|
AdventHealth Tampa
|
Part V, Section B, Line 5: University Community Hospital, Inc., d/b/a AdventHealth Tampa (AHT or the Hospital) is a 626-bed hospital located in Hillsborough County in Florida. AHT's primary service area includes 32 zip codes across Hillsborough and Pasco Counties. In conducting its 2022 Community Health Needs Assessment (CHNA), the Hospital solicited input directly from the community and from individuals who represent the broad interests of the community, including medically underserved, low-income and minority community members. The Hospital partnered with local community organizations and stakeholders, including those in public health, to form the All4HealthFL Collaborative. The All4HealthFL Collaborative is a regional effort of local hospital systems and public health departments that work to improve community health. The Collaborative collected input directly from the community and from community stakeholders through a community survey and focus groups. The Collaborative met several times in 2021 and 2022 and reviewed primary and secondary data and helped to define the top health priority needs in the community. AHT also formed a Community Health Needs Assessment Committee (CHNAC) that included representatives from organizations that serve low-income, low-access individuals and communities. The purpose of the CHNAC was to select the needs the Hospital would address from the findings in the community health needs assessment. Key CHNAC members that represented low-income and underserved populations were from the following organizations- Florida Department of Health-Hillsborough County, Brain Expansion Scholastic Training, Tampa Innovation Alliance, University Area Community Development Center, Health Council of West Central Florida, Crisis Center of Tampa Bay, Gracepoint, Tampa First Seventh Day Adventist Church, Tampa Family Health Centers, Hillsborough County Public Schools, Best Buddies International, the Phoenix, Metropolitan Ministries, University of Florida/Institute of Food and Agriculture Sciences Extension Hillsborough County, Calvary Community Clinic, Hillsborough County Anti-Drug Alliance and Tampa Alcohol Coalition, University of South Florida Area Health Education Center, United Way Suncoast, and University of South Florida Center for Urban Transportation Research.
|
|
AdventHealth Carrollwood
|
Part V, Section B, Line 5: University Community Hospital, Inc., d/b/a AdventHealth Carrollwood (AHCW or the Hospital) is a 119-bed hospital located in west Hillsborough County in Florida. AHCW's primary service area includes 17 zip codes across Hillsborough County. In conducting its 2022 Community Health Needs Assessment (CHNA), the Hospital solicited input directly from the community and from individuals who represent the broad interests of the community, including medically underserved, low-income and minority community members. The Hospital partnered with local community organizations and stakeholders, including those in public health, to form the All4HealthFL Collaborative. The All4HealthFL Collaborative is a regional effort of local hospital systems and public health departments that work to improve community health. The Collaborative collected input directly from the community and from community stakeholders through a community survey and focus groups. The Collaborative met several times in 2021 and 2022 and reviewed primary and secondary data and helped to define the top health priority needs in the community. AHCW also formed a Community Health Needs Assessment Committee (CHNAC) that included representatives from organizations that serve low-income, low-access individuals and communities. The purpose of the CHNAC was to select the needs the Hospital would address from the findings in the community health needs assessment. Key CHNAC members that represented low-income and underserved populations were from the following organizations- Florida Department of Health-Hillsborough County, The Phoenix, Feeding Tampa Bay, Hillsborough County Health Care Services, Tampa Housing Authority, Tampa Bay Network to End Hunger, Health Council of West Central Florida, United Way Suncoast, Tampa Bay Healthcare Collaborative, Free Clinic of Tampa Bay, Hillsborough County Anti-Drug Alliance/Tampa Alcohol Coalition, Hillsborough County Public Schools, Crisis Center of Tampa Bay, University of South Florida's Office of Community Engagement and Partnerships, Calvary Community Clinic, Grace Community Medical Center, Gulfcoast North Area Health Education Center, Guided Path Haven, and Mothers Against Drunk Driving.
|
|
AdventHealth Connerton
|
Part V, Section B, Line 5: University Community Hospital, Inc., d/b/a AdventHealth Connerton (AHC or the Hospital) is a 77-bed Long-Term Acute Care hospital located in Land O' Lakes, Florida. AHC provides a comprehensive range of services to treat patients whose medically complex conditions require a longer stay, such as ventilator weaning, complex respiratory conditions, infectious disease, complex wound care, heart failure, neurological disorders, post-trauma care, rental disorders, bariatric care, and surgical complications. AHC treats patients from across the state of Florida. In conducting its 2022 Community Health Needs Assessment (CHNA), the Hospital solicited input directly from the community and from individuals who represent the broad interests of the community, including medically underserved, low-income and minority community members. The Hospital partnered with local community organizations and stakeholders, including those in public health, to form the All4HealthFL Collaborative. The All4HealthFL Collaborative is a regional effort of local hospital systems and public health departments that work to improve community health. The Collaborative collected input directly from the community and from community stakeholders through a community survey and focus groups. The Collaborative met several times in 2021 and 2022 and reviewed primary and secondary data and helped to define the top health priority needs in the community. AHC also formed a Community Health Needs Assessment Committee (CHNAC) that included representatives from organizations that serve low-income, low-access individuals and communities. The purpose of the CHNAC was to select the needs the Hospital would address from the findings in the community health needs assessment. Key CHNAC members that represented low-income and underserved populations were from the following organizations- Florida Department of Health in Pasco County, St. Leo University, Pasco Fire Rescue, Gulfcoast North Area Health Education Center, The Phoenix, Civic Communications, Agency for Persons with Disabilities, Good Samaritan Clinic, University of South Florida, and Youth and Family Alternatives.
|
|
AdventHealth Tampa
|
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.
|
|
AdventHealth Carrollwood
|
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.
|
|
AdventHealth Connerton
|
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.
|
|
AdventHealth Tampa
|
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 13 hospital facilities. This is the third-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 third-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 aged 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%.2022 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 did not meet its set metric of providing three free Mental Health First Aid USA certification classes. The Hospital sponsored one class in year three that trained five participants with the UF/IFAS Hillsborough Extension office. 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 did not meet its set metric of supporting three advocacy groups. In year three, the Hospital supported one advocacy group, The Phoenix, by sponsoring their Phoenix Day Retreat. The Phoenix is an organization which promotes and supports recovery from substance use and addiction by providing opportunities to live a sober, active lifestyle. The Hospital made a financial donation to cover the costs of food, parking, and activities for the retreat. See Continuation 2
|
|
AdventHealth Carrollwood
|
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 13 hospital facilities. This is the third-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 third-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%.2022 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 did not meet its set metric of training two health educators. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. Ongoing challenges related to budget and staffing for both the Hospital and community partners interfered with achieving this metric. 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 did not meet its set metric of referring 200 underserved/uninsured adults to DSMES classes. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. A referral system to Tampa Family Health Centers specific to diabetes education classes was not created, therefore the Care360 team was unable to complete and track these referrals. 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 did not meet its set metric of supporting 44 nutrition education class series. Due to the COVID-19 pandemic, classes were suspended during year one and were sparse in year two. The Hospital supported eight class series in year three, offering nutrition education at local community centers, senior centers, and adult education facilities. By the end of year three, the Hospital supported a total of 19 class series. See Continuation 2
|
|
AdventHealth Connerton
|
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 13 hospital facilities. This is the third-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 third-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 30.2022 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 healthy eating and 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 took 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 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 completed the AHA instructor training in May 2021.The Hospital met its set metric of providing three Hands-Only CPR trainings in the community. Using the Anytime CPR kits donated by the American Heart Association, the Hospital supported one class at the Florida Department of Health in Pasco County for their Healthy Start staff and two classes at the Kirkland Ranch Academy of Innovation high school for students in their health services program. All three of these classes were completed in 2022 and 43 participants were trained in Hands-Only CPR, along with donated CPR kits so they can train others. 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 met its set metric of supporting two community health fair events. In year three, the Hospital supported three health events in the community which promoted wellness and physical activity. The Hospital sponsored the cost of water and refreshments for the Pasco Alliance for Substance Use Prevention (Pasco ASAP) Pedal for Prevention event and Stronger Together Recovery Walk. The Hospital also sponsored the cost of 15 cases of bottled water for the Community Safety Field Day event. See Continuation 2
|
|
AdventHealth Tampa
|
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.
|
|
AdventHealth Carrollwood
|
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.
|
|
AdventHealth Connerton
|
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.
|
|
AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 2
|
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. 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 Hospital did not meet its set metric of creating and implementing three social media campaigns to raise awareness on mental illness. Though the Hospital did not meet the metric as written, AdventHealth did sponsor an enterprise-wide social media campaign across all markets to raise awareness about mental health. 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. 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 did not meet its set metric of providing six Ending the Silence presentations. Due to ongoing staffing challenges experienced by NAMI Hillsborough, the Ending the Silence presentations were paused, and no additional classes were held in year three. 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.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 did not meet its set metric of providing six In Our Own Voice presentations. Due to ongoing staffing challenges experienced by NAMI Hillsborough, the In Our Own Voice presentations were paused and no additional classes were held in year three. 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 did not meet its set metric of 200 volunteer hours addressing mental health. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. Hospital team members contributed a total of 20 volunteer hours addressing mental health over the course of the three-year plan.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 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 Tampa PSA, 10% of adults have been diagnosed with diabetes, which is higher than the state average of 9%.2022 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 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 did not meet its set metric of training two health educators. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. Ongoing challenges related to budget and staffing for both the Hospital and community partners interfered with achieving this metric.See Continuation 3
|
|
AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 3
|
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 did not meet its set metric of referring 200 underserved/uninsured adults to DSMES classes. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. A referral system to Tampa Family Health Centers specific to diabetes education classes was not created, therefore the Care360 team was unable to complete and track these referrals.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 did not meet its set metric of referring 75 community members to Calvary Community Clinic. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and community events were suspended. A referral system to Calvary Community Clinic was not created, therefore team members were unable to complete and track these referrals.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. 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 did not meet its set metric of referring 400 patients at discharge to Calvary Community Clinic. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. A referral system to Calvary Community Clinic was not created, therefore the Care360 team was unable to complete and track these referrals.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 did not meet its set metric of providing three in-service presentations. Due to the COVID-19 pandemic, community programs and presentations were paused in year one and resumed slowly in year two. Ongoing challenges with staffing and COVID-19 response prevented this metric from being accomplished. 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. The Hospital did not meet its set metric of providing three in-service presentations. Due to the COVID-19 pandemic, community programs and presentations were paused in year one and resumed slowly in year two. Ongoing challenges with staffing and COVID-19 response prevented this metric from being accomplished. 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.2022 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. See Continuation 4
|
|
AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 4
|
The Hospital did not meet its set metric of sponsoring five community Hands-Only CPR classes. In year three, the Hospital sponsored two classes for a total of 34 participants. The Hospital sponsored four classes for a total of 57 people over the course of the three-year plan. 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 did not meet its set metric of 200 volunteer hours addressing heart disease and stroke. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. 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 did not meet its set metric of supporting two local community clinics by the end of year three. In year three the Hospital provided a financial donation to the Calvary Community Clinic to support the purchase of medical supplies (including high blood pressure medication) to help manage high blood pressure among underinsured and uninsured community members. 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.2022 Update: 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 did not meet its set metric of hosting three summits. In lieu of hosting a summit, the Hospital made a financial donation to the Health and Job Fair hosted by BEST Medical Academy and Grace Community Medical Center in year three. At the end of the fair, five community members successfully secured employment.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 did not meet its set metric of hosting 10 workshops. Due to the COVID-19 pandemic, the Hospital and community organizations paused community programs and presentations. When programs resumed, community partners experienced significant challenges engaging community members to return to programs. One workshop was scheduled over the course of the three-year plan but was cancelled due to low attendance. 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 did not meet its set metric of providing six vouchers to cover the cost of household supplies. In year three, in lieu of providing vouchers for ACTS, the Hospital sponsored the cost of four vouchers for Helping Hands of Hope, a small agency serving people experiencing homelessness. Each voucher was valued at $250 for a total donation of $1,000 to provide care bags containing shelf-stable foods, hygiene products, bug repellent, a poncho, and other items.See Continuation 5
|
|
AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 5
|
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 by providing employment services such as individual employment coaching, resume and job search assistance and a GED and adult education program.The Hospital did not meet its set metric of providing six vouchers to cover the cost of textbooks. Due to the COVID-19 pandemic, both the Hospital and community partners experienced significant staffing challenges and prioritized response efforts. 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.The Hospital met its set metric of contributing 50 volunteer hours addressing poverty. In year three, Hospital team members contributed an additional 10 hours of volunteer time. Hospital team members contributed 62 volunteer hours addressing poverty over the course of the three-year plan. 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).2022 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 did not meet its set metric of supporting 10 class series. In year three, the Hospital supported six class series in collaboration with the UF/IFAS Extension of Hillsborough. The Hospital supported seven class series over the course of the three-year plan. 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 Hospital met its set metric of engaging 100 participants in the Food is Health program. In year three, the hospital engaged 96 participants. The Hospital engaged a total of 130 participants over the course of the three-year plan. 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 Hospital did not meet its set metric of providing 150 health screenings. Due to the COVID-19 pandemic, classes were suspended during year one and were sparse in year two. No screenings were provided in year three due to ongoing staffing challenges in our hospitals across the region. 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 Hospital met its set metric of distributing 400 produce vouchers. In year three, the Hospital distributed 679 produce vouchers to Food is Health participants ($6,790 value). The Hospital distributed 860 produce vouchers over the course of the three-year plan ($8,600). 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 Hospital met its set metric of engaging 12 community partners. In year three, the Hospital engaged ten additional community partners, including a new produce vendor with Feeding Tampa Bay and several community sites (local churches, community centers, technical colleges, etc.). The Hospital engaged a total of 13 community partners over the course of the three-year plan. See Continuation 6
|
|
AdventHealth Tampa - Part V, Section B, Line 11 - Continuation 6
|
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 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 did not meet its set metric of 600 volunteer hours addressing food insecurity. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. In year three, Hospital team members contributed 51 volunteer hours working at a local food pantry and feeding site. Hospital team members contributed a total of 131 volunteer hours addressing food insecurity over the course of the three-year plan. 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.
|
|
AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 2
|
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 Hospital met its set metric of distributing 1,760 produce vouchers. From the eight class series delivered in year three, 1,580 produce vouchers were distributed. By the end of year three the Hospital supported the distribution of 2,619 produce vouchers over the course of the plan. This amounts to $26,190 worth of fresh fruits and vegetables provided for free to individuals and families residing in low income/low access communities. 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 Hospital met its set metric of engaging 18 community partners with the Food is Health program. One new community site was engaged in year three, North Tampa Park. By the end of year three the Hospital engaged 18 new community partners over the course of the plan.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 Hospital did not meet its set metric of engaging 440 participants. In year three, 253 participants were engaged in Food is Health classes. Due to the COVID-19 pandemic, classes were suspended during year one and were sparse in year two. By the end of year three the Hospital supported classes which engaged a total of 396 participants over the course of the plan. 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 Hospital did not meet its set metric of providing 660 health screenings. Due to the COVID-19 pandemic, classes were suspended during year one and were sparse in year two. No additional screenings were provided in year three due to ongoing staffing challenges in our hospitals across the region. By the end of year three the Hospital provided 64 screenings over the course of the plan. 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 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 did not meet its set metric of 600 volunteer hours addressing food insecurity. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. In year three, Hospital team members contributed an additional 51 volunteer hours addressing food with a total of 260 volunteer hours over the course of the three-year plan.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 did not meet its set metric of providing three in-service presentations. Due to the COVID-19 pandemic, community programs and presentations were paused in year one and resumed slowly in year two. Ongoing challenges with staffing and COVID-19 response prevented this metric from being accomplished. 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 did not meet its set metric of providing three in-service presentations. Due to the COVID-19 pandemic, community programs and presentations were paused in year one and resumed slowly in year two. Ongoing challenges with staffing and COVID-19 response prevented this metric from being accomplished. The Hospital was not able to provide presentations over the course of the three-year plan. 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 aged 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%.See Continuation 3
|
|
AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 3
|
2022 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.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 did not meet its set metric of providing three free Mental Health First Aid USA certification classes. The Hospital sponsored one class in year three that trained five participants with the UF/IFAS Hillsborough Extension office. By the end of year three the Hospital sponsored two Mental Health First Aid classes over the course of the plan.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. 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. The Hospital did not meet its set metric of supporting three advocacy groups. While a relationship was formed with NAMI Hillsborough, the organization experienced ongoing staffing challenges because of the COVID-19 pandemic and did not have capacity to engage in their traditional advocacy efforts. The Hospital was unable to support any advocacy groups over the course of the three-year plan. 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. 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 Hospital did not meet its set metric of three social media campaigns held by the end of year three. Though the Hospital did not meet the metric as written, AdventHealth did sponsor an enterprise-wide social media campaign across all markets to raise awareness about mental health. 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. 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 did not meet its set metric of providing six Ending the Silence presentations. Due to ongoing staffing challenges experienced by NAMI Hillsborough, the Ending the Silence presentations were paused, and no additional classes were held in year three. The Hospital supported a total of three classes over the course of the three-year plan. 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.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. 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 did not meet its set metric of providing six In Our Own Voice presentations. Due to ongoing staffing challenges experienced by NAMI Hillsborough, the In Our Own Voice presentations were paused and no additional classes were held in year three. The Hospital supported a total of two classes over the course of the three-year plan. See Continuation 4
|
|
AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 4
|
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 did not meet its set metric of 200 volunteer hours addressing mental health. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. 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%.2022 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 met its set metric of supporting two local community clinics by the end of year three. In year three the Hospital provided a $10,000 donation to the Free Community Clinic of Tampa Bay to support the purchase of medical supplies (including high blood pressure medication) to help manage high blood pressure among underinsured and uninsured community members. The Hospital also donated $500 to the Calvary Community Clinic to support the purchase of medical supplies. By the end of year three the Hospital supported two local community clinics over the course of the plan.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. The Hospital did not meet its set metric of providing nine community lunch and learns on tobacco cessation resources. In year three, the Hospital supported one community lunch and learn hosted by GNAHEC on vaping. A total of 60 participants attended the webinar and $15 GrubHub vouchers were provided for each participant as an incentive. 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. 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). The Hospital did not meet its set metric of 200 team members completing continuing education classes with GNAHEC. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to attend these trainings. A total of two team members attended trainings with GNAHEC over the course of the three-year plan. 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. The Hospital did not meet its set metric of referring 50 patients. A formal referral system was launched in year two, but raising awareness about the referral system took time. There was an alternate option for referrals to another tobacco cessation resource in the system which competed with referrals for classes. In year three, five referrals to GNAHEC tobacco cessation classes were made for patients. The Hospital referred a total of 29 patients over the course of the three-year plan. 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. The Hospital did not meet its set metric of increasing access to 10 tobacco cessation classes. Due to the COVID-19 pandemic, all community classes were paused in year one and resumed in year two. In year three, the Hospital supported five classes by providing $15 GrubHub vouchers for participants as incentives for the virtual classes. The Hospital supported a total of six classes over the course of the three-year plan. 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%.See Continuation 5
|
|
AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 5
|
2022 Update: 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 did not meet its set metric of referring 75 community members to Calvary Community Clinic. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and community events were suspended. A referral system to Calvary Community Clinic was not created, therefore team members were unable to complete and track these referrals.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. 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 did not meet its set metric of referring 400 patients at discharge to Calvary Community Clinic. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. A referral system to Calvary Community Clinic was not created, therefore the Care360 team was unable to complete and track these referrals.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 did not meet its set metric of hosting 10 workshops. In year three, the Hospital hosted one workshop at Abundant Life Worship Center, in collaboration with the Family Healthcare Foundation. The workshop engaged 20 participants in learning about health insurance options, how to enroll in the Marketplace, and provided an opportunity to speak with healthcare navigators. The Hospital hosted two workshops over the course of the three-year plan. 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 met its set metric of 50 volunteer hours addressing access to care. In year three, Hospital team members were not able to contribute additional volunteer hours addressing access to care. Hospital team members contributed a total of 143 volunteer hours addressing access to care over the course of the three-year plan. Priority 5: Substance Misuse2019 Description of the Issue:Substance abuse is the repeated use of harmful mind-altering substances such as drugs and alcohol. Our Community Health Plan 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%.2022 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 met its set metric of creating three partnerships to support recovery from alcoholism. In year three, the Hospital created two new partnerships with Mothers Against Drunk Driving (MADD) and the Hillsborough County Anti-Drug Alliance (HCADA). The Hospital donated $750 to MADD to support their programming. The HCADA has a special subcommittee that addresses alcohol, the Tampa Alcohol Coalition. The Hospital created four new partnerships over the course of the three-year plan. See Continuation 6
|
|
AdventHealth Carrollwood - Part V, Section B, Line 11 - Continuation 6
|
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 did not meet its set metric of sponsoring three support groups. Over the course of the plan, we learned that most support groups are self-sustaining and do not accept support from outside organizations. This created a challenge in achieving the metric. To still address this priority area, the Hospital made a $750 donation to Mothers Against Drunk Driving (MADD), an advocacy group addressing alcohol. 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 did not meet its set metric of hosting one community summit. In year two, a summit with the Hillsborough County Anti-Drug Alliance's Tampa Alcohol Coalition was in the planning phases but was cancelled. The summit planning did not resume over the course of the three-year plan. 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 did not meet its set metric of 150 volunteer hours addressing substance misuse. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. In year three, Hospital team members were not able to contribute additional volunteer hours addressing mental health. Hospital team members contributed a total of 35 volunteer hours addressing substance misuse over the course of the three-year plan.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 increase 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.
|
|
AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 2
|
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. 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.The Hospital did not meet its set metric of engaging staff in 100 volunteer hours addressing heart disease and stroke. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. Goal 2: To increase healthy eating and physical activity among adults and youth in the primary service areaObjective 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 met and exceeded its set metric of offering three nutrition class series. In year three, the Hospital sponsored a class series for 20 participants at Bethlehem Apartments, a low-income community for older adults in Pasco County. The Hospital sponsored a total of four class series over the course of the three-year plan. 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 Hospital met and exceeded its set metric of distributing 120 produce vouchers through the Food is Health program. In year three, the Hospital sponsored the cost of 110 produce vouchers for a value of $1,100. The Hospital sponsored a total of 380 produce vouchers over the course of the three-year plan, with a total value of $3,800 in fresh fruits and vegetables for participants. 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 Hospital met and exceeded its set metric of establishing four community partnerships. In year three, the Hospital developed a new partnership with Bethlehem Apartments, a low-income community for older adults. The Hospital established a total of seven new partnerships for the Food is Health program over the course of the three-year plan. 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 Hospital met and exceeded its set metric of engaging 30 participants in the Food is Health program. In year three, the Hospital sponsored a Food is Health class series at Bethlehem Apartments which engaged 20 participants. The Hospital engaged a total of 69 participants in the program over the course of the three-year plan. 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 Hospital did not meet its set metric of providing 45 health screenings. Due to the COVID-19 pandemic, classes were suspended during year one. Hospital staff were not available to perform screenings in the community in year two or three due to ongoing staffing challenges in our hospitals across the region. 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 is, through 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. This initiative 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 did not meet its set metric of 200 volunteer hours addressing food insecurity. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. In year three, the Hospital held a food drive for a high-volume local food pantry, Helping Hands at Atonement Lutheran Church. A hospital team member volunteered three hours to help coordinate the food drive. Hospital team members contributed a total of 11 volunteer hours and a financial donation to address food insecurity over the course of the three-year plan. See Continuation 3
|
|
AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 3
|
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%.2022 Update: 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 did not meet its set metric of co-hosting three Pasco County Substance Abuse Taskforce meetings. Due to the COVID-19 pandemic, meetings were cancelled for year one and two. Two meetings were held in year three, but team members from the Hospital were not able to attend. Due to staffing changes, the taskforce was temporarily put on hold. The Hospital supported other community initiatives to address the priority area of substance use, including providing 35 GrubHub vouchers (valued at $500) as an incentive for participants to attend the Wellness Walkthrough, a virtual event highlighting substance use prevention, treatment, and recovery resources. 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 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 Hospital met its set metric of co-hosting one community forum in collaboration with the Pasco County Substance Abuse Taskforce. The Wellness Walkthrough virtual event was held in year three, involving several community partners highlighting local resources on substance use prevention, treatment, and recovery. The event also included stories of hope from individuals with lived experience. The Hospital co-sponsored the cost of 35 GrubHub vouchers (valued at $15 each) for participants as an incentive. Over 100 people attended the event. 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.The Hospital did not meet its set metric of providing three Mental Health First Aid classes. Due to the COVID-19 pandemic, community education activities were suspended, and this metric was delayed. In year three, the Hospital sponsored two classes which trained 22 participants in Mental Health First Aid. Goal 2: To identify community partners addressing substance abuse or offering support groups/classes in the communityObjective 1: The first 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 did not meet its set metric of supporting two ongoing support groups. After doing extensive research in the community to find support groups to support, it was discovered that most support groups are self-sustaining and do not accept support or donations from outside entities. To still address the priority area of substance use, the Hospital supported two local events hosted by the Pasco Alliance for Substance Use and Prevention (Pasco ASAP); their Pedal for Prevention event and the Stronger Together Recovery Walk. The Hospital sponsored the cost of snacks and bottled water for these events. 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.See Continuation 4
|
|
AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 4
|
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. 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 did not meet its set metric of providing three NAMI Ending the Silence presentations. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. When NAMI was ready to resume programming, it was challenging to schedule Ending the Silence presentations for youth due to increased burdens placed on schools during and following the pandemic. To provide an alternative option for working with NAMI, in year three the Hospital collaborated on a community virtual event on traumatic brain injury and its effect on mental health. The event featured a panel discussion with medical professions, mental health professionals, and individuals with lived experience. GrubHub vouchers were sponsored by the Hospital as an incentive for participation ($15 per person). Thirteen participants attended. 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 did not meet its set metric of engaging staff in 300 volunteer hours addressing the misuse of alcohol, tobacco, and other substances. Due to the COVID-19 pandemic, the Hospital experienced significant challenges with staffing, and it was difficult for team members to step away from their normal duties to volunteer on paid time. 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%.2022 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. 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.The Hospital did not meet its set metric of providing three community lunch and learns on tobacco cessation resources. In year three, the Hospital supported one community lunch and learn hosted by GNAHEC on vaping. A total of 60 participants attended the webinar and $15 GrubHub vouchers were provided for each participant as an incentive. 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. The Hospital did not meet its set metric of providing continuing education to 75 team members. Due to the COVID-19 pandemic, staffing priorities shifted to providing essential services and educational programs were suspended. Ongoing challenges related to staffing for the Hospital interfered with achieving this metric. GNAHEC hosted one training event in year three and five staff attended for CEUs. 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. The Hospital did not meet its set metric of providing 50 referrals to GNAHEC. Due to the Hospital being a long-term acute care facility, the nature of referrals was different than traditional hospitals. The Hospital did share GNAHEC resources with patients and their families and advertised tobacco cessation classes in common spaces but did not formally make referrals via the fax or electronic system for tracking. The Hospital made zero referrals over the course of the three-year plan. See Continuation 5
|
|
AdventHealth Connerton - Part V, Section B, Line 11 - Continuation 5
|
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. 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 did not meet its set metric of hosting six tobacco cessation classes. Due to the COVID-19 pandemic, all community classes were suspended in year one and into year two. When classes resumed, it was challenging to engage community members in sponsored classes and attendance was low in tobacco cessation classes throughout the region. The Hospital sponsored zero classes over the course of the three-year plan. 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 time2. 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 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 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.
|
|
Part V, Section B, Line 7a
|
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
|
|
Part V, Section B, Line 10a
|
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
|
|
Part V, Section B, Line 16a, b, and c:
|
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
|
|
Part V, Section B, Line 8 - 10a CHNA Implementation Strategy
|
The filing organization adopted a Community Health Needs Assessment Report by 12/31/2022 and was in the process of developing its Community Health Needs Implementation Strategy at that time. The filing organization's 2023-2025 Community Health Needs Implementation Strategy is documented in a written report called the "Community Health Plan". The Community Health Plan (CHP) describes how the filing organization plans to meet its identified prioritized health needs or identifies the health need as one the filing organization does not intend to specifically address and provides an explanation as to why the filing organization does not intend to address that health need. The filing organization's 2023-2025 CHP was adopted by May 15, 2023 and is posted on the hospital facility's website.
|
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.