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1
Community Health Needs Assessment (CHNA)
Written Report
Reading Health System
PO Box 16052 Reading, PA 19612
July 1, 2012 – June 30, 2013
2
I. General Information
Contact Person: Dick Mable
Date of Written Report: January 2013
Link to Web Site on Which Written Report Was Made Publicly Available:
http://www.readinghealth.org/Community
Date Written Report Made Publicly Available: January 31, 2013
Date Written Report Required to be Made Publicly Available (per Notice 2011-52): N/A
Date of Prior Written Report (if applicable): 2006
Name and EIN of Hospital Organization Operating Hospital Facility: Reading Health System, 23-1352204
Address of Hospital Organization: PO Box 16052 Reading, PA 19612-6052
II. Purpose of CHNA Written Report
This Written Report is being conducted in order to comply with federal tax law requirements set forth in
Internal Revenue Code section 501(r) requiring hospital facilities owned and operated by an organization
described in Code section 501(c)(3) to conduct a community health needs assessment at least once every
three years. The required Written Plan of Implementation Strategy is set forth in a separate written
document. This Written Plan is intended to satisfy each of the applicable requirements set forth in IRS
Notice 2011-52 regarding conducting the Community Health Needs Assessment for Reading Health System.
III. Community Served by Facility (3.03(1) and 3.05)
Description of Community Served by Hospital Facility:
Reading Hospital’s primary service area (“PSA”) consists of the communities in Berks County from which
the Hospital receives approximately 85% of its total inpatient discharges. The primary service area extends
from Fleetwood, Oley and Exeter in the east to Mohnton, Wernersville and Womelsdorf in the west. It
reaches from Hamburg in the north to just above Morgantown in the south. The center of the PSA is the
City of Reading (zip codes 19601 to 19604), which accounts for 23% of the hospital’s inpatient discharges
for the fiscal year ended June 30, 2012.
The secondary service area (“SSA”) consists of the remainder of Berks County, as well as portions of the six
contiguous counties: Montgomery, Chester, Lancaster, Lebanon, Schuylkill, and Lehigh counties. The
hospital receives approximately 12% of its total inpatient discharges from the SSA. In limited
circumstances, the Facility also serves guests and other individuals from outside the service area (3% of
discharges). In 2012, the population of the Total Service Area was 754,141, and the population of the PSA
was 332,598.
Source: PHC4 inpatient data
3
Population Demographics
Reading Hospital is committed to providing compassionate, accessible, high quality cost effective health
care to the community without distinction as to race, color, age, creed, handicap, sex, national origin, or
economic status; to promote health; to educate health care professionals and the public; and to participate in
appropriate clinical research.
Source: U.S. Census, 2010 Source: 2012 estimates by Truven Analytics Insurance Coverage Estimates
Principal Functions (e.g., specialty area or targeted disease)
Reading Hospital provides a full spectrum of healthcare services to the community. Core services include
cardiovascular services, cancer services, emergency services, women’s and children’s services, weight
management, surgical services, joints/orthopaedics, and neurological services, among many others. Reading
Health System provides: office-based primary care and specialty care through the Reading Health Physician
Network; comprehensive rehabilitation and transitional care through our 62-bed Rehabilitation Hospital, in-
home nursing care and health services through the Reading Hospital Home Care, continuing care retirement
living through The Highlands at Wyomissing, detoxification, short-term residential care, and outpatient
addiction services through our Drug and Alcohol Center, and Quickcare services that treat non-emergent
health conditions.
The Hospital also provides services that are directed to the underserved population. RHS staffs the Second
Street Health Dispensary, located in the City of Reading, to provide primary care, obstetrical, mental health
services, as well as pharmacy needs, for City residents. In addition, the Hospital maintains daily clinics for
women, children, and adults, as well as operates the Center for Public Health, the community’s primary care
center for individuals with HIV and AIDS.
Health
Overall, Berks County residents are in good health. However, heart disease is the leading cause of death
followed by all forms of cancer (including female breast cancer), and stroke. In addition, many adults suffer
from obesity, high blood pressure, diabetes and untreated mental health conditions. For example:
Nearly one‐third of adults (30.2%) are obese and more than one‐third (35.9%) are overweight;
One‐third of adults (33.4%) have been diagnosed with high blood pressure; this percentage
represents 105,400 adults;
One in seven adults (13.9%) has been diagnosed with diabetes; and
Although 14.6% have been diagnosed with a mental health condition, only 38.5% of those are
receiving treatment for their condition.
Race
White 77%
Black 3%
Latino 16%
Asian 1%
Other 2%
Gender
Male 49%
Female 51%
Age
0-17 24%
18-64 35%
65+ 41%
Insurance Private %
Medicare
%
Medicaid
%
Uninsured
%
North 2012 59% 18% 16% 10%
Northeast 2012 67% 12% 15% 7%
Northwest 2012 61% 18% 16% 7%
South 2012 72% 13% 10% 5%
Southeast 2012 71% 14% 11% 6%
Southwest 2012 74% 14% 8% 5%
PSA 2012 59% 16% 18% 9%
4
Residents of the City of Reading, Blacks, and Latinos are in poorer overall health, are more likely to
be obese and are more likely to have diabetes, high blood pressure, or a mental health condition than
other residents, but there are many smaller suburban and rural areas of the County where low income
residents, in particular, are in poor health.
Unmet Needs
There is no County health department in Berks County, Pennsylvania. While many agencies in the County
individually provide services which could be provided by a county health department, there remain unmet
needs that could be filled by a county-wide, coordinated manner by a county health department. In addition,
the following were found as unmet needs:
Access to primary and specialty care for the uninsured and underinsured, including particularly
access to dental and mental health care;
Access to affordable prescription medications;
Access to specialty care for those insured through Medical Assistance;
Transportation to medical care for the low income and Latino migrant worker population;
More affordable mental health and substance abuse services, particularly for children and
adolescents; and
Culturally competent care for the Latino population, including more affordable services for the
uninsured, including more qualified, affordable interpretation services and more bilingual, bicultural
staff.
Description of How Community Served Was Determined:
Reading Health System along with its partners in the needs assessment process determined that the scope of
the community health needs assessment should focus on Berks County, Pennsylvania. Berks County (2010
Pop. 411,500) includes urban, suburban, and rural areas with distinct populations and health resources. For
the purposes of this needs assessment, five geographic subareas of the County, defined by ZIP code clusters,
were identified: the City of Reading and East, West, North, and South Berks County (Map 1). The
boundaries of these smaller areas were determined by the Needs Assessment Steering Committee in
collaboration with PHMC using county geography and population demographics. The City of Reading,
consisting of only three ZIP codes approximately contiguous with its municipal boundaries, was assessed as
a separate area because of the unique socioeconomic and demographic characteristics of its population
compared to other areas of Berks County.
5
Map 1
Source: U.S Census, 2010. Prepared by PHMC.
6
IV. Process and Methods Used to Conduct the CHNA (3.03(2))
Description of Sources and Dates of Data and Other Information Used in CHNA:
Household Health Survey
The Berks County Household Health Survey was modelled after previous Household Health Surveys
conducted by PHMC in South-eastern Pennsylvania and in Berks, Lancaster, and Schuylkill Counties. The
instrument was designed by PHMC with input from the project Steering Committee. The survey was fielded
by Abt/SRBI between June 20th and August 2nd 2012, and included 1,101 random‐digit dial landline
(1,001) and cell phone (100) respondents using a probability sample across five areas in the county. Within
each randomly selected landline household, the selected respondent was chosen using the last birthday
method. Interviews were conducted in English and Spanish, including an oversample of 101 household of
Latino origin, and averaged 17 minutes in duration. The Berks County survey had an overall AAPOR 3
response rate close to, or better than, comparable surveys at 31.0%. The final data were weighted to reflect
2011 census estimates in two weighting areas: the City of Reading and the remainder of Berks County. This
allowed for estimates of the population represented by each percentage to be calculated.
U.S. Census
This report includes data on the population of Berks County residents along with socio‐demographic and
socioeconomic characteristics for the years 2000, 2010, 2013 and 2018. Data from the 2000 U.S. Census,
the 2010 American Community Survey, and the Nielsen‐Claritas Pop‐Facts Database were also used. The
Nielsen‐Claritas Pop‐Facts Database uses an internal methodology to calculate and project socio‐demographic and socioeconomic characteristics for non‐census years, relying on the U.S. Census, the
Current Population Survey, and the American Community Survey.
Vital Statistics
The most recent information on births, birth outcomes, deaths, and reportable diseases and conditions for
Berks County was obtained from the Pennsylvania Department of Health, Bureau of Health Statistics and
Research. Four year (2005‐2008) annualized average rates for natality and mortality were calculated by
PHMC. Mortality rates were age‐adjusted using the Direct Method and the 2000 U.S. standard million
population. The most recent morbidity information from 2010 was also obtained from the state Department
of Health, and rates were calculated by PHMC. Morbidity information, including information on HIV and
AIDS cases, is not available at the ZIP code level; therefore, rates are presented for the county and the state
only. The denominators for all 2005‐2008 vital statistics rates for the county and state were interpolated
from the 2000 and 2010 U.S. Census. The number of women ages 15‐44 and the number of adolescents ages
14‐19 were also interpolated from the 2000 and 2010 U.S. Census.
Focus Groups
Five focus groups were conducted with Berks County residents between June and September, 2012. A total
of 55 residents participated. Focus groups were used to collect in‐depth information from Berks County
population subgroups that might be at risk for poor health and access to care: Latinos (migrant workers, 18‐64 year olds, and those age 65+); African Americans; and low income older adults aged 65+. All focus
groups were conducted in the City of Reading, although participants were recruited from throughout Berks
Data Source Dates
U.S. Census of Population and Housing 2000, 2010
Claritas, Inc. Pop‐Facts 2013, 2018
Pennsylvania Department of Health 2005‐2008
PHMC Berks County Household Health Survey 2008, 2012
Pennsylvania Health Care Cost Containment Council 2011
7
County. Participants were recruited by the Berks Encore Senior Center, Berks Community Health Center,
Reading Area Community College ESL program, and the Keystone Migrant Farmworker Program.
Transportation was provided when necessary, and participants were compensated $50 each for their time
and transportation costs. Focus groups lasted approximately 90 minutes and were guided by a set of written
questions (see Appendix F for the Focus Group Discussion Guide). The focus groups of Latino older adults,
migrant workers, and adults age 18‐64 were conducted in Spanish by a bilingual, bicultural facilitator. All
focus groups were audiotaped. Refreshments were served.
Informational Interviews
Information interviews were conducted with 13 community representatives with knowledge of the health
and health care needs of Berks County residents. Key informants were identified and recruited by the project
Steering Committee working in collaboration with PHMC. Key informants also included individuals with
direct knowledge of special populations in Berks County, including: Latinos, migrant workers, individuals
with HIV/AIDS, the uninsured, pregnant women, older adults, and persons with mental health conditions.
The interviews were conducted by telephone and lasted approximately 45 minutes. The interviews were
guided by questions developed by PHMC in collaboration with the project Steering Committee. The
interviews were conducted between June and September, 2012.
Description of Analytical Methods Applied to Identify Community Health Needs:
Quantitative information from the U.S. Census, Pennsylvania vital statistics, and Berks County Household
Health Survey was analyzed for Berks County as a whole and for the five separate areas within the county
using the Statistical Program for Social Sciences (SPSS). Frequency distributions were produced for
variables for multiple years of data so trends over time could be identified and described. Qualitative
information from focus groups and informational interviews was analyzed by identifying and coding themes
common across groups and individual interviews, and also themes that were unique. This information was
organized into major topic areas related to health status, access to care, special population needs, unmet
needs, and health care priorities.
Description of Information Gaps Impacting Facility's Ability to Assess Community Health Needs:
There were no major gaps in information for this community health needs assessment because quantitative
information for socioeconomic and demographic information, vital statistics, and health status was available
at the ZIP code level for the entire county. These sources also provided information on the Latino population
in Berks County. Information on these populations, and other unmet health care needs, was also supplied in
great detail by informational interviews and focus group discussions with community representatives.
Identity of All Organizations with Which Facility Collaborated to Conduct CHNA:
Reading Health System collaborated with the following organizations to conduct the CHNA: Berks County
Community Foundation, St. Joseph Regional Health Network, and the United Way of Berks County.
Focus Group Location Number of Participants
Older Adults 65+ Berks Encore Senior Center Reading 11
African Americans Berks Community Health Center 9
Latino Older Adults 65+ Reading Area Community College 11
Latino Migrant Workers El Puente Restaurant 12
Latino Adults 18-64 Reading Area Community College 12
8
Identity and Qualifications of Third Party Contractors That Assisted in Conducting the CHNA:
The Research and Evaluation Group
Public Health Management Corporation
260 South Broad Street, 18th Floor
Philadelphia, PA 19102
Public Health Management Corporation (PHMC) is a 501(c)(3) non-profit corporation that was founded in
1972 to address problems in the organization and delivery of health and social services. Over the past 40
years, PHMC has grown from a staff of less than 100 to nearly 1,500 employees. PHMC’s Research and
Evaluation Group has more than 20 years’ experience with all of the phases of Community Health Needs
Assessments, collaborating with a wide variety of community partners on all aspects of CHNAs. PHMC
Research and Evaluation staff experience with CHNAs includes extensive research and writing capabilities
in the following areas: study design and implementation; telephone, mail and in-person surveys; health
assessments for communities and special populations; local area analysis; qualitative and quantitative data
collection; focus groups; key informant interviews; analysis of existing records and statistics; observational
studies; database development; mapping/GIS; and practical technical and policy reports.
V. Description of Community Input and Process (3.03(3))
General Explanation of How the Organization Took Into Account Input from Persons Who Represent
Broad Interests of Community:
Description of Input from Persons with Special Knowledge of or Expertise in Public Health (Required):
Description of Input from Government Health or Other Departments or Agencies with Information
Relevant to Community's Health Needs (Required Where Applicable):
Local Department or Agency:
Name Organization Title Expertise Consulted DurationRose Malinowski
Weingartner, MPH
Public Health
Management
Corporation
Research
Associate
Research and
Evaluation
Data Collection &
Analysis
ND
Name Organization Title Expertise Consulted DurationCarolyn Bazik Co-County Wellness
Services
Executive Director HIV and AIDS
Populations
In-person Meetings 3 - 120
minute
meetings
Sheila Bressler Berks County MH/MR Child & Adolescent
Service System
Coordinator
Child Mental Health Telephone Interviews 45 minutes
Dana Eichert Boyertown Area Multi-
Service
Executive Director Health and Social
Service Needs
Telephone Interviews 45 minutes
Ed Michalik, PsyD Berks County MH/MR County
Administrator
Mental Health In-person Meetings 3 - 120
minute
meetings
9
Description of Input from Leaders, Representatives, or Members of Medically Underserved, Low-income,
Minority, and Chronic Disease Needs Populations in the Community (Required):
Description of Input from Other Providers of Community Input (Optional):
Name Organization Title Expertise Consulted DurationD. Michael Baxter,
MD
Reading Health System Chair, Department of
Family & Community
Medicine
Family Medicine;
Medically
Underserved
In-person Meetings 3 - 120
minute
meetings
Peg Bianca Greater Berks Food
Bank
Executive Director Food Insecurity Phone Interview 45 minutes
Diane Bonaccorsi,
MD
Green Hills Medical
Center
Primary Care
Physician
Primary Care In-person Meetings 3 - 120
minute
meetings
Rev. Wayne
Heintzelman
St. Daniel's Lutheran
Church
Pastor Medically
Underserved
In-person Meetings 3 - 120
minute
meetings
Richard Mable Reading Health System SVP, Community &
Govt Relations
Medically
Underserved
In-person Meetings 3 - 120
minute
meetings
Louis Mancano, MD Reading Health System Medical Director,
Ambulatory Services
Medically
Underserved
Phone Interview 45 minutes
George A. Neubert,
MD
Reading Health System Chair, Dept. of
Ob/Gyn
Medically
Underserved
Phone Interview 45 minutes
Gary Rightmire Berks Community
Health Center
Board Chair Medically
Underserved
In-person Meetings 3 - 120
minute
meetings
Peter Schnatz, DO Reading Health System Residency Program
Director
Medically
Underserved
Phone Interview 45 minutes
Pam Taffera, DO St. Joseph Regional
Health Network
Family Practice
Physician
Medically
Underserved
In-person Meetings 3 - 120
minute
meetings
Michael Toledo Centro Hispano Executive Director Minority
Populations
In-person Meetings 3 - 120
minute
meetings
Ivan Torres, Ph.D. PRONTO! Financial
Services
President Minority
Populations
Phone Interview 45 minutes
Selina Zygmunt Keystone Farmworker
Health Program
Manager Minority
Populations
In-person Meetings 3 - 120
minute
meetings
Name Organization Title Expertise Consulted DurationKaren Rightmire Wyomissing
Foundation
President Community
Development
In-person Meetings 3 - 120
minute
meetings
Pat Giles United Way of Berks
County
Senior Vice President,
Community & Govt
Relations
Community
Development
In-person Meetings 3 - 120
minute
meetings
Heidi Williamson Berks County
Community Foundation
Vice President,
Grantmaking &
Communications
Community
Development
In-person Meetings 3 - 120
minute
meetings
10
Description of Input from Academic Experts (Optional):
VI. Identification and Prioritization of Community's Health Needs (3.03(4))
Prioritized Description of All the Community Health Needs Identified Through the CHNA:
Name Organization Title Expertise Consulted DurationRebecca Hartman Alvernia University Doctoral Program
Student
Community
Leadership
In-person Meetings 3 - 120
minute
meetings
Ann Fisher Reading School District Supervisor of School
Health
Minority
Populations
Phone Interview 45 minutes
Community Health Need
Categories- Based on Healthy People 2020
Priority AreasBerks
County
City of
Reading
Uninsured Adults 13.3% 23.7%
ED Utilization^ 24.8% 44.1%
Did Not Fill Prescription
Due to Cost 13.7% 23.7%
No Regular Source of
Care 11.8% 18.9%
Female Breast Cancer 24.5 27.3
Lung Cancer 46.7 54.2
Colorectal Cancer 17.6 19.4
Prostate Cancer 6.7 -
Diabetes Diabetes 13.9% 18.9%
Cultural Differences - -
Language Barriers - -
Excellent 21.1% 13.3%
Very Good 31.5% 18.2%
Good 31.4% 35.3%
Fair or Poor 15.9% 32.6%
Heart Disease* 189.3 241.5
High Blood Pressure 33.4% 40.0%
Stroke* 50.7 59.0
Hepatitis B, Chronic 6.6 -
HIV/AIDS 218.7 -
Lyme Disease 8.0 -
Pertussis 6.6 -
Varicella 20.7 -
Chlamydia 302.6 -
Gonorrhea 47.6 -
Birth Rate« 64.2 98.0
Teen Birth Rate» 9.4 28.1
Late or No Pre-Natal
Care 32.8% 50.1%
Low Birth Weight 7.7% 8.8%
Infant Mortality Rate˅ 4.9 5.8
Heart Disease and Stroke
Access to Services
Cancer*
Health Status
Immunization and
Infectious Diseases*
Health Communication
Maternal, Infant, and
Child Health
11
Description of Process and Criteria Used to Prioritize Such Health Needs:
The needs assessment was overseen by a Steering Committee of representatives from each of the four
sponsoring organizations. An Advisory Committee of 17 representatives from Berks County community
organizations were appointed by the Steering Committee to provide input from the community. The
Advisory Committee supplied guidance at all stages of the needs assessment process. The steps in the needs
assessment process were: defining the community; identifying existing primary and secondary data and data
needs; collecting primary and secondary data; analyzing data; and preparing a written narrative report.
The following methods were utilized to define community priorities (listed above):
Household Health Survey (phone)
U.S. Census Data
Vital Statistics Data
Community Representatives
o Focus Groups
o Informational Interviews
Community Health Need
Categories- Based on Healthy People 2020
Priority AreasBerks
County
City of
Reading
Mental Health
Clinical Depression,
Anxiety Disorder, or
Bipolar Disorder 14.6% 21.3%
Do Not Meet
Nutritional Standardsˆ 71.9% 84.8%
Obese 30.2% 35.0%
Overweight 35.9% 35.3%
No Care Due to Cost 21.1% 33.2%
Did Not Visit 30.0% 40.3%
Do Not Exercise 15.6% 23.6%
Free Place to Exercise 59.8% 50.7%
Respiratory Diseases Asthma 15.5% 18.2%
Substance Abuse Binge Drinking 38.4% 47.9%
Tobacco Use Smoking 20.4% 29.3%
˅ Calculated per 1,000 live infant births
Notes: Figures not displayed reflect numbers too small to report
ˆ No. fruits and vegetables consumed in a normal day
Nutrition and Weight
Status
Physical Activity
Oral Health
^Visited ED in past year due to lack of insurance
* Mortality rates calculated per 100,000 population
« Calculated per 1,000 women aged 15-44 years
» Calculated per 1,000 women aged 10-17 years
12
VII. Community Facilities and Other Resources (3.03(5))
Description of Existing Health Care Facilities within the Community:
Description of Existing Resources (Other than Facilities) Within the Community:
Name Town State Zip Type
BERKS COUNTY HOSPITALS
Name Town State Zip Type of Hospital
Haven Behavioral Hospital of Eastern PA Reading PA 19601 Behavioral Health Hospital
Wernersville State Hospital Wernersville PA 19565 Psychiatric Hospital
St. Joseph Regional Health Network Reading PA 19605 Hospital
Reading Health System West Reading PA 19611 Hospital
Surgical Institute of Reading Wyomissing PA 19610 Surgical Hospital
Name Town State Zip Type of Center
St. Joseph Regional Health Network Downtown Campus Reading PA 19601 Health Center
Western Berks Free Medical Clinic Robesonia PA 19551 Health Center
Berks Community Health Center Reading PA 19601 Health Center
Keystone Farmworker Health Program Reading PA 19601 Health Center
Planned Parenthood of Northeast Pennsylvania Reading PA 19602 Health Center
Co-County Wellness Services/Berks AIDS Network Reading PA 19603 HIV/AIDS services
Mercy Community Crisis Pregnancy Center Reading PA 19601 Pregnancy Crisis Center
St. Joseph Regional Health Network at Maidencreek Blandon PA 19510 Urgent Care Center
Premier Immediate Medical Care Douglassville PA 19518 Urgent Care Center
Concentra Urgent Care Reading PA 19605 Urgent Care Center
Reading Convenient Care Reading PA 19605 Urgent Care Center
MedExpress Urgent Care - Muhlenberg Reading PA 19605 Urgent Care Center
Advance Urgent Care Reading PA 19608 Urgent Care Center
BERKS COUNTY HEALTH CENTERS AND CLINICS
Name Town State Zip Type
Abilities In Motion Reading PA 19601 Social Service Agency
ADAPPT Reading PA 19601 Substance Abuse Treatment
Alternative Consulting Enterprises, Inc. Reading PA 19601 Mental Health/Medicaid Provider
American Cancer Socviety Reading PA 19605 Social Service Agency
American Diabetes Association Reading PA 18017 Social Service Agency
American Red Cross Reading PA 19601 Social Service Agency
Arc Advocacy Services Reading PA 19607 Social Service Agency
Autism Society of Berks Wyomissing PA 19610 Social Service Agency
Bailey, Diane, L.P.C. West Lawn PA 19609 Mental Health/Medicaid Provider
BCC Satellite Office Reading PA 19601 Social Service Agency
BCC/ACT Program Reading PA 19601 Social Service Agency
Berks Advocates Against Violence Reading PA 19601 Social Service Agency
13
Name Town State Zip Type
Berks Coalition to End Homelessness Reading PA 19602 Social Service Agency
Berks Counseling Center Reading PA 19601 Social Service Agency
Berks Counseling Center, Inc. Reading PA 19601 Mental Health/Medicaid Provider
Berks County Associate for the Blind Reading PA 19604 Social Service Agency
Berks County Children and Youth Reading PA 19601 Social Service Agency
Berks County Community Foundation Reading PA 19601 Foundation
Berks County Emergency Management Leesport PA 19533 Emergency Services
Berks County Services Center Reading PA 19601 Social Service Agency
Berks Encore- Birdsboro Birdsboro PA 19508 Senior Center
Berks Encore- Fleetwood Fleetwood PA 19522 Senior Center
Berks Encore- Hamburg Hamburg PA 19526 Senior Center
Berks Encore- Mifflin Shillington PA 19607 Senior Center
Berks Encore- Providence House Reading PA 19601 Senior Center
Berks Encore- Wernersville Wernersville PA 19565 Senior Center
Berks Encore-Reading Center Reading PA 19601 Senior Center
Berks Psychiatry, Inc. Reading PA 19602 Mental Health/Medicaid Provider
Berks Women in Crisis Reading PA 19601 Homeless/Emergency Shelter
Berkshire Psychiatric & Behavioral
Health Services, P.C.Reading PA 19601 Mental Health/Medicaid Provider
Beveridge, Lisa, L.S.W. Berks
Counseling Associates, P.C.Wyomissing PA 19610 Mental Health/Medicaid Provider
Big Brothers/Big Sister Reading PA 19601 Social Service Agency
Boyertown Area Multi-Services Center Boyertown PA 19512 Social Service Agency
Boyertown Salvation Army Boyertown PA 19512 Social Service Agency
Cammarano, Denise, L.S.W. Berks
Advocates Against ViolenceReading PA 19601 Mental Health/Medicaid Provider
Center for Mental Health Reading PA 19601 Mental Health
Centro Hispano (Hispanic Center) Reading PA 19601 Social Service Agency
Child & Family Support Services, Inc. Reading PA 19602 Mental Health/Medicaid Provider
Children's Allicance Center Reading PA 19601 Social Service Agency
Children's Home of Reading Reading PA 19601 Substance Abuse Treatment
CHOR Youth & Family Services, Inc. Reading PA 19601 Drug & Alcohol/Medicaid Provider
CHOR Youth & Family Services, Inc. Reading PA 19601 Mental Health/Medicaid Provider
Commonwealth Clinical Group, Inc. Reading PA 19601 Mental Health/Medicaid Provider
Community Prevention Partnership Reading PA 19601 Social Service Agency
Community Skills Program and Rehab, Inc.Wyomissing PA 19610 Social Service Agency
Community Solutions of Pennsylvania Reading PA 19601 Mental Health/Medicaid Provider
CONCERN Professional Services for
Children, Youth & FamiliesWyomissing PA 19610 Mental Health/Medicaid Provider
Concern of Reading Reading PA 19602 Mental Health
Council on Chemical Abuse Reading PA 19601 Substance Abuse Treatment
Creative Health Services, Inc. Birdsboro PA 19508 Substance Abuse Treatment
Creative Health Services, Inc. Birdsboro PA 19508 Mental Health/Medicaid Provider
Danken House Wernersville PA 19565 Homeless/Emergency Shelter
Dayspring Homes, Inc. Reading PA 19611 Homeless/Emergency Shelter
Department of Public Welfare County Assistance OfficeReading PA 19601 Government agency
14
Name Town State Zip Type
DeSantis, Denise, L.C.S.W. Berks
Counseling Associates, P.C. Wyomissing PA 19610 Mental Health/Medicaid Provider
Easter Seals of Eastern PA Reading PA 19611 Social Service Agency
Easy Does It, Inc. Leesport PA 19533 Drug & Alcohol/Medicaid Provider
Ercole, Mario, M.D. Reading PA 19601 Mental Health/Medicaid Provider
Familicare Counseling Center Reading PA 19601 Mental Health/Medicaid Provider
Family First Resource Center Reading PA 19602 Senior Center
Family Guidance Center Wyomissing PA 19610 Drug & Alcohol/Medicaid Provider
Family Guidance Center Reading PA 19601 Mental Health/Medicaid Provider
Family Life Services Topton PA 19562 Substance Abuse Treatment
Family Promise of Berks Reading PA 19601 Homeless/Emergency Shelter
Fischetto, Anthony, Ed.D Shillington PA 19607 Mental Health/Medicaid Provider
Freedom Gate Ministries Reading PA 19602 Substance Abuse Treatment
Gaulin, Ann, M.S., L.M.F.T. Shillington PA 19607 Mental Health/Medicaid Provider
Goodwill Reading PA 19605 Social Service Agency
Greater Reading Mental Health Alliance,
TheShillington PA 19607 Mental Health/Medicaid Provider
Haven Behavioral Hospital of Eastern
PennsylvaniaReading PA 19601 Mental Health/Medicaid Provider
Here and Now Group Reading PA 19602 Social Service Agency
Hill, Alison, Ph.D. Berks Counseling
Associates, P.C. Wyomissing PA 19610 Mental Health/Medicaid Provider
Holcomb Behavioral Health Systems Reading PA 19604 Mental Health/Medicaid Provider
Hope Rescue Mission Reading PA 19601 Homeless/Emergency Shelter
Infante, Olga, M.D. Reading PA 19601 Mental Health/Medicaid Provider
Janjua, Mohammad, M.D. Horizonz,
LLCReading PA 19601 Mental Health/Medicaid Provider
Jewish Community Center of Reading Reading PA 19604 Social Service Agency
Kennedy Senior Center Reading PA 19602 Senior Center
KidsPeace National Centers, Inc. Temple PA 19560 Mental Health/Medicaid Provider
La Casa De la Amistad Reading PA 19601 Senior Center
Laureldale Center Reading PA 19605 WIC Office
Lesniak-Karpiak, Katarzyna, Ph.D. Douglassville PA 19518 Mental Health/Medicaid Provider
Mary's Shelter Reading PA 19602 Homeless/Emergency Shelter
McConaghay, Dean, M.S. Berks
Counseling Associates, P.C.Wyomissing PA 19610 Mental Health/Medicaid Provider
Mental Health Association West Reading PA 19611 Mental Health
Milestones Community Healthcare, Inc. Wyomissing PA 19610 Mental Health/Medicaid Provider
Nagle, Robert, Ph.D. Berks Counseling
Associates, P.C.Wyomissing PA 19610 Mental Health/Medicaid Provider
Namiotka, Mary, L.C.S.W. Leesport PA 19533 Mental Health/Medicaid Provider
National Mentor Healthcare, Inc. dba PA
MentorFleetwood PA 19522 Mental Health/Medicaid Provider
New Directions Treatment Services West Reading PA 19611 Drug & Alcohol/Medicaid Provider
New Directions Treatment Services West Reading PA 19611 Mental Health/Medicaid Provider
New Life Cognitive Behavioral Services,
Inc.Reading PA 19601 Mental Health/Medicaid Provider
New Person Center Reading PA 19601 Substance Abuse Treatment
15
Name Town State Zip Type
NHS Pennsylvania Wyomissing PA 19610 Mental Health/Medicaid Provider
Nicodemus, David, M.A. Reading PA 19607 Mental Health/Medicaid Provider
Office of Mental Health/Developmental DisabilitiesReading PA 19601 Mental Health
Olivet Boy and Girls Club Reading PA 19611 Social Service Agency
Opportunity House Reading PA 19601 Substance Abuse Treatment
Orr, Gerald, M.A. - Berks Counseling
Associates, P.C.Wyomissing PA 19610 Mental Health/Medicaid Provider
Pennsylvania Counseling Services, Inc. Reading PA 19602 Drug & Alcohol/Medicaid Provider
Pennsylvania Counseling Services, Inc. Reading PA 19602 Mental Health/Medicaid Provider
Perez Bentancourt, Mirta, L.P.C. Shillington PA 19607 Mental Health/Medicaid Provider
Progressions Reading PA 19601 Mental Health
Progressions Companies, Inc., The Reading PA 19601 Mental Health/Medicaid Provider
Reading Behavioral Health Center Inc. Reading PA 19602 Mental Health/Medicaid Provider
Reading Center Reading PA 19601 WIC Office
Reading Health System - Ctr. for MH West Reading PA 19611 Mental Health/Medicaid Provider
Reading Health System - Ctr. for MH West Reading PA 19611 Drug & Alcohol/Medicaid Provider
Real Alternatives West Reading PA 19601 Pregnancy Crisis Center
Richard J. Caron Foundation Wyomissing PA 19610 Drug & Alcohol/Medicaid Provider
Rijo, Ana, L.P.C. Seed of Hope, Inc. Reading PA 19601 Mental Health/Medicaid Provider
Royall, Carmen, L.P.C. Horizonz, LLC. Reading PA 19601 Mental Health/Medicaid Provider
Salvation Army Reading PA 19602 Social Services
Salvation Army - Boyertown Corps Boyertown PA 19512 Social Services
Schollenberger, Craig, L.C.S.W. Wyomissing PA 19610 Mental Health/Medicaid Provider
Service Access & Management, Inc. Reading PA 19601 Mental Health/Medicaid Provider
Shillington Center Shillington PA 19607 WIC Office
Signature Family Services West Reading PA 19611 Social Service Agency
Spellman, Pamela, L.C.S.W. Reading PA 19601 Mental Health/Medicaid Provider
Stufflet, Kathryn, L.C.S.W. Wyomissing PA 19610 Mental Health/Medicaid Provider
Tamaqua Salvation Army Tamaqua PA 18252 Social Service Agency
Threshold Rehabilitation Services, Inc. Reading PA 19607 Behavioral Health Services
Threshold Rehabilitation Services, Inc. Reading PA 19607 Mental Health/Medicaid Provider
Treatment Access & Services Center,
Inc.Reading PA 19601 Mental Health/Medicaid Provider
Treatment Access & Services Center,
Inc.Reading PA 19601 Drug & Alcohol/Medicaid Provider
United Way of Berks County Reading PA 19603 Community agency
Veterans Affairs of Berks Leesport PA 19533 Government agency
Wyomissing Foundation Wyomissing PA 19610 Foundation
Yasmeen, Nikhat, M.D. - Reading
PsaychiatryReading PA 19601 Mental Health/Medicaid Provider
YMCA Reading PA 19601 YMCA
Youth Advocate Programs, Inc. Reading PA 19605 Mental Health/Medicaid Provider
16
Name Town State Zip Type
St. Luke's Lutheran Church Bloomsburg PA 17815 Food Pantry
Pottsville Area Food Pantry Pottsville PA 17901 Food Pantry
Schuylkill Community Action Program Pottsville PA 17901 Food Pantry
Hope Lutheran Church Ashland PA 17921 Food Pantry
Mahanoy Area Food Pantry Mahonoy City PA 17948 Food Pantry
Minersville Area Food Cupboard Minersville PA 17954 Food Pantry
Schuylkill Valley Food Pantry New Philadelphia PA 17959 Food Pantry
New Ringgold Area Food Pantry New Ringgold PA 17960 Food Pantry
Pine Grove Area Food Pantry Pine Grove PA 17963 Food Pantry
Shenandoah Area Food Pantry Shenandoah PA 17976 Food Pantry
Williams Valley Food Pantry Tower City PA 17980 Food Pantry
Tremont Food Pantry Tremont PA 17981 Food Pantry
Tri Valley Food Pantry Valley View PA 17983 Food Pantry
McAdoo Area Food Pantry McAdoo PA 18237 Food Pantry
Nuremberg Area Food Pantry Nuremberg PA 18241 Food Pantry
Tamaqua Area Food Pantry Tamaqua PA 18252 Food Pantry
Tamaqua Primitive Methodist Church Tamaqua PA 18252 Food Pantry
Northern Berks Food Pantry Hamburg PA 19526 Food Pantry
The Rodale Institute Kutztown PA 19530 Food Pantry
St. Benedict's RCC Mohnton PA 19540 Food Pantry
Oley Valley Food Pantry Oley PA 19547 Food Pantry
Spring Valley Church of God Temple PA 19560 Food Pantry
Iglesia Bautista Betania Reading PA 19601 Food Pantry
St. Paul's Lutheran Church Reading PA 19601 Food Pantry
St. James Chapel Reading PA 19602 Food Pantry
Hub of Hope at Reading Moravian Church Reading PA 19604 Food Pantry
St. Ignatius Loyola RCC Reading PA 19606 Food Pantry
Ringtown Valley Food Pantry Reading PA Food Pantry
Ashland Food Pantry Ashland PA 17921 Soup Kitchen/Meal Program
Friend, Inc. Kutztown PA 19350 Soup Kitchen/Meal Program
Harvest Fellowship of Colebrookdale Boyertown PA 19512 Soup Kitchen/Meal Program
Hamburg SDA Church Hamburg PA 19526 Soup Kitchen/Meal Program
Conrad Weiser Pantry Robesonia PA 19551 Soup Kitchen/Meal Program
Hampden Heights SDA Church Temple PA 19560 Soup Kitchen/Meal Program
Bethel AME Church Reading PA 19601 Soup Kitchen/Meal Program
Christ Lutheran Church Reading PA 19601 Soup Kitchen/Meal Program
Circle of Friends Drop In Center Reading PA 19601 Soup Kitchen/Meal Program
City Light Ministry Reading PA 19601 Soup Kitchen/Meal Program
Grace and Hope Mission Reading PA 19601 Soup Kitchen/Meal Program
Holy Cross Memorial Church Reading PA 19601 Soup Kitchen/Meal Program
Holy Spirit Lutheran Church Reading PA 19601 Soup Kitchen/Meal Program
Holy Trinity Church of God Reading PA 19601 Soup Kitchen/Meal Program
BERKS COUNTY FOOD PANTRIES AND SOUP KITCHENS
17
Name Town State Zip Type
Evangelical Mennonite Church Reading PA 19602 Soup Kitchen/Meal Program
First Unitarian Universalist Reading PA 19602 Soup Kitchen/Meal Program
Greater Berks Food Bank Reading PA 19605 Soup Kitchen/Meal Program
Catholic Charities, Diocese of Allentown Reading PA 19606 Soup Kitchen/Meal Program
Central Park United Methodist Food MinistryReading PA 19606 Soup Kitchen/Meal Program
Bethany Lutheran Church West Reading PA 19611 Soup Kitchen/Meal Program
Calvary Community Center Reading PA 19611 Soup Kitchen/Meal Program
Cluster Outreach Center Temple PA 19560 Soup Kitchen/Meal Program
18
Community Health Needs Assessment (CHNA)
Implementation Strategy
Written Plan
Reading Health System
PO BOX 16052 Reading, PA 19612-6052
July 1, 2012 – June 30, 2013
19
I. General Information
Contact Person: Stephanie Kuppersmith, MPH
Date of Written Plan: May 1, 2013
Date Written Plan Was Adopted by Organization's Authorized Governing Body: May 23, 2013
Date Written Plan Was Required to Be Adopted: June 30, 2013
Authorizing Governing Body that Adopted the Written Plan: Reading Health System Board of Directors
Was Written Plan Adopted by Authorized Governing Body by End of Tax Year in Which CHNA was Made
Available to the Public? Yes
Date Facility's Prior Written Plan Was Adopted by Organization's Governing Body: N/A
Name and EIN of Hospital Organization Operating Hospital Facility: Reading Health System; 23-1352204
Address of Hospital Organization: PO Box 16052 Reading, PA 19612-6052
I. List of Community Health Needs Identified in Written Report
List of Community Health Needs Identified in CHNA Written Report, Ranked by CHNA's Priority:
Community Health Need
Categories- Based on Healthy People 2020
CHNA Identified
Priority Areas
Berks
County
City of
ReadingPA State U.S.
Healthy
People
2020
Goals
Priority
Ranking
Priority
Potential
Decisions
Birth Rate« 64.2 98.0 88.5 72.5
Teen Birth Rate» 9.4 28.1 29.2 21.0
Late or No Pre-Natal
Care 32.8% 50.1% 29.2% 22.1%
Low Birth Weight 7.7% 8.8% 8.4% 6.0% 7.8%
Infant Mortality Rate˅ 4.9 5.8 7.5 6.2 5.6
Heart Disease* 189.3 241.5 192.1 186.5 100.8
High Blood Pressure 33.4% 40.0%
Stroke* 50.7 59.0 42.2 33.8
Mental Health
Clinical Depression,
Anxiety Disorder, or
Bipolar Disorder 14.6% 21.3% 37.1% 35.8%
30.0
Uninsured Adults 13.3% 23.7% 12.0% 11.0% 0%
ED Utilization^ 24.8% 44.1% Reduce
Did Not Fill Prescription
Due to Cost 13.7% 23.7% 8.0% 9.0%
No Regular Source of
Care 11.8% 18.9% 5.0%
Do Not Meet
Nutritional Standardsˆ 71.9% 84.8%
Obese 30.2% 35.0% 29.0% 25.0% 30.5%
Overweight 35.9% 35.3%
Diabetes Diabetes 13.9% 18.9% 9.5% 9.5% 7.2/1,000 28.0
28.9
28.4
Hig
h P
rio
rity
Maternal, Infant, and
Child Health
Heart Disease and Stroke
Access to Services
Nutrition and Weight
Status
32.1
32.0
20
II. List of Collaborating Organizations
The following organizations were consulted in the development of this implementation plan: Berks County
Community Foundation, Reading Housing Authority, St. Joseph Medical Center, and the United Way of
Berks County.
III. Health Needs Planned to Be Addressed By Facility
Reading Health System convened an internal implementation team comprised of Hospital leadership, as well
as staff from marketing/communications, government relations, patient care and medical care in order to
review the CHNA priorities and define the Hospital’s focus over the next three years. The following is the
result of their findings:
Community Health Need
Categories- Based on Healthy People 2020
CHNA Identified
Priority Areas
Berks
County
City of
ReadingPA State U.S.
Healthy
People
2020
Goals
Priority
Ranking
Priority
Potential
Decisions
No Care Due to Cost 21.1% 33.2% 11.3%
Did Not Visit 30.0% 40.3% 27.7% 30.3% 51.0%
Hepatitis B, Chronic 6.6 - 0.0
HIV/AIDS 218.7 - 376.5 350.4
Lyme Disease 8.0 -
Pertussis 6.6 - 0.1 0.0
Varicella 20.7 -
Chlamydia 302.6 - 377.0 426.0
Gonorrhea 47.6 - 102.2 100.8
Tobacco Use Smoking 20.4% 29.3% 21.0% 20.6% 12.0% 25.1
Female Breast Cancer 24.5 27.3 27.9% 22.9 20.6
Lung Cancer 46.7 54.2 14.9% 50.6 45.5
Colorectal Cancer 17.6 19.4 18.3 17.0 14.5
Prostate Cancer 6.7 - 27.7% 23.5 21.2
Respiratory Diseases Asthma 15.5% 18.2% 9.9% 8.6% 24.9
Substance Abuse Binge Drinking 38.4% 47.9% 17.0% 7.0% 24.4% 24.4
Cultural Differences - -
Language Barriers - -
Do Not Exercise 15.6% 23.6% 26.0% 21.0% 32.6%
Free Place to Exercise 59.8% 50.7%
Excellent 21.1% 13.3%
Very Good 31.5% 18.2%
Good 31.4% 35.3%
Fair or Poor 15.9% 32.6% 14.0% 10.0%
23.4
23.3
23.0
26.9
26.3
25.0
Notes: Figures not displayed reflect numbers too small to report
ˆ No. fruits and vegetables consumed in a normal day
Low
Pri
ori
ty
Physical Activity
Oral Health
Cancer*
Health Status
Immunization and
Infectious Diseases*
Health Communication
˅ Calculated per 1,000 live infant births
^Visited ED in past year due to lack of insurance
* Mortality rates calculated per 100,000 population
« Calculated per 1,000 women aged 15-44 years
» Calculated per 1,000 women aged 10-17 years
21
Community Health Department at Reading Hospital
Reading Health System will create a new interdisciplinary Community Health Department with staff who
has expertise in community medicine and public health. Their purpose will be to: (1) Work to address the
health needs identified in the CHNA; (2) Coordinate internal community outreach efforts to maximize and
focus efforts on target populations; and (3) Assist in coordinating student placement and research activities
that facilitate the community-based action research of its stakeholders. Department staff will be a constant
presence at community meetings and represent Reading Health System in community organizational
governance structures.
The mission of the Community Health Department will be to improve the health and wellness of Berks
County and abutting communities by mobilizing the resources of Reading Health System and partnering
with community organizations.
In order to fully address the health needs outlined in the 2013 assessment, it will take a consistent, long-term
synergistic effort by multiple stakeholders. To this end, Reading Health System’s Community Health
Department will take the lead in developing and sustaining a community coalition that will convene
stakeholders with broad representation from community organizations and academic institutions.
Berks County Community Coalition
The mission of the Berks County Community Coalition (BCCC) will be to eliminate health disparities in
chronic disease and mental health by reducing risk factors, promoting healthy lifestyles, and applying
evidence-based and culturally appropriate strategies and programs throughout Berks County communities.
Coalition activities will include:
Defining, prioritizing, and developing strategies to address local health issues in cooperation with
community partners, health providers, research institutions and governmental entities;
Developing long-term strategies to address health disparities, with a focus on chronic illnesses
(cancer, diabetes, cardiovascular disease, etc.) and mental health, especially in underserved and
uninsured populations;
Establishing a sustainable capacity and infrastructure that encourages and facilitates community-
based participatory research and training activities focused on eliminating health disparities;
Developing local academic, governmental, and community partnerships to accelerate diffusion and
adoption of evidence-based approaches to prevention and treatment of health conditions;
Advocating for health policies that ensure equality in access to health care and services;
Identifying local, regional, and national resources to develop and implement identified programs that
will improve the delivery of health services to populations with health disparities.
Membership: Private or public organizations interested in the health of Berks County communities will be
asked of their interest to become members of the Community Coalition.
Health priorities identified for the Coalition to focus on (Table 1): Access to Healthcare, Asthma, Binge
Drinking, Obesity, Oral Health, promotion of Physical Activity, and the Teen Birth Rate in the City of
Reading.
22
Table 1.
Primary Priorities: health issues identified as having little or no coordinated effort and programming
PRIORITY: Maternal, Infant, and Child Health Strategy (1): Promote availability of services for pre-natal care
Activity (A): Develop and implement a health communication campaign informing residents of the
importance and availability of pre-natal services
Strategy (2): Promote availability of services for prevention of pregnancy among teens
Activity (A): Develop and implement a health communication campaign promoting availability of
pregnancy prevention services among teens (especially within the City of Reading)
Strategy (3): Promote health education at area schools for pregnancy prevention and access to resources
Activity (A): Work with area School Districts to provide health education to teens on prevention
methods and access to resources to reduce teen pregnancy rates
Reading Health System:
Community Health
Department
Berks County Community
Coalition
Primary Responsibilities:
Maternal, Infant, and Child
Health; Mental Health; and
Obesity
Secondary Responsibilities:
Heart Disease & Stroke;
Diabetes; and Access to
Services
Tertiary Responsibilities:
Cancer; Infectious
Diseases; Tobacco Use;
Health Communication;
and Health Status
Monitoring
Coalition responsibilities: Access to Healthcare- Insurance
Asthma
Binge Drinking
Obesity
Oral Health
Teen Birth Rate (Reading)
Physical Activity
23
Logic Model: Maternal, Infant and Child Health
PRIORITY: Mental Health Strategy (1): Assess feasibility of co-locating primary care and mental health services to better coordinate
patient care
Activity (A): Work with area primary care practices and Center for Mental Health to pilot co-located
services in order to judge feasibility for system-wide roll out
Strategy (2): Assess feasibility of providing case management services through Service Access
Management, Inc., in our Emergency Department
Activity (A): Work with Berks County Service Access Management, Inc., to provide case
management services via telemedicine or hotline in the Emergency Department
Strategy (3): Review Hospital policies and procedures for handling patients with mental health needs
Activity (A): Review, update, and implement revised Hospital policy regarding no-show patients
Activity (B): Review, update, and implement revised Hospital policy regarding patient referrals to
psychiatrists
Outputs
Resources Activities Short-Term Intermediate Long-Term
1 to 3 years 5 to 7 years 10 to 12 years
Strategy (1): Promote
availability of services
for pre-natal care
Community Health
Department; Marketing;
Community
Organizations (TBD)
Develop and implement a
health communication
campaign informing
residents of the
importance and
availability of pre-natal
services
• Development of health
campaign (based on
evidence-based
practices)
• Implementation of
campaign throughout
community
• Acceptance and
promotion of health
campaign by community
organizations
• Increase in
understanding of the
importance of receiving
pre-natal care services
• Increase in util ization
of pre-natal services
• Decrease in women
who have late or no-
prenatal care to 29%
Strategy (2): Promote
availability of services
for prevention of
pregnancy among teens
Community Health
Department; Marketing;
Community
Organizations (TBD); and
the Community Coalition
Develop and implement a
health communication
campaign promoting
availability of pregnancy
prevention services
among teens (especially
within the City of
Reading)
• Development of health
campaign (based on
evidence-based
practices)
• Implementation of
campaign throughout
community
• Acceptance and
promotion of health
campaign by community
organizations
• Increase in awareness
of the pregnancy
prevention services
• Increase in util ization
of pregnancy prevention
services
• Decrease in teens who
are pregnant in the City
of Reading by 8%
Strategy (3): Promote
health education at area
schools for pregnancy
prevention and access to
resources
Community Health
Department; Berks
County School Districts
(SDs); Teachers and
Teens
Work with area School
Districts to provide
health education to teens
on prevention methods
and access to resources
to reduce teen pregnancy
rates
• Gain acceptance by
area SDs to allow health
education on teen
pregnancy prevention
• Development of
educational materials
(based on evidence-
based practices)
• Provision of education
materials to Teens
throughout Berks County
• Evaluation of program
• Increase in awareness
of prevention methods
• Increase in knowledge
of prevention methods
and how to access them
• Decrease in the teen
birth rate in the City of
Reading by 7%
Inputs Outcomes- Impact
24
Logic Model: Mental Health
PRIORITY: Obesity Strategy (1): Promote availability of healthy food choices
Activity (A): Perform Food Access and Security Needs Assessment in the City of Reading to
determine access to fresh produce
Activity (B): Develop and implement a Farm to Preschool program at the Hospital’s Children’s
Development Center (i.e. onsite day-care facility)
Activity (C): Increase the proportion of school districts that require schools to make fruits or
vegetables available whenever other food is offered or sold
Activity (D): Promote and support local farmers’ markets in the community
Strategy (2): Promote increased physical activity and exercise
Activity (A) : Health communication campaign to make community members aware of various types
of physical activity and places they can go to exercise, e.g. YMCA, parks, trails, etc.
Activity (B): Work with area school districts to promote physical fitness in schools
Strategy (3): Promote patient-provider education on obesity and cause and effect on chronic diseases
Activity (A): Hold continuing medical education (CME) events for physicians, nurse practitioners,
and nurses to learn how to increase conversations with patients on obesity, BMI, co-morbid
conditions, and promoting healthier lifestyles
Outputs
Resources Activities Short-Term Intermediate Long-Term
1 to 3 years 5 to 7 years 10 to 12 years
Strategy (1): Assess
feasibility of co-locating
primary care and mental
health services to better
coordinate patient care
Center for Mental Health;
Family Health Care
Center; Hospital
Administration;
Community Health
Department
Work with area primary
care practices and Center
for Mental Health to pilot
co-located services in
order to judge feasibility
for system-wide roll out
• Hold feasibility study
to: Define location, staff,
services to be provided,
and cost of pilot
• Pilot primary care
services during one of
the mental health clinics
• Evaluate util ization
rate and cost
effectiveness of co-
located services
• Increase in util ization
of primary care services
among patients with
defined mental health
conditions
• Better patient outcomes
• Higher patient
satisfaction scores
Strategy (2): Assess
feasibility of providing
case management
services through Service
Access Management, Inc.,
in our Emergency
Department
Center for Mental Health;
Community Health
Department; and Service
Access Management, Inc.
Work with Berks County
Service Access
Management, Inc., to
provide case
management services via
telemedicine or hotline
in the Emergency
Department
• Hold feasibility study
to: Define staff, services
to be provided, and cost
of pilot
• Pilot services provided
in ED
• Evaluate util ization
rate and cost
effectiveness
• Increase in access and
utilization to case
management services by
patients who access care
through the ED
• Better patient outcomes
• Higher patient
satisfaction scores
• Better util ization of
physician time
Strategy (3): Review
Hospital policies and
procedures for handling
patients with mental
health needs
Center for Mental Health;
Hospital Administration;
Physician panel;
Community Health
Department
Review, update, and
implement revised
Hospital policy regarding
no-show patients
• Updated Hospital
policy regarding no show
patients
• Increase in access to
services
• Better patient outcomes
• Higher patient
satisfaction scores
Center for Mental Health;
Hospital Administration;
Physician panel;
Community Health
Department
Review, update, and
implement revised
Hospital policy regarding
patient referrals to
psychiatrists
• Updated Hospital
policy regarding
referrals to psychiatrists
• Increase in access to
specialty care services
• Better patient outcomes
• Higher patient
satisfaction scores
Outcomes- ImpactInputs
25
Logic Model: Obesity
Outputs
Resources Activities Short-Term Intermediate Long-Term
Community Health Dept.;
The Food Trust; PFHBC
Community Coalition
Perform Food Access and
Security Needs
Assessment in the City of
Reading to determine
access to fresh produce
Completion of the
following:
• Inventory on the food
retail environment;
• Survey of community
members; and
• Survey of local
business owners
• Development of
actionable plan by
Community Coalition
based on results from the
needs assessment
• Definition of funding
sources for implementing
action items
• Acquisition of funding
for action items
• Increase in access to
fresh produce in the City
of Reading
• Elimination of USDA-
defined Food Desert in
the City of Reading
Community Health Dept.;
Child Development
Center; Facilities
Management; Nutrition
Develop and implement a
Farm to Preschool
program at the Hospital’s
Children’s Development
Center (i.e. onsite day-
care facil ity)
• Development of Farm to
preschool program for
children ages 0-4 at the
CDC (based on evidence-
based practices)
• Increase in knowledge
of what makes up a
healthy diet among
children ages 3-4
• Increase in daily
consumption of fruits
and vegetables by 5%
• Decrease prevalence of
obesity and overweight
in CDC population
Community Health Dept.;
School District's
Wellness Committees;
Food Service providers
Increase the proportion
of school districts that
require schools to make
fruits or vegetables
available whenever other
food is offered or sold
• Collaborate with
wellness committees to
assess school's ability to
implement healthier food
options
• Work with 2 SDs to
implement healthier food
options
• Expand reach to
additional 3 SDs
• Increase access to
fresh produce in schools
• 15% of SDs requiring
schools to make fruits or
vegetables available
whenever other foods are
offered or serve
• Decrease prevalence of
obesity and overweight
by 7%
Community Health Dept.;
Marketing Dept.;
Promote and support
local farmers’ markets in
the community
• Develop marketing
campaign to promote
community farmer's
markets
• Implement campaign
• Increase in awareness
of farmer's markets
• Increase in util ization
of farmer's markets by
5%
• Increase in daily
consumption of fruits
and vegetables by 5%
• Decrease prevalence of
obesity and overweight
by 7%
Outcomes- Impact
Strategy (1): Promote
availability of healthy
food choices
Inputs
Community Health Dept.;
Marketing Dept.; and
Community Coalition
Health communication
campaign to make
community members
aware of various types of
physical activity and
places they can go to
exercise, e.g. YMCA,
parks, trails, etc.
• Development of health
campaign (based on
evidence-based
practices)
• Implementation of
campaign throughout
community
• Acceptance and
promotion of health
campaign by community
organizations
• Increase in awareness
of places available for
physical activity and
exercise
• Increase in util ization
of community resources
• Increase in physical
activity levels by 10%
Community Health Dept.;
Children's Health Center;
Nutrition Services; Area
School Districts; and
Penn State-Berks
Kinesiology Dept.
Work with area school
districts to promote
physical fitness in
schools
• Adoption and
implementation of an
evidence-based practice
model at one school
• Evaluation of program
• Expansion of program
to 3-5 schools
• Increase in physical
activity levels among
children in grades 1 to 5
by 10%
Strategy (3): Promote
patient-provider
education on obesity and
cause and effect on
chronic diseases
Academic Affairs Dept.;
Community Health Dept.;
Marketing Dept.; and
Health System Physicians
Hold continuing medical
education (CME) events
for physicians, nurse
practitioners, and nurses
to learn how to increase
conversations with
patients on obesity, BMI,
co-morbid conditions,
and promoting healthier
l ifestyles
• Develop CME education
based on evidence-based
practices
• Implement CME
education initiative
• Evaluate education
initiative
• Increase in patient-
provider conversations
about obesity by 3%
• Increase in education
and promotion of healthy
lifestyles by primary care
practices by 5%
• Increase in physical
activity levels by 5%
• Increase in
consumption of fresh
fruits and vegetables by
5%
• Decrease prevalence of
obesity and overweight
by 7%
Strategy (2): Promote
increased physical
activity and exercise
26
Secondary and Tertiary Priorities: health issues identified as currently having coordinated effort and programming devoted to them
Access to Services ED Utilization
Reading Health System offers three Quickcare Locations (Berkshire Heights, Exeter, and Leesport).
Quickcare facilities are located in high-traffic areas and are open at convenient times. Staffed by Hospital
physicians and ancillary staff, they treat patients with common ailments such as sore throat, ear infections,
or rashes. In addition, they provide immunizations and other simple health check-ups.
In June of 2012, a new Federally Qualified Health Center opened in the City of Reading, called the Berks
Community Health Center. The Health Center had just opened when data collection began on our needs
assessment. We anticipate that the future presence of this facility will aid in reducing unnecessary use of the
Hospital’s Emergency Department (ED). Reading Health System is committed to their success and intends
to promote the Health Center by working with them to expand their service hours, helping them to position
themselves to be integrated into the medical home model with specialists, and aligning them with the Health
System’s ED.
In addition, Reading Health System will look to provide a new access point for patients by establishing a
Health Center within the Hospital’s ED; and support the development of a FQHC in the City of Reading that
would provide Women’s and Children’s services and serve as their medical home, as well as open access
laboratory services to the community.
Did not fill prescription due to cost
In Fiscal Year 2012, Reading Health System provided approximately $85,000 worth of free prescriptions to
patients who needed it. The Health System will continue to offer this service. We are hopeful that with the
opening of the Health Insurance Exchanges in 2014, that fewer patients will need this service in the future.
No regular source of care
While Reading Health System continually examines how it can get in front of the primary care physician
shortage with the increased utilization of Nurse Practitioners and the like, as well as the nursing shortage, we
have found that the community is still struggling with identifying and sustaining a source of primary care.
Reading Health System’s Family Health Care Center has piloted a novel process termed “open access”
which promotes the philosophy of “Do today’s work today.” The process has been found to improve
continuity of care, access, and patient satisfaction. This approach not only applies to patients already in the
practice, but should improve access to new patients as well. In addition, many of our primary care practices
and internal medicine practices provide patients with same-day appointments for urgent matters by holding
open a certain amount of slots each day. Our Family Health Care Center also offers extended hours in order
to provide patients with more options for accessing care.
The Hospital currently offers sub-specialty clinics which provide all patients with access to on-site
specialists in a wide variety of areas including: Arthritis, Cardiology, Dermatology, Endocrinology,
Gastroenterology, Gynourology, Infectious Diseases, Neurology, Podiatry, Pulmonary, Surgical, Trauma,
Cleft Palate, and vision. However, the clinic currently operates on a first come, first serve basis, which often
leaves the most at-risk patients on the door step of the Emergency Department. In order to ensure future
success of this clinic, Reading Health System will convene an internal committee to examine the current
process and will look to establish guidelines and a patient prioritization metric so that the patients at greatest
need will receive care in a timely and efficient manner.
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Cancer Reading Health System’s McGlinn Family Regional Cancer Center provides comprehensive cancer care
from the time of diagnosis throughout the treatment phase and continues after treatment is completed.
Cancer Center services include:
Early Detection
Screening Programs and Events
The Regional Cancer Center offers free cancer screenings for oral, breast, prostate, skin, and cervical
cancers throughout the year. We also distribute free colorectal cancer screening kits at local health fairs.
The following screening events are held each year:
Breast
Skin
Prostate
Oral
Cervical
Colorectal
Risk Assessment and Genetic Counseling
The Family Risk Assessment Program is targeted toward women who are considered to be at higher than
average risk for developing certain cancers. Through this program, information is being gathered to assist in
cancer research. Program participants are provided with the results, allowing them to make well-informed
medical and lifestyle decisions.
Diagnosis & Treatment (including Clinical Trials)
Reading Hospital’s Regional Cancer Center provides a complete range of treatment options for patients with
most types of cancer. Surgery, chemotherapy, and radiation therapy are the primary therapies used to treat
cancer patients. Clinical trials give cancer patients options that reach beyond standard treatment and provide
a way to discover new therapies to combat cancer. Eligible patients have the opportunity to voluntarily
participate in clinical trials.
Support and Wellness
The following programs and resources are offered to assist patients and their families at every stage of
treatment and recovery:
Breathe Easy Smoking Cessation Course
Caring for the Caregiver
Family Risk Assessment Program
Healing Yoga Classes
Image Recovery Center
Outpatient Social Services
PAWS for Wellness
FLOW – Friendship, Laughter, Openness Workout
Tai Chi
Therapeutic Massage
Breast Cancer Support Services
Psychiatry and Psychology Services
Nutrition Counseling
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Diabetes Diabetes education and management is handled at the Reading Health Physician Network - Endocrinology
and Diabetes Center. Beyond medical management of blood sugars, the Diabetes Center offers a complete
menu of services to anyone with diabetes. Individual education and counseling are crucial for many
diabetics, who need help learning to make decisions about their care, check blood sugars, take medication,
or lose weight.
Services include:
diabetes medical care, including a comprehensive history and physical, and an individualized
treatment plan;
changes in medicine as needed to improve blood sugars;
training in monitoring blood glucose;
insulin pump evaluation, training, and management;
hemoglobin A1C, blood glucose, and urine protein testing on premises;
insulin starts and training in insulin use;
group and individual diabetes education recognized by the American Diabetes Association;
individual meal planning; and
new therapies like continuous glucose monitoring that can look at all blood sugars for 72 hours
In addition, the Diabetes Center offers the following classes:
Multiple Daily Injection Class
Diabetes and You
Diabetes Review Class
Gestational Diabetes Class
Insulin Pump Education
Would An Insulin Pump Be Right For Me?
Pre-Diabetes Group
Pre-Diabetes Support Group
Supermarket Tours
In addition, diabetes is a future initiative under the Hospital’s new Clinical Integration program called
Advancing Wellness. Details of the program are explained under the heart disease category below.
Heart Disease & Stroke The Marlin Miller, Jr. Regional Heart Center provides prevention programs, state-of-the-art diagnostic and
treatment services, and complete cardiac rehabilitation. Our interdisciplinary team approach to heart care
allows us to rapidly mobilize all available resources to treat the patient's heart problems. Our use of
evidence-based treatment guidelines promotes consistency of care and positive patient outcomes.
Community Health Education services include:
Heart to Heart – Lifestyle Education Series
HeartSafe- AED training
Heart Healthy Nutrition
Life After Stroke: Stroke Support Group
CPR classes
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Reading Health System’s- Stroke Center is fully equipped and staffed to provide state-of-the-art rapid
evaluation and treatment for stroke. The Stroke Center’s community health programs including:
Heart Health Education
Go Red- Heart Health
Stroke Awareness
Heart Failure Support Group
In addition, Congestive Heart Failure is one of the Hospital’s strategic priorities and is the catalyst for a new
initiative called Advancing Wellness. Advancing Wellness is a program created to assist patients living with
heart failure, or COPD, and in the future diabetes. The program was developed as a collaboration between
Reading Hospital, Reading Health Physician Network, and local Cardiologists.
Services provided include:
Registered Nurse Care Navigator to coordinate additional care
Collaboration between primary care physicians and specialists to provide complete cardiac
assessment, evaluation, and treatment recommendations for patients diagnosed with heart failure
Expert recommendations to patients on lifestyle changes needed to better manage symptoms and
prevent admission to the hospital
Lab assessment
Rehabilitation programs
Routine follow-up telephone calls with patients by a Care Navigator
Patient medication review and follow-up with a Pharmacist
Patient diet review and follow-up with a Nutritionist
Resources and tools to help patients improve quality of life
Infectious Diseases Reading Health System’s Center for Public Health takes a team approach to promoting the health and
wellness of people diagnosed with HIV. Patients have access to case managers, nutritionists, physicians, and
counsellors. The Center’s staff has over twenty years of experience managing specialty care associated with
HIV. The Center welcomes clients with and without medical insurance.
Center for Public Health services include:
Medical treatment of HIV and AIDS
Primary medical care
Routine gynecological care
Routine immunizations
Nutrition counseling
Case management
Education on medications, laboratory testing, and nutrition
Support groups
Smoking cessation
Routine ophthalmology care
Referral to specialty clinics
Free Rapid HIV testing
Free, confidential screening and treatment of STDs for anyone over the age of 13
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Health Communication Reading Health System is committed to meeting the needs of our patients, including those with diverse
values, beliefs and behaviors. Interpreting services are offered throughout our System to patients who
request it, including in-person and phone interpreters. In Fiscal Year 2012, our Interpreters provided
approximately 9,000 patients with interpreting services. As our minority populations increase in the City of
Reading and throughout Berks County, we will examine expanding these services to meet the increasing
demand.
In addition, Reading Health System will assess cultural competence of our healthcare providers. By being
culturally competent in health care, health care professionals can understand a patient’s diverse values,
beliefs, and behaviors, and customize treatment to meet the patient’s social, cultural and linguistic needs.
Therefore, after an assessment of cultural competence is complete we will develop (based on evidence-based
practices) and implement a cultural competence training program.
Many recent studies have found that cultural competence training shows promise as a strategy for improving
the knowledge, attitudes, and skills of health professionals, and in turn impacts patient care and satisfaction.
Health Status Monitoring As part of its Clinical Integration initiative, Reading Health System has purchased and will be implementing
a population management-based software that will provide the Health System and its providers with a 360-
degree view of patient care, a deep understanding of their own clinical, financial, and infrastructure
strengths and liabilities, extensive expertise and support for improving population management, and an
advantage in risk-based contract negotiations with payers.
Tobacco Use Reading Health System’s Tobacco–Free Wellness Center provides comprehensive tobacco treatment
services that address the physical, emotional and behavioral aspects of tobacco addiction through group and
individual counseling. The Center also assists professionals across the healthcare continuum by sharing best
practices of evidence-based tobacco treatment through consultation and collaboration. Finally, by partnering
with local, regional, and state-wide providers, the Tobacco-Free Wellness Center works to educate the
public on the prevention of smoking, tobacco control policy and the impact of tobacco use on health and
well-being.
IV. Health Needs Facility Does Not Intend to Address
List of Health Needs the Facility Does Not Plan to Address
Reading Health System does not intend to address Access to Healthcare (i.e. insurance), Asthma, Oral
Health, and Substance Abuse (i.e. binge drinking).
Identification and Description of Health Need the Facility Does not intend to meet and Explain Why
Access to Healthcare (i.e. Access to Insurance) The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of
2010 propose to significantly revise established components of our healthcare system, such as: Medicaid and
other government program eligibility criteria; use of technology to improve healthcare quality and delivery;
and creation and administration of Health Insurance Exchanges. Among these, ACA anticipates that a
Health Insurance "Exchange" will be operated in each state as a resource for individuals and small
employers to access health insurance by January 1, 2014. Due to a lack of resources, we are proposing that
this health issue be charged to the community coalition which will encompass a broad range of experts
(including representation of insurers) to deal with this issue. In addition, we will ask the coalition to assess
access to care issues around transportation.
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Asthma Currently, Reading Healthy System does not have the resources to provide community wellness programs
focused on asthma. We are proposing that this health issue be charged to the community coalition which
will encompass a broad range of experts to deal with this issue.
Oral Health While the Hospital is currently planning for a dental residency program, we feel there is a lack of expertise
to solve the problem county-wide. We are proposing that this health issue be charged to the community
coalition which will encompass a broad range of experts to deal with this issue, including the possibility of a
mobile unit.
Substance Abuse (i.e. Binge Drinking) While the Hospital treats patients with drug overdose, we do not have the expertise or resources to hold
prevention programs in this area. We are looking to the Caron Foundation (a national non-profit
organization whose mission is to provide treatment to those affected by alcoholism or other drug addiction)
for future collaborations including grant opportunities where we might share in resources to develop
programming. In addition, this is one of the key health issues that will be charged to the community
coalition to help address.