Community

Community Needs Assessment

Every three years, King's Daughters' Health completes a Community Health Needs Assessment to help identify the leading health-related issues facing individuals and families in the communities we serve.

KDH completed its most recent Community Health Needs Assessment in the Fall, 2016. A complete summary and a variety of other links are listed below.  Working together, we hope the information gathered during the survey processes will serve as a stepping stone toward better health for everyone.

Tobacco use, substance abuse, and obesity continue to be major risk factors in our area.  If you have specific questions about the Community Needs Assessment, please contact the Community Relations office at 812-801-0128.

2016 KDH Community Needs Assessment links

Needs Assessment Summary
Web-based Community Opinion Survey Summary
Internal Interviews
Community Leaders
Low-Income
Seniors
Jefferson County (IN)
Switzerland County (IN)
Trimble County (KY)


Below are results from our previous (2013) Community Needs Assessment:

2013 KDH Community Needs Assessment links

Needs Assessment Summary
Web-based Community Opinion Survery Summary
Internal Interviews
Community Leaders
Low-Income
Seniors
Jefferson County (IN)
Ripley County (IN)
Switzerland County (IN)
Trimble County (KY)
Carroll County (KY)

While no one person, organization, or group can solve these issues individually, we can make a difference if we work together.  King's Daughters' Health has taken an active role in community wellness activities.  Through available grants and other initiatives, we have helped facilitate programs such as the Tobacco Cessation Program and Creating Positive Relations Program (abstinence-based sexual education).  We also work with local businesses to improve the health and wellness of employees throughout the region.  Further, KDH offers a variety of exercise and fitness opportunities. 

KDH IMPLEMENTATION STRATEGY
A small committee of interested individuals participated in meetings to determine ways we can better work together to meet the needs of the communities we serve.  Below are the current updates and action plans developed / 2014 UPDATE:
KDH Gaps
There do not appear to be large gaps in the topics or types of community outreach programs that KDH has conducted in the past. However, there may be gaps due to funding levels or staffing levels in the number of programs and the geographic reach of the programs that have been offered.  KDH will use the list of major health issues (leadership and supporting roles) to develop programs and apply for grants to improve the health in the communities served.

Obesity, Lack of Physical Activity, and Smoking leading to Chronic Disease
These health issues lead to chronic disease, such as stroke, where the death rate in Jefferson County is nearly double the nation's death rate.  Community leaders expect KDH to take a leadership role in addressing obesity and tobacco use.
Action Plan: Leadership Role - Offer onsite and community-based outreach events to improve patient and community education on prevention and management of chronic diseases.
Target: At risk populations based on lifestyle and those with chronic diseases. 
Evaluation: Number of events offered/Number of participants - Number of outreach efforts in outlying counties and/or promotion of such events. 
2014 Update: KDH participated in three corporate and community screenings in which educational information and tobacco cessation information was distributed. Similar education was also distributed at two Jefferson County community health fairs and three fairs in outlying counties.  The Wellness Coordinator and Tobacco Cessation/Prevention Coordinator completed 22 speaking engagements.  A 7-week Fit Kids program was offered in eight area schools, targeting childhood obesity, healthy eating, and physical activity.  KDH sponsored Girls on the Run for girls in Grades 3-5 at various sites.  KDH also hosted GOTR 5K and RUN the FALLS 5K events that provided fitness opportunities to 365 participants.  A Speaking of Women's Health event provided exercise breakout sessions.  The community was offered a 12-week PEP Walk program in downtown Madison.

Employee Wellness
KDH should consider ways in which it can set an example at its own facilities for the community; an expanded and enforced tobacco-free campus, healthy food offerings in its cafeteria and vending machines, a wellness program that focuses on all employees, including those at satellite offices.
Action Plan: Leadership Role - Improve opportunities for our own staff to access healthy activities and offerings. Offer insurance-based incentives for a variety of healthy choices (Ex: Non-smoking family plans). Expand and improve healthy eating options in the hospital's café.
Target: KDH employees. 
Evaluation: Number of events/options offered. Number of employees participating. 
2014 Update: KDH employees were offered a free health screening assessment that included financial incentives for achieving biometric parameters.  Five on-site classes were offered and educational emails and newsletters were sent.  In addition, three five-week weight-loss educational classes were available.  KDH continued to enforce its tobacco-free campus, and tobacco-free employees were offered a reduced health insurance premium.  Tobacco cessation assistance was also available for all employees and their family members.  Over half of vending machine beverage options were zero calories, and heart healthy snack choices were made available.  Other employee programs focused in classes, challenges, and education.

Substance Abuse
Substance abuse - particularly narcotic (primarily heroin), methamphetamine, and prescription drugs, was a major health need cited by all groups interviewed.  It is prevalent in all counties served by KDH. Further, the lack of substance abuse treatment centers and mental care facilities to refer these types of patients to is a major concern.  Participants also identified concerns related to the number of babies born addicted to substances (meth/heroin) and the need for further drug education in the schools.  It was also noted that better communication between KDH and the local legal system was needed.  There is a need for a quarterly prescription drug disposal program where such drugs can be disposed of with no questions asked.
Action Plan: Supportive Role - Continue to work closely with local Coalition Against Substance Abuse and the Health Department to implement workable solutions to the above mentioned problems.  Develop and assist in implementing a plan of action.  Also, continue to intervene with pregnant women during pregnancy and delivery.
Target: CASA in Jefferson County and SCAT in Switzerland County.  Work with the Health Department to get physicians and law enforcement in the same room to develop an action plan. 
Evaluation: Number of meetings attended/number of action plans developed with these organizations.  Number of documented substance abuse cases on OB/GYN. 
2014 Update: We continue to work closely with the Jefferson and Switzerland County CASA (Coalition Against Substance Abuse) groups.  OB/GYN physician offices address the issue related to prenatal care; patients also attend a meeting called, The ORCHARD Program; it's a beginner's 12-step program for pregnant mothers, and mothers with older children battling addiction.  If a mother is still using at the time of birth, the history is communicated to the staff, and we also do NAS (Neonatal Abstinence Syndrome) scoring.  Mothers receive follow-up care post delivery and have another opportunity to attend The ORCHARD program.  Babies that score too high on NAS testing are treated at KDH as an inpatient with follow-up completed by our Home Health agency.

Mental Health Issues
While KDH may not be expected to take a leadership role in addressing mental health issues, it cannot ignore the need for mental health services in the communities it serves.  Many interviewed indicated the need for expanding TeleMed as a mental health resource, recruiting an on-staff psychiatrist, or developing an improved referral program for those with mental illness.
Action Plan: Supportive Role - KDH will continue to explore ways to collaborate with local agencies to improve access to mental health resources.  Improvement in other risk factor areas, such as a lack of physical activity will affect mental health as well as other risk factors.
Target: KDH patients in need of mental health services. 
Evaluation: Number of referrals for mental health services/Number of providers KDH is able to access.
2014 Update: KDH made a total of 475 patient referrals for mental health services; this excludes pediatric and OB outpatients.  We will be working to improve data collection accuracy in 2015.  KDH has a total of 19 mental health provides that are used for referrals.

Transportation
The lack of transportation was cited numerous times as a health issue, particularly for those of lower income.  Catch-a-Ride and Medi-Cab are well utilized in the KDH service area, but they do not operate after 5:00 p.m. nor do they run on weekends.  For some, the fee associated for the service is cost-prohibitive.  KDH may want to consider offering alternative transportation and/or explore offering preventative health screenings such as blood pressure, glucose, etc. at events where those with lower incomes may gather.
Action Plan: Supportive Role - Develop a series of classes and screenings to be offered in low-income areas.  To take services to those in need, who are unable to come to KDH.
Target: Low income populations as identified through the House of Hope and/or the Salvation Army. 
Evaluation: Number of classes and screenings held / Number of individuals participating.
2014 Update: A new House of Health program was developed and implemented at the Jefferson County Clearinghouse / House of Hope Food Pantry. A total of six monthly programs were held.  Two of these events involved free screening services; attendance ranged from 25-70 participants each month.

Awareness of Services and Programs
Some participants suggested that residents in the communities served by KDH may not be aware of the existing programs and services offered, and may not be aware of the level of expertise of the staff  These are ideas that could be addressed in a strategic, well-planned, long-term public relations campaign.
Action Plan: Leadership Role - Develop and implement a public relations campaign to let people know of services and outreach through KDH.
Target: Individuals in the KDH Primary Market. 
Evaluation: Number of promotional pieces and marketing activities geared toward the community to improve knowledge and education of outreach screenings, classes, and programs. 
2014 Update: Joint Replacement Program: Eight-month campaign included videos, print campaign, radio campaign, social media, billboards, and electronic web banners; Colon Health: Five-month campaign for Dr. Ibrahim Adamu included billboards, print and radio campaigns, electronic web banners, To Your Health radio program, featuring Dr. Thomas Eckert and the value of colonoscopies; Community Campaign: Three-month campaign focused on Community People, Quality Care, discussing quality care and hometown people; Mother-Baby Services: Six-month campaign featured testimonial videos, print ads, updated web information, a radio campaign, and electronic web banners; Health Screenings/Events: Ongoing campaign targeted awareness of activities such as community programs, screenings, speaking engagements, and fitness opportunities; Physicians: Ongoing campaign focused on the arrival of new physicians and providers, including print and radio ads in appropriate locations; Versailles Campaign: Four-Month campaign targeted the services of Dr. Michael Willhite and Nurse Practitioner Lauren Dubberly. The extensive campaign featured a print and radio, and a billboard in the Versailles market; Cancer Center: Three-month campaign targeted the completion of the new Cancer Treatment Center that was opening in early 2015.  Local media received tours and a print, radio, and web campaign increase awareness about the center.  We also had a article in the Vital Signs (KDH Magazine); MyKDH Portal: Ongoing campaign promoted the MyKDH Patient Portal and encouraged patients to register.  Campaign included print and radio, along with various registration outlets, including the 4H Fair; News Releases: A variety of news releases were distributed to local/regional news media regarding services, programs, and providers at KDH.

Medical Services and Providers
Gaps in the current medical service lines and the medical specialties desired are worth exploring.
Action Plan: Leadership Role - Continue to identify areas where medical services are lacking and to recruit medical providers to meet the needs of the community.
Target: Primary Service Area. 
Evaluation: Number of providers (primary and secondary) placed in practices in our primary service area. 
2014 Update: The following providers were added in 2014 to serve the KDH area: Mandy Wilson, APN (Nocturnist); Dr. Dawn Meacham (Family Practice); Dr. Diamond Harris (Pediatrics); Dr. Victoria Shirley (OB/GYN); Allison Feider, APN (Orthopedics); Susan Kirkwood, CRNA (Anesthesia); David Brown, CRNA (Anesthesia); Thomas Sever, CRNA (Anesthesia); Dr. Oliver deRaet (Hospitalist).  Also, Dr. John Hossler became the Director of Silver Memories.

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