By Nick Tabor, New Era Senior Staff Writer
Several
months ago, Mark Pyle, director of the Christian County Health Department,
promised a more proactive approach to this area’s health — one that unified the
hospital, local government and others toward a common goal.
Now
those organizations are getting their assignments.
Jennie
Stuart Medical Center needs to bring in more doctors, according to the 2012
Community Health Assessment and Improvement Plan, which the health department
will make public next week.
Hopkinsville
City Council needs to improve public transportation, so people can get to their
doctors’ offices, and get serious about adding sidewalks and walking trails.
The
school system needs a wellness policy that improves students’ diets and gets
them more exercise.
Alpha
Alternative needs to offer parents free classes on how to talk to their
children about sex.
The
list also outlines the health department’s contributions. It goes on for
several pages.
If
successful, it will improve access for everyone, from suburban families to the
poor and disabled, including those who would never seek preventive care right
now, Pyle said.
This
will take broad cooperation. Organizations like the hospital and the schools
contributed to the plan, but it still marks a bold step for the health
department to delineate roles so concretely.
Long
time coming
The
health department had about 12,000 copies of this plan published in a glossy
17-page document, like a slim magazine. By next week, copies will go to every
member of the Christian
County Chamber of
Commerce, every doctor’s office and many public buildings. Every public school
student will get a copy to take home, Pyle said.
Alternatively, it's available for download here.
Fifty-two
local residents contributed. They include representatives from Christian County Jail, Housing Authority of
Hopkinsville and Sanctuary House, plus many health organizations. The mayor and
judge-executive also participated.
The
assessment followed a model from the National Association of County and City
Health Officials. It’s crucial for the accreditation the health department will
apply for next year.
The
coordination between local health organizations falls below the national
standard, according to the report.
The
report lists key local health statistics and tries to diagnose the biggest
factors for widespread problems. For instance, high rates of obesity and
uninsured people help explain the high diabetes rate, according to the report.
5-part
plan
As
a top priority, Pyle plans to create a health care coalition between Eric Lee,
president of Jennie Stuart; the president of Jennie Stuart’s medical staff;
David Ptaszek, director of the Pennyroyal Mental Health Center; Pyle himself;
and perhaps others. They’ll meet regularly and oversee the entire system of
public and private health organizations, he said.
Also,
health department employees will visit every provider in town to get a detailed
list of the services they perform, the kinds of payment they accept and their
specialties.
This
information will go into a public database that anyone can download or pick up
at the health department, Pyle said. And he plans to appoint a public health
advocate who can help the poor and uninsured find a doctor to treat them.
Beyond
these priorities, the report has many strategies broken down into five
sections.
Under
the first, “Chronic Disease Prevention and Control,” the report recommends a
“comprehensive diabetes management program.” Right now the hospital, the health
department and other organizations have divided programs, but they could
improve by unifying, Pyle said.
It
asks the city to start requiring all new subdivisions to have sidewalks and
other infrastructure that encourages physical activity. This would take a
“comprehensive streets ordinance,” according to the plan.
The
plan recommends more walking trails around existing parks.
For
its own part, the health department will buy vehicles and equip them with medical
gear. Nurses will start going out every day and treating residents who don’t
have transportation, Pyle said.
There’s
grant funding available for vehicles. As for the nurses, the health department
might keep fewer in its main building to put more on the streets.
The
second section, “Cancer Prevention,” includes increasing the number of clinics
and resources for preventive exams and creating more nutrition classes. These
classes should start in January.
The
third section, “Improving access to primary health care and oral health,”
addresses the need for a clinic that will serve the poor and uninsured. St.
Luke Free Clinic may evolve into such a place. It should have full-time nurse
practitioners, the report states.
The
health department will push for a law that lets providers treat people for
Chlamydia and gonorrhea without their partners present.
The
fourth section, “Ensuring a health start for children ages 0-5,” recommends
better distribution of immunizations between doctors’ offices. Because of
changes in Medicaid reimbursements, the health department can’t afford to
shoulder the burden of immunizations alone, Pyle said.
The
fifth, “Encouraging health lifestyles in children ages 6-18,” states a need for
suicide prevention and anger management counseling, a diabetes program in the
public school system and a school wellness policy.
Many
of these measures are supposed to start in January.
Look
for copies of the report in public places or download it here. Call the health department at 270-887-4160 for more information.
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