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Prioritized Health Needs

Access to Care

Actions KDMC plans to take to address the health need

Improve access to care

Initiatives/Programs

  1. Provide transportation for patients through the Van Ministry to medical visits (Monday – Friday)
  2. Provide Mammography and Healthy Heart with EKG services through our mobile health programs.
  3. Educate the community on availability of PCP providers.
  4. Educate the 45+ community on colorectal cancer screenings (Colonoscopy, FIT & Cologuard).
  5. Educate providers and patients on the importance of statin therapy for patients with cardiovascular disease and diabetes.

Reportable Goals/Anticipated Impact

  1. Increase number of patients transported by 2% in FY 2023. FY 2022 baseline 1,296 patient served. Reevaluate goals for FY 2024-2025.
  2. Mammography and Healthy Heart at least four new locations added per year 2023-2025.
  3. Increase new patient PCP office visits by 3% per year. FY 2022 baseline 6,780. Revaluate goals for FY 2024.
  4. At least 58% of Medicaid patients will receive a colorectal screening by 9/30/2025.
  5. Increase Medicaid statin usage by 20% by 9/30/2025. FY 2022 baseline 64.3%. Revaluate goal for FY 2024-25.

Collaborators

  • Primary care providers
  • Health departments
  • Businesses
  • Service organizations
  • Senior centers
  • Schools
  • Faith-based organizations
  • Federally qualified health centers

Primary care

Initiatives/Programs

  1. Promote well care visits first 15 months and 3-6 years
  2. Increase childhood immunizations status.
  3. Educate the community on when to use Primary Care, Urgent Care and Emergency Department

Reportable Goals/Anticipated Impact

  1. Increase in well visits for Medicaid patients by 3% per year for each age group. FY 2022 baseline: 0-15 months 49.6%; 3-6 years 67.8%. Reevaluate goal for FY 2025.
  2. Increase in immunization status for Medicaid patients by 3% per year. FY 2022 baseline 23.2%. Reevaluate goal for FY 2025.
  3. Number of people reached through education: Set baseline at end of FY 2023. Set goals for FY 2024-2025.

Collaborators

  • Primary care providers and office staff
  • Schools
  • Childcare centers
  • After-school programs
  • Fairs/festivals

Holistic Health

Physical Health

Initiatives/Programs

  1. Identify, promote and/or expand walking or other physical activity opportunities
  2. Identify individuals with food insecurities; partner with local food sources to provide healthy food

Reportable Goals/Anticipated Impact

  1. At least twelve events annually
  2. Identify and implement a food box program for patients facing food insecurity for deliver/pickup. 100 boxes FY 2023. Set new matrix for 2024-25
Collaborators
  • Faith-based organizations
  • Businesses
  • Schools
  • Fairs and festivals
  • Physician offices
  • Senior centers
  • Malls
  • River Cities Harvest
  • Ashland Community Kitchen

Mental Health

  1. Promote Suicide Prevention Hotline.
  2. Educate and provide NARCAN to Behavioral Health Patients at discharge as appropriate.
  3. Collaborate on two mental health awareness activities: (1) for the community and (2) for networking among providers.
  4. Increase number of Certified Peer Support Specialists.
  5. Promote mental health awareness at community events.
  6. Reduce the number of high dose Opioid prescriptions from KD prescribers.

Reportable Goals/Anticipated Impact

  1. Promote hotline number through at least six events and social media each year
  2. Number of patients served. Establish benchmark 2023, metrics for FY 2024
  3. At least two events. Attendance at programs, establish benchmark 2023. Set metrics FY 2024-25
  4. Establish additional peer support in FY 2023, set patient benchmark and set metrics to increase number of patients served in FY 2024-25
  5. Promote through at least six events each year, 2023-2025. Track attendance at events
  6. Decrease prescribing of high dose opioids to 3% overall by 9/30/2025

Collaborators

  • Faith-based organizations
  • Businesses
  • Schools
  • Fairs and festivals
  • Physician offices
  • Senior centers
  • Malls
  • Mental health providers
  • Drug courts
  • Social service agencies

Social Health

Initiatives/Programs

  1. Provide free, interactive learning for children and adults. Topics may include, bullying, nicotine/vaping, SUD, suicide prevention, grief, depression, etc.
  2. Provide social health programming for adults. Topics may include dealing with depression, active living, staying socially active, grief, diet & mental health, etc.
  3. Implement Social Determinants of Health screening protocol in Epic

Reportable Goal/Anticipated Impact

  1. At least eight programs per year. Set goal at end of FY 2023.
  2. At least eight programs per year. Set goal at end of FY 2023.
  3. Implement SDH screening by end of FY 2023.

Collaborations

  • Faith-based organizations
  • Businesses
  • Schools
  • Fairs and festivals
  • Physician offices
  • Senior centers
  • Malls
  • Mental health providers
  • Social service agencies

Faith-Based Health

  1. Recruit at least six churches to provide health programming. Establish a FaithWorks phone number for questions, and appointments in FY 2023. Set goals for establishing new programs by the end of FY 23.

Collaborators

  • Faith community

Social Determinants of Health

Reduce the Impact of Social Determinants of Health

Initiatives/Programs

  1. Support organizations focused on assisting individuals facing issues associated with social determinants of health by supporting them to expand their services. Focus organizations are those providing, but not limited to food, clothing, shelter, housing, dental and social services.

Reportable Goals/Anticipated Impact

  1. Develop grant application by December 2022
  2. Track number of organizations supported
  3. Number of individuals served by the funding

Collaborators

  • Neighbors Helping Neighbors
  • City of Ashland Homeless Coalition
  • Hillcrest-Bruce Mission
  • Salvation Army
  • Schools
  • Other non-profits