WESTERN MA HEALTH EQUITY NETWORK SUMMIT November 18, 2016 Coalition of Western MA Hospitals 2016 Community Health Needs Assessments WESTERN MA HEALTH EQUITY NETWORK SUMMIT November 18, 2016

Coalition of Western MA Hospitals/Insurer Partnership of 10 non-profit hospitals/health plan Initiated in 2012 to share resources and work in partnership to understand and respond collaboratively to regional community needs Completed 2013 Community Health Needs Assessment Identified mental health services for opioid addiction as a critical need Meet regularly to discuss collaborative opportunities Completed 2016 Community Health Needs Assessment

Coalition of Western MA Hospitals/Insurer 2016 Community Health Needs Assessment WHAT IS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)? Assessment to identify top community health needs Non-profit hospitals required to conduct every 3 years Opportunity for hospitals/insurer to assess needs in partnership with community to inform planning Opportunity for hospitals/insurer to leverage resources to identify regional needs STRONG FOCUS ON COLLABORATION FOCUS ON HEALTH EQUITY Social Determinants of Health Framework (SDoH) Vulnerable Populations Need to add graphics and simplify text

Collaborative Process Coalition of Western MA Hospital Community Health Needs Assessments Community Health Improvement Strategies CHNA Consultant Team Community Stakeholders CHNA Community Steering Committee Members Assumption College Franklin Regional Council of Govts National Ass’n of Hispanic Nurses Western MA Chapter United Cerebral Palsy Ass’n of Berkshire County, Inc Behavior Health Network Hampden County DA Office Caring Health Center Palmer Public Schools United Way of Hampshire County City of Springfield – Offices of Housing and Health and Human Services Hampden County Sheriff’s Dept Providence Behavioral Health UMass Hilltown CDC Stand for Children Western MA Blac Nurses Ass’n MDPH Stavros Center for Independent Living MotherWoman YMCA of Westfield Partner info needs to be fixed – table needs to be put into a better graphic representation

CHNA SDOH Framework Social and economic needs Access to care Health conditions & behaviors

County Roadmaps Framework Health Outcomes Ranking (out of 14 counties): Hampshire- 5 Franklin- 8 Berkshire- 11 Hampden- 14 Health Factors Ranking (out of 14 counties): Hampshire- 3 Franklin- 7 Berkshire- 9

UPDATE 2013 REPORT WITH NEW DATA PRIORITIZED COMMUNITY HEALTH NEEDS 2016 CHNA Process CHNA STEERING COMMITTEE Hospital Representatives Community Representatives Input and Guidance UPDATE 2013 REPORT WITH NEW DATA QUANTITATIVE DATA Health and Behaviors Socioeconomic Housing Healthcare Access Other Data PRIORITIZED COMMUNITY HEALTH NEEDS 2016 CHNA REPORTS 2013 HOSPITAL CHNA REPORTS QUALITATIVE DATA Focus Groups Interviews COMMUNITY LISTENING SESSIONS OTHER EXISTING DATA Local Data Assessment Reports

Prioritized Health Needs Community Level SDOH Lack of resources to meet basic needs Lack of transportation Food insecurity & food desserts Environmental concerns Lack of community safety Housing needs Structural racism Barriers to Accessing Quality Healthcare Lack of transportation Insurance related challenges Limited availability of providers Lack of care coordination Health literacy, language barriers & cultural humility Health & Health Behaviors Chronic health conditions (obesity, diabetes, CVD, asthma, COPD) Need for increased physical activity & healthy diet Mental health & substance use Infant & perinatal health risk factors Sexual health

Major Findings from Focus Groups and Key Informant Interviews Our most vulnerable populations in the region include: Older adults Children and youth Latinos and Blacks Low-income & those living in poverty; in western Mass, there are unique poverty issues in rural and urban areas LGBTQ Veterans Disabled Refugees People with Mental Health and Substance Use Conditions

Major Findings from Focus Groups and Key Informant Interviews For elders, social isolation is detrimental to physical and emotional health Cultural is much broader than just race/ethnicity; it includes stigmatized groups such as LGBTQ and persons coping with mental health and substance use disorders Veterans: Concerns about seeking help for behavioral health; issues of confidentiality, stigma, seen as a weakness; concerns about PTSD and triggers in veterans with dementia/Alzheimer’s Need more interpreters, translation of materials, bilingual providers, and health education tools that are readable and accessible

Major Findings from Focus Groups and Key Informant Interviews Need more health care provider knowledge about LGBTQ health needs and how to provide care in culturally competent ways Trauma, inter-generational substance use, violence, and mental health issues are closely tied together and result in significant need for mental health and substance use disorder treatment services The overlay of poverty, poor housing, lack of 'living wage' employment and other social determinants of health contribute to poor health The opioid abuse crisis has shed more light on underlying fragmented systems of care and payment mechanisms

Thank You!