Implementation Strategy San Buenaventura and Ojai

1 December 6, 2016 Adopted by Community Benefits Committee, Community Memorial Health System Board of Trustees Community Health Needs Assessment: Implementation Strategy San Buenaventura and Ojai December 2016 1 Table of Contents Table of 1 Executive Summary of Community Health Needs Implementation Strategies .. 3 1. Organization Mission .. 4 Mission, Values and Vision Statement .. 4 2. Community Served .. 5 Hospital Service Areas .. 5 Service Area Demographics Health Matters in VC .. 6 3. Implementation Strategy Process .. 7 Let s Get Healthy California .. 7 Healthy Beginnings - Laying the foundation for a healthy life .. 8 Living Well - Preventing and Managing Chronic Disease .. 9 End of Life - Maintaining Dignity and Independence .. 9 Redesigning the Health System - Efficient, Safe, and Patient-Centered 9 Creating Healthy Communities - Enabling Healthy Living.

2 9 Lowering the Cost of Care - Making Coverage Affordable and Aligning Financing to Health Outcomes .. 9 Implementation Strategy Development .. 10 Leadership .. 10 4. Rank Ordering of Health Needs .. 11 5. Significant Health Needs to be Addressed .. 12 The 6 Let s Get Healthy Priorities .. 12 Ojai Valley Community Hospital .. 13 Mental Health & Substance Abuse .. 13 Increasing average age of the population - Senior needs .. 14 High risk health conditions heart disease, cancer, diabetes .. 15 Access to primary care .. 18 Access to Specialty Care & Transportation for Care .. 20 Education to Defeat Poverty .. 20 Obese/Overweight 20 Oral Health .. 21 Community Memorial Hospital .. 22 Mental Health & Substance Abuse .. 22 Education to Defeat Poverty .. 24 High risk health conditions heart disease, cancer, diabetes .. 24 Obesity/overweight-at risk populations.

3 27 Increasing average age of the population - Senior needs .. 28 Access to Health Care Services .. 30 Oral Health .. 31 Homeless Health Issues .. 31 Geri-Psychiatric Inpatient 32 6. Significant Health Needs Not Addressed .. 33 2 Ojai Valley Community Hospital .. 33 Poverty and Nutrition .. 33 Senior Use of Adult Day Health 33 Safe homes and families (child abuse domestic violence) .. 33 Tobacco and vaping .. 34 Community Memorial Hospital .. 34 Poverty and Nutrition .. 34 Tobacco and vaping .. 34 3 Executive Summary of Community Health Needs Implementation Strategies This report presents the health needs Implementation strategies for communities served by Community Memorial Health System (CMHS) through its Community Memorial Hospital (CMH) and Ojai Valley Community Hospital (OVCH). The Community Benefits Committee of the CMHS Board of Trustees identified and prioritized community health needs.

4 The committee followed the Let s Get Healthy California program in assessing health needs and developing Implementation strategies. Issues marked by an asterisk * were not assigned an Implementation Strategy . Ojai West Ventura Substance abuse Substance abuse Mental health Mental health Growing senior population and related service needs Education and poverty Chronic and acute health conditions (diabetes, heart disease, cancer) *Poverty and nutrition Healthcare service availability in Ojai Chronic and acute health conditions (diabetes, heart disease, cancer) Transportation out of Ojai (healthcare and other services) Obesity/overweight- at risk populations Education and poverty Senior population and related service needs *Poverty and nutrition Access to health care services Obesity/overweight youth Oral health Oral health Homeless health issues *Senior access to adult day health care Geri-Psychiatric inpatient care *Safe homes and families (child abuse domestic violence)

5 *Tobacco and vaping *Tobacco and vaping In addition to ongoing monitoring of community benefit activities, the Community Benefits Committee will provide oversight on management work to achieve Implementation Strategy goals. This Implementation Strategy report is also a living document which the Community Benefits Committee may update and communicate to the public. 4 1. Organization Mission Mission, Values and Vision Statement Mission: To Heal, Comfort and Promote Health for the Communities We Serve. Values: Integrity, Service, Excellence, Caring and Transparency. Vision: To be the regional integrated health system of choice for patients, physicians, payers and employees. To be an 4ndispensable community treasure. 5 2. Community Served This section of the report identifies the Community Memorial Hospital and Ojai Valley Community Hospital service areas for purposes of assessing community health needs.

6 Hospital Service Areas CMHS defines the service area of each hospital according to the zip codes in which 75% of inpatient encounter patients live. For Community Memorial Hospital those zip codes are: 93001 Ventura 93003 Ventura 93004 Ventura 93010 Camarillo 93030 Oxnard 93033 Oxnard 93035 Oxnard 93036 Oxnard 93060 Santa Paula 6 For Ojai Valley Community Hospital the zip codes are 93022 and 93023 which contain communities including: Ojai Miramonte Meiner s Oaks Oakview Matilja Springs Ojala Wheeler Springs Service Area Demographics Health Matters in VC The County of Ventura provides a rich source of community data through its website Health Matters in VC . To encourage community use of this highly valuable resource CMHS provides the following links and will not clutter this report with data that becomes outdated well before the next CHNA is published.

7 7 City Profiles Camarillo Ojai Oxnard Santa Paula Ventura Demographics Zip code The demographics page includes a wide variety of data summaries including: Population by age, sex, ethnicity, ancestry, educational attainment Households by number of people, presence of people under 18, household income Housing Units by year structure built, vehicles available Families by poverty status 3. Implementation Strategy Process Let s Get Healthy California The State of California started the Let s Get Healthy California (LGHC) Task Force in 2012 with the objective to make California the healthiest state in the nation. LGHC presents a compelling vision for improving the health of Californians, controlling health care costs, promoting personal responsibility for individual health, and advancing health equity.

8 CMHS substantially follows LGHC in this CHNA and will work towards similarly modeling future community benefit initiatives. The Framework of LGHC is summarized in the following image. 8 Figure 1 - As stated on the Let s Get Healthy California website, the underlying objectives of each section are as follows: Healthy Beginnings - Laying the foundation for a healthy life Getting a healthy start sets the stage for health and wellbeing for a person s entire life. This includes: Living in a healthy environment before and while mom is pregnant, Having access to health care and health insurance for both mom and baby, Receiving care in a quality and coordinated health care system when the baby is born, Understanding health risks and benefits for different delivery methods, Receiving support for mom and baby when they come home.

9 As that baby grows into childhood and adolescence, factors such as the following will impact their life as an adult: Being physically active and learning in safe schools and neighborhoods, Having access to and eating and drinking healthy food and beverages, Living in a home and community where youth are emotionally supported 9 Living Well - Preventing and Managing Chronic Disease Health is a state of complete physical, mental, and social well-being and not merely the absence of disease. Ways that Californians can get and stay healthy include: Consuming enough fruits and vegetables during childhood and adolescence, Living in a safe community where people can exercise and easily access healthy foods, Using active transportation to get where they need to go, Promoting tobacco education and prevention, in addition to help to quit smoking or use of tobacco and/or e-cigarettes, Living, working and playing in places where community members are emotionally supported, can connect with their neighbors, and can get help with mental health when needed, Getting affordable health insurance coverage, Easily receiving high quality health care that meets physical, cultural, and language needs.

10 End of Life - Maintaining Dignity and Independence Making medical decisions about the end of our lives is just as essential as other health care choices we make. Important actions that Californians can take to maintain quality of life during advanced illness include: Having access to health care and health insurance, Easily accessing health care providers and high quality health care that meet physical, cultural and language needs, Communicating choices and preferences for what we want at the end of life is just as essential as communicating how we want to live, Encouraging physicians to have open and early communication, Coordinating outpatient care that reaches a patient where they are, addressing their transportation needs, and other health conditions. Redesigning the Health System - Efficient, Safe, and Patient-Centered Care Being the healthiest state in the country will require California s health care system to be focused on health, not just illness, and become truly patient-centered.