Contents
Community Health Needs Assessment 2015
Introduction ............................................................................................................................................ 3 General Description of Hospital.......................................................................................................... 4 About Baptist Health ....................................................................................................................... 4 Community Served by the Hospital ................................................................................................ 4 Defined Community/Service Area................................................................................................... 5 Mission, Vision and Values ................................................................................................................. 6 Purpose ............................................................................................................................................... 6 Executive Summary................................................................................................................................. 7 Framework .............................................................................................................................................. 7 Stakeholders ....................................................................................................................................... 7 Methodology ...................................................................................................................................... 7 Community Profile .................................................................................................................................. 8 Demographics and Vital Statistics ....................................................................................................... 8 Community Health Survey .................................................................................................................. 9 Secondary Data ................................................................................................................................. 12 Other Hospital and Community Health Care Sources ....................................................................... 20 Health Priority Issue and Strategy ........................................................................................................ 21 Identified Needs/Overview in Prioritized Order ............................................................................... 21 Recommendations for Meeting Identified Health Needs ................................................................. 21 Path Ahead/Next Steps ......................................................................................................................... 22 Priority 1- Cardiovascular Disease including Stroke, Hypertension and CHF .................................... 22 Priority 2- Diabetes ........................................................................................................................... 23 Priority 3- Cancer .............................................................................................................................. 23 Priority 4- Overweight / Obesity ....................................................................................................... 24 Communication Plan ............................................................................................................................. 24 Appendix A ............................................................................................................................................ 25 Appendix B ............................................................................................................................................ 28
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Introduction IRC Section 501(r) requires health care organizations to assess the health needs of their communities and adopt implementation strategies to address identified needs. Per IRC Section 501(r), a byproduct of the Affordable Care Act, to comply with federal tax-exemption requirements, a tax-exempt hospital facility must: •
Conduct a community health needs assessment every three years.
•
Adopt an implementation strategy to meet the community health needs identified through the assessment.
•
Report how it is addressing the needs identified in the community health needs assessment and a description of needs that are not being addressed with the reasons why such needs are not being addressed.
The community health needs assessment must take into account input from persons who represent the broad interest of the community served by the hospital facility, including those with special knowledge of or expertise in public health. The hospital facility must make the community health needs assessment widely available to the public. The community health needs assessment, which describes both a process and a document, is intended to document Baptist Health Corbin’s compliance with IRC Section 501(r). Health needs of the community have been identified and prioritized so that Baptist Health Corbin may adopt an implementation strategy to address specific needs of the community. The process involved: •
Collection and analysis of a large range of data, including demographic, socioeconomic and health statistics, health care resources and patient use rates.
•
Conducting a health survey which gathered a wide range of information which was widely distributed to members of the community.
This document is a summary of all the available data collected during the initial cycle of community health needs required by the IRS. It will serve as a compliance document as well as a resource until the next assessment cycle. Both the process and document serve as the basis for prioritizing the community’s health needs and will assist us in planning to meet those needs. Committee Members Gary Barnes, Philip Brandenburg, Teresa Cobb, Debbie Hardin, Tamara Mallory, Lee Richardson and Becky Stewart
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General Description of Hospital Baptist Health Corbin is a Kentucky, not-for-profit organization, located in Corbin, Kentucky. A board of directors govern the hospital and ensure that medical services are available to the residents of Whitley County and surrounding areas.
About Baptist Health Baptist Health owns seven acute-care hospitals with more than 2,100 licensed beds in Corbin, La Grange, Lexington, Louisville, Madisonville, Paducah and Richmond. Baptist Health manages Hardin Memorial Hospital in Elizabethtown. Baptist Health also includes urgent care and retailbased clinics, home health care, outpatient diagnostic and surgery centers, occupational medicine and physical therapy clinics, fitness centers and a health maintenance organization (HMO), Bluegrass Family Health.
About Us Baptist Health Corbin will celebrate 29 years of service to the Tri County area on July 23, 2015. The original hospital structure of the Corbin Municipal Hospital was later referred to as the Southeast Kentucky Baptist Hospital and was built in 1951. In the 1960’s, medical offices were constructed across the street to provide easy access to patients needing to see a doctor. A hospital expansion occurred in the 1970’s, more than doubling the size of the original structure. By the time the 1980’s rolled around, it was clearly evident that the hospital’s size was inadequate. Perched on the side of a hill, it had no room available to expand and thus moved in 1986 to a larger and more spacious facility on US 25W. Baptist Regional Medical Center opened in July 23, 1986 as a 240 bed unit facility. Today, Baptist Health Corbin, formerly Baptist Regional Medical Center, has 273 beds and offers residents of Whitley, Knox, Laurel, Bell, Jackson, Clay, McCreary, Harlan and Campbell counties in Kentucky and Jellico, Tenn., comprehensive healthcare services including orthopedics; robotic surgery; rehab; mental health services; a women's center; dedicated breast care center; palliative care; expanding cancer, cardiac and neurologic programs; and advanced medical technology from MRI to microsurgery. Over the past twenty-nine years Baptist Health has made numerous changes to help provide the best patient care close to home from relocating the main entrance to becoming a smoke-free campus. Throughout each change, the number one focus has been our patients and this will remain our primary focus in the future. The health of the community depends on many different factors including the quality of health care provided.
Community Served by the Hospital Baptist Health Corbin primarily serves the Tri County area including Whitley, Knox and Laurel counties. Our secondary market expands to include Bell, Clay and McCreary.
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Defined Community/Service Area A community is defined as the geographic area from which a significant number of patients utilizing hospital services reside. While the community health needs assessment considers other types of health care providers, Baptist Health Corbin is the single largest provider of acute care services. For this reason, the utilization of Baptist Health Corbin’s services provides the clearest definition of the community. The criteria established to define the community is as follows: • • •
A zip code area must represent two percent or more of Baptist Health Corbin’s total discharges and outpatient visits. Baptist Health Corbin’s market share in the zip code area must be greater than or equal to 20 percent. The area is contiguous to the geographical area encompassing Baptist Health Corbin.
Exhibit 1 displays the primary counties and the surrounding counties that comprise Baptist Health Corbin’s community. Exhibit 1
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Mission, Vision and Values Baptist Health Corbin opened in Corbin, Kentucky in 1986 as a replacement facility for the former Southeastern Kentucky Baptist Hospital. Baptist Health Corbin’s mission statement was developed in 1994 and was adopted by employees, management staff, medical staff and board of directors as an apt description of what we should be and how we should be perceived by those we serve.
Mission Baptist Health demonstrates the love of Christ by providing and coordinating care and improving health in our communities.
Vision Baptist Health will lead the transformation to healthier communities.
Faith-Based Values • • • • • •
Integrity Respect Excellence Collaboration Compassion Joy
Purpose Baptist Health Corbin’s purpose in conducting this study is to identify major challenges and risk factors that can be modified or prevented to improve the health of our area. At Baptist Health Corbin, health care isn’t limited to hospital patients. Our staff reaches out into the community to bring better, healthier and happier living to our neighbors. We believe it is our duty as medical professionals to promote well being in our community. As a not-for-profit organization, we are committed to providing care and services that go beyond what is expected of a hospital, including charity care, education and community involvement. Each year, we reach out to thousands of people in Whitley, Laurel, Knox, Jackson, Clay, McCreary, Bell, Harlan and Campbell counties with educational activities and support groups for the entire family. See Appendix for services currently offered by Baptist Health Corbin.
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Executive Summary The community in which we live is basically a healthy place to live and work. However, some of the health problems are due to poor lifestyle choices, which lead to preventable diseases and premature deaths. Modifiable behavioral risk factors identified as the leading causes of mortality in Kentucky are tobacco use, poor diet and physical inactivity. While some diseases are due to risk factors that cannot be diminished, such as age, sex, race and genetics, most risk factors for chronic disease can be prevented or adapted to improve health. To determine the unmet needs or our community, Baptist Health Corbin conducted surveys in the tri county area we serve including Whitley, Laurel and Knox. These surveys were intended to obtain information from the population for each county. We may not be positioned to meet all of these needs but strategic planning will be conducted to determine what programs we can offer as the medical center of choice for our community.
Framework Stakeholders
The information obtained through this community assessment will be used internally by our hospital for strategic planning, budgeting, fundraising and outreach programs. The assessment is conducted once every three years to maintain our not-for-profit status. Internal stakeholders are Baptist Health Corbin, Baptist Healthcare System, Inc. and our governing boards. External stakeholders will include regulatory agencies, health departments, school systems, senior citizen centers and the community that we serve.
Methodology Secondary data from state health facts and County Health Rankings research through University of Wisconsin Population Health Institute and America’s Health Rankings by the United Health Foundation was reviewed and analyzed. Prevalence/Incidence rates from the Health Risk Assessment indicated that obesity, heart disease and cancer were the major risk factors/challenges for the counties of Whitley, Laurel and Knox. Primary data was obtained through surveys targeting the community considered in the assessment. The risk factors reported from the secondary data sources were validated by the survey results.
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Community Profile
Demographics and Vital Statistics Baptist Health Corbin is geographically located in Whitley County and borders Laurel and Knox Counties. Whitley County has a population of 35,766 and borders the state line of Tennessee. Whitley County’s demographics are as follows: Persons under the age of 18: Persons the age of 65 and over: Female persons: White persons: Living in House 1 year or more: Homeownership: Persons per Household: Median Income: Below Poverty Level: High School Graduates or higher:
24.1% 14.7% 51.0% 97.1% 81.7% 67.4% 2.6 $29,769 26% 74.9%
Laurel County borders Whitley County on the north side and has a population of 59,563. Their demographics are as follows: Persons under the age of 18: Persons the age of 65 and over: Female persons: White Person: Living in House 1 year or more: Homeownership: Persons per Household: Median Income: Below Poverty Level: High School Graduates or higher:
23.6% 14.4% 51.1% 97.2% 84.8% 71.3 % 2.55 $36,570 21.8% 74.9%
Knox County borders Whitley County on the southeast side and has a population of 31,790. Their demographics are as follows: Persons under the age of 18:
23.4%
Persons the age of 65 and over: Female persons: White Person: Living in House 1 year or more: Homeownership: Persons per Household: Median Income: Below Poverty Level: High School Graduates or higher:
16.5% 51.5% 97.1% 86.6% 64.4% 2.53 $24,038 34.7% 67.2%
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Community Health Survey Primary data was obtained by Baptist Health Corbin through electronic surveys targeting the community considered in the assessment. The survey data was obtained over a two month time period. Surveys were also conducted through the Whitley County Health Department and Laurel County Health Department/St. Joseph Hospital of London. The broad surveys were intended to gather information regarding overall health of the community. Organization Baptist Health Corbin
Type of Organization Hospital/Healthcare
Whitley County Health Department Laurel County Health Department/St. Joseph of London
Health/Healthcare
Type of Survey Electronic surveys to patients, employees and community Electronic survey
Health/Healthcare
Electronic/Paper surveys
Social-demographic characteristics such as age, education, income and employment status were fairly comparable to the most recent census data.
Survey Instrument
Where do you live? • • • •
Whitley Laurel Knox Count
69 97 111 284
What is your age? • • •
18-44 45-64 65 or older
Do you have a family doctor? • Yes • No
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Where do you get medical care? • Doctors Office • Health Department • Emergency Room • Clinic (example Baptist Express)
How often do you exercise? • Minimal activity (walking around house most days of week) • Light activity (walking/riding bike for at least 30 minutes 3 times a week) • Moderate activity (walking/riding bike/swimming for 30 minutes 5-7 days a week) • Vigorous activity (over 30 minutes of activities such as running, stair climbing 5-7 times a week) Have you or a member of your immediate family (spouse, parent, grandparent, child, brother or sister) member been diagnosed with or have had the following: • Breast Cancer • Cervical Cancer • Lung Cancer • Colon Cancer • Prostate Cancer • Skin Cancer • Diabetes • COPD • Congestive Heart Failure • High Cholesterol • High Blood Pressure • Autism • Multiple Sclerosis • Stroke • Mental Health • Alcoholism • Arthritis • Drug Addiction • AMI • Emphysema • Obesity • AMI • Other
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Do you smoke? • No, I have never smoked • No, I quit over 5 years ago • No, I quit less than 5 years ago • Yes, I currently smoke
Are members of your household covered by insurance? If yes, which one? • Family is not covered by insurance • Insurance provided through your employer • Private Insurance • Medicare • Medicaid • Other
What do you see as a health need for you or your family? • Stroke Prevention • Hypertension (High Blood Pressure) Management • Obesity/Overweight (Including childhood obesity) • Diabetes Prevention and Management • Congestive Heart Failure Clinic • Teen Births Prevention/Education • Autism • Smoking Cessation • Multiple Sclerosis Support Group • Heart Disease Prevention and Awareness • Exercise (Public playgrounds, walking paths) • Nutrition (health food market, fresh produce markets) • Prenatal/Maternity Education
• • • • • •
Alcoholism/Drug Addiction Counseling Mental Health Services Geriatric (Aging) Services Orthopedic Services Cancer Screenings Other
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Secondary Data
12
COUNTY RANKING FOR HEALTH OUTCOMES The green map below shows the distribution of Kentucky’s health outcomes, based on an equal weighting of length and quality of life. Lighter colors indicate better performance in the respective summary rankings. Detailed information on the underlying measures is available at countyhealthrankings.org.
COUNTY RANKING FOR HEALTH FACTORS The blue map displays Kentucky’s summary ranks for health factors, based on weighted scores for health behaviors, clinical care, social and economic factors, and the physical environment. Lighter colors indicate better performance in the respective summary rankings. Detailed information on the underlying measures is available at countyhealthrankings.org.
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Whitley County Health Synopsis by the Kentucky Institute of Medicine (excerpt taken from The Health of Kentucky Report) Whitley County has good levels of physical activity rates among adults and primary care physicianto- population ratios. The county unfortunately has a comparatively low high school graduation rate, which affects the capacity for positive change. Whitley County is ranked 97 for the state of Kentucky. Some other challenges facing the county are: • • • • • •
high rates of smoking obesity motor vehicle accident deaths infant mortality diabetes Breast Cancer
While Whitley County has good levels of physical activity rates among adults and primary care physician- to-population ratios, it faces challenges, including high rates of smoking, obesity, diabetes, motor vehicle accident deaths, and infant mortality. The county also has a comparatively low high school graduation rate, which affects the capacity for positive change. Whitley County numbers among the worst counties for poor oral health, occupational fatalities, and cardiovascular disease, lung, colorectal and prostate cancer deaths. Community leaders can promote several strategies to lower risk and improve the health of residents. Driver’s education for teenagers and seniors and an emphasis on the use of seatbelts and child restraints can reduce automobile injuries and deaths. Improved nutrition, increased exercise, and smoking reduction can reduce the risk for heart disease, stroke, and diabetes. Smoking cessation and smoke-free zones can help reduce lung cancer deaths and improve respiratory health. Regular screening and early detection and treatment can reduce colorectal, prostate, and other cancer deaths.
Knox County Health Synopsis by the Kentucky Institute of Medicine (Excerpt taken from The Health of Kentucky Report) Knox County has comparatively low rates of obesity, occupational fatalities, motor vehicle deaths and breast and colorectal cancer mortality. However, the county faces some serious health challenges in that it registers very high rates on some health variables. Knox County is ranked 81 for the state of Kentucky. Some other challenges facing the county are: • • • • • •
Smoking lack of physical activity among adults low birth weights infant mortality diabetes cardiovascular deaths
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Knox County has comparatively low rates of obesity, occupational fatalities, motor vehicle deaths, and breast and colorectal cancer mortality. However, the county faces some serious health challenges in that it registers very high rates on some health variables. Challenges include smoking, diabetes, low birth weights, cardiovascular deaths, and lack of physical activity among adults. The county has some of the highest rates for poor oral health, prostate and lung cancer deaths, and days of limited activity. The county has a very high percentage of persons without health insurance and a poor high school graduation rate. Smoking reduction initiatives, including the establishment of smoke-free zones to lessen the impact of secondhand smoke, is something community leaders may want to consider. Such an initiative would help reduce lung cancer and improve respiratory health. Improved nutrition and increased exercise can reduce obesity and help prevent diabetes, heart disease, and other illnesses. Periodic health screenings and early detection and treatment can help prevent deaths from breast, colorectal, prostate, and other forms of cancer.
Laurel County Health Synopsis by the Kentucky Institute of Medicine (excerpt taken from The Health of Kentucky Report) Laurel County ranks just below the middle of Kentucky counties based on health risks and outcomes. The county has health strengths that include low rates of smoking and breast and colorectal cancer deaths and is home to a younger patient population. Laurel County is ranked 68 for the state of Kentucky. However, the county has several challenges: • • • • • •
high rates of obesity physical inactivity poor oral health uninsured population diabetes cardiovascular and lung cancer deaths
Laurel County ranks just below the middle of Kentucky counties based on health risks and outcomes. The county has health strengths that include low rates of smoking and breast and colorectal cancer deaths, and it is home to a younger patient population. The county has several challenges, however, with high rates of obesity, diabetes, physical inactivity, poor oral health, and cardiovascular and lung cancer deaths. In addition, the county has a limited supply of primary care physicians and a poor high school graduation rate. Among Kentucky counties, Laurel County has some of the highest rates for prostate cancer death and premature death. Regular health screenings and early treatment can help reduce deaths from breast, colorectal, prostate, and other forms of cancer. Community-wide initiatives to reduce smoking and protect others from the harmful effects of secondhand smoke through the creation of smoke-free zones can reduce lung cancer and reduce other health risks. Increased exercise and improved nutrition can lower obesity and reduce risks for diabetes and cardiovascular disease.
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Prevalence of Diabetes (percent adults)
39
Prevalence of Hypertension (percent adults)
212
246
225.67
Prevalence of Asthma (percent adults)
11%
41%
Tooth Loss (percent adults missing 6 or more teeth)
15%
15%
Prevalence of Smoking (percent adults)
23
20%
228
47%
34%
Prevalence of Overweight (percent adults)
28%
32%
16%
14%
Prevalence of Obesity (percent adults)
64%
37%
20%
19%
Lack of Physical Activity (percent adults)
32%
64%
38%
32%
30%
32%
43%
37%
82%
34%
64%
61%
High School Graduation (percent adults age 25 or older)
Cancer deaths (age-adjusted rate per 100,000 population)
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The Foundation for a Healthy Kentucky, www.kentuckyhealthfacts.org. Data Source: Kentucky Department for Public Health (KDPH). Death Certificate files. Frankfort, Kentucky: Cabinet for Health and Family Services (2008).
Kentucky
69%
33%
9%
Uninsured Child Population (percent children under age 19)
31%
25%
Prevalence of Youth Smoking (percent of high school students)
74%
Teen Births (rate per 1000 women ages 15 - 19)
TriCounty
Laurel
52
7%
9%
23%
6%
7%
7%
7
74.50
24%
21%
25%
19%
9%
97
67
60
9%
9%
10%
18%
8.07
8
6
10
Low Birthweight (percent of live births)
31%
12
24%
28%
26%
17%
Infant Mortality (per 1000 live births)
37%
47
14%
13%
15%
14%
Forego Care Due to Cost (percent adults)
65%
224
157.40
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Uninsured Population (percent adults under age 65)
Knox
281.23
55.9
Kentucky
282.5
376
40.3
12.67
TriCounty
274
16
Knox
287.2
Prevention Quality Indicators (risk-adjusted rate per 100,000 adults) Chronic
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Laurel
Stroke Deaths (per 100,000 population)
Whitley
Heart Disease Deaths (per 100,000 population)
Prevalence of Obesity (percent adults)
0% 27%
26%
29%
Prevalence of Smoking (percent adults)
45%
45%
37
43%
46%
Tooth Loss (percent adults missing 6 or more teeth)
9%
10%
Prevalence of Diabetes (percent adults)
9%
Teen Births (rate per 1000 women ages 15 - 19)
9%
Prevalence of Asthma (percent adults)
11%
0%
Low Birthweight (percent of live births)
0%
8%
24%
9%
28%
7
9%
Prevalence of Overweight (percent adults)
0%
Prevalence of Hypertension (percent adults)
228
241
238
237
Cancer deaths (age-adjusted rate per 100,000 population)
466
436
440
447
409
19
245
25%
23%
24%
21%
25%
Prevalence of Youth Smoking (percent of high school students)
Cardiovascular / Heart Disease Deaths (per 100,000 population)
The Health of Kentucky, A County Assessment Kentucky Institute of Medicine (2007)
Lack of Physical Activity (percent adults)
29%
21%
28%
7
9%
8
9%
0% 6
Infant Mortality (per 1000 live births)
26%
28%
43%
37%
15%
19%
21%
7
Forego Care Due to Cost (percent adults)
32%
54%
60%
27%
0% 16%
19%
Uninsured Population (percent adults under age 65)
72%
Knox
Kentucky Tri-County Average
64%
61%
0%
Prevention Quality Indicators (risk-adjusted rate per 100,000 adults) Chronic
Laurel
Whitley
Kentucky
Knox
Tri-County Average
Laurel
Whitley
Stroke Deaths (per 100,000 population)
High School Graduation (percent adults age 25 or older)
Other Hospital and Community Health Care Sources The availability of health resources is a critical component to the health of a county’s residents and a measure of the soundness of the area’s health care delivery system. An adequate number of health care facilities and health care providers is vital for sustaining a community’s health status. Fewer health care facilities and health care providers can impact the timely delivery of services. A limited supply of health resources, especially providers, result in the limited capacity of the health care delivery system to absorb charity and indigent care as there are fewer providers upon which to distribute the burden of indigent care. Listed below are the hospitals and health departments available to the residents of Whitley, Laurel and Knox Counties. St. Joseph London, formerly Marymount, located in London, Kentucky became a part of Saint Joseph Health System in January 2008. In 2012, Saint Joseph Health System merged with the former Jewish Hospital & St. Mary’s, along with the University of Louisville Hospital and James Graham Brown Cancer Center to form Kentucky One. This 120-bed general, acute-care hospital provides a full range of medical, surgical and obstetrical services, including rehabilitation services, respiratory therapy and cardiovascular services. Other services include outpatient pediatrics, home health and hospice. The hospital's primary service area covers Laurel, Jackson, Clay and Whitley counties. Knox County Hospital, located in Barbourville, Kentucky is a 25 bed general, acute-care hospital providing services including Nuclear Medicine, Surgical Services, Physical Therapy, Spiral C.T., Mammography services, and a fully staffed 24 hour Emergency Room. The hospital resides in Knox County. Jellico Community Hospital, located in Jellico, Tennessee operates as a nonprofit hospital under the direction of the Adventist Health System. The 54-bed acute care facility provides services including care van, Emergency Department, Intensive Care, laboratory, maternity, pharmacy, therapy, imaging, home care, surgery and wound healing. There are three health departments: Laurel County Health Department serving the citizens of Laurel County in all areas of public health. Knox County Health Department serving the citizens of Knox County in all areas of public health. Whitley County Health Department serving the citizens of Whitley County in all areas of public health. Other Resources: • • • • • • • • •
Dental Home Health Nursing Homes Hospice Clinics and Physician Practices Food Pantries KCEOC Senior Centers Cumberland Valley Ad
•
Baptist Health Medical Group in Southeast Kentucky: includes family medicine, cardiology, internal medicine, interventional cardiology, radiology, oncology, orthopedics, pulmonology, behavioral health, general surgery and gastroenterology.
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Health Priority Issue and Strategy Identified Needs/Overview in Prioritized Order The community input findings obtained through surveys were especially useful in understanding residents’ needs about our community health. The findings provide the information for us to conduct our strategic planning for the next fiscal year. In order to facilitate prioritization of identified health needs, a ranking and prioritization process was used and described below. Survey information, discharge information and information from our
external sources was weighted and then prioritized. These were the highest ranking health needs for our tri county area which includes Whitley, Laurel and Knox counties. Ranking of Community Health Needs BHC Survey Results
Knox County
Cardiovascular Disease including Stroke, Hypertension and CHF Diabetes
Obesity
Whitley County (2011) Cancer
Cancer (lung)
Diabetes
Cancer
Lack of Physical Activity
No Health Insurance
Obesity/Overweight
Diabetes
Teen Pregnancy Child Abuse
Teenage Pregnancy
Laurel County (2012) Substance Abuse
CVA Agency on Aging (2013) Vision
Mental Health / Wellness Overall Health & Chronic Disease Prevention Public Safety
Hearing Arthritis Diabetes Heart
Recommendations for Meeting Identified Health Needs • • • •
Continue to provide education to the community regarding heart care. Added Interventional cardiology & cardiac rehab to service line. Continue to provide education to community regarding diabetes and nutritional counseling regarding food labels, nutritional value, portion size, etc. Continue to provide programs to educate about exercise and fitness to the community and school systems. Continue to provide education to the community regarding cancer.
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Path Ahead/Next Steps Issue Baptist Health Corbin’s purpose in conducting this study was to identify major challenges and risk factors that can be modified or prevented to improve the health of our area. Community needs were identified and prioritized for the primary counties that we serve including Whitley, Knox and Laurel. Baptist Health Corbin can address and impact several of these needs by implementing programs, education and preventative screenings. Baptist Health Corbin will not be able to address all of the identified needs of our community and may have to partner with other sources that are positioned better to address the remaining needs of our community. Strategic Goal Strategic planning is conducted every three years for the East Region as well as Baptist Healthcare System, Inc. Community needs identified and prioritized through this research will be incorporated into the next strategic plan. Outcome Objectives and Measurable Indicators This report will be utilized to determine which areas demand attention from the hospital in this present needs assessment cycle and which can be considered for the future. Some initiatives will be better served from outside services or sources better positioned to affect the outcomes. Healthcare needs and availability of resources to affect those needs will be evaluated on a continuous basis through collaboration in the Community Healthcare Coalition. Implementation Strategy
Priority 1- Cardiovascular Disease including Stroke, Hypertension and CHF
Baptist Health Corbin plans to continue to meet this health need through the education and prevention of cardiovascular disease by implementing and/or maintaining current programs, education and preventative screenings. Strategic Goal To increase the awareness of the importance of early detection and prevention of cardiovascular diseases including Stroke, Hypertension and CHF through screening and educational programs for residents of Whitley, Knox and Laurel County. Outcome Objectives and Measurable Indicators 1. Develop community partnerships to educate local residents on healthy lifestyles and ways to manage cardiovascular diseases. Partners include: a. Downtown Corbin b. Whitley, Knox and Laurel County Health Department c. Whitley, Knox and Laurel County Schools d. Corbin and Williamsburg Independent Schools e. Southeastern Kentucky AHEC
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Priority 2- Diabetes Baptist Health Corbin plans to continue to meet this health need through the education by implementing and/or maintaining current programs and education opportunities. Strategic Goal To increase the awareness of the importance of early detection and management of diabetes through education for residents of Whitley, Knox and Laurel County. Outcome Objectives and Measurable Indicators 1. Develop community partnerships to educate local residents on healthy lifestyles and ways to manage diabetes. Partners include: a. Downtown Corbin b. Whitley, Knox and Laurel County Health Department c. Whitley, Knox and Laurel County Schools d. Corbin and Williamsburg Independent Schools e. Southeastern Kentucky AHEC f. Businesses in Whitley, Knox or Laurel County
Priority 3- Cancer Baptist Health Corbin plans to explore the needs of the community. Strategic Goal
To increase the awareness of the importance of early detection and prevention of cancer through screening and educational programs for residents of Whitley, Knox and Laurel County. Outcome Objectives and Measurable Indicators 2. Develop community partnerships to educate local residents on healthy lifestyles and
ways to prevent cancer. Partners include: a. Downtown Corbin Whitley, Knox and Laurel County Health Department c. Southeastern Kentucky AHEC d. Business in Whitley, Knox and Laurel County b.
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Priority 4- Overweight / Obesity Baptist Health Corbin plans to continue to meet this health need through the education by implementing and/or maintaining current programs and education opportunities. Strategic Goal
To increase the awareness of the importance of weight management through screening and educational programs for residents of Whitley, Knox and Laurel County. Outcome Objectives and Measurable Indicators 1. Develop community partnerships to educate local residents on healthy lifestyles and
ways to manage healthy weight. Partners include: a. Downtown Corbin b. Whitley, Knox and Laurel County Health Department c. Whitley, Knox and Laurel County Schools d. Corbin and Williamsburg Independent Schools e. Southeastern Kentucky AHEC f. Businesses in Whitley, Knox or Laurel County
Communication Plan Results from the Community Needs Assessment will be communicated through our website, public events, advertising, media, and community benefit reports resulting in a positive public awareness of the hospital’s efforts. The hospitals and health departments from Whitley, Knox and Laurel will work together to educate the community on the resources that are available to them through these organizations based on accessibility.
Baptist Health Corbin 1 Trillium Way Corbin, KY 40701 BaptistHealthCorbin.com Member of Baptist Health, Inc.
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Appendix A Services currently offered by Baptist Health Corbin and Baptist Health Systems, Inc.
Community Outreach Plan for Preventive Health Deliverable/Description Target Audience(s) Delivery Method Provide education Ladies in Red Women on heart disease, physical activity and nutrition The Blood Pressure ChairAll Blood pressures with Pharmacy health related education Corporate and Community Community Participate in a Healthfairs health fair to help community members understand the importance of preventive health and management. Senior Medication ProgramSenior Citizens Community Health Physician panel to Movie Night events Community discuss the importance of early detection, prevention and management or treatment. Focus Prescription Program All Senior Games Senior Citizens Provide education on preventive health, physical activity and nutrition Senior Health & Fitness Day Senior Citizens Provide education on preventive health, physical activity and nutrition Silver Sneakers at Baptist Family Senior Citizens Provide education Fitness physical activity for Seniors to address obesity Cardiovascular Symposium All Provide education on cardiovascular disease, physical activity and nutrition
Deadline February
Ongoing Ongoing
Ongoing Quarterly
Ongoing May
May
Ongoing
February
25
Diabetes Symposium
All
Diabetes Smart
All
Diabetes Day Camp
Children
Diabetes Support Group
All
NIBROC Just Lose It
All
Fitness Five
Children
Project Fit America
Children
Health Screenings
All
Baptist Health Family Fitness Walking Track
All
Cancer Support Group
All
Cancer Survivors Dinner
All
Provide education on diabetes, physical activity and nutrition Provide education on diabetes, physical activity and nutrition Provide education on diabetes, physical activity and nutrition Support for community members diagnosed with diabetes and their families Provide education on weight management, physical activity and nutrition Provide education on physical activity for elementary ages children to address obesity Provide education on physical activity for elementary ages children to address obesity Various screenings available throughout the year Outside walking track available for all community members Support for community members diagnosed with cancer and their families Provide support and awareness for community members diagnosed with cancer and their families
October Ongoing July Monthly
August
Yearly
Ongoing
Ongoing Ongoing
Ongoing
Annual
26
Paint the Town Pink
All
Cancer Awareness Events
All
Events scheduled in Annual October to provide support and awareness to the community on breast cancer Events scheduled Ongoing throughout year to provide support and awareness to the community on cancer
27
Appendix B Product Line – Market Share Service Lines 1 Surgery - Cardiovascular & Thoracic Saint Joseph Hospital London Baptist Health Lexington University of Kentucky Hospital Saint Joseph Hospital Baptist Health Corbin Knox County Hospital Jewish Hospital and St Marys Healthcare Lake Cumberland Regional Hospital Saint Joseph East Hazard ARH Regional Medical Center Kosair Childrens Hospital UK Healthcare Good Samaritan Hospital St Elizabeth Edgewood Select Specialty Hospital - Lexington Lourdes Hospital Pineville Community Hospital Saint Joseph Hospital Martin Muhlenberg Community Hospital
Discharges
Market Share
364 193 111 76 53 8 7 6 5 4 3 3 1 1 1 1 1 1
43.4% 23.0% 13.2% 9.1% 6.3% 1.0% 0.8% 0.7% 0.6% 0.5% 0.4% 0.4% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1%
1 Surgery - Cardiovascular & Thoracic Total
839
100.0%
10 Surgery - General Baptist Health Corbin Saint Joseph Hospital London University of Kentucky Hospital Baptist Health Lexington Knox County Hospital Saint Joseph Hospital Saint Joseph East UK Healthcare Good Samaritan Hospital Pineville Community Hospital Lake Cumberland Regional Hospital ContinueCARE Hospital at Baptist Health Corbin Georgetown Community Hospital Norton Hospital Jewish Hospital and St Marys Healthcare Select Specialty Hospital - Lexington
380 296 239 79 66 63 63 28 26 13 12 9 4 4 3
29.1% 22.7% 18.3% 6.0% 5.1% 4.8% 4.8% 2.1% 2.0% 1.0% 0.9% 0.7% 0.3% 0.3% 0.2%
28
Continuing Care Hospital Memorial Hospital Inc Baptist Health Louisville Norton Suburban Hospital Middlesboro ARH Hospital Saint Joseph Berea Kings Daughters Medical Center Baptist Health Richmond Jackson Purchase Medical Center Hazard ARH Regional Medical Center Clark Regional Medical Center Rockcastle Regional Hospital and Respiratory Care Center Owensboro Health Regional Hospital
3 3 3 3 1 1 1 1 1 1 1 1 1
0.2% 0.2% 0.2% 0.2% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1%
1306
100.0%
11 Surgery - Major Organ Transplant University of Kentucky Hospital Jewish Hospital and St Marys Healthcare
3 3
50.0% 50.0%
11 Surgery - Major Organ Transplant Total
6
100.0%
2 Surgery - Orthopedics Baptist Health Corbin Saint Joseph Hospital London UK Healthcare Good Samaritan Hospital University of Kentucky Hospital Baptist Health Lexington Saint Joseph East Saint Joseph Hospital Lake Cumberland Regional Hospital Norton Brownsboro Hospital Clark Regional Medical Center Knox County Hospital Pineville Community Hospital Sts Mary and Elizabeth Hospital St Elizabeth Edgewood Jewish Hospital and St Marys Healthcare Kosair Childrens Hospital Ephraim McDowell Reg Medical Center Hazard ARH Regional Medical Center Spring View Hospital
258 253 86 61 45 36 14 12 5 4 2 1 1 1 1 1 1 1 1
32.9% 32.3% 11.0% 7.8% 5.7% 4.6% 1.8% 1.5% 0.6% 0.5% 0.3% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1%
2 Surgery - Orthopedics Total
784
100.0%
10 Surgery - General Total
29
21 Medicine - Cardiovascular Disease Baptist Health Corbin Saint Joseph Hospital London Knox County Hospital Baptist Health Lexington University of Kentucky Hospital Pineville Community Hospital Saint Joseph Hospital Lake Cumberland Regional Hospital ContinueCARE Hospital at Baptist Health Corbin Hazard ARH Regional Medical Center Memorial Hospital Inc Jewish Hospital and St Marys Healthcare St Elizabeth Edgewood UK Healthcare Good Samaritan Hospital Saint Joseph East Continuing Care Hospital Harlan ARH Hospital Mary Breckinridge ARH Hospital Baptist Health Madisonville Kosair Childrens Hospital Saint Joseph Berea Norton Hospital 21 Medicine - Cardiovascular Disease Total 22 Medicine - Orthopedics Baptist Health Corbin Saint Joseph Hospital London University of Kentucky Hospital ContinueCARE Hospital at Baptist Health Corbin Pineville Community Hospital Baptist Health Lexington UK Healthcare Good Samaritan Hospital Knox County Hospital Lake Cumberland Regional Hospital Continuing Care Hospital Select Specialty Hospital - Lexington University of Louisville Hospital Hazard ARH Regional Medical Center Cardinal Hill Rehabilitation Hospital Saint Joseph Berea Middlesboro ARH Hospital
846 685 245 107 55 40 36 15 11 9 5 4 4 4 4 4 3 2 2 2 1 1
40.6% 32.9% 11.8% 5.1% 2.6% 1.9% 1.7% 0.7% 0.5% 0.4% 0.2% 0.2% 0.2% 0.2% 0.2% 0.2% 0.1% 0.1% 0.1% 0.1% 0.0% 0.0%
2085
100.0%
67 54 26 23 11 9 8 7 3 2 1 1 1 1 1 1
30.9% 24.9% 12.0% 10.6% 5.1% 4.1% 3.7% 3.2% 1.4% 0.9% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5%
30
Jewish Hospital and St Marys Healthcare
1
0.5%
22 Medicine - Orthopedics Total
217
100.0%
23 Medicine - Neuro Sciences Baptist Health Corbin University of Kentucky Hospital Saint Joseph Hospital London Saint Joseph Hospital Baptist Health Lexington Knox County Hospital Lake Cumberland Regional Hospital Ridge Behavioral Health System Pineville Community Hospital UK Healthcare Good Samaritan Hospital Harlan ARH Hospital Highlands Regional Medical Center Hazard ARH Regional Medical Center Saint Joseph East Baptist Health Louisville Memorial Hospital Inc University of Louisville Hospital Kosair Childrens Hospital The Medical Center at Bowling Green Middlesboro ARH Hospital ContinueCARE Hospital at Baptist Health Corbin Pikeville Medical Center Continuing Care Hospital St Elizabeth Edgewood
210 177 137 56 55 39 21 9 8 5 5 4 4 4 2 2 1 1 1 1 1 1 1 1
28.2% 23.7% 18.4% 7.5% 7.4% 5.2% 2.8% 1.2% 1.1% 0.7% 0.7% 0.5% 0.5% 0.5% 0.3% 0.3% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1%
23 Medicine - Neuro Sciences Total
746
100.0%
98 81 59 19 13 8 6 6 4 1
33.0% 27.3% 19.9% 6.4% 4.4% 2.7% 2.0% 2.0% 1.3% 0.3%
24 Medical - Oncology University of Kentucky Hospital Baptist Health Corbin Saint Joseph Hospital London Baptist Health Lexington Knox County Hospital Saint Joseph Hospital UK Healthcare Good Samaritan Hospital Pineville Community Hospital Lake Cumberland Regional Hospital Memorial Hospital Inc
31
Baptist Health Louisville
1
0.3%
24 Medical - Oncology Total
297
100.0%
25 Medicine - Nephrology/Urology Baptist Health Corbin Saint Joseph Hospital London Knox County Hospital Pineville Community Hospital Lake Cumberland Regional Hospital University of Kentucky Hospital ContinueCARE Hospital at Baptist Health Corbin UK Healthcare Good Samaritan Hospital Baptist Health Lexington Saint Joseph Hospital Memorial Hospital Inc Saint Joseph East Harlan ARH Hospital Taylor Regional Hospital Baptist Health Richmond Saint Joseph Berea Hazard ARH Regional Medical Center St Elizabeth Edgewood
281 258 97 27 25 22 12 11 11 8 8 4 2 1 1 1 1 1
36.4% 33.5% 12.6% 3.5% 3.2% 2.9% 1.6% 1.4% 1.4% 1.0% 1.0% 0.5% 0.3% 0.1% 0.1% 0.1% 0.1% 0.1%
25 Medicine - Nephrology/Urology Total
771
100.0%
26 Medicine - Otolaryngology Baptist Health Corbin Saint Joseph Hospital London University of Kentucky Hospital Knox County Hospital Pineville Community Hospital Saint Joseph Hospital Mary Breckinridge ARH Hospital UK Healthcare Good Samaritan Hospital Hazard ARH Regional Medical Center Lake Cumberland Regional Hospital Middlesboro ARH Hospital Memorial Hospital Inc
23 19 16 9 7 2 1 1 1 1 1 1
28.0% 23.2% 19.5% 11.0% 8.5% 2.4% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2%
26 Medicine - Otolaryngology Total
82
100.0%
5 4
45.5% 36.4%
27 Medicine - Ophthalmology University of Kentucky Hospital Baptist Health Corbin
32
Saint Joseph Hospital London Baptist Health Lexington
1 1
9.1% 9.1%
11
100.0%
28 Medicine - Pulmonary Baptist Health Corbin Saint Joseph Hospital London Knox County Hospital University of Kentucky Hospital ContinueCARE Hospital at Baptist Health Corbin Pineville Community Hospital Baptist Health Lexington Memorial Hospital Inc Lake Cumberland Regional Hospital Saint Joseph Hospital Hazard ARH Regional Medical Center Rockcastle Regional Hospital and Respiratory Care Center UK Healthcare Good Samaritan Hospital Middlesboro ARH Hospital Saint Joseph East Select Specialty Hospital - Lexington Harlan ARH Hospital Baptist Health Richmond Clinton County Hospital Pikeville Medical Center St Elizabeth Florence University of Louisville Hospital Norton Hospital Kindred Hospital Louisville Norton Audubon Hospital Mary Breckinridge ARH Hospital The Medical Center at Bowling Green Jewish Hospital and St Marys Healthcare Jane Todd Crawford Memorial Hospital Kosair Childrens Hospital Continuing Care Hospital Saint Joseph Mount Sterling
1346 831 388 116 105 60 36 20 19 18 14 13 8 8 7 6 4 4 2 2 1 1 1 1 1 1 1 1 1 1 1 1
44.6% 27.5% 12.9% 3.8% 3.5% 2.0% 1.2% 0.7% 0.6% 0.6% 0.5% 0.4% 0.3% 0.3% 0.2% 0.2% 0.1% 0.1% 0.1% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
28 Medicine - Pulmonary Total
3019
100.0%
50 20
47.2% 18.9%
27 Medicine - Ophthalmology Total
3 Surgery - Spinal Fusion Baptist Health Lexington Lake Cumberland Regional Hospital
33
Saint Joseph Hospital London Saint Joseph Hospital UK Healthcare Good Samaritan Hospital Norton Hospital Shriners Hospital for Children Lexington Jewish Hospital and St Marys Healthcare Saint Joseph East
10 7 3 2 1 1 1
9.4% 6.6% 2.8% 1.9% 0.9% 0.9% 0.9%
106
100.0%
30 Medicine - General Baptist Health Corbin Saint Joseph Hospital London Knox County Hospital University of Kentucky Hospital Pineville Community Hospital UK Healthcare Good Samaritan Hospital Baptist Health Lexington Lake Cumberland Regional Hospital Saint Joseph Hospital Saint Joseph East Memorial Hospital Inc ContinueCARE Hospital at Baptist Health Corbin Jewish Hospital and St Marys Healthcare Rockcastle Regional Hospital and Respiratory Care Center Norton Hospital Hazard ARH Regional Medical Center Harlan ARH Hospital University of Louisville Hospital Continuing Care Hospital Middlesboro ARH Hospital Select Specialty Hospital - Lexington Hardin Memorial Health Baptist Health Richmond Ephraim McDowell Reg Medical Center The Medical Center at Bowling Green Spring View Hospital Highlands Regional Medical Center Saint Joseph Berea Saint Joseph Hospital Martin Mary Breckinridge ARH Hospital Georgetown Community Hospital Meadowview Regional Medical Center
1079 841 390 277 61 55 48 33 29 20 19 15 8 8 7 7 6 6 4 3 2 2 2 1 1 1 1 1 1 1 1 1
36.8% 28.7% 13.3% 9.5% 2.1% 1.9% 1.6% 1.1% 1.0% 0.7% 0.6% 0.5% 0.3% 0.3% 0.2% 0.2% 0.2% 0.2% 0.1% 0.1% 0.1% 0.1% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
30 Medicine - General Total
2931
100.0%
3 Surgery - Spinal Fusion Total
34
31 Obstetrics Del Saint Joseph Hospital London Baptist Health Corbin Baptist Health Lexington University of Kentucky Hospital Lake Cumberland Regional Hospital Saint Joseph East Memorial Hospital Inc St Elizabeth Edgewood Middlesboro ARH Hospital T J Samson Community Hospital
739 682 50 41 27 22 10 3 3 1
46.8% 43.2% 3.2% 2.6% 1.7% 1.4% 0.6% 0.2% 0.2% 0.1%
1578
100.0%
92 58 43 22 5 3 1
41.1% 25.9% 19.2% 9.8% 2.2% 1.3% 0.4%
32 Obstetrics ND Total
224
100.0%
33 Neonatology Saint Joseph Hospital London Baptist Health Corbin University of Kentucky Hospital Baptist Health Lexington Saint Joseph East Lake Cumberland Regional Hospital Memorial Hospital Inc Kosair Childrens Hospital
305 173 109 39 9 8 6 1
46.9% 26.6% 16.8% 6.0% 1.4% 1.2% 0.9% 0.2%
33 Neonatology Total
650
100.0%
57 37 21 20 18 4 2 1 1
35.2% 22.8% 13.0% 12.3% 11.1% 2.5% 1.2% 0.6% 0.6%
31 Obstetrics Del Total 32 Obstetrics ND Baptist Health Corbin Saint Joseph Hospital London University of Kentucky Hospital Baptist Health Lexington UK Healthcare Good Samaritan Hospital Saint Joseph East Lake Cumberland Regional Hospital
4 Surgery - Neuro Sciences University of Kentucky Hospital Baptist Health Lexington Lake Cumberland Regional Hospital Saint Joseph Hospital London Saint Joseph Hospital Baptist Health Corbin Kosair Childrens Hospital Baptist Health Louisville Saint Joseph East
35
Jewish Hospital and St Marys Healthcare
1
0.6%
162
100.0%
40 Psychiatry Baptist Health Corbin Hazard ARH Regional Medical Center Ridge Behavioral Health System Harlan ARH Hospital Bourbon Community Hospital Lake Cumberland Regional Hospital Rivendell Behavioral Health Services Our Lady Of Peace UK Healthcare Good Samaritan Hospital Saint Joseph Hospital London University of Kentucky Hospital Knox County Hospital Lincoln Trail Behavioral Health System St Elizabeth Edgewood The Brook Hospital KMI Baptist Health Louisville Baptist Health Lexington Saint Joseph Hospital Kosair Childrens Hospital
1062 167 56 56 28 28 24 23 10 8 8 5 5 4 2 1 1 1 1
71.3% 11.2% 3.8% 3.8% 1.9% 1.9% 1.6% 1.5% 0.7% 0.5% 0.5% 0.3% 0.3% 0.3% 0.1% 0.1% 0.1% 0.1% 0.1%
40 Psychiatry Total
1490
100.0%
41 Chemical Dependency Baptist Health Corbin Ridge Behavioral Health System Hazard ARH Regional Medical Center Saint Joseph Hospital London Knox County Hospital Rivendell Behavioral Health Services Lincoln Trail Behavioral Health System UK Healthcare Good Samaritan Hospital Kentucky River Medical Center Our Lady Of Bellefonte Hospital University of Kentucky Hospital The Brook Hospital KMI Baptist Health Richmond St Elizabeth Florence Our Lady Of Peace
241 22 16 13 13 7 7 6 3 3 2 1 1 1 1
71.5% 6.5% 4.7% 3.9% 3.9% 2.1% 2.1% 1.8% 0.9% 0.9% 0.6% 0.3% 0.3% 0.3% 0.3%
41 Chemical Dependency Total
337
100.0%
4 Surgery - Neuro Sciences Total
43 Rehabilitation
35
ptist Health Corbin Cardinal Hill Rehabilitation Hospital Lake Cumberland Regional Hospital Healthsouth Northern KY Rehab Hospital Gateway Rehabilitation Hospital at Florence Baptist Health Louisville Frazier Rehab Institute Continuing Care Hospital
284 66 7 3 1 1 1 1
78.0% 18.1% 1.9% 0.8% 0.3% 0.3% 0.3% 0.3%
43 Rehabilitation Total
364
100.0%
5 Surgery - Oncology University of Kentucky Hospital Baptist Health Corbin Saint Joseph Hospital Baptist Health Lexington Lake Cumberland Regional Hospital UK Healthcare Good Samaritan Hospital University of Louisville Hospital Saint Joseph East
23 17 8 4 3 2 1 1
39.0% 28.8% 13.6% 6.8% 5.1% 3.4% 1.7% 1.7%
5 Surgery - Oncology Total
59
100.0%
6 Surgery - Nephrology/Urology Baptist Health Corbin University of Kentucky Hospital Saint Joseph Hospital Lake Cumberland Regional Hospital Saint Joseph Hospital London Saint Joseph East Knox County Hospital Baptist Health Lexington
80 17 16 14 6 4 4 2
55.9% 11.9% 11.2% 9.8% 4.2% 2.8% 2.8% 1.4%
143
100.0%
6 5 3 1 1
37.5% 31.3% 18.8% 6.3% 6.3%
7 Surgery - Otolaryngology Total
16
100.0%
8 Surgery - Ophthalmology University of Kentucky Hospital
1
100.0%
8 Surgery - Ophthalmology Total
1
100.0%
6 Surgery - Nephrology/Urology Total 7 Surgery - Otolaryngology University of Kentucky Hospital Baptist Health Corbin Baptist Health Lexington UK Healthcare Good Samaritan Hospital Knox County Hospital
36
9 Surgery - Gynecology Saint Joseph Hospital London University of Kentucky Hospital Baptist Health Corbin Baptist Health Lexington Lake Cumberland Regional Hospital Pineville Community Hospital Saint Joseph Hospital Knox County Hospital UK Healthcare Good Samaritan Hospital Baptist Health Richmond Norton Hospital 9 Surgery - Gynecology Total
52 37 24 12 4 3 3 1 1 1 1 139
37.4% 26.6% 17.3% 8.6% 2.9% 2.2% 2.2% 0.7% 0.7% 0.7% 0.7% 100.0%
Cases by Product Line Laurel, Whitley and Knox Counties Cases by Product Line Laurel, Whitley and Knox Couties Service Lines 28 Medicine - Pulmonary 30 Medicine - General 21 Medicine - Cardiovascular Disease 31 Obstetrics Del 40 Psychiatry 10 Surgery - General 1 Surgery - Cardiovascular & Thoracic 2 Surgery - Orthopedics 25 Medicine - Nephrology/Urology 23 Medicine - Neuro Sciences 33 Neonatology 43 Rehabilitation 41 Chemical Dependency 24 Medical - Oncology 32 Obstetrics ND 22 Medicine - Orthopedics 4 Surgery - Neuro Sciences 6 Surgery - Nephrology/Urology 9 Surgery - Gynecology 3 Surgery - Spinal Fusion
Discharges 3016 2928 2082 1574 1486 1303 836 781 768 743 644 361 334 294 220 214 159 138 136 102
Patient Days 16746 11288 7893 4169 12284 9032 4427 3223 3454 3273 3933 4423 2194 1561 610 1666 877 428 333 394
% Total 16.4% 15.9% 11.3% 8.6% 8.1% 7.1% 4.6% 4.3% 4.2% 4.0% 3.5% 2.0% 1.8% 1.6% 1.2% 1.2% 0.9% 0.8% 0.7% 0.6%
37
26 Medicine - Otolaryngology 5 Surgery - Oncology 7 Surgery - Otolaryngology 27 Medicine - Ophthalmology 33 Psychiatry 6 Surgery - Otolaryngology 27 Medicine - Pulmonary 3 Surgery - Neuro Sciences 31 Obstetrics ND 32 Neonatology 40 Chemical Dependency 1 Surgery - Orthopedics 10 Surgery - Major Organ Transplant 11 Medicine - Cardiovascular Disease 11 Surgery - Major Organ Transplant 2 Surgery - Spinal Fusion 21 Medicine - Orthopedics 22 Medicine - Neuro Sciences 23 Medical - Oncology 24 Medicine - Nephrology/Urology 25 Medicine - Otolaryngology 26 Medicine - Ophthalmology 28 Medicine - General 30 Obstetrics Del 4 Surgery - Oncology 41 Rehabilitation 5 Surgery - Nephrology/Urology 7 Surgery - Gynecology 9 Surgery - General 43 Surgery - Cardiovascular & Thoracic 7 Surgery - Ophthalmology 8 Surgery - Gynecology Grand Total
79 56 12 7 6 5 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 1 1 18,363
203 235 28 19 10 16 16 15 8 20 35 17 40 54 51 8 5 33 39 14 45 7 57 47 8 8 26 7 18 38 1 4 93,347
0.4% 0.3% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100.0 %
38
Product Line by County Laurel, Whitley and Knox Counties County/Product Line Knox, KY 30 Medicine - General 28 Medicine - Pulmonary 21 Medicine - Cardiovascular Disease 31 Obstetrics Del 40 Psychiatry 10 Surgery - General 25 Medicine - Nephrology/Urology 1 Surgery - Cardiovascular & Thoracic 23 Medicine - Neuro Sciences 2 Surgery - Orthopedics 33 Neonatology 41 Chemical Dependency 24 Medical - Oncology 32 Obstetrics ND 43 Rehabilitation 22 Medicine - Orthopedics 4 Surgery - Neuro Sciences 6 Surgery - Nephrology/Urology 9 Surgery - Gynecology 26 Medicine - Otolaryngology 3 Surgery - Spinal Fusion 5 Surgery - Oncology 7 Surgery - Otolaryngology 40 Chemical Dependency 27 Medicine - Ophthalmology 43 Surgery - Cardiovascular & Thoracic 25 Medicine - Otolaryngology 27 Medicine - Pulmonary 30 Obstetrics Del 41 Rehabilitation 1 Surgery - Orthopedics 23 Medical - Oncology 31 Obstetrics ND 11 Medicine - Cardiovascular Disease 32 Neonatology 26 Medicine - Ophthalmology
Sum of Discharges 806 760 562 326 307 269 206 186 151 132 121 81 75 54 52 40 31 26 25 24 24 11 4 2 2 1 1 1 1 1 1 1 1 1 1 1
39
2 Surgery - Spinal Fusion 21 Medicine - Orthopedics 22 Medicine - Neuro Sciences 5 Surgery - Nephrology/Urology 6 Surgery - Otolaryngology 3 Surgery - Neuro Sciences 24 Medicine - Nephrology/Urology 7 Surgery - Gynecology
1 1 1 1 1 1 1 1
33 Psychiatry 9 Surgery - General 10 Surgery - Major Organ Transplant 28 Medicine - General 4 Surgery - Oncology
1 1 1 1 1
Knox, KY Total
4301
40
Laurel, KY 30 Medicine - General 28 Medicine - Pulmonary 21 Medicine - Cardiovascular Disease 31 Obstetrics Del 40 Psychiatry 10 Surgery - General 1 Surgery - Cardiovascular & Thoracic 2 Surgery - Orthopedics 23 Medicine - Neuro Sciences 25 Medicine - Nephrology/Urology 33 Neonatology 43 Rehabilitation 41 Chemical Dependency 24 Medical - Oncology 22 Medicine - Orthopedics 32 Obstetrics ND 9 Surgery - Gynecology 4 Surgery - Neuro Sciences 6 Surgery - Nephrology/Urology 3 Surgery - Spinal Fusion 26 Medicine - Otolaryngology 5 Surgery - Oncology 27 Medicine - Ophthalmology 7 Surgery - Otolaryngology 6 Surgery - Otolaryngology 11 Surgery - Major Organ Transplant 33 Psychiatry 5 Surgery - Nephrology/Urology 2 Surgery - Spinal Fusion 7 Surgery - Ophthalmology 11 Medicine - Cardiovascular Disease 25 Medicine - Otolaryngology 31 Obstetrics ND 26 Medicine - Ophthalmology
1117 945 673 648 574 555 345 341 304 293 291 152 115 104 95 77 66 64 54 37 24 22 5 5 2 2 2 1 1 1 1 1 1 1
41
32 Neonatology 24 Medicine - Nephrology/Urology 23 Medical - Oncology 41 Rehabilitation 28 Medicine - General 43 Surgery - Cardiovascular & Thoracic 10 Surgery - Major Organ Transplant 21 Medicine - Orthopedics 8 Surgery - Gynecology 22 Medicine - Neuro Sciences 3 Surgery - Neuro Sciences 30 Obstetrics Del 40 Chemical Dependency 27 Medicine - Pulmonary 9 Surgery - General 1 Surgery - Orthopedics 4 Surgery - Oncology Laurel, KY Total
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 6936
42
Whitley, KY 28 Medicine - Pulmonary 30 Medicine - General 21 Medicine - Cardiovascular Disease 40 Psychiatry 31 Obstetrics Del 10 Surgery - General 2 Surgery - Orthopedics 1 Surgery - Cardiovascular & Thoracic 23 Medicine - Neuro Sciences 25 Medicine - Nephrology/Urology 33 Neonatology 43 Rehabilitation 41 Chemical Dependency 24 Medical - Oncology 32 Obstetrics ND 22 Medicine - Orthopedics 4 Surgery - Neuro Sciences 6 Surgery - Nephrology/Urology 9 Surgery - Gynecology 3 Surgery - Spinal Fusion 26 Medicine - Otolaryngology 5 Surgery - Oncology 7 Surgery - Otolaryngology 33 Psychiatry 7 Surgery - Gynecology 6 Surgery - Otolaryngology 3 Surgery - Neuro Sciences 31 Obstetrics ND 32 Neonatology 27 Medicine - Pulmonary 23 Medical - Oncology 5 Surgery - Nephrology/Urology 11 Surgery - Major Organ Transplant 26 Medicine - Ophthalmology 11 Medicine - Cardiovascular Disease 41 Rehabilitation 10 Surgery - Major Organ Transplant 25 Medicine - Otolaryngology 21 Medicine - Orthopedics 22 Medicine - Neuro Sciences 40 Chemical Dependency 30 Obstetrics Del
1311 1005 847 605 600 479 308 305 288 269 232 157 138 115 89 79 64 58 45 41 31 23 3 3 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1
43
24 Medicine - Nephrology/Urology 2 Surgery - Spinal Fusion 28 Medicine - General 9 Surgery - General 1 Surgery - Orthopedics 4 Surgery - Oncology Whitley, KY Total
1 1 1 1 1 1 7126
44
Product Line by Patient Age Groups Laurel, Whitley and Knox Counties Patient Age Groups
KHA MS DRG Product Line Laurel, Whitley, and Knox Counites
0 to 5 years
34 Normal Newborns
1,032
33 Neonatology
720
28 Medicine - Pulmonary
113
30 Medicine - General
86
23 Medicine - Neuro Sciences
28
10 Surgery - General
16
25 Medicine - Nephrology/Urology
13
24 Medical - Oncology
10
26 Medicine - Otolaryngology
9
21 Medicine - Cardiovascular Disease
8
22 Medicine - Orthopedics
6
4 Surgery - Neuro Sciences
5
1 Surgery - Cardiovascular & Thoracic
3
7 Surgery - Otolaryngology
2
6 Surgery - Nephrology/Urology
2
2 Surgery - Orthopedics
2
40 Psychiatry
18 to 44 years
Sum of Discharges
2
Total
2,057
31 Obstetrics Del
1,540
30 Medicine - General
755
40 Psychiatry
695
10 Surgery - General
355
28 Medicine - Pulmonary
282
41 Chemical Dependency
253
32 Obstetrics ND
146
21 Medicine - Cardiovascular Disease
141
25 Medicine - Nephrology/Urology
108
23 Medicine - Neuro Sciences
100
2 Surgery - Orthopedics
77
1 Surgery - Cardiovascular & Thoracic
75
9 Surgery - Gynecology
69
22 Medicine - Orthopedics
38
43 Rehabilitation
33
24 Medical - Oncology
30
3 Surgery - Spinal Fusion
22
6 Surgery - Nephrology/Urology
20
4 Surgery - Neuro Sciences
15
45
26 Medicine - Otolaryngology
45 to 64 years
6
5 Surgery - Oncology
5
27 Medicine - Ophthalmology
3
11 Surgery - Major Organ Transplant
2
Total
4,782
30 Medicine - General
1,036
28 Medicine - Pulmonary
998
21 Medicine - Cardiovascular Disease
622
10 Surgery - General
487
40 Psychiatry
446
1 Surgery - Cardiovascular & Thoracic
370
2 Surgery - Orthopedics
302
25 Medicine - Nephrology/Urology
245
23 Medicine - Neuro Sciences
221
41 Chemical Dependency
113
24 Medical - Oncology
110
43 Rehabilitation
97
22 Medicine - Orthopedics
74
9 Surgery - Gynecology
61
4 Surgery - Neuro Sciences
53
6 Surgery - Nephrology/Urology
50
3 Surgery - Spinal Fusion
46
5 Surgery - Oncology
38
26 Medicine - Otolaryngology
18
11 Surgery - Major Organ Transplant
5
7 Surgery - Otolaryngology
4
27 Medicine - Ophthalmology
1
8 Surgery - Ophthalmology Total 6 to 17 years
12
7 Surgery - Otolaryngology
40 Psychiatry
1 5,398 291
30 Medicine - General
69
31 Obstetrics Del
51
10 Surgery - General
39
23 Medicine - Neuro Sciences
37
28 Medicine - Pulmonary
31
24 Medical - Oncology
19
41 Chemical Dependency
19
2 Surgery - Orthopedics
16
25 Medicine - Nephrology/Urology
8
22 Medicine - Orthopedics
8
21 Medicine - Cardiovascular Disease
7
46
65 to 74 years
4 Surgery - Neuro Sciences
6
32 Obstetrics ND
5
7 Surgery - Otolaryngology
5
3 Surgery - Spinal Fusion
3
43 Rehabilitation
2
5 Surgery - Oncology
1
26 Medicine - Otolaryngology
1
27 Medicine - Ophthalmology
1
Total
619
28 Medicine - Pulmonary
740
21 Medicine - Cardiovascular Disease
492
30 Medicine - General
476
10 Surgery - General
250
2 Surgery - Orthopedics
215
1 Surgery - Cardiovascular & Thoracic
202
25 Medicine - Nephrology/Urology
181
23 Medicine - Neuro Sciences
159
43 Rehabilitation
78
24 Medical - Oncology
67
40 Psychiatry
63
22 Medicine - Orthopedics
41
4 Surgery - Neuro Sciences
39
6 Surgery - Nephrology/Urology
30
3 Surgery - Spinal Fusion
26
41 Chemical Dependency
15
9 Surgery - Gynecology
13
26 Medicine - Otolaryngology
13
5 Surgery - Oncology
12
7 Surgery - Otolaryngology
1
27 Medicine - Ophthalmology
1
Total 75 to 84 years
3,114
28 Medicine - Pulmonary
603
21 Medicine - Cardiovascular Disease
411
30 Medicine - General
347
25 Medicine - Nephrology/Urology
174
10 Surgery - General
142
23 Medicine - Neuro Sciences
134
1 Surgery - Cardiovascular & Thoracic
132
2 Surgery - Orthopedics
124
43 Rehabilitation
77
24 Medical - Oncology
54
22 Medicine - Orthopedics
42
40 Psychiatry
36
47
4 Surgery - Neuro Sciences
19
6 Surgery - Nephrology/Urology
15
26 Medicine - Otolaryngology
11
9 Surgery - Gynecology
7
3 Surgery - Spinal Fusion
6
5 Surgery - Oncology
5
41 Chemical Dependency
2
Total 85 and over years
28 Medicine - Pulmonary
279
21 Medicine - Cardiovascular Disease
170
30 Medicine - General
158
25 Medicine - Nephrology/Urology
96
2 Surgery - Orthopedics
66
23 Medicine - Neuro Sciences
62
43 Rehabilitation
44
10 Surgery - General
40
1 Surgery - Cardiovascular & Thoracic
25
22 Medicine - Orthopedics
21
24 Medical - Oncology
15
6 Surgery - Nephrology/Urology
10
40 Psychiatry
10
26 Medicine - Otolaryngology
4
4 Surgery - Neuro Sciences
2
5 Surgery - Oncology
2
9 Surgery - Gynecology
1
27 Medicine - Ophthalmology Total Total
2,341
1 1,006 19,317
48
Baptist Health Corbin Strategic Implementation Plan 2015-2018 Identified Health Needs
Cardiovascular Disease Including Stroke, Hypertension, and Congestive Heart Failure
Goals
Action Item(s)
Increase awareness of the importance of early Develop community partnerships to educate local detection and prevention of cardiovascular residents on healthy lifestyles and ways to manage disease by implementing and/or maintaining cardiovascular disease current programs, education and preventive screenings. Partners include: Downtown Corbin Whitley, Knox and Laurel County Health Departments Whitley, Knox and Laurel County Schools Corbin and Williamsburg Independent Schools Southeastern Kentucky AHEC
Diabetes
Services currently offered: Ladies in Red Blood Pressure Chair in Pharmacy Cardiovascular Symposium Increase awareness of the importance of early Develop community partnerships to educate local detection and management of diabetes residents on healthy lifestyles and ways to manage through education for residents of Whitley, diabetes Knox and Laurel Counties.
Partners include: Downtown Corbin Whitley, Knox and Laurel County Health Departments Whitley, Knox and Laurel County Schools Corbin and Williamsburg Independent Schools Southeastern Kentucky AHEC Businesses in Whitley, Knox and Laurel Counties
Cancer
Increase the awareness of the importance of early detection and prevention of cancer through screening and educational programs for residents of Whitley, Knox and Laurel Counties
Services currently offered: Diabetes Symposium Diabetes Day Camp Diabetes Support Group Develop community partnerships to educate local residents on healthy lifestyles and ways to prevent cancer.
Partners include: Downtown Corbin Whitley, Knox and Laurel County Health Department Southeastern Kentucky AHEC Businesses in Whitley, Knox and Laurel Counties Services currently offered: Cancer Support Group Cancer Survivors Dinner
Baptist Health Corbin Strategic Implementation Plan 2015-2018 Identified Health Needs
Obesity
Goals
Action Item(s)
Paint the Town Pink Cancer Awareness Events Increase awareness of the importance of Develop community partnerships to educate local weight management through screening and residents on healthy lifestyles and ways to manage educational programs for residents of Whitley, healthy weight Knox and Laurel Counties. Partners include: Downtown Corbin Whitley, Knox and Laurel County Health Departments Whitley, Knox and Laurel County Schools Corbin and Williamsburg Independent Schools Southeastern Kentucky AHEC Businesses in Whitley, Knox and Laurel Counties Services currently offered: NIBROC Just Lose It Fitness Five Project Fit America Family Fitness Walking Track Senior Games, Silver Sneakers and Senior Health Fitness Day