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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Aurora BayCare Medical Center

Implementation Approaches

Action Plan:

-Support the Healthy Brown County 2020 alcohol and other drug use action group to address excessive alcohol use in Brown County

  • Refer patients with AODA needs to the various available community resources for AODA treatment
  • Designate an Aurora caregiver to serve on the alcohol and drug use action group to support community efforts
  • Implement an alcohol, depression and substance abuse screening tool among the primary care population (patients over the age of 18)
  • Coordinate resources and create an easy access resource network for providers
  • Support interventions that will positively impact the reduction of alcohol abuse and binge drinking

Action Plan:

-Increase the opportunities for Green Bay and Brown County residents and our employees to engage in physical activity and live a healthier lifestyle

  • ABMC Wellness Manager to engage employees in fitness programs supported by our hospital

-Provide our employees and patients with information and resources to improve physical activity, healthy nutrition habits and achieve and maintain a healthy weight

  • Actively participate in and financially support Live54218, a community obesity prevention initiative, for an initial three year start-up period
  • Organize, market and financially support the 3rd Annual Open Streets Green Bay initiative, which provides 2.5 miles of open street access for residents to engage in physical activity and explore many of the streets in Green Bay on foot or bicycle that otherwise can only be traveled by car. - Provide bike helmets to participants at the event
  • Sponsor and host the Spooky Sprint, a 1K, 5K and 10k run/walk, with a portion of the proceeds going to Sting Cancer. Sting Cancer is a passionate and committed collaboration of high school students and staff dedicated to reducing the effects of cancer by initiating and supporting programs and activities for the school and its community. 
  • Offer personal training through the staff of Aurora BayCare Medical Center Sports Medicine program and through consultation with the Aurora BayCare Bariatrics program

Action Plan: 

-Support collaboration among professionals working in the fields of mental health and substance abuse to strengthen infrastructure for improving the community’s response to addiction, treatment and recovery

  • Implement protocols in our clinics, hospitals and pharmacies focused on preventing opioid overdose and opioid use disorder and expanding access to medication-assisted treatment (MAT)

-Support the Healthy Brown County 2020 alcohol and other drug use action group to address excessive alcohol use in Brown County

  • Refer patients with AODA needs to the various available community resources for AODA treatment
  • Designate an Aurora caregiver to serve on the alcohol and drug use action group to support community efforts
  • Implement an alcohol, depression and substance abuse screening tool among the primary care population (patients over the age of 18)
  • Coordinate resources and create an easy access resource network for providers

Action Plan:

-Ensure appropriate follow-up care for underserved patients using our hospital ED for primary care

  • Continue to be an active financial donor to the North East Wisconsin (N.E.W.) Community Clinic
  • Collect baseline data on the number of Medicaid-eligible and uninsured patients using our hospital ED for primary care and number of referrals to N.E.W. Community Clinic, BayCare Clinic and AHCMG
  • Actively screen all uninsured patients for financial assistance programs, including Aurora’s Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assist with application processes
  • Through our specially trained financial advocates, inform and educate all uninsured patients at our hospital about the benefits of securing coverage through the Marketplace (the health insurance exchange) and provide assistance as needed

-Support the pediatric clinic in Green Bay’s Nicolet School

  • Continue to provide a full-time, bilingual pediatrician to provide medical care for children whose families do not have the resources to pay for health services 

-Increase access to pediatric specialty clinic services in partnership with UW Health

  • Design and open space for a pediatric specialty clinic 
  • Provide access to various pediatric specialists within the clinic

-Address unmet health needs and reduce the number of health-related ED visits by local college students

  • Designate a primary care or OB-GYN care provider to support to local students in need of health services through the following efforts: 
  • Provide medical services at the University of Wisconsin- Green Bay health center for at least 4 hours per month during the academic year 
  • Subsidize the professional costs of providing the above health care providers so that the charge to the clinic is less than $50 for a visit 
  • Ensure that the providers educate students on the importance of preventive screenings

-Increase access to abuse-response services for victims of sexual assault, abuse or intimate-partner violence

  • Support expansion of services at Family Services of Northeast Wisconsin (Brown County) through Aurora’s Better Together Fund grant of $47,367; monitor progress and impact
  • Support expansion of services at HELP of Door County through Aurora’s Better Together Fund grant of $28,500; monitor progress and impact
  • Support expansion of services at University of Wisconsin-Green Bay Foundation (Brown County) through Aurora’s Better Together Fund grant of $127,786; monitor progress and impact
  • Support expansion of services at Reach Counseling (Brown-Outagamie-Winnebago Counties) through Aurora’s Better Together Fund grant of $30,000; monitor progress and impact

-Increase access to mental health providers

  • Continue telepsychiatric services or behavioral health referral to improve access to psychiatric consultations for Aurora BayCare Medical Center patients

-Support our communities and assure the safety of youth and student athletes

  • Continue to partner with area school systems and community athletic organizations to offer:  Reduced-cost youth sports physicals (proceeds donated back to the school athletic programs),  Free pre-season baseline concussion screenings (Note: if a student experiences a head injury, the baseline screening is compared to the injury assessment.), Functional movement assessments and recommendations for training (as appropriate), Licensed athletic trainer and physician support for athletic events
  • Continue to partner with AHCMG and BayCare Clinic staff for a consistent approach to postconcussion injury management
  • Continue to provide free health screenings and injury assessments by our licensed athletic trainer

-Address the shortage of physicians in rural communities and the unmet health care needs of rural residents

  • Continue to serve as a learning site for University of Wisconsin WARM program third- and fourth-year medical students, with affiliated practices and coordination at distant sites for elective rotations in: - Anesthesiology, internal medicine, neuroscience, OB/GYN, pediatrics, primary care, radiology, surgery, and other core (e.g. emergency department) and elective (e.g. critical care) clinical experiences
  • Provide elective and core rotations for University of Wisconsin traditional medical students

-Support collaboration among professionals working in the fields of mental health and substance abuse to strengthen infrastructure for improving the community’s response to addiction, treatment and recovery

  • Implement protocols in our clinics, hospitals and pharmacies focused on preventing opioid overdose and opioid use disorder and expanding access to medication-assisted treatment (MAT)

-Support our communities and assure the safety of youth and student athletes

  • Continue to partner with area school systems and community athletic organizations to offer:  Reduced-cost youth sports physicals (proceeds donated back to the school athletic programs),  Free pre-season baseline concussion screenings (Note: if a student experiences a head injury, the baseline screening is compared to the injury assessment.), Functional movement assessments and recommendations for training (as appropriate), Licensed athletic trainer and physician support for athletic events
  • Continue to partner with AHCMG and BayCare Clinic staff for a consistent approach to postconcussion injury management
  • Continue to provide free health screenings and injury assessments by our licensed athletic trainer

-Improve educational and training opportunities for emergency medical services providers

  • Provide scholarships for paramedics, in partnership with Board Certified Emergency Physicians, to offer each spring and fall semester
  • Host EMS Huddle sessions with a guest speaker for EMTs from the surrounding area. Presentations to be based on educational needs identified in previous huddle evaluations

-Address the shortage of physicians in rural communities and the unmet health care needs of rural residents

  • Continue to serve as a learning site for University of Wisconsin WARM program third- and fourth-year medical students, with affiliated practices and coordination at distant sites for elective rotations in: - Anesthesiology, internal medicine, neuroscience, OB/GYN, pediatrics, primary care, radiology, surgery, and other core (e.g. emergency department) and elective (e.g. critical care) clinical experiences
  • Provide elective and core rotations for University of Wisconsin traditional medical students

Action Plan: 

-Improve self-care and promote healthy lifestyles to manage diabetes

  • Promote, refer patients to and co-facilitate Living Well with Diabetes, a program for people newly diagnosed with type 2 diabetes
  • Provide diabetes workshops facilitated by nurses specially trained through the State to implement the program at the local level

-Help the broader community understand and identify risk factors for cancer to increase screenings

  • Provide financial support and distribute cancer prevention educational material at Making Strides Against Breast Cancer and Runway for Life events and provide cancer expert speakers for Making Strides event (as needed)
  • Provide cancer screening information and educational sessions at a variety of community venues and events
  • Coordinate and provide financial assistance for women who are age or risk eligible and who are unable to cover the cost of screening mammograms. Note: This is coordinated through our financial advocates

-Help the broader community understand and identify risk factors for heart disease and stroke

  • Financially support and provide educational information and screenings at the Green Bay Senior Festival
  • Provide community education on the risk factors, early warning signs of heart attack and stroke

-Continue our longstanding support for the Crohn’s & Colitis Foundation of Green Bay

  • Provide information to patients and healthcare providers on Crohn’s, colitis, or bowel disease and nutrition choices for children and adults
  • Sponsor the annual walk to raise funds to advance research and better treatment options for individuals with Crohn’s disease and colitis 
  • Host and/or support community educational events

-Increase access to mental health providers

  • Continue telepsychiatric services or behavioral health referral to improve access to psychiatric consultations for Aurora BayCare Medical Center patients

-Increase access to abuse-response services for victims of sexual assault, abuse or intimate-partner violence

  • Support expansion of services at Family Services of Northeast Wisconsin (Brown County) through Aurora’s Better Together Fund grant of $47,367; monitor progress and impact
  • Support expansion of services at HELP of Door County through Aurora’s Better Together Fund grant of $28,500; monitor progress and impact
  • Support expansion of services at University of Wisconsin-Green Bay Foundation (Brown County) through Aurora’s Better Together Fund grant of $127,786; monitor progress and impact
  • Support expansion of services at Reach Counseling (Brown-Outagamie-Winnebago Counties) through Aurora’s Better Together Fund grant of $30,000; monitor progress and impact