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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Door County Medical Center

Implementation Approaches

Goal: Increase regular and sufficient consumption of nutritious foods across the lifespan to support normal growth and development of children, and promote physical, emotional and social well-being for all people


-Strategy: Visual Indicators of Healthy Foods

  • MDCMC will work with partners to increase Door County residents’ and visitors’ awareness of what a healthy nutritional choice is by utilizing visual indicators at community establishments that provide food. This will include grocery stores, restaurants and schools.

-Strategy: Healthy Nutritional Choices in Schools

  • MDCMC will support healthy nutritional choices, food variety and the trying of new, nutrient-dense foods in schools through Healthy Door County 2020. First, all Door County schools will complete a Smarter Lunchroom Assessment. Working through Healthy Door County 2020, MDCMC will provide educational opportunities, taste testing, and consultation/support.

-Strategy: Increase Access to Fresh Produce and Whole Foods for Low-income Individuals

  • MDCMC will work with partners to increase access to fresh produce and whole foods for low income individuals through support of the FoodShare program. FoodShare is a state program that helps individuals purchase the food they need for good health. MDCMC supports FoodShare by sponsoring a voucher program at the local Farmer’s Market, allowing participants to use their FoodShare dollars to buy fresh, local produce and other wholesome foods at the market. This incentive program will be implemented to double each FoodShare dollar until matching funds are exhausted. In addition, farmer’s market tours will be offered at the Sturgeon Bay Farmers’ Market Information/EBT booth to FoodShare participants and other community members.

Goal: In partnership with the Door County Public Health Department and other organizations, create awareness of and access to mental health services in the community, including services offered by MDCMC

-Strategy: Increase Community Access to Mental and Behavioral Health Services

  • MDCMC’s Behavioral Health Services provides frontline care, in partnership with primary care providers (PCPs), to address patients’ behavioral and mental health needs. All MDCMC patients seeing their PCP are screened for potential need for mental health services. Should a mental health need be identified, patients can see a behavioral health provider in the comfort and privacy of their PCP’s office, reducing stigma and increasing access to these services. MDCMC will continue to grow this program to provide behavioral health services to more local patients. MDCMC also provides psychiatric medication management through a Psychiatric Mental Health Nurse Practitioner to support residents who have prescription needs. In addition, MDCMC providers will offer mental health services to participants in The Healing Project, an integrative approach to caring for those undergoing cancer treatment, as well as facilitate a support group for women with a cancer diagnosis.

Goal: Increase awareness of and access to oral health care and preventative care for Door County residents.

-Strategy: Access to Dental Care

  • MDCMC will increase access to dental care for underserved adults by continuing to maintain the Ministry Door County Dental Clinic. The clinic provides a full range of dental services for low-income residents who have limited ability to purchase dental care services. This includes Medicaid participants and uninsured adults. During this three-year period, MDCMC will expand the number of individuals served

-Strategy: Assess Opportunities for Oral Health Programs in County Schools

  • MDCMC will work collaboratively with the Door County Public Health Department to assess current oral health programming in county schools and identify gaps in services. Based on the assessment, recommended next steps to improve oral health through county schools will be identified and implemented.

Goal: In partnership with the Door County Public Health Department and other organizations, create awareness of and access to mental health services in the community, including services offered by MDCMC


-Strategy: Mental Health Awareness and Education

  • MDCMC will develop at least two annual mental health awareness events/activities/educational sessions to raise awareness of mental health issues in Door County, including LEAP (Learning to Empower and Appreciate All People) and The Human Kindness Project, an anti-bullying multimedia presentation that engages local youth and addresses adolescent mental health issues.
  • Research current issues in mental health
  • Identify and develop evidence-based programs to address issues
  • Partner with local organizations for presentations
  • Recruit participants through media outreach and stakeholder communications

-Strategy: Increase Community Access to Mental and Behavioral Health Services

  • MDCMC’s Behavioral Health Services provides frontline care, in partnership with primary care providers (PCPs), to address patients’ behavioral and mental health needs. All MDCMC patients seeing their PCP are screened for potential need for mental health services. Should a mental health need be identified, patients can see a behavioral health provider in the comfort and privacy of their PCP’s office, reducing stigma and increasing access to these services. MDCMC will continue to grow this program to provide behavioral health services to more local patients. MDCMC also provides psychiatric medication management through a Psychiatric Mental Health Nurse Practitioner to support residents who have prescription needs. In addition, MDCMC providers will offer mental health services to participants in The Healing Project, an integrative approach to caring for those undergoing cancer treatment, as well as facilitate a support group for women with a cancer diagnosis.

- Strategy: Mental Health Resource Guide

  • This guide is a collaborative effort between MDCMC, Door County Public Health, and other human services agencies, providing a comprehensive listing of mental health resources in the county, including contact information. MDCMC will participate in actively distributing the guide throughout the county and focus on increasing the number of community partners distributing the guide. At the beginning of the 2016-2017 fiscal year, MDCDMC will develop and updated Mental Health Resource Guide and distribute business cards with the web address for the online guide to community agencies.

-Strategy: Promote and Support Suicide Prevention Efforts in Door County

  • Question, Persuade, Refer (QPR) is a research-based suicide prevention program that trains lay people on how to recognize the warning signs of a suicide crisis and how to question, persuade and refer someone for help. MDCMC will participate in promoting local QPR training.

Goal: Support positive environments and relationships in the life of our community’s young children, laying the foundation for future learning, behavior and health.


-Strategy: Research and Action Plan

  • MDCMC will work with the Door County Partnership for Children and Families to conduct research and surveys to identify key issues in the early childhood population and top family needs. We will gather data to inform future programming for children and families; develop a plan of action to improve the systems that support healthy child development; and hire a part-time Coordinator to implement the work of this coalition.

-Strategy: Parenting Information and Support

  • MDCMC will work with partners to provide educational information and evidence-based programs for parents and caregivers of children ages 0-5. Content will focus on parenting information, developmental information and parenting support. In addition, MDCMC will work to establish a medical home for more children who are on Badger Care.

Oral Health

Goal: Increase awareness of and access to oral health care and preventative care for Door County residents.

-Strategy: Access to Dental Care

  • MDCMC will increase access to dental care for underserved adults by continuing to maintain the Ministry Door County Dental Clinic. The clinic provides a full range of dental services for low-income residents who have limited ability to purchase dental care services. This includes Medicaid participants and uninsured adults. During this three-year period, MDCMC will expand the number of individuals served

-Strategy: Assess Opportunities for Oral Health Programs in County Schools

  • MDCMC will work collaboratively with the Door County Public Health Department to assess current oral health programming in county schools and identify gaps in services. Based on the assessment, recommended next steps to improve oral health through county schools will be identified and implemented.

-Strategy: Increase Awareness of Oral Health Issues

  • MDCMC will work with the Door County Health Department to increase awareness of oral health issues in the community. Information will be disseminated through public service announcements in the local media.