Community Health Needs assessment asset mapping …



2012Fargo Moorhead Community Health Needs Assessment CollaborativeCommunity Health Needs assessment asset mapping Worksheet: Fargo Moorhead StakeholdersIdentified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) Aging/Baby Boomers Availability and/or cost of long term care3.663.91Housing and transportation needsLarge numbers of aging people living in povertyNeed for Alzheimer’s servicesAccess to healthcare and education opportunitiesHealthcare professionals could refer to ND Dementia care servicesNot being able to retire because of high cost of healthcareLTC (Nursing Homes) available:Eventide – 218-233-7508Golden Living Center – 218-233-7578Bethany on Univ. – 701-239-3000Bethany on 42nd – 701-478-8900Elim – 701-271-1800ManorCare – 701-237-3030Rosewood – 701-277-7999Villa Maria – 701-293-7750Adult Day Care resources (for respite):Bethany Day Services – 701-239-3544Home Instead – 701-478-1010Johnson Elder Care Home – 701-277-7195Rainbow Square – 701-277-7999Club Connection – 701-293-7750Heartsprings – 701-261-3142Rosewood – 701-277-7999Villa Maria Club Connection – 701-293-7750Touchmark – 701-476-1200Assisted Living resources:Arbor Park Village – 218-359-9999Four Seasons – 218-359-9000Carriage House – 1-877-427-9196Eventide Linden Tree – 218-233-7508Eventide Fairmont – 218-233-8022Evergreens, Mhd – 218-233-1535Moorhead Manor – 218-236-6286Northside Retirement Home – 218-233-1583Park View Terrace – 218-233-8548River Pointe – 218-287-6900Bethany Gables – 701-478-8900Bethany Towers – 701-239-3424Edgewood Vista – 701-365-8200Evergreens Fargo – 701-239-4524Good Samaritan – 701-282-2651Pioneer House – 701-271-1862Riverview Place – 701-237-4700Touchmark – 701-476-1200Home Health resources:Access – 218-233-3991Care 2000 – 218-233-1000CCRI – 218-236-6730C & R Quality Living – 701-235-5744Good Samaritan – 701-282-2651Hospice – 701-356-1500Prairieland – 701-232-1245Sanford Home Care – 701-234-4900Home Services & other resources for assisting the elderly to stay in their homes:Access – 218-233-3991Care 2000 – 218-233-1000Change is Good – 218-329-7442Homewatch – 218-233-1667LSS Caregiver Respite Services – 218-233-7521Midwest Community Residential Services – 218-287-5422Accent Multi Services – 701-293-6000Active at Home Helpers – 701-200-4328At Home Caregiver Services – 701-293-7294Comfort Keepers – 701-237-0004Community Living Services – 701-232-3133C & R Quality Living – 701-235-5744Easter Seals – 701-237-9908Ebenezer Human Care – 701-412-5525Family Caregiver Support ProgramGood Samaritan – 701-282-2651Heart 2 Heart – 701-200-7828Home Instead Senior Care – 701-478-1010Sanford Health Personal Care – 701-232-2452LSS Senior Companion Program – 701-271-3247Spectrum Home Care – 701-293-8172Tami’s Angels – 701-237-3415Meals on Wheels – 701-293-1440 (Fargo)Meals on Wheels – 218-287-0434 (Mhd.)Congregate meals (Mhd) – various locationsCash Wise, Hornbachers & SunMart have on-line grocery orders that can be deliveredCommunity Dining – 9 Fargo locationsLSS Senior Nutrition Program – 218-233-7521Outreach Assistance – 701-293-1440Transportation services:Clay Co. Rural Transit – 218-236-0303Mhd. Transit System – 218-232-7500Richards Transp. Service – 218-233-3404Anytime Transportation – 701-232-3322Care A Van Mobility 4U – 701-235-6699Doyle Cab – 701-235-5535Discount Taxi – 701-235-5535Fargo Senior Commission – 701-293-1440Fargo City Bus – 701-232-7500Handi-Wheels – 701-232-3231Lucky 7 Taxi – 701-235-1717MAT Paratransit – 701-476-4464Medi Van – 1-800-422-0976Metro Senior Ride Service – 701-293-1440MAT – 701-232-7500Ready Wheels – 701-364-1700RSVP – 701-298-4602Rural Cass Bus – 701-293-1440Rural Cass Volunteer Services – 701-347-5590Resources for support of caregivers:Support Group for Alzheimer’s caregivers – 605-321-9610Alzheimer’s Support Group (for young onset caregivers) – 701-277-9757Alzheimer’s Support Group for those with family member in Eventide – 218-233-7508Caregivers Discussion Group through MN LSS – 218-233-7521Family Caregiver Support Program – 701-298-4480Hospice support for widows & widowers – 701-356-1500Activities for Seniors:Senior Center, Mhd – 218-299-5514Senior Centers, Fargo – 6 locationsCommunity Dining – 9 Fargo locationsVolunteer Opportunities – Valley Senior Services: 701-293-1440Availability of resources to help the elderly stay in their homes3.563.89Availability of resources for friends and family caring for elders3.533.86Availability of resources for grandparents caring for grandchildren3.153.57Availability and/or cost of activities for seniors3.163.38Identified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) Physical/ Mental HealthObesity4.363.69ObesityIncreased obesity levelsDecreased physical exerciseLack of proper nutritionIn 2-5 years, if we do nothing, 75% of young adults will be unfit to serve in the militaryPhysical ActivityLack of exercise/wellness contributes to mental health issues. Encourage physical activity.Encourage the use of our local parks to prevent obesity in childrenMake sure the community has good biking and walking paths – a good example are those in Albert Lea, MN. -More focus on winter activities. Make sure trails are maintained in winter.Promote family activities – create healthy, active communitiesMore free physical activity options (affordable and accessible), especially during the winterEmployers should set aside 30 minutes of paid exercise timeEating HabitsAccess to heart-healthy fruits & vegetables & local healthy food – emphasis on a good dietEncourage use of a shopping list when grocery shoppingPreschool lunch sets the foundationIncrease in diabetes, heart disease & other long-term health problems caused by obesity, including the need for future expensive careAccess to preventionThe younger generation will pay for chronic disease of older people Can’t get an appointment—but may need immediate assistanceNeed case worker/manager that they know and good protocol while in custody—state does not have; the underserved population in this area needs to addressedLack of mental health services-especially for children; need affordable child/adolescent psychiatristsNeed to recruit people into the psych fieldStress, anxiety, depression, suicide risk—75% of diagnoses are manifestation of stressMake mental health more of a priority. Mental Health touches many elements—physical health has a strong connection to mental healthMore activity with the legislatureCass Clay Healthy People InitiativeActive in MoorheadSHIPFood Systems InitiativeSanford Fit Kids InitiativeCass Co. Extension ServiceSchool programsPark programsYMCAMetrocogUniversities (wellness centers, USDA research, dietary programs)ChurchesFaith Communities AliveComplete Streets (they have a policy, bike & pedestrian plan, etc.)Wellness services provided by employersWorksite wellness programs (they choose 3 activities/year)EAP programsEnergize Program (this is like a “healthy” school carnival – will be in 11 schools this year)Child Care Alive (through Cass Clay Healthy People Initiative)TNT Kids Fitness & Gymnastics Academy (will be taking their mobile fitness lab into Head Start sites)Healthy Blues Program (through ND Blue Cross)Wellness Centers in F-M area:Core FitnessFitnessworksMax TrainingPlanet FitnessSnap FitnessTotal BalanceTouchmarkCourts PlusAnytime FitnessYMCAW Fargo Fitness CenterCormax FitnessFamily Wellness CenterTNT Kids GymMetro Rec CenterLadies Workout ExpressMental Health resources:EAP in the workplaceLocal Mental Health providersCase Management providersSE Mental HealthCass & Clay Co. Social ServicesFirstLinkPrairie (Fargo & Mhd locations)Essentia (Fargo & Mhd locations)Sanford HealthBehavioral HealthChild/Adolescent Mental Health ServicesEating Disorders InstitutePsychiatry &PsychologyWill be addressing behavioral health in Medical Home (have received a $12 million grant to help primary care providers extend this service to patients)Mental Health AssociationSocial ConnectionLakeland Mental HealthThe Village’s intensive home visitation program for prenatal Payors – Medicaid, commercial payors, grant opportunitiesearly intervention servicesND KIDS program (used to be called Infant Development)Anchorage, TheARC of West Central MNCCRIClay Co. Chemical Depen. ServicesClay Co. DetoxClay Co. Public HealthCommunity Outreach Ctr at MSUMCrisis RespondersHuman Service AssociatesLost & Found Ministry/Recovery WorshipLutheran Social ServicesSafe HarbourSharehouse - Wellness Center, OP & Residential Addiction Services, Genesis ProgramSolutionsTran$ Em (Transitional Supported Employment of MN)Alcoholics Anonymous Club HouseAlzheimer’s ProgramCatholic Family ServicesCentre DetoxDrake Counseling ServicesFargo VAFirst Step RecoveryGamblers ChoiceGambling Problem HelplineRape & Abuse Crisis CenterSENDCASexaholics AnonymousSister’s PathVillage Family Service CenterVosburg Counseling for SeniorsDementia/Alzheimer’s resources:Alzheimer’s Assn – 701-277-9757Arbor Park Village – 218-359-9999Eventide/Fairmont – 218-233-8022River Pointe – 218-287-6900Evergreens, Mhd. – 218-287-6900Bethany – 701-239-3000Edgewood Vista – 701-365-8200Elim – 701-271-1800Evergreens, Fargo – 701-239-4524Poor Nutrition/Eating Habits4.283.59Inactivity and/or lack of exercise4.283.58Chronic disease (e.g. diabetes, heart disease, multiple sclerosis)4.243.70Depression4.163.54Stress4.093.66Dementia/Alzheimer’s disease4.003.55Cancer3.863.76Suicide3.783.04Communica-ble disease (e.g. sexually transmitted diseases, AIDS)3.312.83Identified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) Economic IssuesAvailability of employment opportunities3.693.49PovertyWhy so many homeless when our local economy is booming?We have affordable housing. Work to integrate low income into all housingIncreased number of aging people living in povertyServices for low income populationTransportation to appointmentsLack of recovery options/respite care for homeless individualsOil industry’s transient populationThe new Family Healthcare Center should assist in helping access care. Also assisting in the many languages needed.Public health funding for preventative servicesEmployment resources:Job Service Fargo ()Minnesota Job ServicePoverty resources:Numerous thrift shopsCaring Closet (free clothes) – 701-235-6848Health Care for Homeless Vets - 701-239-3700Homeless Health Service – 701-298-9245Family HealthCare Center – 701- 271-3344Community Care Programs at Sanford & EssentiaCass County Social ServicesClay County Social ServicesLegal Services of MN – 218-233-8585Legal Services of ND – 701-232-4495CHARISM – 701-241-8570RRV Dental Access – 701-364-5364SENDCA – 701-232-2452Housing resources:ReStore – 218-284-5253Lake Agassiz Habitat for Humanity – 218-284-5253Down Payment & Closing Costs Assistance Prog.– 1-800-292-8621HomeKey Program – 701-328-8080Housing Rehab Program - 701-241-1474SENDCAA Weatherization Program – 701-232-2452Help with Utilities (Cass Co. Social Services) – 701-297-6000Xcel “Energy Share” programHelp with rent – Section 8, Fargo Housing Authority – 701-293-6262Sisters of Presentation Partners in Housing Program – 701-235-6861Salvation Army provides assistance with hsg. & utilities – 701-232-5565Low income housing – SENDCAA – 701-232-2452Homeless shelters:Churches United – 218-236-0372Clay Co. Service Center emergency shelter – 218-299-7057Dorothy Day House – 218-233-5763Lakes & Prairies transitional housing program – 218-299-7014Motivation, Education & Training emergency shelter – 218-299-7262Fraser transitional living/emergency shelter – 701-356-8585Gladys Ray shelter – 701-364-0116New Life Center – 701-235-4453Salvation Army – 701-232-5565Youthworks (transitional housing ) – 701-232-8558YWCA Shelter – 701-232-3449Hunger resources:Food pantriesChurches UnitedDorothy Day HouseFaith Hope & Love ChurchBosnian & Herzegovian community food pantryEmergency Food PantryFamily Worship Center food pantryFirst Assembly food pantryGreat Plains Food BankSprings of Living Water food pantryBackpack program for studentsChristmas dinners for the homeless (First Presbyterian, Nativity, Olivet)Shelters providing meals:Churches UnitedDorothy Day HouseNew Life CenterSalvation ArmyYWCA ShelterFood Baskets:Churches UnitedYWCA ShelterEconomic disparities between higher and lower classes3.643.44Homelessness3.643.01Poverty3.623.20Availability of affordable housing3.473.31Hunger3.463.00Wage levels3.433.35Cost of living3.163.43Identified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) TransportationAvailability of good walking or biking options (as alternatives to driving)3.793.25Some people are walking now- how will they get to new facilities?Need a pool of funding for transportationPublic transportation resources:MAT Bus - 701-232-7500Richards Transportation Service – 218-233-3404Anytime Transportation – 701-232-3322CareAVan Mobility 4U – 701-235-6699Doyle Cab – 701-235-5535Discount Taxi – 701-235-5535Handi-Wheels – 701-232-3231Lucky 7 Taxi – 701-235-1717MAT Paratransit – 701-476-4464Medi-Van – 1-800-422-0976Metro Senior Ride Service – 701-293-1440People’s Diversity Forum Transportation Service – 701-235-5440Ready Wheels – 701-364-1700RSVP Program – 701-298-4602Availability and/or cost of public transportation3.332.97Road Conditions3.253.14Driving habits (e.g. speeding, road rage)3.043.15Cost of automobile ownership (e.g. gas, maintenance, insurance)2.953.42Traffic Congestion2.552.85Identified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) Substance Use and AbuseAlcohol Use and abuse4.123.52Alcoholism and binge drinking—chronic visits to the ER and lack of services for alcohol treatment. Will be a shortage of services in 2014 due to Healthcare Reform.Abuse of prescription medicationsMoorhead addiction resources:The Anchorage – 218-287-1500ARC of W. Cent. MN - 218-233-5949CCRI – 218-236-6730Clay Co. Chemical Dependency Services – 218-299-5200Clay County Detox – 218-299-5171Clay Co. Public Health 218-299-5220Clay Co. Social Services – 218-299-5200Community Outreach Center at MSUM – 218-477-2513Crisis Responders – 1-800-223-4512Human Service Associates – 218-291-1658Lakeland Mental Health – 218-233-7524 / 1-800-223-4512Lost & Found Ministry/Recovery Worship – 218-287-2089LSS of MN – 218-236-1494Prairie St. John’s – 218-284-0300Safe Harbour – 218-287-2593Sharehouse Wellness Center – 218-233-6398Social Connection – 218-284-6069Solutions – 218-287-4338Fargo addiction resources:AA Club House – 701-232-9930Catholic Family Services – 701-235-4457Centre Detox – 701-237-3341Drake Counseling – 701-293-5429Fargo VA – 701-239-3700FirstLink HotLine – 701-235-7335First Step Recovery – 701-293-3384LSS of ND – 701-235-7341Only Human Counseling – 701-476-0497Pathways – 701-232-5955Prairie Dawn Counseling Center – 701-239-8307Prairie St. John’s – 701-476-7216Sanford Health CD Services/Partial Hospitalization – 701-461-5300Sharehouse OP & Residential Addiction Services – 701-282-6561Sharehouse Genesis – 701-478-8440Simon Chemical Dependency Services – 701-298-8108Sister’s Path – 701-478-6562SE Human Service Center – 701-298-4500The Village – 701-451-4900Smoking Cessation resources:BAN Program (Break Away from Nicotine) – 701-476-4083 (City of Fargo program)ND Quits (ND Dept. of Health) – 701-214-4170Sanford Health – 701-234-5191 (tobacco cessation counselor)Sanford Health – 701-234-6452 (tobacco & asthma education)Fargo Cass Public Health (health educator) – 701-241-1367Essentia Health (tobacco treatment specialist) – 701-364-4524Drug Use and Abuse4.033.55Smoking and tobacco use3.983.46Exposure to Secondhand smoke3.723.35Identified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) SafetyDomestic Violence3.973.46Shelters (domestic violence):YWCA Shelter – 701-232-3449Churches United – 218-236-0372Dorothy Day House – 218233-5763Centre Inc. – 701-235-5115Fargo Housing & Redevelopment Authority – 701-293-6262ShareHouse – 701-282-6561Cass Co. Housing Authority – 701-282-3443Rape & Abuse Crisis Center – 701-293-7273Gladys Ray Shelter – 701-364-0116Child Abuse & Neglect resources:Sanford Child & Adolescent Maltreatment Center – 701-234-4580Red Flag Green Flag program – 701-293-7298Protection & Advocacy Project – 701-239-7222Guardian & Protective Services – 701-297-8988Elder Abuse resources:Adult Protective Services Fargo – 701-241-5747Moorhead – 218-299-5200Rape & Abuse Center (Abuse in Later Life Advocate) – 701-293-7273Clay Co. Elder Abuse Project – 218-299-7542Protection & Advocacy Project – 701-239-7222Guardian & Protective Services – 701-297-8988Crime resources:ND Crime Victim & Witness Assistance (Cass Co. office) – 701-241-5850Fargo Police Moorhead Police Cass Co. Sheriff’s officeClay Co. Sheriff’s officeChild abuse and neglect3.763.39Presence and influence of drug 3.523.51Elder Abuse3.253.08Property Crimes3.143.41Violent Crimes3.093.06Identified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) EnvironmentGarbage and litter concerns2.552.70Fargo Garbage – 701-241-1449Moorhead Garbage – 218-299-7331Fargo Water Plant – 701-241-1468Moorhead Water Plant – 218-299-5470Water quality concerns2.342.63Noise level concerns2.282.56Air quality concerns2.172.37Identified ConcernSpecific ConcernsCommunity Leader Respondent Level of Concern*Resident Respondents Level of Concern*Additional Narrative Comments/Concernsto be ConsideredAlignment with Community ResourcesUnmet Need? (Yes/No) Children and YouthAvailability and/or cost of quality child care3.913.42Schools/Youth (Obesity)Start with youth and change the trendsStart good health habits early—preschool lunch sets the foundationOpen up the neighborhood schools for open gym timePromote grade level activities for increased physical activityChild Care resource:Child Care Resource s& Referral – 218-299-7026Youth resources – Moorhead:ARC – 218-233-5949Access – 218-233-3991Center for Parenting & Children – 218-233-6158Clay Co. Social Services – 218-299-5200DD Case Mgmt. – 218-299-5200Early Intervention Program – 218-284-3800Follow Along Program – 218-299-5200Head Start – 218-299-7002Lakeland Mental Health – 218-233-7524LSS of MN – 218-236-1494The Village – 218-451-4900Youth Educational Service – 701-233-0924Youth resources – Fargo:ARC – 701-293-8191Boys & Girls Clubs – 701-235-2147Boy Scouts – 701-293-5011Campus Life – 701-237-6682Caring Program for Children – 701-277-2227Cass Co. Parenting, Children & Family Resources – 701-241-5765Cass Co. Social Services – 701-241-5761Catholic Family Services – 701-235-4457Center for Parenting & Children – 701-235-6433CHARISM – 701-241-8570Christian Family Life Service – 701-237-4473Family HealthCare Center – 701-241-1360Fargo Youth Commission – 701-235-2147Fraser Childcare Services – 701-293-3050Girl Scouts – 701-293-7915Head Start – 701-235-8931Infant Development (SEHSC) – 701-298-4471International Sports Camps – 701-281-7900Kamp KACE – 701-234-7544LSS of ND – 701-235-7341Make A Wish – 701-280-9474ND Parents as Teachers Program – 701-231-6374Nokomis – 701-232-5635ND Kids Count – 701-231-5931Parents Support Group – 701-235-9923Prairie St. John’s – 701-476-7200Prescription Assistance Program – 701-364-0398Prescription Connection – 1-888-575-6611Right Tracks – 701-792-3722Ronald McDonald House – 701-232-3980Sanford Health Pediatric Therapy – 701-234-4300SE Human Service Center (parenting training) – 701-298-4500SENDCA – 701-232-2452The Village – 701-451-4900Youthworks – 701-232-8558Youth for Christ – 701-237-6682YWCA – 701-232-2547YMCA – 701-293-9622Youth Center at Rose Creek – 701-478-4066Youth Court (LSS) – 701-235-7341Teen Pregnancy resource:First Choice Clinic – 701-237-6530Bullying3.823.44Availability and/or cost of services for at-risk youth3.813.05Availability and/or activities for children and youth3.673.27School dropout rates/truancy3.562.82Teen pregnancy3.342.93Youth crime3.093.04Identified ConcernSpecific ConcernsResident RespondentsLevel of Concern*Community Leader Respondent Level of Concern*Additional Narrative Comments/Concerns to be ConsideredAlignment with Community ResourcesUnmet need?(Yes/No) Access to Health CareCost of health insurance4.324.57Cost of insuranceHigh cost for the self-insuredHigh co-paysHealth InsuranceLack of health insuranceCost/affordabilityCost of co-paysAllow contributors the ability to set what standards and conditions will be coveredOther Issues:Patient confidentiality (employees within healthcare organizations)Oil industry’s transient population Revenues are not put into less lucrative (but important) projects/issuesChronic disease – referral to management programs – don’t always get this Maternal Child HealthHealthcareReform – what is the impact of this?Inefficiencies in healthcare Dental CareAccess to dental providers—why no Fridays? Consider evening hoursSerious problems with dental health when there is no dental provider for the whole family. Lack of regular dental care has very negative impact on healthFewer people have dental insurance or the coverage is poorNo dental schools in NDDentists not accepting new patientsNo dental access for Medicaid patientsER ServicesLocation of the ERSanford ER needs a new site—downtown?ER shouldn’t be where people go for their routine careConsider a freestanding location for ER/ECInappropriate use of EC.Coordinated emergency care between citiesReimbursementaffordability of insurance premiumsprescription costsrising cost of employer’s share which must be passed on to consumersNot being able to retire because of high cost of healthcareNeed to take the profit margin out of healthcare. Something is wrong when there are tens of thousands of dollars in differences between procedures. It is price gouging. We must address the cost of healthcare.Set a specific percentage of profit that must be given back to the healthcare system to keep costs low.Price should be set by proportions – not percentages.Try a healthcare cooperative type of approach.Cuts to Medicare and Medical Assistance – leading to employee cuts – they affect quality of care and access to careCommunity Care Programs (Essentia, Sanford)Caring ProgramPrescription Assistance ProgramCare CoordinatorsSanford RN Health CoachesBlue Cross Member Advocate ProgramMedical Home ProgramSanford’s Ask-A-Nurse ProgramSanford’s Health & Business Ctr.Blue Cross Case ManagersSanford’s Shelter Parish NursesReduced cost dental resources:RRV Dental Access – 701-364-5364Family HealthCare Center – 701-271-3344Mental Health resources:See section on Physical/Mental Health (page 9)Transportation resources:See transportation resources list on pages 5, 14Bilingual providers/translators:Family HealthCare Center – 701-271-3344Cost of health care4.254.48Cost of prescription drugs4.064.34Adequacy of health insurance3.974.24Access to health insurance coverage3.794.16Availability of prevention programs or services3.374.07Availability and/or cost of dental and/or vision care 3.764.02Availability and/or cost of dental and/or vision insurance3.764.00Coordination of care3.054.00Availability of mental health services and providers<3.003.98Use of emergency services for primary health care3.283.86Time it takes to get an appointment3.063.52Availability of doctors, nurses, and/or specialists3.243.47Availability of non-traditional hours3.003.45Providers not taking new patients 2.923.41Availability of/access to transportation2.633.22Availability of bilingual providers and/or translators2.403.09Distance to health care services2.332.60Patient Confidentiality2.572.52Other Identified ConcernsNarrative CommentsAlignment with Community ResourcesUnmet need (Yes/No)?ParentingMore funding for home visitation programs for moms and babiesThe Village’s intensive home visitation program for prenatal careND KIDS program (used to be called Infant Development)Cass & Clay County Public Health Policy MakingHealthy lifestyle choice is not the top priority for policy makingPrevention/WellnessConsider a more proactive approach to healthcare-80% of chronic disease is preventableAccess to local food and health food for the schoolsFamers Market-look at them in the neighborhoods-Go 2030 Fargo-Include New Americans, churches, schools-lots of room to expand farmers market in the FM area—consider the co-op and easy access locationFarmers Markets: Fargo:Downtown Farmers MarketGreat Plains Producer Association’s Community Farmers MarketFestival marketStonewest Village Farmers MarketVA Farmers MarketMoorhead:Gardener’s Flea MarketMy Sister’s FarmSydney’s Health MarketWorksite More worksite wellness programs-be proactiveEmployers could set aside 30 minutes of paid exercise timeEmployers are providing benefits but not making healthy lifestyles the easy choiceNew AmericansNeed dementia care providers & respite geriatric care for New AmericansNew Americans coming from refugee camps need to catch up on their health needs. Many have insurance (individual doesn’t cover family)Cultural competence of mental health professionalsNeed transportation to appointmentsHealthcare for New Americans:Family HealthCare Center – 701-271-3344Transportation to appointments:MAT bus – 701-232-7500Legal IssuesMalpracticeDoctors over-testingWorkforceNot enough providers. Need to improve ability to recruit healthcare workers, including family practice physicians, specialists, psych.Health professionals will be retiring in large numbers—there will be shortage in 7-8 yearsDifficulty with recruitment of workforce to ND, especially rural areas. Have incentives in medical school to serve rural areas after graduation.Not enough slots for medical students. Need to get the medical school to open more slots—this will address access and availability. Create an atmosphere for training more providers.Time constraint on providers-expectations on number of patients provider needs to see per day-If more providers—more time with individual patients-More time to discuss prevention (obesity), promote wellness, mental healthRural providers need access to locums for vacationsFocus on quality rather than quantityMakes the best use of the doctor’s time in the rural areasProviders are starting to think “outside the box”—bringing in experts from other cities or doctors from our cities are going to rural communitiesHave an interesting, walkable community—to recruit and keep professionals hererev. 9/13/12 ................
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