community health needs assessment

Lake Chelan Community Hospital

Kevin AbelCEO

Lake Chelan Community Hospital BackgroundHospital completed in 1948.LCCH 215 employees2013 $22 million operating budget25 bed Critical Access Hospital – Rural Designation Diagnostic Imaging Procedures - 5,269Laboratory Procedures – 27,627Ambulance Runs – 1,241Home Health Visits – 2,937Emergency Room visits – 4,385Patient Days – 6,168Average Daily Census – 17 inpatients

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60% of the state is rural, about 15% of the population lives here.

Residents of Residents of Rural Rural Washington Washington Are…Are…

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Older

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On average, communities served by rural hospitals have almost 25% more residents over the age of 65 than other communities.

More Likely to be Unemployed

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And More Likely to Live in Poverty

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Rural Communities Have More Health Concerns

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Obesity is almost 12% higher than the State rate

Smoking is 13% higher than the State rate

40% More Deaths from Accidents

Other Rural ChallengesFewer area residents, 77.4% possess a high school

diploma compared to the State 89.6% (WSHA).Lower population density compared to urban areas

leads to increased travel distances and different service delivery processes.

Rural patients more likely to be on government insurance programs.

Critical Access Hospitals need to improve access to care and partner with other organizations to improve community health if we are going to reduce the health gap between rural and urban residents.

Collaboration and Transitions of CareCollaboration is critical for rural

health.2011 39% of ER visits fall into

emergent codes.Emergency Room Transfer Rate – 3.9%

Majority of transfers to Central Washington Hospital

21 Flight Transfers in 2011 NICU – Spokane or SeattleBurns & Trauma – Harborview

Collaboration (Current Programs)Mammography reads – Central Washington HospitalEcho/Heart – Wenatchee Valley Medical CenterPathology – Wenatchee Valley Medical CenterEMS Housing – Fire District 7 & 5 Stroke – SwedishSuicide Prevention – SAGE, Recovery Innovations,

Good Grief Center, Columbia Valley Community Health, Eastern Washington VA

Cancer Support Groups – The Wellness Place2012 LCCH hired Wellness Coordinator to promote

community health with focus on partnering with other regional providers.

Collaboration (Future)Requires Strong Information Technology

CapabilitiesTelemedicine

PsychiatryNeurology

HeartPrevention and WellnessVisiting SpecialistsRegional Cooperation and Planning

Review from the perspective of the patient

Community Health Needs Assessment Community Health Needs Assessment

Prioritize community health needsHelp prepare LCCH for healthcare reform /

new payment modelsProvide a framework for collaboration