2018 Community Health Needs Assessment Implementation Plan

10 Johnston County 2018 C ommunity Health Needs Assessment Implementation PlanPageTable of Contents CHNA Priority Access to Health Services 3 CHNA Priority Mental Health Substance Abuse 5 CHNA Priority Heart Disease & Stroke 6 CHNA Priority Respiratory Diseases 7 CHNA Priority Transportation 8PageCHNA Priority Access to Health Services Strategy Intervention s Strategy Intervention Goal s Implementation Venue s Resources Utilized Needed for Implementation Name of Intervention Johnston Health Increase medical providers in Johnston County by 20 over the next 3 years Community Strengths Assets Johnston Health campu ses ; UNC physician clinics ; community - based practices ; Residents of Johnston County SMART Goals Determine deficits in primary care and specialty care by identifying providers that are aging out , no longer taking new patients , or lack of medical services in the county The goal is to increase the number of medical providers in Johnst on County MD , DO , PA , NP will be considered Recruitment will allow us to increase availability and access to primary care and s pecialty care for all residents Target Population s Al l residents of Johnston County Venue Johnston Health and physician practices Resources Needed Work in partnership with UN C Network Recruitment ; Rex UNC Healthcare ; UNC Physician Network ; Residential programs Name of Intervention Johnston Health Expand DO medical student education in Johnston County Community Strengths Assets Johnston Health campuses ; UNC physician clinics ; C ommunity - based practitioners support education oppor tunities for medical students SMART Goals In 2019 - 2021 , increase the number of precepting physicians for the Campbell University S chool of Osteopathic Medicine DO students program at Johnston Health by 50 Increase the number of student rotation availability per discipline Target Population s Campbell University School of Osteopathic Medicine students Venue Local hospital ca mpuses , ph ysician practices , and agencies Resources Needed Physician applications for faculty appointment with Campbell University Sch ool of Osteopathic Medicine ; Physicians in specialty fieldsPageName of Intervention Johnston County Public Health Department Increase Safety Net participation to ensure that evidence based care is planned , delivered and promoted amongst health care providers accepting uninsured and low - income residents for preventive , acute and chronic care and referral to Department of Social Services if uninsured Community Strengths Assets Support of county leadership ; Col laboration of DSS with JC Safety Net providers ; Community Paramedics Program ; Recrui tment of providers by Johnston Health SMART Goals Expand the Safety N et to include at least 1 new provider each year Target Population s Uninsured and low income residents Venue Provider Offices ; JCHD Project Access Volunteer clinics Resources Needed Local champion for access to care return on investment ; partnering providers Name of Intervention Johnston County Public Health Department Expand the health care provider network by offering internships , mentoring and volunteer opportunities to local students and working with local practices and agencies Expand rural training tracks and programs in medical education - scientifically supported What Works for Health Community Strengths Assets Johnston County Public Schools ; Johnston County Community College ; local colleges universities SM ART Goals Every year Johnston County Public Health Department will mentor 20 students Target Population s Local students of all disciplines Venue local practices and agencies Resources Needed volunteer preceptors mentors ; working time of the prof essionals ; local studentsPagePage pageNumber5CHNA Priority Mental Health Substance Abuse Strategy Intervention s Strategy Intervention Goal s Implementatio n Venue s Resources Utilized Needed for Implementation Name of Intervention Johnston Health Expand capability to address growing mental health needs of the community Community Strengths Assets Support of Johnston Health administration & staff ; Johnston County Public Health Department SMART Goals Request and obtain Certificate of Need fr om Department of Health and Human services for an additional six beds Target Population s Uninsured Un derinsured adults Venue Johnston Health Smithfield Resources Needed DHHS ; JH engineering department ; Alliance Behavioral Healthcare Name of Intervention Johnston County Public Health Department Opioid Task Force will host one O peration Medicine D rop event per year , for the next 3 years Expand rural training tracks and programs in medical education - scientifically supported What Works for Health Community Strengths Assets Johnston County Opioid Task Force SMART Goals To offer one operation medicine drop per year for the next three years Target Population s Uninsured and low income residents , m ental health , substance use Venue Johnston County Community Resources needed Local champion for Operation Medicine Drop ; p artnering agenciesPagePage pageNumber6CHNA Priority Heart Disease & Stroke Strategy Intervention s Strategy Intervention Goal s Implementation Venue s Resources Utilized Needed for Implementation Name of Intervention Johnston Health Systematically improve outcome of str oke patients at Johnston Health Community Strengths Assets Support of Johnston Health a dministration , physicians , and staff ; Johnston County EMS SMART Goals Collect and analyze data to make necessary changes with in Johnston Health to meet the required standards in order to acquire The Joint Commission Stroke Certification by December 31 , 2021 Target Population s All Johnston County residents Venue Johnston Health Clayton & Smithfield Resources Needed JH Stroke Coordinator ; JH Stroke Committee Members ; EMS support ; brochures and other educational material s Name of Intervention Johnston Health Inform the Johnston County workforce about the importance of heart health and offer prevention and education Community Strengths Assets Support of Johnston Health administration & staff ; Johnston County employers SMART Goals Offer 30 on - site blo od pressure screenings heart health education events from 2019 - 2021 Target Population s Johnston County workforce Venue Local places of employment Resources Needed JH Corporate Heal th Consultant and Corporate & Community Outreach Coordinator ; Schumacher Clinical Partners ; Johnston County Employers enrolled in WellnessWorks program Name of Intervention Johnston County Public Health Department Conduct Faithful Families program at local faith organization s Community Strengths Assets Johnston County Faith Network , Health Educators who are trained facilitators SMART Goals Offer 2 Faithful Families programs per year to Johnston County Churches Target Population s Johnston County Residents Venue Local faith organizations and chu rches Resources Needed Trained Facilitator ; Churches ; Lay LeadersPagePage pageNumber7CHNA Priority Respiratory Diseases Strategy Intervention s Strategy Intervention Goal s Implementatio n Venue s Resources Utilized Needed for Implementation Name of Intervention Johnston Health Increase number of COPD patients successfully referred to a smoking cessation program by completing fax referral form during patient education and faxing in prior to patients discharge Community Strengths Assets Support of Johnston Health administration & staff ; Johnston County Public Health Department SMART Goals Implement fax referral program and establish a baseline in 2019 Increase number of referrals by 10 each year thereafter until 2021 Target Popu lation s COPD patients with active tobacco use Venue Johnston Health Clayton & Smithfield Resources Needed JH Respiratory Therapists , Cardiopulmonary Services Director and Manager ; DHHS Tobacco Prevention and Control Branch QuitlineNC Name of Intervention Johnston County Public Health Department Johnston County Health Department will offer evidence based smoking cessation program per year for the next three years Expand rural training tracks and programs in medical education - scientifically supported What Works for Health Community Strengths Assets Health Education staff who is already tra ined and have access to a venue SMART Goals To offer one evidence based smoking cessation program per year for the next three years Target Population s Individuals who currently smoke Venue Johnston County Community Resources needed T rained health educator ; venuePagePage pageNumber8CHNA Priority Transportation Strategy Intervention s Strategy Intervention Goal s Implementation Venue s Resources Utilized Needed for Implementation Name of Intervention Johnston Health Increase number of COPD telehealth consults with Johnston Health Respiratory Therapists via Community Paramedic program Community Strengths Assets Partnership between Johnston Health and Johnston County EMS ; thriving community paramedic program ; support of Johnston Health Board of Directors SMART Goals Increase number of COPD telehealth consults with Johnston Health Respiratory Therapists Establish a baseline in 2019 and increase number of referrals by 10 each year thereafter until 2021 Target Population s Johnston County COPD patients Venue Johnston County Resources Needed JH Cardiopulmonary Services Director and Manager , Chief Medical Officer , and Care Management Director ; Johnston County EMS Community Paramedic Coordinator ; UNC ISD Name of Intervention Johnston Health Johnston Health Medical and Radiation Oncology transportation program Community Strengths Assets Active JH Cancer Committee ; similar existing program has been developed and tested by care management team ; community support via JH Foundation angel fund SMART Goals Establish a transportation program in order to overcome transporta tion issues identified by the JH cancer committee Target Population s Uninsured Unde rinsured Venue Johnston Health Medical and Radiation Oncology Resources Needed JH Nurse Navigator , Oncology Director , Cancer Committee members , Psychosocial Services Coordinator for Oncology , Cancer Accreditation Programs Coordinator , Foundation , and Care Management D irector ; UNC Health Care System Name of Intervention Johnston County Public Health Department SMART Goals Provide WIC services in 2 additional municipalities per year for the next 3 years Target Population s Johnston County Resources Needed WIC Staff ; partners to host WIC services PagePage pageNumber9Provide Mobile WIC services in Johnston County Community Strengths Assets 2 off campus sites in Benson and Clayton ; Staff willing to travel Residents ; WIC recipien ts , Potential WIC recipients Venue Johnston CountyPage