Assessing and Improving Community Health in Wisconsin

Amery Regional Medical Center

265 GRIFFIN STREET EAST
AMERY, WI 54001
Polk County
Hospital Website
Community Health Needs Assessment
Community Health Implementation Plan

Implementation Approaches

-Reduce risky and unhealthy alcohol use

  • Support Clayton community’s Mock Crash Event, organized for high school students, which demonstrates the cause and effects of drunk driving
  • Support Amery community's driver's education by providing drinking and driving education
  • Conduct mass media campaigns that raise awareness on the social and economic impact of alcohol impaired driving and binge drinking to emphasize responsible drinking/moderate drinking levels
  • Screen for risky and unhealthy alcohol in prenatal, well child, and annual preventative care visits and offer education and appropriate resources to patients
  • Participate in Brief Screening Intervention training for healthcare providers in Polk County
  • Offer evidence-based programming on alcohol diversion to adolescents and their families via court order or parental request

-Make better eating and physical activity easy, fun and popular for children and families through PowerUp Initiative

  • Consult with community partners and provide resources to create a healthier food and physical activity environment through open gyms, farmer's markets, school policy and practice changes, improving foods at community and school events and concessions.
  • Engage the community and develop PowerUp partnership through website resources, social media, ongoing newsletters and communications, community outreach and opportunities to advise and participate in priority program development.
  • Focus community attention on healthier communities for children through PowerUp for Kids Week and ongoing community outreach.
  • Deliver PowerUp School Challenge and School Change Toolkit in all interested school in target school districts in Washington and St. Croix Counties.
  • Provide ongoing educational opportunities for kids and families including cooking classes and educational resources.

-Increase access to fruits, vegetables and health food

  • Continue to increase healthier, less processed food options in hospital café and meetings
  • Support Community Gardens
  • Offer Community Supported Agriculture (CSA) and other sources of local produce at the hospital

-Decrease access to high calories, highly processed, low nutrient beverages and foods

  • Reduce Sugar Sweetened Beverages in hospital and clinic campuses to no more than 20% of total beverages and foods offered
  • Reduce high sugar/low nutrient foods in hospital and clinic campuses to no more than 20% of total beverages and foods offered
  • Create food and beverage guidelines for hospital and clinic meetings
  • Consult with and support partners to reduce high sugar/low nutrient food and sugar sweetened beverage offerings at community events and food pantry 

-Increase access to physical activity

  • Increase availability of free and lowâ€ÂÂÂ┬Écost physical activity options for children and families (See PowerUp)
  • Partner with local, state and national park, recreation clubs, youth sports, schools and others to increase opportunities for youth, families and general community to be physically active

-Reduce risky and unhealthy drug use 

  • Screen for risky and unhealthy drug use in prenatal, well child, and annual preventative care visits and offer education and appropriate resources to patients
  • Participate in Brief Screening Intervention training for healthcare providers in Polk County
  • Offer evidence-based programming on drug diversion to adolescents and their families via court order or parental request

-Reduce use and exposure of tobacco among youth and adults

  • Screen for tobacco use in prenatal, well child, and annual preventative care visits and offer cessation education to patients and the community
  • Employ a certified tobacco cessation counselor
  • Participate in the Tobacco Free Living Coalition

-Improve connections of people to health care and community resources

  • Compile local community resources and share with staff, partners and patients via multiple methods including web and staff training
  • Continue to support employee wellness through: annual health fair, health screenings, quarterly lunch & learns, garden club, and various other events
  • Continue to financially support community organizations and programs that help connect people to services including Baby & Me classes

-Increase access and affordability of primary and preventative healthcare

  • Provide community residents with transportation services within a 15-mile radius to the health campus for a nominal fee
  • Continue providing direct access lab testing which helps to lower out-of-pocket expense for consumers/patients who are uninsured or have a high deductible or need more frequent testing than their health care insurance plans will cover
  • Continue financial counseling program (1.0 FTE) to help secure a payment source for uninsured and under-insured patients. Specifically, the Patient Financial Services Representative will help patients with financial assistance applications, setting up payment plans, enrolling in government programs, finding other sources of payment, or accessing services beyond medical care.
  • Continue Scholarship Program to help increase the number of qualified providers in the community; seven scholarship awards will be offered to graduating high school seniors
  • Assist patients with accessing affordable medication and medication monitoring through Drug Assistance Program, onsite retail pharmacy, and Patient Emergency Fund
  • Utilize the electronic medical record system, which reduces the opportunity for error, expedites the patient transfer process, and allows for easier scheduling of appointments
  • Continue Total Cost of Care Task Force efforts to reduce the total cost of care for patients served by the hospital
  • Transition select hospital services from hospital to outpatient billing to lower cost and copays for patients
  • Expand clinic hours and services to satellite clinics
  • Continue athletic trainer presence at Luck and Amery High Schools to support athlete health and sports medicine

-Improve access to mental health services 

  •  Develop strategies to improve patient and community connection to mental and behavioral health care including seeking funding for a navigation model
  • Develop partnerships and models to embed behavioral health in primary care
  • Evaluate and develop inpatient treatment capacity for behavioral health care in the St. Croix Valley area
  • Improve processes for behavioral health patients in emergency department
  • Actively participate and represent one of six hospitals that comprise the Valley Co-op Behavioral Health Team
  • Reduce intake timeline for behavioral health inpatient admission
  • Expand mental health services coverage to satellite clinics

-Facilitate improved access to services and resources for low income and diverse populations

  • Increase number of PowerUp, diabetes and other hospital materials available in other languages (Spanish)
  • Improve and connect health service systems to community member 
  • Increase availability of free and low cost physical activity options for children and families 

-Improve quality of care

  • Collaborate around quality improvement to identify and improve quality gaps including training in quality improvement for leader

  • Improve continuity of care in nursing home setting
  • Utilize the electronic medical record system, which reduces the opportunity for error, expedites the patient transfer process, and allows for easier scheduling of appointments

- Deliver equitable care

  • Train leaders and staff in diversity, health literacy and cultural humility
  • Explore, develop and promote policies to address health equity

  • Explore issue of equitable care and adept changes and measures

  • Provide financial counseling to help secure a payment source for uninsured and under-insured patients

  • Continue to financially support community organizations and programs that help connect people to services including Baby & Me classes

- Align efforts and collaborate with community partners

  • Actively participate in Polk County Community Health Improvement Plan and taskforces for priority areas

-Improve health awareness, knowledge and literacy in the community

  • Participate in and support community health fairs and events to share health information and resources with the community
  • Host health outreach events to specific populations to share health information and resources with the community (Hops for Health; Women's Event; Diabetes event etc.)
  • Actively participate in Polk County Community Health Improvement Plan and taskforces for priority areas

-Increase education around mental and behavioral health

  • Support and offer staff education on mental and behavioral health issues including mental health crisis training for Hospital and Emergency Department staff

-Improve the health of children in early childhood

  • Develop and implement Children’s Health Initiative strategies including: Read, Talk Sing resources; Social Emotional Development identification; Promote drug and alcohol free pregnancies; Breast-Feeding Promotion; Standard Workflows; OB-Pediatric coordinated care; Postpartum Depression; Decrease Teen Pregnancy; Supporting High-Risk Families; Early Childhood Experience screening

-Provide health education and support to patients and community members

  • Collaborate to provide high quality Diabetes education to patients and families, including standardized processes and educational materials
  • Continue to educate hospital and clinic staff on diabetes education principles through trainings, newsletters and communication through EPIC
  • Provide expectant parent classes and breastfeeding classes four times per year at no charge
  • Provide ongoing educational opportunities for kids and families including cooking classes and educational resources (See PowerUp)
  • Employ hospital dietitians to promote nutrition awareness and education to patients, their families, and the community
  • Provide diabetes and new parent education and support groups; continue to review opportunities in relation to programming and service line development
  • Provide Lactation Support; encouraging breastfeeding and providing access to certified lactation consultants and breastfeeding education
  • Provide a wide variety of community education classes and support groups

-Improve health awareness, knowledge and literacy in the community

  • Participate in and support community health fairs and events to share health information and resources with the community
  • Host health outreach events to specific populations to share health information and resources with the community (Hops for Health; Women's Event; Diabetes event etc.)
  • Actively participate in Polk County Community Health Improvement Plan and taskforces for priority areas

-Reduce stigma surrounding mental illnesses

  • Implement Make It OK anti-stigma campaign
  • Integrate Make It OK into employee wellness programs for hospital
  • Support efforts to raise stigma awareness including participating in annual NAMI walk and the "Back of the Door Campaign" poster series

-Improve access to mental health services

  • Develop strategies to improve patient and community connection to mental and behavioral health care including seeking funding for a navigation model
  • Develop partnerships and models to embed behavioral health in primary care
  • Evaluate and develop inpatient treatment capacity for behavioral health care in the St. Croix Valley area
  • Improve processes for behavioral health patients in emergency department
  • Actively participate and represent one of six hospitals that comprise the Valley Co-op Behavioral Health Team
  • Reduce intake timeline for behavioral health inpatient admission
  • Expand mental health services coverage to satellite clinics

-Increase education around mental and behavioral health

  • Offer and promote ongoing community education classes including classes on stigma, depression, dementia, and various other mental health issues
  • Offer "Beating the Blues" online program for both patients and employees to learn ways to better manage mood, stress and anxiety
  • Provide safe, comfortable, and engaging environments for individuals with memory loss and their care partners through Memory Cafés
  • Support and offer staff education on mental and behavioral health issues including mental health crisis training for Hospital and Emergency Department staff
  • Participate in "Success by 6," which aims to support parents and children ages 0-6 to have the necessary physical, mental, emotional and social development to successfully grow and learn

- Align efforts and collaborate with community partners

  • Actively participate in the Mental Health Taskforce of Polk County