Graves County Community Health Forum – November 29, 2012

Vision – What Does a Healthy Graves County Look Like?

  • Correctly used Emergency Room
  • Efficient networking and communication among community partners
  • Affordable health care
  • Successful businesses to keep youth/graduates here
  • Basic needs are met – food, shelter, etc.
  • Available healthy foods
  • Available transportation
  • Smoke-free
  • Initiative-minded local government
  • Secure and safe environment
  • Safe places to exercise
  • Bi-lingual services
  • Community resources education
  • Reduced crime rate
  • More resources for substance abuse
  • Access to job readiness training/information
  • Improved infrastructure – streets, etc.
  • Awareness of health issues
  • Expansion of Farmers’ Market – more locally grown food
  • Active Youth
  • More activities for teens
  • Culturally Aware
  • Nutrition education and exercise opportunities in elementary school

Questions about the Data

  • What is the number of available health care providers?
  • Can we add additional data from the hospital?
  • What is the definition of a violent crime?
  • What is the U.S. smoking rate?
  • Were the mentally unhealthy days an average per person or something different?
  • What are the dates/years for each category of data?

Graves County Community Health Forum – November 29, 2012

Current Health Concerns

  • Obesity Rate (Adult and Youth)
  • Teen Birth rate
  • Child Abuse rate
  • Smoking rates
  • Asthma rates
  • Second-hand smoke exposure
  • Dental health (tooth loss)
  • Uninsured (adult and youth)
  • Drug arrests
  • High school graduation rate
  • Less Than Good Health – reported rates
  • Median Household income
  • Workplace issues and stress
  • Homelessness
  • Breaking cycle – more accountability
  • Medication compliance and affordability
  • Mental and spiritual health – delays for help
  • Lack of drug treatment options and availability
  • Prescription drug abuse
  • Pediatric special needs care

Community Strengths

  • Hospital/health care
  • Health Department
  • School System and programs
  • Infrastructure
  • Collaborative Community
  • Faith-based and non-profit organizations

Community Risks

  • Lack of communication/partnerships
  • Transportation
  • Number of health providers
  • Mental Health
  • Lack of collaboration
  • Economic climate
  • Substance abuse

Positive Changes – what is occurring or might occur that affects the health of our community?

  • Healthier school lunches
  • Increased awareness of health issues
  • Increase in available service
  • New park
  • Increase in infrastructure
  • Willingness to collaborate/create action
  • Increase in diversity
  • Increase in technology
  • Increase in HANDS utilization
  • Inclusion of community-based services in schools
  • Access to Medivac
  • AED availability

Negative Changes – what is occurring or might occur that affects the health of our community?

  • Aging population
  • Increase in people not willing to work – poor work ethic
  • “Brain Drain”
  • Increase in alcohol and substance abuse
  • Increase in sedentary lifestyles
  • Doctors moving out of community
  • Out migration of health care
  • Increase in poverty
  • Decrease in availability of jobs
  • Decrease in willingness to collaborate/create action
  • Poor communication
  • Increase in teen pregnancy rate
  • Growing percentage of population not participating in faith-based community
  • Reduced funding – schools, nonprofits, and grants
  • Increase dependence on technology
  • Increase in cost of health care
  • Decrease in social competency
  • Lack of parent involvement/parenting skills decrease
  • Kids having kids and grandparents raising grandchildren
  • Breakdown of home and increase in single parent families

Graves County Community Health Forum – November 29, 2012

Local Public Health System Assessment

Essential Public Health Service (EPHS) #1: Monitor Health Status

House Calls Private Nursing Services – assess health issues; assess patient awareness of health/safety issues; assess safety of patient; assess needs/resources of patients

Grace Medical Clinic – medical visits for uninsured

Mayfield First and Trinity United Methodists Churches – track participation in spiritual life activity; impact overall health; also follow demographic information regarding the entire county and region

Four Rivers Behavioral Health-Regional Prevention Center – needs assessments for communities; monitor KIP surveys for schools

Mayfield Independent Schools – monitor potential health problems that may affect student attendance

Murray Head Start-Graves County – require physicals, Hbg, lead, blood pressure, immunizations, TB assessments, and dental health history

SAFE Family Resource – cardiac health test in 4th grade; follow up in 5th grade for obesity; collaborate with Murray State University Purchase AHEC; dental sealants in 2nd grade with Murray State University Purchase AHEC; conduct Red Ribbon Week activities to raise awareness of drug abuse and how to avoid it

Hope Center – pregnancy rate; STD rate; monitor number of students in abstinence classes and their pledges/commitments; monitor participation in parenting classes

Gateway Academy High School – monitor students and their activities; counsel students on appropriate behaviors to avoid illness (i.e., STDs, pregnancy, colds, flu, addictions, etc.)

FNB Bank – wellness and health assessments for each employee

Home Health – social worker in home to identify needs and provide resources

Jackson Purchase Medical Center – monitor chronic conditions; evaluate resources needed to educate on those conditions (i.e., stroke, myocardial infarction, insurance accessibility

Adjunct Faculty WKU School of Nursing/Coordinator of Parish Nurses Lourdes/Western Baptist Hospital – collect anecdotal evidence – ‘what are you seeing in your practice?’

Graves Schools – measure BMI of students; collect data on multiple at-risk data; collect data on child immunizations; collect data on behavioral issues with students; collect data on homelessness, free lunch status, and multiple ‘at risk’ factors

YMCA – use activities, programs, etc to inform and educate about health problems

Graves County Health Department – STD rates; water samples; food safety; mosquito spraying; rabies/animal bites

Baptist Home Health – health fairs and community education

Commission for Children with Special Health Care Needs – serve on many committees in community to help problem solve health issues

EPHS #2: Diagnose and Investigate Health Problems

House Calls Private Nursing Services – report health problems to doctor; assess and monitor health issues

Grace Medical Clinic – Diagnostic labs and X-rays (diagnosis of medical condition)

FRBH-RPC –provide mental health services

Murray Head Start-Graves County – detailed application and great relationships (1-on-1) with parents to investigate health hazards and problems

SAFE Family Resource – cardiac program in 4th grade; Red Ribbon Week; dental sealants in 2nd grade

Hope Center – investigate pregnancy; parenting deficits

FNB Bank – each employee receives self-assessment regarding health problems

Home Health – safety assessment on home when admitted to home health

Jackson Purchase Medical Center – diagnose disease related issues with tobacco use by utilizing our technology to diagnose patients (i.e., MRI, CT scans, and specialists)

Adjunct Faculty WKU School of Nursing/Coordinator of Parish Nurses Lourdes/WBH – educate nurses to assess, diagnose, plan, implement, and evaluate evidence-based practice interventions

Graves Schools – participate in crisis training; monitor personnel trends of absence from work; monitor and review personnel accidents; prepare and practice crisis plans

YMCA – health hazards, obesity, broken families, smoking, adult education and others through YMCA resources and collaborations

Graves County Health Department – TB assessment; childhood lead; sewage issues; food borne outbreaks; infection control; reportable diseases; mosquito control

Commission for Children with Special Health Care Needs – serve on multiple community committees

City of Mayfield Fire/EMS – EMS calls; pre-hospital care data

Court Designated Worker – utilize GAIN assessment to recommend services

City of Wingo – communicate with the health department on items that need an inspection or corrective action

Western Kentucky Allied Services – completes surveys of lower income people in regard to education and health

Mid-Continent University – offer free health screenings; annual blood analysis gives detailed evaluation which can detect disease and evaluation can be used to take to physician (this is a free service to any employee)

EPHS #3: Inform, Educate, and Empower People about Health Issues

House Calls Private Nursing Services – patient and family teaching on managing health problems; patient and family teaching on available resources

Grace Medical Clinic – educate patient on diabetes or any other health issue

Mayfield First and Trinity United Methodists Churches – have educational emphases on child abuse awareness, substance abuse awareness, and work to refer people to appropriate mental/behavioral health care providers

FRBH-RPC – educate on substance abuse issues

Murray Head Start-Graves County – has a training schedule to inform parents of health; surveys are sent to get information from parents and send information home to parents monthly; Health Care Institute to train parents on how to treat sick children and when to go to the doctor

SAFE Family Resource – offer many health-related programs throughout the school year to all students; Toddler Time (educate families; mental and social skills – toddlers become more familiar with surroundings when they begin preschool); Red Ribbon Week (educate students and parents on facts about drugs); hygiene classes for 4-6th graders with health department; tobacco education for all grades with health department

Family Resource and Youth Service Center – HOT (Help Overcome Tobacco) Conference

Hope Center – spiritual health; pregnancy; abstinence; STDs, pregnancy prevention; problem solving skills; parenting skills; pregnancy/delivery health

Gateway Academy High School – counsel with students everyday about sex education, abstinence, diseases, etc.

FNB Bank – employees can use wellness website to educate or contact physician regarding health issues

Intrepid Home Health – monthly educational in-service to SNFs and ALFs

Jackson Purchase Medical Center – support groups; seminars; patient education; rehab program; discharge planning; stroke education; CHF education

Adjunct Faculty WKU School of Nursing/Coordinator of Parish Nurses Lourdes/WBH – health promotion/disease prevention in faith communities

Graves Schools – various student health education programs exist in grades pre-school through 12th

YMCA – collaborate with other groups to promote health and wellness based on community’s health needs

Graves County Health Department – TB education; diabetes education; STD education

Baptist Home Health – community education

Commission for Children with Special Health Care Needs – educate patients and families about diagnosis received during clinic; then give and inform them of the condition to better enable them to be empowered to provide proper treatment

United Way – increase awareness of Grace Medical Clinic and the services they provide along with the health concerns they see

First Kentucky – support (both physical and financial) for community organizations that improve and address health issues; advertise and donate for community organizations and events

Court Designated Worker – use substance abuse education programs/personal growth programs

Mayfield Lions Club – programs at weekly meetings that highlight community organizations and issues, including health, jobs, civic activity, etc.

West Kentucky Allied Services – present information to the elderly about fraud and scams they may encounter in their health care

Kyle Smith Designs – website design and advertising/marketing solutions and consulting to maximize impact of new and existing health programs –

Friendship Homemakers Club/Kentucky Extension Homemakers – lesson on physical activity to help keep people healthy

Mayfield/Graves County Community Education – help plan community health programs; health fairs for 4th and 7th grade school age students; educate the community on health issues

Williams Christian Counseling – Joseph Williams is a licensed clinical social worker who provides outpatient mental health counseling to individuals and families; works with all ages and issues

Graves County Child Advocacy Program – Building Healthy Relationships Program educates 3rd and 7th graders in Graves County and Mayfield Independent Schools to combat sexual harassment and bullying situations; educates students about mutual respect, embracing uniqueness and teaching how stereo typing people can hurt their own self-definitions; also boundaries different people may have and the importance of respecting those boundaries is discussed

Mayfield School Nutrition – classroom or individual nutrition education

Chamber of Commerce – provide seminars and classes to our members and the public about opening and running small businesses and other business related needs

Coventry Cares of Kentucky – go into schools, daycares, and other places where we have a captive audience of Medicaid members and engage them in classes and other informative environments; attend local health fairs, community events, etc.; mission in the community development department is to engage, educate, and empower

Generation Adult Day Services – provide medical education by nursing and support staff; empower persons with Alzheimer’s, physical and mental challenges allowing them to ‘serve’ in an atmosphere where they can contribute where previously they were restricted by their peers and caregivers

Mid-Continent University – initiated walking program (if you walk then you get free lunch); offers weight lifting and training programs during lunch; free Zumba lessons during lunch and after walk; offers ‘Lunch and Learn’ about healthcare issues (i.e. Diabetes/weight loss)

WKAS– presentations on health care fraud; help people learn how to prevent fraud in health care

EPHS #4: Mobilize Community Partnerships

House Calls Private Nursing Services – partner with nonprofit organizations to meet patient needs; partner with medical community to meet patient needs

Grace Medical Clinic – constant interaction with other agencies

Murray Head Start-Graves County – collaborate with health departments, KY Oral Health Network, Quality Cares, Lions Club, Family Resource, and Early Health Start- Home-based

Hope Center – relationship with health department, school systems, faith-based organizations, and medical community

Gateway Academy High School – communicate with all resources in the community to best assist our students to become healthy citizens

FNB Bank – community partnership for wellness screening and flu shots

Home Health – provide resource list

Jackson Purchase Medical Center – partner with local nursing homes, home health, DMEs, and nonprofits to coordinate care; work with same organizations to promote education; coordinate with local EMS and transportation agency to provide access to care

Adjunct Faculty WKU School of Nursing/Coordinator of Parish Nurses Lourdes/WBH –partner with faith community and UK extension agent; implement EBP, CDC recommended community strategy, to reduce overweight/obesity by expanding Farmer’s Market in underserved areas

Graves Schools – participate and collaborate with numerous community partners

YMCA – seek to partner with other health seeking groups such as health department, diabetes coalition, churches, etc.

Graves County Health Department – abstinence and sex education; STD education; smoking cessation; diabetes self management; medical nutrition therapy; health and hygiene classes; community health fairs; participate in coalitions

Commission for Children with Special Health Care Needs – many staff participate on multiple community committees/partnerships

Jackson Purchase Medical Center Chaplain Association – mobilize the faith leaders to help patients in their time of need

Graves County Ministerial Alliance – work to communicate and collaborate for overall wellness, both physical and spiritual, in the community

Mayfield/Graves County Community Education – develop community contact lists to aid in the informational needs of the community

United Way – increase awareness of the need for nonprofits helping others at Needline/Food Pantry, Graves County Child Advocacy, Merryman House Domestic Violence Crisis Center, Grace Medical Clinic, and Purchase Area Sexual Assault Center

Court Designated Worker – refer youth to community agencies for applicable services

Habitat for Humanity – help provide affordable housing for individuals that want to help/better themselves, which can lead to better health (emotionally, physically, and financially)

Chamber of Commerce – refer people to other programs that come to the chamber for assistance (i.e., Needline)

Coventry Cares of Kentucky – outreach coordinator is part of interagency coalitions and organizations so that they can learn about Graves County residents and share available resources

Graves County Extension Office – partner with health department to improve access to healthy food by WIC participants and seniors

Graves County Agency for Substance Abuse Prevention Coalition – help mobilize community partnerships and action to identify and solve substance abuse problems

Graves County Child AdvocacyProgram– collaborates with Family Resources within the schools to present the ‘Building Healthy Relationships Program’ to 3rd and 7th graders; also presents this program as part of health fairs within the community; also presents adults with child sexual abuse education

EPHS #5: Develop Policies and Plans that Support Health Efforts

House Calls Private Nursing Services – policies dedicated to protecting patient health and privacy

FRBH-RPC – assist coalitions in developing policy on substance abuse

Murray Head Start-Graves County – develop policies and plans for health as one of our components

SAFE Family Resource – collaboration with Purchase AHEC, KY Oral Health Network, and Graves County Health Department for various health services

Hope Center – STD testing/treatment; policies and procedures to help pregnant women; abstinence classes

Gateway Academy High School – mandatory policies regarding health, immunizations, etc.

Jackson Purchase Medical Center – maintain and update annual policies and procedure manuals for Joint Commission Accreditation