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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

ThedaCare Medical Center-New London

Implementation Approaches

Goal: People living with mental health or substance abuse needs have access to care they need when they need it

Objective: 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.
  • Implement US Agriculture Grant to provide telemedicine services in rural areas. (Pilot in Shawano then spread to other rural markets.)

Objective: 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: People within the communities we serve have easy access to healthy food and activity 

Objective: 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: 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: 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: 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.
  • Implement US Agriculture Grant to provide telemedicine services in rural areas. (Pilot in Shawano then spread to other rural markets.)

Objective: 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: People living with mental health or substance abuse needs have access to care they need when they need it

Objective: 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.
  • Implement US Agriculture Grant to provide telemedicine services in rural areas. (Pilot in Shawano then spread to other rural markets.)

Goal: Patient needs are addressed through seamless coordination of clinical and community health resources

Objective: 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: 70% of ThedaCare Physicians patients age 65+ have an Advance Directive in their medical record

Tactics: 

  • Implement FV Advance Care Planning Partnership. Extend to rural hospitals as appropriate

Goal: People living with mental health or substance abuse needs have access to care they need when they need it

Objective: 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: 50% of ThedaCare service area is designated as Trauma-Sensitive

Tactics: 

  • Conduct pilot Trauma Sensitive Community education effort in New London including Adverse Childhood Experiences and Trauma Informed Care. Spread throughout service area

Objective: 100% of ThedaCare workforce is trained in mental health literacy

Tactics: 

  • Provide online mandatory employee training in the basics of mental health literacy.

Goal: Children in our service area receive the support they need for a healthy start to life

Objective: 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.

Goal: People living with mental health or substance abuse needs have access to care they need when they need it

Objective: 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.
  • Implement US Agriculture Grant to provide telemedicine services in rural areas. (Pilot in Shawano then spread to other rural markets.)

Objective: 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: 50% of ThedaCare service area is designated as Trauma-Sensitive

Tactics: 

  • Conduct pilot Trauma Sensitive Community education effort in New London including Adverse Childhood Experiences and Trauma Informed Care. Spread throughout service area

Objective: 100% of ThedaCare workforce is trained in mental health literacy

Tactics: 

  • 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.

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.

Goal: Children in our service area receive the support they need for a healthy start to life

Objective: 3 of 7 ThedaCare hospitals will provide home visitation services to vulnerable first time parents

Tactics: 

  • Pilot home visitation model for vulnerable families in Shawano. If successful, expand to other markets.
  • Expand marketing for parenting classes/support.

Objective: New London will identify and implement a significant system, policy or environmental change that will improve Early Childhood health

Tactics: 

  • Identify Policy/System/Environmental change as result of ACES and Trauma Informed Care training.

Objective: 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.