Assessing and Improving Community Health in Wisconsin
ThedaCare Regional Medical Center-Appleton
Implementation Approaches
Goal: People within the communities we serve have easy access to healthy food and activity
Objective: By 2020, 100% of ThedaCare facilities comply with a healthy food and beverage policy
Tactics:
- Establish and implement ThedaCare system-wide healthy food/beverage policy. (Roll out to ThedaCare At Work clients over time.)
Objective: By 2020, each ThedaCare market will have an active coalition addressing nutrition and physical activity
Tactics:
- Provide leadership and funding to Weight of the Fox Valley: Employees on 6 Action Teams, Core Team and Leadership Team; Serve as data repository for BMI data from 3 area health systems; Provide annual funding
- Sponsor one major community event per market that emphasizes healthy eating or activity.
- Host “Good to Go” ThedaCare employee volunteer events in area schools.
- Support menu labeling initiatives in restaurants.
Objective: By 2020, 100% of ThedaCare primary care providers are consistently advising on healthy eating and physical activity during well visits
Tactics:
- Provide educational materials about negative effects of sweetened beverages at well visits.
- Pilot prescriptions for healthy eating and/or physical activity
Goal: People living with mental health or substance abuse needs have access to care they need when they need it
Objective: By 2020, average customer wait times for initial Mental Health or AODA evaluation will be less than 1 week
Tactics:
- Establish alternative delivery models (i.e. e-Visits through Behavioral Healthcare Partners).
- Enhance capacity of primary care providers to address routine mental health needs.
- Support spread of Primary Care Integration Pilot beyond Internal Medicine.
- Support NEW Mental Health Connection: Member funding & ThedaCare presence on initiatives: Mapping of MH/AODA providers/clinicians to assess gaps; Zero Suicide; No Wrong Door; HWPP Grant – Depression & Youth
- Pilot ThedaCare Health Care Professional training in ACES and Trauma Informed Care. (Waupaca/ New London/Complex Care). Expand as appropriate through system.
- Explore establishment of Mental Health Clinician Residency Program.
- Support community-based access initiatives. (Examples include Drug Court startup, recovery coaches, drug take back programs and narcan education efforts.)
- Expand use of Vivitrol across primary care.
Objective: By 2020, 100% of ThedaCare primary care providers consistently screen their patients for mental health/AODA/suicide
Tactics:
- Establish mental health screening protocol across primary care for depression (PHQ2)/suicide and AODA.
- Support CAMS (Collaborative Assessment and Management of Suicidality) training.
Goal: Patient needs are addressed through seamless coordination of clinical and community health resources
Objective: By 2020, 25% of all screened ThedaCare Physicians customers experiencing social determinant barriers to health are connected to community resources
Tactics:
- Pilot Community Navigator model within system. Extend to additional locations as appropriate.
Objective: By 2020, 70% of ThedaCare Physicians patients age 55+ have an Advance Directive in their medical record
Tactics:
- Implement FV Advance Care Planning Partnership. Extend to rural hospitals as appropriate
Goal: Diverse populations have a fair opportunity to attain full health potential
Objective: By 2020, 40% of large Fox Cities Chamber businesses will achieve a “Diverse and Inclusive” designation
Tactics:
- Establish Diverse and Inclusive Business Council through Chamber.
- Develop “Downtown Appleton Safety Initiative” to address racial aggression.
Objective: By 2020, 90% of participants in Biracial Project say they have improved attitude and actions toward diverse populations
Tactics:
- Implement Rochester "Biracial Project" Model
Goal: People living with mental health or substance abuse needs have access to care they need when they need it
Objective: By 2020, average customer wait times for initial Mental Health or AODA evaluation will be less than 1 week
Tactics:
- Establish alternative delivery models (i.e. e-Visits through Behavioral Healthcare Partners).
- Enhance capacity of primary care providers to address routine mental health needs.
- Support spread of Primary Care Integration Pilot beyond Internal Medicine.
- Support NEW Mental Health Connection: Member funding & ThedaCare presence on initiatives: Mapping of MH/AODA providers/clinicians to assess gaps; Zero Suicide; No Wrong Door; HWPP Grant – Depression & Youth
- Pilot ThedaCare Health Care Professional training in ACES and Trauma Informed Care. (Waupaca/ New London/Complex Care). Expand as appropriate through system.
- Explore establishment of Mental Health Clinician Residency Program.
- Support community-based access initiatives. (Examples include Drug Court startup, recovery coaches, drug take back programs and narcan education efforts.)
- Expand use of Vivitrol across primary care.
Objective: By 2020, 100% of ThedaCare primary care providers consistently screen their patients for mental health/AODA/suicide
Tactics:
- Establish mental health screening protocol across primary care for depression (PHQ2)/suicide and AODA.
- Support CAMS (Collaborative Assessment and Management of Suicidality) training.
Objective: By 2020, 50% of ThedaCare service area is designated as Trauma-Sensitive
Tactics:
- Support community education efforts around Adverse Childhood Experiences and Trauma Informed Care.
Objective: By 2020, 100% of ThedaCare workforce is trained in mental health literacy
- Provide online mandatory employee training in the basics of mental health literacy.
Goal: People in our service area are self-sufficient and able to participate fully in the life of the community
Objective: TBD
Tactics:
- Provide financial and leadership support to POINT Initiative and key drivers as appropriate: Education; Job and economic stability; Family support and connectedness; Physical health; Psychological health and addiction support; Adequate human services
- Participate on Basic Needs Giving Partnership.
Early Childhood/Youth
Goal: Children in our service area receive the support they need for a healthy start to life
Objective: By 2020, 3 of 7 ThedaCare hospitals will provide home visitation services to vulnerable first time parents
Tactics:
- Pilot Home Visitation model for vulnerable families. If successful, expand to other markets.
- Expand marketing for parenting classes/support.
Objective: By 2019, the Fox Cities will identify and implement a significant system, policy or environmental change that will improve Early Childhood health
Tactics:
- Host Fox Cities CHAT plunge on Early Childhood.
- Engage parents and community about ACES and Trauma Informed Care.
Objective: By 2020, 100% of Family Practice and Pediatric providers will consistently provide standardized early childhood health information at ThedaCare Well Child visits
Tactics:
- Add Dot.Phrase with critical information/resources to well child summary.
- Support “Reach Out and Read” book program through clinics.
- Provide referral tool for nurses (OB, FP and Peds) that includes critical parenting resources.
- Explore use of Community Navigator model in FP/Peds clinic to link families to community resources.