Children’s Hospital of New Orleans - 2015... · Children’s Hospital of New Orleans is a a 247‐bed,…

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<ul><li><p>ChildrensHospitalofNewOrleansImplementationPlan</p><p> November2015</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>1|P a g e </p><p>TableofContents</p><p> IntroductionPage:2</p><p> CommunityDefinitionPage:3</p><p> MethodologyPage:6</p><p> CommunityHealthNeedsandImplementationPlanPage:9 </p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>2|P a g e </p><p>Introduction ChildrensHospitalofNewOrleansisaa247bed,notforprofitmedicalcenterofferingadvancedpediatriccareforchildrenfrombirthto21yearslocatedinNewOrleans,Louisiana,andisalsooneofanetworkof4notforprofithospitalsthroughouttheGreaterNewOrleansarea. In response to its community commitment, Childrens Hospital ofNewOrleans contractedwith TrippUmbach to facilitate acomprehensiveCommunityHealthNeedsAssessment(CHNA).ThecommunityhealthneedsassessmentwasconductedbetweenMarch2015andOctober2015(SeetheChildrensHospitalofNewOrleansCommunityHealthNeedsAssessmentforthefullreport).</p><p>ThisreportisthefollowupimplementationplanthatfulfillstherequirementsoftheInternalRevenueCode501(r)(3);astatuteestablishedwithin thePatientProtectionandAffordableCareAct (ACA) requiring thatnonprofithospitalsdevelop implementation strategies toaddresstheneedsidentifiedinthecommunityhealthneedsassessmentcompletedinthreeyearintervals.Thecommunityhealthneedsassessment and implementationplanningprocessundertakenbyChildrensHospitalofNewOrleans,withprojectmanagement andconsultationbyTrippUmbach,includedextensiveinputfrompersonswhorepresentthebroadinterestsofthecommunityservedbythehospital facility, including thosewith special knowledge of public health issues. TrippUmbachworked closelywith leadership fromChildrensHospitalofNewOrleansandaprojectoversightcommittee,toaccomplishtheassessmentandimplementationplan.</p><p>ThisimplementationplanincludesstrategiestoaddressthecommunityhealthprioritiesamongyouthservedbythehospitalwhichwereidentifiedandprioritizedbasedontheinputofcommunityleadersrepresentingthecommunitiesservedbyChildrensHospitalofNewOrleans.Thoseprioritiesare:1)Accesstocare;2)Carecoordination;3)Culturalcompetence;4)Earlyinterventionandprevention;and5)Behavioralhealthservices.Asanonprofithospital,ChildrensHospitalofNewOrleansintendstoprovidecaretoyouthundertheageof21regardlessoftheirinsurancestatus.</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>3|P a g e </p><p>CommunityDefinition</p><p>Whilecommunitycanbedefined inmanyways,forthepurposesofthisreport,theChildrensHospitalofNewOrleanscommunity isdefinedas8zipcodesincluding3parishesthatholdalargemajority(80%)oftheinpatientdischargesforthehospital(SeeTable1andFigure1).</p><p>Table1:ChildrensHospitalofNewOrleansStudyAreaDefinitionZipCodesTable1.ChildrensHospitalofNewOrleansStudyAreaDefinitionZipCodes</p><p>City ZipCode Parish City ZipCode ParishCrowley 70526 AcadiaParish NewOrleans 70128 OrleansParishGonzales 70737 AscensionParish NewOrleans 70129 OrleansParishPrairieville 70769 AscensionParish NewOrleans 70130 OrleansParishDeridder 70634 BeauregardParish NewOrleans 70131 OrleansParishLakeCharles 70601 CalcasieuParish WestMonroe 71291 OuachitaParishLakeCharles 70605 CalcasieuParish BelleChasse 70037 PlaqueminesParishSulphur 70665 CalcasieuParish Arabi 70032 St.BernardParishFerriday 71334 ConcordiaParish Chalmette 70043 St.BernardParishZachary 70791 EastBatonRougeParish Meraux 70075 St.BernardParishBatonRouge 70802 EastBatonRougeParish Violet 70092 St.BernardParishBatonRouge 70805 EastBatonRougeParish Destrehan 70047 St.CharlesParishBatonRouge 70815 EastBatonRougeParish Luling 70070 St.CharlesParishBatonRouge 70816 EastBatonRougeParish SaintRose 70087 St.CharlesParishVillePlatte 70586 EvangelineParish Lutcher 70071 St.JamesParishNewIberia 70560 IberiaParish Vacherie 70090 St.JamesParishWelsh 70591 JeffersonDavisParish LAPlace 70068 St.JohntheBaptistParishMetairie 70001 JeffersonParish Reserve 70084 St.JohntheBaptistParishMetairie 70002 JeffersonParish Opelousas 70570 St.LandryParishMetairie 70003 JeffersonParish BreauxBridge 70517 St.MartinParishMetairie 70005 JeffersonParish MorganCity 70380 St.MaryParishMetairie 70006 JeffersonParish Patterson 70392 St.MaryParishGretna 70053 JeffersonParish AbitaSprings 70420 St.TammanyParishGretna 70056 JeffersonParish Bush 70431 St.TammanyParishHarvey 70058 JeffersonParish Covington 70433 St.TammanyParish</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>4|P a g e </p><p>Table1.ChildrensHospitalofNewOrleansStudyAreaDefinitionZipCodesCity ZipCode Parish City ZipCode ParishKenner 70062 JeffersonParish Covington 70435 St.TammanyParishKenner 70065 JeffersonParish Folsom 70437 St.TammanyParishMarrero 70072 JeffersonParish Madisonville 70447 St.TammanyParishWestwego 70094 JeffersonParish Mandeville 70448 St.TammanyParishNewOrleans 70121 JeffersonParish PearlRiver 70452 St.TammanyParishNewOrleans 70123 JeffersonParish Slidell 70458 St.TammanyParishLafayette 70501 LafayetteParish Slidell 70460 St.TammanyParishLafayette 70506 LafayetteParish Slidell 70461 St.TammanyParishLafayette 70508 LafayetteParish Mandeville 70471 St.TammanyParishYoungsville 70592 LafayetteParish Hammond 70401 TangipahoaParishThibodaux 70301 LafourcheParish Hammond 70403 TangipahoaParishCutOff 70345 LafourcheParish Amite 70422 TangipahoaParishGalliano 70354 LafourcheParish Independence 70443 TangipahoaParishLarose 70373 LafourcheParish Kentwood 70444 TangipahoaParishLockport 70374 LafourcheParish Loranger 70446 TangipahoaParishRaceland 70394 LafourcheParish Ponchatoula 70454 TangipahoaParishDenhamSprings 70726 LivingstonParish Tickfaw 70466 TangipahoaParishWalker 70785 LivingstonParish Gray 70359 TerrebonneParishNewOrleans 70113 OrleansParish Houma 70360 TerrebonneParishNewOrleans 70114 OrleansParish Houma 70363 TerrebonneParishNewOrleans 70115 OrleansParish Houma 70364 TerrebonneParishNewOrleans 70116 OrleansParish Leesville 71446 VernonParishNewOrleans 70117 OrleansParish Angie 70426 WashingtonParishNewOrleans 70118 OrleansParish Bogalusa 70427 WashingtonParishNewOrleans 70119 OrleansParish Franklinton 70438 WashingtonParishNewOrleans 70122 OrleansParish MississippiNewOrleans 70124 OrleansParish Kiln 39556 HancockCountyNewOrleans 70125 OrleansParish Gulfport 39503 HarrisonCountyNewOrleans 70126 OrleansParish Carriere 39426 PearlRiverCountyNewOrleans 70127 OrleansParish Picayune 39466 PearlRiverCounty</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>5|P a g e </p><p>Figure1.MapofChildrensHospitalofNewOrleansStudyArea</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>6|P a g e </p><p>Methodology</p><p>TrippUmbachfacilitatedandmanagedanimplementationplanningprocessonbehalfofChildrensHospitalofNewOrleans,resultinginthedevelopmentofan implementationstrategyandplantoaddresstheneeds identified intheircommunityhealthneedsassessmentcompletedin2015(i.e.,accesstohealthservices;resourceawarenessandhealthliteracy;accesstohealthyoptions;andbehaviorsthatimpacthealth).</p><p>Keyelementsoftheimplementationplanningprocessincluded: ImplementationStrategyProcessPlanning:AmeetingwasfacilitatedbytheconsultantsandtheCHNAoversightcommitteeconsisting</p><p>ofleadershipfromChildrensHospitalofNewOrleans.</p><p> CommunityHealthNeedsAssessmentReview:TrippUmbach facilitatedabriefoverviewofCommunityHealthNeedsAssessmentfindings to hospital leaders and facilitated adiscussionprocessduring ameetingheldonOctober 7, 2015.Hospital leaders thenparticipatedinadiscussiontodeterminewhichofthepreviouslyidentifiedcommunityhelathprioritiescouldbeandwhichcouldnotbeaddressedbyChildrensHospitalofNewOrleans.Onceneedswereselected;hospitalleadershipwereaskedtoproviderationalefortheneedsthatthehospitalcouldnotmeet.</p><p> InventoryofInternalHospitalResources:Anonlinesurveywasdevelopedbasedontheunderlyingfactors identifiedasdrivingthe</p><p>significanthealthneedsintheChildrensHospitalofNewOrleansCommunityHealthNeedsAssessment.Thesurveywasreviewedandadministered by hospital leadership to key staff of the hospitalwhich completed the survey. The internal survey identifiedwhatprogramsandservicesareofferedatChildrensHospitalofNewOrleansthatmeetsignificantcommunityhealthneeds.</p><p> CommitteeReviewofEvidenceBasedPracticesandPlanDevelopment:TrippUmbachfacilitatedareviewofstrategyandevidence</p><p>basedpracticesamonghospitalleadersduringameetingheldonOctober20,2015.Basedonthepracticespreviouslyprovided,hospitalleadershipreviewedanddiscussedthestrategyandsubsequentactionstepsneededtoimplementbestpracticestobegintoaddressthehealthneedsidentifiedintheservicearea.Hospitalleadersalignedneedswithbestpracticemodelsandavailableresources,definedactionsteps,timelines,andpotentialpartnersforeachneedtodeveloptheaccompanyingimplementationplan.</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>7|P a g e </p><p> Final ImplementationPlanningReport: A finalreportwasdevelopedthatdetailsthe implementationplanthehospitalwillusetoaddressthecommunityhealthpriorities identifiedbytheChildrensHospitalofNewOrleansCommunityHealthNeedsAssessmentwhichincludes:</p><p> Objectives Anticipatedimpact Targetpopulation Plannedactionsteps Plannedresourcecommitment Collaboratingorganizations Evaluationmethodsandmetrics</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>8|P a g e </p><p>CommunityHealthNeedsandImplementationPlan</p><p>CommunityHealthNeedsImplementationPlanningMeetingQualitativeand informationaldatawerepresentedduringameetingheldonOctober7,2015withChildrensHospitalofNewOrleansleadershipwiththepurposeofselectingsignificantcommunityhealthneedsforhospitalimplementationplanning.TrippUmbachpresentedtheresultsoftheCHNAandusedthesefindingstoengagethehospitalleadersinagroupdiscussionrelatedtotheneedsthatChildrensHospitalofNewOrleanswouldaddressinimplementationplanning.Thehospitalleaderswereaskedtodiscussaplanforhealthimprovementintheircommunity,andselecttheneedsthattheyfeltthehospitalcouldaddressandassistthecommunityinresolving,andthosethattheyfeltthehospitalwouldnotbewellpositionedtoresolve.Duringtheprocess,hospitalleadersdeterminedthattheywerecapableofmeetingeachofthecommunityhealthprioritiesidentifiedintheir2015CHNA.Asaresult,hospitalleadersbelievethefollowinghealthneedsarethosetowhichChildrensHospitalofNewOrleansisbestpositionedtodedicateresourcestoaddresswithintheircommunity.</p><p>1. AccesstoCare2. CareCoordination3. CulturalCompetence4. EarlyInterventionandPrevention5. BehavioralHealthServices</p><p>TrippUmbachcompletedanindependentreviewofexistingdata,indepthinterviewswithcommunitystakeholdersrepresentingacrosssectionofagencies,anddetailedinputprovidedbysurveyrespondents,whichresultedinasummaryofthecommunityhelathprioritiesintheChildrensHospitalofNewOrleanscommunityandtheimplementationstrategydevelopedtoaddressthoseneeds:</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>9|P a g e </p><p>KEYCOMMUNITYHEALTHPRIORITY#1:INCREASINGACCESSTOHEALTHCAREUnderlyingfactorsidentifiedbysecondarydataandprimaryinputfromcommunityleaders,communitystakeholders,andresidentsurveyrespondents:</p><p>1. Therearegreaterbarrierstoaccessinghealthcareinareaswiththepoorestsocioeconomicstatus2. Providertopopulationratiosthatarenotadequateenoughtomeettheneed.</p><p>Increasingaccesstohealthservicesforyouthisidentifiedasthenumberonecommunityhealthprioritybycommunityleaders.AccesstohealthcareisanongoinghealthneedinmanyareasacrosstheU.S.Leadersdiscussedtheneedtoincreaseaccesstohealthservicesforyouthandtheirfamiliesasatopcommunityhealthpriority.Communityleadersfocusedtheirdiscussionsprimarilyonthelimitedaccessyouthhave tohealthservices inareaswherepovertyratesarehigh,the limitednumberofproviders,andrestrictiveregulationsthatimpedeserviceprovision.Socioeconomicstatuscreatesbarrierstoaccessinghealthcare(e.g.,lackofhealthinsuranceforundocumentedyouth,limitedserviceslocatedinareaswithhigherratesofpoverty,etc.),whichtypicallyhaveanegativeimpactonthehealthofresidents.Often,thereisahighcorrelation between poor health outcomes, consumption of healthcare resources, and the geographic areaswhere socioeconomicindicators (i.e., income, insurance,employment,education,etc.)are thepoorest. In theneedsassessments completedbyChildrensHospitalofNewOrleans in2013, community stakeholdersand focusgroupparticipants identifiedaccess tohealth careandmedicalservices(i.e.,primary,preventive,andmental)asaneedinthehospitalservicearea.WhileChildrensHospitalofNewOrleans,ahospitalintheLCMCHealthSystem,providesaccesstoaffordablehealthcareforyouth21yearsoldandyoungerinnumerousways,theneedtoimproveaccesswasidentifiedthroughthemostrecentcommunityhealthneedsassessment.RecognizingthatChildrensHospitalofNewOrleansisnottheonlymedicalresourceinthehospitalsservicearea,hospitalleadership developed the following threeyear strategy to further align the resources of the hospitalwith the health needs of thecommunity:</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>10|P a g e </p><p>NEED:AccesstoCareUNDERLYINGFACTORS:Limitedaccessyouthhavetohealthservicesinareaswherepovertyratesarehigh,thelimitednumberofproviders,andrestrictiveregulationsthatimpedeserviceprovisionANTICIPATEDIMPACT:ProvideaccesstoyouthseekingcareatChildrensHospitalofNewOrleansthatmaynototherwisehaveaccesstohealthservicesObjective Target</p><p>PopulationPlannedAnnualActivity Timeframe/</p><p>MeasuresPotentialResources</p><p>Provideaccesstomedicalandpreventivehealthservicesavailabletoyouthinthehospitalservicearea</p><p>Youth021servedbyCHNO</p><p>Year13:1. Expandaccesstomedicalandpreventivecareto</p><p>patientswithinthecommunityA. ExpandprimarycareB. Expandspecialtycare</p><p>2. Providepreventativeservicescontributingtooverallhealthimprovementofpediatriccommunityincludingimmunizations</p><p>A. GNOImmunizationProgram(seeAppendixAforcompletedescriptionofprogram)</p><p>B. AmbulatoryClinicalandNutritionalSupporttosupporthealthyeatingandlifestyle(seeAppendixAforcompletedescriptionofprogram).</p><p>3. Provideahealthinsurancecoverageoptionforthosefamiliesnotabletoobtainanotherwisesufficientinsuranceplan</p><p>A. ChildrensHealthcareAssistanceProgram(CHAP)assistsinprovidingmedicalcaretoourfacilitytouninsuredorunderinsuredpatients(seeAppendixAforcompletedescriptionofprogram).</p><p>Year13:1Growthinoutpatientvolumeandspecialty2ANumberofImmunizationsgiven3A#ofpatientsand$committed3B#ofYouthassisted</p><p>Year13:Resources:Thismightincludebudget,stafftime,materials,durablegoods,etc.1AStafftime,committedspace,costofclinicoperations,etc.1BUnfundedspecialtycare,stafftime,equipment,etc.2AOperationalcost,stafftime,supplies,etc.3AOperationalcost,budgettocovercare,etc.3BOperationalcost,stafftime,etc.4Stafftime,costoftransportationwhenprovided,etc.</p></li><li><p>CommunityHealthNeedsAssessmentChildrensHospitalOfNewOrleans TrippUmbach</p><p>11|P a g e </p><p>NEED:AccesstoCareUNDERLYINGFACTORS:Limitedaccessyouthhavetohealthservicesinareaswherepovertyratesarehigh,thelimitednumberofproviders,andrestrictiveregulationsthatimpedeserviceprovisionANTICIPATEDIMPACT:ProvideaccesstoyouthseekingcareatChildrensHospitalofNewOrleansthatmaynototherwisehaveaccesstohealthservicesObjective Target</p><p>PopulationPlannedAnnualActivity Timeframe/</p><p>MeasuresPotentialResources</p><p>B. OfferaMedicaidenrolleronsitetoassistfamiliesinapplyingforMedicaid.</p><p>PotentialPart...</p></li></ul>

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