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AdventHealth Tampa
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Part V, Section B, Line 5: University Community Hospital, Inc. d/b/a AdventHealth Tampa, (AHT or the Hospital) is a 536-bed hospital facility located in Hillsborough County in Florida. The Hospital's primary service area is nestled in Hillsborough County, adjacent to the University of South Florida, and is primarily comprised of 27 zip codes surrounding the Hospital. Several of the primary service area zip codes include communities that are fundamentally underserved. The Hospital's primary service area includes diverse micro-communities which vary in income, education level, and living conditions and are ethnically and culturally diverse. In conducting its 2019 Community Health Needs Assessment (CHNA), primary and secondary health data was collected and analyzed. Primary data was gathered based upon input from individuals representing the broad community, as well as low-income, minority, and other medically underserved populations. Primary data input was primarily gathered through the establishment of a Community Health Needs Assessment Committee, community surveys, stakeholder interviews, focus groups, and Public Health input and expertise. The Hospital formed a Community Health Needs Assessment Committee (CHNAC) that included representatives of the community and the Hospital, with a special focus on underserved populations. Many of the CHNAC members were selected because of their direct ties to the underserved and impoverished communities in the Hospital's primary service area. Members of the CHNAC included representatives from Hillsborough County Public Schools, the Brain Expansion Scholastic Training Program, a not-for-profit dedicated to creating a long-lasting positive impact in the lives of under-represented and disadvantaged youth, the Hillsborough County Department of Health, and the University Area Community Development Center, an organization that provides economic, education, and public services in the University of South Florida area community where 95% of the population is below the poverty level. Other members of the CHNAC included representatives from Tampa Innovation Alliance, the Healthy Council of West Central Florida, the Crisis Center of Tampa Bay, Gracepoint, a behavioral health provider, the Tampa 1st Seventh Day Adventist Church, and Tampa Family Health Centers. The community health survey was done in collaboration with the Hillsborough County Department of Health. A total of 5,304 Hillsborough County residents participated in the collaborative community health survey. Special efforts were made to engage community members to participate in the survey, including the provision of computers at local community centers so that community members could access the survey online. Stakeholder interviews were conducted by members of the CHNAC. Focus groups were conducted in partnership with the Florida Department of Health in Hillsborough County and occurred in person at health department locations and at the University Area Community Development Center, which resides in the Hospital's service area. Various sources of secondary data were also reviewed to understand the larger issues plaguing the Hospital's primary service area.
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AdventHealth Carrollwood
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Part V, Section B, Line 5: University Community Hospital, Inc., d/b/a AdventHealth Carrollwood (AHCW or the Hospital), is a 103-bed community hospital specializing in Spine, Orthopedic, and Bariatric Surgery, as well as Emergency, Cardiology, and Wound Healing services. The Hospital's primary service area is comprised of 19 zip codes located within the Florida counties of Hillsborough and Pasco. The total population in the Hospital's primary service area is approximately 547,000. Approximately 20% of the individuals living in the Hospital's primary service area live in households with incomes below the Federal poverty level. In conducting its 2019 Community Health Needs Assessment (CHNA), primary and secondary health data was collected and analyzed. Primary data was gathered based upon input from individuals representing the broad community, as well as low-income, minority, and other medically underserved populations. Primary data input was primarily gathered through the establishment of a Community Health Needs Assessment Committee, community surveys, stakeholder interviews, focus groups, and Public Health input and expertise. The Hospital formed a Community Health Needs Assessment Committee (CHNAC) that included representatives of the community and the Hospital, with a special focus on underserved populations. Many of the CHNAC members were selected because of their direct ties to the underserved and impoverished communities in the Hospital's primary service area. Members of the CHNAC included representatives from the University of South Florida - Office of Community Engagement and Partnerships, Carrollwood Seventh-Day Adventist Church, LifeSpring Seventh-Day Adventist Church and Tampa 1st Seventh-Day Adventist Church, the Crisis Center of Tampa Bay, the Tampa Bay Healthcare Collaborative, Feeding Tampa Bay, the Health Council of West Central Florida, the Tampa Bay Network to End Hunger, and the Hillsborough County Department of Health. The community health survey was done in collaboration with the Hillsborough County Department of Health. A total of 5,304 Hillsborough County residents participated in the collaborative community health survey. Special efforts were made to engage community members to participate in the survey, including the provision of computers at local community centers so that community members could access the survey online. Stakeholder interviews were conducted by members of the CHNAC. Focus groups were conducted in partnership with the Florida Department of Health in Hillsborough County and occurred in person at the Hillsborough County Health Department and at the University Area Community Development Center. Various sources of secondary data were also reviewed to understand the larger issues plaguing the Hospital's primary service area.
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AdventHealth Connerton
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Part V, Section B, Line 5: AdventHealth Connerton is a 50-bed long-term acute care hospital to which patients are referred from 25 other hospital facilities in the state of Florida. AdventHealth Connerton serves patients with medically complex conditions that require additional weeks of specialized hospital care (following a hospitalization), have a history of failed treatment in a lower level of care, or have a high rate of recidivism. In conducting its 2019 Community Health Needs Assessment (CHNA), primary and secondary health data was collected and analyzed. Primary data was gathered based upon input from individuals representing the broad community, as well as low-income, minority, and other medically underserved populations. Primary data input was primarily gathered through the establishment of a Community Health Needs Assessment Committee, community surveys, and Public Health input and expertise. The Hospital formed a Community Health Needs Assessment Committee (CHNAC) that included representatives of the community and the Hospital, with a special focus on underserved populations. CHNAC members included a community member and representatives from the Pasco County Health Department, the Pasco County Fire Department, North Tampa Christian Academy, Gulfcoast North Area Health Education Center, and St. Leo University. AdventHealth Connerton worked with the Florida Department of Health in Pasco County to gather community input by participating in a joint county-wide community health survey and stakeholder interviews. Community surveys were completed on-line and in person in community settings. Community surveys were made available at local clinics, community events, department of motor vehicle locations, and other community locations throughout Pasco County. A total of 3,038 Pasco County residents participated in the community surveys. Stakeholder interviews were conducted with members of the CHNAC. Various sources of secondary data were also gathered as a part of the data collection process.
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AdventHealth Tampa
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Part V, Section B, Line 7d: The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Reports must be posted on the Hospital's website at least until the date the hospital facility has made widely available on its website its two subsequent Community Health Needs Assessment Reports. The Hospital will also make a paper copy of its Community Health Needs Assessment Report available for public inspection upon request and without charge, at least until the date the hospital facility has made available for public inspection its two subsequent Community Health Needs Assessment Reports.
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AdventHealth Carrollwood
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Part V, Section B, Line 7d: The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Reports must be posted on the Hospital's website at least until the date the hospital facility has made widely available on its website its two subsequent Community Health Needs Assessment Reports. The Hospital will also make a paper copy of its Community Health Needs Assessment Report available for public inspection upon request and without charge, at least until the date the hospital facility has made available for public inspection its two subsequent Community Health Needs Assessment Reports.
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AdventHealth Connerton
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Part V, Section B, Line 7d: The Hospital has adopted a policy that addresses the public posting requirements of the Community Health Needs Assessment. Under this policy, the Community Health Needs Assessment Reports must be posted on the Hospital's website at least until the date the hospital facility has made widely available on its website its two subsequent Community Health Needs Assessment Reports. The Hospital will also make a paper copy of its Community Health Needs Assessment Report available for public inspection upon request and without charge, at least until the date the hospital facility has made available for public inspection its two subsequent Community Health Needs Assessment Reports.
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AdventHealth Tampa
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Part V, Section B, Line 11: University Community Hospital, Inc. d/b/a AdventHealth Tampa will be referred to in this document as AdventHealth Tampa or "the Hospital". The Hospital is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the 501(c)(3) parent organization of a hospital and healthcare system known as AdventHealth. In January 2019, every wholly-owned entity of AHSSHC adopted the AdventHealth system brand. Our identity has been unified to represent the full continuum of care our system offers. Any references to our prior Community Health Needs Assessments (CHNAs) or prior Community Health Plans (CHPs) will utilize our new name for consistency. AdventHealth Tampa is part of the West Florida Division of AdventHealth (the Division). The Division includes 11 hospital facilities. This is the first-year update for AdventHealth Tampa's 2020-2022 Community Health Plan/Implementation Strategy. The Hospital developed this plan and posted it in May 2020 as part of its 2019 Community Health Needs Assessment process. For the development of both the Community Health Needs Assessment and the Community Health Plan/Implementation Strategy, AdventHealth Tampa worked to define and address the needs of low-income, minority and underserved populations in its service area. The 2019 Community Health Needs Assessment used primary data interviews and surveys; secondary data from local, regional, and national health-related sources; and Hospital prevalence data to help the Hospital determine the health needs of the community it serves. Once the data was gathered, the primary issues identified in the community health needs assessment were prioritized by community and Hospital stakeholders, who then selected key issues for the Hospital to address in its 2020-2022 Community Health Plan. The first-year progress on the Community Health Plan is noted below. The narrative describes the prioritized issues identified in 2019 and gives an update on the strategies addressing those issues. There is also a description of the identified issues that the Hospital did not address. AdventHealth Tampa chose five priorities for its 2020-2022 Community Health Plan: 1. Mental Health2. Diabetes 3. Heart Disease, Stroke, High Blood Pressure, High Cholesterol 4. Poverty/Livable Wage (Social Determinant of Health) 5. Obesity Priority 1: Mental Health2019 Description of the Issue:The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability for adults, children, and adolescents. When mental health disorders are untreated, those affected are at high risk for many unhealthy and unsafe behaviors, including alcohol or drug abuse, violent or self-destructive behavior and suicide. Mental health disorders are the 11th leading cause of death in the United States for all age groups and the second leading cause of death among people age 25 to 34. In the AdventHealth Tampa primary service area (PSA), the rate of death due to self-harm (suicide) is 14 per 100,000 population. Also, about 22% of the Medicare-fee-for-service PSA population are depressed, which is higher than the state average of 19%.2020 Update: The AdventHealth Tampa Community Health Plan has two desired goal statements under the Mental Health priority. 1. Reduce the stigma associated with mental illness in youth and adults by providing access to health education to help communities better understand and respond to signs of mental illness and substance use disorders2. Increase community-level partnerships to enhance existing efforts currently addressing factors that impact suicide/depression in youth and adultsGoal 1: Reduce the stigma associated with mental illness in youth and adults by providing access to health education to help communities better understand and respond to signs of mental illness and substance use disorders Objective 1: The first objective is to increase the number of Mental Health First Aid USA certification training classes provided for free to community members residing in the Hospital's Primary Service Area (PSA) to three certification classes from a baseline of zero certification classes by the end of year three.The deployment of the Mental Health First Aid classes is a shared initiative between AdventHealth Tampa, AdventHealth Dade City, AdventHealth Connerton, AdventHealth Zephyrhills, AdventHealth North Pinellas, AdventHealth Carrollwood, AdventHealth Ocala, AdventHealth Wauchula, AdventHealth Lake Placid, AdventHealth Sebring, and AdventHealth Wesley Chapel. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital. All reported outcomes are specific to the reporting Hospital.The initiative provides the Mental Health First Aid USA class to the community for free. The class is a course that teaches you how to help someone who may be experiencing mental health or substance use challenge. The training helps you identify, understand, and respond to signs of addictions and mental illnesses.The Hospital progressed on its metric of providing three free Mental Health First Aid USA certification training classes to community members residing in the Hospital's PSA from a baseline of zero certification classes by the end of year three. Due to the pandemic, we were unable to send team members to an in-person Mental Health First Aid instructor training, which would have certified them to provide the training to community members. Therefore, our 2020 progression focused on restructuring our approach and deployment strategy to develop new and safer ways to train our team members as instructors and to certify our community members in the Mental Health First Aid training. We identified virtual training options to train our team members, which created the opportunity to train four team members as Mental Health First Aid USA instructors, twice that of our original goal. Instructors are trained at the Division level to provide the classes for community members. In 2021, the Division will provide training for four team members to support the larger objective and will work to identify additional partners in the community for training and locations to begin classes. Objective 2: The second objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase Hospital support of local advocacy groups that provide resources, interventions and support to adults and youth who are affected by mental illness in the Hospital's PSA by supporting three advocacy groups from a baseline of zero advocacy groups by the end of year three. The objective is conducted through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. The local advocacy group initiative provides support to mental health advocacy groups to promote the work that they do to ensure health equity and parity for persons living with mental health disorders and reduce stigma associated with mental health disorders and services. The Hospital progressed on its set metric of supporting three advocacy groups by the end of year three. We have partnered with the National Alliance on Mental Illness (NAMI) local affiliate, NAMI Hillsborough, whose mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives.We connected with NAMI Hillsborough's Executive Director, Natasha Pierre, who shared that their advocacy efforts include gathering a group of mental health advocates to travel to Tallahassee, Florida to speak with lawmakers to lobby for state policies to support mental health services. Unfortunately, due to COVID-19, the annual trip was cancelled. We continue to connect and partner with NAMI Hillsborough locally to support adults and youth affected by mental illness. See Continuation 2
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AdventHealth Carrollwood
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Part V, Section B, Line 11: University Community Hospital, Inc. d/b/a AdventHealth Carrollwood will be referred to in this document as AdventHealth Carrollwood or "the Hospital". The Hospital is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the 501(c)(3) parent organization of a hospital and healthcare system known as AdventHealth. In January 2019, every wholly-owned entity of AHSSHC adopted the AdventHealth system brand. Our identity has been unified to represent the full continuum of care our system offers. Any references to our prior Community Health Needs Assessments (CHNAs) or prior Community Health Plans (CHPs) will utilize our new name for consistency. AdventHealth Carrollwood is part of the West Florida Division of AdventHealth (the Division). The Division includes 11 hospital facilities. This is the first-year update for AdventHealth Carrollwood's 2020-2022 Community Health Plan/Implementation Strategy. The Hospital developed this plan and posted it in May 2020 as part of its 2019 Community Health Needs Assessment process. For the development of both the Community Health Needs Assessment and the Community Health Plan/Implementation Strategy, AdventHealth Carrollwood worked to define and address the needs of low-income, minority and underserved populations in its service area. The 2019 Community Health Needs Assessment used primary data interviews and surveys; secondary data from local, regional, and national health-related sources; and Hospital prevalence data to help the Hospital determine the health needs of the community it serves. Once the data was gathered, the primary issues identified in the community health needs assessment were prioritized by community and Hospital stakeholders, who then selected key issues for the Hospital to address in its 2020-2022 Community Health Plan. The first-year progress on the Community Health Plan is noted below. The narrative describes the prioritized issues identified in 2019 and gives an update on the strategies addressing those issues. There is also a description of the identified issues that the Hospital did not address. AdventHealth Carrollwood chose five priorities for its 2020-2022 Community Health Plan: 1. Diabetes2. Mental Health 3. High Blood Pressure 4. Access to Health Care 5. Substance Misuse Priority 1: Diabetes2019 Description of the Issue:Diabetes is the seventh leading cause of death in the U.S. affecting 29 million people. More than 80 million people in the U.S. are pre-diabetic meaning they are at an increased risk of developing diabetes in the next few years. When diabetes goes untreated it can lead to more serious health issues such as vision loss, heart disease, stroke, nerve, and kidney diseases. In the AdventHealth Carrollwood primary service area (PSA), 10% of adults have been diagnosed with diabetes, which is higher than the state average of 9%.2020 Update: The AdventHealth Carrollwood Community Health Plan has two desired goal statements under the Diabetes priority. 1. Improve access to health education, support programs and resources related to the self-management of diabetes2. To increase education and awareness of existing community resources related to diabetes self-management by engaging with community organizations and stakeholders to educate their frontline staff membersGoal 1: Improve access to health education, support programs and resources related to the self-management of diabetes Objective 1: The first objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase access to diabetes education among underserved community members residing in the Hospital's Primary Service Area (PSA) by sponsoring the training costs for two health educators from Tampa Family Health Center in the Diabetes Self-Management Education and Support (DSMES) curriculum from a baseline of zero health educators by the end of year three. The DSMES training initiative is managed through the Division and all funding and outcomes reported are specific to the reporting Hospital. The DSMES training initiative provides financial support to train health educators at a local federally qualified health center, Tampa Family Health Centers, in the Diabetes Self-Management Education and Support (DSMES) curriculum. The DSMES curriculum provides an evidence-based foundation to empower community members with the tools to navigate the decisions and activities that will impact their condition. The Hospital progressed on its set metric of training two health educators by the end of year three. The Division established a relationship with Tampa Family Health Centers' Chief Medical Officer, Dr. Monica Rider. After connecting with Dr. Rider, we learned their focus was temporarily shifted to test and treat vulnerable communities affected by COVID-19. We decided to put this objective on hold until year two.Objective 2: The second objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase access to DSMES classes at Tampa Family Health Centers by referring 200 underserved/uninsured adults residing in the Hospital's PSA from a baseline of zero adults by the end of year three. This objective is conducted through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. The DSMES referral program connects diabetic and pre-diabetic individuals to health education that provides them with knowledge and tools to self-manage their chronic condition, improve health behaviors, and change health outcomes. The Hospital progressed on its set metric of referring 200 underserved/uninsured adults by the end of year three.We established a relationship with Tampa Family Health Centers' Chief Medical Officer, Dr. Monica Rider. After connecting with Dr. Rider, we learned their focus was temporarily shifted to test and treat vulnerable communities affected by COVID-19. We decided to put this objective on hold until year two.See Continuation 2
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AdventHealth Connerton
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Part V, Section B, Line 11: University Community Hospital, Inc. d/b/a AdventHealth Connerton will be referred to in this document as AdventHealth Connerton or "the Hospital". The Hospital is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the 501(c)(3) parent organization of a hospital and healthcare system known as AdventHealth. In January 2019, every wholly-owned entity of AHSSHC adopted the AdventHealth system brand. Our identity has been unified to represent the full continuum of care our system offers. Any references to our prior Community Health Needs Assessments (CHNAs) or prior Community Health Plans (CHPs) will utilize our new name for consistency. AdventHealth Connerton is part of the West Florida Division of AdventHealth (the Division). The Division includes 11 hospital facilities. This is the first-year update for AdventHealth Connerton's 2020-2022 Community Health Plan/Implementation Strategy. The Hospital developed this plan and posted it in May 2020 as part of its 2019 Community Health Needs Assessment process. For the development of both the Community Health Needs Assessment and the Community Health Plan/Implementation Strategy, AdventHealth Connerton worked to define and address the needs of low-income, minority and underserved populations in its service area. The 2019 Community Health Needs Assessment used primary data interviews and surveys; secondary data from local, regional, and national health-related sources; and Hospital prevalence data to help the Hospital determine the health needs of the community it serves. Once the data was gathered, the primary issues identified in the community health needs assessment were prioritized by community and Hospital stakeholders, who then selected key issues for the Hospital to address in its 2020-2022 Community Health Plan. The first-year progress on the Community Health Plan is noted below. The narrative describes the prioritized issues identified in 2019 and gives an update on the strategies addressing those issues. There is also a description of the identified issues that the Hospital did not address. AdventHealth Connerton chose three priorities for its 2020-2022 Community Health Plan: 1. Heart Disease2. Substance Misuse (Alcohol & Drug Abuse) 3. Tobacco Use Priority 1: Heart Disease2019 Description of the Issue:Heart disease is the leading cause of death in the U.S. The major risk factors for heart disease are high blood pressure, high cholesterol, diabetes, being overweight/obese and having an unhealthy diet. One in four deaths in the U.S. are due to heart disease. By managing blood pressure and cholesterol, eating a healthy diet, and incorporating physical activity daily, the risk of developing heart disease could be greatly reduced. In the AdventHealth Connerton primary service area (PSA), the rate of death due to heart disease per 100,000 population is 160, which is higher than the state rate of 150. The percentage of adults in the PSA with high blood pressure is 30% and 45% of adults have high cholesterol. Additionally, 10% of the PSA has been diagnosed with diabetes and 29% of adults are obese with a body mass index (BMI) greater than 30.2020 Update: The AdventHealth Connerton Community Health Plan has two desired goal statements under the Heart Disease priority. 1. To increase access to health education, early intervention programs and resources related to heart disease2. To increase physical activity among adults and youth in the primary service areaGoal 1: To increase access to health education, early intervention programs and resources related to heart diseaseObjective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. Their objective, to increase the number of Hospital sponsored American Heart Association (AHA) community cardiopulmonary resuscitation (CPR) out-of-hospital bystander classes for adults and youth from a baseline of zero to three by the end of year three, is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. This initiative provides training to lay community members to be able to save the lives of individuals experiencing a cardiac event by administering the two-step Hands-Only CPR. AHA community CPR out-of-hospital bystander classes (also referred to as two-step Hands-Only CPR) instructor training will take place in year two. In year one, the Division team met with our local American Heart Association team on a bi-monthly basis to develop strategies and proposed timelines for training and implementation in year two. As a result of our year one efforts, together with our local AHA team, we have created a novel train-the-trainer model for community CPR classes that will equip participants with the two-step Hands-Only CPR skills to help save a life in the community setting. In addition, we received a donation of adult & child CPR Anytime training kits to launch our 2021 pilot of community CPR classes. Our Division team will complete the AHA instructor training in May 2021.In year one, the Hospital has formed relationships with community partners and identified organizations that have expressed interest in participating in the Hands-Only CPR training and will also promote the training to the community members they serve. Objective 2: The second objective is to increase access to blood pressure management education among underinsured/uninsured community members by sponsoring and implementing two local community health fair events from a baseline of zero by the end of year three. The initiative is managed by the Division, however all funding and outcomes are specific to the reporting Hospital. The initiative provides service to the community by providing free access to blood pressure management education and services. The Hospital progressed on its set metric of conducting two community health fair events by connecting with several community partners that will help to administer and implement the community health fairs. These community partners include Gulfcoast North Area Health Education Center (GNAHEC) and Pioneer Medical Group. GNAHEC is a community focused organization that develops and implements community-based health promotion activities and education programs that target the underserved. Pioneer Medical Group serves the homeless, refugee, and uninsured and underinsured adult community by providing them with free health care access, routine care, biometric screenings, and hygiene supplies. Objective 3:The third objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing heart disease and stroke from a baseline of zero hours to 100 hours by the end of year three. The initiative is conducted through AdventHealth Connerton and all outcomes are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 100 hours of paid staff volunteer time.Our team has worked together to develop a volunteer portal that markets volunteer opportunities to team members, tracks sign-ups and notifies sponsoring organizations when employees sign up. We have also partnered with United Way of Pasco to identify volunteer opportunities with organizations that address food insecurity. Due to COVID-19, many organizations canceled their volunteer opportunities for 2020. We will continue to work with the United Way Pasco to identify opportunities for our team members to safely volunteer in the community to support agencies addressing heart disease.See Continuation 2
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AdventHealth Tampa
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Part V, Section B, Line 13h: Effective March 1, 2020, the filing organization's hospital facility (or facilities) augmented their Financial Assistance Policy with a COVID-19 Financial Grace Addendum. Pursuant to the COVID-19 Financial Grace Addendum, uninsured patients treated for COVID-19 related evaluations are to receive free or discounted care depending on the patient's cooperation in submitting necessary financial assistance information. Insured patients tested for COVID-19 are not expected to have out-of-pocket expenses based on insurance community response to waive patient financial responsibility. If a payer unexpectedly fails to waive patient responsibility for COVID-19 related testing, the filing organization will not balance bill patients for any out-of-pocket expenses related to COVID-19. In addition, patients with existing payment plans are provided opportunities for reducing their monthly payments.
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AdventHealth Carrollwood
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Part V, Section B, Line 13h: Effective March 1, 2020, the filing organization's hospital facility (or facilities) augmented their Financial Assistance Policy with a COVID-19 Financial Grace Addendum. Pursuant to the COVID-19 Financial Grace Addendum, uninsured patients treated for COVID-19 related evaluations are to receive free or discounted care depending on the patient's cooperation in submitting necessary financial assistance information. Insured patients tested for COVID-19 are not expected to have out-of-pocket expenses based on insurance community response to waive patient financial responsibility. If a payer unexpectedly fails to waive patient responsibility for COVID-19 related testing, the filing organization will not balance bill patients for any out-of-pocket expenses related to COVID-19. In addition, patients with existing payment plans are provided opportunities for reducing their monthly payments.
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AdventHealth Connerton
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Part V, Section B, Line 13h: Effective March 1, 2020, the filing organization's hospital facility (or facilities) augmented their Financial Assistance Policy with a COVID-19 Financial Grace Addendum. Pursuant to the COVID-19 Financial Grace Addendum, uninsured patients treated for COVID-19 related evaluations are to receive free or discounted care depending on the patient's cooperation in submitting necessary financial assistance information. Insured patients tested for COVID-19 are not expected to have out-of-pocket expenses based on insurance community response to waive patient financial responsibility. If a payer unexpectedly fails to waive patient responsibility for COVID-19 related testing, the filing organization will not balance bill patients for any out-of-pocket expenses related to COVID-19. In addition, patients with existing payment plans are provided opportunities for reducing their monthly payments.
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AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 2
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Objective 3:The third objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective, in partnership with Gracepoint Wellness and Hillsborough County National Alliance on Mental Illness, is to create and implement three local social media campaigns to raise awareness of mental health (sharing both the challenges of the problem and success stories of overcomers) from a baseline of zero by the end of year three. The social media campaign initiative is conducted through both Hospitals and funding and outcomes reported represent both Hospitals. NAMI provides mental health support services, advocacy and resources to individuals and family members of individuals living with a mental health disorder. Gracepoint Wellness delivers integrated mental health, substance misuse and medical care to promote health and wellness in the community. The campaigns will promote local and online mental health resources, including services, support groups and self-management tools. The Hospitals progressed on their set metric of the creation and implementation of three social media campaigns by the end of year three. Throughout year one, our teams have connected with additional mental health partners to help guide the messaging, targeting and methods for launching a social media campaign. We have also collected information on resources, local services, and self-management tools to be shared through the campaign and a Division-level community benefit website. In addition, we learned of an opportunity to collaborate with a system-wide social media campaign that is underway and are actively working to identify ways to incorporate our local mental health community benefit partnerships into the larger system-wide corporate campaign.Goal 2: Increase community-level partnerships to enhance existing efforts currently addressing factors that impact suicide/depression in youth and adults Objective 1: The first objective is a shared initiative between AdventHealth Tampa, AdventHealth Carrollwood, AdventHealth North Pinellas, AdventHealth Wesley Chapel, AdventHealth Zephyrhills and AdventHealth Dade City. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital and all reported outcomes are specific to the reporting Hospital.For this initiative, the Hospital decided to partner with the National Alliance on Mental Illness (NAMI) Hillsborough, the local affiliate of the National Alliance on Mental Illness. NAMI's mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives. The objective is to increase the number of Hillsborough County NAMI Ending the Silence presentations provided for free to middle and high school-aged youth residing in the Hospital's PSA to six classes from a baseline of zero by the end of year three. Ending the Silence is a presentation that helps destigmatize mental illness by providing middle and high school aged youth with education on how to recognize signs and symptoms of an individual living with a mental health condition, along with the action steps that help the individual dealing with a mental health crisis.The Hospital progressed on its set metric of providing six classes by the end of year three. We connected with NAMI Hillsborough's Executive Director, Natasha Pierre, to establish and build a relationship. We learned from Natasha the format of the presentation, length, and ideal audiences her organization wanted to reach with the presentations. Together, we identified several entry points to reach underserved youth. Those entry points are the local school district, Hillsborough County Public Schools, Metropolitan Ministries. and local youth sports clubs. We introduced NAMI's Ending the Silence presentation to Hillsborough County Public Schools, and they approved the presentations for use with their middle and high school students. In year two, the school district will identify a middle school to pilot the presentation with.Objective 2: The second objective is a shared initiative between AdventHealth Tampa, AdventHealth Carrollwood and AdventHealth North Pinellas. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital and all reported outcomes are specific to the reporting Hospital.For this initiative, the Hospital decided to partner with the National Alliance on Mental Illness (NAMI) Hillsborough, the local affiliate of the National Alliance on Mental Illness. NAMI's mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives. The objective is to increase the number of Hillsborough County NAMI In Our Own Voice presentations provided for free to adults residing in the Hospital's PSA to six classes from a baseline of zero by the end of year three. In Our Own Voice is a presentation for adults that helps change attitudes, assumptions, and ideas about people with mental health conditions. The Hospital progressed on its set metric of providing six classes by the end of year three. We connected with NAMI Hillsborough's Executive Director, Natasha Pierre, to establish and build a relationship. Through our conversations we have a better understanding of their organizational capacity and will work to identify community agencies with underserved clients who would benefit from the presentations. This foundational work is vital to launching successful community presentations of NAMI Hillsborough's In Our Own Voice, both virtually and in-person.Objective 3: The third objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing mental health from a baseline of zero hours to 200 hours by the end of year three. This objective is funded and managed through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 200 hours served by the end of year three.Our team developed a volunteer portal that markets volunteer opportunities to team members, tracks sign ups and notifies sponsoring organizations when employees sign up. We have also partnered with United Way Suncoast to identify volunteer opportunities with organizations that address mental health. Due to COVID-19, many organizations temporarily paused volunteer opportunities for the safety of their staff and clientele. We will continue to work with the United Way Suncoast to identify opportunities for our team members to safely volunteer in the community to support agencies addressing mental health.Priority 2: Diabetes 2019 Description of the Issue:Diabetes is the seventh leading cause of death in the U.S. affecting 29 million people. More than 80 million people in the U.S. are pre-diabetic meaning they're at an increased risk of developing diabetes in the next few years. When diabetes goes untreated it can lead to more serious health issues such as vision loss, heart disease, stroke, nerve, and kidney diseases. In the AdventHealth Tampa PSA, 10% of adults have been diagnosed with diabetes, which is higher than the state average of 9%.2020 Update: The AdventHealth Tampa Community Health Plan has two desired goal statements under the Diabetes priority. 1. Improve access to health education, support programs and resources related to the self-management of diabetes2. To increase education and awareness of existing community resources related to diabetes self-management by engaging with community organizations and stakeholders to educate their frontline staff membersGoal 1: Improve access to health education, support programs and resources related to the self-management of diabetes See Continuation 3
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AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 3
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Objective 1: The first objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase access to diabetes education among underserved community members residing in the Hospital's PSA by sponsoring the training costs for two health educators from Tampa Family Health Centers in the Diabetes Self-Management Education and Support (DSMES) curriculum from a baseline of zero health educators by the end of year three. The DSMES training initiative is managed through the Division and all funding and outcomes reported are specific to the reporting Hospital. The DSMES training initiative provides financial support to train health educators at a local federally qualified health center, Tampa Family Health Centers, in the Diabetes Self-Management Education and Support (DSMES) curriculum. The DSMES curriculum provides an evidence based foundation to empower community members with the tools to navigate the decisions and activities that will impact their condition. The Hospital progressed on its set metric of training two health educators by the end of year three. Th Division established a relationship with Tampa Family Health Centers' Chief Medical Officer, Dr. Monica Rider. After connecting with Dr. Rider, we learned their focus was temporarily shifted to test and treat vulnerable communities affected by COVID-19. We decided to put this objective on hold until year two.Objective 2: The second objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase access to DSMES classes at Tampa Family Health Centers by referring 200 underserved/uninsured adults residing in the Hospital's PSA from a baseline of zero adults by the end of year three. This objective is conducted through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. The DSMES referral program connects diabetic and pre-diabetic individuals to health education that provides them with knowledge and tools to self-manage their chronic condition, improve health behaviors, and change health outcomes. The Hospital progressed on its set metric of referring 200 underserved/uninsured adults by the end of year three.We established a relationship with Tampa Family Health Centers' Chief Medical Officer, Dr. Monica Rider. After connecting with Dr. Rider, we learned their focus was temporarily shifted to test and treat vulnerable communities affected by COVID-19. We decided to put this objective on hold until year two.Objective 3:The third objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase the number of underinsured/uninsured community members referred from Hospital sponsored community events to follow up clinical care at Calvary Community Clinic to 75 community members from a baseline of zero by the end of year three. The initiative is deployed through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. Calvary Community Clinic provides free health care and health education to uninsured members of the community. This initiative helps connect uninsured individuals with free primary care follow up and routine care that they may otherwise not have access to. The Hospital progressed on its set metric of referring 75 community members by the end of year three. We connected with Calvary Community Clinic's executive director, Marcellina Adonis, to establish and build a relationship. We partnered with Calvary Community Clinic and the Tampa Bay Buccaneers to host a flu shot drive for Young Middle Magnet School. For the flu shot drive, we purchased 50 flu vaccines, costing $1,500, and donated them to Calvary Community Clinic. Then, students, their families and school staff received vouchers which referred them to Calvary Community Clinic to receive a free flu shot. The school and clinic are two miles away from each other which made this a convenient option for students, parents, and staff to get their flu vaccine. Objective 4:The fourth objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase community awareness of free primary health care for underinsured/uninsured families residing in the Hospital's PSA by providing 400 referrals at patient discharge from a baseline of zero to Calvary Community Clinic by the end of year three. This initiative is deployed through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. Calvary Community Clinic provides free health care and health education to uninsured members of the community. This initiative helps connect uninsured patients with free primary care follow up and routine care at Calvary Community Clinic that they may otherwise not have access to. The Hospital progressed on its set metric of providing 400 referrals by the end of year three. We connected with Calvary Community Clinic's Executive Director, Marcellina Adonis, to establish and build a relationship. Through our conversations we have a better understanding of their organizational capacity. The clinic has limited hours of operations because the providers at the clinic are volunteers who set their hours based on their availability. This limits how many patients they can see per day. We will continue to work with Calvary Community Clinic to discuss how we can refer uninsured patients to them without creating a burden on their volunteer providers.Goal 2: To increase education and awareness of existing community resources related to diabetes self-management by engaging with community organizations and stakeholders to educate their frontline staff members Objective 1: The first objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase awareness of Hospital sponsored community benefit programs and resources available to uninsured/underinsured adults and youth residing in the Hospital's PSA through a partnership with the Crisis Center of Tampa Bay (CCTB) by providing three informative in-service presentations to Intervention Specialists teams at CCTB from a baseline of zero presentations by the end of year three. The objective is conducted through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. This initiative provides increased awareness of the Hospital's community benefit programs and resources available to underserved communities. The Hospital progressed on its set metric of providing three presentations by the end of year three. We established a relationship with the Crisis Center of Tampa Bay in order to understand the resource gaps for the clients they serve. Additionally, we connected with our community partner, UF/IFAS Extension in Hillsborough County, who will join the in-service presentations to the Crisis Center of Tampa Bay in year two to discuss their free nutrition education programming for low-income families.Objective 2: The second objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to partner with the Tampa Family Health Centers to increase awareness of Hospital sponsored community benefit programs and resources available to uninsured/underinsured adults and youth residing in the Hospital's PSA by providing six informative in-service presentations to health educators/staff at Tampa Family Health Centers from a baseline of zero presentations by the end of year three. The objective is conducted through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. This initiative provides increased awareness of the Hospital's community benefit programs and resources available to underserved communities. See Continuation 4
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AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 4
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The Hospital progressed on its set metric of providing six presentations by the end of year three. We established a relationship with Tampa Family Health Centers. Additionally, we connected with our community partner, UF/IFAS Extension in Hillsborough County, who will join the in-service presentations to Tampa Family Health Centers to discuss their free nutrition education programming for low-income families. After connecting with Dr. Monica Rider, the Chief Medical Officer, we learned their focus was temporarily shifted to test and treat vulnerable communities affected by COVID-19. We decided to put this objective on hold until year two.Priority 3: Heart Disease, Stroke, High Blood Pressure, High Cholesterol2019 Description of the Issue:Heart disease is the leading cause of death in the U.S. The major risk factors for heart disease are high blood pressure, high cholesterol, being overweight/obese and having an unhealthy diet. One in four deaths in the U.S. are due to heart disease. By managing blood pressure and cholesterol, eating a healthy diet, and incorporating physical activity daily, the risk of developing heart disease could be greatly reduced. In the AdventHealth Tampa PSA, the rate of death due to heart disease per 100,000 population is 161, which is higher than the state rate of 150. The percentage of adults in the PSA with high blood pressure is 30% and 43% of adults have high cholesterol.2020 Update: The AdventHealth Tampa Community Health Plan has two desired goal statements under the Heart Disease, Stroke, High Blood Pressure, High Cholesterol priority. 1. Improve access to health education, early intervention programs and resources related to prevention of heart disease2. To increase access to blood pressure management education by engaging community organizations and stakeholdersGoal 1: Improve access to health education, early intervention programs and resources related to prevention of heart disease Objective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. Their objective is to increase the number of Hospital sponsored American Heart Association (AHA) community cardiopulmonary resuscitation (CPR) out-of-hospital bystander classes for adults and youth from a baseline of zero to five by the end of year three. This objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. This initiative provides training to lay community members to be able to save the lives of individuals experiencing a cardiac event by administering the two-step Hands-Only CPR. The Hospital progressed on its set metric of five classes sponsored by the end of year three. AHA community CPR out-of-hospital bystander classes (also referred to as two-step Hands-Only CPR) instructor training will take place in year two. In year one the Division team met with our local American Heart Association team on a bi-monthly basis to develop strategies and proposed timelines for training and implementation in year two. As a result of our year one efforts, together with our local AHA team, we have created a novel train-the-trainer model for community CPR classes that will equip participants with the two-step Hands-Only CPR skills to help save a life in the community setting. In addition, we received a donation of adult & child CPR Anytime training kits to launch our 2021 pilot of community CPR classes. Our Division team will complete the AHA instructor training in May 2021.Throughout 2020, AdventHealth Tampa has strengthened relationships with local community organizations that will host the train-the-trainer community CPR classes and promote the training among the community members they serve. Objective 2: The second objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing heart disease and stroke from a baseline of zero hours to 200 hours by the end of year three. The initiative is conducted through AdventHealth Tampa and all outcomes are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area.The Hospital progressed on its set metric of 200 hours served by the end of year three. We developed a volunteer portal that markets volunteer opportunities to team members, tracks sign ups and notifies sponsoring organizations when employees sign up. We have also partnered with United Way Suncoast to identify volunteer opportunities with organizations that address heart disease and stroke. Due to COVID-19, many organizations temporarily paused volunteer opportunities for the safety of their staff and clientele. We will continue to work with the United Way Suncoast to identify opportunities for our team members to safely volunteer in the community to support agencies addressing heart disease and stroke.Goal 2: To increase access to blood pressure management education by engaging community organizations and stakeholders Objective 1: The first objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase access to blood pressure management education among underinsured/uninsured community members by providing medical supplies to two local community clinics from a baseline of one by the end of year three. This initiative is deployed through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. This initiative provides increased access to blood pressure medication and supplies for uninsured and underinsured community members.The Hospital progressed on its set metric of supporting two local community clinics by the end of year three. We identified a local clinic that serves the uninsured, Pioneer Medical Group Foundation. We discussed ways to provide financial assistance to help cover the costs of blood pressure medications to reduce the financial burden of helping uninsured adults in our community. Priority 4: Poverty/Livable Wage (Social Determinant of Health)2019 Description of the Issue:Poverty is very prevalent in the U.S., with 43 million people in the U.S. living in poverty in 2015. According to research, poverty is linked to a higher risk of illness and premature death. Income level directly influences a household's risk of living in poverty. A livable wage would help individuals overcome poverty and afford the basic standard of living. In the AdventHealth Tampa PSA, 18% of the population lives in poverty, which is higher than the state average of 15%. Furthermore, 23% of the population under the age of 18 lives in poverty.See Continuation 5
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AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 5
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2020 Update: Recognizing the impact of social determinants of health, like economic security, on individuals' health outcomes, AdventHealth recently partnered with Aunt Bertha, a social care network, to connect patients to programs in the communities that address social needs. This partnership will help AdventHealth team members to more fully integrate social care into our whole-person care model. Our whole-person approach to care is designed to empower individuals to take their health into their own hands. This approach in addition to our partnership with Aunt Bertha will allow us to connect patients to needed resources, which is a key step in creating healthier people and communities. The AdventHealth Tampa Community Health Plan has two desired goal statements under the Poverty/Livable Wage (Social Determinant of Health) priority. 1. Increase community partnerships with local leaders and local businesses to develop collaborative employability strategies that improve employment placement and sustainability for job seekers2. Implement strategies to support community efforts to address the problem of poverty as a social determinant of healthGoal 1: Increase community partnerships with local leaders and local businesses to develop collaborative employability strategies that improve employment placement and sustainability for job seekers Objective 1: The first objective is to establish a new employability taskforce in Hillsborough County to host at least three community summits from a baseline of zero summits to increase awareness of the direct and indirect barriers faced by vulnerable populations that impact job retention rates for organizations who hire community members residing in the Hospital's PSA by the end of year three. The initiative is conducted through AdventHealth Tampa and all outcomes are specific to the reporting Hospital. This initiative provides strategies to address the employment needs of underserved community members and create collaborative relationships between our team and local organizations.The Hospital progressed on its set metric of hosting three summits by the end of year three. We have created a collaborative action team to first identify organizations providing employment resources for underserved community members. The action team created an employment resource directory which lists agencies offering services in three categories: training programs, entrepreneurship opportunities and immediate employment. The directory, which will be distributed to partners, helped us assess the available resources and learn which agencies to include in summit planning meetings.Objective 2: The second objective is a shared initiative with AdventHealth Carrollwood. The Hospital is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to partner with the Family Healthcare Foundation to increase access to the workshop "Navigating the Healthcare Plan" for adults residing in the Hospital's PSA by 10 workshops from a baseline of zero workshops by the end of year three. The Navigating the Healthcare Plan workshop series is conducted through AdventHealth Tampa and all funding and outcomes reported are specific to the reporting Hospital. The workshop series provides health education to uninsured and underinsured residents to help them understand how to enroll in affordable health insurance, how to utilize health insurance and how to seek out primary care services. The mission of The Family Healthcare Foundation is to be the trusted leader in our community ensuring access to affordable, high-quality healthcare. They also seek to maximize health coverage by establishing partnerships with public and private sectors, state and local governments, health care providers and community partners.The Hospital progressed on its set metric of hosting 10 workshops by the end of year three. We connected with the Family Healthcare Foundation's executive director, Melanie Hall, to establish and build a relationship. We discussed the format, content, time length and target audience for the workshops. The Family Healthcare Foundation needed assistance reaching churches and other types of faith congregations for the workshops. We also worked with our Hospital chaplains to identify several churches in our community with high rates of uninsured. We will launch the workshops in year two.Goal 2: Implement strategies to support community efforts to address the problem of poverty as a social determinant of health Objective 1: The first objective is to provide vouchers to cover the costs of household supplies for underserved adults residing in the Hospital's PSA who are part of the Agency for Community Treatment Services' (ACTS) Hillsborough HEART Program, which supplies supportive housing, from a baseline of zero vouchers to six vouchers by the end of year three. The objective is conducted through AdventHealth Tampa and all funding and outcomes are specific to the reporting Hospital. This initiative provides vouchers in the form of monetary funds to supplement the associated costs of purchasing household and personal supplies for community members supported by the residential housing programs offered at the Agency for Community Treatment Services (ACTS), our community partner, thereby leading to improved health outcomes by providing these essential supplies.ACTS is a comprehensive, community-based behavioral health organization whose mission is to apply the best of contemporary physical and behavioral health interventions and social support services available to assist individuals and families to engage and succeed in recovery.The Hospital progressed on its set metric of providing six vouchers to cover the cost of household supplies for adults at ACTS by the end of year three. The first year was spent establishing the partnership with ACTS, as well as collecting data and information about the organization and population they serve. The vouchers will be distributed in the form of dollars funded by the reporting Hospital to cover the cost of household supplies that may include, but not limited to, hygiene products, linens, cleaning supplies and household necessity items such as toilet paper and garbage bags. Objective 2: The second objective is to partner with Metropolitan Ministries to provide self-sufficiency program education for adults residing in the Hospital's PSA by providing vouchers that cover the cost of textbooks from a baseline of zero vouchers to six by the end of year three. The objective is conducted through AdventHealth Tampa and all funding and outcomes are specific to the reporting Hospital. For this initiative we are partnering with Metropolitan Ministries (MM), a local grassroots, donor and volunteer-fueled community nonprofit whose mission is to care for the homeless and those at risk of becoming homeless in our community through services that alleviate suffering, promote dignity, and instill self-sufficiency. This initiative provides vouchers in the form of monetary funds to help support GED and adult education costs for MM's Rise to the Top Employment and Education Program. Rise to the Top assists homeless individuals living in MM's Miracle Place Emergency Shelter providing employment services such as individual employment coaching, resume and job search assistance and a GED and adult education program.The Hospital progressed on its set metric of providing six vouchers by the end of year three. The first year was spent establishing a partnership with MM and understanding the Rise to the Top Employment and Education Program. We gathered programmatic information from MM; specifically, outcomes, impact and a detailed breakdown of the GED and education costs.Objective 3: The third objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing poverty from a baseline of zero hours to 50 hours by the end of year three. The initiative is conducted through AdventHealth Tampa and all outcomes are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area.See Continuation 6
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AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 6
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The Hospital surpassed its set metric of 50 hours served by the end of year three with 52 hours served in year one. Team members organized both a holiday drive and school drive for Mort Elementary School, a local Title I school. Team members collected backpacks, school supplies and toys for students and their families. Time was spent organizing the drives, collecting, sorting, and delivering the donations. We also partnered with Calvary Community Clinic and the Tampa Bay Buccaneers to host a flu shot drive for Young Middle Magnet School. Our team spent time meeting with Calvary Community Clinic's Executive Director, Marcellina Adonis, to plan the drive and coordinate the donation of the flu shots to the clinic. We also worked with Young Middle Magnet School to market the drive providing free flyers and distributing vouchers to students, faculty, and staff so they could receive their free flu shot at the clinic.Priority 5: Obesity2019 Description of the Issue:Obesity occurs when an individual's weight is higher than what is considered healthy. Obesity can be caused by behavioral and genetic factors. Other factors that contribute to obesity is the built environment, for example where you live and if you have access to healthy food and the ability to exercise outside. Obesity can cause serious health complications including high blood pressure, high cholesterol, heart disease, osteoarthritis, and some cancers. From 2015 2016, obesity affected about 93 million adults and 13 million children in the U.S. In the AdventHealth Tampa PSA, 27% of adults are obese (BMI greater than 30) while 35% of adults in the PSA are considered overweight (BMI between 25 and 30).2020 Update: The AdventHealth Tampa Community Health Plan has two desired goal statements under the Obesity priority. 1. Increase access to nutrition education by supporting community organizations and other community stakeholders offering health education and resources2. Implement strategies that support existing community initiatives aimed to address the problem of obesity in the Hospital's Primary Service Area (PSA)Goal 1: Increase access to nutrition education by supporting community organizations and other community stakeholders offering health education and resources Objective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to provide the Food is Health program to low-income families in the PSA by offering 10 class series from a baseline of three classes by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital progressed on its set metric of supporting 10 class series by the end of year three. The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. We also modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Objective 2: The second objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase participation in the Food is Health program among low-income individuals and families in the Hospital's PSA to 100 participants from a baseline of 49 by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital progressed on its set metric of engaging 100 participants by the end of year three.The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. We also modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Objective 3:The third objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. Their objective is through the Food is Health program to increase access to health screenings among adults living in food deserts or low-income/low-access communities to 150 screenings from a baseline of 86 by the end of year three. The objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital progressed on its set metric of 150 health screenings conducted by the end of year three. The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. We also modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two. Objective 4:The fourth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. Their objective is to increase access to culturally appropriate nutritious food options among Food is Health program participants through 400 produce vouchers distributed from a baseline of 360 produce vouchers by the end of year three. This objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital progressed on its set metric of distributing 400 produce vouchers by the end of year three. See Continuation 7
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AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 7
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The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. We also modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Goal 2: Implement strategies that support existing community initiatives aimed to address the problem of obesity in the Hospital's Primary Service Area (PSA) Objective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. Their objective is to increase new partnerships with local community organizations in the Food is Health program to 12 partners from a baseline of nine partners by the end of year three. The objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital progressed on its set metric of engaging 12 community partners by the end of year three. The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. We also modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Objective 2: The second objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The objective of the Food is Health community employee volunteer initiative is to increase Hospital staff/team volunteer participation efforts with organizations addressing food security from a baseline of zero hours to 600 hours by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 600 employee volunteer hours served by the end of year three with 60 hours served in year one. Our Mission and Ministry team organized a summer food drive to benefit Feed Our Children Ministries and Mort Elementary School. Team members spent time organizing the drive, collecting, sorting, and delivering donated items to Mort Elementary School. Donated items included canned and dry goods as well as hygiene items such as feminine products and soap. In total, three barrels worth of items were collected and donated. Community Needs Not Chosen by AdventHealth Tampa:The primary and secondary data in the Community Health Needs Assessment identified multiple community issues. The Hospital and community stakeholders used the following criteria to narrow the larger list to the priority areas noted above:1. How acute is the need? (based on data and community concern)2. What is the trend? Is the need getting worse?3. Does the Hospital provide services that relate to the priority? 4. Is someone else - or multiple groups - in the community already working on this issue? 5. If the Hospital were to address this issue, are there opportunities to work with community partners? Based on this prioritization process, the Hospital did not choose the following community issues:1. Asthma: Asthma is a chronic condition when the airways in the lungs are always inflamed. The inflammation causes coughing, wheezing, chest tightness and shortness of breath. It is a prevalent problem exacerbated by poor environmental conditions. In the AdventHealth Tampa PSA, 14% of adults aged 18 and older have asthma. The Community Health Needs Assessment Committee (CHNAC) did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 2. Teen Pregnancy, Infant Deaths, Low Birth Rates: Infant mortality is the death of an infant before their first birthday. In 2017, more than 22,000 infants died in the U.S. The causes of infant mortality include birth defects, maternal pregnancy complications, sudden infant death syndrome, preterm birth, and injuries such as suffocation. In the AdventHealth Tampa PSA, 9% of babies are born with low birth weight. The infant mortality rate in the PSA is 8 per 1,000 births. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 3. Low Food Access: Low food access is defined as living more than half a mile from the nearest supermarket, supercenter, or large grocery store. The ability to easily access and afford food greatly influences diet and overall health. People who have low food access face greater barriers to access affordable and healthy food which can negatively affect health and wellness. In the AdventHealth Tampa PSA, 31% of the population has low food access. The issue should not be addressed as an individual problem but can be indirectly impacted positively by first addressing poverty/livable wage and obesity selected above by the Hospital CHNAC. 4. Transportation: A poor transportation system prevents those who do not own a car or have reliable transportation from accessing health care. Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. In the AdventHealth Tampa PSA, only 2% of the population uses public transportation as their primary means to commute to work. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 5. Cancer: Cancer is the second leading cause of death in the U.S. with over 100 types. Many are preventable and research advances in detection and treatment have greatly improved survival rates. In the AdventHealth Tampa PSA, the death rate from cancer is 164 per 100,000 population. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time.
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AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 2
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Objective 3:The third objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The objective is to provide the Food is Health program to low-income families in the PSA by offering 44 nutrition education class series from a baseline of 15 by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.The Hospital progressed on its set metric of supporting 44 nutrition education class series by the end of year three. In year one we supported six nutrition education class series. Three out of six class series were completed while the remaining three were postponed midway in response to statewide stay-at-home orders. The remaining three class series were eventually cancelled because the sites were converted into COVID-19 testing locations. The class series were Keeping the Pressure Down, Eating Smart Being Active (offered three times), Diabetes Prevention Program, and Cancer Prevention. The class series were taught by our community partners, the University of Florida/Institute of Food and Agricultural Sciences (UF/IFAS) Extension in Hillsborough County, the Florida Department of Health in Hillsborough County and Moffitt Cancer Center. While the program was on hold, we modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Objective 4:The fourth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The objective is that the Food is Health program will distribute 1,760 produce vouchers (valued at $10 each) to program participants from a baseline of 1,399 by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.The Hospital progressed on its set metric of distributing 1,760 produce vouchers by the end of year three. In year one we distributed 520 produce vouchers. Participants in the Food is Health program receive one produce voucher per class attended (valued at $10.00 each) which are redeemable for fresh, uncut fruits and vegetables from our partnering produce vendors. Across the six class series during year one, 520 produce vouchers were distributed and redeemed by participants. This equals $5,200 worth of fresh fruits and vegetables provided for free to individuals and families residing in food deserts and low-income/low access communities. We also gave Feeding Tampa Bay and the Tampa YMCA Veggie Van, our produce vendor partners, a one-time support payment of $1,000 each. The donation went to each produce vendor to support their efforts to continue providing fresh, quality produce to the community during the COVID-19 pandemic. In total, $2,000 was given which equates to 200 produce vouchers.Objective 5:The fifth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The objective is the Food is Health program will build and maintain partnerships with local community organizations serving low-income/low access communities by engaging 18 community partners from a baseline of 16 by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.The Hospital progressed on its set metric of engaging 18 community partners by the end of year three. In year one we engaged 14 community partners. Our educational partners who teach evidence-based class series for our Food is Health program include Moffitt Cancer Center, UF/IFAS Extension in Hillsborough County and the Florida Department of Health in Hillsborough County. Our produce vendor partners who provide fresh fruits and vegetables for our program participants were Feeding Tampa Bay and Tungett Produce & Citrus. Our community partner sites, locations where the Food is Health program is held in-person, were Lee Davis Community Resource Center, Barksdale Senior Center, Sulphur Springs Resource Center, Brewster Technical College and Sanchez Full-Service Center. Additional community partner sites we engaged and planned Food is Health programming for but were unable to partner with due to COVID-19, were Town N Country Senior Center, Brandon Senior Center and Harvest Hope Park. We also engaged the Tampa YMCA Veggie Van by making a donation to support their operations at the beginning of the pandemic.Objective 6:The sixth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The objective is the Food is Health program will increase the number of participants among low-income families in the PSA to 440 from a baseline of 204 by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.The Hospital progressed on its set metric engaging 440 participants by the end of year three. In year one we engaged 64 participants. We expanded our program to two new community locations, the Sanchez Full-Service Center and the Sulphur Springs Resource Center, to reach more low-income families. We also partnered with UF/IFAS Extension in Hillsborough County, specifically their Expanded Food and Nutrition Education Program (EFNEP), which targets low-income SNAP-eligible adults with children in the household for their nutrition education programs. Objective 7:The seventh objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The objective is the Food is Health program will increase the number of health screenings among adults living in food deserts or low-income/low access communities to 660 from a baseline of 381 by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.See Continuation 3
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AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 3
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The Hospital progressed on its set metric of providing 660 health screenings by the end of year three. In year one we provided 64 health screenings. The free pre- and post-health screenings occur on the first and last day of each class series. It checks the participant's blood pressure, body mass index and blood glucose. Participants are able to compare their health screening results and see the difference in their health at the end of the class series. Six nutrition education class series started at the beginning of year one. Three out of six class series were completed while the remaining three were postponed midway in response to statewide stay-at-home orders. Due to COVID-19, the remaining three class series were eventually cancelled because the sites were converted into COVID-19 testing locations. Since three of the class series were cancelled, the participants in those class series were unable to receive their post-health screening.Objective 8:The eighth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The objective is that the Food is Health community employee volunteer initiative will increase Hospital staff/team volunteer participation efforts with organizations addressing food security from a baseline of zero hours to 600 hours by the end of year three. The program is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 600 employee volunteer hours served by the end of year three. In year one, 134 employee volunteer hours were served. Team members volunteered at Feeding Tampa Bay, a local food relief agency that is part of the national Feeding America network, inspecting and packaging food for distribution to needy families. Team members also volunteered at Metropolitan Ministries, a local, grassroots, donor and volunteer-fueled community nonprofit, where they sorted food and toy donations, put up holiday decorations, received food and toy donations and did some light duty work including the use of drills to put up walls to set up the Metropolitan Ministries Holiday Tent in Tampa. We will continue to identify opportunities for our team members to safely volunteer in the community to support agencies addressing food security.Goal 2: To increase education and awareness of existing community resources related to diabetes self-management by engaging with community organizations and stakeholders to educate their frontline staff members Objective 1: The first objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase awareness of Hospital sponsored community benefit programs and resources available to uninsured/underinsured adults and youth residing in the Hospital's PSA through a partnership with the Crisis Center of Tampa Bay (CCTB) by providing three informative in-service presentations to Intervention Specialists teams at CCTB from a baseline of zero presentations by the end of year three. The objective is conducted through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. This initiative provides increased awareness of the Hospital's community benefit programs and resources available to underserved communities. The Hospital progressed on its set metric of providing three presentations by the end of year three. We established a relationship with the Crisis Center of Tampa Bay in order to understand the resource gaps for the clients they serve. Additionally, we connected with our community partner, UF/IFAS Extension in Hillsborough County, who will join the in-service presentations to the Crisis Center of Tampa Bay in year two.Objective 2: The second objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to partner with the Tampa Family Health Centers to increase awareness of hospital sponsored community benefit programs and resources available to uninsured/underinsured adults and youth residing in the Hospital's PSA by providing three informative in-service presentations to Tampa Family Health Centers' social workers from a baseline of zero presentations by the end of year three. The objective is conducted through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. This initiative provides increased awareness of the Hospital's community benefit programs and resources available to underserved communities. The Hospital progressed on its set metric of providing three presentations by the end of year three. We established a relationship with Tampa Family Health Centers. Additionally, we connected with our community partner, UF/IFAS Extension in Hillsborough County, who will join the in-service presentations to Tampa Family Health Centers. After connecting with Dr. Monica Rider, the Chief Medical Officer, we learned their focus was temporarily shifted to test and treat vulnerable communities affected by COVID-19. We decided to put this objective on hold until year two.Priority 2: Mental Health2019 Description of the Issue:The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability for adults, children, and adolescents. When mental health disorders are untreated, those affected are at high risk for many unhealthy and unsafe behaviors, including alcohol or drug abuse, violent or self-destructive behavior, and suicide. Mental health disorders are the 11th leading cause of death in the United States for all age groups and the second leading cause of death among people age 25 to 34. In the AdventHealth Carrollwood PSA, the rate of death due to self-harm (suicide) is 12.92 per 100,000 population. Furthermore, about 21% of the Medicare-fee-for-service primary service area (PSA) population are depressed, which is higher that the state Medicare-fee-for-service population average of 19%.2020 Update: The AdventHealth Carrollwood Community Health Plan has two desired goal statements under the Mental Health priority. 1. Reduce the stigma associated with mental illness in youth and adults by providing access to health education to help communities better understand and respond to signs of mental illness and substance use disorders2. Increase community-level partnerships to enhance existing efforts currently addressing factors that impact suicide/depression in youth and adultsGoal 1: Reduce the stigma associated with mental illness in youth and adults by providing access to health education to help communities better understand and respond to signs of mental illness and substance use disorders Objective 1: The first objective is to increase the number of Mental Health First Aid USA certification training classes provided for free to community members residing in the Hospital's Primary Service Area (PSA) to three certification classes from a baseline of zero certification classes by the end of year three.The deployment of the Mental Health First Aid classes is a shared initiative between AdventHealth Carrollwood, AdventHealth Dade City, AdventHealth Connerton, AdventHealth Zephyrhills, AdventHealth North Pinellas, AdventHealth Tampa, AdventHealth Ocala, AdventHealth Wauchula, AdventHealth Lake Placid, AdventHealth Sebring, and AdventHealth Wesley Chapel. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital. All reported outcomes are specific to the reporting Hospital.See Continuation 4
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AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 4
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The initiative provides the Mental Health First Aid USA class to the community for free. The class is a course that teaches you how to help someone who may be experiencing mental health or substance use challenge. The training helps you identify, understand and respond to signs of addictions and mental illnesses.The Hospital progressed on its metric of providing three free Mental Health First Aid USA certification training classes to community members residing in the Hospital's PSA from a baseline of zero certification classes by the end of year three. Due to the pandemic, we were unable to send team members to an in-person Mental Health First Aid instructor training, which would have certified them to provide the training to community members. Therefore, our 2020 progression focused on restructuring our approach and deployment strategy to develop new and safer ways to train our team members as instructors and to certify our community members in the Mental Health First Aid training. We identified virtual training options to train our team members, which created the opportunity to train four team members as Mental Health First Aid USA instructors, twice that of our original goal. Instructors are trained at the Division level to provide the classes for community members. In 2021, the Division will provide training for four team members to support the larger objective and will work to identify additional partners in the community for training and locations to begin classes. Objective 2: The second objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase Hospital support of local advocacy groups that provide resources, interventions and support to adults and youth who are affected by mental illness in the Hospital's PSA by supporting three advocacy groups from a baseline of zero advocacy groups by the end of year three. The objective is conducted through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. The local advocacy group initiative provides support to mental health advocacy groups to promote the work that they do to ensure health equity and parity for persons living with mental health disorders and reduce stigma associated with mental health disorders and services. The Hospital progressed on its set metric of supporting three advocacy groups by the end of year three. We have partnered with the National Alliance on Mental Illness (NAMI) local affiliate, NAMI Hillsborough, whose mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives.We connected with NAMI Hillsborough's Executive Director, Natasha Pierre, who shared that their advocacy efforts include gathering a group of mental health advocates to travel to Tallahassee, Florida to speak with lawmakers to lobby for state policies to support mental health services. Unfortunately, due to COVID-19 the annual trip was cancelled. We continue to connect and partner with NAMI Hillsborough locally to support adults and youth affected by mental illness. Objective 3:The third objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective, in partnership with Gracepoint Wellness and Hillsborough County National Alliance on Mental Illness (NAMI), is to create and implement three local social media campaigns to raise awareness of mental health (sharing both the challenges of the problem and success stories of overcomers) from a baseline of zero by the end of year three. The social media campaign initiative is conducted through both AdventHealth Carrollwood and AdventHealth Tampa and funding and outcomes reported represent both Hospitals. NAMI provides mental health support services, advocacy and resources to individuals and family members of individuals living with a mental health disorder. Gracepoint Wellness delivers integrated mental health, substance misuse and medical care to promote health and wellness in the community. The campaigns will promote local and online mental health resources, including services, support groups and self-management tools. The Hospitals progressed on their set metric of the creation and implementation of three social media campaigns by the end of year three. Throughout year one, our teams have connected with additional mental health partners to help guide the messaging, targeting and methods for launching a social media campaign. We have also collected information on resources, local services, and self-management tools to be shared through the campaign and a Division-level community benefit website. In addition, we learned of an opportunity to collaborate with a system-wide social media campaign that is underway and are actively working to identify ways to incorporate our local mental health community benefit partnerships into the larger system-wide corporate campaign.Goal 2: Increase community-level partnerships to enhance existing efforts currently addressing factors that impact suicide/depression in youth and adults Objective 1: The first objective is a shared initiative between AdventHealth Carrollwood, AdventHealth Tampa, AdventHealth North Pinellas, AdventHealth Wesley Chapel, AdventHealth Zephyrhills and AdventHealth Dade City. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital and all reported outcomes are specific to the reporting Hospital.For this initiative, the Hospital decided to partner with the National Alliance on Mental Illness (NAMI) Hillsborough, the local affiliate of the National Alliance on Mental Illness. NAMI's mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives. The objective is to increase the number of Hillsborough County NAMI Ending the Silence presentations provided for free to middle and high school-aged youth residing in the Hospital's PSA to six classes from a baseline of zero by the end of year three. Ending the Silence is a presentation that helps destigmatize mental illness by providing middle and high school aged youth with education to recognize signs and symptoms of an individual living with a mental health condition, along with the action steps to help the individual dealing with a mental health crisis.The Hospital progressed on its set metric of providing six classes by the end of year three. We connected with NAMI Hillsborough's executive director, Natasha Pierre, to establish and build a relationship. We learned from Natasha the format of the presentation, length, and ideal audiences her organization wanted to reach with the presentations. Together, we identified several entry points to reach underserved youth. Those entry points are the local school district, Hillsborough County Public Schools, Metropolitan Ministries, and local youth sports clubs. We introduced NAMI's Ending the Silence presentation to Hillsborough County Public Schools, and they approved the presentations for use with their middle and high school students. In year two, the school district will identify a middle school to pilot the presentation with.Objective 2: The second objective is a shared initiative between AdventHealth Carrollwood, AdventHealth Tampa and AdventHealth North Pinellas. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital and all reported outcomes are specific to the reporting Hospital.See Continuation 5
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AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 5
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For this initiative, the Hospital decided to partner with the National Alliance on Mental Illness (NAMI) Hillsborough, the local affiliate of the National Alliance on Mental Illness. NAMI's mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives. The objective is to increase the number of Hillsborough County NAMI In Our Own Voice presentations provided for free to adults residing in the Hospital's PSA to six classes from a baseline of zero by the end of year three. In Our Own Voice is a presentation for adults that helps change attitudes, assumptions, and ideas about people with mental health conditions. The Hospital progressed on its set metric of providing six classes by the end of year three. We connected with NAMI Hillsborough's executive director, Natasha Pierre, to establish and build a relationship. Through our conversations we have a better understanding of their organizational capacity and will work to identify community agencies with underserved clients who would benefit from the presentations. This foundational work is vital to launching successful community presentations of NAMI Hillsborough's In Our Own Voice, both virtually and in person.Objective 3: The third objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing mental health from a baseline of zero hours to 200 hours by the end of year three. This objective is funded and managed through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 200 hours served by the end of year three.Our team developed a volunteer portal that markets volunteer opportunities to team members, tracks sign-ups and notifies sponsoring organizations when employees sign up. We have also partnered with United Way Suncoast to identify volunteer opportunities with organizations that address mental health. Due to COVID-19, many organizations temporarily paused volunteer opportunities for the safety of their staff and clientele. We will continue to work with the United Way Suncoast to identify opportunities for our team members to safely volunteer in the community to support agencies addressing mental health.Priority 3: High Blood Pressure2019 Description of the Issue:One in three adults in the U.S. have high blood pressure, a leading risk factor for heart disease and stroke and only half of diagnosed individuals have their blood pressure under control. High blood pressure often does not present symptoms and because of this it is referred to as the "silent killer." In the AdventHealth Carrollwood Primary Service Area (PSA), approximately 30% of adults have high blood pressure, which is higher than the state average of 28%.2020 Update: The AdventHealth Carrollwood Community Health Plan has two desired goal statements under the High Blood Pressure priority. 1. Increase access to early intervention programs and blood pressure management education by engaging community organizations and stakeholders2. Decrease the use of tobacco products in adults and youth in the primary service areaGoal 1: Increase access to early intervention programs and blood pressure management education by engaging community organizations and stakeholders Objective 1: The first objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective, increase access to blood pressure management education among underinsured/uninsured community members by providing medical supplies to two local community clinics from a baseline of zero by the end of year three, is deployed through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. This initiative provides increased access to blood pressure medication and supplies for uninsured and underinsured community members.The Hospital progressed on its set metric of supporting two community clinics by the end of year three. We identified a local clinic that serves the uninsured, Pioneer Medical Group Foundation. We discussed ways to provide financial assistance to help cover the costs of blood pressure medications to share the costs of helping uninsured adults in our community. Goal 2: Decrease the use of tobacco products in adults and youth in the primary service area Objective 1: The first objective is to partner with Gulf Coast Area Health Education Center (AHEC) to increase community awareness of free programs and resources available for tobacco cessation by providing nine community lunch and learn sessions from a baseline of zero by the end of year three. The initiative is conducted through AdventHealth Carrollwood and all outcomes are specific to the reporting Hospital. Gulfcoast North Area Health Education Center (GNAHEC), a local chapter of the national Area Health Education Center (AHEC) organization, is a community focused organization that develops and implements community-based health promotion activities and education programs, which target the underserved. We are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. The GNAHEC lunch and learns provide community members with knowledge of AHEC services and resources and connects individuals to free tobacco cessation classes.We successfully completed a memorandum of understanding (MOU) with GNAHEC in year one. The MOU illustrates how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials and client communications. It also provides tobacco cessation education to providers and staff with AdventHealth.The Hospital progressed on its set metric of providing nine community lunch and learn sessions by the end of year three. Due to COVID-19, Division-wide restrictions on in-person gatherings restricted our ability to hold lunch and learn sessions. However, connections with community locations were made throughout year one and lunch and learn sessions are planned for year two. Objective 2: The second objective is to increase knowledge of free tobacco cessation programs and tobacco prevention/treatment resources for patients at discharge by partnering with AHEC to provide continuing education classes to 200 team members (treating patients with tobacco use) from a baseline of zero by the end of year three. The initiative is conducted through AdventHealth Carrollwood and all outcomes are specific to the reporting Hospital. Gulfcoast North Area Health Education Center (GNAHEC), a local chapter of the national Area Health Education Center (AHEC) organization is a community focused organization that develops and implements community-based health promotion activities and education programs, which target the underserved. We are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. The GNAHEC continuing education classes provide team members with knowledge of GNAHEC services and resources to be able to connect patients to free tobacco cessation classes. Team members will be able to earn continuing education credits (CEUs).We successfully completed a memorandum of understanding (MOU) with GNAHEC in year one. The MOU illustrates how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials, client communications and provides tobacco cessation education to providers and staff with AdventHealth.The Hospital progressed on its set metric of 200 team members completing continuing education classes by the end of year three. Due to COVID-19, company policy has prevented us from hosting continuing education classes on our Hospital campuses. Additionally, our clinical team members have been taxed with caring for COVID-19 patients and providing COVID-19 testing in the community. We will continue to work with GNAHEC to find alternate ways to provide continuing education classes to our team members in year two.See Continuation 6
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AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 6
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Objective 3: The third objective is to provide patient referrals at discharge to enroll in free Area Health Education Center (AHEC) tobacco cessation programs and receive free intervention therapies to quit smoking tobacco. Through a partnership with AHEC, we will create an internal referral system to link adults residing in the Hospital's PSA to the programs, providing resources for 50 patients from a baseline of zero by end of year three. This objective is managed by the Division; however, the Hospital funds the objective and all outcomes reported are specific to the reporting Hospital. Gulfcoast North Area Health Education Center (GNAHEC), a local chapter of the national AHEC organization, is a community focused organization that develops and implements community-based health promotion activities and education programs, which target the underserved. We are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. We successfully completed a memorandum of understanding (MOU) with GNAHEC in year one. The MOU illustrates how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials and client communications. It also provides tobacco cessation education to providers and staff with AdventHealth.The Hospital progressed on its set metric of referring 50 patients by the end of year three. Our case management and Care360 teams met with GNAHEC throughout year one to discuss and build out the referral system. The next step is to educate the Case Management and Care 360 teams on GNAHEC's services so they can appropriately refer patients who are ready to quit using tobacco products. The referral system will launch in year two. Objective 4: The fourth objective is to increase access to tobacco cessation classes for adults residing in the Hospital's PSA by 10 classes from a baseline of zero by the end of year three. The initiative is conducted through AdventHealth Carrollwood and all outcomes are specific to the reporting Hospital. Gulfcoast North Area Health Education Center (GNAHEC), a local chapter of the national Area Health Education Center (AHEC) organization, is a community focused organization that develops and implements community-based health promotion activities and education programs, which target the underserved. We are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. We successfully completed a memorandum of understanding (MOU) with GNAHEC in year one. The MOU illustrates how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials, client communications and provides tobacco cessation education to providers and staff with AdventHealth. The Hospital progressed on its set metric of increasing access to 10 classes by the end of year three. Due to COVID-19, all in-person GNAHEC free tobacco cessation classes were cancelled at the beginning of year one. Company policy has also prevented us from hosting tobacco cessation classes on our Hospital campuses. We will continue to work with GNAHEC to find alternate ways to partner to provide tobacco cessation classes to the community in year two.Priority 4: Access to Health Care2019 Description of the Issue:Access to health care is the equitable use of health services to achieve the highest level of health. Barriers to accessing health care services include cost of care, insurance coverage, availability of services and culturally competent care. Failure to overcome these barriers leads to delayed care, health complications and financial burdens. Accessing health care services is vital to prevent and treat diseases thereby reducing the likelihood of disability and premature death. In the AdventHealth Carrollwood PSA, 17% of adults and 5% of children are uninsured or without medical insurance. Additionally, 28% of adults do not have a regular doctor, which is higher than the state average of 25%.2020 Update: Recognizing the impact of social determinants of health, like access to health care, on individuals' health outcomes, AdventHealth recently partnered with Aunt Bertha, a social care network, to connect patients to programs in the communities that address social needs. This partnership will help AdventHealth team members to more fully integrate social care into our whole-person care model. Our whole-person approach to care is designed to empower individuals to take their health into their own hands. This approach in addition to our partnership with Aunt Bertha will allow us to connect patients to needed resources, which is a key step in creating healthier people and communities. The AdventHealth Carrollwood Community Health Plan has two desired goal statements under the Access to Health Care priority. 1. To implement strategies to support community efforts to improve access to primary care providers2. To increase partnerships with local community organizations with resources to offer community members assistance with gaining health insurance coverageGoal 1: To implement strategies to support community efforts to improve access to primary care providers Objective 1: The first objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective, increase the number of underinsured/uninsured community members referred from Hospital sponsored community events to follow up primary care services at Calvary Community Clinic to 75 community members from a baseline of zero by the end of year three, is deployed through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. Calvary Community Clinic provides free health care and health education to uninsured members of the community. This initiative helps connect uninsured individuals with free primary care follow up and routine care that they may otherwise not have access to. The Hospital progressed on its set metric of referring 75 community members by the end of year three. We connected with Calvary Community Clinic's executive director, Marcellina Adonis, to establish and build a relationship. We partnered with Calvary Community Clinic and the Tampa Bay Buccaneers to host a flu shot drive for Young Middle Magnet School. For the flu shot drive, we purchased 50 flu vaccines, costing $1,500, and donated them to Calvary Community Clinic. Then students, their families and school staff received vouchers which referred them to Calvary Community Clinic to receive a free flu shot. The school and clinic are two miles away from each other which made this a convenient option for students, parents, and staff to get their flu vaccine. Objective 2: The second objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective, increase community awareness of free primary health care for underinsured/uninsured families residing in the Hospital's PSA by providing 400 referrals at patient discharge from a baseline of zero to Calvary Community Clinic by the end of year three, is deployed through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. Calvary Community Clinic provides free health care and health education to uninsured members of the community. This initiative helps connect uninsured patients with free primary care follow up and routine care at Calvary Community Clinic that they may otherwise not have access to. The Hospital progressed on its set metric of providing 400 referrals by the end of year three. We connected with Calvary Community Clinic's executive director, Marcellina Adonis, to establish and build a relationship. Through our conversations we have a better understanding of their organizational capacity. The clinic has limited hours of operations because the providers at the clinic are volunteers who set their hours based on their availability. This limits how many patients they can see per day. We will continue to work with Calvary Community Clinic to discuss how we can refer uninsured patients to them without creating a burden on their volunteer providers.See Continuation 7
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AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 7
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Goal 2: To increase partnerships with local community organizations with resources to offer community members assistance with gaining health insurance coverage Objective 1: The first objective is a shared initiative with AdventHealth Tampa. AdventHealth Tampa is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to partner with the Family Healthcare Foundation to increase access to the workshop "Navigating the Healthcare Plan" for adults residing in the Hospital's PSA by 10 workshops from a baseline of zero workshops by the end of year three. The Navigating the Healthcare Plan workshop series is conducted through AdventHealth Carrollwood and all funding and outcomes reported are specific to the reporting Hospital. The workshop series provides health education to uninsured and underinsured residents to help them understand how to enroll in affordable health insurance, how to utilize health insurance and how to seek out primary care services. The mission of The Family Healthcare Foundation is to be the trusted leader in our community ensuring access to affordable, high-quality healthcare. They also seek to maximize health coverage by establishing partnerships with public and private sectors, state and local governments, health care providers and community partners.The Hospital progressed on its set metric of hosting 10 workshops by the end of year three. We connected with the Family Healthcare Foundation's executive director, Melanie Hall, to establish and build a relationship. We discussed the format, content, time, length, and target audience for the workshops. The Family Healthcare Foundation needed assistance reaching churches and other types of faith congregations for the workshops. We also worked with our Hospital Chaplain, Romel Charles, to identify several churches in our community with high rates of uninsured. We will launch the workshops in year two.Objective 2: The second objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing access to health care from a baseline of zero hours to 50 hours by the end of year three. The initiative is conducted through AdventHealth Carrollwood and all outcomes are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area.The Hospital progressed on its set metric of 50 hours served by the end of year three. We developed a volunteer portal that markets volunteer opportunities to team members, tracks sign ups and notifies sponsoring organizations when employees sign up. We have also partnered with United Way Suncoast to identify volunteer opportunities with organizations that address access to healthcare. Due to COVID-19, many organizations temporarily paused volunteer opportunities for the safety of their staff and clientele. We will continue to work with the United Way Suncoast to identify opportunities for our team members to safely volunteer in the community to support agencies addressing access to healthcare.Priority 5: Substance Misuse2019 Description of the Issue:Substance abuse is the repeated use of harmful mind-altering substances such as drugs and alcohol. This Community Health Needs Assessment Committee (CHNAC) will focus specifically on the abuse and misuse of alcohol. Excessive use of alcohol can have immediate health effects, including unintentional injury, violence, alcohol poisoning, risky sexual behaviors, and miscarriage among pregnant women. It can also have long-term health effects, including high blood pressure, heart disease, liver disease, dementia, depression, and cancer. Underage drinking, or alcohol consumption by those under the age of 21, has been linked to death from alcohol poisoning, suicide, unintentional injury, and alcohol dependence later in life. In the U.S., excessive alcohol use was the cause of 1 in 10 deaths among adults between the ages of 20-64. In 2010, people under the age of 21 accounted for 189,000 Emergency Department visits for injuries and other conditions related to alcohol use. In the AdventHealth Carrollwood PSA, 19% of adults aged 18 and above drank excessively, which is higher than the state average of 17%.2020 Update: The AdventHealth Carrollwood Community Health Plan has two desired goal statements under the Substance Misuse priority. 1. To increase access to treatment programs for substance misuse treatment, specifically for alcoholism, by creating partnerships with community organizations and stakeholders2. To increase education and awareness of substance misuse related to alcoholism by engaging public schools and community organizations, members and stakeholdersGoal 1: To increase access to treatment programs for substance misuse treatment, specifically for alcoholism, by creating partnerships with community organizations and stakeholders Objective 1: The first objective is to increase partnerships with local community organizations that provide resources, interventions and support to adults residing in the Hospital's PSA who are recovering from alcoholism by creating three partnerships from a baseline of zero partnerships by the end of year three. The initiative is managed by the Division and conducted through AdventHealth Carrollwood. All outcomes are specific to the reporting Hospital. This initiative creates new partnerships to increase access to resources, interventions and support to adults recovering from alcoholism.The Hospital progressed on its set metric of creating three partnerships by the end of year three. The first year was focused on identifying and establishing relationships with local community agencies serving adults recovering from alcoholism. We connected with Mothers Against Drunk Driving (MADD) West Central Florida Region and The Phoenix Florida. MADD's mission is to end drunk driving, help fight impaired driving, support victims, and prevent underage drinking. The Phoenix's mission is to build a sober active community. Our next step is to identify opportunities to collaborate to increase awareness of both agencies and the services provided.Objective 2: The second objective is to increase access to community support groups for adults residing in the Hospital's PSA who are recovering from alcoholism by sponsoring three ongoing support groups from a baseline of zero by the end of year three. The initiative is funded through AdventHealth Carrollwood and all outcomes are specific to the reporting Hospital. By supporting the operational costs of the community support groups (rental cost of space, refreshments, marketing/printed materials) and referring patients to support groups, local agencies will have a greater ability to support the needs of individuals and families of individuals recovering from alcoholism.The Hospital progressed on its set metric of sponsoring three support groups by the end of year three. We identified and established relationships with local community agencies serving adults and youth in a support group capacity. We connected with The Phoenix Florida whose mission is to build a sober active community through group classes on different topics (ex. yoga, meditation, painting, cross-fit). As a result of COVID-19, we were unable to provide financial support such as covering costs associated with support group meetings which would provide lunch to attendees, room space for meetings and printing flyers for marketing. Company policy has also prevented us from hosting support groups on our Hospital campuses. We will continue to connect with The Phoenix Florida and explore opportunities to increase access to their support group classes.See Continuation 8
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AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 8
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Goal 2: To increase education and awareness of substance misuse related to alcoholism by engaging public schools and community organizations, members and stakeholders Objective 1: The first objective is to collaborate with the Tampa Alcohol Taskforce (Tampa Alcohol Coalition) in Hillsborough County to host at least one community summit from a baseline of zero summits to increase awareness of alcohol misuse and collaborate on local community strategies for connecting resources to community members residing in the Hospital's PSA by the end of year three. The initiative is conducted through AdventHealth Carrollwood and all outcomes are specific to the reporting Hospital. This initiative increases awareness of alcohol misuse and connects community members to resources and programs for prevention, treatment, and recovery.The Hospital progressed on its set metric of hosting one community summit by the end of year three. We connected with Ellen Snelling, the Board Chair of the Tampa Alcohol Coalition (TAC), and Cindy Grant, the Director of the Hillsborough County Anti-Drug Alliance (HCADA). We presented to the HCADA our Community Health Needs Assessment data on alcohol use in our community and shared our Community Health Plan objective of hosting a community summit. The HCADA holds an annual town hall for the community where agencies addressing substance misuse collaborate to lead community discussions and share resources. We joined the planning committee for the town hall which will take place in year two.Objective 2: The second objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing the misuse of alcohol use from a baseline of zero hours to 150 hours by the end of year three. The initiative is conducted through AdventHealth Carrollwood and all outcomes are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area.The Hospital progressed on its set metric of 150 hours served by the end of year three. We developed a volunteer portal that markets volunteer opportunities to team members, tracks sign ups and notifies sponsoring organizations when employees sign up. We have also partnered with United Way Suncoast to identify volunteer opportunities with organizations that address the misuse of alcohol. Due to COVID-19, many organizations temporarily paused volunteer opportunities for the safety of their staff and clientele. We will continue to work with the United Way Suncoast to identify opportunities for our team members to safely volunteer in the community to support agencies addressing the misuse of alcohol.Community Needs Not Chosen by AdventHealth Carrollwood:The primary and secondary data in the Community Health Needs Assessment identified multiple community issues. The Hospital and community stakeholders used the following criteria to narrow the larger list to the priority areas noted above:1. How acute is the need? (based on data and community concern)2. What is the trend? Is the need getting worse?3. Does the Hospital provide services that relate to the priority? 4. Is someone else - or multiple groups - in the community already working on this issue? 5. If the Hospital were to address this issue, are there opportunities to work with community partners? Based on this prioritization process, the Hospital did not choose the following community issues:1. Education (Social Determinant of Health): Education and educational attainment is a social determinant of health and is linked to health outcomes. Individuals with more education on average live longer and healthier lives compared to individuals with less schooling. In the AdventHealth Carrollwood PSA, 14% of the total population aged 25 and above do not have a high school diploma. The Community Health Needs Assessment Committee (CHNAC) did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 2. Asthma: Asthma is a chronic condition when the airways in the lungs are always inflamed. The inflammation causes coughing, wheezing, chest tightness and shortness of breath. In the AdventHealth Carrollwood PSA, 13% of adults have asthma. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 3. Poverty: One of the greatest public health challenges is addressing poverty. Poverty increases the likelihood of an individual developing poor health. In reverse, poor health can also trap an individual in poverty. For example, those living in poverty may face competing priorities between paying for basic needs such as housing and food or paying for medical care. In the AdventHealth Carrollwood PSA, 20% of the community is below 100% of the federal poverty level ($25,750 for a family of 4 in 2019). The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time.4. Infant Mortality, Low Birth Weight, Teen Births: Infant mortality is the death of an infant before their first birthday. In 2017, more than 22,000 infants died in the U.S. The causes of infant mortality include birth defects, maternal pregnancy complications, sudden infant death syndrome, low birth weight and injuries such as suffocation. In the AdventHealth Carrollwood PSA, the infant mortality rate is 8 deaths per 1,000 births. The CHNAC felt that the issue should not be addressed as an individual problem but can be indirectly impacted positively by first addressing access to health care selected above by the Hospital CHNAC. 5. Cancer (prostate, breast, cervical, colon and rectum): Cancer is the second leading cause of death in the U.S. Screening tools are an effective way to detect cancer early and increases chances of survival. In the AdventHealth Carrollwood PSA, the cancer mortality rate is 161 deaths per 100,000 population. The CHNAC felt that cancer should not be addressed as an individual problem but can be indirectly impacted positively by first addressing access to health care, one of the priority issues selected above by the Hospital CHNAC.
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AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 2
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Goal 2: To increase physical activity among adults and youth in the primary service area - Objective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to provide the Food is Health program to low-income families in the PSA by offering three nutrition education class series from a baseline of zero classes by the end of year three. This objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.The Hospital progressed on its set metric of offering three nutrition class series. The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. Due to COVID-19, we modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Objective 2: The second objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase access to culturally appropriate nutritious food options among Food is Health program participants through 120 produce vouchers distributed from a baseline of zero produce vouchers by the end of year three. This objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.The Hospital progressed on its set metric of distributing 120 vouchers. The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. Due to COVID-19, we modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Objective 3: The third objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase new partnerships with local community organizations in the Food is Health program to four partners from a baseline of zero partners by the end of year three. This objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables.The Hospital has met its set metric of recruiting four community partners with four partners recruited. We recruited Union Missionary Baptist Church, Morrison Food Service, St. Leo University and Dube's Mobile Market who have helped to expand our Food is Health program throughout Pasco County and create a more robust produce system. Union Missionary Baptist church is located in a food desert of Pasco County and predominantly serves the minority community and underserved community members. The church is also located in an area where our footprint has not reached before. Our goal is to continue adding partners to our Food is Health program throughout year two and three. Objective 4: The fourth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase participation in the Food is Health program among low-income individuals and families in the Hospital's PSA by 30 participants from a baseline of zero by the end of year three. This objective is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital progressed on its set metric of increasing participants from a baseline of zero to 30.The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. We also modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.Objective 5: The fifth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is, through the Food is Health program, to increase access to health screenings among adults living in food deserts or low-income/low access communities to 45 screenings from a baseline of zero by the end of year three. This objective is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low-income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. The Hospital progressed on its set metric of increasing health screenings among adults living in low-income/low access communities by 45 screenings.The first year was focused on establishing partnerships with local produce vendors, educational partners, and community sites. We also modified several components of the Food is Health program to offer it virtually. We switched from paper to electronic produce vouchers, created a process to allow drive-thru produce pick-up and consulted with our educational partners to convert classes to a virtual format. The modifications will make it easy to relaunch the Food is Health program safely for our communities in year two.See Continuation 3
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AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 3
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Objective 6: The sixth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective, the Food is Health community employee volunteer initiative to increase Hospital staff/team volunteer participation efforts with organizations addressing food security from a baseline of zero hours to 200 hours by the end of year three, is funded and managed through AdventHealth Connerton. All funding and outcomes reported are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 200 volunteer hours addressing food security by conducting 10 volunteer hours in the year of 2020. The volunteer hours were completed through the collection, assembly, and delivery of food to local organizations whose community members faced food insecurity challenges. We have also partnered with United Way Pasco to identify volunteer opportunities with organizations that address food security. Due to COVID-19, many organizations canceled their volunteer opportunities for 2020. We will continue to work with the United Way Pasco to identify opportunities for our team members to safely volunteer in the community to support agencies addressing food security.Priority 2: Substance Misuse (Alcohol & Drug Abuse) 2019 Description of the Issue:Substance abuse is the misuse and excessive abuse of alcohol and drugs. Drug overdoses killed more than 63,000 people in the U.S. in 2016. The abuse of prescription drugs has risen in recent years especially the abuse of opioid pain relievers. On average, 130 people die every day from an opioid overdose in the U.S. Excessive use of alcohol can have immediate health effects, including unintentional injury, violence, alcohol poisoning, risky sexual behaviors, and miscarriage among pregnant women. It can also have long-term health effects, including high blood pressure, heart disease, liver disease, dementia, depression, and cancer. Underage drinking, or alcohol consumption by those under the age of 21, has been linked to death from alcohol poisoning, suicide, unintentional injury, and alcohol dependence later in life. In the U.S., excessive alcohol use was the cause of one in ten deaths among adults between the ages of 20-64. In 2010, people under the age of 21 accounted for 189,000 ER visits for injuries and other conditions related to alcohol use. In the AdventHealth Connerton PSA, 20% of adults aged 18 and above drank excessively which is higher than the state average of 17%.2020 Update: Recognizing the impact of social determinants of health, like access to health care and resources, on individuals' health outcomes, AdventHealth recently partnered with Aunt Bertha, a social care network, to connect patients to programs in the communities that address social needs. This partnership will help AdventHealth team members to more fully integrate social care into our whole-person care model. Our whole-person approach to care is designed to empower individuals to take their health into their own hands. This approach in addition to our partnership with Aunt Bertha will allow us to connect patients to needed resources, which is a key step in creating healthier people and communities. The AdventHealth Connerton Community Health Plan has two desired goal statements under the Substance Misuse (Alcohol & Drug Abuse) priority. 1. Increasing knowledge and awareness about community resources2. To identify community partners addressing substance abuse or offering support groups/classes in the communityGoal 1: Increasing knowledge and awareness about community resourcesObjective 1: The first objective is a shared initiative between AdventHealth Connerton and AdventHealth North Pinellas. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is that the initiative will increase the reach of the Pasco County Substance Abuse Taskforce (PCSAT) into West Pasco communities by co-hosting at least three meetings in West Pasco from a baseline of zero by end of year three. This objective is managed at the Hospital level and funding and outcomes reported are specific to the reporting Hospital.The Pasco County Substance Abuse Taskforce began as an outreach effort by the AdventHealth Wesley Chapel Chaplain services. AdventHealth Wesley Chapel is part of the West Florida Division of AdventHealth. After several years, it was reimagined as a hybrid approach to both inpatient and community outreach. The taskforce's mission is to develop a partnership with community members focusing on awareness and increasing access to resources for patients suffering from misuse. Unfortunately, due to some fundamental shifts in the taskforce's leadership, the taskforce was placed on hold until late 2020.The Hospital progressed on its set metric to co-host three Pasco County Substance Abuse Taskforce meetings by identifying several team members from the Hospital to be involved with the existing AdventHealth Wesley Chapel taskforce. Additionally, the Hospital was able to form key partnerships that will help to expand the existing taskforce and strengthen the work being done. Objective 2: The second objective is a shared initiative between AdventHealth Connerton and AdventHealth North Pinellas. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The objective is to increase the current reach of the Pasco County Substance Abuse Taskforce (PCSAT) into West Pasco communities by co-hosting at least one community forum in West Pasco from a baseline of zero by end of year three. This objective is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital.The Pasco County Substance Abuse Taskforce began as an outreach by the AdventHealth Wesley Chapel Chaplain services. AdventHealth Wesley Chapel is part of the West Florida Division of AdventHealth. After several years, it was reimagined as a hybrid approach to both inpatient and community outreach. The taskforce's mission is to develop a partnership with community members focusing on awareness and increasing access to resources for patients suffering from misuse. Unfortunately, due to some fundamental shifts in the taskforce's leadership, the taskforce was placed on hold until late 2020.The Hospital progressed on its set metric to increase the reach of the Pasco County Substance Abuse Taskforce by co-hosting at least one community forum through identifying several team members from the Hospital to be involved with the existing AdventHealth Wesley Chapel taskforce. Additionally, the Hospital was able to form key partnerships that will help to expand the existing taskforce and strengthen the work being done. Objective 3:The third objective is to increase the number of Mental Health First Aid USA certification training classes provided for free to community members residing in the Hospital's PSA to three certification classes from a baseline of zero by the end of year three. The deployment of the Mental Health First Aid classes is a shared initiative between AdventHealth Connerton, AdventHealth Carrollwood, AdventHealth Dade City, AdventHealth North Pinellas, AdventHealth Zephyrhills, AdventHealth Tampa, AdventHealth Ocala, AdventHealth Wauchula, AdventHealth Lake Placid, AdventHealth Sebring and AdventHealth Wesley Chapel. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital and all reported outcomes are specific to the reporting Hospital. The initiative provides the Mental Health First Aid USA classes to the community for free. The class is a course that teaches you how to help someone who may be experiencing a mental health or substance use challenge. The training helps you identify, understand and respond to signs of addictions and mental illnesses. See Continuation 4
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AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 4
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The Hospital progressed on its metric of providing three free Mental Health First Aid USA certification training classes to community members residing in the Hospital's PSA from a baseline of zero certification classes by the end of year three. Due to the pandemic, we were unable to send team members to an in-person Mental Health First Aid instructor training, which would have certified them to provide the training to community members. Therefore, our 2020 progression focused on restructuring our approach and deployment strategy to develop new and safer ways to train our team members as instructors and to certify our community members in the Mental Health First Aid training. We identified virtual training options to train our team members, which created the opportunity to train four team members as Mental Health First Aid USA instructors, twice that of our original goal. Instructors are trained at the Division level to provide the classes for community members. In 2021, the Division will provide training for four team members to support the larger objective and will work to identify additional partners in the community for training and locations to begin classes.Goal 2: To identify community partners addressing substance abuse or offering support groups/classes in the communityObjective 1: The second objective is to increase access to community support groups for adults residing in the Hospital's PSA who are recovering from misuse of alcohol and other substances by sponsoring two on-going support groups from a baseline of zero by the end of year three. The initiative is conducted through AdventHealth Connerton and all outcomes are specific to the reporting Hospital. The initiative provides service to the community by improving access to resources and support that help to create a sober environment for individuals recovering from alcoholism. The Hospital progressed on its set metric of supporting two ongoing support groups. We connected with several community organizations that offer support from both the advocacy perspective and support group perspective. The National Alliance on Mental Illness (NAMI) mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives. Additionally, we connected with The Phoenix Florida. The Phoenix's mission is to build a sober active community. We are continuing to identify opportunities to collaborate with these organizations and increase awareness of both agencies and the services they provide. In 2020, we were able to support these organizations by marketing their support groups and identifying facilitators to be trained to lead their support groups. Objective 2: The second objective is a shared initiative between AdventHealth Connerton, AdventHealth Tampa, AdventHealth Carrollwood, AdventHealth Wesley Chapel, AdventHealth Zephyrhills, AdventHealth Dade City and AdventHealth North Pinellas. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. This objective, increase the number of Pasco County National Alliance on Mental Illness (NAMI) Ending the Silence presentations provided for free to middle and high school-aged youth residing in the Hospital's PSA to three classes from a baseline of zero by the end of year three, is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital.For this initiative, the Hospital decided to partner with the National Alliance on Mental Illness (NAMI) Pasco, the local affiliate of the National Alliance on Mental Illness. NAMI's mission is to provide advocacy, education, support, and public awareness so that all individuals and families affected by mental illness can build better lives. Ending the Silence is a presentation for middle and high school aged youth that helps destigmatize mental illness by providing community members with education to recognize signs and symptoms of an individual dealing with a mental health condition, along with the action steps to help the individual suffering from a mental health crisis. The Hospital progressed on its set metric of providing three presentations by connecting with the local affiliate NAMI Pasco Executive Director, Debbie Proulx. NAMI Pasco's Executive Director, along with AdventHealth Connerton's Community Health Needs Assessment Committee, were able to select organizations and target areas to conduct the Ending the Silence presentation in year two. Additionally, the budget and resources for conducting the Ending the Silence presentation were identified. Objective 3: The third objective is to increase the amount of paid time for Hospital staff/team members to volunteer with community organizations addressing the misuse of alcohol, tobacco, and other substances from a baseline of zero hours to 300 hours by the end of year three. The initiative is conducted through AdventHealth Connerton and all outcomes are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 300 hours of paid staff volunteer time addressing the misuse of alcohol, tobacco, and other substances with 10 volunteer hours served. The volunteer hours were completed by employees spending paid time on a substance misuse committee that serves to plan and implement substance misuse initiatives for the community. We have also partnered with United Way Pasco to identify volunteer opportunities with organizations that address mental health. Due to COVID-19, many organizations canceled their volunteer opportunities for 2020. We will continue to work with the United Way Pasco to identify opportunities for our team members to safely volunteer in the community to support agencies addressing mental health.Priority 3: Tobacco Use2019 Description of the Issue:Since 1964, 20 million people in the U.S. have died from using tobacco. Tobacco use can cause a wide range of health issues including cancer, heart disease, diabetes, oral health diseases and harmful reproductive effects. More than 30 million adults in the U.S. smoke cigarettes and more than 50 million are exposed to secondhand smoke, which is just as harmful as smoking. Secondhand smoke can still cause heart disease and lung cancer in nonsmokers and as well as asthma, sudden infant death syndrome (SIDS) and other respiratory infections in infants and children. In the AdventHealth Connerton PSA, 22% of adults aged 18 and above smoke cigarettes which is higher than the state average of 19%.2020 Update: The AdventHealth Connerton Community Health Plan has two desired goal statements under the Tobacco Use priority. 1. To decrease tobacco use among adults and youth in the community2. To increase access to smoking cessation classes for adults by partnering with community organizations Goal 1: To decrease tobacco use among adults and youth in the communityObjective 1: The first objective is to partner with Gulfcoast North Area Health Education Center (GNAHEC) to increase community awareness of free programs and resources available for tobacco cessation by providing three community lunch and learn sessions from a baseline of zero by the end of year three. The initiative is conducted through AdventHealth Connerton and all outcomes are specific to the reporting Hospital. Gulfcoast North Area Health Education Center (GNAHEC), a local chapter of the national Area Health Education Center (AHEC), is a community focused organization that develops and implements community-based health promotion activities and education programs that target the underserved. As it relates to our relationship with GNAHEC, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. Additionally, GNAHEC provides continuing education credits (CEUs) to our internal team members. For this initiative, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. The GNAHEC lunch and learns provide community members with knowledge of GNAHEC services and resources and connects individuals to free tobacco cessation classes.See Continuation 5
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AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 5
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The Hospital progressed on its set metric of providing three community lunch and learn sessions by successfully completing a memorandum of understanding (MOU) with GNAHEC. The MOU details how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials, client communications and tobacco cessation education to our providers and staff. Division-wide restrictions on in-person gatherings restricted our ability to hold lunch and learn sessions. However, connections with community locations were made throughout year one and lunch and learn sessions are planned for year two. Objective 2: The second objective is a shared initiative between AdventHealth Connerton, AdventHealth North Pinellas, AdventHealth Lake Placid, AdventHealth Carrollwood, AdventHealth Sebring, AdventHealth Wauchula and AdventHealth Wesley Chapel. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. This objective is managed by the Division; however, the Hospital funds the objective and all outcomes reported are specific to the reporting Hospital. The objective is to increase knowledge of free tobacco cessation programs and tobacco prevention/treatment resources for patients at discharge by partnering with Gulfcoast North Area Health Education Center (GNAHEC) to provide continuing education (CEU) classes to 75 team members (treating patients with tobacco use) from a baseline of zero by the end of year three. This initiative provides educational classes that lead to an increase in knowledge for those AdventHealth team members who treat patients with tobacco use, or work with these patients at discharge, about tobacco cessation resources available thereby potentially improving patients' health through support for eliminating tobacco use. GNAHEC is a community focused organization that develops and implements community-based health promotion activities and education programs that target the underserved. As it relates to our relationship with GNAHEC, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. Additionally, GNAHEC provides continuing education credits (CEUs) to our internal team members. The Hospital progressed on its set metric to provide 75 team members with CEUs by successfully completing a memorandum of understanding (MOU) with GNAHEC. The MOU details how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials, client communications and tobacco cessation education to our providers and staff. GNAHEC offers CEUs once a quarter. In year two, we will partner with our local Area Health Education Center to provide these trainings to our team members, either live or through a virtual format, in which team members will then earn Continuing Education Units/Continuing Medical Education credits. Additionally, the information learned in these classes will increase team members' knowledge and ability to offer treatment services for patients and community members who are tobacco users, thereby potentially improving their overall health.Goal 2: To increase access to smoking cessation classes for adults by partnering with community organizationsObjective 1: The first objective is a shared initiative between AdventHealth Connerton, AdventHealth Tampa, AdventHealth Carrollwood, AdventHealth Dade City, AdventHealth Zephyrhills, AdventHealth Ocala, AdventHealth Wauchula, AdventHealth Lake Placid, AdventHealth Sebring, AdventHealth Wesley Chapel and AdventHealth North Pinellas. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. This objective is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital.The objective is to provide community referrals at discharge to enroll in free AHEC tobacco cessation programs and receive free intervention therapies to quit smoking tobacco. Through a partnership with Gulfcoast North Area Health Education Center (GNAHEC), we will create an internal referral system to link adults residing in the Hospital's PSA, thereby providing resources for 50 patients from a baseline of zero by end of year three. GNAHEC is a community focused organization that develops and implements community-based health promotion activities and education programs that target the underserved. As it relates to our relationship with GNAHEC, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. Additionally, GNAHEC provides continuing education credits (CEUs) to our internal team members. We successfully completed a memorandum of understanding (MOU) in the year of 2020 with GNAHEC. The MOU illustrates how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials, client communications and provides tobacco cessation education to providers and staff with AdventHealth. The Hospital progressed on its set metric of implementing a referral link and providing resources to 50 patients. Objective 2: The second objective is to increase access to tobacco cessation classes for adults residing in the Hospital's PSA by six classes from a baseline of zero by the end of year three. This objective is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. Gulfcoast North Area Health Education Center (GNAHEC) is a community focused organization that develops and implements community-based health promotion activities and education programs that target the underserved. As it relates to our relationship with GNAHEC, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. Additionally, GNAHEC provides continuing education credits (CEUs) to our internal team members. For this initiative, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. The GNAHEC tobacco cessation classes educate community members on the importance of quitting tobacco products. The classes are free and participants can receive free nicotine replacement therapy products (ex. patches, gum, lozenges). The Hospital progressed on its set metric of hosting six classes by successfully completing a memorandum of understanding (MOU) with GNAHEC. The MOU details how GNAHEC will offer tobacco cessation programming in partnership with us, which includes flyer and promotion templates, program materials, client communications and tobacco cessation education to our providers and staff. Unfortunately, all in-person AHEC free tobacco cessation classes were cancelled at the beginning of the COVID-19 pandemic. Company policy has also prevented us from hosting tobacco cessation classes on our hospital campuses. We will continue to work with GNAHEC to find alternate ways to partner to provide tobacco cessation classes to the community in year two, along with the continuation of promoting their virtual classes.See Continuation 6
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AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 6
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Community Needs Not Chosen by AdventHealth Connerton:The primary and secondary data in the Community Health Needs Assessment identified multiple community issues. The Hospital and community stakeholders used the following criteria to narrow the larger list to the priority areas noted above:1. How acute is the need? (based on data and community concern)2. What is the trend? Is the need getting worse?3. Does the Hospital provide services that relate to the priority? 4. Is someone else - or multiple groups - in the community already working on this issue? 5. If the Hospital were to address this issue, are there opportunities to work with community partners? Based on this prioritization process, the Hospital did not choose the following community issues:1. Lack of Social or Emotional Support, Suicide, Depression: In the AdventHealth Connerton PSA, 21% of adults aged 18 and above lack social and emotional support. About 22% of the Medicare population in the PSA has depression, while the rate of death due to suicide is 16 per 100,000. A lack of social and emotional support can contribute to the development of depression, which affects an individual's ability to cope with daily stressors and lead a healthy life. In 2014, 43,000 people in the U.S. committed suicide.The Community Health Needs Assessment Committee (CHNAC) did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time.2. Poor Dental: Many oral diseases can be prevented with routine care and regular dental checkups. The health of the teeth, the mouth and the surrounding craniofacial (skull and face) structures is central to a person's overall health and well-being. Lack of access to dental care for all ages remains a public health challenge. In the AdventHealth Connerton PSA, the access to dentists' rate is 45 per 100,000 (in 2015), as compared to the state rate of 56. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 3. Population with Low Food Access: In the AdventHealth Connerton PSA, 15% of the population is food insecure meaning they lack reliable access to nutritious and affordable food. Different factors can account for low food access including affordability, transportation options and availability of grocery stores. Low food access has been linked to an increased risk for developing negative health outcomes. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 4. Asthma: Asthma is a chronic condition that occurs when the airways in the lungs are always inflamed. The inflammation causes coughing, wheezing, chest tightness and shortness of breath. In the AdventHealth Connerton PSA, 14% of adults aged 18 and above have asthma. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time. 5. Physical Inactivity, Obesity, Overweight: Obesity occurs when an individual's weight is higher than what is considered healthy. Obesity can be caused by behavioral and genetic factors. Other factors that contribute to obesity is the built environment, for example where you live and if you have access to healthy food and the ability to exercise outside. Obesity can cause serious health complications including high blood pressure, high cholesterol, heart disease, osteoarthritis, and some cancers. From 2015-2016, obesity affected about 93 million adults and 13 million children in the U.S. In the AdventHealth Connerton PSA, 29% of adults are obese (BMI greater than 30), which is higher than the state average of 27%. Additionally, 36% of adults in the PSA are considered overweight (BMI between 25 and 30). The issue should not be addressed as an individual problem but can be indirectly impacted positively by first addressing heart disease selected above by the Hospital CHNAC.6. Diabetes: Diabetes is the seventh leading cause of death in the U.S. affecting 29 million people. More than 80 million people in the U.S. are pre-diabetic meaning they're at an increased risk of developing diabetes in the next few years. When diabetes goes untreated it can lead to more serious health issues such as vision loss, heart disease, stroke, nerve and kidney diseases. In the AdventHealth Connerton PSA, 10% of adults have been diagnosed with diabetes, which is higher than the state average of 9%. The issue should not be addressed as an individual problem but can be indirectly impacted positively by first addressing heart disease selected above by the Hospital CHNAC. 7. Cancer: Cancer is the second leading cause of death in the U.S. with more than 100 types. Many are preventable and research advances in detection and treatment have greatly improved survival rates. In the AdventHealth Connerton PSA, the rate of death due to cancer is 166 per 100,000 population. The CHNAC did not perceive the ability to have a measurable impact on the issue within the three years allotted for the Community Health Plan with the current resources available to the community and the Hospital at this time.
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Part V, Section B, Line 7a
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Each hospital facility's CHNA report was made widely available through the following websites:Facility 1 -- AdventHealth Tampahttps://www.adventhealth.com/community-health-needs-assessmentsFacility 2 -- AdventHealth Carrollwoodhttps://www.adventhealth.com/community-health-needs-assessmentsFacility 3 -- AdventHealth Connertonhttps://www.adventhealth.com/community-health-needs-assessments
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Part V, Section B, Line 10a
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Each hospital facility's Implementation plan was made widely available through the following websites:Facility 1 -- AdventHealth Tampahttps://www.adventhealth.com/community-health-needs-assessmentsFacility 2 -- AdventHealth Carrollwoodhttps://www.adventhealth.com/community-health-needs-assessmentsFacility 3 -- AdventHealth Connertonhttps://www.adventhealth.com/community-health-needs-assessments
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Part V, Section B, Line 16a, b, and c:
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The Financial Assistance Policy for each facility can be found at URL:https://www.adventhealth.com/legal/financial-assistanceThe Financial Assistance Policy application for each facility can be found at:https://www.adventhealth.com/legal/financial-assistanceThe plain language summary for each facility is available at:https://www.adventhealth.com/legal/financial-assistance
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Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.