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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Aurora St Luke's South Shore

Implementation Approaches

Activities: 

  • Collaborate with Aurora Sports Health to introduce community residents, patients and support group participants to the benefits of exercise utilizing the fitness station at Warnimont Park (across from and sponsored by our hospital) and provide training events (weather permitting)
  • Host a Couch to 5K Training Group

Activities: 

  • Link Medicaid-eligible and uninsured patients with medical homes by providing appointments to SSCHC, AWPCC, AFPC or other free clinics in Metro Milwaukee via MyHealthDIRECT scheduling technology (the MHCP ED Care Coordination Initiative)
  • Inform and educate all eligible patients about the benefits of securing coverage through the Marketplace; assist in completing applications to insurance Marketplace during open enrollment
  • Assist eligible patients in completing applications for financial assistance programs, including Aurora’s Helping Hand Patient Financial Assistance program, for necessary medical care
  • Provide prescriptions upon discharge free of cost to uninsured patients who lack resources through the Aurora Essential Medication Fund

Focus: Healthy blood pressure and healthy weight

Activities: 

  • Continue free drop-in blood pressure and BMI screenings at ASLSS; refer as appropriate for follow-up care
  • Design, pilot and implement a recruitment strategy to increase participation

Focus: Cancer education and support

Activities:

  • Advance our ASLSS Cancer Nurse Navigator program
  • Host Look Good Feel Better programs at our hospital in collaboration with American Cancer Society
  • Explore potential outreach opportunities to cancer survivors within the community through community calendar, elected officials’ electronic newsletters, etc.

Aurora Cancer Care education and screening events take place year-round within Metro Milwaukee. These events and activities benefit people and communities we serve and to which we refer and support through our participation:

  • Dia de la Mujer Latina – clinical breast exams at Aurora Walker’s Point Community Clinic
  • Sankofa – Aurora Sinai Medical Center
  • Team Phoenix* – Aurora Sinai Medical Center
  • Reflections of Wellness – Aurora West Allis Medical Center
  • Living Well Beyond Cancer** – Aurora West Allis Medical Center
  • Spanish Cancer Clinic – Aurora St. Luke’s Medical Center
  • Aurora Cancer Care Speakers Bureau
  • Know Your Family History Program
  • Milwaukee-area partnerships developed through the Wisconsin’s Collaborative Approach to Increase Colorectal Cancer Screening grant
  • Workplace education and screenings across our metro area

Focus: Injury Prevention

Activities:

  • Administer the Identification of Seniors at Risk (ISAR) screening tool for detecting severe functional impairment, depression and increased utilization of health services to all patients 65 and older
  • Host Stepping On, a high-level, evidence-based program proven to reduce falls and build confidence in older people, at our hospital
  • Design, pilot and implement recruitment strategy to increase participation, as needed

Focus: Hepatitis C Program

  • Screen patients for hepatitis C in primary care and specialty clinics, and to diagnose, manage, treat and track all patients diagnosed with Hepatitis C

Activities: 

  • Conduct brief mental health and substance use assessments on patients triaged in our ASLSS emergency department or admitted to our hospital
  • Provide telepsychiatry consultations at our hospital to respond to behavioral health needs and link patients with appropriate behavioral health services
  • Provide emergency and crisis assessment/intake services at ASLSS through our 23-bed inpatient unit, mental health partial-hospitalization program and intensive outpatient program
  • Provide the Behavioral Health Community Based Resource Room as a meeting space for community partners and coalitions