Area Served
Fremont County
Priorities
Heart Disease
Lung Disease
Obesity/ Overweight, Physical Activity and Nutrition
Community Health Implementation Plan (CHIP) FY 2017-2019
Community Health Action Plan (CHAP) FY 2017
(CH IP) F Y 2 017- 2019
( C H AP ) FY 2017 1
Introduction
The Patient Protection and Affordable Care Act, enacted March 23, 2010, added new requirements for nonprofit hospitals to maintain their tax-exempt status, including a
chna
Community Health Needs Assessment
Every 3 Years
Posted to www.centura.org and individual hospital websites.
requirement to conduct a Community Health Needs Assessment (CHNA) once every three years to gauge the health needs of their communities and to develop strategies and implementation plans for addressing them. Additionally, following the CHNA a
Community Health Implementation Plan
chip
FY2017-2019
An overarching 3 year strategy to address prioritized needs identified by the CHNA with specific goals.
Community Health Implementation Plan (CHIP), which defines specific goals on how the prioritized needs will be addressed, is required. A yearly Community Health Action Plan (CHAP) will provide the specific actions and metrics for each goal.
chap FY 2017
Community Health Action Plan FY 2017
A one year plan with specific, measureable, achievable, relevant, and time bound (SMART) goals and actions with an evaluation design.
The CHNA, CHIP, and CHAP were conducted in compliance with these new federal requirements and as an opportunity for St. Thomas More Hospital to fulfill our commitment to our organizational mission to “extend the healing ministry of Christ
chap FY 2018
by caring for those who are ill and by
Community Health Action Plan FY 2018
A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an evaluation design.
nurturing the health of the people in our communities.”
chap FY 2019
2
S T. THOMAS MOR E HO SPITAL/C ENT U RA H EALT H
Community Health Action Plan FY 2019
A one year plan with specific measureable, achievable, relevant, and time bound (SMART) goals and actions with an evaluation design.
(CH I P ) F Y 2 017 -2 019
(CH A P ) F Y 2 017 3
Goal
1
Prioritized Need:
Heart Disease
Increase cardiology services in Fremont County.
ACTIVITY: Increase recruiting efforts for cardiology services by the Chief Medical Officer and Administrative Director of Ambulatory Services in FY2017. Heart disease is a priority for St. Thomas
Preventing and treating heart disease is
More Hospital because in Fremont County,
something that St. Thomas More strives to
5.1% of adults have heart disease, compared
accomplish. One of our goals is to increase
to 2.7% of adults in the state. This is roughly
the amount of cardiology services not only
twice the percentage of adults with heart
at St. Thomas More, but also throughout
disease compared to the Colorado State
Fremont County. We have a visiting specialty
average. Additionally, 26% of adults in our
clinic at St. Thomas More that includes
community have high blood pressure, higher
cardiology, so we frequently refer patients
than the 23.1% of adults in the state. We
to this program. Additionally, we provide
also have issues with high cholesterol, with
free cardiovascular education at community
40.4% of adults having high cholesterol,
events and health fairs throughout the year,
compared to 33.5% of adults in the state.
and are recruiting for a full-time, non-invasive
People in our community are dying from
cardiologist.
heart disease at a rate of 183.3 per 100,000, compared to 137.4 per 100,000 in the state. Death Rate due to Coronary Heart Disease per 100,000
150
ACTIVITY: Promote current cardiology services/clinics internally.
METRIC: Percentage of weekly newsletters (IMPACT) that have information about cardiology services and clinics and/or heart health. Goal is 15%
ACTIVITY: Increase education to Centura Health Physician Group cardiology providers.
METRIC: Number of presentations at quarterly provider meetings.
ACTIVITY: Educate the community about cardiology services and specialty clinics
METRIC: Articles in 25% of INSPIRE magazine publications.
Partners and Inputs: Centura South State Recruitment Team, Centura Health Physician Group (CHPG), Director of Marketing and Communications at St. Thomas More, St. Thomas More Cardiopulmonary Services
210 180
METRIC: Number of recruiting conversations.
183.3
120
137.4
90 60 30 0
4
St. Thomas More Community
Colorado
S T. THOMAS MOR E HO SPITAL/C ENT U RA H EALT H
(CH I P ) F Y 2 017 -2 019
(CH A P ) F Y 2 017 5
Goal
1
Decrease tobacco use in Fremont County.
Prioritized Need:
Lung Disease Lung disease is a priority for St. Thomas
Fremont County has almost double the
users. We plan to work with the community to
number of tobacco users than the Colorado
educate them on the dangers of tobacco use
State average, with almost half of our 25-34
and to help our community quit smoking once
year olds using tobacco products regularly.
and for all. We will do this by referring current
In our community, 29.1% of adults report
smokers to our tobacco cessation programs
that they currently smoke. The Colorado
and the Colorado Quitline.
percentage of smokers is much lower, 16.8%. The mortality rate for lung disease in our community is 60.5 per 100,000, higher than Colorado’s rate of 49.8. This is likely due to the higher rates of smoking in our community. St. Thomas More has become a tobacco free campus and has partnered with one local business to help them become tobacco
Partners and Inputs: Centura Health Physician Group (CHPG), Colorado Quit Line, St. Thomas More tobacco cessation program, Fremont County Public Health
ACTIVITY: Create and implement hiring policies and practices to extend new employment to nontobacco users only.
ACTIVITY: Encourage employees to quit using tobacco by offering incentives in health insurance.
Department, Local Businesses, St. Thomas
METRIC: 100% of potential new employees are educated about Centura Health’s hiring policy about tobacco. METRIC: 80% of potential new employees not passing cotinine testing for tobacco are offered tobacco smoking cessation classes.
METRIC: Decrease number of employees who use tobacco by 2% calculated by number who use tobacco / number who complete biometric testing.
More Wellness Coordinator, St. Thomas More Cardiopulmonary Services
free. Centura Health no longer hires tobacco Percentage of Adults who report they currently smoke
ACTIVITY: Encourage employees to participate in the hospital tobacco cessation program.
METRIC: Number of St. Thomas More employees who attend the tobacco cessation program.
ACTIVITY: Creating and delivering tobacco cessation and health risk education to employees.
METRIC: 15% of weekly newsletter (IMPACT) will have education on tobacco cessation and health risk education to employees.
35% 30% 25%
29.1%
20% 15%
16.8%
10% 5% 0%
6
St. Thomas More Community
Colorado
S T. THOMAS MOR E HO SPITAL/C ENT U RA H EALT H
(CH I P ) F Y 2 017 -2 019
(CH A P ) F Y 2 017 7
ACTIVITY: Partner with local businesses to make their facilities tobacco free.
METRIC: Number of businesses that St. Tomas More Wellness Coordinator spoke with regarding tobacco free environments. METRIC: 25% of INSPIRE magazine publications discuss tobacco cessation and tobacco health risks.
ACTIVITY: Provide education regarding tobacco cessation and tobacco health risks at community events such as health fairs.
Prioritized Need:
Obesity/ Overweight
St. Thomas More also prioritized obesity/
18.7% of adults get no leisure time physi-
METRIC: Number of events where education is delivered.
overweight, physical activity and nutri-
cal activity (15.2% in Colorado) and 79% of
tion. In our community 23.1% of adults are
adults eat less than 5 fruits and vegetables
obese and 41.8% are overweight. Together,
per day (75% in Colorado). We recognize the
METRIC: Number of people at the events where education is delivered.
almost 2/3 of our population is above a
importance of eating well and exercising, and
healthy weight. In the state, 20.2% of adults
we plan to educate the community on fitness
are obese and 35.3% are overweight. St.
and nutrition as a way to impact the overall
Thomas More is excited to lead the com-
health of Fremont County.
munity by example. Through the Partnership
ACTIVITY: Provide education at specific employer health fairs in Fremont County.
METRIC: Number of employer health fairs where tobacco education is delivered.
for a Healthier America and the Colorado
METRIC: Number of people at the health fairs where education is delivered.
St. Thomas More associates and hospital
Healthy Hospital Compact, we are making sustainable environmental changes that models healthy lifestyles and provides our visitors with tools and resources to make
Partners and Inputs: Partnership for a Healthier America, Colorado Healthy Hospital Compact, Hospital Food Services, Canon City Parks and Recreation, Local employers, Thomas More Wellness Coordinator, St. Thomas More Marketing
healthy decisions while at work or visiting the hospital. We know that in our community, Overweight 44% 42% 40%
41.8%
38% 36%
35.3%
34% 32%
St. Thomas More Community
8
S T. THOMAS MOR E HO SPITAL/C ENT U RA H EALT H
Colorado
(CH I P ) F Y 2 017 -2 019
(CH A P ) F Y 2 017 9
Goal
1
Improve healthy food availability in the St. Thomas More cafeteria.
ACTIVITY: Improve nutrition labeling, healthy food marketing, wellness meal offerings, elimination of deep fat fryers, increase in healthy beverages, increase in fruits and vegetables offered, ensure healthy options are priced equal to or less than other offerings, only offer healthy items within five feet of the cash registers and advertise only healthy items that meet MyPlate standards.
METRIC: Percentage of sugary drinks sold at St. Thomas More. METRIC: Percentage of fried food sold at St. Thomas More.
ACTIVITY: Continue to deliver St. Thomas More sponsored weight loss/bariatric support group.
ACTIVITY: Continue to deliver St. Thomas More sponsored nutrition and diabetes counseling.
ACTIVITY: Partner with Canon City Parks and Recreation to promote healthy family activity and fitness at community events.
Goal
2
Provide support and education regarding obesity prevention and weight management to the St. Thomas More community in partnership with local organizations.
ACTIVITY: Offer Health Management Classes to the community.
METRIC: Number of employer health fairs attended.
ACTIVITY: Nutrition education at major community events, such as employer health fairs and Pamper Your Heart, 5 Health Fair.
METRIC: Number of people at health fairs
ACTIVITY: Sponsor the River Walk Exercise Stations construction
METRIC: Number of individuals attending weight loss/bariatric support group.
METRIC: Number of consultations.
METRIC: Number of events partnered on. METRIC: Number of people who attended events.
METRIC: Number of classes offered and number of class participants.
METRIC: Number of installed exercise stations.
METRIC: Number of community health events attended. METRIC: Number of healthy community events sponsored.
10
S T. THOMAS MOR E HOSPITAL/C ENT U RA H EALT H
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Population Demographics in St. Thomas More Hospital’s Service Area
Associate’s Degree or Higher 23.1%
Race
St. Thomas More Service Area
State Average
44.7%
High School Graduation Rate n Native Hawaiian/Pacific Islander .1% n Other 3.9% n Multiple races 1.7%
State Average
Ethnicity Non-Hispanic 87.7% 0%
20%
40%
Hispanic 12.3% 60%
80%
100%
S T. THOMAS MOR E HOSPITAL/C ENT U RA H EALT H
77.6%
Limited English Proficiency
5.6%
Unemployment Rate
Households Below 200% of Federal Poverty Level
St. Thomas More Service Area
St. Thomas More Service Area
St. Thomas More Service Area
State Average
State Average
State Average
6.7%
12
74.8%
St. Thomas More Service Area
n White 85.6% n Black 5.8% n Asian 1% n Native American/Alaska Native 1.9%
5.5% 4.0%
(CH I P ) F Y 2 017 -2 019
36.5% 29.6%
(CH A P ) F Y 2 017 13
The Socio-Ecological Model that Informs Our Goals To achieve long-term health outcomes among our communities, changes at every level of the model will both support people making the healthy choices and removing the barriers to making
US
Legend
the healthy choices.
Stark Service Area
Centura Facilities
St. Thomas More Stark Service Area Facilities Map Florissant Florissant
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Green Green Mountain Mountain Falls Falls
Divide Divide
Cascade Cascade
Mueller Mueller State State Park Park
Hospital NHC
67 T S
P ar k
Urgent Care
S -2 W
4
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4
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Pike Pike National National Forest Forest
Other
Manitou Manitou Springs Springs
£ ¤ 24
Te ller Guffey Guffey
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Cripple Cripple Creek Creek
9 T S
E l P as o
Victor Victor
C
O -1 N 15
Public Policy Community Cultural values, norms
CO -
Organizational
9
F re m o n t
Environment, ethos
£ ¤ 50
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STM Hospital
Social network
£ ¤ 50
Brookside Brookside Coaldale Coaldale
Williamsburg Williamsburg Rockvale Rockvale
Cotopaxi Cotopaxi
15 -1
Penrose Penrose
115 S T
Interpersonal
Fort Carson
115 T S
Florence Florence
120 T S
Coal Coal Creek Creek
67 T S
CO
CO -6
Knowledge, attitude, skills
-67
69 T S
Individual
9
Wetmore Wetmore
C u s te r
CO-96
Pueblo 96 T S
Westcliffe Westcliffe CO-
5
16
Silver Silver Cliff Cliff
San San Isabel Isabel National National Forest Forest
165 S T
78 T S
Beulah Beulah
S ag u ac h e
Crestone Crestone
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ST. THOMAS MORE H OSPITAL/C ENT U RA H EALT H
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St. Thomas More Hospital 1338 Phay Avenue • Canon City, CO 81212 719-285-2000 www.stmhospital.org
