Community Health Needs Assessment 2016-2018 Approved December 21, 2015

December 17, 2015

Sauk Prairie Healthcare Community Health Needs Assessment 2016-2018

Welcome to the Community Health Needs Assessment Sauk Prairie Healthcare (SPH) is pleased to present the 2016-2018 (2016 Tax Year) Community Health Needs Assessment (CHNA). Briefly, a CHNA entails collecting demographic and health statistics of the community, presenting this data to the community leaders/organizations, coming up with a plan to address the health needs of the community and finally implementing this plan. The goal of this report is to provide residents with a deeper understanding of the health needs in their community, as well as help guide SPH in its community benefit planning efforts and development of an implementation strategy to address the needs described in this document. For purposes of this report, the implementation plan is embedded within this document as “Proposed Action Steps” because our Community Health Improvement Implementation Plan (CHIIP) will not be finalized until May 2016. How do we make a difference in the health of the community we serve? Due to the complexity of this question, relying only on impressions, opinions and anecdotes no longer works to determine if identified needs are getting better or worse. By using a process- and data-driven approach, we can determine if we are making real progress in areas identified as having the greatest need. This document represents Sauk Prairie Healthcare’s formal commitment to improving the health of our community. With the passage of the Patient Protection and Affordable Care Act (ACA), IRS Code 501(r)(3) now requires all non-profit hospitals submit a Community Health Needs Assessment (CHNA) every three years. This CHNA is in effect as of January 1, 2016. Sauk Prairie Healthcare last published a CHNA in 2013.

1

EXECUTIVE SUMMARY AN IMPORTANT HEALTH ISSUE, BUT NOT CHOSEN AS A PRIORITY

2

Throughout the data collection process, Alcohol and Drug Abuse was a clear top priority, especially the current problems associated with heroin addiction. However, this issue was not selected as one of SPH’s top priorities because the Sauk County Department of Human Services was recently awarded a grant to address the drug abuse issue throughout the county. The secured funding is to replicate and augment the Community Activated Recovery Enhancement (CARE) program created by the Good Neighbor Clinic, the Sauk Prairie Police Department, and other health professionals and community volunteers. This program treats clients by administering an opiate blocker and includes counseling, housing, employment, and support to families. Sauk Prairie Healthcare supports the CARE initiative and will participant to the best of its ability.

PRIORITES AND GOALS: Sauk Prairie Healthcare determined priorities for the 2016-2018 CHNA and strategic implementation plan. Priorities chosen and goals established include: Mental Health:  Decrease the number of poor mental health days in Sauk County from 2.7 in 2015 to 2.2 by 2018 and in Columbia County from 2.5 in 2015 to 2.0 by 2018.  Decrease the age-adjusted death rate due to suicide in Sauk County from 17.8 per 100,000 in 2015 to 15.9 by 2018 and in Columbia County from 17.7 in 2015 to 16.0 in 2018.

Eat Smart, Move More (Obesity):  Decrease the percent of the population with no leisure time physical activity of Sauk County adult residents from 26% in 2015 to 24% in 2018 and in Columbia County from 22% in 2015 to 21% in 2018.  Reduce the percentage of adults with a Body Mass Index (BMI)>30 in the SPH Service Area from 34.6% in 2015 to 32% in 2018.

Chronic Disease:  Reduce the percentage of adults in the SPH Service Area who have been told by a doctor they have diabetes from 6.0% in 2015 to 5.0% in 2018.  Reduce the percentage of adults in the SPH Service Area who report they have high blood pressure from 20.0% in 2015 to 18.0% in 2018 and have high blood cholesterol from 26.0% in 2015 to 23% in 2018.

ABOUT SAUK PRAIRIE HEALTHCARE Founded in 1956, Sauk Prairie Healthcare is an independent, notfor-profit association model 501(c)(3) corporation headquartered in Prairie du Sac, Wisconsin. Founded in 1956, SPH is locally governed by an 11 member board of community members. SPH operates four primary care clinic, two specialty clinics (orthopedics and general surgery), an outpatient rehabilitation and wellness facility, and a 36-bed acute care hospital. SPH opened its new hospital facility on a new campus in April 2014. Also present on the new campus are multi-specialty clinics operated by Dean Healthcare and the University of Wisconsin Hospital & Clinic, single-specialty clinics operated by Advanced Pain Management and Prairie Clinic, S.C., (OB/Gyn), and Home Health United which provides medical supplies and equipment.

ABOUT OUR COMMUNITY For market analysis purposes, SPH defines its primary service area as a 12 zip code area covering 700 square miles in which approximately 42,000 people reside. For purposes of this CHNA, a very similar boundary will be used, but it is defined by the boundaries of the Lodi, Sauk Prairie, Wisconsin Heights, and River Valley school districts instead of zip code boundaries. The population of this area is 40,369. In some cases throughout this report, due to population-based reporting limitations, goals must be set and data must be reported at the county level.

COLLABORATIOPN IS KEY – SAUK COUNTY HEALTH AND WELLNESS COALITION Sauk Prairie Healthcare is truly fortunate to be a partner of the Sauk County Health and Wellness Coalition. Through the collaborative efforts of the other Coalition partners – Sauk County Health Department, St. Clare Hospital, Reedsburg Area Medical Center, and the UW-Extension – data collection, information sharing, and priority setting activities were leveraged and applied to each member’s CHNA. Members of the Coalition are listed in the Appendix.

3

SERVICE AREA The map on the left represents the market reach for the services provided by SPH. The area shaded in pink represents the Primary Service Area. The map below represents the CHNA service area (the four school districts outlined in red).

DEMOGRAPHIC SNAPSHOT Age Groups Compared to the State of Wisconsin, the SPH service area is slightly over represented in both the younger (5-17) and older (65+) age categories. High school graduation rates are high and household income is relatively high. This is little racial and ethnic diversity compared to the United States and Wisconsin.

4

Ethnicity: Hispanic/Latino Population The estimated population that is of Hispanic, Latino, or Spanish origin in the report area is 1,335. This represents 3.25% of the total report area population, which is less than the national 16.62% rate. Origin can be viewed as the heritage, nationality group, lineage, or country of birth of the person or the person’s parents or ancestors before their arrival in the United States. People who identify their origin as Hispanic, Latino, or Spanish may be of any race.

Education – Graduation Rate Within the report area 93.71% of students are receiving their high school diploma within four years, exceeding both WI (88.3%) and the US (84.3%). This indicator is relevant because research suggests education is one the strongest predictors of health (Freudenberg & Ruglis, 2007).

5

Income – Per Capita Income The per capita income for the report area is $31,186. This includes all reported income from wages and salaries as well as income from self-employment, interest or dividends, public assistance, retirement, and other sources. The per capita income in this report area is the average (mean) income computed for every man, woman, and child in the specified area. The SPH service area has a per capita income that exceeds the state and nation averages. However, considerable disparity is when the per capita income is compared by ethnicity. Data indicates that the Hispanic/Latino population has per capita income less than half that of the NonHispanic/Latino population.

Children Eligible for Free/Reduced Price Lunch

6

Within the report area 1,774 public school students or 27.71% are eligible for Free/Reduced Price lunch out of 6,402 total students enrolled. This indicator is relevant because it assesses vulnerable populations which are more likely to have multiple health access, health status, and social support needs. Additionally, when combined with poverty data, providers can use this measure to identify gaps in eligibility and enrollment. The percent of student eligible for free or reduced price lunch is lower than the state of Wisconsin (41.91%) and the U.S (52.35%).

THE HEALTH OF OUR COMMUNITY About the data Several sources of data were used to produce this report including Community Commons analytics platform which include up-to-date, publicly available data for approximately 100 community indicators. Other important data sources include the Wisconsin County Health Rankings, Sauk County Health & Wellness Coalition Survey 2015, and Centers for Disease Control and Prevention. Below is a statistical overview of key health indicators in the service area. HEALTH INDICATOR SNAPSHOT  

        

Obesity: 33-34% of adults are obese in Sauk and Columbia Counties Alcohol and Drug Use: 30.6% of adults in Columbia County drink excessively and 35.1% of driving deaths in Sauk County are alcohol related. Drug poisoning deaths are higher in both counties than state average. Heart Disease: 25.4% of adults in Sauk County have high blood pressure. The death rate from coronary heart disease is higher than national average. Stroke: The death rate due to stroke is higher in Sauk and Columbia Counties than both state and national averages. Mental Health: The suicide death rate is higher than both state and national averages in Sauk and Columbia Counties. Preterm Births: There are fewer preterm births in Sauk and Columbia Counties compared to state and national averages. Diabetes: The number of adults with diabetes is higher in Sauk and Columbia Counties than state average. Poverty: 5.2% of Columbia County families and 7.8% of Sauk County families live under the poverty level, both of which are below state and national averages. Dental Care: 26% of Sauk and 27% of Columbia County residents have not had a dental visit in the last year. There are fewer dentists in both counties Food Access: Both Sauk and Columbia Counties have adequate density of grocery stores and farmers markets. Smoking: 7.0% of adults responding to the Coalition Survey said they smoke cigarettes. Only 39% of those who smoke tried to stop in the past year. Smoking rates collected by Community Commons and reported by the Centers for Disease Control and Prevention indicate that Tobacco Usage-Current Smokers is 17% in Sauk County and 21.8% in Columbia County. Combined, this rate slightly exceeds the nation rate of 18.1%.

7

VOICE OF THE COMMUNITY Along with collecting and analyzing data from the Sauk County Health & Wellness Coalition survey and online data sources, five key informant focus group meetings were conducted with stakeholders representing broad interests of the service area. The groups included, but were not limited to, school representatives, law enforcement officers, healthcare providers, emergency response professionals, clergy members, municipal officials, and community group leaders. The questions asked were related to general community issues and concerns, issues in the community that promote poor health, and issues related to healthcare access. At the meetings, health concerns were identified and prioritized. The top issue identified by all groups was mental health, but there were many aspects of this issue that were raised including suicide, depression, alienation and isolation, and provider access, especially during crisis episodes. Other high priority issues were obesity, chronic disease, use and abuse of drugs and alcohol, and poor dental health.

8

KEY INFORMANT SNAPSHOT Lodi: August 25, 5:30 pm, Lodi Clinic, 10 participants Mental Health       

In Lodi, law enforcement is the front line for mental health. There is a lack of counseling service access. Help isn’t available in a timely fashion. How do we intersect with people at or before critical points? Homebound and isolated residents spiral into depression. An anti-bullying effort (Lodi Pride Campaign) promotes interaction and discussion among kids. There is no visible presence of County resources in Lodi. Need better mental health resource coordination.

Alcohol and Drug Use 

  

Drug use has increased 200% in 3 years, mostly opiates and pills. There has been no discrimination on age, income, or geography. Results are child abuse and neglect, and suicide. Lodi and Columbia County have no Vivitrol program. There is a DARE officer available but a program is not in place. Need better acute drug treatment resource and coordination.

Social and Family Dynamics      

Movies in the Park is an effort to increase socialization and provide safe activities for families. There is a need to teach coping strategies to kids who have problems. Children age 5-10 are at high risk during family dysfunction. What connections are available at these critical times? Can Santa Project be used? Reach Out Lodi serves (can serve) as a social meeting place. Personal Essentials program give people the ability to “look the same” by providing clean items. Building strong families and reducing isolation and alienation are needed.

Healthy Foods/Proper Nutrition/Lack of Physical Activity  

Reducing obesity and increasing physical well-being is critical. Efforts should be made to create a walkable community.

9

Sauk Prairie: August 18, 5:30 pm, Sauk Prairie Hospital, 13 participants Mental Health  

  



Early identification of mental health and drug issues. What can be done in at the pediatric stage of life? What can parents watch for? Availability of professionals is not always the issue. Rather it’s the right match of provider to patient. Patients don’t respond the same way to different mental health providers. Can Good Neighbor Clinic be used as an intersection for other service such as mental health and insurance access? WIC now uses the GNC location. Recent suicides don’t seem to have a common theme, but there is a need for awareness and prevention. There is a Sauk Prairie Suicide Prevention Team. For the elderly, mental health issues exacerbate co-morbid conditions. Longstanding drug/alcohol use and management of withdrawal symptoms. There is a lack of knowledge for how to access funding for mental health care. The increasing lack of social connections create alienation from others. Certain aspects of “community” seem to be eroding affecting mental health.

Alcohol and Drug Use  

Underage kids who drink cannot access a Bar Buddies equivalent. They are not transportation alternatives. Heroin is still a huge problem. The CARE program is our best effort to address use, but we need to look at prevention measures.

Healthy Foods/Proper Nutrition/Lack of Physical Activity      

How to access to healthy foods outside of school? Healthy food availability and affordability for the elderly, disabled, poor. Can we identify these populations in need? Are the issues specific to Bluffview? Mobile Meals and Meals on Wheels are good programs. Can they be expanded and leverage to socially connect with clients. Can we expand the Backpack Food program? Off-campus food is of poor nutritional value (gas station food). A barrier is knowing how to prepare food.

Emergency Services 

10

Consider using the Mobile Integrated Healthcare approach which calls for trip hazard assessments, medication evaluations, and food adequacy checks.

Wisconsin Heights (Mazomanie/Black Earth): August 27, 5:30 pm, District 1 EMS Building, 11 participants Mental Health   

   

Lack of medication leads to use/misuse of other substances. NWDSS is a good resource for elderly and connects them to the Healthy Minds navigator. Suicidal ideations/attempts require emergency detention at Winnebago and the Stoughton Hospital Rose Unit. Transporting these individuals drains law enforcement time and resources. Suicide attempts seem to occur more with younger, but actual suicides occur with older people. Younger “attempters” are often seeking attention. Medications for depression are often over-used (self-imposed over-medication). Family respite for mental health patients is needed. There is a lack of mental health resources.

Social and Family Dynamics   

Youth seem to lack coping skills and don’t recognize the dangers of actions such as bullying. Parents are not engaged in dealing with problems. A sense of community continues to disintegrate. There is less volunteerism. Look into intergenerational activities such as Bingo.

Alcohol and Drug Use   

People with no family connections undergoing detox are taken home with no follow up. The Vivitrol program is a good program, but it is not available locally. There is an overall lack of AODA resources.

Healthcare Access/Insurance/Emergency Services 

  

People get confused about an Emergency Room visit and an Urgent Care visit because they are triaged as UC and then billed as Emergency. They don’t understand levels of care. Consider a Community Paramedic program to provide preventative surveillance and identify at-risk residents. Some elderly will not call the ambulance because of cost concerns. High deductibles force the use of school nurse.

Healthy Foods/Proper Nutrition/Lack of Physical Activity 

Food pantries are available in Arena and Mazomanie. NWDSS is a meal site. 2nd Harvest is available 1/month. Does Dane County Social Services intersect with the food pantry?

11

River Valley (Spring Green): October 29, 5:30 pm, Spring Green Library, 15 participants Mental Health      

 

When law enforcement encounters severely depressed and/or suicidal individuals, Chapter 51 confinement is the only option and is very inefficient. There seems to be a link between chronic depression and socioeconomic status. Access to psychiatry involves a lot of red tape in trying to get people qualified. Students with anxiety and depression face bullying and challenging family dynamics. A participant described interactions with several individuals who were not suicidal, but were just waiting to die. Those who come to the clergy feel isolated. For the elderly, who is coming to see them? Meals on Wheels helps – how can we leverage the socialization aspect of this service? For some of the elderly, going to the grocery store is their social outing. Some delays to get into counseling exist, but sometimes access is good. Counseling needs to include the whole family. As the leading priority, we need to address timely access to mental health and the isolation faced by vulnerable populations.

Alcohol and Drug Use 



Misuse of medications and self-medication with prescription drugs. There are examples of parents who are split from each other inappropriately administering medications to the child. One parent may stop meds while the other may over administer. This is a family dynamic issue as well. Narcan was administered six times this year in the district.

Transportation and Housing  

What transportation services exist for the shut-in? Can a service that responds at short notice and at low expense be created? Volunteers would be needed. There is a lack of transitional-style housing which keeps some elderly in their house to the point where their safety is compromised.

Dental Health  

12

Kids need more dental hygiene education. Dental pain leads to the use of pain killers.

Healthy Foods/Proper Nutrition/Lack of Physical Activity      

The availability of locally-sourced food should be promoted. To prepare kids to eat right, Home Ec classes are needed. What is the potential for farm-to-school? A school-to-business initiative is starting up. How can this be leveraged? For some, there is a connection between obesity and poor mental health. The combination of sedentary lifestyles and isolation lead to too much “screen time” which results in inadequate physical activity.

Emergency Services 

More volunteers are needed as retirements occur. There are no successors.

13

Plain: November 16, 5:30 pm, Plain Community Library, 5 participants Mental Health  

Improve access to psychiatric care for bipolar, dementia, schizophrenia. On occasion, there are dangerous mental health situations.

Social Interaction   

There is a lack of social activities. Plain has no senior center or restaurants. Need for cross-generational activities. Community health education opportunities (CPR, AED).

Emergency Services 

Would like to have health alerts like what kind of illness is prevalent.

Elderly Services       

Long term care Social workers Community Paramedics Physical/social activities Transportation Pharmacy Safety concerns, especially within the house.

Economic Issues 

14

High deductible health insurance plans limit access.

Creating Our Healthy Community Plan: November 17, 9 am, Ho Chunk Casino, 56 participants In addition to the Key Informant meetings facilitated by SPH, many other community forums were held by members of the Sauk County Health & Wellness Coalition. On November 17, 2015, a “Creating Our Healthy Community Plan” forum and priority session was held at HoChunk Casino. At this strategy session, approximately 56 community stakeholders held focused discussions about the top health need priorities and proposed mobilization tactics to consider for deployment. The participants used a prioritization exercise to rank the health issues facing the area. The top three priorities, in order, were Mental Health, Alcohol and Other Drug Abuse, and Obesity. All results from the facilitated work groups can be found in the Appendix.

15

KEY PRIORITES FOR SAUK PRAIRIE HEALTHCARE Based on the input and research described throughout this document, Sauk Prairie Healthcare determined priorities for the 2016-2018 CHNA and strategic implementation plan.

Mental Health Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with normal stresses of life, can work productively and is able to make a contribution to his or her community (World Health Organization, 2014). Without treatment, the consequences of mental illness for the individual and society can include disability, unemployment, substance abuse, homelessness, incarceration, and suicide. The economic cost of untreated mental illness is more than 100 billion dollars each year in the US (National Alliance on Mental Illness, 2014). According to the National Institute of Mental Health, an estimated 13 million American adults have a seriously debilitating mental illness. Suicide is the 11th leading cause of death in the US, accounting for the deaths of approximately 30, 000 Americans each year (National Institute of Mental Health). Of the 14 choices listed on the 2015 Sauk County Health & Wellness Coalition survey, mental health was ranked the second most significant health problem in Sauk and Columbia County. Specific categories of mental health identified included depression, anxiety, and coping. The main concern with mental health in the community is limited access and the lack of mental health facilities. Emergency service officials noted increased suicide attempts and substance abuse linked to mental health in the community. According to the Sauk County Child Death Review Team, suicides in Sauk County have doubled within the last year. Our Key Informant groups consistently cited terms like “alienation” and “isolation” as mental health-related factors among youth and the elderly.

16

Additional Information: The 2015 Wisconsin County Health Rankings show that in the past 30 days, respondents had an average of 2.7 mentally unhealthy days in Sauk County and an average of 2.5 mentally unhealthy days in Columbia County. Statistics from the 2015 Sauk County Health & Wellness Coalition survey show (SPH area respondents only):   

17% of respondents reported being treated for or told by a doctor that they have a mental health condition. 29% of respondents reported feeling sad, blue or depressed at least sometimes in the past month. 94% of respondents reported receiving the mental health care needed in the past year. Of the reasons for not receiving the needed mental health care, financial issues were the most common at 21%, followed by a lack of access at 17%.

Goals:  

Decrease the number of poor mental health days in Sauk County from 2.7 in 2015 to 2.2 by 2018 and in Columbia County from 2.5 in 2015 to 2.0 by 2018. Decrease the age-adjusted death rate due to suicide in Sauk County from 17.8 per 100,000 in 2015 to 15.9 by 2018 and in Columbia County from 17.7 in 2015 to 16.0 in 2018.

Proposed Action Steps:      

Participate in and/or help form local suicide prevention coalitions. SPH currently participate on the Sauk Prairie Coalition. Develop a Question, Persuade, and Refer (QPR) training program for law enforcement, teachers, guidance counselors and clergy in conjunction with the Sauk County Health Department. Partner with various community agencies and school on educational outreach dealing with mental health, suicide, and alcohol and drug abuse awareness. Participate in a support the activities of the Lodi Community Action Team as they relate to addressing mental health issues. Work with interested law enforcement agencies and ambulance services to examine the concept of the “community paramedic” to help address the mental health crisis situations and follow up needs. Collaborate with regional providers to increase access to mental health services.

17

Eat Smart, Move More Obesity (including poor nutrition and lack of physical activity) Obesity is defined as a life-long, progressive, life-threatening, genetically related, and costly disease of excess fat storage. This disorder is associated with illnesses directly caused or worsened by significant weight. Morbid obesity (or clinically severe obesity) is defined as being over 200% of ideal weight, more than 100 pounds overweight, or a body mass index (BMI) of 40 or higher, at which serious medical conditions occur as a direct result of the obesity. Obesity and unhealthy weight management can also contribute to the development of other diseases, such as diabetes and heart disease. Throughout the US, the number of individuals considered overweight or obese continues to rise. In addition to being costly for the nation’s health care system, obesity also can lead to, or complicate, other health conditions including heart disease, stroke, diabetes and certain types of cancer. Obesity continues to be a growing issue in the Sauk and Columbia County communities. Of 18 choices on the 2015 Sauk County Health and Wellness Coalition survey, being overweight was ranked the second most important risky behavior. Lack of physical activity is one of the main contributors of obesity. This issue was discussed at all of the Key Informant Focus Groups. Given the wide variety of venues to be physically active, there may be a lack of interest in utilizing the areas resources that encourage exercise and motion. Additional Information: The percentage of adults who are obese (report a BMI of 30 or more) in 30% in Sauk County and 35% in Columbia County, both higher than 2010 reports of 29% and 27% in Sauk and Columbia Counties respectively. Statistics from the 2015 Sauk County Health & Wellness Coalition survey show (SPH area respondents only):      

18

Only 33% of respondents reported a healthy BMI. 33% of respondents reported an overweight BMI. 35% of respondents reported an obese BMI. Only 18% of respondents reported being physically active for five days or more. 36% of respondents reported being physically active for one day or less. 25% of Sauk county SPH service area respondents reported having no leisure-time physical activity.

Goals: 



Decrease the percent of the population with no leisure time physical activity of Sauk County adult residents from 26% in 2015 to 24% in 2018 and in Columbia County from 22% in 2015 to 21% in 2018. Reduce the percentage of adults with a Body Mass Index (BMI)>30 in the SPH Service Area from 34.6% in 2015 to 32% in 2018.

Proposed Action Steps:  



 

   

Participate and support the development of the Great Sauk State Trail to promote walking, running, and bicycling. Collaborate with the Sauk Prairie School District Physical Education Department to expand their heart rate monitor program. Expand to a minimum of one additional school district. Lead and participate in the Sauk Prairie Wellness Movement to promote better nutritional habits and physical activities. In doing so, examine closely the needs and motivational cues among the residents of the Bluffview neighborhood in order to develop effective programs. This action step could also include revisiting the “Kids Count” program in conjunction with the Sauk Prairie School District. Grow the SPH Wellness Services for Businesses to promote healthy lifestyles among the working population and their family members. Join with other interested groups in Spring Green, Plain, Arena, Mazomanie, and Black Earth to foster health and wellness coalitions that address local needs. Related to Mental Health Issues, these groups should concentrate efforts on increasing opportunities for socialization among at-risk populations. Offer pre-/post-natal exercise classes to address obesity in pregnant women that provides resources, including nutrition and exercise. Through their primary care provider, offer free or low cost access to the Wellspring Wellness Center to qualified patients based on need and/or income. Participate in and support the initiatives of Activate Lodi. Continue to expand “Stir It Up” program beyond the Tower Rock School.

19

Chronic Disease Chronic disease burden is more highly concentrated among high-risk populations. The poor are more vulnerable to chronic diseases because of material deprivation and psychological stress, higher levels of risky behavior, unhealthy living conditions and limited access to goodquality healthcare. As of 2012, approximately half of all adults nationwide, 117 million people, had one or more chronic health conditions and one of four had two or more. Seven of the top 10 causes of death in the US are chronic diseases, with heart disease and cancer accounting for nearly 48% of all deaths. From the Sauk County Health & Wellness Coalition survey, of the 14 choices of the most important health problems in SPH service area, heart disease and stroke was listed with the highest rank. Additional Information: Statistics from the 2015 Sauk County Health & Wellness Coalition survey show (SPH area respondents only):        

70% of respondents received a routine check-up in the last year. 65% of respondents received cholesterol testing in the last year. 61% of respondents received an eye exam in the last year. 20% of respondents reported being treated for/told by a doctor in the last 3 years that they have high blood pressure. 17.0% of respondents reported they are daily smokers. 5% of respondents reported being treated for/told by a doctor in the last 3 years that they have heart disease. 6% of respondents reported being treated for/told by a doctor in the last 3 years that they have diabetes. 3% of respondents reported being treated for/told by a doctor in the last 3 years that they have cancer

Other health data from the Centers for Disease Control and Prevention indicates:  

20



25.4% of Sauk County and 24.3% of Columbia County have high blood pressure. 65.8% of Sauk County adults and 46.1% of Columbia County adults have high cholesterol, both higher than state and national levels of 36.2% and 38.5% respectively. 12.9% of Sauk County adults and 5.6% of Columbia County adults have heart disease, both higher than state and national levels of 3.9% and 4.4% respectively.





17% of Sauk County adults and 21.8% of Columbia County adults are currently smokers. This indicator is relevant because tobacco use is linked to leading causes of death such as cancer and cardiovascular disease. Reduce the percentage of adults aged 20 and older in Sauk County who have been told by a doctor they have diabetes from 9.8% in 2015 to 7.9% in 2018.

Goals:     

Reduce the percentage of adults in the SPH Service Area who have been told by a doctor they have diabetes from 6.0% in 2015 to 5.0% in 2018. Reduce the percentage of adults in the SPH Service Area who report they have high blood pressure from 20.0% in 2015 to 18.0% in 2018. Reduce the percentage of adults in the SPH Service Area who report they have high blood cholesterol from 26.0% in 2015 to 23% in 2018. The age-adjusted rate of diabetes among adults 20 and older is 9.8% compared to the Wisconsin rate of 7.9% and 9.11% for the United States. Reduce the percentage of adults in the SPH Service Area who regularly smoke cigarettes from 17.0% and 21.8% in Sauk and Columbia Counties to 15% and 18% respectively.

Proposed Action Steps:    

 

Provide intensive education and individualized follow up to inpatients and families regarding management heart failure and diabetes. Through their primary care provider, offer free or low cost access to the Wellspring Wellness Center to qualified patients based on need and/or income. Make staff available to provide education outreach to community groups. Examine opportunities to collaborate with area ambulance providers to create a Mobile Integrated Healthcare (MIH) program. This type of program can include services such as providing telephone advice to 9-1-1 callers, chronic disease management, post-discharge follow up, and many other services. Assemble an SPH “Chronic Condition” task force to develop strategies for addressing unmet needs of patients and residents with specific diagnoses. Initiate a Sauk Prairie Healthcare “Breathe Easy Quit Smoking” campaign including caregiver training and community-based classes for the public.

21

PLANNING FOR ACTION AND MONITORING RESULTS The purpose of the CHNA is to provide data and direction to drive our Community Health Improvement Plan (CHIP). The following information summarizes actions taken, or planned, by SPH to address the health needs identified in the CHNA.

Mental Health  

Decrease the number of poor mental health days in Sauk County from 2.7 in 2015 to 2.2 by 2018 and in Columbia County from 2.5 in 2015 to 2.0 by 2018 Decrease the age -adjusted death rate due to suicide in Sauk County from 17.8 per 100,000 in 2015 to 15.9 by 2018 and in Columbia County from 17.7 in 2015 to 16.0 in 2018.

Mental Health First Aid Community Sauk Prairie Healthcare communities

22

Goal

Provide the knowledge to staff and those in the community how to identify the signs of mental illness and know of the resources available for help. In addition, we want to create confidence among those trained to provide assistance if/when they identify individuals who may need mental health assistance.

Performance Measures

Conduct at least one, but as many as three classes of 25 participants during 2017. Participants will include SPH staff, other healthcare providers, and interested community members.

Description

Mental Health First Aid is an 8-hour classroom setting program designed to teach how to identify and spot the signs of mental illness, how to respond when identified, and provide the tools and resources to assist those who need assistance.

Hope Sauk Prairie Community Sauk Prairie area Goal

The mission of Hope Sauk Prairie is to prevent suicide and to share resources and education to lower the likelihood that our community will lose a member to suicide.

Performance Measures

Sponsor the membership of at least two SPH employees in Hope Sauk Prairie. Support promotion and education efforts as requested by Hope Sauk Prairie.

Description

Being visible in Sauk Prairie Hospital restrooms and other private locations, the support number for Hope SP can be seen and taken for those who want to call for assistance.

Women’s Health Adolescence Empowerment Program Community Sauk Prairie Healthcare communities Goal

Establish and carry out empowerment programming for at-risk teens throughout the primary service area. Lead by the SPH Women’s Health Steering Team, we believe “Healthy Girls = Healthy Women = Healthy Communities.”

Performance Measures

Establish and pilot-test program in 2017. Determine participation targets.

Description

This program aims to empower young women through journaling, cooking, and fitness programs.

23

Eat Smart, Move More (Reducing Obesity) 



Decrease the percent of the population with no leisure time physical activity of Sauk County adult residents from 26% in 2015 to 24% in 2018 and in Columbia County from 22% in 2015 to 21% in 2018 Reduce the percentage of adults with a Body Mass Index (BMI)>30 in the SPH Service Area from 34.6% in 2015 to 32% in 2018

Heart Zone Heart Zone Monitor Program Community Sauk Prairie School district with plans to expand to River Valley, Wisconsin Heights, and Lodi School districts

24

Goal

Create an environment of heart health awareness by implementing the Heart Zones program in every school district in the primary service area (Lodi, River Valley, Sauk Prairie, and Wisconsin Heights).

Performance Measures:

Annual measurements in the following will be tracked annually.

Description:

In conjunction with Sauk Prairie Healthcare and the Sauk Prairie Healthcare Foundation, the Sauk Prairie School District hopes to have every student in the district wearing Heart Zone heart monitors while in physical education classes. The monitors, worn on the wrist, provide the students real-time feedback of their physical performance by allowing them to view their heart rate on the screen as it moves between the 4 different activity zones. The goal of each student is to have 20 minutes of activity within the “orange” zone during their classroom time.

 

Reduce school age childrens’ resting heart rate Increase the average school age active heart rate zone

WISCONSIN HEIGHTS COMMUNITY GARDEN MOVE Community Wisconsin Heights School District (Black Earth and Mazomanie) Goal

Assist with the transition of the Wisconsin Heights community garden governance to a gardener-led structure

Performance Measures

Garden is successfully relocated for 2017 planting season.

Description

The Wisconsin Heights Community Garden is located near the corner of Highways 78 and 14, two miles south of Mazomanie. In 2012, the garden covered 1 acre and hosted 28 active garden plots.

SAUK PRAIRIE FOOD PANTRY MOVE Community Sauk Prairie Area Community Goal

Providing needed equipment and donations to the Sauk Prairie Food Pantry so the pantry can provide cooking classes to community members who want to learn how to eat healthier.

Performance Measures Description

The Sauk Prairie Food Pantry is relocating to a new building and is including a kitchen to teach the community basic and healthy cooking skills. Sauk Prairie Healthcare donated more than $11,000 in items to their new building including shelving, appliances, and cabinetry.

25

RURAL SCHOOL AGE COOKING & NUTRITION LESSONS Community Sauk Prairie area rural grade school, Tower Rock Goal

Teach school age children a few basic, healthy recipes. They then share that knowledge with the rest of their class as well as their parents and family

Performance Measures Description:

Sauk Prairie Healthcare’s dietician travels to a rural grade school with a high population of ESL students. She teachers one or two children a basic recipe and those students go back to the classroom and teach the other children.

SAUK PRAIRIE BIKE TO SCHOOL DAY Community Sauk Prairie School District Goal

Using the bike to school day activities as a day to also teach middle school students the benefits of healthy snacking

Performance Measures: Description:

During the Sauk Prairie School Districts Bike to School day, SPH sends our nutritionist to the middle school to provide healthy snacks for the kids

MAZOMANIE SPLASH PAD Community Wisconsin Heights School District (Black Earth and Mazomanie) Goal

Sauk Prairie Healthcare has financially assisted with the building of the Mazomanie splash pad to help physical activity for community members during summer months

Performance Measures Description

26

SPH assisted with the building of the Mazomanie splash pad by providing financial support of the construction project

Chronic Conditions  

Reduce the percentage of adults in the SPH Service Area who have been told by a doctor they have diabetes from 6.0% in 2015 to 5.0% in 2018 Reduce the percentage of adults in the SPH Service Area who report they have high blood pressure from 20.0% in 2015 to 18.0% in 2018 and have high blood cholesterol from 26.0% in 2015 to 23% in 2018.

BREATHE EASY SMOKING CESSATION PROGRAM Community Sauk Prairie Healthcare communities Goal

Providing a classroom program for those in the community who want assistance quitting smoking.

Performance Measures Description

Providing an American Lung Associates Freedom From Smoking in-person program that provides a step-by-step plan for quitting smoking in eight class sessions over seven weeks. The class format encourages participants to work on the process and problems of quitting, both individually and as part of a group.

LODI HEALTH FAIR Community Lodi Area School District Goal

Educate the community with information regarding diabetes risk and prevention as well as healthy eating tips and physical activity

Performance Measures Description

SPH joined with Activate Lodi, the Lodi School District, and Reach Out Lodi to bring a morning of activities and informational booths to the Lodi community

27

DIABETES AWARENESS MONTH ACTIVITIES Community Sauk Prairie Healthcare communities Goal

Educate the community with information regarding diabetes risk and prevention as well as healthy eating tips and exercise.

Performance Measures Description

SPH participated in several diabetes awareness activities in an effort to help identify those who may be pre-diabetic. Activities included: 1. Hosting three evening Fireside Chats - One to help community members identify if they are at risk - One to inform community members of better eating habits - One to demonstrate indoor activities to do during winter months 2. SPH posted diabetic displays at all locations 3. Sauk Prairie Hospital lit blue lights to call attention to diabetes

Other Initiatives under Assessment 

28

Diabetes Pre-Diabetic Classroom Program: A 16 week classroom program with focus on taking pre-diabetic community members and educating them how to slow down or stop diabetes with eating habits, physical activity, and lifestyle choices.

NEEDS SAUK PRAIRIE HEALTHCARE WILL NOT ADDRESS AND THE REASONS There is no limit to the number of issues to which a healthcare institution could devote resources. Time, people, and money often are limiting factors for why we cannot do more. However, prevailing wisdom suggests an organization like SPH must focus on a few high priority projects and make every effort to avoid duplication and encourage collaboration and coordination with other organizations and community groups. As SPH assessed unmet health needs and determined its priorities, we also evaluated those issues we could not address or were being addressed by others. Alcohol abuse has increased the amount of traffic collisions in Sauk and Columbia Count. While alcohol abuse is not an identified priority, SPH is able to care for patients with acute alcohol-related conditions until other resources are identified. High rates of unintentional injury and traffic crashes are being addressed by others including lay enforcement and state level experts through initiatives such as mandatory seat belt laws, speed limit enforcement, and “no texting while driving” laws. The lack of dental care in the community is a prevalent issue, and SPH funds the Seal-a-Smile program and plans to distribute toothbrushes to primary care physician offices. As a medical care provider, SPH is not able to dramatically impact the provision of dental care. Many people do not receive the dental care they need because they either cannot make an appointment, do not have the transportation to get to an appointment or due to lack of insurance/money. SPH will continue to support the programs it currently funds. Cancer is being addressed by SPH within its scope of services. Patient needs that fall outside our clinical capabilities are addressed by the tertiary healthcare providers located in nearby Baraboo and Madison, WI. Recently, SPH started a Women’s Health Nurse Navigator program which has proven very helpful in helping patients through their clinical journey.

GROWING HEALTHY COMMUNITIES WITH HEALTHY LIFE INITIATIVE GRANTS Sauk Prairie Healthcare Foundation offers Healthy Life Initiative grants as part of our mission to advance the health of our communities. We've supported the Ice Age Trail Alliance’s Summer Saunters program involving kids in hiking and nature. We've bought bike helmets and car seats for children and exercise equipment for senior fitness programs. We’ve supported the Wisconsin Heights Community Garden and school gardens in Sauk Prairie and Lodi. That's just a small sampling of what our Healthy Life grants have accomplished. Thanks to our generous donors, we’ve been able to provide $200,000 in funding since 2004. Grant

29

applications for $20,000 in Healthy Life grants for 2016 were accepted through November 20, 2015. Announcements for 2017 grants will be made in the summer of 2016.

INFORMATION GAPS THAT LIMIT SPH’S ABILITY TO ASSESS ALL OF THE COMMUNITY HEALTH NEEDS Sauk Prairie Healthcare observes that, while some health status indicators for the areas we serve are better than average, they may still represent problems that are highly prevalent, place a heavy burden on our population and might be worsening or fall short of benchmarks. In addition, aggregate health data for the entire population often masks the impact on a particular subset group. There may be an information gap from the input that was received from the Hispanic population. The Sauk County Health & Wellness Coalition found connecting with this population extremely challenging. SPH will work with local coalitions to obtain input for how to better serve these communities.

OTHER HOSPITAL FACILITIES PARTICIPATING IN SAUK PRAIRIE HEALTHCARE CHNA PROCESS Sauk Prairie Healthcare created this CHNA collaboratively with the Sauk County Health & Wellness Coalition members – St. Clare Hospital, Reedsburg Area Medical Center, the UWExtension and the Sauk County Health Department. SPH also collaborated with The Richland Hospital and Upland Hills Health to identify need in the River Valley School District.

HOW SAUK PRAIRIE HEALTHCARE MAKES ITS CHNA WIDELY AVAILABLE TO THE PUBLIC Upon approval by the SPH Board of Directors, this document will be made available through a variety of communication channels including: posting on the SPH website, Facebook announcements, notification to all Key Informants who participated in focus groups, announcement to the medical staff, and notification to area newspapers.

30

APPENDIX KEY INFORMANT FOCUS GROUP MEETING ATTENDEES

31

32

SAUK COUNTY HEALTH & WELLNESS COALITION The Work behind the Research

Focus Groups

Date

Time

# of Participants

The Golden K’s Meeting

July 09, 2015

11:00am

15 participants

Spring Green Dining Center

July 13, 2015

11:30am

11 participants

Sauk Prairie Dining Center

July 16, 2015

11:30am

9 participants

Baraboo Dining Center

July 20, 2015

11:15am

12 participants

Lake Delton Fire/EMS Department

July 22, 2015

5:30pm

1 participant

Merrimac Dining Center

July 28, 2015

11:00am

6 participants

Bluffview Community

July 24, 2015

4:00pm

Multiple 1 on 1 interviews

Several Foot Clinics Throughout Sauk County

Several days Throughout July

Several times

Multiple 1 on 1 interviews

Touched Twice Clinic and WIC Clinic

Several days throughout July

Several times

Multiple 1 on1 interviews

Reedsburg Area Medical Center – Several Phone Calls

Several days, August through October

Several times

Multiple 1 on 1 interviews

33

Community Events

Date

Sauk County Fair

July 8, 2015 – July 11, 0215

Baraboo Circus Parade

July 25, 2015

Reedsburg Little League Tournament

July 26, 2015

Reedsburg Reedikulous Days

July 31, 2015

The Community Health Needs Survey

Stayed Open:

1,500 Survey Responses

July 6, 2015 – August 15, 2015

508 from the SPH area

Key Informant Meetings

Date

Time

# of Participants

St. Clare Hospital Key Informant Meeting

August 7, 2015

9:30am

8 participants

St. Clare Hospital Key Informant Meeting

August 11, 2015

9:30am

11 participants

Reedsburg Area Medical Center Key Informant Meeting

August 12, 2015

12:00pm

17 participants

Sauk County Health Department Key Informant Meeting

August 17, 2015

12:30pm

43 participants

Sauk Prairie Healthcare Key Informant Meeting

August 18, 2015

5:30 pm

13 participants

August 25, 2015

5:30 pm

10 participants

August 27, 2015

5:30 pm

11 participants

October 29, 2015

5:30 pm

15 participants

November 16, 2015

5:30 pm

5 participants

November 17, 2015

9:00 am

56 participants

Sauk Prairie Sauk Prairie Healthcare Key Informant Meeting Lodi Sauk Prairie Healthcare Key Informant Meeting Wisconsin Heights (Mazomanie) Sauk Prairie Healthcare Key Informant Meeting River Valley (Spring Green) Sauk Prairie Healthcare Key Informant Meeting Plain

34

Creating Our Healthy Community Plan

CREATING OUR HEALTHY COMMUNITY PLAN: NOVEMBER 17, 2014, HO CHUNK CASINO, 56 PARTICIPANTS Priority Identification and Mobilization Exercise Priorities:  Mental Health  Obesity  Access to Dental Care  Parenting/Family Dynamic Help  Alcohol and Other Drug Abuse  Chronic Disease Each attendee was given three sticker dots. Each dot had a value of 5, 3, or 1. Attendees were asked to place their stickers on what they felt were the top three priorities, 5 being their first choice, 3 being their second choice, and 1 their third choice. Each priority was then scored:  Mental Health: 118  Obesity: 65  Access to Dental Care: 18  Parenting/Family Dynamic Help: 34  Alcohol and Other Drug Abuse: 101  Chronic Disease: 55 Attendees were split into 5 teams and asked to identify two priorities they wanted to address. They were given four flip chart pages, with two flip chart pages divided in half. With one divided flip chart page, teams were asked to write down all of the resources available in their community that can be mobilized to address the issue on the left side. On the right side, they listed what they feel are critical “missing resources.” This was completed for both priorities on the two divided flip chart pages. On the other flip chart pages, teams were asked to write down suggestions about how to best mobilize the resources listed on the left side of their divided flip chart pages. Essentially, this is getting at the ideas people have for how to address the top priorities with the resources available. The Health and Wellness Coalition will use the lists on the right hand side of the divided flip chart pages as input for future use.

35

Group 3/8 - #1 Priority: Access to Dental Care Resources       

Have Seal a Smile Program (for Elementary) Adopt a Smile Dental Voucher Program (for adults) Sauk County – Day with a dentist in February Reedsburg Hospital gives toothbrushes to Head start & Pre-K through 8th grade Merrimac Charter School – Brush teeth at school every day. Hospital foundation support

Mobilize      

36

Parity for dental care BadgerCare reimbursement for dentists Portable dentist – dental mobile Facilitate working with dental school for pro bono work Engaging millennial dentists Education by physicians



  

Missing Affordable dentist (dentists in Sauk County that will accept BadgerCare) Adult care for low income – no insurance No funding for cleanings in schools Dental therapists (program in Alaska)

Group 3/8 - #2 Priority: Parenting/Family Dynamic Help Resources      

Have Church youth programs Nurse Family Partnership (NFP) Boys and Girls Clubs WIC Program MOPS (Mothers of Preschoolers) Community School Garden

      

Missing Fewer people using as support (Church youth programs) FMLA – Not adequate money to support Living Wage Not enough good and affordable child care options High Quality food for a reasonable price Respite for families Parenting Co-op for sharing child care

Mobilize      

Everything starts at the bottom – give help before the problems start Flexibility with work day hours using either legislation or private company motivation Local advertisement for free/low cost family activity options Involve local libraries What happened to welcome wagon? Use social media to get word out

37

Group 4/9 - #1 Priority: Obesity Resources                    

Have Dietitians UW-Extension/education NFP $ Schools-Districts – Meal program & activities Civic groups Parks & Trails Fitness work-out businesses Community centers Meals on Wheels/ Meal Sites Community gardens Farmers markets Grocery stores County Health Dept Hospitals Clinics For-profit weight loss/nutrition services Pharmacies TV – Internet /communication Food pantry ADRC

Mobilize    

38

Education – all ages Promote healthy food outlets Meals for low income kids Increase activity requirements in schools

         

Missing Support groups Transportations Safe walking, biking, etc. Cooking skills Food shares @ farmers markets Bariatric exercise Mental health for obesity Societal role models Family meals – TIME Quick healthy choices

Group 4/9 - #2 Priority: Chronic Disease Prevention Resources           

Have Care providers Hospitals Chronic disease education (Diabetes, COPD, CHF, etc.) Cardiac Rehab Medications Medicals Facilities Home Health, Hospice County health UW-Extension ADRC Pharmacies

     

Missing Long term palliative care Healthy people/habits Standards/model for early DX/intervention for COPD, CHF Annual physicals “chasing” Insurance costs/deductibles $$

Mobilize       

Support parks, sidewalks, etc – small community Educations at healthy habits, prevention Early screening/detection Local sources – web search optimization Healthy Sauk County Webpage (resources) Integrated multi-resources teams (county wide) Support teams/groups

39

Group 1/6 - #1 Priority: Parenting/Family Dynamic Help Resources     

Have Programs for families at risk/in crisis Early Headstart/Headstart FCF Love & Logic – School district, free childcare, multiple locations Parents night out & Family Fun Night } School districts/Community centers

      

Missing Prevention programs Role models/peer counselors Parent café Faith based component Parenting classes, barriers Boundaries – technology Support system/respite

Mobilize        

40

Development of program framework Online community calendar to communicate Utilize community centers & school districts for education and family events Diverse multigenerational coalition Grow Big Brothers/Big Sisters or Boys and Girls Clubs Grandparent support groups Nonjudgmental/call parenting classes something else Alumni group for NFP/other programs

Group 1/6 - #2 Priority: AODA Resources    

Have Drug court MAT grant ATTIC correctional services SADD - Schools

      

Missing Sober events NA/AA continuity Cultural shift In school programming younger start Access to providers Sober venues Role models

Mobilize  

Provide sober activities/venues for kids & adults In school programming starting earlier

41

Group 2/7 - #1 Priority: AODA Resources            

Have Grant S.P. Care Program Community awareness/denial Paquette center Sauk County resources guide ATTIC correctional services CJCC drug court AA St. Clare Center AODA Counseling – Ho-Chunk Community – School resources/outreach Needle exchange program – “controversy”

        

Missing Not enough providers per capita Insurance limitations Adequate reintegration Transportation to services Enforcement resources Access to drug treatments Education re” controversial programs Certified AODA providers Provider incentive for specialty training



Mobilize        

42

Recruit private providers for AODA Legislate for better insurance coverage and more accessible insurance, meds, and affordability Business, non-profits to sponsor cost of training and certification Ensure established wrap around program outcomes and follow up Transportation to/from programs and also for alcohol users Affordable housing Education – community and youth Support of youth programs and activities rather than drinking etc.

Group 2/7 - #2 Priority: Mental Health Resources        

Have CSP CCS Pauquette Center Nami Good working group between agencies Treat rather than punish Mental health resources guide Peer groups

        

Missing I.D. Children with issues earlier Training of school staff counselors, etc. Facilities or emergency retention places for care Education of parents Providers per capita Ace’s education Historical trauma – understanding/unintentional consequences Shortage or psychiatry providers Gun control/laws

Mobilize       

Increase ability to access/treatment Incentives and recruitment of psychiatrist Legislation – increase treatment areas by looking at state map Education re: stigma Suicide prevention programs/education Social medical technology to reach people Helplines/text lines – follow through – wrap around

43

Group 5/10 - #1 Priority: AODA Resources          

Have CARE Program Grant St. Clare Center A lot of data National Hotlines AA Meetings Stigma Easy access Disposal stations – Clean Sweep Courts – drug court

Mobilize   

44

Early intervention – every developmental level Increase resources Reduce time to get appointments

           

Missing Education More rehab centers Lack of understanding of social norm Raise in beer tax Understanding why people use Compassion Early intervention Needle exchange program Prescription Med. Education Prevention efforts Legislation Advertising

Group 5/10 - #2 Priority: Mental Health Resources        

Have Clergy Great conversation Community coalitions Some county services Data – ACE Social isolation Texting hotlines Nutrition in schools

   

Missing 1:1500 Parenting skills Coping skills Socialization

Mobilize  

Education: Student led & District led Loan forgiveness for providers

45

COMMUNITY HEALTH RESOURCE GUIDE Columbia County Aging and Disability Resources

Aging and Disability Resources may include the following services for persons 60+ years old or those who are disabled.             

Senior Meal Sites and Home Delivered Meals Volunteer Drivers Housing Lists Medicare D Information and Counseling Benefit Specialist and Advocate Outreach Newsletters Senior Rx and Prescription Medication Programs Housing Information Chore Services Blood Pressure Screenings Preventing Fall Program Taxi Ticket Program Caregiver Information and National Family Caregiver Support

Columbia County ADRC P.O. Box 136 2652 Murphy Road Portage, WI 53901 Phone: (608) 742-9227 http://www.co.columbia.wi.us/ColumbiaCounty

46

Columbia County Home Health Agencies Divine Savior Home Care 2817 New Pinery Road Portage, WI 53901 Phone: 608-745-6400 Fax: 608-745-6402

Homeward Bound 1360 Jefferson Street Baraboo, WI 53913 Phone: 608-356-4666 Fax: 608-356-5052

Hillside Home Care/Hospice 709 S. University Avenue Beaver Dam, WI 53916 Phone: 920-887-4050 Fax: 920-887-6185

Recover Health 414 Broadway, Suite 201 Baraboo, WI 53913 Phone: 608-356-7570 Fax: 608-356-2629 www.reminc.com

*Home Health United, Inc. Portage Area 611 E. Wisconsin Avenue Portage, WI 53901 Phone: 800-924-2273 Fax: 608-742-3420 www.homehealthunited.org *Home Health United, Inc. Sauk Prairie Area 470 Oak Street Prairie du Sac, WI 53578 Phone: 800-924-2273 Fax: 608-643-2384 www.homehealthunited.org

Maxim Healthcare Services 5752 Tokay Blvd., Suite 500 Madison, WI 53719 Phone: 866-873-2345 Fax: 608-232-0200 www.maxhealth.com Meriter Home Care Agency 2180 W. Beltline Hwy. P.O. Box 259993 Madison, WI 53725 Phone: 608-232-3700 www.meriterhomehealth.com

*Affiliated with Sauk Prairie Healthcare

47

Dane County Aging and Disability Resources Aging and Disability Resources may include the following services for persons 60+ years old or those who are disabled.               

Senior Meal Sites and Home Delivered Meals Volunteer Drivers Housing Lists Medicare D Information and Counseling Benefit Specialist and Advocate Outreach Newsletters Volunteer Opportunities Senior Rx and Prescription Medication Programs Housing Information Chore Services Blood Pressure Screenings Preventing Fall Program Taxi Ticket Program Caregiver Information and National Family Caregiver Support Grocery Shopping Program

Northwest Dane Senior Services 1940 Blue Mound Street, Suite 2 Black Earth, WI 53515 (608) 767-3757 [email protected] Aging and Disability Resource Center 2865 North Sherman Avenue Madison, WI 53704 (608) 240-7400 www.daneadrc.org Dane County Area Agency on Aging 2306 S. Park Street Madison, WI 53713 Phone: (608) 261-9930 www.co.dane.wi.us/aging

48

Dane County Home Health Agencies Coram Healthcare

*Home Health United, Inc. - Portage Area

Meriter Homecare Agency

17012 W. Victor Road

611 E. Wisconsin Avenue

2180 W. Beltline Hwy.

New Berlin, WI 53151

Portage, WI 53901

P.O. Box 259993

Phone: 262-785-9318

Phone: 800-924-2273

Madison, WI 53725

Fax: 262-785-1232

Phone: 608-417-3700 *Home Health United, Inc. - Madison West

Fax: 608-417-3755

Divine Savior Home Care

4639 Hammersley Road

meriterhomehealth.com

2817 New Pinery Road

Madison, WI 53711

Portage, WI 53901

Recover Health

Phone: 608-745-6400

*Home Health United, Inc. - Janesville

2801 Coho Street, Suite 102

Fax: 608-745-6402

1025 N. Washington Street

Madison, WI 53713

Janesville, WI 53548

Phone: 608-274-8193

Phone: 800-924-2273

Fax: 608-274-8717

Edgerton Home Health 1011 N. Main Street

reminc.com

Edgerton, WI 53534

Independent Living, Inc.

Phone: 608-884-4910

2970 Chapel Valley Rd, Suite 203

Stoughton Hospital Home Health

Fax: 608-884-8699

Madison, WI 53711

900 Ridge Street

Phone: 608-274-2097

Stoughton, WI 53589

Fort Healthcare – Home Health

Fax: 608-274-9181

Phone: 608-873-2366

715 Sherman Avenue

indepenliving.com

Fax: 608-873-2398

Phone: 920-568-6500

Interim Healthcare of Madison

Univ. Hosp. Home Health Agency

Fax: 920-568-6516

702 N. Blackhawk Avenue, #215

2030 Pinehurst Drive

Madison, WI 53705

Middleton, WI 53562

Hillside Home Care/Hospice

Phone: 608-238-0268

Phone: 608-203-2273

709 S. University Avenue

Fax: 608-238-7308

Fax: 608-203-2247

Beaver Dam, WI 53916

interimhealthcare.com

Fort Atkinson, WI 53538

Phone: 920-887-4050 Fax: 920-887-6185

Upland Hills Home Care & Hospice Maxim Healthcare Services

800 Compassion Way

5752 Tokay Blvd, Suite 500

Dodgeville, WI 53533

*Home Health United, Inc.

Madison, WI 53719

Phone: 608-930-7210

4801 Hayes Road

Phone: 866-873-2345

Fax: 608-930-7263

Madison, WI 53704

Fax: 608-232-0200

www.uplandhillshealth.org

Phone: 800-924-2273

maxhealth.com

*Home Health United, Inc. - SP Area

Mercy Assisted Care Home Health

470 Oak Street

901 Mineral Point Avenue

Prairie du Sac, WI 53578

Janesville, WI 53545

Phone: 800-924-2273

Phone: 608-754-2201

homehealthunited.org

Fax: 608-754-1147

*Affiliated with Sauk Prairie Healthcare

49

Iowa County Aging and Disability Resources Aging and Disability Resources may include the following services for persons 60+ years old or those who are disabled.           

Senior Meal Sites and Home Delivered Meals Volunteer Drivers Housing Lists Medicare D Information and Counseling Benefit Specialist and Advocate Outreach Newsletters Volunteer Opportunities Senior Rx and Prescription Medication Programs Housing Information Caregiver Information Bus Service

Iowa County ADRC 303 W. Chapel Street Dodgeville, WI 53533 Phone: (608) 930-9835 www.iowacounty.org

50

Iowa County Home Health Agencies Finley Home Health Care 1333 Delhi Street Dubuque, IA 52002 Phone: 563-583-5833 Fax: 563-583-8808 Home Health United, Inc. 4801 Hayes Road Madison, WI 53704 Phone: 800-924-2273 * Home Health United, Inc. Sauk Prairie Area 470 Oak Street Prairie du Sac, WI 53578 Phone: 800-924-2273 www.homehealthunited.org Homeward Bound 130 W. Elm Street P.O. Box 503 Lancaster, WI 53813 Phone: 608-723-6601 Fax: 608-356-5052 Medicare and Medicaid Certified

Recover Health 414 Broadway, Suite 201 Baraboo, WI 53913 Phone: 608-356-7570 Fax: 608-356-2629 Medicare and Medicaid Certified Recover Health 1317 Applegate Road, Suite 100 Madison, WI 53713 Phone: 608-274-8193 www.reminc.com Medicare and Medicaid Certified Upland Hills Home Care & Hospice 800 Compassion Way Dodgeville, WI 53533 Phone: 608-930-7210 Fax: 608-930-7263 www.uplandhillshealth.org Medicare and Medicaid Certified

Maxim Healthcare Services 5752 Tokay Blvd., Suite 500 Madison, WI 53719 Phone: 866-873-2345 Fax: 608-232-0200 www.maxhealth.com

*Affiliated with Sauk Prairie Healthcare

51

Sauk County Aging and Disability Resources Aging and Disability Resources may include the following services for persons 60+ years old or those who are disabled.               

Senior Meal Sites and Home Delivered Meals Volunteer Drivers Housing Lists Medicare D Information and Counseling Benefit Specialist and Advocate Outreach Newsletters Volunteer Opportunities Senior Rx and Prescription Medication Programs Housing Information Chore Services Blood Pressure Screenings and Dining Centers Preventing Falls Information Taxi Ticket Program Caregiver Information and National Family Caregiver Support Grocery Shopping Program

Sauk County ADRC 505 Broadway Street Baraboo, WI 53913 Phone: (608) 355-3289 www.co.sauk.wi.us

52

Sauk County Home Health Agencies *Home Health United, Inc. 164 Second Street Reedsburg, WI 53959 Phone: 800-924-2273 www.homehealthunited.org *Home Health United, Inc. 470 Oak Street Prairie du Sac, WI 53578 Phone: 800-924-2273 www.homehealthunited.org *Home Health United, Inc. 611 E. Wisconsin Avenue Portage, WI 53901 Phone: 800-924-2273 www.homehealthunited.org Divine Savior Home Care 2817 New Pinery Road Portage, WI 53901 Phone: 608-745-6400 Fax: 608-745-6402 Maxim Healthcare Services 5752 Tokay Blvd., Suite 500 Madison, WI 53719 Phone: 866-873-2345 Fax: 608-232-0200 www.maxhealth.com

Recover Health 414 Broadway, Suite 201 Baraboo, WI 53913 Phone: 608-356-7570 Fax: 608-356-2629 www.reminc.com Sauk County Home Care 505 Broadway, Suite 372 Baraboo, WI 53913 Phone: 608-355-3290 www.co.sauk.wi.us Homeward Bound 1360 Jefferson Street Baraboo, WI 53913 Phone: 608-356-4666 Fax: 608-356-5052 www.hwbcare.com Hess Home Health 1050 Division Street Mauston, WI 53948 Phone: 608-847-6161 Fax: 608-847-6903 www.milebluff.com

*Affiliated with Sauk Prairie Healthcare

53

Community Resource Center

Good Neighbor Medical Clinic Phone: 608-643-4749 Ext. 14 Clinic Hours: Mondays: 1:00 – 5:00 PM Wednesdays: 1:00 – 5:00 PM Dental Services (limited service area) Hours: Mondays: 1:00 – 5:00 PM Prescription Assistance Program Hours: Mondays & Wednesdays: 1:00 – 5:00 PM

St. Vincent de Paul               

Baraboo: 608-356-4649 WI Dells: 608-254-4011 Sauk Prairie: 608-643-8905 Reedsburg: 608-524-7714 Black Earth: 608-767-2300 Some services may include: Long/short term housing Energy Assistance (heat, electric) Transportation – bus/tax/gas/oil Food – Perishable & non-perishable Clothing – household/furniture Prescriptions Medical/Dental Assistance Student scholarships Repairs – Car/home

Alzheimer’s and Dementia Caregivers Support Group 608-644-0504, ext 12 Hours: Second Tuesday of the month: 4:00– 5:30 PM Vincent de Paul Community Resource Center 1906 North St, Prairie du Sac, WI

Alcoholics Anonymous

54

608-644-0504, ext. 10 Hours: Sundays, Tuesdays: 7:00 – 8:00 PM , Fridays: 7:30 PM Vincent de Paul Community Resource Center 1906 North St, Prairie du Sac, WI

WIC Program 608-355-4320 Hours: 3rd Tuesday of the month: 7:45 AM – 2:30 PM 3rd Wednesday of the month: 7:45 AM – 2:00 PM Nutrition for 0-5 and pregnant women, breastfeeding support Free food packages to eligible low-income Families

Head Start Sauk Prairie Head Start 608-643-4749 Hours: Monday through Thursday: 8:30 AM – 1:30 PM 1906 North Street, Prairie du Sac Reedsburg Head Start 608-524-2700 400 Alexander Ave, Reedsburg SWCAP Richland Center Head Start 608-533-1537 1801 ST HWY 80, Richland Center

Food Pantries Sauk Prairie Area Food Pantry Community Resource Center 608-644-0504 Hours: 1st, 2nd, and 4th Wednesdays of the month 3rd Saturday of the month: 9:30 AM – 11:00 AM 5:30 – 6:30 PM Baraboo Food Pantry 608-356-4649 St. Vincent de Paul 3rd Monday: Mon 1-3pm, Fri 5-7pm 2nd and 4th Wed 1-3pm Merrimac Food Pantry - Open to only Merrimac Area residents-no hours608-493-2545 Call when needed - Contact Mary Spring Green Community Church 608-588-6082442 10:30 to 12:30 and 4:30– 6:30 PM

Reedsburg 134 South Locust Street 608- 524-6272 or 608-524-4937 Weds 10 am-12 pm & 4pm – 6pm Lodi Food Pantry First Lutheran Church 206 Pleasant Street; Lodi, WI 53555 Call Carol Meyer 608-592-4324 By Appointment Only: Monday, Tuesday and Thursday Richland Center 608-592-4102 Fellowship Hall 26700 Fellowship Lane, Richland Center, WI 53581 FOOD STAMPS: Contact Economic Support in your county of residence

55

Economic Support Sauk County-West Square Building 608-355-4200 505 Broadway Baraboo, WI

Columbia County Human Services 608-742-9227 2652 Murphy Rd. Portage, WI

Dane County-Job Center 608-288-2452 1819 Aberg Ave. Suite D Madison, WI

Iowa County Human Services 608-930-9801 303 W. Chapel St. Dodgeville, WI Richland County Human Services 608-647-8821 221 W. Seminary St. Richland Center, WI

Energy Assistance 608-356-8887 or 1-800-506-5596     

Fuel Assistance Alliant CA+ Keep WI Warm Fund Cisis Assistance Furnace Assistance

Call your local Department of Human Services for more information and assistance

Job Center Sauk County Job Center 608-355-4810 M-Th 9a-3p: F 9a-4p 505 Broadway Street, Room 232 Baraboo, WI

56

Dane County Job Center 608-242-4900 1819 Aberg Avenue Madison, WI

Columbia County Job Center 608-742-4181 2875 Village Rd. Suite 200 Portage, WI Iowa County Job Center 608-930-9801 303 W. Chapel Street Dodgeville, WI Richland County Job Center 608-412-0123 26220 Executive Land Richland Center, WI

Area Nursing Homes Columbia Health Care Center 323 W. Monroe Wyocena, WI 53969 Phone: (608) 429-2181 Fax: (608) 429-2281 www.co.columbia.wi.us/ColumbiaCounty/carecenter Greenway Manor 501 S. Winstead Way Spring Green, WI 53588 Phone: (608) 588-2586 Fax: (608) 588-7410 www.greenwaymanor.com Heartland Country Village 634 Center Street Black Earth, WI 53515 Phone: (608) 767-2572 Fax: (608) 767-2565 www.heartlandcountryvillage.com Ingleside 407 N. 8th Street Mt. Horeb, WI 53562 Phone: (608) 437-5511 Fax: (608) 437-9603 www.ingleliving.com Lodi Good Samaritan 700 Clark Street Lodi, WI 53555 Phone: (608) 592-3241 Fax: (608) 592-3293 www.good-sam.com

Reedsburg Area Senior Life 2350 N. Dewey Ave. Reedsburg, WI 53959 Phone: (608) 524-6577 Fax: (608) 524-0757 Sauk County Health Care Center 1051 Clark Street Reedsburg, WI 53959 Phone: (608) 524-7500 Fax: (608) 524-7599 www.co.sauk.wi.us/dept/hcc St. Clare Meadows 1414 Jefferson Baraboo, WI 53913 Phone: (608) 356-4838 Fax: (608) 356-5441 www.stclare.com Tivoli at Divine Savior 715 West Pleasant Street Portage, WI 53901-0387 Phone: (608) 745-5900 Fax: (608) 745-4688 www.dshealthcare.com Upland Hills Nursing Home 800 Compassion Way Dodgeville, WI 53533-0800 Phone: (608) 930-7600 Fax: (608) 930-7271 www.uplandhillshealth.org

Maplewood 245 Sycamore Street Sauk City, WI 53583 Phone: (608) 643-3383 Fax: (608) 370-7079

Golden Living Center – Wisconsin Dells 300 Race Street Wisconsin Dells, WI 53965 Phone: (608) 254-2574 Fax: (608) 253-7411 www.beverlycares.com/beverlyhealthcare

Pine Valley Nursing Home 25951 Circle View Drive Richland Center, WI 53581 Phone: (608) 647-2138 Fax: (608) 647-8955 www.co.richland.wi.us/departments/pinevalley

Waunakee Manor 801 South Klein Drive Waunakee, WI 53597 Phone: (608) 849-5016 Fax: (608) 850-4689 www.resthavenhc.com

57

Community Based Residential Facilities (CBRF’s)

Bluffview Meadows S7559 Highway 12 North Freedom, WI 53951 (608) 643-2232

Oak Park Place 800 Waldo Street Baraboo, WI 53913 (608) 355-3101

Meadow Lane 1414 Jefferson Street Baraboo, WI 53913 (608) 355-3325

Our House 1200 Washington Street Baraboo, WI 53913 (608) 355-2344

Cedar Crossing 208 W. North Street Poynette, WI 53955 (608) 635-8850

Girlie’s Manor 2620 Military Road Cross Plains, WI 53528 (608) 798-1086

Meadows Assisted Living 477 Rainbow Road Spring Green, WI 53588 (608) 588-2101

Our House 121 Second Street Lodi, WI 53555 (608) 592-7433

Homestead Living 1040 Quinn Drive Waunakee, WI 53597 (608) 850-4610

Harmony Manor 611 East Albert Street Portage, WI 53901 (608) 742-2147

Pines Assisted Living 1050 Prairie Street Prairie du Sac, WI 53578 (608) 643-5433

The Ridges 215 Dale Street Lodi, WI 53555 (608) 592-0394

Medicare does not pay for CBRF’s. These are usually paid for on a private pay basis. If you are seeking an admission to a CBRF you should contact your county social services agency for an assessment prior to admission.

58

Hospice Agencies Agrace Hospice Care 5395 Cheryl Parkway Madison, WI 53711 P: 608-276-4660 Heartland Hospice 2810 Crossroads Drive Madison, WI 53718 P: 866-216-5708 *Home Health United Hospice 1111 8th Street Baraboo, WI 53913 P: 877-356-4514 St. Croix Hospice 6333 Odana Road, Suite 14 Madison, WI 53719 P: 855-278-2764 Southern Care 402 Gammon Road, Suite 110 Madison, WI 53719 P: 608-833-3295 *Affiliated with Sauk Prairie Healthcare

59

Durable Medical Equipment Aljan (Orthopedic Appliances) 2008 Fish Hatchery Road Madison, WI 53713 Phone: 608-257-4256 Fax: 608-257-7220 Apria 859 East Broadway Monona, WI 53716 Phone: 1-800-589-5480 608-221-5480 Fax: 608-221-5485 Chartwell (IV, TPN) Phone: 1-800-730-8555 608-831-8555 Fax: 608-664-6193 (DME) 608-831-9747 (Infusion) Community HME 1212 8th Street Baraboo, WI 53913 Phone: 608-355-0774 Fax: 608-355-0787 Home Health United / Sauk 260 26th Street Prairie du Sac, WI 53578 Phone: 1-800-924-9872 608-643-4318 Fax: 866-553-0872 Home Health United / Baraboo 441 Hitchcock Street Baraboo, WI 53913 Phone: 1-800-924-4150 608-356-6475 Fax: 866-553-0866

60

Home Health United / Reedsburg 134 Second Street Reedsburg, WI 53959 Phone: 1-800-248-2043 608-524-8440 Fax: 608-524-8850 Home Health United / Madison West 4639 Hammersley Road Madison, WI 53711 Phone: 1-800-660-3420 608-276-3420 Fax: 608-271-8945 Meriter Home Health 2180 W. Beltline Hwy. Madison, WI 53725 Phone: 608-417-3770 Fax: 608-417-3755 UW Health Home Care 2030 Pinehurst Drive Middleton, WI 53562 Phone: 1-888-663-7043 608-203-2273 Fax: 608-203-2240 Walgreen’s Home Care Phone: 1-888-492-5442 Fax: 888-246-6510 Loan Closets Wheelchair Recycling Project 2554 Advance Road Madison, WI 53718 Phone: 608-243-1785 Fax: 608-243-1787 www.wrp.org

Mental Health Counseling/Alcohol/Drug Treatment Aspen Family Counseling 625 E. Slifer Street, Suite 2 Portage, WI 53901 (608) 742-5020 New Start (Chemical Dependency Assessment) 1015 Gammon Lane Madison, WI (608) 271-4144 Catholic Social Services (Dane, Columbia, Sauk Counties) (608) 256-2358 Lutheran Social Services 311 E. Wisconsin Street Portage, WI 53901 (608) 742-4244 Midlands Psychological Associates 36 Lodi Street Lodi, WI 53555 (608) 592-2080 Pathway 560 4th Street Prairie du Sac, WI 53578 (608) 643-3663 The Psychology Clinic 1190 Prairie Street Prairie du Sac, WI 53578 (608) 370-6551

Pauquette Center for Psychological Services Portage: 304 W. Cook Street Portage, WI 53901 (608) 742-5518 Baraboo: 1002 Lincoln Avenue Baraboo, WI 53913 (608) 356-9055 Sauk Prairie: 50 Prairie Avenue Prairie du Sac, WI 53578 (608) 643-3147 Stoughton Hospital-Geriatric Psych 900 Ridge Street Stoughton, WI 53589 (608) 873-2242 Gateway Recovery 101 Nob Hill Road, Suite 200 Madison, WI 53713 (608) 278-8200 St. Clare Center (Alcohol/Drug Rehab) 707 14th Street Baraboo, WI 53913 (608) 356-1555 State of Wisconsin Bureau of Substance Abuse (Information & Referral) (608) 266-2717

National Alliance on Mental Illness (608) 249-7188 Human Service Agencies Sauk County Columbia County Iowa County Dane County

(608) 355-4200 (608) 742-9227 (608) 930-9801 (608) 242-6500

61

Madison Area – Mental Health Agencies Catholic Charities 30 S. Franklin Street Madison, WI 53703 Phone: (608) 256-2358 Fee based on ability to pay NO Psychiatrist on staff Children’s Service Society of WI 1716 Fordem Ave Madison, WI 53716 Phone: (608) 221-3511 Community Counseling Center 7818 Big Sky Drive Madison, WI 53719 Phone: (608) 833-5880 Accepts MA/ 1st visit of ½ hour free Dane County Mental Health 625 W. Washington Avenue Madison, WI 53703 Phone: (608) 280-2700 Domestic Abuse Intervention Services Phone: (608) 251-4445 Edgewood Family Counseling Center 8025 Excelsior Drive Madison, WI 53711 Phone: (608) 663-6154 Will base fee on the ability to pay Family Enhancement (Dane County) 2120 Fordem Avenue Madison, WI 53704 Phone: (608) 241-5150 www.familyenhancement.com

Family Services 128 E. Olin Avenue, Suite 100 Madison, WI 53713 Phone: (608) 252-1320

62

Harmonia Madison Center Psychotherapy 406 N. Pickney Madison WI 53703 Phone: (608) 255-8838

Jewish Social Services 6434 Enterprise Lane Madison, WI 53705 Phone: (608) 278-1808 No fee/donations Lake Monona Psychotherapy & Recovery Center 6400 Gisholt Drive, Suite 100 Madison, WI 53713 Phone: (608) 256-5030 Accepts MA, MC Lutheran Social Services 6314 Odana road Madison, WI 53719 Phone: (608) 277-0610 Madison Mental Health Services 2700 Marshall Court (Doctor’s Park) Madison, WI 53705 Phone: (608) 238-9354 Accepts MA Journey Mental Health- Dane County 625 West Washington Ave Madison, WI 53703 Phone: (608) 280-2720 Prairie Counseling 1460 W. Main Sun Prairie, WI 53590 Phone: (608) 837-4814 Accepts MA, MC (Psychiatrist does NOT) Wellspring Psychotherapy Counseling Center 5610 Medical Circle, Suite 25 Madison, WI 53719 Phone: (608) 274-5871 Accepts MA / Offers a FREE 15 minute “meet & greet” to prospective clients Women & Families Psychological Services 6502 Grand Teton Plaza, Suite 203 Madison, WI 53719 Phone: (608) 827-7220 Accepts MA

Crisis Lines Domestic Violence / Sexual Assault Hope House - Baraboo Crisis #

(608) 356-9123 1-800-584-6790

Passages – Richland Center or

1-800-647-3616 (608) 356-9123

Native American Service

1-800-236-4325

Dane County Domestic Abuse Program or

1-800-747-4045 (608) 251-4445

Runaway / Youth Services 1ST Call for Help

(608) 246-4357

HIV/AIDS Hotline

1-800-342-2437

Mental Health/AODA Sauk County

(800) 533-5692

Columbia County

(888) 552-6642

Iowa County

(800) 362-5717

Dane County

(608) 280-2600

Richland County

(608) 647-8821

63

Medical Transportation Vans

Medicare does not pay for wheelchair vans. Medical Assistance does pay for wheelchair vans with a prescription from a physician. Patients must have a valid Medical Assistance card.

Logisticare *Mid States Medical Express (only to Portage) *CareVan Services, Mt. Horeb cell: or Abby Vans *Capitol Express, Madison *Meisters, Madison

* Accepts private pay only

64

(866) 907-1493 (608) 742-8603 (608) 444-7930 (608) 437-8989 (800) 236-8438 (608) 661-7433 (608) 240-0353

Transportation Services Taxi Services – all are fee for service Baraboo Reedsburg Sauk Prairie Sureway Taxi Van Go Taxi Abby Vans, Inc

(608) 356-8300 (608) 524-8766 (608) 644-9616 (608) 253-2129 (608) 849-7070 (715)743-3364

Alternative Options Sauk County Commission on Aging (over 60) Columbia County Commission on Aging (over 60)

1-800-482-3710 (608) 742-9213

Medical Assistance If you have Medical Assistance you may qualify for rides to and from medical appointments, mental health appointments, discharge from a hospital. Please call to set up a ride 48 hrs before your scheduled appointment. P: 866-907-1493

65

Services for Veterans Veterans Service Offices Columbia County Veteran’s Service Office 400 Dewitt Street P.O. Box 232 Portage, WI 53901 Phone: 608-742-9618 Dane County Veteran’s Service Office 1919 Alliant Energy Center Way Madison, WI 53713 Phone: 608-266-4158 Iowa County Veteran’s Service Office 222 N. Iowa Street, Courthouse Dodgeville, WI 53533 Phone: 608-935-0392

Richland County Veteran’s Service Office 181 W. Seminary, Courthouse Richland Center, WI 53581 Phone: 608-647-6101 Sauk County Veteran’s Service Office 505 Broadway, Room 205 Baraboo, WI 53913 Phone: 608-355-3260 Wisconsin Department of Veteran’s Affairs 30 W. Mifflin Madison, WI 53703 Phone: 800-947-8387 or 800-WIS-VETS *Wisconsin Veterans State Programs and Services

Nursing Homes Wisconsin Veteran’s Home N2665 County Road Q King, WI 54946 Phone: 715-258-5586

Wisconsin Veteran’s Home 21425 Spring Street Union Grove, WI 53182 Phone: 262-878-6700

Hospitals William S. Middleton Memorial Veterans Hospital (VA) 2500 Overlook Terrace Madison, WI 53705 Phone: 308-256-1901

66

VA Great Lakes Health Care – Tomah 505 E. Veterans Street Tomah, WI 54660 Phone: 608-372-1751 Tomah Memorial Hospital 321 Butts Avenue Tomah, WI 54660 Phone: 608-372-2181