Assessing and Improving Community Health in Wisconsin
Community Memorial Hospital-Menomonee Falls
Implementation Approaches
Goal: To provide knowledge our community needs and the access necessary for early intervention and continued treatment of mental illness and/or substance abuse
Objective: Increase community awareness of mental health and alcohol and other drug abuse problems and collaborate for better case management and navigation of treatment
- Actively participate in Waukesha and Washington County steering committees and project teams
- In-kind support of Froedtert Health leaders, staff and physicians with knowledge and expertise in behavioral health
- Provide support groups and programs for individuals/family members impacted by mental illness and AODA issues
- Provide behavioral health and AODA screenings in the Community Outreach Health Clinic and connect patients and family members with community resources
Goal: To provide knowledge our community needs and the access necessary for early intervention and continued treatment of mental illness and/or substance abuse
Objective: Increase community awareness of mental health and alcohol and other drug abuse problems and collaborate for better case management and navigation of treatment
- Actively participate in Waukesha and Washington County steering committees and project teams
- In-kind support of Froedtert Health leaders, staff and physicians with knowledge and expertise in behavioral health
- Provide support groups and programs for individuals/family members impacted by mental illness and AODA issues
- Provide behavioral health and AODA screenings in the Community Outreach Health Clinic and connect patients and family members with community resources
Goal: Expand assistance and support of the Community Outreach Health Clinic to improve access to healthcare for uninsured and underinsured populations.
Objective: Continue the support of Community Outreach Health Clinic and community stakeholders to increase access to preventative and primary care, improve quality and reduce costs
- Continue referral process for uninsured/underinsured populations from CMH to Community Outreach Health Clinic
- Provide ancillary/specialty care services for COHC patients
- Screen uninsured patients for financial assistance programs (Marketplace, BadgerCare etc) including Froedtert Health’s Financial Assistance Program
- Provide financial support for clinic operations and functions
- Screen patients for underlying AODA/Mental Health Conditions
- Provide behavioral health coaching and referral to community services
Goal:
- Improve primary care access to Waukesha and Washington County Residents
- Train physicians who will provide advocacy, representation and leadership for the specialty of Family Medicine
Objective:
- Expand access to care and healthcare services to vulnerable populations in Waukesha and Washington County
- Develop skills in new physicians around team development, continuity of care, collaboration, and leadership needed for effective team-based care
- Provide access to care with family practice residents
- Provide paths to improve access to underserved populations in Waukesha and Washington County
Goal: Improve access to basic and preventative dental care for uninsured and underinsured children and adults residing in Community Memorial Hospital’s service area
Objective: Support WCCDC’s Menomonee Falls Dental Clinic to increase access to preventative and general dentistry and reduce unnecessary emergency room utilization for oral health needs
- Education and awareness of dental clinic with community partners and agencies
- Develop referral process with Community Outreach Health Clinic, Emergency Department and Family Medicine Residency Program
- Promote Froedtert Health Classes and Screenings with WCCDC patients – especially those with chronic conditions
Goal: Reduce readmission rates and increase timely access to care for individuals living with Chronic Conditions (Pneumonia, Congestive Heart Failure, AMI, Diabetes and Stroke).
Objective: Provide wellness checks within 48 – 72 hours of discharge for high risk populations for 65% of patients that qualify for program.
- Identify patients at risk for readmission and refer/follow care plans/outcomes in partnership with Menomonee Falls and Lisbon Fire Departments
- Provide ongoing consultation with medical professionals throughout the organization to improve continuum of care
- Provide continuing medical education and training for contracted fire departments
Goal: Reduce readmission rates and increase timely access to care for individuals living with Chronic Conditions (Pneumonia, Congestive Heart Failure, AMI, Diabetes and Stroke).
Objective: Provide wellness checks within 48 – 72 hours of discharge for high risk populations for 65% of patients that qualify for program.
- Identify patients at risk for readmission and refer/follow care plans/outcomes in partnership with Menomonee Falls and Lisbon Fire Departments
- Provide ongoing consultation with medical professionals throughout the organization to improve continuum of care
- Provide continuing medical education and training for contracted fire departments
Goal: Decrease the cancer mortality rate in Washington and Waukesha Counties
Objective: Implement programs to increase cancer awareness, screening and early detection at CMH and organizations across the hospital’s service area
- Dedicated navigator working with patients receiving care in the CMH Cancer Center and provide assessment and referrals for health system and community resources
- Screen all uninsured patients for financial assistance programs through the Marketplace or government sponsored programs
- Execute a minimum of two community cancer screening programs per year
- Execute quarterly cancer awareness and education events (classes, health fairs, events etc.)
Goal: Reduce morbidity and mortality from chronic conditions
Objective: Increase self-management for individuals living with chronic conditions and reinforce healthy lifestyles to encourage behavior change
- Facilitate a minimum of three Living Well with Chronic Conditions/Diabetes programs each year
- Deliver evidence-based health screenings and education programs at CMH and in the community at community partner locations and strategic access points
- Explore opportunities for enhancing and expanding clinical support groups and community health education programs in community based settings
Goal: To provide knowledge our community needs and the access necessary for early intervention and continued treatment of mental illness and/or substance abuse
Objective: Increase community awareness of mental health and alcohol and other drug abuse problems and collaborate for better case management and navigation of treatment
- Actively participate in Waukesha and Washington County steering committees and project teams
- In-kind support of Froedtert Health leaders, staff and physicians with knowledge and expertise in behavioral health
- Provide support groups and programs for individuals/family members impacted by mental illness and AODA issues
- Provide behavioral health and AODA screenings in the Community Outreach Health Clinic and connect patients and family members with community resources
Oral Health
Goal: Improve access to basic and preventative dental care for uninsured and underinsured children and adults residing in Community Memorial Hospital’s service area
Objective: Support WCCDC’s Menomonee Falls Dental Clinic to increase access to preventative and general dentistry and reduce unnecessary emergency room utilization for oral health needs
- Education and awareness of dental clinic with community partners and agencies
- Develop referral process with Community Outreach Health Clinic, Emergency Department and Family Medicine Residency Program
- Promote Froedtert Health Classes and Screenings with WCCDC patients – especially those with chronic conditions