Assessing and Improving Community Health in Wisconsin

Marshfield Medical Center

Ministry Health Care
611 ST JOSEPH AVE
MARSHFIELD, WI 54449
Wood County
Hospital Website
Community Health Needs Assessment
Community Health Implementation Plan

Implementation Approaches

Community-based Goals:

-Reduce incidence of unhealthy and risky alcohol and other drug use by changing attitudes, knowledge and policies
-Provide supportive services for prevention, screening, intervention, treatment and recovery
-Collaborate with community partners in order to increase access to services, awareness and support for underserved, and disadvantaged populations

Strategy: Maternal and Neonatal Health

(In the USA and Wisconsin, the prevalence of maternal opioid use has increased significantly while use of alcohol has remained flat. Interventions to support mothers at risk in the perinatal stage are important to the growth and development of the baby as well as the overall health of the family.)

  • Continued support for the case management component of the Healthy Birth program for inpatient adolescent moms

  • Early identification of at risk moms and interventions to support safe pregnancy

  • Referral for follow-up with community resources and integration of services

Strategy: Alcohol and Other Drug Abuse Coalition

  • Representatives from MSJH will participate in Alcohol and other Drug Abuse Community coalition. Wood County has an AODA community coalition comprised a members from law enforcement, schools and community social support and mental health providers. MSJH has an important role as a large health care provider and as such will participated directly in the coalition and/or support actions and evidence based action outlined by the coalition

-Sustain and apply evidence based programs to resolve gaps in access to adequate food systems in schools, worksites and restaurants

-Increase physical activity for all through changes in facilities, community design and policies

-Partner with the United Way to deliver home-delivered meals and nutrition on weekends

Community-based Goals:

-Reduce incidence of unhealthy and risky alcohol and other drug use by changing attitudes, knowledge and policies
-Provide supportive services for prevention, screening, intervention, treatment and recovery
-Collaborate with community partners in order to increase access to services, awareness and support for underserved, and disadvantaged populations

 

Strategy: System Changes Related to Use and Prescribing of Opioids in Hospital and Clinic Settings

  • All providers and/or pharmacists will have access to and know how to use the Wisconsin Prescription Drug Monitoring Program

  • Provide a limited quantity of prescription pain medicines with attention to guidelines recommended by CDC

  • Pharmacy and Nursing will educate patients on safe storage and disposal of controlled substances

  • As a community, provide education/awareness of and access to “drug takeback” programs

Strategy: Maternal and Neonatal Health

(In the USA and Wisconsin, the prevalence of maternal opioid use has increased significantly while use of alcohol has remained flat. Interventions to support mothers at risk in the perinatal stage are important to the growth and development of the baby as well as the overall health of the family.)

  • Continued support for the case management component of the Healthy Birth program for inpatient adolescent moms

  • Early identification of at risk moms and interventions to support safe pregnancy

  • Referral for follow-up with community resources and integration of services

Strategy: Alcohol and Other Drug Abuse Coalition

  • Representatives from MSJH will participate in Alcohol and other Drug Abuse Community coalition. Wood County has an AODA community coalition comprised a members from law enforcement, schools and community social support and mental health providers. MSJH has an important role as a large health care provider and as such will participated directly in the coalition and/or support actions and evidence based action outlined by the coalition

Community-based Goals:

-Increase access to high-quality, individualized chronic disease management among disparately affected populations of differing races, ethnicities and educational or economic status

-Collaborate with community partners in order to increase access to services, increase awareness and ongoing support for infants, children and youth as it relates to healthy behaviors supporting growth and development

-Increase the proportion of children who receive periodic developmental screening and individualized interventions

Strategy: Prevention and Management

  • MSJH will continue to identify patients at risk and refer patients for follow-up care that reduces risk relates to identified chronic disease problems, e.g., cardiac rehabilitation, diabetic education, and community based resources.
  • Assure ongoing support and funding to the St. Vincent DePaul (SVDP) Free Medical Clinic for uninsured/ underinsured patient with chronic disease such as diabetics to provide group education and funding for medications.

Strategy: Intervention in Early Childhood to Improve Healthy Growth and Development

  • The MSJH Birth Center will achieve and maintain designation as a Baby Friendly Hospital by Baby Friendly USA.
  • The Birth Center will provide education to moms and families on the importance of good oral health starting as an infant and throughout the life span
  • Continue to support the efforts to increase the number of third graders who receive dental sealant.
  • For hospitalized children, MSJH will assure that appropriate screening occurs to address developmental needs.

Strategy: Injury Prevention Programs

  • Trauma injury prevention program will target education and intervention related to reducing risk of injury of youth and young children (i.e. car seats and distracted driving]

  • Birth Center will provide support and education to all new mothers/families on parenting skills, safe sleep, prevention of abusive head trauma, etc.

Strategy: Healthy Growth and Development Community Coalition

  • Representative from MSJH will participate in the Healthy Growth and Development (HG&D) Community coalition. Wood County has an HG&D community coalition comprised of members from law enforcement, schools, and community social support and mental health providers. MSJH has an important role as a large health care provider and as such will participate directly in the coalition and/or support actions and evidence-based action outlined by the coalition

 

Community-based Goal: Increase access to high-quality, individualized chronic disease management among disparately affected populations of differing races, ethnicities and educational or economic status

Strategy: Prevention and Management

  • MSJH will continue to identify patients at risk and refer patients for follow-up care that reduces risk relates to identified chronic disease problems, e.g., cardiac rehabilitation, diabetic education, and community based resources.
  • Assure ongoing support and funding to the St. Vincent DePaul (SVDP) Free Medical Clinic for uninsured/ underinsured patient with chronic disease such as diabetics to provide group education and funding for medications.
  • Partner with the United Way to deliver home-delivered meals and nutrition on weekends.

Strategy: Chronic Disease Prevention and Management Coalition

  • Representative from MSJH will participate in Chronic Disease Prevention and Management (CDPM) Community coalition. Wood County has a chronic disease management community coalition comprised a members from Wood County Public Health, schools, and community social support. MSJH has an important role as a large health care provider and as such will participate directly in the coalition and/or support actions and evidence based action outlined by the coalition.

Community-based Goals:

-Implement school and community based effective prevention /intervention programs
-Sustain and apply evidence based programs to resolve gaps in mental health service delivery systems
-Collaborate with community partners in order to increase access to services, awareness and support for all ages around mental health
-Reduce depression, anxiety, suicide, and emotional problems and related stigma

Strategy: Intervention and Referral 

  • MSJH will strive to provide effective intervention and referral for outpatients and inpatients who receive care for mental health related concerns. Collaboration with the community resources will be important as it relates to patients who present with mental health needs as they return to their families and the community.
  • Designated emergency department (ED) staff and security staff will be trained in de-escalation and behavior management to more effectively address individuals with mental health needs
  • Referral resources will be readily available for use by Case Management/Social Service Department for outpatients and inpatients who have mental health needs

Strategy: Childhood Trauma

  • MSJH Child Life program will provide intervention and support to address the child’s and family’s emotional health when an experiencing an adverse childhood event.
  • Child Life Program staff will continue to expand its services to provide consultation/ intervention for children who have hospitalized family members
  • Increased awareness and understanding of assets from trauma informed care

Strategy: Mental Health Coalition

  • Representatives from MSJH will participate in the Mental Health community coalition. Wood County has a mental health community coalition comprised of members from law enforcement, schools, and community social support and mental health providers. MSJH has an important role as a large healthcare provider and as such will participate directly in the coalition and/or support actions and evidence based action outlined by the coalition