Swedish/Edmonds

May 2013

Community Health Needs Assessment

Overview

• Community Served

• How Broad Interests of Community Were Taken Into

Account

• Process and Methods Used to Conduct the CHNA

• Significant Health Needs of Community

• Services at Swedish/Edmonds

• Potential Measures and Resources to Address

Significant Health Needs

• Sources of Information Cited and Consulted

• Implementation Plan

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Community Served

• Area served is defined

by native and primary

market areas shown in

map

• Communities include

Edmonds, Lynnwood,

Brier, Mountlake

Terrace and Woodway

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Community Served (cont.) • Demographics of served communities (shown as

Stevens Hospital District):

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Community Served (cont.) Snohomish County Demographics

• Median Age 37.1

• Median Household

Income (2011) $67,777

• Median Home Price $257,000

• Number of Businesses 17,721

• Workforce 382,000

• Unemployment Rate 7.1%

• Mean Travel Time to Work 29.3 min

• Cost of Living Index (U.S. = 100) 112.8

Sources: NW MLS, WA ESD, WA OFM, U.S. Census. Updated Dec. 2012

(economicalliancesc.org)

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How Broad Interests of

Community Were Taken Into Account

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• Primary source of information was Snohomish Health

District

• Supplemental sources of information included meetings

with community partners, Verdant Health Commission,

feedback gathered at community events, conferences with

Swedish/Edmonds service lines and input from Edmonds

leadership team

Process and Methods Used to

Conduct the CHNA Since 2009

• Consulted published reference materials:

– Snohomish Health District Health Indicators

– Snohomish Health District Leading Causes of Death

– Snohomish Health District Adverse Childhood Experiences

– Snohomish Health District Health Risks

– Snohomish Health District Quality of Health

– Snohomish Health District Behavior Affects Health

– Snohomish Health District Chronic Disease Trends Summary

– Snohomish Health District 2013 Community Report Card

– Verdant Health Commission District Report

– The Advisory Board Company Rationalizing Growth report

Process and Methods

Used to Conduct the CHNA (cont.)

• Meetings with community partners: – Boys & Girls Clubs (Edmonds and Alderwood)

– Edmonds Bicycle Advocacy Group

– Cascade Bicycle Club

– City of Edmonds

– City of Lynnwood

– City of Mountlake Terrace

– Edmonds Community College

– Edmonds Public Schools Foundation

– Edmonds School District

– Snohomish Health District

– Sno-King Youth Club

– YMCA (Edmonds and Snohomish County)

– Lynnwood Food Bank

– Premera

– Swedish/Edmonds Foundation (Edmonds board member)

– Edmonds Center for the Arts

– Lynnwood Fire Department

– Fire District #1

– Verdant Health Commission

Process and Methods

Used to Conduct the CHNA (cont.)

About Verdant Health Commission • Unique and ground-breaking lease agreement between Swedish and Public

Hospital District No. 2 of Snohomish County results in over $7 million

annually in lease payments from Swedish to Verdant Health Commission

since 2010

• The mission of Verdant Health Commission is to improve the health and

well-being of our community

• Agreement includes the establishment of a Strategic Collaboration

Committee to meet quarterly to develop and review Swedish’s strategic plan

and its operating and capital budgets for the hospital and other leased assets

• Verdant Health Commission is governed by five elected commissioners

Programs mentioned in this report are from both organizations

because they are all funded by Swedish

Process and Methods

Used to Conduct the CHNA (cont.)

Examples of the nature and extent of input received from meeting

with community partners

1. Met with Sarah Olson, City of Lynnwood Outreach Supervisor

on May 1, 2013, to discuss Lynnwood’s Community Profile

report including underserved population trends

2. Met with Gary Goldbaum, M.D., MPH, Health Officer for

Snohomish Health District on Sept. 19, 2012 to discuss how

we’d coordinated whooping cough outreach and his reaction to

increasing obesity rates

3. Met with about 30 people attending the March 21, 2013

Creating Community Connections meeting hosted by Edmonds

School District administration to discuss most urgent health

needs

Process and Methods

Used to Conduct the CHNA (cont.)

Examples of the nature and extent of input received from meeting

with community partners

4. Met with Tessa Grego, Principal Planner of the Cascade

Bicycle Club, and members of the Edmonds Bicycle Advocacy

Group on Jan. 16, 2013, to discuss Verdant’s grant plans to

study safe bike routes that encourage exercise in our area

5. Met with Rose Ploeg, City of Mountlake Terrace Recreation &

Parks Aquatic Supervisor on Nov. 8, 2012, to discuss water

safety, swimming as health exercise and a free event

sponsored by Swedish/Edmonds to promote these themes

Process and Methods

Used to Conduct the CHNA (cont.)

• Feedback gathered at community events: – Cancer center public reception

– 6 Weeks to a Healthier You (three booth sessions)

– April Pool’s Day at Mountlake Terrace Recreation Center

– Edmonds Arts Festival

– Edmonds Senior Center Healthy Living Fair

– Edmonds Community College FoodFest

– Get Movin’ (Alderwood Mall)

– Health and Beauty Event (low income, non-whites)

– March of Dimes Walk in Everett

– Movies Under the Stars (4)

– Nick of Time youth heart event

– Relay for Life (American Cancer Society)

– Health & Fitness Expo

– Taste of Edmonds

– Woodway Town Fair

– Healthier Choices, four Edmonds School District events in conjunction with Move60

– Healthy Snacks, Healthy Play for Preschoolers

– Strategic planning process in 2009 included a series of public meetings to explain the potential affiliation with Swedish and listen to concerns

Process and Methods

Used to Conduct the CHNA (cont.)

• Conferences with Swedish/Edmonds education services,

preventive care and other groups involved with

community outreach: – Cardiopulmonary rehab

– Diabetes

– Weight loss services (Specialty Clinic)

– Nutrition

– Stroke

– Food services

– Heart and vascular

– Emergency

– OB

– Spine, sport and musculoskeletal medicine

– Infection prevention

– Primary care

– Swedish Foundation

Process and Methods

Used to Conduct the CHNA (cont.)

• Reviewed with, and sought feedback from, the

leadership team at Swedish/Edmonds

– Chief executive

– Vice president operations

– Chief nurse executive

– Chief medical officer

– Director of finance

– Director of business alliances and service optimization

– Business partner manager

How We’ll Obtain Additional Community Input

• Post the CHNA materials on our website and ask for

comments

• Provide tear-off pads asking for comments at

community events such as Taste of Edmonds

• Partner with Verdant to share this information if they

are already collecting it or devise a new process for

how the information will be collected

• More information becomes available in June 2013

from Verdant Health Commission

Significant Health Needs of Community

Top 10 Leading Causes of Death in County and Hospital

District (2008) District County

1. Heart disease* 25.3% 22.2%

2. Cancer* 24.5% 23.1%

3. Alzheimer’s disease 7.1% 6.5%

4. Accidents 6.1% 7.4%

5. Cerebrovascular diseases 5.1% 5.5%

6. Chronic lower resp disease 4.3% 5.5%

7. Diabetes** 2.4% 2.9%

8. Suicide* 1.5% 1.5%

9. Influenza/pneumonia 1.4% 2.3%

10.Chronic liver disease 1.3% 1.7% * Indicates three of the five priorities ** Type II closely associated with obesity 16

1. Obesity

2. Heart disease

3. Cancer

4. Access to primary care providers

5. Suicide

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Top 5 Priority Health Issues (in descending order of priority)

Swedish/Edmonds has partnered with Snohomish Health

District and adopted their methodology for determining

the most important health issues

• The Public Health Advisory Council started with 80

community health indicators

• Data was analyzed from national, state, county and

local sources

• Trends were explored and comparisons made to

create risk scores

• 27 indicators with the worst risk scores were evaluated

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How Priority Health

Issues Were Determined

• Members of the Public Health Advisory Council chose six health issues

that need community attention and action

• Three issues need immediate action:

- Youth physical abuse

- Youth and adult obesity

- Youth and adult suicide

• Youth physical abuse is not one of Swedish/Edmonds’ priority health

issues because there are other agencies giving this issue attention

• Heart disease and cancer were added to our list of priority health issues

because the community relies on us to provide treatment and we have

the strengths of the Swedish system to fulfill these needs in a

comprehensive manner. Additionally, these health issues were included

because they’re the first and second leading causes of death

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How Priority Health

Issues Were Determined (cont.)

Services at Swedish/Edmonds

Behavioral Health

Breast Center

Cardiac Catheterization

Cardiac Diagnostic Services

Cardiac Rehabilitation

Case Management

Childbirth Center

Diabetes Care

Emergency Room

Endoscopy Services

Health Education Classes

Hospitalists

Intensive Care Unit/Coronary Care

Unit/Post-Critical Care

Laboratory

Medical Imaging

Mental Health

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Nurse Navigator

Nutrition Care

Pain Center

Pathology

Radiation Oncology

Rehabilitation

Pharmacy

Primary & Specialty Clinics

Sleep Center

Spiritual Care & Bereavement Services

Surgery

Weight Loss Surgery

Women's Health

Wound Healing & Hyperbarics

Potential Measures and Resources to

Address Significant Health Needs • Expand facility to accommodate identified needs

• Launch new service lines with employee physicians or independent physician groups

• Share education programs

• Sponsor non-profit organizations that support goals

• Participate in community events to share information

• Issue press releases about health topics of interest to public

• Use social media to gauge health needs and concerns

• Collaborate with community leaders and organizations concerned about health issues

• Partner with other non-profits to keep channels of communications open with public

• Implement more accurate metrics for measuring progress

• Expand educational content on website

• Offer free classes on most critical health topics

• Leverage resources available at Swedish and Providence for community outreach programs

• Respond to local health crises by providing free health services such as vaccinations

• Participate in regional emergency drills to prepare for disasters

• Chief executive at Swedish/Edmonds is a board member of Snohomish Health Leadership

Coalition

• See implementation plan and executive summary for more information

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Resources Available in Community to

Address Top 5 Priority Health Issues

Obesity, heart disease, cancer, access to primary care providers and suicide – Obesity

• Boys & Girls Clubs (Edmonds and Alderwood) United Way

• Cascade Bicycle Club Verdant Health Commission

• City of Brier YMCA of Snohomish County and Edmonds

• City of Edmonds

• City of Lynnwood

• City of Mountlake Terrace

• Edmonds Bicycle Advocacy Group

• Edmonds Community College

• Edmonds Public Schools Foundation

• Edmonds School District

• Fire District #1

• Lynnwood Fire Department

• Meals on Wheels

• Move60!

• Premera

• Snohomish Health District

• Sno-King Youth Club

• Swedish/Edmonds Foundation

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Resources Available in Community to

Address Top 5 Priority Health Issues

Obesity, heart disease, cancer, access to primary care providers and suicide – Heart Disease

• American Heart Association • American Stroke Association • Heart360 • Million Hearts • Move60! • My Life Check • Senior Services of Snohomish County • Snohomish Health District • United Way • Verdant Health Commission • YMCA of Snohomish County

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Resources Available in Community to

Address Top 5 Priority Health Issues

Obesity, heart disease, cancer, access to primary care providers and suicide – Cancer

• American Cancer Society

• Black Women’s Health Imperative

• CancerCare

• Cancer Action Now

• Cancer Hope Network

• Cancer Legal Resource Center

• Cancer Really Sucks

• Cancer Wellness Center

• Corporate Angel Network

• Family Caregiver Alliance

• Fighting Chance

• Friends of Cancer Research

• Intercultural Cancer Council

• Know Cancer

• Lance Armstrong Foundation

• National Coalition for Cancer Survivorship

• Native American Cancer Research

• Native People’s Circle of Hope

• Patient Advocate Foundation

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• Prevent Cancer Foundation

• Research Advocacy Network

• Snohomish Health District

• Susan G. Komen for the Cure

• The Cancer Support Community

• The Center for Patient Partnerships

• Ulman Cancer Fund for Young Adults

• United Way

• YMCA of Snohomish County

Resources Available in Community to

Address Top 5 Priority Health Issues

Obesity, heart disease, cancer, access to primary care providers and suicide – Access to Primary Care Providers

• Boys & Girls Clubs (Edmonds and Alderwood)

• Charity care from Swedish/Edmonds ($24 million in 2012)

• Community Health Center of Snohomish County

• Project Access

• Snohomish Health District

• United Way

• YMCA of Snohomish County

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Resources Available in Community to

Address Top 5 Priority Health Issues

Obesity, heart disease, cancer, access to primary care providers and suicide – Suicide

• American Foundation for Suicide Prevention Washington State

• Boys & Girls Clubs (Edmonds and Alderwood)

• Harborview Injury Prevention and Research Center

• National Alliance on Mental Illness (NAMI)

• North Sound Regional Support Network

• Snohomish Health District

• Snohomish County Mental Health

• Suicide Prevention Resource Center

• United Way

• Washington state mental health crisis lines, suicide prevention

• YMCA of Snohomish County

• Youth Suicide Prevention Program

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Highlighted Sources of Information

• A Close-up, Chronic Disease in Snohomish County, published

May 2009 by Snohomish Health District (SHD)

• The Effects of Adverse Childhood Experiences in Snohomish

County, published Sept. 2011 by SHD

• Snohomish County Behavioral Risk Factor Surveillance Survey,

published 2009 by SHD

• Health Behaviors in Snohomish County (General Health, Health

Behaviors and Chronic Disease), published April 2011 by SHD

• Technology Insights, published Oct. 2011 by The Advisory

Board

• District Report, published July 2010 by Verdant Health

Commission and SHD

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Highlighted Sources of Information (cont.)

– Snohomish Health District Health Indicators

– Snohomish Health District Leading Causes of Death

– Snohomish Health District Adverse Childhood Experiences

– Snohomish Health District Health Risks

– Snohomish Health District Quality of Health

– Snohomish Health District Behavior Affects Health

– Snohomish Health District Chronic Disease Trends Summary

– Snohomish Health District 2013 Community Report Card

– Verdant Health Commission District Report

– The Advisory Board Company Rationalizing Growth report

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Implementation Plan

Please see separate PowerPoint presentation,

Community Health Needs Implementation Plan, that

describes how Swedish/Edmonds plans to address the

top health needs identified

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