community health implementation plan ... - franciscan health

CommunityHealthImplementationPlan‐‐Hammond|1

CommunityHealthImplementationPlan‐‐Hammond

FranciscanSt.MargaretHealth‐Hammond

2016‐2018

CommunityHealthImplementationPlan‐‐Hammond|2

CommunityHealthImprovementPlanCONTENTS

CommunityHealthImprovementPlan 2

ExecutiveSummaryofCHNA 3

FranciscanSt.MargaretHealth‐Hammond 3

TopHealthNeedsandFSMH‐HammondSelections 5

ApproachandMethodology 6

PrinciplesandMethodology 6

InterventionDesign 7

EvidenceBase 7

Evaluation 8

Documentation 8

ImplementationPlans 8

2013‐2016Results 8

2016‐2018ImplementationPlan 9

Community Health Implementation Plan--Hammond3

ExecutiveSummaryofCHNA

TheCommunityHealthNeedsAssessment(CHNA)isdesignedtoprovideanunderstandingofthecurrenthealthstatusandneedsoftheresidentsinthecommunitiesservedbyFranciscanSt.MargaretHealth‐Hammond(FSMH‐Hammond).ThisreportmeetsthecurrentInternalRevenueService’srequirementfortax‐exempthospitals,whichisbasedonthePatientProtectionandAffordableCareActof2010.Moreimportantly,thisdocumentassistsFSMH‐Hammondinprovidingessentialservicestothosemostinneed.Basedonthefindingsinthisreport,FSMH‐Hammondwilldevelopathreeyearstrategicplanonmeetingcommunityhealthneedsascapacityandresourcesallow.ThisreportfocusesonLakeCounty,thelocationofmostofFSMH‐Hammondpatientresidences.BecauseIndiana’sahomerulestate,databyzipcodeislimited.Basedontheprimarysurveyofresidentsinthecounty,somezipcodeleveldatawasattainableandshowssmallnuancesbetweenthecountyofLakeandthecityofHammond.LakeCountyfacesseveralchallengesduetoitssocioeconomicfactors,builtenvironment,industrytypes,andgeographicallocation.Usingmixedmethodstoevaluatetheprimaryandsecondarydata,thefollowinghealth‐relatedissuesaretopconcerns:

1. PhysicalActivityandNutrition:Obesity,diabetesmanagement,arthritis,andcardiovascularconditionsallscorehighlyinincidentratesandperceptionofneed.Acommonthemeamongstalloftheseclinicalissuesisthelackofphysicalactivityandpropernutrition.Concernsaboutpublicsafety,lackofbuiltenvironment,andaccesstohealthyfoodalsocontributetothisissue.

2. BehavioralHealth:Suicideratesarehigherthanthestateaverage.Nationaldataindicatesofthereportedcompletedsuicides,manymoreareunreportedduetothelistedcauseofdeath.Substanceabuseratesarealsoquitehigh,especiallywithalcoholandopiates.Stress,depression,andpoormentalhealthratesalsocontributetopoorchronicdiseasemanagement,obesity,andself‐satisfaction.

3. AccesstoHealthCare:Costofco‐pays,deductibles,medications,anddurablemedicalequipmentarereportedmostfrequentlyasbarrierstoclinicalcare.Thecountydoeshaveaportiondesignatedashealthprofessionsshortageareaduetolowincomepopulations.Inaddition,thereisashortageofproviders,orlongwaitstoseeaprimarycareprovider.

4. LungandColorectalCancers:Withahigherthanstateaveragesmokingrateandpoorairquality,lungcancerratesarehigh.Colorectalcancerscreeningratesarelow,asareprostatescreenings,andincidentratesarehigh.

5. InfantMortality:Smokingduringpregnancy,lowclinicalcarevisits,andhighinfantmortalityratesshowtheneedforimprovedaccessandservicesforpregnantwomenandtheirfamilies.

6. Asthma:Perhapslinkedtothepoorairqualityinthecountyandhightobaccouserates,asthmaratesarehighandmanagementispoor,especiallyinchildren.

7. SeniorServices:Thereisanotedlackofservicesfortheolderpopulation,includingactivities,specializedhealthcare,andtransportation

FranciscanSt.MargaretHealth‐Hammond

Atrustedleaderinprovidingfaith‐based,integratedhealthcare,FSMH‐Hammondisafull‐service,acute‐caremedicalcenter.FranciscanSt.MargaretHealth–Hammondisgrowingtomeetyourneedswithmorethan20off‐sitefacilities,includingadedicatedadultandpediatricrehabilitationinstituteandahealthandfitnessclubinSchererville,Indiana.

FSMH‐HammondisamemberoftheMishawaka,Ind.‐basedFranciscanAlliance,oneofthelargestCatholichealthcaresystemsintheMidwestwith14growinghospitals,approximately20,000employeesandanumberofnationallyrecognizedCentersofHealthCareExcellence.

FSMH‐HammondislocatedinLakeCounty,5454HohmanAvenue,Hammond,IN46320.TheCEOofFSMH‐HammondisMichaelStenger.

Community Health Implementation Plan--Hammond6

TheFSMH‐Hammondstatisticsinclude:

FSMHServices

AnnualOutpatientVisits 125,518AnnualEmergencyDepartmentVisits 39,315AnnualSurgicalProcedures 2,561Births 110Employees 1,205Volunteers 129TotalPhysicians(includesFranciscanPhysicianNetworkandaffiliateddoctors) 542Averagelengthofpatientstay 5.56daysFSMH‐Hammond‐ServicesInclude:AnticoagulationClinics Heart&Vascular OccupationalHealth Women’sHealth/OGYNAudiology HomeHealthCare OmniHealth&Fitness WorkingWellBehavioralHealth Hospitalists Orthopedics WoundCareBreastHealth HyperbaricOxygen

TherapyOutpatientServices

CancerCare Imaging PalliativeMedicineColonandRectalSurgery InfusionServices PediatricsDiabetesCare IntensiveCareUnit PrimaryCare

PhysiciansDietitians InterventionalRadiology PulmonaryMedicineEar,Nose,andThroat Joint&SpineCare RegisteredDietitiansEmergencyMedicine LaboratoryServices RehabilitationServicesEmployeeAssistanceProgram LymphedemaServices RespiratoryCareFamilyDoctor Mammography SeniorServicesFitnessCenters MedicalAlertService SleepDisordersFranciscanExpressCare Neurodiagnositcs SurgicalServicesGastrointestinalServices NuclearMedicine Urgent Care

TheFSMH‐HammondmissionisToContinueChrist’sMinistryinourFranciscanTradition.Valuesinclude:RespectforLifeThegiftoflifeissovaluedthateachpersoniscaredforwithsuchjoy,respect,dignity,fairnessandcompassionthatheorsheisconsciouslyawareofbeingloved.FidelitytoOurMissionLoyaltytoandprideinthehealthcarefacilityareexemplifiedbymembersofthehealthcarefamilythroughtheirjoyandrespectinempatheticallyministeringtopatients,visitorsandco‐workers.CompassionateConcernInopennessandconcernforthewelfareofthepatients,especiallytheaged,thepoorandthedisabled,thestaffworkswithselectassociationsandorganizationstoprovideacontinuumofcarecommensuratewiththeindividual'sneeds.

Community Health Implementation Plan--Hammond | 5

JoyfulServiceThewitnessofFranciscanpresencethroughouttheinstitutionencompasses,butisnotlimitedto,joyfulavailability,compassionate,respectfulcareanddynamicstewardshipintheserviceoftheChurch.ChristianStewardshipChristianstewardshipisevidencedbyjustandfairallocationofhuman,spiritual,physicalandfinancialresourcesinamannerrespectfuloftheindividual,responsivetotheneedsofsociety,andconsistentwithChurchteachings.

TopHealthNeedsandFSMH‐HammondSelections

BasedontheCHNA,severalpriorityhealthneeds,includingsocialdeterminantsofhealth,wereidentified.PerIRSguidelines,thetablebelowprovidesalistofthepriorityneeds,whichneedsFSMH‐Hammondwillcommittoworkingon,andjustificationofwhytheotherneedswerenotselected.Selectionofpriorityhealthneedswerebasedonthemagnitude,impact,feasibility,cost,andpartnerships.

HealthNeed Description FSMH‐HammondPriority?

Justification/Explanation

PhysicalActivityandNutrition

Obesity,diabetesmanagement,arthritis,andcardiovascularconditionsallscorehighlyinincidentratesandperceptionofneed.Acommonthemeamongstalloftheseclinicalissuesisthelackofphysicalactivityandpropernutrition.

Somewhat Physicalactivityandnutritioneducationwillbeintegratedintotheasthmaprogram.

BehavioralHealth

Suicide,poormentalhealthdays,depression,andsubstanceabuseallrankhighlyinthecommunity.

Yes TheAdolecentCopingwithDepressionprogramaimstoimproveyouthbehavioralhealth.

AccesstoHealthCare

Thecountydoeshaveaportiondesignatedashealthprofessionsshortageareaduetolowincomepopulations.Inaddition,thereisashortageofproviders,orlongwaitstoseeaprimarycareprovider.

No FSMH‐Hammondprovidessignificantfinancialsupportthroughgovernmentprogramsandcharitycare.OtherFranciscanAlliancefacilitiesinthecountyprovideadditionalaccess‐relatedservices.

LungandColorectalCancers

Withahigherthanstateaveragesmokingrateandpoorairquality,lungcancerratesarehigh.Colorectalcancerscreeningratesarelow,asareprostatescreenings,andincidentratesarehigh.

No ColorectalcancerscreeningsandeducationwillbeapriorityforanotherFranciscanAlliancefacilityinthecounty.

InfantMortality Smokingduringpregnancy,lowclinicalcarevisits,andhighinfantmortalityratesshowtheneedforimprovedaccessandservicesforpregnantwomenandtheirfamilies.

Yes ThePeriodofPurpleCryingprogramworkstodecreasetheincidenceofshakenbabysyndrome.


Asthma Perhapslinkedtothepoorairqualityinthecountyandhightobaccouserates,asthmaratesarehighandmanagementispoor,especiallyinchildren.

Yes InpartnershipwithtwoFranciscanAlliancefacilities,asthmaeducationandmanagementwillbeaddressed.

SeniorServices Thereisanotedlackofservicesfortheolderpopulation,includingactivities,specializedhealthcare,andtransportation

No AfallpreventionprogramwillbeimplementedbyanotherFranciscanAlliancefacilityinthecounty.

ApproachandMethodology

PrinciplesandMethodologyIndeterminingcommunityhealthinterventionsfortheselectedpriorityhealthneeds,healthequity,sustainability,andconsiderationofthesocialdeterminantsofhealtharekeypriniciples.Whilemostinterventionsfocusontheindividuallifestylefactors,knowledge,skills,andbehaviors,considerationoftheculturalandenvironmentalcontextsarejustasimportant.FSMH‐Hammondacknowledgesthattruechangecomeswithmajorshiftsinallareas.Therefore,whilethisreportdocumentsinterventionsthataremostlyattheindividualefforts,participatingincollectiveimpactisalsovital. Themodelsbelowrepresenttheneedformultipleinterventions:

Social Determinants of Health Socio‐Ecological Model


InterventionDesignInterventionsimplementedbyFSMH‐Hammondareperson‐centeredanddesignedtocreatelastingchange.MalcolmKnowles’PrinciplesofAndragogyprovidestheframework(imagecourtesyofeLearningIndustry):

Whilethismodelisbasedoneducationalprogramming,itappliestoalltypesofinterventions.Forexample,intheprovisionofclinicalcareormedicationassistance,participantsnotonlyreceivethecareormedication,theyalsolearntobettermanagetheirownhealthoraccesscomponentsofthehealthsystemorassistanceprogram.Reflection,teach‐back,andcommunicationtechniquesareutilizedtoempowertheparticipanttomovebeyondaone‐timeinteractionorassistance.

EvidenceBaseFSMH‐Hammondusesevidence‐basedpracticesinplanninginterventionswheneverpossible,astheseprogramshavebeenthoroughlytestedandprovenefficacy.Whenevidence‐basedprogramsarenotavailable,bestpracticesanddocumentedresearchguidesthedevelopmentandimplementationoftheintervention.


EvaluationImplementationactivitiespresentedinthisdocumentwillbeevaluatedtothefullestextent.UsingKirkpatrick’smodelasaguide,evaluationofnotonlytheprogram,butitsimpactandresultswillbereviewed.Thisprocessallowsforchangestobemadetoimprovetheprogramonanongoingbasis.Whileitcanbedifficulttodeterminetheexactcauseofindividualbehaviorchange,biometrics,post‐followupsurveys,andothermethodswillbeusedtocapturequalitativeandquantitativedata.Themodelbelow(imagecourtesyofLeanLearn)notesthetypeofevaluationthatwillbeused:

Documentation

Documentationofinterventions,includingfinancialresources,supplies,stafftime,andindividualsserved,willbecollectedinternallythroughCBISAPlus,asoftwareproductofLyonsSoftware.Annually,resultswillbepublishedinanexternaldocumenthousedonthehospital’swebsite.

ImplementationPlans

2013‐2016Results

Inthe2013‐2016cycle,FSMH‐Hammondhadtwopriorities.Thefollowingtablereviewsthepreviouspriorityareas,results,andfutureefforts:


Priority Results Continuation? FutureEfforts

Earlydetectionoflungcancer

Theprogramoverallhasbeenasuccess.Programwasreceivedverypositively.

No Theactivitiesofthisprioritywillcontinue,butwillnotbelistedasapriorityarea.

Improveself‐managementamongdiabeticpatients

Theprogramoverallhasbeenasuccessinincreaseknowledgeofself‐management;earlyrecognitionofcomplications;reducedfootcomplications;

No Theactivitiesofthisprioritywillcontinue,butwillnotbelistedasapriorityarea.

2016‐2018ImplementationPlanThreepriorityareashavebeenidentifiedforthe2016‐2018timeframe—respiratorycare,infantmortality,andbehavioralhealth.Therespiratoryhealthprogramwillfocusonpediatricasthmaandfluvaccinerates.Byusingacoordinatedschoolhealthapproach,schoolswiththegreatestneedwillbeidentifiedandservedthroughthisprogram.InfantmortalitywillbeaddressedthroughtheadoptionofThePeriodofPurpleCryingprogram,whichisanevidencebasedprogramoftheNationalCenterforShakenBabySyndrome.Ayouthbehavioralhealthintervention,AdolescentCopingwithDepressionprogram,willaddressdepressionandmentalhealthinyouth.Thefollowingplansdocumenttheanticipatedactivitiesandoutcomes.


Date Created: 5/18/2016 Date Updated:

Goal:

HP 2020 Alignment:

Other Alignment:

Comments:

Frequency

Short Term:Post‐program

Intermediate Term:

Annually

Long Term:3‐5 years

Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Develop committee of hospital, school, and social

service organizations 8/31/2016

Committee

Members

Respiratory

and Women

and Children Committee

Schools,

social

services

Determine needs and desires of schools, including

classroom education, parent and teacher training, and

additional resources 11/15/2016 N/A

Respiratory

and Women

and Children List of needs

Schools,

social

services

Secure resources for implementation 12/31/2016 Materials

Respiratory

and Women

and Children Resources

Schools,

social

services

Determine evaluation strategy 11/15/2016 N/A

Respiratory

and Women

and Children Evaluation report

Schools,

social

services

Objective #2:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Determine two high risk schools 8/31/2016 N/A

Women and

Children School selection School

Determine logistics, parental consent 9/30/2016 N/A

Women and

Children Plan School

Collect baseline data 9/30/2016 Data

Women and

Children Evaluation School

Implement vaccine clinics 12/31/2016

Vaccine and

materials

Women and

Children Vaccinated children School

Indicator Source

Improvement in knowledge by participants Participant evaluation

Reduction of hospitalizations and ED visits from complications of

pediatric asthma

Reduction in missed school days

EPIC

Indiana Hospital Association

Indiana Department of Education

PERFORMANCE MEASURES

How will we know that we're making a difference?

To improve pediatric asthma management

RD‐1.1, RD‐2.2, RD‐3.2; RD‐5.1

Indiana Joint Asthma Coalition; Indiana State Department of Health

Development of self management skills by youth participants YBRFSS

OBJECTIVES

Develop coordinated school program to improve management of asthma

CDC; Healthy People

2016

OBJECTIVES

Provide flu mist vaccinations for two schools in service area

CDC

ACTION PLAN

ACTION PLAN

Progress Notes

Progress Notes


Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Implement program at first school 5/31/2017 Materials Respiratory

Improved

management Schools

Implement program at second school 12/31/2017 Materials Respiratory

Improved

management Schools

Objective #2:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Determine three high risk schools 8/31/2017 N/A

Women and



Women and



Women and



Vaccine and

materials

Women and


Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Implement program at first school 5/31/2018 Materials Respiratory

Improved

management Schools

Implement program at second school 12/31/2018 Materials Respiratory

Improved

management Schools

Objective #2:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Determine three high risk schools 8/31/2018 N/A

Women and



Women and



Women and



Vaccine and

materials

Women and


Provide flu mist vaccinations for four schools in service area

CDC

ACTION PLAN

Progress Notes

Progress Notes

OBJECTIVES

2018OBJECTIVES

Provide coordinated school program for two high risk schools in service area

CDC; Healthy People

ACTION PLAN

Progress Notes

2017OBJECTIVES

Implement coordinated school program in two high risk school in service area

CDC; Healthy People

ACTION PLAN

Progress Notes

OBJECTIVES

Provide flu mist vaccinations for three schools in service area

CDC

ACTION PLAN


Date Created: 5/18/2016 Date Updated:

Goal:

HP 2020 Alignment:

Other Alignment:

Comments:

Frequency

Short Term: Quarterly

Intermediate Term: Annually

Long Term: 3‐5 Years

Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Develop infrastructure to manage resources and

materials 10/1/2016

Purple

materials

Women and

Children Infrastructure N/A

Train staff on the delivery of the program 10/1/2016

Training

materials

Women and

Children Trained staff N/A

Develop evaluation strategies 10/1/2016 N/A

Women and

Children Evaluation reports N/A

Implement Dose One with all new deliveries 12/31/2016

Purple

materials

Women and

Children

Implemented

program

Nurse

Family

Partners

hip

Objective #2:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Determine and secure resources to reinforce messages

through follow up phone calls or with community based

physicians 12/31/2016 N/A

Women and

Children Infrastructure

FPN,

Nurse

Family

Partners

hp, other

infant

services

Develop evaluation strategies 12/31/2016 N/A

Women and

Children Evaluation reports N/A

ACTION PLAN

Progress Notes

Progress Notes

OBJECTIVES

Develop infrastructure to implement Dose Two of the Purple Program

National Center on Shaken Baby Syndrome

ACTION PLAN

Reduction in toddler mortality EPIC

County Child Fatality Review Team

OBJECTIVES

Implement Dose One of the Purple Program


2016



To reduce shaken baby syndrome and infant mortality in Lake County

MICH‐1.3, MICH‐1.5, MICH‐1.8, MICH‐1.9

Indiana State Department of Health

Indicator Source

Number of parents receiving PURPLE materials

Understanding of the PURPLE materials

Hospital staff

3 month post follow up call

Reduction of shaken baby syndrome

Reduction in infant mortality

EPIC

County Child Fatality Review Team


Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Implement Dose One with all new deliveries continuous

Purple

materials

Women and

Children

Implemented

program

Nurse

Family

Partners

hip

Objective #2:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Implement Dose Two with community based partners 4/4/2017

Purple

materials

Women and

Children

Implemented

program

FPN,

Nurse

Family

Partners

hp, other

infant

services

Objective #3:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Work with marketing to determine and secure resources

and infrastructure needed to implement Dose Three 12/31/2017 N/A

Marketing,

Women and

Children Infrastructure N/A

Develop evaluational strategies 12/31/2017 N/A

Marketing,

Women and

Children Evaluation report N/A

Develop materials for Dose Three 12/31/2017

Marketing

materials;

Purple

Materials

Marketing,

Women and

Children Materials

FPN,

Nurse

Family

Partners

hp, other

infant

services

Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Implement Dose One with all new deliveries continuous

Purple

materials

Women and

Children

Implemented

program

Nurse

Family

Partners

hip

Progress Notes

2018OBJECTIVES



ACTION PLAN

2017OBJECTIVES



ACTION PLAN

Progress Notes

OBJECTIVES

Implement Dose Two of the Purple Program


ACTION PLAN

Progress Notes

OBJECTIVES

Develop infrastructure to implement Dose Three of the Purple ProgramNational Center on Shaken Baby Syndrome

ACTION PLAN

Progress Notes


Objective #2:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Implement Dose Two with community based partners continuous

Purple

materials

Women and

Children

Implemented

program

FPN,

Nurse

Family

Partners

hp, other

infant

services

Objective #3:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Implement Dose Three with community based partners 12/31/2018

Purple

Materials

Marketing,

Women and

Children

Implemented

Program

FPN,

Nurse

Family

Partners

hp, other

infant

services

ACTION PLAN

Progress Notes

OBJECTIVES


OBJECTIVES

Implement Dose Three of the Purple Program

Implement Dose Two of the Purple Program


ACTION PLAN

Progress Notes

4/1/2016 Date Updated:

Goal:

HP 2020 Alignment:

Other Alignment:

Comments:

Frequency

Short Term: Quarterly

Intermediate Term: Annually

Long Term: Every 3 yearsDecrease in poor mental health health days BRFSS; YBRFSS



To improve behavioral health indicators in Lake County adolescents

MCHD‐2, MCHD‐3, MDHD‐4.1

Indiana Chronic Disease Strategic Plan

Indicator Source

Improvement of attitude, knowledge, and skills by participants Pre‐Post Evaluation

Observation by facilitators

Improvement of combined positive mental health scores

Improvement of academic scores

ATOD Survey

Schools


Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners

Develop internal resources to offer program 8/1/2016

Materials,

training

Behavioral

Health

Internal

infrastructure

GCS,ECSC

,HSC,BGC

Create legal release forms for participants, parents, and

schools 8/1/2016 Releases

Behavioral

Health Release forms

GCS,ECSC

,HSC,BGC

Develop evaluation strategy 8/1/2016 N/A

Behavioral

Health Evaluation data

GCS,ECSC

,HSC,BGC

Recruit participants 9/30/2016

Marketing

materials

Behavioral

Health Participants

GCS,ECSC

,HSC,BGC

Implement program 12/31/2016 Participants

Behavioral

Health

Program

completersGCS,ECSC

,HSC,BGC

Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners


Marketing

materials

Behavioral

Health Participants

GCS,ECSC

,HSC,BGC

NWI


Behavioral

Health

Program

completers

GCS,ECSC

,HSC,BGC

NWI

Create evaluation report 12/31/2017 N/A

Behavioral

Health Report

GCS,ECSC

,HSC,BGC

NWI

2017OBJECTIVES

Implement Adolescent Coping with Depression program in four schools.

Kaiser Permanente Center for Health Research

ACTION PLAN

Progress Notes

ACTION PLAN

Progress Notes

OBJECTIVES

Implement Adolescent Coping with Depression program in two schools.


2016

Objective #1:

Evidence Base:

Action Target Date

Resources

Needed Team

Anticipated

Product/Result

External

Partners


Marketing

materials

Behavioral

Health Participants

GCS,ECSC

,HSC,BGC

NWI


Behavioral

Health

Program

completers

GCS,ECSC

,HSC,BGC

NWI

Create evaluation report 12/31/2017 N/A

Behavioral

Health Report

GCS,ECSC

,HSC,BGC

NWI

Progress Notes

2018OBJECTIVES

Implement Adolescent Coping with Depression program in two schools.


ACTION PLAN

community health implementation plan ... - franciscan health

Documents