McDowell ARH Hospital - Appalachian Regional Healthcare

50 Pages·2016·12.87 MB·English

C o m m u n i t y H e a l t H n e e d s a s s e s s m e n t 2 0 1 6
McDowell ARH Hospital
McDowell ARH Hospital CHNA
This Community Health Needs Assessment (CHNA) Implementation Strategy was
prepared for Appalachian Regional Healthcare by the Community and Economic
Development Initiative of Kentucky (CEDIK) at the University of Kentucky.
CEDIK works with stakeholders to build engaged communities and vibrant economies.
If you have questions about the assessment process, contact CEDIK:
Dr. Alison Davis, CEDIK Executive Director
[email protected]
[phone]
Marisa Aull, CEDIK CHNA Coordinator
[email protected]
[phone]
cedik.ca.uky.edu
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McDowell ARH Hospital CHNA
Dear ARH Service Area Resident,
Thank you for your interest in the 2015-2016 ARH Community Health Needs
Assessment (CHNA). The data reflected in this report was collected from surveys
and focus groups conducted in your local ARH community. These results are being
reported along with an update about how we utilized the results from our previous
needs assessment from three years ago.
The unique design of this CHNA permits an examination of the diverse aspects of
each of our 11 ARH communities. The assessment results from each ARH facility
demonstrate the desire for individual and community health improvement. These
results provide valuable information that will be used for planning purposes, service
improvements and community outreach.
Special thanks to the CHNA Community Steering Committees in each of our 11
communities for giving of their valuable time and guiding this community health needs
assessment process. It is our hope that this assessment will help ARH, in partnership
with our communities, to identify respective health concerns, measure the impact of
current public health efforts and guide the appropriate use of local resources.
We also hope that together, we can improve the health and well-being of the residents
of Eastern Kentucky and Southern West Virginia.
Sincerely,
Joseph L. Grossman
ARH President and CEO
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McDowell ARH Hospital CHNA
ARH - Our History
In 1956, the United Mine Workers of America (UMWA) and thousands of citizens
in the coal communities dedicated the Miners Memorial Hospital Association’s
(MMHA) facilities. The system’s hospitals were located in Harlan, Hazard, McDowell,
Middlesboro, Whitesburg, Pikeville and South Williamson, Kentucky; Man and Beckley
West Virginia; and Wise, Virginia. By the early 1960s, MMHA announced its intention
to close some of the hospitals and soon after the Board of National Missions formed
a new and independent not-for-profit health system Appalachian Regional Hospitals
(ARH)--that purchased the Miners Memorial Hospitals. The health system changed its
name in 1986 to Appalachian Regional Healthcare to more accurately describe its far-
ranging activities.
Today we operate hospitals in Barbourville, Harlan, Hazard, Hyden, McDowell,
Middlesboro, Morgan County, South Williamson and Whitesburg, Kentucky, and
Beckley and Summers County, West Virginia. ARH has always responded to the
changing demands of rural healthcare. Over the years, we have built and acquired
new facilities as well as invested in new technology and medical capabilities.
Mission
To improve health and promote well-being of all the people in Central Appalachia in
partnership with our communities.
Vision
To earn the confidence and trust of the diverse communities we serve by offering
healthcare excellence, delivered with compassion in a timely manner.
Values
Excellence, Compassion, Safety, Teamwork, Inclusion, Professionalism
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McDowell ARH Hospital CHNA
CHNA Background
Appalachian Regional Healthcare contracted with the Community and Economic
Development Initiative of Kentucky (CEDIK) in the fall of 2015 to conduct a Community
Health Needs Assessment (CHNA) in accordance with the Affordable Care Act (ACA).
The Affordable Care Act (ACA), enacted March 23, 2010, added new requirements
that hospital organizations must satisfy in order to be described in section 501(c)(3),
as well as new reporting and excise taxes.
The IRS requires hospital organizations to complete a CHNA and adopt an
implementation strategy at least once every three years. This CHNA was the second
prepared by CEDIK for this organization; the first was completed in 2013.
Here is an overview of the CHNA process that CEDIK uses based on the IRS
guidelines:
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McDowell ARH Hospital CHNA
Since the 2013 Community Health Needs
Assessment, we have taken these opportunities
to fulfill our promise to the community:
www.arh.org/mcdowell
We participated in health fairs at Senior Citizens Centers in our area (McDowell/
Minnie Senior Citizens Center, Martin Senior Citizens Center and the Big Sandy
Senior Games) to address the issue of Obesity. Our Dietician, Sabrina Hicks, always
attends the fairs with us, and discusses proper food choices and portions.
To educate We plan to invite the bariatric center to host an education seminar at our facility.
We hosted three (3) School Fitness Fairs at South Floyd Middle School, first in
the community
December 2014, May 2015 and again in December 2015. During these fairs, we
of the risks
weighed and measured the kids in grades 6, 7 and 8. They visited stations where
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o#f obesity they did sit ups, push-ups, sit and reach, grip strength, and ran a mile. Their results/
times were written on each child’s card as they visited each exercise. At the end of
Y
and the high
T the event, the cards were collected and they were given a bag with nutritious snacks
I
pRrevalence and various health information pamphlets. Each student’s results were entered on
O a spreadsheet and shared with the school. During each of the following visits, the
oIf obesity
R same children were encouraged to complete the same exercises, where their results
inP our area, were once again tracked and shared with the school.

especially in We hosted various health and nutritional education sessions with the kids throughout
the year. The students were given a test at the end of the program on what they
our children.
had learned about their health, the positive effects of exercise and the importance
of healthy food choices. At the end of each fitness fair, the children’s BMI was
closely monitored and noted, revealing that the majority of the children’s BMI did
in fact decrease. A Fitbit was given to both the boy and girl that had the greatest
percentage of improvement overall. We also held drawings for 25 - $25 VISA gift
cards for the kids that had participated in all three (3) events.
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#
Need for after-

Y We already had After Hours clinics on Mondays at both Wayland and Wheelwright
hoTurs medical
Family Care Clinics until 7:00 pm, but have expanded after hours in our McDowell
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seRrvices at our Professional Clinic as well. Our McDowell Clinic is now open from 8:00 am until 8:00
O
pm, Monday through Thursday.
ouItlying clinics.
R
P

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McDowell ARH Hospital CHNA
2013 CHNA priorities for McDowell ARH, continued:
We now have more Specialty Physicians that practice in our Specialty Clinic, which is
located in the hospital building. We now have a: PM&R physician, Dr. James
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Hammock, who comes to the hospital once a month. Podiatrist, Dr. David Whiting,
#
N eed more who visits the clinic twice a month. Oncologist, Dr. Sam Bailey, who comes to the
Y
STpecialists clinic once a month. Surgeon, Dr. Todd Tom, who comes twice a month and
RI performs Stereotactic Breast Biopsies once a month as well. Cardiologist, Dr.
(including
O Gharad, who now practices in our clinic twice a month. Dr. Sayed Bokhari also
CRIardiology) comes to the clinic twice a month. In Dr. Hall’s clinic space, Dr. Koura,
P Pulmonologist; Dr. Ahmed, Neurologist; and Dr. Bhagrath, Nephrologist; still come

each month as well.
“Hosting the Fitness Fairs at South Floyd Middle School was one of the most rewarding events we have held
over the past couple of years. The kids were so competitive with each other in the exercises and interested
in how much they had grown each time we hosted the event. I was especially proud of how supportive they
were for each other when we distributed the prizes for those who participated in the program the entire time.
They cheered each other on, and seemed very interested in becoming healthier. Some stated if they had
known there would be prizes, they would have tried harder.
A good majority of the kids actually decreased their BMI and really became aware of the importance of
exercise and maintaining a healthy lifestyle.”
- Russ Barker, McDowell ARH Community CEO
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McDowell ARH Hospital CHNA
Table of Contents
1. Portrait of Community Served by the Hospital 10
2. The Assessment Process 11
3. Secondary Data Exploration: 11
Community, Economic & Health Profiles
4. Hospital Utilization Data 14
5. The Community Steering Committee 17
6. Community Feedback 18
7. Survey Results 19
8. Prioritization of Identified Health Needs 21
9. Implementation Strategy 22
10. Next Steps 25
11. Appendix 26
*Secondary Data Sources
*Survey Template
12. Approval 35
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McDowell ARH Hospital CHNA
Introduction
Appalachian Regional Healthcare (ARH) is a not-for-profit health system serving
350,000 residents across Eastern Kentucky and Southern West Virginia. Operating
eleven hospitals, multi-specialty physician practices, home health agencies,
HomeCare Stores and retail pharmacies, ARH is the largest provider of care and
single largest employer in southeastern Kentucky and the third largest private
employer in southern West Virginia.
The ARH system employs nearly 5,000 employees and has a network of more than
600 active and courtesy medical staff members representing various specialties.
Consistently recognized for its medical excellence, the ARH system is one of two
Kentucky health systems to be named to the 2012 IMS Top 100 Integrated Healthcare
Networks list of the most highly integrated healthcare networks in the nation, and
was selected as the 2010 Outstanding Rural Health Organization in the nation by the
National Rural Health Association (NRHA).
McDowell ARH Hospital
McDowell ARH Hospital, a 25-bed critical
access facility, has been designated as one
of the iVantage HEALTHSTRONG Top 100
Critical Access Hospitals (CAH) in the United
States for quality of care and ranking in the top
quartile of patient satisfaction, compared to all
CAHs. McDowell ARH offers a wide range of
services including emergency, imaging,
rehabilitation therapy, home health, and a
HomeCare Store.
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McDowell ARH Hospital CHNA
McDowell ARH Services
• Bone Densitometry • Occupational Therapy
• Clinics • Physical Therapy
• Digital Mammography • Respiratory Therapy
• Echocardiography • Senior Care
• Emergency Care • Speech - Language Therapy
• HomeCare Store • Surgery
• Home Health Services • Swing Beds
• MRI • Ultrasound
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