Goal 1: Improve community health and wellness through education and outreach. Strategy 1.2: Educate community on health and wellness needs of the community. Activities Responsibility Timeline Final Approval Partners Potential Barriers Convene BHHA work to develop education and outreach materials for community presentations. Outreach Director Ongoing Hospital Administrator Public Health, BHVC, Healthy Hardin Coalition, Local Health Clinic Scheduling conflicts, resource limitations Develop outreach strategy to deliver health and wellness message with community. Outreach Director Ongoing Hospital Administrator Healthy Hardin Coalition, Public Schools, Pubic Health, BHVC Resource limitations, financial limitations Convene community stakeholder groups (i.e. Kiwanis, Chamber of Commerce, schools etc.) to present health needs of the community and opportunities for partnership to improve community health. BHHA Senior Mgmt. Staff Ongoing Hospital Administrator Healthy Hardin Coalition, Public Schools, Health, Kiwanis, Chamber of Commerce Scheduling conflicts, resource limitations Hold community forums and meetings to discuss and educate about the health needs of the community. Outreach Director Ongoing Hospital Administrator Healthy Hardin Coalition, Public Schools, Pubic Health, Kiwanis, Chamber of Commerce Scheduling conflicts, resource limitations Needs Being Addressed by this Strategy:
Activities Responsibility Timeline Final Approval Partners Potential Barriers Conduct feasibility study on expansion of Patient Navigator position. BHHA Senior Mgmt. Staff, Nurse Health Educator Ongoing Hospital Administrator BHHA, BHVC, Hardin Clinic Financial limitations, resource limitations Research and develop job description for desired patient navigator position. BHHA Senior Mgmt. Staff, Nurse Health Educator Ongoing Hospital Administrator BHHA, BHVC, Hardin Clinic Financial limitations, resource limitations Needs Being Addressed by this Strategy: 57% of respondents their community as “Somewhat healthy.” 32% of respondents felt their community was “Unhealthy” and 7.9% felt their community was “Healthy.” Top three health concerns: ‘Alcohol/Substance Abuse’ (88.2%), ‘Diabetes’ (43.4%), and ‘Overweight/obesity’ (42.6%) ‘Healthy behaviors and lifestyles (52.2%) was selected as the most important component of a healthy community Most Interest in the following Educational Programs/Classes: ‘Fitness’ (35.3%), ‘Health and wellness’ (33.1%), ‘First aid/CPR’ (29.4%) and ‘Weight loss’ (29.4%) 39.5% of respondent indicate they have at least 20 minutes of exercise ‘Daily,’ 6.2% reported ‘No physical activity’ 60% of respondents rated their knowledge of health services as “Good” and “Excellent” and “Fair” were both selected by 17.2% each. Anticipated Impact(s) of these Activities: Improved community understanding and utilization of health care services. Improved access to healthcare services. Improved health outcomes. Plan to Evaluate Anticipated Impact(s) of these Activities: Determine if expansion of Navigator position is possible. Track number of referrals from patient navigator. Measure of Success: BHHA will expand patient navigator position by May 2018
Goal 2: Improve access to mental and behavioral health services Strategy 2.1: Educate staff about existing mental health resources within the community. Activities Responsibility Timeline Final Approval Partners Potential Barriers Conduct environmental scan of currently available mental health resources in Big Horn County. ESSA, Local Schools, Outreach Director Ongoing Hospital Administrator South Central Mental Health, BHVC, Public Health Resource limitations Develop mental health resource list. ESSA, Schools, Outreach Director Ongoing Hospital Administrator South Central Mental Health, BHVC, Public Health, AMDD Resource limitations, Financial Limitations Develop an education and dissemination plan for new resource list (ex. Nurse’s meetings). ESSA, Local Schools, Outreach Director Ongoing Hospital Administrator South Central Mental Health, BHVC, Public Health, AMDD Resource limitations, Financial Limitations Add mental health resources to website. BHHA Senior Mgmt. Ongoing Hospital Administrator South Central Mental Health, BHVC, Public Health, AMDD Resource limitations, Financial Limitations Enhance outreach and advertising strategies mental health resources (social media, local paper, poster/bulletins, newsletters etc.) ESSA, Local Schools, Outreach Director Ongoing Hospital Administrator Media Outlets Resource limitations, financial limitations Being Addressed by this Strategy: 60% of respondents their knowledge of health services as “Good,” “Excellent” and “Fair” were both selected by 7.2% each. 16% of respondents reported they experienced periods of feeling depressed on most days for at least three consecutive months In focus groups, community members indicated a need for more resources specific to mental health and substance abuse. Focus group participants indicated that adverse childhood experiences are an issue in the community.
Strategy 2.1 Continued on next page… Anticipated Impact(s) of these Activities: Improved awareness of mental health resources in the community. Increased referrals of mental health resources. Increased utilization of mental health resources. Improved health outcomes. Plan to Evaluate Anticipated Impact(s) of these Activities: Track number of nurse and physician referrals to mental health services. Track resource website hits. Measure of Success: Mental health resource list is created and utilized by hospital staff. Goal 2: Improve access to mental and behavioral health services Strategy 2.2: Explore training BHHA staff for critical case management Activities Responsibility Timeline Approval Partners Potential Barriers Develop protocol for critical management training. ESSA, Local Schools, Outreach Director Ongoing Hospital Administrator BHVC, South Central Mental Health, AMDD Resource limitations Financial Constraints Hold staff debriefing about protocol Nurse Health Educator, Outreach Director Ongoing Hospital Administrator BHVC, South Central Mental Health, AMDD Scheduling conflicts, resource limitations Disseminate mental health resource list and as necessary. ESSA, Schools, Ongoing Hospital Administrator BHVC, Central Mental Health, AMDD Scheduling conflicts, resource limitations
16% of respondents reported they experienced periods of feeling depressed on most days for at least three consecutive months In focus groups, community members indicated a need for more resources specific to mental health and substance abuse. Focus group participants indicated that adverse childhood experiences are an issue in the community. Anticipated Impact(s) of these Activities: Improved mental health outcomes in community. Plan to Evaluate Anticipated Impact(s) of these Activities: Track number of Mental Health Advisory Committee meetings/events that a BHHA representative attends. Measure of Success: A BHHA representative will attend 3 HMHAC meetings a year. Goal 3: Enhance senior services and outreach to assist Big Horn County’s ageing community to age in place. Strategy 3.1: Enhance senior care training for staff at BHHA. Activities Responsibility Timeline Final Approval Partners Potential Barriers Research training opportunities regarding dementia/memory education. Heritage Acres Management Staff Ongoing Hospital Administrator Heritage Acres, Local Council On Aging Resource limitations Develop training schedule for staff. Heritage Acres Management Staff Ongoing Hospital Administrator Heritage Acres Management Staff Scheduling conflicts, resource limitations Implement staff training. Heritage Acres Management Staff Ongoing Hospital Administrator Heritage Acres Management Staff Scheduling conflicts, resource limitations Being Addressed by this Strategy: Focus group participants indicated there is a need for more senior living options 62% of respondents indicated the community needed “Personal care home services.53% indicated a need for “Senior retirement housing/community” and 36.8% felt an “Assisted living facility” was needed in the community.
Improved health outcomes for seniors. Plan to Evaluate Anticipated Impact(s) of Activities: number of new programs/events offered to seniors. Measure of Success: BHHA will determine feasibility of offering cooking/nutritional classes for seniors by February 2018. Needs Not Addressed and Justification Identified health needs unable to address by Big Horn Hospital Association Rationale Majority of respondents indicated a need for ‘Dermatology’ (33.1%), ‘ENT (ear/nose/throat)’ (29.4%), and ‘Ophthalmology’ (25%) BHHA offers a variety of traveling specialists at this time including general surgical procedures, but offering additional visiting specialist is not feasible at this time due to low number of patient referrals, and specialized training of that is not cost effective. Top three suggestions to improve community’s access to healthcare: “Availability of walk-in clinic/longer hours’ (53.7%), ‘Availability of visiting specialists’ (42.6%) and ‘More primary care providers’ (42.6%) BHHA does not offer a “walk in clinic” in its operational matrix. Local Big Horn Valley Health Care Center has expanded walk in hours in previous 60 days. BHHA is not designated as a health care shortage area causing lack of incentives for professional staff acquisition. 32.5% of respondents indicated that they or a member of their household delayed getting healthcare services when they needed it. Top three reasons cited: ‘It costs too much’ (40%), ‘No insurance’ (32.5%), ‘Could not get an appointment’ (30%) BHHA offers programs/charity care to assist with paying for healthcare costs at healthcare priced services that are based on current market conditions along with free patient navigator services.