t h s , i ., m -
TRANSCRIPT
COMMUNITY HEALTH NEEDS ASSESSMENT
TISHOMINGO HEALTH SERVICES, INC., DBA
NORTH MISSISSIPPI MEDICAL CENTER-IUKA
September 2019
TABLE OF CONTENTS
I. BACKGROUND AND REGULATORY REQUIREMENTS OF COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). . . . . . . . . . . . . . . . . 2
II. OBJECTIVES AND METHODOLOGY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
III. ACTIONS TAKEN SINCE 2016 CHNA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
IV. NORTH MISSISSIPPI HEALTH SERVICES AT A GLANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
V. NMMC - IUKA AT A GLANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
VI. COMMUNITY HEALTH NEEDS SURVEY TOOL AND RESULTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 23
VII. IMPLEMENTATION STRATEGIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
VIII. APPENDIX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
1
REGULATORY REQUIREMENTS OF COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)
The Patient Protection and Affordable Care Act (PPACA) of 2010 requires tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is the process by which a non-profit hospital evaluates the health needs of the community it serves, e.g., diabetes, heart disease, lung disease, and the service area’s overarching resources, e.g., food, housing, poverty, etc. This assessment identifies our community strengths, needs, care gaps, assets and opportunities relative to the health of our residents.
Our subsequent implementation plan will describe our next steps. As a not-for-profit hospital system, we are required to conduct a CHNA every three years which includes identifying priorities and implementing strategies that will address the needs of those in our defined market.
This CHNA will help us develop strategies that will improve the health of our communities by:
Identifying chronic health issues and care gaps
Recognizing health disparities particularly associated with vulnerable populations
Highlighting community resources that are either available, lacking or underutilized
Understanding health needs from a population-based perspective
Implementing plans to address identified needs
2
OBJECTIVES AND METHODOLOGY
Federal regulations allow us to define the communities we serve based on the relevant facts and circumstances including the geographic locations served by our facilities. Our overall service area includes 20 Mississippi counties and four Alabama counties. This CHNA was compiled/assembled by the Strategy Department of North Mississippi Health Services (NMHS). Significant data from the below secondary sources were gathered, assessed, evaluated and analyzed with demographic and health indicators cited as appropriate:
U. S. Census Bureau
County Health Rankings
CDC
County Health Departments
Input from the community was received via informant interviews, standardized electronic surveys from key organizations/stakeholders, healthcare advocates/leaders, and interested community partners residing in the service areas served by North Mississippi Medical Center-Iuka and the health system (see Appendix). Additionally, the Patient and Family Advisory Council members participated in the electronic survey process and provided ongoing input/support culminating in a prioritized list of community needs.
3
4
ACTIONS TAKEN SINCE 2016 CHNA
Community Activity 2017 Number of Participants
Local school vision/hearing screens (Spring 2017) 150
Athletic Physicals (April 2017) 200
Rotary Presentations (Iuka Chapter) 25
Pilot Club Back to School Health Fair 75
County Fair Health Fair 40
Relay for Life Corporate Sponsor/booth at event 200
Allied Health HS clinical rotations 8
Nurse Mentorship (Summer) 6
Summer Health Academy 7
Indigent population mammograms (Komen Foundation)
Wellness Center Health Promotions
Trunk N Treat at NMMC-Iuka (October) 100
Belmont HS Faculty Health Fair 25
5
ACTIONS TAKEN SINCE 2016 CHNA CONTINUED
Community Activity 2018 Number of Participants
Local school vision/hearing screens (Spring 2018) 120
Athletic Physicals (April 2018) 175
Rotary Presentations (Iuka Chapter) 25
Pilot Club Back to School Health Fair 80
County Fair Health Fair (October 2017) 35
Allied Health HS clinical rotations 8
Nurse Mentorship (Summer) 5
Indigent population mammograms (Komen Foundation)
Wellness Center Health Promotions
Trunk N Treat at NMMC-Iuka (October) 100
Belmont HS Faculty Health Fair 20
6
ACTIONS TAKEN SINCE 2016 CHNA CONTINUED
Community Activity 2019 Number of Participants
Local school vision/hearing screens (Assist school nurses with screens)
Athletic Physicals (April 2019) (Free physicals for young athletes, including EKG’s) 310
Rotary Presentations (Iuka Chapter) (Civic group presentations) 0
Junior Auxiliary Back to School Health Fair (pre-school event) 200
County Fair Health Fair (October 2018) 25
Allied Health HS clinical rotations (Vo-Tech student rotations) 8
Nurse Mentorship – Summer - (Shadowing for clinicians) 5
Indigent population mammograms (Komen Foundation) 40
Wellness Center Health Promotions (WC related events for community) 854
Trunk N Treat at NMMC-Iuka (October) Candy for the kids at NMMC-Iuka 150
Belmont HS Faculty Health Fair (Health screens)
NORTH MISSISSIPPI HEALTH SERVICES AT A GLANCE
North Mississippi Health Services (NMHS) is a nonprofit, integrated health care delivery system serving 24 counties in north Mississippi and northwest Alabama (twenty Mississippi counties and four Alabama counties).
NMHS’ headquarters is located in Tupelo, MS (North Mississippi Medical Center-Tupelo and the system has five community hospitals with locations in Mississippi (Amory, Eupora, Iuka, Pontotoc and West Point and one community hospital located in Alabama (Hamilton).
In addition to seven hospitals, NMHS has a regional network of more than 50 primary and specialty clinics, four nursing homes, managed care plans and offers telehealth services. NMHS’ physicians and staff are committed to providing quality patient care.
NMMC-Tupelo was honored with the Baldrige Award in 2006 and North Mississippi Health Services in 2012.
Source: https://www.nist.gov/baldrige/north-mississippi-health-services 7
Health behaviors, clinical care, social/economic factors, and
physical environment
County Ranking
Alcorn 9
Benton 21
Calhoun 19
Chickasaw 24
Choctaw 18
Clay 23
Colbert 3
Franklin 17
Itawamba 5
Lafayette 1
Lamar 7
Lee 2
Lowndes 16
Marion 15
Marshall 20
Monroe 14
Oktibbeha 6
Pontotoc 8
Prentiss 10
Tippah 12
Tishomingo 11
Union 4
Webster 13
Yalobusha 22
Source: Adapted from the University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps 2019. www.countyhealthrankings.org
RANKING OF HEALTH OUTCOMES FOR THE 24 COUNTIES IN THE NMHS SERVICE AREA
According to the American Heart Association, overweight, obesity and lack of exercise are common causes of heart disease
American Cancer Society states making healthy choices like eating right, staying active and not smoking reduces the risk of cancer
OBESITY
ADULT SMOKING
PHYSICAL INACTIVITY
10%
15%
20%
25%
Current Performance Target/Goal
20%
25%
30%
35%
40%
45%
Current Performance Target/Goal
15%
25%
35%
45%
Current Performance Target/Goal
Source: County Health Rankings (2019). Current performance shows rate for each 24 service area county in alphabetical order (Alcorn, Benton, Calhoun, Chickasaw, Choctaw, Clay, Colbert, Franklin, Itawamba, Lafayette, Lamar, Lee, Lowndes, Marion, Marshall, Monroe, Oktibbeha, Pontotoc, Prentiss, Tippah, Tishomingo, Union, Webster, and Yalobusha). The target goal is the US top performers, i.e., adult smoking (14%), obesity (26%) and physical inactivity (19%).
HEALTH BEHAVIORS IN THE NMHS SERVICE AREA
9
NMMC-IUKA AT A GLANCE
Tishomingo Health Services Inc., d/b/a NMMC-Iuka has inpatient care services that includes 24 hour direct patient care with multi-disciplinary services, including: nursing, radiology, laboratory, ultrasonography, nuclear medicine, CT, magnetic resonance imaging (MRI), physical therapy, occupational therapy, respiratory therapy, food and nutritional services, and social services. Spiritual assistance is also available 24 hours a day through a volunteer chaplain program staffed by volunteer local pastors. Specialtiesavailable for consult include orthopedics, pulmonology and urology.
The hospital also has 10 certified swing beds for patients who need extended care based on availability and resources. The two most common reasons for admission into swing bed are rehabilitation services and long term IV antibiotic therapy. Each referral to swing bed is reviewed on a case by case basis.
Nursing care at NMMC-Iuka is based on a team approach. Each of the nursing staff members are trained and maintain competency on a wide array of patient populations including infants, pediatrics, adolescent, adults and geriatrics. Some of the most commondiagnoses treated are chronic heart failure, pneumonia, chronic obstructive pulmonary disorder, stroke, gastritis, chest pain, urinary tract infection, transient ischemic attack (mini stroke), bronchitis, asthma and diabetes.
NMMC-Iuka offers 24-hour emergency services. The Emergency Department is staffed by well-equipped, highly qualified nurses and physicians. Emergency air ambulance services are readily available for critical care transport when needed. In addition, NMMC-Iuka offers paramedic-level ambulance services.
Outpatient services include physical therapy, occupational therapy, laboratory, radiology, respiratory care, infusion, wound care and cardiac monitoring.
The Rehabilitation Services Department is staffed by registered physical therapists and physical therapist assistants. The department, which is located inside the hospital, provides outpatient rehabilitation, occupational therapy, acute care and swing bed, among other services.
Source: http://www.nmhs.net/iuka/ 10
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NMMC- IUKA
1777 CURTIS DRIVE
IUKA, MS
NMMC-Iuka is a not-for-profit, 48-bed general acute care hospital. NMMC-Iuka offers the following services: full laboratory, clinical pharmacy, radiology, rehabilitation and respiratory therapy.
Source: http://www.nmhs.net/iuka/
TISHOMINGO COUNTY DEMOGRAPHICSTishomingo County population is 18.5% of the NMMC- Iuka service area. The median age is 42.7, about 10% higher than the median age of 37.7 for US.
56.1% of the residents of Tishomingo County are female and 43.9% are male. Tishomingo County is 424.3 square miles with 46 people per square mile.
Per Capita income is $18, 790, about three-fifths of the amount for the US ($29,829). Median household income in Tishomingo County is $35,364, about two-thirds of the national amount at $55,322.
Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS <https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/>
Source: U.S. Census Bureau, Population Division, Release Date: June 2018, Annual Estimates of the Resident Population for Selected Age Groups by Sex July 1, 2017, retrieved July 2018
Source: U.S. Census Bureau, Population Division, Annual Estimates of the Resident Population: April 1, 2012 to July 1, 2017, retrieved July 2018
13
19,619
19,542
19,300
19,350
19,400
19,450
19,500
19,550
19,600
19,650
as of July2010
as of July2011
as of July2012
as of July2013
as of July2014
as of July2015
as of July2016
as of July2017
Population Trend
Age Group Both sexes Male Female
Under 5 years 1,070 564 506
5 to 13 years 2,204 1,136 1,068
14 to 17 years 972 491 481
18 to 24 years 1,571 794 777
25 to 44 years 4,400 2,128 2,272
45 to 64 years 5,403 2,642 2,761
65 years and over 3,922 1,721 2,20168.00%
23.20%
7.90%
0.90%
0% 20% 40% 60% 80%
Under $50K
$50K - $100K
$100K - $200K
Over $200K
11.2%13.2%
10.8% 11.7%13.1%
14.3%12.7%
8.0%
5.0%
0%
5%
10%
15%
20%
0 - 9 10 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 +
TISHOMINGO COUNTY DEMOGRAPHICS CONTINUED
Ethnicity
Geographical mobility: 14.9% of population moved since the prior year, about the same as US rate (14.8%).
Population migration since previous year
There are 2.5 persons per household, a little less than the US figure (2.6). 75% of the housing units are occupied and 25% are vacant. 75% of the housing units are owner occupied with the remaining 25% occupied by renters. The median value of owner occupied housing units in Tishomingo County is $79,300, about two-fifths of the US value ($184,700).
Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS <https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/> 14
94.5%
4.2% 1.3%0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
White Black Two
85.1%
11.3%
2.2%
1.2%
0.2%
0% 20% 40% 60% 80% 100%
same house year ago
from same county
from different county
from different state
from abroad
42.3%
57.7%
Marital Status
Married
Single
TISHOMINGO COUNTY OVERALL HEALTH COMPOSITE
Tishomingo County is worse than the national rate in 16 of 18 measures and better in 2 measures.
Source: http://www.countyhealthrankings.org/ 15
Measure Tishomingo County National Rate Better/Worse
Cancer incidence rate 487.6 441.2 Worse
Opioid prescription rate160.8 per 100 persons 66.5 per 100 persons
Worse
Premature deaths10,900 per 100,000 6,700 per 100,000
Worse
Adult smoking 20% 17% Worse
Physical inactivity 37% 23%
Adult obesity 34% 28% Worse
Diabetes monitoring 82% 85% Worse
Mammography screening 56% 63% Worse
Uninsured 17% 11% Worse
Preventable hospital stays83 per 1,000 Medicare
enrollees
49 per 1,000
Medicare enrollees Worse
Children in poverty 23% 20% Worse
Food insecurity 13.4% 12.9% Worse
Air pollution – particulate matter 9.3 8.7 Worse
Severe housing problems 10% 19% Better
Long commute – driving alone 29% 35% Better
% of adults with less than high school diploma 21.5% 13.1% Worse
% or adults completing some college or assoc. degree 27.7% 29.1% Worse
% of adults with bachelor’s degree or higher 10.9% 30.3% Worse
TISHOMINGO COUNTY HEALTH OUTCOMES, HEALTH FACTORS AND CLINICAL CARE
1Years of potential life lost before age 752Percent of adults aged 20 and over reporting no leisure-time physical activity
3Number of hospital stays for ambulatory-care sensitive conditions per 1,000 Medicare enrollees
Source: County Health Rankings - 2018, http://www.countyhealthrankings.org/16
Measure Tishomingo County US
Premature deaths1 - 2015 10,900 per 100,000 population 6,700 per 100,000 population
Adult smoking - 2016 20% 17%
Physical inactivity2 - 2014 37% 23%
Adult obesity - 2014 34% 28%
Measure Tishomingo County US
Uninsured - 2015 17% 11%
Primary care physicians - 2015 2,170:1 1,320:1
Dentists - 2016 19,490:1 1,480:1
Mental health providers - 2017 1,030:1 470:1
Preventable hospital stays3 - 2015 83 per 1,000 Medicare Enrollees 49 per 1,000 Medicare Enrollees
RATIO OF POPULATION (CONTIGUOUS COUNTIES/TISHOMINGO) TO PRIMARY CARE PROVIDERS
0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000
Itawamba
Prentiss
Franklin1,600:1
2,100:12,170:1
2,550:1
2,670:1
3,370:1
TISHOMINGO COUNTY HEALTH OUTCOMES, HEALTH FACTORS AND CLINICAL CARE
Fertility:
Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS <https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/> 17
3.1%
19.0%
7.8%
0.2% 0.0% 0.0% 0.0%0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
15 - 19 20 - 24 25 - 29 35 - 39 40 - 44 45 - 50 45 - 50
Women who gave birth during the past year by age group
TISHOMINGO COUNTY SOCIAL AND ECONOMIC FACTORSSource: USDA, Bureau of Labor Statistics and US Census
4Children under the age of 18 in poverty
POPULATION BY MINIMUM LEVEL OF EDUCATION
Foreign born population in Clay County is 1.6%, about 10% of the US rate (13.3%).
78.5% of the Tishomingo County population is a high school graduate or higher compared to the national rate of 87%. Residents of Tishomingo County with a bachelor’s degree or higher is 10.9%.
Sources: http://www.countyhealthrankings.org and U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS
<https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms/>
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Measure Tishomingo
County
US
Unemployment – 2017 5.0 4.4
Median household income - 2016 $35,364 $55,322
High school graduate or higher, 2012-2016 78.5% 87%
Bachelor’s degree or higher, 2012-2016 10.9% 30.3%
% with less than high school diploma, 2012-2016 21.5% 13.0%
Children in Poverty4 - 2015 23% 20%
Food insecurity Rate, 2016 13.4% 12.3%
24.8%
46.0%
23.5%
3.2% 2.6%
0%
10%
20%
30%
40%
50%
No degree High school Some college Bachelor's Post-grad
Measure Tishomingo County
Language at home, children 5-17 95% English only
Language at home, adults 18+ 98% English only
TISHOMINGO COUNTY PHYSICAL ENVIRONMENT
Means of Transportation to Work
Source: U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved July 2018 from Census Reporter Profile page for Tishomingo County, MS, https://censusreporter.org/profiles/05000US28141-tishomingo-county-ms and : http://www.countyhealthrankings.org/. Retrieved July 2018
The mean travel time to work in Tishomingo County is minutes compared to 24.2 minutes in Mississippi and 26.2 minutes in the US.
19
Source: County Health Rankings - 2018, http://www.countyhealthrankings.org/
Measure Tishomingo County National Rate
Air pollution – particulate matter 9.3 8.7
Severe housing problems 10% 19%
Driving alone to work 88% 76%
Long commute – driving alone 29% 35%
78.3%
18.1%
0.0%3.6%
0.0%0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
Drove alone Carpooled Walked Worked at home Other
TISHOMINGO COUNTY CANCER INCIDENCE RATES
TISHOMINGO COUNTY OPIOID PRESCRIBING RATES
Tishomingo County 160.8 prescriptions per 100 persons
US 66.5 prescriptions per 100 persons
2016 PRESCRIBING RATES PER 100 PERSONS
TISHOMINGO AND CONTIGUOUS COUNTIES
Sources: CDC’s National Program of Cancer Registries, Incident Rate Report by County, 5 year trend (2011-2015) and CDC and CDC’s US County Prescribing Rates (2016)
Both sexes, all ages, all races – 2011 - 2015
20
Tishomingo US
INCIDENCE RATE - ALL Sites 487.6 441.2 Worse
Breast-female 120.1 124.7 Better
Lung/Bronchus 89.5 60.2 Worse
Melanoma of Skin 16.5 21.3 Better
Uterus 25.8 20.5 Worse
Bladder 22.3 20.3 Worse
Non-Hodgkin Lymphoma 18.8 18.9 Better
Kidney & Renal Pelvis 20.7 16.4 Worse
Leukemia Suppressed 13.6 n/a
Pancreas 12.0 12.6 Better
The opioid prescribing rate for Tishomingo County is over twice that of the US rate
223.3
208.1
175.7
160.8
122.3
107.4
0 40 80 120 160 200 240
Franklin County
Colbert County
Alcorn County
Tishomingo County
Itawamba County
Prentiss County
21
TISHOMINGO COUNTY CAUSES OF DEATH
CAUSE RATE
HEART DISEASE 456.6
MALIGNANT NEOPLASMS (CANCER) 256.5
OTHER DISEASES AND CONDITIONS 205.2
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)/EMPHYSEMA 107.7
UNINTENTIONAL INJURY 97.5
CEREBROVASCULAR DISEASES (STROKE) 92.4
ALZHEIMER’S DISEASE 51.3
SEPTICEMIA 30.8
CHRONIC LIVER DISEASE AND CIRRHOSIS 25.7
NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS (KIDNEY DISEASE) 25.7
DIABETES MELLITUS 20.5
PNEUMONIA AND INFLUENZA 15.4
SUICIDE 15.4
HYPERTENSION 5.1
ATHEROSCLEROSIS 5.1
CERTAIN CONDITIONS ORIGINATING IN PERINATAL PERIOD 5.1
HOMICIDE AND LEGAL INTERVENTION 5.1
OTHER EXTERNAL CAUSES 5.1
OTHER INFECTIONS AND PARASITES 5.1Source: https://mstahrs.msdh.ms.gov/forms/morttable.html - rate is per 100,000
TISHOMINGO COUNTY CHRONIC DISEASES
22Source: Mississippi Hospital Association, Dimensions – April 2019
25
26
27
28
29
30
31
CY 2015 CY 2016 CY 2017
Myocardial Infarction
40
45
50
55
60
65
70
75
80
CY 2015 CY 2016 CY 2017
Stroke
60
80
100
120
140
160
180
200
220
CY 2015 CY 2016 CY 2017
COPD
60
70
80
90
100
110
120
130
140
CY 2015 CY 2016 CY 2017
Heart Disease
20
30
40
50
60
70
80
CY 2015 CY 2016 CY 2017
Diabetes
COMMUNITY HEALTH NEEDS SURVEY
In addition to collecting social and demographic data from secondary sources, additional input was solicited from community residents who represent broadly diverse interests of the service area ranging from nonprofit community volunteers to retired educators, bankers and private business leaders (Appendix). The Strategy Team of NMHS developed an electronic SWOT (strengths, weaknesses, opportunities, threats) survey format to collect the community feedback, manage the collection process specifically designed to gather the perspectives of various community leaders’ experiences and their knowledge of the service area. The hospital administrator recruited potential community stakeholders and electronic invitations were sent to residents who expressed an interest in participating in the SWOT. Of those who agreed to participate in the Iuka Service Area SWOT, 83.3% completed the survey and a summary of their prioritized results are shown on the next five pages of this document:
Healthcare resources readily available to you Healthcare resources not available to you Unmet needs you would like to see addressed Imminent serious health threats to you/your family
23
24
Full service hospital equipped with emergency services in service area – 24/7
Primary care clinics/urgent care that meet various patient/family needs
Neighboring pharmacies
Lab facilities
Rehab services
SURVEY RESULTS
HEALTHCARE RESOURCES READILY AVAILABLE
25
Services related to dental care, mental health and drug addiction
Lack of major surgery options
Clinical specialists including oncology
Advanced cardiovascular service offerings
Extended hours clinics
SURVEY RESULTS
HEALTHCARE RESOURCES NOT AVAILABLE
26
Dental and related service offerings
Healthy lifestyle education
More surgery options – also need specialties, e.g., cardiology,
urology, ortho, pediatrics, etc.
Mental health services including drug addiction
Extended hours - clinics
SURVEY RESULTS
UNMET NEEDS THEY WOULD LIKE TO SEE ADDRESSED
27
Lifestyle and dietary education on life choices
Chronic disease management particularly heart disease and diabetes
Inadequate care for emergencies, e.g., stroke, heart attack, accidents, etc.
Drug addiction and associated “societal ills”
After hours clinics
Free clinics for the uninsured
Lack of cellular coverage – residents unable to call for help in some areas
Oncology service offerings
SURVEY RESULTS
IMMINENT SERIOUS HEALTH THREATS
28
SURVEY RESULTS
SIGNIFICANT NEEDS IDENTIFIED FOR THE IUKA SERVICE AREA
Healthy lifestyle choices and behaviors, e.g., exercise, nutrition, obesity awareness, etc.
Lack of major surgery options – general/specialty
Extended hours - clinic
Mental health service offerings including drug addiction and treatment
Clinical specialties, e.g., oncology, cardiovascular, urology, orthopedics, etc.
Dental services
LISTENING AND LEARNING TO IMPROVE
NMHS as the parent corporation of NMMC-Iuka routinely uses diverse methods to capture the voice of those they serve in the 24 rural counties in northeast Mississippi and northwest Alabama. A SWOT analysis was designed to identify the service area’s perceived strengths, weaknesses, opportunities and threats. The Strategy Team of NMHS developed the survey questions (methodology referenced in Sections VII and VIII). The elicited responses helped NMHS validate health-related needs and community opportunities. The SWOT along with data from various publicly available sources, e.g., regional/local organizations and agencies assisted NMHS in systematically identifying its strategic priorities. The below methods were also used to glean needs and preferences of service area residents:
Satisfaction surveys
Discharge phone calls
Face time with community leaders
Social media
Community outlets/organizations
Board and employee participation
Research30
TOP CAUSE OF DEATH IN TISHOMINGO AND THE NMHS SERVICE AREA
OKTIBBEHA
CANCER
LOWNDES
CANCERCHOCTAW
HEART DISEASE
WEBSTER
HEART DISEASE
CLAY
HEART DISEASE
MONROE
HEART DISEASE
CHICKASAW
HEART DISEASE
CALHOUN
HEART DISEASE
YALOBUSHA
HEART DISEASE
LAFAYETTE
HEART DISEASE
LAMAR
HEART DISEASE
MARION
HEART DISEASE
ITAWAMBA
HEART DISEASE
LEE
CANCERPONTOTOC
CANCER
UNION
HEART DISEASE
PRENTISS
HEART DISEASE
TIPPAH
CANCER
MARSHALL
CANCER
BENTON
HEART
DISEASE
ALCORN
HEART DISEASE
FRANKLIN
HEART DISEASE
COLBERT
HEART DISEASETIS
HO
MIN
go
HEART
DISEASE
For MS Counties: MS State Department of Health – 2016For AL Counties: AL Public Health Center for Health Statistics - 2015
31
32Source: Adapted from the University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps 2019 www.countyhealthrankings.orgShows the ranking of Tishomingo County relative to the 24 counties in the North Mississippi Health Services Service Area
STRATEGIC PRIORITIES FOR 2019
Our mission is to continuously improve the health of the people of our region. Therefore, we continually utilize data gathered from our diverse listening and learning approaches to prioritize our strategic opportunities. NMMC-Iuka is dedicated to being the provider of the best patient- and family-centered care and health services in America.
In 2012, the NMHS system was a recipient of the prestigious Malcolm Baldrige National Quality Award. Every business entity has strategically aligned goals based on the identified needs of those we serve. Improve access and obesity/chronic disease management continues to be a significant strategic priority.
33
Mission and VisionWhy We ExistTo continuously improve the health of the people of our region.
What We Want To BeThe provider of the best patient- and family-centered care and health services in America.
STRATEGIC PRIORITY - MISSION-CENTRIC FOCUS
ALIGN INTERNAL AND EXTERNAL STAKEHOLDERS
INTERNAL GOAL
• Identify social and behavioral influences relative to chronic disease management and implement initiatives that will improve the health of the people of our region
EXTERNAL GOAL
• Increase beneficiary awareness of available community services and facilitate alignment of regional partners to influence health outcomes
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IMPLEMENTATION ACTIVITIES
NMMC-IUKA
• Increase available service offerings via telehealth65.52% increase in telestroke procedures Implemented teleneurology program Increased inpatient telehealth procedures by 112% Overall travel miles saved by community residents due to ambulatory telehealth
offerings – 76,626
• Evaluate and explore community partnerships that will significantly impact the identified needs (page 28) of the Iuka service area including chronic disease management
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APPENDIX – COMMUNITY SURVEY PARTICIPANTS
Participant Industry/Affiliation Description Broad Interest of Community
Private industry - finance professional/community volunteer Diverse community/patient and family advocate/financial
Public industry – community development foundation General and diverse population
Private industry –insurance Diverse and economic awareness
Public industry - mayor General and diverse community
Private industry – business owner General community
Private industry – retired medical sales Health knowledge
Private industry – retired banker Diverse community and economic awareness
Public industry – community foundation/volunteer General and diverse
Public industry – school administrator General, diverse and education
Public industry – county leader General and diverse
Private industry – beauty salon owner General
Private industry – florist owner General and diverse