Assessing and Improving Community Health in Wisconsin
ThedaCare Medical Center-Wild Rose
Implementation Approaches
Goal: People within the communities we serve have easy access to healthy food and activity options
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 support to Waushara County Wellness Coalition.
- 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: 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 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: 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.
- 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: 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
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 by POINT
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: 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 in Shawano. If successful, expand to other markets.
- Expand marketing for parenting classes/support.
Objective: By 2020, Wild Rose will identify and implement a significant system, policy or environmental change that will improve Early Childhood health
Tactics:
- Host CHAT plunge on Early Childhood and/or implement Early Childhood strategies developed by other CHAT group.
- Identify Policy/System/Environmental change as result of ACES and Trauma Informed Care training.
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