2019 Community Health Needs Assessment Implementation Strategy - Allenmore Hospital
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2019
Community Health
Needs Assessment
Implementation Strategy
Allenmore Hospital
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 1 10/14/19 11:22 AM
Executive
Summary MultiCare Health System is a not-for-profit
health care organization with over 18,000 team
Based on the results of the assessment, the health
department developed the following list of priority
members, including employees, providers and health needs:
volunteers. MultiCare’s integrated community-
■ Access to health care
based system of health includes primary,
specialty and urgent care services, in addition to ■ Maternal and child health
a wide range of community outreach programs.
■ Mental health
MultiCare is the largest community-based,
locally governed health system in the state ■ Unintentional injuries
of Washington.
THREE-YEAR FOCUS
PRIORITY HEALTH NEEDS
MultiCare’s Center for Health Equity & Wellness convened
In 2018, MultiCare contracted with the Tacoma-Pierce meetings with system leaders and stakeholders to
County Health Department to conduct a review the assessment. Based on the data, available
comprehensive Community Health Needs Assessment resources, existing programs and other needs, Allenmore
(CHNA) for the MultiCare Allenmore Hospital service Hospital selected the following health priorities as the
area. The assessment process included surveys and focus of the next three-year implementation period:
workshops among area residents and interviews with
community leaders. The resulting report features a ■ Access to health care
robust mixture of quantitative and qualitative findings. ■ Behavioral health
■ Injuries
MultiCare ■ Obesity
Allenmore Hospital
Community Health
Needs Assessment Allenmore Hospital does not offer maternal and child
Implementation Strategies health services, nor has expertise in this specialty.
2019
Therefore, this hospital will not address maternal and
2 child health.
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 2 10/14/19 11:22 AM
Executive
Summary Allenmore Hospital developed its own implementation
strategy and formed implementation teams composed
of internal staff and community partners. This CHNA
Continued implementation strategy describes how the hospital
will address the identified health care needs by:
■ Continuing and strengthening existing programs
and services
■ Exploring the implementation of new strategies,
programs or services
■ Collaborating with community organizations to
implement evidence-based strategies across the
service area
MultiCare’s implementation strategies will contribute
to long-term, sustainable improvements in community
health. Through coordinated efforts with community
partners, MultiCare will use these strategies as a road
map toward achieving better health outcomes.
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
3
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Table of
Contents
5 About MultiCare
6 Meeting Community Needs: MultiCare Allenmore Hospital
7 CHNA Methodology
9 Priorities
10 Focus 1: Access to Health Care
13 Focus 2: Behavioral Health
17 Focus 3: Injuries
20 Focus 4: Obesity
24 Conclusion
25 Appendix 1: Community Impact Evaluation, 2017–2019
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
4
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About
MultiCare MultiCare Health System is the largest community-
based, locally governed health system in the state of
Serving individuals of all ages, MultiCare’s network
includes 10 hospitals:
Washington. Our comprehensive network features
numerous primary care, urgent care and specialty • MultiCare Allenmore Hospital, Tacoma
services — including Immediate Clinic, MultiCare • MultiCare Auburn Medical Center, Auburn
Indigo Urgent Care, Pulse Heart Institute and MultiCare • MultiCare Covington Medical Center, Covington
Rockwood Clinic, the largest multispecialty clinic in the
• MultiCare Deaconess Hospital, Spokane
Inland Northwest. Specialty services include a Level II
adult and pediatric trauma center, a Level IV Neonatal • MultiCare Good Samaritan Hospital, Puyallup
Intensive Care Unit, the region's only Level I trauma • Mary Bridge Children’s Hospital, Tacoma
rehabilitation center and an internationally renowned
• MultiCare Tacoma General Hospital, Tacoma
therapy unit for children with special needs. Through
• MultiCare Valley Hospital, Spokane Valley
our affiliation with Navos and Greater Lakes Mental
Health, we are the largest behavioral health provider • Navos, Seattle*
in Washington state. • Wellfound Behavioral Health Hospital, Tacoma*
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
5 * Independently operated affiliate
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 5 10/14/19 11:22 AM
Meeting
Community MultiCare Allenmore Hospital Service Area
Needs
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
MultiCare Allenmore Hospital is a 130-bed hospital located in Tacoma, Washington. Its primary service area
(representing 75 percent of inpatients served) is shown in the figure above. Approximately 472,125 people live
6 in the Allenmore service area.
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 6 10/14/19 11:22 AM
CHNA
Methodology BACKGROUND AND PROCESS The health concerns or indicators that met these
criteria became the suggested priority health needs
MultiCare Health System and CHI Franciscan Health for the hospital service area. The resulting list of
contracted with the Tacoma-Pierce County Health priority needs served as a starting point for discussion,
Department to conduct a comprehensive Community rather than as a definitive short list requiring action.
Health Needs Assessment (CHNA). The process
included quantitative analysis and qualitative interviews
with community leaders and residents of Pierce County PRIORITY HEALTH NEEDS IDENTIFIED
representing many sectors and population groups, BY THE HEALTH DEPARTMENT
including low-income residents and others affected
by health disparities. The Tacoma-Pierce County Health Department
identified the following priority health needs for
residents within the MultiCare Allenmore Hospital
CRITERIA FOR PRIORITIZING service area:
HEALTH NEEDS ■ Access to health care
The health department developed the list of priority ■ Maternal and child health
health needs using four criteria:
■ Mental health
■ Was a health concern or indicator significantly worse
in the hospital service area than in the state? ■ Unintentional injuries
■ Was the health concern trending worse over time?
■ Was a health concern repeatedly voiced during the
community engagement portion of the assessment
MultiCare
Allenmore Hospital
(e.g., survey, workshops or interviews)?
Community Health
Needs Assessment ■ Does the health concern have health inequities
Implementation Strategies associated with race, ethnicity or gender?
2019
7
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CHNA
Methodology MULTICARE’S PROCESS FOR
SELECTING HEALTH CARE PRIORITIES
MULTICARE ALLENMORE HOSPITAL
IMPLEMENTATION STRATEGY
Continued MultiCare convened internal stakeholder meetings to Allenmore’s implementation strategy, outlined on
review the assessment, consider community health the following pages, describes how the hospital will
care needs and select priorities. The Allenmore internal address the identified health care needs by:
stakeholder group included executive, physician, nurse,
clinic and outpatient leaders. The group chose to focus ■ Continuing and strengthening existing programs
on the following priority health needs over the next and services
three-year period:
■ Exploring the implementation of new strategies,
■ Access to health care programs or services
■ Behavioral health ■ Collaborating with community organizations to
■ Injuries implement evidence-based strategies across the
service area
■ Obesity
Allenmore Hospital does not offer maternal and
child health services, nor has expertise in this specialty.
Therefore, this hospital will not address maternal and
child health.
Allenmore stakeholders then created implementation
strategies and identified both internal and community
MultiCare resources that address these five needs. In addition,
Allenmore Hospital leaders met with local organizations to explore possible
Community Health
Needs Assessment community-wide solutions to some of these health
Implementation Strategies care needs.
2019
8
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MultiCare Allenmore Hospital Priorities
GOALS
1. Access to health care 2. Behavioral health 3. Injuries 4. Obesity
S T R AT E G I E S
• Continue to support Medical Teams • Increase timely access to behavioral • Support the Stop the Bleed • Increase access to healthy foods.
International’s Mobile Dental Program. health services. Washington campaign. • Increase collaboration with
• Explore increased shared marketing • Promote integration of physical and • Promote evidence-based fall community partners on programs
efforts — through social media, behavioral health care. prevention programs for older adults. and policies to improve the health
website links, distribution of materials • Continue to integrate substance • Increase participation in local, state of our community.
and attendance at community events use treatment into the medical care and national injury prevention • Promote community awareness and
— to promote Lindquist Dental Clinic setting. coalitions. understanding of the Ready, Set,
for Children (LDCC). Go! 5210 (RSG! 5210) program and
• Expand capacity to provide • Promote educational opportunities
• Explore partnerships between co-occurring mental health and for MultiCare staff, other health care message.
LDCC and MultiCare WIC clinics, substance use disorder treatment. systems and community members. • Increase participation in community
prenatal and primary care, and other programs, classes and events,
departments and programs. including the YMCA’s Empowering
• Support MultiCare virtual care Pregnancy and Motherhood program
services for community members. and Healthy Kids Day.
• Support MultiCare’s DispatchHealth • Promote weight management
services to provide on-demand, programs and services.
in-person home care to patients living • Seek grants that support health equity.
in Tacoma or Pierce County.
• Increase knowledge and best-practice
education around the benefits of
breastfeeding.
• Increase access to and promotion of
physical activity among MultiCare
employees and community members.
9 Allenmore Hospital Community Health Needs Assessment Implementation Strategies 2019
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 9 10/14/19 11:22 AM
Focus 1:
Access to Our goal is to increase ■ Continue to support Medical Teams International’s
Mobile Dental Program through on-site clinics, referrals
Health Care access to health care services and shared marketing efforts.
in our community. • Continue to provide monthly free and low-cost
emergency dental services at MultiCare hospital
Providing access to affordable, high-quality care is vital campuses.
to our community’s health. Barriers to health care lead
• Increase the capacity to provide services through
to unmet health needs, delays in receiving appropriate
recruitment of volunteer providers.
care, lack of preventive services and hospitalizations
that could have been avoided. ■ Explore increased shared marketing efforts —
through social media, website links, distribution of
According to the Allenmore CHNA, community materials and attendance at community events — to
members lack access to needed health care services. promote Lindquist Dental Clinic for Children (LDCC).
The percentage of people who did not see a doctor
due to cost was higher in this hospital service area ■ Explore the creation of an Epic SmartPhrase to refer
(16 percent) than in the state (13 percent), with higher youth in need to LDCC.
percentages among Hispanic (27 percent) and black ■ Explore partnerships between LDCC and MultiCare
(24 percent) residents compared to white residents WIC clinics, prenatal and primary care, and other
(14 percent). In addition, Native Hawaiian and Pacific departments and programs.
Islander youth were least likely to have had a dental
checkup in the last 12 months. Our goal is to increase ■Support MultiCare virtual care services for community
access to health care services in the community members.
through the following strategies and activities:
■ Support MultiCare’s DispatchHealth services to
MultiCare provide on-demand, in-person home care to patients
Allenmore Hospital living in Tacoma or Pierce County.
Community Health
Needs Assessment
Implementation Strategies
2019
10
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Access to ANTICIPATED OUTCOMES patients and families. Some examples of services
offered include medication management, participation
Health Care Anticipated outcomes related to these strategies
include:
in primary care visits and home assessments.
Charity care, or free medical care, exists for children in
Continued ■ An increased number of patients who receive care families with incomes at or below 300 percent of the
through Medical Teams International’s Mobile Dental federal poverty level (FPL), which is $70,650 for a family
Program of four. For persons between 300 percent and 500
percent of the FPL, there are sliding scale fees available
■ An increase in referrals to Lindquist Dental Clinic
to help offset the cost of care. In addition to charity
for Children
care, MultiCare provides no-interest payment plans,
■ An increase in the number of MultiCare virtual care flexible payment schedules, discounted services
visits provided and assistance with qualifying for state-sponsored
health plans.
■Higher rates of in-home visits provided by
MultiCare’s DispatchHealth Indigo Urgent Care clinics provide quick care for
lower-acuity conditions. Open seven days a week,
Indigo Urgent Cares will be serving neighborhoods
INTERNAL RESOURCES throughout Pierce, King, Thurston, and Snohomish
counties.
As a not-for-profit health care system, MultiCare offers
programs that increase access to care; improve care Urgent Care and Primary Care clinics provide
coordination; and provide financial assistance for same- and next-day appointments, a 24-hour nurse
uninsured, underinsured and low-income populations. line, and have extended hours on weekday evenings
Examples of these programs and services include the and weekends.
MultiCare following:
Allenmore Hospital
Community Health Personal Health Partners (PHPs) help patients
Needs Assessment
Implementation Strategies
overcome barriers to care by coordinating services and
2019 ensuring open communication between providers,
11
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Access to COMMUNITY RESOURCES Neighborhood Clinic provides free urgent medical
services and dental care to those who cannot afford it.
Health Care In addition to MultiCare programs and services, we
also partner with community organizations to increase
Puyallup Tribal Health Authority provides health care
to Puyallup tribe members and Pierce County residents
Continued health care access. Examples include the following:
who are enrolled members of other tribes.
Pierce County Project Access (PCPA) collaborates
Statewide Health Insurance Benefits Advisors (SHIBA)
with providers to deliver medical and dental care for
help clients understand health care coverage options
uninsured and low-income individuals. PCPA also offers
and rights, find affordable health care coverage, and
insurance premium assistance for individuals on the
evaluate and compare health insurance plans. SHIBA
Washington Health Benefit Exchange.
provides free, unbiased and confidential assistance with
Community Health Care (CHC) is a private, nonprofit Medicare and health care choices.
organization that operates clinics throughout Pierce
Tacoma-Pierce County Health Department Family
County. CHC offers primary medical and dental care
Support Centers assist families in finding resources
services to uninsured and low-income individuals.
and applying for Washington State Department of
Medical Teams International offers free or low-cost Social and Health Services benefits, including the
urgent dental care services through its Mobile Dental Supplemental Nutrition Assistance Program (formerly
Program. known as food stamps) and medical and dental
benefits. In addition, Family Support Centers connect
Sea Mar Community Health Centers specialize
families to low-cost or free resources in the community,
in primary care medicine, providing preventive
such as pregnancy, parenting and maternity support;
health exams, urgent care, minor procedures, health
infant case management; services for children with
education, follow-up care after hospitalization and
special needs; and behavioral health care services.
referrals for other medical services. Sea Mar also
MultiCare
provides dental and behavioral health services for
Allenmore Hospital
Community Health the entire family.
Needs Assessment
Implementation Strategies
2019
12
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 12 10/14/19 11:22 AMFocus 2:
Behavioral Our goal is to improve ■ Promote integration of physical and behavioral
health care.
Health behavioral health outcomes • Offer a regularly scheduled mobile health clinic
for adults and youth. at community behavioral health sites in Pierce
County to provide much-needed medical care for
Mental health and substance use disorders affect an mentally ill adults who would not otherwise access
individual’s ability to live a full, productive life. According primary care.
to the Allenmore CHNA, adults, children and youth with
- Include this service in the client’s behavioral
untreated behavioral health issues have poorer health,
health service plan.
educational, and socioeconomic outcomes. Affected
individuals are at higher risk of intentional injury and - Offer case management and peer support to
suicide. In addition, people with chronic behavioral reduce barriers to accessing primary medical
health conditions are less likely than the general care services.
population to seek medical care.
• Continue to expand the integration of behavioral
Our goal is to improve behavioral health outcomes health providers in medical care settings for youth
through the following strategies and activities: and adults. Currently, behavioral health services
are available in 12 primary care clinics in Pierce and
■ Increase timely access to behavioral health services.
King Counties, all Mary Bridge specialty clinics and
• Offer an open-access model of care option for the Center for Childhood Safety.
clients with mental health and substance use
• Coordinate the assessment and treatment of
disorder problems through walk-in clinics. Clients
depression in adolescents ages 12–17 through the
can arrive for mental health and substance use
use of a common depression screening tool (PHQ-
disorder assessments at their convenience and
MultiCare 9) in primary care, pediatric, and behavioral health
leave with the following information about their
Allenmore Hospital care settings.
Community Health next treatment appointment: time, date and their
Needs Assessment provider’s name. Our goal is to reduce the amount
Implementation Strategies
2019 of time between assessment and appointment to
a maximum of 14 days.
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ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 13 10/14/19 11:22 AMFocus 2:
Behavioral ■ Continue to integrate substance use treatment into
the medical care setting.
ANTICIPATED OUTCOMES
Health • Coordinate medical treatment and behavioral
Anticipated outcomes related to these strategies include:
health treatment for individuals with opiate ■ A decrease in the number of days from mental
Continued addictions. health/substance use disorder assessment to first
appointment
■ Expand capacity to provide co-occurring mental
health and substance use disorder treatment. ■ An increase in the number of people served
each year by the mobile health clinic at community
• Continue to grow the availability of outpatient behavioral health sites
co-occurring treatment options at MultiCare
Behavioral Health. ■Continued expansion of behavioral health and
medical care integration for youth and adults
■ Complete adoption of the PHQ-9 depression
screening tool in primary care, pediatric and behavioral
health care settings
■ An increase in the number of providers offering
medical and behavioral health treatment for opioid
addiction
■ Increased availability of outpatient co-occurring
treatment options
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
14
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 14 10/14/19 11:22 AMFocus 2:
Behavioral INTERNAL RESOURCES Mobile Outreach Crisis Team (MOCT) provides
emergency consultation and intervention services,
Health MultiCare offers comprehensive, effective behavioral
health services that restore hope and help individuals
including a mental health crisis line that can be reached
24 hours a day, 365 days a year.
Continued and families get back on the path toward achieving
Navos, an affiliate of MultiCare, offers a full spectrum
their life goals. Programs include the following:
of community mental health services to thousands of
Asian Counseling Services is a mental health clinic low-income youth and adults every year, from crisis
primarily serving Asian and Pacific Islander refugee and intervention to inpatient psychiatric care to highly
immigrant communities. specialized outpatient services.
BRIDGES Center for Grieving Children supports Primary Care and Behavioral Health Integration
families with children ages 4–18 who have experienced is a holistic approach to delivering coordinated care
the serious illness or death of a family member or for physical and mental health concerns within many
friend. of MultiCare’s primary care settings.
Greater Lakes Mental Healthcare, an affiliate of Program of Assertive Community Treatment (PACT)
MultiCare, offers a range of mental health services is an evidence-based service-delivery model that
and substance use disorder treatment at locations provides comprehensive, local treatment to people
throughout Pierce County. with serious and persistent mental illnesses who have
not been able to benefit from traditional clinic-based
Mobile Health Care Clinic provides primary care
services.
services to adults with severe and long-term mental
illness and coordinates their mental and behavioral Substance Treatment and Recovery Training
health needs. Services are available through a mobile Inpatient Unit (START) is dedicated to the
RV that offers regularly scheduled services at four comprehensive care of pregnant women seeking
MultiCare
community mental health centers in Pierce County. recovery from addiction.
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
15
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 15 10/14/19 11:22 AMFocus 2:
Behavioral COMMUNITY RESOURCES Pierce County Crisis Line is a free service available
24 hours a day, seven days a week that provides
Health In addition to MultiCare programs and services, other
community organizations and partnerships are striving
immediate help to individuals in crisis, or families and
friends of those in crisis, throughout Pierce County.
Continued to improve behavioral health outcomes. Examples
Sea Mar Community Health Centers form the largest
include the following:
network of community health centers in Washington
Catholic Community Services features 12 family state with over 90 medical, dental and behavioral
centers across Western Washington that provide health clinics and a wide variety of nutritional, social
a variety of services, including counseling, case and educational services. Sea Mar proudly serves all
management and family support to youth, adults persons without regard to race, ethnicity, immigration
and families. status, gender, sexual orientation or ability to pay
for services.
Comprehensive Life Resources provides behavioral
health services to adults, children, families and Tacoma Area Coalition of Individuals with Disabilities
homeless individuals. They also offer housing services, (TACID) supports adults experiencing a wide spectrum
foster care and residential/inpatient services for youth of disabilities by assessing their needs, including
and adults. behavioral health needs, and connecting them with
appropriate services.
Crystal Judson Family Justice Center serves domestic
violence victims and their children by providing
comprehensive services in one central, safe location in
downtown Tacoma.
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
16
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Injuries Our goal is to lower rates of ■ Support the Stop the Bleed Washington campaign.
unintentional injuries through • Ensure that community members have the skills
and knowledge to provide immediate bleeding
community partnerships, control to victims at the scene of an emergency.
education and best-practice • Provide bleeding control supplies next to
prevention strategies. automated external defibrillators (AED), or within
AED cabinets, located in all public gathering areas
According to the Allenmore CHNA, unintentional injury at Allenmore.
hospitalizations are more common in this community • Incorporate bleeding control education into
than in Washington state, with males and those over schools and MultiCare facilities.
65 years of age having the highest rates. Among every
100,000 people in this community, over 700 men were • Teach staff and community members what to do
hospitalized due to unintentional injuries, and over in an active shooter situation.
2,600 individuals over age 65 were hospitalized due to ■ Promote evidence-based fall prevention programs
this reason. for older adults, including:
Unintentional injuries are one of the leading causes of • Stay Active and Independent for Life (SAIL)
hospitalizations and death both locally and nationally.
• Tai Ji Quan: Moving for Better Balance –
These injuries are commonly caused by falls, motor
Washington
vehicle crashes and poisonings. Our goal is to lower
rates of unintentional injuries through the following • A Matter of Balance
strategies:
• Enhance®Fitness
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
17
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 17 10/14/19 11:22 AMFocus 3:
Injuries ■ Increase participation in local, state and national
coalitions, including the following:
ANTICIPATED OUTCOMES
Anticipated outcomes related to these strategies include:
Continued • Pierce County Fall Prevention Coalition
■ Increased awareness and adoption of the Stop the
• West Region Injury Prevention Council Bleed Washington campaign
• Tacoma Pierce County DUI and Traffic Safety Task
■ Higher participation in fall prevention programs for
Force older adults
• Washington State Fall Prevention Network
■ Increased participation in local and national injury
• Western Pacific Injury Prevention Network prevention and safety coalitions
■ Promote educational opportunities for MultiCare ■Increased trauma education and trainings for
staff, other health care systems and community MultiCare and other health care systems
members.
■ Continued support of free bicycle helmets and
• Continue to offer Emergency Department and life jackets provided by the Mary Bridge Center for
Intensive Care Unit lectures and other trainings as Childhood Safety
requested by department.
• Act as a regional resource for lower-level trauma
centers across Washington.
• Offer no-cost bicycle helmets and life jackets
in partnership with the Mary Bridge Center for
Childhood Safety.
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
18
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 18 10/14/19 11:22 AMFocus 3:
Injuries INTERNAL RESOURCES Washington State Firearm Tragedy Prevention
Network is a forum for organizations, individuals,
Trauma Trust is a unique partnership between Tacoma businesses and others from a wide range of
Continued General Hospital, St. Joseph Medical Center and perspectives and backgrounds to work together to
Madigan Army Medical Center that provides Level II prevent firearm tragedies. Meeting topics include
trauma care and acute care surgical services. Trauma but are not limited to suicide prevention; violence
Trust serves as a tertiary referral center offering follow- prevention and response; injury prevention; safe firearm
up care, education about trauma and injury prevention, storage; community programming, tools, resources and
and community outreach services. education; and research.
Mary Bridge Center for Childhood Safety works to In Their Shoes: Teens and Dating Violence (Classroom
prevent unintentional childhood injury through health Edition) is a scenario-based training offered through
education, community partnerships and prevention the Washington State Coalition Against Domestic
strategies. Examples of services offered include car seat Violence. This The training is designed to help
inspections and life jacket loans, free of charge. The participants talk about what dating is like for teens from
center also provides safety information about a variety their perspective. The goal is to increase awareness of
of topics, from bicycle helmet use to infant sleep teen dating violence, help teens and adults recognize
guidelines. unhealthy relationship patterns, and promote
conversations about dating violence.
COMMUNITY RESOURCES Impact Teen Drivers is a nationwide educational
program that confronts the dangers and consequences
In addition to MultiCare programs and services, other
of reckless and distracted driving. The trainings and
community organizations and partnerships are working
curriculums empower people to make meaningful
to prevent unintentional injuries. Some examples
behavioral changes in their driving habits and promote
include the following:
MultiCare safe driving in their community.
Allenmore Hospital
Community Health Pierce County Fall Prevention Coalition is composed
Stop the Bleed is a national awareness campaign
Needs Assessment of professionals from health care, education and social
Implementation Strategies and call to action. Stop the Bleed is intended to
service organizations who work to reduce falls at
2019 cultivate grassroots efforts that encourage bystanders
home, at work and in the community through public
to become trained, equipped and empowered to help
19 education, advocacy, and networking.
in a bleeding emergency before professionals arrive.
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 19 10/14/19 11:22 AMFocus 4:
Obesity Our goal is to increase the Our goal is to increase the percentage of adults
and youth who are at a healthy weight through the
percentage of adults and following strategies and activities:
youth who are at a healthy ■ Increase access to healthy foods.
weight. • Partner with farmers markets and develop produce
delivery programs.
As the Allenmore CHNA indicates, obesity continues
to affect adults and youth in our community. Obesity is • Initiate free youth summer meals programs at
linked to many chronic diseases, such as diabetes and MultiCare campuses.
cancer, and can lead to premature death. A diet rich in
• Promote healthy food incentives, including Fresh
healthy foods, along with regular physical activity, can
Bucks fruit and vegetable prescriptions.
help promote better health and well-being and offset
negative health outcomes. • Decrease food insecurity through provider
screenings and follow-up referrals to WithinReach.
Childhood obesity is related to a variety of factors,
including environment, behavior and genetics. We ■ Increase collaboration with community partners on
know that the most effective long-term strategy programs and policies to improve the health of our
for addressing obesity involves strong community community.
collaborations, improved policies and shared initiatives, • Partner with the YMCA of Pierce and Kitsap
so that everyone has the opportunity to be healthy. Counties to deliver the ACT! (Actively Changing
Together) program for youth and families.
• Continue partnerships with Tacoma Farmers
MultiCare
Markets to provide Fresh Bucks, which support the
Allenmore Hospital purchase of fresh fruits and vegetables for low-
Community Health
income families.
Needs Assessment
Implementation Strategies
2019
• Continue Sound to Narrows partnerships with local
elementary schools.
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ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 20 10/14/19 11:22 AMFocus 4:
Obesity ■ Promote community awareness and understanding
of the Ready, Set, Go! 5210 (RSG! 5210) program and
• Access funding opportunities that tackle changes
in policy, systems, and environment to increase
message. positive health outcomes.
Continued
• Continue to utilize the RSG! 5210 message in ■ Increase knowledge and best-practice education
schools and in the community. about the benefits of breastfeeding.
• Increase the number of primary care and specialty • Increase rates of breastfeeding initiation and
clinics that use RSG! 5210 messaging. duration through the MultiCare WIC program.
■ Monitor participation in community programs, • Increase awareness and messaging about the benefits
classes and events, including the YMCA’s Empowering of breastfeeding beyond two months of age.
Pregnancy and Motherhood program and Healthy
• Explore funding opportunities that increase
Kids Day.
breastfeeding equity and postpartum mental and
■ Promote weight management programs and services. physical health.
• Continue to use SmartPhrases in Epic to promote ■ Increase access to and promotion of physical activity
the RSG! 5210 message. among MultiCare employees and community members
• Provide referrals to weight management services • Promote community fitness and running events with
including pediatric, sports and wellness nutrition employees and community members, such as:
counseling. - Sound to Narrows
• Offer referrals to behavioral health counseling at - Summer’s End Fun Run
the MultiCare Center for Weight Loss & Wellness
- Downtown: On the Go!
to help address disordered eating.
MultiCare - MultiCare Come Walk with Me
Allenmore Hospital ■ Seek grants that support health equity, including:
Community Health - American Heart Association Heart Walk
Needs Assessment • Secure the Supplemental Nutrition Assistance
Implementation Strategies Program Education (SNAP-Ed) grant to provide • Increase the number of MultiCare provider referrals
2019 to YMCA programs.
nutrition education and programming to schools
21 and SNAP-eligible populations.
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 21 10/14/19 11:22 AMFocus 4:
Obesity ANTICIPATED OUTCOMES INTERNAL RESOURCES
Anticipated outcomes related to these strategies MultiCare offers services for children, adults and families
Continued include: related to nutrition and physical activity programming,
weight management, nutrition counseling and healthy
■ Increased access to healthy foods in partnership with
lifestyles. Examples of these services include the following:
farmers markets, Fresh Bucks and WithinReach
Center for Health Equity & Wellness offers health,
■ Increased collaboration with community
wellness and exercise programs. Registered dietitians
stakeholders to improve population health
with expertise in sports nutrition, disordered eating and
■Increased awareness of the Ready, Set, Go! 5210 weight management provide services such as health
message assessments, screenings, menu planning, goal setting,
and one-on-one and group counseling to help clients
■ Increased participation in community programs and
make healthy changes.
events including the YMCA’s Empowering Pregnancy
and Motherhood program and Healthy Kids Day Center for Weight Loss & Wellness offers evidence-
based weight loss and wellness programs and
■ Acquisition of the SNAP-Ed grant and other funding
procedures, including surgical and nonsurgical
opportunities that promote positive health outcomes
interventions and personalized weight management
■ Increased best-practice breastfeeding education plans. These services are often covered by medical
insurance and delivered by a multidisciplinary team of
■ Increased participation in community fitness and surgeons, bariatricians (providers who are board certified
running events in obesity medicine), registered dietitians and behavioral
health specialists.
MultiCare Supplemental Nutrition Assistance Program Education
Allenmore Hospital (SNAP-Ed) provides nutrition education to schools and
Community Health
Needs Assessment
WIC clients.
Implementation Strategies
2019 Women, Infants and Children (WIC) provides healthy
foods and other benefits free of cost to eligible families
22 at 11 MultiCare WIC sites throughout Pierce County.
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 22 10/14/19 11:22 AMFocus 4:
Obesity COMMUNITY RESOURCES
In addition to MultiCare programs and services, other
Continued community organizations and partnerships include the
following:
Ready, Set, Go! 5210 is a community-based initiative in
Pierce County that promotes healthy lifestyle choices
for youth and families where they live, learn, work and
play.
Step By Step aims to transform the lives of at-risk
pregnant women through programs focused on
healthy pregnancy, parenting and life skills.
WithinReach assists people in every county in
Washington State by providing connections to the
Family Health Hotline, WIC, SNAP and health insurance.
YMCA of Pierce and Kitsap Counties offers programs
and services that enable youth to realize their potential,
help adults commit to a healthy lifestyle, and connect
older adults to a community. Their facilities include nine
area branches, 40 before- and after-school sites, one
overnight camp and one regional day camp.
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
23
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 23 10/14/19 11:22 AMConclusion
As a leading regional health care The MultiCare leaders and staff involved in developing the implementation
system, MultiCare is committed strategies for MultiCare Allenmore Hospital include:
to improving the health of the
Lois Bernstein, Chief Community Sharon Oxendale, President &
people and communities we Executive Chief Operating Officer, Tacoma
serve. The process of conducting Alden Bishop, Campus Administrator, General Hospital & Allenmore Hospital
a Community Health Needs Allenmore Hospital Mary Quinlan, MS, Executive Director,
Assessment and developing Christina Cornwall, Regional Manager Center for Health Equity & Wellness
implementation strategies helps MMA, Women Children Careline Jeffrey Plancich, Director,
Trixy Dorn, Community Events Behavioral Health Services
us better understand the health
Program Manager, Center for Health Julie Rabeau, RN, EMSRN, Injury
care needs of our communities Equity & Wellness Prevention Educator & Outreach
and the significant role we play Maureen Faccia, Administrator, Coordinator, Trauma Trust
in addressing those needs. In MMA & Carelines Jamilia Sherls-Jones, DNP, MPH, RN,
addition, this process has fostered Kristin Gilman, MSW, Community Director-Health Equity,
Benefit Specialist, Center for Health Center for Health Equity & Wellness
greater collaboration among the
Equity & Wellness Ugo Uwaoma, MD, Chief Medical
many organizations that share our Officer, Tacoma General/Allenmore/
Joe Huang, MD, Medical Director,
goal of improving the health of all Primary Care Gig Harbor
people in our communities. Chelsey Lindahl, RD, Wellness Taryn West, MPH, Healthy@Work
Dietitian Program Manager, Program Manager, Center for Health
Center for Health Equity & Wellness Equity & Wellness
Jody Obergfell, Chief Nurse Executive, Jennifer Yahne, Administrator,
Allenmore Hospital MMA & Carelines
Peggy Norman, RD, Manager,
Community Services, Mary Bridge
Children’s Hospital
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
24
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 24 10/14/19 11:22 AMAppendix:
Community Impact Evaluation
2017-2019
Allenmore Hospital
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 25 10/14/19 11:22 AMCommunity
Impact
Evaluation From 2017 through 2019, Allenmore Hospital’s CHNA
implementation strategies focused on the following
priority health needs:
■ Access to Care
■ Obesity
■ Tobacco use
■ Behavioral health
■ Cultural competency
Metrics were established for each priority area, and data
was tracked on a quarterly basis over the three-year
implementation period. While MultiCare’s community
benefit strategies play a part in addressing community
health needs, it is important to acknowledge that many
factors, including other organizations, policies, and
initiatives, impact overall community health outcomes.
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
26
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 26 10/14/19 11:22 AMFocus 1:
Access The percent of youth who report having a dental
checkup in the past year has risen from 72.2% to
to Care - 77.3% in the Allenmore service area community,
Oral Health demonstrating that more children are getting needed
preventive dental care.
MultiCare partners with Lindquist Dental Clinic for
Children and Medical Teams International (MTI) Mobile
Dental Clinics to ensure greater access to preventive
and emergency dental care.
Youth Routine Dental checkup,
Past year (%)
Allenmore Hospital Service Area
2016
Washington 79.0%
Washington 79.0%
Allenmore 72.2%
Allenmore 72.2%
2019
Washington 79.8%
Washington 79.8%
Allenmore 77.3%
Allenmore 77.3%
Source: Health Youth Survey, 2014, 2016
MultiCare
Allenmore Hospital Width done at quarter-size due to large number
Community Health Width done at quarter-size due to large number
- BH
Needs Assessment
- BH
Implementation Strategies
2019
27
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 27 10/14/19 11:22 AMFocus 2:
Obesity Obesity rates among youth in the Allenmore
community have held relatively steady. These rates are
still higher than the state’s.
MultiCare focused on increasing participation in
community programming and messaging that
supports healthy lifestyles for all, including Ready, Set,
Go! 5210, the ACT! Program, and the Empowering
Pregnancy and Motherhood Program. Says one
participant in the Empowering Pregnancy and
Motherhood Program: “I was surprised at how much
I learned. I have more confidence in eating healthy.
I also really liked the handouts! Very practical!”
Obesity (Youth) %
Allenmore Hospital Service Area
2016
Washington 11.0%
Washington 11.0%
Allenmore 14.4%
Allenmore 14.4%
2019
Washington 11.6%
Washington 11.6%
Allenmore 14.3%
Allenmore 14.3%
MultiCare
Allenmore Hospital
Source: Healthy Youth Survey, 2014, 2016
Community Health
Needs Assessment
Implementation Strategies Width done at actual size due to small number
Width done at actual size due to small number
2019
- BH
- BH
28
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 28 10/14/19 11:22 AMFocus 2:
Obesity Obesity rates among adults in the Allenmore
community decreased slightly. However, obesity rates
among adults in this service area continue to be higher
Continued than the state.
MultiCare’s strategies around this priority include
partnering with local farmers’ markets to provide Fresh
Bucks, which support the purchase of fresh fruits and
vegetables for low-income individuals and families.
Obesity (Adults) %
Allenmore Hospital Service Area
2016
Washington 26.9%
Washington 26.9%
Allenmore 31.2%
Allenmore 31.2%
2019
Washington 27.3%
Washington 27.3%
Allenmore 29.7%
Allenmore 29.7%
Source: Behavioral Risk Factor Surveillance System, 2011-2013, 2012-2016
Width done at half size due to number
Width done at half size due to number
MultiCare - BH
- BH
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
29
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 29 10/14/19 11:22 AMFocus 3:
Tobacco Smoking rates among adults have decreased both
across the state and within the Allenmore service
Use area. Since the last CHNA, the percentage of adults
in this community who reported smoking decreased
from 21.2% to 18.5%. However, smoking rates in this
community are still higher than the state.
MultiCare partners with the Tacoma Pierce County
Health Department to offer tobacco prevention
education to the community. In addition, we offer the
MultiCare Tobacco Cessation Program free of charge
to employees and community members.
Adult Cigarette Smoking %
Allenmore Hospital Service Area
2016
Washington 16.8%
Washington 16.8%
Allenmore 21.2%
Allenmore 21.2%
2019
Washington 15.4%
Washington 15.4%
Allenmore 18.5%
Allenmore 18.5%
MultiCare Source: Behavioral Risk Factor Surveillance System, 2011-2013; 2012-2016
Allenmore Hospital
Community Health Width done at actual size due to number
Needs Assessment Width done at actual size due to number
Implementation Strategies - BH
- BH
2019
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ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 30 10/14/19 11:22 AMFocus 4:
Behavioral Depression rates have risen slightly among adults in
both the Allenmore service area and the state at large.
Health Since the 2016 CHNA, MultiCare has become the
largest behavioral healthcare provider in the state,
with a network that includes Navos and Greater Lakes
Behavioral Healthcare. In addition, MultiCare completed
a multi-year plan to implement the Dual Diagnosis
Capability in Addiction Treatment (DDCAT) Toolkit,
and opened the 120-bed inpatient psychiatric facility,
Wellfound Behavioral Health Hospital, in partnership
with CHI Franciscan Health System.
Depression (adults) %
Allenmore Hospital Service Area
2016
Washington 21.9%
Washington 21.9%
Allenmore 22.3%
Allenmore 22.3%
2019
Washington 22.0%
Washington 22.0%
Allenmore 23.9%
Allenmore 23.9%
MultiCare Source: Behavioral Risk Factor Surveillance System
Allenmore Hospital
Community Health Width done at actual size due to number
Needs Assessment Width done at actual size due to number
Implementation Strategies - BH
2019
- BH
31
ALLENMORE-2019_IMPLEMENTATION_Strategy-3.indd 31 10/14/19 11:22 AMFocus 5:
Cultural Since the 2016 CHNA, MultiCare has
worked to
■ Development of an internal cultural diversity council,
which maintains nearly 30 members, to promote
Competency increase cultural competency through a cultural diversity and health equity.
wide variety
of initiatives, including: ■ Relaunch of the Qualified Bilingual Staff program,
■ The Culturally Competent Care computer-based which has certified over twenty MultiCare staff as
learning module, a one-hour mandatory training for all interpreters.
MultiCare staff.
■ Creation of the Health Equity Community Advisory
■ In-person Culturally Competent Care trainings. Since Board, which brings together community stakeholders
2016, MultiCare has delivered more than 20 in-person and MultiCare leaders to promote health equity and
trainings to healthcare staff and providers. Says one address disparities among our communities.
training participant: “Learning about other people
makes us grow. We grow as people as we learn there’s
more than one way to think of something. It just goes
to show that we might believe one thing, but there are
other ways to see things.”
MultiCare
Allenmore Hospital
Community Health
Needs Assessment
Implementation Strategies
2019
32
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