2019 Community Health Needs Assessment www.enloe.orgEMC | 1 TABLE OF CONTENTS Missions, Vision & Values 1 Introduction 2 About the CHNA Purpose & Overview 3 2016 CHNA Response 4 Data Gathering 6 • Commitment to our Community • Lead Members • Service Area • Primary & Secondary Data Collection Community Resources 11 Executive Summary 13 • Priority Health Needs Conclusion & Action Plan 20 Works Cited 21 Appendix: Supporting Documents 2019 Behavior Risk Factor Survey, Issues & Answers • Report • Questionnaires Community Health Needs Assessment Focus Group Summary, Morrison Inc. • Report • Questionnaires Press Release • Poster & Social Media Posts 2 | CHNA MISSION, VISION & VALUES Enloe Medical Center’s Mission: To improve the quality of your life through patient-centered care. Enloe Medical Center’s Vision: Enloe Medical Center: The first choice for health care. Enloe Medical Center’s Core Values: • Focus on Patient Safety | We value an unwavering focus on patient safety that fosters not only technical excellence, but compassionate and safe care for the whole patient that encompasses mind, body and spirit. • A Culture of Service | We value the ideal that everyone within the organization is a caregiver and fully engaged in creating a culture of service. • Ownership and Empowerment | We value a work environment where caregivers take ownership of their actions and are empowered to work to their highest potential. • Integrity and Transparency | We value sharing information and emphasizing behavior that is consistently honest and reliable. • Mutual Respect | We value a healing environment that is built upon the respect of all individuals. EMC | 1 INTRODUCTION Enloe Medical Center is a 298-bed nonprofit 501[c]3 hospital with the mission of improving the quality of your life through patient-centered care. It: • Is one of two Level II Trauma Centers north of Sacramento • Houses the region’s only Level II neonatal intensive care unit • Operates the FlightCare air ambulance service Enloe’s comprehensive medical services include: • Bariatrics • Cardiac surgery and heart care • Cancer care • Maternity care and women’s services • Neurosurgery • Orthopedics • And total joint replacement Caregivers are focused on engaging each other to achieve higher quality of care, reaching out to patients and families to create meaningful programs and building bridges with the community to support health and well-being. Enloe Medical Center has a 105-year legacy of caring for its community. Today, the medical center is one of only few California hospitals still locally governed. The hospital’s community-based, volunteer Board of Trustees protects this local status and assures dollars earned are reinvested to improve the health of the community. Service Area Enloe Medical Center is located at 1531 Esplanade in Chico, Calif. Enloe’s primary service area encompasses six communities consisting of nine ZIP codes in Butte County. Enloe Medical Center Primary Service Area ZIP Code Place ZIP Code Place 95926 Chico 95969 Paradise 95928 Chico 95954 Magalia 95973 Chico 95948 Gridley 95965 Oroville 95938 Durham 95966 Oroville 2 | CHNA PURPOSE & OVERVIEW OF THE CHNA Under the Affordable Care Act, U.S. hospitals are required to conduct a Community Health Needs Assessment (CHNA) every three years. The assessment’s primary purpose is to objectively look at the current health needs of a community and the existing resources available to address those needs, then prioritize the unmet health needs and create a plan to address them. In Butte County, this has been a collaborative project, bringing together Enloe Medical Center, Adventist Health, Orchard Hospital and Butte County Public Health. Using the community feedback and health data gathered, the resulting response and action plan will help shape programs over the next three years. Report Adoption, Availability and Comments Enloe Medical Center’s Board of Trustees adopted this CHNA report in November 2019. This report is available to the public on the hospital’s website at www.enloe.org/CHNA. Comments on this report can be submitted to [email protected]. EMC | 3 2016 CHNA RESPONSE In 2016, Enloe Medical Center partnered with Butte County Public Health and the three other hospitals in our county to conduct a Community Health Needs Assessment. The outcome was an action plan that committed the focus of our outreach efforts on: • Social determinants of health • Chronic diseases • Substance abuse and mental illness Enloe Medical Center committed to identifying opportunities to collaborate with community partners to break down barriers associated with meeting these needs and help provide the education and tools members of our community need to be proactive in their health and lifestyle choices. Action Plan and Results from 2016 Community Health Needs Assessment Social Determinates of Health – The Centers for Medicare & Medicaid Services promotes the concept of an Accountable Health Community Model for addressing social needs that can improve health outcomes and reduce costs. In the coming years, Enloe Medical Center will continue fostering relationships throughout the community that support this model and promote connections between community members and essential services such as access to healthy foods, transportation, and safe living environments. Response – Enloe’s Community Outreach Program adopted a comprehensive intervention strategy that aligns with the Healthy People 2020 social determinates of health to increase awareness and access to necessary support services through community partnerships. The Chapman Town Family Wellness Fair for students of Chapman Elementary School and their families, as well as residents of the surrounding neighborhood, brought together 34 agencies to address needs such as healthy foods, clothing, and safe housing. Enloe Case Management offers a variety of support services to patients and families during hospital stays and upon discharge. Individuals with limited resources benefit from Case Management and the Compassion Fund set up through the Enloe Foundation. Enloe has long been a supporter of the Chico Performances Field Trip program, enriching the community with programs that support youth education and create access to underserved/at risk youth through equal opportunity programming. Chronic Disease – The top five chronic health conditions among Butte County residents, as identified by the Center for Medicare and Medicaid Services, are: • Hypertension (50.7%) • Hyperlipidemia (43.9%) • Arthritis (24.6%) • Diabetes (23.3%) • And ischemic heart disease (20.6%) In addition, Butte County residents have a higher than average incidence of chronic conditions, including depression, COPD, Alzheimer’s disease/dementia, cancer and asthma. Addressing the unmet social needs adversely influencing the health of the community is one way to lower the incidence of these chronic conditions. But education 4 | CHNA is needed to empower individuals to take charge of their health and move toward wellness. Response – Throughout the last three years, Enloe Medical Center hosted community health education programs and provided opportunities for individuals to learn directly from caregivers in the specialty areas linked to the top identified health needs. The Healthier You Class Series brought together physicians and health care professional to address common health conditions affecting older adults, including cancer, COPD and other respiratory illnesses, arthritis, breast health, diabetes, mindfulness, and dementia and Alzheimer’s disease. Enloe’s Facebook Live events have provided physician-community engagement through the convenience of digital media. Enloe hosts about 12 such events throughout the year and reaches approximately 4,000 viewers a month. We partnered with other programs and organizations to extend our reach and impact high-need areas, including the Alzheimer’s Association to host the “Healthy Heart. Healthy Brain” community education event, and the Total Joint Seminar addressing joint pain and arthritis. Additionally, Enloe’s Regional Cancer Center offers several year-around classes and events to provide opportunities for members of the community to engage with physicians and other health care professional on cancer-related topics. Substance Abuse & Mental Illness – This includes alcohol, tobacco, illicit drugs and prescription opioids, and continues to rise toward the top of pressing health needs for Butte County residents. In our region, nearly one-third of youth and adults struggle with mood disorders, such as depression, and roughly 20% of youth and adults experience a form of substance use disorder. Response – To help address the many needs of our community related to substance abuse and mental health, Enloe has partnered with other agencies throughout the community to offer education, support and access to resources. Enloe Medical Center partnered with local programs, agencies, coalitions and task forces dedicated to addressing: • Prescription overdose issues • Easy-access for safe disposal of medications • And educating youth on the consequences of flavored tobacco, vaping, e-cigarettes, and nicotine Additionally, agencies worked collaboratively with law enforcement, treatment providers, pharmacists, educators, advocates and community members at large to provide educational opportunities promote policy changes to address contributing factors such as density of retail alcohol and tobacco establishments, public smoking (including the use of vaping devices), and substance use