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IDENTIFICATION OF AREAS TO BE ADDRESSED IN CHNA

To conduct the Community Health Needs Assessment, Magee Rehabilitation Hospital convened a working group that included administrative staff and specially selected interns under the advisement of upper management. Members included Ron Siggs (Development), Vernice Wooden (Case Management), Meg Rider (Volunteer and Guest Services), Kim Shrack (Public Relations) and volunteer CHNA interns Andrea Chaney, Blythe Dim, Elizabeth Wasco, and Magee volunteers Mike Devero and Barbara Salzman.  The working group was under advisement from Jack Carroll, President and CEO; Bob Kautzman, Vice President of Clinical Operations; Pat Underwood, Chief Financial Officer; Robert Widmann, Controller; Hank Skoczen, Director of Marketing and Public Relations; and Ron Siggs, Vice President of Development.

After identifying and defining the community served, the group began extensive research to identify areas of potential community health needs to be addressed in assessment. This research included secondary data, such as public records, as well as primary research through consultation with organizations and individuals that represent the broad needs of the community the Hospital serves.

PUBLIC DATA

In February 2012, the Hospital joined the Public Health Management Corporations (PHMC) Community Health Database for access to the Southeastern Pennsylvania Household Survey. This biennial health survey collects information on more than 13,000 residents living in the five-county Southeastern Pennsylvania region. The survey provides data on a broad range of health topics including health status, access to and use of health care, personal health behaviors, health screening, health insurance status, women's health, children's health and older adult health and social support needs. This provided the Hospital with critical information regarding the geographic communities served. Also in February 2012, the Hospital utilized the Department of Health for Philadelphia CountyҒs database and 2010 Census data for more information on demographics. These databases focused primarily on basic health information, but did not specifically address the unique needs of the disabled community. This prompted the team to focus the CHNA for Magee Rehabilitation Hospital on the special population of adults living with disabilities, as this population had not been previously researched or addressed in-depth.

In February 2012, the Hospital reviewed the 2009 Lehigh Valley Research Consortium Survey, with permission from the researchers (Figure 2A), as well as the 2012 Burke Rehabilitation Hospital Comprehensive 3-Year Plan (Figure 2B). The Lehigh Valley Research Consortium Survey format and content of this survey informed the format and content of the Hospitals CHNA survey, while the Burke Rehabilitation plan was used to inform the content and format of the final report.

The Hospital working group also looked to academic research to inform the content of the CHNA survey. In February 2012, the working group reviewed a report from a 2002 paper from Barrow Neurological Institute in Phoenix, Arizona that addressed what brain injured patients need in the years following their injury. This paper identified long-term needs of the brain-injured patient and addressed how those needs can be met.

To ensure the surveyҒs readability for people with varying degrees of ability, the Hospital researched the Americans with Disabilities Act (ADA) guidelines for accessible printed materials on January 28, 2012. The survey was formatted in accordance to these requirements, including the use of a 14 point, easy-to-read, non-italic, sans serif font.  The survey was also translated into Braille after the Mayors Commission on People with Disabilities meeting on November 19, 2012.

ORGANIZATIONAL INPUT

To develop the survey, Magee Rehabilitation Hospital also sought input from organizations who represent the broad interests of adults living with disabilities, which is one of the communities the Hospital serves. All consultations occurred via phone or email, unless otherwise noted.

  • In December 2011, members of MageeҒs working group consulted with the Delaware Valley Healthcare Council (DVHC), and joined the Councils CHNA working group. Ultimately, the Hospital chose not to participate in the DVHC contracted CHNA survey as it did not address the special populations served by rehabilitation hospitals. On January 13, 2012, the Hospital attended a meeting hosted by the DVHC that discussed possible approaches to defining communities served by rehabilitation hospitals, as well as methods and data that could be used to assess the health status and needs of those communities.
  • Beginning in 2010, the Magee working group held monthly conference calls with CHNA working group participants Susan OҒRourke, Director of Planning at Main Line Health and Leighton McKeithen, Director of Marketing at Bryn Mawr Rehabilitation Hospital. During these calls, team members discussed the progress of their respective surveys, shared information and provided feedback as needed.
  • On March 22, 2012, the working group began outreach to Charles Horton, Deputy Director and Accessibility Compliance Specialist at the Mayors Commission on People with Disabilities. He acted as a test evaluator for two versions of the survey, the first on June 20 and the second on August 28. On September 6, members of the working group met with Charles to explain the scope of the project and highlight opportunities for collaboration.
  • On May 14, 2012, members of the Magee working group met with Linda Peyton, Executive Director of the Legal Clinic for the Disabled to discuss the inclusion of legal questions in the survey. The working group then sought her opinion as a test evaluator in late June. Because the Legal Clinic for the Disabled is housed at Magee RehabilitationҒs main hospital, each of these consultations took place in person.
  • Nakea Fuller, Business Manager/Accessibility Coordinator of the Philadelphia Housing Authority, served as a test evaluator in the surveys initial and later stages. She provided her initial feedback on May 23, 2012, and provided further comment on August 28, 2012.
  • On July 6, 2012 the working group solicited feedback from Lynette Pawlak, Client Services Project Specialist at Associated Services for the Blind and Visually Impaired. She provided constructive feedback and additional questions for consideration.
  • The working group consulted with Nicole Dreisbach, M.P.H., Research Associate at Public Health Management Corporation (PHMC) on the development of the survey between June 22 and July 11, 2012. PHMC was instrumental in helping the working group formulate wording for the questions and answers, and also acted as a test evaluator. The working group also attended two workshops hosted by Nicole and the PHMC in preparation for CHNA efforts on May 16 and June 7, 2012.

INDIVIDUAL INPUT

Magee Rehabilitation Hospital also sought input from individuals who represent the broad interests of adults living with disabilities, the community the Hospital serves. Throughout April and May 2012, these individuals reviewed the survey developed from the public data and offered their recommendations for content, topic areas, readability and usability. These individuals included:

  • Mark Chilutti, a former Magee patient and current employee. Mark is a wheelchair user with special knowledge of the health challenges faced by adults living with disabilities.
  • Nancy Rosenberg, Psy. D., a clinical psychologist at Magee and the director of the Hospital-wide Peer Mentor Programs for survivors and their families of stroke, brain injury, spinal cord injury and amputation. Given her position and relationship with the special population served, she has a keen understanding of the unique challenges facing people living with disabilities post-rehabilitation.
  • MageeҒs Peer Mentor Program Coordinators, including Marie Protesto (Spinal Cord Injury and Amputation Peers), Jennifer Salomon (Stroke and Brain Injury Peers), Sonya Dibeler (Spinal Cord Injury and Amputation Peers) and Ruth Black, M.S.W. (Family Peers). Given their close interaction with the special population served, they have in-depth knowledge about the challenges facing people living with disabilities, with specific insight into the different challenges impacting people by injury or illness type. For example, those issues that impact amputees more than stroke survivors, etc. Additionally, as wheelchair users, Marie, Sonya and Ruth all have first-hand knowledge of the health needs of this special population.
  • Vernice Wooden, M.S.S.A., L.S.W.A., Case Management Continuum of Care Supervisor. Vernice serves as the case manager for all of Magees outpatients. As such, she interacts with patients across their lifetime continuum of care. As a member of the MayorҒs Commission on People with Disabilities (MCPD), Vernice is able to link patients to disability resources outside the Magee community. She ensures that patients needs are identified and met, even after they have left the hospital. As such, she has a keen knowledge of the resources available in the community, as well as the common needs among people living with disabilities. She is also a member of the CHNA working group.
  • Marci Ruediger, P.T., M.S., MageeҒs Director of Performance Excellence. Marci is focused on patient safety, and leads the monitoring of safety statistics and reporting. She is familiar with the safety challenges facing people living with disabilities, and offered insight into how to best address these issues in the survey.
  • Joe Davis, M.S.W., Magee Rehabilitation Hospitals Think First Coordinator. Joe is a wheelchair user with special knowledge of the health challenges of adults living with disabilities. He manages Think First, the National Head and Spinal Cord Injury Prevention Program, in which he conducts outreach to schools, correctional facilities and community centers about injury prevention. His presentations, which are directed toward teenagers and young adults, focus on gun injury prevention, decisions commonly made by young people, as well as other risky behavior that can lead to disabling injuries.
  • Outpatients at Magee Rehabilitation Hospital. In July, the Hospital working group approached Magee outpatients as they were in the waiting room prior to appointments and tested the surveys for readability, accessibility, comprehension and length. As they were the target audience for the final survey, the outpatients provided excellent insight on content and layout of the survey.