2020-2022 Community Health Plan

AdventHealth DeLand 2020-2022 COMMUNITY HEALTH PLAN Memorial Hospital - West Volusia, Inc. d/b/a AdventHealth DeLand Approved by the Hospital Board on: March 3, 2020 Community Benefit Manager: Ivy Guardiola-Torres [email protected] 1 2020-2022 COMMUNITY HEALTH PLAN Table of Contents Acknowledgements Sections Page This community health plan was 1. Overview 3 prepared by Debi McNabb, 2. Priority Issues to be Addressed 3 Director Community Benefit, Adult and Youth Behavioral Health 5 AdventHealth Central Florida Cardiovascular Diseases and Diabetes 7 Division – North Region, with Barriers to Accessing Health Care Services 9 contributions from members of Healthy Eating and Physical Activity 11 AdventHealth DeLand Community Health Needs Social and Economic Issues (Social 13 Determinants of Health) Assessment Committee 3. Priority Issues that will not be Addressed 15 representing health leaders in the community and AdventHealth 4. Appendices DeLand leaders. 5. Spring Hill Health Equity Zone 16 6. Referral and Communication Management System 17 We are especially grateful for the internal and external partners who helped guide the development of the community health plan, which will enable our teams to continue fulfilling our mission of Extending the Healing Ministry of Christ. 2 OVERVIEW Memorial Hospital - West Volusia, Inc. d/b/a AdventHealth DeLand will be referred to in this document as AdventHealth Deland or the “Hospital.” Community Health Needs Assessment Process AdventHealth Deland in DeLand, Florida conducted a community health needs assessment in 2019. The assessment identified the health-related needs of the community including low-income, minority and other underserved populations. In order to ensure broad community input, AdventHealth Deland created a Community Health Needs Assessment Committee (CHNAC) to help guide the Hospital through the assessment process. The CHNAC included representation from the hospital, public health experts and the broad community. This included intentional representation from low-income, minority and other underserved populations. The CHNAC met throughout 2018-2019. The members reviewed the primary and secondary data, helped define the priority issues to be addressed by the Hospital, and helped develop the Community Health Plan (CHP) to address the priority issues. The CHP lists targeted interventions and measurable outcomes for each priority issue noted below. It includes resources the Hospital will commit and notes any planned collaborations between the Hospital and other community organizations and hospitals. Priority Issues to be Addressed The priority issues to be addressed include: 1. Adult and Youth Behavioral Health 2. Cardiovascular Diseases and Diabetes 3. Barriers to Accessing Health Care Services 4. Healthy Eating and Physical Activity 5. Social and Economic Issues (Social Determinants of Health) See Section 3 for goals, objectives and next steps for each priority selected to be addressed. Priority Issues not to be Addressed The priority issues that will not be addressed include: 1. The Years of Potential Aging-related issues 2. Child and Adolescent Issues 3. Communicable and Infectious Diseases 4. Crime, Domestic Violence and Child Abuse 5. Early Childhood 6. Women’s Health, Prenatal Care and Birth Outcomes See Section 4 for an explanation of why the Hospital is not addressing these issues. 3 Board Approval On March 3, 2020, the AdventHealth DeLand Board approved the Community Health Plan (CHP) goals, objectives and next steps. A link to the 2020 Community Health Plan was posted on the Hospital’s website prior to May 15, 2020. The Community Health Plan can be found at https://www.adventhealth.com/community-health-needs- assessments. Ongoing Evaluation AdventHealth DeLand’s fiscal year is January – December. Implementation of the 2020 CHP begins upon its approval by the Board. The first annual evaluation will begin from the date of implementation through the end of the calendar year. Evaluation results will be attached to the Hospital’s IRS Form 990, Schedule H. The collective monitoring and reporting will ensure the plan remains relevant and effective. For More Information Learn more about the Community Health Needs Assessment and CHP for AdventHealth DeLand at https://www.adventhealth.com/community-health-needs-assessments. 4 CHP PRIORITY 1 Adult & Youth Behavioral Health Behavioral health includes mental health as well as substance use disorders and other addictive behaviors. Currently, the percent of Volusia County adults who have had 14 or more poor mental health days in the last month is statistically significantly higher than the state average.1 The Volusia County percent of adults limited by mental or emotional problems is higher than the state average.2 The percentage of Volusia County adults with depressive disorder is higher than the state average and the suicide rate is increasing and higher than the state average.3 Volusia County adult heavy/binge drinking has increased among white individuals. Alcohol suspected traffic Survey Snapshot: Top Five crash deaths increased in Volusia County at a rate that is Health Issues You are Most higher than the state of Florida. The earlier youth start using Concerned About substances, the greater their chances of continuing to use substances and developing substance use problems later in 21.4 life. The percent of student alcohol use is higher than the 51.6 state average. Volusia County’s rate of opioid-involved 23.4 overdose hospitalizations increased and is higher than the state average. The rate of death from opioid overdoses 42.7 increased in the last year and exceeds the Florida rate. The 44.2 percent of Volusia County adults who smoke is significantly higher than the state average. Cigarette use among Volusia County middle and high school students is higher than that of #1 Addiction (alcohol or drug) Florida. The percent of Volusia County middle and high #2 Homelessness school students using marijuana is higher than that of Florida. #3 Mental health problems #4 Unemployment AdventHealth DeLand recognizes the important link between #5 Child abuse/neglect good mental health and good overall health. Fifty percent of all lifetime cases of mental illness begin by age 14 and 75% by age 24. Mental health disorders can disrupt school performance, harm relationships and lead to suicide (the third leading cause of death among adolescents). 1 2016 Florida Behavioral Risk Factor Surveillance System 2 2016 Florida Behavioral Risk Factor Surveillance System 3 2016 Florida Behavioral Risk Factor Surveillance System 5 Barriers such as not recognizing the symptoms early on, or fear of labeling and stigma regarding mental health disorders, inhibit some adolescents and families from seeking help. Addressing this issue will help community members enjoy good mental health, which is essential to overall health and personal well-being. Establish a Healthy Equity Zone (HEZ) 4 in the Spring Hill neighborhood of DeLand to Goal reduce health inequities and provide access to mental health and substance abuse services. Work with community residents and community organizations to identify specific mental Objective health and substance abuse service needs within the community through an engagement process by the end of year one. Objective Work with community partners to increase access for 15% of HEZ neighborhood residents to obtain identified services (in home or in the neighborhood) by the end of year three. Establish a multi-agency referral and communication management system in Goal Volusia/Flagler County to effectively connect individuals in need to behavioral health care services. Support the development of a pilot project to connect health and behavioral health systems Objective through utilization of a referral and communication management technology launched by the end of year two. Goal Provide special programs for at risk students in the DeLand area. Support before school club with a faculty sponsor to focus on providing youth opportunities Objective for self-development, inspire youth to grow into healthy well-balanced adults. The before school club serves 30 at risk middle school young men annually at Southwest Middle School. Hospital Contributions • Allocate resources for a project manager to facilitate the development and implementation of the Health Equity Zone • Assign AdventHealth Hospital C-Suite leader to participate on the Health Equity Zone Steering Committee • Provide financial resources to support the development of a pilot multi-agency referral and communication management system in Volusia/Flagler County • Provide financial support for targeted youth programming 4 See Appendix A 6 Community Partners • Health Equity Zone partners will include resident leaders, AdventHealth DeLand Foundation, Department of Health in Volusia County, City of DeLand, County of Volusia, Healthy Start of Flagler and Volusia Counties and Volusia County Schools • The referral and communication management system will be launched by a collaborative of community organizations including hospitals and health care providers, county government, public schools and behavioral health care providers • C.A.T.A.L.Y.S.T. Global Youth Initiatives 7 CHP PRIORITY 2 Cardiovascular Diseases & Diabetes Cardiovascular diseases and diabetes is a priority because heart disease, stroke and diabetes are three of eight leading causes of death in Volusia County and account for more than 30% of all deaths. Volusia County’s hospitalization rate for coronary heart

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