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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: SANFORD MEDICAL CENTER, - FACILITY 3: SANFORD BROADWAY MEDICAL CENTER FARGO, - FACILITY 4: SANFORD MEDICAL CENTER SOUTH UNIVERSITY, - FACILITY 5: SANFORD BISMARCK MEDICAL CENTER, - FACILITY 6: SANFORD BEMIDJI MEDICAL CENTER, - FACILITY 7: SANFORD MEDICAL CENTER THIEF RIVER FALLS, - FACILITY 8: SANFORD ABERDEEN MEDICAL CENTER, - FACILITY 9: SANFORD WORTHINGTON MEDICAL CENTER, - FACILITY 10: SANFORD SHELDON MEDICAL CENTER, - FACILITY 11: SANFORD VERMILLION MEDICAL CENTER, - FACILITY 12: SANFORD CHAMBERLAIN MEDICAL CENTER, - FACILITY 13: SANFORD LUVERNE MEDICAL CENTER, - FACILITY 14: SANFORD CANBY MEDICAL CENTER, - FACILITY 15: SANFORD JACKSON MEDICAL CENTER, - FACILITY 16: SANFORD TRACY MEDICAL CENTER, - FACILITY 17: SANFORD HILLSBORO MEDICAL CENTER, - FACILITY 18: SANFORD MEDICAL CENTER MAYVILLE, - FACILITY 19: SANFORD WEBSTER MEDICAL CENTER, - FACILITY 20: SANFORD MEDICAL CENTER WHEATON, - FACILITY 21: SANFORD BAGLEY MEDICAL CENTER, - FACILITY 22: SANFORD CANTON-INWOOD MEDICAL CENTER, - FACILITY 23: SANFORD CLEAR LAKE MEDICAL CENTER, - FACILITY 24: SANFORD WESTBROOK MEDICAL CENTER, - FACILITY 2: SANFORD MEDICAL CENTER FARGO, - FACILITY 25: SANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH C
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GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: HEALTHY LIVINGIN THE UNITED STATES, MANY LEADING CAUSES OF DEATH AND DISEASE ARE ATTRIBUTED TO UNHEALTHY BEHAVIORS. FOR EXAMPLE, POOR NUTRITION AND LOW LEVELS OF PHYSICAL ACTIVITY ARE ASSOCIATED WITH HIGHER RISK OF CARDIOVASCULAR DISEASE, TYPE 2 DIABETES, AND OBESITY. TOBACCO USE IS ASSOCIATED WITH HEART DISEASE, CANCER, AND POOR PREGNANCY OUTCOMES IF THE MOTHER SMOKES DURING PREGNANCY. EXCESSIVE ALCOHOL USE IS ASSOCIATED WITH INJURIES, CERTAIN TYPES OF CANCERS, AND CIRRHOSIS. SANFORD SIOUX FALLS USD MEDICAL CENTER (SUSDMC) HAS MADE HEALTHY LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE A DECREASE IN OLDER ADULT INJURY FALLS. IT IS SANFORD'S GOAL TO EXPAND ACCESS TO FALL PREVENTION EDUCATION AND TO INCREASE SANFORD HEALTH PROVIDER AWARENESS AND KNOWLEDGE OF THE IMPORTANCE OF FALL PREVENTION. PRIORITY 2: ADOLESCENT MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SUSDMC HAS MADE ADOLESCENT MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROVIDE YOUTH WITH MORE ACCESS TO MENTAL AND BEHAVIORAL HEALTH INFORMATION, EDUCATION AND SERVICES. IT IS SANFORD'S GOAL TO INCREASE DEPRESSION SCREENING WITH PATIENTS AGES 12-18 YEARS OLD AND TO ENHANCE OVERALL ACCESS TO BEHAVIORAL AND MENTAL HEALTH SERVICES FOR AREA YOUTH.PRIORITY 3: ACCESS TO CAREWHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS THE SECOND HIGHEST ISSUE. WHEN ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY, RESPONDENTS INDICATED WALK-IN/URGENT CARE, DENTAL CARE, AND FAMILY MEDICINE OR PRIMARY CARE.SUSDMC HAS MADE ACCESS TO CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR MORE AREA RESIDENTS TO RECEIVE APPROPRIATE, NEEDED CARE. IT IS SANFORD'S GOAL TO INCREASE RATES OF PREVENTIVE SCREENING FOR CANCER AND INCREASE ACCESS TO SENIOR CARE SERVICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR:HEALTHY LIVINGSUSDMC HAS OBTAINED ADMINISTRATION FOR COMMUNITY LIVING GRANT FUNDING TO PARTNER WITH LOCAL COMMUNITY AGENCIES TO PROVIDE FALL PREVENTION SCREENING AND EVIDENCE-BASED FALL PREVENTION PROGRAMS FOR OLDER ADULTS IN THE COMMUNITY.ADOLESCENT MENTAL HEALTH BEHAVIORAL HEALTH CARE ACCESS HAS BEEN ENHANCED WITH THE RECRUITMENT OF ADDITIONAL PROVIDERS AND PLACING BEHAVIORAL HEALTH TRIAGE THERAPISTS IN ALL PRIMARY CARE CLINICS. THE PHQ-2 ASSESSMENT IS GIVEN AT ALL PRIMARY CARE VISITS.WE CONTINUE TO EXPAND BEHAVIORAL HEALTH SERVICES COMMENSURATE TO INCREASING DEMAND. SUSDMC OFFERS MENTAL HEALTH SERVICES FOR ANY ADMITTED PATIENT AND THOSE THAT PRESENT TO THE EMERGENCY DEPARTMENT IN A MENTAL HEALTH CRISIS. PATIENTS ARE SEEN FOR SUICIDAL IDEATION, DEPRESSION, ANXIETY, PTSD, SUBSTANCE AND ADDICTION ISSUES. MENTAL HEALTH STAFF ALSO SEE THOSE WITH A NEW MEDICAL DIAGNOSIS SUCH AS CANCER, PULMONARY ISSUES AND POSTPARTUM DEPRESSION. SUSDMC'S MENTAL HEALTH TEAM CONSISTS OF 15 MASTERS LEVEL COUNSELORS AND CLINICAL SOCIAL WORKERS TO ENSURE ANY MENTAL HEALTH NEEDS ARE TAKEN CARE OF WHILE A PATIENT IS HOSPITALIZED. SUSDMC ALSO OFFERS TWO INTEGRATED HEALTH THERAPISTS THAT SEE PATIENTS IN OUR SPECIALTY CLINICS THAT ARE ON THE MAIN SUSDMC CAMPUS. THEY ARE AVAILABLE FOR CRISIS COUNSELING AND FOLLOW UP VISITS AS NEEDED AT THE SAME TIME AS THE PATIENT'S CLINIC VISIT. SUSDMC HAS SEVERAL STAFF THAT ARE PART OF THE PARTNERSHIP THAT SANFORD HEALTH AND AVERA HEALTH HAVE WITH THE CITY OF SIOUX FALLS TO FORM THE LINK. THE LINK IS A COMMUNITY TRIAGE CENTER PROVIDING A SAFE PLACE FOR PEOPLE EXPERIENCING A NON-VIOLENT BEHAVIORAL HEALTH CRISIS OR NEEDING CARE FOR SUBSTANCE ABUSE DISORDERS TO ACCESS IMMEDIATE TREATMENT AND REFERRAL TO SUPPORT SERVICES. IT OFFERS OUR COMMUNITY AN INNOVATIVE APPROACH TO ADDRESS GAPS IN CRITICAL SERVICES FOR PEOPLE LIVING WITH MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. WE PARTICIPATE IN VARIOUS PLANNING AND OPERATIONAL COMMITTEES AND OUR PRESIDENT AND CEO, PAUL HANSON, IS ON THE LINK BOARD OF DIRECTORS. ACCESS TO CAREWALK-INS, VIDEO VISITS, E-VISITS, ONLINE SCHEDULING, AND SAME-DAY ACCESS ARE AVAILABLE AT ALL PRIMARY CARE LOCATIONS. APPROPRIATE PREVENTIVE SCREENINGS ARE OFFERED ALONG WITH EDUCATIONAL INFORMATION ON WELLNESS AND DISEASE PREVENTION.HEALTH CARE LITERACY AND FINANCIAL ADVOCACY ARE ONGOING EFFORTS. WE COLLABORATE WITH SANFORD HEALTH PLAN TO HELP PATIENTS FIND AFFORDABLE COVERAGE. THE HOSPITAL ALSO HAS ONSITE FINANCIAL ADVOCATES WHO SPECIALIZE IN HEALTH CARE COVERAGE ENROLLMENT AND HELP PATIENTS NAVIGATE SANFORD'S FINANCIAL ASSISTANCE PROGRAM IF ELIGIBLE. WE CONTINUE TO INVEST IN LANGUAGE SERVICES TO ENSURE PATIENTS NEEDING FINANCIAL SUPPORT DO NOT FACE COMMUNICATION BARRIERS.OUR CALL CENTER, INCLUSIVE OF OUR ONE CALL SYSTEM, THE CLINICAL CALL CENTER, AND THE MY SANFORD NURSE LINE RESPONDS TO HUNDREDS OF THOUSANDS OF CALLS PER YEAR. THE CLINICAL CALL CENTER ANSWERS AFTER HOURS CALLS FOR ALL THE METRO/NETWORK CLINIC LOCATIONS, IN ADDITION TO MY SANFORD NURSE CALLS.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE: ACCESS TO AFFORDABLE HEALTH CAREQUALITY CHILD CARELONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THOSE THAT NEED THEM IN THE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE TIMELY ACCESS TO MENTAL/BEHAVIORAL HEALTH CARE SERVICES AND TO ENHANCE AND EXPAND SERVICES TO EFFECTIVELY SUPPORT AND TREAT PATIENTS WITH SUBSTANCE USE DISORDERS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CAREWHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO HEALTH CARE WAS ONE OF THE TOP ISSUES BEHIND COST. AND WHEN RESPONDENTS, WHO RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS POOR OR FAIR, WERE ASKED WHY THEY RATED ACCESS AS THEY DID, ISSUES OF LIMITED HOURS, WAIT TIMES, LIMITED LOCATIONS, AND LACK OF PROVIDERS AND SPECIALTY CARE WERE AMONG THE TOP CONCERNS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED COLLABORATION WITH EXTERNAL PARTNERS AND IMPROVED ACCESS TO CARE. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE AND TO COLLABORATIVELY SHARE CHNA INFORMATION WITH PUBLIC AND PRIVATE PARTNERS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSESANFORD FARGO IS CONTINUING ITS EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. UTILIZATION OF VIRTUAL VISITS FOR BEHAVIORAL HEALTH HAS CONTINUED TO GROW AND CONTRIBUTE TOWARD IMPROVED ACCESS. TIMELY ACCESS TO ADULT PSYCHIATRY CONTINUES TO BE AN AREA WE ARE WORKING TO IMPROVE AND MONITOR PROGRESS QUARTERLY. SANFORD CURRENTLY OFFERS MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS IN THE COMMUNITY THROUGH VARIOUS DELIVERY OPPORTUNITIES. DEPRESSION SCREENING WILL BE UTILIZED IN THE ROOMING NAVIGATOR IN ALL CLINICS TO HELP IDENTIFY THOSE IN NEED OF CARE. OUR SUBOXONE CLINIC CONTINUES TO SERVE PATIENTS IN ADDICTION RECOVERY AND ENGAGES IN HOSPITAL PEER COACHING. SANFORD FARGO IS CONTINUING A PARTNERSHIP WITH CLAY COUNTY DETOX TO ENSURE COORDINATED UTILIZATION OF MEDICAL AND LAW ENFORCEMENT SUPPORT FOR INDIVIDUALS ACTIVELY IN DETOX.ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE SANFORD FARGO INCREASED HOME-BASED PRIMARY CARE ACCESS AND CONTINUES TO UTILIZE THIS APPROACH TO IMPROVE ACCESS AS ALL PRIMARY CARE PROVIDERS NOW HAVE ACCESS TO THIS OPTION. PROVIDER RECRUITMENT PLAYS A MAJOR ROLE IN OUR ABILITY TO INCREASE OUR CAPACITY. INVESTING IN OUR EDUCATIONAL PROGRAMS TO SERVE AS A PIPELINE FOR PROVIDERS CONTINUES TO BE A PRIORITY. THE BROADWAY CAMPUS IS UNDERGOING EXTENSIVE REMODELING FOLLOWING THE OPENING OF SANFORD MEDICAL CENTER FARGO IN JULY 2017 AND THE RELOCATION OF MANY SERVICES TO THAT LOCATION. THE LONGER-TERM MISSION FOR THE BROADWAY FACILITY IS A GREATLY EXPANDED ROGER MARIS CANCER CENTER WHICH WILL ANCHOR THE BROADWAY CAMPUS AND PROVIDE MANY NEW SERVICES AND SPECIALTIES. IN ADDITION TO AN EXTENSIVE ARRAY OF CANCER SERVICES PROVIDED, INCLUDING A BONE MARROW TRANSPLANT PROGRAM, AND AN INPATIENT ONCOLOGY UNIT, SANFORD BROADWAY IS CURRENTLY HOME TO THE CARDIOVASCULAR CLINIC, CV DIAGNOSTIC SERVICES, INPATIENT HOSPICE UNIT, INPATIENT ICU, URGENT CARE, SAME DAY SURGERY, INPATIENT EATING DISORDER UNIT AND OTHERS. IT IS CONNECTED TO SANFORD BROADWAY CLINIC, WHICH IS THE REGION'S LARGEST MULTI-SPECIALTY CLINIC OFFERING OVER 50 MEDICAL SPECIALTIES INCLUDING NUMEROUS PEDIATRIC SUB-SPECIALTIES. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGPUBLIC TRANSPORTATIONQUALITY CHILDCAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THOSE THAT NEED THEM IN THE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE TIMELY ACCESS TO MENTAL/BEHAVIORAL HEALTH CARE SERVICES AND TO ENHANCE AND EXPAND SERVICES TO EFFECTIVELY SUPPORT AND TREAT PATIENTS WITH SUBSTANCE USE DISORDERS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CAREWHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO HEALTH CARE WAS ONE OF THE TOP ISSUES BEHIND COST. AND WHEN RESPONDENTS, WHO RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS POOR OR FAIR, WERE ASKED WHY THEY RATED ACCESS AS THEY DID, ISSUES OF LIMITED HOURS, WAIT TIMES, LIMITED LOCATIONS, AND LACK OF PROVIDERS AND SPECIALTY CARE WERE AMONG THE TOP CONCERNS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED COLLABORATION WITH EXTERNAL PARTNERS AND IMPROVED ACCESS TO CARE. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE AND TO COLLABORATIVELY SHARE CHNA INFORMATION WITH PUBLIC AND PRIVATE PARTNERS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSESANFORD FARGO IS CONTINUING ITS EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. UTILIZATION OF VIRTUAL VISITS FOR BEHAVIORAL HEALTH HAS CONTINUED TO GROW AND CONTRIBUTE TOWARD IMPROVED ACCESS. TIMELY ACCESS TO ADULT PSYCHIATRY CONTINUES TO BE AN AREA WE ARE WORKING TO IMPROVE AND MONITOR PROGRESS QUARTERLY. SANFORD CURRENTLY OFFERS MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS IN THE COMMUNITY THROUGH VARIOUS DELIVERY OPPORTUNITIES. DEPRESSION SCREENING WILL BE UTILIZED IN THE ROOMING NAVIGATOR IN ALL CLINICS TO HELP IDENTIFY THOSE IN NEED OF CARE. OUR SUBOXONE CLINIC CONTINUES TO SERVE PATIENTS IN ADDICTION RECOVERY AND ENGAGES IN HOSPITAL PEER COACHING. SANFORD FARGO IS CONTINUING A PARTNERSHIP WITH CLAY COUNTY DETOX TO ENSURE COORDINATED UTILIZATION OF MEDICAL AND LAW ENFORCEMENT SUPPORT FOR INDIVIDUALS ACTIVELY IN DETOX.ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE SANFORD FARGO INCREASED HOME-BASED PRIMARY CARE ACCESS AND CONTINUES TO UTILIZE THIS APPROACH TO IMPROVE ACCESS AS ALL PRIMARY CARE PROVIDERS NOW HAVE ACCESS TO THIS OPTION. PROVIDER RECRUITMENT PLAYS A MAJOR ROLE IN OUR ABILITY TO INCREASE OUR CAPACITY. INVESTING IN OUR EDUCATIONAL PROGRAMS TO SERVE AS A PIPELINE FOR PROVIDERS CONTINUES TO BE A PRIORITY. SANFORD SOUTH UNIVERSITY MEDICAL CENTER HAS 115 LICENSED BEDS AND SERVES AS A HUB FOR ORTHOPEDIC SURGERY AND REHABILITATION WITH INPATIENT UNITS FOR THESE SERVICES. SOUTH UNIVERSITY ALSO CURRENTLY HOUSES HIGHLY SPECIALIZED SERVICES, INCLUDING A BEHAVIORAL HEALTH INPATIENT AND PARTIAL HOSPITALIZATION UNIT, OPHTHALMOLOGY, A CENTER FOR CARDIAC AND VASCULAR SCREENING, AND A BIO-SKILLS AND CADAVER LAB FOR MEDICAL RESIDENTS. SANFORD HEALTH IS A MAJOR TEACHING HOSPITAL IN PARTNERSHIP WITH THE UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE AND HEALTH SCIENCES. THEY HAVE COLLABORATED TO LAUNCH SEVERAL NEW RESIDENCY AND FELLOWSHIP PROGRAMS IN THE LAST FIVE YEARS, INCLUDING ORTHOPEDICS, NEUROLOGY, ONCOLOGY, AND FAMILY MEDICINE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGPUBLIC TRANSPORTATIONQUALITY CHILDCAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ADDRESS THE MENTAL HEALTH OF THE COMMUNITY THROUGH NEAR-TERM ACCESS IMPROVEMENT AND EARLY INTERVENTION IN COMMUNITY SCHOOLSMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.ACCORDING TO CHR, ADULTS IN THE BISMARCK AREA AVERAGE 3.7 MENTALLY UNHEALTHY DAYS EACH MONTH AND 12 PERCENT OF ADULTS AVERAGE AT LEAST 14 DAYS OF MENTAL DISTRESS PER MONTH. ONE OF THE MOST IMPORTANT MEASURES OF MENTAL HEALTH WITHIN A COMMUNITY IS SUICIDE. CHR DATA INDICATE THAT THERE ARE 17 SUICIDES FOR EVERY 100,000 PEOPLE IN THE BISMARCK AREA. IN ADDITION, THERE ARE 9 DRUG OVERDOSE DEATHS FOR EVERY 100,000 PEOPLE IN THE BISMARCK AREA. ACCORDING TO CHR, THE BISMARCK AREA HAS ONE MENTAL HEALTH PROVIDER FOR EVERY 437 PEOPLE, WHICH IS SLIGHTLY WORSE THAN THE COMPARISON GROUP AVERAGE. SANFORD HAS MADE THE MENTAL HEALTH OF THE COMMUNITY A PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND BEHAVIORAL HEALTH SERVICES OFFERED IN THE PRIMARY CARE SETTING AND IMPROVE MENTAL HEALTH RESOURCES FOR AREA STUDENTS.PRIORITY 2: IMPROVE ACCESS THROUGH INCREASED AVAILABILITY OF PROVIDERS, ADDITIONAL ACCESS POINTS, AND INTERVENTIONS TO DECREASE SUBSTANCE ABUSEMULTIPLE STAKEHOLDER GROUPS HIGHLIGHTED THE WAIT TIMES AT LOCAL EMERGENCY ROOMS AS AN ACCESS ISSUE. ONE AREA OF DISCUSSION IS HOW THE LACK OF A LOCAL DETOX FACILITY RESULTS IN MORE ER UTILIZATION BY THOSE THAT COULD OTHERWISE BE AT SUCH A FACILITY. ADDITIONAL DISCUSSIONS CENTERED ON THE IMPACT OF COST, TRANSPORTATION, NEED FOR ADDITIONAL CASE MANAGERS, AND OTHER SERVICES THAT COULD BE OFFERED OR IMPROVED. SANFORD HAS MADE A DECREASE IN SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPLORE AND ENHANCE RELATIONSHIPS WITH ADDICTION SERVICE PROVIDERS AND TO EXPLORE FEASIBILITY OF JOINT DETOX FACILITIES AND FIRST RESPONDER RESOURCES. THIS WILL HAVE THE IMPACT OF INCREASING EMERGENCY ROOM ACCESS DUE TO FEWER INDIVIDUALS PRESENTING IN THE EMERGENCY ROOM WITH SUBSTANCE ABUSE RELATED ISSUES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR ADDRESS THE MENTAL HEALTH OF THE COMMUNITY THROUGH NEAR-TERM ACCESS IMPROVEMENT AND EARLY INTERVENTION IN COMMUNITY SCHOOLS AT LEAST ONE SANFORD BEHAVIORAL HEALTH PROVIDER CURRENTLY PROVIDES SERVICES ON CAMPUS TO SIMLE MIDDLE SCHOOL. IN ADDITION, SANFORD'S BEHEARD PROGRAM IS BEING ROLLED OUT TO OTHER SCHOOLS ACROSS THE REGION AND OTHER STAFF, SUCH AS COACHES, AT SANFORD SPORTS HAVE BEEN TRAINED TO IDENTIFY AND ADDRESS SIGNS OF BEHAVIORAL HEALTH CRISIS. FURTHER SUPPORT IS PROVIDED THROUGH WEEKLY MEETINGS BETWEEN THERAPISTS AND THE SCHOOLS' LEADERSHIP TEAMS TO COORDINATE SUPPORT SERVICES FOR HIGH-RISK STUDENTS. TELEHEALTH SERVICES ARE PROVIDED DURING THE SUMMER TO CONTINUE CARE DELIVERY OPTIONS WHILE SCHOOL IS NOT IN SESSION. THE SUPPORT PROVIDED TO THE LOCAL SCHOOL DISTRICTS BUILDS UPON THE EFFORTS TO ENHANCE ACCESS THROUGH THE CLINIC AND HOSPITAL SYSTEM. SANFORD IS WORKING TO EXPAND ACCESS BEYOND STANDARD CLINIC HOURS. ONE EXAMPLE IS THE ADDITION OF AFTER-HOURS PSYCHIATRY SERVICES PROVIDED VIA TELEHEALTH ASSESSMENTS FOR PATIENTS THAT PRESENT IN THE EMERGENCY ROOM OVERNIGHT. FURTHERMORE, SANFORD PARTNERS WITH A LOCAL SUBSTANCE ABUSE TREATMENT CENTER TO CO-LOCATE A COUNSELOR IN THE EMERGENCY ROOM FOR THOSE THAT NEED IT. SANFORD ALSO OFFERS BEHAVIORAL AND SUBSTANCE ABUSE SERVICES THROUGHOUT THEIR CARE DELIVERY FOOTPRINT AND CONTINUES TO EXPAND THE INTEGRATION OF THESE SERVICES INTO VARIOUS CARE SETTINGS, INCLUDING INTEGRATED HEALTH THERAPISTS WITHIN PRIMARY CARE CLINICS.IMPROVE ACCESS THROUGH INCREASED AVAILABILITY OF PROVIDERS, ADDITIONAL ACCESS POINTS, AND INTERVENTIONS TO DECREASE SUBSTANCE ABUSESANFORD LEADERS HAVE ENGAGED BOTH LOCAL AND STATE LEADERS IN AN EFFORT TO EXPAND BOTH BEHAVIORAL HEALTH AND ADDICTION COUNSELING SERVICES. IN ADDITION, SANFORD HAS HIRED ADDITIONAL BEHAVIORAL HEALTH PROVIDERS IN BISMARCK-MANDAN AND ELSEWHERE IN THE REGION TO ACCOMMODATE INCREASING DEMAND. SANFORD ALSO MEETS ON A QUARTERLY BASIS WITH LOCAL LAW ENFORCEMENT, EMERGENCY DEPARTMENT PROVIDERS AND OTHER PARTNERS TO DISCUSS TRENDS, NEW DEVELOPMENTS, INCLUDING SUBSTANCE ABUSE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVING LONG-TERM SENIOR CARE QUALITY CHILD CAREPUBLIC TRANSPORTATIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO HEALTHCARE PROVIDERSSANFORD BEMIDJI (SB) PLAYS A VITAL ROLE IN ENSURING THAT PATIENTS IN RURAL MN HAVE ACCESS TO HEALTH CARE SERVICES. AS THE COMMUNITY AGES AND AS CHALLENGES WITH CLINICIAN RECRUITMENT AND HEALTH CARE INFRASTRUCTURE CHANGES ARISE, MAINTAINING ROBUST AND SUSTAINABLE HEALTH CARE ACCESS BECOMES INCREASINGLY CRITICAL. SANFORD HEALTH IS COMMITTED TO ENSURING THAT THE QUALITY OF CARE IS NOT INFLUENCED BY A PATIENT'S LOCATION.SB HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE ACCESS TO HEALTHCARE PROVIDERS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON THREE PRIMARY GOALS: TO IMPROVE OPPORTUNITIES FOR TRANSPORTATION FOR PATIENTS TO HEALTH-RELATED APPOINTMENTS, TO PROVIDE INCREASED OPPORTUNITIES FOR PATIENTS TO RECEIVE EARLY SCREENING AND VACCINATIONS, AND TO EXPAND VIRTUAL HEALTH CARE OPTIONS FOR PATIENTS.PRIORITY 2: INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE TREATMENTINCREASING BEHAVIORAL HEALTH SERVICES AND EXPANDING ACCESS TO SUBSTANCE ABUSE TREATMENT ARE CRITICAL FOR ADDRESSING THE GROWING MENTAL HEALTH AND ADDICTION CRISES. BY PROVIDING COMPREHENSIVE SUPPORT AND ACCESSIBLE CARE, SB CAN HELP INDIVIDUALS MANAGE THEIR CONDITIONS, REDUCE STIGMA, AND PROMOTE RECOVERY. STRENGTHENING THESE SERVICES IS ESSENTIAL FOR IMPROVING OVERALL PUBLIC HEALTH, ENHANCING QUALITY OF LIFE, AND BUILDING HEALTHIER COMMUNITIES.SANFORD HAS MADE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN THESE SERVICES. IT IS SANFORD'S GOALS TO FOCUS ON INCREASING ACCESS TO VIRTUAL VISITS FOR BEHAVIORAL HEALTH CARE, TO INCREASE ACCESS TO SUBSTANCE USE SERVICES AND TO PROVIDE SUBSTANCE USE AND MENTAL HEALTH SERVICES TO THE INCARCERATED IN BELTRAMI COUNTY.PRIORITY 3: INCREASE ACCESS TO AFFORDABLE HEALTHCAREINCREASING ACCESS TO AFFORDABLE HEALTHCARE HELPS REDUCE HEALTH DISPARITIES BY PROVIDING EQUAL ACCESS TO PREVENTIVE SERVICES, TREATMENTS, AND ONGOING CARE, WHICH CONTRIBUTES TO OVERALL BETTER HEALTH OUTCOMES AND A HIGHER QUALITY OF LIFE. ACCESSIBLE, AFFORDABLE HEALTHCARE ALSO SUPPORTS EARLY INTERVENTION, REDUCING THE NEED FOR EMERGENCY CARE AND MITIGATING THE LONG-TERM ECONOMIC AND HEALTH IMPACTS ON THE COMMUNITY.SANFORD HAS MADE AFFORDABLE CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN OPTIONS FOR ACCESS TO AFFORDABLE CARE. IT IS SANFORD'S GOAL TO LAUNCH A "MAKING CARE PRIMARY" INITIATIVE TO IMPROVE PATIENTS CARE EXPERIENCE WHILE IMPROVING HEALTHCARE OUTCOMES AND LOWER THE OVERALL COST OF CARE.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO HEALTH CARE PROVIDERSSANFORD HEALTH CURRENTLY OPERATES A CRITICAL ACCESS HOSPITAL WITH REHAB AND AMBULANCE SERVICES IN BAGLEY AS WELL AS 11 NETWORK LOCATIONS, PROVIDING PRIMARY CARE, EYE CARE AND OPTICAL SERVICES, KIDNEY DIALYSIS, PHARMACY SERVICES, OUTPATIENT REHAB AND BEHAVIORAL HEALTH CARE. OUTREACH SERVICES AND SPECIALTIES INCLUDE ORTHOPEDICS, SLEEP MEDICINE, NEPHROLOGY, OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, CARDIOLOGY, PODIATRY, BARIATRICS, ONCOLOGY, OPHTHALMOLOGY, INTERVENTIONAL PAIN MANAGEMENT, DERMATOLOGY, OPTOMETRY, BEHAVIORAL HEALTH AND INTERNAL MEDICINE.IN AN EFFORT TO ATTRACT CLINICIANS, SB PARTNERS WITH REGIONAL MEDICAL SCHOOLS TO PREPARE STUDENTS FOR PRACTICING IN RURAL COMMUNITIES. THROUGH THESE PARTNERSHIPS, STUDENTS ENGAGE IN A YEAR-LONG EXPERIENCE LIVING IN BEMIDJI WHILE LEARNING FROM LOCAL CLINICIANS IN FAMILY MEDICINE, PEDIATRICS, INTERNAL MEDICINE, OB/GYN, SURGERY, PSYCHIATRY AND EMERGENCY MEDICINE. ADDITIONALLY, WE HAVE A ROBUST THREE-YEAR RECRUITMENT PLAN.THE "FAMILIES FIRST" PROGRAM EXPANDS AND ENHANCES SERVICES, DECREASING ADVERSE PATIENT OUTCOMES, REDUCING COSTS AND SUPPORTING PATIENTS SO MOTHERS, BABIES AND FAMILIES THRIVE FOR GENERATIONS TO COME. A CRITICAL PART OF THIS PROGRAM INCLUDES TRANSPORTATION FOR PRE-NATAL APPOINTMENTS. WE OFFER SEVERAL OPPORTUNITIES THROUGHOUT THE YEAR FOR COMMUNITY MEMBERS TO GET SCREENINGS, REGARDLESS IF THEY HAVE A PRIMARY CARE PROVIDER OR HEALTH INSURANCE.SANFORD HEALTH LAUNCHED A VIRTUAL CARE INITIATIVE TO TRANSFORM DELIVERING CARE BY EXPANDING ACCESS, IMPROVING PATIENT EXPERIENCES, ADVANCING INNOVATION THROUGH NEW RESEARCH, AND ATTRACTING AND TRAINING A NEW GENERATION OF CLINICIANS. INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES & SUBSTANCE ABUSE TREATMENTSANFORD BEHAVIORAL HEALTH OF NORTHERN MINNESOTA IS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, ADOPTING A MODEL TO INTEGRATE BEHAVIORAL AND PHYSICAL HEALTH CARE, EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, AND ENSURE CONSISTENT USE OF EVIDENCE-BASED PRACTICES. THIS EMPHASIZES COMMUNITY OUTREACH, OFFERING SERVICES IN PATIENTS' HOMES AND VIA TELEHEALTH.PATIENTS AGED 10 AND OLDER ARE ABLE TO SELF-SCHEDULE VIRTUAL BEHAVIORAL HEALTH APPOINTMENTS WITHOUT A REFERRAL. ADDITIONALLY, EMERGENCY DEPARTMENTS ARE CONNECTED TO PSYCHIATRISTS WHO ASSESS AND MANAGE EMERGENT BEHAVIORAL HEALTH CRISES VIRTUALLY.THE SANFORD BEMIDJI CRISIS CENTER FEATURES AN INNOVATIVE EMPATH UNIT (EMERGENCY PSYCHIATRIC ASSESSMENT, TREATMENT, AND HEALING), OFFERING URGENT CARE IN A CALMING ENVIRONMENT FOR UP TO 23 HOURS. IT INCLUDES SEPARATE AREAS FOR CHILDREN AND ADULTS, WITH SPACES DESIGNED FOR CULTURAL AND SPIRITUAL HEALING, PARTICULARLY FOR INDIGENOUS PATIENTS. THE CENTER INCLUDES THE REGION'S ONLY INPATIENT PSYCHIATRIC UNIT WITHIN A 90-MILE RADIUS.SANFORD HEALTH INTEGRATES BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE CLINICS AND ONCOLOGY DEPARTMENTS THROUGH ON-SITE INTEGRATED HEALTH THERAPISTS, ENSURING THAT PATIENTS NEEDING FURTHER ASSESSMENT CAN RECEIVE IMMEDIATE SUPPORT. MOBILE CRISIS RESPONSE SERVICES PROVIDE 24/7 CRISIS INTERVENTION FOR ALL AGES.SANFORD'S SCHOOL-BASED PROGRAMS OFFER MENTAL HEALTH SUPPORT IN LOCAL ELEMENTARY SCHOOLS, WHILE THE YOUTH ASSERTIVE COMMUNITY TREATMENT PROGRAM PROVIDES INTENSIVE, MULTIDISCIPLINARY CARE FOR YOUTH WITH SEVERE MENTAL HEALTH NEEDS. THE SUBSTANCE USE DISORDER PROGRAM OFFERS PERSONALIZED TREATMENT PLANS, INCLUDING ABSTINENCE-BASED AND HARM-REDUCTION APPROACHES, WITH SPECIALIZED GROUPS FOR VARIOUS POPULATIONS. SANFORD HEALTH WAS THE FIRST NON-NATIVE ORGANIZATION TO EARN WELLBRIETY CERTIFICATION, INTEGRATING CULTURAL HEALING PRACTICES FOR NATIVE AMERICAN PATIENTS.THE PRIMEWEST RESIDENTIAL SUPPORT CENTER OFFERS SHORT-TERM RESIDENTIAL CARE FOR ADULTS IN MENTAL HEALTH CRISES. THE NEW BEGINNINGS RE-ENTRY PROJECT ASSISTS FORMERLY INCARCERATED INDIVIDUALS IN TRANSITIONING BACK TO SOCIETY.INCREASE ACCESS TO AFFORDABLE HEALTH CARESANFORD HEALTH CURRENTLY OFFERS FINANCIAL ASSISTANCE FOR PATIENTS WHO NEED MEDICALLY NECESSARY SERVICES OR EMERGENCY CARE. WE HAVE ALSO IMPLEMENTED A PRESUMPTIVE COMMUNITY CARE POLICY. INSTEAD OF WAITING FOR A PATIENT TO CONTACT US AFTER A BILL HAS BEEN SENT TO COLLECTIONS, WE PROACTIVELY EVALUATE SOME OF THE PATIENT'S DEMOGRAPHIC INFO AND OTHER FACTORS TO DETERMINE NEED OF FINANCIAL ASSISTANCE.SANFORD HEALTH HELPS PATIENTS IN NEED THROUGH THE PROVIDING NEEDED AID TO PATIENTS LOCALLY FOUNDATION FUND. FUNDS ARE USED TO HELP ESTABLISH PATIENT SELF-MANAGEMENT AND TO GET ITEMS THAT WILL STREAMLINE CARE LIKE BLOOD PRESSURE CUFFS, SCALES, PULSE OXIMETERS, PILL BOXES, WHEELCHAIRS, SHOWER CHAIRS AND DRESSING SUPPLIES. FUNDS CAN ALSO BE USED FOR COPAYS AND TRANSPORTATION.SANFORD HEALTH'S PRESCRIPTION ASSISTANCE PROGRAM OFFERS TIERED ASSISTANCE BASED ON INCOME LEVEL TO HELP PATIENTS AFFORD MEDICATION. IF A PATIENT INDICATES THEY CANNOT AFFORD THEIR MEDICATION, CLINICIANS CAN PRESUMPTIVELY QUALIFY THEM. PATIENTS WHO MEET PROGRAM GUIDELINES ARE ELIGIBLE FOR SIX MONTHS OF PRESCRIPTION ASSISTANCE. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:HEALTHY LIVINGEMPLOYMENT & ECONOMIC OPPORTUNITYLONG-TERM SENIOR CARECHILD CARE QUALITYCOMMUNITY SAFETYAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSWHEN SURVEY RESPONDENTS IN THE THIEF RIVER FALLS (TRF) MARKET AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, THREE-FOURTHS OF SURVEY RESPONDENTS INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST SAID BEHAVIORAL AND MENTAL HEALTH SERVICES, FOLLOWED BY CANCER CARE, ADDICTION TREATMENT, DENTAL CARE, WALK-IN/URGENT CARE, LONG-TERM CARE AND NURSING HOMES, OBGYN/WOMEN'S CARE, FAMILY MEDICINE OR PRIMARY CARE, AND HEART CARE.SANFORD HAS MADE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN SAME-DAY APPOINTMENT AVAILABILITY. IT IS SANFORD'S GOAL TO EXPAND SAME-DAY APPOINTMENTS WITHIN PRIMARY CARE AND TO ENHANCE ACCESS TO THE TOP THREE SERVICES IDENTIFIED IN THE COMMUNITY SURVEY (MENTAL HEALTH, CANCER CARE AND SUBSTANCE ABUSE).PRIORITY 2: PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSBY PARTNERING WITH LOCAL ENTITIES, SANFORD MEDICAL CENTER TRF AIMS TO ADDRESS THE INTERCONNECTED ECONOMIC, SOCIAL, AND HEALTH NEEDS OF OUR COMMUNITY. THIS COLLABORATIVE APPROACH NOT ONLY ENHANCES ACCESS TO ESSENTIAL RESOURCES BUT ALSO FOSTERS A HEALTHIER, MORE RESILIENT POPULATION.SANFORD HAS MADE PROMOTING COMMUNITY SERVICES WITH COMMUNITY PARTNERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO CREATE A LASTING POSITIVE IMPACT ON THE OVERALL WELLBEING OF THE COMMUNITY WE SERVE. IT IS SANFORD'S GOAL TO PARTNER WITH COUNTY HEALTH FOR EDUCATIONAL RESOURCES AND TO PROMOTE SANFORD.FINDHELP.COMPRIORITY 3: INCREASE ACCESS TO MENTAL HEALTH SERVICESMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE INCREASING ACCESS TO MENTAL HEALTH SERVICES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE EXPANDED ACCESS TO GROUP THERAPY SESSIONS AND AN EXPANDED CLINICAL TRAINING PROGRAM TO INCREASE ACCESS. IT IS SANFORD'S GOAL TO REDUCE WAIT TIME FOR MENTAL HEALTH SERVICES BY OFFERING GROUP THERAPY AND TO EXPAND THE CLINICAL TRAINING PROGRAM.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSACCESS TO HEALTHCARE PROVIDERS REMAINS A TOP PRIORITY IN TRF. WE HAVE SUCCESSFULLY LEVERAGED TELEHEALTH TECHNOLOGIES TO EXPAND ACCESS BEYOND TRADITIONAL IN-PERSON CONSULTATIONS. WHILE THE POTENTIAL FOR TELEHEALTH IS SIGNIFICANT, ITS ADOPTION IS SOMEWHAT CONSTRAINED BY EXISTING PAYMENT MODELS AND THE WILLINGNESS OF INSURANCE PAYERS TO RECOGNIZE TELEHEALTH AS A COVERED SERVICE AND THE PERCEPTION OF THIS SERVICE FROM PROVIDERS AND OLDER PATIENTS NOT FEELING THE SAME PROVIDER-PATIENT RELATIONSHIP.PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSSANFORD TRF IS COMMITTED TO BEING AN ENGAGED COMMUNITY PARTNER ACROSS VARIOUS LEVELS AND ORGANIZATIONS. WE ACTIVELY SUPPORT ECONOMIC DEVELOPMENT INITIATIVES, COLLABORATE WITH THE CHAMBER OF COMMERCE, AND ENGAGE WITH THE LOCAL SCHOOL SYSTEM. OUR INVOLVEMENT EXTENDS TO COMMUNITY HEALTH AND FITNESS PROGRAMS, EVENTS, AND A LOCAL YOUNG PROFESSIONALS' NETWORK, CONTRIBUTING TO A VIBRANT AND HEALTHY COMMUNITY.WE ARE ALSO DEDICATED TO INVESTING IN EDUCATIONAL PROGRAMS TAILORED TO ADDRESS CRITICAL HEALTH TOPICS, INCLUDING COURSES FOCUSED ON CARDIAC HEALTH, PREGNANCY, DIABETES, AND MORE. ADDITIONALLY, WE ADVOCATE FOR POLICY CHANGES AT THE LOCAL, STATE, AND FEDERAL LEVELS, WORKING ALONGSIDE ADVOCACY GROUPS TO PROMOTE HEALTH EQUITY AND IMPROVED HEALTH OUTCOMES.INCREASE ACCESS TO MENTAL HEALTH SERVICESSANFORD TRF BEHAVIORAL HEALTH CENTER (SBHC) SERVES AS THE ONLY FREESTANDING BEHAVIORAL HEALTH HOSPITAL AND PRIMARY PROVIDER OF INPATIENT PSYCHIATRIC SERVICES FOR NORTHWEST MINNESOTA, WITH 16 INPATIENT PSYCHIATRIC BEDS. THE HOSPITAL OFFERS OUTPATIENT MENTAL HEALTH SERVICES, CHILDREN'S THERAPEUTIC SERVICES AND SUPPORT, AND OUTPATIENT SUBSTANCE USE TREATMENT. THE HOSPITAL IS ACTIVELY RECRUITING BOTH MASTER'S AND DOCTORAL-LEVEL PROFESSIONALS. TELEHEALTH HAS BEEN INSTRUMENTAL IN RETAINING CLINICIANS WHO MIGHT HAVE RELOCATED, ALLOWING US TO MAINTAIN SERVICE CONTINUITY. EIGHT OF OUR CLINICIANS NOW EXCLUSIVELY PROVIDE TELEHEALTH SERVICES, WHILE MANY OTHERS INTEGRATE IT INTO THEIR PRACTICE. THIS EXPANSION OF TELEHEALTH HAS SIGNIFICANTLY IMPROVED ACCESS TO MENTAL HEALTH CARE.WE HAVE INVESTED SIGNIFICANT EFFORT TO IMPROVE OUR INTAKE PROCESS FOR THERAPY SERVICES INCLUDING COMPLETING AN INTAKE SCREENING AND UPDATING OUR WAITLIST TO AID IN BEST ALIGNING CLINICIAN EXPERTISE AND AVAILABILITY WITH PATIENT NEEDS.SBHC STAFF PROVIDED 8 SAFETALK TRAININGS THROUGHOUT THE REGION, WHICH IS A 4-HOUR TRAINING THAT EQUIPS PEOPLE TO BE MORE ALERT TO SOMEONE THINKING OF SUICIDE AND BETTER ABLE TO CONNECT THEM WITH FURTHER HELP. SBHC AND SANFORD HEALTH MEDICAL CENTER STAFF ALSO PARTNERED WITH COMMUNITY STRONG TO PROVIDE EDUCATION AND OUTREACH EVENTS AT SPORTS GAMES, TEENS TOWARD ZERO DEATHS, AS WELL AS HOSTING/SPONSORING THE ANNUAL BE THE VOICE EVENT IN THIEF RIVER FALLS. IN ADDITION, SBHC CONNECTED WITH VARIOUS OTHER AGENCIES, GROUPS, AND COMMUNITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO QUALITY HEALTHCAREPUBLIC TRANSPORTATIONLONG-TERM SENIOR CAREQUALITY CHILD CAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO HEALTH CARE PROVIDERS DUE TO LACK OF TRANSPORTATION OR COSTCOST AND THE ABILITY TO AFFORD NEEDED HEALTH CARE WAS IDENTIFIED AS THE TOP HEALTH CARE CONCERN THAT SURVEY RESPONDENTS AND THEIR FAMILIES IN THE AREA FACE ON A REGULAR BASIS. IN ADDITION, RESPONDENTS IN THE AREA INDICATED THAT THEY OR A FAMILY MEMBER NEEDED MEDICAL CARE IN THE PAST YEAR BUT DID NOT RECEIVE IT. ADDING TO THE CHALLENGES IN ACCESSING AFFORDABLE HEALTH CARE IS THE NUMBER IN THE AREA THAT ARE UNINSURED.SANFORD HAS MADE HEALTHCARE ACCESS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND IMPROVE ACCESS TO SERVICES AND EDUCATION. IT IS SANFORD'S GOAL TO IMPROVE SCREENING FOR SOCIAL DETERMINANTS OF HEALTH AND TO ADDRESS TRANSPORTATION BARRIERS FOR PATIENTS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSGENERAL ACCESS TO HEALTH CARE AND A SHORTAGE OF HEALTH CARE PROVIDERS WAS ONE OF THE TOP ISSUES, WHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY. NEARLY TWO-THIRDS OF RESPONDENTS HAD TRAVELED TO RECEIVE HEALTH CARE SERVICES OUTSIDE THEIR COMMUNITY AND THE SPECIALTY CARE, OR THE NEEDED SERVICES WERE NOT AVAILABLE LOCALLY. IN ADDITION, THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THE COMMUNITY. SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND IMPROVE ACCESS TO A COMPREHENSIVE PANEL OF PRIMARY CARE AND SPECIALTY PROVIDERS. IT IS SANFORD'S GOAL TO IMPROVE WEIGHT MANAGEMENT SERVICES TO MITIGATE CHRONIC DISEASE IMPACT AND ENHANCE OVERALL ACCESS TO PRIMARY CARE IN THE COMMUNITY. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO HEALTH CARE PROVIDERS DUE TO LACK OF TRANSPORTATION OR COSTSANFORD ABERDEEN MEDICAL CENTER (SAMC) IS COMMITTED TO IMPROVING ACCESS TO HEALTHCARE PROVIDERS. SAMC PROVIDES PATIENTS WITH TAXI VOUCHERS IF NECESSARY TO GET THEM A RIDE FROM SAMC'S FACILITY (ABERDEEN SHUTTLE AND TAXI SERVICE). SANFORD HEALTH FOUNDATION FUNDS ARE AVAILABLE TO ASSIST PATIENTS THAT HAVE A NEED TO TRAVEL FOR ONCOLOGY/CANCER CARE. SAMC DIRECTS PATIENTS TO LOCAL VETERAN ORGANIZATIONS WHICH HAVE SERVICES TO TRANSPORT VETERANS TO APPOINTMENTS AND TO PNAPLE (PROVIDING NEEDED AID TO PATIENTS LOCALLY) FUNDS WHICH ARE AVAILABLE TO ASSIST PATIENTS WITH NEEDS INCLUDING TRANSPORTATION. SAMC WILL CONTINUE TO PROVIDE OUTREACH AND TELEMEDICINE SERVICES WHERE ABLE.ACCESS TO HEALTH CARE PROVIDERSSAMC SEEKS TO ENSURE THAT PATIENTS HAVE ACCESS TO HEALTHCARE PROVIDERS IN ABERDEEN AND THE SURROUNDING AREA. CURRENT SERVICES PROVIDED ONSITE INCLUDE: PRIMARY CARE, CARDIOLOGY, HEART AND VASCULAR SCREENING, BEHAVIORAL HEALTH THERAPIST, GENERAL SURGERY, COLORECTAL SCREENING, UROLOGY, ONCOLOGY/CANCER CARE, EAR NOSE AND THROAT, ORTHOPEDICS AND PODIATRY, WOUND CARE, OB/GYN (INCLUDING THE DELIVERY OF BABIES), RADIOLOGY, RESPIRATORY THERAPY, OUTPATIENT THERAPY AND REHABILITATION, 24/7 ANESTHESIA AND 24/7 EMERGENCY DEPARTMENT. CURRENT SERVICES PROVIDED VIA OUTREACH CONSIST OF: NEUROSURGERY, VASCULAR, NEPHROLOGY, PULMONOLOGY, NEUROLOGY, RHEUMATOLOGY, MATERNAL FETAL MEDICINE, DERMATOLOGY, PEDIATRIC, HEMATOLOGY/ONCOLOGY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATRIC PULMONOLOGY (TELEMEDICINE), PEDIATRIC REHABILITATION, PEDIATRIC CARDIOLOGY, PEDIATRIC NEUROLOGY AND PEDIATRIC SURGERY.SANFORD ABERDEEN HAS AN RN CARE MANAGER AND A COMMUNITY HEALTH WORKER THAT WORKS IN CONJUNCTION WITH OUR BEHAVIORAL CARE COUNSELOR, PROVIDERS IN FAMILY MEDICINE, AND SPECIALTY PROVIDERS TO FIND RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH DISPARITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:LONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTER
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GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO PROVIDERS AND QUALITY OF CAREWHEN SURVEY RESPONDENTS IN THE WORTHINGTON AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS THE TOP ISSUE. IN ADDITION, 76 PERCENT OF SURVEY RESPONDENTS IN THE WORTHINGTON AREA REPORTED TRAVELING OUTSIDE OF THEIR COMMUNITY TO RECEIVE HEALTH CARE SERVICES IN THE PAST THREE YEARS. REASONS GIVEN WERE THAT THEY NEEDED SPECIALTY CARE, OR THE NEEDED SERVICES WERE NOT AVAILABLE LOCALLY, THEY WERE REFERRED BY A PHYSICIAN OR THEY SOUGHT BETTER OR HIGHER QUALITY CARE ELSEWHERE. ADDING TO THE CHALLENGES OF RECEIVING QUALITY HEALTH CARE ARE POTENTIAL LANGUAGE BARRIERS. CHR DATA INDICATE THAT 11 PERCENT OF PEOPLE IN THE WORTHINGTON AREA DO NOT SPEAK ENGLISH WELL.SANFORD HAS MADE INCREASING ACCESS TO CARE AND QUALITY OF CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE ACCESS TO AND UTILIZATION OF LOCAL SERVICES. IT IS SANFORD'S GOAL TO FURTHER ASSESS STAFF PERCEPTIONS OF HEALTHCARE SERVICE GAPS AND UTILIZE INFORMATION LEARNED TO INFORM OPPORTUNITIES FOR ADDITIONAL SERVICES AND HIGH-QUALITY CARE, AND TO RECONVENE THE COMMUNITY HEALTH COALITION TO ADVANCE ACCESS IMPROVEMENT INITIATIVES.PRIORITY 2: EDUCATE COMMUNITY ON SERVICES AVAILABLE LOCALLYSANFORD HAS MADE IT A SIGNIFICANT PRIORITY TO EDUCATE THE COMMUNITY ON SERVICES AVAILABLE LOCALLY AND HAS DEVELOPED STRATEGIES TO INCREASE COMMUNICATION REGARDING HOSPITAL AND CLINIC SERVICE AND QUALITY EFFORTS. IT IS SANFORD'S GOAL TO DEVELOP COMMUNICATION AND MARKETING STRATEGIES THAT HAVE EXTENDED REACH INTO OUR SERVICE AREA.PRIORITY 3: HEALTHY LIVINGWHEN SURVEY RESPONDENTS IN THE WORTHINGTON AREA WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES WERE AMONG THE TOP CONCERNS. THE MOST FREQUENTLY CITED CHRONIC HEALTH CONCERNS INVOLVED WEIGHT, DIABETES, CANCER, AND HEART DISEASE. CHR DATA INDICATE THAT 11 PERCENT OF ADULTS IN THE WORTHINGTON AREA HAVE DIABETES AND 39 PERCENT OF ADULTS HAVE OBESITY.SANFORD HAS MADE HEALTHY LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE SANFORD HEALTH PARTICIPATE IN HEALTH PROMOTION ACTIVITIES AND HAVE SANFORD STAFF SEE INCREASED OPPORTUNITIES FOR HEALTH AND WELLBEING. IT IS SANFORD'S GOAL TO COLLABORATE WITH COMMUNITY PARTNERS ON ACTIVITIES THAT PROMOTE HEALTH AND WELLBEING AND DELIVER HEALTH EDUCATION TO COMMUNITY GROUPS AND TO INCREASE OPPORTUNITIES THAT CONTRIBUTE TO SANFORD WORTHINGTON STAFF HEALTH AND WELLBEING.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO PROVIDERS AND QUALITY OF CARESANFORD WORTHINGTON PROVIDES MORE THAN 50 MEDICAL SERVICES TO THE LOCAL COMMUNITY, INCLUDING GENERAL AND SAME DAY SURGERY, A 27-BED MEDICAL/SURGICAL UNIT, INTENSIVE CARE, LAB AND MEDICAL IMAGING, WOMEN'S SERVICES INCLUDING DIGITAL MAMMOGRAPHY, OUTPATIENT DIALYSIS, INFUSION CENTER, ONCOLOGY SERVICES INCLUDING CHEMOTHERAPY AND RADIATION THERAPY, AND A 24/7 EMERGENCY DEPARTMENT WITH IN-HOUSE PHYSICIAN COVERAGE. AN ACUTE CARE CLINIC PROVIDES WALK-IN, AFTER-HOURS AND WEEKEND SERVICES. BILINGUAL SPANISH COMMUNITY HEALTH WORKERS (CHWS) ARE ALSO AVAILABLE TO COMPLETE SDOH ASSESSMENTS AND REFER PATIENTS TO NEEDED SERVICES. VIRTUAL CARE SERVICES ARE ALSO AVAILABLE THROUGH THE HEALTH SYSTEM. IN TOTAL, SANFORD WORTHINGTON EMPLOYS 25 MEDICAL STAFF. EDUCATE COMMUNITY ON SERVICES AVAILABLE LOCALLYSANFORD MARKETING ASSISTS WITH THE DEVELOPMENT OF MARKETING CAMPAIGNS FOR VARIOUS SERVICES, HEALTH SCREENINGS AND HEALTH TOPICS FOR THE SANFORD WORTHINGTON SERVICE AREA. DIGITAL SIGNAGE IS LOCATED AT THE SANFORD WORTHINGTON MEDICAL CENTER CAMPUS TO COMMUNICATE ABOUT IMPORTANT HEALTH REMINDERS AND EVENTS AS WELL AS LOCAL SERVICES. SANFORD WORTHINGTON ENGAGES THROUGH PARTICIPATION IN COMMUNITY EVENTS THAT PROMOTE SANFORD SERVICES, PROVIDERS AND EMPLOYMENT OPPORTUNITIES.HEALTHY LIVINGIN ADDITION TO THE SERVICES PROVIDED THROUGH THE CLINIC AND HOSPITAL, SANFORD WORTHINGTON MAINTAINS STRONG COMMUNITY PARTNERSHIPS THAT PROVIDE OPPORTUNITIES TO PROMOTE IMPORTANT HEALTH TOPICS. THE HOSPITAL INCLUDES AN ACTIVE INTERNAL EMPLOYEE HEALTH & WELLBEING COMMITTEE WITH REPRESENTATION OF ALL HOSPITAL AND CLINIC DEPARTMENTS THAT MEET MONTHLY TO CREATE VARIOUS HEALTH AND WELLNESS OPPORTUNITIES FOR STAFF TO ENGAGE IN.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREMENTAL HEALTHCHILD CARE QUALITYLONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HEALTH CARECOST AND THE ABILITY TO AFFORD NEEDED HEALTH CARE WAS IDENTIFIED AS THE TOP HEALTH CARE CONCERN THAT SURVEY RESPONDENTS AND THEIR FAMILIES IN THE SHELDON AREA FACE ON A REGULAR BASIS. IT WAS ALSO THE SECOND LEADING COMMUNITY HEALTH CARE ISSUE, BEHIND GENERAL ACCESS ISSUES. CONCERNS AROUND THE COST OF HEALTH CARE EXIST DESPITE A POSITIVE PERCEPTION OF EMPLOYMENT AND ECONOMIC OPPORTUNITIES BY SURVEY RESPONDENTS IN THE SHELDON AREA. SANFORD HAS MADE ACCESS TO AFFORDABLE HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED NUMBERS OF RESIDENTS RECEIVE RECOMMENDED PREVENTIVE SCREENINGS AND RECOMMENDED VACCINATIONS. IT IS SANFORD'S GOAL TO PROMOTE THE IMPORTANCE OF GETTING RECOMMENDED SCREENINGS AND VACCINATIONS AND KEEP MORE PATIENTS IN THE AREA VERSUS TRAVELING TO RECEIVE CARE.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSWHEN SURVEY RESPONDENTS IN THE SHELDON MARKET AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERS WAS THE LEADING ISSUE. FIFTY PERCENT OF SURVEY RESPONDENTS IN THE SHELDON AREA HAVE TRAVELED FOR CARE IN THE PAST THREE YEARS. FOR THOSE RESPONDENTS WHO HAVE TRAVELED FOR CARE, MOST RESPONDENTS INDICATED THE TRAVEL WAS DUE TO NEEDING SPECIALTY CARE THAT WAS NOT AVAILABLE LOCALLY, THEY WERE REFERRED BY A PHYSICIAN OR THEY TRAVELED FOR BETTER OR HIGHER QUALITY CARE. SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED AWARENESS OF LOCALLY AVAILABLE SERVICES AND A REDUCTION IN PEOPLE TRAVELING FOR CARE. IT IS SANFORD'S GOAL TO MARKET AND PROMOTE ACTIVITIES TO INCREASE AWARENESS OF SANFORD SHELDON SERVICES AND TO ENSURE APPOINTMENT AVAILABILITY TO HEALTHCARE PROVIDERS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO AFFORDABLE HEALTH CARESANFORD SHELDON CONTINUES TO OFFER HEART AND VASCULAR SCREENINGS TO ENHANCE PREVENTATIVE CARE AND REDUCE OUT OF POCKET COSTS. IN ADDITION, DIRECT ACCESS LABORATORY SERVICES ARE AN OPTION FOR PATIENTS THAT HAVE A HIGH INSURANCE DEDUCTIBLE AND HAVE CONCERN WITH THE COSTS.ACCESS TO HEALTH CARE PROVIDERSSANFORD SHELDON CONTINUES TO WORK ON EDUCATING THE COMMUNITY ON OUR FULL SCOPE OF LOCALLY AVAILABLE SERVICES. RECRUITMENT OF OPEN HEALTH CARE PROVIDER POSITIONS IS AN ONGOING EFFORT.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:HEALTHY LIVINGPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVING ACCESS TO MEDICAL CARE PROVIDERSSURVEY RESPONDENTS IN THE VERMILLION AREA RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS GOOD. IN ADDITION, MOST RESPONDENTS HAVE A PRIMARY CARE PROVIDER AND HAVE BEEN IN FOR A ROUTINE CHECKUP OR SCREENING IN THE PAST YEAR. DESPITE THIS POSITIVE FEEDBACK, WHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, GENERAL ACCESS TO HEALTH CARE AND A SHORTAGE OF HEALTH CARE PROVIDERS WAS THE TOP ISSUE, MORE SO THAN COST.SANFORD VERMILLION HAS MADE IMPROVING ACCESS TO MEDICAL CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN PRIMARY CARE VISITS AND PREVENTIVE CARE SERVICES. IT IS SANFORD'S GOAL TO OFFER ADDITIONAL TELEMEDICINE CARE SERVICES AND TO EXPAND OBSTETRICS SERVICES AT SANFORD VERMILLION.PRIORITY 2: IMPROVING HEALTHY LIVING IN THE COMMUNITYWHEN SURVEY RESPONDENTS IN THE VERMILLION AREA WERE ASKED ABOUT THEIR BIGGEST HEALTH CARE CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES WERE AMONG TOP CONCERNS. THE MOST COMMONLY CITED CHRONIC HEALTH CONCERNS INVOLVED WEIGHT, DIABETES, AND THE HEART. IN ADDITION, DIABETES IS AN IMPORTANT MARKER FOR A RANGE OF HEALTH BEHAVIORS. CHR DATA INDICATE THAT NEARLY ONE IN TEN ADULTS IN THE VERMILLION AREA HAS DIABETES AND ONE IN THREE ADULTS HAS OBESITY.SANFORD HAS MADE IMPROVING HEALTHY LIVING FOR THE VERMILLION COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO HELP THE COMMUNITY SEE LOWER INCIDENCE OF CHRONIC DISEASE RATES. IT IS SANFORD'S GOAL TO INCREASE SERVICES AT SANFORD VERMILLION FOR COLORECTAL SCREENINGS AND DIABETIC EDUCATION AND TO ESTABLISH DIABETIC EDUCATION SERVICES AT SANFORD VERMILLION MEDICAL CENTER IN PERSON AND/OR VIA TELEMEDICINE VISITS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVING ACCESS TO MEDICAL CARE PROVIDERSWE CURRENTLY HAVE ONE MENTAL HEALTH PROVIDER WHO OFFERS TELEMEDICINE VISIT TYPES AND NEEDED ONCOLOGY SPECIALTY OUTREACH, WHICH COULD BE DONE BY TELEMEDICINE. WE DO NOT CURRENTLY OFFER TELEMEDICINE FOR THE HOSPITALIST SERVICES AT THE HOSPITAL. WE ALSO HAVE TWO FAMILY MEDICINE PROVIDERS OFFERING OBSTETRIC SERVICES BUT WILL BE ADDING ONE MORE PROVIDER.SANFORD VERMILLION'S BEHAVIORAL/MENTAL HEALTH PROVIDERS ARE PROMOTED ON OUR WEBSITE; EACH HAVE A PAGE DESCRIPTION FOR PATIENTS TO SEE AND ACCESS INFORMATION ABOUT THEM. THEY ARE ALSO FEATURED AND PROMOTED AT ALL OF OUR DAKOTA HOSPITAL FOUNDATION EVENTS THROUGHOUT THE YEAR. THE ALTERNATE VISIT TYPES ARE PROMOTED BY CLINIC STAFF AND PROVIDERS, THROUGH THE SANFORD WEBSITE, WITH OUR OUTREACH PROVIDER ADS AND WITH OUR MYCHART APP WHERE THEY CAN SELF-SCHEDULE APPOINTMENTS. IMPROVING HEALTHY LIVING IN THE COMMUNITYWE CURRENTLY DO MOST OF OUR COLORECTAL SCREENINGS BY COLONOSCOPY BUT ARE PARTICIPATING IN A SANFORD HEALTH INITIATIVE TO GET MORE PATIENTS SCREENED BY COLOGUARD. AT THIS TIME, WE DO NOT OFFER DIABETIC EDUCATION LOCALLY TO OUR DIABETIC PATIENTS. THEY MUST TRAVEL TO SIOUX FALLS FOR THIS SERVICE, OR TO OTHER COMMUNITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CARELONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE KNOWLEDGE OF BEST PRACTICES TO SUPPORT YOUTH WITH MENTAL HEALTH CONCERNS AND TO INCREASE MENTAL HEALTH APPOINTMENT AVAILABILITY. PRIORITY 2: REDUCE THE INCREASING TREND OF SEXUALLY TRANSMITTED DISEASES IN THE COMMUNITYCERTAIN AREAS OF THE COUNTRY, PARTICULARLY TRIBAL LANDS AND SURROUNDING COMMUNITIES SUCH AS THE CHAMBERLAIN AREA, HAVE LONG EXPERIENCED LOWER HEALTH STATUS WHEN COMPARED WITH OTHER PARTS OF THE COUNTRY. DISPARITIES IN HEALTH OUTCOMES, AS A RESULT OF SYSTEMS, POLICIES, AND SOCIAL AND PERSONAL FACTORS ARE PREVALENT.COMPARED TO SIMILAR-SIZED COMMUNITIES, THE CHAMBERLAIN MARKET AREA HAS THE HIGHEST RATE OF SEXUALLY TRANSMITTED INFECTIONS. SANFORD HAS MADE REDUCING THE INCREASING TREND OF SEXUALLY TRANSMITTED DISEASES IN THE COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE SEXUALLY TRANSMITTED DISEASE TESTING WITHIN THE COMMUNITY (WITH A SPECIFIC FOCUS ON RESERVATIONS AND HIGH SCHOOL STUDENTS) AND TO REDUCE COST BARRIERS AND INCREASE AWARENESS OF HOME TESTING OPTIONS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE SANFORD OFFERS A NUMBER OF MENTAL HEALTH RESOURCES, INCLUDING FAMILY GRIEF SUPPORT GROUP, SUICIDE SURVIVOR SUPPORT GROUP, AND SUPPORTS "LOVE BIG," A LOCAL PROJECT FORMED TO BRING COMMUNITY AWARENESS AND SUPPORT ON MENTAL HEALTH WELLNESS. SANFORD OFFERS MENTAL HEALTH FIRST AIDE AND BEHEARD YOUTH TRAININGS AND, IN PARTNERSHIP WITH THE CHAMBERLAIN SCHOOL DISTRICT, A MENTAL HEALTH PROFESSIONAL EMBEDDED IN THE JUNIOR HIGH AND HIGH SCHOOL DURING THE WEEK. REDUCE THE INCREASING TREND OF SEXUALLY TRANSMITTED DISEASES IN THE COMMUNITY CURRENT WORK INCLUDES UTILIZING SOUTH DAKOTA DEPARTMENT OF HEALTH EDUCATIONAL MATERIAL AT CLINICIAN AND NURSING MEETINGS TO ESCALATE THE KNOWN INCREASE OF STDS IN OUR SERVICE AREA. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREACCESS TO PROVIDERS AND QUALITY HEALTH CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD SHARED THE FINDINGS OF THE CHNA RESEARCH AND THESE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD LUVERNE MEDICAL CENTER (SLMC) HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN THE NUMBER OF RESIDENTS UTILIZING MENTAL HEALTH RESOURCES. IT IS SANFORD'S GOAL TO ENSURE THOSE STRUGGLING WITH MENTAL HEALTH SYMPTOMS HAVE ACCESS TO THE CARE NEEDED AND TO DESTIGMATIZE ENGAGING IN MENTAL HEALTH CARE BY ENHANCING COMMUNITY AWARENESS ON THE IMPORTANCE OF MENTAL HEALTH.PRIORITY 2: INCREASE AWARENESS OF LOCAL SUBSTANCE USE SERVICES AND ADD LOCAL AVAILABILITY FOR MAT (MEDICATED ASSISTED TREATMENT)SURVEY RESPONDENTS IN THE LUVERNE AREA WHO INDICATED THEY WOULD LIKE TO SEE SPECIFIC SERVICES OFFERED OR IMPROVED IN THEIR COMMUNITY, INDICATED ADDICTION TREATMENT AS ONE OF THE TOP PRIORITIES.SLMC HAS MADE INCREASING AWARENESS OF LOCAL SUBSTANCE USE SERVICES AND ADDING LOCAL AVAILABILITY FOR MAT A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN UNDERSTANDING AMONG THE COMMUNITY OF AVAILABLE SUBSTANCE USE RESOURCES. IT IS SANFORD'S GOAL TO IMPLEMENT MAT AND TO CONTINUE TO FOCUS ON EDUCATION AND TRAINING ON THE OPIOID EPIDEMIC, THE ADMINISTRATION OF NALOXONE, AND ACCESS TO CARE LOCALLY.PRIORITY 3: ACCESS TO HEALTH CARE PROVIDERSWHEN SURVEY RESPONDENTS IN THE LUVERNE AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERS WAS AMONG THE LEADING ISSUES. 75 PERCENT OF RESPONDENTS HAVE TRAVELED FOR CARE IN THE PAST THREE YEARS, A RATE WHICH IS HIGHER THAN THE COMPARISON GROUP AVERAGE. WHEN ASKED WHY, RESPONDENTS INDICATED THE TRAVEL WAS DUE TO NEEDING SPECIALTY CARE THAT WAS NOT AVAILABLE LOCALLY, THEY TRAVELED FOR BETTER OR HIGHER QUALITY CARE, OR THEY WERE REFERRED BY A PHYSICIAN. SLMC HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE ADDITIONAL APPOINTMENT AVAILABILITY THROUGH THE CLINIC OR VIRTUAL CARE OPTIONS. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO SPECIALTY CARE AND EXPAND VIRTUAL ACCESS TO SPECIALTY SERVICES. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH CONTINUES TO REMAIN A PRIORITY FOR SLMC FOR THE NEXT 3-YEAR CYCLE. SLMC WILL SHARE THE RESULTS OF THIS SURVEY WITH COMMUNITY PARTNERS TO BUILD ACCESS TO MENTAL HEALTH SERVICES. SANFORD LUVERNE'S INTEGRATED HEALTH THERAPIST HAS BEEN INTEGRALLY INVOLVED IN LEADING INITIATIVES TO LOOK AT ACCESS, FUNDING FOR CARE, AND REDUCING STIGMA. SLMC WILL CONTINUE TO SUPPORT WORK IN THE MENTAL HEALTH SPACE FOCUSING ON INCREASING AWARENESS, ACTIVITIES TO PROMOTE MENTAL HEALTH, AND IMPROVING ACCESS TO CARE. SANFORD LUVERNE'S INTEGRATED HEALTH THERAPIST LED INITIATIVE TO ESTABLISH THE GAP (GRANT ASSISTED PROGRAM) WITHIN THE LOCAL FOUNDATION TO ASSIST WITH PAYMENT FOR SERVICES FOR INDIVIDUALS TO QUALIFY. THIS FUND IS IN PART SUPPORTED WITH COUNTY FUNDS. SLMC IS PRESENTLY RECRUITING A SECOND BEHAVIORAL HEALTH THERAPIST TO JOIN OUR TEAM.INCREASE AWARENESS OF LOCAL SUBSTANCE USE SERVICES AND ADD LOCAL AVAILABILITY FOR MAT (MEDICATED ASSISTED TREATMENTSANFORD LUVERNE'S SUD (SUBSTANCE USE DISORDER) DEPARTMENT OFFERS COMPREHENSIVE ASSESSMENT OF SUD, REFERRALS FOR SUD TREATMENT AND PROVIDES ADULT OUTPATIENT SUD TREATMENT. SANFORD LUVERNE'S SUD DEPARTMENT PROVIDES EDUCATION AND TRAINING ON SUD AND ARE TRAINED TO PROVIDE EDUCATION ON OPIOID EPIDEMIC AND ADMINISTRATION OF NALOXONE. SANFORD LUVERNE'S SUD PROGRAM IS A NAP (NALOXONE ACCESS POINT).IN 2024, SUBSTANCE USE COUNSELORS WORKED WITH THE HIGH SCHOOL HEALTH CLASSES FOR PRESENTATIONS ON SUBSTANCE USE/ABUSE. SUBSTANCE USE COUNSELORS CONTINUE TO BE INVOLVED IN THE LOCAL COUNTY TREATMENT COURTS. SUBSTANCE USE COUNSELORS CONTINUE TO WORK ON OPIOID RESPONSE AND NALOXONE TRAININGS FOR FAMILY SERVICES, COURTS, COMMUNITY ORGANIZATIONS, AND SCHOOLS (TEACHERS/STAFF/STUDENTS). SUBSTANCE USE COUNSELORS AND OUR INTEGRATED HEALTH THERAPIST (IHT) SPOKE ON BRAIN HEALTH TO THE WOMEN'S GIVING CIRCLE GROUP IN LUVERNE. BEGINNING JANUARY 1, 2024 OUR IHT THAT IS AN LPCC IS NOW ABLE TO BILL MEDICARE AND TREAT THOSE PATIENTS. IN ADDITION, OUR IHT IS ON A COMMUNITY WORK GROUP TO RESEARCH A GAP FUND WITHIN THE FOUNDATION TO SUPPORT MENTAL HEALTH SERVICES FOR THOSE WHO CANNOT AFFORD IT.ACCESS TO HEALTH CARE PROVIDERSSLMC HAS ADDED A FAMILY MEDICINE PHYSICIAN AS WELL AS A NURSE PRACTITIONER OVER THE PAST 3-YEAR CYCLE TO IMPROVE SAME DAY ACCESS TO CARE. THERE WAS CONCERN VOICED IN THE FOCUS GROUP ABOUT ACCESS TO SPECIALTY CARE AND THE NEED TO TRAVEL. SLMC, AS PART OF SANFORD HEALTH, RECEIVES SPECIALTY CARE PROVIDED AS AN OUTREACH SERVICE. IN ADDITION, THE EDGERTON CLINIC IS NOW OPEN ONE FULL DAY/WEEK AS OF JANUARY 1, 2024 TO IMPROVE LOCAL ACCESS TO PRIMARY CARE.CLINIC PROVIDERS CONTINUE TO PARTNER WITH THE MOBILE DENTAL UNIT THAT COMES TO THE COMMUNITY ONE TO TWO DAYS PER MONTH. THE ORGANIZATION HAS ALSO PARTNERED WITH CARING HANDS CLINIC IN PIPESTONE FOR MEDICAID PATIENTS. HOWEVER, CARING HANDS NOW HAS A SEVERAL WEEK WAIT TIME FOR SERVICE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGCHILDCARE QUALITYAFFORDABLE HOUSINGCOMMUNITY SAFETYSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: PROMOTE OUTREACH SERVICING PROVIDERS THAT COME TO THE FACILITYTHE NEED TO TRAVEL FOR CARE IS EVIDENCED IN CHR DATA WHICH INDICATE THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE CANBY AREA HAS HIGHER THAN AVERAGE RATIOS OF POPULATION TO PROVIDERS. IN ADDITION, CHR DATA INDICATE THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE CANBY AREA HAS THE HIGHEST RATE OF PREVENTABLE HOSPITAL STAYS AND A BELOW AVERAGE MAMMOGRAPHY SCREENING RATE AND FLU VACCINATION RATE.SANFORD HAS MADE PROMOTING OUTREACH SERVICING PROVIDERS COMING TO THE FACILITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOCUS ON TWO PRIMARY GOALS: TO PROMOTE OUTREACH SERVICES IN PUBLIC SPACES TO ENHANCE AWARENESS OF ALL COMMUNITY MEMBERS, REGARDLESS OF CURRENT SYSTEM ATTRIBUTION, AND TO EDUCATE PATIENTS AND PROVIDERS ON AVAILABLE OUTREACH SERVICES WITHIN THE CLINICAL SETTING DURING A FOCUSED COMMUNICATION EVENT. PRIORITY 2: PROVIDE COMMUNITY EDUCATION SURROUNDING BEHAVIORAL/MENTAL HEALTH MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.ACCORDING TO CHR, ADULTS IN THE CANBY AREA AVERAGE 4.4 MENTALLY UNHEALTHY DAYS EACH MONTH AND 15 PERCENT OF ADULTS AVERAGE AT LEAST 14 DAYS OF MENTAL DISTRESS PER MONTH; BOTH RATES ARE AMONG THE HIGHEST WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH.SANFORD HAS MADE PROVIDING COMMUNITY EDUCATION SURROUNDING BEHAVIORAL/MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOCUS ON TWO PRIMARY GOALS: TO UTILIZE SANFORD MYCHART AND INTERNAL RESOURCES TO INCREASE AWARENESS OF BEHAVIORAL HEALTH RESOURCES LOCALLY AND TO REDUCE THE STIGMA OF BEHAVIORAL HEALTH AND INCREASE AWARENESS OF SERVICES AVAILABLE FOR SCHOOL-AGED STUDENTS.PRIORITY 3: INCREASE TELEMEDICINE USAGE FOR SPECIALTY PROVIDERS PROVIDING SERVICE TO THE FACILITYDESPITE SURVEY RESPONDENTS IN THE CANBY AREA RATING THEIR OWN ABILITY TO ACCESS HEALTH CARE AS GOOD, WHEN THEY WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS THE TOP ISSUE (MORE SO THAN AFFORDABILITY CONCERNS). AND WHILE RESPONDENTS RATED THE OVERALL QUALITY OF HEALTH CARE IN THEIR COMMUNITY AS GOOD, THE AVERAGE SCORE WAS SLIGHTLY LOWER THAN THE COMPARISON GROUP AVERAGE. IN ADDITION, 85 PERCENT OF SURVEY RESPONDENTS IN THE CANBY AREA REPORTED TRAVELING OUTSIDE OF THEIR COMMUNITY TO RECEIVE HEALTH CARE SERVICES IN THE PAST THREE YEARS (ONE OF THE HIGHEST PERCENTAGES WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH). WHEN ASKED WHY, MOST OF THOSE WHO TRAVELED FOR CARE INDICATED THAT THEY NEEDED SPECIALTY CARE, OR THE SERVICES NEEDED WERE NOT AVAILABLE LOCALLY. SANFORD HAS MADE INCREASING TELEMEDICINE USAGE FOR SPECIALTY PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOCUS ON TWO PRIMARY GOALS: TO INCREASE KNOWLEDGE OF TELEMEDICINE SERVICES AVAILABLE LOCALLY IN THE COMMUNITY AND TO REDUCE BARRIERS TO TELEMEDICINE USAGE.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARPROMOTE OUTREACH SERVICING PROVIDERS THAT COME TO THE FACILITYSANFORD CANBY CURRENTLY HAS SEVEN OUTREACH PROVIDERS THAT PROVIDE CARE FOR PATIENTS REQUIRING CARE FROM GENERAL SURGERY, GASTROENTEROLOGY, PODIATRY, VASCULAR, UROLOGY, ORTHOPEDICS AND OB/GYN. CURRENTLY, OUTREACH PROVIDERS ARE ON SITE 10 DAYS PER MONTH. PROVIDE COMMUNITY EDUCATION SURROUNDING BEHAVIORAL/MENTAL HEALTH SANFORD CANBY HAS PRESENTED MENTAL HEALTH RESOURCES IN THE COMMUNITY AT VARIOUS CIVIC MEETINGS, FACILITY MEETINGS, COMMUNITY MEETINGS AS WELL AS COMMUNITY CELEBRATIONS REACHING A VAST DEMOGRAPHIC. INCREASE TELEMEDICINE USAGE FOR SPECIALTY PROVIDERS PROVIDING SERVICE TO THE FACILITY THE MARKETING OF THE TELEMEDICINE PROVIDERS IN OUR AREA TO DATE HAS BEEN LIMITED. OUR DESIRE IS TO ESPECIALLY INCREASE THE USE OF MYCHART BEHAVIORAL HEALTH VISITS AS AN OPTION IN THE UPCOMING 2025-2027 PLAN YEARS. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:CHILD CARE QUALITYAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO THOSE SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD JACKSON MEDICAL CENTER (SJMC) HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO THOSE SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE AWARENESS AND COORDINATION OF MENTAL HEALTH SERVICES WITHIN THE COMMUNITY. IT IS SANFORD'S GOAL TO ADVANCE INTEGRATED HEALTHCARE IN THE COMMUNITY AND TO INCREASE AWARENESS AND PROVIDE EDUCATION ON SUICIDE PREVENTION.PRIORITY 2: ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSWHILE MANY SURVEY RESPONDENTS IN THE JACKSON AREA HAVE A PRIMARY CARE PROVIDER, HAVE BEEN IN FOR A ROUTINE CHECKUP OR SCREENING IN THE PAST YEAR, AND HAVE RECEIVED NECESSARY HEALTH CARE FOR THEMSELVES AND THEIR FAMILY IN THE PAST YEAR, THE PERCENTAGES ARE AMONG THE LOWEST WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH. IN ADDITION, 75 PERCENT OF RESPONDENTS HAVE TRAVELED FOR CARE IN THE PAST THREE YEARS, A RATE WHICH IS HIGHER THAN THE COMPARISON GROUP AVERAGE. THE NEED TO TRAVEL FOR CARE IS EVIDENT IN CHR DATA WHICH INDICATES THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE JACKSON AREA HAS HIGHER/WORSE-THAN-AVERAGE RATIOS OF POPULATION TO PROVIDERS. SJMC HAS MADE ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF TELEHEALTH SERVICES AND IN-PERSON APPOINTMENTS. IT IS SANFORD'S GOAL TO INCREASE THE TELEHEALTH OFFERINGS OF SPECIALTY PROVIDERS AND FOCUS ON PHYSICIAN RECRUITMENT.PRIORITY 3: SUBSTANCE ABUSEOF SURVEY RESPONDENTS IN THE JACKSON AREA WHO WOULD LIKE TO SEE SPECIFIC SERVICES OFFERED OR IMPROVED IN THEIR COMMUNITY, ADDICTION TREATMENT WAS ONE OF THE TOP SERVICES ON THE LIST. THE POTENTIAL NEED FOR ADDITIONAL SUBSTANCE ABUSE SERVICES, EDUCATION AND AWARENESS REGARDING SUBSTANCE ABUSE WERE ALSO CONSIDERED. SJMC HAS MADE SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE COORDINATION OF SUBSTANCE ABUSE RESOURCES AND OPPORTUNITIES TO ADDRESS THE NEED. IT IS SANFORD'S GOAL TO SUPPORT AND CONTINUE TO ENGAGE IN PARTNERSHIPS WITH COMMUNITY PROGRAMS WITH OTHER COMMUNITY MEMBERS COMMITTED TO REDUCING SUBSTANCE ABUSE AND TO INCREASE EDUCATION FOR STAFF ABOUT SUBSTANCE ABUSE SO THEY CAN BETTER SERVE OUR PATIENTS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO THOSE SEEKING MENTAL HEALTH CARESJMC FACILITATES COMMUNITY BEHAVIORAL HEALTH TASK FORCE MEETINGS WHERE MENTAL HEALTH ISSUES ARE IDENTIFIED AND KEY STAKEHOLDERS ARE AVAILABLE TO COLLABORATE, MAKE RECOMMENDATIONS AND INSTILL CHANGE. SJMC HAS A NUMBER OF RESOURCES AND PROVIDERS, SUCH AS INTEGRATED HEALTH THERAPISTS, AVAILABLE LOCALLY. ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSSJMC OFFERS A VARIETY OF SERVICES THROUGH LOCALLY BASED AND OUTREACH PROVIDERS. LABORATORY AND RADIOLOGY SERVICES ARE AVAILABLE 24 HOURS A DAY, WITH STAFF SERVING THE HOSPITAL, ATTACHED MEDICAL CLINIC, AND TWO SATELLITE CLINICS. CLINIC SERVICES INCLUDE FAMILY MEDICINE AND VARIOUS SPECIALTY OUTREACH SERVICES. A VARIETY OF SURGICAL PROCEDURES ARE PERFORMED IN THE SURGICAL SUITE AT SJMC. SJMC EMPLOYS SEVEN CLINICIANS, INCLUDING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. PERIODIC MARKETING IS IN PLACE TO GAIN EXPOSURE OF PRIMARY CARE SERVICES AND PROVIDERS VIA MEDIA OUTLETS SUCH AS RADIO, PRINT AND SOCIAL MEDIA.SUBSTANCE ABUSESJMC PARTNERS WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS TO PROVIDE EDUCATION AND RAISE AWARENESS REGARDING SUBSTANCE ABUSE. THESE PARTNERSHIPS INCLUDE DES MOINES VALLEY HEALTH AND HUMAN SERVICES, POSITIVE COMMUNITY NORM AND THE POSITIVE ACTIONS THROUGH HEALTH (PATH) COALITION, JACKSON COUNTY ADDICTION PREVENTION AND SAFETY COALITION AND JACKSON COUNTY LAW ENFORCEMENT. IN MARCH 2025, THE ORGANIZATION "BE EXTRAORDINARY, BE YOU!" IS PLANNING A PRESENTATION TARGETING MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS AT JACKSON COUNTY CENTRAL. THIS EVENT WILL INCLUDE A "CANNABIS PANEL," FEATURING LOCAL LEADERS WHO WILL DISCUSS THE IMPACTS OF MARIJUANA USE AND RELATED EFFECTS. ADDITIONALLY, IN JUNE, JACKSON COUNTY LAW ENFORCEMENT WILL PROVIDE TRAINING FOR SJMC PROVIDERS FOCUSING ON THE VARIOUS SUBSTANCES BEING IDENTIFIED IN OUR COMMUNITY. THIS INITIATIVE AIMS TO EQUIP HEALTHCARE PROFESSIONALS WITH THE NECESSARY KNOWLEDGE TO ADDRESS SUBSTANCE-RELATED ISSUES MORE EFFECTIVELY. MOVING FORWARD, SJMC REMAINS COMMITTED TO IDENTIFYING ADDITIONAL OPPORTUNITIES TO ADDRESS AND COMBAT SUBSTANCE ABUSE IN OUR COMMUNITY, FOSTERING PARTNERSHIPS AND INNOVATIVE APPROACHES TO PROMOTE HEALTH AND SAFETY. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HOUSINGACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH TRACY HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY. IT IS SANFORD'S GOAL TO INCREASE AWARENESS AND EXPAND ACCESS OF MENTAL HEALTH SERVICES AT SANFORD TRACY AND IN THE SERVING AREA AND TO CREATE AND IMPLEMENT POLICY/PROCEDURE/PROTOCOLS TO BE PUT IN PLACE IN AREA SCHOOL SYSTEMS IN THE EVENT OF A MENTAL HEALTH CRISIS AND ALSO CREATE/IMPLEMENT CALMING SPACES THROUGHOUT THE SCHOOLS.PRIORITY 2: HEALTHY/ACTIVE LIVINGWHEN SURVEY RESPONDENTS IN THE TRACY AREA WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES, ALONG WITH DIET AND EXERCISE, WERE AMONG THE TOP CONCERNS.SANFORD HEALTH TRACY HAS MADE HEALTHY/ACTIVE LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE IMPROVED OVERALL PHYSICAL AND NUTRITIONAL HEALTH IN PATIENTS AT SANFORD HEALTH. IT IS SANFORD'S GOAL TO CREATE ACCESS TO HEALTHY FOOD CHOICES AND PROVIDE EDUCATIONAL OPPORTUNITIES FOR MAKING HEALTHY CHOICES AND TO INCREASE THE ACTIVITY LEVEL OF COMMUNITY MEMBERS IN OUR SANFORD TRACY SERVICE AREA.PRIORITY 3: TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTH CARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS. SANFORD HEALTH TRACY HAS MADE TRANSPORTATION A SIGNIFICANT PRIORITY. IT IS SANFORD'S GOAL TO INCREASE AWARENESS OF TRANSPORTATION SERVICES AND INCREASE ACCESS TO TRANSPORTATIONS SERVICES IN THE SANFORD TRACY SERVICE AREA.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTHSANFORD TRACY WILL CONTINUE TO SHARE THE RESULTS OF THIS SURVEY WITH COMMUNITY PARTNERS TO BUILD ACCESS TO MENTAL HEALTH. IN ADDITION, SANFORD TRACY OFFERS BEHAVIORAL HEALTH SCREENINGS WITH A STRETCH GOAL OF ACHIEVING A 100% SCREENING RATE FOR ALL PATIENTS TWELVE YEARS AND OLDER WITH A PRIOR HISTORY OF DEPRESSION OR ANXIETY. A NEW INTEGRATED HEALTH THERAPIST WAS HIRED IN 2023 TO COMPLEMENT THE ONE OUTREACH TELEMEDICINE PSYCHIATRIST THAT CONTINUES TO SEE PATIENTS AS NEEDED.HEALTHY/ACTIVE LIVINGSANFORD TRACY WILL CONTINUE TO WORK TO MAKE A POSITIVE IMPACT ON IMPROVING THE HEALTH OF COMMUNITY MEMBERS THROUGH BOTH PHYSICAL ACTIVITY AND HEALTHY LIFESTYLE CHOICES. THE SANFORD TRACY MEDICAL CENTER OFFERS DIETICIAN AND HEALTH COACHING SERVICES IN ADDITION TO PROGRAMMING FOR CHILDREN THROUGH THE SANFORD FIT PROGRAM. A NEW INTEGRATED HEALTH THERAPIST (IHT) WAS HIRED IN 2023. SANFORD TRACY ALSO CONTINUES TO OFFER A FOOD PANTRY PROGRAM WITH REFERRALS TO THE LOCAL FOOD PANTRY.TRANSPORTATIONOVER THE NEXT THREE YEARS, SANFORD TRACY WILL INCREASE COMMUNITY AWARENESS OF TRANSPORTATION ACCESS ISSUES THROUGH TARGETED OUTREACH CAMPAIGNS AND EDUCATIONAL INITIATIVES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH HILLSBORO HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE OF PATIENTS SCREENED FOR DEPRESSION AND PROVIDE A GREATER AWARENESS OF RESOURCES AVAILABLE LOCALLY. IT IS SANFORD'S GOAL TO REDUCE STIGMA AND INCREASE SCREENINGS FOR BEHAVIORAL HEALTH CARE AND IMPROVE ACCESS TO MENTAL HEALTH RESOURCES IN THE COMMUNITY. PRIORITY 2: PROMOTION OF HEALTHY ACTIVE LIFESTYLEWHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY (CONCERNS THEY FACE ON A REGULAR BASIS), CHRONIC HEALTH ISSUES, ALONG WITH DIET AND EXERCISE, WERE AMONG THE TOP CONCERNS. SANFORD HEALTH HILLSBORO HAS MADE THE PROMOTION OF A HEALTHY, ACTIVE LIFESTYLE A SIGNIFICANT PRIORITY AND HAS DEVELOPED A STRATEGY TO SEE AN INCREASE IN RESIDENTS UTILIZING LOCAL RESOURCES AND A DECLINE IN RELATED VISITS AT THE CLINIC. IT IS SANFORD'S GOAL TO PROVIDE OPPORTUNITIES FOR ADULTS AND YOUTH TO MEET RECOMMENDED PHYSICAL ACTIVITY AND TO DEVELOP SUSTAINABLE STRATEGIES THAT ENCOURAGE RESIDENTS TO MAKE HEALTHY CHOICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE SANFORD CURRENTLY PROVIDES MENTAL HEALTH SCREENINGS WITHIN THE CLINIC. INTEGRATED HEALTH THERAPISTS HAVE BEEN AVAILABLE IN THE PAST, PRIMARILY THROUGH VIRTUAL CARE, BUT WERE LIMITED DUE TO A RESIGNATION. THE SYSTEM PROVIDES SANFORD.FINDHELP.COM AS A CONSUMER FACING RESOURCE TO FIND CARE AND MENTAL HEALTH RESOURCES.PROMOTION OF HEALTHY ACTIVE LIFESTYLESANFORD CURRENTLY SUPPORTS THE HILLSBORO RUNNING CLUBS RUN/WALK EVENT IN JUNE AND SUPPORTS THE MAYVILLE YOUTH CENTER. THE BRIDGING CENTERS IN BOTH MAYVILLE AND HILLSBORO PROMOTE THE BETTER CHOICES BETTER HEALTH CLASS AND OUR DIETITIANS ON BOTH CAMPUSES PROVIDE NUTRITIONAL EDUCATION.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE HEALTH CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE. INCLUDES ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDSMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE OF PATIENTS SCREENED FOR DEPRESSION AND SEE GREATER AWARENESS OF RESOURCES AVAILABLE LOCALLY. IT IS SANFORD'S GOAL TO REDUCE STIGMA AND INCREASE SCREENINGS FOR BEHAVIORAL HEALTH AND IMPROVE ACCESS TO MENTAL HEALTH RESOURCES IN THE COMMUNITY.PRIORITY 2: PROMOTION OF HEALTHY ACTIVE LIFESTYLEWHEN SURVEY RESPONDENTS IN THE HILLSBORO-MAYVILLE WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY (CONCERNS THEY FACE ON A REGULAR BASIS), CHRONIC HEALTH ISSUES ALONG WITH DIET AND EXERCISE WERE AMONG THE TOP CONCERNS.SANFORD HEALTH MAYVILLE HAS MADE THE PROMOTION OF A HEALTHY ACTIVE LIFESTYLE A SIGNIFICANT PRIORITY AND HAS DEVELOPED A STRATEGY TO SEE AN INCREASE IN RESIDENTS UTILIZING LOCAL RESOURCES AND A DECLINE IN RELATED VISITS AT THE CLINIC. IT IS SANFORD'S GOAL TO PROVIDE OPPORTUNITIES FOR ADULTS AND YOUTH TO MEET RECOMMENDED PHYSICAL ACTIVITY AND TO DEVELOP SUSTAINABLE STRATEGIES THAT ENCOURAGE RESIDENTS TO MAKE HEALTHY CHOICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE. INCLUDES ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDSSANFORD CURRENTLY PROVIDES MENTAL HEALTH SCREENINGS WITHIN THE CLINIC. INTEGRATED HEALTH THERAPISTS HAVE BEEN AVAILABLE IN THE PAST, PRIMARILY THROUGH VIRTUAL CARE, BUT WERE LIMITED DUE TO A RESIGNATION. THE SYSTEM PROVIDES SANFORD.FINDHELP.COM AS A CONSUMER FACING RESOURCE TO FIND CARE AND MENTAL HEALTH RESOURCES.PROMOTION OF HEALTHY ACTIVE LIFESTYLESANFORD CURRENTLY SUPPORTS THE HILLSBORO RUNNING CLUBS RUN/WALK EVENT IN JUNE AND SUPPORTS THE MAYVILLE YOUTH CENTER. THE BRIDGING CENTERS IN BOTH MAYVILLE AND HILLSBORO PROMOTE THE BETTER CHOICES BETTER HEALTH CLASS AND OUR DIETITIANS IN BOTH CAMPUSES PROVIDE NUTRITIONAL EDUCATION.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVE ACCESS TO PROVIDERS AND QUALITY HEALTH CAREWHILE MOST WEBSTER AREA SURVEY RESPONDENTS HAVE A PRIMARY CARE PROVIDER AND HAVE BEEN IN FOR A CHECKUP IN THE PAST YEAR, 17 PERCENT DID NOT RECEIVE NECESSARY HEALTH CARE FOR THEMSELVES AND THEIR FAMILY IN THE PAST YEAR. IN ADDITION, 86 PERCENT OF RESPONDENTS REPORTED TRAVELING OUTSIDE OF THEIR COMMUNITY TO RECEIVE HEALTH CARE SERVICES IN THE PAST THREE YEARS. MOST OF THOSE WHO TRAVELED FOR CARE INDICATED THAT THEY NEEDED SPECIALTY CARE, OR THE NEEDED SERVICES WERE NOT AVAILABLE LOCALLY.CRITICAL FOR TELEHEALTH OPTIONS IS RELIABLE INTERNET ACCESS AND CHR DATA INDICATE THAT THE WEBSTER AREA HAS ONE OF THE LOWEST RATES OF BROADBAND COVERAGE WHEN COMPARED TO SIMILAR-SIZED MARKETS. CHR DATA ALSO INDICATE THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE WEBSTER AREA HAS AN ABOVE-AVERAGE RATE OF PREVENTABLE HOSPITAL STAYS, ONE OF THE LOWEST FLU VACCINATION RATES, AND ONE OF THE HIGHEST INJURY DEATH RATES.SANFORD HAS MADE IMPROVING ACCESS TO PROVIDERS AND QUALITY HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE AN INCREASE IN THE TOTAL NUMBER OF PATIENTS ENGAGING IN THEIR FIRST APPOINTMENT AND A REDUCTION IN THE NO-SHOW RATE. IT IS SANFORD'S GOAL TO INCREASE ACCESS TO BEHAVIORAL HEALTH THROUGH IN PERSON AND TELEMEDICINE VISITS AND EXCEED ENTERPRISE BENCHMARKS FOR WELLNESS WITH A FOCUS ON IMPROVEMENTS FOR AT-RISK POPULATIONS.PRIORITY 2: IMPROVE CHILDCARE AVAILABILITY IN THE COMMUNITY AND POSITIVELY IMPACT PHYSICAL ACTIVITY SURVEY RESPONDENTS IN THE WEBSTER AREA RATED THE QUALITY OF CHILDCARE, DAY CARE, AND PRESCHOOL AS LESS THAN GOOD AND HAD THE LOWEST SCORE WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH. SURVEY RESPONDENTS IN THE WEBSTER AREA RATED THEIR OWN PERSONAL HEALTH AND WELLNESS AS GOOD, BUT LOWER THAN THE COMPARISON GROUP AVERAGE. IN ADDITION, SURVEY RESPONDENTS RATED COMMUNITY ACCESS TO EXERCISE OPPORTUNITIES AS GOOD AND ACCESS TO HEALTHY FOODS AS GOOD; HOWEVER, BOTH SCORES WERE ALSO LOWER THAN THE COMPARISON GROUP AVERAGE. SANFORD HAS MADE IMPROVING CHILDCARE AVAILABILITY IN THE COMMUNITY, ALONG WITH POSITIVELY IMPACTING PHYSICAL ACTIVITY, A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN AVAILABLE CHILDCARE OPENINGS IN THE LOCAL COMMUNITY AND AN INCREASE IN WELLNESS OPPORTUNITIES THROUGH CHILDCARE PROVIDERS. IT IS SANFORD'S GOAL TO ACTIVELY PARTICIPATE IN COMMUNITY INITIATIVES TO EXPAND CHILDCARE OPPORTUNITIES IN THE COMMUNITY AND TO PROVIDE ANCILLARY RESOURCES TO DAYCARE PROVIDERS TO POSITIVELY IMPACT PEDIATRIC WELLNESS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVE ACCESS TO PROVIDERS AND QUALITY HEALTH CARESANFORD OFFERS A RANGE OF SERVICES THROUGH A COMBINATION OF LOCAL AND OUTREACH PROVIDERS. THE LOCAL MEDICAL GROUP CONSISTS OF ONE MD AND FOUR APPS. LOCAL CARE INCLUDES THE HOSPITAL, OUTPATIENT CLINIC, AND NURSING HOME WITH SEVERAL ANCILLARY SERVICES, INCLUDING LAB AND PHARMACY. TELEMEDICINE IS AVAILABLE, INCLUDING IN THE EMERGENCY ROOM, WHICH IS RANKED IN THE 95TH PERCENTILE FOR PATIENT SATISFACTION. DIAGNOSTIC SERVICES, INCLUDING PFTS, SLEEP STUDIES, EEGS, EKGS, AND OTHERS ARE AVAILABLE LOCALLY. RADIOLOGY SUITES WERE RECENTLY UPDATED WITH AN ONSITE 64-SLICE CT, DIGITAL MAMMOGRAPHY, DEXA, ULTRASOUND AND MOBILE MRI AND NUCLEAR MEDICINE. RESPIRATORY, PHYSICAL, OCCUPATIONAL & SPEECH THERAPY, AND CARDIOPULMONARY REHAB ARE ALSO AVAILABLE.IMPROVE CHILDCARE AVAILABILITY IN THE COMMUNITY AND POSITIVELY IMPACT PHYSICAL ACTIVITYSANFORD DOES NOT OFFER CHILDCARE SERVICES FOR EMPLOYEES BUT SUPPORTS EFFORTS TO INCREASE LOCAL AVAILABILITY. SANFORD FIT IS DESIGNED TO GET KIDS THINKING DIFFERENTLY ABOUT THEIR CHOICES IN A FUN AND ENGAGING WAY. IT FOCUSES ON FOUR KEY ELEMENTS OF A HEALTHY LIFE: FOOD, MOVE, MOOD, RECHARGE. THE HOSPITAL ALSO OFFERS DIETICIAN SERVICES, WEIGHT MANAGEMENT PROGRAMS, IN ADDITION TO PREVENTATIVE CARE SCREENINGS AND VACCINATION CLINICS.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ECONOMIC CLIMATEAFFORDABLE HOUSING AND PUBLIC TRANSPORTATIONRESOURCE SHARINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVING MENTAL HEALTH AND CHEMICAL DEPENDENCY AVAILABILITY IN THE COMMUNITY MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE IMPROVING MENTAL HEALTH AND CHEMICAL DEPENDENCY AVAILABILITY IN THE COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN THE NUMBER OF PATIENTS SEEN FOR VIRTUAL BEHAVIORAL HEALTH APPOINTMENTS AND PATIENTS SEEN THROUGH A CHEMICAL DEPENDENCY SOCIAL WORKER. IT IS SANFORD'S GOAL TO REDUCE BARRIERS TO CARE AND INCREASE TELE BEHAVIORAL HEALTH UTILIZATION AND TO MEET THE COMMUNITY NEED FOR CHEMICAL DEPENDENCY SERVICES. PRIORITY 2: IMPROVE PHYSICAL ACTIVITY OPPORTUNITIESSANFORD HAS MADE IMPROVING PHYSICAL ACTIVITY OPPORTUNITIES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED OPPORTUNITIES FOR RESIDENTS TO ENGAGE IN FREE AND REDUCED PRICED PHYSICAL ACTIVITY. IT IS SANFORD'S GOAL TO INCREASE THE AVAILABILITY OF BIKING AND WALKING PATHS IN THE COMMUNITY TO INCREASE PHYSICAL ACTIVITY OPTIONS, TO INCREASE SAFETY FOR STUDENTS AND TO EXPAND FITNESS FACILITIES FOR RESIDENTS.PRIORITY 3: ADDRESS FOOD INSECURITIES FOR AREA RESIDENTS AND PATIENTSSANFORD HAS MADE ADDRESSING FOOD INSECURITIES FOR AREA RESIDENTS AND PATIENTS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE ADDITIONAL FOOD AVAILABILITY FOR FAMILIES IN NEED. IT IS SANFORD'S GOAL TO EXPAND SERVICES AVAILABLE IN THE HOSPITAL AND CLINIC FOR PATIENTS THAT NEED NUTRITION ASSISTANCE AND TO INCREASE FOOD SUPPORT FOR STUDENTS IN NEED OF NUTRITION ASSISTANCE THROUGH PARTNERSHIPS WITH LOCAL STAKEHOLDERS.ADDRESSING OF SIGNIFICANT NEEDS DURING THE CURRENT YEARIMPROVING MENTAL HEALTH AND CHEMICAL DEPENDENCY AVAILABILITY IN THE COMMUNITYTELEPSYCH SERVICES ARE CURRENTLY AVAILABLE AT SANFORD MEDICAL CENTER WHEATON, INCLUDING WITHIN THE EMERGENCY DEPARTMENT. SANFORD HAS EXPANDED LOCAL ACCESSIBILITY THROUGH THE ADDITION OF A PSYCHIATRIC NURSE PRACTITIONER IN 2024. THE TEAM IS ALSO ADDING A LICENSED DRUG AND ALCOHOL COUNSELOR. SANFORD WHEATON CONTINUES TO WORK ON DEVELOPING A PARTNERSHIP AND PLANNING WITH CURRENT PARTNERS TO FILL THE NEED WITHIN THE REGION AND COMMUNITY, INCLUDING HORIZON PUBLIC HEALTH.IMPROVE PHYSICAL ACTIVITY OPPORTUNITIESTHE COMMUNITY HAS A PARTIAL WALKING BIKE PATH AVAILABLE AND RESIDENTS HAVE ACCESS TO THE LOCAL HIGH SCHOOL TRACK.SANFORD HAS PARTNERED WITH THE MN DOT, CITY OF WHEATON AND COUNTY OF TRAVERSE TO WORK ON SAFE ROUTES TO SCHOOL AS WELL AS A DEMONSTRATION PROJECT TO MAKE A SEAMLESS SAFE ROUTE FROM THE HIGH SCHOOL, PAST THE SWIMMING POOL AND TO THE BALLFIELD.ADDRESS FOOD INSECURITIES FOR AREA RESIDENTS AND PATIENTSSANFORD WHEATON PROVIDES NUTRITION SERVICES TO UNDERSERVED POPULATIONS THAT PROVIDE A BASE OFF WHICH TO EXPAND. THE HOSPITAL PARTICIPATES IN THE LOCAL BACKPACK PROGRAM PROVIDING FOOD TO CHILDREN IN THE LOCAL SCHOOLS. THE PROGRAM PROVIDES FOOD FOR CHILDREN EVERY OTHER WEEKEND BY PLACING ENTREES, CEREAL AND SNACKS IN THEIR LOCKER. SANFORD WHEATON ALSO PARTNERS TO PROVIDE FOOD SECURITY BOXES AND PARTICIPATES IN THE FOOD RX PROGRAM.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN:ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSACCESS TO AFFORDABLE HEALTH CAREPUBLIC TRANSPORTATIONLONG-TERM SENIOR CARECHILD CARESANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICESSANFORD BAGLEY MEDICAL CENTER (SBMC) PLAYS A VITAL ROLE IN ENSURING THAT PATIENTS IN RURAL MINNESOTA HAVE ACCESS TO HEALTH CARE SERVICES. AS THE COMMUNITY AGES AND CHALLENGES WITH CLINICIAN RECRUITMENT AND HEALTH CARE INFRASTRUCTURE CHANGES ARISE, MAINTAINING ROBUST AND SUSTAINABLE HEALTH CARE ACCESS BECOMES INCREASINGLY CRITICAL. SBMC IS COMMITTED TO ENSURING THAT THE QUALITY OF CARE IS NOT INFLUENCED BY A PATIENT'S LOCATION. SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON INCREASED ACCESS TO PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICES WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS: TO INCREASE ACCESS TO WOMEN'S HEALTH CARE AND PREVENTATIVE SCREENINGS AND TO INCREASE ACCESS FOR VACCINATIONS.PRIORITY 2: CONTINUED EXPANSION OF BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE PROGRAMSINCREASING BEHAVIORAL HEALTH SERVICES AND EXPANDING ACCESS TO SUBSTANCE ABUSE TREATMENT ARE CRITICAL FOR ADDRESSING THE GROWING MENTAL HEALTH AND ADDICTION CRISES. BY PROVIDING COMPREHENSIVE SUPPORT AND ACCESSIBLE CARE, WE CAN HELP INDIVIDUALS MANAGE THEIR CONDITIONS, REDUCE STIGMA, AND PROMOTE RECOVERY. STRENGTHENING THESE SERVICES IS ESSENTIAL FOR IMPROVING OVERALL PUBLIC HEALTH, ENHANCING QUALITY OF LIFE, AND BUILDING HEALTHIER COMMUNITIES.SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE PROGRAMS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS: TO INCREASE ACCESS TO VIRTUAL VISITS FOR BEHAVIORAL HEALTH CARE AND TO INCREASE ACCESS TO SUBSTANCE USE SERVICES.PRIORITY 3: INCREASE ACCESS TO HEALTHY FOODSURVEY RESPONDENTS IN THE BAGLEY AREA RATED ACCESS TO HEALTHY FOODS AS LESS THAN GOOD. THE MOST COMMON BARRIER CITED NOTED WAS THE HIGH COST ASSOCIATED WITH HEALTHY EATING. THESE CONCERNS ARE EVIDENT IN CHR DATA WHICH INDICATE THAT 12 PERCENT OF THE POPULATION IN THE BAGLEY AREA DID NOT HAVE ACCESS TO A RELIABLE SOURCE OF FOOD DURING THE PAST YEAR. OVERALL, BY IMPLEMENTING SYSTEMATIC SCREENING, PROVIDING EDUCATIONAL RESOURCES, OFFERING PERSONALIZED SUPPORT, AND COLLABORATING WITH COMMUNITY RESOURCES, SBMC CAN IMPROVE OPPORTUNITIES TO SCREEN AND SUPPORT THE NUTRITIONAL NEEDS OF THE PEDIATRIC PATIENTS WE SERVE, ULTIMATELY PROMOTING THE HEALTH AND WELL-BEING OF THE CHILDREN UNDER SANFORD'S CARE.SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON INCREASED ACCESS TO HEALTHY FOOD. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS: TO IMPROVE OPPORTUNITIES TO SCREEN FOR NUTRITIONAL NEEDS OF PEDIATRIC PATIENTS AND TO SUPPORT NUTRITIONAL NEEDS OF THE PEDIATRIC PATIENTS SERVED AT SANFORD BAGLEY CLINIC.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICESSBMC ACTIVELY PROMOTES OUTREACH SPECIALTY SERVICES AVAILABLE WITHIN THE COMMUNITY. THESE OUTREACH SERVICES BRING SPECIALTY PROVIDERS TO BAGLEY FACILITIES TO PROVIDE CARE CLOSE TO HOME. CURRENT OUTREACH SERVICES OFFERED INCLUDE PEDIATRIC CARE, DERMATOLOGY, OBSTETRICAL, GYNECOLOGY, SLEEP MEDICINE, BARIATRICS, AND MENTAL HEALTH. SBMC ALSO HOLDS FLU SHOT EVENTS AND PLANS TO EXPAND THE LOCATION OF THESE.CONTINUED EXPANSION OF BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE PROGRAMS OVER THE LAST SEVERAL YEARS, SBMC INITIATED A GROUP BASED BEHAVIORAL HEALTH PROGRAM FOR SENIORS. DUE TO ISSUES WITH INSURANCE COVERAGE, CONTRACT DIFFICULTIES, AND LOW NUMBERS, SANFORD SHIFTED GEARS TO EXPANDING BEHAVIORAL HEALTH COUNSELING IN THE CLINIC SETTING AND VIA TELEHEALTH. THE CHANGE ALLOWED BEHAVIORAL HEALTH SERVICES TO BE SPREAD TO A LARGER AGE RANGE AND FOR AN INCREASED VOLUME OF PEOPLE. IN ADDITION, SANFORD HAS PARTNERED TO SUPPORT STELLHER HUMAN MENTAL HEALTH SERVICES IN THE SCHOOL SYSTEM BY FUNDING A ONE DAY A WEEK VIRTUAL OPTION FOR PEDIATRICS AGE TEN AND OLDER. INDIVIDUALS ARE ALSO SERVED BY SBMC'S MEDICATION ASSISTANCE THERAPY STAFF FOLLOWING THEIR ER VISITS.INCREASE ACCESS TO HEALTHY FOODSBMC HAS PARTNERED WITH UNITED WAY IN SPONSORING THE BACKPACK BUDDIES AND PROVIDES VOLUNTEERS FOR THE FOOD DROPS PROGRAM. IN 2024, 43 CHILDREN IN CLEARWATER COUNTY RECEIVED FOOD THROUGH BACKPACK BUDDIES AND 144,000 POUNDS OF FOOD WAS DISTRIBUTED IN THE COUNTY THROUGH THE FOOD DROPS PROGRAM. IN ADDITION, SANFORD WILL CONTINUE TO SUPPORT FRIENDS IN THE KITCHEN, A COOKING CLASS FOR THOSE AGE 55 AND OLDER. THIS PROGRAM IS DESIGNED TO BRING RURAL SENIORS TOGETHER TO A SAFE PLACE FOR EDUCATION ON HOW TO EAT HEALTHY ON A LIMITED BUDGET. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREEMPLOYMENT & ECONOMIC OPPORTUNITYCHILD CARE QUALITYPUBLIC TRANSPORTATIONAFFORDABLE HOUSING & LONG-TERM SENIOR CARESANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVE HEALTHY LIVING OUTCOMES THROUGH UPSTREAM ENGAGEMENT TO IMPROVE SOCIAL DETERMINANTS OF HEALTHSURVEY RESPONDENTS IN THE CANTON-INWOOD AREA RATED THEIR OWN PERSONAL HEALTH AND WELLNESS AS GOOD AND THE QUALITY OF HEALTH CARE IN THEIR COMMUNITY AS VERY GOOD. DESPITE THIS, WHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY (CONCERNS THEY FACE ON A REGULAR BASIS), CHRONIC HEALTH ISSUES WERE A TOP CONCERN, AFTER COST. SANFORD HAS MADE IMPROVING HEALTHY LIVING OUTCOMES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ENHANCE COMMUNITY PARTNERSHIPS TO EXTEND CHRONIC DISEASE EDUCATION TO MORE RESIDENTS AND TO EXPAND CURRENT PROGRAMS HAVING A POSITIVE IMPACT ON SOCIAL DETERMINANTS OF HEALTH TO MORE OF THE COMMUNITY.PRIORITY 2: INCREASE ACCESS TO MENTAL HEALTH RESOURCES WITHIN THE COMMUNITY BY INCREASING PARTNERSHIPS WITH LOCAL PROVIDERS, EDUCATING THE COMMUNITY ON RESOURCES, AND DESTIGMATIZING THE SERVICEWHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS ONE OF THE TOP ISSUES. APPROXIMATELY HALF OF THE SURVEY RESPONDENTS IN THE CANTON-INWOOD AREA INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST INDICATED BEHAVIORAL AND MENTAL HEALTH SERVICES AS THEIR TOP PRIORITY.SANFORD HAS MADE INCREASING ACCESS TO MENTAL HEALTH RESOURCES WITHIN THE COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE UTILIZATION OF MENTAL HEALTH SERVICES BY STUDENTS AND INCREASE PROACTIVE IDENTIFICATION OF PATIENTS THAT WOULD BENEFIT FROM MENTAL HEALTH SERVICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVE HEALTHY LIVING OUTCOMES THROUGH UPSTREAM ENGAGEMENT TO IMPROVE SOCIAL DETERMINANTS OF HEALTH THE SANFORD CANTON-INWOOD MEDICAL CENTER CURRENTLY EMPLOYS A CARE MANAGER TO ASSIST PATIENTS IN COORDINATING THEIR CARE AFTER A PROCEDURE. THIS INCLUDES IDENTIFYING AND PROCURING MEDICAL DEVICES, SUCH AS WHEELCHAIRS, AND SCHEDULING POST-PROCEDURE FOLLOW-UP VISITS. BEYOND THE DIRECT CARE OF PATIENTS, SANFORD SUPPORTS FOOD PROGRAMS FOR STUDENTS AND CLASSES TO THE COMMUNITY. INCREASE ACCESS TO MENTAL HEALTH RESOURCES WITHIN THE COMMUNITY BY INCREASING PARTNERSHIPS WITH LOCAL PROVIDERS, EDUCATING THE COMMUNITY ON RESOURCES, AND DESTIGMATIZING THE SERVICE SANFORD HEALTH OFFERS BEHAVIORAL COUNSELING AT THE CANTON CLINIC WITH TWO PROVIDERS THAT OFFER CARE LOCALLY. ADDITIONAL SERVICES AND PROVIDERS ARE AVAILABLE VIA TELEHEALTH OR THROUGH ADDITIONAL SANFORD CLINICS LOCATED IN LINCOLN COUNTY, INCLUDING SANFORD PSYCHIATRY & PSYCHOLOGY ON S. LOUISE AVE IN SIOUX FALLS, APPROXIMATELY 21 MILES FROM CANTON.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CARELONG-TERM SENIOR CAREPUBLIC TRANSPORTATION AFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO CARE AND PROVIDERSWHEN SURVEY RESPONDENTS IN THE CLEAR LAKE AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND MEDICAL PROVIDERS WAS THE TOP ISSUE, WITH 84 PERCENT OF RESPONDENTS HAVING TRAVELED TO RECEIVE HEALTH CARE SERVICES WITHIN THE PAST THREE YEARS (WHICH IS HIGHER THAN THE COMPARISON GROUP AVERAGE). WHEN ASKED WHY, THE MAIN REASON WAS DUE TO NEEDING A SPECIALIST OR SERVICE NOT AVAILABLE LOCALLY.NEARLY HALF OF SURVEY RESPONDENTS IN THE CLEAR LAKE AREA INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST SAID BEHAVIORAL AND MENTAL HEALTH SERVICES. SANFORD HEALTH CLEAR LAKE HAS MADE ACCESS TO CARE AND PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE PROVIDERS DOING OUTREACH AT SANFORD CLEAR LAKE MEDICAL CENTER, TO PROMOTE PROVIDERS OF TELEMEDICINE AND VIRTUAL SERVICES AT SANFORD CLEAR LAKE MEDICAL CENTER AND TO PROVIDE COMMUNITY EDUCATION ON BEHAVIORAL AND MENTAL HEALTH SERVICES AND RESOURCES.PRIORITY 2: PUBLIC TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTHCARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS.SANFORD HEALTH CLEAR LAKE HAS MADE PUBLIC TRANSPORTATION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ENHANCE PUBLIC TRANSPORTATION ACCESS FOR REGIONAL NEEDS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO CARE AND PROVIDERS SANFORD CLEAR LAKE MEDICAL CENTER CONSISTENTLY WORKS TO RECRUIT PROVIDERS TO THE COMMUNITY. OUTREACH SERVICES AND VIRTUAL SERVICES ARE ADDITIONAL AVENUES FOR LOCAL RESIDENTS TO RECEIVE A BROAD RANGE OF HEALTH CARE SERVICES CLOSE TO HOME. SANFORD CURRENTLY HAS THREE OUTREACH PROVIDERS. TO INCREASE WELLNESS VISITS, SANFORD CLEAR LAKE WORKS INTERNALLY WITH THE ORGANIZATION'S MARKETING DEPARTMENT AND PHYSICIANS ON EXPANDED COMMUNITY CAMPAIGNS, INCLUDING VIDEOS ON ALL NEW PROVIDERS HIGHLIGHTING THEIR BIOGRAPHIES. THE VIDEOS ARE AVAILABLE ON SANFORDHEALTH.ORG. NEW PROVIDERS ARE INTRODUCED TO THE COMMUNITY THROUGH COORDINATED SOCIAL MEDIA AND NEWSPAPER CAMPAIGNS.PUBLIC TRANSPORTATIONSANFORD CLEAR LAKE MEDICAL CENTER STAFF ASSIST PATIENTS WITH FINDING RESOURCES FOR RIDES TO/FROM MEDICAL APPOINTMENTS TO THE EXTENT POSSIBLE. THE TEAM HAS PARTNERED WITH OTHER INDIVIDUALS AND GROUPS IN THE COMMUNITY TO SEEK SOLUTIONS FOR THE LOCAL TRANSPORTATION ISSUES.SANFORD HEALTH DOES COORDINATE WITH A VOLUNTEER THAT CAN PROVIDE TRANSPORTATION TO COMMUNITY MEMBERS AND HOSPITALIZED PATIENTS BASED UPON THE VOLUNTEER'S SCHEDULE. SANFORD CLEAR LAKE PARTICIPATES IN THE HEALTHY HOMETOWN COMMITTEE. HEALTHY HOMETOWN IS A PROGRAM THAT ASSISTS COMMUNITIES IN IMPLEMENTING CHANGES THAT PROMOTE HEALTHY LIVING BY FOCUSING ON THREE AREAS MOVE MORE, EAT WELL, AND FEEL BETTER. THEY ARE CURRENTLY WORKING WITH THE SOUTH DAKOTA DEPARTMENT OF TRANSPORTATION ON AN INFRASTRUCTURE IMPROVEMENT PLAN TO ALLOW FOR ENHANCED AND SAFER WALKABILITY IN THE CLEAR LAKE COMMUNITY.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:LONG-TERM SENIOR CAREAFFORDABLE HOUSING SANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH WESTBROOK HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY. IT IS SANFORD'S GOAL TO INCREASE AWARENESS AND EXPAND ACCESS OF MENTAL HEALTH SERVICES AT SANFORD WESTBROOK AND IN THE SERVICING AREA AND TO CREATE AND IMPLEMENT POLICY/PROCEDURES/PROTOCOLS TO BE PUT IN PLACE IN AREA SCHOOL SYSTEMS IN THE EVENT OF MENTAL HEALTH CRISIS AND CREATE/IMPLEMENT CALMING SPACES THROUGHOUT THE SCHOOLS.PRIORITY 2: HEALTHY / ACTIVE LIVINGWHEN SURVEY RESPONDENTS IN THE WESTBROOK AREA WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES WERE AMONG THE TOP CONCERNS. SANFORD HAS MADE HEALTHY/ACTIVE LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE IMPROVED OVERALL PHYSICAL AND NUTRITIONAL HEALTH IN PATIENTS AT SANFORD HEALTH FROM THE COMMUNITY. IT IS SANFORD'S GOAL TO CREATE ACCESS TO HEALTHY FOOD CHOICES AND PROVIDE EDUCATIONAL OPPORTUNITIES TO MAKE HEALTHY CHOICES AND INCREASE THE ACTIVITY LEVEL OF COMMUNITY MEMBERS IN OUR SANFORD WESTBROOK SERVICE AREA.PRIORITY 3: TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTH CARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS.SANFORD HAS MADE TRANSPORTATION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN COMMUNITY AWARENESS OF TRANSPORTATION ACCESS AND EXPANDED ACCESSIBILITY THROUGH COLLABORATIONS WITH SANFORD. IT IS SANFORD'S GOAL TO INCREASE AWARENESS OF TRANSPORTATION SERVICES IN THE SANFORD WESTBROOK SERVICE AREA AND TO INCREASE ACCESS TO TRANSPORTATION SERVICES IN OUR AREA.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTHSANFORD WESTBROOK CURRENTLY PROVIDES MENTAL HEALTH SERVICES WITH A PSYCHIATRIST VIA VIRTUAL CARE. LICSWS AND A BEHAVIORAL HEALTH NP ARE ALSO ON STAFF. SANFORD WESTBROOK WILL CONTINUE TO SHARE THE RESULTS OF THIS SURVEY WITH COMMUNITY PARTNERS TO BUILD ACCESS TO MENTAL HEALTH. IN ADDITION, WE WILL CONTINUE TO LOOK AT ACCESS POINTS WITHIN THE CLINIC, BOTH IN PERSON AND VIRTUAL TO IMPROVE ACCESS TO MENTAL HEALTH. SANFORD WESTBROOK WILL HIRE NEW APP STAFF TO ADDRESS INCREASES IN MENTAL HEALTH NEEDS. WE WILL SPEND TIME OVER THE NEXT THREE YEARS EXPLORING WAYS TO ASSIST THE SCHOOL WITH MENTAL HEALTH OPPORTUNITIES THROUGH POSSIBLE SCHOOL-LINKED MENTAL HEALTH COLLABORATIONS, CALMING ROOMS/SPACES, AND RESOURCES TO BRING AWARENESS. SANFORD WESTBROOK WILL COLLABORATE WITH THE AREA SCHOOLS TO ANALYZE AVAILABLE MENTAL HEALTH RESOURCES, AS WELL AS CREATE POLICY/PROCEDURES/PROTOCOL THE LOCAL SCHOOLS CAN UTILIZE IN THE EVENT OF MENTAL HEALTH CRISIS.THE MENTAL HEALTH PRIORITY IS ALSO BEING ADDRESSED THROUGH EXPANDED USE OF CURRENT TELEMEDICINE AND IN-HOUSE MENTAL HEALTH SERVICES AND THE ADDITIONAL GOAL OF INCREASING THE NUMBER OF SCREENING AND REFERRALS TO BEHAVIORAL HEALTH PROVIDERS. HEALTHY / ACTIVE LIVINGSANFORD WESTBROOK WILL CONTINUE TO WORK TO MAKE A POSITIVE IMPACT ON IMPROVING THE HEALTH OF COMMUNITY MEMBERS THROUGH BOTH PHYSICAL ACTIVITY AND HEALTHY LIFESTYLE CHOICES. SANFORD SUPPORTS COMMUNITY EFFORTS TO INCREASE ACCESS TO ACTIVITIES AND FACILITIES THAT PROMOTE HEALTHY AND ACTIVE LIFESTYLES.TRANSPORTATIONOVER THE NEXT THREE YEARS, SANFORD WESTBROOK WILL INCREASE COMMUNITY AWARENESS OF TRANSPORTATION ACCESS ISSUES THROUGH TARGETED OUTREACH CAMPAIGNS AND EDUCATIONAL INITIATIVES. SIMULTANEOUSLY, WE WILL ESTABLISH AT LEAST TWO STRATEGIC PARTNERSHIPS WITH LOCAL ORGANIZATIONS EACH YEAR TO ENHANCE TRANSPORTATION OPTIONS WITHIN OUR SERVICE AREA. THIS INITIATIVE AIMS TO IMPROVE ACCESS TO ESSENTIAL SERVICES AND PROMOTE MOBILITY FOR UNDERSERVED POPULATIONS, ULTIMATELY CONTRIBUTING TO BETTER HEALTH OUTCOMES IN OUR COMMUNITY. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSACCESS TO AFFORDABLE HEALTH CAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 6A:
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SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCULDED.
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GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THOSE THAT NEED THEM IN THE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE TIMELY ACCESS TO MENTAL/BEHAVIORAL HEALTH CARE SERVICES AND TO ENHANCE AND EXPAND SERVICES TO EFFECTIVELY SUPPORT AND TREAT PATIENTS WITH SUBSTANCE USE DISORDERS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CAREWHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO HEALTH CARE WAS ONE OF THE TOP ISSUES BEHIND COST. AND WHEN RESPONDENTS, WHO RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS POOR OR FAIR, WERE ASKED WHY THEY RATED ACCESS AS THEY DID, ISSUES OF LIMITED HOURS, WAIT TIMES, LIMITED LOCATIONS, AND LACK OF PROVIDERS AND SPECIALTY CARE WERE AMONG THE TOP CONCERNS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED COLLABORATION WITH EXTERNAL PARTNERS AND IMPROVED ACCESS TO CARE. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE AND TO COLLABORATIVELY SHARE CHNA INFORMATION WITH PUBLIC AND PRIVATE PARTNERS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSESANFORD FARGO IS CONTINUING ITS EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. UTILIZATION OF VIRTUAL VISITS FOR BEHAVIORAL HEALTH HAS CONTINUED TO GROW AND CONTRIBUTE TOWARD IMPROVED ACCESS. TIMELY ACCESS TO ADULT PSYCHIATRY CONTINUES TO BE AN AREA WE ARE WORKING TO IMPROVE AND MONITOR PROGRESS QUARTERLY. SANFORD CURRENTLY OFFERS MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS IN THE COMMUNITY THROUGH VARIOUS DELIVERY OPPORTUNITIES. DEPRESSION SCREENING WILL BE UTILIZED IN THE ROOMING NAVIGATOR IN ALL CLINICS TO HELP IDENTIFY THOSE IN NEED OF CARE. OUR SUBOXONE CLINIC CONTINUES TO SERVE PATIENTS IN ADDICTION RECOVERY AND ENGAGES IN HOSPITAL PEER COACHING. SANFORD FARGO IS CONTINUING A PARTNERSHIP WITH CLAY COUNTY DETOX TO ENSURE COORDINATED UTILIZATION OF MEDICAL AND LAW ENFORCEMENT SUPPORT FOR INDIVIDUALS ACTIVELY IN DETOX.ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE SANFORD FARGO INCREASED HOME-BASED PRIMARY CARE ACCESS AND CONTINUES TO UTILIZE THIS APPROACH TO IMPROVE ACCESS AS ALL PRIMARY CARE PROVIDERS NOW HAVE ACCESS TO THIS OPTION. PROVIDER RECRUITMENT PLAYS A MAJOR ROLE IN OUR ABILITY TO INCREASE OUR CAPACITY. INVESTING IN OUR EDUCATIONAL PROGRAMS TO SERVE AS A PIPELINE FOR PROVIDERS CONTINUES TO BE A PRIORITY. SANFORD MEDICAL CENTER FARGO IS NORTH DAKOTA'S LARGEST MEDICAL CENTER AND ONE OF THREE SANFORD MEDICAL CENTER CAMPUSES IN FARGO. IT SERVES AS A REGIONAL HEALTH CARE HUB WITH 60 PERCENT OF PATIENTS COMING FROM OUTSIDE THE METRO AREA. IT IS NORTH DAKOTA'S ONLY LEVEL I ADULT TRAUMA CENTER, NORTH DAKOTA'S ONLY LEVEL II PEDIATRIC TRAUMA CENTER, DESIGNATED AS A COMPREHENSIVE STROKE CENTER AND HAS AN AIRMED TRANSPORT SERVICE COVERING A THREE-STATE AREA. THE ONE-MILLION-SQUARE-FOOT SANFORD MEDICAL CENTER FARGO PROVIDES SERVICES INCLUDING EMERGENCY/TRAUMA, FAMILY BIRTH CENTER, CHILDREN'S HOSPITAL, BRAIN AND SPINE SURGERY, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, GENERAL SURGERY AND MORE. AS OF 2024, SANFORD MEDICAL CENTER FARGO HAS 292 LICENSED BEDS. SANFORD MEDICAL CENTER FARGO TAKES CARE TO THE NEXT LEVEL, COMBINING EXPERTISE, STATE-OF-THE-ART TECHNOLOGY AND COMPASSIONATE PATIENT CARE. WITH TECHNOLOGICALLY ADVANCED ORS AND GROWING DIGITAL PATHOLOGY CAPABILITIES, SURGEONS CAN CONNECT ACROSS CAMPUSES AND CONSULT WITH SPECIALISTS ACROSS THE NATION. PATIENT ROOMS ARE DESIGNED AROUND THE PATIENT FOR EFFICIENCY, SAFETY AND OPTIMAL CARE.SANFORD MEDICAL CENTER FARGO IS A MAJOR TEACHING HOSPITAL IN PARTNERSHIP WITH MULTIPLE AREA UNIVERSITIES AND TECHNICAL COLLEGES TO PROVIDE CLINICAL TRAINING FOR NURSES, ALLIED HEALTH AND NON-HEALTH CARE FIELDS. AS WELL AS PARTNERSHIP WITH THE UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE AND HEALTH SCIENCES TO PROVIDE CLINICAL TRAINING FOR HUNDREDS OF MEDICAL STUDENTS, MEDICAL RESIDENTS AND FELLOWS. SANFORD ALSO OFFERS MANY ACTIVITIES AND PROGRAMS TO ATTRACT HIGH SCHOOL AND YOUNGER STUDENTS TO THE HEALTH CARE FIELD THROUGH OUR ASPIRE PROGRAMS. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGPUBLIC TRANSPORTATIONQUALITY CHILDCAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 5:
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SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
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GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 6A:
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SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
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GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 7D:
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SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
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GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 11:
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THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSWHEN SURVEY RESPONDENTS IN THE THIEF RIVER FALLS (TRF) MARKET AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, THREE-FOURTHS OF SURVEY RESPONDENTS INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST SAID BEHAVIORAL AND MENTAL HEALTH SERVICES, FOLLOWED BY CANCER CARE, ADDICTION TREATMENT, DENTAL CARE, WALK-IN/URGENT CARE, LONG-TERM CARE AND NURSING HOMES, OBGYN/WOMEN'S CARE, FAMILY MEDICINE OR PRIMARY CARE, AND HEART CARE.SANFORD HAS MADE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN SAME-DAY APPOINTMENT AVAILABILITY. IT IS SANFORD'S GOAL TO EXPAND SAME-DAY APPOINTMENTS WITHIN PRIMARY CARE AND TO ENHANCE ACCESS TO THE TOP THREE SERVICES IDENTIFIED IN THE COMMUNITY SURVEY (MENTAL HEALTH, CANCER CARE AND SUBSTANCE ABUSE).PRIORITY 2: PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSBY PARTNERING WITH LOCAL ENTITIES, SANFORD TRF BEHAVIORAL HEALTH CENTER (STRFBHC) AIMS TO ADDRESS THE INTERCONNECTED ECONOMIC, SOCIAL, AND HEALTH NEEDS OF OUR COMMUNITY. THIS COLLABORATIVE APPROACH NOT ONLY ENHANCES ACCESS TO ESSENTIAL RESOURCES BUT ALSO FOSTERS A HEALTHIER, MORE RESILIENT POPULATION.SANFORD HAS MADE PROMOTING COMMUNITY SERVICES WITH COMMUNITY PARTNERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO CREATE A LASTING POSITIVE IMPACT ON THE OVERALL WELLBEING OF THE COMMUNITY WE SERVE. IT IS SANFORD'S GOAL TO PARTNER WITH COUNTY HEALTH FOR EDUCATIONAL RESOURCES AND TO PROMOTE SANFORD.FINDHELP.COMPRIORITY 3: INCREASE ACCESS TO MENTAL HEALTH SERVICESMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE INCREASING ACCESS TO MENTAL HEALTH SERVICES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE EXPANDED ACCESS TO GROUP THERAPY SESSIONS AND AN EXPANDED CLINICAL TRAINING PROGRAM TO INCREASE ACCESS. IT IS SANFORD'S GOAL TO REDUCE WAIT TIME FOR MENTAL HEALTH SERVICES BY OFFERING GROUP THERAPY AND TO EXPAND THE CLINICAL TRAINING PROGRAM.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSACCESS TO HEALTHCARE PROVIDERS REMAINS A TOP PRIORITY IN TRF. WE HAVE SUCCESSFULLY LEVERAGED TELEHEALTH TECHNOLOGIES TO EXPAND ACCESS BEYOND TRADITIONAL IN-PERSON CONSULTATIONS. WHILE THE POTENTIAL FOR TELEHEALTH IS SIGNIFICANT, ITS ADOPTION IS SOMEWHAT CONSTRAINED BY EXISTING PAYMENT MODELS AND THE WILLINGNESS OF INSURANCE PAYERS TO RECOGNIZE TELEHEALTH AS A COVERED SERVICE AND THE PERCEPTION OF THIS SERVICE FROM PROVIDERS AND OLDER PATIENTS NOT FEELING THE SAME PROVIDER-PATIENT RELATIONSHIP.PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSSTRFBHC IS COMMITTED TO BEING AN ENGAGED COMMUNITY PARTNER ACROSS VARIOUS LEVELS AND ORGANIZATIONS. WE ACTIVELY SUPPORT ECONOMIC DEVELOPMENT INITIATIVES, COLLABORATE WITH THE CHAMBER OF COMMERCE, AND ENGAGE WITH THE LOCAL SCHOOL SYSTEM. OUR INVOLVEMENT EXTENDS TO COMMUNITY HEALTH AND FITNESS PROGRAMS, EVENTS, AND A LOCAL YOUNG PROFESSIONALS' NETWORK, CONTRIBUTING TO A VIBRANT AND HEALTHY COMMUNITY.WE ARE ALSO DEDICATED TO INVESTING IN EDUCATIONAL PROGRAMS TAILORED TO ADDRESS CRITICAL HEALTH TOPICS, INCLUDING COURSES FOCUSED ON CARDIAC HEALTH, PREGNANCY, DIABETES, AND MORE. ADDITIONALLY, WE ADVOCATE FOR POLICY CHANGES AT THE LOCAL, STATE, AND FEDERAL LEVELS, WORKING ALONGSIDE ADVOCACY GROUPS TO PROMOTE HEALTH EQUITY AND IMPROVED HEALTH OUTCOMES.INCREASE ACCESS TO MENTAL HEALTH SERVICESSTRFBHC SERVES AS THE ONLY FREESTANDING BEHAVIORAL HEALTH HOSPITAL AND PRIMARY PROVIDER OF INPATIENT PSYCHIATRIC SERVICES FOR NORTHWEST MINNESOTA, WITH 16 INPATIENT PSYCHIATRIC BEDS. THE HOSPITAL OFFERS OUTPATIENT MENTAL HEALTH SERVICES, CHILDREN'S THERAPEUTIC SERVICES AND SUPPORT, AND OUTPATIENT SUBSTANCE USE TREATMENT. THE HOSPITAL IS ACTIVELY RECRUITING BOTH MASTER'S AND DOCTORAL-LEVEL PROFESSIONALS. TELEHEALTH HAS BEEN INSTRUMENTAL IN RETAINING CLINICIANS WHO MIGHT HAVE RELOCATED, ALLOWING US TO MAINTAIN SERVICE CONTINUITY. EIGHT OF OUR CLINICIANS NOW EXCLUSIVELY PROVIDE TELEHEALTH SERVICES, WHILE MANY OTHERS INTEGRATE IT INTO THEIR PRACTICE. THIS EXPANSION OF TELEHEALTH HAS SIGNIFICANTLY IMPROVED ACCESS TO MENTAL HEALTH CARE.WE HAVE INVESTED SIGNIFICANT EFFORT TO IMPROVE OUR INTAKE PROCESS FOR THERAPY SERVICES INCLUDING COMPLETING AN INTAKE SCREENING AND UPDATING OUR WAITLIST TO AID IN BEST ALIGNING CLINICIAN EXPERTISE AND AVAILABILITY WITH PATIENT NEEDS.STRFBHC STAFF PROVIDED 8 SAFETALK TRAININGS THROUGHOUT THE REGION, WHICH IS A 4-HOUR TRAINING THAT EQUIPS PEOPLE TO BE MORE ALERT TO SOMEONE THINKING OF SUICIDE AND BETTER ABLE TO CONNECT THEM WITH FURTHER HELP. STRFBHC AND SANFORD HEALTH MEDICAL CENTER STAFF ALSO PARTNERED WITH COMMUNITY STRONG TO PROVIDE EDUCATION AND OUTREACH EVENTS AT SPORTS GAMES, TEENS TOWARD ZERO DEATHS, AS WELL AS HOSTING/SPONSORING THE ANNUAL BE THE VOICE EVENT IN THIEF RIVER FALLS. IN ADDITION, STRFBHC CONNECTED WITH VARIOUS OTHER AGENCIES, GROUPS, AND COMMUNITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO QUALITY HEALTHCAREPUBLIC TRANSPORTATIONLONG-TERM SENIOR CAREQUALITY CHILD CAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
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GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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GROUP A-FACILITY 26 -- BLACK HILLS SURGICAL HOSPITAL, LLC PART V, SECTION B, LINE 2:
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AS OF THE ACQUISION DATE OF NOVEMBER 15, 2024, BLACK HILLS SURGICAL HOSPITAL, LLC TRANSITIONED TO TAX-EXEMPT NONPROFIT STATUS AND BEGAN OPERATING AS PART OF SANFORD HEALTH SYSTEM. AS A FOR-PROFIT HOSPITAL PRIOR TO ACQUISION BY SANFORD HEALTH, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS NOT REQUIRED BY YEAR-END.
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GROUP A-FACILITY 26 -- BLACK HILLS SURGICAL HOSPITAL, LLC PART V, SECTION B, LINE 13H:
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OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
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GROUP A-FACILITY 26 -- BLACK HILLS SURGICAL HOSPITAL, LLC PART V, SECTION B, LINE 16J:
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OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
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