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PART V, SECTION B, LINE 3E
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THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA.
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PART V, SECTION B, LINE 5- REPORTING GROUP A
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PENROSE HOSPITAL, ST. FRANCIS HOSPITAL. IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELPED US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. PENROSE & ST FRANCIS HOSPITAL CREATED A CHNA COMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA AND PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM THE EL PASO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. WE PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY USING THE COMMONSPIRIT HEALTH PRIORITIZATION METHOD, ADAPTED FROM THE HANLON METHOD FOR PRIORITIZING HEALTH PROBLEMS. FIRST, THE CHNA SUBCOMMITTEE RATED EACH IDENTIFIED NEED ON A SCALE OF 1-4 (LOW - HIGH) AGAINST THE SIZE OF THE PROBLEM AND THE SERIOUSNESS OF THE PROBLEM. THIS RANKING WAS CALCULATED BY ADDING THESE TWO RANKINGS TOGETHER. FOR THE TOP HEALTH INDICATORS, WE SCHEDULED MEETINGS FROM MARCH THROUGH NOVEMBER 2022 TO COLLECT INFORMATION ABOUT THAT WHICH IS ALREADY HAPPENING, GAPS RELATED TO EACH PRIORITY AND PUBLIC HEALTH QUALITATIVE DATA. BASED UPON THESE RESULTS, THE COMMITTEE IDENTIFIED THE PRIORITIES UPON WHICH TO FOCUS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: PENROSE HOSPITAL, SERVING THE BROADER COMMUNITY. EL PASO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY, CATHOLIC CHARITIES, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION, COLORADO SPRINGS OSTEOPATHIC FOUNDATION, SERVING THE BROADER COMMUNITY, COMMUNITY HEALTH PARTNERSHIP, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION, INNOVATIONS IN AGING COLLABORATIVE, REPRESENTING SENIORS, NAMI COLORADO SPRINGS, REPRESENTING THE BROADER COMMUNITY, SILVER KEY SENIORS SERVICES, REPRESENTING SENIORS, TRI-LAKES CARES, REPRESENTING THE VULNERABLE POPULATION, WESTSIDE CARES, REPRESENTING THE VULNERABLE POPULATION AND IMMIGRANT COMMUNITY.ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITALIN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELPED US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION.ST. ANTHONY HOSPITAL COLLABORATED WITH JEFFERSON COUNTY PUBLIC HEALTH AND LUTHERAN MEDICAL CENTER TO CONDUCT OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FROM MARCH THROUGH NOVEMBER 2022 TO COLLABORATIVELY TO COVER OUR SHARED SERVICE AREA AND TO INCLUDE CLEAR CREEK COUNTY IN THE DISCUSSIONS. TOGETHER WE IDENTIFIED OUR COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE. ST. ANTHONY HOSPITAL ASSOCIATES ALSO PARTICIPATED IN THIS PROCESS THROUGH MEETING PARTICIPATION. WE HAVE ALIGNED PRIORITIES ACROSS COMMUNITY ASSESSMENT PARTNERS TO ENSURE GREATER MOVEMENT TOWARD THE SAME GOALS AND COMPLEMENTARY EFFORTS. IN ADDITION TO LOCAL PARTNERSHIPS, COMMONSPIRIT HEALTH SITS ON THE METRO DENVER PARTNERSHIP FOR HEALTH, A PARTNERSHIP BETWEEN NONPROFIT HOSPITALS, METRO DENVER PUBLIC HEALTH DEPARTMENTS, REGIONAL ACCOUNTABLE ENTITIES AND HUMAN SERVICES DEPARTMENTS TO ALIGN COMMUNITY HEALTH EFFORTS ACROSS THE SEVEN-COUNTY REGION, OF WHICH JEFFERSON COUNTY IS A PART.THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: CITY OF ARVADA, REPRESENTING THE BROADER COMMUNITY; CLEAR CREEK COUNTY, REPRESENTING THE BROADER COMMUNITY; COLORADO CHRISTIAN UNIVERSITY, REPRESENTING FAITH BASED COMMUNITIES; COLORADO COMMUNITY HEALTH ALLIANCE, REPRESENTING THE BROADER COMMUNITY; COMMUNITY FIRST FOUNDATION, REPRESENTING THE BROADER COMMUNITY WITH A FOCUS ON VULNERABLE POPULATIONS; EDGEWATER COLLECTIVE, REPRESENTING VULNERABLE COMMUNITY MEMBERS; EVERGREEN FIRE RESCUE, REPRESENTING THE BROADER COMMUNITY; JEFFERSON CENTER FOR MENTAL HEALTH, REPRESENTING THOSE NEEDING BEHAVIORAL HEALTH SERVICES; JEFFERSON COUNTY PUBLIC HEALTH, REPRESENTING THE BROADER COMMUNITY; JEFFERSON COUNTY HEADING HOME, REPRESENTING THE UNHOUSED AND AT-RISK OF BEING HOMELESS POPULATION; JEFFERSON COUNTY HUMAN SERVICES, REPRESENTING THE BROADER COMMUNITY; JEFFERSON COUNTY LIBRARY, REPRESENTING THE BROADER COMMUNITY; JEFFERSON COUNTY PUBLIC SCHOOLS, REPRESENTING THE BROADER COMMUNITY; METRO DENVER HOMELESS INITIATIVE, REPRESENTING THE UNHOUSED AND AT-RISK OF BEING HOMELESS POPULATION; RED ROCKS COMMUNITY COLLEGE, REPRESENTING THE BROADER COMMUNITY; ROOT POLICY, REPRESENTING THE VULNERABLE AND UNDERPRESENTED COMMUNITY; STRIDE COMMUNITY HEALTH CENTER, REPRESENTING THOSE SEEKING BEHAVIORAL HEALTH SERVICES; THE ACTION CENTER, REPRESENTING THE VULNERABLE; RESIDENTS, REPRESENTING THE BROADER COMMUNITY.ST. ANTHONY NORTH HOSPITAL IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELPED US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. ST. ANTHONY NORTH HOSPITAL COLLABORATED WITH BROOMFIELD AND TRI COUNTY PUBLIC HEALTH WITH THEIR REPRESENTATION ON OUR STEERING COMMITTEE. IN ADDITION TO SERVING ON OUR STEERING COMMITTEE, WE AGREED WITH THE PUBLIC HEALTH DEPARTMENTS TO ALIGN COMMUNITY BASED EFFORTS IN ORDER TO AVOID DUPLICATION AND ADDRESS COMMUNITY HEALTH HOLISTICALLY. WE HAVE INTENTIONALLY ALIGNED STRATEGIES, AS APPLICABLE, TO ENSURE GREATER MOVEMENT TOWARD SAME GOALS AND COMPLEMENTARY EFFORTS. IN ADDITION TO THE PARTNERSHIPS WITH LOCAL PUBLIC HEALTH DEPARTMENTS, COMMONSPIRIT HEALTH SITS ON THE METRO DENVER PARTNERSHIP FOR HEALTH, A PARTNERSHIP BETWEEN NONPROFIT HOSPITALS AND PUBLIC HEALTH DEPARTMENTS TO ALIGN EFFORTS ACROSS THE SEVEN-COUNTY REGION. OUR STEERING COMMITTEE MET FROM MARCH THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: ADAMS 12 SCHOOL DISTRICT, SERVING THE BROADER COMMUNITY; ADAMS COUNTY, SERVING THE BROADER COMMUNITY; BROOMFIELD COMMUNITY SERVICES NETWORK, SERVING THE BROADER COMMUNITY AND VULNERABLE POPULATION; BROOMFIELD COUNTY PUBLIC HEALTH, SERVING THE BROADER COMMUNITY; BROOMFIELD FISH, SERVING THOSE FACING FOOD INSECURITY; COLECTIVA, SERVING THE VULNERABLE AND UNDERREPRESENTED POPULATION; FOOD BANK OF THE ROCKIES, SERVING THOSE FACING FOOD INSECURITY; GROWING HOME, SERVING THE IMMIGRANT POPULATION; STATE OF COLORADO, HCPF, SERVING THE BROADER COMMUNITY; TRI COUNTY PUBLIC HEALTH, SERVING THE BROADER COMMUNITY; VUELA FOR HEALTH, SERVING THE HISPANIC COMMUNITY; WESTMINSTER PUBLIC SCHOOLS, SERVING THE BROADER COMMUNITY.
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PART V, SECTION B, LINE 5- REPORTING GROUP A-CONTINUED
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MERCY HOSPITALTHE CHNA WAS CONDUCTED THROUGH A COLLABORATIVE PARTNERSHIP BETWEEN SAN JUAN BASIN DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, COMMUNITY STAKEHOLDERS, AND MERCY HOSPITAL. ADDITIONALLY, WE PARTNERED WITH THE COLORADO HEALTH INSTITUTE TO COMPLETE KEY INFORMANT INTERVIEWS. INFORMATION GATHERED FROM THESE INTERVIEWS WILL BE USED TO BUILD EQUITABLE INTERVENTIONS FOR EACH IDENTIFIED HEALTH PRIORITY.MERCY HOSPITAL CONDUCTED FOUR COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY SUBCOMMITTEE MEETINGS WITH COMMUNITY-BASED ORGANIZATIONS. ORGANIZATIONS WERE IDENTIFIED BASED UPON THEIR CONNECTION WITH THE COMMUNITY, INCLUDING THOSE SERVING PEOPLE WHO ARE MEDICALLY UNDERSERVED AND AT GREATER RISK OF POOR HEALTH AND THOSE ORGANIZATIONS WITH INFLUENCE ON OVERALL HEALTH IN THE COMMUNITY. STAKEHOLDERS PROVIDED INPUT IN MULTIPLE MEETINGS TO RANK AND PRIORITIZE HEALTH ISSUES, IDENTIFY BOTH COMMUNITY ASSETS AND GAPS, AND TO IDENTIFY STRATEGIES FOR THE HEALTH PRIORITIES. WE BEGAN THE DATA COLLECTION PROCESS BY SELECTING QUANTITATIVE INDICATORS FOR ANALYSIS. COMMUNITY COMMONS, A POPULATION HEALTH INDICATOR DATA PLATFORM, WAS UTILIZED THROUGHOUT THE QUANTITATIVE DATA COLLECTION PROCESS. THIS PLATFORM COMPILES DATA FROM THE US CENSUS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE CDC, THE NATIONAL VITAL STATISTICS SYSTEM, AND THE AMERICAN COMMUNITY SURVEY, AMONG OTHERS. SPECIFIC HEALTH INDICATOR DATA WERE SELECTED, INCLUDING COMMUNITY DEMOGRAPHIC INFORMATION, BEHAVIOR AND ENVIRONMENTALHEALTH DRIVERS AND OUTCOMES INDICATORS, AS WELL AS COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE COMMUNITY IN TERMS OF ITS DEMOGRAPHICS, DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS. WE ENGAGED OUR COMMUNITY BY PRESENTING THESE QUANTITATIVE DATA TO INFORM THE PROCESS OF IDENTIFYING AND PRIORITIZING SIGNIFICANT HEALTH NEEDS. MERCY HOSPITAL CREATED A CHNA COMMITTEE TO REVIEW THE QUALITATIVE AND QUANTITATIVE HEALTH DATA AND PRIORITIZE HEALTH NEEDS IN OUR COMMUNITIES. THIS SUBCOMMITTEE WAS MADE UP OF BOTH HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM SAN JUAN BASIN PUBLIC HEALTH DEPARTMENT. WE PRIORITIZED HEALTH NEEDS IN OUR COMMUNITY USING THE COMMONSPIRIT HEALTH PRIORITIZATION METHOD, ADAPTED FROM THE HANLON METHOD FOR PRIORITIZING HEALTH PROBLEMS. FIRST, THE CHNA SUBCOMMITTEE RATED EACH IDENTIFIED NEED ON A SCALE OF 1-4 (LOW - HIGH) AGAINST THE SIZE OF THE PROBLEM AND THE SERIOUSNESS OF THE PROBLEM. THIS RANKING WAS CALCULATED BY ADDING THESE TWO RANKINGS TOGETHER. FOR THE TOP HEALTH INDICATORS, WE SCHEDULED MEETINGS FROM MARCH THROUGH NOVEMBER 2022 TO COLLECT INFORMATION ABOUT THAT WHICH IS ALREADY HAPPENING, GAPS RELATED TO EACH PRIORITY AND PUBLIC HEALTH QUALITATIVE DATA. BASED UPON THESE RESULTS, THE COMMITTEE IDENTIFIED THE PRIORITIES UPON WHICH TO FOCUS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: MERCY HOSPITAL, SERVING THE BROADER COMMUNITY; MERCY'S BOARD OF TRUSTEES, SERVING THE BROADER COMMUNITY; SAN JUAN BASIN DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY; SAN JUAN BASIN AREA AGENCY ON AGING, SERVING THE OLDER POPULATION; LA PLATA COUNTY EXTENSION, SERVING THE BROADER COMMUNITY; SOUTHWESTERN COLORADO AREA HEALTH EDUCATION CENTER, SERVING THE BROADER COMMUNITY; 6TH JUDICIAL PROBATION DEPARTMENT, SERVING THE BROADER COMMUNITY; AXIS HEALTH SYSTEM, SERVING THE BROADER COMMUNITY AND THOSE NEEDING BEHAVIORAL HEALTH SERVICES; HEALTHCARE ADVOCATE, SERVING THE BROADER COMMUNITY.ST. MARY-CORWIN HOSPITAL IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELPED US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION.TO GLEAN COMMUNITY LEADER PERSPECTIVES ON RISK FACTORS, BARRIERS, AND PRIORITY POPULATIONS FOR OBESITY AND BEHAVIORAL HEALTH, THE DELPHI METHOD WAS EMPLOYED. THE DELPHI METHOD IS A MULTI-ROUND APPROACH WHICH USES AN EXPERT PANEL TO ANONYMOUSLY OR CONFIDENTIALLY PROVIDE RESPONSES TO QUESTIONS IN AN INITIAL ROUND AND THEN PROVIDE FEEDBACK ON THE GROUP'S RESPONSES IN LATER ROUNDS WITH THE AIM OF REACHING GROUP CONSENSUS. PARTICIPANTS MUST COMPLETE EACH ROUND TO MOVE ON TO THE NEXT ROUND. THE DELPHI QUESTIONS MAY BE FOUND IN APPENDIX F.CHA PLANNING TEAM MEMBERS CREATED A LIST OF INFLUENTIAL AND KNOWLEDGEABLE LEADERS IN OBESITY AND/OR BEHAVIORAL HEALTH SECTORS. IN THE FIRST ROUND, AN ELECTRONIC SURVEY WAS CREATED USING GOOGLE FORMS, AND RESPONDENTS WERE ASKED TO GENERATE IDEAS ON SEVEN OPEN-ENDED QUESTIONS RELATED TO OBESITY AND BEHAVIORAL HEALTH. A LINK TO THE SURVEY WAS EMAILED TO THE POTENTIAL RESPONDENTS BY A DESIGNATED CHA PLANNING TEAM MEMBER. THE FIRST ROUND WAS LIVE IN GOOGLE FORMS FROM APRIL 5 UNTIL APRIL 16, 2021. A MEMBER OF THE PROJECT MANAGEMENT TEAM ANALYZED THE RESPONSES FROM ROUND ONE, GROUPING ITEMS INTO THEMES AND CREATING TEN RESPONSE OPTIONS FOR EACH QUESTION. FOR ROUND TWO, AN ELECTRONIC SURVEY WAS CREATED IN GOOGLE FORMS AND RESPONDENTS WERE ASKED TO RANK, IN PRIORITY ORDER, THE TEN OPTIONS FOR EACH OF SEVEN QUESTIONS FROM ROUND ONE. AGAIN, AN EMAIL WAS SENT TO EACH RESPONDENT BY A MEMBER OF THE PLANNING TEAM. ROUND TWO WAS LIVE IN GOOGLE FORMS FROM MAY 3 UNTIL MAY 12, 2021. IN ROUND THREE, A PERSONALIZED DOCUMENT WITH THE LEADERSHIP GROUP'S TOP FIVE RANKINGS FOR EACH QUESTION, THE PARTICIPANT'S INDIVIDUAL RANKING ON THE QUESTIONS, AND A SPACE TO EITHER CONFIRM OR CHANGE THEIR TOP FIVE RANK WAS CREATED AND EMAILED TO EACH PARTICIPANT. ROUND THREE WAS OPEN FROM MAY 20 UNTIL MAY 28, 2021. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: COLORADO STATE UNIVERSITY, SERVING THE BROADER COMMUNITY; PUEBLO WEST METRO DISTRICT, SERVING THE BROADER COMMUNITY; CROSSROADS' TURNING POINTS, INC., SERVING THE BROADER COMMUNITY; PUEBLO BOARD OF HEALTH, SERVING THE BROADER COMMUNITY; HEALTH COLORADO, SERVING THE MEDICAID COMMUNITY; NEIGHBORHOOD REPRESENTATIVE/ ADVOCATE, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY; SENIOR RESOURCE DEVELOPMENT AGENCY, SERVING THE SENIOR COMMUNITY; PUEBLO COMMUNITY HEALTH CENTER, SERVING THE VULNERABLE AND MEDICALLY UNDERSERVED COMMUNITY; UNITED WAY OF PUEBLO COUNTY, SERVING THE BROADER COMMUNITY; PARKVIEW HEALTH SYSTEM, SERVING THE BROADER COMMUNITY; HEALTH SOLUTIONS, SERVING THOSE NEEDING BEHAVIORAL HEALTH SERVICES; PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY.
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PART V, SECTION B, LINE 5- REPORTING GROUP A-CONTINUED
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ST. ANTHONY SUMMIT HOSPITAL IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELPED US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION. EVERY FIVE YEARS, ALL PUBLIC HEALTH AGENCIES IN COLORADO ARE REQUIRED TO FOLLOW THE COLORADO HEALTH ASSESSMENT AND PLANNING SYSTEM (CHAPS) PROCESS TO CREATE A PUBLIC HEALTH IMPROVEMENT PLAN FOR SUBMISSION TO THE OFFICE OF PUBLIC HEALTH PRACTICE, PLANNING, AND LOCAL PARTNERSHIPS. SUMMIT COUNTY, COLORADO'S LAST PUBLIC HEALTH IMPROVEMENT PLAN WAS FOR 2017 - 2022. IN 2022, SUMMIT COUNTY PUBLIC HEALTH AND ST. ANTHONY SUMMIT MEDICAL CENTER, COMMONSPIRIT HEALTH PARTNERED WITH OMNI INSTITUTE TO CONDUCT SUMMIT COUNTY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND CORRESPONDING STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2023 - 2028. OUR STEERING COMMITTEE MET FROM FEBRUARY THROUGH NOVEMBER OF 2022 VIA ZOOM MEETINGS AND BY COMPLETING SURVEYS TO RANK AND PRIORITIZE OUR STRATEGIES AND PROGRAMS, INCLUDING ASSETS AND GAPS. ADDITIONALLY, THE HOSPITAL PROVIDED A SUMMARY OF OUR STRATEGIES TO OUR COMMUNITY ORGANIZATIONS AND MEMBERS TO GET ADDITIONAL FEEDBACK. OMNI INSTITUTE WANTS TO THANK THE MORE THAN 300 MEMBERS OF THE SUMMIT COUNTY, COLORADO COMMUNITY WHO CONTRIBUTED THEIR TIME AND EXPERTISE FOR THIS REPORT THROUGH SHARING THEIR INSIGHTS WITH OUR RESEARCH TEAM ON KEY HEALTH CONCERNS AND ASSETS VIA INTERVIEWS, FOCUS GROUPS, SURVEY, PHOTOVOICE.ST.THOMAS MORE HOSPITAL IN ORDER TO ASSESS THE NEEDS OF OUR COMMUNITY, WE CREATED A HOSPITAL SUBCOMMITTEE MADE UP OF KEY STAKEHOLDERS AND INDIVIDUALS WHO REPRESENTED THE BROADER INTERESTS OF OUR COMMUNITY. PUBLIC HEALTH REPRESENTATIVES ATTENDED EVERY MEETING AND PROVIDED INPUT INTO THE PROCESS OF NARROWING THE SELECTION OF HEALTH ISSUES. ONCE HEALTH NEEDS WERE PRIORITIZED, WE DETERMINED GROUPS AND INDIVIDUALS APPROPRIATE FOR FOCUS GROUPS, BEING SURE TO SOLICIT INPUT FROM UNDERSERVED OR MINORITY GROUPS WITHIN THE COMMUNITIES WE SERVE. THESE FOCUS GROUPS HELPED IDENTIFY PARTICULARLY IMPORTANT NEEDS AS SEEN BY OUR COMMUNITIES, HELPED US IDENTIFY GAPS IN KNOWLEDGE, AND UNDERSTAND CURRENT EXTERNAL EFFORTS AROUND HEALTH NEEDS THAT COULD BE IMPROVED BY HEALTHCARE PARTICIPATION.ST. THOMAS MORE HOSPITAL PARTNERED WITH THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TO DEVELOP THE CHNA. WE LEVERAGE QUALITATIVE AND QUANTITATIVE SOURCES TO DEVELOP THE CHNA, INCLUDING THE COLLECTION OF DATA FROM THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT REGARDING CURRENT INDICATORS OF HEALTH FOR FREMONT COUNTY RESIDENTS AND SURVEYS OF RESIDENTS AND COMMUNITY LEADERS REGARDING THE TOP HEALTH CONCERNS FOR THE COUNTY. IN ADDITION TO OUR COLLABORATION WITH THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, ST. THOMAS MORE HOSPITAL ALSO PARTNERED WITH THE COLORADO HEALTH INSTITUTE TO CONVENE SUBJECT MATTER EXPERTS FROM COMMUNITY-BASED ORGANIZATIONS FOCUSED ON SPECIFIC HEALTH INDICATORS AND THEIR SOCIAL DETERMINANTS OF HEALTH DOMAINS. FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT AND ST. THOMAS MORE HOSPITAL CONVENED A CHNA SUBCOMMITTEE WHICH MET FROM MARCH THROUGH NOVEMBER 2022 VIA ZOOM AND IN PERSON MEETINGS. THE STEERING COMMITTEE WAS MADE UP OF THE FOLLOWING ORGANIZATIONS AND REPRESENT THE FOLLOWING TARGET POPULATIONS: ST. THOMAS MORE HOSPITAL, SERVING THE BROADER COMMUNITY; FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, SERVING THE BROADER COMMUNITY; FREMONT COUNTY EMERGENCY MANAGEMENT, SERVING THE BROADER COMMUNITY; CANON CITY SCHOOLS, SERVING THE BROADER COMMUNITY; CANON CITY SCHOOLS - RE-1, SERVING THE BROADER COMMUNITY; CITY OF CANON CITY, CHIEF OF POLICE, SERVING THE BROADER COMMUNITY; DEPARTMENT OF HUMAN SERVICES, FREMONT COUNTY, SERVING THE BROADER COMMUNITY; FLORENCE FIRE PROTECTION DISTRICT, SERVING THE BROADER COMMUNITY; HEALTH COLORADO, INC., SERVING THE MEDICAID COMMUNITY; HILDEBRAND CAMPUS OF CARE, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY; LEAVES AND FISHES MINISTRIES, SERVING THE VULNERABLE AND UNDERREPRESENTED COMMUNITY.
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PART V, SECTION B
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FACILITY REPORTING GROUP A
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FACILITY REPORTING GROUP A CONSISTS OF:
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- FACILITY 1: PENROSE HOSPITAL, - FACILITY 2: ST. ANTHONY HOSPITAL, - FACILITY 3: ST. ANTHONY NORTH HOSPITAL, - FACILITY 4: MERCY HOSPITAL, - FACILITY 5: ST. MARY-CORWIN HOSPITAL, - FACILITY 6: ST. FRANCIS HOSPITAL, - FACILITY 7: ST. ANTHONY SUMMIT HOSPITAL, - FACILITY 11: ST. THOMAS MORE HOSPITAL, - FACILITY 13: ORTHOCOLORADO HOSPITAL
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FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:
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PENROSE HOSPITAL AND ST FRANCIS HOSPITAL CONDUCTED A JOINT CHNA.ST ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL CONDUCTED A JOINT CHNA.
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FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:
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PENROSE HOSPITAL AND ST FRANCIS HOSPITAL -EL PASO COUNTY PUBLIC HEALTH (EPCPH)
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PART V, SECTION B
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FACILITY REPORTING GROUP B
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FACILITY REPORTING GROUP B CONSISTS OF:
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- FACILITY 9: HOLY CROSS HOSPITAL - JORDAN VALLEY, - FACILITY 10: HOLY CROSS HOSPITAL - DAVIS, - FACILITY 12: HOLY CROSS HOSPITAL - SALT LAKE, - FACILITY 14: HOLY CROSS HOSPITAL - JORDAN VALLEY WEST, - FACILITY 15: HOLY CROSS HOSPITAL - MOUNTAIN POINT, - FACILITY 16: ST. FRANCIS HOSPITAL-INTERQUEST
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FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 2:
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CHI ACQUIRED THE FOLLOWING HOLY CROSS HOSPITALS - JORDAN VALLEY, DAVIS, SALT LAKE, JORDAN VALLEY WEST, AND MOUNTAIN POINT ON 5/1/2023.ST. FRANCIS HOSPITAL INTERQUEST IN COLORADO SPRINGS COLORADO OPENED JULY 2023.
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FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 11:
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THE FIVE HOLY CROSS HOSPITALS WERE ACQUIRED ON MAY 1, 2023, AND WILL NOT COMPLETE THEIR FIRST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) UNTIL JUNE 2025. AS A RESULT, THERE WAS NOT A CHNA OR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN PLACE FOR FY24. NEVERTHELESS, THE HOSPITAL MADE SIGNIFICANT CONTRIBUTIONS TO THE COMMUNITY THROUGH THE FOLLOWING:DIVERSITY, EQUITY, AND INCLUSION (DEI): COMMONSPIRIT HEALTH HAS MADE DIVERSITY, EQUITY, AND INCLUSION A CORE PRIORITY WITHIN OUR REGION TO ADDRESS HEALTH INEQUITY. TO ADVANCE THESE EFFORTS, WE INVESTED 5 MILLION TOWARDS REGIONAL HEALTH EQUITY GRANTS AND ADMINISTRATION TO SUPPORT COMMUNITY ORGANIZATIONS WORKING TO IMPROVE OUTCOMES IN BEHAVIORAL HEALTH, FOOD SECURITY, AND SOCIAL JUSTICE. COLORADO GRANTS TOTALED $2,738,185, KANSAS $327,581, UTAH $725,000THE FOLLOWING ORGANIZATIONS RECEIVED HEALTH EQUITY FUNDING TO SUPPORT THE OUR UTAH COMMUNITIES: ADOPT-A-NATIVE-ELDER SERVING OLDER ADULTS; ALLIANCE COMMUNITY SERVICES, SERVING OLDER ADULTS; FAMILY PROMISE OF OGDEN, SERVING UNHOUSED CHILDREN; MIDVALE COMMUNITY BUILDING COMMUNITY, SERVING REFUGEE AND IMMIGRANT COMMUNITIES; NAVAJO STRONG, SERVING NATIVE AMERICAN COMMUNITY; OGDEN VALLEY ADAPTIVE SPORTS, SERVING INDIVIDUALS WITH DISABILITIES; RED BARN FARMS, SERVING CORRECTIONAL / JUSTICE INVOLVED INDIVIDUALS; THE CHILDREN'S CENTER UTAH, SERVING CHILDREN AND INDIVIDUALS WITH DISABILITIESCOMMONSPIRIT HEALTH ALSO PARTNERED WITH THE WHY NOT YOU FOUNDATION AND FUNDED: EYE CARE FOR KIDS, SERVING YOUTH
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PART V, SECTION B
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FACILITY REPORTING GROUP C
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FACILITY REPORTING GROUP C CONSISTS OF:
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- FACILITY 8: ST. ELIZABETH HOSPITAL
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FACILITY REPORTING GROUP - C PART V, SECTION B, LINE 5:
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ST. ELIZABETH HOSPITAL : THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED THROUGH A COMPREHENSIVE APPROACH, COMBINING BOTH PRIMARY AND SECONDARY DATA SOURCES. THESE INCLUDED FOCUS GROUPS WITH COMMUNITY ORGANIZATIONS, INTERVIEWS WITH KEY STAKEHOLDERS, PUBLIC HEALTH STATISTICS, AND U.S. CENSUS DATA. PRIMARY QUALITATIVE DATA WAS GATHERED FROM FOCUS GROUP DISCUSSIONS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS. THIS QUALITATIVE INPUT WAS VALIDATED BY SECONDARY QUANTITATIVE DATA FROM LOCAL, STATE, AND NATIONAL DATASETS MAINTAINED BY GOVERNMENTAL AND NONGOVERNMENTAL ORGANIZATIONS. THIS MIXED-METHODS APPROACH ENABLED THE TRIANGULATION OF DATA FROM DIVERSE SOURCES, ENSURING A WELL-ROUNDED AND RELIABLE UNDERSTANDING OF COMMUNITY HEALTH NEEDS. ST. ELIZABETH HOSPITAL ORGANIZED SEVERAL ADVISORY SUBCOMMITTEE MEETINGS FOR THE CHNA, ENGAGING WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. THESE ORGANIZATIONS WERE SELECTED FOR THEIR CONNECTIONS TO THE COMMUNITY, PARTICULARLY THOSE THAT SERVE MEDICALLY UNDERSERVED INDIVIDUALS, AS WELL AS THOSE WITH A SIGNIFICANT INFLUENCE ON OVERALL COMMUNITY HEALTH. TWO FOCUS GROUPS WERE CONDUCTED WITH LEADERS FROM COMMUNITY-BASED ORGANIZATIONS THAT FREQUENTLY WORK WITH UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE HOSPITAL COORDINATED THESE SESSIONS WITH THE FOLLOWING ORGANIZATIONS: CENTENNIAL BEHAVIORAL HEALTH, SERVING THE BROADER COMMUNITY AND THOSE WITH BEHAVIORAL HEALTH NEEDS; SARA HOUSE, SERVING THE BROADER COMMUNITY THAT HAVE EXPERIENCED INTERPERSONAL VIOLENCE; UNITED WAY OF MORGAN COUNTY, SERVING THE BROADER COMMUNITY; RISING UP, SERVING THE BROADER COMMUNITY THAT HAVE EXPERIENCED INTERPERSONAL VIOLENCE; MORGAN COUNTY FAMILY CENTER, SERVING THE BROADER COMMUNITY AND THOSE FACING ECONOMIC HARDSHIP; INTERNATIONAL ASSOCIATION FOR REFUGEES, SERVING THE REFUGEE POPULATION; MORGAN COMMUNITY COLLEGE, SERVING THE BROADER COMMUNITY; ST. ELIZABETH CHAPLAIN/PASTOR, SERVING THE FAITH COMMUNITY AND BROADER COMMUNITY; CENTER FOR HEALTH PROGRESS, SERVING THE BROADER COMMUNITY AND THOSE FACING HEALTH INEQUITIES; FORT MORGAN COMMUNITY HOSPITAL ASSOCIATION, THE BROADER COMMUNITY; S.H.A.R.E., INC. (SELF HELP AND RESOURCE EXCHANGE), SERVING THE LOW-INCOME COMMUNITY, SENIORS AND THOSE WITH DISABILITIES.ADDITIONALLY, A HEALTHCARE PROVIDERS FOCUS GROUP WAS CONDUCTED WITH ELEVEN LOCAL PROVIDERS WHO SERVE THE COMMUNITY, INCLUDING THOSE WORKING WITH UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE PROVIDERS WERE ASKED SIMILAR QUESTIONS TO IDENTIFY THE KEY HEALTH NEEDS OF BOTH ADULT AND YOUTH POPULATIONS IN THE REGION. COMMUNITY LEADER INTERVIEWS WERE ALSO CONDUCTED WITH INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS AND PROVIDED VALUABLE INSIGHTS INTO THE BROADER HEALTH CHALLENGES AND OPPORTUNITIES WITHIN THE COMMUNITY: BREAK THE SILENCE, SERVING THE BROADER COMMUNITY AND THOSE NEEDING BEHAVIOR HEALTH SUPPORT AND SERVICES; FORT MORGAN POLICE CHIEF; MAYOR OF BRUSH, CO, SERVING THE BROADER COMMUNITY; MAYOR OF FORT MORGAN, SERVING THE BROADER COMMUNITY; MORGAN COUNTY COMMISSIONER, DISTRICT 3, SERVING THE BROADER COMMUNITY; MORGAN COUNTY SCHOOL DISTRICT RE-3, SERVING YOUTH AND FAMILIES; MORGAN COUNTY SHERIFF, SERVING THE BROADER COMMUNITY; PHYSICIAN LEADER, SERVING THE BROADER COMMUNITY; NORTHEAST COLORADO HEALTH DEPARTMENT, SERVING THE BROADER COMMUNITY.
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FACILITY REPORTING GROUP - C PART V, SECTION B, LINE 11:
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ST. ELIZABETH HOSPITAL WAS ACQUIRED BY CHI COLORADO ON 5/1/2022 AND COMPLETED THEIR FIRST COMMUNITY HEALTH NEEDS ASSESSMENT IN JUNE 2024. THE HOSPITAL MADE SIGNIFICANT CONTRIBUTIONS TO THE COMMUNITY THROUGH THE FOLLOWING: DIVERSITY, EQUITY, AND INCLUSION (DEI): COMMONSPIRIT HEALTH HAS MADE DIVERSITY, EQUITY, AND INCLUSION A CORE PRIORITY WITHIN OUR REGION TO ADDRESS HEALTH INEQUITY. TO ADVANCE THESE EFFORTS, WE INVESTED $5 MILLION TOWARDS REGIONAL HEALTH EQUITY GRANTS AND ADMINISTRATION TO SUPPORT COMMUNITY ORGANIZATIONS WORKING TO IMPROVE OUTCOMES IN BEHAVIORAL HEALTH, FOOD SECURITY, AND SOCIAL JUSTICE. COLORADO GRANTS TOTALED $2,738,185, KANSAS $327,581, UTAH $725,000. THE FOLLOWING ORGANIZATIONS RECEIVED HEALTH EQUITY FUNDING TOTALING $81,854 TO SUPPORT THE SEH COMMUNITY: BREAK THE SILENCE, SUPPORTING INDIVIDUALS IN NEEDS OF BEHAVIORAL HEALTH SERVICES AND ADVOCACY.
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PART V, SECTION B, LINE 11- PENROSE AND ST. FRANCIS
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PENROSE AND ST. FRANCIS (PSF) AND COMMUNITY STAKEHOLDERS IDENTIFIED FOUR SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2022 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. ACCESS TO CARE: MENTAL HEALTH; 2. DISEASE AND INJURY: SUICIDE; 3. RISK BEHAVIORS: SUBSTANCE USE; AND 4. COMMUNITY CAPACITY BUILDING: FOOD SECURITY.ACCESS TO CARE: MENTAL HEALTH:A REGIONAL STIGMA REDUCTION CAMPAIGN: COMMONSPIRIT COLLABORATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA BY SPONSORING UPDATES TO THE LET'S TALK COLORADO WEBSITE. THIS INITIATIVE ENHANCES THE SITES AVAILABLE EDUCATION AND RESOURCES WHILE INCORPORATING CULTURAL DIVERSITY AS A KEY COMPONENT OF THE STRATEGY; SCHOOL BEHAVIORAL HEALTH WORKFORCE PARTNERSHIP PROGRAM: PSF AND COMMONSPIRIT HEALTH BH INITIATIVES LEADERSHIP EXPANDED ITS REGIONAL BEHAVIORAL HEALTH WORKFORCE COLLABORATIVE BY ALIGNING IT UNDER THE PIKES PEAK WORKFORCE CENTER AND SOUTHERN SECTOR HEALTHCARE PARTNERSHIP. THE WORKGROUP SERVES AS THE PIKES PEAK STATE COLLEGE BEHAVIORAL HEALTH ADVISORY GROUP AND ALSO IS ACTIVELY SUPPORTING THE D-12 CAREER AND TECHNICAL PROGRAM FOR BEHAVIORAL HEALTH; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. FRONTRANGE COMMUNITY COLLEGE AND ADAMS COUNTY SCHOOL DISTRICT LEADERSHIP PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. BOTH COMMONSPIRIT HEALTH BEHAVIORAL HEALTH SPECIALISTS HELPED PILOT AND EARN THEIR QBHA CERTIFICATE THROUGH THIS PROCESS.IV. IN ALIGNMENT WITH THIS COMMUNITY-FACING WORKFORCE PATHWAY WORK PSF EXPANDED ITS BEHAVIORAL HEALTH SPECIALIST PROGRAM ADDING A NEW BUDGETED POSITION TO SERVE EMERGENCY DEPARTMENT PATIENTS, INCREASING CAPACITY FOR SCREENING, INTERVENTION, CARE COORDINATION AND POST DISCHARGE CARING CONTACTS; OTHER WORK TO INCREASE ACCESS TO CARE: PSF AND COMMONSPIRIT MEDICAL GROUP ADVANCED WOMEN'S MATERNAL MENTAL HEALTH OUTCOMES BY EXPANDING ITS INTEGRATED BEHAVIORAL HEALTH SERVICES INTO ITS WOMEN'S HEALTH CLINIC AND BY EXPANDING DEPRESSION AND ANXIETY EMERGENCY DEPARTMENT SCREENING TO EXPECTANT AND POST PARTUM MOTHERS; PSF AND CSH PARTNERED WITH THE CENTER FOR REPRODUCTIVE GRIEF TO ADVANCE TRAINING AND AN ENHANCED CARE MODEL FOR WOMEN WHO ARE EXPERIENCING OR HAVING PREVIOUSLY EXPERINENCED FETAL LOSS; PSF AND PARTNERING AGENCIES, CATHOLIC CHARITIES OF COLORADO SPRINGS. TRI LAKES CARES, MONUMENT AND WEST SIDE CARES COLORADO SPRINGS, THROUGH THE SERVICE OF THREE FAITH COMMUNITY NURSES HAVE IDENTIFIED PERSONS IDENTIFIED WITH MENTAL HEALTH SYMPTOMS FROM THE MOST VULNERABLE POPULATION IN THE COMMUNITY INCLUDING THE UNHOUSED INDIVIDUALS AND NAVIGATED THEM TO APPROPRIATE TREATMENT OPTIONS.RISK BEHAVIORS: SUBSTANCE USE:OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: PSF ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. PSF'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, PSF HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, PSF EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; PSF ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORTS: PSF FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES BY INCREASING THE UTILIZATION OF BEHAVIORAL HEALTH POSITIONS TO COMPLETE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE WAS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS; THE PSF TRAUMA TEAM ALSO BEGAN ADVANCING MENTAL HEALTH SCREENING FOR TRAUMA PATIENTS DURING THE FISCAL YEAR, IN CONJUNCTION WITH SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS EFFORT HELPED ASSIST PATIENTS WITH BOTH MENTAL HEALTH AND SUBSTANCE USE ISSUES IN RECEIVING THE COUNSELING AND CARE THEY NEEDED.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP: PSF INVESTED RESOURCES TO SUPPORT WARM HANDOFFS, CARE COORDINATION AND POST DISCHARGE CARING CONTACT ACCESS FOR PATIENTS WITH SUICIDALITY, SOCIAL DETERMINANTS OF HEALTH, SUBSTANCE USE AND COMPLEX CARE NEEDS; TRAINING AND BEST PRACTICE IMPLEMENTATION: PSF FURTHERED ITS ZERO SUICIDE LEADING PRACTICES BY IMPLEMENTING UNIVERSAL SCREENING AND AUDITS TO ASSURE ALL HIGH RISK PATIENTS RECEIVED COMPREHENSIVE PSYCHIATRIC LEVEL OF CARE EVALUATION SERVICES INCLUDING THE ESTABLISHMENT OF SAFETY PLANS AND THAT ALL PATIENTS WITH ANY LEVEL OF SUICIDALITY HAD A CARE PATHWAY.PARTNERSHIP WITH VA WHICH HAS RESULTED IN GUN LOCK DISTRIBUTION IN OUR ED'S AND CULTURAL COMPETENCY TRAINING FOR STAFF, ENHANCING SAFETY MEASURES AND IMPROVING CARE FOR VETERAN POPULATIONS; PSF AND COMMONSPIRIT INVESTED SIGNIFICANT RESOURCES TO THE CREATION AND IMPLEMENTATION OF EDUCATION AND TRAINING OF ASSOCIATES RELATED TO CARE OF THE SUICIDAL PATIENTS AND IN ADVANCING NEW STATE PATIENT RIGHTS AND REGULATIONS IN CONJUNCTION WITH MAINTAINING A SAFE ENVIRONMENT OF CARE AND BEST CARE PRACTICES; CSH SPONSORED AND ACTIVELY SUPPORTED THE SCHOOL MENTAL HEALTH COMMUNITIES OF PRACTICE (COP) MENTAL HEALTH FORUM IN PARTNERSHIP WITH STATE AND LOCAL ADVOCACY ORGANIZATIONS DURING FY2022 AND FY2023. THE FORUM ENGAGES OVER 200 REGISTERED MEMBERS FROM MORE THAN 50 SCHOOL DISTRICTS. THE COP SECURED OTHER FUNDING AND REMAINS ACTIVE AND COMMITTED TO OFFERING A STRUCTURED, COLLABORATIVE PLATFORM FOR PROFESSIONALS TO ENHANCE MENTAL HEALTH INTERVENTIONS, PROMOTE PROFESSIONAL DEVELOPMENT, AND FOSTER A SUPPORTIVE, INCLUSIVE SCHOOL COMMUNITY. THE FORUM MAINTAINS A COLLABORATIVE SPACE FOR PROFESSIONALS TO SHARE EDUCATIONAL RESOURCES AND STRATEGIES AIMED AT IMPROVING STUDENT OUTCOMES, REDUCING STIGMA, AND PROVIDING GREATER ACCESS TO TOOLS AND RESOURCES.
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PART V, SECTION B, LINE 11- PENROSE AND ST. FRANCIS -CONTINUED
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COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: COMMONSPIRIT PARTICIPATES IN CO BLUEPRINT TO END HUNGER'S ENSURING ACCESS TO HEALTHY FOOD IN COLORADO COMMUNITIES' WORKGROUP AND THEIR WIC/SNAP RETAILERS PROJECT TEAM. THIS PROJECT TEAM FOCUSES ON ENSURING SNAP RECIPIENTS HAVE SUFFICIENT ACCESS TO LOCATIONS FOR SNAP/WIC REDEMPTION. THEY ARE ACTIVELY INVOLVED IN IMPLEMENTATION AND PROMOTION OF CO DEPARTMENT OF AGRICULTURE'S COMMUNITY FOOD ACCESS PROGRAM ESTABLISHED IN SPRING OF 2022 BY CO HB-1380. THIS BILL AND ITS PROGRAMS WERE INSPIRED BY A PILOT PROJECT PARTIALLY FUNDED BY COMMONSPIRIT IN 2021. COMMONSPIRIT HAS PROMOTED THE AVAILABILITY OF THIS PROGRAM TO FOOD COALITIONS AND BUSINESSES IN THE COMMUNITIES WE SERVE; P/SF - LOCAL FOOD DISTRIBUTION: FUNDING WAS PROVIDED TO SOLID ROCK COMMUNITY DEVELOPMENT CORPORATION TO ADDRESS FOOD INSECURITY IN THE LOCAL REGION. IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDHOUSING: HOUSING PRICES IN COLORADO CONTINUE TO INCREASE YEAR AFTER YEAR. RISING COSTS MAKE IT SO THAT COLORADANS SPEND MORE OF THEIR INCOME ON HOUSING COSTS, BECOMING "COST-BURDENED." FOR RENTERS, THIS MEANS THEY'RE PAYING MORE THAN 30 PERCENT OF THEIR INCOME FOR HOUSING. THOSE THAT ARE SPENDING 50 PERCENT OR MORE ARE CONSIDERED SEVERELY COST-BURDENED. IN EL PASO, WE RECOGNIZE THAT WE HAVE A HOUSING AFFORDABILITY ISSUE AND A LIMITED SUPPLY OF HOUSING. THEREFORE, AS A CHNA COMMITTEE, WE FEEL THAT WE HAVE AN OPPORTUNITY TO CONTINUE TO ADVOCATE FOR REGULATORY CHANGES AND INCENTIVES IN PARTNERSHIP WITH LOCAL AND STATE GOVERNMENTS. THE RESOURCES NEEDED TO ADVANCE THIS PRIORITY REQUIRE INNOVATIVE THINKING THAT, DUE TO CAPACITY, REQUIRES LONG-TERM SOLUTIONS. WE'LL CONTINUE TO PARTNER WITH OUR ADVOCACY AND COMMUNITY LEADERS ON THIS ISSUE, BUT IT WILL NOT BE ADDRESSED AS PART OF THIS CHNA CYCLE; HOMELESSNESS: ALTHOUGH PENROSE HOSPITAL AND ST. FRANCIS HOSPITAL CANNOT SINGLE HANDILY ADDRESS THE ISSUE OF HOMELESSNESS IN EL PASO COUNTY, WE ARE ACTIVELY ENGAGED IN THE SOLUTION THROUGH OUR PARTNERSHIPS IN THE COMMUNITY. THERE ARE NUMEROUS ORGANIZATIONS WORKING TO INCREASE THE NUMBER OF AFFORDABLE HOUSING OPTIONS FOR COUNTY RESIDENTS AND TO INCREASE THE NUMBER OF BEDS FOR THOSE CURRENTLY EXPERIENCING HOMELESSNESS. COMMONSPIRIT HEALTH ALSO HAS AN ACTIVE GROUP WORKING ACROSS OUR HEALTH SYSTEM TO FIND SOLUTIONS FOR HOMELESS PATIENTS WHO FACE HOUSING CHALLENGES WHEN DISCHARGED FROM THE HOSPITAL.
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PART V, SECTION B, LINE 11- ST. ANTHONY HOSPITAL
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ST. ANTHONY HOSPITAL (SAH) AND COMMUNITY STAKEHOLDERS IDENTIFIED FOUR SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON. THE NEEDS WERE: 1. DISEASE AND INJURY: SUICIDE; 2. RISK BEHAVIORS: SUBSTANCE USE; 3. CAPACITY BUILDING: FOOD SECURITY; AND 4. PHYSICAL ENVIRONMENT: HOUSING STABILITY.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP:IN FY2024, SAH UNDERWENT A SIGNIFICANT TRANSITION IN THE CARE AND SUPPORT OF ITS BEHAVIORAL HEALTH AND SUICIDAL PATIENTS FOLLOWING ITS DISAFFILIATION FROM THE ADVENT HEALTH SYSTEM. SIGNIFICANT RESOURCES, INCLUDING PSYCHIATRIC CONSULTATION PROVIDERS, WERE TRANSITIONED TO SAH. ADDITIONALLY, SAH INVESTED IN CONTRACTING TELEPSYCHIATRIC LEVEL-OF-CARE ASSESSMENT SERVICES TO ENHANCE ACCESS TO CARE; CARING CONTACTS SERVICE TO SUPPORT INDIVIDUALS WITH SUICIDAL THOUGHTS WAS TAKEN OVER BY SAH'S BEHAVIORAL HEALTH SPECIALIST TEAM. SAH ADVANCED BETTER PRACTICES IN SUICIDE PREVENTION BY IMPLEMENTING UNIVERSAL SCREENING AND AUDITS TO ASSURE ALL HIGH-RISK PATIENTS RECEIVED COMPREHENSIVE PSYCHIATRIC LEVEL OF CARE EVALUATION SERVICES INCLUDING THE ESTABLISHMENT OF SAFETY PLANS AND THAT ALL PATIENTS WITH ANY LEVEL OF SUICIDALITY HAVE A CARE PATHWAY; TRAINING AND BEST PRACTICE IMPLEMENTATION: SIGNIFICANT RESOURCES WERE DEDICATED TO THE CREATION AND IMPLEMENTATION OF EDUCATION AND TRAINING OF ASSOCIATES RELATED TO CARE OF THE SUICIDAL PATIENTS AND IN ADVANCING NEW STATE PATIENT RIGHTS AND REGULATIONS IN CONJUNCTION WITH MAINTAINING A SAFE ENVIRONMENT OF CARE AND BEST CARE PRACTICES; SAH TEAMED UP WITH THE CSH REGIONAL OFFICE AND THE OFFICE OF SUICIDE PREVENTION TO LAUNCH A NEW FIVE-YEAR PARTNERSHIP AIMED AT ADVANCING OUR REGIONAL ZERO SUICIDE CARE MODEL AND IMPROVING OUTCOMES; SUICIDE SCREENING AND SUPPORT PRACTICES HAVE BEEN EXPANDED ACROSS A BROADER CONTINUUM OF OUR HEALTHCARE SYSTEM, NOW INCLUDING OUR SAH PRIMARY CARE CLINICS. COUNSELING SUPPORT IS PROVIDED BY OUR EMPLOYED INTEGRATED BEHAVIORAL HEALTH THERAPISTS; OUTCOMES: JEFFERSON COUNTY SAW A DECREASE IN DEATHS BY SUICIDE PER CAPITA FROM 2022 TO 2023 (26.6 TO 21.4 PER 100,000 LIVES); OTHER COMMUNITY HEALTH IMPLEMENTATION PLAN FACILITY BASED INITIATIVES IN FY24 INCLUDING ADVANCING ACCESS TO CARE: SAH WAS A LEADER IN IMPLEMENTING A BEHAVIORAL HEALTH LEAD THERAPIST POSITION, PSYCHIATRIC CONSULTATION SERVICES, AND BEHAVIORAL HEALTH SPECIALISTS TO IDENTIFY PATIENTS IN NEED OF COUNSELING, TREATMENT PLANNING, BEHAVIORAL PLANNING, MEDICATION MANAGEMENT, AND SPECIALIZED CARE COORDINATION. SAH'S MODEL OF BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT WAS HIGHLY SUCCESSFUL, WITH EACH BEHAVIORAL HEALTH SPECIALIST ADVANCING TO A LEVEL TWO POSITION. ACTIVE SUPPORT AND EDUCATIONAL PARTNERSHIPS WERE ALSO ESTABLISHED TO HELP THESE POSITIONS TRANSITION INTO PSYCHIATRIC NURSING AND ADDICTIONS COUNSELING ROLES; COMMONSPIRIT HEALTH LEADERSHIP WORKED WITH JEFFERSON COUNTY AND BOULDER COUNTY WORKFORCE TO DEVELOP A DENVER REGIONAL BEHAVIORAL HEALTH WORK SECTOR PARTNERSHIP TO ADVANCE COMMUNITY OUTCOMES RELATED TO BEHAVIORAL HEALTH WORKFORCE, SUSTAINABILITY, CONNECTED COMMUNITY AND BURNOUT; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT CERTIFICATE; SAH AND COMMONSPIRIT PARTICIPATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA AND REACH SPECIFIC POPULATIONS WITH MENTAL HEALTH RESOURCES AND SUPPORTS. CSH LEAD THE FUNDING AND REPORTING FOR THIS AMBASSADORS PROGRAM THAT WORKED WITH LOCAL SAH COMMUNITY-BASED ORGANIZATIONS SERVING INDIVIDUALS FROM DIVERSE BACKGROUNDS.RISK BEHAVIORS: SUBSTANCE USEOPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: SAH ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. SAH'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH OUR CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, SAH SAVED LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, SAH EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORT: SAH FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES BY INCREASING THE UTILIZATION OF BEHAVIORAL HEALTH POSITIONS TO COMPLETE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE WAS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS; THE SAH TRAUMA TEAM ALSO BEGAN ADVANCING MENTAL HEALTH SCREENING FOR TRAUMA PATIENTS DURING THE FISCAL YEAR, IN CONJUNCTION WITH SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS EFFORT HELPED ASSIST PATIENTS WITH BOTH MENTAL HEALTH AND SUBSTANCE USE ISSUES IN RECEIVING THE COUNSELING AND CARE THEY NEEDED.PHYSICAL ENVIRONMENT: HOUSINGPARTICIPATE IN COLLABORATIVE EFFORTS TO ADDRESS AFFORDABLE HOUSING AND HOMELESSNESS IN JEFFERSON AND DENVER COUNTIES: SAH HAS BEEN ACTIVE IN THE JEFFCO ECONOMIC DEVELOPMENT COUNCIL; SAH/OCH HAS PARTNERED WITH THE COALITION FOR THE HOMELESS, FUNDING BEDS FOR PATIENTS IN NEED OF RECUPERATIVE CARE WHO WOULD OTHERWISE BE DISCHARGED INTO HOMELESSNESS. THE COLORADO COALITION FOR THE HOMELESS PROVIDES ROOM AND BOARD, 24-HOUR CLINICAL SUPERVISION, PRIMARY CARE VISITS, INTEGRATED BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, AND OTHER ESSENTIAL SUPPORT; COLLABORATE WITH STATE AND LOCAL OFFICIALS TO IDENTIFY STRATEGIES TO INCREASE HOUSING STABILITY IN THE COMMUNITY BY CONNECTING HOUSING, HEALTH OUTCOMES AND CSH VALUES.COMMONSPIRIT ALSO WORKED HARD OVER THE PAST YEAR TO ADVANCE HOUSING ACCESS ADVOCACY WITH THE COLORADO LEGISLATURE AND THROUGH LOCAL ADVOCACY CHANNELS, INCLUDING COLLABORATIVE WORK WITH ADAMS AND BROOMFIELD COUNTIES (INCLUDING THE COUNTIES THEMSELVES AS WELL AS THEIR PUBLIC HEALTH AND HUMAN SERVICE EFFORTS), THROUGH OUR PARTNERSHIPS WITH BUSINESS ORGANIZATIONS (LOCAL, REGIONAL AND STATE CHAMBERS), THROUGH DIRECT COMMUNICATION WITH ELECTED OFFICIALS IN OUR SERVICE AREAS AND THROUGH METRO DENVER PARTNERSHIP FOR HEALTH; SCREEN HOUSEHOLDS FOR HOUSING INSECURITY AND REFER THEM TO RESOURCES IN THE COMMUNITY TO PROMOTE STABLE HOUSING: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR HOUSING INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES.
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PART V, SECTION B, LINE 11- ST. ANTHONY HOSPITAL-CONTINUED
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COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: COMMONSPIRIT PARTICIPATES IN CO BLUEPRINT TO END HUNGER'S ENSURING ACCESS TO HEALTHY FOOD IN COLORADO COMMUNITIES' WORKGROUP AND THEIR WIC/SNAP RETAILERS PROJECT TEAM. THIS PROJECT TEAM FOCUSES ON ENSURING SNAP RECIPIENTS HAVE SUFFICIENT ACCESS TO LOCATIONS FOR SNAP/WIC REDEMPTION. THEY ARE ACTIVELY INVOLVED IN IMPLEMENTATION AND PROMOTION OF CO DEPARTMENT OF AGRICULTURE'S COMMUNITY FOOD ACCESS PROGRAM ESTABLISHED IN SPRING OF 2022 BY CO HB-1380. THIS BILL AND ITS PROGRAMS WERE INSPIRED BY A PILOT PROJECT PARTIALLY FUNDED BY COMMONSPIRIT IN 2021. COMMONSPIRIT HAS PROMOTED THE AVAILABILITY OF THIS PROGRAM TO FOOD COALITIONS AND BUSINESSES IN THE COMMUNITIES WE SERVE; LOCAL FOOD DISTRIBUTION: COMMONSPIRIT HEALTH PROVIDED A DONATION TO SUPPORT COLORADO HEALTHY FOOD INCENTIVES SUPPORTING HEALTHY FOOD INCENTIVES WHICH PRIORITIZE COLORADO GROWN PRODUCE FOR LOW INCOME FAMILIES PARTICIPATING IN SNAP, WIC, AND SENIOR NUTRITION PROGRAMS.OTHER COMMUNITY HEALTH IMPLEMENTATION PLAN FACILITY BASED INITIATIVES. IN FY24 TRAUMA INJURY PREVENTION AIMS TO REDUCE DEATHS, DISABILITIES, AND THE BURDEN OF INJURIES THROUGH ADVOCACY AND EVIDENCE-BASED PREVENTION TIME THE COMMUNITIES WE SERVE. OUR PROGRAM FOCUS AREAS INCLUDE OLDER ADULT WELLNESS, ROAD-RELATED SAFETY, AND FIRST AID COURSES AND PROGRAMS.
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PART V, SECTION B, LINE 11- ST. ANTHONY NORTH
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ST. ANTHONY NORTH (SAN) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON. THE NEEDS WERE: 1. DISEASE AND INJURY: SUICIDE; 2. CAPACITY BUILDING: FOOD SECURITY; AND 3. PHYSICAL ENVIRONMENT: HOUSING STABILITY.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP: IN FY2024, SAN UNDERWENT A SIGNIFICANT TRANSITION IN THE CARE AND SUPPORT OF ITS BEHAVIORAL HEALTH AND SUICIDAL PATIENTS FOLLOWING ITS DISAFFILIATION FROM THE ADVENT HEALTH SYSTEM. SIGNIFICANT RESOURCES, INCLUDING A PSYCHIATRIC CONSULTATION PROVIDER, WERE TRANSITIONED TO SAN. ADDITIONALLY, SAN INVESTED IN CONTRACTING TELEPSYCHIATRIC LEVEL-OF-CARE ASSESSMENT SERVICES TO ENHANCE ACCESS TO CARE; CARING CONTACTS SERVICE TO SUPPORT INDIVIDUALS WITH SUICIDAL THOUGHTS WAS TAKEN OVER BY SAN WHO HIRED A BH LEAD SPECIALIST. SAN ALSO ADVANCED BETTER PRACTICES IN SUICIDE PREVENTION BY IMPLEMENTING UNIVERSAL SCREENING AND AUDITS TO ASSURE ALL HIGH-RISK PATIENTS RECEIVED COMPREHENSIVE PSYCHIATRIC LEVEL OF CARE EVALUATION SERVICES INCLUDING THE ESTABLISHMENT OF SAFETY PLANS AND THAT ALL PATIENTS WITH ANY LEVEL OF SUICIDALITY HAD A CARE PATHWAY; TRAINING AND BEST PRACTICE IMPLEMENTATION: SIGNIFICANT RESOURCES WERE DEDICATED TO THE CREATION AND IMPLEMENTATION OF EDUCATION AND TRAINING OF ASSOCIATES RELATED TO CARE OF THE SUICIDAL PATIENTS AND IN ADVANCING NEW STATE PATIENT RIGHTS AND REGULATIONS IN CONJUNCTION WITH MAINTAINING A SAFE ENVIRONMENT OF CARE AND BEST CARE PRACTICES; SAN TEAMED UP WITH CSH REGIONAL OFFICE AND THE OFFICE OF SUICIDE PREVENTION ADVANCING ON A NEW 5 YEAR PARTNERSHIP TO ELEVATE OUR REGIONAL ZERO SUICDE CARE MODEL AND OUTCOMES; SUICIDE SCREENING AND SUPPORT PRACTICES HAVE BEEN EXTENDED ACROSS A BROADER CONTINUUM OF OUR HEALTHCARE SYSTEM, NOW INCLUDING SAN'S PRIMARY CARE CLINICS AND RESIDENCY WITH COUNSELING SUPPORT BEING PROVIDED BY OUR EMPLOYED INTEGRATED BEHAVIORAL HEALTH THERAPISTS. THIS SCREENING AND IBH PROGRAM WAS EXPANDED TO OUR SAN REGIONAL WOMEN'S CLINIC TO SUPPORT MATERNAL MENTAL HEALTH OUTCOMES; IN ADDITION TO THIS SUICIDE PREVENTION WORK, COMMONSPIRIT AND SAN CONTINUED TO ADVANCE A PARTNERSHIP WITH COLORADO HEALTH INSTITUTE AND LOCAL REGIONAL DIVERSITY OUTREACH ORGANIZATIONS TO ESTABLISH A REGIONAL AMBASSADOR'S PROGRAM TO SUPPORT LOWERING STIGMA AND PROMOTE ACCESS TO LOCAL CULTURALLY RESPONSIVE MENTAL HEALTH CARE PROVIDERS AND COMMUNITY SUPPORT; OTHER INITIATIVES TO INCREASE ACCESS TO CARE: SAN IMPLEMENTED A NEW BEHAVIORAL HEALTH LEAD THERAPIST POSITION AND AN EMPLOYED PSYCHIATRIC CONSULTATION APN. THE SAN CONSULTATION TEAM MODEL WAS DESIGNED AND IMPLEMENTED TO IDENTIFY PATIENTS IN NEED OF COUNSELING, TREATMENT PLANNING, BEHAVIORAL PLANNING, MEDICATION MANAGEMENT, AND SPECIALIZED CARE COORDINATION; COMMONSPIRIT HEALTH LEADERSHIP WORKED WITH JEFFERSON COUNTY AND BOULDER COUNTY WORKFORCE ORGANIZATIONS TO DEVELOP AND CHAIR A GREATER DENVER REGIONAL BEHAVIORAL HEALTH WORK SECTOR PARTNERSHIP TO ADVANCE COMMUNITY OUTCOMES RELATED TO BEHAVIORAL HEALTH WORKFORCE, SUSTAINABILITY, CONNECTED COMMUNITY AND BURNOUT; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. FRONTRANGE COMMUNITY COLLEGE AND ADAMS COUNTY SCHOOL DISTRICT LEADERSHIP PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT CERTIFICATE.PHYSICAL ENVIRONMENT: HOUSINGPARTICIPATE IN COLLABORATIVE EFFORTS TO ADDRESS AFFORDABLE HOUSING AND HOMELESSNESS: SAN PLAYED AN ACTIVE ROLE IN THE ADAMS COUNTY THRIVING COMMUNITY COALITION, WHICH FOCUSED ON TACKLING CRITICAL COMMUNITY HEALTH ISSUES, INCLUDING HOUSING AND HOMELESSNESS; COLLABORATE WITH STATE AND LOCAL OFFICIALS TO IDENTIFY STRATEGIES TO INCREASE HOUSING STABILITY IN THE COMMUNITY BY CONNECTING HOUSING, HEALTH OUTCOMES AND CSH VALUES: COMMONSPIRIT ALSO WORKED HARD OVER THE PAST YEAR TO ADVANCE HOUSING ACCESS ADVOCACY WITH THE COLORADO LEGISLATURE AND THROUGH LOCAL ADVOCACY CHANNELS, INCLUDING COLLABORATIVE WORK WITH ADAMS AND BROOMFIELD COUNTIES (INCLUDING THE COUNTIES THEMSELVES AS WELL AS THEIR PUBLIC HEALTH AND HUMAN SERVICE EFFORTS), THROUGH OUR PARTNERSHIPS WITH BUSINESS ORGANIZATIONS (LOCAL, REGIONAL AND STATE CHAMBERS), THROUGH DIRECT COMMUNICATION WITH ELECTED OFFICIALS IN OUR SERVICE AREAS AND THROUGH METRO DENVER PARTNERSHIP FOR HEALTH; SCREEN HOUSEHOLDS FOR HOUSING INSECURITY AND REFER THEM TO RESOURCES IN THE COMMUNITY TO PROMOTE STABLE HOUSING; SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR HOUSING INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; SAN IS AN ACTIVE PARTNER WITH THE ROCKY MOUNTAIN PARTNERSHIP (RMP). ONE OF THEIR MAIN GOAL AREAS IS TO ADDRESS HOUSING IN ADAMS COUNTY; SAN ALSO PROVIDES FINANCIAL SUPPORT TO GROWING HOME. ONE OF THEIR FOCUS AREAS IS HOUSING STABILITY FOR FAMILIES: ADDITIONALLY, SAN HAS PARTNERED WITH THE COALITION FOR THE HOMELESS, FUNDING BEDS FOR PATIENTS IN NEED OF RECUPERATIVE CARE WHO WOULD OTHERWISE BE DISCHARGED INTO HOMELESSNESS. THE COLORADO COALITION FOR THE HOMELESS PROVIDES ROOM AND BOARD, 24-HOUR CLINICAL SUPERVISION, PRIMARY CARE VISITS, INTEGRATED BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, AND OTHER ESSENTIAL SUPPORT.
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PART V, SECTION B, LINE 11- ST. ANTHONY NORTH-CONTINUED
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COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ASSISTANCE:COMMONSPIRIT PARTICIPATES IN CO BLUEPRINT TO HUNGER'S ENSURING ACCESS TO HEALTHY FOOD IN COLORADO COMMUNITIES' WORKGROUP AND THEIR WIC/SNAP RETAILERS PROJECT TEAM. THIS PROJECT TEAM FOCUSES ON ENSURING SNAP RECIPIENTS HAVE SUFFICIENT ACCESS TO LOCATIONS FOR SNAP/WIC REDEMPTION. THEY ARE ACTIVELY INVOLVED IN IMPLEMENTATION AND PROMOTION OF CO DEPARTMENT OF AGRICULTURE'S COMMUNITY FOOD ACCESS PROGRAM ESTABLISHED IN SPRING OF 2022 BY CO HB-1380. THIS BILL AND ITS PROGRAMS WERE INSPIRED BY A PILOT PROJECT PARTIALLY FUNDED BY COMMONSPIRIT IN 2021; LOCAL FOOD DISTRIBUTION: LOCAL PRODUCE SITE SUPPORT: SAN FAMILY MEDICINE RESIDENCY SUPPORTS A COMMUNITY GARDEN AT OUR 84TH AVENUE WHICH PROVIDES HEALTHY PRODUCE TO PATIENTS. AT SAN, THE COMMUNITY GARDEN IS OPEN TO ANY COMMUNITY MEMBER AND EXCESS PRODUCE WAS COLLECTED AND DONATED TO THE GROWING HOME FOOD PANTRY; SAN MADE DIRECT DONATIONS TO HELP PROVIDE FOOD RESOURCES TO SEVERAL COMMUNITY ORGANIZATIONS THAT PROVIDE FOOD ASSISTANCE TO FAMILIES IN OUR SERVICE AREA INCLUDING THE ADAMS COUNTY SHERIFF'S OFFICE OPERATION FREE BIRD, ROCKY MOUNTAIN FOOD BANK, AND FOOD FOR HOPE.HEALTH PRIORITIES NOT BEING ADDRESSED:AIR POLLUTION WAS RANKED FIFTH OF THE TOP FIVE PRIORITIES IDENTIFIED DURING THE RANKING PROCESS. DATA FOCUSING ON AIR POLLUTION INCLUDED AVERAGE DAILY PARTICULATE MATTER AT 7.0 (CO AT 4.9). WHILE THIS IS AN IMPORTANT ISSUE FOR THE COMMUNITY, IT WAS RECOGNIZED THAT THE HOSPITAL AND PARTNERS INVOLVED IN THE PRIORITIZATION PROCESS DID NOT HAVE ORGANIZATIONAL STRENGTHS TO ADDRESS THIS ISSUE. RATHER, IT IS ONE THAT WILL TAKE COLLECTIVE COMMUNITY ACTION OUTSIDE OF THESE EFFORTS.
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PART V, SECTION B, LINE 11- MERCY MEDICAL CENTER
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MERCY MEDICAL CENTER (MMC) AND COMMUNITY STAKEHOLDERS IDENTIFIED FOUR SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2022 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. ACCESS TO CARE: MENTAL HEALTH; 2. RISK BEHAVIORS: SUBSTANCE USE; 3. DISEASE AND INJURY SUICIDE; AND 4. COMMUNITY CAPACITY BUILDING: FOOD SECURITY.ACCESS TO CARE: MENTAL HEALTH. REGIONAL STIGMA REDUCTION CAMPAIGN: COMMONSPIRIT COLLABORATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA BY SPONSORING UPDATES TO THE LET'S TALK COLORADO WEBSITE. THIS INITIATIVE ENHANCES THE SITES AVAILABLE EDUCATION AND RESOURCES WHILE INCORPORATING CULTURAL DIVERSITY AS A KEY COMPONENT OF THE STRATEGY; SCHOOL BEHAVIORAL HEALTH WORKFORCE PARTNERSHIP PROGRAM: COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S CREATION OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. THIS PROGRAM IS AVAILABLE IN THE GREATER DURANGO REGION THROUGH A PARTNERSHIP WITH PUEBLO COMMUNITY COLLEGE WHO ALSO SUPPORTS THE NEW BH PATHWAYS STACKABLE CERTIFICATE PROGRAMS FOR MENTAL HEALTH AND SUBSTANCE USE COUNSELING; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. COLORADO COMMUNITY COLLEGE SYSTEM, PUEBLO COMMUNITY COLLEGE, AND OTHER MERCY HOSPITAL REGIONAL PARTNERS PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; MMC COLLABORATED AND FINANCIALLY PARTNERED WITH AXIS MENTAL HEALTH FOR LEVEL OF CARE EVALUATION SERVICES FOR THEIR EMERGENCY DEPARTMENT BEHAVIORAL HEALTH PATIENTS. MMC ALSO INCURS SIGNIFICANT EXPENSES RELATED TO THE TRANSPORTATION OF BEHAVIORAL HEALTH PATIENTS TO INPATIENT TREATMENT FACILITIES SINCE THE NEAREST INPATIENT UNIT IS 3 HOURS TRAVEL TIME; MMC HAS TAKEN ON INTEGRATED BEHAVIORAL HEALTH PROVIDERS AND A PRESCRIBING ADVANCED PRACTICE PSYCHIATRIC RN TO HELP ADVANCE COMMUNITY ACCESS TO NEEDED MH HEALTH SERVICES AT ITS CLINIC LOCATIONS.RISK BEHAVIORS: SUBSTANCE USE:OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: MERCY HOSPITAL ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. PSF'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, MMC HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, MMC EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; MMC ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS; MMC PARTNERS CLOSELY WITH AXIS AND OTHER LOCAL PROVIDERS FOR THE CARE AND TREATMENT OF INDIVIDUALS WITH SUBSTANCE USE NEEDS. PARTNERSHIP WITH AXIS'S DETOXIFICATION PROGRAM, SUPPORTING MEDICAL DETOXIFICATION OF INDIVIDUALS ON THEIR MEDICAL FLOORS, COLLABORATIVELY PARTNERING WITH AXIS TO SUPPORT INDIVIDUALS IN NEED OF SUBSTANCE USE CERTIFICATION, AND MAKING CONNECTIONS TO THE GROWING RECOVERY COMMUNITY HAVE BEEN ADVANCED THROUGH COLLABORATION AND STAFF TRAINING; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORTS MH FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES BY INCREASING THE UTILIZATION OF BEHAVIORAL HEALTH POSITIONS TO COMPLETE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE WAS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS.DISEASE AND INJURY PREVENTION: SUICIDEPOST DISCHARGE FOLLOW-UP: POST DISCHARGE FOLLOW-UP MERCY PARTNERS WITH AXIS HEALTH/COLUMBINE BEHAVIORAL HEALTH FOR SUPPORT RELATED TO POST-DISCHARGE FOLLOW-UP ON SUICIDAL PATIENTS; MMC AND CSH DEVELOPED A WORKFLOW BETWEEN INTEGRATED BEHAVIORAL HEALTH AND AMBULATORY CLINICS TO PROVIDE WRAPAROUND SUPPORT FOR PATIENTS EXHIBITING ANY LEVEL OF SUICIDALITY AS IDENTIFIED THROUGH DEPRESSION SCREENINGS. ZERO SUICIDE BEST PRACTICE IMPLEMENTATION: MERCY IMPLEMENTED BEST PRACTICE UNIVERSAL SUICIDE SCREENING PROTOCOLS AND STAFF TRAINING TO ADVANCE ITS ASSESSMENT AND REFERRAL OUTCOMES. MERCY ADVANCED STAFF SUICIDE TRAINING PROGRAMS AND PARTNERED WITH THE LA PLATA SUICIDE PREVENTION COLLABORATIVE TO ADVANCE COMMUNITY SUICIDE PREVENTION EFFORTS; PARTNERSHIP WITH VA WHICH HAS RESULTED IN GUN LOCK DISTRIBUTION IN OUR ED'S AND CULTURAL COMPETENCY TRAINING FOR STAFF, ENHANCING SAFETY MEASURES AND IMPROVING CARE FOR VETERAN POPULATIONS; COMMONSPIRIT HEALTH AND MERCY MEDICAL CENTER DEVELOPED A PATHWAY FOR PATIENTS TO ACCESS THEIR SAFETY PLANS THROUGH THE PATIENT PORTAL, PROVIDING A CONVENIENT AND SECURE DIGITAL OPTION IN CASE THE PHYSICAL COPY PROVIDED AT DISCHARGE IS MISPLACED; MMC HOSTS MONTHLY LUNCH AND LEARNS WITH COMMUNITY PARTNERS TO EDUCATE STAFF ABOUT THE AVAILABLE RESOURCES IN OUR RURAL COMMUNITY; MMC LEAD SPECIALIZED TRAINING FOR STAFF IN PERINATAL MOOD AND ANXIETY DISORDERS, THE EDINBURGH DEPRESSION SCREENING, AND SUBSTANCE USE DISORDERS DURING THE PERINATAL PERIOD; MMC PARTICIPATED IN A COMMUNITY PARTNERSHIP WITH CPCQC TO SUPPORT BEST PRACTICES IN MATERNAL MENTAL HEALTH, ENSURING IMPROVED CARE AND OUTCOMES FOR MOTHERS. NOTE: MET OR EXCEEDED THE TARGETED GOAL OF 80% FOR DEPRESSION SCREENINGS AMONG PREGNANT WOMEN AND UP TO 90 DAYS POSTPARTUM IN BOTH HOSPITAL AND AMBULATORY SETTINGS. CSH SPONSORED AND ACTIVELY SUPPORTED THE SCHOOL MENTAL HEALTH COMMUNITIES OF PRACTICE (COP) MENTAL HEALTH FORUM IN PARTNERSHIP WITH STATE AND LOCAL ADVOCACY ORGANIZATIONS. THE FORUM ENGAGES OVER 200 REGISTERED MEMBERS FROM MORE THAN 50 SCHOOL DISTRICTS. THE COP SECURED OTHER FUNDING AND REMAINS ACTIVE AND COMMITTED TO OFFERING A STRUCTURED, COLLABORATIVE PLATFORM FOR PROFESSIONALS TO ENHANCE MENTAL HEALTH INTERVENTIONS, PROMOTE PROFESSIONAL DEVELOPMENT, AND FOSTER A SUPPORTIVE, INCLUSIVE SCHOOL COMMUNITY. THE FORUM MAINTAINS A COLLABORATIVE SPACE FOR PROFESSIONALS TO SHARE EDUCATIONAL RESOURCES AND STRATEGIES AIMED AT IMPROVING STUDENT OUTCOMES, REDUCING STIGMA, AND PROVIDING GREATER ACCESS TO TOOLS AND RESOURCES.
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PART V, SECTION B, LINE 11- MERCY MEDICAL CENTER-CONTINUED
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COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: THREE NEW LOCATIONS IN NORTHWEST NEW MEXICO WHO ALSO ACCEPT SNAP / DOUBLE UP ARE NOW CONTRACTED TO ACCEPT THE COMMONSPIRIT SECURED GRANT SUPPORTED FRESH TO FLOURISH PRODUCE PRESCRIPTION VOUCHERS; FOOD AS MEDICINE: COMMONSPIRIT SECURED GRANT FUNDING SUPPORTED FRESH TO FLOURISH PROGRAM WHICH ENROLLED 155 PTS IN A PRIMARY-CARE BASED PRODUCE PRESCRIPTION VOUCHER PROGRAM FOR LOW INC. PTS AT RISK OF FOOD INSECURITY AND CHRONIC DISEASE; LOCAL PRODUCE SITE SUPPORT: COMMONSPIRIT HEALTH PROVIDED A DONATION IN TO SUPPORT COLORADO HEALTHY FOOD SUPPORTING HEALTHY FOOD INCENTIVES WHICH PRIORITIZE COLORADO GROWN PRODUCE FOR LOW INCOME FAMILIES PARTICIPATING IN SNAP, WIC AND SENIOR NUTRITION PROGRAMS. COMMONSPIRIT SECURED GRANT FUNDING SUPPORTED DIRECT FROM FARM LOCAL PURCHASES FROM THREE SMALL LOCAL FARMS. ADDITIONALLY, GRANT SUPPORTED FRESH TO FLOURISH PRODUCE PRESCRIPTION PROGRAM REDEMPTIONS. THIS ACTIVITY SUPPORTED THOSE AT RISK OF OR EXPERIENCING FOOD INSECURITY AND CHRONIC DISEASE. IDENTIFIED HEALTH NEED NOT PRIORITIZED: HEART DISEASE MORTALITY: MERCY'S SERVICE AREA HAS A LOWER PREVALENCE OF HEART DISEASE THAN COLORADO. FOCUSING ON COMMUNITY BUILDING CAPACITY INITIATIVES, SUCH AS ACCESS TO HEALTHY FOOD OPTIONS, WILL SUPPORT PREVENTATIVE MEASURES REGARDING HEART DISEASE; HOUSING: HOUSING PRICES IN COLORADO CONTINUE TO INCREASE YEAR AFTER YEAR. RISING COSTS MAKE IT SO THAT COLORADANS SPEND MORE OF THEIR INCOME ON HOUSING COSTS, BECOMING "COST-BURDENED." FOR RENTERS, THIS MEANS THEY'RE PAYING MORE THAN 30 PERCENT OF THEIR INCOME FOR HOUSING. THOSE THAT ARE SPENDING 50 PERCENT OR MORE ARE CONSIDERED SEVERELY COST-BURDENED. IN DURANGO, WE RECOGNIZE THAT WE HAVE A HOUSING AFFORDABILITY ISSUE AND A LIMITED SUPPLY OF HOUSING. THEREFORE, AS A CHNA COMMITTEE, WE FEEL THAT WE HAVE AN OPPORTUNITY TO CONTINUE TO ADVOCATE FOR REGULATORY CHANGES AND INCENTIVES IN PARTNERSHIP WITH LOCAL AND STATE GOVERNMENTS. THE RESOURCES NEEDED TO ADVANCE THIS PRIORITY REQUIRE INNOVATIVE THINKING THAT, DUE TO CAPACITY, REQUIRES LONG-TERM SOLUTIONS. WE'LL CONTINUE TO PARTNER WITH OUR ADVOCACY AND COMMUNITY LEADERS ON THIS ISSUE, BUT IT WILL NOT BE ADDRESSED AS PART OF THIS CHNA CYCLE.
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PART V, SECTION B, LINE 11- ST. MARY-CORWIN
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ST. MARY-CORWIN (SMC) AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2022 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. RISK BEHAVIORS: MALTREATMENT PREVENTION: AND 2. CAPACITY BUILDING: FOOD SECURITY.RISK BEHAVIORS: MALTREATMENT PREVENTIONENCOURAGE POSITIVE PARENTING AND FAMILY SUPPORT: SMC RESIDENCY CLINIC PROVIDED ADVERSE CHILDHOOD EXPERIENCES (ACES) SCREENING, SUPPORTIVE COUNSELING, AND REFERRALS TO FAMILIES. DURING THE FISCAL YEAR SMC BROUGHT IN A BEHAVIORAL HEALTH SPECIALIST POSITION TO IDENTIFY AND SUPPORT FAMILIES AND PATIENTS TO NEEDED SUPPORTS AND RESOURCES; SMC AND ITS CLINICS HAVE WORKED COLLABORATIVELY WITH STAR POINT, CATHOLIC CHARITIES, VALLEY-WIDE, AND HEALTH SOLUTIONS TO ASSURE LINKAGES TO NEEDED FAMILY SUPPORT. THESE RELATIONSHIPS WERE EXPANDED TO INCLUDE HARD BEAUTY A PEER RECOVERY PROGRAM THAT SMC RESIDENCY CLINIC PARTNERED WITH TO LINK THEIR MOM'S TO NEEDED PEER LEAD PARENTAL SUPPORT; FACILITATE ACCESS TO SERVICES: SMC FURTHER ADVANCED ITS SOCIAL DETERMINANTS OF HEALTH PROGRAM TO SCREEN ALL ED AND INPATIENT MEDICAID MEMBERS AND LINK THEM WITH SERVICES THROUGH THE FACILITY'S NEW 2-11 REGIONALLY CUSTOMIZED REFERRAL PLATFORM. SMC'S BH SPECIALIST ADDITIONALLY HELPED SUPPORT PATIENTS WITH IDENTIFIED NEEDS WITH WARM HAND OFFS TO SUPPORT HIGH RISK PATIENTS, POST DISCHARGE CARING CONTACTS; SMC WORKED WITH THE COLORADO HEALTH STEPS PROGRAM TO SUPPORT THE CONTINUATION OF THE REGIONAL SERVICE AFTER THEIR SUBCONTRACTOR DISCONTINUED THEIR HEALTHY STEPS CONTRACT WITH THE STATE. THE SMC RESIDENCY PARTNERED WITH HEALTHY STEPS COLORADO AND SECURED THE INTERNAL RESOURCES TO CONTINUE THE HEALTHY STEPS FAMILY SUPPORT PROGRAM FOR THE COMMUNITY AT THE RESIDENCY CLINIC; AFTER HELPING START THE PUEBLO HEROES PROGRAM SUPPORTING YOUTH RESILIENCE IN PARTNERSHIP WITH PUEBLO DEPARTMENT OF HEALTH AND ENVIRONMENT SMC WORKED WITH BOTH REGIONAL SCHOOL DISTRICTS TO IDENTIFY THE SPACE NEEDED TO ADVANCE A DAY TREATMENT PROGRAM TO SUPPORT ADOLESCENTS COMPLEX SOCIAL AND EMOTIONAL NEEDS; SMC LEADERSHIP PROVIDES SIGNIFICANT LOW-COST SPACE AND SUPPORT TO HELP THE COMMUNITY PARTNERS LOWER ITS RISK FOR MALTREATMENT. TWO EXAMPLES INCLUDE A VETERAN'S SERVICES SUPPORT AND THE COMPREHENSIVE SITE PARTNERSHIP WITH PUEBLO COMMUNITY COLLEGE'S CAREER TRACK PROGRAMS LOCATED ON THE SMC CAMPUS WHICH ARE ECONOMIC SECURITY OPPORTUNITY PATHWAYS TO YOUTH HIGH PAYING MEDICAL CAREERS; SMC COLLABORATED WITH CATHOLIC CHARITIES TO ADVANCE PARENTS AS TEACHERS EXPANDED REFERRALS.COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET.THROUGH CSH-SECURED GRANT FUNDING, SMC-ASSOCIATED CLINIC SOUTHERN COLORADO FAMILY MEDICINE ENROLLED 56 PATIENTS AS OF 8/31/2024 IN A PRODUCE PRESCRIPTION PROGRAM CALLED FRESH TO FLOURISH.THIS PROGRAM PROVIDES PATIENTS WITH UP TO A $350 VALUE OF VOUCHERS FOR FRESH PRODUCE FROM LOCAL FOOD BUSINESSES WHO SELL LOCAL PRODUCE INCLUDING PUEBLO FARMERS MARKET AT SAVE-A-LOT FOODS, WHO ALSO ACCEPT SNAP/EBT AND THE DOUBLE UP FOOD BUCKS BENEFTS WHICH MATCH SNAP TRANSACTIONS DOLLAR FOR DOLLAR UP TO $20. AS OF 7/30/2024, 2506 OF THESE VOUCHERS WERE REDEEMED; BENEFITS ACCEPTANCE: NOTING A LACK OF FRESH PRODUCE SITES IN THE NEIGHBORHOOD, SMC WORKED WITH PUEBLO FARMERS MARKET (WHO ACCEPTS SNAP, WIC AND DOUBLE UP) TO EXPAND A NEW LOCATION NEAR ST. MARY CORWIN HOSPITAL AT BESSEMER PARK IN SUMMER 2022. COMMONSPIRIT ALSO PARTICIPATES IN CO BLUEPRINT TO HUNGER'S ENSURING ACCESS TO HEALTHY FOOD IN COLORADO COMMUNITIES WORKGROUP AND THEIR WIC/SNAP RETAILERS PROJECT TEAM. THIS PROJECT TEAM FOCUSES ON ENSURING SNAP RECIPIENTS HAVE SUFFICIENT ACCESS TO LOCATIONS FOR SNAP/WIC REDEMPTION. THEY ARE ACTIVELY INVOLVED IN IMPLEMENTATION AND PROMOTION OF COLORADO DEPARTMENT OF AGRICULTURE'S COMMUNITY FOOD ACCESS PROGRAM ESTABLISHED IN SPRING OF 2022 BY CO HB- 1380. THIS BILL AND ITS PROGRAMS WERE INSPIRED BY A PILOT PROJECT PARTIALLY FUNDED BY COMMONSPIRIT IN 2021; LOCAL PRODUCE SITE SUPPORT: LOCAL PRODUCE SITE SUPPORT/COMMUNITY FARMS AND GARDENS - SMC MAINTAINED AND SUPPORTED THE OPERATION OF A COMMUNITY GARDEN ON THEIR GROUNDS, DONATING OVER 650LBS OF FRESH, LOCAL PRODUCE TO EMERGENCY FOOD ASSISTANCE PARTNERS. PARTNERSHIP WITH THE LOCAL FARMERS MARKET EXPANDED FRESH PRODUCE ACCESS IN THE COMMUNITY IMMEDIATELY SURROUNDING THE HOSPITAL.IDENTIFIED HEALTH NEEDS NOT PRIORITIZEDCOLORADO'S LACK OF AFFORDABLE HOUSING: IN THE LAST COUPLE OF YEARS, THE LACK OF AFFORDABLE HOUSING HAS BECOME A TOP CONCERN FOR THE COMMUNITIES OF PUEBLO COUNTY. ACCORDING TO THE COLORADO HEALTH INSTITUTE (CHI), AFFORDABLE HOUSING IS A CHALLENGE FOR MANY COLORADANS, REGARDLESS OF AGE. BUT FOR PEOPLE WHO ARE OLDER, IN POOR HEALTH, OR LIVE ON FIXED INCOMES, AFFORDABLE HOUSING CAN BE EVEN LESS ATTAINABLE. BEYOND AFFORDABILITY CONCERNS, HOMES MUST BE PHYSICALLY ACCESSIBLE AND SAFE, RESIDENTS SHOULD HAVE ACCESS TO CRITICAL COMMUNITY SERVICES LIKE HEALTH CLINICS, AND OLDER ADULTS SHOULD HAVE HOUSING OPTIONS THAT INCLUDE SUPPORTIVE SERVICES THAT FACILITATE AGING IN PLACE. ALMOST 22% OF ADULTS AGED 65 AND OLDER LIVING IN PUEBLO COUNTY ARE HOUSING COST BURDENED. THAT MEANS THEY DEVOTE MORE THAN 30 PERCENT OF THEIR INCOME EACH MONTH TO HOUSING COSTS INCLUDING UTILITIES AND PROPERTY TAXES. ACCORDING TO COMMUNITY ORGANIZATIONS, PUEBLO COUNTY LACKS SUFFICIENT AFFORDABLE HOUSING COMPLEXES FOR FAMILIES. FURTHERMORE, THE COUNTY'S LOW-INCOME HOUSING FOR SENIORS AND INDIVIDUALS WITH DISABILITIES IS SCARCE WITH LONG WAITLISTS. EVEN WHEN UNITS IN THESE LOW-INCOME HOUSING COMMUNITIES BECOME AVAILABLE, CHI REPORTS THAT ONLY ONE IN THREE PEOPLE IN COLORADO WHO NEED A HOUSING SUBSIDY GET ONE. FOR THE LOWEST-INCOME OLDER ADULTS, THERE SIMPLY AREN'T ENOUGH FEDERAL HOUSING SUBSIDIES TO MEET THE NEED. THE CHINA COMMITTEE RECOGNIZES THAT THIS IS A STRUCTURAL PROBLEM THAT REQUIRES CITY WIDE SOLUTIONS.
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PART V, SECTION B, LINE 11- ST. ANTHONY SUMMIT HOSPITAL
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ST. ANTHONY SUMMIT HOSPITAL (SASH) AND COMMUNITY STAKEHOLDERS IDENTIFIED TWO SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR COMMUNITY HEALTH IMPLEMENTATION PLAN. THE NEEDS WERE: 1. RISK BEHAVIORS: SUBSTANCE USE; AND 2. COMMUNITY CAPACITY BUILDING: FOOD SECURITYRISK BEHAVIORS: SUBSTANCE USE: OPIOID ADDICTION INTERVENTION AND PREVENTION OUTCOMES: SASH ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS. EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. SASH'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, SASH HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, SASH EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; SASH ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS; ADVANCE SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES AND SUPPORT: SASH FOCUSED ON IMPROVING SUBSTANCE USE ADDICTION OUTCOMES THROUGH THE CREATION AND UTILIZATION OF BEHAVIORAL HEALTH SPECIALIST POSITION TO SUPPORT SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT. THIS WORKFORCE INITIATIVE IS CRUCIAL IN CONNECTING PATIENTS TO NECESSARY RESOURCES, AND THE PATIENTS SUPPORTED ACROSS CSH SAW A COLLECTIVE DECREASE IN LENGTH OF STAY AND READMISSIONS COMPARED TO PRIOR YEARS; SASH CONTINUED TO ADVANCE STRONG REGIONAL PARTNERSHIPS AND TO FUND STIGMA REDUCTION AND ACCESS TO SUBSTANCE USE AND MENTAL HEALTH SERVICES THROUGH THEIR FUNDING OF CARE COORDINATION AND AN AMBASSODORS PROGRAM IN PARTNERSHIP WITH BUILDING HOPE; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT AIMED AT SUPPORTING ACCESS TO SUBSTANCE USE PROVIDER SHORTAGE AREAS LIKE THE GREATER SUMMIT COUNTY REGION; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S DEVELOPMENT OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. SASH'S COMMONSPIRIT HEALTH BEHAVIORAL HEALTH SPECIALIST HELPED PILOT AND EARN HIS QBHA CERTIFICATE THROUGH THIS PROCESS AND IS ON A CAREER TRACK TO BECOME AN ADDICTIONS COUNSELOR; TAKE BACK BOX LOCATION: COLLABORATED WITH COMMUNITY PARTNERS WHO WERE ALREADY WORKING TO ESTABLISH DRUG TAKE-BACK PROGRAMS, SUPPORTING THEIR EFFORTS AND PROMOTING THEIR EXISTING LOCATIONS TO ENHANCE COMMUNITY ACCESS AND AWARENESS.COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS:SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; COMMUNITY GARDENS AND COMMUNITY FARMFOOD SYSTEMS/ PRODUCTION: COMMUNITY GARDENS & FARMS: SASH INVESTED 10K IN PARTNERSHIP WITH HC3 TO INSTALL REFRIGERATION SYSTEMS TO EXTEND PRODUCE LIFE AND EXPAND THE COMMUNITY GARDENS IN FRISCO AND DILLON VALLEY; INTEGRATE FOOD ACCESS STRATEGIES INTO SASH COMMUNITY PARTNERSHIPS: SASMC IN PARTNERSHIP WITH HIGH COUNTRY CONSERVATION CENTER (HC3) PRODUCED 2,350.41 LBS. OF FRESH PRODUCE THAT WAS DISTRIBUTED TO 221 FAMILIES (804 INDIVIDUALS), 61% INCREASE FROM PREVIOUS YEAR; PARTNER WITH CHPG AND COMMUNITY TO INCREASE AWARENESS OF IMPACT OF HUNGER ON WHOLE PERSON HEALTH AND INCREASE ACCESS TO SNAP AND WIC: A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET.HEALTH PRIORITIES NOT ADDRESSING:ECONOMIC MOBILITY & LIVING WAGES, CHILDCARE, PROVIDER AVAILABILITY, AND INCLUSIVE COMMUNITY RANKED AS A TOP PRIORITY DURING THE RANKING PROCESS. WHILE THESE ARE IMPORTANT ISSUES FOR THE COMMUNITY, IT WAS RECOGNIZED THAT THE HOSPITAL AND PARTNERS INVOLVED IN THE PRIORITIZATION PROCESS DID NOT HAVE ORGANIZATIONAL STRENGTHS TO ADDRESS THIS ISSUE. RATHER, IT IS ONE THAT WILL TAKE COLLECTIVE COMMUNITY ACTION OUTSIDE OF THESE EFFORTS.
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PART V, SECTION B, LINE 11- ST. THOMAS MORE
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ST. THOMAS MORE (STM) AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT NEEDS IN THEIR COMMUNITY, WHICH THEY PRIORITIZED AND FOCUSED ON IN THEIR 2022 COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PRIORITY NEEDS IDENTIFIED WERE: 1. ACCESS TO CARE: MENTAL HEALTH; 2. RISK BEHAVIORS: SUBSTANCE USE; AND 3. COMMUNITY CAPACITY BUILDING: FOOD SECURITYACCESS TO CARE: MENTAL HEALTHREGIONAL STIGMA REDUCTION CAMPAIGN: COMMONSPIRIT COLLABORATED WITH METRO DENVER PARTNERSHIPS FOR HEALTH TO REDUCE STIGMA BY SPONSORING UPDATES TO THE LET'S TALK COLORADO WEBSITE. THIS INITIATIVE ENHANCES THE SITES AVAILABLE EDUCATION AND RESOURCES WHILE INCORPORATING CULTURAL DIVERSITY AS A KEY COMPONENT OF THE STRATEGY; STM SPONSORED SUICIDE PREVENTION AWARENESS ACTIVITIES TO ADVANCE BH STIGMA REDUCTION WORK IN THEIR GREATER COMMUNITY; PARTNERSHIP WITH COLORADO SUICIDE PREVENTION ALLIANCE TO ELEVATE AWARENESS, SPONSORSHIP AND PARTICIPATION IN THE OUT-OF-DARKNESS WALK; PARTNERSHIP WITH SOLVISTA TO ADVANCE COMMUNITY TRAINING FOR HEALTHCARE PROFESSIONALS. SCHOOL BEHAVIORAL HEALTH WORKFORCE PARTNERSHIP PROGRAM: STM AND COMMONSPIRIT HEALTH BH INITIATIVES LEADERSHIP EXPANDED ITS REGIONAL BEHAVIORAL HEALTH WORKFORCE COLLABORATIVE IN FREMONT COUNTY LEADING COMMUNITY COLLABORATIVE MEETINGS DESIGNED TO ENHANCE EDUCATIONAL AND EMPLOYER PARTNERSHIP FOR BY WORKFORCE DEVELOPMENT. THESE EFFORTS WERE ALIGNED WITH THE WELLSTART FREMONT ECONOMIC COUNSELS BEHAVIORAL HEALTH WORKGROUP AND OTHER KEY BEHAVIORAL HEALTH AND RECOVERY PARTNERS AND RESULTED IN TWO TRACKS BEING ADVANCED: ONE FOR MENTAL HEALTH AND ONE FOR SUBSTANCE ABUSE PROVIDER DEVELOPMENT; COMMONSPIRIT SPONSORED THE COLORADO STATE K-12 SCHOOL BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT COMMUNITY OF PRACTICE ADVANCING KNOWLEDGE AND COORDINATION SUPPORTING EDUCATIONAL CAREER AND TECHNICAL, CURRICULUM, STUDENT SUPPORT, AND PATHWAY PARTNERSHIP DEVELOPMENT. COLORADO COMMUNITY COLLEGE SYSTEM, PUEBLO COMMUNITY COLLEGE AND OTHER STM REGIONAL PARTNERS PARTICIPATED IN THE COLLABORATIVE AND BROADER PARTNERSHIP INITIATIVE; COMMONSPIRIT BEHAVIORAL HEALTH INITIATIVES LEADERSHIP LEAD THE DEVELOPMENT OF THE COLORADO COMMUNITY COLLEGE SYSTEM'S CREATION OF COMPENTENCIES FOR EXISTING BEHAVIORAL HEALTH WORKERS TO MEET CRITERIA FOR THE STATE'S NEW QUALIFIED BEHAVIORAL HEALTH ASSISTANT (QBHA) CERTIFICATE. THE COMMONSPIRIT HEALTH BEHAVIORAL HEALTH SPECIALISTS AT STM HELPED PILOT AND EARN THEIR QBHA CERTIFICATE THROUGH THIS PROCESS; OTHER: EXPANDING COMMUNITY ACCESS TO NEEDED MENTAL HEALTH SERVICES: IN ALIGNMENT WITH THIS COMMUNITY-FACING WORKFORCE PATHWAY WORK STM STARTED ITS BEHAVIORAL HEALTH SPECIALIST (BHS) PROGRAM ADDING A BHS TO SERVE EMERGENCY DEPARTMENT PATIENTS, INCREASING CAPACITY FOR SCREENING, INTERVENTION, CARE COORDINATION AND POST DISCHARGE CARING CONTACTS; STM AND COMMONSPIRIT MEDICAL GROUP ADVANCED CHILDREN'S AND WOMEN'S AND FAMILY MENTAL HEALTH OUTCOMES BY PARTNERING WITH AN INTEGRATED BEHAVIORAL HEALTH PROVIDER TO ADVANCE A HEALTHY STEPS PROGRAM AT THE STM PRIMARY CLINIC; STM AND CSH PARTNERED WITH THE CENTER FOR REPRODUCTIVE GRIEF TO ADVANCE TRAINING AND AN ENHANCED CARE MODEL FOR WOMEN WHO ARE EXPERIENCING OR HAVING PREVIOUSLY EXPERIENCED FETAL LOSS.RISK BEHAVIORS: SUBSTANCE USESTM ADVANCED THE PROVISION OF MEDICATIONS OF OPIOID USE DISORDER (MOUD) FOR BOTH EMERGENCY DEPARTMENT AND INPATIENTS: EVERY PATIENT ASSESSED AS ELIGIBLE WAS OFFERED MOUD. STM'S RATE OF ELIGIBLE OFFERING WAS MAINTAINED AT OVER 90% AND ANY AND ALL FALL OUTS WERE REVIEWED AND FOLLOWED UP UPON THROUGH A NEWLY IMPLEMENTED REGIONAL AND FACILITY SUPPORTED CONTINUOUS QUALITY IMPROVEMENT PROCESSES; THROUGH COLLABORATION WITH LOCAL AND NATIONAL PARTNERS, STM HELPED SAVE LIVES BY DISSEMINATING THE OVERDOSE-ANTIDOTE, NALOXONE TO ED AND MEDICAL FLOOR PATIENTS. SIGNIFICANT HEALTH SYSTEM DESIGN WORK WAS DONE TO IDENTIFY OUR AT-RISK PATIENT POPULATION, ALERT THE PROVIDER AND SUPPORT THE PROVISION OF TAKE-HOME PACKS TO REDUCE BARRIERS TO NALOXONE ACCESS; ADDITIONALLY, STM EMERGENCY DEPARTMENT PROVIDERS REDUCED THEIR ADMINISTRATION AND PRESCRIPTION OF OPIOIDS AND UTILIZED MORE ALTERNATIVES TO OPIOIDS TO TREAT PAIN TO HELP PREVENT OPIOID ADDICTION. THIS PROGRESSION IN INITIATIVE OUTCOMES WAS SUPPORTED BY CONTINUOUS QUALITY IMPROVEMENT INITIATIVE TEAM OPERATING AT THE REGIONAL AND FACILITY LEVELS TO ADVANCE OUTCOME OPTIMIZATION; STM ALSO ADVANCED ITS CAPABILITIES TO SUPPORT MOTHERS WITH POTENTIAL SUBSTANCE USE BY CONTINUING TO ADVANCE A PROGRAM TO EXPAND NALOXONE KIT ACCESS TO DELIVERING MOTHERS.
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PART V, SECTION B, LINE 11- ST. THOMAS MORE-CONTINUED
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COMMUNITY CAPACITY BUILDING: FOOD SECURITYOUTREACH, EDUCATION, AND DESTIGMATIZATION: SINCE AUTHORING THESE GOALS, WE LOOKED AT PURPOSE AND PROCESS IN ORDER TO EXPAND OUR REACH. WITH A NEW GOAL OF: IMPLEMENTING OUTREACH CAMPAIGNS AMONG ASSOCIATES, PATIENTS, AND COMMUNITIES IN ORDER TO EDUCATE THEM ON FOOD INSECURITY AND THE COMMUNITIES AFFECTED MOST BY ISSUES, AND FOOD SECURITY PROGRAMS AVAILABLE TO HELP SUPPORT FAMILIES AND INDIVIDUALS EXPERIENCING A NEED. IN THIS MORE INCLUSIVE VISION FOR OUR GOAL, WE WERE ABLE TO REACH ASSOCIATES, PATIENTS, AND COMMUNITY MEMBERS THROUGH PUBLIC NEWS OUTLETS, INTERNAL ASSOCIATE NEWSLETTERS, DIRECT CORRESPONDENCE WITH COMMUNITY BENEFIT ORGANIZATIONS, COLLABORATIVELY WITH SPONSORSHIP PARTNERS, AND OTHER CREATIVE COMMUNICATION CHANNELS. USING OUR VOICE AND THE VOICE OF OUR COLLABORATORS, WE WERE ABLE TO REACH OLD AND NEW AUDIENCES WITH IMPORTANT MESSAGES ABOUT FOOD INSECURITY, FOOD SECURITY PROGRAMS IN THE COMMUNITY, AND FOOD SECURITY WORK BEING DONE BY COMMONSPIRIT (FORMERLY CENTURA HEALTH). WE WERE ABLE TO ADDRESS RESOURCING AND DESTIGMATIZATION IN A VARIETY OF AVENUES; SCREENING & REFERRALS: SOCIAL DETERMINANTS OF HEALTH SCREENING WAS SUCCESSFULLY IMPLEMENTED FOR ALL INPATIENT UNITS AT ALL SITES WHICH INCLUDES SCREENING FOR FOOD INSECURITY. CASE MANAGERS RECEIVE A WORK QUEUE OF PATIENTS IDENTIFIED TO HAVE A SOCIAL NEED, WHICH PROMPTS THEM TO PROVIDE A PRINTED SUMMARY OF EHR-INTEGRATED 211 LOCAL RESOURCES; A COMMONSPIRIT-SECURED GRANT SUPPORTED DEVELOPMENT OF A CENTRALIZED TEAM (3 PLUS 1 SUPERVISOR) OF COMMUNITY HEALTH WORKERS WHO FOLLOW UP WITH PATIENTS IDENTIFIED WITH FOOD INSECURITY TO PROVIDE FOOD SECURITY NAVIGATION SERVICES INCLUDING SUBMISSION OF SNAP APPLICATIONS, AND PATIENT-FOCUSED OUTREACH MATERIALS IN ENGLISH AND SPANISH. FOLLOWING A PERIOD OF ONBOARDING AND DEVELOPMENT OF THIS TEAM, 85 ENROLLMENTS WERE COMPLETED WITH NAVIGATION RESOURCES ACROSS THE SYSTEM. VOLUMES ARE ANTICIPATED TO INCREASE OVER THE NEXT YEAR WITH INCREASED EFFICIENCY AND EXPANSION OF SERVICES INTO THE UTAH MARKET; BENEFITS ACCEPTANCE: COMMONSPIRIT PARTICIPATES IN CO BLUEPRINT TO END HUNGER'S ENSURING ACCESS TO HEALTHY FOOD IN COLORADO COMMUNITIES' WORKGROUP AND THEIR WIC/SNAP RETAILERS PROJECT TEAM. THIS PROJECT TEAM FOCUSES ON ENSURING SNAP RECIPIENTS HAVE SUFFICIENT ACCESS TO LOCATIONS FOR SNAP/WIC REDEMPTION. THEY ARE ACTIVELY INVOLVED IN IMPLEMENTATION AND PROMOTION OF CO DEPARTMENT OF AGRICULTURE'S COMMUNITY FOOD ACCESS PROGRAM ESTABLISHED IN SPRING OF 2022 BY CO HB-1380. THIS BILL AND ITS PROGRAMS WERE INSPIRED BY A PILOT PROJECT PARTIALLY FUNDED BY COMMONSPIRIT IN 2021. COMMONSPIRIT HAS PROMOTED THE AVAILABILITY OF THIS PROGRAM TO FOOD COALITIONS AND BUSINESSES IN THE COMMUNITIES WE SERVE; LOCAL FOOD DISTRIBUTION SUPPORT: STM DONATES APPROXIMATELY 1500 PREPARED MEALS PER MONTH TO LOCAL MEALS ON WHEELS PROGRAMS. HEALTH PRIORITIES NOT ADDRESSING:DISEASE AND INJURY: SMOKING AND HEART DISEASEFREMONT COUNTY HAS ONE OF THE HIGHEST RATES OF SMOKERS IN THE STATE. SMOKING LEADS TO DISEASE AND DISABILITY AND HARMS NEARLY EVERY ORGAN OF THE BODY, PARTICULARLY THE LUNGS AND HEART. MORTALITY RATES FROM HEART DISEASE IN FREMONT COUNTY ARE ALSO HIGHER COMPARED TO THE STATE. THE HEALTH CONSEQUENCES AND COSTS ASSOCIATED WITH SMOKING ARE ALSO HIGH, INDICATING THAT THE COST OF CARE AND CARE MANAGEMENT FOR SMOKING AND HEART DISEASE IS COSTLY AND CONTRIBUTES TO THE RISING COST OF HEALTH CARE EXPENDITURES. AT THE FREMONT COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT, THE TOBACCO EDUCATION, PREVENTION AND CESSATION PROGRAM IS FUNDED BY AMENDMENT 35 GRANTS. FCDPHE IS DEDICATED TO SERVING AS A COMMUNITY PARTNER IN TOBACCO CESSATION, PREVENTION, AND EDUCATION FOR ALL AGES AND POPULATIONS SERVED IN FREMONT COUNTY, UTILIZING EVIDENCE-BASED PROGRAMS AND PRACTICES TO ASSIST THOSE WHO WISH TO QUIT USING TOBACCO PRODUCTS, PREVENTING YOUTH FROM INITIATING USE OF TOBACCO, VAPE, ECIG, OR OTHER NICOTINE-CONTAINING PRODUCTS, PROVIDE EDUCATION AND RESOURCES TO POLICYMAKERS, EMPLOYERS, EARLY CHILDHOOD EDUCATORS AND HEALTH CARE PROVIDERS IN THE COMMUNITY AND PROTECTING THE OVERALL HEALTH OF THE COMMUNITY BURDENED BY TOBACCO USE.THE HOSPITAL IS NOT POSITIONED TO DEVELOP SPECIFIC PROGRAMMING FOR SMOKING CESSATION. INSTEAD, THE HOSPITAL WILL CONTINUE TO SERVE AS A REFERRAL SOURCE TO THE PROGRAM OWNED AND OPERATED BY THE HEALTH DEPARTMENTIDENTIFIED HEALTH NEED NOT PRIORITIZED: DISEASE AND INJURY, SMOKING AND HEART DISEASE: FREMONT COUNTY HAS ONE OF THE HIGHEST RATES OF SMOKERS IN THE STATE. SMOKING LEADS TO DISEASE AND DISABILITY AND HARMS NEARLY EVERY ORGAN OF THE BODY, PARTICULARLY THE HEART AND LUNGS. MORTALITY RATES FROM HEART DISEASE IN FREMONT COUNTY ARE ALSO HIGHER COMPARED TO THE STATE. THE CHNA COMMITTEE RECOGNIZED THE LINKAGE BETWEEN HIGH SMOKING RATES AND HEART DISEASE AND THE HEALTH CONSEQUENCES AND COSTS ASSOCIATED WITH SMOKING ARE ALSO HIGH, INDICATING THAT THE COST OF CARE AND CARE MANAGEMENT FOR SMOKING AND HEART DISEASE IS COSTLY AND CONTRIBUTES TO THE RISING COST OF HEALTH CARE EXPENDITURES. WHILE SMOKING AND HEART DISEASE ARE IMPORTANT HEALTH INDICATORS, THE CHNA COMMITTEE APPRECIATES THAT THE HEALTH DEPARTMENT, ST. THOMAS MORE, AND VARIOUS COMMUNITY BASED ORGANIZATIONS ALREADY LEVERAGE EXISTING REFERRAL PATHWAYS THAT ENSURES COMMUNITY MEMBERS ARE REFERRED TO SMOKING CESSATION PROGRAMS IN A TIMELY MANNER; COMMUNITY BUILDING CAPACITY, LACK OF AFFORDABLE HOUSING ACCORDING TO THE COLORADO HEALTH INSTITUTE (CHI), AFFORDABLE HOUSING IS A CHALLENGE FOR MANY COLORADANS, REGARDLESS OF AGE. BUT FOR PEOPLE WHO ARE OLDER, IN POOR HEALTH, OR LIVE ON FIXED INCOMES, AFFORDABLE HOUSING CAN BE EVEN LESS ATTAINABLE. BEYOND AFFORDABILITY CONCERNS, HOMES MUST BE PHYSICALLY ACCESSIBLE AND SAFE. RESIDENTS SHOULD HAVE ACCESS TO CRITICAL COMMUNITY SERVICES LIKE HEALTH CLINICS, AND OLDER ADULTS SHOULD HAVE HOUSING OPTIONS THAT INCLUDE SUPPORTIVE SERVICES THAT FACILITATE AGING IN PLACE. IN THE LAST COUPLE OF YEARS, THE LACK OF AFFORDABLE HOUSING HAS BECOME A TOP CONCERN FOR THE COMMUNITIES OF FREMONT COUNTY. APPROXIMATELY 47.73% OF RENTERS ARE HOUSING COST BURDENED. THIS RATE ALIGNS WITH COLORADO'S RATE OF 48%. THAT MEANS THEY DEVOTE MORE THAN 30 PERCENT OF THEIR INCOME EACH MONTH TO HOUSING COSTS INCLUDING UTILITIES AND PROPERTY TAXES. THE CHNA COMMITTEE RECOGNIZES THAT THIS IS A STRUCTURAL PROBLEM THAT REQUIRES CITY WIDE SOLUTIONS.
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PART V, SECTION B, LINES 16A-16C
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16A-FAP AVAILABLE WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE16B-FAP APPLICATION FORM WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE16C-PLAIN LANGUAGE FAP SUMMARY WEBSITEHTTPS://WWW.MOUNTAIN.COMMONSPIRIT.ORG/PATIENT-TOOLS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE-HOSPITAL-DISCOUNTED-CARE
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