Assessing and Improving Community Health in Wisconsin

Columbia St Mary's Hospital Milwaukee

Columbia_St Marys
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County
Hospital Website
Community Health Needs Assessment
Community Health Implementation Plan

Implementation Approaches

-Develop vegetable prescription model in CSM

  • Work with Fondy Market to develop vegetable prescription program for patients of Family Health Center who are served through the summer market and with Feeding America to supply Ebenezer Health Resource Center in other seasons

-Support Meta House (national leader in service to women recovering from substance abuse) through health screening and monitoring by CSM Community Health Ministry Nurse

  • Provide Hepatitis and HIV screening, consultation, and care management

-Develop program to assure that women with adverse birth outcomes will receive primary care to avoid future prematurity and additional adverse birth outcomes

  • Develop CSM Action Team to create protocol for care management of women with adverse birth outcomes

-Improve access to prenatal oral health of BadgerCare expectant mothers in Milwaukee County 

  • Add two prenatal oral health partners by Fiscal Year 2017, an additional provider in Fiscal Year 2018 and one more additional provider by Fiscal Year 2019

-Increase use of Strong Baby Sanctuaries to improve maternal support

  • Expand the number of Sanctuaries through collaboration with community partners

-Expand Smart Smiles to 14,000 children by Fiscal Year 2019

  • Develop incentives to increase participation

-Increase funding to support two additional Smart Smiles teams by Fiscal Year 2019

  • Develop funding requests to support administrative and billing functions to serve eight teams (up from six currently)

-Support integrated primary care and mental health through Partnership funding of Whole Health Clinic

  • Direct Partnership discretionary funds to Milwaukee Center for Independence to establish Whole Health Clinic

-Establish Ebenezer Health Resource Center as a community asset for enrollment, navigation, and health education

  • Expand community awareness of Ebenezer as a resource for enrollment, navigation and health education through IMPACT 2-1-1 referrals

-Increase use of mammography by African-American women who have had difficulty in gaining access to screening

  • Expand use of church partnerships and community partnerships to support 15 Mammography Coach sites in Fiscal Year 2017, 20 sites in Fiscal Year 2018, and 25 sites in Fiscal Year 2019

-Establish Ebenezer Health Resource Center as a community asset for enrollment, navigation, and health education

  • Expand community awareness of Ebenezer as a resource for enrollment, navigation and health education through IMPACT 2-1-1 referrals

-Collaborate with IOSH to develop an integrated approach to diabetes and oral healthcare at CSM Family Health Center

  • Help develop curriculum for caregivers and policies to support integrated oral health; assist in protocol development and piloting

-Increase use of mammography by African-American women who have had difficulty in gaining access to screening

  • Expand use of church partnerships and community partnerships to support 15 Mammography Coach sites in Fiscal Year 2017, 20 sites in Fiscal Year 2018, and 25 sites in Fiscal Year 2019

-Support integrated primary care and mental health through Partnership funding of Whole Health Clinic

  • Direct Partnership discretionary funds to Milwaukee Center for Independence to establish Whole Health Clinic