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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Aurora Medical Center in Oshkosh

Implementation Approaches

Focus: Alcohol and substance use in our community

  • Screen for alcohol use as a cause for our patients presenting in our hospital ED with falls and injuries
  • In collaboration with the Winnebago County Health Department, evaluate options for activities focused on primary prevention of alcohol abuse, with a focus on the high school age population

Focus: Healthy weight - addressing overweight/obesity

  • Support the Weight of the Fox Valley goals to address overweight and obesity:
    - Continue to participate in initiative to geomap tri-county obesity hot spots in collaboration with ThedaCare and Ascension Health; create a directional map from geocoded data collected and submitted in 2017
  • Work with local employers in Winnebago County to adopt some level of worksite wellness programming as an active member of the Worksite Action Team; advance awareness and distribution of FV Worksite Wellness Toolkit
  • Support the Active Communities Team mission to promote use of trails and bike routes and leverage regional planning work to assure coordination across jurisdictions and the Weight of the Fox Valley Passport developed in 2017
  • Create and maintain more low-cost opportunities for families to be active on a year-round basis, including developing Safe Routes to School, etc.
  • Provide AMCO professionals, such as dietitian and exercise scientists, to staff community-based initiatives such as re:TH!NK

Focus: Alcohol and substance use in our community

  • 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:
    - Build awareness and provide educational resources on how to create safer environment for those afflicted by addiction
    - Educate the public that those afflicated 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
  • Implement protocols in our own clinics, hospitals, and pharmacies focused on preventing opioid overdose and opioid use disorder and expanding access to medication-assisted treatment (MAT)
  • Provide one-on-one internal education to primary care providers, pharmacists and pain management providers on the CDC Guidelines for Prescribing Opioids for Chronic Pain

Focus: Access is an Aurora Health Care signature community benefit focus

  • Provide appropriate follow-up with non-emergent patients using our ED for primary care
  • Ensure coverage and care for un- and underinsured and Medicaid-eligible patients using our ED for primary care by actively screening patients for coverage through the Marketplace or financial assistance programs and assisting with application processes
  • Refer patients as appropriate to Aurora Health Care Medical Group
  • Research prospective new partnerships with a community free clinic or FQHC to assure appropriate linkages for un- and underinsured patients seeking primary care services in our hospital ED
  • Develop and establish collaborative relationship
  • Refer patients as appropriate to community free clinic or FQHC partner
  • Provide social worker in hospital ED to conduct assessments to expedite transfer of patients to appropriate levels of care providers and/or crisis line
  • Provide telepsychiatry consultations at our hospital to respond to behavioral health needs and link patients with appropriate behavioral health services

Focus: Sexual assault and other violence

  • Provide trauma-informed and victim-sensitive services to people of all ages who have been affected, including forensic evidence collection, through 24/7 coverage
  • Provide SDFI-TeleMedicine forensic photodocumentation based on and designed around the Federal Rules of Evidence
  • Refer as appropriate to medical, clinical, counseling, and advocacy services
  • Build capacity to expand forensic-evidence collection for domestic violence cases and drug-endangered children

Focus: Cancer

  • Provide cancer screenings and educational sessions at a variety of community venues and events
  • Provide nurse navigator to work with all cancer patients to develop a survivorship plan
  • 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
  • Provide palliative care interdisciplinary team including nurse practitioner, social worker, and chaplain to work with patients in need of end of life care coordination

Focus: Hepatitis C Program

  • Patients in cohort are identified and screened
  • Referrals, staging, and standardized care-delivery process for our patient population are implemented for those who test positive

Focus: Sexual assault and other violence

  • Provide trauma-informed and victim-sensitive services to people of all ages who have been affected, including forensic evidence collection, through 24/7 coverage
  • Provide SDFI-TeleMedicine forensic photodocumentation based on and designed around the Federal Rules of Evidence
  • Refer as appropriate to medical, clinical, counseling, and advocacy services
  • Build capacity to expand forensic-evidence collection for domestic violence cases and drug-endangered children