2012 ~ 2015 rfgh community health work-plan · 2012 ~ 2015 rfgh community health work-plan...

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2012 ~ 2015 RFGH Community Health Work-Plan Community Health Improvement-directly, or in collaboration with others, identifies and provides health, prevention and education services throughout the community. Offer community education,

disease prevention and wellness initiatives based on community need. Key focuses: * Worksite wellness * Chronic Disease * Obesity * Collaboration / engagement NOTATION: Greater Somerset Public Health Collaborative changed name to Somerset Public Health in 2014

Topic Area Healthy People 2020 National Health Plan

Healthy Maine 2020 (established 2013)

RFGH Health Plan / Goals / Objectives

RFGH Strategies RFGH 2012 & 2013 Outcomes

RFGH 2014 Outcomes

2015 Outcomes

Access to Health Services

Reduce proportion of individuals who are unable to obtain or delay in obtaining necessary prescription medications Nationally 3.1 % of all persons were unable to obtain or delayed in obtaining in 2007: Target 2.8% (10% improvement)

proportion of persons with a usual primary care provider (from 82 to 89%) proportion of people of all ages with health insurance (from 90-% to complete coverage)

proportion who are unable to obtain or delay obtaining necessary medical (reduce from 10% to 9.4%) proportion of persons with a usual PCP

Reduce proportion of individuals who are unable to obtain or delay in obtaining necessary prescription medications

Prescription Assistance Program assists eligible patients in receiving prescription medications through manufacturer sponsored programs and to refer to other resources for which they may quality

2012: PAP program ongoing 148 applications processed with 35 patients assisted through PAP program 2013: PAP continues Jan – Dec. 2013 – 25 patients received assistance – total of : 74 applications processed

PAP continues Jan – Dec. 2014 – 32 patients received assistance – total of : 132 applications processed Move More Kids initiatives – transportation committee using NB funding and matching Fed and local funding offered MMK Summer Transportation for a total of 2,016 riders for opportunities to be physically active, commute to work, doctor’s office, obtain needed food or supplies.

PAP received assistance: 29 Applications processed = 105 Year Round public transportation services now provided in Skowhegan, Norridgewock, Madison and Anson through Move More Kids Support – Yearly participation Somerset Explorer – 7,488 riders for opportunities be physically active, commute to work, doctor’s office, obtain needed food or supplies.

Increase proportion of persons who have access to rapidly responding pre-hospital EMS - Population covered by BLS / pop. By ACLS

Provide access to pre-hospital EMS:

Service the area’s population with RFGH - EMS BLS, ACLS and PALS

RFGH service area has access to rapidly responding pre-hospital EMS (paramedic level pre-hospital EMS staff have BLS, ACLS, PALS, NRP)

Continue to service area with RFGH’s ambulance service (paramedic level pre-hospital EMS staff have BLS, ACLS, PALS, NRP)

Continue to service area with RFGH’s ambulance service (paramedic level pre-hospital EMS staff have BLS, ACLS, PALS, NRP)

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Healthy Maine 2020


RFGH Strategies to address goals / needs

RFGH 2012 & 2013 Outcomes

RFGH 2014 Outcomes

RFGH 2015 Outcomes

Adolescent Health

Multiple school related objectives

School related objectives addressed at local districts.

RFGH will collaborate where applicable to reduce rate of high school student tobacco use of 19.6% (2015 CHNA Health Indicators)

GSPHC supported physical activity work in schools Community Health programs – tobacco and nutrition

Continued 2014 SPH supported physical activity work in schools Community Health programs – tobacco and nutrition

SPH supported PA work in schools Community Health programs – tobacco – at HS classroom (health) and 4th/5th grades for Tar Wars

Arthritis, Osteoporo-sis and Chronic Back Conditions

Increase proportion of adults with doctor-dx arthritis who have had effective, evidence-based arthritis education as an integral part of the management of their condition Baseline: 10.6% of adults in 2006 Target: 10% improvement

Maine 30% 2003 Maine 2011 30% Maine 2013 30% Maine data source (BRFSS)

Provide education (web based article, community newsletter, presentation)

2012: Parkinson presentation w/Dr Goodman 4/17/12 34 attended Arthritis presentation with Dr. Crofoot on 5/29/12 ; 36 attended 2013: Website information offered RFGH pool classes

Website information offered RFGH pool classes Women’s Health: Breast and Bone – Nuclear Technicians presented on bone health – 12 attended

Hand arthritis presentations by OT – 129 participants RFGH pool classes

Reduce activity limitation due to chronic back conditions Baseline: 30.7/1000 Goal 10% improvement

Reduce activity limitations due to chronic back conditions

Provide education, promote physical activity

See PA initiatives See PA initiatives See PA initiatives

Blood Disorders and Blood Safety

Reduce proportion of persons who did not receive a transfusion due to a blood product shortage

Support Red Cross and local high school initiative of blood drive

2012: RFGH blood drives X2 3 nurses from RFGH volunteered at HS blood drive 2013: Blood drives X2 with 125 donors

2 blood drives in 2014 at RFGH in collaboration with Red Cross – total of 96 units collected

2 blood drives in 2015 – total 72 units collected

Cancer Increase the proportion of cancer survivors who are living 5 years or longer after diagnosis

Increase the % of cancer detected at local stage. Reduce rates of late stage breast cancers and colorectal cancer

Increase the proportion of cancer survivors who are living 5 years or longer after diagnosis Support survivors

Support cancer survivors and current cancer patients / caregivers

Cancer monthly support group - total of 129 attendees in 2012 ; 84 in 2013 Survivor tea – 3/31/2012 – 12 attended Relay for Life 2012 with 400 attending 2013: Relay supported with GSPHC and teams from RFGH supporting

Fatty Liver presented in March by Dr. Henry – 48 attended Cancer Support Gp- 178 attended the 11 programs offered in 2014 (average 16/session) Breast Cancer Article by Alicia Forster, MD

Breast Cancer presentation with Oncologist – 11 attended Radon presentations (Cedar Ridge by CHE and at RFGH by Maine DHHS; total participation 57)

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Healthy Maine 2020



RFGH 2014 Outcomes

2015

Cancer continued

65 RFGH staff Information booth about Colorectal Cancer 3/9/12 “Happy Colon Day” 2012: Road to Recovery – Semper Fidelis – Senior Comp, Road to recovery program (54 participants) 2013: ACS Look Good Feel Good program supporting 4 patients 2013: Food in Prevention of Colon Cancer (Dr. Henry, 18 attended 2013: Breast Cancer Awareness – Dr Stannard – 12 attend

in Winter, 2014 RFGH Caring for the Community Newsletter Women’s Health: Breast and Bone with Dr. Forster 12 attended SPH participated in Relay for Life

Colorectal prevention – 24 Cancer support Group – 10 sessions offered with average 15 per month

Following screening objectives combined: cervical screening, colorectal screening, breast cancer

Following screening objectives combined: cervical screening, colorectal screening, breast cancer

Support free screening initiatives to eligible women.

65 RFGH staff 2012 & 2013:Supported

free screening initiatives to eligible women.

Support fr support free screening initiatives to eligible women (funds available)

support free screening initiatives to eligible women (funds available)

Increase the proportion of persons who participate in behaviors that reduce their exposure to harmful UV irradiation and avoid sunburn

same Plan for /provide skin screening

2012: Skin cancer presentation with senior companion – 22 attended 2013 Skin cancer presentation with work site

Skin Cancer prevention – poster and discussion with individuals triathalon – 125; presentations by RN and CHE to two worksite groups – 37 attend Oncology nurse and CHE presented to 30 community members onsite

Skin cancer prevention topic: adolescents – 20 Worksite – 22 Farmer’s Mkt - 50

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Healthy Maine 2020



RFGH 2014 Outcomes

2015 outcomes

Chronic Kidney Disease

Addressed with diabetes or heart disease







Dementias including Alzheimer’s

Increase the proportion of persons with diagnosed dementias who are aware of the dx

the proportion of persons with diagnosed dementias who are aware of the dx

Provide education for caregivers

Dementia presentation @ community home (Redington Memorial Home (1/23/13) with 25 attendees Savvy Caregiver provided for caregivers X 2 – 10 attended each time Dementias and early Detection – Dr. Renfrew – 70 attended

Senior Spectrum Savvy Caregiver provided for caregivers (five wk program offered X 2– 18 total attended

See older adult section

Diabetes Improve glycemic control among the population with diagnosed diabetes 1. the proportion of the diabetic pop with an A1c value > 9% by 10% (baseline 16.2%) 2. the proportion of the diabetic pop with an A1c less than 7% by 10% (baseline 53.5%) 3 the proportion of the diagnosed diabetes whose B/P is under control by 10% (baseline 51.8%) 4. the proportion of adults with diabetes who have at least an annual foot exam by 10% (baseline 68%) 5. the proportion of adults with diabetes who perform self blood glucose monitoring at least once

2012 The % Diagnosis Maine 10% Somerset County 11% 90% of adults with DM have Type II Maine Goal by 2015, increase % of adults who have taken DSMT from 61% to 80%

Improve glycemic control among the population with diagnosed diabetes

Group DSMT 6X / year 1: 1 DSMT as needed Telephonic DSMT ongoing

Diabetes Champion presentations in 2012 and 2013 -47 attended Diabetes presentation at elderly complex for meal planning and CHO counting – 15 attended (outcome – 2 residents attended DSMT class) Diabetes for staff and community at Cedar Ridge – 75 attended 83 patients involved in the Diabetes Self Management Program in 2012; 125 in 2013 including CGM patients

Pre-diabetes & Type 2 Diabetes in Kids – 25 attended Diabetes and Nutrition (Senior independent living) 12 attended presentation by dietitian Diabetes BBQ/Education - 60 attended - exercise, mindful eating (September, 2014) Support group ongoing – average 8 in the 10 sessions offered

Diabetes support group barbeque / education 40 attend Monthly support group offered X9 with average of 9 each session Monthly bulletin board by Certified Diabetes Educator DSMT classes See full DSMT Program plan for deteail

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Healthy Maine 2020



RFGH 2014 Outcomes

2015 Outcomes

Diabetes cont

daily by 10% (baseline 64%) See above See abive 2012 & 2013Support group attended monthly by 15 on average 2013: *Parrot party (Support Group special occasion) attended by >125 2013: Gestational diabetes awareness at Birth and Beyond Celebration (300 attendees) 2013: Diabetes prevention program for those with Pre-diabetes or at high risk: collaboration with GSPHC – 15 attend pilot program year long program (August, 2013)

Nutrition and Diabetes for elderly (see older adults) Diabetes prevention program ongoing with SPH

Environ-mental Health

% of homes with an operating radon mitigation system for persons living in homes at risk for radon exposure

Increase the # of homes with an operating radon mitigation system in those homes at risk for radon exposure Reduce the proportion of children with elevated blood lead levels

Increase awareness of potential of risk for radon exposure in homes

Provide educational programs at community level

2012 Lead screening collaboration with RFGH lab and KVCAP spring and fall. Approx 80 lead screenings 2013: Radon education to Cancer support group Lead screening collaboration with RFGH laboratory and KVCAP spring and fall Lead Poison Prevention Grant work (GSPHC)

Radon & Behavior Change skills (Diabetes Support Group) 10/7/2014 - 10 attended Lead Poison Prevention Grant work (SPH) Lead Screening collaboration with RFGH lab and KVCAP preschools “Radon in our Homes” article in the community newsletter written by CHE. (winter, 2014 edition)

Radon exposure – 30 Also see cancer section for other radon presentations Lead Poison prevention grant – SPH Preschool Lead Screenings – collaboration with Lab and KVCAP – 3 schools – total of 31 preschoolers tested Free lead dust test kits for Maine families for those with children <6

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Healthy Maine 2020



RFGH 2014 Outcomes

2015 Outcomes

Food Safety Reduce infections caused by key pathogens transmitted commonly through food (e-coli, listeria, salmonella, vibrio, yersinia,

Reduce infections caused by key pathogens transmitted commonly through food

Provide certified SafeServe program (schools, hospital, other) as requested

Promote handwashing

100% RFGH nutrition staff SafeServe trained Hospital wide hand hygiene campaign

Same same

Health Communication

Increase the proportion of persons who report their health care provider always explain things so they can understand them: national baseline 60% in 2007 target 10% improvement Increase the proportion of persons who report that their health care providers have satisfactory communication skills: baseline 59%F in 2007 Target 10% improvement Increase the proportion of persons who report their HCP always showed respect for what they had to say: national baseline in 2007, 62%, target 10% improvement

Increase the proportion of persons who report their health care provider always explain things so they can understand them

Use TeachBack as preferred method (i.e. DSMT) Monitor Avatar

2012: Avatar questions “explained in a way I could understand” Inpatient 94.75; AS 96.94 and ER 92.56 2013: Avatar questions: “my doctor explained my illness or treatment in a way I could understand” inpatient 95.56 “my surgeon explained my surgery in a way I could understand” AS 97.02 “the ER physician explained the medical findings in a way I could understand” 92.00

Doctor Explained Illness/Treatment Understandably 92.36

Doctor Explained Illness/Treatment Understandably 90.58

Healthcare-Associated Infections

Focus on hospital Central line, MRSA

infections caused by key pathogens transmitted commonly through food

Increase the # of community members who are informed about hand washing

Hand Hygiene education in schools (collaborative effort) and with worksites

2012 & 2013 Hand Hygiene education in schools (collaborative effort)

Hospital wide hand hygiene focus

Hospital wide hand hygiene focus

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Healthy Maine 2020



RFGH 2014 Outcomes

2015

Heart Disease and Stroke

Reduce proportion with hypertension baseline 29.9% of adults in 2005-08 Target 10% improvement

Reduce the proportion of adults with high total blood cholesterol levels baseline 15% of adults age 20 and older had total cholesterol level of 240 mg/dL or greater in 2005-008 target 10% improvement Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a heart attack (i.e call 9-1-1 # baseline 39.2% of adults aged 20 years ; warning S&S of a heart attack(baseline 42%; aware of accessing rapid emergency care Baseline 92.9 Target in all above 10% improvement

Maine % high blood Pressure (2010) 30% Somerset County rate (35%) Maine % High Cholesterol (2010) 29% Somerset % high Cholesterol rate 32% 2020 goal – increase the proportion of adults who report htn who are at healthy wt Baseline 22.1;goal 24%

Reduce proportion with hypertension Reduce the proportion of adults with high total blood cholesterol levels Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a heart attack

Provide screenings on request Provide presentations and educational materials

2012 B/P screenings: 45 individuals 2 Heart health presentations – 42 attend

2012: 525 attend Healthy Heart and Cardiac support groups 2013: Healthy Heart Group with 45 / group monthly Approx 100 attend educational classes Quarterly B/P screening at elderly local complex Healthy Heart presentation to share risk factors – 30 attended

Healthy Heart Group with 413 attending 9 sessions (average 46 per session 0 Cardiac Rehab education classes X 24 to 77 individuals

Healthy Heart Support Group with 460 attending 9 sessions (average 51 per session ) Cardiac Rehab education classes X 26 to 96 individuals B/P screenings multi settings – 192 B/P’s taken with education provided by nursing

Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a stoke No baselines identified therefore no targets identified for improvement

Increase the proportion of adults aged 20 and older who are aware of and respond to, early warning symptoms and signs of a stoke

Website information

Website health information

Planning for February 2015 community health program on Stroke with Dr. Goodman as well as community news article Website health information

Stroke presentation Dr. Goodman and Speech Therapy – 30 attended Website information

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Healthy Maine 2020



RFGH 2014 Outcomes

2015

Immuniza-tion and Infectious Disease

Reduce, eliminate, or maintain elimination of cases of vaccine-preventable diseases Pneumococcal infections Influenza – pediatric Influenza - adult

2012: Maine rates – 73% influenza (> age 65) Somerset County – 70 2020 goal: Increase routine vaccination coverage levels for children and adolescents

Reduce, eliminate, or maintain elimination of cases of vaccine-preventable diseases Pneumococcal infections Influenza – pediatric Influenza – adult

Influenza school clinics TBD Fall

2012; 612 pediatric vaccinations given in school clinics 82 vaccinations given to school staff Pertussis clinic 6/29/12 -33 289 vaccinations given in community clinics 2013: Fall vaccination clinics school (4 districts + community school =713 and community =322 “Don’t Bug Me!” collaboration with Cedar Ridge Center – antibiotic Resistant Bacteria, prevention and control

Fall vaccination clinics school to 4 districts and 2 community schools (students and staff) = 944 and community members = 253 ICP presented Ticks / Lyme Disease to two worksites – 34 attended and to community members at RFGH to another 61

Community Flu clinics – children vaccinated = 9; adults vaccinated 158 School flu clinics = 4 school districts, 2 community schools: children vaccinated = 481; adults vaccinated = 218 ICP presented at Skowpendus Fair: ticks and mosquitos – 225 and worksites X2

Injury and Violence Prevention

Increase use of safety belts Increase age-appropriate vehicle restraint system use in children Reduce pedestrian death Increase helmet usage (bicycles, motorcycles Reduce sports and recreation injuries Reduce drowning deaths Appropriate protective gear when engaged in school sponsored intramural activities Violence reduction

% ever physically hurt by intimate partner Somerset county 9%; Maine 12%

% physical violence or unwanted sex from intimate partner

Increase use of safety belts Increase age-appropriate vehicle restraint system use in children Reduce pedestrian death Increase helmet usage (bicycles, motorcycles Reduce sports and recreation injuries Reduce drowning deaths Appropriate protective gear when engaged in school sponsored intramural

Provide car seat safety training Athletic training and appropriate protective gear when engaged in school sponsored intramural activities Collaborative effort with family violence project and others for abuse prevention

2012 & 2013 Every newborn’s parent trained in car seat safety In addition 26 car seats given out in 2012 / 15 in 2013and parents trained in use RFGH athletic trainers work with local school districts Collaborative effort with family violence project and others for abuse prevention through poster display in lobby with handouts.

RFGH athletic trainers provide ongoing support to coaches and athletics Every newborn’s parent trained in car seat safety 18 Convertible Car Seats, 1 High Back Booster Seat, and 2 Combination Car Seats were given out in 2014 and parents trained. Collaborative effort with family violence project and others

RFGH athletic trainers provide ongoing support to coaches and athletics Every newborn’s parent trained in car AARP Driver Safety – 14 attended (July. 2014)were given out in 2015 and parents trained (in collaboration with Maine Bureau of Highway safety

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Healthy Maine 2020



RFGH 2014 Outcomes

RFGH 2015 Outcomes

Injury prevention continued

activities Violence reduction Reduce Family violence

through poster Skowpendus event – family violence initiative Safesitter- ages 11-13 approx 75adolescents each yr trained in safe national standards) CPR outreach to community members ongoing – 540 individuals schools, fire volunteers, etc in 2013 In Kind collaboration with KVCAP for Kids First Parenting class quarterly.

for abuse prevention through poster display in lobby with handouts. I n Kind collaboration with KVCAP for Kids First Parenting class quarterly. Safesitter- ages 11-13 (41 adolescents in 2014 trained in safe national standards) Community Basic Life Support and First Aid to 624 Local Fire, Schools, church groups and other individuals Safety, first aid by EMS to – 3 locations – 400 youth and family

Community Basic Life Support and First Aid to 849 Local Fire, Schools, church groups and other individuals Safesitter- ages 11-13 42 adolescents in 2015 trained in safe national standards In Kind collaboration with KVCAP for Kids First Parenting class quarterly.

Maternal, Infant, and Child Health

Increase proportion of pregnant women who attend a series of prepared child birth classes No baseline

Increase proportion of pregnant women who attend a series of prepared child birth classes – goal 90% will attend

CBE class offered monthly

CBE class offered monthly to expectant mothers 45 – in 2013 2013 - Environmental – Preschool lead screening collaboration with KVCAP – SAD 74 and 54 for 38 preschoolers

CBE class offered monthly to a total of 45 expectant mothers

Lead screening in five local preschools KVCAP is involved in (SAD 74 & SAD 54) – approximately 60 preschoolers with 3 follow up recommendations to PCPs

CBE class offered monthly to a total of 31 expectant mothers See environmental health section for lead screening efforts all follow up recommendations to PCPs

Medical Product Safety

Increase the safe and effective treatment of pain

Increase the safe and effective treatment of pain

Monitor In process of consent agreement update (medical offices)

monitor monitor

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Healthy Maine 2020



RFGH 2014 Outcomes

RFGH 2015 Outcomes

Nutrition and Weight Status

Increase the proportion of adults who are at a healthy weight baseline in 2005-08 30.8 age 20 and older were at healthy wt Reduce proportion of adults obese Baseline 34 20 and over were obese in 2005 – 08’ Reduce proportion of children and adolescents who are considered obese Children age 2-5 baseline 10.7 in same years

2010: Adult overweight Somerset County 40% Maine 37% Adult obese Somerset County 28% Maine 28% Youth overweight Somerset county 14% Maine 16% Obese Somerset county 14% Maine 13% 2020 Goal: Reduce the portion of children and adolescents who are considered obese Increase the proportion of adults who are at a healthy wt. Increase fruit and veggie consumption

Increase the proportion of adults who are at a healthy weight Reduce proportion of adults who are obese Reduce proportion of children and adolescents who are considered overweight or obese Offer 8 wk wt loss program for individuals who need to lose > 100#

Offer Medical nutritional therapy per referral

Weigh to go 3 – 4X / year

Offer 8 wk wt loss program for individuals who need to lose > 100#

Fruit & Veggie Program – June 2012 – 4 month grant program – 108 participants 26 families – collaborative effort with SHH, cooking matters, Cooperative Ext, RFGH, Master Gardiners, Dr. Lambke

Supports efforts of 5-2-1-0 Let’s Go! Program; Support “Eating Well for Healthy Weight” family focused childhood obesity initiative

Referrals sent to Nutrition Services 2012 170 individuals completed Weigh to Go, losing an average of 5.25# each over 8 weeks. There was a total of 893# lost. 2013: 142 individuals completed Weigh to Go, losing an average of 5 # each over 8 weeks. Ttotal of 708 # lost. Road to Wellness for those who need to lose >100# - initiated in 2012; 23 attended in 2013 “Success Story” with community member and dietitian – 3/14/2012- 48 attended Wt loss with Sappi – 20 attended GSPHC with Healthy Kids Pack @ local elementary school w/60 children GSPHC work with Feed the Kids collaboration with rotary, NB and SAD 59 served over 1500 meals at no cost to families in 2011 – 2012 # SNAP –Ed participants through the work of GSPHC – 741 # of schools registered for Let’s Go through the work of SSPH – 13

Referrals sent to Nutrition Services for NMT 157 individuals completed Weigh to Go, losing an average of 4.55# each over 8 weeks.

those who need to lose >100#. Weight loss not evaluated although one participant reports 34 # wt loss. Average size of class 10 – 15, 45% completion rate. All ten schools (elementary) in all four school districts are registered and engaged with Let’s Go. 100% of head start programs are enrolled as well. 16 sites received Let’s Go recognition. Redington Family Practice and Redington Pediatrics received Healthcare Sites of Distinction. 1791 individuals reached through the SPH work of SNAP-Ed

Referrals sent to Nutrition Services for NMT 139 individuals completed WTG losing an ave of 4.97# each over 8 wks. Total wt loss 691# Road to Wellness, ave size of class15; 27 participants completed class 27 of 41 sites recognized in Move More Kids; Let’s Go Program Healthy grains education and cookbook to approximately 400 at following sites: Farmer’s Market Kneading Conference Triathalon Cedar Ridge SPH- 73 Teens and Adults took Cooking Matters class SPH-21 older adults took Eat Smart, Live strong SNAP ED nutrition class

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Healthy Maine 2020



RFGH 2014 Outcomes

RFGH 2015 Outcomes

Nutrition Continued

2012:Supported efforts of Fruit & Veggie Program: Support to pregnant moms with BMI >30 before pregnancy and children/families 2 - 18 with BMI >95% percentile; 2013 - 26 families involved engaging 109 individuals

SPH-Exceeded goal of having 1,750 participants in SNAP Ed program SPH-375 kids in grades K-3 enrolled in Pick a better snack and act curriculum SPH-872 involved in a single session of SNAP ED nutrition class

Occupational Safety and Health

Increase the proportion of employees who have access to workplace programs that prevent workplace stress

Increase the proportion of employees who have access to workplace programs that prevent workplace stress

Support workplaces with programming re: stress reduction and goal setting

Ongoing messaging about goal setting (S.M.A.R.T) goals GSPHC / RFGH online “Eight Weeks to Wellness Community group – stress management – 10 attended GSPHC / RFGH online “Eight Weeks to Wellness

Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all community programing Offering prevention programs at workplace

Ongoing messaging about goal setting (S.M.A.R.T goals)at worksites and all community programing

Older Adults Prevention of Falls, Abuse

the # of falls & abuse of older adults

Fall prevention – hospital wide initiative

2013 initiatives:

GSPHC – A Matter of Balance program to manage falls and increase activity March 2013 Balance Screening – rehab for fall prevention – 45 screened Safe Driving program with AARP Medications and Aging medication necessity, risk Maine Savvy Care

Savvy Care Giver program – 18 participants X 5 week program (July – August, 2014) AARP Driver Safety – 14 attended (July. 2014) Nutrition and Diabetes June, 2014 – 10 attended this offsite program for independent living

Balance Screening – rehab for fall prevention – 47 screened Savvy Care Giver program – 7 participants X 5 week program AARP Driver Safety – 18 attended

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Healthy Maine 2020



RFGH 2014 Outcomes

RFGH 2015 Outcomes

Older Adults cont

Giver – 2 programs in 2013 for individuals caring for family members with dementia Dementia and early Detection –with Dr. Renfrew and Alzheimer’s Association – 70 Polypharmacy – Dr. Renfrew and Lisa Caswell, pharmacist – 14 attend

Oral Health Addresses schools / dental health / Fluoride sealants 2020 goal – 49% persons with dental visit

School initiative Support efforts in schools Promote oral health – update patient education materials / toothbrushes for Pediatric offices

Education materials updated 2013: Birth and Beyond program - a focus on the “First Tooth Program”

Addressed through Somerset Public Health grant

Addressed through Central District Grant and SPH work

Physical Activity

Reduce the proportion of adults who engage in no leisure-time physical activity baseline 36.2 % in 2008

Increase portion of children with restricted TV, video, or play video games per guidelines Target 10% improvement

Require children to engage in vigorous or moderate physical activity (to become state requirement for schools)

% sedentary Maine 21% (no physical activity) % Somerset county 26%

% Regular physical activity (60 minutes 5 out of 7 days 39% Maine; 39% Somerset

PA Is a requirement in Maine

Reduce the proportion of adults who engage in no leisure-time physical activity

Increase the amount of children and adults who consume fruits and vegetables 5 or more times / day

Increase the % of children with regular physical activity (at least 60 min on 5 of last

7 days)

Promote SHH Move More program, Promote participation in 5-2-1-0 and activity portion

>11,000 adults and children involved in Move More program promoting physical activity to date “Getting Excited About PA” presentation with Kelly Dangler 16 attended (6/20/2012)

Yearly participation in MMK equipment usages before, during, and after school in 3 school districts and parks and recreation = 34,000+ 6,237 after school program usages Promotion of Somerset County Indoor Walking in winter, 2014 RFGH community newsletter through posting of all gyms with public winter walking access through Move More

SPH- Yearly participation in MMK equipment usages in 4 school districts and parks and recreation 11,346 after school program usages; Winter walking open in 12 sites

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Healthy Maine 2020



RFGH 2014 Outcomes

2015 Outcomes

Respiratory Diseases

Asthma – hospital ed visits Children and adults aged 5-64 Baseline 56.4/10,000 Children under five Baseline 132.7 visits / 10,000 Persons with current asthma who receive education about appropriate response to an episode, including recognizing early S&S or monitoring peak flow results Baseline 64.8% Persons with current asthma who have been advised by a Health professional to change things in their home, school, and work environments to exposure to irritants or allergens to which they are sensitive Baseline 50.7% in 2008 activity limitations among adults with COPD (baseline 23.2 % age 45 and older experience activity limitations due to chronic lung and breathing problems in 08

Reduce hospital ED visits for asthma Bronchus and asthma ED visit rate Somerset County 1495 / 100,000

% COPD 4.2 (Maine) Maine hospitalization rates baseline 337/100,000

Reduce hospital emergency visits of children and adults

Persons with current asthma who receive education about appropriate response to an episode, including recognizing early S&S or monitoring peak flow results

Persons with current asthma who have been advised by a Health professional to change things in their home, school, and work environments to reduce exposure to irritants or allergens to which they are sensitive

Reduce activity limitations among adults with COPD % Somerset County COPD 7.9 – 2010 data Reduce hospitalizations for COPD

Offer pulmonary support group Pulmonary Rehab

Pulmonary support group averages 25/program Pulmonary Rehab ongoing COPD program – Oct 2012

Pulmonary support group averages 10 programs offered with 308 individuals attending in 2014 (averages 31 / session) Chronic Respiratory Issues (Senior Companion Program Volunteers) with P. Alexander, RT, 25 attended (senior program)

Pulmonary support group averages 10 programs offered with 212 individuals attending in 2015 (averages 28 / session)

Sexually Transmitted Diseases

Targets 10 % improvement for HPV, herpes and other sexually transmitted diseases

Educate community to reduce sexually transmitted diseases

Educational materials available for community

Educational materials available



Sleep Health Increase proportion of persons with symptoms of obstructive sleep apnea who seek evaluation : baseline 25.5% 05-08 (minimal)

Increase proportion of persons with symptoms of obstructive sleep apnea who seek evaluation

Inpatients referred for evaluation to sleep labs RT booth at Birth and Beyond “Managing sleep before and after”

Sleep Health presentation November 2014 – 38 attended

Patients referred to sleep lab in Augusta

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Healthy Maine 2020



RFGH 2014 Outcomes

2015

Substance Abuse

Addresses adolescents, alcohol, prescription drug abuse

2020 goals Reduce the past year nonmedical se of prescription drugs Increase the proportion of teens never using substances

Addressed through OSA grant work plan

Collaboration with RFGH pharmacy, police, GSPHC substance abuse program coordinator and CHE

Prescription Medication Misuse presentation – 14 attended – Addressed through OSA grant work plan GSPHC work, policy and environmental change, youth summit

Addressed through OSA grant work plan SPH (formally GSPHC) work, policy and environmental change, youth summit

Addressed through OSA grant work plan SPH (formally GSPHC) work, policy and environmental change, youth summit

Tobacco Reduce tobacco use by adults Baseline in 08 20.6 18 and under were current cig smokers Reduce cigarette usage by adolescents baseline 19.5 % of adolescents in grades 9-12 smoked cigarettes in the past 30 days in 2009. Target 16.0% Increase tobacco screening and counseling

Adult Maine 2010 tobacco use 22% Somerset county 26% Youth: 20% Maine 22% Somerset (MIYAS 2009) 2020 Goals: Reduce tobacco use by teens Reduce tobacco use by adults

Reduce tobacco use by adults Reduce cigarette usage by adolescents Increase tobacco screening and counseling

RFGH will collaborate where applicable to reduce rate of high school student tobacco use of 19.6% and current smoking rate of 26.1 % (2015 CHNA Health Indicators)RFGH will Offer worksite presentations. Provide resources, communicate 1-800#, tobacco intervention trainings to healthcare professionals Offer tar Wars to youth (4th and 5th graders) as evidenced based tobacco prevention curriculum 1:1 Tobacco Cessation Tobacco Support group bi-monthly Take steps to create / support tobacco-free hsp environment and supporting tobacco-free lifestyles for patients, staff and the community.

2012GSPHC/RFGH recognized for work in community with local stores 1:1 Tobacco Cessation Over the past 7 years CHE has met with 60 individuals to develop a tobacco quit plan. 26 individuals have remained abstinent for >6 months (43% abstinence rate). A tobacco support group initiated - 5 participants / program with a 32% abstinence rate for a six month period or more in those contacted. (106 total) 2013: average 7/gp 2012 & 2013 RFGH recognized for RFGH met silver level 2012 - Purchased new signage for entrances

2014 – Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts 1:1 tobacco cessation on request RFGH became 100% tobacco free campus on 9/1/14 265 early 2014 and 273 late 2014 4th and 5th graders (4 districts + 1 community school) participated in Tar Wars program CHE facilitated tobacco prevention program for 25 HS students (March, 2014 “Tobacco Free” presentation by CHE for Great American Smokeout November

2015 – Silver Status by Maine Tobacco Free Hospital Network for tobacco efforts Met 9/10 standards 1:1 tobacco cessation on request Tobacco Free” presentation by CHE for Great American Smokeout November Tobacco support group – 21 sessions with 102 total attendees (average 4-5 per session) 9/15: CHE reports 73/191 consults over 10 yrs have quit > 6 mos (38% abstinence rate)

Topic Area Healthy People 2020 Healthy RFGH Health Plan / RFGH Strategies RFGH 2012 & 2013 RFGH 2014 RFGH 2015

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National Health Plan Maine 2020 Goals / Objectives Outcomes Outcomes outcomes

Tobacco continued

See above 2012: HS program. 4th grade education (Tar Wars) to 210 students – 4 districts 2013: 4th and 5th graders participated in Tar wars program- 40 attendees

with 6 attend Tobacco support group – 24 sessions with 79 total attendees (average 3-4 per session) (note: 67 out of 180 consults over 10 years have quit for 6 months or longer – 37% abstinence rate for individual consults)

See above

Vision Objectives include vision screening, eye injury, protective eyewear use

RFGH health website education




Other Community Resource RFGH programming 2012 & 2013 for NB X 700 participants each yr. Healthcare Careers – 2012 & 2013 for local districts approximately 44 students and 28 adults for evening program in 2012, 25 in 2013 2013: Literacy volunteer program planned Literacy – early reading offered as topic by speech therapy at Birth and Beyond

Literacy volunteer program offered X2 Career exploration presentations in Madison High School – 10 presentations by health care professionals to 5 students each time Career exploration presentations held at RFGH – approx.50 students from 2 school districts EMS (Special Olympics) 55

Advance Directives – what it is / how to fill out – 51 attended Career exploration presentations in Madison High School – 10 presentations by health care professionals to 5 students each time

2012 ~ 2015 rfgh community health work-plan · 2012 ~ 2015 rfgh community health work-plan...

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