MOUNT CARMEL ST. ANN’S
500 SOUTH CLEVELAND AVENUE
WESTERVILLE, OHIO 43081
mountcarmelhealth.com
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
2013-2016
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 1
Mount Carmel Health System Community Health Needs Assessment
Implementation Plans
Accepted by the Mount Carmel Health System Board of Trustees as a Component of the
Community Benefit Plan and Approved on May 15, 2013
Contents
1. Mount Carmel Health System
a. Our Purpose and Overview
b. The Community We Serve; Area Demographics
2. Assessment, Methodology and Findings
a. Link to the HealthMap 2013 (Franklin County Health Needs Assessment)
b. Community Benefit Advisory Board
c. Mount Carmel Health Community Benefit System-wide Strategies Goals
3. Facility Specific Overview
4. Community Benefit Reporting (Link to Community Benefit Report)
5. Specific Facility Response to Finding
6. Unaddressed Identified Needs
7. Attachments
a. Data Sources
b. Anticipated Partners
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 2
Mount Carmel Health System
OUR PURPOSE AND OVERVIEW
Mount Carmel Health System was founded in 1886 by two area physicians and the Sisters of
the Holy Cross with the mission to help the poor and underserved. Presently a part of CHETrinity Health, it is one of the largest Catholic healthcare organizations in the United States.
Located in Columbus, Ohio with a target service area that includes all of Franklin County it
serves a population of about 800,000 with 1,350 inpatient beds. We employ more than 8,000
employees, and have 1,500 physicians and nearly 900 volunteers.
MCHS includes Mount Carmel East, Mount Carmel West, Mount Carmel St. Ann’s, Mount
Carmel New Albany Surgical Hospital, Diley Ridge Medical Center, and community based
ambulatory centers, Women’s Health, Physical Rehab and Cancer.
MCHS exists to improve the health of our communities by providing compassionate care and
service to people in time of illness and suffering.
Mission
We serve together in Trinity Health, in the spirit of the Gospel, to heal body, mind and spirit, to
improve the health of our communities, and to steward the resources entrusted to us.
Vision
Inspired by our Catholic faith tradition, Trinity Health will be distinguished by an unrelenting
focus on clinical and service outcomes as we seek to create excellence in the care experience.
Trinity Health will become the most trusted health partner for life.
Values
Respect
Social Justice
Compassion
Care of the Poor and Underserved
Excellence
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 3
THE COMMUNITY WE SERVE; AREA DEMOGRAPHICS
Franklin County
County Health Rankings and Roadmaps
http://www.countyhealthrankings.org/app/
http://www.countyhealthrankings.org/app/
Rank
(of 88)
58
56
Franklin
County
Error Margin
Health Outcomes
Mortality
Premature death
7,870
7,694-8,046
Morbidity
64
Poor or fair health
14%
13% - 16%
Poor physical health days
3-7
3.3 - 4.0
Poor mental health days
4
3.6 - 4.3
Low birth weight
9.4%
9.2 - 9.5%
Health Factors
41
Health Behaviors
47
Adult Smoking
21%
19 - 23%
Adult Obesity
31%
29 - 33%
Physical inactivity
25%
23 - 27%
Excessive drinking
19%
17 - 21%
Motor vehicle crash death rate
9
8-9
Sexually transmitted infections
703
Teen birth rate
45
44 - 46
Clinical Care
11
Uninsured
15%
14 - 16%
Primary care physicians**
1,065:1
Dentists**
1,317:1
Preventable hospital stays
70
68 - 73
Diabetic screening
85%
83 - 87%
Mammography screening
60%
58 - 62%
Social & Economic Factors
52
High school graduation**
83%
Some college
69%
Unemployment
7.6%
Children in poverty
27%
24 - 29%
Inadequate social support
19%
17 - 21%
Children in single-parent households
39%
37 - 40%
Violent crime rate
537
Physical environment
46
Daily fine particulate matter
13.5
13.3 - 13.7
Drinking water safety
0%
Access to recreational facilities
10
Limited access to healthy foods**
6%
Fast food restaurants
59%
* 90th percentile, i.e., only 10% are better.
** Data should not be compared with prior years due to change in definition.
Note: Blank values reflect unreliable or missing data.
Ohio
National
Benchmark*
7,457
5,317
15%
3.6
3.8
8.6%
10%
2.6
2.3
6.0%
22%
30%
27%
18%
11
422
38
13%
25%
21%
7%
10
92
21
14%
1,348:1
1,928:1
79
83%
63%
11%
1,067:1
1,516:1
47
90%
73%
78%
61%
8.6%
24%
20%
34%
332
70%
5.0%
14%
14%
20%
66
13.4
2%
10
6%
55%
8.8
0%
16
1%
27%
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 4
Area Demographics, continued
Westerville, Ohio
Situated in Franklin and Delaware counties, Westerville, Ohio has a population of 57,127. The
racial demographics of our patients follow the same composition as our community with the
majority of the population, 73 percent, Caucasian; Black patients are the second highest number
at 21 percent, followed by Hispanic at 1 percent. All other races make up the remaining 5
percent. The 2011 Westerville demographic distribution is as follows:
Race/Ethnicity
White – 86.6%
Black – 6.0%
Asian and Pacific Islander – 3.1%
Hispanic – 2.5%
Other - 1.7%3
Age Group
18 to 64 years – 65.9%
Under 18 years – 23.3%
65 and over – 10.7%
Although the average household income of Westerville is $80,577, 6.1 percent of residents live
below poverty level1.
14
$49,500
12
$49,000
10
Millions
$48,500
$48,000
8
6
$47,500
4
$47,000
2
$46,500
0
$46,000
Total Population
Median Household Income
Ohio
Franklin County
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Individuals Living
Below Poverty
Level
Individuals < 18
years Living
Below Poverty
Level
High School
Graduate
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 5
HealthMap 2013
Community Needs Index for Westerville, Ohio
Health is not only defined as free from disease; it is something that is affected by education and
income, along with other social needs, which are all determinants of health. The Community
Need Index (CNI), developed by Catholic Healthcare West (CHW), in partnership with
Thomson Reuters, helps organizations gain a better understanding of public health disparities
for every zip code in the United States. This information empowers organizations to determine
community benefit programming that will better serve its community. It is believed, with the
correct resources to meet the needs of the community, unnecessary hospitalizations can be
prevented, public health can be improved and the cost of health care can decline.
CHW and Thomson Reuters identified five socio-economic barriers that quantify health access
to communities: income, education, culture/language, insurance, and housing. Each barrier has
been assigned a numerical score from 1 to 5. A score of 1 represents the least amount of
socio-economic barriers (low need). A score of 5 represents the largest amount of socioeconomic barriers (high need). The scores are averaged to obtain the final CNI score. The
description of how each category was calculated has been italicized. The score for zip code
43081, location of MCSA is in bold.
IIncome (1) – percentage of elderly, children, and single parents living in poverty. Those with limited
income have fewer visits to primary care due to decisions being made between paying a much
needed bill or receiving care. Low-income homes may not have insurance, or unable to pay
associated costs if they do.
Cultural/Language (3) – percentage of Caucasian/Non-Caucasian and the percentage of adults over
the age of 25 with limited English. Those whose primary language is not English may not fully
understand their medical situation, be confused on discharge instructions, may not be able to
read medication labels or understand self-care instructions for chronic conditions.
Education (1) – percentage of without high school diplomas. Lack of education can often lead to lack
of employment and the lack of health insurance. Without health education, the ability to
understand medical information or to recognize symptoms may be impacted.
Insurance (1) – percentage of uninsured and the percentage of unemployed. Without health insurance,
individuals may forego primary treatment which may lead to hospitalization due to chronic conditions.
After hospitalization, those with injuries or chronic conditions may not continue medical care
due to costs, which could increase recovery time. If problems persist, the uninsured may have
difficulty obtaining health insurance in the future.
Housing (5) – percentage renting housing. Increased use of rental housing is associated with transitory
lifestyles, an unstable home and an environment unfavorable to health prevention. Most rental units
are sub-standard, in high crime areas, lower quality schools, and limited food choices and less
recreational opportunities. Homelessness was not factored in this score.
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 6
Community need index (map showing color coded severity)
The final CNI (2.2) - shows correlation between high need and high hospital utilization.
Admission rates in high need areas were two times higher than low need areas in regards to
pneumonia, congestive heart failure, and cellulitis. This may be due to the use of primary care
or assistance in managing chronic diseases or conditions.
Intercity hardship index
The Intercity Hardship Index, calculated every ten years, is a comparative analysis of cities in the
United States that have a population of 480,000 or more. It began with 55 cities in 1970 and has
grown to include 86 cities that were incorporated in 1990. Six key factors are used to
determine the Intercity Hardship Index score from zero to 100.The higher the score, the
greater the hardship. The key factors are:
• Unemployment – percent of civilians 16 years and older who are unemployed
• Dependency – percent of population under 18 years and over 64 years
• Education – percent of population 25 years and older who have less than a high school
education
• Income – per capita income
• Crowded housing – percent of occupied housing units with more than one person per
room
• Poverty – percent of people living below the federal poverty level, adjusted for local
cost of living
Although the study reflected that cities in the Midwest had a high index score, since the
inception of the Intercity Hardship Index, Columbus has always been one of the cities with the
least hardship.3
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
Index Score
Rank
Total # Cities
1970
34.8
46
55
1980
24.2
42
55
1990
22.5
78
86
2000
18.6
79
86
PAGE 7
*Dignity Health Community Needs
Index http://cni.chw-interactive.org/
Assessment, Methodology and Findings
In 2012 Mount Carmel Health System joined area hospitals and community agencies in
preforming a community health needs assessment which met the requirement of the Patient
Care Protection Affordable Care Act. This assessment was completed and made public January
2013. The document from this assessment is the Franklin County HealthMap 2013: Navigating Our
Way to a Healthier Community Together (HealthMap 2013). The collaborative effort was headed by
the Central Ohio Hospital Council. The team included representatives from the four hospital
systems in Franklin County, public health departments and community stakeholders to identify
the health needs of the community. After months of collaboration, eight health indicators
emerged:
High-Risk
Pregnancy
Unintentional
Injuries
Interpersonal
Violence
Access
to care
Community
Health
High
Incidence of
Cancer
Chronic
Disease
Infectious
Disease
Behavioral
Health
*HealthMap 2013
Link to the HealthMap2013 (Franklin County Health Needs Assessment)
The community health needs assessment identified and prioritized health needs consisting of 8
priorities and 140 indicators. Specific information about these indicators can be found in
Franklin County HealthMap 2013: Navigating Our Way to a Healthier Community Together. The
HealthMap 2013 can be found at http://www.mountcarmelhealth.com
Understanding the prevalence of chronic health conditions, barriers in access to care, and other
health issues, all of the central Ohio hospitals involved in this process aligned resources to
determine which indicator they could adopt and develop programs, if not already in place, to
address any of the eight indicators. MCHS has programs in place to address all eight of these
health indicators. MCHS has also chosen to begin a new initiative to address infant mortality.
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 8
Community Benefit Advisory Board
The decision to focus resources on infant mortality was decided by Mount Carmel Health
System and the Community Benefit Advisory Board with statistics from the Franklin County
Health Needs Assessment, HeallthMap2013 supporting this decision. The Mount Carmel
Community Benefit Advisory Board members consist of individuals from the community, as well
as Mount Carmel Health associates. Together, we work to ensure that community benefit
programs are addressing the needs of the community. We have developed a Mount Carmel
Health System Community Benefit Ministry Implementation Plan in response to the eight needs
identified as priority by the Community Health Needs Assessment HealthMap2013*
Mount Carmel Health Community Benefit System-wide Strategies Goals
Achieve health equity
Ensure equitable provision of care
Improve access to health care services
Invest in access solutions for those most vulnerable
Embrace, celebrate and learn from diversity
Enhance the health of the community
Expand chronic disease management programs
Enhance the health of the community
Educate and inform community on healthy behaviors
Promote evidence based programs and activities that create health improvement
Focus on health needs identified in local community health assessment
Promote physical, social and policy activities that create health improvement
Advance medical/healthcare knowledge
Demonstrate value of community benefit
Document metrics and outcomes of all programs
Partner with community organizations
Give community voice in decisions regarding community benefit strategy and activities
Demonstrate a return on investment
Maintain and improve knowledge of community health
Demonstrate transparency
Relieve/reduce the burden of government/other community efforts
Although we are looking at identified needs system wide, each facility is focusing on the area
surrounding the hospitals with the highest need and or disparities. We are including the
determinates of health and reviewing needs from a life course prospective. Determinates of
health are factors that contribute to a person's current state of health. “These factors may be
biological, socioeconomic, psychosocial, behavioral or social in nature. Scientists generally
recognize five determinants of health of a population:
• Biology and genetics. Examples: sex and age
• Individual behavior. Examples: alcohol use, injection drug use (needles), unprotected sex, and
smoking
• Social environment. Examples: discrimination, income and gender
• Physical environment. Examples: where a person lives and crowding conditions
• Health services. Examples: Access to quality health care and having or not having health
insurance.” http://www.cdc.gov/socialdeterminants/Definitions.html
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 9
Life course prospective looks at how an individual’s lifestyle choices and health outcomes are
affected by their family history. It connects past family social, economic and health history to
individual behavior and outcomes in the present. (Bengtson and Allen 1993). We believe this is
very important when planning preventative health measures.
Equity in care is also a priority at Mount Carmel Health System. Mount Carmel sponsored
leaders to complete an executive disparities leadership program. The Disparities Leadership
Program is the first program of its kind in the nation, and is designed for leaders from hospitals,
health insurance plans, and other health care organizations who are seeking to develop practical
strategies to eliminate racial and ethnic disparities in health care. The program is led by the
Disparities Solutions Center at Massachusetts General Hospital (MGH) in Boston,
Massachusetts. As a result of our commitment to equity in care Mount Carmel Health has
launched a Health Equity committee to develop objectives that are patient-centered and
population specific, connecting equity with ongoing hospital initiatives.
FACILITY SPECIFIC OVERVIEW
Mount Carmel St. Ann’s Hospital
For more than 100 years, St. Ann’s Hospital has been a place that has provided compassionate,
loving care to all who have walked through its doors. On June 14,1908, the Sisters of St. Francis
of Stella Niagara, New York opened St. Ann’s Infant Asylum and Home for Unwed Mothers at
1555 Bryden Rd.
The original hospital operated at 1555 Bryden Rd. in east Columbus until 1984 when it became
clear that St. Ann’s Hospital was landlocked, and would need to re-locate in order to grow. The
city of Westerville was chosen as the preferred location due to an obvious need for a hospital
in the area. After two years of public hearings, St. Ann’s was given permission to build a new
hospital in Westerville.
Mount Carmel St. Ann’s Today:
•
•
•
•
•
•
•
•
Mount Carmel St. Ann’s is the sole full-service inpatient hospital in northeast Columbus,
serving Franklin, Delaware and Licking counties
Adult admissions have grown 10% since 2007, to over 19,000 annually
Total outpatient visits have increased 5% since 2007 to over 200,000
Inpatient and outpatient surgeries top 9,000 annually
The Mount Carmel St. Ann’s Emergency Department is one the 12th busiest adult ER in
the state, treating more than 78,000 patients annually
Medical staff has increased to 842 physicians
Mount Carmel St. Ann’s welcomes the birth of more than 4,500 babies per year
Mount Carmel St. Ann’s has been steadily growing over the years, offering more
sohpisticated services and a growing list of surgical specialties, some of which are:
– A dedicated Women’s Heatlh Center
– One of the largest community based cancer programs in central Ohio
– A regional Orthopedic Center of Excellence that pulls patients in from all over Ohio
and adjacent states
– A nationally certified Chest Pain Center
– A Level III Neonatal Intensive Care Unit (NICU) ran in partnership by Nationwide
Children’s Hospital
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
•
•
•
PAGE 10
– The Columbus Cyberknife – central Ohio’s first and only robotic radiosurgery center.
The Cyberkinfe is the latest and greatest linnear accelerator that allows patients with
some types of cancer to be treated in a signifigantly shorter period of time. (i.e.
traditional radiology treatement for prostate cancer patients is 6 weeks; the
Cyberknife
– Regional Maternal Fetal Medicine services
– Expert cardiovascular team in place, performing electrophysiology services, emergent
and elective PCI and stent placement, and working to further enhance heart capablilities
– Have made signifigant strides in the program development phase of primary stroke
certification
Today, Mount Carmel St. Ann’s is at 90% occupancy on average, 7-days-a-week, and many
days over 100% capacity
Project GRACE will help St. Ann’s meet the growing healthcare needs of the community
by adding much needed beds, equipment and services
Project GRACE is the largest single construction project in the history of Mount
Carmel Health System and the City of Westerville
Economic Impact:
Current:
• Mount Carmel St. Ann’s produces approximately $515 million of direct and indirect
economic impact within the City of Westerville
• Currently, Mount Carmel St. Ann’s directly employs 1,890 FTE (Full Time Equivelents),
and supports 1,134 FTE’s through indirect employement,totaling more than 3,000 FTE’s
within the City of Westerville
Future:
• The construction of Phase 1 for Project GRACE will have a $35 million impact and
support over 200 new jobs in Westerville
• The economic impact of Mount Carmel St. Ann’s operations is estimated to increase
from $515 million to $590 million by 2014 (this represents an annual increase of $75
million)
• Project GRACE will add 300 additional direct and indirect FTE’s by 2014, to suport a
total of more than 3,333 FTE’s annually by 2014
Through the growth, St. Ann’s Hospital has never lost the culture that was created by the
Sisters of St. Francis, and has never stopped serving in their mission to continue to meet the
needs of our community.
Community Outreach
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 11
The Mount Carmel St. Ann’s Kids Summer Lunch Program
With over a third of the children in the Westerville City School district participating in the free
or reduced lunch program during the school year, the Westerville Area Resource Ministry
(WARM) wanted to provide quality meals to those same children when school was no longer in
session for the summer. Thanks to WARM’s efforts, funding from the U.S. Department of
Agriculture and the support of Mount Carmel St. Ann’s, the Mount Carmel St. Ann’s Kids
Summer Lunch Program is a reality. The Summer Lunch Program was a selected site for
Governor Kasich’s weekend backpack program in 2012. Through this initiative, 2 breakfasts, 2
lunches, 2 dinners, and 2 milks were sent home with children over the weekend. Overall, the
Summer Lunch program provided more than 20,000 meals to children and adults in summer
2012.
Enthusiastic volunteers from more than 14 area organizations, including MCSA, staff the
program, which offers recreation, education, reading programs, and weekday meals. No one is
turned away and many parents and younger siblings of the school-aged children participate.
WARM plans to expand the Summer Lunch program in 2013, with the addition of 2 sites. The
weekend backpack program will continue during the summer of 2013.
Westerville Area Health Initiative (WAHI) Healthcare Access Team Patient Navigator
Located within Mount Carmel St. Ann’s Emergency Department (ED), the Patient Navigation
program provides education about the best ways to navigate the health care system. This
program also aims to decrease the amount of individuals utilizing the ED as primary care. While
the patient is receiving care, the patient navigator works with a network of primary care
providers to schedule an appointment with a provider for the patient.100% of all patients are
referred to a new provider or their existing provider before they leave the ED.
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 12
Community Benefit Reporting (Link to Community Benefit Report)
Many of our other programs are highlighted in the Community Benefit Report at this link
http://www.mountcarmelhealth.com
Specific Facility Response Plan to Findings
The following implementation plan lists each of the eight needs identified by HealthMap 2013.
Each need was reviewed for lack of access, awareness or education and then plans were made
to meet these needs. All programs will be evaluated yearly with input from the community
advisory board.
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 13
Mount Carmel St. Ann’s implementation plan:
2013 – 2015 CHNA IMPLEMENTATION STRATEGY
HEALTH ISSUE PLANNING PROFILE
Mount Carmel Campus:
Mount Carmel St. Ann’s
CHNA HEALTH ISSUE:
Access to Care/Medical and Dental
CHNA REFERENCE PAGE:
Pages 5 & 19
RANKING: 1
Brief Description of Issue: Emergency Departments in Franklin County experience higher
utilization when comparing rates per population when comparing rates per population, than ED's across
the state. ED's in Franklin County are used for less severe cases than other ED's in Ohio.
GOAL: To improve access to timely and appropriate care for uninsured and vulnerable populations in
Franklin County with special attention to the needs of the uninsured and underserved populations.
OBJECTIVE:
1. Addressing personal cost as a barrier to seeking care
2. Increase community awareness of primary care and prevention resources in the community
3. Support primary care resources targeting the needs of local underserved and vulnerable
populations.
4. Provide education to patients and families on the care of loved ones.
STRATEGIES (BY OBJECTIVE):
1. Improve access to financial assistance programming
2. Maintain support for primary care resources to address underserved populations
3 Increase caregiver knowledge
4. Increase self-management
ANTICIPATED OUTCOME(S):
1. Increase number of individuals who have coverage and/or access to financial assistance
2. Measurable reduction of utilization of ED
KEY PARTNERS: Westerville Schools, City of Westerville, Columbus Public Health, Concord
Counseling Services, Community Refugee Immigrant Services (CRIS), Immediate Health Associates,
Nationwide Children’s Hospital, OhioHealth, Physicians Free Clinic, Vineyard Church of Columbus,
Westerville Area Health Initiative (WAHI), Trinity Home Health, MCHS Home Health
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 14
2013 – 2015 CHNA IMPLEMENTATION STRATEGY
HEALTH ISSUE PLANNING PROFILE
Mount Carmel Campus:
Mount Carmel St. Ann’s
CHNA HEALTH ISSUE:
Chronic Disease
CHNA REFERENCE PAGE:
6
RANKING: 2
Brief Description of Issue: Chronic diseases – such as heart disease, stroke, cancer, diabetes –
are the leading causes of death and disability at the local, state and national levels. According to the
Centers for Disease Control and Prevention medical care costs of people with chronic diseases account
for more than 75% of total medical care costs in the U.S. In Franklin County, over 60% of all deaths
were due to chronic disease. Franklin County has a higher prevalence of both adults and youth
diagnosed with asthma when compared to state and national data.
Though the prevalence of adults in Franklin County diagnosed with diabetes is slightly less than for
adults in the state of Ohio, it is higher than for adults in the U.S. There is also a higher prevalence of
obesity in Franklin County adults which can lead to diabetes.
GOAL: Improve management of chronic disease.
OBJECTIVE: Improve self-management of chronic diseases in partnership with community
organizations.
STRATEGIES (BY OBJECTIVE):
1. Community education through speakers and disease specific prevention literature.
2. Provide resources to improve self-management.
3. Continued support for health screenings.
ANTICIPATED OUTCOME(S):
1. Reduction of avoidable admissions as a result of unmanaged chronic diseases.
2. Identification of undiagnosed chronic disease in the community.
3. Increased self-management and coping skills.
KEY PARTNERS: Westerville Area Resource Ministry(WARM), Westerville area churches,
Westerville Area Ministers Association, Otterbein University, The Ohio State University, Westerville City
Schools, Westerville Rotary Club and Local boy and girl scout troops. .
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 15
2013 – 2015 CHNA IMPLEMENTATION STRATEGY
HEALTH ISSUE PLANNING PROFILE
Mount Carmel Campus:
Mount Carmel St. Ann’s
CHNA HEALTH ISSUE:
Infectious Disease
CHNA REFERENCE PAGE:
7 & 39
RANKING: 3
Brief Description of Issue: Incidences of infectious diseases, especially those that are sexually
transmitted, more prevalent in Franklin County than in Ohio. Franklin County rates for pertussis and
tuberculosis are higher than Ohio rates. The incidence rates for two hospital-acquired infections -methicillin-sensitive Staphylococcus Aureus (MSSA) and methicillin-resistant Staphylococcus Aureus
(MRSA) -- are slightly higher in Franklin County than in Ohio.*
GOAL: Reduce instances of infectious diseases..
OBJECTIVE: Increase community awareness and prevent the spread of infectious diseases.
STRATEGIES (BY OBJECTIVE):
1. Collaboration with the Columbus Public Health Department to educate community regarding flu and
pandemics.
2. Look to leadership from the Health Department for prevention of other infectious diseases.
3. Promote prevention, education, and access to vaccinations.
ANTICIPATED OUTCOME(S): Decrease the cases of preventable infectious diseases through
increased use of vaccinations in vulnerable communities.
KEY PARTNERS: Columbus Public Health, Church Partnerships
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 16
2013 – 2015 CHNA IMPLEMENTATION STRATEGY
HEALTH ISSUE PLANNING PROFILE
Mount Carmel Campus:
Mount Carmel St. Ann’s
CHNA HEALTH ISSUE:
Behavioral Health
CHNA REFERENCE PAGE:
7 & 25
RANKING: 4
Brief Description of Issue: A wide spectrum of psychiatric disorders is prevalent in Franklin
County, including depression, chronic mental health conditions, substance abuse and post-traumatic
stress. In 2006-2008, suicide was the tenth leading cause of death in Franklin County. The overall rate
in Franklin County was 12.4 suicide deaths per 100,000 people. This was higher than the 2006-2008
rate for the state of Ohio which was 11.3 per 100,000. According to the National Institutes of Mental
Health, in 2007, suicide was also the tenth leading cause of death in the U.S., accounting for 34,598
deaths which was an overall rate of 11.3 suicide deaths per 100,000 people. An estimated 11 attempted
suicides occur per every suicide death.
GOAL: Improve access to behavioral health services.
OBJECTIVE: Navigate underserved individuals to behavioral health services within the community.
STRATEGIES (BY OBJECTIVE):
1. Provide mental health assessments and education about mental health through trained counselors.
2. Provide education to teens about mental health
ANTICIPATED OUTCOME(S):
1. Improved behavioral health management through improved education and use of resources.
2. Increase awareness on mental health.
3. Increase self-management and coping skills.
KEY PARTNERS: City of Westerville Department of Parks and Recreation, Westerville City Schools
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 17
2013 – 2015 CHNA IMPLEMENTATION STRATEGY
HEALTH ISSUE PLANNING PROFILE
Mount Carmel Campus:
Mount Carmel St. Ann’s
CHNA HEALTH ISSUE:
High Incidence of cancer
CHNA REFERENCE PAGE:
8 & 32
RANKING: 5
Brief Description of Issue: Cancer places a tremendous emotional and financial burden on
patients, families and society. The number of new cancer cases can be reduced, and many cancer
deaths can be prevented through early detection, vaccination, and maintaining healthy behaviors, such
as being physically active and maintaining a healthy weight.
In Franklin County, cancer is the second leading cause of death. The top five cancer mortality rates in
Franklin County are lung, colon, breast, pancreatic and prostate. Franklin County has a higher mortality
rate than Ohio for lung, breast, and pancreatic cancer, but a lower mortality rate for colon and prostate
cancer. Franklin County fairs well with cancer screenings, with percentages of adults receiving tests for
cervical, breast and colorectal cancers higher than state and national percentages; however testing for
prostate cancer was lower than state and national percentages.
GOAL: Reduce cancer incidence and increase cancer screenings.
OBJECTIVE: Reach vulnerable populations at risk for cancer and over-represented
STRATEGIES (BY OBJECTIVE):
1. Continue breast cancer screening program outreach.
2. Continue financial assistance
3. Maintain support for cancer patients.
ANTICIPATED OUTCOME(S):
1. Reduce cancer prevalence in high risk populations.
2. Decrease unwanted side effects of cancer and cancer treatments.
KEY PARTNERS: Local and national cancer organizations & foundations, Personal Care Products
Council Foundation, American Cancer Society, Professional Beauty Association/National Cosmetology
Association.
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 18
2013 – 2015 CHNA IMPLEMENTATION STRATEGY
HEALTH ISSUE PLANNING PROFILE
Mount Carmel Campus:
Mount Carmel St. Ann’s
CHNA HEALTH ISSUE:
High-Risk Pregnancy
CHNA REFERENCE PAGE:
9 & 22
RANKING: 7
Brief Description of Issue: Infant mortality rate, preterm birth rate and infant birth weights are all
important measures of the care pregnant women and their newborns receive during pregnancy. In 2009,
the March of Dimes gave Ohio an “F” for its efforts to reduce preterm births. Ohio is ranked 34th among
the 50 states, Puerto Rico and the District of Columbia. Unfortunately, Franklin County fares even worse
than the state in several areas of these. In Franklin County, the infant mortality rate and the percentage
of low birth weight babies is higher than statewide data.
GOAL: Reduce infant mortality rate and low birth babies.
OBJECTIVE: Increase community awareness of infant mortality, preterm birth rate and low birth
weight babies.
STRATEGIES (BY OBJECTIVE):
1. Convene process to identify three potential programs/methods to increase public awareness.
2. Continue programs directed at infant mortality, including participation in community collaborative
groups.
ANTICIPATED OUTCOME(S): Measurable decrease in infant mortality rates..
KEY PARTNERS: Ohio Better Birth Outcomes, Ohio Hospital Association, Women, Infant and
Children (WIC), Action for Children, Franklin County Jobs and Family Services, Local Churches,
Childcare Facilities
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 19
2013 – 2015 CHNA IMPLEMENTATION STRATEGY
HEALTH ISSUE PLANNING PROFILE
Mount Carmel Campus:
Mount Carmel St. Ann’s
CHNA HEALTH ISSUE:
Unintentional Injuries
CHNA REFERENCE PAGE:
10 & 28
RANKING: 8
Brief Description of Issue: Unintentional injuries are a leading cause of death for Americans of
all ages, regardless of gender, race, or economic status. According to the Center for Disease Control,
every six minutes someone in the United States dies from causes such as motor vehicle crashes, falls,
poisoning, drowning, fire, bicycle crashes, suffocation, or pedestrians being struck by motor vehicles. In
Franklin County, unintentional injuries are the leading cause of death for children between the ages of 1
and 14 and are the fourth leading cause of death for all ages. Individuals with the highest rates of
hospitalizations from unintentional injuries are those ages 75 and over. Trauma patients seen in a
Franklin County hospital in 2010 were treated mostly for falls and motor vehicle traffic accidents.
GOAL: Reduce the occurrence of unintentional injuries.
OBJECTIVE: Assess for risk for unintentional injuries in high-risk populations.
STRATEGIES (BY OBJECTIVE): Provide access to exercise classes for strength and balance
for seniors in a safe environment.
ANTICIPATED OUTCOME(S): Reduce risk for unintentional injuries in high risk populations.
KEY PARTNERS: Ohio Better Birth Outcomes, Ohio Hospital Association, Women, Infant and
Children (WIC), Action for Children, Franklin County Jobs and Family Services, Local Churches,
Childcare Facilities
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 20
Unaddressed Identified Needs
All priority needs identified by HealthMap 2013 have been addressed by at least one of Mount
Carmel Health System facilities. These needs may not have been addressed by all facilities due to
limited resources.
Identified Need:
1.
2.
3.
4.
5.
6.
MCSA or Addressed by:
Access to Care
Chronic Disease
Infectious Disease
Behavioral Health
High Incidence of Cancer
Interpersonal Violence
7. High Risk Pregnancy
8. Untentional Injuries
x
x
x
x
x
x
Diley Ridge and resources on pg. 9 of Franklin
County HealthMap 2013
x
x
X= not addressed by this facility
MCE
=
Mount Carmel East
MCW
=
Mount Carmel West
MCSA
=
Mount Carmel St. Ann’s
MCNA =
Mount Carmel New Albany
DR
Diley Ridge
=
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
PAGE 21
Attachments
Appendix A- Data Sources
1. Health Map 2013
2. Reference: 2 – U.S. Census Bureau, 2010 Census. Accessed:
http://quickfacts.census.gov/qfd/states/30/3018000.html
3. CNI (web site) http://cni.chw-interactive.org/printout.asp
4. Research Health Partners (web site)
5. Demographics Expert 2.7: 2011 Demographic Snapshot of Zip code 43081, 2011
Nielson Company, 2012 Thomson Reuters. Accessed 6/13/12.
Appendix B – Anticipated Partners
MCHS Constituents
• The MCHS Foundation
• Mission Services
• Service Line Administration
• Outreach
• Neighborhood Services
• Finance
• Administration
• Emergency Department Services
• Communication and Public Affairs
• The College of Nursing
 Community Constituents
• American Cancer Society
• Columbus City Schools
• Columbus Health Department
• Columbus State Community College
• Heart of Ohio Family Health Centers
• Mid-Ohio Food Bank
• Westerville South High School
• Franklin County Red Cross
• Westerville Area Resource Ministry (WARM)
• Coalition on Homelessness and Housing in Ohio
• City of Westerville
• Columbus Public Health
• Concord Counseling Services
• Community Refugee Immigrant Services (CRIS)
• Immediate Health Associates
• Nationwide Children's Hospital
• Ohio Health
• Physicians Free Clinic
• Vineyard Church of Columbus
• City of Westerville Department of Parks and Recreation
• Komen Foundation
• Ohio Better Birth Outcomes
• Ohio Hospital Association
• Women, Infant and Children (WIC)
• Action for Children
MOUNT CARMEL ST. ANN’S
COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION PLAN
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
PAGE 22
Franklin County Jobs and Family Services
Westerville Area Resource Ministry (WARM)
Westerville Christian Church
St. Paul the Apostle Church
Church of the Messiah
Church of the Master
Grace Lutheran
Westerville Area Ministers Association (WAMA)
Otterbein University
The Ohio State University
Westerville City Schools
Westerville Rotary Clubs
Local Boy Scout and Girl Scout Troops
Westerville Chamber of Commerce
Jewish Community Center
Heart of Ohio Family Health Centers
Lower Lights Christian Health Center
*** The community health needs and the implementation strategy are based on data supporting
the health needs and resources available for a certain period. These needs and resources may
change and therefore the implementation strategy must change to remain relevant to the
community and hospital system.
MOUNT CARMEL ST. ANN’S