Part V, Section B
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Part V. Section B, Line 3e The significant health needs of the community are in line with the significant health needs that have been prioritized and identified in the current CHNA. Part V. Section B, Line 5 Texas Health Cleburne's (THC) 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Southern Region, consisting of Erath, Johnson, Ellis & Kaufman Counties. The 2022 CHNA was conducted at the regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged sixty-seven community members with interests specific to the health of individuals in the Southern Region Counties in the CHNA development process. Fifty-seven of these community members were engaged across seven separate focus groups held in zip-codes that were identified as underserved areas. Ten served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Christian Help Center, City of Ennis, Cleburne Fire Department, Cross Timbers Family Services, Erath County Extension, Johnson County Family Crisis Center, North Texas Behavioral Health Authority, Paluxy River Children's Advocacy Center, Senior Connect and Texas Department of State Health Services. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation strategy, which will leverage integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 6a The 2022 CHNA for the Southern Region was done in collaboration with Texas Health Cleburne (THC), Texas Health Stephenville (THS), Texas Health Kaufman (THK), and Texas Health Huguley Hospital Fort Worth South. Part V. Section B, Lines 7a and 10a The most recently adopted implementation strategy and the CHNA is widely available on the following website at: https://www.texashealth.org/Community-Health/Community-Health-Needs-Assess ment Part V. Section B, Ln 11 The 2023 - 2025 implementation strategy focuses on reforming the delivery of our services in the target communities. The hospital is part of the Texas Health Resources (THR) healthcare system, which developed a system-wide community benefit strategy to increase its hospitals' ability to impact the community health needs of the target areas with a higher focus on three health priorities. Through the prioritization process these three health priorities from the 2022 CHNA were determined to be ongoing issues that THR hospitals needed to address: 1. Behavioral Health 2. Chronic Disease Prevention & Management 3. Access to Health Services and Healthcare Navigation & Literacy In 2023, Texas Health Stephenville addressed significant health needs identified in the 2022 CHNA using the following approaches: 1. Behavioral Health 1a. Texas Health Community Impact 1a1. Through a request for proposal (RFP) process by Texas Health Resources through its Texas Health Community Impact (THCI) Initiative, in the Southern region, one agency, CNM, was awarded a grant to address depression, anxiety, and food insecurity among underserved individuals in specific zip-codes in the hospital's region. 2. Chronic Disease Prevention & Management 2a. Healthy Education Lifestyle Program (HELP) 2a1. The Healthy Education Lifestyle Program (HELP) is an innovative way of delivering diabetes and hypertension management to uninsured populations. Every HELP visit is comprised of three key components: an individual visit with a mid-level practitioner, including necessary lab testing; an education session by the nurse to increase health literacy; and a support group facilitated by a nurse, which is crucial for establishing and ensuring accountability for improved health outcomes. The goal of HELP is to increase the percentage of diabetic patients whose A1c levels were improved, and the percentage of patients whose blood pressure were controlled based in the management/treatment guidelines. The implementation of the HELP virtual clinic at THC increased their ability to serve eligible patients and report clinical outcomes of improved A1c levels and blood pressure. 2b. Mobile Health 2b1. The Mobile Health program aims to improve access to quality preventive care services to adults 18+ years across Texas Health's service areas. Patients are seen across the several service types offered, including Mammograms, Wellness for Life (WFL), and Healthy Education Lifestyles Program (HELP). The WFL program provides colon cancer screenings, well female and well man exams, including cervical cancer screenings, and blood work to test for diabetes and cholesterol. The Mammogram service type provides mammograms and breast cancer screening services for women. The HELP program provides chronic disease management services to uninsured patients. 3. Access, Literacy, and Navigation (ALN) 3a. Health Workshops 3a1. Child Automobile Safety Initiative (CASI) is a program focused on protecting children from injury in motor vehicle collisions by providing free car seat safety checks and community-based education. 3a2. Flu vaccination clinics were offered to local parishes and city residents by the Faith Community Nurses. 3b. Faith Community Nursing 3b1. Faith Community Nursing is a system-wide program offered by Texas Health to link faith communities with health-related resources that focus on holistic care for the body, mind, and spirit. Emphasis is placed on equipping faith-based communities with the tools and resources to offer prevention and wellness support to care for the people they serve. The Texas Health Faith Community Nursing program offers classes and trainings in a variety of topics. These courses are taught to community partners/stakeholders, faith leaders, FCNs, HPs, and Texas Health Resources staff. 3b2. Flu vaccine clinics provided by the Texas Health Resource Faith Community Nurses focus on serving people and communities who would otherwise not have access to vaccines. Fulfilling our Mission to meet our consumers' needs where they work, live, play and pray is exemplified in the care provided in communities of faith and faith-based organizations across our service areas. Faith Community Nursing organizes clinics with the primary focus of serving people who do not have access to flu vaccines. Services are aligned with food pantries, congregations in CHNA zip codes, senior community members, and outreach ministries to underserved communities. Each site is open to the community. Through these efforts, thousands of individuals receive flu shots who otherwise would not have had access to one. All the priority health needs identified are being addressed by the hospital in the category listed above. Part V. Section B, Line 13 h Although a patient may have been notified of the Financial Assistance Policy, there are times when the patient chooses not to complete the Financial Assistance Application. Texas Health routinely screens uninsured patients using an independent third party for financial assistance eligibility. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: https://www.texashealth.org/Costs-and-Billing/Financial-Assistance
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