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Regions Hospital Community Health Needs Assessment August 2012

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Regions Hospital Community Health Needs Assessment August 2012 Regions Hospital Community Health Needs Assessment August 2012 Conducted By: About the Community Health Needs Assessment Regions Hospital collaborated with Lakeview Health, Hudson Hospital & Clinics and Westfields Hospital and contracted with Community Hospital Consulting to determine the greatest health needs in the communities they serve. These hospitals, all a part of HealthPartners, serve similar communities and have overlapping study areas. The system’s study area is defined as Dakota, Ramsey, Washington and St. Croix counties. Regions Hospital’s specific study area is defined as: • Ramsey County • Dakota County • Washington County Data elements regarding all four counties in the system’s study area are included in this report for comparison, and are also provided as an opportunity for the hospitals to work together to meet the needs identified in the overlapping counties. Regions Hospital Community Health Needs Assessment and Implementation Plan 1 Community Hospital Consulting August 2012 Table of Contents Part 1: Community Health Needs Assessment About HealthPartners .………………………………………………………………………………….. 4 Executive Summary ………..…………………………………………………………………………….. 5 Process and Methodology ..…………………………………………………………………………… 10 Regions Hospital Biography …………………………………………………………………………… 13 Lakeview Health Biography …………………………………………………………………………… 17 Hudson Hospital & Clinics Biography …………………………………………………………….. 20 Westfields Hospital Biography ………………………………………………………………………. 25 St. Croix County Community Health Needs Assessment ……………………………….. 29 Demographics of Community Served by Hudson Hospital & Clinics and Westfields Hospital ………………………………………………………………………………………. 33 Demographics in Community Served by Regions Hospital and Lakeview Health …………………..………………………………………………………………………………………. 40 Health Data Findings …………………………………………………………………………………….. 54 Input from People who Represent the Broad Interests of the Community ……. 73 Prioritization of the Community’s Needs ………………………………………………………. 92 Priorities that Will Not be Addressed ……………………………………………………………. 95 Inventory of Selected Health Services and Information Gaps ………………………… 97 About Community Hospital Consulting …………………………………………………………. 123 Appendix: ……………………………………………………………………………………………………… 126 St. Croix County Community Health Needs Assessment 2009 – 2014 Executive Summary Regions and Lakeview Community Health Needs Assessment Interview Participant Information Community Health Needs Assessment Prioritization Ballot Part 2: Implementation Plan ……………………………………………………………………………… 144 Regions Hospital Community Health Needs Assessment and Implementation Plan 2 Community Hospital Consulting August 2012 Part 1 Community Health Needs Assessment Regions Hospital Community Health Needs Assessment and Implementation Plan 3 Community Hospital Consulting August 2012 About HealthPartners HealthPartners is the largest consumer‐governed, nonprofit health care organization in the nation. HealthPartners provides care, coverage, research and education to improve the health of its members, patients and the community. It is an award‐winning integrated health care system based in Bloomington, Minnesota, with 12,000 employees dedicated to improving the health of the population, enhancing the patient’s experience, and making health care affordable. HealthPartners provides health care services as well as health plan financing and administration. HealthPartners is comprised of various entities, including the hospitals listed below, HealthPartners Research Foundation, the Institute for Medical Education, Capitol View Transitional Care Center, and Medical, Dental, and Physicians Neck and Back Clinics. HealthPartners’ specific care delivery organizations are: Hospitals Lakeview Hospital, Stillwater, Minnesota HealthPartners Medical Group Hudson Hospital & Clinics, Hudson, Wisconsin 70 medical and dental clinics in the greater Westfields Hospital, New Richmond, Wisconsin metropolitan area of Minneapolis‐St. Paul Regions Hospital, Saint Paul, Minnesota 17 pharmacies and mail order pharmacy 441,000 patients Health Financing Multi‐payer Nonprofit, consumer governed health plan 780 physicians, 60 dentists 1.4 million members 350 primary care physicians National provider network Primary care, 35 medical and surgical specialties This report is collaboration between Regions Hospital, Lakeview Health (the parent organization that consists of Stillwater Medical Group, Lakeview Hospital and the Lakeview Foundation), Hudson Hospital & Clinics, and Westfields Hospital. Regions Hospital Community Health Needs Assessment and Implementation Plan 4 Community Hospital Consulting August 2012 Executive Summary Regions Hospital (Regions) and Lakeview Health (Lakeview) engaged the resources of Community Hospital Consulting (CHC Consulting) to conduct a comprehensive, six‐step Community Health Needs Assessment of their communities, including Dakota, Ramsey, Washington, and St. Croix counties. The community health needs assessment (“CHNA”) utilized relevant health data and stakeholder input (in depth interviews, electronic survey results, focus group and a town hall meeting) to identify the main community health priorities that HealthPartners, the parent health system, and its respective hospitals should seek to address. Hudson Hospital & Clinics (Hudson) and Westfields Hospital (Westfields) required assistance in the creation of their hospital specific implementation plans, incorporating the St. Croix County Community Health Needs Assessment, which had been created in 2009 by Hudson Hospital and St. Croix County Public Health. Health data from this assessment, combined with in depth interviews, a survey, and additional qualitative research (a facilitated focus group conducted on behalf of Regions and a town hall meeting conducted on behalf of Lakeview) were used to facilitate the creation of the hospital specific implementation plans for Hudson and Westfields. The research conducted by CHC Consulting resulted in the formation of a list of five health issues that were identified as being of paramount concern to the communities served by HealthPartners hospitals: Top Community Health Needs Findings Study of the state and county health data revealed many salient issues, including: o In 2010, Ramsey County had the highest heart disease mortality rate in the study area, while Dakota County had the lowest. o In 2010, alcohol related crashes, fatalities, and injuries cost the state nearly $240 million. o The percentage of Minnesota’s adult population diagnosed with diabetes has more than doubled since 1995. o In 2010, Cancer was the leading cause of death in the study area and in Minnesota. o The percentage of adult Minnesotans who smoke has decreased from 17.0% in 2007, to 16.1% in 2010. However, in 2010, young adults (18‐24 year‐olds) continue to have the highest smoking rate (21.8%) of all age categories. The St. Croix report findings included: o “Alcohol and Other Substance Use and Addiction” and Tobacco Use and Exposure” were identified in the top five health priorities for St. Croix County. o 22% of adults in St. Croix County use tobacco. o St. Croix County is among the top 10 counties in Wisconsin with the highest rates of binge drinking. Since 2000 the number of adult arrests for Operating While Intoxicated has increased dramatically. Regions Hospital Community Health Needs Assessment and Implementation Plan 5 Community Hospital Consulting August 2012 The confidential community stakeholder survey conducted by CHC Consulting revealed the following: o The health initiative, “Promoting change in negative habits (such as tobacco or substance abuse)” was rated as “Very Important” or “Important” by 39 out of 44 survey respondents. o The health initiative, “Promoting Chronic Disease Management” was rated as “Very Important” or “Important” by 38 out of 44 survey respondents. The one‐on‐one stakeholder interview findings included: o Minnesota reportedly has a “robust statewide effort” to change policy, system and the environment for nutrition, activity and the cessation of tobacco use. o State Health Improvement Program (SHIP) and other organizations represented in the interviews have been working to increase healthy lifestyle choices via education, exercise and other classes, but funding is limited. o Respondents cited problems with those who participate in the programs; specifically, with compliance and interest in the available programs. Study of the state and county health data revealed important statistics, including: o In 2010, more than one fourth of adults in Minnesota were obese (25.4%). The percentage of obese adults in Minnesota has increased significantly from 15.3% in 1995 to 25.40% in 2010. o In 2010, a higher percentage of 9th and 12th graders in Ramsey County were overweight and obese as their same age peers in Dakota and Washington counties. The St. Croix report findings included: o “Overweight, Obesity, and Lack of Physical Activity,” and “Adequate and Appropriate Nutrition” are rated as the second and third priorities for the community. o St. Croix County ranks near the bottom (66th out of 72) in the state in overall physical activity. o Nearly 80% of St. Croix County residents report eating an insufficient amount of fruits and vegetables. The confidential community stakeholder survey conducted by CHC Consulting revealed the following: o The health initiative, “Promoting positive health habits (such as exercise and good nutrition”) was rated as “Very Important” or “Important” by 42 out of 44 survey respondents. The
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