Redington-Fairview General Hospital

2018 ~ 2019

Community Health

Annual Report

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The needs of the community Redington Fairview General Hospital (RFGH) and Somerset Public Health (SPH) serves are vast and ever changing. The attached 2018 – 2019 RFGH / SPH Annual Report will highlight efforts taken to respond to the priorities identified in the community health needs assessment.

RFGH and SPH would like to thank the many staff members, providers, community members, Board of Directors, volunteers and Administrators who make community outreach possible through their time, dedication, and financial support.

RFGH and SPH would like to thank our many community partners. We recognize that this is not an all inclusive list and to all who contribute in making our community healthier, we sincerely thank you.

New Balance WIC KVCAP Kennebec Behavioral Health

Spectrum Generations

University of Maine

United Way Local Child Care

AARP Chamber of Commerce

Department Of Highway Safety

Local law enforcement Local Businesses

Local School Districts

Local Municipalities

American Cancer Society

Shelters and Food Pantries

Maine General

SPH receives funding from multiple grants. For a complete listing please contact SPH at 474-7473.

For information about the annual report or the Redington Fairview General Hospital Community Assessment, please contact Carol Steward at 207.474.5121, ext. 2319.

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OBESITY/ PHYSICAL ACTIVITY

RFGH AND SPH 2018 – 2019 HIGHLIGHTS

SPH programs Move More Kids Funded by New Balance for the past 11 years, this is a program which improves nutrition and physical activity practice polices and environments in schools, childcare facilities, communities, and afterschool programs using the Let’s go! Model. In the past year, 20 schools have created yearly action plans focused around incorporating more physical activity into the school day; 31 child cares have created yearly action plans around healthy eating and active living strategies; and 350 students in ten after school programs are enrolled in Move More Kids program. SNAP-Ed Provides nutrition education to children and adults at school and community venues. Includes Pick a Better Snack, Cooking Matters, store tours, and Ten Tips. Have expanded into Hartland, St. Albans and Cornville. Adult classes in Jackman, at SPH and at Centenary Methodist. Between 10/2018 and 3/2019 this program had 11,632 contacts in the SNAP Ed program with the adult and teen programs. Key focuses of the focuses are increasing fruit and vegetable consumption, community gardens, school access, and much more. Obesity State Prevention Services Grant to reduce overweight and obesity throughout Somerset County using the Let’s Go! model. Athens Community School, Cornville Charter School, Harmony, SADs 12, 13, 54, 59, and 74 are all enrolled in the Let’s Go! program.

RFGH Weight Management Weigh to Go

A program offered three times a year to adults designed and delivered by dietitians to gain information around healthy nutrition choices. 141 participants completed the program in 2018 averaging 4.3# weight loss per individual.

Road to Wellness

Program facilitated by dietitian for individuals who are 100 pounds or more overweight.

RFGH wellness initiatives

• Healthy options offered in

cafeteria. • Sugared beverages

removed from cafeteria vending machines and from meetings.

• Quarterly RFGH Community Newsletter healthy recipes.

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OLDER ADULT/ HEALTHY AGING

RFGH AND SPH 2018 – 2019 HIGHLIGHTS

Caregiver support for dementia A community outreach program with Dr. Goodman for family and caregivers discussing the types of dementia, evaluation and treatment.

Aging in Place

A grant with SPH by Maine Health Access Foundation to improve services such as transportation, medical hospice chronic disease management and community support in Jackman. To help individuals stay in their homes or near their friends as they age in a safe manner.

AARP Age Friendly Communities

SPH working to create age friendly community plans in Jackman, Madison and Skowhegan. The goal of age friendly communities is to help towns prepare for the rapid aging of population by looking at the social, economic and environmental factors that affect the health and overall well-being of older adults.

AARP Driver Safety training

A refresher course held at RFGH for drivers’ age 50+ to sharpen skills and drive safely.

Arthritis Classes at RFGH Rehab & Fitness

This class is designed to benefit those diagnosed with arthritis or fibromyalgia. Gentle exercises help to improve balance, range of motion and provide pain relief.

Advance Directives

Outreach programs to senior center and to community to inform and assist with completing these legal forms to have a say about how one wants to be cared for when getting very sick.

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SUBSTANCE USE RFGH AND SPH

2018 – 2019 HIGHLIGHTS

Prevention Education Tobacco

RFGH was recognized for achievement in tobacco-free excellence by receiving a Gold Star from the MaineHealth Center for Tobacco Independence’s Breathe Easy initiative. The RFGH Community Health Educator worked on tobacco prevention education in SAD 54 High school classroom 4th and 5th grade prevention education - MSADs 54, 59,74, and the Athens Community School.

Multiple vaping presentations to increase awareness around various vaping devices, what’s in them, how they work, and the dangers of their use. The Tobacco State Prevention grant with SPH is to reduce tobacco use in children and adults. Multi-unit housing policies passed in work by SPH to include 8 buildings/123 units with 220 tenants reached. In addition smoke and tobacco-free policies were passed at the Maine Arts Academy and Lake George Park.

Alcohol

The STOP Grant with SPH is to help reduce underage drinking by providing Universal Prime for Life classes at middle/high school and to increase law enforcement presence in the schools. High School students partnered with local police department to conduct a sticker shock campaign with local retailers.

Marijuana The Substance Use State Prevention Grant is to reduce substance use in children and young adults with focuses on awareness campaign, and social norming.

Youth Substance Use Prevention The Drug Free Communities Grant with SPH works to address youth behaviors, school climate, student values, social norming and other initiatives to reduce youth substance use.

Communication

Staff, provider, and RFGH Board training around improving the substance use conversation and caring for people with the chronic disease of substance use disorder.

Community Support

Weekly provider led Narcotics Anonymous support group. Naloxone training and supplies to local law enforcement and first responders.

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YOUTH RFGH AND SPH 2018 – 2019 HIGHLIGHTS

Improving Opportunities for Youth Grant with SPH to improve opportunities for youth working on teen pregnancy prevention.

RFGH Career Outreach to SAD 59

Presenters from many RFGH departments invited to MSAD 59 class “Health Occupations” for an average of 45 minute presentations to share information, qualifications, and experiences with students. With a national healthcare shortage in the future it is a time to share with our youth opportunities in the healthcare field.

SPH Family Engagement Opportunities

• Healthy New Years Eve Party • Summer movies in Coburn Park • Move More Kids Day • National Night Out • Skowpendous

Adverse Childhood Experiences (ACEs)

SPH grant from the Bingham program providing opportunity for interactive improvisational theater to address ACEs and resiliency. Marti Stevens Theater group used SPH annual event with its diverse attendance to spread awareness of ACEs. Channel 11 video vignettes with Family Violence Project and Skowhegan Women’s Group.

Concussion prevention outreach

300 parents connecting with athletic trainer at two community events.

1st Annual Childhood Head Injury Prevention Education held to focus on proper fit for bike helmets.

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INJURY PREVENTION / SAFETY/ IMMUNIZATIONS/ ENVIRONMENTAL HEALTH

RFGH AND SPH 2018 – 2019 HIGHLIGHTS

Safety / injury prevention Stop the Bleed training

In the wake of the 2012 tragedy at Sandy Hook Elementary School in Newtown, Connecticut, a group that is now known as the Hartford Consensus brought together the likes of the medical community, law enforcement, and federal government to discuss how to improve survivability in mass casualty events. By providing first responders and the public with the basic skills to stop uncontrolled bleeding, lives could be saved. Thus, Stop the Bleed began and is now being taught across the country. At RFGH a group of paramedics and nurses have taken on this important cause, training over 100 people. Police and fire departments, and local schools have seen the importance of this skill and called upon RFGH to educate their employees and students. During training, students are taught basic bleeding control principals to aid in decreasing the number of preventable deaths in traumatic situations. Through a generous donation from the RFGH Auxiliary, kits have been installed through the hospital and all satellite campuses and through a donation from Somerset County, schools will receive assistance with the cost of the Stop the Bleed kits. Trainings are offered at no cost to public safety agencies and schools throughout Somerset County.

Safe Routes to School A Sadie and Harry Davis Foundation grant focused on building protective factors in Skowhegan youth and increasing student / law enforcement connection

Self-Harm Prevention

Suicide awareness training for staff from National Alliance for Mental Illness. Impaired driving prevention days with SPH and Sheriff’s Department.

Environmental

Lead pre-screening collaboration with KVCAP and RFGH laboratory to preschools throughout the community.

Immunizations

Influenza vaccinations provided to students and staff in SADs 54, 59, 74, 13, Athens Community, and Harmony Elementary. In addition RFGH reached out to the homeless shelter to vaccinate children and adults. Community flu clinics also held at RFGH.

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CHRONIC DISEASES RFGH AND SPH

2018 – 2019 HIGHLIGHTS

Diabetes

Diabetes Self -Management Education (DSME) Program Taught by registered nurses and dietitians who are trained by the Maine Diabetes Prevention and Control Program. Individual or group setting education, meal planning specific to individual needs. RFGH Diabetes Support Group offered most months as an informal gathering for sharing of information and receiving support. National Diabetes Prevention Program (NDPP) to address pre-diabetes – classes ongoing with 43% exceeding 7% weight loss per person average.

Cancer

Cancer prevention initiatives and support are ongoing. The cancer support group meets monthly with an oncology nurse present to answer questions. Prevention presentations in 2018 included “Women’s Health”, “Prostate Health”. RFGH is proud of our mammography unit where the mammography technicians provide ongoing education. Providers access resources for under-served women to receive mammograms. Our Endoscopy Unit is busy with colon screening with colonoscopies and the staff is active in prevention education especially related to high fiber diets.

Respiratory Disease

Pulmonary Rehab program of walking, cycling, arm and upper body exercise with education and support group ongoing. Those with chronic lung disease may benefit as it helps to decrease shortness of breath, improves the quality of life, increases independence levels and improves one’s understanding of the disease and how to manage it.

Cardiovascular Disease

Rehab Water Fitness Classes held in the four-foot lap pool, ideal for participants to improve cardiovascular health, balance, core strength, and flexibility. The Cardiac Rehab program involves education and exercise session where one’s heart rhythm & blood pressure are monitored. The sessions help an individual learn what kind of exercises can be done safely. The program requires a referral from a provider. The support group offers ongoing education.