Reduce the Opioid Impact on Reno County
Grant was received for programming the HRMC EMR to abstract Opioid metrics. Each clinical facility in Hutchinson is developing abstraction methods to monitoring Opioid prescribing in their individual facilities. This will provide an overview of the prescribing habits, which will outline next steps in reducing the use of opioids in the community.
Increase the awareness of Smoking Cessation opportunities in Reno County
This Goal has multiple facets. We are addressing smoking cessation tools and programs. Some of the tools and programs have been available for many years. There are teams evaluating what is working well and what needs to be updated. We are working closely with the state KAN-Quit program to increase utilization of the program with patients and as an employee benefit for community employers. At HRMC we are developing methods to accurately identify every smoker so that everyone will benefit from the new programs and techniques that are offered. The Medical Center is also developing a Lung Tumor Clinic to proactively monitor nodules and get patients the treatment they need as soon as possible.
Provide resources for residents of Reno County that are living with a chronic illness
HRMC has chosen Congestive Heart Failure as our first disease to focus on. We are working on identifying the patient population and what needs that they have to be able to go home successfully and not be readmitted. Some of the tools being put in place are increased teaching at the bedside, a Community Care program that sees the patient for free in their home, and follow up calls by the Care Management staff that worked with them in the hospital. The Care Management staff are aware of the discharge plan and when they call they are able to ask questions to determine if the plan is working for the patient or if changes need to be made. If changes are needed they can be made immediately.
The local healthcare community has been working more closely together than ever before in response to the pandemic. Regular meetings and discussions are being held to figure out the best and most efficient way to provide what is needed, and plan are in place to continue the collaboration into the post-pandemic era. This will help us to address community-wide issues of health.
First Quarter 2019
The hospital was busy this quarter at the 19th Annual Health Fair that took place on March 30. The Hutchinson Regional Health System supports the fair along with the Soroptimist International organization. Information booths on a variety of health issues and products were provided. There was also a wide assortment of screening examines. The exams and all of the information were provided free of charge. Click here to view the amount of traffic at each booth, along with the number of screenings and referrals that were made to the visitor's primary care provider. If the visitor did not have a primary care provider, the PrairieStar Health Center was on site and able to help visitors schedule an appointment to follow up the following week.
Second Quarter 2019
With the CHNA completed, analysis of the data continues. The Data Book for the CHNA has been completed and is being published in hard copy and loaded into the various agency internet sites. This provides a valuable tool for numerous agencies for submitting grant requests and analyzing various progress on projects throughout the community. The hospital has established a CHIP group to work on hospital action plans that address some of the issues determined in the survey. Currently that group is determining the projects to be addressed in the initial year of the new CHNA.
Third Quarter 2019
Over the first two quarters of 2019, there has been a process to analyze the data that was captured by the surveys. Through this we have identified two groupings of issues, clinical and social/behavioral. The clinical issues were Maternal/Child Health, Cardiovascular, Diabetes, Overall Health, Respiratory, Oral Health and Cancer. Social/Behavioral issues included Substance Use, Economy, Community Physical, Community/Physical Environment, Access to Care, Physical Activity, Mental Health and Nutrition.
Hutchinson Regional Medical Center created a team of employees to develop a Community Health Improvement Plan (CHIP). The team chose to start with the clinical issues and identified the first years work would include Smoking Cessation, Chronic Conditions with a focus on Pulmonary, Opioid Prescribing in the hospital and Maternal Child Health. The hospital team will be expanded to include the health clinics in the community,including Hutchinson Clinic, Prairie Star Health Care and The Summit Clinics in efforts to address the clinical issues of the CHNA.
The current activities center around investigation of issues within these areas, developing education opportunities for the community and increased presence at the Health Fairs in our community. The CHIP is taking shape with specific metrics being developed to determine what improvements we are making.
Fourth Quarter 2019
The Community Health Needs Assessment (CHNA) was conducted in the 4th Quarter of 2019. After analysis of the survey results the CHNA team divided the work into clinical and non-clinical issues to develop a Community Health Improvement Plan (CHIP). The Clinical CHIP team consists of: Hutchinson Regional Medical Center, Prairie Star Health Center, Hutchinson Clinic, Hospice and Home Health of Reno County and Summit Clinic.
2020 Clinical CHIP Goals and Actions
- Provide resources for residents of Reno County that are living with a chronic illness
- Provide education at health fairs, gatherings and events throughout the year
- Provide vaccinations for residents with chronic illness
- Provide support for Congestive Heart Failure patients
- Increase awareness of Smoking Cessation opportunities to the residents of Reno County
- Develop an order set of options that can be used at Clinical CHIP facilities for smoking cessation
- Provide education to patients in Clinical CHIP member facilities
- Provide Smoking Cessation classes throughout Reno County using KAN Quit program
- Develop a program that provides medication (Chantix ) free or reduced rate to low income/marginally insured residents of Reno County
- Reduce the Opioid Impact to Reno County
- Increase ability to track patient use of opioid prescriptions
- Increase availability of detoxication services in Reno County
2019 Action Plan
- Heal Purpose: To inspire and advance policy, systems, and environment changes that make it easier for Reno County residents to lead healthy lives.
Second Quarter 2018
- Three of the community partners including the HRHS, have kicked off a pre-diabetes program. The initial group will start in June. This group will be our pilot group to fine tune the program. The program goals are to reduce body weight by 5-7% and increase physical activity to 150 min per week. Knowing that 1 out of 3 Americans have diabetes, implementing a program to prevent diabetes is addressing many health issues that may develop, if the diabetes is not addressed in the Pre-Stages.
- Established a Community Opioid Collaborative. This collaborative will work on establishing community wide programs on prescribing practices, alternative symptom management, and addressing the mental health issues that go with pain management. Initial goals are to review current practices throughout the community providers and determine best practices. Long term we would like to see the Collaborative be able to develop a wrap-around approach to optimize success in management of pain.
- Work has started on the 2018 Community Health Need Assessment. Plans are to conduct the survey in 3rd Quarter of 2018. This will allow time for assessment of the results and building goals for the next three years with the new information from this year's assessment.
- Hospital is participating in a community Pre-Diabetes program. The pilot group of clients have kicked off the first class. Issues have been identified. The facilities are working on the BC/BS Pathway grant to obtain funding to enlarge the teaching staff and to be able to provide incentives for motivation for the members of the pilot group. The hospital is working with the Hutchinson Clinic, Prairie Star Health Center and the Reno County Health Department.
- The hospital continues to provide members to participate in the many programs coordinated by the Heal Reno County group. Efforts have been made through the Hutchinson Regional Healthcare System to advocate for the mentally ill to keep them from being placed in jail for behavioral issues related to their mental health diagnosis.
- Plans are in full swing for the Community Health Needs Assessment that will be conducted September 30 and October 1. Current activities are focused on getting volunteers to conduct the surveys and determining the need for focus groups.
Third Quarter 2018
Healthy programs continue to be started and those in place continue to grow.
Workwell Reno County
Step-tember Challenge kicked off in September. Initial last year in the Workwell Reno County was with the Reno County employees and the Buhler USD 313 employees. Both groups saw an increase in participation for this year’s challenge. The program is growing this year by adding another workplace to the challenge. Haven USD 312 employees were added to the challenge. Together with all three workplaces we have 50 teams doing the challenge.
Vitality Team of Reno County
Members of the team have been out canvassing the Kisiwa neighborhood to educate residents regarding the possibility of a northeast trail extension from Plum to Monroe streets. The City of Hutchinson has received approval to pursue a KDOT grant for the extension of the trail. More to come.
Farmer Markets have been created in three locations in the county:
- Reno County Farmer’s Market at 2nd and Washington in Hutchison
- Arlington Farm and Art Martkey at 306 W. Main in Arlington.
- South Hutchinson Farmer’s Market at 401 N. Main in South Hutchinson
The Healthcare Access Taskforce has lead the development and implementation of the Community Health Needs Assessment for 2018. The initial survey was done across Reno County on 9/30/18 and 10/1/2018. The results of that information are being analyzed. This information will be provide guidance as to the focus groups that need to be held to provide additional information and ensure we have assessed all the residents of our county. The Goal is to apply the information learned to the Community Health Improvement Plan, with revisions to current programs, elimination of programs not meeting the needs and creation of new programs to meet new priorities.
The Health and Wellness team submitted their proposal to the Chief Operation Officer this quarter to update the "Tunnel" that the community, hospital employees and visitors to the hospital use for walking. The proposal encompasses aesthetic changes, providing education and motivation for those that use the tunnel as a source of healthy exercise. The Health and Wellness team has submitted an application to the Blue Cross/Blue Shield Healthy Pathways Grant for partial funding for the project, as well.
- 2 schools have submitted school wellness policy grant applications
- 6 tobacco free parks communities in Reno County
- 13 worksite wellness pledges
- 1 healthy restaurant and 1 healthy food retail pledge
- 448 community perception surveys completed
Kansas Health Foundation – Health Equity
- Health Equity workgroup is formed and has identified Lincoln neighborhood as focus area for the grant
- First quarterly grant report has been submitted
- Currently in phase of gathering information and forming relationships
- New group focus to help advocate for trails
- Bike workstations installed – Zoo, Crestview Bible Church, Ave. A Park
- Bike workstations to be installed – State Fair, 43rd & Plum and City of Buhler, all to be purchased with Friends of the Trail funds
- 2nd Saturday Bike Rides, and Bike to Work Day going strong and will continue
- Play on Plum Bike Rodeo
- R.J. Gardner new workgroup chair for 2018
- New direction for group – advocacy work
- Restructured team which includes executives from healthcare providers
- Now a policy driven group
- Will coordinate the Community Health Assessment
- In the process of selecting Pathways pledge direction as a team
- Working to coordinate efforts on what is best for the community
- Formed a Stepping Up Council with the goal of reducing the # of mentally ill who are put in jail
- Working towards a county/city proclamation to become a Stepping Up Community
- 13 worksites now meeting monthly
- Working on the development of a community worksite wellness portal
- 10 Worksites attended the Food and Beverage workshop and are working on their plan
Food Policy Council:
- Working on recruiting new voices to the table to begin work on the creation of a Food System Plan
- 2 new hoop houses are up in Hutchinson, with 2 more to be installed. Production of vegetables could start in 2018
- Working to combine group with Food Policy Council
Tobacco Free Living:
- 6 Reno County communities now have tobacco-free parks
- Producing a tobacco-free parks video to educate residents
- Adding ½ pagers into youth sports coaches’ packets regarding tobacco-free parks
- Moving towards volunteer chairs/community driven
- Hutchinson Community Foundation will serve as 2018 Logistical Organization
- Hutchinson Recreation Commission will serve as 2018 Marketing Organization
- Advisory Council will meet monthly
- All members of Advisory Council will attend an annual retreat to develop policy priorities for the year and for their workgroup
- Members of Advisory Council are encouraged to move towards civic engagement
- Successful school advocacy work
- New website and list of members
- Working with people who are doing Pathways pledge work
- Working to reduce the stigma of mental health/ Stepping Up Community
- Transitional year with leaders taking responsibility to make an impact
- Play on Plum and Play Dates in the Park
- Adding hidden voices to the table who are not usually at the table
- Looking forward to what lies ahead
- Wide variety of voices at the table
- New relationships and partnerships formed
The Healthcare Access Team includes:
- Hutchinson Regional Medical Center
- Hutchinson Clinic
- Prairie Star Healthcare Facility
- Reno County Health Department
- Hospice and Homecare of Reno County
- Horizons Mental Health Center
Fourth Quarter 2018
The hospital participated in the Triannual Community Health Needs Assessment (CHNA). This was done by a validated survey method of selecting a certain number of houses in each identified division throughout the county. In addition to the surveys that were done by conducting a face to face interview of the community we also conducted focus surveys of specific groups. This included specific high risk neighborhoods, senior center member and healthcare providers in the county.
During the First Quarter 2017, the Taskforce was introduced to a program through Blue Cross-Blue Shield program that offered Hutchinson a healthy community grant. Organizations within the taskforces agreed to work as together to obtain a grant through the group's work. The hospital had the opportunity to separately pledge to for a potential grant through the program. Those will be separate programs that will also blend in with our CHIP program.
The physician clinics continue their work to determine baseline data for both measures - physician office visits that incorporate counseling or education related to physical activity and that utilize BMI in counseling patients about their health. The five physician clinic members of the taskforce will continue their work.
Expanding Behavioral Health into our community systems is being addressed by the Community Mental Health Task Force. They have several priorities:
- Working with legislators and local elected representatives to discuss the mental health issues that are impacting Reno Co.
- Anti-Stigma Campaign for May 2017
- Present at the First Course monthly Education event
- Create the foundation for a “Stepping UP” Community
Exploring options for grants for:
- Community Case Worker models
- Mobile Screenings throughout the county
The Healthcare Taskforce reviewed some data regarding the community from the HEAL Reno County Advisory. For the most recent years of data published, 2013-2015, Reno County ranked 64th in Health Outcomes, 65th in Health Factors, rankings are getting worse over the last 7 years, and the percentage of Low-birth weight infants is rising.
The Hutchinson Clinic and Prairie Star have been working on the physician office visit initiative in getting physical activity, BMI and counseling done with each visit. They had pulled data from the two groups, but the data is not comparable so it was not useful. They have decided to look into a shared website for working on sharing patient information.
All the Taskforce members participated in the Soroptomist Health Fair with booths for health screenings, health information, education, lab draws and interactions with the public in different ways regarding healthy discussions.
Reno County Health Department has been awarded a grant for a one year pilot for a Community Health Worker program. They are working with the hospital to develop the program.
Hospital is developing their BC/BS pledge plan to develop and improve the indoor walking are called “The Tunnel” to encourage more community members and employees to increase activity.
The Healthcare Taskforce attempted to brainstorm ideas of how to create a program that is sustainable with healthy fresh food that those in need would use, would be located where those in need could get to it, and information so those in need would know how to use the food.
The group also considered what it would take to create such a place.
Issues: Cost and Sustainability
The Healthcare Taskforce had the opportunity for a leadership group do a mini-analysis on the taskforce to help us provide better leadership. The outcome was good.
In the third quarter, we are going back to our original mission. We feel we have gotten off the track. We need to pull the leaders of our organizations, the decisions makers that can commit money if necessary to a decision and that we need to regroup.
Our focus is still to our community and the Community Health Needs Assessment, just in another method.
The CHIP – Healthcare Access Taskforce was assembled as the taskforce that would oversee several teams that would be addressing the needs identified in the CHNA (Community Health Needs Assessment). Those teams included:
- Healthy Kids
- Vitality Team
- Healthy Foods
- Work Well Group
- Healthcare Access
- Tobacco Free Living
The Healthcare Access Team mission statement was established: "Health Care Organizations building relationships, collaborating and supporting the development of the CHA and CHIP."
The Healthcare Access Team met in 4th quarter to establish membership of key healthcare providers in the community, i.e.:
- Hutchinson Regional Medical Center
- Hutchinson Clinic
- Prairie Star Healthcare Facility
- Reno County Health Department
- United Way
- Wesley Towers
- USD 308 Student Health Nurse
It became evident that ‘access to care’ has many meanings.
The Reno County Health Council began planning for the 2016 CHIP in early 2015. The first step was to gather Reno County demographics and statistics compared to the rest of Kansas and the U.S. Next, the committee created a survey. The purpose of the survey was to get the public opinion about community health problems in Reno County. The council then used the results to identify the most pressing problems that can be addressed through community action. The council then presented a smaller survey to segmented groups in order narrow the focus and gather opinions from those of all ages. The ultimate goal was to identify three key health issues that can be influenced through community action.
Reno County Data - Reno County '15 Survey - Key Health Issues Survey
From here, the committee hosted a community forum to present their findings and gather suggestions and ideas on how to resolve or better the communities’ key health issues and to put that in to a CHIP for 2016. The date for this was April 26th, 2016 at the Hutchinson Regional Medical Center Pavilion.
Through the Community Forum in April of 2016 and council meetings in May & June the committee was able to narrow the focus to two key health issues. The focus areas for Reno County will be obesity & mental health.
On July 6th the committee and various community leaders met to discuss and narrow down strategies that can be implemented to make progress on Reno Counties Obesity issue. The committee will convene to do the same for Reno Counties mental health issue. From here the Community Health Improvement Plan can begin to take shape.
7/19/16- Below is the 2016 Reno County Data Book:
8/19/2016 - Implementation Plan
In May of 2013 the Reno County Health Council released a Reno County Community Health Improvement Plan (CHIP). After engaging in a year and a half of strategic planning, including a public survey in 2012, the team completed the Reno County Data Book and the Community Health Improvement Plan. Click on the documents below to view:
The Community Health Assessment data was both quantitative and qualitative. Input was gathered from residents through community forums, focus groups and over 2,000 respondents to an online and paper survey. Other assessments involved gathering data on the health status of the community and the workings of the local public health system, as well as an assessment of forces likely to impact the health of the public in the near future. Below is a slideshow of the plan in action and the outcomes.