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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Ministry St Mary's Hospital

Implementation Approaches

Goal: There will be coordinated and strengthened efforts to connect people with resources and healthy alternatives for prevention and early intervention of alcohol and other drug abuse in Northern Region Ministry hospitals and clinics.

Strategies:

-Active Participation in Community AODA Coalition

  • The hospitals will approach the issue of AODA by working in partnership with the community AODA coalition. The coalition utilizes multi-faceted approaches to implement organizational, policy and environmental-level changes to decrease stigma and improve access to AODA services. The coalitions consist of agencies working together to make sustainable community change. They utilize evidencebased programs such as Parents Who Host the Most, Teen Court, and monitoring sales of alcohol to minors through compliance checks. The coalitions will work to better educate the community about the effects and trends of substance use and abuse. We will look for better ways to share resources within our community to create a healthier Forest, Oneida and Vilas counties. We will continue to explore and bring evidence-based, best practice approaches to our communities.

-Improve Access to Substance Abuse Counseling and Treatment

  • Ministry hospitals in the northern region of Wisconsin will explore and identify best practice models and standard processes to serve patients who are hospitalized with AODA issues. A pilot will be completed at MSMaH to identify gaps in assessment and follow up. MSMaH will implement a standard referral process for AODA patients that are hospitalized. The referral process will include a standard packet of information, including local resources. The goal will be to evaluate the effectiveness of this pilot and share with and implement in the other two hospitals in the northern region as well as to extend this to the emergency departments and urgent care and medical clinics.

 

Goal: Increase the proportion of residents of Forest, Oneida and Vilas Counties who have a healthy diet and regular physical activity.

Strategies:

-Participate Actively in Community Health Coalitions (LEAN and CAN)

  • The hospitals will approach the issue of obesity by working in partnership with the community chronic disease coalitions. The coalitions utilize multi-faceted approaches to implement organizational, policy and environmental-level changes to promote physical activity and improve nutrition. The coalitions consist of multiple sectors working together to make sustainable community change. LEAN strategies specifically include a community campaign, point of decision prompts, Safe Routes to School activities, garden-based nutrition interventions and worksite wellness programs. The hospitals will be working with the coalitions in the second half of 2016 to identify specific evidence-based initiatives with corresponding measurable outcomes.

-Promote the Use of Evidence-based Programs to Help Manage Chronic Diseases

  • The three hospitals will work with Ministry Health Care clinics in the Northern Region to implement a standard practice of referral to evidence-based programs to help patients manage their chronic diseases. Three programs currently offered are Living Well with Chronic Conditions, Stepping On, and Strong Women, Strong Bones. These evidence-based programs are offered by different lead agencies within Forest, Vilas and Oneida Counties: the Departments on Aging, Health Departments and UWExtension. As other evidence-based programs are identified, consideration will be made to include those as appropriate.

-Implement Multi-component Falls Prevention Interventions for Older Adults

  • Falls are a leading contributor in the decline of health for older adults. The northern region medical community will work toward falls prevention by use of Falls Prevention Stoplight tool in clinical settings for patient education and to the community through the Continuum of Care Coalition Subcommittee. Key action steps include:
  • Providing education to professional & family caregivers at an annual conference held at Nicolet College
  • Providing in-kind space for the Strong Bones Program
  • Making referrals from providers to the Stepping On Program
  • Early identification of hospitalized patients at risk of falling

-Provide Physical Activity Offerings for Community Members

  • Specifically, Ministry facilities will implement the Ministry Kick-Start training programs in collaboration with community partners. Partners identified are the YMCA of the Northwoods, the CAN Coalition, the Northland Pines School District and area health departments.

-Promote Water Consumption and Provide Water Bottle Filling Stations

-Conduct a Healthy Hospital Physical Activity Environmental Scan

Goal: There will be coordinated and strengthened efforts to connect people with resources and healthy alternatives for prevention and early intervention of alcohol and other drug abuse in Northern Region Ministry hospitals and clinics.

Strategies:

-Active Participation in Community AODA Coalition

  • The hospitals will approach the issue of AODA by working in partnership with the community AODA coalition. The coalition utilizes multi-faceted approaches to implement organizational, policy and environmental-level changes to decrease stigma and improve access to AODA services. The coalitions consist of agencies working together to make sustainable community change. They utilize evidencebased programs such as Parents Who Host the Most, Teen Court, and monitoring sales of alcohol to minors through compliance checks. The coalitions will work to better educate the community about the effects and trends of substance use and abuse. We will look for better ways to share resources within our community to create a healthier Forest, Oneida and Vilas counties. We will continue to explore and bring evidence-based, best practice approaches to our communities.

-Improve Access to Substance Abuse Counseling and Treatment

  • Ministry hospitals in the northern region of Wisconsin will explore and identify best practice models and standard processes to serve patients who are hospitalized with AODA issues. A pilot will be completed at MSMaH to identify gaps in assessment and follow up. MSMaH will implement a standard referral process for AODA patients that are hospitalized. The referral process will include a standard packet of information, including local resources. The goal will be to evaluate the effectiveness of this pilot and share with and implement in the other two hospitals in the northern region as well as to extend this to the emergency departments and urgent care and medical clinics.

 

Goal: Increase community members’ awareness of and ability to access behavioral health services.

Strategies:

-Active Participation in Mental Health Inter-Agency Coalition (MHIAC)

  • The hospitals will work in partnership with the MHIAC to implement organizational, policy and environmental-level changes to decrease stigma and increase access to mental health services. The coalition will focus on evidenced based approaches to make sustainable community change.

-Participate Actively in Community Health Coalitions (LEAN and CAN)

  • The hospitals will approach the issue of obesity by working in partnership with the community chronic disease coalitions. The coalitions utilize multi-faceted approaches to implement organizational, policy and environmental-level changes to promote physical activity and improve nutrition. The coalitions consist of multiple sectors working together to make sustainable community change. LEAN strategies specifically include a community campaign, point of decision prompts, Safe Routes to School activities, garden-based nutrition interventions and worksite wellness programs. The hospitals will be working with the coalitions in the second half of 2016 to identify specific evidence-based initiatives with corresponding measurable outcomes.

-Promote the Use of Evidence-based Programs to Help Manage Chronic Diseases

  • The three hospitals will work with Ministry Health Care clinics in the Northern Region to implement a standard practice of referral to evidence-based programs to help patients manage their chronic diseases. Three programs currently offered are Living Well with Chronic Conditions, Stepping On, and Strong Women, Strong Bones. These evidence-based programs are offered by different lead agencies within Forest, Vilas and Oneida Counties: the Departments on Aging, Health Departments and UWExtension. As other evidence-based programs are identified, consideration will be made to include those as appropriate.

-Implement Multi-component Falls Prevention Interventions for Older Adults

  • Falls are a leading contributor in the decline of health for older adults. The northern region medical community will work toward falls prevention by use of Falls Prevention Stoplight tool in clinical settings for patient education and to the community through the Continuum of Care Coalition Subcommittee. Key action steps include:
  • Providing education to professional & family caregivers at an annual conference held at Nicolet College
  • Providing in-kind space for the Strong Bones Program
  • Making referrals from providers to the Stepping On Program
  • Early identification of hospitalized patients at risk of falling

Goal: Increase community members’ awareness of and ability to access behavioral health services.

Strategies:

-Active Participation in Mental Health Inter-Agency Coalition (MHIAC)

  • The hospitals will work in partnership with the MHIAC to implement organizational, policy and environmental-level changes to decrease stigma and increase access to mental health services. The coalition will focus on evidenced based approaches to make sustainable community change.

-Expand QPR Training in the Northern Region

  • Ministry staff will provide QPR training in the Northern Region to increase awareness and understanding by increasing the training to an additional two sectors within the community. QPR stands for Question, Persuade and Refer. QPR training is an evidence-based program that provides education about recognizing and appropriately responding to someone who could benefit from referral to community agencies for mental health assistance. This is a suicide prevention program that helps to identify someone at risk or in need of intervention.

-Promote Awareness and Understanding about Mental Health Issues through Educational Offerings

  • Ministry will provide a Mental Health Summit in 2018; provide mindfulness and meditation training at no cost for community members; assist in establishing a NAMI drop-in center; collaborate to provide Crisis Intervention Team (CIT) training for Law Enforcement; and participate in the Zero Suicide Initiative, Mental Health First Aid, and Hope Line.

-Memory Cafés

  • Ministry hospitals and clinics will implement and grow Memory Cafés in collaboration with community partners within the northern region to provide support for persons experiencing memory loss issues and their care partners. Memory Cafés are a national trend that offers an opportunity for people experiencing early signs of memory loss and their care partners to come together for conversation and support in a social setting. There is research that supports social engagement as a successful way to maintain connection and promote mental health and well-being.