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FOR THE PERIOD 10/1/16–9/30/17
COMMUNITY HEALTHImprovement Report
NEEUND
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EDS ASSEERWAY N
2015 A
1 Alcoho
2 Access
3 Access
4 Access
5 Nutriti
6 Lack of
7 Income
8 Access
9 Access
10 Health
11 Smoki
12 Conta
ComEv
Comm
ESSMENTNOW FOR
Assessme(Reports
l & Drug
to Menta
to Denta
affordab
on / Acce
f Physica
e, Poverty
to Trans
to Prima
hcare for
ing / Tob
act Inform
mmunivaluatio
munit
TS CONDUR 2018.
ent and Pon each to
g Misuse i
al Health
l Care
ble health
ess to affo
al Activity
y, Family
portation
ary Health
r Seniors
bacco Use
mation an
ComNee
ty Heaon Plan
ty He
UCTED E
Plan devopic area ca
including
insuranc
ordable h
y; need fo
y Stress
n
h Care
nd trend g
mmunityds Asse
lth n
ealth I
EVERY 3
velopedan be found
g Heroin &
ce; cost of
ealthy foo
or opport
graphs
y Healtessmen
CommImp
mpro
YEARS, D
aroundd on the pag
& Pain M
f Rx drug
od
tunities fo
th nt
munityplemen
Plan
oveme
DONE IN
d the follges referen
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y Healthtation
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PGs 3-
PG 5
PG 6
PGs 6-
PGs 7-
PG 9
PGs 9-
PG 12
PG 12
PG 13
PGs 13
PG 15
D
s
-5
-7
-8
-11
3-14
Page 1
WP
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Page 2
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hat intentios adults, yoin the Winmote the h
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igh-qualitves free o
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health eqe disparitirove the f all group
ocial and environm
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e quality olthy ment, andbehaviors ll life stag
R G E T
n Accounnity for H) and medirhoods tha
the healthbeing of onity throu
k of healthervice par
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ts rank theceeding inty for Hea
mmunity Paeptember 2
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munity
xperience
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r HSA Coeas when c
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te revision oce Use Trea
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ic and Emerment.
ation in Gofor Substan
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ongoing sudsor County to promote dck days.
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ate
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org
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x CondReadintervserveconceand w
x DisseHealtPolicacroswith contapreve(guidTRO
x Condcommrelatepolic
Page
ies: Alcohana Use
mplete revisstance Use atment Guidducted Windnty wide schs assessmenention resoutified needs ported creatiort for a Stustance Profee WCSU schict ked with Twuquechee Remission (TR
ss 30-town ring “adult-ouding alcohies related tity/location,oor events, aicted advertducted Healtdiness Assesviews in 3 te as catalystept of town wellness comeminated Suthy Commu
cy Guide to ss Windsor Cinvitation le
act MAPP foention policde was creatRC last yea
ducted Nov munity surved to preveny
4
hol &
sion of
de dsor hool nt to link urces to
ion and $ udent essional hool
wo Rivers egional RORC) to region of only” hol) to outlet , use at and ising. th ssment owns to
t to health
mmittees upporting unities
towns County etter to
for cy support ted with ar) 2017
vey ntion
OUTAlcoh
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Funding SinfrastructMAPP Su
Percen
tage
Percen
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OUTMarij
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10
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30
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rcen
tage
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25
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TCOMEjuana U
ES: e
ctive #ing He
: MAHHC, ($60K), SBy ($14.5K),
2011
Adul
osp Service
5
5
5
20
Yout
WSE
2011
Yo
WS
2011
Yo
W
ES: Use
#1 ~ Aeroin a
Goals: Ðstudentsthe last 3drinkers
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lt Binge D
Area
011
th Binge
ESU
1
outh Alco
SESU
Goal: Ðhave use
2
uth Mariju
WSESU
lcoholand Us
Ð by 10%s who dra30 days,
Prevention($112.5K)
cGaw prize
2013
Drinking, p
Windsor Co
2013
Drinking
WCSU
2013
ohol Use, p
WCSU
Ð by 10% ed mariju
2013
uana Use,
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l & Druse of P
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n Partnersh), Blueprinte ($6.6K)
3
past 30 da
ounty
2015
g, past 30
State
2015
past 30 da
State
the percuana in th
2015
past 30 da
State
ug MisPain Me
2 years: hol and wof adults
hip grant ($t for Health
20
ays
VERMONT
20
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2
ays
Goal
entage ohe past 3
5
ays
Goal
suse (cedicat
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$135K), Prh grant ($1
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Goal
017
oal
2017
of studen30 days.
2017
cont.)ions)
of e drank ine binge
revention 29K),
ts who
n
Activities: Alcohol & Marijuana (cont.) x Systematic, statewide social
media campaign promotion for both MAPP and Windsor County Prevention Partners on Facebook (reaches across Windsor county)
Objective #1 ~ Alcohol & Drug Misuse (cont.)(Including Heroin and use of Pain Medications
Page 5
Mental Health Activities: Mental Health
x Distributed brochure of Mental Health Providers in the hospital and throughout the community
x 3 WRAP workshops delivered for skill building and self-management support for anxiety, depression and general mental health
x Expansion of a HCRS embedded clinician/LADAC to four days a week in Patient Centered Medical Home supported by SBIRT grant
x Hired and supported a psychiatrist within our Patient Centered Medical Home
x Partnership for interagency care management with HCRS and other partners
x Provided Mental Health First Aid training to Hospital staff and community partners X2
x 336 mental health counseling sessions were provided through the Windsor Connection Resource Center
Objective #2 – Access to Mental Health
Partners and Resources: � Windsor County Prevention Partners � Two Rivers Ottauquechee Regional Commission � Ottauquechee Community Partnership � Windsor Southeast Supervisory Union � SBIRT Vermont, www.sbirt.vermont.gov � Vermont Department of Health
o Parent Up, www.parentupvt.org (talk to kids about drugs) � Woodstock Police Department
o “Text-a-tip”, report underage drinking parties before they happen! (802) 296 - 1746
� Towns of Weathersfield, Woodstock, and Windsor � Healthcare and Rehabilitative Services (HCRS, behavioral health
clinician in primary care clinics) � Junction Youth Center
Partners and Resources: � Windsor Community Health Clinic
o Wellness Recovery Action Plan, http://www.mtascutneyhospital.org/community-services/community-resources/wellness-recovery-action-plan
� Healthcare and Rehabilitative Services (HCRS) � West Central Behavioral Health (Mental Health First Aid) � Windsor Connection Resource Center
Mental Health Providers brochure: http://www.mtascutneyhospital.org/sites/default/files/content/documents/MAH17_MentalHealthBrochure_Web.pdf
AA
•
•
•
•
•
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•
Page 6
ActivitiesAffordablCost of Pr
• Windsor Clinic (WcommuniVermont Medicareapplicatio
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• Applicatiopediatric c
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Page 7
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6 2017
ts Served
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1385 586 349 523
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outh Fruit/Veg
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Page 8
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Activities: Physical Activity
x Readiness Assessment for Town Health and Wellness Committees in Windsor, Weathersfield and Woodstock
x Implementation of 3-4-50 reaching over 1,000 people through outreach to towns, schools, businesses, day cares and Health and Human Services agencies
x MAH registered for and was recognized at the Gold Level for 3-4-50 Worksite Wellness activities
x Conducted Health Readiness Assessment interviews in 3 towns to serve as catalyst to concept of town health and wellness committees
x Disseminated Supporting Healthy Communities Policy Guide (includes plans for active living design) to towns across Windsor County with invitation letter to contact MAPP for prevention policy support (guide was created with TRORC last year)
Objective #6 – Lack of Physical Activity, need for recreational opportunities and active living
Goal 1: Ï the % of students and adults meeting physical activity guidelines by 10% over 2 years
OUTCOMES:Physical Activity
Partners and Resources:� Two Rivers Ottauquechee Regional Commission � Towns of Weathersfield, Woodstock, Windsor � VT Department of Health, 3 – 4 - 50 statewide campaign � Windsor HSA Community Collaborative, 3 – 4 - 50
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Funding Supports, Nutrition & Physical Activity: MAHHC and 3 – 4 - 50 supports, VDH / Tobacco Prevention ($1K) covers 3 – 4 – 50 costs.
Activities: Income, Poverty, Family Stress
• A Family Wellness Program in Windsor and Woodstock Pediatric Clinics continues.
• Serving on both WSESU and WCSU health and care teams.
• Promise Community—to promote kindergarten readiness and emotional and social competence of children and families through a five-prong strategy
• Acquired $ to support Collaborative Problem Solving and Attentive Parenting in OHC area with Artistree, Music Together, and added Family Therapy Coach to support at-risk families
Objective #7 – Income, Poverty, Family Stress
In order to address Income, Poverty, and Family Stress, we have established and maintain the Family Wellness Program and The Windsor Connection Resource
Center. The Ascutney Mountain Promise Community was added in 2017.
For full reports on Family Wellness Program visit: MtAscutneyHospital.org, Health Services tab, Pediatrics.
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Page 10
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Objective #10 – Health Care for Seniors
Activities: Health Care for Seniors
x Interagency care management in partnership with Senior Solutions
x Participated in the creation of a new Woodstock Area Adult Day Services – “Scotland House”
x Aging in Place Initiatives by ViA—new group formed in Weathersfield, Brownsville, and Reading
x SASH Wellness Nurse x HASS at Old Windsor
Village Volunteers through Volunteers in Action: x Hospital Jobs/Departments:
Greeters – 5 days/week – 39 community volunteers/5 substitutes.
x Mail assistant, emergency room and emergency reception, housekeeping, and pet walkers.
x Knitters and sewing donate items to all hospital departments, and distribute to churches, food shelves, Haven, VA Hospital, and Hospital Giving Tree – Total: 10 community volunteers/2 substitutes
x Chaplains: 2 community volunteers
x Vigils: 7 community volunteers x Patient Advocacy Team: 2
volunteers x A volunteer called a neighbor
every morning from 7/30/16 to 11/1/16
Funding Supports: MAHHC, Aging in Hartland ($2.5K), HASS ($9K), SASH ($18.5K)
9 Senior Solutions is a strong community collaborator.
9 The partnership of CHT and Senior Solutions in
interagency care management can be strengthened, particularly in the area of choices of care.
9 SASH is an integral member of our team.
9 Adult Day Care program will be a significant
strengthening of resources for seniors and families of frail elders
Partners and Resources: � Aging in Hartland � Senior Solutions � Volunteers in Action � Support and Services at Home (SASH) � Housing and Support Service (HASS) � Stewart Property Management � Thompson Senior Center � Woodstock Area Adult Day Services
Objective #11 – Tobacco Use / SmokingActivities: Tobacco Use / Smoking
x Regular cessation groups and 1:1 counseling has been provided
x Prevention activities to decrease tobacco advertising and use
x Implementation of 3-4-50 and non-smoking pledge cards
x Community education about the impact of vaping and flavored tobacco provided
x Recognized at the Gold Level for 3-4-50 Worksite Wellness
Goal 1: Ð the percentage of students who smoked cigarettes in the past 30 days by 10% every 2 years.
OUTCOMES: Tobacco Use
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Page 13
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PREVENTION WORKS! Trends we are tracking over time….
Prevention Trends
Page 15
Contact Information: For more inquiries related to this report,
or to find out how to get involved in community initiatives contact:
Jill M. Lord, RN, MS
Director of Community Health Mt. Ascutney Hospital and Health Center
289 County Road Windsor, VT 05089
(802) 674- 7224 [email protected]
MT. ASCUTNEY HOSPITAL AND HEALTH CENTER 289 County Road, Windsor, VT 05089 | (802) 674-6711 | MtAscutneyHospital.org
OTTAUQUECHEE HEALTH CENTER 32 Pleasant Street, Woodstock, VT 05091 | (802) 457-3030
MT. ASCUTNEY HOSPITAL AND HEALTH CENTER OPHTHALMOLOGY 80 South Main Street, Top Floor, Hanover, NH 03755 | (603) 643-1919
HISTORIC HOMES OF RUNNEMEDE 40 Maxwell Perkins Lane, Windsor, VT 05089 | (802) 674-6733 | HHRliving.org
MISSION:
To improve the lives of those we serve.
The 2017 Community Health Improvement Report was made possible by the support and participation of these area organizations and services:
Agency of Human Services
Aging in Hartland
Albert Bridge School
Blueprint for Health
Building Bright Futures
Canaday Fund
CT River Transit Company
Ct. Valley Recovery Services, Bradford Psychiatric Associates
Dartmouth Hitchcock Medical Center
Dorothy Byrne Foundation
Health Care and Rehabilitation Services (HCRS)
Housing and Support Services
Hunger Free Vermont
Northeast Delta Dental
Old South Church
Ottauquechee Community Partnership
SBIRT Vermont
Southern Vermont Area Health Education Services
Southern Windsor County Regional Planning Commission
St. Francis Church
Support and Services at Home
Thompson Senior Center
Town of Hartland
Town of Weathersfield
Town of West Windsor
Town of Windsor
Trinity Evangelical Free Church
Turning Point Recovery Centers
Two Rivers Ottauquechee Regional Commission
Vermont Center on Children, Youth and Families at UVM
Vermont Coalition of Clinics for the Uninsured
Vermont Dept. of Health
Vermont Food Bank
Vermont Housing Association
Volunteers in Action
White River Family Practice
Windsor Central Supervisory Union
Windsor Community Health Clinic
Windsor Connection Resource Center
Windsor County Prevention Partners
Windsor County Sherriff
Windsor Police Dept.
Windsor Recreation Dept.
Windsor Southeast Supervisory Union