On October 27, 2016, the Hannibal Regional Healthcare System Board of Directors approved the three-year implementation strategy recommended by the Regional Health Steering Committee to address the needs identified by the 2016 Community Health Needs Assessment.

2016 Community Health Needs Assessment:

The community, as designated by Hannibal Regional and engaged in this process, includes the counties of Marion, Ralls, Lewis, Pike, Shelby and Monroe. In the spring of 2016 a community health needs assessment was conducted. The findings from the community health needs assessment can be found at hannibalregional.org.

Based on the feedback received from a regional survey of key stakeholders and input during a town hall held on June 16, 2016, regional health needs were prioritized as follows:

1. Mental Health Services (Diagnosis/Placement/Follow-up)
2. Substance Abuse (Heroin, Meth, Rx)
3. Insurance Coverage (Uninsured/Underinsured)
4. Patient Health Education and Accountability
5. Obesity (Nutrition/Fitness)
6. Cost of Healthcare Services
7. Preventive Wellness/Health
8. Provider Collaboration within Primary Service Area

Following are strategies that will drive improvement over the next three years. During the next quarter, the Regional Health Steering Committee will collaborate on measurable goals, objectives and action plans to achieve each of the identified strategies.

BEHAVIORAL HEALTH (To include mental health and substance abuse)
1. Prevention & Awareness
a. Continue to improve mental health awareness through certifying and/or recertifying an additional 150 residents/year in Mental Health First Aid.
b. Continue to explore prevalent drug abuse issues for adolescents and work with community partners to address specific risk to adolescents.
c. Support collaborations such as the Alliance for Substance Abuse Prevention (ASAP) and the DARE program to increase awareness and utilization of such groups.

2. Mental Health Services/Resource Development
a. Through collaboration with regional mental health partners, continue to promote services and programs while identifying resource and service deficits.
b. Continue to develop clear strategies to address gaps in the delivery system as well as educating the communities as to the resources available and appropriate for their need.
c. Continue to investigate, pursue and acquire grant funding to address mental health and substance abuse issues and explore alternative methods of delivering care to targeted populations. 

1. Access to Basic Care

a. Form and empower a coalition to collaborate in addressing the significant gaps in access to healthcare services in Northeast Missouri and develop a plan by 2019.
b. Sustain and enhance access to care for those who are uninsured/underinsured and living in poverty by continuing to strengthen support for the Hannibal Free Clinic and Clarity Healthcare (Federally Qualified Community Health Center). Potentially explore an FQHC residency rotation with Clarity Healthcare.
c. Promote and participate in Project Community Connect each year, aligning those in need with free social service resources.
d. Explore funding resources available through the Missouri Foundation for Health or other funding opportunities for healthcare services.
2. Patient Education
a. Support and promote public meetings to educate community on health reform law’s insurance coverage options, in conjunction with insurance providers.
b. Work with local entities to promote community health opportunities and free education activities such as cooking classes, health fairs, speakers, etc.

1. Reduced Cost Healthcare Options

a. Continue to offer yearly screening opportunities to include low cost lab results and health related activities.
b. Continue to implement and promote projects to address chronic healthcare issues such as Project Red, community paramedic program and WIC/food stamp programs.
2. Patient Education
a. Continue to offer and educate community on payment assistance programs for uninsured/underinsured persons with health needs.

1. Population Health Management
a. Secure broad commitment and financial resources to launch a long range regional wellbeing initiative focused on increasing the length and quality of lives of Northeast Missouri citizens by engaging and mobilizing individuals, schools, worksites, restaurants, grocery stores and municipalities to join in a united effort to become a healthier community.
b. Take inventory of available services and equipment in the community in regards to physical fitness opportunities. Develop partnerships with entities engaged in physical fitness activities and promote/sponsor community activities that promote physical wellbeing for families in the community.
c. Collaborate with industry leaders to offer worksite wellness in the community.

1. Collaboration within Primary Service Area
a. Develop a triage/”ask the nurse” line for medical questions after hours.
b. Increase collaboration among primary care and other agencies such as schools, specialty clinics, etc. to find/recommend providers and/or services.

The Regional Health Steering Committee will guide the plan’s implementation from 2016 – 2019. Members of the committee include:
• Linda Ansell, Hannibal Regional
• Allen Clark, Hannibal Regional
• Mark Conover, Clarity Healthcare
• Christopher Deeken, Pike County Health Department
• Paula Delaney, Monroe County Health Department
• United Way of the Mark Twain Area Representative
• Tom Dugger, Families and Communities Together (F.A.C.T.)
• Pam Faulkner, Hannibal Regional
• Audrey Gough, Shelby County Health Department
• Wendy Harrington, Hannibal Regional
• Vicky Berhorst, Lewis County Health Department
• Julie Leverenz, Hannibal Regional
• Jean McBride, Marion County Health Department
• Representative(s) from Marion County Ambulance District
• Dr. Pranav Parikh, Hannibal Regional
• Darin Powell, Hannibal School District
• Judy Prater, Pike County Memorial Hospital
• Rhonda Stumbaugh, Pike County Health Department
• Representative(s) from Mark Twain Behavioral Health
• Sara Swisher, Hannibal Regional
• Tanya Taylor, Ralls County Health Department
• Stephanie Thomeczek, AETNA
• Jennifer Wilson, Hannibal Council on Alcohol and Drug Abuse
• Sha-Shona Hill, Probation and Parole