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Presence Covenant Medical Center. Page 2 of 22. 2013 - 2016 Implementation Strategy. Provena Health and Resurrection Health Care merged on November 1,  ...
Presence Covenant Medical Center Presence Home Care Presence Hospice Community Health Needs Assessment (CHNA) Implementation Strategy 2013 - 2016

Ministry Overview

Ministry Overview............................................................................................................................ 2 Target Areas and Populations ........................................................................................................ 4 Identification of Community Needs ................................................................................................. 6 Identifying Community Priorities ..................................................................................................... 7 Development of the Implementation Strategy ................................................................................. 8 Action Plan with Presence Covenant Medical Center’s Involvement in Addressing the Needs...... 10 Next Steps for Priorities .................................................................................................................. 19 Priorities Not Being Addressed by Presence Covenant Medical Center ........................................ 20 Implementation Strategy Approval .................................................................................................. 21 Implementation Strategy Communication ....................................................................................... 22

Presence Covenant Medical Center 2013 - 2016 Implementation Strategy

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Ministry Overview Provena Health and Resurrection Health Care merged on November 1, 2011 to form a new health system, Presence Health, creating a comprehensive family of not-for-profit health care services and the single largest Catholic health system in Illinois. Presence Health embodies the act of being present in every moment we share with those we serve and is the cornerstone of a patient, resident and family-centered care environment. “Presence” Health embodies the way we choose to be present in our communities, as well as with one another and those we serve. Building on the faith and heritage of our founding religious congregations, we commit ourselves to these values that flow from our mission and our identity as a Catholic health care ministry:  Honesty: The value of Honesty instills in us the courage to always speak the truth, to act in ways consistent with our Mission and Values and to choose to do the right thing.  Oneness: The value of Oneness inspires us to recognize that we are interdependent, interrelated and interconnected with each other and all those we are called to serve.  People: The value of People encourages us to honor the diversity and dignity of each individual as a person created and loved by God, bestowed with unique and personal gifts and blessings, and an inherently sacred and valuable member of the community.  Excellence: The value of Excellence empowers us to always strive for exceptional performance as we work individually and collectively to best serve those in need. Presence Covenant Medical Center (PCMC) has been meeting the health needs of Champaign County residents for over 90 years. Founded by the Servants of the Holy Heart of Mary, our hospital continues to carry out its mission of providing “compassionate, holistic care with a spirit of healing and hope in the communities” it serves. Presence Covenant Medical Center Presence Covenant Medical Center is a 210-bed comprehensive medical facility with a rich history in the Champaign-Urbana community. Through predecessor organizations, Mercy Hospital (founded in 1919) and Burnham City Hospital (founded in 1894), PCMC has a legacy of advanced, compassionate care that stretches back over a century. Today, PCMC is one of east central Illinois’ most advanced medical facilities, with a medical staff of over 250 physicians representing various areas of specialized care. As part of the Presence Health system, PCMC is one of an extensive network of hospitals, extended care facilities and clinics in Illinois dedicated to improving community health care. PCMC maintains the area’s largest inpatient rehabilitation center, featuring facilities for physical, occupational and speech therapy. PCMC also has orthopedic services, the Center for Healthy Living, and the area’s only Adult Behavioral Health Unit in a hospital setting.

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Ministry Overview Presence Life Connections Presence Home Care is a ministry of Presence Life Connections (PLC) and part of the integrated healthcare delivery network of Presence Health. Presence Home Care and Presence Hospice located in Champaign, provide services to patients in 12 counties in east central Illinois. The home care agency has an average daily census of 170 patients, of which 70-75% are Medicare recipients, with the remaining being a mix of Medicaid, commercial insurance and selfpay patients. The average daily census in Hospice is approximately 25, with a comparable distribution in terms of payer sources. Presence Home Care in the central region employs approximately 50 employees. Presence Home Care provides services to help patients and their family members to successfully manage illness and recovery at home while living independently. Presence Hospice assists persons with life-limiting illnesses to live life to the fullest by managing their symptoms while providing support to the patient and their family. Presence Transitions is a service made available through the Home Care and Hospice programs to members of the community at no cost. Presence Transitions is a program that offers assistance, encouragement and support to individuals and families coping with a lifelimiting illness. It is for those who either pursue a curative treatment or comfort care for their illness but are not pursuing hospice or home care. Services available include, but are not limited to, advanced care planning, advocacy, respite and volunteer support. This report summarizes the plans for PCMC and PLC to sustain and develop new community benefit programs that 1) address prioritized needs from the 2011 Community Health Needs Assessment (CHNA) conducted by Champaign-Urbana Public Health District (CUPHD) and 2) respond to other identified community health needs.

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Target Areas and Populations Champaign County is the 10th largest county in the state of Illinois. Champaign County is located in the heart of east central Illinois approximately 136 miles south of Chicago and 86 miles northeast of Springfield, the state capitol. Demographics According to 2010 census data, Champaign County has a total population of 197,867 which is evenly split between males (50%) and females (50%). The majority of the population (54%) is between the ages of 20 and 54, while 19% of the population is over the age of 55. Children ages 19 and under represent 27% of the population of Champaign County. The median age in Champaign County is 28 years. Population Two of the largest cities in the county are Champaign with a population of 81,291 and Urbana with a population of 41,518. The county is also home to the University of Illinois. Enrollment in the fall of 2011 was 42,606, which included students from all 50 states and more than 127 nations. Of these 31,932 were undergraduates and 9,551 were graduate students. Ethnicity The racial and ethnic make-up of Champaign County is primarily Caucasian (75%) with the overall breakdown listed below. Race Caucasian African American Asian Native American Hispanic/Latino Multi-racial Other Races

Percentage 75.1% 12.6% 8.9% 0.2% 4.9% 1.8% 1.4%

Language Spoken The majority of residents (89%) in Champaign County speak English, while 2.9% speak Spanish, 1.7% speaks Chinese or Mandarin and 1.3% speak Korean as their first language. Of those that speak two languages, about 20% speak a minimum of English. Income The average number of persons per household in Champaign County is 2.32. The 2010 per capita income was $24,553. The median household income for 2006-2010 was $45,262. Twenty-one percent of Champaign County residents are below the poverty level compared to overall Illinois residents who represent 13% below the poverty level.

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Target Areas and Populations Education Champaign County boasts a high education attainment among its residents. High school graduates (persons aged 25+) represent 93.3%, compared to the overall Illinois percentage of 86.2%; while 41.2% of residents hold a Bachelor’s degree or higher, compared to Illinois overall at 30.3%. PCMC’s Primary and Secondary Market

The highest proportion of Medicaid and self-pay is in the immediate vicinity of the hospital and the Rantoul area. This would also identify those in most need of assistance from community benefit programs in the Champaign area. The highest Medicaid emergency room visits reside in the zip codes of 61801, 61802, 61820, 61821 and 61866. Access to care will be a priority focus for this identified area of need.

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Identifying Community Needs Provena Covenant Medical Center was a participant in the 2011 Champaign Community Health Plan. The Champaign Urbana Public Health Department (CUPHD) chose to utilize the Mobilizing for Action through Planning and Partnerships (MAPP) model to help acquire input from community partners, planners, elected officials and the residents of the community. This MAPP process helped to assess the current health status of the community, identify the needs, and create a comprehensive plan to make the community healthier. The four components of MAPP:  The Community Health Status Assessment collects and analyzes health data and describes health trends, risk factors, health behaviors and issues of special concern.  Community Themes and Strengths Assessment uses participants to make a list of issues of importance to the community, identify community assets and outline quality of life concerns.  The Local Public Health System Assessment measures the local public health system’s ability to conduct essential public health services.  The Forces of Change Assessment identifies local health, social, environmental or economic trends that affect the community or public health system. The goal is for all partners in the local public health system to work together to implement the recommendations outlined in this plan. The four priority health issues identified through this process include: 

 



Access to Care (Medical, Mental and Dental Health) 12.6% of respondents did not currently have health insurance coverage in Champaign County in 2009 14.3% of respondents could not afford the dentist in the past year in Champaign County in 2009 Accidents (Automobile, Alcohol, In-home) The past 2 years (2008-2009) have had the two highest values for the number of deaths due to accidents in the past decade in Champaign County Violence (Domestic violence, relationship between drug, alcohol abuse and violence) Champaign County has maintained a higher rate of child abuse and neglect (12.4 per 1,000 children) than the State of Illinois (8.5 per 1,000 children). 23% of all respondents selected domestic violence as one of the “three most important health problems in our community.” 26.8% of all respondents selected child abuse and neglect as one of the “three most important health problems in our community.” Obesity (Nutrition, Diet & Exercise, risk factors and complications) The proportion of adults at a healthy weight has decreased from 2002-2008, from 52.4% to 45.8%. As of 2008, the majority of adults in Champaign County are either overweight or obese. High blood pressure, high cholesterol, and diabetes are three conditions strongly associated with obesity. Given that these conditions are biologically tied to obesity, the decrease in percentage of healthy weight is a contributing factor to the increase in prevalence of high blood pressure, high cholesterol, and diabetes.

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Identifying Community Priorities Presence Covenant Medical Center recognizes that priority setting is a critically important step in the community benefit planning process. Decisions around priorities have a pivotal impact upon the effectiveness and sustainability of the endeavor. Presence Covenant Medical Center worked with the Champaign Urbana Public Health District (C-UPHD) to identify priority issues for Champaign County. From March to October of 2010, the process progressed as follows: 1) Community surveys were available online as well as administered on paper. 2) An analysis of the health status of the community was performed based on the Institute of Medicine’s recommendations. 3) Meetings were held with community partners including PCMC staff to conduct the local health system’s assessment based on the 10 essential health services. 4) A forces of change assessment was completed which identified community issues coming down the pike that would need to be addressed. 5) The information mentioned above was collected and compiled to form the community health plan.

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Development of the Implementation Strategy Presence Covenant Medical Center’s Implementation Strategy was developed based on the findings and priorities established by the Champaign County CHNA and a review of the medical center’s existing community benefit activities. The programs in place at PCMC were evaluated to determine if they were meeting an identified need below. PCMC has chosen to concentrate on the ever growing need for dental access to care. Based on the IPLAN, the top identified needs in Champaign County for 2011-2016 are:  Access to Care (Medical, Mental and Dental Health)  Accidents (Automobile, Alcohol, In-home)  Violence (Domestic violence, relationship between drug, alcohol abuse and violence)  Obesity (Nutrition, Diet & Exercise, risk factors and complication) The entire plan is available online at http://www.c-uphd.org/documents/admin/IPLAN.pdf The addendum with 2012 updates can be found at: http://www.cuphd.org/documents/admin/IPLAN-Updates-2012.pdf

Presence Covenant Medical Center will focus on three community needs for 2012:  Access to Care-Dental  Obesity-Nutrition and management in chronic disease  Violence-Domestic Violence The Center for Healthy Aging at PCMC will work with Presence Home Health and Presence Hospice as well as the Champaign Urbana Public Health Department on the Diabetes Coalition. Ongoing training will be provided to community members. These community members will then train others to teach the course where diabetics will learn better disease management skills. As a SmileHealthy Board member, PCMC worked to increase the treatment of dental conditions. PCMC concentrated on increased care of adults, specifically those who presented to the Emergency Department with dental concerns. A Dental Advisory committee was formed with similar goals. Parkland College and PCMC joined with community members and employees of SmileHealthy to determine ways to increase the dental health of Champaign County through education as well as dental treatment. C-U Fit Families is a coalition that worked to increase fresh produce available to low income families. Through various programs, produce was given to the Eastern Illinois Food Bank (EIFB) to distribute to those in need. An informal network of community gardens has been mapped out and information has been disseminated through this coalition to increase donations of a wide variety of fresh produce to EIFB. Bicycle safety and exercise was promoted by Gary Cziko of the City of Urbana, Bicycle and Pedestrian Advisory Commission. CATCH program representatives from the Unit 4 school system attend and share best practices. PCMC is now participating in the process to incorporate C-U Fit Families into a 501c3. PCMC has offered to sit on the board and will continue to donate sweet corn raised on the Bucher Farm to the EIFB. C-U Fit Families members include: Awais Vaid, C-UPHD Nikki Hillier, Program Coordinator, C-UPHD Cynthia Hoyle, Transportation Planning Consultant, CUMTD Doretta Herr, Community Benefit Coordinator, PCMC Pam Leiter, Champaign County Forest Preserve District Lisa Braddock, Coordinator, C-U Fit Families Presence Covenant Medical Center 2013 - 2016 Implementation Strategy

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Development of the Implementation Strategy Jeana Shroyer, RDH, Education Coordinator, SmileHealthy Rose Hudson, C-U Safe Routes to school Project Gary Cziko, City of Urbana, Bicycle and Pedestrian Advisory Commission Marian Huhman, Faculty, U of I Gabe Lewis, Transportation Planner, CCRPC Jennifer Large, Health Initiative Representative, American Cancer Society Jane Sullivan- Champaign-Urbana Mass Transit District Bonnie Hemrick, Research Coordinator, U of I’s Fit Kids Program

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Action Plan with PCMC’s Involvement in Addressing the Needs SMILEHEALTHY PARTNERSHIP Program Description Almost 2,000 people per year present to the Emergency Department (ED) with dental issues in Champaign/Urbana. Over 1,000 referrals are on an active waiting list (consent forms/medical history completed) at the non-profit SmileHealthy. Patients who are seen in the ED are referred to the Nutrition Dental Education Program for nutritional education to aid in healthy food choice on a budget and importance of the food group to have good oral health. This free service is held in a PCMC meeting room twice a month. Once the education is complete, patients then receive assistance to find treatment in the Champaign area; either at Frances Nelson Dental Center (FNDC) or to a PCMC-sponsored mobile dental clinic. SmileHealthy treated over 100 patients with dental services at 12 mobile clinics in 2012 funded by PCMC. 25 were referrals from the nutrition and dental education program and were previously PCMC ED patients. This nutrition and dental education program helps navigate low income patients to the agency that can best serve their dental treatment needs and improve food habits. The Dental Advisory Committee, composed of Frances Nelson Health Center, Parkland College, SmileHealthy, PCMC, and other community members will meet to ensure the viability of SmileHealthy. General anesthesia will also be provided to 3 children a month in the operatories at PCMC for severe dental treatment for children through a partnership with SmileHealthy. Community Need: Access to Care – Dental Aim Statement: PCMC will target Medicaid and uninsured adult patients who have presented at the ED with dental conditions and identified patients in need from the SmileHealthy waiting list to help reduce the utilization for dental services. Outcomes Strategy Action Ministry Role Community Evaluation Steps Partner Role Plan/ Measures of Success Track number  Track the The placement Provide SmileHealthy  PCMC and referrals to approximately of ED Frances Nelson finances number of patients SmileHealthy 200 people patients twelve mobile Dental Center treated at the will be tracked with 600 dental clinics provides dental seen in the mobile with the longdental services for the mobile at a cost of clinics. term goal to treatments to uninsured and dental $18,000 reduce repeat reduce repeat Medicaid clinic  PCMC is also ED visits for ED visits for patients of meeting with  Track dental dental Champaign repeat ED community conditions. conditions. County. visits after partners to treatment was received at mobile dental clinic

Presence Covenant Medical Center 2013 - 2016 Implementation Strategy

expand the program

In 2012, 173 patients were treated at ten mobile clinics.

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Action Plan with PCMC’s Involvement in Addressing the Needs Provide care for 36 children with approximately 12 treatments per child.

Track number of children treated by SmileHealthy.

Increase the number of patients who receive dental education through the Dental Nutritional referral program.

Refer patients who are seen in the ED to a nutritional educational workshop to instruct the importance of all food groups to good oral health.

Presence Covenant Medical Center 2013 - 2016 Implementation Strategy

 Offer three slots a month in the PCMC operatory for extreme child dental cases. Educate ED staff on the benefits and program procedure for the Dental Nutritional referral program to increase the number of referrals made.

PCMC provides the operatory space and anesthesiologist for the dental services provided for the children.

SmileHealthy provides dental services for the children in PCMC’s operatory.

In the past 12 months 31 patients have been seen and 423 Treatments have been performed.

 PCMC

SmileHealthy pays for the dental education and increased awareness of impacts on dental problems for patients.

25 ED patients were referred from the dental education program for treatment in 2012. 25 patients received no ED treatment for dental conditions after treatment plan was completed.

provides dental education to patients within the ED.  PCMC provides the space for the dental education.

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Action Plan with PCMC’s Involvement in Addressing the Needs FAITH IN ACTION Program Description Champaign County is located in East Central Illinois. The 60+ population in 2000 was 22,861 and this is expected to increase to 43,538 by 2030, a 90% increase. In 2011 the 65+ population was at 10.2%, compared to Illinois overall having a 12.7%. As a person ages, the incidence and prevalence of disability increases. This impacts a person’s ability to handle the day to day tasks of living independently in the community. The Faith in Action program is an interfaith volunteer care giving ministry that provides practical assistance to adults 55 and over who are chronically ill, frail, or have long term health needs. The types of services provided by the trained volunteers includes escorted transportation to medical appointments and shopping, friendly home and phone visits, indoor/outdoor chores, and small home repairs. Community Need: Access to Care Aim Statement: The aim of the program is to assist seniors in maintaining their independence in the community and improve their quality of life. Outcomes Strategy Action Steps Ministry Role Community Evaluation Plan/ Partner Role Measures of Success The partners PCMC The three variables Trained Reach out to  Increase listed in the quality of life administers that are measured volunteers to congregations addendum and the program via survey of provide the and other below provide independence organizations for Champaign participants are following volunteers for among County. independence, services for in the chore days program quality of life, and seniors: community in and volunteer participants. isolation. The escorted an effort to drivers. following are transportation recruit  Decrease isolation of measures of to medical volunteers. program success in 2012 appointments, participants. based on shopping, participant friendly home/ feedback: phone visits, indoor/outdoor  78% of clients chores, and increased their small home sense of repairs. independence  81% experienced an increase in quality of life  78% experienced less isolation and felt more connected to the community. Increase the Reach out to PCMC will The current There were 13  Meet with community congregational number of Faith congregations identify potential partners are partners at the end Presence Covenant Medical Center 2013 - 2016 Implementation Strategy

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Action Plan with PCMC’s Involvement in Addressing the Needs in Action volunteers.

and other organizations in the community in an effort to recruit volunteers.

Utilize RideScheduler software to effectively monitor the program outcomes and increase number of volunteers.

partner organizations to identify new volunteers  Train new volunteers with skills to implement the program. PCMC will train all volunteers on how to use the RideScheduler software.

potential community partners to expand the program and offer more services in the community.

listed in the addendum.

of 2011 and 14 in 2012.

PCMC will purchase RideScheduler software to better monitor program and run reports showing the people served and other pertinent data.

Advisory committee consisting of Faith in Action volunteers, Carle Hospital and Senior Resource Center.

Our goal in 2013 is to increase this number to 20.

Addendum: the following partners help provide volunteers for chore days and drivers. Alpha Phi Omega Champaign County Regional Planning Commission (CCRPC) Windsor Road Christian Church Mount Olive Baptist Church First Presbyterian Church Champaign Retired Senior Volunteer Programs (RSVP) Community Evangelical Free Church Family Service Catholic Charities/Good Samaritans Carle Physician Group Social Work American Cancer Society Parish Nurses Church Women United/St. Malachy’s Cumberland Associates Christie Clinic

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Action Plan with PCMC’s Involvement in Addressing the Needs CRISIS NURSERY Program Description Crisis Nursery is located on the grounds of PCMC. Since inception, Crisis Nursery has provided a safe haven for children from birth to age five, working to prevent child abuse and neglect. Immediate response is needed in extreme situations where children are at risk of harm and assistance cannot wait. 85% of these children lived in a single, separated, divorced or widowed household. Crisis Nursery operates with no income eligibility or wait list. Over 46% of admissions are due to parental stress. 3% report domestic violence or substance abuse as the reason the Crisis Nursery was utilized.

Community Need: Violence-Domestic Violence Aim Statement: Provide a safe haven for children in whom they can escape from domestic violence or other dangers. Outcomes Strategy Action Steps Ministry Role Community Evaluation Plan/ Partner Role Measures of Success Crisis Nursery 589 children were Decrease child Presence N/A Provide served with leases the abuse and financial support Covenant 29,834 hours of land for $1 a neglect totaling $40,000 Medical safe care. year and is Center is In 2013. located just committed to Improve 88% reported a north of the keeping this parenting skills decreased level of hospital shelter open stress; property. and will 94%reduced risk recommit to of maltreatment; pay utilities, 96% improvement maintenance, in parenting skillsfood and from self reported linens totaling client surveys in approximately fiscal year 2012. $40,000/yr.

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Action Plan with PCMC’s Involvement in Addressing the Needs BUCHER FARM Program Description The Bucher Farm project is designed to help the poor and vulnerable gain access to healthy food choices. Thanks to a generous land donation, PCMC can provide fresh corn to persons living in poverty. The farm consists of 88 acres located in southwest Champaign. 1.8 acres are planted with sweet corn. Community Need: Obesity- Bucher Farm Aim Statement: Increase fresh produce (specifically corn) available to the disproportionate unmet healthrelated needs community. Outcomes Strategy Action Steps Ministry Role Community Evaluation Plan/ Partner Role Measures of Success CUFF and the Pounds of corn C-U Fit Families C-UFF will Increase fresh . Eastern Illinois donated in 2013. produce to the Presence (CUFF) update In 2012, 5,520 Food Bank persons eligible Covenant disseminates Community lbs. of corn were (EIFB) help for LINK/SNAP Medical information Garden maps donated. with planning card. about obesity to and food desert Center will and provide 1.8 schools and maps. distribution. acres of the community Bucher farm to FS Services groups through EIFB will supplies the grow sweet Basecamp and provide the seed. corn. literature. CUFF volunteers to is now pick the corn incorporating and distribute through over and working in conjunction with 100 food pantries. the C-UPHD to better the health of the community.

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Action Plan with PCMC’s Involvement in Addressing the Needs DIABETES COALITION Program Description Diabetes nationally is a leading cause of kidney failure, nerve damage, blindness, heart disease, and lower limb amputations. Locally in Champaign, 7% of all adults have diabetes. The prevalence of diabetes in the 65+ age group is 16.3% in Champaign County. It is especially prevalent among the African American population. They have twice the mortality rate as Caucasians. The Community Diabetes Coalition was established in March, 2011 to focus on the widespread problem of diabetes. The purpose of the coalition is to develop diabetes prevention and management activities through a unified community effort of hospitals, clinics, social service agencies, and other interested community partners. The coalition is co-led by Presence Center for Healthy Living (PCHL) and the Champaign-Urbana Public Health District. Provena Home Care is an active member of this coalition. PCHL receives a grant to implement the Diabetes Self Management Program from the Illinois Department of Public Health. This is an evidenced-based program developed and researched by Stanford University. Participants attend six 2.5 hour sessions. Classes are held at PCHL to teach techniques to deal with symptoms of diabetes, appropriate exercises, healthy eating, use of medication, and working effectively with health care providers. Community Need: Obesity

Aim Statement: The purpose of the coalition is to bring key community members together that have a passionate interest in planning, developing, and implementing diabetes prevention and management activities in Champaign County. The overall goal of the program is to plan, develop, implement, and evaluate diabetes prevention and management activities (including education) to help reduce the negative impacts of diabetes within the next 5 years. Outcomes

Strategy

Help reduce the negative impacts of diabetes through education.

The program targets care providers and individuals diagnosed with pre-diabetes or diabetes. DSMP focuses on self management strategies using motivational techniques. A special emphasis will be on underserved populations including African-

Presence Covenant Medical Center 2013 - 2016 Implementation Strategy

Action Steps

Ministry Role

Community Partner Role

Offer classes that are 2.5 hours long per session.

Self Management classes are held at PCHA to teach techniques to deal with symptoms of diabetes, appropriate exercises, healthy eating, use of medication, and working effectively with health care

The coalition is co-led by Provena Center for Healthy Living (PCHL) and the ChampaignUrbana Public Health District. Presence Home Care is an active member of this coalition.

Teach community members that will turn around and teach more classes.

Evaluation Plan/ Measures of Success Four Diabetes Self Management classes (DSMP) have been held in 2012 so far, and 54 persons were served. Two more classes will be offered in 2012 with a minimum of 10 per class

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Action Plan with PCMC’s Involvement in Addressing the Needs Americans and Hispanics who disproportionately have higher rates of diabetes than Caucasians.

providers.

FAITH2 Program Description The purpose of Faith2: “Fund to Accelerate Innovation towards Healing and Hope,” is to serve as a catalyst for innovation and acceleration of community partnership and programs to improve the health of the communities we serve consistent with the Mission, Vision, and Values of our Ministry. The guiding philosophy of Faith2 is to extend the mission of our ministry beyond our facilities and into the communities and neighborhoods we serve. Through the program of Faith2 we help achieve this by providing grants to non-profit organizations in the Champaign/Urbana community to fund programs that will contribute to the identified needs  Access to Care  Obesity  Domestic Violence/ Abuse as defined by the PCMC Community Benefit Strategy. The Foundation’s FAITH2 grants provided more than $65,000 to six local agencies for programs that impact identified and demonstrated community health needs.

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Action Plan with PCMC’s Involvement in Addressing the Needs TRANSITIONS Program Description Presence Transitions is a service made available through the Home Care and Hospice programs to members of the community at no cost. Presence Transitions is a program that offers assistance, encouragement and support to individuals and families coping with a lifelimiting illness. It is for those who either pursue a curative treatment or comfort care for their illness but are not pursuing hospice or home care. Services available include, but are not limited to, advanced care planning, advocacy, respite and volunteer support. Community Need: Access to Care Aim Statement: Transitions targets individuals and families facing life-limiting illnesses providing assistance, encouragement and support at no charge. Referrals come from the community at large, physicians, hospitals and local agencies. Outcomes Strategy Action Steps Ministry Role Community Evaluation Plan/ Partner Role Measures of Success Track Provide . The referrals and  Track  PHOS number of support and admissions to finances the referrals and referral and advocacy to Transitions will be admits salary of the subsequent individuals tracked with the longprogram  Track admission facing life term goal to increase coordinator discharges into the limiting illness admission to the who to other Transition with a goal of program manages levels of program increasing the care. admits by 20% In 2012 YTD, 51 caseload  Market the over 2012. referrals were received,  PHOS is program 28 clients were admitted also working availability to to the program. on strategy the community, physicians and local agencies.

Presence Covenant Medical Center 2013 - 2016 Implementation Strategy

to increase referrals to the program

Survey Transition clients related to the effectiveness of the program.

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Next Steps for Priorities For each of the priority areas listed above, Presence Covenant Medical Center will work with C-UPHD and community partners to:  Identify any related activities being conducted by others in the community that could be enhanced by collaborating with one another.  Develop measurable goals and objectives so that the effectiveness of their efforts can be measured.  Build support for the initiatives within the community and other health care providers.  Develop detailed work plans and continually monitor progress.

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Priorities Not Being Addressed by PCMC Presence Covenant Medical Center will continue to meet community needs by providing charity care, Medicaid and SHIP services, through the Center for Healthy Living. PCMC has no programs targeting the identified need-accidents. As mentioned in the IPLAN, C-U Safe Routes to School and Safe Kids Champaign County (SKCC) promote child safety. PCMC is concentrating on the dental program with both time and finances to develop a greater impact on the health of Champaign County residents. PCMC will work on metrics to show the correlation between education and treatment for dental conditions and a decrease in ED dental visits.

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Implementation Strategy Communication Presence Covenant Medical Center will share the 2013 Implementation Strategy with all internal stakeholders including employees, volunteers and physicians. This document is available at www.presencehealth.org and is also broadly distributed within our community to stakeholders including community leaders, government officials, service organizations and community collaborators. The following notice is posted in several areas of Presence Covenant Medical Center to assure community awareness of the Community Benefit Act. This report is on file with the Illinois Attorney General’s Office: Illinois Community Benefits Act This hospital annually files a report of its Community Benefit Plan with the Illinois Attorney General’s Office. This report is public information and available to the public by contacting: Charitable Trusts Bureau Office of the Attorney General 100 West Randolph Street, 3rd Floor Chicago, Illinois 60601-3175 (312) 814-3942 Required by Section 20(c) of Public Act 093-0480

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