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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Aurora Medical Center in Washington County

Implementation Approaches

Impact Goal: Increase linkages to appropriate care for behavioral health

Strategies:

For our patients:

  • Provide ABHS referrals through tele-intake services in our ED and through inpatient tele-psychiatry consultation

For our community:

  • Partner with local schools and agencies to provide education on behavioral health and resources available within the community

Impact Goal: Increased rates of physical activity and good nutrition habits

Strategies:

For our patients:

  • Offer a discounted, medically-based and supervised community exercise program targeting chronic disease processes including, but not limited to, diabetes, phase III cardiac/pulmonary rehab and Parkinson’s disease

For our community:

  • Partner with local schools and agencies to deliver wellness and educational classes. Curriculum options include:
    - Healthy eating
    - Healthy behaviors
    - Exercise
    - Screen time and sleep
    - Youth first aid
    - Health careers
  • Support WWC Eat and Move Well subcommittee through collaboration on the development and implementation of effective nutrition and physical activity strategies

Impact Goal: Increase linkages to appropriate care for behavioral health

Strategies:

For our patients:

  • Provide ABHS referrals through tele-intake services in our ED and through inpatient tele-psychiatry consultation

For our community:

  • Partner with local schools and agencies to provide education on behavioral health and resources available within the community

Impact Goal: Increased access to care

Strategies:

For our patients:

  • Provide appropriate follow-up with non-emergent patients using our emergency department (ED) for primary care
  • Refer uninsured and self-pay patients using our ED for primary and dental care to Albrecht Free Clinic (AFC)
  • Actively screen patients for coverage through the Marketplace or financial assistance programs and assist with application processes

For our community:

  • Accept vouchers from Albrecht Free Clinic for ancillary services (lab, radiology and physical therapy) and specialty care
  • In partnership with the Medical Center Foundation of Hartford, provide discounted transportation for elderly and underserved patients using our facilities

Impact Goal:
- Increased awareness and control of chronic disease
- Decreased burden of hepatitis C across Aurora's population

Strategies:

For our patients:

  • Provide two evidence-based Healthy Living with Diabetes programs per year to cover understanding diabetes, getting the right healthcare, monitoring blood glucose, learning about food and diabetes, adding activity to one’s life, understanding medications and living with diabetes
  • As part of a system-wide population health strategy, identify and screen clinic patients at risk for hepatitis C; treat those who test positive

For our community:

  • Partner with community agencies to provide evidence-based chronic disease curriculum to serve the needs of various groups of individuals including aging adults, youth and families residing in Washington County
  • Provide chronic disease education classes, facilitated by community outreach educator

Impact Goal: Increased rates of physical activity and good nutrition habits

Strategies:

For our patients:

  • Offer a discounted, medically-based and supervised community exercise program targeting chronic disease processes including, but not limited to, diabetes, phase III cardiac/pulmonary rehab and Parkinson’s disease

Impact Goal: Increase linkages to appropriate care for behavioral health

Strategies:

For our patients:

  • Provide ABHS referrals through tele-intake services in our ED and through inpatient tele-psychiatry consultation

For our community:

  • Partner with local schools and agencies to provide education on behavioral health and resources available within the community
  • Support Cultivate Mental Health Friendly Community Project in development and implementation of strategies to educate residents on mental health resources and reduce stigma within Washington County

Impact Goal: Increased access to care for sexual assault

Strategies:

For our patients:

Consistent within Aurora’s system-wide Sexual Assault Nurse Examiner (SANE) program and AHAS, provide: 

  • 24/7 trauma-informed and victim-sensitive services, including forensic evidence collection and SDFI®-TeleMedicine forensic photodocumentation based on the Federal Rules of Evidence
  • Referrals as appropriate to medical, clinical, counseling and advocacy services
  • In partnership with FRIENDS, Inc., provide access to an advocate for all SANE patients

For our community:

  • Provide community education/prevention/outreach trainings
  • In partnership with FRIENDS, Inc., provide bystander intervention trainings at local high schools

Youth Injury Prevention

Impact goal: Improved youth concussion prevention, identification, and intervention

Strategies:

For our community:

  • Partner with area school systems to offer free pre-season baseline concussion screenings
  • Partner with ACHMG staff for a consistent approach to post-concussion injury management including post-concussion testing and Return to Learn/ Return to Play guidance
  • Provide licensed athletic trainer and physician support for athletic events to deliver first aid, provide medical support and field and equipment inspection
  • Provide non-concussion injury and illness care including assessment, treatment, rehabilitation, Return to Play decision-making, and communication between the physician, coach and family
  • Provide administration services to establish athletic event venue emergency plans, manage site medical supplies, maintain electronic medical records, and analyze and report on injury trends
  • Provide free education to students, parents and at public events in Washington County on topics including concussions, injury prevention and safety, nutrition and hydration, and fitness and training assistance

Impact Goal: Increased opportunity for stable employment

Strategies:

For our community:

  • Provide job shadowing opportunities for local high school students
  • Provide $500 scholarships to area high school seniors who are seeking careers in health care
  • Support the Washington County Workforce Alliance in providing a sustainable pipeline of appropriately trained and work-ready individuals to support the needs of business and industry in Washington County