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COMMUNITY HEALTH NEEDS ASSESSMENT

All tax exempt, not-for-profit hospitals are required to conduct a community health needs assessment on a three-year cycle and make the results publicly available.

The Affordable Care Act of 2010 creates an opportunity for hospitals and public health agencies to accelerate community health improvement by conducting triennial community health needs assessments and adopting related implementation strategies that address significant health needs.

Building upon our shared community health needs assessment efforts of 2013 and 2016, Ridgeview Behavioral Health Services and Methodist Medical Center partnered once again to conduct a joint community health needs assessment for Anderson County. Although both organizations provide health care for multiple counties, Anderson County was selected for the assessment. Anderson County is where both institutions receive the majority of their patients and deploy the bulk of their community benefit resources.

By combining the expertise of Ridgeview Behavioral Health Services and Methodist Medical Center, the mental and physical dimensions of health have both been incorporated, offering a unique perspective in identifying the broader health needs of Anderson County.

ASSESSMENT PARTNERS

A collaborative team of community and health organizations came together to work on the 2019 Anderson County Needs Assessment. These included the following:

  1. Anderson County Health Department
  2. Free Medical Clinic of Oak Ridge
  3. Methodist Medical Center
  4. Ridgeview Behavioral Health Services

ASSESSMENT PROCESS

Data Collection and Review: The health of Anderson County was researched using a variety of qualitative and quantitative data.

  1. Ridgeview, Methodist Medical Center, Free Medical Clinic, and Anderson County Health Department were actively involved in collecting data using a survey for residents of Anderson County. Survey participants were asked for their perspectives on the health and quality of life in Anderson County. University of Tennessee – Social Work Office of Research and Public Service (UT-SWORPS) complemented the data collection by conducting on-line survey collection through phone calls, social media, and other targeted web-based efforts. Total number of surveys collected was over 300, representing the proportional demographics of the county and including at-risk populations.
  2. Two focus groups were conducted with 34 community leaders representing social services, education system, faith-based community, seniors, civic leadership, low-income, and uninsured, among others. One focus group met at Methodist Medical Center in Oak Ridge and the other met at the Anderson County Health Department in Clinton. Both focus groups were facilitated by UT-SWORPS.
  3. Health statistics were gathered from the Tennessee Department of Health, County Health Rankings, Kids Count, hospital discharge data, and the United States Census Bureau.
  4. Regional data collected by the Tennessee Department of Mental Health and Substance Abuse Services was also reviewed with emphasis being placed on the survey results completed by consumers, advocates, and behavioral health providers in the region.
  5. A data synthesis team met on two separate occasions to review the data and determine top health priorities. The Data Team was formed consisting of 10 individuals representing both hospitals, the health department, the school system, Free Medical Clinic, and several community social service agencies. This group met to identify, discuss, and prioritize the findings from the assessment data sources.

PRIORITIES FOR 2019 – 2021

The data team selected the following nine health opportunities, which were then narrowed to the top five following extensive discussion (the top five indicated with italics). The top five will be the focus during the 2019-2021 assessment cycle:

Substance Abuse

Mental Health

Toxic Stress

Tobacco / Vaping

Lack of Physical activity / Obesity

Cancer

Dental

Heart disease

Poverty

 

A SPECIAL THANK YOU TO ALL OF OUR COMMUNITY PARTNERS WHO SERVED ON THE FOCUS GROUP AND/OR THE ASSESSMENT DATA TEAM:

PARTNER

FOCUS GROUP

DATA TEAM

Health Department

 Yes Yes

Oak Ridge Schools

 No

Yes

Ridgeview

Yes Yes

Methodist Medical Center

Yes Yes

Aid for Distressed Families of Appalachian Counties (ADFAC)

Yes

 No

Free Medical Clinic

Yes Yes

Allies for Substance Abuse Prevention

Yes Yes

First Baptist Clinton

Yes No

Anderson County Schools

 Yes No

Child Advocacy Center

Yes Yes

Anderson County Chamber

Yes No

YWCA

Yes No

Oak Ridge Police Department

Yes No

United Way of Anderson County

Yes No

 

ACTION / IMPLEMENTATION PLAN

The 2019 Anderson County Needs Assessment (CHNA) has provided a good foundation on which to build measurable community health improvement. Three of the most significant issues for Anderson County, substance use, mental health, and toxic stress are central to the core mission and purpose of Ridgeview. The other two significant health needs identified, tobacco/vaping and lack of physical activity/obesity, will be the focus of Methodist Medical Center’s action plan. Together, Ridgeview and Methodist Medical Center will synergistically address the five primary goals of the CHNA, working together with other community organizations.

Ridgeview will continue to provide the following substance use disorder programming:

  • STOP (Substance-use Treatment Outpatient Program)
  • MIST (Mothers and Infants Sober Together)
  • RV Cares - Specialized substance use disorder treatment for people living with HIV/AIDS
  • Ridgeview Re-entry – Specialized substance use disorder service for incarcerated individuals
  • Inpatient Psychiatric Unit – treatment services for individuals with co-occurring substance use and mental health disorders

Ridgeview will also continue to provide Same Day Access walk-in hours at Outpatient Clinic locations to ensure timely access to quality behavioral health services. Walk in clinic hours allow individuals to receive a bio-psychosocial mental health assessment to begin care and promote their hope, healing, and recovery.

What follows is Ridgeview’s action plan and Methodist Medical Center’s tactics to measurably improve the identified community health needs.

  1. SUBSTANCE USE

GOAL A:

Ridgeview will take the lead in developing educational programs and a media strategy focusing on the nature, causes and outcomes of substance use, existing available services and the recovery process.

Program Action 1:

Ridgeview will structure and coordinate educational trainings / presentations for the community focusing on substance use treatment and services.

Program Action 2:

Ridgeview will contribute to local newspapers and agency’s social media platform regarding impact of substance use and host media releases on agency website.

GOAL B:

Ridgeview will initiate routine contact with community partners in order to provide up-to-date information substance use programming and how referral sources can access these treatment services.

Program Action 1:

Ridgeview will provide in-service training programs on substance use to interested partner agencies.

Program Action 2:

Ridgeview will share the findings of the Anderson County CHNA on the agency website.

Program Action 3 – Tactic from Methodist Medical Center:

Methodist Medical Center will continue to serve as a partner and meeting site for the Anderson County Prescription Drug Task Force.

Program Action 4 – Tactic from Methodist Medical Center:

Methodist Medical Center will continue to connect with local behavioral health providers such as Peninsula Behavioral Health and Ridgeview Behavioral Health Services to bring programming on vital mental health topics to the community via Health Night on the Town and other ad hoc event opportunities. 

Program Action 5 – Tactic from Methodist Medical Center:

Methodist Medical Center will continue to refer patients who are pregnant or young mothers struggling with substance abuse and addiction to Ridgeview Behavioral Health Services’ MIST Program.  The MIST team consists of a case manager, a counselor, and a program manager who connect with mothers through home visits, individual therapy sessions, and weekly support groups.

Program Action 6 – Tactic from Methodist Medical Center:

Opioid Light Program – Methodist Medical Center’s Emergency Department is participation in a health system-wide initiative to curb the use of hospital prescribed opioids.  Physicians are using non-opioid drugs when indicated for pain management, during treatment and at discharge.

GOAL C:

Ridgeview will monitor, pursue, and apply for any local, state, or federal substance use grant-funded programs that will enhance and/or complement its existing substance use continuum of care.

Program Action:

Ridgeview will utilize Director of Development position and the Grant Review Team to accomplish the above-stated goal.

  1. MENTAL HEALTH:

GOAL A:

Ridgeview will develop educational programs and media strategy focusing on the nature, causes, and treatment of mental illness, existing available services, and the recovery process.

Program Action 1:

Ridgeview will structure and coordinate educational trainings / presentations for the community focusing on mental health treatment and services.

Program Action 2:

Ridgeview will contribute to local newspapers and agency’s social media platform regarding impact of mental illness and host press releases on the agency website.

GOAL B:

Ridgeview will initiate routine contact with community partners in order to provide up-to-date information on mental health programming and how referral sources can access these treatment services.

Program Action 1:

Ridgeview will provide in-service training programs on optimizing mental health and treating mental illness to interested partner agencies.

Program Action 2:

Ridgeview will share the findings of the Anderson County CHNA on the agency website.

Program Action 3 – Tactic from Methodist Medical Center:

Methodist Medical Center sponsors health information programs for the community via a variety of programmatic avenues.  Beginning its 35th year, Health Night on the Town provides educational informational on a variety of topics and has in the past focused on suicide, depression and substance abuse.  Audience size for these programs averages around 55 participants.  For its 3rd year, Methodist’s Take on Cancer programming will provide opportunities for cancer patients and caregivers to connect with clinicians as they deal with the emotional issues associated with the disease.  Lastly, Methodist will be partnering with the new Oak Ridge Senior Center to launch a new program series targeted toward senior health and wellness.

Program Action 4 – Tactic from Methodist Medical Center:

Methodist Medical Center will continue to partner with Covenant Hospice to offer ongoing monthly grief support groups where those who have experienced the death of a loved one can find comfort, support and hope in a safe and welcoming environment. 

GOAL C:

Ridgeview will monitor, pursue, and apply for any identified local, state, or federal mental health grant-funded programs that will enhance and/or complement its existing mental health continuum of care.

Program Action:

Ridgeview will utilize Director of Development position and the Grant Review Team to accomplish the above-stated goal.

  1. TOXIC STRESS

GOAL A:

Ridgeview will develop educational programs and media strategy focusing on the nature, causes, and treatment of toxic stress, existing available services, and the recovery process.

Program Action 1:

Ridgeview will structure and coordinate educational trainings / presentations for the community focusing on toxic stress resulting from adverse childhood experiences.

Program Action 2:

Ridgeview will contribute to local newspapers and agency’s social media platform regarding impact of toxic stress resulting from adverse childhood experiences and host press releases on the agency website.

Program Action 3 – Tactic from Methodist Medical Center:

Methodist Medical Center will continue to connect with local behavioral health providers such as Peninsula Behavioral Health and Ridgeview Behavioral Health Services to bring programming on stress awareness and coping topics to the community via Health Night on the Town and other ad hoc event opportunities. 

GOAL B:

Ridgeview will initiate routine contact with community partners in order to provide up-to-date information on toxic stress resulting from adverse childhood experiences.

Program Action 1:

Ridgeview will provide in-service training programs on toxic stress resulting from adverse childhood experiences.

Program Action 2:

Ridgeview will share the findings of the Anderson County CHNA on the agency website.

  1. TOBACCO / VAPING

These two following health needs will be primarily addressed by Methodist Medical Center in their action plan. Ridgeview, as indicated below, is adding a goal specific to those individuals actively receiving behavioral health services from Ridgeview.

GOAL:

Ridgeview is a recent recipient of a grant through the Tennessee Department of Mental Health & Substance Abuse Services called, My Health, My Choice, My Life. It is a peer-led health wellness and chronic disease prevention, self-management program requiring certification by the state and targeted toward individuals with mental illness, substance use disorders and co-occurring disorders.

Program Action 1:

The certified peer wellness coach will interface with the individual’s primary care physician and Ridgeview staff to address obesity, tobacco recovery, diabetes self-management programs and other chronic medical conditions of the many clients we serve. These individuals will all be active clients of Ridgeview.

Program Action 2 – Tactic from Methodist Medical Center

Methodist Medical Center produces a 4-page, bi-monthly insert in the News-Sentinel, Healthy Lifestyles.  This insert is zoned specifically to those subscribers in Methodist’s 5-county market and offers a platform to educate readers on the hazards of smoking/vaping as well as highlight cancer detection services such as Low Dose CT and cessation options. This insert has a circulation of approximately 9,000.

Program Action 3 – Tactic from Methodist Medical Center

Methodist Medical Center will continue to offer “Freedom from Smoking®” classes through the hospital’s cardiopulmonary rehab program.   The smoking cessation program is a six-class series that helps participants identify people, places and things that trigger their urge to smoking and works to create a smoking plan that fits their individual needs and receive support to avoid a relapse.  The classes are offered quarterly and the $50 course fee is refundable upon complete of all six classes.

  1. LACK OF PHYSICAL ACTIVITY / OBESITY:

GOAL:

Ridgeview is a recent recipient of a grant through the Tennessee Department of Mental Health & Substance Abuse Services called, My Health, My Choice, My Life. It is a peer-led health wellness and chronic disease prevention, self-management program requiring certification by the state and targeted toward individuals with mental illness, substance use disorders and co-occurring disorders.

Program Action 1:

The certified peer wellness coach will interface with the individual’s primary care physician and Ridgeview staff to address obesity, tobacco recovery, diabetes self-management programs and other chronic medical conditions of the many clients we serve. These individuals will all be active clients of Ridgeview.

Program Action 2 – Tactic from Methodist Medical Center

Community Fitness Classes: Methodist Medical Center’s Family Education program will continue to partner with Kern United Methodist Church to host free weekly exercise classes renamed “M2M Exercise Co” to be more inclusive for new dads and well as moms.  Parents are encouraged to bring their babies and young children for an action-packed hour of exercise and fellowship.  In addition, Methodist partners with Covenant Health’s Bodyworks community exercise program to give adults safe and effective workouts for a nominal per class fee of $3.  First Baptist Church of Clinton is the partner site for the Bodyworks CardioMix class which is offered in Anderson County. 

Program Action 3 – Tactic from Methodist Medical Center

Ask the Dietician: Methodist Medical Center’s registered dietitians will continue to provide educational articles focused on a healthy mindset around food.  Initiated in 2019, topics have included smart strategies in the grocery aisles, making the most of frozen food, the connection between nutrition to sports performance, healthy back-to-school lunches, balanced eating in a fast-paced world.

Program Action 4 – Tactic from Methodist Medical Center

Friday Fitness: Methodist Medical Center will continue its monthly Friday Fitness program in conjunction with Roane Medical Center.  A monthly hike is open to all interested residents and hike locations rotate between Roane and Anderson County parks, greenways and hiking trails.