St. John’s Hospital, Memorial Medical Center,
Sangamon County Department of Public Health &
SIU School of Medicine
Citizens Club of Springfield
Dec. 19, 2014
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Required every 3 years for nonprofit hospitals
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Must meet Internal Revenue Service rules
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Memorial Medical Center (MMC) & St. John’s
Hospital (SJH) did 2012 assessments separately
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MMC, SJH collaborated on this assessment, to be
completed in 2015.
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SJH and Memorial agreed to select one joint priority
and work collaboratively to address it.
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Sangamon County Department of Public Health is
conducting its required assessment with the
hospitals (IPLAN – Illinois Project for Local
Assessment of Needs).
IPLAN is a 5-year cycle. SCDPH, with permission of
the Illinois Dept. of Public Health, will do 3-year
cycle with the hospitals.
SIU School of Medicine, Office of Community Health
and Service, is assisting.
UIS Survey Research program helped with forums
and survey analysis; will help with focus groups.
CORE TEAM
‣ St. John’s Hospital
‣ Memorial Medical
Center
‣ Sangamon County
Department of
Public Health
‣ SIU School of
Medicine
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Central Counties Health Centers
Eastside Ministerial Alliance
Illinois Department of Public Health, Division of Health
Policy
Mental Health Centers of Central Illinois
Sangamon County Farm Bureau
Sangamon County Medical Society
SIU Center for Family Medicine
Springfield School Dist. 186
Springfield Urban League
United Way of Central Illinois
University of Illinois at Springfield Survey Research Office
1.
2.
3.
4.
Institute of Medicine’s Triple Aim Impact: Improve the
health of individuals or the population, and reduce
health care costs.
Magnitude of the Issue – How many people are
affected by this issue in the community?
Seriousness of the Issue – How related is the issue to
the mortality (deaths) of those affected?
Feasibility – Considering available resources to
address the issue, how likely are we to make a
significant impact on the issue?
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‣ Core Team reviewed more than 100 health
indicators for Sangamon County
‣ Selected 21 serious indicators for detailed review;
ranked using the Defined Criteria
‣ Took 12 priorities to the Community Advisory
Committee, which ranked and selected 9 issues
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‣ Took those 9 issues to the
larger community
‣ Five community forums in
October: Riverton, Auburn
and three in Springfield
(Union Baptist Church,
Washington Park Botanical
Garden and Lanphier High
School)
‣ Open survey; 781 completed
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‣ Access to Care
‣ Asthma
‣ Child Abuse
‣ Dental Care
‣ Diabetes
‣ Food Insecurity
‣ Heart Disease
‣ Mental Health
‣ Overweight/Obesity
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Mixed mode survey
◦ Hard copies available at community forums and
community locations
◦ Online link publicized
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Community Forums
◦ All comments were recorded by UIS staff and then
transcribed using both automated transcription
software and individual researchers
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The survey was available to Sangamon County
community members from September 22 to
October 20, 2014.
781 individuals completed the survey
◦ 55 from community forums
◦ 137 from community locations
◦ 589 online surveys
Demographics of participants
Sangamon County
Population (2012 ACS
estimates)
Community forum
participants N=55
Female
Male
52.0%
48.0%
52.9%
45.1%
Community
participants (online
and paper surveys)
N=726
75.2%
22.3%
White
African-American
Other
83.7%
12.0%
4.3%
78.0%
16.0%
6.0%
83.2%
11.3%
5.5%
Hispanic/Latino(a)
1.8%
2.2%
2.7%
18-24 years old
25-34 years old
35-44 years old
45- 54 years old
55-64 years old
65 and older
6.0%
12.8%
12.8%
15.2%
13.3%
13.7%
8.0%
16.0%
8.0%
14.0%
26.0%
28.0%
4.8%
18.4%
18.9%
26.4%
23.2%
8.3%
Results
Sangamon County Residents' Top Health Priority Areas
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
86.9%
83.4%
76.2%
78.8%
49.9%
43.4%
44.3%
34.4%
24.2%
10.0%
Access to Care
Child Abuse
19.0%
14.5%
Mental Health
Overweight/Obesity
Percent rated as a "high priority"
Percent rated as "top priority"
Percent rated as "one of the top three priorities"
 62703 report that food insecurity is a high priority more than
in any other region.
 Child abuse ranks high in all zip codes, it is ranked as less of
a priority area among respondents in 62703 and 62711.
Almost 90% of respondents living in 62629 rank it as a high
priority.
 86% of women compared to 73.3% percent of men report that
child abuse is a high priority.
 In addition, 91.3% of women compared to 74.8% men report
that mental health is a high priority.
 African-American respondents are more likely to report that
asthma, child abuse, and heart disease are high priorities
than either White respondents or respondents who do not
identify as either White or African-American.
‣ Data and Images from Memorial Health System’s Healthy
Communities Institute Community Dashboard
www.choosememorial.org/healthycommunities
Retrieved Sept. 20, 2014
‣ Additional data obtained from
• 2013 Sangamon County Citizens Survey
• Illinois Department of Public Health
• 2013 Federally Qualified Health Center reports to Health Resources
and Services Administration (Central Counties Health Centers and
SIU Center for Family Medicine)
• Springfield Urban League Head Start Community Assessment
• Sangamon County Department of Community Resources
• Voices for Illinois Children – Kids Count
• USDA Food Atlas
• Plus other existing surveys and need assessments
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‣ Gauge shows where Sangamon
County falls in comparison to
other Illinois counties OR other
counties in the United States.
‣ Like a gasoline gauge on your car,
from left to right
o GREEN = Good
o YELLOW = Falling into the
bottom half
o RED = Issue to take look at
‣ Data comes from both state and
national sources
‣ Sangamon County residents only
‣ Disparities –We added a red star
to highlight data that shows a
worse outcome for AfricanAmerican residents.
Sangamon County Socio Needs Index
Measures socioeconomic need that
correlates with poor
health outcomes
Zip Code 62711
• About 15,300
people
• Ranked best in
the county on
socio needs
index
Zip Codes 62701,
62702, 62703
• About 68,750 people;
approximately 35% of
county’s population
and 59% of the city of
Springfield
• Ranked worst on
socio needs index
Source: Healthy Communities Institute
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Access to Care
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Access to Care
Access is more than having a primary care physician.
It may be transportation, paying for prescription medications or
other issues.
Sangamon County Citizens’ Survey (2013)
• 11.3% do not have health care coverage (state average: 13.1%)
• 19.1% of African Americans are uninsured vs. 9.2% of Whites
• 13.8% do not have a primary care physician
• 20.9% are economically insecure about their family’s health
care – at least once in the past 12 months they did not have
enough money to pay for health care or medicines for
someone in their family
Child Abuse
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Mental Health
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Overweight/Obesity
Overweight/Obesity
Overweight/obesity has been identified as an issue by
•
•
•
•
Memorial Medical Center
St. John’s Hospital
SIU School of Medicine
genH Kids
Springfield Collaborative for Active Child Health (SIU School of
Medicine, District 186, Springfield Urban League/Head Start,
and the Illinois Department of Public Health are the partners)
• Programs in 8 elementary schools in Dist. 186 (Ridgely,
Fairview, Enos, McClernand, Dubois, Iles, Lindsay, Butler).
• Spring 2014, the combined overweight and obesity rates of
first and fourth graders in these 8 schools was 33%.
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MMC and SJH will focus on areas of greatest need in the
community (likely residents living zip codes 62701,
62702 and 62703).
Take a narrower, deeper dive into the issue rather than
broader, but shallower community-wide approach;
consider targeted initiative a pilot project that might be
replicated elsewhere in the community, if successful.
We will be collaborative and invite other stakeholders to
participate.
We want to demonstrate measurable outcomes.
SCDPH and SIU School of Medicine will also participate
in this project.
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St. John’s and Memorial each took survey results
back to their Internal Advisory Committees.
Priorities were ranked using the defined criteria.
A joint priority was selected and approved by both
hospitals’ CEOs.
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Looked for a limited geographic area to address issue of
access to care
Enos Park has documented socio-economic and health
needs
Both Memorial and St. John’s are neighbors to Enos Park
In considering the Feasibility aspect of our defined criteria,
the Enos Park Neighborhood Improvement Association has a
strong neighborhood infrastructure that can help us get to
know the neighborhood and the access issues affecting its
residents.
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Both hospitals must complete the CHNA before end
of FY15 (June 30 for SJH & Sept. 30 for MMC)
Completion means
o Assess needs
o Get community input into the priorities, including public
health and underserved/vulnerable populations
o Select priorities; develop implementation plans; gain board
approval
o Post on websites before end of FY15
o MMC will coordinate its implementation strategy with three
other Memorial Health System hospitals.
o St. John’s may collaborate with it’s other HSHS hospitals.
COMPLETED:
‣ Majority of the Core Team
tasks
‣ Advisory Committee work
‣ Community Forums and
Community Surveys
‣ Selection of collaborative
priority
TO DO:
‣ Hold focus groups
‣ MMC, SJH and SCDPH
identify their other priorities
‣ Develop implementation
plans
‣ SCDPH completes IPLAN
‣ October 2015 – St. John’s, Memorial and Sangamon County
Department of Public Health will report:
o
Priorities selected by each organization
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Implementation plans
o
Plans for the joint priority of Access to Care in Enos Park
neighborhood
o
There will likely be some of the 9 priorities that are not
selected.
o
SIU School of Medicine may convene discussions about
some of those issues.
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