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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Aurora Medical Center in Oshkosh

Implementation Approaches

-Through active participation in the Weight of the Fox Valley initiative:

  • Actively serve on the Weight of the Fox Valley Worksite Action Team - Work with local employers in Winnebago County to adopt some level of worksite wellness programming
  • Actively participate on the Weight of the Fox Valley Active Communities Team - Support the team’s mission to promote use of trails and bike routes and leverage regional planning work and plans to assure coordination across jurisdictions
  • Create and maintain more low cost opportunities for families to be active on a year-round basis, including developing Born Learning Trail, Safe Routes to School, and Fit Kids Fit Families
  • Provide professionals such as pediatric nurse practitioner, dietitian and exercise scientists to staff community-based initiatives such as re:TH!NK
  • Explore opportunities to develop walking/biking connectivity around AMCO campus
  • Collaborate with the Weight of the Fox Valley partners to launch four additional action teams: food systems, healthcare, schools, early childhood

-Support the Winnebago County Heroin Task Force efforts to reduce drug overdose deaths, address the growing presence of heroin in the county, and enhance harm reduction and drug treatment:

  • Actively serve on the Winnebago Heroin Task Force
  • Build awareness and provide educational resources on how to create safer environment for those afflicted by addiction
  • Educate the public that those afflicted by addiction are suffering from an illness
  • Provide drug-assisted treatment options in Winnebago County
  • Work with health care providers to assure a Naxoxone (Narcan) administration instructional video is viewed and provide hands-on training
  • Explore sober living options, promote solutions recovery club
  • Develop sobriety outreach efforts
  • Provide location for drug addicts to safely manage withdrawal symptoms
  • Develop measures (e.g. ED patients evaluated for heroin-related complaints, obstetrical patients with drug addiction, newborns delivered treated for drug addiction) and work with coding and billing to develop data collection process and/or efforts to implement a manual chart audit

-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 Aurora’s system-wide protocols in our clinics, hospitals and pharmacies focused on preventing opioid overdose and opioid use disorder and expanding access to medicationassisted treatment (MAT)

-Support collaboration among professionals working in the fields of mental health and substance abuse to strengthen infrastructure for increasing prevention

  • Screen for alcohol use as a cause for our patients presenting in our hospital ED with falls and injuries
  • Actively engage in local Drug Take-Back programs and activities

-Ensure appropriate follow-up services for Medicaid-eligible and un- or under-insured patients using our hospital Emergency Department (ED) to receive primary care and behavioral health

  • Support expansion of behavioral health services at Living Healthy Community Clinic (LHCC) through Aurora’s Better Together Fund grant of $132,919; monitor progress and impact
  • Donate lab and basic diagnostic services (quarterly rotation) to patients referred from LHCC
  • Provide housekeeping, medical waste removal and outside maintenance at no charge to LHCC
  • Continue to have a hospital leader serve on the LHCC Advisory Board
  • Collect baseline data on the number of Medicaid-eligible, un- and underinsured patients using our hospital ED for primary care and number of referrals to LHCC and Aurora Health Care Medical Group (AHCMG)
  • Provide social worker in ED to conduct/assist assessments to expedite transfer of patients to appropriate levels of care providers and or crisis line
  • Develop a process to refer and track ED patients to a primary care provider at LHCC or AHCMG for follow-up care or prevention services
  • Ensure access (navigation and care coordination) to LHCC and AHCMG
  • Educate patients on the benefits of primary and preventive care
  • Promote the importance of receiving primary care with LHCC or an AHCMG physician

-Improve coverage for uninsured and Medicaid-eligible patients using our ED for primary care:

  • Actively screen all uninsured patients for financial assistance programs, which includes coverage through the Marketplace (the health insurance exchange), Aurora’s Helping Hand Patient Financial Assistance program, other safety net programs for which they qualify, and assist with application processes

-Support victims of sexual assault and violence and increase access to immediate acute care and follow-up services

  • Maintain 24/7 coverage of our hospital’s Sexual Assault program
  • Provide trauma-informed and victim-sensitive services to people of all ages who have been affected, including forensic evidence collection
  • Refer as appropriate to medical, clinical, counseling and advocacy services

-Help the broader community understand and identify risk factors and early detection of cancer:

  • Increase cancer screening rates by providing 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 financial advocates

-Reduce the burden of breast, colorectal and lung cancer in the community by promoting cancer awareness and increasing access to cancer screenings

  • Engage local business partners via Aurora Network connectionsto raise community awareness about the need (and opportunities) for cancer screenings
  • Support cancer patients in active treatment through the Volunteer Patient Advocate (VPA) program

-Ensure that persons living with cancer – and their families – have access to support servicesthey need:

  • Strengthen our partnership with Hope Cancer Connection of the Fox Valley through active financial support for on-site counseling, and by providing leadership through active board-level participation
  • Hold an annual Survivorship activity for our cancer patients and their caregivers to provide information about cancer support resources and to address quality of life issues during and after cancer treatment

-Support victims of sexual assault and violence and increase access to immediate acute care and follow-up services

  • Maintain 24/7 coverage of our hospital’s Sexual Assault program
  • Provide trauma-informed and victim-sensitive services to people of all ages who have been affected, including forensic evidence collection
  • Refer as appropriate to medical, clinical, counseling and advocacy services

-Help the broader community understand and identify risk factors and early detection of cancer:

  • Increase cancer screening rates by providing 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 financial advocates

-Reduce the burden of breast, colorectal and lung cancer in the community by promoting cancer awareness and increasing access to cancer screenings

  • Engage local business partners via Aurora Network connectionsto raise community awareness about the need (and opportunities) for cancer screenings
  • Support cancer patients in active treatment through the Volunteer Patient Advocate (VPA) program

-Ensure that persons living with cancer – and their families – have access to support servicesthey need:

  • Strengthen our partnership with Hope Cancer Connection of the Fox Valley through active financial support for on-site counseling, and by providing leadership through active board-level participation
  • Hold an annual Survivorship activity for our cancer patients and their caregivers to provide information about cancer support resources and to address quality of life issues during and after cancer treatment

-Support victims of sexual assault and violence and increase access to immediate acute care and follow-up services

  • Maintain 24/7 coverage of our hospital’s Sexual Assault program
  • Provide trauma-informed and victim-sensitive services to people of all ages who have been affected, including forensic evidence collection
  • Refer as appropriate to medical, clinical, counseling and advocacy services
  • Build capacity to expand forensic-evidence collection for domestic violence cases
  • Build capacity to expand our services to support drug-endangered children
  • Develop an external website linked to our program
  • Implement SDFI® -TeleMedicine forensic photodocumentation system based on and designed around the Federal Rules of Evidence

-Advance the capacity of the broader community to respond to issues related to sexual assault and personal violence:

  • Through Aurora’s Better Together Fund grant of $30,000, support expansion of sexual assault treatment capacity and advocacy services at Reach Counseling – Brown, Outagamie and Winnebago Counties – in the emergent area of sex-trafficking; monitor progress and impact
  • Serve on the Board of Directors for our state professional organization, the Wisconsin Chapter of the International Association of Forensic Nurses
  • Have our Sexual Assault Nurse Examiner program coordinator serve as liaison to the community response team
  • Develop an outreach plan to align with advocacy organizations working in schools to increase awareness about the program among clinics, community partners and organizations - Work with community partners and agencies (e.g. Winnebago Police Department, UWOshkosh, prison system, and Winnebago Mental Health) to become the lead site for referrals
  • Collaborate with law enforcement in Winnebago County on working D.E.C. response regarding Aurora ‘s forensic program involvement and attend local community meetings
  • Provide free space to Reach Counseling Services to operate sexual assault counseling and prevention services
  • Raise funds to support survivors, increase awareness in the community, and support SANE nurses in providing professional education to other service providers via annual Live Well fundraiser