It is with great pleasure we present the results of our 2016 Community Health Needs Assessment. Beginning in late 2015, Columbia Memorial Hospital (CMH) and Providence Seaside Hospital worked together to produce a joint Community Health Needs Assessment, which we hope will become a resource for our county.
The following document is the result of a robust process that included surveys, public health data, listening sessions, and interviews with many community members. Our hospitals are proud of our work together in Clatsop County, and prouder still to serve you. Through listening and partnership, our hospitals will use this assessment as the basis for our community benefit activities and community health improvement plans over the next three years to address the key areas of identified need:
As a tax-exempt hospital, Columbia Memorial Hospital (CMH) is required by the Patient Protection and Affordable Care Act to conduct what is called a Community Health Needs Assessment (CHNA). This is a study that collects information to help us, and our community health partners, better understand the most common and challenging health issues in our region, and work together on a plan that best to addresses the findings and achieves the goal of becoming a healthier community.
Read the most recent CHNA. This document informs our decisions when creating our strategic plan and community benefits plan. The CHNA is conducted not only to fulfill the requirement of the Patient Protection and Affordable Care Act of 2010 (H.R.3590) for non-profit hospitals, but also in response to the CMH mission “To provide excellence, leadership, and compassion in the enhancement of health for those we serve.”
CMH cares for our community inside our walls and out in the community. Here are just a few of the initiatives CMH is part of that demonstrate how the information from the CHNA is helping to transform and improve healthcare in our region.
Transformational healthcare begins with planting the seeds of partnership. The coordinated care model, (coordinated care organizations or CCOs) are the fruits of these efforts. A CCO is a network of all types of healthcare providers who have agreed to work together in their local communities to serve people who receive healthcare coverage under the Oregon Health Plan (Medicaid). CCOs are focused on prevention and helping people manage chronic conditions, like diabetes, which helps reduce unnecessary emergency room visits and gives people support to be healthy. Today, there are 16 CCOs operating in communities around Oregon, and CMH was at the forefront of the first CCO in the nation, serving all of Clatsop, Columbia and Tillamook counties.
With CMH’s administration and clinical leadership team at the table, alongside leaders from Tillamook Regional Medical Center, Providence Seaside Hospital, OHSU, Clatsop Behavioral Healthcare and many other dedicated community stakeholders, the Columbia Pacific CCO is focused on helping people in the region manage chronic health issues instead of treating them only when they become ill.
Like other medical and social service communities across the U.S., ours has been engaged in a mission to improve care for those affected by chronic pain, while also reducing intervention using prescription opiates. CMH was a contributor to the regional Opioid Summit in early 2016 and continues to be represented on the steering committee and task forces redesigning chronic pain and opioid addiction in our area.
Adverse childhood events (ACEs) have been shown to be a significant determinant of health throughout the lifespan. CMH is working with the Columbia Pacific CCO to pilot a program designed to provide interventions at the beginning of life in our Women’s Center and Pediatric Clinic to address ACEs as early as possible, with a goal of improving lives and outcomes.
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