Wright Chemical Corporation NPL Site Public Health Assessment
Wright County Community Health Needs Assessment Plan...WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE...
Transcript of Wright County Community Health Needs Assessment Plan...WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE...
Wright County Community Health Needs Assessment Plan
2020-2022
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 1
TABLE OF CONTENTS EXECUTIVE SUMMARY 2-3 INTRODUCTION 3-4 COMMUNITY HEALTH VISION 4 MEMBER DESCRIPTIONS 4-6 DEMOGRAPHICS 6-7 EVALUATION OF 2017-2019 COMMUNITY HEALTH NEEDS ASSESSMENT 8-15 2020-2022 CHNA PROCESS AND TIMELINE 15-16 DATA COLLECTION AND COMPARATIVE ANALYSIS 16 2018 COMMUNITY HEALTH SURVEY RESULTS 17-18 DATA REVIEW AND ISSUE PRIORITIZATION 18 FINAL PRIORITIES 19 COMMUNITY INPUT 19-21 FINDINGS FROM KEY STAKEHOLDER GROUPS 21-22 NEEDS IDENTIFIED BUT NOT INCLUDED IN THE CHNA 22 IMPLEMENTATION PLAN 22-24 RESOURCE COMMITMENTS 24 EVALUATION OF OBJECTIVES 24 ALLINA AND CENTRACARE CENTRAL MN SYSTEM-WIDE ACTIVITIES 25-27 ACKNOWLEDGEMENTS 28 CONCLUSION 28
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 2
EXECUTIVE SUMMARY TobetterunderstandhealthissuesfacingthecommunitiesofWrightCounty,BuffaloHospital,partofAllinaHealth,CentraCare–Monticello,WrightCountyPublicHealthandWrightCountyCommunityActionpartneredtodevelopandconductaCommunityHealthNeedsAssessment(CHNA).Inearly2017,theorganizationsformedWrightCountyCommunityHealthCollaborativeinanefforttocollectandprioritizedatafromvarioussources,anddevelopajointcommunityhealthimplementationplan.Thepurposeofthecollaborativegroupistosystematicallyidentifyandanalyzehealthissuesinthecommunityandcreateaplanforhowtoaddressthem.ThegroupincludesallWrightCountyorganizationswhoareencouragedorrequiredtocompleteaCommunityHealthNeedsAssessment(CHNA).ThecollaborativeemployedtheMobilizingforActionthroughPlanningandPartnership(MAPP)frameworkwhichemphasizescollaborationofhealthcareentities,publichealthandcommunityorganizationsandiscentereduponcommunityengagement.TheCHNAutilizedavarietyofinformationsourcesandcommunityinputtoanalyzeandprioritizecommunityhealthissues.Thisinformationwasusedtodevelopthehealthimprovementactionplantoaddresstheidentifiedissues.ImportantactivitiesintheCHNAprocessareoutlinedinthisdocument,aswellasrolesandresponsibilitiesamongthepartnersinthecollaborative.TheCHNAprocesswasbasedonthepartnershipbetweenfourorganizations:BuffaloHospital,partofAllinaHealth,CentraCare–Monticello,WrightCountyPublicHealthandWrightCountyCommunityAction.MajorCHNAdecisionswerebasedonconsensusandopendialoguebetweenthepartners,aswellascommunityinput.Thecollaborativeagreedthatthedefinitionofhealthencompassesabroadrangeofconditions,notjusthealthintermsofhealthcare.Improvinghealthisnolongerabouttreatingandpreventingmedical
conditions;itistheimprovementofcompletephysical,mental,spiritualandsocialwell-being.RepresentativesfrompartneringorganizationsmetregularlyfromSeptember2017toJuly2019forprogressupdates,discussiononupcomingCHNAactivitiesandeventplanning.Allcorepartnersinthecollaborativecontributedtothecompletionoftheprocesstothebestoftheirabilityandutilizedthestrengthsandcapacityofvariousgroupmembers.ThepartnershipadoptedtheMAPPmodelforassessmentandplanning.MAPPisacommunity-drivenstrategicplanningprocessforimprovingcommunityhealth.Facilitatedbypublichealthleaders,thisframeworkhelpscommunitiesapplystrategicthinkingtoprioritizepublichealthissuesandidentifyresourcestoaddressthem.MAPPisnotanagency-focusedassessmentprocess;rather,itisaninteractiveprocessthatcanimprovetheefficiency,effectiveness,andultimatelytheperformanceoflocalpublichealthsystems.CommunityownershipisakeycomponentofMAPP.Participationfromthebroadercommunityleadstocollectivethinkingandsustainablesolutionstocomplexproblems.
MappProcessModel
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 3
Thiseffortincluded:(1)completionofaCHNAtosystematicallyidentifyandanalyzehealthprioritiesinthecommunity,and(2)developmentofaplantoaddresstheseprioritiesasacollaborativeandinpartnershipwithothers.Throughthisprocess,thecollaborativeengagedwithcommunitystakeholderstobetterunderstandthehealthneedsofthecommunitiesitserves,identifiedinternalandexternalresourcesforhealthpromotionandcreatedanimplementationplanthatleveragesthoseresourcestoimprovecommunityhealth.In2018,communitymembers,communityorganizations,publichealthandhospital/healthsystemstaffparticipatedinaprocessthatidentifiedthefollowingpriorityareasforcommunityhealthinthecommunitiesservedbythecollaborative:1) MentalHealthandWellness2) DentalCare3) SubstanceUseandAbuse
In2018-19,staffsolicitedcommunityinput,assessedexistingresourcesanddevelopedacommunityhealthimprovementplanfor2020-2022inordertoaddressthesepriorities.Thisimplementationplanincludesthefollowinggoals,eachofwhichissupportedbymultiplestrategiesandwillbeimplementedthroughavarietyofactivitiesmonitoredforprogressandoutcomesovertime.MentalHealthandWellnessgoal:Reducetherateofmentalhealthcaredelayandthenumberof“notgood”mentalhealthdaysinWrightCounty.DentalCaregoal:ReducetherateofdentalcaredelayinWrightCounty.SubstanceUseandAbusegoal:SupportlocalpreventioneffortsandadvocateforpolicychangestoaddresssubstanceabuseinWrightCounty.
INTRODUCTION WrightCountyCommunityHealthCollaborativewasformedinordertosystematicallyidentifyandanalyzehealthissuesinthecommunityandcreateaplanforhowtoaddressthem.ThegroupincludesWrightCountyorganizationswhoareencouragedorrequiredtocompleteaCommunityHealthNeedsAssessment(CHNA).TheInternalRevenueServiceprovidesguidelinesforhospitalsinthisprocessaspartofmeetingobligationsunderthePatientProtectionandAffordableCareAct,whichrequires501(c)(3)non-profithospitalstoconductanassessmentatleasteverythreeyears.EveryfiveyearsallMinnesotacommunityhealthboardsmustparticipateinassessmentandplanningtodeterminelocalpublichealthprioritiesandfocuslocalresources.WrightCountyCommunityAction(WCCA)isrequiredtocompleteaCommunityNeedsAssessmenteverythreeyearsasmandatedthroughStateandFederalfundingstreams.In2016,WrightCountyPublicHealthmadeadecisiontoalignitslocalpublichealthCHNAcyclewiththetwolargehealthcaresystemsoperatinginthecommunity–BuffaloHospital,partofAllinaHealth,andCentraCare-Monticello.WCCAwasincludedtobetterunderstandthespecifichealthneedswithinlow-incomepopulationsandenableallparticipatingorganizationstoworktogetherinconductingdatacollection,dataanalysisandprioritizationprocess.WCCAplanstoconductajointassessmenteverythreeyears.
LocalPublicHealthSystemStructure
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 4
Throughthisprocess,thecollaborativeaimsto:
•Betterunderstandthehealthstatusandneedsofthecommunitiesitservesbyconsideringthemostrecenthealthanddemographicdataaswellasgatheringdirectinputfromcommunitymembers.
•Gatherperspectivesfromindividualsrepresentingtheinterestsofthecommunity,includingthosewhohaveknowledgeorexpertiseinpublichealthandthosewhoexperiencehealthinequityorarelow-incomeand/orminoritymembersofthecommunity.
•Identifycommunityresourcesandorganizationsthatthecollaborativecanpartnerwithandsupportinthepriorityareasforthatcommunity.
•Createastrategicimplementationplanbasedoninformationgatheredthroughtheneedsassessment.
•Monitorandrevisetheplanasneededoverthenextthreeyears.
Thepurposeofthisreportistosharethecurrentassessmentofcommunityhealthneedsmostrelevanttothecommunitiesservedbythecollaborativeanditscommunityhealthimprovementplantoaddressthese2020-22needs.
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE SERVICE AREA
COMMUNITY HEALTH VISION OnOctober25,2017almost50stakeholdersfromacrossWrightCountymettohaveaconversationaboutshapingavisionforahealthiercommunityandprovidingdirectionforthenextcommunityhealthassessmentandhealthimprovementprocess.Numerouscommunityorganizationswerepresent:mentalhealthproviders,schools,businesses,healthcareproviders,governmentofficials,communitynon-profitorganizationsandcommunitymembers.Asaresultofthiscomprehensiveworkshop,thegroupframedtheCommunityHealthVision.
CommunityHealthVisionAscommunitymembers,wewillcommitto:•Engagement:increasecommunityabilitytomakeahealthychoiceaneasychoiceandinspireindividuallifestylechange•Collaboration:createsuccessfulpartnershipsandbuildleadershipsupportthrougheffectivecommunication,respectandwiseuseofavailableresources•Accessibility:streamline,expandandraiseawarenessofcommunityresourcesandopportunitiestoimprovethehealthofresidents•Connection:createinclusiveandinnovativesolutionstohelpeveryonefeelsociallyconnected,safe,supportedandhappyMEMBER DESCRIPTIONS BuffaloHospital,partofAllinaHealth
BuffaloHospitalisanon-profitregionalmedicalcentercommittedtoprovidingquality,patient-centeredandcomprehensivecaretopatientsinandaroundWrightCounty.Thehospitalprovidesafullrangeofinpatient,outpatientandemergencycareservicesandmanyspecialtyservices.Ithasbeennationallyandlocallyrecognizedforitsqualityofcare—particularlyitssafetyphilosophy,CommunityBenefitpracticesandemergencycare.Buffalo
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 5
HospitalwasalsothefirsthospitalinthestateofMinnesotatobeawardedthePathwaytoExcellenceAmericanNurseCredentialingdesignationandalsoreceivedanawardfromtheMinnesotaBusinessmagazinefordevelopingwellnessprograms.ClinicsaffiliatedwithBuffaloHospitalinclude:StellisHealthclinicsinAlbertville,BuffaloandMonticelloandAllinaHealthClinicsinAnnandale,Buffalo,CokatoandSt.Michael.ThehospitalalsohasalonghistoryofworkingtoimprovethehealthofthecommunitiesitservesthroughcharitablegivingbytheBuffaloHospitalFoundationanddirectcommunityhealth-improvementprogramming.BuffaloHospitalisproudtobeselectedasa2019WatsonHealthTop100SmallCommunityHospitalinthenation.TheWatsonHealth100Hospitalsstudy,formerlytheTruvenHealthAnalytics®study,identifies100top-performinghospitalsbasedonpubliclyavailabledataandabalancedlookatclinical,operationalandfinancialmetrics.WatsonHealth100TopHospitalsleadersdemonstratethatqualitycareandoperationalefficiencycanbeachievedsimultaneously,therebydeliveringgreatervaluetotheircommunities.CentraCare–MonticelloCentraCare-MonticellodeliverscomprehensiveservicestohelpyoutakechargeofyourhealthandenjoyeachdaytothefullestincludingamodernbirthcenterwithOB/GYNsandmidwives,state-ofthe-artMonticelloCancerCenter,five-starratedCareCenter,individualizeddiabeteseducation,skilledEmergencyDepartmentandLevelIVTraumaCenter,advancedlifesupportambulanceservice,comprehensiveorthopediccare,inpatientandoutpatientsurgicalservicesandwoundcareandhyperbaricmedicineservices.Inaddition,wesupportcommunityhealthandwellnessinitiativesincludingMonticelloandBigLakeFarmers’Markets,theannualBikeRodeoandHelmetSale,SafeCommunities,JustDriveandProjectH.E.A.L.Ourdedicationtoensuringaccesstoenhancedhealthcareservicesandsupportinghealthychoicesinourcommunitydemonstratesourcommitmentto
caringforeverypatient,everyday.Becauseahealthycommunityfeelsgoodforeveryone!WrightCountyPublicHealthWrightCountyPublicHealth(WCPH),adivisionofWrightCountyHealth&HumanServices(WCHHS),hasbeenworkingtopromotehealthandsafety,preventillness,andprotectourcommunitysince1951.WrightCountyPublicHealthhasalonghistoryoflooking"upstream"toidentifytherootcausesofpoorhealthandinforming,engagingandactivatingthecommunitytoaddressthosecauses.Publichealthfocusesonthehealthneedsofthepopulationasawholeandgivesprioritytopreventingproblemsoverthetreatmentofhealthproblems.Byfocusingonthegreatestgoodforthegreatestnumberofpeople,publichealthorganizescommunityresourcestomeethealthneedsandtakespositiveactiontoaddresscommunityhealthissues.WrightCountyPublicHealth,withpartners,createsenvironmentsthatpromotewell-beingandreduceshealthdisparitiesthroughempowerment,collaborationandservice.Wehave32staffmembersledbyaPublicHealthDirectorandthreesupervisors.ServicesarebasedontheAreasofPublicHealthResponsibility:assureanadequatelocalpublichealthinfrastructure,promotehealthycommunitiesandhealthybehaviors,preventthespreadofinfectiousdisease,protectagainstenvironmentalhealthhazards,prepareforandrespondtodisastersandassurethequalityandaccessibilityofhealthservices.Weusedatatomonitorhealthstatus,engagewiththecommunitytodevelopsolutionsandtakeaction,andworkwithawiderangeofpartnerstocreatepoliciesandplansthatensurethehealthofall.WrightCountyCommunityActionWrightCountyCommunityActionisanagencyfocusedoncreatingopportunitieswherelow-incomeindividualscanthriveandbuildeconomic,
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 6
socialandcommunityassets.Ourmissionis“toworkinpartnershipwiththecommunitytoempowerresidentstoimprovetheirphysical,social,andeconomicwellbeing”.WCCAdoesthisthroughitsmyriadofprogramsandserviceswhichprovidebothcrisisinterventionandpreventioneffortsforthoseexperiencing,orareatriskoffallinginto,thescopeofpoverty.WCCAutilizesamulti-generationalapproachtoprovidingserviceswhichallowsustoserveclientsfrombirthtobeyondretirement,andprovideseachclientwithcomprehensiveagencysupportacrossallprograms,leadingtogreateroutcomes.ProgramsthatarehousedoutofouragencyincludeHeadStart,EarlyHeadStart,EnergyAssistance,Weatherization,HomebuyerTraining,ForeclosurePrevention,WIC(Women,Infants&Children),MNsureNavigation,TaxPreparation,andtheAgingAllianceprogram.OurFoodShelflocationinWaverly,MNhousesallofourfoodsecurityeffortsincludingaMobileFoodShelf,EmergencyFoodBoxNetwork,BackPackprogramandFoodRescueinitiative.ThelastfewyearshasallowedWCCAtogothrougharebirthinwhichtheagencyisnolongera“hiddengem”,ratheracornerstoneforcollaborationandinnovativesolutionstocommunityconcerns.Throughallofitsefforts,WCCAalignswellwiththeWrightCountyCommunityCollaborativevisionbyprovidingbasicneeds,preventionservicesandencouragingcommunityhealthregardlessofeconomicstanding. DEMOGRAPHICS WrightCountyislocatedinCentralMinnesota,slightlynorthwestoftheTwinCities.WrightCountycovers716squaremilesandwithapopulationof131,130isMinnesota’stenthmostpopulouscounty.Thefollowingkeyindicatorsprovideabriefoverviewoftheregion.AdditionalinformationaboutWrightCountycanbefoundthroughtheU.S.CensusBureau.
POPULATIONIndicator Result SourceMedianIncome $77,953
U.S.CensusBureau,AmericanCommunitySurvey(ACS),2013-2017,5-yearestimates
Residentsinhouseholdswithincomebelowpovertyline
5.56% USCensusBureau,AmericanCommunitySurvey.2012-16
Medianage 36.0 U.S.CensusBureau,AmericanCommunitySurvey(ACS),2012-2016,5-yearestimates
Residentsunderage18
37,455 USCensusBureau,AmericanCommunitySurvey.2012-16
Residentsage65orolder
13,855 USCensusBureau,AmericanCommunitySurvey.2012-16
ResidentswithlimitedEnglishproficiency
1.4% USCensusBureau,AmericanCommunitySurvey.2013-17
Foreignbornresidents
2.9% USCensusBureau,AmericanCommunitySurvey.2013-17
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 7
RACEANDETHNICITYU.S.CensusBureau,DecennialCensusandPopulationEstimates,2017Indicator Result SourceWhitealone 93% U.S.Census
Bureau,DecennialCensusandPopulationEstimates-2017
BlackorAfricanAmericanalone
1.4% U.S.CensusBureau,DecennialCensusandPopulationEstimates-2017
Asianalone 1.2% U.S.CensusBureau,DecennialCensusandPopulationEstimates-2017
TwoorMoreRaces
1.2% U.S.CensusBureau,DecennialCensusandPopulationEstimates-2017
HispanicorLatino 2.8% U.S.CensusBureau,DecennialCensusandPopulationEstimates-2017
WrightCountyCommunityCollaborativemembersatthevisioningevent
HEALTHINDICATORSWrightCountyCommunityHealthSurvey,2018
Indicator Result SourceDelayedordidnotgetneededmedicalcareduringpast12months
20.2% WrightCountyCommunityHealthSurvey,2018
Adultsreportingdrinkinganyalcoholinpastmonth
72.8% WrightCountyCommunityHealthSurvey,2018
Adultswhoareoverweightorobese
68.2% WrightCountyCommunityHealthSurvey,2018
Adultsreportingfairorpoorgeneralhealth
7.1% WrightCountyCommunityHealthSurvey,2018
Delayedordidnotgetneededdentalcareduringthepast12months
23.7% WrightCountyCommunityHealthSurvey,2018
Delayedordidnotgetneededmentalhealthcareduringthepast12months
12% WrightCountyCommunityHealthSurvey,2018
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 8
EVALUATION OF 2017-2019 COMMUNITY HEALTH NEEDS ASSESSMENT BuffaloHospital,partofAllinaHealthGoalone:SupportmentalwellnessinWrightCountybyidentifyingandexpandingtheofferingofcommunitymentalhealthandwellnessandaddictionresourcesandstrengtheningsocialconnectionsandrelationships.MuchoftheworkinWrightCounty*topromotementalwellnessandprovidementalhealthresourceswasdonethroughBounceBackProjectandChangetoChillprogram.ThroughBounceBackProject,BuffaloHospitalprovidedseriesofclassesinseveralareamiddleandhighschoolsandimplementedvarioustoolsandcampaignsthroughouttheyeartopromotegratitude,socialconnections,randomactsofkindness,threegoodthings,mindfulnessandself-care.Inthelasttwoyears,theprojectexpandeditsreachfromBuffalotootherpartsofNorthwestRegionbycreatingcommunityteamsinAnnandaleandCokato.ThreeexistingteamsconsistofemployeesofAllinaHealthandcommunitymembersandaretaskedtodevelop,rolloutandsupportmanycommunity-basedmentalhealthandwellnessinitiativesforpeopleofallages.Offeringsincludegroupbookreads,gamedaysformultigenerationalinteraction,socialconnectionprogramsandspeakersforcommunitygatherings.ChangetoChill(CTC)TMChangetoChillisafree,onlineAllinaHealthresourcethatprovidesstressreductiontips,lifebalancetechniquesandhealtheducationservicesforteens.Morethan30,000uniqueusersvisittheCTCwebsiteeachyear,includingteachers,teensandparents.ThroughChangetoChill,hospitalwellnessspecialistsworkedwithstudentsintheclassroomandprovidedtrain-the-trainersessionstoadults.From2017through2019,BuffalohospitalstaffprovidedChangetoChill(CTC)curriculumtomorethan2,400studentsinareaschools.
Additionally,tosupportacultureofmentalwell-beinginlocalhighschools,AllinaHealthlaunchedtheChangetoChillSchoolPartnership(CTCSP)duringthe2018–2019schoolyear.BuffaloHospitalsupportedMapleLakeHighSchoolasthefirstChangetoChillSchoolPartnershipintheNorthwestRegion.Thepartnershipincludedfocusgroupswithstudents,peermentoring,messagesforparents,train-the-trainersessionsforstaffandadesignatedspacecalleda“ChillZone”forstudentsandstafftopracticeself-care.HospitalstaffalsocontinuedtosupportBetheChange,aninternalcampaigntoeliminatestigmaaroundmentalhealthconditionsandaddictionandensurethatallpatientsreceiveconsistent,exceptionalcare.VolunteerBetheChangeChampionsattendedtrainings.Additionalresourceswereprovidedthroughmeetings,webinarsandposterstoreinforcethemessageofreducingmentalhealthstigma.BuffaloHospitalalsoprovidesfinancialsupportandin-kindsupporttocommunityleadersworkingtoimprovementalwellnessinWrightCounty.Forexample,thehospitalhasbeenthesitefortheMinnesotaDepartmentofHealthmonthlyMentalWell-BeingandResilienceLearningCommunityforWrightCounty.TentimesperyearmembersofthecommunitygathertohearlearningsfromimplementingpublichealthprojectsinMinnesota.Localgroupsthendiscussthepossibilityofusingtheselearningsinthelocalcommunitysettingandapplyingbestpracticesforadvancingtheworkaroundcommunityhealthimprovement.Annually,BuffaloHospitalprovidescharitablecontributionstobethemainsponsorforEmotionsInMotion5KinBuffalo.TheeventishostedbySAVE(SuicideAwarenessVoicesofEducation),anonprofitresourceforthoseaffectedbysuicide.BuffaloHospitalalsoco-hostedandorganizeda‘Let’sTalkAboutIt’-eventincollaborationwithSAVE.TheeventwasheldatBuffaloHighSchoolandincludedameal,resourcefair,mainspeakerandyouthandadultpanelswithlocalpeoplewho•NorthwestRegionofAllinaHealthservicearea
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 9
havebeenimpactedbysuicide.Over450peopleattendedthisevent.BuffaloHospitalcreatedapartnershipwiththeDassel-CokatoAtoZorganizationandsupportingtheeffortstoprovideresourcesforstudents/individualsgoingintothefieldofmentalhealthandwellness.Tofurtherfostercollaboration,BuffaloHospitalholdsamonthlymentalhealthcommitteemeetingconsistingofrepresentativesfromBuffaloHospital,areaclinics,lawenforcement,mentalhealthprofessionals,WrightCountyHealthandHumanServicesandthefour-countycrisisteam.Thegoalofthecommitteeistobringtogetherorganizationsworkingwithmentalhealthconcernstodevelopcounty-widecollaborativesolutions.Buffaloalsohasseveralinitiativestoincreaseaccesstomentalhealthsupportinthecommunity.Thehospitalisahostforanannualretreatforwomenintreatmentorsurvivingcancer.Theeventprovidesvarietyoftoolstohelpdealwithstressandanxiety,includingyoga,creativityprojects,laughter,healthyeating,andsocialconnections.Additionally,thehospitalhiredamentalhealthprofessionaltoworkhalftimeintheclinicandhalftimeintheemergencydepartmenttoassistwithmentalhealthneedsandprovidetimelymentalhealthresourcesforpatientswhocometotheemergencyroomincrisis.Thehospitalprovidesongoingindividualandgroupbehavioralmodificationhealthcoachingandthe‘Let’sTalkWellness’programforcommunitygroupsfreeofcharge.Topicsforgroupsessionsincludemindfulness,meditation,relaxation,musictherapy,andstressmanagementandhavebeenprovidedatworkplacesandlocalmentalhealthcounselingcentersforstaffandpatients.Finally,inMayof2018,BuffaloHospitalintroducedtelepsychiatrytothepatientsinouremergencydepartment,alongwithcontinuouspromotionofthe24/7mentalhealthandaddictionresourcephonenumberatmanyofourcommunityeventsandgatherings.
Goaltwo:ReduceormaintainthelevelofobesityandincreasephysicalactivityamongthepopulationofWrightCountythroughprogramming,activities,andpoliciesthatpromoteandsupportahealthylifestyle.OngoingclassesandresourceshavebeenprovidedbyBuffaloHospitalwellnessstafftoyouthandfamiliesthroughHealthPoweredKids(HPK),afreecommunityeducationprogramfeaturing60+lessonsandactivitiesdesignedtoempowerchildrenagesthreeto14yearstomakehealthierchoicesabouteating,exercise,keepingcleanandmanagingstress.Additionally,yogaandTaiChiclasseswereofferedatworksitesandgroupeventssuchastheConnectRetreatforwomendealingwithcancer.BuffaloHospitalalsoprovidesfinancialsupporttocommunityleadersworkinginthisarea.Forexample,thehospitalprovidescharitablecontributionsthroughtheAllinaHealthMarketBuckprogramtoimproveaccesstolocalfitnessfacilitiesandaffordablehealthyfood.Additionally,from2017through2019,BuffaloHospitalprovided$90,000ingrantsthroughtheNeighborhoodHealthConnection™(NHC)programtosupportprogramssuchasTaiChiofferings,groupfitnessclassesandacommunitybikeprogram,amongothers.NHCisacommunitygrantprogramthataimstoimprovehealthbybuildingsocialconnectionsthroughhealthyeatingandphysicalactivity.In-kindsupportisprovidedbyBuffaloHospitalemployeeswhoareactivelyinvolvedinlocalgroupssuchasLiveWrightwiththefocusonobesity,Walk/BikeCoalitionandCrowRiverFoodCouncil.Finally,NorthwestregionclinicsandwellnessstaffhavebeenanactivepartoftheAccountableHealthCommunity(AHC)model.Becausesocialconditionssuchasfoodandhousinginstabilityinhibitaccesstocareandcontributetochronicdiseasessuchasmentalhealthconditionsandobesity,AllinaHealthimplementedtheAccountableHealthCommunities(AHC)modelthroughacooperativeagreementfromtheCentersforMedicare&MedicaidServices.Careteamsin78AllinaHealthsitesscreeneligiblepatientsforfivehealth-relatedsocialneeds:
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 10
housinginstability,foodinsecurity,transportationbarriers,difficultypayingforheat,electricityorotherutilities;andconcernsaboutinterpersonalviolence.Whenpatientsidentifyneeds,thecareteamprovidesalistofcommunityresourcestailoredtotheirneeds.Somehigh-riskpatientsreceiveassistancenavigatingtheresources.Goalthree:Supportcommunityaccesstoclinicalandnon-clinicalservicesinWrightCountybyengagingprovidersandcommunitypartnersincollaborativenetworkandresourcesharing.BuffaloHospitalfocusedonthesocialdeterminantsofhealthinNorthwestRegionwithapriorityonhealthyfoodaccess.Specifically,theworkinvolvedaddressingaccesstohealthierfoodandphysicalactivityofferingsforlow-incomeandfoodinsecurepopulations.Keyactivitiesincludedsupportinglocalorganizationsalreadyworkingontheissueoffoodinsecurityandaccessthroughcharitablecontributions,creatingopportunitiesandencouragingAllinaemployeestovolunteeratlocalevents,providingclassesonnutritionandhealthyeatingandlinkingWrightCountycitizenstolocalgrowers.Additionally,BuffaloHospitalprovidedprogramsandwellnessofferingsfreeofchargeandopentoanyoneinthecommunity.TwoofthefeaturedclassesareHealthyEatingforBetterHealth,afourweekseries,andDiabetesPreventionProgram,ayearlongprogram.Bothaddressbasicnutritionandfundamentalsofhealthyeatinganddevelopingexerciseprograms.BuffaloHospitalalsoprovidedLet’sTalkWellnessseriesthatcanbecustomizedtogroupsofanysize.Thetopicsfortheseriesarechosenfromanextensivelistofoptions.WellnessCoachingisavailable,alsofreeofcharge,andtargetsbehavioralmodificationwhileprovidingongoingsupportthroughgoalsetting.AllinaHealthemployeesalsocollaboratedwithteachersforfamilydinnernightsatourlocalAlternativeLearningCenter,providedcookingdemosandgrocerystoretourstomanyindividualsandgroupsinthecommunity.BuffaloHospital
hostsandmaintainsanon-sitestrawbalegarden.Producegrowninthegardenisusedforlocalcookingdemonstrationsandnutritionandproduceeducation.Inaddition,exerciseclasseshavebeenprovidedtocommunitygroupsandworksites.CharitablecontributionswereprovidebytheAllinaHealthMarketBucksprogramtoFareForAll(FFA),localPowerofProduce(POP)programsandlocalfoodshelves.NeighborhoodHealthConnectiongrantsprovidedassistancetolocalprogramspromotinghealthyeatingandphysicalactivity.In2018,theAllinaHealthBucksprogramserved294familieswith$2,940worthofproducepurchased!The‘bucks’areusedjustlikecash,andaregivenbyAllinaHealthdoctors,caremanagersandpublichealthnursestopatientswhoarefoodinsecure.Buffaloemployeeshavealsovolunteeredover375hourswiththeFoodGroup’sFareForAllprograminWrightCountywhichhasgrowntobethelargestinthestate.FareforAllisacommunityprogramofferingfreshproduceandfrozenmeatpacksat40percentoffretailprices,or$10and$25,respectively.ConnectingthedotsisanimportantpartoftheworkBuffaloHospitaldoesinthecommunity,bothbetweencommunitypartnersandwithourpatients,employeesandcareproviders.BuffaloHospitalhostsquarterlymeetingswithcommunityleaderstoidentifyneedsandlocatemuchneededresources;facilitatesbi-monthlymeetingswithregionalAllinaHealthleaders,andattendslocalchambersandrotarygroups.Thesecommunity-drivenprogramsandinitiativesaremakingadifference.Surveydatafrom2015to2018demonstratedsignificantincreaseintheconsumptionoffruitsandvegetables,decreaseinhighbloodpressureandcholesterol,noincreaseinBMIand14percentincreaseinfoodsecurityamongallrespondents.AllthesechangesandpositiveimpactisattributedlargelytothecollaborativeeffortbetweenallcommunitypartnerstoaddressthehealthneedsinWrightCounty!
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 11
CentraCare–MonticelloIn2016,CentraCareHealthSystemsharedthetop10priorityhealthindicatorswiththeirfiveregionalhospitals.CentraCare-Monticellowasaskedtoconsidertheindicatorsandnarrowthescopeofworkfortheirstaff.Thetopfourpriorityareasthatemergedfromthisprocesswere:ObesityandInactivity,MentalWellness,PrimaryCareAccessandDistractedDriving.Staffworkedtoidentifypotentialstrategiesthatwouldaddresseachpriorityarea.Animplementationplanwasdevelopedwhichincludedgoals,activitiesrelatedtogoal,leadcontacts,anticipatedoutcomesorresultsandprogressoneachactivity.Thisimplementationplanwasdesignedtoserveasastartingpointtoguidecollectiveaction.Theplanwasroutinelymonitored,evaluated,andprogressnotedastheprocessevolved.ForObesityandInactivity,severalactivitiesfocusedoncontinuedpartnershipswithlocalschooldistrictsandcommunitypartnerstopromotehealthyeatinginitiatives,activelivingandhealthylifestylesandwellnesscommunication.Thisstrategicworkoccurredthrougheducationtoschoolstaff,SafeRoutestoSchoolplanninggrantinvolvement,communityactivitiespromotingsafebikingandfamilyengagementinactivelifestylesandinstallationofdigitalsignagerelayinghealthandwellnessinformationandevents.MentalWellnessworkfocusedonpromotingcommunityresiliency,awarenessofservices,participatingincollaborativeeffortsaroundmentalwellnessandimplementingasmallgrouphighschoolpilotprogramincorporatingresiliencytools.ThemajorityofthisstrategicworkwasaccomplishedutilizingCentraCare-Monticello’sprogramtheBounceBackProject,whosetaglineisPromotingHealthThroughHappiness.TheBounceBackProjectteamgavemultipleresiliencepresentations,hostedboothsatcommunityevents,helpedsponsorschoolrelatedserviceprojects,communitybookreads,andhostedeventsandactivitiespromotingself-care.Theteamalsopilotedasix-weekresiliencycurriculuminMonticelloHighSchool’salternativelearningprogram.Asocial
workerwasalsoaddedtotheteamatProjectH.E.A.L.,whichisamonthlyfreehealthscreeningofferedintwolocalcommunities,toprovideaccessandreferralinformationrelatedtomentalwellness.ActionsintheareaofPrimaryCareAccessfocusedonthecontinuedrecruitmentofprimarycareproviders,addingtwobytheendoffiscalyear2017.ProjectH.E.A.L.wasexpandedtoitssecondlocationandmidwiferyserviceswereaddedoncampus.Staffattendedseveralwellnessfairsandprovidedlunch-and-learnpresentationstopromotetheadditionoftheseprimarycareaccessopportunities.Finally,concentratedeffortstobringawarenesstoDistractedDrivingwereundertaken.ACentraCare-MonticellorepresentativejoinedtheSafeCommunitiesofWrightCountyBoard.WesponsoredandparticipatedinourlocalJustDriveDayannually.Weincreaseddistracteddrivingawarenessatlocalfarmer’smarkets,healthfairs,andexpos.Wealsoappliedforandwereawardedfundstopurchasea“drivingsimulator”toeducatestudentsandadultsaboutdistractedorimpaireddriving.WealsoapprovedaCentraCare-Monticelloemployeepolicyonsafedriving,requiringeliminationofalldistractionswhiledrivingforwork,drivingacompanyvehicle,ordrivingwhilebeingreimbursedforwork-relatedmileage.WrightCountyPublicHealthPriorityissue–ObesityTheongoingfinancialsupportprovidedbybeingagranteeoftheStatewideHealthImprovementPartnershiphasallowedWrightCountyPublicHealth(WCPH)anditscommunitypartnerstoimplementavarietyofeffortsthatpromotehealthierchoicestobendthecurveofobesity.TheLiveWrightCollaborativeisthelocalcoalitionsupportingthesecountywideefforts.StrongcommunitypartnershipshaveallowedWCPHtobecomprehensiveinthetacticstopromotehealthyeatingandactiveliving.WehaveworkedwithfarmersmarketstostartPowerofProducekids'clubs,supportedschoolstomakehealthychoicesaneasierchoiceandareinvolvedintheCrowRiver
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 12
FoodCouncil.Wehaveworkedtoincreasephysicalactivitythroughactiverecessinschools,conductingwalkablecommunityworkshopsandsaferoutestoschoolplanning.Thisworkisguidedbyevidence-basedapproachesthatfocusonpolicy,systemsandenvironmentalchanges.Goal1:IncreasehealthyeatingamongyouthandadultsIncreasetheprevalenceofadultswhoeatrecommendednumberoffruitsandvegetablesdailyfrom35%to50%byDecember31,2018.The2019MinnesotaStudentSurveyresultswerenotavailableatthetimeofthisdocumentbeingcompleted.2018SurveyFindings:41.6%Adultsreportedeatingrecommendednumberoffruitsandvegetables.Goal2:IncreaseactivelivingamongyouthandadultsIncreasetheprevalenceofadultsmeetingphysicalactivityguidelinesfrom25%to51%byDecember31,2018.(2015–5ormoredaysof30+minutesmoderateactivity).The2019MinnesotaStudentSurveyresultswerenotavailableatthetimeofthisdocumentbeingcompleted.2018SurveyFindings:27.7%ofadultsreported5-7daysof30+minutesofmoderatephysicalactivity.Priorityissue–MentalWell-BeingOverall,WCPHapproachinaddressingmentalwell-beingiscompletelydifferentfromwhatwasproposedinthe2015-2019CommunityHealthImprovementPlan(CHIP).Thechallengesforpublichealtharetoidentifyriskfactors,increaseawarenessaboutmentaldisordersandtheeffectivenessoftreatment,removethestigmaassociatedwithreceivingtreatment,eliminatehealthdisparities,andimproveaccesstomentalhealthservicesforallpersons,particularlyamongpopulationsinWrightCountythataredisproportionatelyaffected.Weworkedinthelast2yearstoincorporatementalhealthpromotionintochronicdiseasepreventionefforts,conductsurveillanceandresearchthelandscapeofservicesavailabletoimproveunderstandingandoutreacheffortstopromotementalwell-being,and
collaboratedwithpartnerstodevelopmorecomprehensivementalhealthplanstoenhancecareandeliminategaps.Theprogresswemadeasadepartmentandcommunitycannotbedescribedinstrategies,goalsorobjectivesdeveloped.TheprogresscanbemeasuredinthedifferentapproachWCPHistaking,inthediscussionstheorganizationhavehadinternallyandexternallytolearnmoreaboutmentalillnessandmentalwell-being,chartingorganization’spathforthenextCHNA,whichhasledtotheidentificationofspecificstrategiesandgoals/SMARTObjectivesforthenextimprovementplancycle.Priorityissue–UseandAbuseofAlcohol,TobaccoandOtherDrugsPeople’suseandabuseofdrugscontinuetotakeatollonourcommunities.Overthelastfiveyearswehaveseensubtleshiftsintherateofuseandsubstancesofuse.ThishasrequiredWCPHtobenimbleinplanningandimplementingtheeffortstoaddressspecificproblems;youthuseofelectroniccigarettesandthemisuseofopioidsamongouradultpopulation.Themediaattentiongiventothisissuesalsocreatesanopportunityfortheorganizationtoelevatekeymessagesandworktochangespecificpolicy,systemsandenvironmentstocurbtheaccessibilityanduseofsubstances.Goal1:Reduceduseandimpactofalcohol,tobacco,illegaldrugsandthemisuseofprescriptionmedicationsthroughworkwiththedrugpreventioncoalitionofWrightCounty—MentorshipEducationandDrugAwareness(MEADA).Increaseactivecoalitionmeetingparticipationbyatleast25percentbyDecember31,2018.(8representativesonaverageattendquarterlymeetings).Status:Wehaveincreasedmembershipsporadicallyhowever,thebiggestthingwehavedonearoundtheactivityofthecoalitionisthatitnowmeetseveryothermonth.Wedidincreasetheaveragenumberofcoalitionmembersattendingmeetingsto10ateverymeetingduring2018.ByDecember31,2018,theMEADAmembershipwillconstituteacountywiderepresentationofindividualsandorganizationswithpersonaland
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 13
professionalexperienceinAlcohol,TobaccoandOtherDrugs(ATOD)preventionanduse.Status:Forthisobjectivewehaveseenanimprovementinrepresentationwhenitcomestothepersonalandprofessionalexperience,howeverwestilllackinginthegeographiclocationsideofit.Membershipspansfieldsofworksuchas,lawenforcement,schoolstaff,hospitalstaff,treatmentproviders,drugcourt,communitymembers,publichealthofficialsandcountycommissioners.However,membershipisstilllargelyrepresentativesfromBuffaloarea,HowardLake,Monticello,CokatoandSt.Michael-Albertville.WrightCountyCommunityActionIn2017,WrightCountyCommunityActionunderwentastrategicplanningprocessutilizingcommunitystakeholderconversationsandinsight.Severalkeypriorityareasinfluencedstrategicgoals,objectives,andstrategiesthatwillleadtheagencytowardgrowthandincreasedclientoutcomes.Thefollowingprogrammaticfocusesarekeyelementsofthosestrategiesandcontributetothecommunity’shealth.FOOD INSECURITY Underthenutritionsegmentsofouragency,wesetthreestrategies:evaluatespaceneedsandopportunities,consistentlyevaluatenewopportunitiestoprovidecomprehensivenutritionservicesandimproveFoodShelfoperations.Inlate2016,wetransitionedtheFoodShelftoa‘clientchoicemodel’,whichgaveclientsgreaterfreedomtomeettheirspecificneeds.Inordertofulfillourexpandedservicecapacity,weinvolvedSecondHarvestHeartlandandotherfooddistributionservices.Wealsoexpandedourbusinesshoursto35hoursaweekbyincludinglongereveninghours.Priorto2017,ourrefrigerationinfrastructurereducedourclient’sabilityofchoiceduetolimitedspace.Bythespringof2017,wewereabletoleveragelocalgrantfundingtopurchasetwomodularcoolersandacommercialfreezer.Wehavealsomadesignificant
buildingimprovementstomaximizeservicecapacityanddrystoragespace.WealsorecognizedthatourremotelocationinWaverlyprovidedachallengetopotentialclientswithlimitedtransportation.Toaddressthisneedandgapsinthehoursofavailabilityandservice,welaunchedtheWrightCountyEmergencyFoodBox(EFB)programinthesummerof2017.Thisprogramconsistsofcontainersholdingthirty-poundsofnon-perishablefoodsatasatellitepartner.Moreimportantly,eachboxalsoprovidesspecificeducationalresources,includingthehoursandlocationsofallareafoodshelves,withtheintentionofinformingtheclientabouttheirnextstepinresolvingtheirfoodinsecurity.Hostsitesreceivetrainingonthedistributionofboththefoodandtheresources,allowingourclientstoreceivecounselingabouttheirsituation,aswellasmaterials,fromatrustedmemberofthecommunity.InSeptember2017,wecontinuedourFoodShelfprogrammingexpansionbylaunchingourMobileFoodShelfprograminordertoservehomeboundseniors.Bycollaboratingwithseniorlivingcommunities,weexpandedfoodaccessdirectlytoourclients’doorsteps.ClientsselectitemstheyneedfromamenuandhaveaccesstoavolunteerEnrollmentSpecialist.Then,dedicatedvolunteerspackanddelivertheitems.BuildingoffthesuccessoftheBackPackFoodProgram,whichlaunchedin2016forHeadStart/EarlyHeadStartfamilies,theHowardLake-Waverly-Winstedschooldistrictapproachedusinthefallof2017.Theschooldistrictrequestedweexpandouroperationstoservetheneedsoftheirlow-incomestudents.Afterextensivelogisticsplanningandexecution,weareproudthatourrelationshipcontinuestoday.Furthermore,wealsoexpandedourBackPackprogramtoserveMeeker&WrightSpecialEducationCooperative(MAWSECO).Overall,ourstrategiesandinnovativeprogramminghaveincreasedtheclientsservedbyover200%.
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 14
Alwaysworkingtoreduceouroverheadthroughthriftydesign,inthewinterof2018WCCAenteredintoaFoodRescuepartnershipwithalocalgrocer.Thisprogramwillengagevolunteersingivingbacktothecommunity,furthercreatingcapacitywithinouragency,providepartnertaxincentivesandoverallreducingediblewastefromourlocalgrocers.HEAD START/EARLY HEAD START Asapartoffederalperformancestandards,HeadStart(HS)andEarlyHeadStart(EHS)mustconductaNeedsAssessmenteveryfiveyearsalongsideanannualself-assessment.Thisallowsprogramleadershiptomonitorprogressontheirgoals.Currentkeygoalsoftheprogramincludeimprovingthequalityofprogramming,increasingfamilyoutcomesandstrengtheningschooldistrictpartnerships.In2017,HSwasabletoextendthehoursofprogrammingforalimitednumberofcenters.Twomorecenterswillbefollowingextendedhoursinthe2019–2020schoolyear.Byincreasinghoursofoperation,wearemeetingtheneedsoffamilyschedules,aswellasengagingthechildreninanimprovededucationalstructureandcurriculum.Toimprovethequalityofprogrammingandstaffdevelopment,HS/EHSalsoimplementedReflectiveSupervision.Thisprocessallowsteacherstoreflectondifficultsituationstheyencounterinahealthyandproductiveway.Thisincreasestheteachers'mentalwell-beingtoincreaseservicetothechildrenintheircare.Furthermore,ourincreasedpartnershipswithmentalhealthprovidershavemovedusfromanobservation-basedassessmenttoaninteractiveevaluation.Alsoin2017,theprogrampilotedanewstaffpositioncalledFamilyAdvocateinordertoprovidealiaisonbetweentheclassroomandcaregivers.Thisrolesupportstheentirefamilybyprovidinghomevisits,referrals,andincreasedconversationaroundgoalswithparentsandcaregivers.Duetothepilot’ssuccesssinceimplementingthismodel,weincreasedcapacityforFamilyAdvocatesand
nowemploysfourpositionstosupportvariouscentersthroughoutthecounty.Thisconcentratedeffortona2Gen/WholeFamilyapproachhasledtogreaterfamilyoutcomes.WCCAcollaboratesextensivelywiththeMonticelloSchoolDistrictinWrightCounty.TherearefourclassroomsinMonticelloSchoolwhereHSfundedanddistrictfundedchildslotsareinthesamerooms.Theseclassroomsarereferredtoas“blended”becauseobserverswouldnotbeabletotellwhichchildrenwerefundedbyHS,andwhichchildrenwereinthedistrictfundedpreschoolprogram.Thismodelhelpsimprovesocialconnectednessamongstchildrenofvaryingeconomicclasses.AGING ALLIANCE Duringthe2017strategicplanningprocess,WCCAspecificallycalledoutthefollowingstrategiesfortheAgingAllianceprogram:(1)ImplementservicesthatmeettheneedsofagingadultsinWrightCounty,(2)EvaluatehowWCCAprogramscanhelpagingadultslivelongerintheirownhomesand(3)Fosterstrongpartnershipswiththecounty,healthcarefacilities,andlocalnonprofitorganizations.WCCA’sAgingAlliancelaunchedin2018andfocusesonprovidingservicesforolderadultswiththeintentionofhelpingthemlivelongerintheirownhomes.TheprogrampremieredinearlyspringbyprovidingAssistedTransportation,whichremovesthebarrierofaccesstobasicneedssuchasgrocerystores,medicalappointments,pharmacyrunsandsocialservicesappointments.TheprogramgrewrapidlythroughouttheyearwiththehelpofaqualifiedandpassionateDispatcher,whotakesspecialcaretoconnectthevolunteerdriverwiththerightclient.Thisattentiontodetailallowstheprogramtohaveanadditionalelementofsocialandemotionalsupportasthedriversandclientsspendhoursontheroadtogethersharingcompanyandreducingtheriskofseniorisolation.By2018,WCCAlaunchedhomemaker/housekeepingserviceswiththemissionofallowingolderresidentstobeabletolive
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 15
inasafeandhealthyenvironmentandreducetheriskofslips,fallsandaccidentswhilemaintainingtheirhome.Thesuccessofthesetwoservices,partneredbythecounty’sgreatneedforsenior-focusedservices,allowedtheagencytobeawardedaLiveWellatHomegrantthroughMinnesotaDepartmentofHumanServicesalongsideTitleIIIfundingthroughCentralMNCouncilonAging.Soonafter,theagencywasabletolaunchcoreservicesalongsidetheirhousekeepingprogramandbegincoordinatedeffortstoreduceseniorisolationthroughsocialeventsandvolunteerism.ByMay2019,WCCAwasserving16seniorsonaweeklyorbiweeklybasisthroughitshousekeepingandchoreprogramandover72seniorswithAssistedTransportation.ApipelineofclientsdemonstratestheincreasingneedfortheseservicesthroughoutWrightCounty.ThispipelinewillcontinuetogrowasBabyBoomerscontinuetoagefurtherintoretirement.
2020-2022 CHNA PROCESS AND TIMELINE TheWrightCountyCommunityHealthCollaborativedesignedaprocessthatengagedcommunitystakeholdersthroughoutandincludedbothreviewofexistingsecondarydataandcollectionofprimarydatathroughlocalsurvey,ElectronicMedicalRecords(EMR)dataanalysis,communitydialoguesandfocusgroups.Staffofeachorganizationprovidedleadershipfortheprocessdesignedtoidentifyuniqueneedsanddeveloplocalizedactionplans,whilealsoidentifyingcommonthemesforactioncommunity-wide.OrganizingandPartnershipDevelopment:August–September2017
a. EstablishtheCoreCommittee:BuffaloHospital,partofAllinaHealth,CentraCare–Monticello,WrightCountyPublicHealthandWrightCountyCommunityActionrepresentatives.
b. DeveloptheMAPPSteeringCommittee:representativesfromnon-profitorganizations,healthcare,schools,diverseculturalcommunities,businesses/chambersofcommerce,lawenforcement,cityandcountyofficials,subjectmatterexperts,andotherleadersinthecommunity.Thisgroupwillserveanimportantroleascommunityrepresentativesandissueexperts.TheMAPPCommitteewillbeconvenedduringseveralkeyphasesoftheCHNAprocess;includingvisioning,datareview,andhealthissueprioritization.CommunityBenefitAdvisoryCouncil(CBAC)willserveasabasegroupfortheMAPPSteeringCommittee.
Visioning:October–December2017
a. HoldaVisionandValuessessionwiththeMAPPSteeringCommittee,facilitatedbytheCoreCommitteeandexternalfacilitator.ThiswillproduceasharedVisionandValueswhichwillguidetheworkofthecollaborative.Thisisalsoanopportunitytoincreasevisibilityofthepartnership,buildrelationships,andadvocatefortheimportanceofimprovingcommunityhealth.
b. DraftVisionandValuesstatementsfromtheVisioningsessionandsharewiththeMAPPSteeringCommittee.CollectfeedbackandfinalizeVisionandValuesstatementbytheendofDecember2017.
DataGatheringandAnalysis:October2017-December2018
a. DevelopanddeploylocalWrightCountyPublicHealthsurvey–developandrevisesurveyApril-May2018,sendsurveyinAugust2018,dataanalysisNovember-December2018
b. LocalPublicHealthSystemAssessment–January1,2017-December312017
c. ForcesofChangeAssessmentandAssetsdiscussion–May7,2018
d. Gatherpubliclyavailabledatathatcaninformhealthissueprioritizationandplanning–October2017-August2018
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 16
e. WrightCountyPublicHealth:HealthEquityDataAnalysis–October2017-April2018
f. GatherlocalhealthindicatorsthroughElectronicMedicalRecords(BuffaloHospital,partofAllinaHealthandCentraCare–Monticello)–April–August2018
g. WrightCountyCommunityActionCommunityNeedsAssessment–January–August2018
h. Gathercommunityanecdotaldata(WrightCountyFair)–July18-22,2018
PrioritizeHealthIssues:August2018-January2019
a. ConveneMAPPCommitteeinadatareviewsessionandstartprioritizationofhealthissues–August13,2018
b. Gathercommunityinputthroughdialoguesandfocusgroupsinthecommunity
c. Analyzedatatoidentifythetop3prioritiestobecomethefocusoffutureCHNAplanningwork.
DevelopActionPlans:January-May2019a. Collaborativeproducesjointaction
(implementationplan)focusingontop3chosenprioritiesandjointtactics/activitiestoaddressthosepriorities.
b. ConductCommunityActionSummittoshareresultsofCommunityNeedsAssessmentanddevelopthetacticstoaddresssocialdeterminantsofhealth–May30,2019
c. Metwithlocalcoalitions,advisorygroupsandtaskforcestoalignactivitiesandbuildrelationshipswithcommunitypartners.
ImplementationandMonitoringofActionPlans:2020–2022
a. Celebratesuccesses-finalMAPPCommitteemeetingand/orcommunicationtoreviewactionplansandcelebrateaccomplishmentsthusfar.
b. Beginimplementationof2020-2022plans.c. Regularmeetingstofurther
implementationandmonitorprogress.
DATA COLLECTION AND COMPARATIVE ANALYSIS WrightCountyCommunityCollaborativeutilizedavarietyofinformationanddatasourcesalongwithgatheringcommunityinputtoanalyzeandprioritizecommunityhealthissues.Thedatasourcesincluded:•MinnesotaStudentSurvey•USCensusBureau(demographicdata)•FeedingAmerica(foodinsecurity)•USDepartmentofEducation•CDCandUSDepartmentofHealthandHumanServicesdata•USDepartmentofAgriculturestatistics•USDepartmentofLabor•CountyHealthRankings•USDepartmentofHealthandHumanServices•DartmouthCollegeInstituteforHealthPolicyandClinicalPractice(chronicconditionsdata)•ElectronicMedicalRecords(EMR)datafromlocalhealthcareproviders•Datagatheredfromlocalfocusgroups,communitydialogues,visioningandcommunityeventsThechallengesofanalyzingthedatafromabovementionedsourcesincludedlackofconsistencyininterpretationofthedata,applicabilityofthedatainrelationtothehealthissuesthecountywasfacing,timerelatedconcerns(inmanycases,mostrecentdataavailablewastwoorthreeyearsold)andmostimportant,lackofunbiased,consistent,measurableinformationcollecteddirectlyfromthecommunitythecollaborativegroupserved.Inearly2015,theideaofconductingalocal,currenthealthsurveywasintroducedbyWrightCountyPublicHealth.Withthesupportoflocalhealthcaresystems(BuffaloHospital,partofAllinaHealth,andCentraCareHealth—Monticello),thesurveywasadministeredtoWrightCountyresidentsin2015,andagainin2018,whenWrightCountyCommunityActionjoinedthecollaborative.
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 17
2018 COMMUNITY HEALTH SURVEY RESULTS BACKGROUND: -Thepapersurveywasmailedto8,000people;1,600ineachofthefivecommissionerdistricts.-Probabilitysample;byaddressandadultwithmostrecentbirthday.-Twocopiesofsurveysentwithpostcardreminderinbetween.-In2015,thesurveyhad2089completions–26.1%responserate.-In2018,thesurveyhad2039completions-25.5%responserate.-Datastatisticallyweightedtoaccountforsampledesignanddifferentialresponsebygenderandage.-FundingforthesurveywasreceivedfromMinnesotaDepartmentofHealth(SHIPprogram),CentraCare–MonticelloandBuffaloHospital,partofAllinaHealth.Duetolimitedfunding,in2018thesurveywasshortenedfromsixtofourpages.However,thequestionsusedforcomparativeanalysiswerenotchangedtohelpensureconsistencyandcomparability.TOP 5 HEALTH ISSUES FACING WRIGHT COUNTY Topfiveissuesidentifiedinthe2018surveyarethesameasthoseidentifiedin2015-People’sattitudesareshiftingtoseriousproblemasresponsesfortop5issuesfacingWrightCounty
2018 Moderate/Serious Problem 1. Distracted Driving 83% 2. Obesity 66% 3. Lack of Physical Activity 65% 4. Illegal drug use among teens 63% 5. Illegal drug use among adults 59%
Obesity According to height and weight status that respondents provided in their survey, it
shows that 29% are considered obese. The overweight and/or obese survey respondents represent 2 in 3 adults. - 42% reported consuming 5 or more servings of fruits/vegetables day yesterday - 28% reported 30 minutes or more of moderate exercise 5-7 days per week
Utilization of Health Care
during past 12 months and
“Foregone Care”
20% delayed or did not get needed Medical Care - Most common reason: Not serious enough (48%) 24% delayed or did not get needed Dental Care - Most common reason: Cost too much (59%) 12% delayed or did not get needed Mental Health Care - Most common reason: Not serious enough (41%)
General Health
Status and Behaviors
- 93% of adults report their health as good/very good/excellent - 11% of adults report being smokers - 73% of adults report any alcohol use in the past 30 days - 27% report ever being told by a doctor that they had any mental health problem - 33% reported at least one day of not good mental health in the past 30 days - 16% of adults reported that they worried about food running out during the past 12 months
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 18
Better 2015 2018Highbloodpressure/hypertension
26.3% 23.9%
Highcholesterolortriglycerides
28.9% 27.6%
0notgoodphysicalhealthdaysinthelast30days
58.1% 66.4%
0notgoodmentalhealthdaysinthelast30days
64.4% 67.2%
0servingsvegetablesyesterday
14.5% 11.0%
0servingsfruit/fruitjuiceyesterday
17.4% 15.3%
0servingsfruits/vegetablesyesterday
6.5% 3.7%
5+servingsfruits/vegetablesyesterday
35.8% 41.6%
“Never”worriedaboutfoodrunningoutduringthepast12months
70.3% 84.4%
Participateinanyphysicalactivityduringthepast30days
82.9% 86.0%
Moderateexercise5-7daysperweek
25.0% 27.7%
Vigorousexercise3-7daysperweek
25.7% 30.6%
Currentcigarettesmoking 11.5% 10.6%
Anyalcoholdrinkinginpast30days
76.3% 72.8%
Worse 2015 2018Asthma 9.6% 12.0%
Anxietyorpanicattacks 15.9% 18.0%
Delayeddentalcareduringthepast12months
19.9% 23.7%
Currentsmokerswhotriedtoquitduringthepast12months
48.2% 44.9%
Driverswhomakeoransweraphonecall“often”whiledriving
18.1% 20.8%
Distracted Driving People feel that distracted driving is a problem/an issue in their community, yet many continue to acknowledge they engage in distracting activities while driving; - 42% report reading or sending texts (often and sometimes) - 85% report making or answering a phone call (often and sometimes) - 44% report they eat, shave or put on make-up, do other activities (often and sometimes)
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 19
DATA REVIEW AND ISSUE PRIORITIZATION Approximately150stakeholdersrepresentingbroadinterestsofthecommunityand40communityorganizationsparticipatedinkeyinformantinterviewsand/orattendedatleastoneofseveralmeetingsbetweenOctober2017andMarch2019toreviewanddiscusstheabovedataandhelpidentifythreepriorityhealthissues.Agenciesrepresentedatthesemeetingsinclude:AllinaHealthClinicsBuffalo-Hanover-MontroseSchoolDistrictBuffaloHospitalFoundationBuffaloHospital,partofAllinaHealthBuffaloRotaryCatholicCharitiesCentraCareClinicCentraCareHealth-MonticelloCentralMNCouncilOnAgingCentralMNMentalHealthCenterCommunitymembersCrisisNurseryCrowRiverFoodCouncilDassel-CokatoEarlyChildhoodEducationDBT®andEMDR®SpecialistsForgottenHarvestFamilyYouthCommunityConnectionsHowardLake-Winsted-WaverlySchoolDistrictIntegriprintPrintingLoveINCMinnesotaDepartmentofHealthMarionO'Neill,MNHouseofRepresentativesMonticelloHelpCenterRiversofHopeSafeCommunitiesofWrightCountySolutionsCounselingSTRIVETherapyTimberBayVirginiaPiperCancerInstitute,BuffaloHospitalWrightCountySheriff'sOfficeWrightChoiceWrightCountyCommissionerWrightCountyCommunityActionWrightCountyHealthandHumanServicesWrightCountyHistoricalSocietyWrightCountyPublicHealthWrightCountyPublicHealthTaskForceWrightCountyAreaUnitedWayYouth First
ThereviewprocessincludedaformalprioritizationtoolknownastheHanlonmethod,whichincludesrankinghealthprioritiesbasedonthreeprimarycriteria:thesizeoftheproblem,includingprojectionoffuturetrends;theseriousnessoftheproblem,includingdisparatehealthburdenswithinthepopulation;andtheeffectivenessandfeasibilityofinterventionsonthepartofhealthcare.
FINAL PRIORITIES Throughthisprocess,threeprioritieswereidentifiedforactionin2020-2022:1.MentalHealthandWellness2.DentalCare3.SubstanceUseandAbuseCOMMUNITY INPUT InformalconversationsovercoffeeiswhereourjourneystartedandwasultimatelynurturedbyatwodaytrainingopportunityinMayof2017onMobilizingforActionthroughPlanningandPartnership(MAPP).AllorganizationsinvolvedintheWrightCountyCommunityHealthCollaborativewereabletoattend.ShortlyafterthistraininginoneofourmeetingweallagreeduponthatitmadesensetousetheMAPPmodelandcommittedtoeachotherwewereinthisjourneytogether.
MAPPPrioritizationMeeting
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 20
AgroupofhealthprofessionalsinWrightCountyareworkingtogethertorolloutanewapproachtohowweassesshealthinourcommunitiesandimplementacommunitydrivenprocessforimprovinghealth.RepresentativesfromAllinaHealth—BuffaloHospital,CentraCare-Monticello,WrightCountyCommunityActionandWrightCountyPublicHealthbeganmeetinginthesummerof2016,tosetthestageforcompletionofacommunitywidehealthassessmentandhealthimprovementprocesstobecompletedbythesummerof2019.Developingahealthycommunitydoesnotjusthappen;itrequiresaconsciousandcarefulapproach.ThemodelwehavechosentouseisMAPP;NationalAssociationofCountyandCityHealthOfficials(NACCHO)statesthat“thisframeworkhelpscommunitiesprioritizepublichealthissues,identifyresourcesforaddressingthemandtakeactiontoimproveconditionsthatsupporthealthyliving.MAPPisgenerallyledbyoneormoreorganizationsandiscompletedwiththeinputandparticipationofmanyorganizationsandtheindividualswhowork,learn,liveandplayinthecommunity.”OnOctober25,2017,thecollaborativeconductedaCommunityVisioningevent.ThegoaloftheeventwastohelpadvancecollaborativeworkontheCommunityHealthNeedsAssessmentinWrightCountybyidentifyinggaps,challenges,creatingpotentialpartnershipsanddevelopingacommunityvision.Fiftyrepresentativesfromvariouscommunityorganizationsandgroupsattendedtheeventandhelpedthecollaborativeframethecommunityhealthvisionandcreatecommonunderstandingofwhatahealthiercommunitywouldlooklikeinyearstocome.
MAPPPrioritizationMeeting
October 25, 2017 -MAPP Kick-off and
Community Visioning Event
May 7, 2018 –Forces of Change and Community
Assets Discussion/Activity
August 13, 2018 –Narrow Scope of Priority Health Issues (Hanlon)
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 21
CommunityConversation–May7,2018Aspartoftheoverallassessmentprocess,thecollaborativeconductedaconversationwithcommunitypartnerstosharedataonspecifictopics,facilitatesmallgroupdiscussionandgatherinputthatwouldfurtherdefinepotentialpriorityhealthissues.Datawasgatheredfromavarietyofsourcesandsharedwiththelargegroupbeforebreakingintosmallergroups.ThecollaborativecoregroupmembersfacilitatedForcesofChangeAssessmentamongtheattendees.ForcesofChangeAssessmentidentifiesalltheforces,associatedopportunitiesandthreatsthatcanaffect,eithernoworinthefuture,thecommunityandlocalpublichealthsystem.AreasincludedinForcesofChangediscussion:EconomicTechnologicalSocialEnvironmentalQuestionposedwitheachoneoftheforcesdiscussed:Howdoesthisforceofchangeposeathreatoropportunitytothehealthofourcommunity?ThecollaborativealsoassessedCommunityAssetsasstrengthsinthecommunitythegroupcollectivelyserves.Thegroupgatheredinputfromtheparticipantsonthefollowingareas:
• Skills,TalentsandExperienceofCommunityMembers
• NeighborhoodAssociationsandotherSocialGroups
• SenseofHistory• CommunityPride• CommunityReputation
NarrowscopeofcommunitypriorityissuesOnAugust13,2018,thecollaborativeconductedatargetedprioritizationsessioninvolvingCommunityBenefitAdvisoryCouncil(CBAC)andWrightCountyTaskForcememberstobetterunderstandwhichissuesarerisingtothetopas
majorhealthconcernsinWrightCounty.ThesessionutilizedtheHanlonmethod.DevelopedbyJ.J.Hanlon,theHanlonMethodforPrioritizingHealthProblemsisawell-respectedtechniquewhichobjectivelytakesintoconsiderationexplicitlydefinedcriteriaandfeasibilityfactors.Thoughacomplexmethod,theHanlonMethodisadvantageouswhenthedesiredoutcomeisanobjectivelistofhealthprioritiesbasedonbaselinedataandnumericalvalues.Hanlonhelpsprioritizetheissuesintermsoftheidentifiedareas,yetstillemphasizesthatfeasibilityshouldbeconsideredwhenchoosingwhatareatotackle.Theprevalence(sizeofproblem)andseverity(seriousnesstothoseimpacted)helptoensurethatarangeofissuesisexploredwhenprioritizing,butthethirdelementoffeasibilityreallydeterminesthepaththatmakesthemostsense.Asaresultoftheprioritizationsession,thecollaborativearrivedat10tophealthprioritiesfacingthepopulationofWrightCounty. FINDINGS FROM KEY STAKEHOLDER GROUPS Aftercollectingextensivefeedbackandconductingcommunityconversationsanddialogues,thecollaborativearrivedattop10priorities,whichwerethenreviewedbyeachorganizations’stakeholdergroups.Eachgroupconsistedofkeystakeholders,includingseniorleadersandmanagers.Allfourgroupsfocusedondefiningwhathealthprioritiesarethemostrelevanttothepopulationeachorganizationserves,andhowthepopulationisaffectedbythegapsidentifiedintheCHNAprocess.EachgrouparrivedattheirownprioritizedlistofhealthissuesfacingWrightCounty.Thelistswerethencombinedbythecoregroupandissueswereagainprioritizedbasedontherankingsfromindividualorganizations.Thecoregroupfocusedontheissuesfacingthemajorityofthepopulationservedandtheseverityandmagnitudeofthehealth
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 22
concerns.Thecollaborativechosethetopthreeprioritiesbasedontruecommunityneed,versusjusttheabilitytoprovideinterventions.Thecollaborativebelievesthatpartofthesolutionisstartingtheconversationaroundthetopicsthathavenotyetbeenaddressed,andengagingcommunitypartnersandotherorganizationstoassistinimplementationplanninganddevelopmentoftactics/activitiestoaddressthosepriorities.NEEDS IDENTIFIED BUT NOT INCLUDED IN THE CHNA: GoingintotheHanlonPrioritizationonAugust13th,2018,thecoregrouphadalistof20identifiedhealthissuesthatneededtobediscussedandarrangedaccordingtotheweightofitssize,seriousnessandeffectiveness.Afterallthehealthissueswereranked,thecoregrouprealizedtherewereseveralidentifiedissuesthatcouldbecombinedwithtoppriorities.Forexample,SuicideAwarenessandPreventioncanbecombinedwithoneofthetopprioritiesofMentalHealthandWellness.OtherissuesthatwereidentifiedincludedStress,LackofPhysicalActivityandSocialConnectedness/Isolation.Whilethecoregroupunderstandsthatalloftheseissuesareimportantandneedconcentratedeffortsinordertoresolve,theywillbeconsciouslydiscussedandnaturallyaddressedinthestrategiesandtacticseachorganizationcreates.WhiletopicssuchasdistracteddrivingrankedasahighneedinWrightCounty,therearecurrentlymanygroupsalreadyworkingonthisissueandactivelypursuinginterventionsaroundthisconcern(SafeCommunitiesofWrightCounty,Highway55coalition,Highway12coalitionandI94WestChamberofCommerce).Someoftheprioritiesidentifiedin2017–2019ImplementationPlanarestillrelevanttotheworkofthecollaborative(foodinsecurity,obesity,physicalactivity,accesstocare).Thecollaborativemadesignificantstridesinaddressingthoseprioritiesandwillcontinuetosupporttheefforts
aroundtheseinitiativesthroughcurrentworkflowsandservicemodels.
IMPLEMENTATION PLAN Afterconfirmingthetopthreeprioritiesandgatheringcommunityideasforaction,WrightCountyCommunityHealthCollaborativedevelopedanimplementationplanbasedontheinput.Thisplanoutlinesthesetofactionsthatthecollaborativewilltaketorespondtotheidentifiedcommunityneeds.Followingthecommunitydialoguesandfocusgroups,acoregroupofstafffromfourorganizationsparticipatingincollaborationworkedthroughemail,phoneandin-personmeetingstoreviewanddiscussthedataandtodraftgoalsandstrategiesforthe2020-2022implementationplan.ThethreeprioritiesandtheirrespectivegoalsandstrategieswerecommunicatedtoCommunityBenefitAdvisoryCouncil,hospitalboardsandleadershipgroupsintheparticipativeorganizations,aswellasanyotherinterestedcommunitymembers.Actionsessionswerethenconvenedtodevelopspecificobjectivesandevidence-basedactivitiestosupporteachofthegoalsduringthethree-yearimplementationphase.Thefollowingimplementationplanisathree-yearplandepictingtheoverallworkthatthecollaborativewillconducttoaddressthepriorityareas.Existingresourcestoaddresseachissuearealsolistedsoastoreduceduplicationandidentifypossiblepartners.Detailedobjectivesincludingtimelinesandmeasuresofsuccesswillbedevelopedindetailbytheworkgroupsthatwillconveneoverthecourseoftheimplementationperiod.Themembersofthecollaborativewillmaintainorganizationspecificworkplansandcommittoworkingasagrouponatleastonecollectiveimpacttacticforeachidentifiedpriorityoverthecourseoftheimplementationperiod.Sharedcollectiveimpacttacticswillhavemeasurableoutcomesand
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 23
involvemutuallyreinforcingactivitieswiththebackbonesupportofparticipatingorganizations.Thecollaborativeiscommittedtocontinuouscommunicationoverthecourseofimplementationperiodtoimplementcollectiveimpacttactics.Priority1:MentalHealthandWellnessResources:Currently,manypartnersexistinthecommunitythathaveexpertiseinandworktosupportmentalhealthinitiatives,suchascommunitymentalhealthproviders,clinics,BounceBackProject,MentalHealthAdvisoryCouncil,CommunityAdultMentalHealthInitiative,CentralMNMentalHealth.Goal:Reducetherateofmentalhealthcaredelayandthenumberof“notgood”mentalhealthdaysinWrightCountyStrategies:
• Strategy1:Addressallaspectsofthementalwellnesscontinuum,includingwell-beingmaintenance,preventionofdiseaseandintervention
• Strategy2:Increasesocialconnectednessandcombatisolation
• Strategy3:Educationaroundmentalillnessasamedicalcondition
• Strategy4:Increaseawarenessaboutsuiciderelatedissues–suicideprevention
Collectiveimpacttactic:Implementcoordinatedawarenesscampaigneducatingthecommunityaboutmentalillnessasamedicalcondition.Priority2:DentalCareResources:Currently,manypartnersexistinthecommunitythathaveexpertiseinandworktosupportmentalhealthinitiatives,suchas33dentalclinicsinWrightCounty,Children’sDentalService,OperationGrace,AppleTreeDental,GiveKidsaSmileandDentalHealthWorkGroup–partofthePublicHealthTaskForce.
Goal:ReducetherateofdentalcaredelayinWrightCountyStrategies:
• Strategy1:Increaseaccesstodentalcareforallwiththefocusonunderservedpopulation
• Strategy2:Educatethecommunityabouttheimportanceofregulardentalcare
Collectiveimpacttactic:EachorganizationinvolvedinWrightCountyCommunityHealthCollaborativewillhaveanactiveparticipantintheDentalHealthWorkGroup–partofthePublicHealthTaskForcetohelpadvancetheworkarounddentalcareaccessinWrightCounty.Priority3:SubstanceUseandAbuseResources:Currently,manypartnersexistinthecommunitythathaveexpertiseinandworktosupportpreventionofsubstanceuseandabuse,suchasMentorshipEducationandDrugAwareness(MEADA)CoalitionofWrightCounty,OpioidActionTeam,DrugCourt,treatmentandrecoveryservices.Goal:SupportlocalpreventioneffortsandadvocateforpolicychangestoaddresssubstanceabuseinWrightCountyStrategies:
• Strategy1:Reducestigmarelatedtodiagnosisandtreatmentofaddictionsandsubstanceabusedisorders,andthepossibleconnectiontomentalhealthconditions
• Strategy2:Provideeducationandaddresstobaccoande-ciguseandaccess
• Strategy3:Identifyandcreatebetterlinkagetoappropriateavailableresources
Collectiveimpacttactic:Engageinpolicy,systemandenvironmentalchangesthatreduceaccesstoe-cigarettesamongyouthandadults.
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 24
Themembersofthecollaborativearecommittedtoworkinginalignmentwithcommunitycoalitions,taskforceoradvisoryboardswhoseworkisalreadyfocusedonthesepriorityhealthissues(MentorshipEducationandDrugAwareness(MEADA)CoalitionofWrightCounty,MentalHealthAdvisoryCommitteeandDentalHealthWorkGroup–partofthePublicHealthTaskForce).Thecollaborativewillworktosupportcurrentinterventioneffortsandpreventduplicationwhilebuildingneworstrengtheningexistingrelationshipsacrossthecommunity.Thecollaborativebelievescoordinatedapproachwillhavethegreatestimpactonaddressingthesepriorityhealthissues.RESOURCE COMMITMENTS WrightCountyCommunityHealthCollaborative,throughitsmemberorganizations,willcommitresourcesduring2020-2022toensureeffectiveimplementationofitsplannedactivitiestomeetthegoalsandobjectivesidentified.Resourcesmayincludespecificprogramsandservices,charitablecontributionsandemployeevolunteerismofferedbyindividualorganizationsandstafftimedevotedtoadvancingcollectivework.Althougheachorganizationparticipatinginthecollaborativewillcommittoits’ownsetoftacticsandactivities(appropriatelyalignedwiththemissionanddefinedorganizationalpurposeofeachmemberofthecollaborative),thegroupwillcollectivelyworkonatleastonecommontactic/activityundereachofthreedefinedprioritiesandcommittomeasurableoutcomesforthosetacticsattheendofthethreeyearimplementationcycle.Thegroupwillmeetin-person,viaphoneorweb-basedservicesonaregularbasis(nolessthanmonthly)totrackprogress,identifygapsandworktowardssuccessfulresolutionoftheidentifiedchallenges.
EVALUATION OF OBJECTIVES Throughouttheimplementationphase,specificmetricswillbetrackedtodocumentprogresstowardmeetinggoalsandobjectivesandmakeadjustmentstotheimplementationplanasneeded.Specificevaluationplanswillbeestablishedorcontinuedforprogramsandinitiativesasappropriate.Monitoringofpopulation-levelmetricsandsystem-widemetricswillalsoprovidecontextforthehealthstatusofthecommunitiesWrightCountyCommunityCollaborativeservesandtheworkofthecollaborativegroupoverall.SomeoftheevaluationsourcesincludebutnotlimitedtotheMinnesotastudentsurvey,localWrightCountysurvey(comparativedatawillbeanalyzed;thecollaborativewillstrivetodeploynewsurveyin2021),treatmentadmissions,ElectronicMedicalRecord(EMR)data,numberofpeoplereachedthrougheducationaleffortsandcommunitypresentations.
MAPPCommunityPartners
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 25
Toalignwiththeirsystemandotherpartners,AllinaHealthandCentraCarewillpursuehealthprioritiesandactivitiesinadditiontothosedescribedintheWrightCountyCommunityHealthCollaborativeimplementationplan. ALLINA HEALTH SYSTEMWIDE ACTIVITIES TosupportlocalCHNAefforts,AllinaHealthidentifiescommunityhealthneedsconsistentacrossitsentiresystemandsystemwideinitiativeswithwhichtoaddresstheseneeds.Bydevelopingsystemwideinitiatives,AllinaHealthensuresefficientuseofresourcesacrossitsserviceareaandprovideshospitalswithprogramstheycanadapttomeettheircommunity’suniqueneeds.Thus,aspartofdevelopingitsimplementationplan,BuffaloHospitalstaffmetinFebruaryandApril2019withleadersfromeachofAllinaHealth’sninecommunityengagementregionstodiscusstheresultsofeachhospital’sdatareview,prioritizationandcommunityinputprocesses.Together,theyidentifiedmentalhealth,including substanceuse,asapriorityneedinallAllinaHealthgeographies.Additionally,allcommunitiesidentifiedsocialdeterminantsofhealth,particularlyaccesstohealthyfoodandstablehousing,askeyfactorscontributingtohealth.ObesitycausedbyphysicalinactivityandpoornutritionwasidentifiedasapriorityneedinmostAllinaHealthcommunities.Basedonthisprocess,AllinaHealthwillpursuethefollowingsystem-wideprioritiesin2020-2022:•Mentalhealthandsubstanceuse•Socialdeterminantsofhealth•Healthyeatingandactiveliving BelowarethesystemwidegoalsandstrategiesthatBuffaloHospitalwillpursue.ThoughobesitywasnotidentifiedasapriorityintheWrightCounty,BuffalowilladdressAllinaHealth’shealthyeatingandactivelivingprioritythroughitssocialdeterminantsofhealth-work,particularlyincreasingaccesstohealthyfood.Whenimplementingactivities,considerationisgiventohowtheseactivitiescanbestsupporthistorically
underservedcommunitiesandreducehealthdisparities.MentalhealthandsubstanceuseGoal1:IncreaseresilienceandhealthycopingskillsinourcommunitiesGoal2:Reducebarrierstomentalhealthandsubstanceuseservicesforpeopleinourcommunities.Strategies:
• Increaseresilienceamongschool-ageyouth.
• Increasesocialconnectednessandcommunityresilienceefforts.
• Decreasestigmaassociatedwithseekinghelpformentalhealthandsubstanceuseconditions,withaparticularfocusontheexperiencesofracialandethnicminoritiesandotherhistoricallyunderservedcommunities.
• Increasesupportofpolicyandadvocacyeffortsaimedatimprovingaccesstoadolescentmentalhealthandsubstanceuseservices.
Activities:
• OfferChangetoChillprogramminginatleastoneWrightCountyhighschooleachyearandcontinuetosupportcurrentChangetoChillschoolsasrequested.
• EnhanceandpromoteHealthPoweredKidsmentalhealthandwellnessprogrammingtoWrightCountyschools.
• Supportgrassrootscommunity-basedeffortsaroundresilience,includingsocial-connectedness.
• EnhancementalhealthandsubstanceusestigmaeliminationprogrammingintheChangetoChillprogram.
• Promotestigmaeliminationeducationandmessaging,particularlyinMayandOctober.
• Supportandadvocateforpoliciesaimedatincreasingnumberofandaccessibilitytomentalhealthandsubstanceuseservices.
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 26
SocialDeterminantsofHealthGoal:ReducesocialbarrierstohealthforAllinaHealthpatientsandcommunities.Strategies:• Implementasustainable,effectivemodeltosystematicallyidentifyandsupportpatientsinaddressingtheirhealth-relatedsocialneeds.
• Implementasustainablenetworkoftrustedcommunitypartnerswhoareabletosupportourpatientsinaddressingtheirhealth-relatedsocialneeds.
• Increasesupportofpolicyandadvocacyeffortsaimedatimprovingsocialconditionsrelatedtohealth.
• Improveaccesstohealthyfoodinourcommunities.
Activities:• Supportthesuccessfulimplementationand
evaluationoftheAccountableHealthCommunitiesmodelatparticipatingsites.
• ChampiondevelopmentofandsupporttransitiontoanAllinaHealthsystem-widestrategyandcaremodeltoidentifyandaddressthehealth-relatedsocialneedsofourpatients.
• Implementaprocesstoidentifykeycommunitypartnersandsupporttheirsustainabilitythroughfinancialcontributions,explorationofreimbursementmodels,employeevolunteerismandpolicyadvocacy.
• InpartnershipwithAllinaHealthandcommunitystakeholders,designandimplementaprocesstofacilitatetrackedreferralstoconnectpatientstocommunityresources.
• Participateinandsupportcommunitycoalitionsaimedatimprovingaccesstotransportation,housingandfood,includingconnectingAllinaHealthresources,expertiseanddatatothesegroupsasappropriate.
• Workwithcommunityorganizationstoimproveaccesstohealthyfoodinthecommunitiesweservethroughgrant-making,charitablecontributions,employeevolunteeropportunitiesandinnovativecommunitypartnerships.
CENTRACARE CENTRAL MINNESOTA SYSTEMWIDE ACTIVITIES Toincreasesuccessinmeetingtheneedsofthecommunity,thepublichealthagenciesinthecountiesofBenton,Sherburne,andStearns,alongwithCentraCareinthosecounties(includingSt.CloudHospital,CCH-Melrose,CCH-Paynesville,andCCH-SaukCentre),havedevelopedapartnershipcalledtheCentralMNAlliance.WiththeformationoftheCentralMNAlliance,theCHNAprocessandprioritizationofcommunityhealthissuesisbroadlyfocusedoncommunityissuesratherthanthetraditionaldiseaseconditionsthehospitalspreviouslyfocusedon.Thenewframeworkreliesonamixtureofnational,state,andlocaldata.TheCentralMNAllianceagreedtoutilizetheMAPP(MobilizingforActionthroughPlanningandPartnerships)processtoconducttheCommunityHealthNeedsAssessmentandpreparetheImplementationStrategy.ThepartnershipagreedtofollowthehospitalIRSrequirementofa3-yeartimeframe.OnApril24,2018,thefirstmeetingwasheldoftheCentralMNAlliance.ThemembersofthispartnershipincludeBentonCountyHumanServices,PublicHealth;CentraCare,PopulationHealth;SherburneCountyHealthandHumanServices,PublicHealth;andStearnsCountyHumanServices,PublicHealthDivision.Theserelationshipshavebeenbuildingovertimeandasaresult,amoreformalstructureofthiscommunitypartnershipwasdeveloped.Tothatend,allagencieshadstaffattendMay2017trainingontheMAPP(MobilizingforActionthroughPlanningandPartnerships)processthatwassponsoredbyNACCHO(NationalAssociationofCountyandCityHealthOfficials).SeveralmeetingswereheldbetweenMay2017andApril24,2018tocreateaunifiedCommunityHealthNeedsAssessmentandImplementationStrategy.TheworkofeachofthefourMAPPAssessmentsub-groupsresultedinfourlistsof10communitypriorities.TheCoreSupportTeamtalkedwiththeiragencystafftoidentifyanythemesorcommonalitiesamongstthefourlists.Theythencametogetherandwentthroughafacilitated
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 27
processusingtheCentralMNAllianceVisionasaguidetofinalizeatop10list.AdecisionwasmadetofocusonthetoptwoprioritiesfortheImplementationStrategyfor2019-2022.Althoughtheprioritiesthreethroughtenwillnotspecificallybeaddressedthroughactionplanningormeasurement,therearewaysmanyoftheseprioritiesarebeingaddressedeitherwithinthetoptwoprioritiesorthecommunity.Inthefuture,thegroupwillassessthecapacitytoexpandthenumberofprioritiesbeingaddressedandmeasured.
THECENTRALMNALLIANCEPRIORITIES Priority Examples1 Building
FamiliesIndividual/familyintervention,childwell-being,parentingskills
2 MentalHealth Awareness,access,well-being,addiction
3 EncouragingSocialConnection
Acrosstheagespectrum,socialconnections,communityintervention
4 AdverseChildhoodExperiences(ACEs)
Awareness,cultural,preventativemeasures,leadingtochronicdisease
5 Tobacco/NicotineUse
E-cigarettes,addiction
6 HealthCare Access,cost7 RiskyYouth
BehaviorEducation,trafficking,mentalhealth,safety,homelessness,alcohol/tobacco/otherdrugs
8 FinancialStress
Livingwage,unemployment,affordableliving
9 Trauma Acrossthelifespan10 Educating
PolicyMakersandKeyCommunityStakeholders
Educatingonemergingissuesinthecommunity
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 28
ACKNOWLEDGEMENTS WrightCountyCommunityHealthCollaborativewouldliketothankmanypartnerswhomadethisassessmentandplanpossible:•Individualcommunitymemberswhoofferedtheirtimeandvaluableinsights;•Partnerorganizationsthatmettoreviewandprioritizedataanddevelopimplementationplansandtheindividualswhocontributedtheirexpertiseandexperiencetoensureathoroughandeffectiveoutcome;•Memberorganization’sstaffwhoprovidedknowledge,skillsandleadershiptobringtheassessmentandplantofruition;•MembersoftheCHNAsteeringteam,representingthetwohospitals,publichealthdepartmentandcommunityactionorganizationallservingthepopulationofWrightCounty.
WrightCountyCommunityHealthCollaborative
members
CONCLUSION WrightCountyCommunityHealthCollaborativewillworkdiligentlytoaddresstheidentifiedneedsprioritizedinthisprocessbytakingactiononthegoalsandobjectivesoutlinedinthisplan.Forquestionsaboutthisplanorimplementationprogress,pleasecontactamemberoftheCHNAcoresteeringteam:JannaNetterfield,BuffaloHospital,partofAllinaHealth–[email protected],BuffaloHospital,partofAllinaHealth–[email protected],WrightCountyPublicHealth–[email protected],WrightCountyPublicHealth-Sarah.Grosshuesch@co.wright.mn.usMelissaPribyl,CentraCare–[email protected],WrightCountyCommunityAction-AKortisses@wccaweb.comCandiceZimmermann,[email protected]
WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN 2020-2022 PAGE 29
436324 0919 ©2019 ALLINA HEALTH SYSTEM. TM – A TRADEMARK OF ALLINA HEALTH SYSTEM.