Alamance Regional Medical Center Implementation Plan 2012-2015

Goal: Improve access to health care to serve the uninsured and underinsured individuals in Alamance County.
Community Partners: Healthy Alamance, FAST (Friends and Advocate for Sustainable Transportation), Open Door Clinic, United Way
Population: Uninsured and underinsured individuals
Goal / Objectives / Indicator / Who / When / Progress
1. Support creation of local transportation system / Through advocacy and education, support creation of a local transportation system to assist residents in accessing health care services by sponsoring community forums, and assisting with a public campaign. / Actively participate in local meetings to continue to advocate for public transportation. / April Durr, Healthy Alamance Coordinator
Bob Byrd, VP Strategic Management, ARMC / October 2012 / Sponsored 1 meeting for key leaders held in PR Board room on Oct 30.
Signed Resolution Supporting the Development of Fixed Route Public Transit in Burlington (Children’s Executive Oversight Committee)
Commit resources to provide funding for a covered bus stop on hospital campus. / Dependent upon creation of transit system. / Bob Byrd, VP Strategic Management, ARMC
2. Expand services to underserved. / Support Open Door Clinic in expanding services to patients by adding an ophthalmologist to provide eye exams and other optical services. / Ophthalmologist will begin to volunteer by June 2012 and see 400 patients by December 2014. / Bob Byrd, VP Strategic Management, AMRC
Tracey Salisbury, Open Door Clinic / June 2012 / Ophthalmologist began services in June 2012.
3. Increase Awareness and Utilization of 211 to decrease hospital readmission / The hospital will actively participate in the triad United Way 211 coalition to support local use of the 211 service among care providers. / Use of Alamance County provider and residents who use 211 will increase by 10 % by 2014.
Participate in the triad United Way 211 coalition to support local use of the 211 service among care providers.
/ Marcy Green, Assistant Director, Public Relations, ARMC / Feb 2013 / 211 coalition has produced strategic plan for the Triad area to increase awareness.
Hospital will purchase 211 business cards for all departments interacting with patients. / Will order business cards by Oct 2013.
Will include this resource in general health orientation book for new employees. / Marcy Green, Assistant Director, Public Relations, ARMC / October 2013
Goal: Decrease the percentage of adults and children who are overweight or obese.
Community Partners: Alamance County Health Department, Healthy Alamance, United Way, ABSS, Pediatricians, and Family Physicians
Population: Children and Adults
Goal / Objectives / Indicator / Who / When / Progress
1. Increase access to physical activity and access to fresh fruits and vegetables. / The hospital will partner with Healthy Alamance to increase the number of local farmer markets, community gardens, and joint-use agreements that will provide better access to physical activity opportunities. / Percentage of residents reporting that they exercise on a regular basis will increase by 10%.
Percentage of children and adolescents that are obese or overweight will decrease. / April Durr, Healthy Alamance Coordinator
/ Feb 2013 / Farmer market training held at North Park on Feb 5, 2013 Fifty eight people attended.
Food coalition formed in March of 2013 to focus on increasing availability of health foods.
Burlington Farmer’s Market became a “food share donation station”. Produce not sold will be donated to local pantries. – Aug 2013
2. Implement Be Healthy Now Program. / The hospital will implement a 10 week community wide physical activity program reaching over 1,000 residents in order to increase physical activity. / At least 40% of participants will report an increase in physical activity and 30% will report weight loss. / Marcy Green, Assistant Director, Public Relations, ARMC / April 2012 / Program to take place in Spring 2013. 650 members participating. 224 attended Kick-off event. 94 blood pressure screenings, 78 BMIs, 90 bone density screenings.
2013 - 93% of participants reported an increase in physical activity. 49% reported weight loss.
3. Offer cancer screenings to public to increase early identification of cancer. / The hospital will partner with local physicians to hold a skin cancer and prostate cancer screening. / At least 500 residents will be screened for prostate or skin cancer by December 2014.
Hold at least 3 cancer screenings by 2014 to increase early identification of cancer.
/ Marcy Green, Assistant Director, Public Relations, ARMC
Cindy Johnson, Nursing Director, Cancer Center, ARMC / May 2012 / 2012 – 120people were screened for skin cancer.
2012 – 157 men were screened for prostate cancer
2013 – 168 people were screened for skin cancer. 20 were abnormal and 9
The hospital will hold a heart health event, COPD and vascular screening. / At least 500 residents will be screened for vascular disease, COPD and for heart disease risk factors by December 2014. / Marcy Green, Assistant Director, Public Relations, ARMC
Karen Bartles, Director
Cardiopulmonary / Feb 2012 / 100 community members participated in the Vascular screening of 2012. 5 Abnormal ABIs, 19 had an ABI that indicated they were at risk for vascular disease. 5 Ultrasounds indicated at risk for AAA.
114 community members participated in the Care for Your Heart Event in Feb 2013.
6 had high blood pressure
15 had high blood sugar
20 had high cholesterol
72 community members participated in the COPD screening of 2012. 31- Mild, 29-Moderate, 6-Severe, and 1-Severe IV
Continue to expand smoke free areas in Alamance County. / At least 2 entities will become smoke free by the end of 2014. Major goal is to support smoke free environments of local parks and recreation. / April Durr, Healthy Alamance Coordinator / Dec 2012 / With advocacy from Healthy Alamance, City of Burlington adopted a recent ordinance that prohibits smoking in any public business located in a building, with multiple tenants under the same ownership that is directly adjacent to a restaurant. 160 businesses within the city will be affected by the new ordinance. Effective December 1, 2012
The City Council voted unanimously July 16, 2013 to amend Burlington’s smoking ordinance to prohibit smoking in specific kid-frequented areas of city parks, after a public hearing.
Goal: Decrease the amount of teens who report underage drinking and who report using illicit drugs.
Community Partners: Alamance Citizens for a Drug Free Community, Alamance-Burlington School System, Alamance County Health Department, Healthy Alamance, Graham Police Department, Safe Kids
Population: Teens and Adults
Goal / Objectives / Indicator / Who / When / Progress
1. Decrease Use of prescription drugs among middle and high school students. / The hospital will partner with Alamance Citizens for a Drug Free Community to hold a variety of workshops for health providers, parents, physicians, and pharmacists to decrease prescription drug use among middle and high school students. / Hold a workshop for law enforcement
Hold a workshop for clergy
Hold 2 workshops for non-profit leaders
Hold focus group with pharmacist
Hold parent panel / Marcy Green, Assistant Director, Public Relations
Karen Webb, Alamance Citizens for a Drug Free Community
Victor Armstrong, Behavioral Medicine Manager
April Durr, Healthy Alamance Coordinator / Jan 2013 / Partnered with Alamance Citizens for a Drug Free Community to offer a workshop for healthcare providers on fetal alcohol syndrome. Provided workshop on May 29 with 54 people in attendance.
Sponsored focus group with pharmacist to determine how we can assist them in providing public education/awareness about proper prescription drug disposal. Pharmacists reported an increased need for education about medication safety especially among seniors and parent of young children.
Partnered with Alamance Citizens for a Drug Free Community to offer a workshop for parents of high school and middle school students on preventing prescription and over-the counter-drug abuse. Held workshop on June 3 with 15 parents in attendance.
2. Provide physician training on prescription drug abuse. / Partner with Alamance Citizens for a Drug Free Community to hold a physician training on prescription drug abuse and info about the ease of using the statewide CSR. / At least 20 physicians will attend workshop and at least 60% will indicate that they will implement prevention measures in their practice. / Marcy Green, Assistant Director, Public Relations
Karen Webb, Alamance Citizens for a Drug Free Community
Victor Armstrong, Behavioral Medicine Manager
April Durr, Healthy Alamance Coordinator / April 2014 / Workshop planned for April 2014.
3. Partner with community Alamance Safe Kids to advertise and assist with prescription drop off events. / Hospital will provide all public advertising (newspaper ads, e-blasts, flyers) for drop off events. / Hold at least two prescription drop off events per year collecting at least 200 pounds of prescription drugs per year.
/ Marcy Green, Assistant Director, Public Relations
April Durr, Healthy Alamance Coordinator
Kelley Kimrey, Alamance County Health Department / Sept 2012 / 2 Medicine Drop events on Sept 29.
Per Graham Police Dept filled 20 boxes weighing in at over 200 pounds.
March 2013 – Provided advertising (newspaper ads, e-blasts, and flyers) for 2 Medicine Drop events on March 20 and March 23. Over 200 pounds collected.
Goal: Increase available mental health resources in the community.
Community Partners: Alamance County Health Department, Healthy Alamance, United Way, Law Enforcement, Project Launch, Alamance Burlington School System, Cardinal Innovations Healthcare Plan Solutions
Population: Children and adults
Goal / Objectives / Indicator / Who / When / Progress
1. Increase mental health resources for families of children ages 0-8 / The hospital will support efforts of Project Launch by:
- Hosting physicians and healthcare provider workshops (Triple P training) that focus on evidence based interventions for families with children 0-8.
- Creating a professional brochure for Project Launch to be placed in doctor and pediatrician offices
- Getting direct patient care ARMC staff trained in Triple P. / Increase in the number of community providers who are trained in Triple P.
Create brochure by fall 2013.
Have at least 3 hospital staff members trained in Triple P. / Marcy Green, Assistant Director, Public Relations
Jackie Allen, Pastoral Care Director, ARMC / Dec 2013 / 2 day workshop held in April 2012, 20 healthcare providers attended.
2 day workshop held in August 2012, 20 health care leaders in attendance.
2 day workshop held in Sept 22 and 23. 20 healthcare providers attended.
2 day workshop held on Jan 22 and 23, 2013. 25 healthcare providers attended.
1 hospital staff member trained in Triple P in July 2013.
2. Provide Mental Health Training to Community Leaders. / Provide training session for local clergy on local mental health resources. / Provide training by the end of 2013, reaching at least 20 clergy.
/ Marcy Green, Assistant Director, Public Relations
Jackie Allen, Pastoral Care Director, ARMC / April 2013 / Training held on April 23, 2013. Thirty five clergy attended.
Provide training session to local non-profits to educate them on using a mental health screening tool that will improve the referral process to mental health resources.
/ Hold training in spring 2013 with at least 15 non-profits participating. / Marcy Green, Assistant Director, Public Relations
April Durr, Healthy Alamance Coordinator
Meredith Peffley, Cardinal Innovations / May 2013 / Training held May 31, 2013. Twenty five attended.
In September 2013, additional screening form for ages 9-17 implemented.
Provide training session to local law enforcement on involuntary commitment / Provide training by spring 2013 with at least 45 participating. / Marcy Green, Assistant Director, Public Relations
Victor Armstrong, Behavioral Medicine Manager / March 2013 / Training held on March 13. Seventy law enforcement personnel attended training.
Partner with Cardinal Innovations to hold Mental Health First Aid training for hospital staff and non-profit leaders. / Provide training by fall 2013 with at least 15 participating. / Marcy Green, Assistant Director, Public Relations
Victor Armstrong, Behavioral Medicine Manager
April Durr, Healthy Alamance Coordinator
Meredith Peffley, Cardinal Innovations / Nov 2013 / Training to planned for October 2013.
3. Provide Employee Skills Training for Group Homes / Work with local mental health entities to conduct skill trainings (Group Home Employee Skills Training - GHEST) for employees of Group Homes that will equip them to improve their skills in working with residents with mental health illness. / Alamance Regional will provide space and resources for at least 3 training sessions.
Number of calls from group home to emergency dept will decrease. / Marcy Green, Assistant Director, Public Relations
Meredith Peffley, Cardinal Innovations / Oct 2012 / Training held on Oct 11, 18 and 25 reaching 15 group home staff members. Number of calls from group homes to ED has decreased by 50% due to this training.