Van Buren County Health Improvement Plan
Identified Need
Family Practice
Providers
Alcohol, Tobacco
and Other Drugs
and Mental
Health Services
Goal
Strategies
In 2011, the hospital medical staff
increased to 5 physicians and, in 2012,
two of those physicians left the
hospital’s employment. By August
2013, the hospital will have three family
practice and one internal medicine
physician, one general surgeon and one
OB/GYN who will serve Van Buren
County.
1. Tobacco use in Van Buren CountyDecrease the percentage of 11th
graders who state they have smoked
one or more cigarettes in the past 30
days from 15% in 2012 to 10% in
2016 based on the Iowa Youth Survey
2. Substance Abuse- Decrease
percentage of 11th graders who state
they have had one or more drinks in
the past 30 days from 25% in 2012 to
15% in 2016 based on the Iowa Youth
Survey.
3. Mental Health Services- Increase
services available to residents in Van
Buren County. In 2012 Van Buren
County Hospital offers services
through specialty clinics and the Van
Buren Community Schools offer
services through Young House Family
Services.
 Recruit and retain family
practice providers
 Complete compliance
checks for VBC
businesses
 Monitor and enforce
current laws and
regulations
 Provide community
education
 Review/update new
evidence-based
tobacco reduction and
prevention strategies
and programs.
 Mental health services
will be reviewed and
evaluated and a plan
developed for
improved services
1
Action Cycle
 Review and revise
retention plan to
include community.
 Fill one additional
opening for a Family
Practice or Family
Practice/OB.
 Complete compliance
checks twice a year at
local businesses.
 Monitor laws, policies
and legislative issues.
 Monitor changes in
mental health program
status.
 Market available
Mental Health Services
in VBC.
 Sustain funding for the
Safe Coalition
Responsible
Party
Completion
Date
 VBCH
 Keosauqua
Chamber
 Villages of
Van Buren
December
2013
 Safe Coalition
 Healthy
Villages
 VBCH
 VBC Public
Health
 VBC CPC
 Law
Enforcement
2014
May 2014
Identified Need
Goal
Strategies
Action Cycle
 Pick a Better Snack
Program
 PAT- evidence-based
nutrition curriculum
 Stabilize funding for the
Healthy Villages
Program.
 Increase the trails in
Van Buren County.
 Meet with Provider
who specializes in
Diabetic Management
Program to review
what
promotion/resources
she could use for the
program
 Provide marketing
 Create an online
campaign promoting the
Directory of
availability of early
Community Services
prenatal care provided
 Decide on a responsible
by community
organization to update
organizations and the
the Directory of
hospital
Community Services.
 Increase the number of
 Review lead screening
opportunities for testing
process through Epic
blood lead levels in
for ordering 2 year
children
well-child check-up.
 Access community
resources for program
 Setup Epic to send out
development
immunization
reminders.
Responsible
Party
Completion
Date
Obesity and
Diabetes
1. Reduce the number of
 Provide evidence-based
overweight/obese children in second
health promotion
grade in Van Buren County from 13%
programs related to
in 2012 to 10% in 2016 as reported
healthy lifestyle,
by the Van Buren Community School
nutrition and exercise
RN report.
for students.
2. Reduce the number of
overweight/obese adults in VBC from  Increase participation in
32% in 2009 to 29% in 2016.
the VBCH Diabetes
3. Decrease the rate of hospitalization
Management Program
for diabetes by 3 points as reported
 Increase participation in
by the Iowa State Inpatient Database,
the Healthy Villages
IDPH.
program
4. Reduce the rate of stroke in Van
Buren County by 3 points as reported
by the Iowa Health Fact Book.
 Parents as
Teachers
 VBC Schools
 Harmony
Schools
 Healthy
Villages
 VBCH
 VBCH Public
Health
 VBC Trails
Association
2014
Services for
Children,
Prenatal Care
and Lead Levels
1. Early Prenatal Care- Increase the
number of pregnant women receiving
prenatal care during the first trimester
from 75% in 2011 to 90% in 2016 as
reported by the Iowa Department of
Public Health, Birth Survey.
2. Lead Levels- increase the number of
children tested for blood lead levels
from 83% in 2004 to 95% by 2016.
3. Services for children- Increase the
availability of services for children
ages 0-5 years. The Directory of
Community Services for Van Buren
County was last updated in 2008 and
will be updated by 2016 to include
services for children.
 Parents As
Teachers
 VBCH
 Child
Healthcare
Nurse
Consultant
 Children First
Board
 VBC Public
Health
 WIC
 Van Buren
County Child
Care Centers
2014- 2015
2
Identified Need
Goal
Cardiovascular
1. Cardiovascular Disease. Reduce
Disease, Chronic
coronary heart disease from 24 in
Disease,
2011 to 20 by 2016 as reported by
Respiratory
the Iowa Brief.
Difficulties,
2. Respiratory Difficulties. Decrease the
Hospitalization
rate of hospitalization for
Rates and Stroke
pneumonia/influenza by 5 points by
2016 as reported in the Van Buren
County Health Snapshot.
3. Stroke. Reduce the rate of stroke
mortality in Van Buren County from
28 in 2008 to 25 in 2016 as reported
in the Iowa Health Fact Book.
Cancer
Decrease the rate of hospitalization for
all cancers from 22 in 2011 to 18 by
2016 as reported by the Iowa Brief.
Strategies
Action Cycle
 Expand the VBC Trails for
exercise opportunities
 Implement worksite
wellness programs in at
least 4 VBC Businesses
 Evaluate/expand Healthy
Villages community
wellness program in
each of the VBC Villages
 Continue to manage
patients with chronic
medical conditions in
their home environment
 Provide early
intervention by nurse to
prevent hospitalization
 Coordination of care
with medical home
 Promote early detection
of cancer by
coordinating visits and
providing screening
programs such as
mammograms,
colonoscopies, etc.
 Coordinate visits and
provide services and
education in
preventative care
 Sustain Healthy Villages
Fitness Centers
 Expand the Keosauqua
Riverfront Trail
 Increase worksite
Wellness Programs
 Explore one VBCH
Medical Clinic
becoming a “Medical
Home”.
 Provide medication
management
 VBCH
 VBC Public
Health
 Healthy
Villages
 VBC Trails
Association
2015
 Program Epic to send
reminders for cancer
prevention screenings.
 Work with the
University of Iowa to
recruit an Oncologist
 Promote services
provided by VBCH
 Install Digital
Mammogram in house
at VBCH
 VBCH provide an inhouse surgeon.
 VBCH
 VBC Public
Health
2016
3
Responsible
Party
Completion
Date