2014-16 Community Health Plan
[Pages:17]FH East Orlando 1
2014-16 Community Health Plan
May 15, 2014 Florida Hospital East Orlando conducted a tri-county Community Health Needs Assessment (CHNA) in 2013 in collaboration with Orlando Health, Aspire Health Partners (formerly Lakeside Behavioral Health Center), the Orange County Department of Health, and the Health Council of East Central Florida. With oversight by a community-inclusive Community Health Impact Council that served as the hospital's Community Health Needs Assessment Committee, the Assessment looked at the health-related needs of our broad community as well as those of low-income, minority, and underserved populationsi. The Assessment includes both primary and secondary data. The community collaborative first reviewed and approved the Community Health Needs Assessment. Next, the Community Needs Assessment Committee, hospital leadership, and the hospital board reviewed the needs identified in the Assessment. Using the Priority Selection processes described in the Assessment, hospital leadership and the Council identified the following issues as those most important to the communities served by Florida Hospital East Orlando. The hospital Board approved the priorities and the full Assessment.
1. Obesity 2. Diabetes With a particular focus on these priorities, the Council helped Florida Hospital East Orlando develop this Community Health Plan (CHP) or "implementation strategyii." The Plan lists targeted interventions and measurable outcome statements for each effort. Many of the interventions engage multiple community partners. The Plan was posted by May 15, 2014 at the same web location noted below. Florida Hospital East Orlando's fiscal year is January ? December. For 2014, the Community Health Plan will be deployed beginning May 15 and evaluated at the end of the calendar year. In 2015 and beyond, the Plan will be implemented and evaluated annually for the 12-month period beginning January 1 and ending December 31. Evaluation results will be posted annually and attached to our IRS Form 990. If you have questions regarding this Community Health Plan or Community Health Needs Assessment, please contact Verbelee Nielsen-Swanson, Vice President of Community Impact, at Verbelee.NielsenSwanson@.
i The full Community Health Needs Assessment can be found at under the Community Benefit heading. ii It is important to note that the Community Health Plan does not include all Community Benefit efforts. Those activities are included on Schedule H of our Form 990.
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
FH East Orlando 2
OUTCOME GOALS
CHNA Priority Outcome Statement
Target Population
Strategies/Outputs Outcome Metric
Current Year Baseline
Obesity
Engage FHMG providers Patients of the 5
Build an automated
Proportion of patient 0
to continue meaningful Florida Hospital
flag into the medical encounters that
use measures and create Medical Group
record that prompts include a referral
CERNER automation to (FHMG) primary
referral into weight
into weight
refer obese patients into care practices in the management program management
weight management
primary service
for all patients with
practice
area (PSA)
BMI over 30
Year 1 Outcome Goal - #
10% increase from baseline
Year 1 Actual
Year 2 Outcome Goal - #
10% increase from year 1
OUTCOME MEASUREMENTS
Year 2 Actual
Year 3 Outcome Goal - #
Year 3 Actual
Hospital $
Matching $
Comments
10% increase from year 2
Increase and track the proportion of physician office visits (made by adult patients who are obese) that include counseling or education related to weight reduction, nutrition, or physical activity
Pilot with two Florida Hospital Medical Group Primary Care Physicians serving residents of East Orlando
Peer physician education
% of primary care encounters with obese adult patients that include charting on counseling or education
Baseline pending
5% increase
Pilot program that encourage an increase the percentage of program participants who maintain a healthy weight
Florida Hospital East Orlando employees and families
**Increase the availability of fruits to the diets of the population aged 2 and older
Residents of East Orlando
**Increase the availability of total vegetables to the diets of the population aged 2 and older
Residents of East Orlando
Personalized health
# of participants who To get from H100
70%
coaching on nutrition, maintain a healthy team based on HRA
exercise, and stress
weight 6, 9 and 12
management
months post
intervention
Deploy Mobile Farmer's Market to provide fresh fruits and vegetables alongside education opportunities
Mobile Farmer's Market offering food and education to stop at 2 sites in East Orlando once per week
Report of increased consumption by persons aged 2 and older
Report of cup equivalent total vegetables consumed by persons aged 2 and older
0-0.5 cup equivalent per 1,000 calories
0-0.8 cup equivalent per 1,000 calories
0.5 cup equivalent per 1,000 calories
0.8 cup equivalent per 1,000 calories
5% increase
80%
0.7 cup equivalent per 1,000 calories 1.0 cup equivalent per 1,000 calories
5% increase
In-Kind
Dr. ConstantPeter, Michelle Francos, and Dr. Hartman
90%
0.9 cup equivalent per 1,000 calories
1.1 cup equivalent per 1,000 calories
Master of Public Health (MPH) students from UF and USF
$329,050 over 2 years
$550,000 over 3 years
Dr. ConstantPeter and Michelle Francos
Hebni Nutrition Consultants
Hebni Nutrition Consultants
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
FH East Orlando 3
CHNA Priority Outcome Statement
Target Population
Strategies/Outputs Outcome Metric
**Reduce household food insecurity by introducing low cost, SNAP eligible, fresh fruit and vegetable options to the community
Residents of defined communities in East Orlando
Mobile Farmer's Market to stop at 2 sites in East Orlando once per week
# of individuals who purchase produce from Mobile Farmer's Market
Current Year Baseline
0
Year 1 Outcome Goal - #
2,000
Year 1 Actual
Year 2 Outcome Goal - #
4,000
**Increase the availability of fruits to the diets of the population aged 2 and older
Residents of East Orlando
**Increase the availability of total vegetables to the diets of the population aged 2 and older
Residents of East Orlando
**Increase opportunities for leisure time physical activity in a social setting
Residents of the primary service area
** Provide education to increase knowledge of and positive behaviors toward healthy eating and exercise
**Offer education program aimed at increasing energy via nutrition, stress management, and exercise
** Provide education and clinical care to increase knowledge of and positive behaviors toward healthy eating and exercise
Children in the primary service area (PSA) in defined schools
Spouses of Florida Hospital Employees (who are not also employed by the system)
Families in the PSA with children who are overweight or obese
Deploy Mobile Farmer's Market to provide fresh fruits and vegetables alongside education opportunities Mobile Farmer's Market offering food and education to stop at 2 sites in East Orlando once per week Annual Healthy 100 sponsored community Run for Rescues, SPCA 5k Mission FIT Possible Program for children
Energy for Performance 4-hour workshop
Healthy 100 Kids service line and education program
Value of support donated to operate the Mobile Farmer's Market Report of increased consumption by persons aged 2 and older
Report of cup equivalent total vegetables consumed by persons aged 2 and older Participation in 5k
Number of children who have completed program
Number of nonemployees who attend class
Number of children who have participated in the program
0 0-0.5 cup equivalent per 1,000 calories
0-0.8 cup equivalent per 1,000 calories
0 3,461
173
429
$218,850
0.5 cup equivalent per 1,000 calories 0.8 cup equivalent per 1,000 calories 300
3,600
TBD
430
$110,200
0.7 cup equivalent per 1,000 calories
1.0 cup equivalent per 1,000 calories
350
3,650
TBD
430
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
Year 2 Actual
Year 3 Outcome Goal - #
6,000
Year 3 Actual
Hospital $
Matching $
Comments
Hebni Nutrition Consultants
TBD
0.9 cup equivalent per 1,000 calories 1.1 cup equivalent per 1,000 calories 400
3,700
TBD
430
$550,000 over 3 years
$329,050 over 2 years
$550,000 over 3 years
Hebni Nutrition Consultants
Hebni Nutrition Consultants
Hebni Nutrition Consultants
In-kind support
Staffing and promotion
$130,000 $170,00
Staffing and operational support
In-kind staff support and materials
$130,000 $170,000
FH East Orlando 4
CHNA Priority
Outcome Statement
Target Population
** Provide education and clinical care to increase knowledge of and positive behaviors toward healthy eating and exercise Continue to offer health education and strategies in the area of chronic disease management to East Orlando residents
Increase the likelihood of medication adherence among uninsured patients **Assist patients with accessing resources that can improve health by increasing the potential for compliance with discharge orders, reducing preventable hospital visits
Families in the PSA with children who are overweight or obese
Insured and uninsured residents of East Orlando who have a chronic condition or care for someone with a chronic condition Uninsured and underinsured patients
Insured and uninsured emergency department (ED) and inpatients, with chronic diseases, who have had 3+ hospital encounters during the past 12 months
Strategies/Outputs Outcome Metric
Healthy 100 Kids service line and education program
Number of children who have participated in the program
Maintain and continue to offer Chronic Disease SelfManagement classes to the East Orlando Community
# of East Orlando residents who complete chronic disease selfmanagement classes
Provide prescription medications at little to no cost to the patient
Continuation of the Bridge Program / Care Management Team
Total cost of prescription medications disbursed to patients Patients enrolled
Bridge Program vouchers for first two visits to a Primary Care Access Network (PCAN)/ Federally Qualified Health Center (FQHC) medical home
Patients established in PCAN as medical home
**Referrals to Heart Failure Clinic and Apopka Lung Clinic
Current Year Baseline
429 527
$30,656 203
173
80
Year 1 Outcome Goal - # 430
Year 1 Actual
Year 2 Outcome Goal - # 430
500
500
$30,700
TBD
200
200
170
170
75
75
Year 2 Actual
Year 3 Outcome Goal - # 430
Year 3 Actual
Hospital $
$130,000
Matching $
$170,000
Comments
500
$190,000
TBD
200
$135,000
170
$6,800 for
vouchers
75
$195,000:
Apopka
Lung
Clinic;
$203,337
Heart
Failure
Clinic
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
FH East Orlando 5
CHNA Priority Outcome Statement
Target Population
Strategies/Outputs Outcome Metric
Mental health referrals
Current Year Baseline
54
Access to Care
**Support efforts to reduce heart related conditions through the funding of research and programs
Residents of the primary service area (PSA)
Provide support and board membership to the American Heart Association
Value of support
$100,000
Support enhanced behavioral health services in East Orlando
Residents of East Orlando with behavioral health needs
Encourage emplo9yee Number of FH
500
participation in the
walkers
annual Heart Walk
East Orlando Health Number of patients 800
Collaborative with
seen at FQHCs
FQHC, Aspire, and
(Federally Qualified
other community
Health Centers) in
providers
Alafaya, Hoffner, and
Lake Underhill
**Support services that provide care to the uninsured and underinsured
Uninsured and underinsured residents of Orange County
After Hours Clinic
Value of Support
$95,000
**Increase the availability of free or low-cost mammograms
Uninsured and underinsured women in PSA
Women's mobile coach sites and diagnostic centers
Number of women who are screened
3,906
**Support and expand the PCAN integrated system of care for the medically underserved
Uninsured and Underinsured residents of Orange County
Continue leadership of PCAN (Primary Care Access Network) integrated leadership for uninsured and underinsured
Serve as board chair
Support the capacity Number of FQHC
13
and network
primary care medical
expansion of Federally homes
Qualified Health
Centers
Year 1 Outcome Goal - # 50
Year 1 Actual
Year 2 Outcome Goal - # 50
$100,000
$100,000
600
650
800
TBD
$103,000 3,980
TBD 4,056
13
14
Year 2 Actual
Year 3 Outcome Goal - # 50
$100,000
Year 3 Actual
Hospital $
$135,500: East Orlando Collaborative $100,000
Matching $
Comments
675
TBD
$135,500
TBD 4,133
15
$65,000
Orange
County
Health
Services
TBD
Staffing and
operations
LowIncome Pool funds
21 PCAN partners
$3 million/ year in LowIncome Pool funds
FQHCs
Maureen Kersmarki and Verbelee NielsenSwanson
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
FH East Orlando 6
CHNA Priority Outcome Statement
Target Population
Strategies/Outputs
Support the capacity and network expansion of Federally Qualified Health Centers
Outcome Metric
Number of FQHC primary care patients
Current Year Baseline
92,000
Support the capacity and network expansion of Orange County Medical Clinic
Number of secondary care patients
10,000
Year 1 Outcome Goal - # 95,000
Year 1 Actual
Year 2 Outcome Goal - # 97,000
10,200
10,300
Continue to provide Value of support
donated medical
services to the Orange
County Medical Clinic
**Encourage medical
Uninsured and
Refer uninsured and Total number of
0
300
500
home enrollment
underinsured
underinsured
uninsured and
residents of East
emergency
underinsured
Orlando
department (ED) and patients enrolled in
inpatients to new
the new FQHC
Federally Qualified
Health Center (FQHC)
operated by the
Health Care Center for
the Homeless (HCCH)
**Continue to support access to primary care for uninsured and underinsured residents of Orange County
Uninsured and underinsured patients
Refer uninsured and underinsured emergency department (ED) and inpatients to the five FQHCs operated by Central Florida Family Health Centers Provide financial support for operations and case management to Grace Medical Home
Total number of uninsured and underinsured patients enrolled in the FQHC
Financial Support
30,000 $100,000
33,000 $100,000
36,000 $100,000
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
Year 2 Actual
Year 3 Outcome Goal - # 98,000
10,400
Year 3 Actual
Hospital $
$3 million/ year in LowIncome Pool funds $3 million/ year in LowIncome Pool funds
Matching $
FQHCs
Orange County Medical Clinic
Comments Maureen Kersmarki
Maureen Kersmarki
650
40,000 $100,000
HCCH $325,000 Health Resources & Services Administrat ion (HRSA) Grant split between East Orlando and Altamonte Alafaya & 50, Lake Underhill, Lake Ellenor, Hoffner and Cheney Elementary Grace Medical Orlando Health
FH East Orlando 7
CHNA Priority
Outcome Statement
** Support capacity expansion for secondary care services and maintain primary urgent care
Target Population
Uninsured and underinsured residents
Strategies/Outputs Outcome Metric
Provide financial support to aid in recruitment of secondary care providers and case management at Shepherd's Hope Clinics
Financial support provided
Provide access to services in the form of volunteer physician recruitment to Shepherd's Hope
Provide employee support in the form of volunteer recruitment to Shepherd's Hope
Support efforts to begin and continue electronic medical records integration and information sharing with Shepherd's Hope
Focus East Orlando efforts on Dr. Don Diebel Clink
Number of employees who volunteer time
Number of sites that have established an electronic medical record system
Number of physicians recruited
118
0
**Support services that provide care to the uninsured and underinsured
Continue to donate clinical services to Shepherd's Hope Patients Continue to donate clinical services to Shepherd's Hope Patients Uninsured and underinsured residents of Orange County
Amount of in-kind support donated in clinical services
Value of donated diagnostic services
Florida Hospital Community After Hours Clinic
$345,870 $2,382,355 Value of Support
Current Year Baseline
$100,000
Year 1 Outcome Goal - # $100,000
Year 1 Actual
Year 2 Outcome Goal - # $100,000
18
20
30
130
140
1
4
Support to continue as appropriate
Support to continue as appropriate
$95,000
$103,000
Support to continue as appropriate
Support to continue as appropriate
TBD
Year 2 Actual
150
4
Support to continue as appropriate Support to continue as appropriate
Year 3 Outcome Goal - # $100,000
40
Year 3 Actual
In-kind
Hospital $
$100,000 annually
Matching $
Physician, nursing, and clerical operations are donated annually via volunteer providers
Comments
In-kind
TBD
$65,000
/year
from
Orange
County
Health
Services
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
FH East Orlando 8
CHNA Priority
Outcome Statement
**Support the education and training of medical practitioners in the tricounty region
Target Population
Nursing and medical students of Valencia College, Seminole State College, University of Central Florida, Florida State University, and Adventist University of Health Sciences
Strategies/Outputs
Financially support the professional development and education of medical and nursing students
Outcome Metric Value of support
**Support the education and training of medical practitioners in the tricounty region
Nursing and medical students of Valencia College, Seminole State College, University of Central Florida, Florida State University, and Adventist University of Health Sciences
Financially support the professional development and education of medical and nursing students
Value of support
**Support the education and training of medical practitioners in the tricounty region
**Continue to support access to primary care for uninsured and underinsured residents of Orange County
UCF, VC, SSC, VoTech, Technical Education Center of Osceola County (TECO) and additional schools
Uninsured and underinsured patients
Provide sites for clinical rotations and residency sites for graduates of medical education programs
Provide financial support for operations and case management to Health Care Center for the Homeless
Number of sites Financial Support
Current Year Baseline
$28 million
$28 million
100 academic contracts $100,000
Year 1 Outcome Goal - # $28 million
Year 1 Actual
Year 2 Outcome Goal - # TBD
$28 million
TBD
100 academic contracts
$100,000
TBD $100,000
Increase the proportion of physician office visits made by adult patients with a diagnosis of diabetes or pre-diabetes that include counseling or education related to diet or nutrition
Florida Hospital Medical Group Primary Care Physicians serving residents of East Orlando
Peer physician education
% of primary care encounters with obese adult patients that include charting on counseling or education
Baseline pending
5% increase
5% increase
Outcome statements marked with a "**" are system initiatives. Funds are distributed to one central program rather than to each campus
Year 2 Actual
Year 3 Outcome Goal - # TBD
Year 3 Actual
Hospital $
TBD
Matching $
Comments
TBD
TBD
TBD $100,000 5% increase
TBD
Value of charity for all homeless causes in the system: $34,492,612
Dr. ConstantPeter and Michelle Francos
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