Jacksonville, FL (PRWEB) February 12, 2013
The Jacksonville Metropolitan Community Benefit Partnership, under the leadership and management of the Health Planning Council of Northeast Florida, has released the 2012 Community Health Needs Assessment for the Jacksonville Metropolitan Area, as required by the Affordable Care Act (ACA).
The leaders from Baptist Health, Brooks Rehabilitation, the Clay County Health Department, the Duval County Health Department, Mayo Clinic, the Nassau County Health Department, the Putnam County Health Department, Shands Jacksonville Medical Center, St. Vincent’s HealthCare and Wolfson Children’s Hospital formed the Jacksonville Metropolitan Community Benefit Partnership (The Partnership) to conduct the first-ever multi-hospital system and public health sector collaborative community health needs assessment to satisfy the new ACA requirement. Non-profit hospitals must conduct a Community Health Needs Assessments every three years.
“Our success as a region is defined much in part by the success of the health care and life sciences fields. It’s encouraging to see all the stakeholders working together in a way that stands to benefit individuals and families throughout Northeast Florida,” said Jacksonville mayor Alvin Brown. “More than quality care, we’re talking about quality of life.”
In addition to satisfying the ACA’s regulatory requirements, the community health needs assessment represents an unprecedented effort and key opportunity to bring together hospital data, population health, health-related quality of life indicators and community member input to provide a more detailed and complete profile of community health needs. The Partnership’s long-term goal is to achieve regional collaboration that will serve as an opportunity for optimal leverage of resources, setting (and managing) regional health priorities, and developing regional collective impact strategies among all heath-related stakeholders.
The release of today’s report is more than just announcing another assessment report, or another health improvement vision. Today’s press conference is about recognizing THE PROCESS in which these key outcomes and implementation plans were developed, will be executed and will be evaluated. Today’s press conference is about celebrating each of these organizations who participated in this process for a year and a half. Today’s press conference is about modeling how collaboration, leveraging assets and resources, and uniting competing strategies into one vision for improving our region’s health. Today’s press conference is the first step to executing a preventive-based community benefit policy and an innovative strategic blueprint for making Northeast Florida the healthiest and most vibrant region in the country.
“The Partnership is a great example of what can be accomplished when the health care sector commits to leveraging their assets, identifying priorities together, and developing collective impact strategies to improve health outcomes. Conducting this assessment using a collaborative model also saved the hospitals over $500,000 in total expenses because of the economies of scale”, says Dawn Emerick, CEO of the Health Planning Council.
The Partnership’s community health needs assessment includes Clay, Duval, Nassau, Putnam and St. Johns counties. The indicators below are the focus of data retrieval and include the following categories:
- Population Demographics
- Housing Statistics
- Unintentional Injuries
- Access to Food
- Vital Statistics (mortality rate)
- Sports-Related Injuries
- Environmental Health
- Health Care Access
- Health Economics
- Dental Health
- Healthy Lifestyle
- Chronic Disease Conditions
- Health Status (physically and mentally unhealthy days)
- Behavioral Health
- Substance Abuse
- Infectious Disease
- Maternal Health
The findings from The Partnership’s community health needs assessment document the need for improvement in social determinants of health, health status, access to care and built environment elements across the five counties. The five-county area is worse than state and national statistics in many areas. Disparities in access and preventive care, as well as food access, demonstrate the need for concerted action in order to achieve health equity and overall health improvement for the entire population.
After a thorough review and analysis of both the primary and secondary data, County Health Rankings and other key community data, three major themes and specific community needs were identified for each hospital sector participating in the assessment:
1. Health Disparities
2. Preventive Health Care
3. Built Environment
In the end, each hospital identified and agreed upon two to five strategic health needs as their highest priority and worthy of inclusion in their respective Strategic Implementation Plans. Each hospital then engaged and/or developed employee/staff/community “implementation teams” to vet and accept the selected priorities.
Baptist Medical Center Jacksonville, Duval County
Heart disease, stroke, diabetes, nutrition, mammogram, infant mortality, behavioral health, smoking cessation, access to food and physical activity
Baptist Medical Center Beaches, Duval County (Atlantic, Neptune and Jacksonville Beaches. Heart disease, stroke, diabetes, nutrition, mammogram, smoking cessation, access to food and physical activity
Baptist Medical Center Nassau, Nassau County
Heart disease, stroke, diabetes, nutrition, mammogram, smoking cessation, access to food and physical activity
Baptist Medical Center South, Duval and Northern St. Johns counties
Heart disease, stroke, diabetes, nutrition, mammogram, infant mortality, smoking cessation, access to food and physical activity
Brooks Rehabilitation, Duval and St. Johns counties
Stroke, head and spinal cord injuries, behavioral health/depression and physical activity
Mayo Clinic, Duval County
St. Vincents Medical Center Riverside, Duval, Clay and Putnam counties
Infant mortality, heart disease, diabetes, childhood and adult immunizations, KidCare, mammogram, Type II diabetes screening, access to food, childhood obesity
St. Vincents Medical Center Southside, Duval County
Infant mortality, heart disease, childhood and adult immunizations, KidCare, mammogram, Type II diabetes screening, access to food, childhood obesity
UF/Shands, Duval County
Infant mortality, heart disease, stroke, diabetes, nutrition, mammogram, smoking cessation, unintentional injuries, behavioral health, pap smear screening, access to food, childhood obesity
Wolfson Children’s Hospital, Duval County
Infant mortality, childhood obesity, asthma, head injury/concussions, sexually transmitted infections, immunizations, KidCare, eye exams/glasses, behavioral health, unintentional injuries, Type II diabetes screening, access to food, childhood obesity, physical activity, crime
Dolly Dillin, City of Jacksonville’s Director of the Office of Grants and Compliance states, “The Public Service Grant Council and staff strive to meet the needs of the city’s most vulnerable populations. Access to quality information is key to that mission. We commend the Health Planning Council of Northeast Florida for the Multi-Community Health Needs Assessment Report to help determine gaps in services,”
- *Access to Health Care was identified by The Partnership as the single most important issue in Northeast Florida.
- The Northeast Florida’s health, human service, aging, disability, environmental and philanthropic community should align community benefit programs and funding patterns with the priorities and key findings of The Partnership’s community needs assessment.
- The Northeast Florida’s population health status should be tracked, measured and monitored through the Northeast Florida Counts health-related quality of life indicator platform.
- Health care and community health should evolve from a system of sick care to one based on wellness and prevention.
- The Northeast Florida health community should embrace a holistic approach (physical, emotional, place, mind and spirit) to improve individual health outcomes.
- Access to Health Care is defined as: Any person who is insured, underinsured or uninsured who has a disruption or barrier to obtaining information on community resources, obtaining affordable health, dental, behavioral health insurance coverage, obtaining durable medical equipment, obtaining transportation, filling prescriptions or securing a primary care physician.
The Affordable Care Act includes provisions that will increase insurance payments to hospitals, resulting in fewer patients relying on charity care. To ensure that nonprofit hospitals continue to provide community benefit, hospitals seeking to maintain tax-exempt status must:
- Give increased attention to working with others to determine community health needs and take action to meet those needs, and
- Implement financial assistance and billing and collection policies that protect consumers.
- Section 501(r), added to the tax code by the Affordable Care Act, imposes new requirements on hospital organizations. Each 501(c)(3) hospital organization is required to meet four general requirements on a facility-by-facility basis. The requirements are to:
o Establish written financial assistance and emergency medical care policies,
o Limit amounts charged for emergency or other medically necessary care to individuals eligible for assistance under the hospital’s financial assistance policy,
o Make reasonable efforts to determine whether an individual is eligible for assistance under the hospital’s financial assistance policy before engaging in extraordinary collection actions against the individual, and
o Conduct a community health needs assessment at least once every three years.
Community benefit programs and services are integral parts of the mission of nonprofit health care organizations and are the basis of tax exemption. They intend to 1) improve access to health care; 2) enhance
the health of the community; 3) advance medical and health knowledge, and; 4) relieve or reduce the burden of government on other community efforts.
The community needs assessment report will be publicly accessible by way of Northeast Florida Counts http://www.nefloridacounts.org and the Community Health Needs Assessment (CHNA) web-based platform located on each hospital’s organizational website as well as a printed report.
The CHNA system is a customizable, web-based information system that provides a continuously updated “living” needs assessment and provides each of the participating hospitals with a CHNA template/deliverable to help meet new Internal Revenue Code Section 501(r), for conducting community health needs assessments.
St. Vincent's: http://www.jaxhealth.com/about-us/community-health-needs-assessment/ UF and Shands: http://ufandshandsjax.org/community/community-health-needs-assessment.aspx
Baptist Health: http://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs
Wolfson Children's: http://wolfsonchildrens.org/about-us/cha/Pages/default.aspx
Brooks Rehabilitation: http://www.brookshealth.org/why-brooks/communityservice/needs-assessment/
The 2012 Community Health Needs Assessment was funded by:
Baptist Medical Center Jacksonville
Baptist Medical Center Beaches
Baptist Medical Center Nassau
Baptist Medical Center South
St. Vincent’s Medical Center Riverside
St. Vincent’s Medical Center Southside
Shands Jacksonville Medical Center
Wolfson Children’s Hospital
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The Health Planning Council of Northeast Florida is a non-profit agency and one of 11 Local Planning Councils mandated by Florida State Statute 408.033 to dedicate resources and expertise to community-based health needs assessments, healthcare utilization studies, management of health-related quality of life indicators and the development of effective collaborative partnerships. For more than 40 years, we’ve been making the region healthier by providing health planning and assessment services to our service delivery area: Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties. As a neutral regional planning entity with offices in Duval and Volusia counties, we provide a range of expertise without bias or conflicts of interest. We serve the region by actively participating and influencing outcomes to protect and create healthy, sustainable communities.