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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Aurora St Luke's Medical Center

Implementation Approaches

Activities:

  • Provide participants with knowledge, skills and social support to improve dietary behaviors and increase physical activity through CORE/El Centro programming

Activities: 

  • Participate in the Milwaukee Health Care Partnership Emergency Care Coordination Initiative to link Medicaid-eligible and uninsured patients with medical homes and dental care in the Milwaukee area by scheduling appointments in the ED
  • Coverage to Care: Provide 24/7 intensive and systematic case-management for hospital ED high utilizers incorporating healthcare literacy, healthcare advocacy, healthcare coordination and healthcare homes
  • Provide patients being discharged from ASLMC with primary care or specialist appointments within seven days of discharge for follow-up through our Transitional Care Management initiative
  • Provide all patients being discharged from ASLMC with a follow-up phone call in their preferred spoken language through our Discharge Phone Calls initiative
  • Provide outpatient care to uninsured and underinsured patients
  • As appropriate, refer to AHCMG physician specialists through Aurora’s Specialty Access for Uninsured Program (SAUP)

Activities: 

  • Continue to participate in the Wisconsin Collaborative for Healthcare Quality (WCHQ) and contribute data related to the ambulatory services provided. WCHQ validates the data, ensuring that it accurately reflects evidence-based standards, and publishes the results at http://www.WCHQ.org
  • Provide patients with health system navigation, connection to resources, health education, problem identification, cultural mediation and advocacy through Community Health Workers (CHW)
  • Provide culturally appropriate care for Spanish-speaking patients through our Spanish Cancer Clinic

Activities: 

  • Provide Well-Integrated Screening and Evaluation for Women (WISE Woman) program for cardiovascular screening including blood pressure, blood sugar, weight and blood cholesterol levels and provide treatment
  • Provide Wise Man program for cardiovascular, cancer and mental health screening and treatment
  • Provide breast and cervical cancer screenings through the Wisconsin Well Woman Program (WWWP)
  • Provide breast cancer education, screening reminders and low or no-cost breast cancer screening resources to underserved women through the CHANGE55 grant
  • In collaboration with the Wisconsin Optometric Association, conduct a coordinated volunteer optometry clinic including Aurora providers
  • Provide onsite diabetes retinal screenings through the use of an onsite camera and involving eight Auroraemployed volunteer ophthalmologists and optometrists
  • Administer heart risk appraisals at Karen Yontz Women’s Cardiac Awareness Center
  • Provide resources for Karen Yontz Women’s Cardiac Awareness Center educational events
  • Conduct health risk assessment quizzes related to heart disease and risk factors, offer behavioral contract
  • Provide education on heart-health implications from certain types of cancer treatments
  • Provide Living Well with Chronic Disease, Wisconsin’s implementation of the evidence-based Stanford Chronic Disease Self-Management Program, facilitated by Aurora parish nurses and Aurora West Allis Medical Center
  • Design, pilot and implement recruitment strategy to increase participation
  • Provide Living Well with Diabetes, a program for people newly diagnosed with type 2 diabetes, facilitated by Aurora parish nurses and the Karen Yontz Center
  • Offer cancer prevention, detection and early diagnosis education through various community venues and events in our community and at our facility
  • Advance our ASLMC Cancer Nurse Navigator program
  • Provide staff for the educational component of the Living Well Beyond Cancer program for breast cancer survivors at the Women’s Pavilion at Aurora West Allis Medical Center
  • Partner with Aurora Family Services to provide supportive cancer counseling services
  • Actively promote and refer patients and their families to programs, services and activities hosted by Aurora Cancer Services across our geographic area
  • Screen patients for hepatitis C in primary care and specialty clinics
  • Diagnose, manage, treat and track all patients with hepatitis C
  • Provide treatment for patients diagnosed with hepatitis C regardless of insurance status
  • Screen patients for abdominal aortic aneurysm (AAA) in primary care and specialty clinics
  • Diagnose, manage, treat and track all patients with AAA
  • Provide treatment for patients diagnosed with AAA regardless of insurance status

ACC education and screening events take place year-round across Metro Milwaukee. These events and activities benefit people and communities we serve and to which we refer and support through our participation:

  • Dia de la Mujer Latina – clinical breast exams at Aurora Walker’s Point Community Clinic
  • Sankofa – Aurora Sinai Medical Center
  • Team Phoenix* – Aurora Sinai Medical Center
  • Reflections of Wellness – Aurora West Allis Medical Center
  • Living Well Beyond Cancer** – Aurora West Allis Medical Center
  • Spanish Cancer Clinic – Aurora St. Luke’s Medical Center
  • Aurora Cancer Care Speakers Bureau
  • Know Your Family History Program
  • Milwaukee-area partnerships developed through the Wisconsin’s Collaborative Approach to Increase Colorectal Cancer Screening grant
  • Workplace education and screenings across our metro area

Activities:

  • Provide counseling with a team led by a bilingual PhD Psychologist and four counseling students

Activities:

  • Conduct specialized advanced health professional education for EMS providers in our broader service area
  • Provide EMS/Trauma Coordinator to serve as liaison to the community, providing education on Comprehensive Stroke Care
  • Conduct specialized disaster-planning education for fire departments in our broader service area
  • Conduct specialized advanced health-professional education on our hyperbaric chamber
  • Provide shadowing experiences for medical and nursing students

Activities: 

  • Provide social services to help underserved patients navigate the healthcare system and access safety-net resources, obtain legal documents, address domestic violence issues and receive family counseling/family planning information