 2020. The Asian Pacific Islander (+17,035 lives) and residents with Medicaid. Sixty-two percent of the community has private insurance, 17 percent has Medicaid, and 15 black population (+18,943 lives) will experience the most growth. percent has Medicare coverage. The proportion of people insured by Medicaid is expected to decrease while the proportion with private and Medicare coverage will increase 2 percent and 17 percent respectively. The increases in these insurance categories Population by Race are most likely due to a growing number of people purchasing insurance via PPACA health insurance exchanges and 2015 Total Population 5 Year Projected Population Growth Rate an aging population.
1,600,000 18% 16% 432,807 21% 451,750 22% 1,400,000 14% 1,200,000 12% 1,000,000 10% 800,000 8% 6% 1,429,838 70% 1,418,980 68% 600,000 4% 400,000 2% 200,000 0% 2015 2015 % of 2020 2020 % of Population total Population total - -2% White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other Asian/Pacific Islander Native American 2015 Population 2020 Population 5 year % change
Source: Truven Health Analytics, 2016
The community is largely non-Hispanic, but has a larger percentage than the Michigan state average. Hispanics currently comprise only 3 percent of the community’s population, but is expected to grow by more than 21,000 lives in the next five years.
Community Health Needs Assessment – 2016 | beaumont.org/chna 48 49 BEAUMONT HOSPITAL, ROYAL OAK
Estimated Covered Lives by Insurance Category 2015 Estimated Uninsured Lives by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate Beaumont, Royal Oak has an overall CNI score of 2.7, the second lowest CNI of the eight Beaumont hospital communities. However, there are ZIP codes that have a score of 5.0 (the highest anticipated need), including Highland Park (48203), Detroit (48238), and Pontiac (48342).
Source: Truven Health Analytics, 2016
Source: Truven Health Analytics, 2016 2015 Estimated Uninsured Lives by ZIP Code Beaumont, Royal Oak’s uninsured population is Truven Health community data very low (only 4 percent) and this number is expected to decrease dramatically (-42 percent) Truven Health Analytics supplemented the publically available data with estimates of localized disease prevalence of by 2020. The community’s uninsured population is heart disease and cancer as well as emergency department visit estimates. primarily concentrated in ZIP codes 48203 Hypertension is the most prevalent heart disease in the community and accounts for 67 percent of new heart (Highland Park) and the Detroit ZIP codes. disease cases. New hypertension cases are heavily concentrated in the Detroit zip code 48235 (12,636 cases) and Macomb zip code 48044 (14,626 cases) communities. 2015 Estimated Heart Disease Cases
700,000
600,000
500,000
400,000
300,000
200,000
100,000
Source: Truven Health Analytics, 2016 - ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART FAILURE HEART DISEASE Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 50 51 BEAUMONT HOSPITAL, ROYAL OAK
Compared to state and national estimates, Beaumont, Royal Oak has a higher percentage of prostate and lung 2014 Estimated Non-Emergent Visits by ZIP Code cancer cases. Prostate, lung, and breast were the three most frequently diagnosed cancers in the community during The Detroit portion of the community has the 2015 and make up 43 percent of all cancer incidents. highest number of non-emergent ED visits and accounts for 3 percent of the total non- emergent ED visits in the community. 2015 Estimated New Cancer Cases
Source: Truven Health Analytics, 2016 Source: Truven Health Analytics, 2016
Emergent ED visits are expected to increase over 14 percent by 2019, while non-emergent ED visits will stay Community input relatively stable. Non-emergent, ED visits are lower acuity visits that present in the ED but possibly can be treated in other more appropriate, less intensive outpatient settings. Non-emergent ED visits can be an indication that there are A summary of the focus group conducted for the Beaumont, Royal Oak community can be found in Appendix I. systematic issues with access to primary care or managing chronic conditions.
Emergent and Non-Emergent ED Visits
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 52 53 BEAUMONT HOSPITAL, TAYLOR
Beaumont Hospital, Taylor (formerly Oakwood Hospital – Taylor), opened its doors in 1977. This 189-bed hospital provides specialty health care services with outstanding service for residents of Taylor and surrounding communities, including emergency care, speech/language pathology and audiology, a pain management clinic, orthopedic surgery, mental health services, physical medicine and inpatient rehabilitation, and full service radiology with advanced CT and MRI.
Community served The Beaumont Hospital, Taylor community (Beaumont, Taylor) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community served (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B.
Source: Beaumont Health, 2016
Demographic and socio-economic summary Beaumont, Taylor’s population is projected to decrease 2 percent in five years. Detroit ZIP code 48228 and Taylor (ZIP 48180), the two most populated areas in the community, will experience the greatest decrease in population, while Belleville and Romulus will increase slightly. The 65 and older cohort makes up the smallest segment of the Taylor population (only 14 percent); however, it is the only group expected to experience an increase in the next five years. The 65 and older age group is projected to increase by 9 percent (9,500 lives), while all other age groups are expected to decrease in size.
Community Health Needs Assessment – 2016 beaumont.org/chna 55 BEAUMONT HOSPITAL, TAYLOR
Population by Age Cohort Beaumont, Taylor’s population is predominantly non-Hispanic with Hispanics making up only 6 percent of the area’s population. The community’s ethnic composition is similar to the state. This will remain relatively stable, as the 2015 Total Population 5 Year Projected Population Growth Rate Hispanic population is expected to increase only slightly over the next five years. 600,000 250,000 14% 12% 78,180 Population by Hispanic Ethnicity 500,000 200,000 10% 2015 Total Population 5 Year Projected Population Growth Rate 400,000 147,667 8% 150,000 6% 300,000 4% 6% 196,065 100,000 2% 200,000 0% Non-Hispanic 100,000 50,000 -2% 135,852 -4% - - -6% 2015 Population < 18 18-44 45-64 65+
< 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Hispanic
Source: Truven Health Analytics, 2016 94% The community has a similar racial distribution to the state and national population. Beaumont, Taylor’s population 0 100,000 200,000 300,000 400,000 500,000 600,000 is primarily white (73 percent) and black (20 percent). The black population is proportionally higher in Taylor than in Hispanic Non-Hispanic 2020 2015 Michigan and the nation. The community includes the city of Dearborn, which has the highest concentration of Arab Americans in the country. Persons of Arab ancestry make up 9.6 percent of the community’s population, or 52,810 Source: Truven Health Analytics, 2016 lives. The Arab population is most highly concentrated in the Dearborn ZIP code 48126 and the Dearborn Heights ZIP code 48127, with almost 80 percent of Beaumont, Taylor’s Arab population residing in these two ZIP codes. Almost half of Beaumont, Taylor’s population is privately insured (48 percent). This includes people who are The overall racial composition of the community will remain relatively stable over the next five years. The Asian Pacific purchasing health insurance through the insurance exchange marketplace (5 percent), those who are buying Islander, other, and multiracial groups are projected to increase slightly in the next five years, while all other racial directly from an insurance provider (4 percent), and those who receive insurance through an employer (40 percent). groups are expected to decrease. Compared to state (21 percent) and national (19 percent) levels, the community is home to a larger number of lives covered by Medicaid (29 percent). The Medicare population will experience the greatest growth and is expected to increase 11 percent by 2020. This Population by Race is primarily fueled by a growing 65+ population in the community. The private insurance category is also projected 2015 Total Population 5 Year Projected Population Growth Rate to increase at a slower rate. The number of people purchasing insurance via PPACA health insurance exchanges is
450,000 20% projected to increase by 82 percent, driving most of the growth. Overall, the Medicaid population will decrease by 4 percent, but the number of people receiving Medicaid coverage due to the PPACA Medicaid expansion will increase 109,973 20% 105,195 19% 400,000 15% 350,000 by 14 percent.
300,000 10% 250,000 5% 200,000 409,502 73% 401,088 73% 150,000 0% 100,000 -5% 50,000 2015 % of 2015 2020 2020 % of -10% Population total Population total - White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other Asian/Pacific Islander Native American 2015 Population 2020 Population 5 year % change
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 56 57 BEAUMONT HOSPITAL, TAYLOR
Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate Along with Beaumont, Grosse Pointe, Beaumont, Taylor has the second highest CNI 20% 300,000 score in the overall Beaumont community at 3.6. 10% The CNI data indicates that the majority of the 7% 250,000 community has a high level of need. 23% 0% 200,000 -10% 150,000 -20% 6% 100,000 -30%
48% 50,000 -40% 13% - -50% 3% Medicaid - Medicaid Medicare Pre Expansion Medicare Dual Private Uninsured Reform Eligible Medicaid - Pre Reform Medicaid Expansion 2015 Covered Lives 128,488 31,626 74,915 14,881 269,498 38,356 Medicare Medicare Dual Eligible 2020 Covered Lives 118,050 35,897 83,014 15,890 272,916 21,660 5 year % change -8% 14% 11% 7% 1% -44% Private Uninsured
Source: Truven Health Analytics, 2016
Source: Truven Health Analytics, 2016 2015 Estimated Uninsured Lives by ZIP Code In the community, 7 percent of the population is Truven Health community data uninsured and expected to decrease by almost half Truven Health Analytics supplemented the publically available data with estimates of localized disease prevalence of in the next five years (-44 percent). The heart disease and cancer as well as emergency department visit estimates. portions of the community that are in Detroit have Similar to other Beaumont communities, hypertension is the most prevalent heart disease in the surrounding the highest number of uninsured community. New arrhythmia cases, the second most prevalent heart disease, are heavily concentrated in the individuals in the community. Beaumont, Taylor and Beaumont, Trenton areas.
2015 Estimated Heart Disease Cases 180,000 160,000 140,000 120,000 100,000 80,000 60,000 40,000
Source: Truven Health Analytics, 2016 20,000 - ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART FAILURE HEART DISEASE
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 58 59 BEAUMONT HOSPITAL, TAYLOR
Overall, the community’s distribution of new cancer cases by type is relatively similar to state and national estimates 2014 Estimated Non-Emergent Visits by ZIP Code with the exception of colorectal cancer. Beaumont, Taylor has a higher percentage of new colorectal cancer cases compared to the state and national levels.
2015 Estimated New Cancer Cases 500 450 400 350 300 250 200 150 100 50 0 l l st a g te r r ia a s y id n in a a n a e e s... u e tic o ch ct u th d n m m n a ria vity a ra re re L st d o rp id e yr a B rvic B O la ki ke n o cr h va m e lo ro B g u la C K n T O l C to o P d e e e a ra S C C o L M P e H rin O n rin o te te N U U
2015 New Cancer Cases Source: Truven Health Analytics, 2016
The number of emergent ED visits is expected to increase over 10 percent by 2019 (+13,878 visits), while the Source: Truven Health Analytics, 2016 number of non-emergent ED visits will likely decrease by less than 5 percent (-4,106 visits). Community input Emergent and Non-Emergent ED Visits A summary of the focus group conducted for the Beaumont, Taylor community can be found in Appendix I. 180,000 16% 160,000 14% 140,000 12% 120,000 10% 100,000 8% 80,000 60,000 6% 40,000 4% 20,000 2% - 0% EMERGENT INPATIENT NON EMERGENT ADMISSION
2014 2019 5 yr % change
Source: Truven Health Analytics, 2016 The Detroit ZIP codes account for almost 12 percent of non-emergent ED visits in the area (15,914 visits). Non-emergent, ED visits are lower acuity visits that present in the ED but possibly can be treated in other more appropriate, less intensive outpatient settings. Non-emergent ED visits can be an indication that there are systematic issues with access to primary care or managing chronic conditions.
Community Health Needs Assessment – 2016 | beaumont.org/chna 60 61 BEAUMONT HOSPITAL, TRENTON
Beaumont Hospital, Trenton (formerly Oakwood Hospital – Southshore) is a 193-bed community hospital that opened its doors to residents of Trenton and surrounding communities in 1961. Beaumont Hospital, Trenton provides comprehensive medical care for its patients. A recipient of the Governor’s Award of Excellence for Improving Care in Hospital Surgical and Emergency Department Settings, Beaumont Hospital, Trenton offers the latest in health services and has the only verified Level II trauma center serving the downriver community. This important distinction means that advanced life-saving procedures are readily available 24/7 for patients with traumatic injuries.
Community served The Beaumont Hospital, Trenton community (Beaumont, Trenton) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community served (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B.
Source: Beaumont Health, 2016
Demographic and socio-economic summary In the next five years, Beaumont, Trenton’s population is expected to decrease by 1 percent. Flat Rock, Rockwood, Newport, and New Boston are expected to grow slightly. Taylor, the most populated ZIP code, will decrease in population. The age composition of the community is similar to the state of Michigan and the country. The cohort aged 65+ makes up the smallest segment of the population (15 percent), but is the only age group expected to grow over the next five years. This group is expected to increase by 15 percent (6,550 lives) while the other age groups are expected to decrease less than 5 percent.
Community Health Needs Assessment – 2016 beaumont.org/chna 63 BEAUMONT HOSPITAL, TRENTON
Population by Age Cohort Population by Hispanic Ethnicity 2015 Total Population 5 Year Projected Population Growth Rate 2015 Total Population 5 Year Projected Population Growth Rate 350,000 120,000 20% 7% 300,000 100,000 15% 44,177 250,000 Non-Hispanic 80,000 10% 200,000 83,253 60,000 5% 150,000 40,000 0% 100,000 98,103 Hispanic 50,000 20,000 -5% 64,001 - - 10% 2015 Population < 18 18-44 45-64 65+ 93% 0 50,000 100,000 150,000 200,000 250,000 300,000 < 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Hispanic Non-Hispanic 2020 2015 Source: Beaumont Health, 2016
Source: Truven Health Analytics, 2016 Beaumont, Trenton has a much higher concentration of whites compared to both the state and national level, as well as other areas in the overall Beaumont community. Beaumont, Trenton’s population is 87 percent white; however, Beaumont, Trenton’s insurance type distribution is reflective of that in Michigan as a whole. More than half of the this number is expected to decrease slightly in the upcoming years. The other, Asian Pacific Islander, and multiracial population is privately insured, 22 percent is covered by Medicaid, and 15 percent is covered by Medicare. People groups will experience slight growth by 2020 but this will have minimal impact on the community’s population, which who are privately insured include those who are purchasing health insurance through the insurance exchange is expected to remain predominantly white. marketplace (5 percent), those who are buying directly from an insurance provider (4 percent), and those who receive insurance through an employer (46 percent). Population by Race The number of lives covered by Medicare will experience the greatest growth and is expected to increase by more 2015 Total Population 5 Year Projected Population Growth Rate than 13 percent. This growth is mainly due to an aging population. The proportion of people who are privately insured will remain stable, but the number of people purchasing insurance via PPACA health insurance exchanges is 4,805 2% 5,100 2% 300,000 20% projected to increase by 79 percent. Overall, the Medicaid population will decrease by 4 percent, but the number of 5,396 2% 2% 6,272 people receiving Medicaid coverage due to the PPACA Medicaid expansion will increase by 14 percent. 6,880 2% 7,302 3% 250,000 15% 10% 18,972 7% 18,319 6% 200,000 5% 150,000 0% 252,089 87% 248,139 87% 100,000 -5% 50,000 -10% 2015 2015 % of 2020 2020 % of Population total Population total - -15% White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other Asian/Pacific Islander Native American 2015 Population 2020 Population 5 year % change
Source: Truven Health Analytics, 2016
The community’s population is predominantly non-Hispanic, with Hispanics making up only 7 percent of the area’s population. Beaumont, Trenton’s ethnic composition is similar of that in the state. This will remain relatively stable, as the Hispanic population is expected to increase only slightly over the next five years.
Community Health Needs Assessment – 2016 | beaumont.org/chna 64 65 BEAUMONT HOSPITAL, TRENTON
Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate Beaumont, Trenton’s community has an overall CNI score of 3.2, making it the third lowest CNI 180,000 20% score of all the Beaumont hospital communities. 160,000 5% 18% 10% CNI scores appear to be higher in the areas 140,000 overlapping with the Taylor community, with ZIP 0% 4% 120,000 code 48180 potentially having the most need.
100,000 -10%
15% 80,000 -20%
60,000 55% -30% 3% 40,000 -40% 20,000
- -50% Medicaid - Medicaid Medicare Pre Expansion Medicare Dual Private Uninsured Reform Eligible Medicaid - Pre Reform Medicaid Expansion 2015 Covered Lives 52,318 12,332 42,447 8,007 158,476 15,955 Medicare Medicare Dual Eligible 2020 Covered Lives 47,832 14,095 48,121 8,657 158,816 8,870 Private Uninsured 5 year % change -9% 14% 13% 8% 0% -44% Source: Truven Health Analytics, 2016
Source: Truven Health Analytics, 2016 2015 Estimated Uninsured Lives by ZIP Code Five percent of Beaumont, Trenton’s population Truven Health community data is currently uninsured. It is projected that this Truven Health Analytics supplemented the publically available data with estimates of localized disease prevalence of number will decrease by 44 percent over the next heart disease and cancer as well as emergency department visit estimates. five years. The uninsured population is most highly Hypertension is the most prevalent heart disease in the community and accounts for 67 percent of new heart concentrated in the Taylor area. disease cases. New hypertension and arrhythmia cases are heavily concentrated in the community.
2015 Estimated Heart Disease Cases 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 - ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART DISEASE Source: Truven Health Analytics, 2016 HEART FAILURE Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 66 67 BEAUMONT HOSPITAL, TRENTON
Compared to state and national estimates, Beaumont, Trenton is estimated to have a lower proportion of new 2014 Estimated Non-Emergent Visits by ZIP Code prostate cancer cases and a higher proportion of new lung cancer cases. Breast, lung, and colorectal cancer were the three most commonly diagnosed cancers in 2015.
2015 Estimated New Cancer Cases
300 250 200 150 100 50 0 l l st g a te r r ia a s y id n in a a n a e e s... u e tic o ch u ct th d n m m n a vity ria a ra re L re st d o rp id e yr a B rvic B O la ki ke n o cr h va m e lo ro B g u la C K n T l C O to o P d e e e a ra S C C o L M P e H rin O n rin o te te N U U
2015 New Cancer Cases
Source: Truven Health Analytics, 2016
The number of emergent ED visits is expected to increase over 11 percent by 2019, while the number of non- Source: Truven Health Analytics, 2016 emergent ED visits is expected to decrease slightly. Community input A summary of the focus group conducted for the Beaumont, Trenton community can be found in Appendix I. Emergent and Non-Emergent ED Visits 80,000 18% 70,000 16% 60,000 14% 50,000 12% 10% 40,000 8% 30,000 6% 20,000 4% 10,000 2% - 0% EMERGENT INPATIENT NON EMERGENT ADMISSION 2014 2019 5 yr % change Source: Truven Health Analytics, 2016
Taylor accounts for 22 percent of non-emergent ED visits in the area. Rockwood is expected to experience a slight increase in non-emergent ED visits (+3 percent).
Community Health Needs Assessment – 2016 | beaumont.org/chna 68 69 BEAUMONT HOSPITAL, TROY
In response to the health care needs of a growing community, Beaumont Health System opened a new 200-bed hospital on rural farmland in Troy in 1977. Today, Beaumont Hospital, Troy has grown to 520 beds and offers a comprehensive array of health care services, continuing to develop to meet the needs of the growing communities it serves.
Community served The Beaumont Hospital, Troy community (Beaumont, Troy) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community served (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B.
Source: Beaumont Health, 2016
Demographic and socio-economic summary Along with Royal Oak, Beaumont, Troy is one of the only communities with projected population growth in the next five years; the predicted 3 percent increase is the highest in the overall Beaumont community. The age distribution in Beaumont, Troy is similar to that seen in Michigan and the U.S. overall. The 18 to 44 age group, which makes up the largest portion of the population, will increase by 3 percent (9,074 lives). Similar to the pattern seen across Beaumont’s communities, the 65+ group will experience the greatest growth and is projected to increase by more than 20 percent (29,384 lives). The under 18 population will decrease by 4 percent.
Community Health Needs Assessment – 2016 beaumont.org/chna 71 BEAUMONT HOSPITAL, TROY
Population by Age Cohort Population by Hispanic Ethnicity 2015 Total Population 5 Year Projected Population Growth Rate 2015 Total Population 5 Year Projected Population Growth Rate
1,000,000 350,000 25% 3% 900,000 148,748 300,000 20% 800,000 700,000 250,000 15% Non-Hispanic 280,560 600,000 200,000 10% 500,000 150,000 5% 400,000 308,517 300,000 100,000 0% 200,000 50,000 -5% Hispanic 100,000 205,046 - - -10% 2015 Population < 18 18-44 45-64 65+ 97% 0 200,000 400,000 600,000 800,000 1,000,000 < 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Hispanic Non-Hispanic 2020 2015 Source: Beaumont Health, 2016
The community’s population is 85 percent white, 6 percent black, and 6 percent Asian Pacific Islander. Beaumont, Source: Truven Health Analytics, 2016 Troy has a higher percentage of whites and Asian Pacific Islanders than both Michigan and the U.S. overall. The community is also home to a relatively large Arab population. Almost 3 percent of the community’s population Compared to state and national estimates, the community has a higher proportion of privately insured people and a (24,281 lives) is of Arab ancestry. The highest proportion of Beaumont, Troy’s Arab population (21.3 percent) lower proportion of people with Medicaid coverage. Sixty-seven percent of Beaumont, Troy’s population has private resides in Sterling Heights (ZIP code 48310). insurance, 15 percent has Medicare, and only 13 percent is covered by Medicaid. Beaumont, Troy is the only The community’s population is expected to become increasingly diverse by 2020. With the exception of whites, community of the eight comprising Beaumont’s overall community with a larger number of people covered by which will remain relatively stable, all other racial groups are expected to increase by 15 to 25 percent. Asian Pacific Medicare than Medicaid. Islanders will experience the most growth, increasing by almost 25 percent in the next few years. Beaumont, Troy’s privately insured and Medicare populations are expected to increase in the next five years. The Medicare population will experience the greatest growth and is projected to increase by almost 20 percent. These Population by Race changes in insurance coverage are most likely due to a growing number of people purchasing insurance via PPACA 2015 Total Population 5 Year Projected Population Growth Rate health insurance exchanges and an aging population.
54,625 6% 67,989 7% 900,000 30% 59,477 6% 68,968 7% 800,000 25% 21% 451,750 22% 700,000 600,000 20% 500,000 798,754 85% 801,502 82% 15% 400,000 300,000 10% 70% 1,418,980 68% 200,000 5% 100,000 2015 2015 % of 2020 2020 % of Population total Population total - 0% White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other 2015 Population 2020 Population Asian/Pacific Islander Native American 5 year % change Source: Truven Health Analytics, 2016 Similar to other areas in the Beaumont community, Beaumont, Troy is predominantly non-Hispanic with only 3 percent of the population being Hispanic. In contrast to patterns seen in other communities, Beaumont, Troy is projecting an increase in both the Hispanic and non-Hispanic population over the next five years
Community Health Needs Assessment – 2016 | beaumont.org/chna 72 73 BEAUMONT HOSPITAL, TROY
Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate Beaumont, Troy has the lowest CNI score of any Beaumont hospital community with a score of 30% 700,000 only 2.4. The majority of the community is 3% 20% 10% 600,000 anticipated to have relatively low need (CNI 10% score <3), however, scores appear to be 2% 500,000 elevated in the areas surrounding Warren and 0% Auburn Hills. 400,000 15% -10% 300,000 -20% 2% 20,000 -30%
100,000 -40% 68% - -50% Medicaid - Medicaid Medicare Pre Expansion Medicare Dual Private Uninsured Reform Eligible Medicaid - Pre Reform Medicaid Expansion 2015 Covered Lives 97,808 22,343 140,648 14,780 636,917 30,376 Medicare Medicare Dual Eligible 2020 Covered Lives 91,806 27,418 166,944 16,783 651,973 18,052 5 year % change -6% 23% 19% 14% 2% -41% Private Uninsured Source: Truven Health Analytics, 2016 Source: Truven Health Analytics, 2016
2015 Estimated Uninsured Lives by ZIP Code Truven Health community data Only 3 percent of the community’s population is uninsured, making it the community within Truven Health Analytics supplemented the publically available data with estimates of localized disease prevalence of Beaumont’s overall community with the lowest heart disease and cancer as well as emergency department visit estimates. proportion of uninsured residents. The uninsured Unsurprisingly, hypertension is the most prevalent heart disease in the community and accounts for 67 percent population is expected to decrease by of new heart disease cases. New hypertension cases are particularly high in the Macomb area (ZIP 48044) with 44 percent in the next five years. 14,626 new cases in 2015.
2015 Estimated Heart Disease Cases 300,000
250,000
200,000
150,000
Source: Truven Health Analytics, 2016 100,000
50,000
- ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART FAILURE HEART DISEASE Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 74 75 BEAUMONT HOSPITAL, TROY
Compared to state and national estimates, Beaumont, Troy has a higher proportion of new prostate and lung cancer 2014 Estimated Non-Emergent Visits by ZIP Code cases and a lower proportion of new colorectal cancer cases. Prostate, lung and breast cancer were the three most Macomb (ZIP code 48044) has the highest commonly diagnosed cancers in 2015. number of non-emergent ED visits and accounts for 5 percent of the total non-emergent ED visits in the community. Non-emergent, ED visits are lower 2015 Estimated New Cancer Cases acuity visits that present in the ED but possibly can 1,200 be treated in other more appropriate, less intensive 1,000 outpatient settings. Non-emergent ED visits can be 800 an indication that there are systematic issues with access to primary care or managing chronic 600 conditions. 400
200 0 l l te g st r a r a ia s y id n in a a n a e e s... u e tic o ch u th ct d n m m n a ria vity a ra st L re re d o rp id e yr a a B rvic B O la ki n ke o cr h v m e ro lo B g la u C K n T O l C to P o d e e e a ra S C C o M L P e H rin O n rin o te te N U U Source: Truven Health Analytics, 2016 2015 New Cancer Cases Source: Truven Health Analytics, 2016 Community input A summary of the focus group conducted for the Beaumont, Troy community can be found in Appendix I. Emergent ED visits in the community are projected to increase 16 percent by 2019, while non-emergent ED visits will increase less than 2 percent.
Emergent and Non-Emergent ED Visits 250,000 25%
200,000 20%
150,000 15%
100,000 10%
50,000 5%
- 0% EMERGENT INPATIENT NON EMERGENT ADMISSION
2014 2019 5 yr % change Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 76 77 BEAUMONT HEALTH HOSPITAL COMMUNITY FINDINGS BEAUMONT HOSPITAL, WAYNE
Beaumont Hospital, Wayne (formerly Oakwood Hospital – Wayne) opened its doors to western Wayne County in 1957. This 185-bed, full-service hospital offers high-quality care to the community with compassionate service and state-of-the-art technology. Beaumont Hospital, Wayne is the only hospital in the Wayne, Westland, Garden City, Inkster, and Romulus area that is verified by the American College of Surgeons as a Level III Trauma Center providing prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients. It also has a dedicated hospice and palliative care unit in partnership with Hospice of Michigan. As the closest hospital to Detroit Metropolitan Airport, Beaumont Hospital, Wayne is prepared to handle a wide variety of health and communicable disease concerns in addition to mass trauma and emergency patients.
Community served The Beaumont Hospital, Wayne community (Beaumont, Wayne) is defined as the contiguous ZIP codes that comprise 80 percent of inpatient discharges. To the right is a map that highlights the community served (in blue) as a portion of the overall Beaumont community. A table which lists the ZIP codes included in the community definition can be found in Appendix B.
Source: Beaumont Health, 2016
Demographic and socio-economic summary In contrast to other areas in Beaumont’s overall community, Beaumont, Wayne’s population will decrease less than 1 percent over the next five years. The community’s age distribution is fairly similar to the state and country. The community has a lower percentage of people who are 65+ compared to the state and national levels, however, this group is the only one which is expected to grow in the next five years (+18 percent).
Community Health Needs Assessment – 2016 beaumont.org/chna 79 BEAUMONT HOSPITAL, WAYNE
Population by Age Cohort Population by Hispanic Ethnicity 2015 Total Population 5 Year Projected Population Growth Rate 2015 Total Population 5 Year Projected Population Growth Rate 120,000 20% 350,000 4% 300,000 100,000 15% 37,291 Non-Hispanic 250,000 80,000 10% 200,000 80,214 60,000 150,000 5% 102,660 40,000 100,000 0% 20,000 Hispanic 50,000 69,609 - - -5% 2015 Population < 18 18-44 45-64 65+ 96% 0 50,000 100,000 150,000 200,000 250,000 300,000 < 18 18-44 45-64 65+ 2015 Population 2020 Population 2015-2020 Percentage Change Hispanic Non-Hispanic 2020 2015 Source: Truven Health Analytics, 2016
Source: Truven Health Analytics, 2016 The majority of Beaumont, Wayne’s population is white (66 percent). Compared to the state and national levels and other Beaumont communities, this population is more diverse. Twenty-two percent of Beaumont, Wayne’s Beaumont, Wayne shows a similar insurance type distribution among its population as Michigan and the U.S. Fifty-six population is black and 7 percent is Asian Pacific Islander. The other, Asian Pacific Islander, and multiracial percent of the community’s population is privately insured. This includes people who are purchasing health insurance communities in Wayne are projected to increase in the next five years. through the insurance exchange marketplace (5 percent), those who are buying directly from an insurance provider (4 percent), and those who receive insurance through an employer (49 percent). Twelve percent of the population is Population by Race covered by Medicare and 22 percent is covered by Medicaid. 2015 Total Population 5 Year Projected Population Growth Rate The Medicare population will experience the greatest growth and is expected to increase 16 percent by 2020. This is primarily fueled by a growing 65 and older population in the community. The private insurance category is also 20,229 7% 23,282 8% 250,000 20% projected to increase, though minimally. The number of people purchasing insurance via PPACA health insurance
64,904 22% 63,111 22% 15% exchanges is projected to increase by 81 percent, driving most of the growth. Overall, the Medicaid population will 200,000 decrease by 3 percent, but the number of people receiving Medicaid coverage due to the PPACA Medicaid 10% 150,000 expansion will increase by 15 percent. 191,354 66% 187,570 65% 5% 100,000 0%
50,000 -5%
2015 2015 % of 2020 2020 % of Population total Population total - -10% White Black Multiracial Other Asian Pacific Native White Black Islander American Multiracial Other 2015 Population 2020 Population 5 year % change Asian/Pacific Islander Native American
Source: Truven Health Analytics, 2016
Beaumont, Wayne is largely non-Hispanic, with only 4 percent of the community’s population being Hispanic. The Hispanic population is expected to grow slightly over the next five years, while the non-Hispanic population will experience a slight decrease.
Community Health Needs Assessment – 2016 | beaumont.org/chna 80 81 BEAUMONT HOSPITAL, WAYNE
Estimated Covered Lives by Insurance Category 2015 Community Need Index by ZIP Code 2015 Total Population 5 Year Projected Population Growth Rate Beaumont, Wayne has an overall CNI score of 3.3, placing it in the mid-range of Beaumont’s eight hospital 180,000 20% communities. There are potentially higher levels of need 160,000 5% 10% across most of the community, with Inkster and Wayne 18% 140,000 having the highest CNI scores. Canton appears to be the 0% only area in the community with lower levels of anticipated 120,000 4% need (CNI score= <2). 100,000 -10%
80,000 -20% 12% 60,000 -30% 58% 3% 40,000 -40% 20,000
- -50% Medicaid - Medicaid Medicare Pre Expansion Medicare Dual Private Uninsured Reform Eligible Medicaid - Pre Reform Medicaid Expansion 2015 Covered Lives 50,672 12,068 35,618 7,220 168,784 15,412 Medicare Medicare Dual Eligible 2020 Covered Lives 46,724 13,822 41,333 7,974 170,301 8,655 Private Uninsured 5 year % change -8% 15% 16% 10% 1% -44%
Source: Truven Health Analytics, 2016
2015 Estimated Uninsured Lives by ZIP Code Source: Truven Health Analytics, 2016 The majority of Beaumont, Wayne’s population is insured. Truven Health community data Only 5 percent of the community lacks insurance and this number is expected to decrease by 44 percent in the Truven Health Analytics supplemented the publicly available data with estimates of localized disease prevalence of upcoming years. Westland and Inkster are home to the heart disease and cancer as well as emergency department visit estimates. highest number of uninsured people in the community. Hypertension is the most prevalent heart disease in the community and accounts for 68 percent of new heart disease cases. New hypertension and arrhythmia cases are particularly high in the Belleville area (ZIP code 48111).
2015 Estimated Heart Disease Cases 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 - ARRHYTHMIAS CONGESTIVE HYPERTENSION ISCHEMIC HEART FAILURE HEART DISEASE Source: Truven Health Analytics, 2016
Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 82 83 BEAUMONT HOSPITAL, WAYNE
Compared to state and national estimates, Beaumont, Wayne has a higher proportion of new breast and colorectal 2014 Estimated Non-Emergent Visits by ZIP Code cancer cases and a lower proportion of new prostate cancer cases. Breast, colorectal and lung cancer were the Belleville (ZIP code 48111) has the highest number of three most commonly diagnosed cancers in 2015. non-emergent ED visits and accounts for almost 25 percent of the total non-emergent ED visits in the area. 2015 Estimated New Cancer Cases Non-emergent, ED visits are lower acuity visits that 250 present in the ED but possibly can be treated in other more appropriate, less intensive outpatient settings. 200 Non-emergent ED visits can be an indication that there are 150 systematic issues with access to primary care or managing 100 chronic conditions. 50
0 l l st a g te r r ia s y a id n in a n a e e s... u e tic o ch ct u th d n m n m a a ria vity ra re re L st d rp id o e yr m a B B O la ki ke o n cr h va ervica lo ro B g u C K la n T to O l C o P d e e e a S ra C C o L M P e H rin O n rin o te te N U U
2015 New Cancer Cases Source: Truven Health Analytics, 2016
Emergent ED visits in the community are projected to increase 12 percent by 2019, while non-emergent ED visits Source: Truven Health Analytics, 2016 will decrease by 2 percent.
Emergent and Non-Emergent ED Visits Community input 80,000 20% A summary of the focus group conducted for the Beaumont, Wayne community can be found in Appendix I. 70,000 15% 60,000 50,000 10% 40,000 30,000 5% 20,000 0% 10,000 - -5% EMERGENT INPATIENT NON EMERGENT ADMISSION 2014 2019 5 yr % change Source: Truven Health Analytics, 2016
Community Health Needs Assessment – 2016 | beaumont.org/chna 84 85 APPENDIX A Beaumont Health CHNA Steering Committee
EXECUTIVE SPONSOR Mary Zatina, SVP Government Relations & Community Affairs
PROJECT MANAGER Betty Priskorn, VP Community Health & Outreach
PROJECT COORDINATOR Lindsey West, Director Community Health & Outreach
STEERING COMMITTEE MEMBERS Michelle Anderson Christine Kupovits Joan Phillips Foundation, Beaumont Health Administration Administration Beaumont, Dearborn Beaumont, Troy Sally Bailey Administration Steve Le Moine Caroline Schairer Beaumont, Wayne Administration Community Health & Outreach Beaumont, Dearborn Beaumont, Farmington Hills Suzy Berschback Community Relations Alonzo Lewis Mary Stahl Beaumont Health Administration Quality Improvement Beaumont, Royal Oak Oakwood ACO Jeri Davis Administration Judith McNeeley Nancy Susick Beaumont, Farmington Hills Corporate & Community President Partnerships Beaumont, Troy Maureen Elliot Beaumont Health Community Relations Richard Swaine Beaumont Health Christine Stesney-Ridenour President President Beaumont, Grosse Pointe Susan Grant Beaumont, Trenton Exec. VP & Chief Nursing Officer Peter Tucker, MD Beaumont Health Anne Nearhood Family Medicine Community Health & Outreach Beaumont, Royal Oak Jacklyn McParlane, DO Beaumont, Grosse Pointe Emergency Medicine Carolyn Wilson Beaumont, Farmington Hills Lee Ann Odom Exec. VP & COO President Beaumont Health Julie Kitchen Beaumont, Taylor Community Relations Karen Wright Beaumont Health Constance O’Malley Strategic Planning President Beaumont Health Naren Kumar Beaumont, Farmington Hills Administration Beaumont, Farmington Hills
Community Health Needs Assessment – 2016 beaumont.org/chna 87 APPENDIX B Community Served Definition Wayne X X X X X X X X X X X X X X Troy Trenton Taylor X X X X X X X X X X X X X X X X X X Royal Oak Royal X X X X X Pointe Grosse X X X Hills Farmington Dearborn X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Overall Beaumont Beaumont Southfield Post Name Office Allenton Almont Armada Birmingham Center Line Clawson Eastpointe Franklin Fraser Park Hazel Southfield Southfield Clinton Township Clinton Township Clinton Township Macomb Clemens Mount Macomb Harrison Township Baltimore New New Haven New Haven Baltimore New Richmond Romeo Roseville Oak Royal Ridge Pleasant WoodsHuntington Heights Madison Berkley Oak Royal Southfield Dominant CountyDominant St. Clair County, MI Lapeer County, MI County,Macomb MI County,Oakland MI County,Macomb MI County,Oakland MI County,Macomb MI County,Oakland MI County,Macomb MI County,Oakland MI County,Oakland MI County,Oakland MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI ZIP 48002 48003 48005 48009 48015 48017 48021 48025 48026 48030 48033 48034 48035 48036 48038 48042 48043 48044 48045 48047 48048 48050 48051 48062 48065 48066 48067 48069 48070 48071 48072 48073 48075 48076
Community Health Needs Assessment – 2016 beaumont.org/chna 89 APPENDIX B Community Served Definition X X X X X X X X Wayne Wayne X X X X X X X X X X Troy Troy X X X X X X X X X X X X X Trenton Trenton X X X X X X X X X X X X X X X X Taylor Taylor X X X X X X X X X X X X X X X X X Royal Oak Royal Royal Oak Royal X X X X X X X X X X X Pointe Pointe Grosse Grosse X X X X X X X X X X X X Hills Hills Farmington Farmington X X X X X X X X X X X X X X X X X X X X X X X X Dearborn Dearborn X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Overall Overall Beaumont Beaumont Beaumont Beaumont Detroit Post Name Office Newport Northville Northville Plymouth Rockwood Romulus LyonSouth Rockwood South Taylor Trenton Wayne Westland Westland Canton Canton Wyandotte Riverview Southgate Detroit Detroit ParkHighland Detroit Detroit Detroit Detroit Detroit Detroit Detroit Detroit Hamtramck Detroit Detroit Detroit Detroit New Hudson New Post Name Office Saint Clair Shores Saint Clair Shores Saint Clair Shores Troy Troy Troy Warren Warren Warren Warren Warren Washington Washington Ray Troy ParkAllen Belleville Carleton Dearborn Melvindale Dearborn Dearborn Heights Dearborn Dearborn Heights Dearborn Rock Flat Garden City Grosse Ile Inkster Lincoln Park Livonia Livonia Livonia Boston New Dominant CountyDominant Monroe County, MI County,Oakland MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI County,Oakland MI Monroe County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Dominant CountyDominant Macomb County,Macomb MI County,Macomb MI County,Macomb MI County,Oakland MI County,Oakland MI County,Oakland MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Oakland MI Wayne County, MI Wayne County, MI Monroe County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI County,Oakland MI ZIP ZIP 48166 48167 48168 48170 48173 48174 48178 48179 48180 48183 48184 48185 48186 48187 48188 48192 48193 48195 48201 48202 48203 48204 48205 48206 48207 48208 48209 48210 48211 48212 48213 48214 48215 48216 48217 48080 48081 48082 48083 48084 48085 48088 48089 48091 48092 48093 48094 48095 48096 48098 48101 48111 48117 48120 48122 48124 48125 48126 48127 48128 48134 48135 48138 48141 48146 48150 48152 48154 48164 48165
Community Health Needs Assessment – 2016 | beaumont.org/chna 90 91 APPENDIX B Community Served Definition X Wayne Wayne X X X X X X X X X X X X X X X X X X X X X X X X X Troy Troy Trenton Trenton X X Taylor Taylor X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Royal Oak Royal Royal Oak Royal X X X X Pointe Pointe Grosse Grosse X X X X X X X X X X X X X X X X Hills Hills Farmington Farmington X X X Dearborn Dearborn X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Overall Overall Beaumont Beaumont Beaumont Beaumont Auburn Hills Post Name Office Rouge River Detroit Ferndale Detroit Detroit Detroit Harper Woods Detroit Detroit Detroit Ecorse PointeGrosse Detroit Detroit PointeGrosse ParkOak Detroit Redford Redford Detroit Bloomfield Hills Bloomfield Hills Bloomfield Hills Rochester Rochester Rochester Sterling Heights Sterling Heights Sterling Heights Sterling Heights Utica Utica Utica Keego Harbor West Bloomfield West Bloomfield West Bloomfield Ortonville Post Name Office Waterford Waterford Waterford Farmington Farmington Farmington Farmington Pontiac Pontiac Pontiac Clarkston Clarkston Davisburg Highland Highland OrionLake OrionLake OrionLake Oakland Leonard Oxford Oxford Novi Novi Novi Milford Milford Commerce Township White Lake White Lake Walled Lake W ixom Dryden Goodrich Holly Metamora Dominant CountyDominant Wayne County, MI Wayne County, MI County,Oakland MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI County,Oakland MI Wayne County, MI Wayne County, MI Wayne County, MI Wayne County, MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Macomb MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI Dominant CountyDominant Oakland County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI County,Oakland MI Lapeer County, MI County,Genesee MI County,Oakland MI Lapeer County, MI County,Oakland MI ZIP ZIP 48218 48219 48220 48221 48223 48224 48225 48226 48227 48228 48229 48230 48234 48235 48236 48237 48238 48239 48240 48242 48301 48302 48304 48306 48307 48309 48310 48312 48313 48314 48315 48316 48317 48320 48322 48323 48324 48326 48327 48328 48329 48331 48334 48335 48336 48340 48341 48342 48346 48348 48350 48356 48357 48359 48360 48362 48363 48367 48370 48371 48374 48375 48377 48380 48381 48382 48383 48386 48390 48393 48428 48438 48442 48455 48462
Community Health Needs Assessment – 2016 | beaumont.org/chna 92 93 APPENDIX C Key Health Indicator Sources Source MI Department and HumanMI of Health Services Community (MI Information) Health Department and HumanMI of Health Services (MiBRFS) Provider National CMS, Identification Registry BHPr) (HRSA, File Resource Area MI Department and HumanMI of Health Services Community (MI Information) Health Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services Community (MI Information) Health Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services Community (MI Information) Health Statistics Vital National System-Mortality (CDC, NCHS) Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services Community (MI Information) Health Department and HumanMI of Health Services Community (MI Information) Health Department and HumanMI of Health Services (MiBRFS) Statistics Vital National System-Mortality (CDC, NCHS) (CDC/PHSIPO) BRFSS Statistics Vital National System-Mortality (CDC, NCHS) Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services (MiBRFS) Chronic CMS Condition Warehouse Dartmouth Atlas Care of Health Department and HumanMI of Health Services (MiBRFS) Behavior Risk Factor Surveillance System (BRFSS) Department and HumanMI of Health Services (MiBRFS) Behavior Risk Factor Surveillance System (BRFSS) BHPr) (HRSA, File Resource Area Dartmouth Atlas Care of Health Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services (MiBRFS) Department and HumanMI of Health Services (MiBRFS) Resource Health Area File/National Provider Identification file Resource Health Area File/American Association Medical Dartmouth Atlas Care of Health Small Insurance Health Area Estimates Small Insurance Health Area Estimates Business Analyst, Delorme map data, ESRI, &Census US Tigerline Files Health IndicatorsHealth Warehouse (BRFSS) Indicator Breast Cancer Incidence Breast Cancer Screening Cancer Diagnosis (all causes) Cervical Cancer Screening Colon Cancer Incidence Colorectal Cancer Screening Lung Cancer Incidence Overall Cancer Death Rate Prostate Cancer Screening Discharge Rate: Cerebro-vascular Disease Discharge Rate: Heart Disease Heart Attack Diagnosis Heart Disease Death Rate Hypertension Diagnosis Stroke Death Rate Stroke Diagnosis Diabetes Diagnosis Diabetes Diagnosis Medicare Beneficiaries Diabetic Monitoring FairGeneral Health or Poor Poor or Fair Health Poor Physical Health Poor Physical Days Health Dentists per 100,000 Population CareHealth Costs DentalNo Visits in Past Year Care Health No Access due to Cost Care Health No Coverage Population to Dentist Ratio Population to Primary Care Physician Ratio Preventable Hospital Stays Uninsured Adults Uninsured Children Access to Exercise Opportunities Discharge Rate: Cancer Neoplasms) (Malignant or CoronaryAngina Heart Disease Diagnosis Population to Other Primary Care Providers Ratio Primary Care Physicians per 100,000 Population ExerciseNo Indicator Category Cancer Cancer Cancer Cancer Cancer Cancer Cancer Cancer Cancer Cancer Cardiovascular Conditions Cardiovascular Conditions Cardiovascular Conditions Cardiovascular Conditions Cardiovascular Conditions Cardiovascular Conditions Cardiovascular Conditions Cardiovascular Conditions Diabetes Diabetes Diabetes StatusHealth StatusHealth StatusHealth StatusHealth Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Healthcare Access Lifestyle:Healthy Activity Lifestyle:Healthy Activity
Community Health Needs Assessment – 2016 beaumont.org/chna 95 APPENDIX C Key Health Indicator Sources cs ) cs ) i i t t s s i i t t a a S t S t
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Community Health Needs Assessment – 2016 | beaumont.org/chna 96 97 APPENDIX D Community Resources Available To Potentially Address Significant Health Needs
Visit beaumont.org/chna for information on community resources available to respond to the health needs of the community.
Macomb County, Michigan • Macomb County, MI – Resources for Health Needs beaumont.org/chna
• Macomb County Health Department - Health Services health.macombgov.org
Oakland County, Michigan • Oakland County, MI – Resources for Health Needs beaumont.org/chna
• Oakland County Health Division oakgov.com/health
Wayne County, Michigan • Wayne County, MI – Resources for Health Needs beaumont.org/chna
• Wayne County Health Department – Health, Veterans and Community Wellness waynecounty.com/hhs
Community Health Needs Assessment – 2016 beaumont.org/chna 99 APPENDIX E Evaluation of 2013 Implementation Strategies
Progress of Beaumont Hospital, Dearborn 2013 CHNA Implementation Strategy The implementation strategy for fiscal years community with information and enrollment. 2014-2016 focused on four priority health needs – Navigators provided community-based access to care, cardiovascular disease, diabetes assistance in Dearborn for 1,342 individuals and obesity. Progress to date is summarized below with information and enrollment into health through the second quarter in 2016. Beaumont insurance plans. OakAssist financial Hospital, Dearborn (formerly Oakwood Hospital counselors at Beaumont Hospital, Dearborn and Medical Center) will continue to focus in the provided 6,110 individuals with information 2017-2019 implementation strategy on obesity, and enrollment assistance. As collaborative diabetes and cardiovascular disease. The following partners – ACCESS, Western Wayne Family progress/outcomes for Beaumont Hospital, Health Centers, Wayne Metropolitan Dearborn are described below: Community Action Agency and the Information Center - are now leading the Priority 1: Access to care community effort for enrollment with navigators Goal: Increase access to care for the uninsured, and assistors; this was not identified as a underinsured or underserved. priority health need by Beaumont Health for 2017-2019. • A significant accomplishment in the 2014-2016 implementation strategy was the • To provide access to care for adolescents, creation of four multi-sector coalitions using a Beaumont Health opened a teen health center collective impact model. A Healthy in River Rouge High School in 2015. This Communities Leadership Coalition was health center, supported by the Michigan created with 125 key leaders from across the Department of Health and Human Services and region to develop a strategic plan targeting the the Michigan Department of Education, priority health needs. Four “Healthy provides primary care, preventive care, Community” coalitions were formed under comprehensive health assessments, co- this umbrella in partnership with municipalities, management of chronic conditions, health school districts, community residents and education and mental health care to students community partner organizations (Dearborn, in River Rouge and the surrounding Taylor, Trenton and Wayne). Healthy Dearborn communities. In the first year, 254 students is a multi-sector coalition that was formed and were served with 767 visits. The Teen Health currently has over 200 individuals Center also provides families with assistance participating to promote access to care, to enroll in Medicaid and Healthy Michigan. healthy eating and active living. Beaumont provides “backbone support” to these • Beaumont Hospital, Dearborn provided free coalitions, providing staff, consultants and transportation of 2,264 round trips for access to a wide range of resources individuals. including evidence-based programming and data collection. Priority 2: Cardiovascular disease Goal: Decrease cardiovascular disease risk factors (blood • To support enrollment in the Health Insurance pressure, cholesterol, glucose, overweight, physical Marketplace, Beaumont partnered with activity, smoking). the Centers for Medicare and Medicaid • Beaumont Hospital, Dearborn provided heart Services (CMS) and became a Champion for health screening in the community to 6,162 Coverage and employed health insurance unduplicated individuals with 11,499 navigators to assist those in the
Community Health Needs Assessment – 2016 beaumont.org/chna 101 APPENDIX E Evaluation of 2013 Implementation Strategies
screenings and personalized counseling. On • In partnership with the National Kidney • Beaumont Hospital, Dearborn provided • Beaumont Hospital, Dearborn provides average 40 percent of individuals screened Foundation of Michigan, Beaumont Hospital diabetes screening as part of the heart health nutrition education and “hands-on” cooking were referred for further follow-up care due to Dearborn provides the My Choice…My Health screening program in the community to 6,162 classes through a partnership with high-risk results. And, 98 percent of survey Diabetes Prevention Program (DPP). This unduplicated individuals with 11,499 Gleaners Community Food Bank of respondents indicated good/very good national evidence-based program from the screenings. Southeastern Michigan to offer Cooking understanding of their screening results and Centers for Disease Control and Prevention Matters™ in the community and Cooking understanding of the steps needed to keep (CDC) is supported and promoted by the Priority 4: Obesity Matters at the Store™. Cooking Matters™ their hearts healthy. American Medical Association as one of the Goal: Decrease rate of obesity in children and adults by equips families with the skills they need to most effective ways to help physicians prevent promoting regular physical activity and healthy eating stretch their food dollars and prepare healthy • Beaumont Hospital, Dearborn provided or delay type 2 diabetes in high-risk patients. behaviors. meals on a budget. These popular classes smoking cessation counseling and quit kits to This year- long program for those with pre- have been attended by 194 individuals, with 360 individuals. • In the Beaumont Hospital, Dearborn service diabetes was provided to 25 individuals with area, 2,141 children participated in the CATCH 747 units of service provided. Participant • To promote weight loss and increase physical 317 units of education and support. (Coordinated Approach to Child Health) Kids satisfaction with the classes was 97 percent activity for healthy hearts, Healthy Dearborn Participants who attended the monthly Club program in after-school and summer (Very Good). And, outcome data indicated offers a Walk & Roll program. This is a weekly, maintenance sessions following the core programs. CATCH Kids Club creates an aggregate increase in knowledge of 22 family-friendly community walk and bike ride course averaged 363 minutes of physical behavior change by enabling children to percent including significant improvement through Dearborn’s parks and neighborhoods. activity per week (2.5 times higher than the identify healthy foods, and by increasing the using nutrition facts on food labels and To date, 325 individuals have participated CDC benchmark) and they lost an average of amount of moderate to vigorous physical confidence buying healthy foods for their family in this program. 5.3 percent of initial body weight activity children engage in each day. CATCH on a budget. (meeting target). Kids Club is based on the CDC Whole School, • Beaumont Hospital, Dearborn has provided • Beaumont Hospital, Dearborn sponsors the • In partnership with the National Kidney Whole Community, Whole Child model in Dearborn Farmer’s Market, providing access 536 cardiac rehabilitation sessions free of which health education, school environment, charge to individuals from the community. Foundation of Michigan, Beaumont Hospital, to fresh fruits and vegetables to the community. Dearborn provided 11 individuals with 49 units and family/community involvement work The Power of Produce program is provided to together to support youth in a healthy lifestyle. Priority 3: Diabetes of Diabetes PATH (Personal Action Toward children at the market to educate children Health). PATH is a national evidence-based Evaluation results show a 40 percent increase in making healthy eating choices. This program Goal: Reduce rate of new diabetes cases and of diabetes in the consumption of fruits and vegetables complications through prevention, early detection, and program for those with type 2 diabetes and allows children to taste new fruits and for youth in the program. Student outcome education. their caregivers. The program is designed to vegetables, engage in activities to understand enhance patient confidence in their ability to data indicated improvements in multiple where their food comes from and gives • In partnership with Gleaners Community Food manage their disease and to work more measures including a 40 percent increase in children $2 to spend on fresh produce every Bank of Southeastern Michigan, Beaumont effectively with their health care providers. the consumption of fruits and vegetables, time they visit the market. In 2016, 569 Hospital, Dearborn provides Share Our Outcome data indicated 89 percent of and increase in exercise or participation in children have participated to date in the Power Strength’s Cooking Matters™ for Adults participants were more confident about sports activities for at least 20 minutes. And, of Produce program. EXTRA for Diabetes. This six-week class handling their health condition after taking the 96 percent of students reported they almost includes the Cooking Matters™ for Adults workshop, and showed significant always or always read nutrition labels on curricula as described below along with improvements in testing blood sugar seven packages after participating in CATCH Kids specialized information throughout the course days a week and exercising more than 150 Club for a school year (up from 4 percent). for adults living with diabetes, caretakers minutes per week. Participant satisfaction with of adults living with diabetes, or pre-diabetic the classes was 91 percent (Very Good). adults. These classes were attended by 21 individuals, providing 100 units of • Beaumont Hospital, Dearborn provided a education. Participant satisfaction with the diabetes support group for 151 individuals classes was 97 percent (Very Good). And, in the community. outcome data indicated an aggregate increase in knowledge of 22 percent including • Managing Your Diabetes education was significant improvement using nutrition facts provided by Beaumont Hospital, Dearborn to on food labels and confidence buying healthy 443 individuals in the community. foods for their family on a budget.
Community Health Needs Assessment – 2016 | beaumont.org/chna 102 103 APPENDIX E Evaluation of 2013 Implementation Strategies
Progress of Beaumont Hospital, Farmington Hills • Ten educational presentations were conducted • Beaumont, Farmington Hills collaborated with 2013 CHNA Implementation Strategy in the community on various mental health community partners in events that promote topics. Attendees totaled 1,975 at these healthy eating and active living. These include The implementation strategy for fiscal years The website created provides information, tools events. the City of Farmington Hills “Fit for Life” 2014-2016 focused on five priority health needs. and support for health, wellness and fitness program, healthy eating presentations at Progress to date is summarized below through the programs. • The Developing Meaningful Connections Farmington Hills Library, nutritional second quarter in 2016. Beaumont, Farmington program provides monthly education and presentations to the Play and Learn with Me • In collaboration with Busch’s Market, Hills (formerly Botsford Hospital) will continue to support for those experiencing dementia and program, preventive programs with St. Fabian Beaumont, Farmington Hills provided nutrition focus in the 2017-2019 implementation strategy on the caregivers who are experiencing emotional, seniors, health fairs and educational events education at 21 events with 497 individuals obesity, incorporating preventive health actions in psychological and social well-being stressors. with the Family Farmington YMCA, Costick attending. addition to the priorities of diabetes and Approximately 240 individuals have Center and City of Farmington Hills and cardiovascular disease. participated since 2014. Priority 2: Physical activity Heritage Park Nature Center. Priority 1: Obesity Goal: To develop community involvement in creating • Sponsorships to community organizations • Free health screenings with counseling, referral included “Connecting Mind and Body” and Goal: To create opportunities for education, reinforcing opportunities for exercise through activities that are and follow up have been provided to the the relationship between life-style choices and managing easily accessible, encouraging participation and interest. suicide prevention. community at the “Walk with a Doc” events and maintaining a healthy body weight. from April to November, at the Farmer’s Market, • Beaumont Hospital, Farmington Hills has Priority 4: Availability/access to Fall Family Fun Fest, Total Wellness Fair, Fall • Over the past 2 ½ years, Beaumont Hospital, offered “Walk with a Doc” program each month physicians into Health Expo, National Senior Health and Farmington Hills has provided education in the from April through November. This program Goal: To build an understanding of the structure of Fitness Fair, Back to School Health Fair, community on nutrition and healthy weights features education by a physician along with health care delivery facilitating greater use of health care faith-based organizations, and at targeting preschoolers, children, adolescents, the opportunity for physical activity at for health promotion and early diagnosis community partner sites. Over 1,425 adults and seniors. These events included Heritage Park in Farmington. In addition to the • Beaumont Hospital, Farmington Hills in screenings were provided. presentations to Head Start programs, education provided, 341 individuals collaboration with South Redford School faith-based organizations, Back to School participated in the walking program. This District operates a school-based health center • Free cancer screenings were provided to 100 Fairs, at community libraries and city halls, program has also included in class at Pierce Middle School in Redford. This health individuals in the community. non-profit organizations and the local Farmer’s demonstrations with participation/involvement center provides comprehensive, integrated Market. More than 2,455 individuals were in chair based exercises such as yoga and Tai • Free Student Heart Checks were performed health care for ages 10 to 21 and children they reached with these activities. Chi for seniors and handicapped individuals. at East Middle School in Farmington Hills for may have. Medical care, mental health, lab more than 240 students. The student heart • Beaumont Hospital, Farmington Hills has tests and health education are provided. In • Beaumont Hospital, Farmington Hills in check includes a medical history, an EKG and provided sponsorship of events promoting the past three years the health center has collaboration with South Redford School an ultrasound of the heart with counseling and physical activity including fun runs for children served more than 1,675 youth providing District operates a School-Based Health referral. Center at Pierce Middle School in Redford. and senior fitness events. 6,381 encounters. The health center provided 246 youth • Through the Walk with a Doc program 824 • Beaumont Hospital, Farmington Hills has • Every community outreach event includes who were at the 85th percentile or higher for individuals have participated in the education provided presentations/demonstrations and information and handouts on the Affordable BMI nutrition and exercise education. An component of this program on preventive involvement of participants in multiple locations Care Act, resources in the community for free eight-session program focusing on healthy actions for health. such as church groups and businesses and and low-cost health care, the Health Insurance eating and active living was also provided corporations in class exercise routines with Marketplace and Healthy Michigan. • Beaumont sponsors the Farmington to 50 children over the past 3 years. chair yoga, Tai Chi, stair stepper and exercise Farmer’s Market which brings fresh fruits and • Beaumont Hospital, Farmington Hills provided bands. Priority 5: Preventive health actions vegetables to the community along with free financial and in-kind support to the F2H Fit Goal: Support transition to individual responsibility for health screenings and educational information. Priority 3: Mental health Challenge – a Farmington and Farmington health with education about promotion and prevention Goal: To raise understanding and acceptance of mental Hills cities-wide initiative to help the that serves to empower positive action. illness as a health problem that requires medical care, communities achieve better health and Objective: Provide the tools individuals and families open discussion about symptomology and support for need to be the managers of their health. encourage a culture of healthy lifestyles. the individual and family without prejudice.
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Progress of Beaumont Hospital, Grosse Pointe • Beaumont Hospital, Grosse Pointe has offered problems. Whether someone is bullied, 2013 Implementation Strategy the Health Hero program to those in grades witnesses bullying or bullies others, it can 1-3 to demonstrate the importance of healthy negatively impact their physical and mental The implementation strategy for fiscal years • Beaumont Hospital, Grosse Pointe provided choices. This program helps students build health. Beaumont provides integrated 2014-2016 focused on five priority health needs — diabetic education to 395 individuals in the a foundation for a healthier lifestyle and education, guidance and support for bullied asthma, diabetes, drug-related admissions, obesity community. empowers them to make informed decisions children and families affected by bullying. and suicide. Progress to date is summarized below when it comes to nutrition, physical activity through the second quarter in 2016. Beaumont Priority 2: Drug-related admissions and behavior. This program has reached 6,764 • Beaumont Hospital, Grosse Pointe in partnership with the Beaumont Community Hospital, Grosse Pointe will be focusing on • The Beaumont Community Health Coalition students in 26 schools, 12 organizations and in Health Coalition has offered Second Step, diabetes, obesity, and cardiovascular disease for operates the American Medicine Chest 18 cities. a program centered on bullying prevention, the 2017-2019 implementation strategy. The Challenge – a community-based public health • In partnership with the YMCA and the empathy and communication, emotion following progress/outcomes for Beaumont initiative with law enforcement partnership, Beaumont Community Health Coalition, a Girls management and coping, substance abuse Hospital, Grosse Pointe are described below: to raise awareness about the dangers of on the Run™ program for those in 3rd through prevention, problem-solving, goal setting and prescription drug abuse and provide disposal 8th grade was funded and offered at Parcells decision making. This program was Priority 1: Diabetes sites for unused, unwanted and expired Middle School and the Grosse Pointe implemented in the Grosse Pointe school • Beaumont Children’s, in partnership with medication. Collection boxes are placed in Neighborhood Club. Running is used to system with 186 students. Evaluation results JDRF, has produced a video - Managing the police departments of Grosse Pointe, inspire and motivate girls, encourage lifelong show an increase in knowledge surrounding Type 1 Diabetes in the School Setting: A Grosse Pointe Woods and Grosse Pointe health and fitness, and build confidence typical bullying behaviors and the correct Guide for Non-Medical Personnel in Schools Park. The Coalition provides educational through accomplishment. To date, 1,044 actions to be taken during and after an to educate school personnel on managing materials and community outreach on the risks girls have engaged in Girls on the Run™ with incident of bullying. Surveys also showed an diabetes in the school along with guides of prescription drug abuse. the Beaumont sponsorship. increased confidence in emotional regulation for non-medical staff. These materials Priority 3: Obesity abilities among students. continue to be distributed to schools free of • Beaumont Hospital, Grosse Pointe provided charge. • To address obesity, Beaumont Health 955 individuals in the community with • The Beaumont Community Health Coalition partnered with the University of Michigan to education on healthy eating. Sponsorship of in partnership with Beaumont Hospital, Grosse • In partnership with Gleaners Community Food implement Project Healthy Schools in Tyrone the local farmer’s market offers opportunities to Pointe, Grosse Pointe Schools and the Detroit Bank of Southeastern Michigan, Beaumont Elementary School in Harper Woods, Pierce educate individuals on healthy eating with the Wayne Mental Health Authority initiated a Hospital, Grosse Pointe provides Share Our Middle School in Grosse Pointe and Larson fresh produce at the market. Mental Wellness Initiative to address the rise in Strength’s Cooking Matters™ for Adults Middle School in Troy. Project Healthy suicide deaths within the community and Extra for Diabetes. This six-week class Schools encourages healthy habits to • Beaumont Children’s provided 117 children increase prevention services for youth 13 -24. includes the Cooking Matters™ for Adults reduce childhood obesity and its long term with special needs from throughout Metro This collaborative effort has over 30 members curricula as described below along with consequences through education, Detroit custom-built bicycles no charge to with six action groups based on the program specialized information throughout the course environmental change and measurement. provide physical activity for these youth. “Preventing Suicide” by SAMSHA. for adults living with diabetes, caretakers of Pre- and post-health behavior questionnaires adults living with diabetes, or pre-diabetic • Beaumont Hospital, Grosse Pointe, in at all three schools show an increase in both Priority 5: Asthma adults. These classes are offered free to collaboration with the Neighborhood Club average fruit and vegetable consumption and the community. Recreation and Wellness Center, the Grosse While asthma had been identified as a priority in an increase in both average vigorous and Pointe Schools System, the Beaumont the 2013 CHNA for Beaumont Hospital, Grosse moderate physical activity along with a • In partnership with the National Kidney Community Health Coalition and the Grosse Pointe, community programming/services were not decrease in screen time and sugary Foundation of Michigan, Beaumont Hospital, Pointe Chamber of Commerce offered the 60 yet implemented at the time of this report. In the beverage intake. Grosse Pointe offers Diabetes PATH Days to Health program to encourage healthy 2016 CHNA prioritization process, it was (PERSONAL ACTION TOWARD HEALTH). determined that asthma would not directly be • Beaumont Hospital, Grosse Pointe has living activities throughout the community. Diabetes PATH is a national evidence-based addressed. The CHNA priorities will be obesity, implemented the “Walk with a Doc” program. program for those with type 2 diabetes and cardiovascular disease and diabetes. This will This program features an educational Priority 4: Suicide their caregivers designed to enhance allow the maximization of resources and greater component by a physician followed by a 45 • No Bullying Live Empowered (NoBLE) patient confidence in their ability to manage impact in the community. minute walk. Blood pressure checks are also recognizes that all youth exposed to bullying their disease and to work more effectively with offered at these events. are at risk for both immediate and lifelong their health care providers.
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Progress of Beaumont Hospital, Royal Oak • Beaumont, Royal Oak offers Eat Healthy, Be Beaumont provides integrated education, 2013 Implementation Strategy Active community workshops in partnership guidance and support for bullied children and with the Food and Drug Administration- families affected by bullying. NoBLE services The implementation strategy for fiscal years • Beaumont Health physicians participate in Detroit District Office and Michigan State and education were provided to 850 2014-2016 focused on five priority health needs – the Oakland County Prescription Drug Abuse University Extension. More than 30 half-day individuals. asthma, diabetes, drug-related admissions, obesity Partnership which was created in March 2015 workshops were held with more than 500 and suicide. Progress to date is summarized below by the Oakland County Health Division to individuals participating. Individuals who • Beaumont Hospital, Royal Oak held its third through the second quarter in 2016. Beaumont create a coordinated, strategic action plan for participated received educational information, annual mental health fair in partnership with the Hospital, Royal Oak will be focusing on diabetes, reducing prescription drug abuse and toolkits with recipes, farmer’s market Easter Seals. This free community event obesity and cardiovascular disease for the overdoses. A SCOPE of Pain training was information, samples of healthy foods and provided education, support and resources on 2017-2019 implementation strategy. The following held in late 2015 to cover three issues: physical activity demonstrations. Evaluation of mental health with a focus on breaking the progress/outcomes for Beaumont Hospital, Royal Assessing Chronic Pain and Opioid Misuse the program showed 83 percent of the stigma that prevents people from seeking help Oak are described below: Risk, Initiating (or continuing) Opioid Therapy participants strongly agreed that the workshop when they need it. Community members had Safely, and Assessing and Managing Aberrant showed practical ways to change their diets an opportunity to connect with a variety of Priority 1: Diabetes Medication Taking Behavior. More than 100 and increase physical activity. leading organizations in the mental health health care professionals attended this training and wellness field. Topics included autism, • Beaumont Children’s in partnership with JDRF which included interactive clinical • Beaumont Hospital, Royal Oak has offered bipolar disorder, depression, schizophrenia, produced a video - Managing Type 1 Diabetes demonstrations and a panel discussion. the Health Hero program to those in grades 1 eating disorders, early intervention for in the School Setting: A Guide for Non- through 3, to demonstrate the importance of children with trauma, substance abuse, bullying Medical Personnel in Schools to educate • In partnership with the Beaumont Community healthy choices. This program helps students prevention, suicide prevention, domestic school personnel on managing diabetes in the Health Coalition and the Wayne County Mental build a foundation for a healthier lifestyle and violence and skill-building for developmentally school along with guides for non-medical staff. Health Authority the “Too Good for Drugs” empowers them to make informed decisions disabled. after-school program was provided in the when it comes to nutrition, physical activity • Beaumont Hospital, Royal Oak offers Diabetes Brightmoor area of Detroit. This program is and behavior. This program has reached 6,764 • Beaumont Health is sponsoring the Michigan PATH (PERSONAL ACTION TOWARD designed to address the negative effects of students in 26 schools, 12 organizations and in Bullying Prevention Conference in the fall of HEALTH) in partnership with the National substance abuse, including the misuse of 18 cities. 2016. This conference will provide strategies Kidney Foundation of Michigan. Diabetes PATH prescription opioids and over-the-counter to strengthen bullying prevention efforts or is a national evidence-based program for those medications and electronic nicotine delivery • The Power of Produce Club at the Birmingham begin a program in schools and communities. with type 2 diabetes and their caregivers. The systems. The program served 73 youth during Farmer’s Market was funded by Beaumont, Trauma, suicide and depression are among the program is designed to enhance patient the after-school program and during the Royal Oak. This program supports children in topics that will be covered. confidence in their ability to manage their Mission: City Summer camp in Brightmoor. making healthy eating choices and allows disease and to work more effectively with their children to taste new fruits and vegetables, • Mental health and depression education was health care providers. Priority 3: Obesity engage in activities to understand where their provided to 77 individuals in the community. food comes from and gives children $2 to • Beaumont, Royal Oak provided diabetes • Beaumont, Royal Oak provides a Farmer’s spend on fresh produce every time they visit Priority 5: Asthma education to 180 individuals in the Market during the summer months, providing the market. community. locally-grown fruits and vegetables for the While asthma had been identified as a priority in community and employees. Nutrition the 2013 CHNA for Beaumont Hospital Royal Oak, Priority 2: Drug-related admissions Priority 4: Suicide information is provided along with nutritional community programming/services were not yet • No Bullying Live Empowered (NoBLE) implemented at the time of this report. In the 2016 • Beaumont Health and the Association for counseling. Food assistance benefits are program at Beaumont Royal Oak recognizes CHNA prioritization process, it was determined Hospital Medical Education, in cooperation accepted at the market. that all youth exposed to bullying are at that asthma would not directly be addressed. The with the Collaborative on REMS Education • Beaumont Hospital, Royal Oak offers free Kid’s risk for both immediate and lifelong problems. CHNA priorities will be obesity, cardiovascular developed a continuing education/training Cooking Classes for children age 6 and older. Whether someone is bullied, witnesses disease and diabetes. This will allow resources to program for health care professionals in order This fun, interactive, and educational class bullying or bullies others, it can negatively be maximized, and result in greater impact in the to prescribe or dispense opioid analgesics is hands-on and led by a registered dietitian in impact their physical and mental health. community. safely and maintain patient access to pain a demonstration kitchen. Approximately 60 medications. children attended these classes each year.
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Progress of Beaumont Hospital, Taylor education and social work services. During the indicated an aggregate increase in knowledge 2013 CHNA Implementation Strategy period of this implementation strategy, 2,168 of 22 percent including significant youth have been served with 4,749 visits. improvement using nutrition facts on food The implementation strategy for fiscal years Centers for Medicare and Medicaid Services labels and confidence buying healthy foods 2014-2016 focused on four priority health needs – (CMS) and became a Champion for Coverage Priority 2: Cardiovascular disease for their family on a budget. access to care, cardiovascular disease, and employed health insurance navigators to Goal: Decrease cardiovascular disease risk factors diabetes and obesity. Progress to date is assist those in the community with information (blood pressure, cholesterol, glucose, overweight, physical • In partnership with the National Kidney summarized below through the second quarter in and enrollment. Navigators provided activity, smoking). Foundation of Michigan, Beaumont Hospital, 2016. Beaumont Hospital, Taylor (formerly community-based assistance in Taylor for 369 Taylor provides the My Choice…My Health • Beaumont Hospital, Taylor provided heart Oakwood Heritage Hospital) will continue to focus individuals with information and enrollment into Diabetes Prevention Program (DPP). This health screening in the community to 734 in the 2017-2019 implementation strategy on health insurance plans. OakAssist financial national evidence-based program from the individuals with 1,964 screenings and obesity, diabetes and cardiovascular disease. The counselors at Beaumont Hospital, Taylor Centers for Disease Control and Prevention personalized counseling. On average 40 following progress/outcomes for Beaumont provided 2,996 individuals with information (CDC) is supported and promoted by the percent of individuals screened were referred Hospital, Taylor is described below: and enrollment assistance. As of May 2016, American Medical Association as one of the for further follow-up care due to high-risk Michigan has enrolled 2,303,659 individuals most effective ways to help physicians prevent results. And, 98 percent of survey Priority 1: Access to care in Medicaid and CHIP — a net increase of or delay type 2 diabetes in high-risk patients. respondents indicated good/very good Goal: Increase access to care for the uninsured, 20.48 percent since the first Marketplace This year- long program for those with understanding of their screening results and underinsured or underserved. Open Enrollment Period and related Medicaid pre-diabetes provided 24 individuals with understanding of the steps needed to keep 169 units of education and support. • A significant accomplishment in the program changes in October 2013. their hearts healthy. Participants who attended the monthly 2014-2016 Implementation Strategy by As collaborative partners – ACCESS, • Beaumont Hospital, Taylor provides a “Walk maintenance sessions following the core Beaumont was the creation of four multi-sector Western Wayne Family Health Centers, Wayne with a Doc” program and “Walk with a City course averaged 363 minutes of physical coalitions using a collective impact model. Metropolitan Community Action Agency and Official” at Heritage Park that includes activity per week (2.5 times higher than the Collective impact occurs when organizations the Information Center - are now leading educational information on healthy eating and CDC benchmark) and they lost an average of from different organizations agree to solve the community effort for enrollment with active living before a group walk. Participants 5.3 percent of initial body weight (meeting a special social problem using a common navigators and assistors; this was are given pedometers to encourage their target). agenda, aligning their efforts, and using not identified as a priority health need by walking. common measures of success. A Healthy Beaumont Health for 2017-2019. • In partnership with the National Kidney Communities Leadership Coalition was Priority 3: Diabetes Foundation of Michigan, Beaumont created with 125 key leaders from across the • To provide access to care for adolescents, Hospital, Taylor provided 62 sessions of Goal: Reduce rate of new diabetes cases and of diabetes region to develop a strategic plan targeting the Beaumont Health operates a school wellness Diabetes PATH (Personal Action Toward complications through prevention, early detection, and priority health needs. Four “Healthy program in Truman High School in which 1,454 education. Health). PATH is a national evidence-based Community” coalitions were formed under this students received a total of 8,674 services program Diabetes PATH is for those with type umbrella in partnership with municipalities, through the program. 100 percent of students • In partnership with Gleaners Community Food 2 diabetes and their caregivers designed to school districts, community residents and seen in the school wellness program were Bank of Southeastern Michigan, Beaumont, enhance patient confidence in their ability to community partner organizations (Dearborn, screened for behavioral health needs with Taylor offers Share Our Strength’s Cooking manage their disease and to work more Taylor, Trenton and Wayne). Healthy Taylor 372 (2014-2015) receiving mental health Matters™ for Adults EXTRA for Diabetes. This effectively with their health care providers. is a multi-sector coalition that was formed and treatment. Medicaid outreach and education six-week class includes the Cooking Matters™ Outcome data indicated 89 percent of currently has 116 individuals participating were provided to 3,744 individuals with the for Adults curricula as described below along participants were more confident about to promote access to care, healthy eating and school and community. with an addendum that offers specialized handling their health condition after taking the active living. Beaumont provides “backbone information throughout the course for adults workshop, and showed significant • Beaumont’s Taylor Teen Health Center makes a support” to these coalitions, providing staff, living with diabetes, caretakers of adults improvements in testing blood sugar seven difference in the lives of thousands of young consultants, access to a wide range of living with diabetes or pre-diabetic adults. days a week and exercising more than 150 people each year through a variety of school- resources including evidence-based These classes were attended by 61 minutes per week. Participant satisfaction based and school-linked programs. Serving programming and data collection. individuals, providing 309 units of education. with the classes was 91 percent (Very Good). those ages 10 to 21, the health center Participant satisfaction with the classes was • To support enrollment in the Health Insurance provides primary health care, immunizations, 97 percent (Very Good). And, outcome data Marketplace, Beaumont partnered with the family planning services, prevention and health
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• Managing Your Diabetes, a free education • Cooking Matters™ for Teens will be Progress of Beaumont Hospital, Trenton seminar that discusses diabetes and the conducted at the middle school in Taylor in 2013 CHNA Implementation Strategy vascular complications related to the disease the fall of 2016. This six-week program was provided to 22 individuals in the teaches adolescents in 6th grade and up how The implementation strategy for fiscal years employing health insurance navigators to community. to make healthy food choices and 2014-2016 focused on four priority health needs assist those in the community with information prepare healthy meals and snacks. – access to care, cardiovascular disease, diabetes and enrollment. Navigators provided • Diabetes education was provided to 133 and obesity. Progress to date is summarized below community-based assistance in Trenton for individuals in the community at health fairs or • The Cooking Matters™ program was adapted through the second quarter in 2016. Beaumont 287 individuals, including information and non-profit partner events. for alternative education students in Taylor with Hospital, Trenton (formerly Oakwood Southshore enrollment into health insurance plans. 13 students completing the course. Medical Center) will continue to focus in the OakAssist financial counselors at Beaumont • Beaumont Hospital, Taylor provided diabetes 2017-2019 implementation strategy on obesity, Hospital, Trenton provided 1,397 individuals screening as part of the heart health screening • To promote healthy eating, Beaumont sponsors diabetes and cardiovascular disease. The following with information and enrollment assistance. program in the community to 734 unduplicated the Taylor Farmer’s Market. The Farmer’s progress/outcomes for Beaumont Hospital, Trenton As of May 2016, Michigan has enrolled individuals with 1,964 screenings. Market brings fresh fruit and vegetables to are described below: 2,303,659 individuals in Medicaid and CHIP those in the community. Weekly activities — a net increase of 20.48 percent since the Priority 4: Obesity to promote health are conducted at the market Priority 1: Access to care first Marketplace Open Enrollment Period and Goal: Decrease rate of obesity in children and adults by including “Harvest of the Month” along Goal: Increase access to care for the uninsured, related Medicaid program changes in October promoting regular physical activity and healthy eating with health screenings and chronic disease underinsured or underserved. 2013. behaviors. management education. • A significant accomplishment in the • Beaumont Hospital, Taylor provides nutrition Collaborative partners – ACCESS, Western • Beaumont Hospital, Taylor provided nutrition 2014-2016 Implementation Strategy by education and “hands-on” cooking classes Wayne Family Health Centers, Wayne education and counseling to 364 individuals at Beaumont was the creation of four multi- through a partnership with Gleaners Metropolitan Community Action Agency and community events such as health fairs and sector coalitions using a collective impact Community Food Bank of Southeastern the Information Center are now leading the non-profit partner events. model. A Healthy Communities Leadership Michigan to offer Cooking Matters™ and effort for enrollment in the community with Coalition was created with 125 key leaders Cooking Matters at the Store™ in the • Through Healthy Taylor, neighborhood navigators and assistors. from across the region to develop a strategic community. Cooking Matters™ equips families walking clubs have been formed to encourage plan targeting the priority health needs. Four with the skills they need to stretch their food walking and provide support encouraging small Priority 2: Cardiovascular Disease “Healthy Community” coalitions were formed dollars and prepare healthy meals on a budget. steps to increase physical activity. To Goal: Decrease cardiovascular disease risk factors under this umbrella in partnership with Cooking Matters at the Store™, held at local encourage participation, walking kits are given (blood pressure, cholesterol, glucose, overweight, physical municipalities, school districts, community activity, smoking). grocery stores, teaches comparison shopping to each group leader containing pedometers, residents and community partner organizations and understanding nutrition labels. These lanyards with walking logs for each (Dearborn, Taylor, Trenton and Wayne). Healthy • Beaumont Hospital, Trenton provided heart popular classes have been attended by 144 individual and tip sheets related to walking. Trenton is a multi-sector coalition that was health screening in the community to 1,858 individuals, with 564 units of service provided. unduplicated individuals with 2,546 • Beaumont’s Taylor Teen Health Center formed and currently has 102 members Participant satisfaction with the classes was screenings and personalized counseling. provides nutrition counseling by a registered participating to promote access to care, 97 percent (Very Good). And outcome data On average 40 percent of individuals screened dietitian. The Teen Health Center also offered a healthy eating and active living. Beaumont indicated an aggregate increase in knowledge were referred for further follow-up care due six-week Stepping Towards Wellness provides “backbone support” to these of 22 percent including significant to high-risk results. And, 98 percent of Program to increase physical activity of youth. coalitions, providing staff, consultants and improvement using nutrition facts on food survey respondents indicated good/very good While 19 individuals participated in the access to a wide range of resources labels and confidence buying healthy foods for understanding of their screening results and program, outcome data did not support including evidence-based programming and their family on a budget. understanding of the steps needed to keep continuation of this program. data collection. their hearts healthy. • To support enrollment in the Health Insurance Marketplace, Beaumont partnered with the • Beaumont Hospital, Trenton provided smoking Centers for Medicare and Medicaid Services cessation counseling and quit kits to 806 (CMS) and became a Champion for Coverage individuals.
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• Beaumont Hospital, Trenton provided 485 free • Managing Your Diabetes, a free education so they can practice the recipes taught that Farmer’s market – A farmer’s market was cardiac rehabilitation sessions for the seminar that discusses diabetes and the day. Classes are currently in progress with 20 implemented in Trenton, bringing in fresh fruits uninsured and underinsured. vascular complications related to the disease, youth attending. and vegetables to residents. was provided to 54 individuals in the Priority 3: Diabetes community. • In the Beaumont Hospital, Trenton service Bike lanes – The Healthy Trenton Coalition Goal: Reduce rate of new diabetes cases and of diabetes area, 324 children participated in the CATCH worked with the Traffic Safety Commission on complications through prevention, early detection, and • Beaumont Hospital, Trenton provided diabetes (Coordinated Approach to Child Health) Kids preferred shared bike lanes. This project has education. education to 586 individuals in the community. Club program in after-school and summer been approved with funding for programs beginning in the 2016-2017 implementation. • In partnership with Gleaners Community Food • Beaumont Hospital, Trenton provided diabetes academic year. CATCH Kids Club creates Bank of Southeastern Michigan, Beaumont screening as part of the heart health screening behavior change by enabling children to Walking/biking tours – Walking/biking tours Hospital, Trenton provides Share Our program in the community to 1,858 identify healthy foods, and by increasing the for a new bike rental program in Elizabeth Park Strength’s Cooking Matters™ for Adults unduplicated individuals with 2,546 amount of moderate to vigorous physical were created. Monthly bike and hike guided EXTRA for Diabetes. This six-week class screenings. activity children engage in each day. CATCH tours were successfully launched. includes the Cooking Matters™ for Adults Kids Club is based on the CDC Whole curricula as described below along with Priority 4: Obesity Successful partnerships – The Healthy Goal: Decrease rate of obesity in children and adults by School, Whole Community, Whole Child Trenton Coalition provided a forum to connect specialized information throughout the course model in which health education, school for adults living with diabetes, caretakers of promoting regular physical activity and healthy eating Downriver Linked Greenways, International behaviors. environment, and family/community involvement adults living with diabetes, or pre-diabetic Wildlife Refuge, Riverside Kayak Connection, work together to support youth in a healthy Wayne County Parks and Trenton Parks and adults. These classes were attended by 52 • Beaumont Hospital, Trenton provides nutrition lifestyle. individuals, providing 264 units of education. education and “hands-on” cooking classes Recreation. This partnership is designed to Participant satisfaction with the classes was through a partnership with Gleaners • Beaumont Hospital, Trenton provided nutrition encourage citizens to use community parks, 97 percent (Very Good). And outcome data Community Food Bank of Southeastern education in the community to 1,114 trails and recreation amenities to be physically indicated an aggregate increase in knowledge Michigan to offer Cooking Matters™ in the individuals, who received 1,443 units of active. of 22 percent including significant community. Cooking Matters™ equips families education. Toolkit for businesses – A presentation and improvement using nutrition facts on food with the skills they need to stretch their food toolkit for businesses was developed for labels and confidence buying healthy foods for • Beaumont provided financial sponsorship for dollars and prepare healthy meals on a budget. employers to promote worksite wellness. The their family on a budget. the Trenton Summer Festival along with health These popular classes have been attended by City of Trenton is implementing a worksite 103 individuals, with 548 units of service screenings, distribution of pedometers and • In partnership with the National Kidney wellness program to promote health among its provided. Participant satisfaction with the activities to promote health including a Stroll & Foundation of Michigan, Beaumont, Trenton employees. classes was 97 percent (Very Good). And Roll with bike riding and walking. provided 34 individuals with 158 units of outcome data indicated an aggregate increase Social media for health – Beaumont Diabetes PATH (Personal Action Toward • Beaumont’s Healthy Trenton launched several in knowledge of 22 percent including Healthy Trenton launched a website Health). PATH is a national evidence-based initiatives to address obesity. These include: significant improvement using nutrition facts (www.healthytrenton.com) and a Facebook program for those with type 2 diabetes and on food labels and confidence buying healthy Passport to Health – The Passport contains page to connect health resources to their caregivers. The program is designed to foods for their family on a budget. information and activities individuals can use community members. enhance patient confidence in their ability to in their daily lives and contains detailed walking manage their disease and to work more • The Cooking Matters™ program was adapted maps, active family resources, biking tours, Healthy food options at restaurants – effectively with their health care providers. to provide nutrition education to 24 special workplace resources and health quizzes. Restaurants are developing healthy entrees Outcome data indicated 89 percent of needs students in Trenton from nine school These passports were delivered throughout the and providing recipes to put on the Healthy participants were more confident about districts. community at various events and through Trenton website. To date, two restaurants handling their health condition after taking Trenton City Hall. The passports are also have featured and highlighted healthy options the workshop, and showed significant • Cooking Matter for Teens™ is now offered to available for download on the Healthy Trenton for eating. improvements in testing blood sugar seven the community by Beaumont Hospital, website. Those who participate in the days a week and exercising more than Trenton. This six-week curriculum teaches Health expo – In partnership with St. Paul Passport to Health receive incentives for 150 minutes per week. Participant teenagers how to make healthy food choices Lutheran Church, two health expos were held healthy eating and active living. satisfaction with the classes was 91 percent and prepare healthy meals and snacks. Teens with a 5K walk/runs. Approximately 600 people (Very Good). take home a bag of groceries after each class participate.
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Progress of Beaumont Hospital, Troy Priority 4: Suicide 2013 Implementation Strategy • No Bullying Live Empowered (NoBLE) The implementation strategy for fiscal years to prescribe or dispense opioid analgesics recognizes that all youth exposed to bullying 2014-2016 focused on five priority health needs – safely and maintain patient access to pain are at risk for both immediate and lifelong asthma, diabetes, drug related admissions, obesity medications. problems. Whether someone is bullied, and suicide. Progress to date is summarized below witnesses bullying or bullies others, through the second quarter in 2016. Beaumont • Beaumont Health physicians participate in the it can negatively impact their physical and Hospital, Troy will be focusing on diabetes, Oakland County Prescription Drug Abuse mental health. Beaumont provides integrated obesity, and cardiovascular disease for the Partnership which was created in March 2015 education, guidance and support for bullied 2017-2019 implementation strategy. The following by the Oakland County Health Division to children and families affected by bullying. progress/outcomes for Beaumont Hospital, Troy create a coordinated, strategic action plan for • Beaumont Health is sponsoring the Michigan are described below: reducing prescription drug abuse and overdoses. A SCOPE of Pain training was Bullying Prevention Conference in the fall of Priority 1: Diabetes held in late 2015 to cover three issues: 2016. This conference will provide strategies Assessing Chronic Pain and Opioid Misuse to strengthen bullying prevention efforts or • Beaumont Hospital, Troy offers Diabetes PATH Risk, Initiating (or continuing) Opioid Therapy begin a program in schools and communities. (Personal Action Toward Health), a six-week Safely, and Assessing and Managing Aberrant Trauma, suicide and depression are among the program designed to help people living with Medication Taking Behavior. More than 100 topics that will be covered. type 2 diabetes and their support system live a health care professionals attended this training healthier life. Individuals learn to make an which included interactive clinical Priority 5: Asthma action plan, avoid complications, balance their demonstrations and a panel discussion. While asthma had been identified as a priority in blood sugar, improve communication skills with the 2013 CHNA for Beaumont Hospital, Troy, their family and health care provider, Priority 3: Obesity community programming/services were not yet understand the importance of monitoring their implemented at the time of this report. In the 2016 blood sugar, manage symptoms, decrease • To address obesity, Beaumont Hospital, Troy CHNA prioritization process, it was determined stress and improve their overall health while partnered with the University of Michigan to that asthma would not directly be addressed. The increasing their energy. This program is offered implement Project Healthy Schools in Tyrone CHNA priorities will be obesity, cardiovascular free to the community. Elementary School in Harper Woods, Pierce Middle School in Grosse Pointe, and Larson disease and diabetes. This will allow resources to • Beaumont Children’s, in partnership with JDRF, Middle School in Troy. Project Healthy be maximized and result in greater impact in the produced a video - Managing Type 1 Diabetes Schools encourages healthy habits to reduce community. in the School Setting: A Guide for Non- childhood obesity and its long term Medical Personnel in Schools to educate consequences through education, school personnel on managing diabetes in the environmental change and measurement. school along with guides for non-medical staff. Pre- and post-health behavior questionnaires at all three schools show an increase in • Diabetes education was provided by both average fruit and vegetable consumption Beaumont Hospital, Troy to 140 individuals in and an increase in both average vigorous and the community. moderate physical activity along with a decrease in screen time and sugary beverage Priority 2: Drug-related admissions intake. • Beaumont Health and the Association for • Beaumont Children’s provided 117 children Hospital Medical Education, in cooperation with special needs from throughout Metro with the Collaborative on REMS Education Detroit custom-built bicycles at no charge to developed a continuing education/training promote and encourage physical activity program for health care professionals in order for youth with special needs.
Community Health Needs Assessment – 2016 | beaumont.org/chna 116 117 APPENDIX E Evaluation of 2013 Implementation Strategies
Progress of Beaumont Hospital, Wayne • To provide access to care for adolescents, • Smoking cessation counseling and quit kits 2013 Implementation Strategy Beaumont Health opened a teen health center were provide to 3,561 individuals. in Romulus High School in 2015. This health The implementation strategy for fiscal years based assistance in Beaumont, Wayne center, supported by the Michigan Department Priority 3: Diabetes 2014-2016 focused on four priority health needs – communities for 740 individuals, including of Health and Human Services and the Goal: Decrease rate of new diabetes cases and of access to care, cardiovascular disease, diabetes information and enrollment into health Michigan Department of Education, provides diabetes complications through prevention, early and obesity. Progress to date is summarized below insurance plans. OakAssist financial primary care, preventive care, comprehensive detection, and education through the second quarter in 2016. Beaumont, counselors at Beaumont, Wayne provided health assessments, co-management of • In partnership with Gleaners Community Food Wayne (formerly Oakwood Annapolis Hospital) will 5,062 individuals with information and chronic conditions, health education and Bank of Southeastern Michigan, Beaumont, continue to focus in the 2017-2019 implementation enrollment assistance. As collaborative mental health care to students in Romulus and Wayne offers Share Our Strength’s Cooking strategy on obesity, diabetes and cardiovascular partners – ACCESS, Western Wayne Family the surrounding communities. In the first year, Matters™ for Adults EXTRA for Diabetes. This disease. The following progress/outcomes for Health Centers, Wayne Metropolitan 365 students were served with 1,097 visits. six-week class includes the Cooking Matters™ Beaumont Hospital, Wayne are described below: Community Action Agency and the The Teen Health Center also provides families for Adults curricula as described below along Information Center - are now leading the with assistance to enroll in Medicaid and with an addendum that offers specialized Priority 1: Access to care community effort for enrollment with navigators Healthy Michigan. information throughout the course for adults Goal: Increase access to care for the uninsured, and assistors, this was not identified as a living with diabetes, caretakers of adults living underinsured or underserved. priority health need for 2017-2019. • Beaumont operates the Adams Child and Adolescent Health Center in Westland in with diabetes or pre-diabetic adults. These • A significant accomplishment in the • To increase access to care, in March of 2016 partnership with the Wayne-Westland School classes were attended by 36 individuals for a 2014-2016 Implementation Strategy by Beaumont Hospital, Wayne partnered with the District. The health center provides primary total of 196 units of service provided. Beaumont was the creation of four multi-sector Wayne County Department of Health, Veterans care, preventive care, comprehensive health Participant satisfaction with the classes was coalitions using a collective impact model. A and Community Wellness to open a federally assessments, co-management of chronic 97 percent (Very Good). And outcome data Healthy Communities Leadership Coalition qualified health center in Wayne. Beaumont conditions, health education and mental health indicated an aggregate increase in knowledge was created with 125 key leaders from across physicians and health care professionals care to over 500 students annually. The Child of 22 percent including significant the region to develop a strategic plan targeting provide support to the clinic. Wayne Health and Adolescent Health Center also provides improvement using nutrition facts on food the priority health needs. Four “Healthy Center is open to all individuals but primarily families with assistance to enroll in Medicaid labels and confidence buying healthy foods for Community” coalitions were formed under this serves residents in the cities of Wayne, and Healthy Michigan. their family on a budget. umbrella in partnership with municipalities, Westland, Romulus and Inkster. • In partnership with the National Kidney school districts, community residents and Priority 2: Cardiovascular disease Foundation of Michigan, Beaumont, Wayne community partner organizations (Dearborn, • To provide access to care for adolescents, Goal: Decrease cardiovascular disease risk factors provides the My Choice…My Health Taylor, Trenton and Wayne). Healthy Wayne is Beaumont Health partnered with the (blood pressure, cholesterol, glucose, overweight, physical Diabetes Prevention Program (DPP). This a multi-sector coalition that was formed and Westwood School District to open a teen activity, smoking). currently has 102 members participating to health center at Tomlinson Middle School national evidence-based program from the promote access to care, healthy eating and in Inkster. This health center, supported by • Beaumont, Wayne has provided 559 free Centers for Disease Control and Prevention active living. Beaumont provides “backbone the Michigan Department of Health and cardiac rehabilitation sessions for the (CDC) is supported and promoted by the support” to these coalitions, providing staff, Human Services and the Michigan uninsured or underinsured. American Medical Association as one of the consultants and access to a wide range of Department of Education, serves most effective ways to help physicians prevent • Beaumont, Wayne provided heart health resources including evidence-based approximately 500 youth in the Westwood or delay type 2 diabetes in high-risk patients. screening in the community to 2,963 programming and data collection. School District and the surrounding This year-long program for those with pre- individuals who received 5,836 screenings and communities with primary care, preventive care, diabetes was provided to 17 individuals with personalized counseling. On average 40 • To support enrollment in the Health Insurance comprehensive health assessments, 82 units of education and support. Participants percent of individuals screened were referred Marketplace, Beaumont partnered with the co-management of chronic conditions, health who attended the monthly maintenance for further follow-up care due to high-risk Centers for Medicare and Medicaid Services education and mental health care. The Teen sessions following the core course averaged results. And, 98 percent of survey respondents (CMS) and became a Champion for Coverage, Health Center also provides families with 363 minutes of physical activity per week (2.5 indicated good/very good understanding of employing health insurance navigators to assist assistance to enroll in Medicaid and Healthy times higher than the CDC benchmark) and their screening results and understanding of those in the community with information and Michigan. they lost an average of 5.3 percent of initial enrollment. Navigators provided community- the steps needed to keep their hearts healthy. body weight (meeting target).
Community Health Needs Assessment – 2016 | beaumont.org/chna 118 119 APPENDIX E APPENDIX F Evaluation of 2013 Implementation Strategies Federally Designated Health Professional Shortage Areas and Medically Underserved Areas and Populations
• In partnership with the National Kidney reported they almost always or always read nutrition Foundation of Michigan, Beaumont Wayne labels on packages after participating in CATCH provided 15 individuals with 81 units of Kids Club for a school year (up from 4 percent). Diabetes PATH (Personal Action Toward Health). Diabetes PATH is a national • A registered dietitian at Beaumont’s Westwood evidence-based program for those with type Teen Health Center provides individual nutrition 2 diabetes and their caregivers designed to counseling to students with a BMI at or above 85 enhance patient confidence in their ability to percent. Patients also receive small group sessions manage their disease and to work more focusing on healthy nutrition, cooking on a budget effectively with their health care providers. Outcome and making healthy choices. Nutrition education and data indicated 89 percent of participants were more fitness counseling were provided to 293 students. confident about handling their health condition after • Beaumont, Wayne provided nutrition education in taking the workshop, and showed significant Comprehensive Center Health Comprehensive Center Health Correctional Facility Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Federally Qualified Center Like Health A Look Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Native AmericanNative Tribal Population Comprehensive Center Health AmericanNative Tribal Population Comprehensive Center Health Federally Qualified Center Like Health A Look Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Comprehensive Center Health Federally Qualified Center Like Health A Look Comprehensive Center Health Designation Type the community to 944 individuals. Correctional Facility Federally Qualified Center Like Health A Look Federally Qualified Center Like Health A Look improvements in testing blood sugar seven days a week and exercising more than 150 minutes per • Beaumont, Wayne provides nutrition education and week. Participant satisfaction with the classes was “hands-on” cooking classes through a partnership 91 percent (Very Good). Managing Your Diabetes, with Gleaners Food Bank of Southeastern Michigan a free education seminar that discusses diabetes to offer Cooking Matters™ and Cooking Matters at and the vascular complications related to the the Store™ in the community. Cooking Matters™ disease was provided to 70 individuals in the equips families with the skills they need to stretch Primary Care Primary Health Mental Dental Health Health Mental Care Primary Care Primary Care Primary Health Mental Health Mental Health Mental Mental Health Mental Primary Care Primary Care Primary Health Mental Dental Health Care Primary Care Primary Dental Health Care Primary Care Primary Care Primary Care Primary Care Primary Health Mental Health Mental Health Mental HPSA Discipline Class HPSA Primary Care Primary Health Mental Dental Health community. their food dollars and prepare healthy meals on a budget. Cooking Matters at the Store™, held at • Beaumont Hospital, Wayne provided diabetes local grocery stores, teaches comparison screening as part of the heart health screening shopping and understanding nutrition labels. These program in the community to 2,963 individuals who popular classes have been attended by 139 received 5,836 screenings. individuals, with 635 units of service provided.
Participant satisfaction with the classes was 97 Priority 4: Obesity 25 percent (Very Good). And outcome data Goal: Decrease rate of obesity in children and adults by indicated an aggregate increase in knowledge of 22 promoting regular physical activity and healthy eating behaviors. percent including significant improvement using nutrition facts on food labels and confidence buying • Beaumont Hospital, Wayne provided the CATCH healthy foods for their family on a budget. (Coordinated Approach to Child Health) Kids Club program to 312 children in after-school programs. • Beaumont sponsors the Wayne Farmer’s Market, CATCH Kids Club creates behavior change by providing access to fresh fruits and vegetables for enabling children to identify healthy foods, and by the community along with health screenings and Mycare Health Center Health Mycare Center Health Mycare MacOmb Correctional Facility Oakland Primary Services Health Covenant Community Care, Inc. Western Wayne Family Center Health CentersHealth Detroit Foundation Covenant Community Care, Inc. Western Wayne Family Center Health Community and Social Health Services Detroit Care Health forthe Homeless American and Family Health Svs Indian of Southeast MI Detroit Central City Community Inc. Health, Mental American and Family Health Svs Indian of Southeast MI Mycare Health Center Health Mycare Oakland Network Health (Oihn) Integrated Oakland Primary Services Health Oakland Primary Services Health CharterCounty of Wayne The Wellness Plan Community and Social Health Services Detroit Care Health forthe Homeless Detroit Community Connection Health CharterCounty of Wayne CentersHealth Detroit Foundation The Wellness Plan HPSA Name HPSA MacOmb Correctional Facility Oakland Network Health (Oihn) Integrated Oakland Network Health (Oihn) Integrated increasing the amount of moderate to vigorous information on healthy eating and active living. physical activity children engage in each day. • Hosted at Beaumont Hospital, Wayne, the Red CATCH Kids Club is based on the CDC Whole October Run was developed to promote and
School, Whole Community, Whole Child model in H PSA ID 126999268A 7269992628 6262258202 7269992663 12699926F9 126999265A 126999264X 7269992686 7269992674 7269992659 7269992651
support youth fitness. In addition to running and 626999262U 12699926PV 126999264U 62699926D2 12699926PT 12699926PL 12699926PF 126999264M 126999264C 126999263M 72699926C9 72699926C8 72699926C1 72699926BX 12699926OL 72699926CB 62699926MA 126999267W which health education, school environment, and walking events, children run in a free “Jr. Mile” event. family/community involvement work together to Red October Run offers 5k and 10k running events support youth with healthy lifestyles. Student to youth through targeted training and incentive outcome data indicated improvements in multiple opportunities. A wellness tent at the run features measures including vegetable and fruit consumption, health, wellness, and nutrition information along with and exercise or participation in sports activities for safety education. In the past two years, 2,141 U.S. Department of Health and Human Services, Health Resources and Services Administration, 2016 Services Administration, and Resources Services, Health Human and Health of Department U.S.
at least 20 minutes. And, 96 percent of students Name County Macomb County Macomb County Macomb County Macomb County Macomb County Oakland County Oakland County Oakland County Oakland County Oakland County Oakland County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County Wayne County individuals have participated. (HPSA) Shortage Areas Health Professional 25
Community Health Needs Assessment – 2016 | beaumont.org/chna 120 121 APPENDIX F Federally Designated Health Professional Shortage Areas and Medically Underserved Areas and Populations
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Community Health Needs Assessment – 2016 | beaumont.org/chna 122 123 APPENDIX G Interview and Focus Group Participants with the Communities and Populations Represented
Hospital Community Category of Representation Representing
Interview Participant Role Interview Participant Organization Type of Organization Populations Medically w/ Chronic Public Underserved Low Income Disease Minority
Dearborn Farmington Hills Grosse Pointe Royal Oak Taylor Trenton Troy Wayne Health Populations Populations Needs Populations Exec VP, CNO (System) Beaumont Health Healthcare Providers X X X X X X X X
VP Planning Beaumont Health Healthcare Providers X X X X X X X X
VP Post-Acute Care and Diversified Beaumont Health Healthcare Providers X X X X X X X X Businesses (former Botsford CEO)
CMO (System) Beaumont Health Healthcare Providers X X X X X X X X
President - Beaumont Farmington Hills Beaumont Health Healthcare Providers X
President - Beaumont Wayne Beaumont Health Healthcare Providers X
CIO (System) Beaumont Health Healthcare Providers X X X X X X X X
President - Beaumont Grosse Pointe Beaumont Health Healthcare Providers X
President & CEO (System) Beaumont Health Healthcare Providers X X X X X X X X
Non-Profit and Community- CEO Metro Detroit YMCA X X X X X X X X Based Organ. SVP Govt Relations & Community Affairs Beaumont Health Healthcare Providers X X X X X X X X (System) Non-Profit and Community- President & CEO United Way, SE Michigan X X X X X X X X X X X Based Organ. Chair of Family Medicine Program and Beaumont Health Healthcare Providers X X X Community Health OUWB, Chief Academic Officer Royal Beaumont Health Healthcare Providers X X X Oak, Troy and Grosse Pointe) Health & Human Services, Oakland Director Experts in Public Health X X X X X X X X County Health & Human Services, Health Manager/Health Officer Experts in Public Health X X X X X X X X Division, Oakland County Health & Human Services, Health Reporting/Informatics Experts in Public Health X X X X X X X X Division, Oakland County Non-Profit and Community- Executive Director Tri-Community Coalition X X Based Organ. Executive VP & COO, Interim President - Beaumont Health Healthcare Providers X X X X X X X X Beaumont Royal Oak Administration Clinical Ops - Beaumont Beaumont Health Healthcare Providers X Dearborn
President - Beaumont Trenton Beaumont Health Healthcare Providers X
President - Beaumont Troy Beaumont Health Healthcare Providers X
President - Beaumont Dearborn Beaumont Health Healthcare Providers X
President - Beaumont Taylor Beaumont Health Healthcare Providers X
OUWB School of Medicine/Family Asst Professor Healthcare Providers X Medicince Clinic at ST. Clair Shore Wayne County Department of Health, Director Experts in Public Health X X X X X X X X X X Veterans & Community Wellness
Director & Health Officer Macomb County Health Department Experts in Public Health X X X X X X X
Non-Profit and Community- Health System Manager American Cancer Society X X X X X X X X X Based Organ. Non-Profit and Community- CEO Wayne Metro Community Action Agency X X X X X X X Based Organ. President of MAPI Director, Charitable Michigan Association of Physicians of Healthcare Providers X X X X X X Clinic Indian Heritage (MAPI) Non-Profit and Community- VP of Program Operations Oakland Family Services X X X X X Based Organ. Healthcare Consumer & Director of HIV/AIDS Program Detroit Health Department X X X X Consumer Adv.
Executive Director Interfaith Health and Hope Coalition Healthcare Providers X X X X X X X X
VP Women and Children's Services - Beaumont Health Healthcare Providers X Beaumont Royal Oak Non-Profit and Community- COO National Kidney Foundation of Michigan X X X X X X X X X Based Organ. Non-Profit and Community- Chief Programs Officer Wayne Metro Community Action Agency X X X X X X X Based Organ. Detroit Department of Health & Wellness Director Public and Other Org. X X X X X X Promotion
Community Health Needs Assessment – 2016 beaumont.org/chna 125 APPENDIX G Interview and Focus Group Participants with the Communities and Populations Represented
Category of Representation Category of Representation Beaumont Beaumont Health Health Focus Group Participant Role Focus Group Participant Organization Type of Organization Focus Group Medically Populations w/ Focus Group Participant Role Focus Group Participant Organization Type of Organization Focus Group Medically Populations w/ Attended Public Underserved Low Income Chronic Minority Attended Public Underserved Low Income Chronic Minority Health Populations Populations Disease Needs Populations Health Populations Populations Disease Needs Populations HC Consumers or NFP or Community CHRC Director ACCESS Dearborn X X X X Exec Director Christnet Services Taylor X X X X Consumer Advocate based Org NFP or Community Exec Director Cabrini Clinic Healthcare Providers Dearborn X X X X Exec Director Great Start Collaborative Taylor X X X X based Org NFP or Community NFP or Community Program Officer Community Foundation for SE MI Dearborn Exec Director Penrickton Center for Blind Children Taylor based Org based Org Public or Other Similar NFP or Community Coordinator for Affective Education Dearborn Public Schools Dearborn X X X X CEO The Information Center Taylor X X X X Orgs based Org NFP or Community Public or Other Similar Program Manager Gleaners Community Food Bank Dearborn X X X X School Health/Nurse Consultant Wayne RESA Taylor based Org Orgs NFP or Community School Health Consultant and Public or Other Similar Nursing Program Coordinator Henry Ford College Dearborn X X Wayne RESA Taylor based Org Regional Health Coordinator Orgs Leaders Advancing and Helping Communities NFP or Community Program Manager Dearborn X X President Beaumont Health -Trenton Healthcare Providers Trenton (LAHC) based Org NFP or Community HC Consumers or Exec Director Metro Solutions Dearborn X Staywell Wellness Coordinator Chrysler Trenton Trenton based Org Consumer Advocate Public or Other Similar Public or Other Similar Senior Division Supervisor City of Farmington Hills Farmington Hills X X X X Parks and Recreation Director City of Trenton Trenton Orgs Orgs Public or Other Similar Public or Other Similar Mayor City of Farmington Hills Farmington Hills Mayor City of Trenton Trenton Orgs Orgs NFP or Community NFP or Community Wellness Director Farmington Family YMCA Farmington Hills Pastoral Associate St. Joseph Catholic Church Trenton X X X X based Org based Org Public or Other Similar NFP or Community Assistant Chief Farmington Hills Police Farmington Hills Priest and Pastor St. Thomas Episcopal Church Trenton X X Orgs based Org Director, School/Community Public or Other Similar Public or Other Similar Farmington Hills Public Schools Farmington Hills Fire Fighter and Paramedic Trenton Fire Dept Trenton Relations Orgs Orgs Farmington-Farmington Hills Neighborhood NFP or Community Public or Other Similar President Farmington Hills X X X X Superintendent Trenton Public Schools Trenton House based Org Orgs Youth Minister; Pastoral Assoc; NFP or Community Wyandotte Center for the Working Uninsured St. Fabian Church Farmington Hills Administrator Healthcare Providers Trenton X X X X Adult Faith Formation Coordinator based Org (aka Downriver Community Clinic) NFP or Community Prevention Specialist & Tobacco NFP or Community Christian Service Coordinator St. Fabian/St Vincent DePaul Farmington Hills X X ACC (Arab American and Chaldean Council) Troy X X X X based Org Cessation based Org Coordinator for Health and Fitness NFP or Community Beamont Grosse Pointe Healthcare Providers Grosse Pointe Refugee Health Program ACC (Arab American and Chaldean Council) Troy X X X X Center based Org NFP or Community Director for Special Projects ACC (Arab American and Chaldean Council) Troy X X X X Community Affairs Beaumont Grosse Pointe Healthcare Providers Grosse Pointe based Org
Physician Beaumont Grosse Pointe Healthcare Providers Grosse Pointe Community Affairs Beaumont Health Healthcare Providers Troy
NFP or Community Recreation Supervisor at SH Senior Public or Other Similar Pastor City Covenant Church Grosse Pointe X X X X City of Sterling Heights Parks and Recreation Troy based Org Center Orgs City of Detroit District 4 Dept of Public or Other Similar Public or Other Similar Director Grosse Pointe X X X X Mayor City of Troy Troy Neighborhoods Orgs Orgs City of Detroit District 4 Dept of Public or Other Similar NFP or Community Intern Grosse Pointe X X X X Vice President Community Housing Network Troy X Neighborhoods Orgs based Org NFP or Community Public or Other Similar Community Engagement Director Eastside Community Network Grosse Pointe X X X Exec Director Macomb County Community Mental Health Troy X X X X based Org Orgs NFP or Community NFP or Community President and CEO Greater Detroit Health Council Grosse Pointe X X X X Business Coordinator Troy Community Coalition Troy based Org based Org Public or Other Similar NFP or Community Superintendent Grosse Pointe Public Schools Grosse Pointe Membership Chair and volunteer Troy Youth Assistance Troy X X Orgs based Org NFP or Community not identified Troy Youth Assistance/TLL Troy Exec Director Neighborhood Club Other Grosse Pointe based Org NFP or Community Wayne Westland Parent Liaison; Beaumont (Oakwood Adams CAHC); National Exec Director Services for Older Citizens Grosse Pointe X X X X Healthcare Providers Wayne X X X based Org RN Kidney Foundation; Public or Other Similar Mayor Protem City of Wayne Wayne Community Affairs Beaumont Health Healthcare Providers Royal Oak Orgs NFP or Community Parks and Recreation Director Public or Other Similar CEO Judson Center Royal Oak X X X X City of Wayne Commission on Aging Wayne based Org (retired) Orgs NFP or Community NFP or Community Exec Director Lighthouse of Oakland County Royal Oak X X X X Public Relations Director Community Living Services Wayne X X X X based Org based Org NFP or Community NFP or Community Intern Royal Oak Community Coalition Royal Oak Prevention Coordinator Hegira Programs Inc Wayne X X X X based Org based Org NFP or Community Exec Director Royal Oak Community Coalition Royal Oak Clinic Coordinator Hope Clinic Healthcare Providers Wayne X X X X based Org NFP or Community NFP or Community Housing Director South Oakland Housing Dir Royal Oak X X X X Infant Health Supervision Starfish Family Services Wayne X X X based Org based Org NFP or Community NFP or Community Grants Mgmt South Oakland Shelter Royal Oak X X X X Maternal and Infant Specialist Starfish Family Services Wayne X X X based Org based Org NFP or Community Co-President Wayne Rotary Club Wayne based Org Family Resource Center Director, Public or Other Similar Wayne Westland Community Schools Wayne X X X Homeless Liaison Orgs Public or Other Similar HR Director Wayne Westland Community Schools Wayne Orgs
Community Health Needs Assessment – 2016 | beaumont.org/chna 126 127 APPENDIX H CHNA Prioritization Session Representatives
Susan Grant Christine Stesney-Ridenour EVP & Chief Nursing Officer Hospital President Trenton Sally Bailey Administrator Clinical Operations Constance O’Malley Wayne Hospital President Farmington Hills Nancy Susick Hospital President Karen Wright Troy Director Planning
Lindsey West Caroline Schairer Director Community Health & Outreach Community Health & Outreach (representing BH-Farmington Hills) Ruth Sebaly Community Health & Outreach Maureen Elliott (representing BH-Taylor, BH-Trenton) Community Affairs
Colleen Cooper Steve Le Moine Community Health & Outreach Administrator Clinical Operations Dearborn Peter Tucker, MD Dept. Chief of Family Medicine & Richard Swaine Community Health Hospital President Grosse Pointe Lee Ann Odom Hospital President Betty Priskorn Taylor VP Community Health & Outreach
Joan Phillips Anne Nearhood VP Clinical Support Services Community Health & Outreach Troy (representing BH-Grosse Pointe)
Michelle Anderson Caira Prince VP Foundation Community Health & Outreach
Lynn Ish-Green Suzy Berschback Community Health & Outreach Community Affairs (representing BH-Wayne)
Theresa Goodrich Community Health & Outreach
Community Health Needs Assessment – 2016 beaumont.org/chna 129 APPENDIX I CHNA Focus Group Summaries
Beaumont Hospital, Dearborn Access to care March 13, 2016 There are many reasons why people can’t or don’t access health care services. In the Dearborn Executive summary community the main reasons include language Beaumont Health System (Beaumont) engaged and cultural barriers, homelessness and a lack of Truven Health Analytics, Inc. (Truven) to conduct a providers especially for mental health. Among the series of focus groups to assess the community’s cultural barriers the group cited a lack of trust for perception of health needs in Southeast Michigan. the system. There are a number of undocumented The Beaumont, Dearborn focus group included immigrants in the community who fear deportation eight participants. The participants included and separation from their families, so they forgo representatives from the local school district, a necessary health care services. There is also a nursing college, and community agencies stigma attached to seeking health care services, operating across the service area, with varying especially mental health and substance abuse degrees of involvement in public health. Most services. The need to be sensitive to these issues participants worked with medically underserved, is a must for improving health in the community. low-income, minorities and/or populations with chronic disease on some level. The focus group Obesity and obesity-related disorders was moderated by a Truven representative. The Many communities across the U.S. are seeing discussions were oriented around the following obesity on the rise. Longer work days, the questions: convenience of processed food, and a lack of 1. Assess the health of the community on a physical activity have led to weight gain across all scale of 1-5 (1 poor – 5 excellent). populations and generations, and with it has come a host of disease and conditions including diabetes 2. Identify the top three health needs of the and hypertension. The Dearborn community has community. employed programs like walking clubs and healthy 3. Discuss the similarities/differences between cooking classes to curve the onset of obesity and the needs identified in the prior exercise and obesity related diseases, though the focus group the needs identified in prior assessments. felt more needs to be done. 4. Identify up to 10 community resources (health/community organizations) that exist to Mental health address the top three needs identified. Mental health and substance abuse issues are The focus group participants represented evident in the Dearborn community. Depression communities and neighborhoods throughout and anxiety have begun to plague school aged the Dearborn area, and included representation children and adolescents as well as populations from various nonprofits working with children and that have historically had mental health problems. families, seniors, low income populations, and As in many communities, there is a stigma attached minorities. Despite the differences in populations to having a behavioral health problem, which these groups focus on, participants did have some prevents people from accessing the care they overlap in the identifying the top health needs of need. Dearborn also has a shortage of mental the community. Participants identified access to health providers, and there is a lack of integration of care, obesity and related disorders, mental health, mental health screening by primary care physicians. and care coordination and integration as the top health needs for the community.
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Care coordination and integration Beaumont Hospital, third need, while the other believed there was a lack of information between patients, providers, and Patients consistently have difficulty navigating the Farmington Hills social service agencies. Lack of communication health care system and understanding its March 15, 2016 around resources was cited as a barrier to complexities. This has led to people forgoing care accessing preventive health services, and these or not receiving the services they need. Physician Executive summary two health needs will be combined in this summary. office visits only last a short time, and there is a Beaumont Health System (Beaumont) engaged lack of knowledge on behalf of providers as to what Truven Health Analytics, Inc. (Truven) to conduct a Lack of communication and services are out there in the community. series of focus groups to assess the community’s information around resource Coordination of care for those with mental health perception of health needs in Southeast Michigan. availability issues was of particular concern to the focus The Beaumont, Farmington Hills focus group in- Access to health care services, particularly group. Services are not only difficult to access, but cluded eight participants. The participants repre- preventive care, is seen by the group as critical to a range of services, including prevention, sented community agencies operating across the keeping a population healthy. Two major barriers to intervention and recovery, are not always available service area with varying degrees of involvement in accessing these services were cited: lack of to all populations. Community mental health public health. Most participants work with popula- knowledge and information around available agencies have been unsuccessful in developing tions that are medically underserved, low-income, services and mobility or transportation issues. partnerships with other providers in the community. minority, and/or populations with chronic diseases. Seniors and children were identified as the most The focus group was moderated by a Truven repre- vulnerable populations. Conclusion sentative and was conducted in two parts: the first Senior population The focus groups identified access to care, obesity session with the entire group, the second session and related diseases, mental health, and care with two smaller breakouts. The discussions were The senior population in Farmington Hills is the coordination and integration as the top health oriented around the following questions: fastest growing population cohort. The needs for the Beaumont, Dearborn service area. 1. Assess the health of the community on a community offers many programs for the elderly to These issues affect the general population of scale of 1 to 5 (1 poor – 5 excellent). age in place. Transportation and mobility issues Dearborn but solutions will need to be tailored to were cited by both breakout groups as being the 2. Identify the top three health needs of the primary barrier for seniors to access the health care individual populations with attention to their social community. and cultural needs. system. Farmington Hills, like much of southeast 3. Discuss the similarities/differences between Michigan, has limited public transportation options. the needs identified in the prior exercise and There were agencies providing transportation for the needs identified in prior assessments. seniors to physician appointments within the 4. Identify up to 10 community resources community, but limited awareness about these (health/community organizations) that exist to services among seniors and their caretakers. address the top three needs identified. Children and young families The focus group participants represented Focus group participants felt that there was an communities and neighborhoods throughout the increasing number of children in the community Farmington Hills area, and included representation who were not receiving health screenings. The two from local government, schools, churches and main reasons were affordability and lack of nonprofits working with children and families, knowledge around preventive services. disabled, seniors, low income populations, and The cost of care can be a burden on low income those with chronic conditions. Despite the different families who may be uninsured or underinsured, client populations, participants identified and often preventive care is foregone completely. overlapping top health needs. In the second Though many insurance products fully cover session, both smaller breakout groups identified preventive care without copays or deductibles, obesity and lack of mental health resources among many newly insured people were not aware. the top health concerns. One of the groups Additionally, there was no school nurse in the selected lack of access to preventive care as a Farmington Hills school system to fill the gap.
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Mental health and substance abuse spend their time playing video games after school, Beaumont Hospital, overlap in the identifying the top health needs of and both children and adults spend a lot of free the community. Both groups identified access to The discussion around mental health and Grosse Pointe time on the internet. If there was a way to combine care and mental health as top health needs. One substance abuse services focused on three main March 17, 2016 technology with physical activity, it may help get of the groups determined nutrition was their third areas: Opiate use, over-prescribed medications, people moving. need, while the other believed there were basic and suicide. Alcohol and tobacco is also prevalent Executive summary social needs to be met and a lack of preventive in the community, but were not as big a concern as Healthy eating Beaumont Health System (Beaumont) engaged health education. these three issues. People in Farmington Hills do not take advantage Truven Health Analytics, Inc. (Truven) to conduct a Opiate use of healthy food options. There are farmers series of focus groups to assess the community’s Access to care markets and grocery stores within the community, perception of health needs in Southeast Michigan. The use of opiates has increased threefold in the Access to care was identified as a top health need however the convenience of fast food lures many The Beaumont, Grosse Pointe focus group last five years, according to members of the focus by each of the breakout groups. Participants sited parents away from the kitchen. Fast food is seen included eleven participants. The participants group, causing a number of overdoses and deaths. physician availability as an issue including long wait as a cheaper alternative to cooking fresh food. It included representatives from community agencies Heroin has become a problem plaguing the region. times for appointments and a lack of physicians was also cited that free school lunches recently operating across the service area, with varying accepting new Medicaid patients. Over-prescribed medications increased from 6 percent to 23 percent. degrees of involvement in public health. Most The over-prescribing of medications is a major participants worked with medically underserved, Affordability of care concern, particularly for children diagnosed with Conclusion low-income, minorities and/or populations with Though Michigan participated in the expansion of ADD. Instead of teaching children how to cope The focus groups identified a lack of knowledge chronic disease on some level. The focus group Medicaid, many residents of the community remain with stress, we medicate them. This causes them and communication around resources, mental was moderated by a Truven representative and was uninsured or underinsured. These populations have to lack coping skills as they become young adults health and substance abuse, and obesity as the conducted in two parts. The first session was held trouble navigating the health care system, facing the pressures of college and entry into the top health need for the Beaumont, Farmington Hills with the entire group. Participants were divided understanding what is covered if they have workforce. In turn, they begin self-medicating service area. These themes affect multiple into two groups for smaller breakaway discussions insurance, and paying for services that have high with drugs and alcohol to cope with problems and populations of varying ages and socio-economic for the second session. The discussions were copays or hit their deductibles. Immunizations and stress. means. For seniors, transportation and knowledge oriented around the following questions: prescription medications were specifically called Suicide around services available to them as they 1. Assess the health of the community on a out as having high perceived costs. Those living become less mobile is the greatest need. Low scale of 1 to 5 (1 poor – 5 excellent). in the Detroit zip codes included in the Beaumont, Depression is present among children and young income individuals and families have difficulty Grosse Pointe service area have the most difficulty 2. Identify the top three health needs of the adults. There is a lack of support available and a accessing preventive care services and often times accessing care. stigma associated with seeking mental health and community. don’t know of resources available to them. Mental Transportation substance abuse services, leading some to see health and substance abuse issues are affecting 3. Discuss the similarities/differences between suicide as their only option. children through early adulthood, and obesity is the needs identified in the prior exercise and Transportation was cited as a barrier to accessing affecting the population in its entirety. the needs identified in prior assessments. care. Public transportation options are limited Obesity throughout the community and as a result, the poor, 4. Identify up to 10 community resources disabled and elderly often struggle to get to Obesity is an issue across many populations and (health/community organizations) that exist to providers and pharmacies. cultures in the country. In Farmington Hills, obesity address the top three needs identified. is present across all age cohorts and socio- Navigation of the system economic levels. The focus group participants represented communities and neighborhoods throughout the Navigation of the health care system was brought Sedentary lifestyle Grosse Pointes and Detroit area, and included up in conjunction with a lack of discharge The Farmington Hills community has a number of representation from local government, schools, information and follow up by providers as another parks and recreational facilities, but the churches, and nonprofits working with children and barrier to accessing care. Coordination between population in general is not physically active. Both families, the disabled, seniors, low income hospitals and physicians, and between providers focus groups cited technology as the culprit with populations, and those with chronic conditions. and social welfare organizations often does not regard to inactivity. Adults in the community are Despite the differences in populations these occur, leaving it up to the individual to determine well educated and many have desk jobs, children groups focus on, participants did have some where to go to have their needs met.
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Mental health and substance abuse Grosse Pointe schools offer some health Beaumont Hospital, Royal Oak Communication and education education but Detroit schools do not. Detroit also Both groups cited mental health issues across March 14, 2016 Those who have limited experience with the health has a very high number of fast food restaurants, populations of all ages and income levels as well care system including the homeless, uninsured which participants see as contributing to the as an increase in marijuana and opioid use across Executive summary and newly insured, or those with new diseases, problem of obesity and obesity related diseases the region. In general, there is a shortage of mental Beaumont Health System (Beaumont) engaged conditions, or symptoms often don’t know how to like diabetes and heart disease. health providers and a lack of resources for mental Truven Health Analytics, Inc. (Truven) to conduct a navigate the system or how to communicate with health and substance abuse in the community. In Conclusion series of focus groups to assess the community’s their providers about what they’re experiencing. the elderly population, isolation and abuse are perception of health needs in Southeast Michigan. Improvements in health literacy and community causing depression. School-aged children and The focus groups identified access to care, mental The Beaumont, Royal Oak focus group outreach programs could help increase college-aged adults are also suffering from health and substance abuse, meeting basic social included seven participants. The participants awareness and reduce stigma particularly around depression, and stress and isolation have led to needs and lack of preventative health and nutrition included representatives from community agencies mental health. The community also needs to be drug use and suicide. Heads of single parent education as the top health needs for the operating across the service area, with varying more educated around the programs and services households often manage their stress with drug Beaumont, Grosse Pointe community. These degrees of involvement in public health. Most available to them. use, and those with gender identity related issues themes affect multiple populations including; participants worked with medically underserved, have higher suicide rates. Health care providers uninsured and underinsured individuals, Detroit city low-income, minorities and/or populations with Integration of care residents, and disabled, the elderly and should take a more holistic approach to care and chronic disease on some level. The focus group The community would benefit from a more holistic socio-economically disadvantaged persons. see mental/emotional health and wellbeing as part was moderated by a Truven representative. The approach to care including better coordination Access barriers include provider availability, of caring for a population. The community needs discussions were oriented around the following between medical providers and social services. affordability, transportation and health system more resources and support options for those with questions: Covenant Community Care and Beaumont navigation and can specifically impact those with mental health and substance abuse issues. collaborate to promote a more integrated approach no or limited insurance, the elderly and the 1. Assess the health of the community on a to care, but more collaboration is needed disabled. Mental health and substance abuse scale of 1 to 5 (1 poor – 5 excellent). Social needs throughout the community. Clinics are dispersed affects all groups in different ways and solutions 2. Identify the top three health needs of the Social needs including employment and shelter and patients really need a one-stop shop. They will need to be uniquely tailored to each group. community. were discussed in the focus group. The also need to be educated on how to care for Many residents of the communities in and around communities in and around Detroit have suffered 3. Discuss the similarities/differences between themselves at home, and screening should occur the city of Detroit face challenges meeting basic economically which has led to deplorable living the needs identified in the prior exercise and regularly to ensure promptness of referrals. social needs such as employment and shelter, conditions for some and blight throughout the the needs identified in prior assessments. which makes health care a lower priority for them. community. There is work being done in some Access to care Residents in Detroit who may benefit from much 4. Identify up to 10 community resources areas to revitalize neighborhoods and remove needed preventative health and nutrition education (health/community organizations) that exist to Transportation and physical access, particularly for blight, but funding can be limited. Having basic do not have access to those type of resources in address the top three needs identified. the homeless and the elderly, has been a barrier needs met and a steady income is still a challenge their community. The focus group participants represented to receiving care at the appropriate time and in the in many areas. communities and neighborhoods throughout the appropriate place. Transportation options in the Royal Oak area, and included representation from suburbs of Detroit are limited. Busses run through Preventive health and nutrition Royal Oak but don’t necessarily make stops in the education various nonprofits working with children and families, the disabled, seniors, low income community. A lack of education around prevention has led to a populations, and those with chronic conditions. Financial barriers to access also exist in the Royal number of health problems for the community Despite the differences in populations these Oak community. Low to middle income including tobacco use, obesity, diabetes and groups focus on, participants did have some populations may have insurance but still put off cardiac diseases. There are a number of overlap in the identifying the top health needs of care because they feel they can’t afford the grocery stores in the area but many stock unhealthy the community. Participants identified deductibles, copays, and coinsurance. Changes options. Whole Foods is seen as too expensive. communication and education, integration of care in insurance products have made navigation more Education around healthy eating, exercise and and access to care as the top health needs for the complex, and there is a lack of understanding smoking cessation should be the responsibility of community. the physicians or nurses for their patient panel.
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around the cost of care. Additionally, visit limits Beaumont Hospital, Taylor include lacking public transportation, long wait can prevent people from accessing care when they March 17, 2016 times to see certain kinds of physicians and need it most, particularly mental health and dentists and a lack of dentists accepting substance abuse services. For some populations Executive summary Medicaid, a confusion around insurance products, there are income caps and spend down limits and a general lack of knowledge around how to Beaumont Health System (Beaumont) engaged associated with seeing these providers, creating navigate the health care system. Truven Health Analytics, Inc. (Truven) to conduct a additional access barriers. series of focus groups to assess the community’s Access to physicians and dentists Conclusion perception of health needs in Southeast Michigan. The expansion of Medicaid has helped alleviate The Beaumont, Taylor focus group included seven access and affordability issues for many Americans, The focus groups identified communication and participants. The participants included represen- however many populations are still struggling to get education, integration of care, and access to care tatives from community agencies operating across the health care services they need. In the Taylor as the top health need for the Beaumont, Royal the service area, with varying degrees of involve- service area there are very few dental providers Oak service area. These themes affect multiple ment in public health. Most participants worked who will take Medicaid patients, and those that do populations including the homeless, mentally ill, with medically underserved, low-income, minorities have long wait times for appointments. There is elderly, and the underinsured and uninsured. and/or populations with chronic disease on some also a limited number of pediatric subspecialists in Though there is overlap in the needs of each of level. The focus group was moderated by a Truven the area, and residents needing those services are these populations, solutions will need to be representative. The discussions were oriented forced to travel to downtown Detroit or Ann Arbor. uniquely tailored to each. around the following questions: Transportation 1. Assess the health of the community on a Transportation was cited as a barrier to accessing scale of 1 to 5 (1 poor – 5 excellent). care. Public transportation options are limited 2. Identify the top three health needs of the throughout the community and are described as community. “inconvenient” and “time consuming.” As a result, 3. Discuss the similarities/differences between people are forgoing necessary care, particularly the needs identified in the prior exercise and preventive care. the needs identified in prior assessments. Understanding insurance and navigation of 4. Identify up to 10 community resources the system (health/community organizations) that exist to In the last several years many new insurance address the top three needs identified. products have been brought to the market, and The focus group participants represented with Medicaid expansion, many individuals and communities and neighborhoods throughout the families not previously covered now have Taylor area, and included representation from insurance. These people often have unanswered various nonprofits working with children and questions around what services are covered, who families, the disabled, seniors, low income accepts their insurance, is a referral or prior populations, and those with chronic conditions. authorization needed, and what will the cost be Despite the differences in populations these to them. The complexities around insurance are groups focus on, participants did have some compounded when patients have multiple providers overlap in the identifying the top health needs of they are dealing with. Visit limits and cost of the community. Participants identified access to services vary across specialties and providers. care, education and prevention of acute and As a result, these populations are not accessing chronic diseases, and mental health. the system through primary care physicians, and instead seek care at the hospital when a major Access to care intervention is needed. Access to care was identified as a top health need. Several barriers to access were identified and
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Prevention Beaumont Hospital, Trenton in need as the top needs affecting the health of the community. A lack of education around prevention has led to March 17, 2016 a number of health problems for the community Healthy lifestyle choices including high rates of asthma, infant mortality, Executive summary diabetes, high blood pressure, COPD and Beaumont Health System (Beaumont) engaged Lifestyle choices can greatly affect one’s ability tobacco use. Those having difficulty navigating the Truven Health Analytics, Inc. (Truven) to conduct a to stay healthy and combat disease. Engaging in health care system are particularly vulnerable as series of focus groups to assess the community’s physical activity, making smart food choices, and described above. Children and pregnant women perception of health needs in Southeast Michigan. accessing primary and preventive care on a regular were also called out as vulnerable populations who The Beaumont, Trenton focus group included nine basis can have a direct impact on the likelihood are in need of preventive health services. Issues participants. The participants included of developing conditions like diabetes and heart like asthma and infant mortality become problems representatives from local government, the local disease. when parents and expectant parents don’t seek school system, a large employer in the area, and Chronic conditions preventive care. community-based nonprofit agencies operating The population of Trenton is aging and there has across the service area, with varying degrees of Mental health been an increase in the number of people with involvement in public health. Most participants diabetes, cardiovascular disease, and COPD. Populations across the U.S. have difficulty worked with medically underserved, low-income, Though there are fewer people taking up smoking, accessing mental health services due to both a lack minorities and/or populations with chronic disease and many smokers have quit in recent years, many of providers and the stigma attached to seeking on some level. The focus group was moderated older adults still smoke and are plagued by mental health care. Taylor is no exception. by a Truven representative. The discussions were emphysema. Younger people who aren’t living a Participants in the focus group believe centers are oriented around the following questions: healthy, active lifestyle are more likely to face issues understaffed and that often times the threshold 1. Assess the health of the community on a with their health in the future. Unfortunately, they for accessing mental health services is too high. scale of 1 to 5 (1 poor – 5 excellent). don’t think about the future cost of their health care The homeless population is particularly vulnerable. 2. Identify the top three health needs of the needs. Programs like Diabetes PATH have been Additionally, the community sees transportation and community. implemented and are showing signs of success. difficulties navigating the system affecting access Diet and exercise as well as medication compliance in the mentally ill. 3. Discuss the similarities/differences between the needs identified in the prior exercise and Public transportation is limited in the Trenton area Conclusion the needs identified in prior assessments. and focus group participants would describe the The focus groups identified barriers to accessing 4. Identify up to 10 community resources community as “car centric.” The city is working and navigating the health care system, prevention (health/community organizations) that exist to on creating bike trails as part of a 63-mile linked and mental health as the top health needs for the address the top three needs identified. network of trails. Beaumont, Taylor service area. These themes The focus group participants represented Healthy food options are limited as there is not a affect multiple populations including the newly communities and neighborhoods throughout the grocery store in Trenton. Participants describe the insured and underinsured, children, expectant Beaumont, Trenton service area, and included area as a “food swamp,” one saturated with fast mothers, and the homeless. Though there is representation from various agencies and food restaurants and unhealthy food choices. overlap in the needs of each of these populations, nonprofits working with children and families, the Obesity is a growing problem in the community solutions will need to be uniquely tailored to each. disabled, seniors, low income populations, and despite schools offering healthier food options. those with acute and chronic medical conditions. Parents are choosing convenience food over Despite the differences in populations these healthier options and children are picking up their groups focus on, participants did have some bad habits. overlap in the identifying the top health needs of Passport to Health was created to give residents the community. Participants identified healthy information on healthy habits, walking and biking lifestyle choices, mental health, and better paths, food and nutrition information, and coordination of services to get resources to people establishing healthy goals. Its success has warranted a digital version that is in the works.
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Mental health Coordination of services Beaumont Hospital, Troy delivery as an issue, particularly for mental health and substance abuse patients. The groups also Mental and behavioral health issues come in many Coordination of health care and social services is a March 17, 2016 identified prevention, communication and cultural forms including depressive disorders, psychotic challenge in many communities. With the barriers to access, transportation and treatment disorders like schizophrenia, those involving Affordable Care Act came increases in covered Executive summary and follow up support for those with chronic memory loss like Alzheimer’s disease and lives and a new set of challenges for people who Beaumont Health System (Beaumont) engaged conditions. substance abuse problems. Populations with all were new to the health care system. They were Truven Health Analytics, Inc. (Truven) to conduct a of these mental health issues reside within the used to accessing services through the ED when series of focus groups to assess the community’s Prevention/communication/ Trenton community. There are unique challenges to needed and without regard to costs. Now they perception of health needs in Southeast Michigan. continuity of care reaching these populations, especially when they are responsible for paying deductibles and copays The Beaumont, Troy focus group included twelve are homeless. Often times help is sought out but they can’t afford. Rising insurance costs have led participants. The participants included Communication and education around prevention insurance only covers medications and not follow to more high deductible plans and reductions in representatives from community agencies are critical components to remaining healthy, but up visits. coverage for certain services so even those who operating across the service area, with varying these services are lacking in the Troy community. It was said in one focus group that $1 spent on Top mental health disorders previously access the system are avoiding care degrees of involvement in public health. Most because of high costs. participants worked with medically underserved, prevention could save $10 in future health care The top mental health disorders cited by the group costs. The main reason people are delaying care There are a number of efforts within the low-income, minorities and/or populations with included dementia and Alzheimer’s in the elderly, chronic disease on some level. The focus group is an inability to navigate the system. Other issues depression, which spans all generations, bipolar community to keep people healthy and teach them include language and cultural barriers, a lack of how to make healthy choices, set healthy goals, was moderated by a Truven representative and was disorder and schizophrenia which disproportionally conducted in two parts. The first session was held understanding around insurance coverage and affects the homeless. Drug use is also an issue and use the health care system appropriately. costs, and long wait times to see providers. Headway has been made in getting people into with the entire group. Participants were divided as heroin use is on the rise in the region and many into two groups for smaller breakaway discussions people are at risk of suicide. Participants also said these programs but there is still a need to engage Transportation specific populations and connect resources for for the second session. The discussions were schools have seen an increase in the number of Transportation is an issue for the most vulnerable better health and wellbeing. oriented around the following questions: autistic children. populations including seniors and refugees. The 1. Assess the health of the community on a lack of available public transportation directly Caring for the mentally ill Conclusion scale of 1 to 5 (1 poor – 5 excellent). impacts all the other health needs identified in the There is a general lack of support for those caring The focus groups identified healthy lifestyle 2. Identify the top three health needs of the focus group. for the mentally ill populations in the choices, mental health and coordination of services community. community. Many families struggle to care for their as the top health need for the Beaumont, Trenton 3. Discuss the similarities/differences between Integrated mental health services elderly relatives who suffer from mental illnesses. service area. These themes affect multiple the needs identified in the prior exercise and Both groups cited a need for a more integrated Hospice is being used inappropriately as way to populations including the elderly, the newly insured the needs identified in prior assessments. approach to mental health and substance abuse manage elderly in advance stages of Alzheimer’s and underinsured, and the homeless, and solutions services. Access is available at the hospital or and dementia. will need to be uniquely tailored to each population. 4. Identify up to 10 community resources (health/community organizations) that exist to institution level, but many people with anxiety, Navigating the health care system address the top three needs identified. depression and drug problems do not know how to Navigating the health care system is complex and access community mental health providers. The poses a problem for many people. Many people The focus group participants represented problem is exacerbated by a shortage of experiencing a mental illness can’t understand the communities and neighborhoods throughout the psychiatrists in the Troy area, and by transportation costs associated with care, what insurance covers, Troy service area, and included representation from issues, cost issues and insurance complexity, and what out of pocket costs will be, and what follow local government, schools, cultural organizations, social issues like homelessness or language up services are covered. Often times this level of and nonprofits working with children and families, barriers. Primary care and social service providers complexity is too much, and people forego care the disabled, seniors, low income populations, and need to be able to identify mental health issues, or access services through the ED as opposed to those with chronic conditions. Despite the educate and help patients navigate the system. A going through more appropriate channels. differences in populations these groups focus on, more holistic approach to mental health including participants did have some overlap in the physical health, housing and socio-economic identifying the top health needs of the community. wellbeing should be a priority. Both groups identified a lack of integration in care
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Culturally sensitive access to care Conclusion Beaumont Hospital, Wayne other called out transportation, social services and child care as the top needs affecting community Southeast Michigan has a large Arabic population There was a significant amount of overlap in the March 16, 2016 health. which includes refugees and immigrants of multiple needs identified by the focus groups. The need for Executive summary generations and from various parts of the Middle education, communication, navigation, and Access to health care East and Africa. With no knowledge of the integration of care in the arenas of prevention, Beaumont Health System (Beaumont) engaged American health care system, these populations mental health, chronic conditions and immigrant Truven Health Analytics, Inc. (Truven) to conduct a Access to health care services including dental need additional assistance in understanding and and refugee health was discussed in detail in both series of focus groups to assess the community’s services was of concern to all focus group navigating our health care system. Many do not breakout groups. Though only one group cited perception of health needs in Southeast participants. There is a general lack of availability speak English and use their children as a means transportation as a top issue impacting health, it Michigan. The Beaumont, Wayne focus group of providers who will see uninsured or Medicaid for communicating with health care providers, and was part of discussions around access and issues included eleven participants. The participants patients in the community. A mobile dental rely on them to interpret information like medication facing vulnerable populations in the Troy market. included representatives from community agencies program for children was started because there are no community dentists that will see Medicaid instructions. Others are the first generation in this Several populations were identified as operating across the service area, with varying country and have no English speaking relatives to degrees of involvement in public health. Most patients. Wait times for medical providers are vulnerable including seniors, homeless and low extremely long and quality is perceived to be low. help them. income populations, but immigrants and refugees in participants worked with medically underserved, the region were most vulnerable as many language low-income, minorities and/or populations with Social determinants of health Treatment and follow up for chronic chronic disease on some level. The focus group conditions and cultural barriers exist with regard to accessing, The population of Wayne has historically been understanding, and utilizing our health care system. was moderated by a Truven representative and was poorer than other parts of southeast Michigan, As seniors are living longer they present new Solutions must be tailored to each population in conducted in two parts. The first session was held leading to a high number blighted properties and challenges to the health care system. Assisted order to alleviate their specific health needs. with the entire group. Participants were divided rental properties in the area. The community is living facilities are full and many seniors with mental into two groups for smaller breakaway discussions home to a number of single-parent households and health issues face homelessness. The immigrant for the second session. The discussions were grandparents raising children, as well as homeless population also faces challenges in getting care oriented around the following questions: and transient populations. These populations are for chronic conditions. Often it isn’t a priority, or 1. Assess the health of the community on a often unemployed or underemployed, uninsured language is an issue. Transportation can be a scale of 1 to 5 (1 poor – 5 excellent). or underinsured and lacking the financial means to problem for both the senior and immigrant pay for health care services. Even those with populations as well as homeless. Long wait times 2. Identify the top three health needs of the community. insurance forego care because they can’t afford to see providers and a lack of navigators to help high deductibles, copays and coinsurance. these patients results in them forgoing follow-up- 3. Discuss the similarities/differences between care and treatment outside the hospital walls. the needs identified in the prior exercise and Provider availability barriers the needs identified in prior assessments. In addition to there being only a few providers in 4. Identify up to 10 community resources the community who will see uninsured and (health/community organizations) that exist to Medicaid patients, there are long wait times to see address the top three needs identified. providers. People working low-paying jobs without benefits cannot afford to take time away from work, The focus group participants represented especially when they may be waiting hours after communities and neighborhoods throughout the arrival to see a physician. Mothers cannot afford Wayne/Westland area, and included representation to pay for childcare and risk losing their jobs if they from local government, schools, and nonprofits need time off from work to care for sick children. working with children and families, the disabled, seniors, low income populations, homeless and The homeless have particular difficulty accessing uninsured. Despite the differences in populations care as there are few resources in the these groups focus on, participants did have some community for them, and those agencies that overlap in the identifying the top health needs of do provide assistance have trouble reaching the the community. Access to health care was included homeless and transient populations. in both lists. One group identified obesity and The ED becomes the only source of health care behavioral health as top health needs while the services for these populations as there is a general
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belief that they don’t need to pay the hospital’s as a more affordable alternative to cooking fresh convenience stores stock unhealthy, non-nutritious bill. The hospital ED however does not provide all food. Participants also noted that there is a high options that appeal to children. Focus group health care services to the uninsured (i.e. patients number of children in the Wayne/Westland school participants noted that local shelters and food can get a cast put on, but not removed in the ED). system on free or reduced fee lunch programs. pantries are limited in food options and often stock expired goods. Behavioral health and social services Sedentary lifestyle A lack of activity in daily life affects the health of Communities across the U.S. are experiencing Conclusion many populations. Adults spend their workday a shortage of behavioral health providers. This The focus group identified access to health care sitting at a desk and then in front of the television coupled with the stigma many cultures still attach services, mental health and social service needs, at home. Children play video games or spend their to mental health care exacerbates the problems obesity and child care needs as the top health evenings on the internet instead of playing outside. associated with mental illness including need priorities for the Beaumont - Wayne service The Wayne/ Westland area has several parks, but unemployment, alcoholism and drug use, area. These themes affect multiple populations they are not accessible to those without homelessness and suicide. of varying socio-economic means and solutions transportation. Additionally, with many adults and will need to be tailored to meet the needs of each Drug use, particularly heroin use, has increased children in the community whose basic needs individual population affected. exponentially over the last several years and is aren’t being met, exercise and other types of a problem facing several states in the region. A physical activity are not a priority. high number of overdose patients are appearing in hospital EDs and the number of deaths due to Child care overdoses has been on the rise. The inability to provide a safe home, proper Human trafficking is an often unknown and nutrition and general physical and emotional undiscussed issue facing communities today. support to a child plagues many households in Participants in one of the focus groups believe this the Wayne/Westland community. Unfortunately, is a problem in the Wayne/Westland community this lack of care results in learning and behavioral and there are inadequate mental health and social issues, chronic diseases, and unhealthy lifestyles as service resources for victims of human trafficking. children age into adulthood.
Obesity Barriers to entering a shelter Obesity has become an issue across many Of particular concern is the breaking up of families populations and cultures in the U.S., contributing when a temporary shelter is needed. Children over to a number of chronic health conditions including age 14 have to go to a same-sex shelter regardless diabetes and heart disease. Unhealthy lifestyles of where their parent or other siblings are placed. coupled with a lack of education around healthy Often women and children stay in abuse homes eating has led to participants citing obesity as a top because they have pets they are afraid to leave, as health concern for the community. the area has no resources to keep their pets safe. Access to healthy food Barriers to healthy food Healthy food does not appear to be readily Feeding a family can take a large percentage of accessible to residents of Wayne, particularly low one’s income, especially when that income is at income residents. Described as a “food swamp,” or close to the minimum wage. Fast food, though there are few accessible grocery stores in the area. lacking in nutrients and while being high in fat, Those that do exist display unhealthy convenience sodium, and calories, is seen as a cheaper food and place little emphasis on fresh foods. The option to preparing fresh food. The convenience of area has one of the highest numbers of fast food fast food also drives consumption among families restaurants per capita, and fast food is widely seen with children. Wayne has few grocery stores and
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The Patient Protection and Affordable Care Act Significant health needs were identified as those (the PPACA) requires all tax-exempt hospitals to where the qualitative data (interview and focus assess the health needs of their community through group feedback) and quantitative data (health a community health needs assessment (CHNA) indicators) converged. Beaumont Health prioritized once every three years. A CHNA is a written these significant community healthcare needs document developed for a hospital facility that based on the following: defines the community served by the organization, • Importance of the problem to the community explains the process used to conduct the ensures the priorities chosen reflect the assessment and identifies the salient health needs community experience. of the community. In addition, the CHNA must include a description of the process and criteria • Alignment with the health system’s strengths is used in prioritizing the identified significant health important to ensure we leverage our ability to needs, and an evaluation of the implementation make an impact. strategies adopted as part of the most • Resources criteria acknowledges that we need recently conducted (2013) assessment. A CHNA to work within the capacity of our organization’s is considered conducted in the taxable year that budget, partnerships, infrastructure, and available the written report of its findings, as described grant funding. above, is approved by the hospital governing body • To be sure we reach the most people, the criteria and made widely available to the public. Beaumont of magnitude considers the number of people the Health completed a CHNA in the first half of 2016. problem affects either actually or potentially. The CHNA report was approved by the Beaumont Health board of directors in December 2016. It is available to the public at no cost for download and comment on our website at beaumont.org/chna. In addition to identifying and prioritizing significant community health needs through the CHNA High Data and Qualitative process, the PPACA requires creating and adopting an implementation strategy. An • Cardiovascular Conditions implementation strategy is a written plan (e.g. heart disease, hypertension, stroke) addressing each of the significant community • Diabetes health needs identified through the CHNA. The (e.g. prevalence, diabetic monitoring) implementation strategy must include a list of the • Respiratory Conditions significant health needs the hospital plans to (e.g. COPD, asthma, air quality) address and the rationale for not addressing the other significant health needs identified. The • Mental and Behavioral Health (e.g. diagnosis, suicide, providers) implementation strategy (a.k.a. implementation plan) is considered implemented on the date it is • Healthcare Access approved by the hospital’s governing body. The (e.g. insurance coverage, providers, cost, CHNA implementation strategy is filed along with preventable admissions, transportation, dental care) the organization’s IRS Form 990, Schedule H and must be updated annually with progress notes. • Obesity
The Beaumont Health community has been • Prevention– Screenings and identified as Macomb, Oakland and Wayne Vaccinations counties. The CHNA process identified significant • Substance Abuse health needs for this community (see box to right). (e.g. drug overdose, alcohol abuse, drug use, tobacco)
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• In order to address the health disparities that to increase access to high quality health care. We exist, we consider the impact of the problem on recognize good health extends beyond the doctor’s vulnerable populations. office and hospital. Our work in the community Through the prioritization process, three takes a prevention, evidence-based approach with
significant needs were selected to be addressed key elements that include: PARTNERS River Rouge School River Rouge School District City of Dearborn Dearborn Public Schools Healthy Dearborn coalition Healthy Dearborn coalition City of Dearborn Dearborn Public Schools Dearborn Public Schools via the Beaumont Health CHNA Implementation • Building and Sustaining Multi-Sector Gleaners Community BankFood of SE Michigan Strategy: Community Coalitions - partnering with leaders of local and state government, public health, community leaders, schools, Obesity community-based nonprofits, faith-based
organizations, and community residents to Cardiovascular Disease achieve measurable, sustainable improvements
by using a “collective impact” framework to MEASURED BE
improve the health and well-being of the diverse RESULTSHOW WILL • Participation rates • Participant survey • Number of students screened in health center • Number of students receiving nutrition counseling • Partnership agreements • Number of participants • Number of programs and activities implemented to promote healthy eating and active living • Distribution of Passport to Health outcome measures such • Post-test as fruit and vegetable consumption, exercise, reading nutrition labels Diabetes communities we serve. These multi-sector • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey coalitions engage in mutually reinforcing activities to build and strengthen partnerships All other significant health needs were not chosen that address the social determinants of health for a combination of the following reasons: and work towards solutions.
• The need was not well-aligned with TARGET
• Addressing social determinants of health and AUDIENCE organizational strengths. improving access to care for vulnerable Community organizations Youth ages 10-21 Youth Community-wide on economically Focus disadvantaged populations Community-wide Youth grades K-5 Youth • There are not enough existing organizational populations. Economically disadvantaged populations
resources to adequately address the need. • Working with community partners to supplement • Implementation efforts would not impact as CHNA initiatives through grants, programs and many community residents (magnitude) as policies. those that were chosen. • Partnering with FQHCs (Federally Qualified IMPACT • The chosen needs more significantly impact Health Centers) and free clinics to provide ANTICIPATED ANTICIPATED vulnerable populations. support to the underinsured and uninsured within Improved knowledge of obesity prevention and treatment options Improved nutrition practices of youth Reduction in food insecurity Increase in fresh fruit and vegetable consumption Collaborative partnerships to improve the health and well- being of diverse community members Improved knowledge and practices to make healthy eating and physical activity decisions the economically disadvantaged and medically Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors While each of the significant health needs underserved populations of Beaumont Health. identified through the community health needs assessment process is important, and many are • Partnering with public Health Departments to currently addressed by existing programs and align efforts, resources and programs. initiatives of Beaumont Health or a Beaumont • Consideration of sponsorships to organizations Health partner organization, allocating significant for events or activities that address the key health resources to the three priority needs above priorities of obesity, cardiovascular disease and DESCRIPTION prevents the inclusion of all health needs in the diabetes. Beaumont Health CHNA implementation strategy. The implementation strategy for the chosen health Education presentations to community groups Measure BMI and provide nutrition counseling Explore support of the Dearborn of Produce Farmers Market, the Power program, the Prescription for Health program, community gardens and nutrition education in-school Beaumont Hospital, Dearborn will support to the provide backbone Healthy Dearborn multi-sector community coalition to develop strategies in the community and at worksites for healthy eating and active living After-school and summer program After-school staff are trained to provide the CATCH nutrition and physical activity program Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Key Approaches of the needs of obesity, cardiovascular disease and Implementation Strategy diabetes are outlined in the following pages. Provide education and services that support healthy eating, active living maintaining a healthy weight Beaumont Health is committed to engaging in Over the next three years each Beaumont Health transformative relationships with local communities hospital will execute its implementation strategies
which will be evaluated and updated on an annual and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children to address the social determinants of health and ACTIVITY basis. PROGRAM/ Provide education on healthy eating, fitness and weight management through the Beaumont Speakers Bureau Medical outreach and Medical outreach prevention programs offered through Beaumont Teen River Rouge Health Center, Develop strategies to increase access to fresh fruits and vegetables Healthy Dearborn coalition Kids Club Provide CATCH to (Coordinated Approach Child Health) to prevent obesity childhood Provide Cooking Matters™ programs Beaumont Hospital, Dearborn OBESITY GOAL: 1: STRATEGY
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PARTNERS PARTNERS Community organizations National Kidney of Michigan Foundation National Kidney of Michigan Foundation Gleaners Community BankFood of SE Michigan systems School American Heart Association River Rouge School District Community organizations Healthy Dearborn coalition City of Dearborn Parks and Recreation
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL
Screening results • • Referrals for follow-up care • Participant survey • Participation rates outcome measures such • Post-test as blood sugar testing, physical confidence managing activity, condition • Participant survey • Participation rates • Increase in physical activity weight loss • Average • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food l abels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Participation rates • Participation rates • Participant survey • Online video viewing rates • Number of individuals trained • Participation rates • Referral rates • Participation rates • Participant survey • Screening results • Referrals for follow-up care • Participant survey • Number of programs and activities implemented to increase physical activity
TARGET TARGET AUDIENCE AUDIENCE
Adults Adults and seniors with diabetes and their caregivers Adults with prediabetes or at high risk of diabetes Adults with diabetes or prediabetes Adults with diabetes Community organizations Non-medical school personnel High school students High school Smokers Community organizations Adults Community-wide
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved self-management Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Improved self-management and follow-up care Increased knowledge and skills to resuscitate teens or adults suffering sudden cardiac arrest Increased awareness and knowledge of stop smoking methods and support services Improved knowledge of cardiovascular disease prevention and treatment options Improved self-management and follow-up care of cardiovascular risk factors Increase in physical activity of and adults children and
enings
schools
libraries, with DESCRIPTION DESCRIPTION Six-week chronic disease management Six-week chronic class hosted in collaboration with libraries, senior centers and community organizations program 12-month lifestyle change hosted in with group coaching collaboration community centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations Monthly sessions providing support to those with diabetes and their caregivers Education presentations to community groups Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes Screening offered at community locations to identify and counsel individuals with elevated glucose levels In partnership with the American Heart Association provide CPR training in assessment, compressions and using an AED (Automatic External Defibrillator) address the cardiovascular disease To risk factor of smoking, the Quit Smoking Resource Line provides telephonic assessment, information and referrals to connect smokers the quit smoking resources, programs and services they need Education presentations to community groups and Blood pressure, cholesterol glucose screenings offered at community locations to identify and counsel individuals with elevated levels Beaumont Hospital, Dearborn will support to the provide backbone Healthy Dearborn multi-sector community coalition to improve walkability and bikeability of the community and to provide recreational programs and events -
Provide early detection screenings, diabetes prevention programs and education services Increase opportunities for physical activity Provide education programs and services Provide early detection scre
Decrease rate of new diabetes cases and complications Decrease cardiovascular disease risk factors and prevent death from sudden cardiac arrest ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ Provide diabetes screenings Provide Diabetes PATH Action Toward (Personal Health) workshops Provide My Choice…My Health Diabetes Prevention Program Provide Cooking Matters™ EXTRA for Diabetes programs Provide the Diabetes Support Group Provide health education on diabetes through the Beaumont Speakers Bureau Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Healthy Dearborn coalition Provide CPR training through the Beaumont Teen River Rouge Health Center, Provide resources and referrals through the Beaumont Quit Smoking Resource Line Provide education on cardiovascular health through the Beaumont Speakers Bureau Provide heart health screen ings DIABETES GOAL: 1: STRATEGY STRATEGY 2: STRATEGY Beaumont Hospital, Dearborn CARDIOVASCULAR DISEASE GOAL: 1: STRATEGY 2: STRATEGY
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PARTNERS PARTNERS City of Farmington Hills Parks Gleaners Community BankFood of SE Michigan district City and school Farmington Farmers Market City of Farmington Hills Community organizations Farmington Public Schools Farmington Hills Fire Department systems School
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL
• Perceived Stress Scale • Perceived • Qualitative measures • Participation rates • Participant survey • Screening results • Referrals for follow-up care • Number of individuals trained • Participation rates results • Test • Participation rates • Participant survey • Participation rates • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Partnership agreements • Partnership agreements • Number of participants
TARGET TARGET AUDIENCE AUDIENCE Community organizations Economically disadvantaged populations Community-wide Community-wide Community-wide Community organizations Adults students and High school staff ages 13-18 Youth Community-wide
IMPACT IMPACT
ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Reduction in stress, a risk factor for cardiovascular disease Improved eating behaviors that positively impact obesity and diabetes, risk factors for cardiovascular disease Improved knowledge of cardiovascular disease prevention and treatment options Improved knowledge of obesity prevention and treatment options Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Collaborative partnerships to improve the health and well- being of diverse community members Increase in fruit and vegetable consumption Improved self-management and follow-up care Increased knowledge and skills to resuscitate teens or adults suffering sudden cardiac arrest Prevent sudden cardiac arrest Increased knowledge of healthy lifestyle practices and increased physical activity
DESCRIPTION DESCRIPTION ducation presentations to community Physicians conduct health promotion presentations and lead community walks at local parks Blood pressure screenings and stroke risk assessments conducted at community events to identify and counsel individuals with high blood pressure and other risk factor for cardiovascular disease Equipment and training provided students and staffto high school Fire in Farmington Public Schools. department professionals also provide a train-the- trainer program for to coordinate future trainings teachers of new students and staff. to student heart checks High school detect abnormal heart structure or abnormal rhythms Mindfulness classes to cultivate a happy and healthy life help depression, stress, alleviate anxiety, pain and other various chronic conditions E groups Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for prepare healthy meals on a limited budget. Hosted in collaboration with libraries, senior centers and community organizations. Beaumont Hospital, Farmington Hills support to the will provide backbone Healthy Communities multi-sector community coalition to develop strategies in the community and at worksites for healthy eating and active living Explore support of Farmers Markets, of Produce program, food the Power pantries and the Prescription for Health program Education presentations to community members of the Beaumont Generations Senior Program and to community groups
Provide education programs and services Provide early detection screenings Increase opportunities for physical activity Provide education and services that support healthy eating, active living maintaining a healthy weight
and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children Decrease cardiovascular disease risk factors and prevent death from sudden cardiac arrest ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ rovide education on Provide the Walk with the Provide the Walk Doc program Explore providing Cooking Matters™ programs Explore designation of a Healthy Community Develop strategies to increase access to fresh fruits and vegetables Provide education on healthy eating, fitness and weight management through the Beaumont Speakers Bureau Provide Living at Ease classes P cardiovascular health through the Beaumont Speakers Bureau Provide blood pressure and stroke screenings Provide CPR and AED (Automatic External Defibrillator) training Explore implementing the Student Healthy Heart Check Heart Screening Program STRATEGY 2: STRATEGY Beaumont Hills Hospital, Farmington OBESITY GOAL: 1: STRATEGY CARDIOVASCULAR DISEASE GOAL: 1: STRATEGY 2: STRATEGY
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PARTNERS PARTNERS Community organizations Gleaners BankCommunity Food of SE Michigan district City and school National Kidney of Foundation Michigan National Kidney of Foundation Michigan Gleaners Community BankFood of SE Michigan systems School
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Partnership agreements • Partnership agreements • Number of participants Stress Scale • Perceived • Qualitative measures • Participation rates • Participant survey • Participation rates outcome measures such • Post-test as blood sugar testing, physical confidence managing activity, condition • Participant survey • Participation rates • Increase in physical activity weight loss • Average • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Participation rates • Participant survey • Online video viewing rate
TARGET TARGET AUDIENCE AUDIENCE
Community-wide Economically disadvantaged populations Community-wide Community-wide on economically Focus disadvantaged populations Community-wide Community organizations Adults and seniors with diabetes and their caregivers Adults with prediabetes or at high risk of diabetes Adults with diabetes or prediabetes Community organizations Non-medical school personnel
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Improved knowledge of nutrition and healthy meal preparation Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Collaborative partnerships to improve the health and well- being of diverse community members Reduction in food insecurity Increase in fruit and vegetable consumption Improved eating behaviors that positively impact maintaining a healthy weight Improved knowledge of obesity prevention and treatment options
DESCRIPTION DESCRIPTION A chef and registered dietitian provide A chef nutritional information, recipes and cooking demonstrations Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Beaumont Hospital, Grosse Pointe support to the will provide backbone Healthy Communities multi-sector community coalition to develop strategies in the community and at worksites for healthy eating and active living Explore support of the Farmers Market, of Produce program and the the Power Prescription for Health program Mindful eating class in partnership with Control Center the Beaumont Weight to improve awareness, focus and a greater sense of well-being achieve Education presentations at town halls and to community groups Six-week chronic disease Six-week chronic management class hosted in collaboration with libraries, senior centers and community organizations program with 12-month lifestyle change hosted in collaboration group coaching and community with libraries, schools centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted in collaboration with libraries, senior centers and community organizations. Education presentations to community groups Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes
Provide education and services that support healthy eating, active living maintaining a healthy weight Provide early detection screenings, diabetes prevention programs and education services
and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children Decrease rate of new diabetes cases and complications ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ Provide cooking demonstrations Provide Cooking Matters™ programs Explore designation of a Healthy Community Develop strategies to increase access to fresh fruits and vegetables Explore providing Mindful Eating program on healthy Provide education eating, fitness and weight management through the Beaumont Speakers Bureau Provide Diabetes PATH Action Toward (Personal Health) workshops Explore providing My Choice…My Health Diabetes Prevention Program Explore providing Cooking Matters™ EXTRA for Diabetes program Provide health education on diabetes through the Beaumont Speakers Bureau Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Beaumont Hospital, Grosse Pointe OBESITY GOAL: 1: STRATEGY Beaumont Hills Hospital, Farmington DIABETES GOAL: 1: STRATEGY
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PARTNERS PARTNERS School systems School Community organizations National Kidney of Michigan Foundation National Kidney of Michigan Foundation Gleaners Community BankFood of SE Michigan systems School Edsel & Eleanor Ford Edsel & Eleanor Ford House, Grosse Pointe Shores
BE MEASURED BE MEASURED BE HOW RESULTSHOW WILL RESULTSHOW WILL
• Participation rates • Respiratory therapy staff follow-up at one-month, six-months and 12-months • Participation rates • Participant survey • Participation rates results • Test • Participation rates results • Test • Participation rates • Participation rates outcome measures such • Post-test as blood sugar testing, physical confidence managing activity, condition • Participant survey • Participation rates • Increase in physical activity weight loss • Average • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Participation rates • Participant survey • Online video viewing rate • Participation rates
TARGET TARGET AUDIENCE AUDIENCE
Smokers Community organizations ages 13-18 Youth Adults Adults Adults and seniors with diabetes and their caregivers Adults with prediabetes or at high risk of diabetes Adults with diabetes or prediabetes Community organizations Non-medical school personnel Community-wide
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED Reduction in smoking, a risk factor for cardiovascular disease Improved knowledge of cardiovascular disease prevention and treatment options Prevent sudden cardiac arrest Improved heart and vascular health Increased knowledge of individual risk factors for stroke and the signs symptoms of stroke Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Increased knowledge of healthy lifestyle practices and increased physical activity and
schools
libraries, with DESCRIPTION DESCRIPTION Education presentations at town halls and to community groups to student heart checks High school detect abnormal heart structure or abnormal rhythms Blood tests, EKG and artery testing to identify risk factors and recommend a course of action Blood pressure screening and stroke risk assessment to identify and provide follow-up recommendations for those at increased risk of stroke program 12-month lifestyle change hosted in with group coaching collaboration community centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Education presentations at town halls and to community groups Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes program led by a registered Four-week respiratory therapist disease management Six-week chronic class hosted in collaboration with libraries, senior centers and community organizations Physicians conduct health promotion presentations and lead community walks at local parks
Provide early detection screenings Increase opportunities for physical activity Provide education programs and services Provide early detection screenings, diabetes prevention programs and education services Decrease cardiovascular disease risk factors and prevent death from sudden cardiac arrest Decrease rate of new diabetes cases and complications ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ ATEGY 2: ATEGY Provide education on cardiovascular health through the Beaumont Speakers Bureau Explore implementing the Healthy Heart Check Student Heart Screening Program Heart Offer the 7 for $70 Screening and Vascular Provide stroke screening and education Explore providing My Choice…My Health Diabetes Prevention Program Explore providing Cooking Matters™ EXTRA for Diabetes programs Provide health education on diabetes through the Beaumont Speakers Bureau Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Provide the Walk with the Provide the Walk Doc program Offer the Beaumont Quit Smoking Program Provide Diabetes PATH Action Toward (Personal Health) workshops STRATEGY 2: STRATEGY Beaumont Hospital, Grosse Pointe STR CARDIOVASCULAR DISEASE GOAL: 1: STRATEGY DIABETES GOAL: 1: STRATEGY
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BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL
Participation rates Participation rates • Participation rates • Respiratory therapy staff follow-up at one-month, six-months and 12-months Stress Scale • Perceived • Qualitative measures • Risk factor assessment • Participation in individualized exercise programs and monthly education and support groups • Community organizations • Participation rates • results • Test • results • Test • Participation rates • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Partnership agreements • Number of participants • Participation rates • Participant survey • Participation rates • Partnership agreement • Participation rates • Participant survey
TARGET TARGET AUDIENCE AUDIENCE Smokers Community-wide with one or more Women cardiovascular risk factors Community organizations Adults ages 13-18 Youth Adults Adults Children six years and older Economically disadvantaged populations Community-wide on economically Focus disadvantaged populations Community organizations Children with special needs Community-wide
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Reduction in smoking, a risk factor for cardiovascular disease Reduction in stress, a risk factor for cardiovascular disease Improved eating behaviors that positively impact obesity and diabetes, risk factors for cardiovascular disease Reduction of risk factors such as elevated blood cholesterol, hypertension, sedentary lifestyle and obesity Improved knowledge of cardiovascular disease prevention and treatment options Improved self-management and follow-up care Prevent sudden cardiac arrest Improved heart and vascular health Improved nutrition practices, eating habits and healthy meal preparation knowledge and behaviors Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Reduction in food insecurity Increase in fruit and vegetable consumption Improved knowledge of obesity prevention and treatment options Increased physical activity of with special needs children Increased physical activity Improved knowledge of nutrition practices and healthy meal preparation
DESCRIPTION DESCRIPTION Classes to lower cholesterol or Classes to lower cholesterol triglycerides, lower blood pressure, better manage diabetes or lose weight Seven-week program led by a tobacco treatment specialist Meditation, yoga, mindful eating and mindful communication classes to cultivate a happy and healthy life depression, help alleviate anxiety, pain and other various stress, chronic conditions Six-month exercise and risk reduction program to help women reduce their likelihood of developing heart disease and prevent future cardiac events Education presentations to community groups Blood pressure screenings conducted at community events to identify and counsel individuals with high blood pressure and other risk factor for cardiovascular disease to student heart checks High school detect abnormal heart structure or abnormal rhythms Blood tests, EKG and artery testing to identify risk factors and recommend a course of action Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Explore support of the Farmers Market, of Produce program and the Power the Prescription for Health program Education presentations to community groups Event providing free, custom adaptive bikes for special needs children Physicians conduct health promotion presentations and lead community walks at local parks Hands-on classes led by a registered dietitian in a demonstration kitchen
Provide early detection screenings Provide education programs and services Provide education and services that support healthy eating, active living maintaining a healthy weight Decrease cardiovascular disease risk factors and prevent death from sudden cardiac arrest and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ Provide Food for the Heart Provide Food Part I and II classes Offer the Beaumont Quit Smoking Program Provide Mindfulness Classes Offer the WELL Program Exercising to Live (Women Longer) Provide education on cardiovascular health through the Beaumont Speakers Bureau Provide blood pressure screenings Implement the Healthy Student Heart Heart Check Screening Program Heart Offer the 7 for $70 Screening and Vascular Explore providing Cooking Matters™ program Develop strategies to increase access to fresh fruits and vegetables Provide education on healthy eating, fitness and weight management through the Beaumont Speakers Bureau Host Bike Day for children with special needs Explore offering the Walk with the Doc program Provide Kids Cooking Classes STRATEGY 2: STRATEGY CARDIOVASCULAR DISEASE GOAL: 1: STRATEGY
Beaumont Hospital, Royal Oak OBESITY GOAL: 1: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 160 161 CHNA IMPLEMENTATION STRATEGY 2017 – 2019
PARTNERS PARTNERS National Kidney of Michigan Foundation National Kidney of Michigan Foundation Gleaners Community BankFood of SE Michigan systems School Gleaners Community BankFood of SE Michigan District School Taylor coalition Healthy Taylor City of Taylor District School Taylor City of Taylor District School Taylor District School Taylor
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL • Participation rates • Participation rates outcome measures such • Post-test as blood sugar testing, physical confidence managing activity, condition • Participant survey • Participation rates • Increase in physical activity weight loss • Average • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Participation rates • Participant survey • Online video viewing rate • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Partnership agreement participating • Number of children • Number of programs and activities implemented to promote healthy eating and active living • Partnership agreements • Number of participants • Number of students screened in health center • Number of students receiving nutrition counseling • Number of students screened in health center • Number of students receiving nutrition counseling
TARGET TARGET AUDIENCE AUDIENCE
Adults with diabetes Adults and seniors with diabetes and their caregivers Adults with prediabetes or at high risk of diabetes Adults with diabetes or prediabetes Community organizations Non-medical school personnel Economically disadvantaged populations grades K-5 Youth Community-wide Community-wide ages 10-21 Youth students High school
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Improved diabetes self- management Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Improved knowledge and practices to make healthy eating and physical activity decisions Collaborative partnerships to improve the health and well- being of diverse community members Increase in fruit and vegetable consumption Improved nutrition practices of youth Improved nutrition practices of youth Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors and
schools
libraries, with DESCRIPTION DESCRIPTION Six-week chronic disease management Six-week chronic class hosted in collaboration with libraries, senior centers and community organizations program 12-month lifestyle change hosted in with group coaching collaboration community centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Education presentations to community groups Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes Monthly sessions providing support to those with diabetes and their caregivers After-school and summer program After-school staff are trained to provide the CATCH nutrition and physical activity program will provide Beaumont Hospital, Taylor support to the Healthy Taylor backbone multi-sector community coalition to develop strategies in the community and at worksites for healthy eating active living Farmers Explore support of the Taylor of Produce Market, the Power program and the Prescription for Health program Measure BMI and provide nutrition counseling Provide nutrition education Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations.
Provide early detection screenings, diabetes prevention programs and education services Provide education and services that support healthy eating, active living maintaining a healthy weight Decrease rate of new diabetes cases and complications and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ Provide Diabetes PATH Action Toward (Personal Health) workshops Explore providing My Choice…My Health Diabetes Prevention Program Explore providing Cooking Matters™ EXTRA for Diabetes program Provide health education on diabetes through the Beaumont Speakers Bureau Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Provide the Diabetes Support Group Explore providing CATCH Explore providing CATCH Kids Club (Coordinated to Child Health) Approach obesity prevent childhood coalition Healthy Taylor Develop strategies to increase access to fresh fruits and vegetables and Medical outreach prevention programs offered through Beaumont Teen Taylor Health Center, and Medical outreach prevention programs offered through Beaumont School Program, Truman Wellness Provide Cooking Matters™ programs Beaumont Hospital, Royal Oak DIABETES GOAL: 1: STRATEGY
Beaumont Hospital, Taylor OBESITY GOAL: 1: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 162 163 CHNA IMPLEMENTATION STRATEGY 2017 – 2019
PARTNERS PARTNERS American Heart Association District School Taylor Community organizations National Kidney of Michigan Foundation National Kidney of Michigan Foundation Gleaners Community BankFood of SE Michigan Area schools Healthy Taylor coalition Healthy Taylor Parks City of Taylor and Recreation Downriver Family YMCA City of Taylor City of Taylor Community organizations systems School
BE MEASURED BE MEASURED BE HOW RESULTSHOW WILL RESULTSHOW WILL
• High school students • High school • Participation rates • Referral rates • Participation rates • Participation rates • Participant survey • Screening results • Referrals for follow-up care • Participant survey • Adults and seniors with diabetes and their caregivers • Participation rates • Increase in physical activity weight loss • Average • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Participation rates • Participant survey • Online video viewing rate • Number of programs and activities implemented to increase physical activity • Participation rates • Participant survey • Participation rates logs • Tracking • Screening results • Referrals for follow-up care • Participant survey • Participation rates results • Test
TARGET TARGET AUDIENCE AUDIENCE
High school students High school Smokers Adults who have speech difficulties (aphasia) from a stroke Community organizations Adults Adults and seniors with diabetes and their caregivers Adult with prediabetes or at high risk of diabetes Adults with diabetes or prediabetes Community organizations Non-medical school personnel Community-wide Community-wide Community-wide Adults ages 13-18 Youth
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED Increased awareness and knowledge of stop smoking methods and support services Improved self-management Improved knowledge of cardiovascular disease prevention and treatment options Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Increased knowledge and skills to resuscitate teens or adults suffering sudden cardiac arrest Improved self-management and follow-up care Increase in physical activity of and adults children Increased knowledge of healthy lifestyle practices and increase in physical activity Increased knowledge of healthy lifestyle practices and increase in physical activity Improved self-management and follow-up care Prevent sudden cardiac arrest and
schools
libraries, with DESCRIPTION DESCRIPTION To address the cardiovascular disease To risk factor of smoking, the Quit Smoking Resource line provides telephonic assessment, information and referrals to connect smokers the quit smoking resources, programs and services they need Monthly sessions providing support and education on cardiovascular disease and stroke prevention Education presentations to community groups disease management Six-week chronic class hosted in collaboration with libraries, senior centers and community organizations program 12-month lifestyle change hosted in with group coaching collaboration community centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Education presentations to community groups Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes Beaumont Hospital, Taylor will provide Beaumont Hospital, Taylor support to the Healthy Taylor backbone multi-sector community coalition to improve walkability and bikeability of the community and to provide recreational programs and events Physicians conduct health promotion presentations and lead community walks at local parks along with and state officials led by City of Taylor Expand neighborhood and employee walking groups and provide educational support In partnership with the American Heart Association provide CPR training in assessment, compressions and using an AED (Automatic External Defibrillator) and Blood pressure, cholesterol glucose screenings offered at community locations to identify and counsel individuals with elevated levels to student heart checks High school detect abnormal heart structure or abnormal rhythms Screenings offered at community locations to identify and counsel individuals with elevated glucose levels
rate of new diabetes cases and complications
Increase opportunities for physical activity Provide education programs and services Provide early detection screenings Provide early detection screenings, diabetes prevention programs and education services
ease Decrease cardiovascular disease risk factors and prevent death from sudden cardiac arrest Decr ACTIVITY ACTIVITY : PROGRAM/ PROGRAM/ AL Provide resources and referrals through the Beaumont Quit Smoking Resource Line Provide the Aphasia Support Group Provide education on cardiovascular health through the Beaumont Speakers Bureau Provide Diabetes PATH Action Toward (Personal Health) workshops Provide My Choice…My Health Diabetes Prevention Program Provide Cooking Matters™ EXTRA for Diabetes programs Provide health education on diabetes through the Beaumont Speakers Bureau Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Healthy Taylor coalition Healthy Taylor Walk Offer Healthy Taylor with with the Doc and Walk the City Official program Conduct Healthy Taylor Together Taylor Walk Let’s program Provide CPR training through the Beaumont Teen Taylor Health Center, and Beaumont School Program, Truman Wellness Provide heart health screenings Explore implementing the Healthy Heart Check Student Heart Screening Program Provide diabetes screenings Beaumont Hospital, Taylor 2: STRATEGY CARDIOVASCULAR DISEASE GO 1: STRATEGY 2: STRATEGY DIABETES GOAL: 1: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 164 165 CHNA IMPLEMENTATION STRATEGY 2017 – 2019
PARTNERS PARTNERS Community organizations systems School Healthy Trenton Healthy Trenton coalition Parks City of Trenton and Recreation County Parks Wayne Safety Traffic Commission Gleaners Community BankFood of SE Michigan Parks City of Trenton and Recreation Public Schools Trenton Healthy Trenton coalition City of Trenton Public Schools Trenton City of Trenton
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL
• Participation rates • Referral rates • Participation rates • Participant survey • Screening results • Referrals for follow-up care • Participant survey • Participation rates results • Test • Number of programs and activities implemented to increase physical activity • Post-test outcome measures such • Post-test as fruit and vegetable consumption, exercise, reading nutrition labels • Number of programs and activities implemented to promote healthy eating and active living • Distribution of Passport to Health • Partnership agreements • Number of participants • Participation rates • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey
TARGET TARGET AUDIENCE AUDIENCE Smokers Community organizations Adults ages 13-18 Youth Community-wide Youth grades K-5 Youth Community-wide Community-wide on economically Focus disadvantaged populations Community organizations Economically disadvantaged populations
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Improved knowledge of cardiovascular disease prevention and treatment options Improved self-management and follow-up care Prevent sudden cardiac arrest Increased awareness and knowledge of stop smoking methods and support services Increase in physical activity of and adults children Improved knowledge and practices to make healthy eating and physical activity decisions Collaborative partnerships to improve the health and well- being of diverse community members Reduction in food insecurity Increase in fruit and vegetable consumption Improved knowledge of obesity prevention and treatment options Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors
DESCRIPTION DESCRIPTION Education presentations to community groups and Blood pressure, cholesterol glucose screenings offered at community locations to identify and counsel individuals with elevated levels to student heart checks High school detect abnormal heart structure or abnormal rhythms Beaumont Hospital, Trenton will Beaumont Hospital, Trenton support to the provide backbone multi-sector Healthy Trenton community coalition to improve walkability and bikeability of the community and to provide recreational programs and events address the cardiovascular disease To risk factor of smoking, the Quit Smoking Resource line provides telephonic assessment, information and referrals to connect smokers the quit smoking resources, programs and services they need After-school and summer program After-school staff are trained to provide the CATCH nutrition and physical activity program will Beaumont Hospital, Trenton support to the provide backbone multi-sector Healthy Trenton community coalition to develop strategies in the community and at worksites for healthy eating and active living Farmers Explore support of the Trenton of Produce Market, the Power program and the Prescription for Health program Education presentations to community groups upon request Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations.
Provide early detection screenings Increase opportunities for physical activity Provide education programs and services Provide education and services that support healthy eating, active living maintaining a healthy weight Decrease cardiovascular disease risk factors and prevent death from sudden cardiac arrest and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children ACTIVITY ACTIVITY DIOVASCULAR DISEASE PROGRAM/ PROGRAM/ Provide education on cardiovascular health through the Beaumont Speakers Bureau Provide heart health screenings Explore implementing the Healthy Heart Check Student Heart Screening Program Healthy Trenton coalition Healthy Trenton Provide resources and referrals through the Beaumont Quit Smoking Resource Line Provide Cooking Matters™ programs Kids Club Provide CATCH to (Coordinated Approach Child Health) to prevent obesity childhood coalition Healthy Trenton Develop strategies to increase access to fresh fruits and vegetables Provide education on healthy eating, fitness and weight management through the Beaumont Speakers Bureau to the community STRATEGY 2: STRATEGY STRATEGY 2: STRATEGY CAR GOAL: 1: STRATEGY Beaumont Hospital, Trenton OBESITY GOAL: 1: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 166 167 CHNA IMPLEMENTATION STRATEGY 2017 – 2019
PARTNERS PARTNERS Community organizations National Kidney of Michigan Foundation National Kidney of Michigan Foundation Gleaners Community BankFood of SE Michigan systems School Gleaners Community BankFood of SE Michigan district City and school
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL • Screening results • Referrals for follow-up care • Participant survey • Participation rates outcome measures such • Post-test as blood sugar testing, physical confidence managing activity, condition • Participant survey • Participation rates • Increase in physical activity weight loss • Average • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Participation rates • Participant survey • Online video viewing rate • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Partnership agreements • Program plans • Partnership agreements • Participation rates • Participant survey • Participation rates • Participation rates • Participation rates • Participant survey
TARGET TARGET AUDIENCE AUDIENCE
Adults Adults and seniors with diabetes and their caregivers Adults with prediabetes or at high risk of diabetes Adults with diabetes and prediabetes Community organizations Non-medical school personnel Economically disadvantaged populations Community-wide Community-wide on economically Focus disadvantaged populations Community organizations Children with special needs Community-wide Children six years and older
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Improved self-management and follow-up care Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Collaborative partnerships to improve the health and well- being of diverse community members Reduction in food insecurity Increase in fruit and vegetable consumption Improved knowledge of obesity prevention and treatment options Increased physical activity of with special needs children Increased physical activity Improved knowledge of nutrition practices and healthy meal preparation and
schools
libraries, with DESCRIPTION DESCRIPTION Six-week chronic disease management Six-week chronic class hosted in collaboration with libraries, senior centers and community organizations program 12-month lifestyle change hosted in with group coaching collaboration community centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Education presentations to community groups upon request Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes Screening offered at community locations to identify and counsel individuals with elevated glucose levels Hands-on classes led by a registered dietitian in a demonstration kitchen Control through Beaumont Weight Centers Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations will provide Beaumont Hospital, Troy support to the Healthy backbone Communities multi-sector community coalition to develop strategies in the community and at worksites for healthy eating and active living Explore support of the Farmers Market, of Produce program and the Power the Prescription for Health program Education presentations to community groups Event providing free modified bikes to with special needs children Monthly fitness classes for adults through Sola Life and Fitness
Provide early detection screenings, diabetes prevention programs and education services Increase opportunities for physical activity Provide education and services that support healthy eating, active living maintaining a healthy weight
Decrease rate of new diabetes cases and complications and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ Provide Diabetes PATH Action Toward (Personal Health) workshops Provide My Choice…My Health Diabetes Prevention Program Provide Cooking Matters™ EXTRA for Diabetes programs Provide health education on diabetes through the Beaumont Speakers Bureau to the community Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Provide diabetes screenings Explore providing Cooking Matters™ programs Explore designation of a Healthy Community Develop strategies to increase access to fresh fruits and vegetables Provide education on healthy eating, fitness and weight management through the Beaumont Speakers Bureau Host Bike Day for children with special needs Provide fitness classes Provide Kids Cooking Classes Beaumont Hospital, Trenton DIABETES GOAL: 1: STRATEGY STRATEGY 2: STRATEGY Beaumont Hospital, Troy OBESITY GOAL: 1: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 168 169 CHNA IMPLEMENTATION STRATEGY 2017 – 2019
PARTNERS PARTNERS Troy School District School Troy American Heart Association systems School Orion Township Orion Township Community Center United Shore Professional Baseball League City of Sterling Heights
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL
• Participation rates • Number of classrooms • Participation rates • Participation rates • Participant survey • Participation rates • Participation rates • Participation rates • Number of units placed • Number of individuals trained • Participation rates results • Test • Participation rates results • Test • Perceived Stress Scale • Perceived • Qualitative measures • Participation rates • Respiratory therapy staff follow-up at one-month, six-months and 12-months • Participation rates • Participation rates • Partnership agreement • Participation rates • Participant survey
TARGET TARGET AUDIENCE AUDIENCE
Adults with diabetes and fifth grade Fourth students Community organizations Adults who have had a stroke Adults who have had a stroke and develop speech difficulties aphasia) Adults with diagnosed cardiac problems Community-wide non-profit organizations ages 13-18 Youth Adults Community-wide Smokers Seniors by Children challenged illness or disability Community-wide Adults
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED and prevent death from sudden cardiac arrest Decrease in tobacco use among pre-teens to improve health and reduce lifelong smoking habits, a risk factor for cardiovascular disease Improved knowledge of cardiovascular disease prevention and treatment options Increased education and re-entry into the community for post-stroke individuals and their families Improved self-management Increased awareness and education for management of cardiovascular diseases Increased knowledge and skills to resuscitate teens or adults suffering sudden cardiac arrest Prevent sudden cardiac arrest Improved heart and vascular health Improved diabetes self- management Reduction in stress, a risk factor for cardiovascular disease Improved eating behaviors that positively impact obesity and diabetes, risk factors for cardiovascular disease Reduction in smoking, a risk factor for cardiovascular disease Increased physical activity and wellness with fall risk reduction Increased physical well-being and families of children by illness or challenged disability Increased knowledge of healthy lifestyle practices and increased physical activity Improved nutrition practices, eating habits and healthy meal preparation knowledge and behaviors rs
DESCRIPTION DESCRIPTION Monthly sessions providing support to those with diabetes and their caregivers Physicians provide education to on the elementary children school dangers of tobacco use Education presentations to community groups Monthly sessions providing support and education on cardiovascular disease, stroke prevention and recovery Monthly sessions providing support and education on cardiovascular disease, stroke prevention and recovery Monthly group offering education and support for individuals with cardiac disease AED instruments are placed in community organizations and training is provided Implement the Healthy Heart Check Student Heart Screening Program Blood tests, EKG and artery testing to identify risk factors and recommend a course of action Classes to lower cholesterol or Classes to lower cholesterol triglycerides, lower blood pressure, better manage diabetes or lose weight Meditation, yoga, mindful eating and mindful communication classes to cultivate a happy and healthy life depression, help alleviate anxiety, pain and other various stress, chronic conditions Seven-week program led by a tobacco treatment specialist Individual assessments, wellness and fitness presentations, health fairs, fall risk reduction programs and an onsite Beaumont wellness liaison at the Orion Center provide seniors with Wellness strategies for fall risk reduction and support to maintain physically active lives Health information is provided to attendees of baseball games at Jimmy Field throughout the season John’s and baseball players provide modified with special sports activities to children needs Physicians conduct health promotion presentations and lead community walks at local parks
Provide early detection screenings Provide early detection screenings, diabetes prevention programs and education services Provide education programs and services
Decrease rate of new diabetes cases and complications Decrease cardiovascular disease risk facto ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ RDIOVASCULAR DISEASE Provide the Diabetes Support Group Teach the American Teach Academy of Family Wars Physicians Tar tobacco-free education program Provide education on cardiovascular health through the Beaumont Speakers Bureau Provide the Cane and Able Stroke Support Group Provide the Aphasia Support Group Provide the Guiding Heart Support Group Provide Automatic External Defibrillator (AED) training program Implement the Healthy Student Heart Heart Check Screening Program Heart Offer the 7 for $70 Screening and Vascular Provide Mindfulness Classes Offer the Beaumont Quit Smoking Program Provide Food for the Heart Provide Food Part I and II classes Provide senior wellness education Host Family Fun Days at baseball games Explore offering the Walk with the Doc program STRATEGY 2: STRATEGY DIABETES GOAL: 1: STRATEGY Beaumont Hospital, Troy CA GOAL: 1: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 170 171 CHNA IMPLEMENTATION STRATEGY 2017 – 2019
PARTNERS National Kidney of Michigan Foundation National Kidney of Michigan Foundation Gleaners Community BankFood of SE Michigan systems School Gleaners Community BankFood of SE Michigan Community Westwood District School Healthy Wayne coalition City of Wayne Wayne-Westland Community Schools City of Wayne Chamber of Wayne Commerce Wayne-Westland Community Schools Romulus Community Schools
BE MEASURED BE HOW RESULTSHOW WILL Post-test outcome measures such Post-test Number of programs and activities Partnership agreements Number of participants Number of students screened in Number of students receiving Number of students screened in Number of students receiving Post-test outcome measures such Post-test • Participation rates outcome measures such • Post-test as rate of blood sugar testing at home, physical activity and confidence managing condition • Participant survey • Participation rates physical activity rate • Weekly weight loss • Average • Participant survey • Participation rates outcome measures such • Post-test as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey • Participation rates • Participant survey • Online video viewing rate • Participation rates • as fruit and vegetable consumption, exercise, reading nutrition labels • implemented to promote healthy eating and active living • • • health center • nutrition counseling • health center • nutrition counseling • Participation rates • as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • Participant survey
TARGET AUDIENCE Adults and seniors with diabetes and their caregivers Adults with prediabetes or at high risk of diabetes Adults with diabetes or prediabetes Community organizations Non-medical school personnel Children and adults grades K-5 Youth Community-wide Community-wide on economically Focus disadvantaged populations ages 10-21 Youth ages 10-21 Youth Economically disadvantaged populations
IMPACT ANTICIPATED ANTICIPATED Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Improved knowledge of nutrition practices and healthy meal preparation Improved knowledge and practices to make healthy eating and physical activity decisions Collaborative partnerships to improve the health and well- being of diverse community members Reduction in food insecurity Increase in fruit and vegetable consumption Improved nutrition practices of youth Improved nutrition practices of youth Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors and
schools
libraries, with DESCRIPTION Six-week chronic disease management Six-week chronic class hosted in collaboration with libraries, senior centers and community organizations program 12-month lifestyle change hosted in with group coaching collaboration community centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers & community organizations. Education presentations to community groups Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes Six-week workshops for adults and teens and single session store tours to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted at libraries, senior centers and community organizations. Hands-on classes led by a registered dietitian in a demonstration kitchen Control at the Beaumont Weight Canton Center, and summer program After-school staff are trained to provide the CATCH nutrition and physical activity program will Beaumont Hospital, Wayne support to the provide backbone multi-sector community Healthy Wayne coalition to develop strategies in the community and at worksites for healthy eating and active living Farmers Explore support of the Wayne of Produce program Market, Power and the Prescription for Health program Measure BMI and provide nutrition counseling Measure BMI and provide nutrition counseling
Provide education and services that support healthy eating, active living maintaining a healthy weight and adults by promoting healthy eating active living behaviors Decrease rate of obesity in children ACTIVITY PROGRAM/ Provide Diabetes PATH Action Toward (Personal Health) workshops Explore providing My Choice…My Health Diabetes Prevention Program Explore providing Cooking Matters™ EXTRA for Diabetes programs Provide health education on diabetes through the Beaumont Speakers Bureau Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Provide Cooking Matters™ programs Conduct cooking classes for and adults children Kids Club Provide CATCH to (Coordinated Approach Child Health) to prevent obesity childhood coalition Healthy Wayne Develop strategies to increase access to fresh fruits and vegetables and Medical outreach prevention programs offered through the Beaumont Child & Adolescent Health Center, Adams and Medical outreach prevention programs offered through the Beaumont Teen Romulus Health Center, Beaumont Hospital, Troy
Beaumont Hospital, Wayne OBESITY GOAL: 1: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 172 173 CHNA IMPLEMENTATION STRATEGY 2017 – 2019
PARTNERS PARTNERS merican Heart A Association Wayne-Westland Community Schools Romulus Community Schools Community Westwood District School Community organizations National Kidney of Michigan Foundation National Kidney of Michigan Foundation Gleaners Community BankFood of SE Michigan systems School Westwood Community Westwood District School Healthy Wayne coalition City of Wayne Wayne-Westland Community Schools Community organizations
BE MEASURED BE BE MEASURED BE HOW RESULTSHOW WILL HOW RESULTSHOW WILL creening results articipation rates
mplemented to increase physical Number of individuals trained Participation rates Referral rates Participation rates outcome measures such Post-test Participant survey Increase in physical activity weight loss Average Participant survey Participation rates outcome measures such Post-test Participant survey Participation rates Participant survey Online video viewing rate Number of students screened in Number of students receiving Participation rates Participant survey Referrals for follow-up care Participant survey • • • • Participation rates • Participant survey • • as blood sugar testing, physical confidence managing activity, condition • • P • • • • • as use of nutrition facts on food labels, adjusting meals to be more healthy foods at choosing healthy, restaurants • • • • • Screening results • Referrals for follow-up care • Participant survey • health center • nutrition counseling • • • Number of programs and activities i activity • S • •
TARGET TARGET AUDIENCE AUDIENCE
High school students High school Smokers Community organizations Adults and seniors with diabetes and their caregivers Adults with prediabetes or at high risk of diabetes Adults with diabetes or prediabetes Community organizations Non-medical school personnel Adults Youth ages 10-21 Youth Community organizations Community-wide Adults
IMPACT IMPACT ANTICIPATED ANTICIPATED ANTICIPATED ANTICIPATED Increased awareness and knowledge of stop smoking methods and support services Improved knowledge of cardiovascular disease prevention and treatment options Increased knowledge and skills to resuscitate teens or adults suffering sudden cardiac arrest Improved diabetes self- management Prevention of type 2 diabetes Improved nutrition practices, eating habits, healthy meal preparation and food budgeting knowledge and behaviors Improved knowledge of diabetes prevention and treatment options Safe and healthy school with environment for children type 1 diabetes Improved nutrition practices of youth Improved knowledge of obesity prevention and treatment options Increase in physical activity of and adults children Improved self-management and follow-up care Improved self-management and follow-up care and
schools
libraries, with DESCRIPTION DESCRIPTION To address the cardiovascular disease To risk factor of smoking, the Quit Smoking Resource line provides telephonic assessment, information and referrals to connect smokers the quit smoking resources, programs and services they need Education presentations to community groups In partnership with the American Heart Association provide CPR training in assessment, compressions and using an AED (Automatic External Defibrillator) Screening offered at community locations to identify and counsel individuals with elevated glucose levels disease management Six-week chronic class hosted in collaboration with libraries, senior centers and community organizations program 12-month lifestyle change hosted in with group coaching collaboration community centers Six-week workshops to equip families with the knowledge and skills they need to shop for and prepare healthy meals on a limited budget. Hosted in collaboration with libraries, senior centers and community organizations. Education presentations to community groups Online training videos and accompanying guide used in to provide collaboration with schools care to students with type 1 diabetes Measure BMI and provide nutrition counseling Education presentations to community groups will provide Beaumont Hospital, Wayne support to the Healthy backbone multi-sector community Wayne coalition to improve walkability and bikeability of the community and to provide recreational programs and events and Blood pressure, cholesterol glucose screenings offered at community locations to identify and counsel individuals with elevated levels
Provide education programs and services Increase opportunities for physical activity Provide early detection screenings, diabetes prevention programs and education services Provide early detection screenings
Decrease cardiovascular disease risk factors and prevent death from sudden cardiac arrest Decrease rate of new diabetes cases and complications ACTIVITY ACTIVITY PROGRAM/ PROGRAM/ L: A Provide CPR training through the Beaumont Child & Adolescent Health Center, Adams, the Beaumont Teen Romulus and Health Center, Health the Beaumont Teen Inkster Center, Provide resources and referrals through the Beaumont Quit Smoking Resource Line Provide education on cardiovascular health through the Beaumont Speakers Bureau Provide diabetes screenings Provide Diabetes PATH Action Toward (Personal Health) workshops Provide My Choice…My Health Diabetes Prevention Program Provide Cooking Matters™ EXTRA for Diabetes programs Provide health education on diabetes through the Beaumont Speakers Bureau Distribute to schools 1 Diabetes “Managing Type A Guide for in Schools: in Non-Medical Personnel Schools” Medical outreach and Medical outreach prevention programs offered through the Beaumont Teen Inkster Health Center, Provide education on healthy eating, fitness and weight management through the Beaumont Speakers Bureau coalition Healthy Wayne Provide heart health screenings Beaumont Hospital, Wayne CARDIOVASCULAR DISEASE GO 1: STRATEGY
STRATEGY 2: STRATEGY DIABETES GOAL: 1: STRATEGY STRATEGY 2: STRATEGY
Community Health Needs Assessment – 2016 | beaumont.org/chna 174 175