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Couple renews activity and makes lifestyle changes through cycling club
Jacey Foley knew she needed to make some changes to her routine. Despite no outward signs of health problems, she felt bogged down by a long period of inactivity. As the Director of Tobacco Control and Resources for Meridian Health Services and an advocate with the Tobacco Free Coalition of Delaware County and the Healthy Community Alliance, she felt it was important to do something to improve her health and set a better example.
George Foley wanted to keep his weight at a healthy level and find a healthy, social activity. He had been experiencing some health concerns, including high blood pressure and was happy to find something he and his wife could do as a couple.
At the urging of some friends, the Foleys participated in one of the monthly bicycle training rides for Walk Indiana. The Walk Indiana Bike Club is a monthly, moderately-paced ride on Cardinal Greenway in and near Muncie. The rides are a collaboration between IU Health Ball Memorial Hospital and Cardinal Greenways, devoted to not only training participants for Walk Indiana but also introducing newcomers like the Foleys to more active lifestyles and the opportunities offered on the Greenway. If necessary, riders are provided with bikes and helmets.
“Everyone was friendly, and I enjoyed the conversation with new people,” George said. “I have always loved the trail system and I like working up a sweat. It’s a good start for us, because we’ve talked about being more active.”
“Cycling is associated with improved cardiovascular health, is a great form of low-impact exercise for people with joint discomfort or lower body injuries, and is a fun way to burn calories,” said John Disher, community outreach manager, IU Health East Central Region and co-chair, Walk Indiana. “As an added bonus, we get the shared camaraderie of a moderate outdoor ride along the trail.”
Following a 20-mile ride to the community of Gaston and back on a sunny Saturday, the Foleys are on board for more.
“It’s spurring me on to go ahead and get the bikes we’ve talked about getting, because it really is a fun way to exercise,” Jacey said. “One thing that was also really comforting was being told, ‘go as far as you want, and someone would come back with me’ if I wanted to stop.”
“I really enjoy the scenery and the conversation. I tried not to talk too much and save my breath so I would actually make it back,” she laughed.
FIMR driving positive changes, habits passed on to next generation
When results from Indiana University Health Ball Memorial Hospital’s last two Community Health Needs Assessments (CHNA) were tabulated in 2012 and 2015, many were concerned about the infant mortality rate in IU Health’s East Central Region and statewide.
Started in 2014, the Fetal Infant Mortality Review (FIMR) committee is the first objective of a partnership between IU Health Ball Memorial Hospital, Open Door Health Services, the Delaware County Health Department and other community-based organizations. FIMR analyzes the root causes of infant mortality, defined as the death of a baby before his or her first birthday, and is dedicated to improving service systems and developing resources for women, infants and families.
Another FIMR objective is the implementation of a community action team of health professionals, charged with the promotion of safe sleep practices, early and adequate prenatal care, the promotion of breastfeeding and education to decrease or eliminate prenatal smoking and substance abuse.
“If you can modify a behavior, then you can initiate positive change,” said Genice Smithson, RN, BSN and FIMR coordinator at IU Health Ball Memorial. “While our survey indicated better than expected awareness in some areas of safe sleep, there were other areas where knowledge wasn't as common, such as pacifier use when placing infants to sleep or babies not sleeping in car seats as referenced by the American Academy of Pediatrics."
A positive outcome is that many families who have received safe sleep instruction and resources from IU Health Ball Memorial Hospital’s Mother/Baby Unit. Unsafe sleep practices, such as putting a baby to sleep on its belly or in a car seat, are frequent causes of Sudden Infant Death Syndrome (SIDS). Thanks to the support of the IU Health Ball Memorial Hospital Foundation, families of newborns lacking a crib or bassinet to practice safe sleep behaviors have received a Graco Pack n’ Play® portable crib and a HALO SleepSack® wearable blanket and instructions for their use upon discharge.
“On a scale of 1-10, I was probably a 3,” admits Tomisha Wilson, mother of one-month old Dru, says of her familiarity with Safe Sleep practices before coming to IU Health Ball. “Education stressed fundamentals like not using bumpers or making sure she is on her back, but also things like proportioning her alignment properly and never using blankets loosely or with fringe. I really like the SleepSacks for that because they meet her needs for both safety and warmth.”
“I don’t think the hospital would have been able to provide these for families without the support of the Foundation,” said Sindee Fry, RN, nurse practitioner intensivist, IU Health Ball Memorial Hospital. “What's also great is the safe sleep initiative at IU Health Ball spurred two other local organizations in Delaware County to seek state funding to provide additional families with the same resources."
IU Health Ball Memorial Hospital’s success with Safe Sleep practices and achieving Gold Standard Certified Safe Sleep Champion status with the support of the Foundation led to another positive change: modeling practices for other facilities across the state, including those at Riley Hospital for Children at IU Health.
To attain Gold status, IU Health Ball Memorial needed to achieve several criteria, including developing a facility-wide safe sleep policy and training staff, educate parents in safe practices, replace regular receiving blankets with wearable versions to eliminate loose bedding in cribs, becoming a local Cribs for Kids® Partner through Foundation support and providing education to the public through community outreach.
"It has been an honor to collaborate safe sleep best practice within the IU Health System,” Smithson said.
Healthy Community Alliance delivering ‘tools’ against tobacco
The Healthy Community Alliance of Delaware and Blackford Counties is arming East Central Region residents with free tools and information necessary to combat the area’s high use of tobacco products.
The Healthy Community Alliance of Delaware and Blackford Counties (HCA) was launched in 2015 by Indiana University Health Ball Memorial Hospital. Its mission is to reduce the impact of chronic disease by focusing on tobacco use, increased exercise and healthy weight. The HCA is a collective-impact model, whose partner organizations influence audiences to make healthier lifestyle choices.
“HCA partners are in a position to encourage healthier behaviors among residents, their families and their employers,” said John Disher, community outreach project manager, IU Health East Central Region. “Tobacco usage rates in Delaware and Blackford Counties are among the highest in Indiana, which in turn is among the nation’s highest incidences of adult tobacco use.”
One active “tool” in lowering area tobacco usage and dependency is the Quit Toolkit. It contains additional information on Indiana QuitNow Services, resources and benefits of encouraging friends and family to successfully break the addictive cycle of tobacco use, and contact information for Indiana’s Tobacco Quitline. HCA partners are encouraged to share the toolkit’s resources with their respective audiences, and are optimistic about its success.
“This is a great conversation starter. Our expectation would be all of clients can use these resources and support to successfully quit, for themselves or any other persons in their home who smoke,” said Gail Lewis, human resources and marketing coordinator of Hearts With Integrity, a home health agency in Hartford City, Ind., and HCA partner. “It’s nice to be able to give them a tangible product that will help them achieve success. We are really glad to have this to share with our clients.”
On the information front, the HCA has partnered with the Tobacco Free Delaware County Coalition to spread the word with articles and editorials in traditional and social media highlighting the importance of quitting. Pieces have detailed the negative community image portrayed by excessive tobacco use, as well as the value to friends and family of one’s stopping smoking, and keeping the benefits of being tobacco-free in front of the public.
“Out of sight is out of mind,” said Jacey Foley, director of tobacco control and resources, Meridian Health Services, coordinator for the Tobacco Free Delaware County Coalition and member of the HCA steering committee. When asked why it is important to raise awareness about the resources, Jacey responded by saying, “The fact that these proven resources are free to Hoosiers, cannot be over-emphasized. Not only are they free, but they can be used without leaving home.”
Free Cervical Screening Program Continues to Change Lives
Since 2011, the Indiana University Health Ball Memorial Cancer Center has provided nearly 400 cervical cancer screenings and over 350 comprehensive breast exams free of charge as part of a collaboration with the Reaching Out program and the Little Red Door Cancer Services of Central Indiana. In all, approximately more than 800 free screenings have been performed since the Cancer Center began offering them.
The IU Health Ball Memorial Cancer Center offers the screenings, which include tests for cervical cancer and HPV, and a clinical breast exam, free of charge. In 2015, screeners performed 126 cervical screenings and 125 clinical breast examinations. The free exams are provided at area IU Health family practitioners and gynecologists’ offices, the IU Health Breast Center and IU Health Ball Memorial Cancer Center at Forest Ridge.
When some screening results detect necessary follow up, and staff members from the Breast and Cervical Cancer Program (BCCP) are on hand to counsel women about financial assistance and other questions.
“While it is a busy evening each year, it is fun and heartwarming to hear and see the gratitude from women receiving services,” said Becky Butts, coordinator of community education and prevention, IU Health Ball Memorial Cancer Center. “Without this valuable program made possible by the support of Administration, the Foundation, and the assistance of our residents, many women would not receive the screenings they need.”
IU Health Ball Memorial Hospital 2015 Community Investment
To learn more about the IU Health commitment to serving Indiana communities, review the statewide 2015 Community Benefit Report.
What is Community Benefit?
Community Benefits are programs or activities that provide treatment or promote health and healing in response to identified community needs and that also:
- Improve access to healthcare services
- Enhance the health of the community
- Advance medical or healthcare knowledge
- Relieve or reduce the burden of government or other community efforts
An Overview of Community Impact
Every day, IU Health Ball Memorial Hospital impacts the East Central Indiana community by carrying out its mission through patient care, health education and medical research.
IU Health Ball Memorial Hospital also makes significant investments in the local communities it serves through community benefit, unreimbursed costs from Medicare, carrying out community-building activities and realizing the costs associated with bad debt, which consists of services for which IU Health Ball Memorial Hospital anticipated but did not receive payment.
2015 Community Benefit
- Charity Care and Unreimbursed Costs of Medicaid, HIP & CHIP: $210,847
- Community Health Improvement Services: $787,041
- Health Professions Education: $9,407,647
- Research: $692,090
- Financial and In-Kind Donations: $238,764
2015 Other Investments
- Unreimbursed Costs of Medicare: $9,151,342
- Bad Debt: $2,648,107
- Community-Building Activities: $779,101
2015 Total Community Investment: $20,313,118
IU Health Ball Memorial Hospital
Number of Patients:
- Inpatient: 17,751
- Outpatient: 289,436
Number of Employees:
Number of beds:
Community Outreach Contact Information
The IU Health Ball Memorial Hospital Foundation
Address: 2401 University Avenue, Muncie, IN 47303