Prepared for: Prepared by: Our Lady of Lourdes Memorial Hospital, Inc. Research & Marketing Strategies, Inc. 169 Riverside Drive 15 East Genesee Street, Suite 210 Binghamton, NY 13905 Baldwinsville, NY 13027 www.lourdes.com www.RMSresults.com Our Lady of Lourdes Memorial Hospital, Inc. 2016-2018 Community Health Needs Assessment, Implementation Plan Implementation Strategy Our Lady of Lourdes Memorial Hospital, Inc. 2016-2018 Community Health Needs Assessment, Community Health Improvement Plan, Implementation Strategy TABLE OF CONTENTS EXECUTIVE SUMMARY Page Number Community Service Plan…………………………………………………………………………………..………...….………..….…...……...1 Comprehensive 3 Year Plan Format....................................................................................................1 Our Lady of Lourdes Memorial Hospital Mission Statement..............................................................4 SECTION 1: COMMUNITY HEALTH NEEDS ASSESSMENT 1.1 Primary Service Area ..................................................................................................................6 1.2 Community Demographics .........................................................................................................7 1.3 Community Resources Available to Address Community Health Needs.....................................9 1.4 Impact of Prior CHNA Implementation Plan…………………………………….……………..……….......…..…10 1.5 Community Health Need Status ................................................................................................13 1.6 Public Health Priorities: Process for Identifying and Prioritizing Community Health Needs and Services ...............................................................................17 1.7 Process for Consulting with Persons Representing the Community’s Interests……………..………20 1.8 Information Gaps Impacting Community Health Needs Assessment .......................................21 SECTION 2: PUBLIC PARTICIPATION & DISCLOSURE 2.1 Public Participation...................................................................................................................21 2.2 Public Availability of CHNA to the Public..................................................................................21 SECTION 3: COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY 3.1 Community Health Improvement Plan & Implementation Strategy (CHIP/IS) .........................23 3.2 Implementation Strategy .........................................................................................................23 SECTION 4: FINANCIAL AID PROGRAM ...........................................................................................29 SECTION 5: CHANGES IMPACTING COMMUNITY HEALTH/ PROVISION OF CHARITY CARE/ACCESS TO SERVICES……................................................................31 SECTION 6: FINACIAL STATEMENT ...................................................................................................31 i Our Lady of Lourdes Memorial Hospital, Inc. 2016-2018 Community Health Needs Assessment, Community Health Improvement Plan, Implementation Strategy Appendices: 1. Health Care Need Themes Appendix 1.1: Broome County Health Care Needs Themes – Qualitative Research Findings Appendix 1.2: Broome County Health Care Needs Themes – Qualitative and Quantitative Findings Appendix 1.3: Our Lady of Lourdes Memorial Hospital Health Community Health Needs Assessment Prioritization Process to Align Identified Health Priority Themes with NYSDOH 2016 Prevention Agenda Categories 2. Health Outcomes and Health Factors 3. FY 17-19 Integrated Strategic, Operational, and Financial Plan 4. New York State Department of Health Prevention Agenda Guidance Letter (November, 2015) 5. Documents and Resources Used in Research 6. Broome County Profile 7. Health Resources Inventory 8. Broome County Indicators for Tracking Public Health Priorities, 2013 - 2018 9. New York Department Of Health (NYDOH) Hospitalizations Due to Falls in Broome County 10. Healthcare Needs Theme Priority Worksheet 11. Community Stakeholder Interviews 12. Community Feedback from DSRIP Activities 13. Our Lady of Lourdes Memorial Hospital, Inc. 2016-2018 Community Health Improvement Plan and Implementation Strategy 14. 2015Community Service Plan 15. Consultant Qualifications Acronyms: CHNA: Community Health Needs Assessment CHIP: Community Health Improvement Plan IS: Implementation Strategy CSP: Community Service Plan ii Our Lady of Lourdes Memorial Hospital, Inc. 2016-2018 Community Health Needs Assessment, Community Health Improvement Plan, Implementation Strategy EXECUTIVE SUMMARY Community Service Plan This three year comprehensive Community Health Needs Assessment (CHNA) reflects the collaborative process between Our Lady of Lourdes Memorial Hospital, Inc. (Lourdes), community organizations and residents. The CHNA demonstrates Lourdes’ current and future commitment both clinically and financially to address the community’s health status by fulfilling its call to provide health care that works, health care that is safe, and health care that leaves no one behind. Lourdes is committed to making our community a stronger, healthier place to live. The plan covers a three year time period from 2016-2018. Annually, Lourdes reports the status on the progress of the CHNA. Changes to and between the Community Health Needs Assessment are documented annually in the Community Service Report. This report is approved by the Board of Directors and made publically available on the website (Appendix 1.1-1.4, and Appendix 14). Lourdes’ CHNA was a stepped process occurring from September 2015 to August 2016: 1. Identification of community health status themes, September 2015- May 2016; 2. Community health status prioritization, May-July 2016; 3. Development of Community Health Improvement Plan, July-August 2016; 4. Lourdes Board of Directors approval, September 2016; 5. Submission of CHNA/CHIP/IS to the New York State Department of Health, December 30, 2016. Due to differences in sequencing CHNA and CHIP requests by Ascension Health, the New York State Department of Health, and the Broome County Health Department, the Lourdes CHNA/CHIP maybe updated prior to the NYS Department of Health submission deadline of December 30, 2016, though any updates are not expected to be significant. Comprehensive 3-Year Plan Format: Community Health Needs Assessment (CHNA), Community Health Improvement Plan/Implementation Strategy (CHIP/IS) The previous 2013-2015 CHNA was used as a basis for the development of the current three year 2016-2018 Community Needs Assessment. In developing the 2016-2018 CHNA, an assessment was completed on the status of the 2013-2015 CHNA community health priorities. Following additional primary and secondary research, two of the 2013-2015 health priorities carried over to the 2016-2018 CHNA (table, page 3, herein). While progress was made by Lourdes and the community in improving health priorities, Lourdes and the community will continue to focus on the priority areas delineated herein (table, page 3, Appendix 1.1-1.4). The CHNA enhances Lourdes’ services to the community by identifying what services are most desired and needed by area residents. This CHNA is comprised of quantitative and qualitative analysis conducted by Research & Marketing Strategies, Inc. (RMS) to serve as a guide for Our Lady of Lourdes Memorial Hospital for 2016-2018. The plan is a comprehensive assessment of the community’s health needs and Lourdes’ response to community public health priorities. The quantitative research included a review of survey data from the various stakeholder groups. This data had statistical sampling significance. The qualitative work included: In-depth interviews (IDI’s) with community stakeholders as well as a review of focus group results from Medicaid and the uninsured population segments. During the CHNA research twenty health care needs themes were identified through qualitative (10 themes, Appendix 1.1) and quantitative research (10 themes, Appendix 1.2) Research resulted in the 2016-2018 community health priorities being behavioral health (mental health and substance abuse), obesity (and associated chronic disease) and the health issues associated with lower-income and socially vulnerable populations. The identified community health priorities and implementation strategies which will be implemented to align with the DSRIP Domain 4 efforts. 1 Our Lady of Lourdes Memorial Hospital, Inc. 2016-2018 Community Health Needs Assessment, Community Health Improvement Plan, Implementation Strategy Health Care Need Themes (1-10) – Qualitative Findings Theme 1: Increase services for mental health, behavioral health, and substance abuse. Theme 2: Affordability of healthcare services is seen as a significant access barrier for many people, particularly those with limited resources. Theme 3: Greater emphasis on preventive care and education regarding “healthy living”. Theme 4: Improve access to healthcare services, by ensuring timely appointments, expanded hours, and greater number of physicians accepting new patients. Theme 5: Communication and care coordination among providers should be significantly improved. Theme 6: Increase emphasis on receiving regular dental care among all segment of the county’s population. Theme 7: Improve transportation resources to and from healthcare service sites. Theme 8: Increase awareness and education of available community-based resources, particularly around identifying specialty care and chronic disease management activities. Theme