draft implementation plan 9-14-16 final · community health needs implementation plan 2016 mission...

...To contribute to the prevention and cure of cancer.

Implementation Plan 2016-2019

CONTENTS

MissionandVision............................................................................................................................. 2

PurposeandScope............................................................................................................................ 3

CHNAApproachandProcess......................................................................................................... 3

CommunityServed............................................................................................................................. 5

PreviousCHNAPriorities................................................................................................................ 6

IdentificationofCurrentHealthNeeds..................................................................................... 7

ImplementationPlan........................................................................................................................ 10

AvailableResources........................................................................................................................... 11

2 Moffitt Cancer Center

Community Health Needs Implementation Plan 2016

MISSIONANDVISION

TheHLeeMoffittCancerCenter&ResearchInstitute(Moffitt) was created by the Florida Legislature in1981 and was officially opened in 1986. In 2001,Moffitt became a National Cancer Institute (NCI)‐designatedComprehensiveCancerCenter.

AstheonlyNCI‐designatedComprehensiveCancerCenterbasedinFlorida,Moffittisafull‐service hospital and the third largest cancer center based on outpatient clinic volume.

Employingover5,000physicians,faculty,andstaffincludingover340facultyphysiciansandscientists,Moffittincludesaresearchinstitute,afreestandinginpatient206‐bedhospitalwith36dedicatedbedsfor bone marrow transplant, an active outpatient

clinic, and a high‐risk screening and prevention center.Moffitt also has awide range ofoutreachandcommunityserviceactivitiesandcommunityhospitalandacademicpartnernetworksthroughoutFlorida,thenation,andtheworld.

Moffitt has made a lasting commitment to the prevention and cure of cancer, workingtirelesslyintheareasofpatientcare,research,andeducationtoadvanceonestepfurtherinfightingthisdisease.Moffitt’spriority isensuringitspatientsreceivethe latesttreatmentoptions and thebest chanceof beating cancer. Itsmultispecialty teamof experts takes ahighlycollaborativeapproachtopersonalizedcarebyprovidingdiagnosis,treatment,andsupportinasingle,convenientlocation.

Moffitt’stransformationalclinicalandresearchexpertise,coupledwithvolumesofcasesandtreatmentoptions,keeps itat the forefrontof transforming cancer care and findingcures,notonlyinthenation,butaroundtheworld. Research emphasizes translatingbasicandpopulationscienceintoimproveddiagnostic,preventiveandtherapeuticadvances.Moffitt’s culture andorganizational structure underscore a basic value:multidisciplinarycareandteamwork.Moffitt’ssize,itssingularfocusoncancer,anditscloseinteractionandoutreachwithacademicpartnersandcaregiversthroughoutthestate,nation,andworldallcontribute to the rich, collegial, and collaborative environment required to performoutstandingcancertreatment,research,andeducation.

MISSION:Tocontributetothepreventionandcureofcancer.

VISION:Totransformcancercarethroughservice,science,andpartnership.



PURPOSEANDSCOPEThe Patient Protection and Affordable Care Act (PPACA) of 2010 established four newrequirementsforallnon‐profit501(c)(3)hospitalorganizations.

1. Conductacommunityhealthneedsassessment(CHNA)everythreeyearsand adopt an implementation strategy tomeet needs identified in theassessment.

2. Adoptawrittenfinancialassistancepolicythatincludeseligibilitycriteria,methods used to calculate charges, applications for assistance, andactionsassociatedwithbillingandcollections.

3. Limitchargesforservicestolevelsequivalenttoamountsgenerallybilledforinsuredpatients.

4. Make reasonable efforts to determine an individual’s eligibility forfinancialassistancepriortoextraordinarymeasurestosecurepayment.

ThehealthneedsassessmentmandatedbytheAffordableCareActwasconductedearlierthis year and is published on Moffitt’s website (moffitt.org/publications/community‐benefit/).ThepurposeofthisdocumentistopresenttheimplementationplanadoptedbytheBoardofDirectorstoaddressthehealthneedsidentifiedthroughtheCommunityHealthNeedsAssessment.Thehealthneedsassessmentconductedearlierisbasedonananalysisofpublichealthdata,demographicandsocio‐economicdata,interviewswithkeyinformantsand stakeholders, a community perception survey, and a series of focus groups to helpidentifysignificanthealthneedsinthecommunityservicedbyMoffitt.

CHNAAPPROACHANDPROCESS

InSeptember2015,MoffittcontractedwithLegacyConsultingGrouptoconductitssecondCHNA. In October 2015, Moffitt collaborated with the Florida Department of Health inHillsborough County to complete the CHNA and later establish Healthy Hillsborough.HealthyHillsboroughisacommitteeoflocalhospitals,thecountyhealthdepartment,andFederally‐Qualified Health Centers. The purpose of Healthy Hillsborough is to meet thefederalCHNArequirementsforallentitiesandtoworkcollaborativelyintheprocess.TheorganizationsinvolvedinHealthHillsboroughare:



FloridaDepartmentofHealthinHillsboroughCounty FloridaHospital‐Carrollwood FloridaHospital‐Tampa MoffittCancerCenter SouthFloridaBaptistHospital St.Joseph’sHospital SuncoastCommunityHealthCenters TampaFamilyHealthCenters TampaGeneralHospital

Multiplesecondarydatasourceswereusedasinputtothehealthneedsassessment.

FloridaDepartmentofHealth,FloridaCHARTS(www.floridacharts.com)

UnitedStatesCensus,AmericanFactFinder(factfinder.census.gov)

CountyHealthRankings(www.countyhealthrankings.org)

CentersforDiseaseControlandPrevention,CommunityHealthStatusIndicators(wwwn.cdc.gov/CommunityHealth)

Nielsendemographics

Inadditiontothesefivesecondarydatasources,thehealthneedsassessmentalsoreliedonthreesourcesofprimarydata.

Communityperceptionsurvey

An online survey of 4,076 respondents was conducted using SurveyMonkey.

Keyinformantinterviews

A total of 58 personal interviews were conducted with personsknowledgeableaboutpublichealthissuesinHillsborough,Pasco,Pinellas,andPolkcounties.

Focusgroups

Fivefocusgroupswereconductedwithatotalof39respondents.



COMMUNITYSERVED

Based on an assessment of Moffitt’s patient origin and discussions with key Moffittstakeholders, the “community served” is defined as all residents of Hillsborough, Pasco,Pinellas,andPolkcountiesinwestcentralFlorida.Thisareaishometo3.4millionpeoplewith an anticipated growth of 5.5% by 2020. In addition, a secondary service areacomprisingresidentsofCharlotte,Citrus,Desoto,Hardee,Hernando,Highlands,Lake,Lee,Manatee, Sarasota, and Sumter counties has also been defined for Moffitt’s researchinitiatives.Theprimaryandsecondaryserviceareasareshowninthemapbelow.



PREVIOUSCHNAPRIORITIES

In2013,Moffitt’s lastCHNAdeterminedfiveprioritiestoaddress.BelowisasummaryofthoseprioritiesandhoweachpriorityareahasbeenaddressedsincethelastCHNA.

CulturalCompetence.EffortstoaddressCulturalCompetencefocusedonprovidinginternaland external cultural and linguistic competence (CLC) initiatives. The Language Servicesteam averagedmore than 7,000 interpreting encounters andmore than 450 translationprojects each year. Also, language services education was provided to clinical teams toimproveefficacyincommunicatingwithpatients,families,andwithmedicalinterpreters.ACLCSteeringCommitteewas created to improvepatient experience, CLC‐education, datacollection,andlanguageandcommunicationservices.AnExternalAdvisoryCommitteeofnationalexpertsalsohelpedguideMoffittonimplementingCLCinitiatives.Additionally,anonline CLC‐training was piloted for clinical faculty in 2014 and will be implementedorganization‐widein2016.

Prevention,Screening,Education&Outreach.TheMoffittProgramforOutreach,Wellness,EducationandResources(M‐POWER)averagesnearly170healtheducationworkshopsoncancerpreventionandscreeningandreachesover5,000individualseachyear.MolePatrol®organizesover15skincancerscreeningandeducationeventsinthecommunityandreachesover1,000 individuals each year.Moffitt’s Lung andThoracicTumorEducation (LATTE)programconductsover20communityoutreachandadvocacyeventsonlungcancereachyear.

HealthDisparities. Research and educational effortshavebeen implemented to addresscancerhealthdisparities. Specifically,healtheducationhasbeendelivered toCommunityHealthWorkersacrossFloridaviawebinarstohelpreachspecificpopulationswithrisingcancerrates.MoffitthoststheMen’sHealthForumtoprovidehealthscreeningsformenwhoare medically underserved, reaching over 500 men each year. The Population Sciencesresearch program focuses its research strategies to address and reduce cancer healthdisparities.TheClinicalTrialsTaskForcedevelopedstrategiestoincreaseminorityaccrualinclinicaltrials.ThePhysiciansRelationsteampartnerswithphysiciansservinginminoritycatchmentareasandeducatesthemonhealthdisparities.

Access. No‐cost mammograms and prostate cancer screenings have been offered to anaverageofover600womenand200menwhoareuninsuredeachyeartoalleviatefinancialbarriersforaccessingcare.Also,PatientandFamilyServicesofferscabvouchers,roundtriptickets,giftcards,andhousingservices,expendingover$450,000,tohelpprovidesupporttohundredsofpatientsandtheirfamiliesinneedeveryyear.

Community Benefit Structure. The internal infrastructure of community benefit wasimprovedbycreatingaCommunityBenefitCoordinatorpositionwhichwasfilledinJanuary2015.Also,ahospitalboardmemberwasidentifiedasaCommunityBenefitliaisontohelp



engagethehospitalboardregardingcommunitybenefit.Lastly,aCHNASteeringCommitteewasestablishedconsistingofMoffittemployeesandcommunitymembers.

Moffitt’spreviousCHNAandimplementationplanwerepublishedonitswebsite in2013.Sincethattime,nowrittencommentswerereceived.

IDENTIFICATIONOFCURRENTHEALTHNEEDS

Basedontheresultsofthecommunityhealthneedsassessment,LegacyConsultingGroupidentifiedtwelvesignificanthealthneedswithinthecommunity.Thesetwelveneedscanbegrouped into four basic categories – Access to Care, Screening and Prevention, GeneralCancerEducationandAwareness,andObesity.

IdentifiedSignificantHealthNeeds



In order to evaluate and prioritize these needs, a meeting of the Moffitt Cancer CenterCommunityHealthNeedsAssessmentSteeringCommitteewasheldonMarch24,2016,attheMoffittBusinessCenterinTampa.Tencommitteemembersattendedinpersonandthreeparticipatedbyphone.Thoseparticipatinginthismeetinginclude‐‐

BonnieAltman‐Irvine(byphone)Tax/PayrollManager,FinanceMoffittCancerCenter

VenessaRiveraColónManager,M‐POWERMoffittCancerCenter

JennaDavisCommunityBenefitCoordinator,MoffittDiversityMoffittCancerCenter

SheilaFerrall(rep.byPamDuncan)SeniorDirector,NursingPractice,Education&ClinicalEfficiency,MoffittCancerCenter

ValerieGoddardCEO,TheGoddardGroupHospitalBoardMember,MoffittCancerCenter

CathyGrantDirector,MoffittDiversityMoffittCancer

B.LeeGreen,PhDVP,Diversity,PR&StrategicCommunicationsMoffittCancerCenter

ClementGwede,PhD(byphone)AssociateMember,HealthOutcomes&BehaviorMoffittCancerCenter

MarkHendricksonDirector,PR&StrategicCommunicationsMoffittCancerCenter

CheriWright‐JonesRegionalVicePresidentAlleganyFranciscanMinistries

JeremyKnoxMarketData&AnalyticsManager,CorporatePlanning,MoffittCancerCenter

JuanCarlosPinto(byphone)InternationalTrade&ClientServicesExecutiveCitibank

JoleneRoweSupervisor,SocialWorkMoffittCancerCenter

Atthisprioritysettingmeeting,eachofthesetwelveidentifiedhealthneedswereplacedonseparatewallchartsanddisplayedthroughoutthemeetingroom.Eachparticipantwasgiventwelve separate “sticky dots” and asked to vote on their perceivedmost‐pressing healthneeds. TheprioritizingcriteriawerebasedonalignmenttoMoffitt’smission,theabilityandfeasibilitytoaddressaparticularhealthneed,andtheresultingimpactandbenefittothecommunity.Eachparticipantcouldplaceallorpartoftheirallotteddotsonasingleneedorallocate them tomultipleneedsaccording to theirownperceptions.Following the initialvote,participantsregroupedtodiscusshowthevotesweredistributed.Eachparticipantwasgiven a chance to re‐allocate their votes (dots) at their discretion.When panelistsweresatisfiedwiththeresults,votesweretallied.Asaresultofthismeeting,sevenhealthneedswereselectedforinclusionintheimplementationplan.Thesesevenhealthneeds,inpriorityorder,areshownbelow.



RankOrderofPrioritizedHealthNeeds

1. Transportationforthedisadvantaged

2. Healthcarenavigation

3. Breastcancerscreeningandprevention

4. Colorectalcancerscreeningandprevention

5. Smokingcessation

6. Prostatecancerscreeningandprevention

7. Lungcancerscreeningandprevention

TheSteeringCommitteedecidedthatMoffittwouldnotaddress“Availabilityofprimarycarephysicians”and“Obesity”sincetheseissueseitherdonotalignwithMoffitt’smissionandvisionorthatotherentitieswerebetterequippedtoaddressthem.

In addition, “GeneralCancerEducationandAwareness” continues tobe a cornerstoneofMoffitt’sstrategicplan.Ithasincorporatedseveraleducationandawarenessprogramsintheimplementationwhichfollows.



IMPLEMENTATIONPLAN

The following implementation planwas approved by theHospital Board ofDirectors onAugust24,2016.

PRIORITYNEED GOAL

ACCESSTOCARE

Improve access to health care services forthoseinneedwithintheprimaryservicearea

Provide increased navigation services forpatientsandcommunitymembers

Support community advocacy to increaseaccesstotransportation

SCREENINGANDPREVENTIONSERVICES

Increaseawarenessandeducationofcancerpreventionandscreening

Eliminate existing barriers for beingscreened

Provide increased and/or improvedscreening and prevention services for lungcancer,breast cancer, prostate cancer,andcolorectalcancer

Moffittwillcontinuetomonitor,refine,andaugmentthesestrategiesoverthenextthreeyearstoensuretheirsuccessfulimplementation.



AVAILABLERESOURCES

Thereareampleresourcesavailablethroughoutthecommunitytohelpaddressprioritizedneedsandsupporttheimplementationplan.BelowisalistoftheseimportantandvaluableorganizationsthatcanpotentiallyhelpMoffittaddresstheidentifiedhealthneeds.

AbeBrownMinistries JudeoChristianHealthClinic

AlleganyFranciscanMinistries LakeWalesFreeClinic

Alzheimer'sAssociation‐FloridaGulfCoastChapter LeeDavisNeighborhoodServiceCenter

AmericanBreastCancerFoundation Leukemia&LymphomaSociety

AmericanCancerSociety‐HillsboroughCounty LifePathHospice

AmericanRedCross MealsonWheels

AngelsCareCenterofEloise MedicaidArea6FieldOffice

Beth‐ElMission MetropolitanMinistries

BlackNursesAssociation—Clearwater/St.PetersburgChapter PinellasCountyEconomicDevelopment

BlueCrossBlueShieldofFlorida(FloridaBlue) PinellasSuncoastTransitAuthority

BrandonOutreachClinic PlantCityHealthCenter

BRIDGEClinic PlantCityNeighborhoodServiceCenter

CatholicMobileMedicalServices PremierCommunityHealthcareGroup

CDCofTampa REACHUP,Inc.

CentralFloridaHealthcare RedCrescentMedicalClinic

CommunityCarefortheElderly RedlandsChristianMigrantAssociation

CrisisCenter RiverofGraceMinistries

DoverHealthCenter SeminoleTribeofFlorida

EqualityFlorida SalvationArmyFamilyServicesProgram

FarmworkerSelfHelp SeniorsinService

FloridaBreastandCervicalCancerEarlyDetectionProgram Sister’sSurvivingBreastCancer

FloridaDepartmentofHealth SouthShoreCommunityResourceCenter



FloridaDepartmentofMotorVehiclesandHighwaySafety St.PetersburgFreeClinic

FloydKeltonHealthCenter SulphurSpringsHealthCenter

FrontPorchCDA,Inc. SuncoastCommunityHealthCenters

GoodSamaritanHealthClinic SunshineLine

GulfCoastNorthAHECSusanG.KomenfortheCureFloridaSuncoast

HaitianAssociation TampaBayHealthcareCollaborative

HealthcareforHomelessVeterans TampaCaribbeanCancerHealthInitiative

HillsboroughAreaRegionalTransit TampaFamilyHealthCenters

HillsboroughCountyHealth&SocialServices UnitedWaySuncoast

HillsboroughCountyLatinoCoalition UniversityAreaCommunityHealthCenter

HillsboroughMetropolitanPlanningforTransportation

UniversityAreaFaithBasedCoalition

HispanicLeadershipCouncil,PinellasCounty UniversityofSouthFloridaCollegeofPublicHealth

HispanicServicesCouncil WeCareofPolkCounty

HomelessRecoveryProgram WestCentralFloridaAgencyonAging,Inc.

IQuitwithAHEC WestTampaHealthCenters

JamesA.HaleyVeteran’sHospital YMCASuncoast

JoyceElyHealthCenter

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