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2022Community Health NeedsAssessment

2 I Community Health Needs AssessmentTABLE OF CONTENTSINTRODUCTION............................................................................................................................................5Executive Summary................................................................................................................................................5-9Background.................................................................................................................................................................9-13Kirby Medical Center Services....................................................................................................................14-16Local Impact of COVID.......................................................................................................................................16-17ESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPS.........................19 DATA COLLECTION............................................................................................................................19-24Secondary Data.....................................................................................................................................................19-21Primary Data............................................................................................................................................................21-24DATA ANALYSIS...................................................................................................................................27-57Demographics.......................................................................................................................................................27-30Social Determinants of Health...................................................................................................................31-41Health and Wellness Indicators...............................................................................................................42-55- Chronic Illness....................................................................................................................................................43-47- Mental Health.....................................................................................................................................................48-50 - Behavioral Health............................................................................................................................................51-53- Substance Use..................................................................................................................................................54-55Diversity and Minority Health Status...........................................................................................................56Emergency Preparedness...................................................................................................................................57Copyright ©2022 by the Illinois Critical Access Network (ICAHN). All rights reserved. The contents of this publication may not be copied, reproduced, replaced, distributed, published, displayed, modied, or transferred in any form or by any means except with the prior permission of ICAHN. Copyright infringement is a violation of federal law subject to criminal and civil penalties.

Kirby Medical Center I 3IDENTIFICATION AND PRIORITIZATION OF NEEDS.........................................................59-60Process................................................................................................................................................................................59Description of the Community Health Needs Identied...............................................................60 RESOURCES AVAILABLE TO MEET PRIORITY HEALTH NEEDS.................................63-64Hospital Resources....................................................................................................................................................63 Healthcare Partners or other Resources including Telemedicine.........................................64Community Resources...........................................................................................................................................64DOCUMENTING AND COMMUNICATING RESULTS................................................................67 IMPLEMENTATION STRATEGY.....................................................................................................69-73Planning Process.........................................................................................................................................................69Implementation Strategy..............................................................................................................................70-73REFERENCES AND APPENDIX....................................................................................................75-77

Kirby Medical Center I 5INTRODUCTIONIn 1850, John Kirby left his home in Limerick County, Ireland, and headed for America. When he eventually settled in Monticello, Illinois, he could not have imagined that someday he would be revered as a great community leader. Today, more than 90 years after his passing, his legacy as a community philanthropist remains.The original John and Mary E. Kirby Hospital was located in one of the majestic mansions of Monticello and opened for business in 1941. In the early 1970s, a new Kirby Hospital was built on that same location and would serve the community and Pike County for the next 30 years. Kirby Ambulance Service began in 1974. In 2011, the new Kirby Medical Center began providing care at its current location. In 2015, Kirby Medical Center began a Wellness Trail on its campus. In 2016. KMC Active opened on the campus. In 2019, KirbyRx Retail Pharmacy opened. The pharmacy expanded to a second location in Monticello in 2020. A new Kirby Medical Center clinic opened in Cerro Gordo in 2016, and a replacement clinic was built and opened in Atwood in 2021.AdolescentsAdultsSeniorsEarly Childhood AdolescentsAdultsSeniors

6 I Community Health Needs AssessmentProvisions in the Aordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon priority community health needs. This assessment process results in a CHNA report which assists the hospital in planning, implementing, and evaluating hospital strategies and community benet activities. This Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-prot 501(c)(3) corporation established in 2003 for the purposes of sharing resources, education, promoting operational eciencies, and improving healthcare services for member critical access and rural hospitals and their communities. EXECUTIVE SUMMARY

Kirby Medical Center I 7ICAHN, with 57 member hospitals, is an independent network governed by a nine-member board of directors, with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives to strengthen the capacity and viability of its members and rural health providers. This Community Health Needs Assessment will serve as a guide for planning and implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of Monticello and the surrounding area. The CHNA process was coordinated by the Chief ComplianceOcer service at Kirby Medical Center. Two focus groups met to discuss the state of overall health and wellness in the Kirby Medical Center service area and to identify health concerns and needs in the delivery of healthcare and health services in order to improve wellness and reduce chronic illness for all residents. The focus groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected ocials, public health and others. Several members of these groups provided services to underserved and unserved persons as all or part of their roles. The ndings of the focus groups were presented along with secondary data analyzed by the consultant to a third group for identication and prioritization of the signicant health needs facing the community. The group consisted of representatives of mental health, community leaders, healthcare providers, and community services providers.

8 I Community Health Needs AssessmentIDENTIFICATION AND PRIORITIZATION ADDRESSING THE NEED At the conclusion of their review and discussion, the identication and prioritization group advanced the following needs:1. Create a community-wide post-COVID response for adults and youth2. Identify and address gaps in transportation related to: – Flexibility in and outside of Kirby Medical Center service area for transportation to and from local appointments– Transportation to out-of-the-area substance use disorder and othermental health services3. Identify location and patterns of poverty within the Kirby Medical Centerservice area and address issues related to scattered or isolated poverty4. Identify and plan to address mental health and wellness needs acrossthe Kirby Medical Center service areaThe results of the assessment process were then presented to senior sta at Kirby Medical Center through a facilitated discussion for development of a plan to address the identied and prioritized needs.ADDRESSING THE NEED CREATING THE PLANThe group addressed the needs with the following strategies:• Kirby Medical Center will collaborate with local ocials, providers, agencies, and organizations within communities served to recognize the potential post-COVID needs of the communities and begin to analyze, assist, and move together toward solutions.Creating a Post-COVIDResponseAddressingTransportationGapsLocations and Patterns of PovertyMental Healthand Wellness Needs

Kirby Medical Center I 9• Kirby Medical Center will investigate ways to make availability of KMC van service better known.• Kirby Medical Center will collaborate with the Piatt County Sheri to explore transfers out-of-the-area for mental health and substance use disorder services.• Kirby Medical Center will utilize new U.S. Census and other data in combination with input from local government ocials and community and faith-based organizations to identify poverty in the smaller communi-ties and rural areas, analyze its impact to health and wellness, and plan for mitigation.The Community Health Needs process is conducted every three years. In response to issues identied and prioritized and the implementation strategy developed to address them, Kirby Medical Center has taken the following steps since the last CHNA. Kirby Medical Center will start a geriatric behavioral health program • Kirby Senior Life Solutions started in the spring of 2020 Kirby Wellness Services • Free service that combines physical and mental health wellness services started in 2020 • Kirby Medical Center implemented free COVID rapid testing for Piatt County student and school facultyKirby Medical Center will hire a new Licensed Clinical Social Worker • Another LCSW was hired during the summer of 2019 and advertising for an LCPC (Licensed Clinical Professional Counselor) • LCPC hired in the fall of 2020 • LCSW services now also oered in Cerro Gordo and Atwood at the clinicsBACKGROUND

10 I Community Health Needs AssessmentKirby Medical Center will begin Mental Health First Aid training in the community • Sta have been trained in this, and KMC has oered to provide to the Ministerial Alliance • Mental Health First Aid provided to the Ministerial AllianceKirby Medical Center will continue to support “Girls on the Run” through the Mattoon YMCA • Annual program that continues to be staed by Kirby Medical Center, with 5-10 girls graduating every yearKirby Medical Center will continue the in-house pharmacy to address pain management • Continues to be staed full-time, with regular face-to-face consults between the pharmacist and patientsKirby Medical Center will explore a retail outpatient pharmacy to collaborate with the clinics • Opened November 2019 • Second location opened November 2020 on Market StreetKirby Medical Center will continue and expand corporate health services • New Wellness Coordinator has been hired and has made an immediate impact and connection with patients from Kirby Medical Group and also its employees • The Wellness Coordinator is working directly with corporate health partners for bi-annual lab and health metric testingKirby Medical Center will continue and expand the internal employee health program • KMC has continued the program and continues to tweak and improve it • KMC will continue Seniors Active and Independent for Life (SAIL). The program has relocated to the Community Building where the class size can be increased and also, there is more room for social distancing.

Kirby Medical Center I 11Kirby Medical Center will expand dietitian services for weight loss • KMC has moved away from the Fresh Start/Ideal Protein program with new food and a more streamlined, non-keto program that is proving successfulKirby Medical Center will continue intensive behavioral therapy • This continues and has proven successfulKirby Medical Center will continue to develop recreation and exercise opportunities on the Kirby Medical Center campus, in conjunction with the YMCA • Kirby Medical Center has expanded the KMC Active programs to include KMC30. Other programs like Endurance and Olympic weightlifting have also been added. • The YMCA collaboration on the hospital campus has not worked out, and KMC remains interested in helping the YMCA establish somewhere else in the community. The YMCA is considering a Y Express in the Lincoln School building when it is vacated. Monticello schools have put the Lincoln School up for sale with no further interest from the Clinton YMCA. • Kirby Medical Center will continue Neighborhood Medic welfare checks and chronic care management through Kirby Medical Group ACO activities and case management. • Kirby Medical Center announced the development of the new Kirby Therapy & Wellness Center, a 22,000 square foot building that will house therapy, wellness, cardiac rehab, pulmonary rehab, dietitians, and KMC Active under one roof.Kirby Medical Center will support local partners that are attempting to address food insecurity as reasonably possible • Kirby Medical Center nancially supports the operations and capital improvements of the East Illinois Foodbank that serves areas in Piatt County • Kirby Medical Center will continue to collect food to support local food providers through employee programs

12 I Community Health Needs AssessmentKirby Medical Center will explore a hospital-owned retail pharmacy that will utilize 340b program funds to improve access to aordable medication • Kirby Rx has opened and oers 340b discounts. Additionally, hours are expanded and over-the-counter medications are oered for a steep discount. • Kirby Rx #2 opened on November 2, 2021 on Market Street, and this location will now be able to oer 340b discounts to clients and the potential of expanding DME (durable medical equipment) services.Kirby Medical Center will explore partnerships with local clergy to support transportation needs beyond what Piattran can provide • This was explored following the community meetings, and a contact number was given. When called, the message went to a machine with no response. That clergy is no longer in the local ministry, and contact will be made with the Ministerial Alliance leader to see if there is another option. • Kirby Medical Center has purchased a MediVan that can be used to transport patients to and from the outlying clinics, as well as from the Emergency Department when other transportation is not available.A small number of expected activities were not completed, largely because of COVID-19 and stang issues but they remain under review.

Kirby Medical Center I 13

14 I Community Health Needs AssessmentKirby Medical Service Area North 2021February 14, 2022©2022 Esri Page 1 of 1Kirby Medical Service Area South 2021February 14, 2022©2022 Esri Page 1 of 1MonticelloDelandAtwoodLaPlaceWhite HeathCerro GordoCiscoBementMilmineFor the purpose of this CHNA, Kirby Medical Center has dened its primary service area and populations as the general population within the geographic area in and surrounding Monticello, dened in detail below. This includes all of Piatt County and some adjoining locations. The hospital’s patient population includes all who receive care without regard to insurance coverage or eligibility for assistance. A total of 16,847 people live in the 445.75 square mile report area dened for this assessment, according to the U.S. Census Bureau American Community Survey 2015‐-19 5‐-year estimates. The population density for this area, estimated at 38 persons per square mile, is less than the national average population density of 92 persons per square mile.AREA SERVED BY KIRBY MEDICAL CENTERManseldHammond

Kirby Medical Center I 15KEY FACTS18,129Population44.4Median Age2.4AverageHousehold Size$67,079Median HouseholdIncomeEDUCATION6%No High SchoolDiploma34%High SchoolGraduate31%Some College29%Bachelor's/Grad/Prof DegreeBUSINESS575Total Businesses4,612Total EmployeesEMPLOYMENT62%White Collar27%Blue Collar11%Services3.9%UnemploymentRateINCOME$67,079Median HouseholdIncome$34,465Per Capita Income$219,226Median Net WorthHouseholds By IncomeThe largest group: $100,000 - $149,999 (19.0%)The smallest group: $200,000+ (4.3%)Indicator▲Value Diff<$15,000 5.8% -8.6%$15,000 - $24,999 7.1% -4.3%$25,000 - $34,999 9.1% +0.8%$35,000 - $49,999 15.5% +3.4%$50,000 - $74,999 16.6% -1.5%$75,000 - $99,999 15.7% +5.5%$100,000 - $149,999 19.0% +5.6%$150,000 - $199,999 7.0% +0.9%$200,000+ 4.3% -1.7%Bars show deviation from Champaign CountyThis infographic contains data provided by Esri, Esri and Data Axle. The vintage of the data is 2021, 2026. © 2022 EsriSource: This infographic contains data provided by Esri, Esri, Esri and Data Axle. The vintage of the data is 2021, 2026, 2021.The data on the following pages will take a deep dive into the demographics of Kirby Medical Center’s service area and will oer insight to both the commonality and complexity of the KMC audience. The infographic above highlights some of the key facts of that data and provides a snapshot of the population served by Kirby Medical Center.The average household size of the area, at 2.42, is lower than both Illinois (3.00) and the U.S. (2.50). Median age is 44.4 years, which is higher than Illinois and the U.S. The largest education segment is high school graduate, followed closely by some college and Bachelor’s/Graduate degrees of almost equal measure.Kirby Medical Center Service Area – Key Facts

16 I Community Health Needs AssessmentNote: This indicator is compared to the state average. Data Source: Johns Hopkins University. Accessed via ESRI. Additional data analysis by CARES. 2021. Source geography: CountyConrmed COVID-19 CasesLOCAL IMPACT OF COVID as of 2/16/22COVID-19 Conrmed Cases and MortalitiesThe COVID-19 epidemic has overshadowed many local health functions since March 2020. It has dramatically impacted overall health of the communities and the delivery of healthcare and health-related services. The broad impact has been seen throughout the communities, changing the way people work, shop, learn, and communicate. The mortality rate related to COVID-19 in the service area of Piatt County essentially is approximately one-half the rate of the state of Illinois. This indicator reports incidence rate of conrmed COVID-19 cases per 100,000 population. Data for this indicator are updated daily and derived from the Johns Hopkins University data feed. In the Kirby Medical Center-Piatt County service area, there have been 4,285 total conrmed cases of COVID-19. Data are current as of 2/16/2022.The unemployment rate of 3.9% is lower than statewide and also lower than the U.S. Also, as is the case in much of rural Illinois, median family household income in the service area is lower than statewide.

Kirby Medical Center I 17COVID-19 MortalitiesCOVID-19 Fully Vaccinated AdultsThis indicator reports the percent of adults fully vaccinated for COVID-19. Data is updated daily from the CDC API. Vaccine hesitancy is the percent of the population estimated to be hesitant towards receiving a COVID-19 vaccine. The Vaccine Coverage Index is a score of how challenging vaccine roll-out may be in some communities compared to others, with values ranging from 0 (least challenging) to 1 (most challenging). Data are current as of 2/16/2022.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention and the National Center for Health Statistics, CDC GRASP, 2021.Note: This indicator is compared to the state average. Data Source: Johns Hopkins University. Accessed via ESRI. Additional data analysis by CARES. 2021. Source geography: CountyIn the service area, there have been 21 total deaths among patients with conrmed cases of the coronavirus disease COVID-19. Data are current as of 2/16/2022.

Kirby Medical Center I 19Data Collection QuantitativeQualitativeData AnalysisESTABLISHING THE CHNA INFRASTRUCTURE AND PARTNERSHIPSData CollectionDescription of Data Sources – QuantitativeQuantitative (secondary) data is collected from many resources including, but not restricted to, the following:Source DescriptionBehavioral Risk Factor Surveillance SystemThe BRFSS is the largest, continuously conducted telephone health survey in the world. It enables the Center for Disease Control and Prevention (CDC), state health departments, and other health agencies to monitor modiable risk factors for chronic diseases and other leading causes of death.SparkMap SparkMapis an online mapping and reporting platform powered by the Center for Applied Research and Engagement Systems (CARES) at the University of Missouri. US Census National census data is collected by the US Census Bureau every 10 years.Centers for Disease ControlThrough the CDC’s National Vital Statistics System, states col-lect and disseminate vital statistics as part of the US’s oldest and most successful intergovernmental public health data sharing system.SECONDARY DATA

20 I Community Health Needs AssessmentSource DescriptionCounty Health RankingsEach year, the overall health of each county in all 50 states is assessed and ranked using the latest publicly available data through a collaboration of the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.American Communities SurveyTheAmerican Community Survey(ACS), a product of the U.S. Census Bureau, helps local ocials, community leaders, and businesses understand the changes taking place in their communities. It is the premier source for detailed population and housing information about our nation.Illinois Department of Employment SafetyThe Illinois Department of Employment Security is the state’s employment agency. It collects and analyzes employment information.National CancerInstituteThe National Cancer Institute coordinates the National Cancer Program, which conducts and supports research, training, health information dissemination, and other programs with respect to the cause, diagnosis, prevention, and treatment of cancer, rehabilitation from cancer, and the continuing care of cancer patients, and the families of cancer patients. Illinois Department of Public HealthThe Illinois Department of Public Health is the state agencyresponsible for preventing and controlling disease and injury, regulating medical practitioners, and promoting sanitation.HRSA The Health Resources and Services Administration of the US Department of Health and Human Services develops health professional shortage criteria for the nation and uses that data to determine the location of Health Professional Shortage Areas and Medically Underserved Areas and Populations.Local IPLANS The Illinois Project for Local Assessment of Needs (IPLAN) is a communityhealth assessment and planning process that is conducted every ve years by local health jurisdictions in Illinois.ESRI ESRI (Environmental Systems Research Institute) is an international supplier ofGeographic Information System (GIS) software, web GIS and geodatabasemanagement applications. ESRI allows for specialized inquiries at the zip code, or other dened, level.Illinois State Board of EducationThe Illinois State Board of Education administers public education in the state of Illinois. Each year, it releases school “report cards” which analyze the makeup, needs, and performance of local schools.USDA USDA, among its many functions, collects and analyzes information related to nutrition and local production and food availability.

Kirby Medical Center I 21Secondary data is initially collected through the SparkMap and/or ESRI systems and then reviewed. Questions raised by the data reported from those sources are compared with other federal, state and local data sources in order to resolve or reconcile potential issues with reported data. Two focus groups were convened at Kirby Medical Center on December 9 and 10, 2021. The groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected ocials, public health, and others. Several members of the groups provided services to underserved and unserved persons as all or part of their roles. In response to a request to identify positive developments in health and healthcare in the service area of Kirby Medical Center, the group put forward the following: Focus Group One – Community Leaders and Partners• School COVID testing program• There has been better cooperation/collaboration on many community issues by agencies and organizations of all types• Kirby Medical Center has expanded mental health services• IMPACT Coalition• Collaboration among Kirby Medical Center and schools to address COVID-related issues has grown to include ongoing partnerships• Partnership between KMC Active and schools• Excellent teamwork between Monticello Fire Department and Kirby Medical Center Ambulance• Youth lunch programs have developed in small towns in the county• Meals on Wheels has adapted well to COVID• Mental health resources have generally increased• The stigma around mental health issues and substance use issues and substance use disorders has been reduced • American Rescue Plan Act funding has supported new programs for youth and others at Public Health and other agenciesPRIMARY DATA

22 I Community Health Needs Assessment• Drug takeback program has expanded• Local schools are oering a CEO entrepreneurship program for youth supported by Kirby Medical Center and others • Kirby Medical Center oers a “grow your own” scholarship program for local healthcare professions The people of Piatt County really came together to care for our people. Focus Group Two – Medical Professionals and Partners• Strong collaboration among healthcare providers, schools, community organizations, community agencies, and others in response to COVID• High level of cooperation among healthcare providers to make sure that patients could be seen on a timely basis• General surgeon• Mental health counselors• Cardiology services• Hand surgeon • Additional care navigators at Kirby Medical Center• Continued services for substance use disorder• Continued services for pain management• COVID has led to strong collaboration around planning and community life and needs• Emergency services providers came together in response to COVID• Kirby Medical Center has adjusted to evolving needs for individual patients and the communities• Increased collaboration for peer support for persons facing substance use disorders • Health services are working well together to provide patients with services and options in a spirit of “coopetition”

Kirby Medical Center I 23• A cooperative eort including Kirby Medical Center, other organizations and groups, and area youth has begun a small food pantry project utilizing food pantries made by youth• Kirby Medical Center is responsive and proactive in addressing sta wellness• New clinic in Atwood has begun to provide local service to the Amish community there• New urgent care at Kirby Medical CenterHealth services are working well together to provide patients with services and options in a spirit of collaboration and ‘coopetition.’The groups were next asked to identify needs continuing to face the health of the community, including physical and mental wellness and the delivery of health services and care for all segments and members. Focus Group One – Community Leaders and Partners• Mental health services to address isolation (COVID, seniors, others)• Address the loss of population and infrastructure in small communities• Transportation to out-of-the-area in-patient care for substance use disorders• Aordable and available rental housing in Monticello• Continued collaboration on planning for emergencies and disasters• Better access to nursing home care or home healthcare for seniors• Crisis training for rst responders• Mental health counseling for youth• Access to timely and ecient care in the small communities• Improved access to non-emergency transportation• A SANE (Sexual Assault Nurse Examiner) Nurse• Aordable housing – not just low income• Address resource and “brain drain”

24 I Community Health Needs Assessment• Continue to improve awareness of Kirby Medical Center and its many services, programs, and partnerships• Address the need for more exibility in public transportation• Improve outreach for seniors including, but beyond, direct care• Expand social services in Monticello to easier access in the rest of the county• Provide more and broader support groupsFocus Group Two – Medical Professionals and Partners• Mental health services at all levels for youth• Address gaps in transportation for local services and distant appointments• Increase local opportunities for safe socialization and recreation for youth• Explore formation of a community-based program to address planning and provision of services for seniors• Opportunities for socialization for seniors• Continue the momentum of community partnerships resulting from COVID• Available aordable local counseling for youth and adults• Recruit additional primary care providers• Improve services for mental health concerns and substance use disorders• Emphasis on services for anxiety, depression, and other mental health issues• Create community awareness of need to pay attention to isolated seniors• Plan to address the potential long-term impacts of COVID• Inform the public of the need to get back to preventive care, screenings, etc.• Address loss of community service organizations• Plan for healthcare provider shortages at all levels, especially nursing• Bridge the gap for patients that are technologically unable or unwilling in the face of shortages of employees• Increased access for transfers for persons with mental health issues and substance use disorders• Social and emotional learning opportunities for youth

Kirby Medical Center I 25

Kirby Medical Center I 27Age Group EthnicityRaceDisabilityDATA ANALYSISTotal Population by Age GroupData Source: US Census Bureau, American Community Survey. 2015‐-19. Source Geography: TractDEMOGRAPHICS

28 I Community Health Needs AssessmentTotal Population by EthnicityData Source: US Census Bureau, American Community Survey. 2015-‐19. Source geography: TractTotal Population by Age Groups, Kirby Medical Center Service Area

Kirby Medical Center I 29Total Population by Race AloneData Source: US Census Bureau, American Community Survey. 2015‐-19. Source geography: TractTotal Population by Race Alone, Kirby Medical Center Service Area

30 I Community Health Needs AssessmentPopulation with any DisabilityThis indicator reports the percentage of the total civilian non-institutionalized population with a disability. The report area has a total population of 16,793 for whom disability status has been determined, of which 2,199 or 13.09% have any disability. This indicator is relevant because disabled individuals comprise a vulnerable population that requires targeted services and outreach by providers.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐-19. Source geography: Tract

 Kirby Medical Center I SOCIAL DETERMINANTS OF HEALTHThe data and discussion on the following pages will take a look into the socialdeterminants in the Kirby Medical Center service area and will oer insight intothe complexity of circumstances that impact physical and mental wellness forthe KMC audience. The infographic on Page 33 provides a snapshot of the at-riskpopulation served by Kirby Medical Center.The CDC describes social determinants of health as conditions in the places wherepeople live, learn, work, and play that aect a wide range of health and quality oflife risks and outcomes. Healthy People 2030 uses a place-based framework thatoutlines ve key areas of SDoH:• Healthcare access and quality, including: - Access to healthcare- Access to primary care- Health insurance coverage- Health literacy• Education access and quality, including: - High school graduation- Enrollment in higher education- Educational attainment in general- Language and literacy- Early childhood education and development• Social and community context – within which people live, learn work and play, including:- Civic participation- Civic cohesiveness- Discrimination- Conditions within the workplace• Economic stability, including: - Income- Cost of living- Socioeconomic status- Poverty

32 I Community Health Needs Assessment• - Employment - Food security - Housing stability• Neighborhood and built environment, including: - Quality of housing - Access to transportation - Availability of healthy food - Air and water quality - Crime and violenceSome of the social determinant indicators reected in the data include:• 1,871 households with disability• 425 households below the poverty level (6%)• Median household income is $67,079, which is higher than Illinois but lower than the U.S.Economic and social insecurity often are associated with poor health. Poverty, unemployment, and lack of educational achievement aect access to care and a community’s ability to engage in healthy behaviors. Without a network of support and a safe community, families cannot thrive. Ensuring access to social and economic resources provides a foundation for a healthy community.

Kirby Medical Center I 33AT RISK POPULATION PROFILEGeography: CountyVersion 1.8© 2022 EsriSource: Esri forecasts for 2021, U.S. Census Bureau2015-2019 American Community Survey (ACS) Data,AT RISK POPULATION PROFILE11 ZIP CodesGeography: ZIP Code18,129Population7,472Households2.42Avg SizeHousehold44.4MedianAge$67,079MedianHousehold Income$162,390MedianHome Value92WealthIndex231HousingAffordability9DiversityIndexAT RISK POPULATION1,871Households WithDisability3,856Population 65+221HouseholdsWithout VehiclePOVERTY AND LANGUAGE6%Households Belowthe Poverty Level425Households Belowthe Poverty Level0Pop 65+ SpeakSpanish & No EnglishPOPULATION AND BUSINESSES14,949DaytimePopulation575TotalBusinesses4,612TotalEmployeesPOPULATION BY AGE12,0008,0004,0000Aged65+18to65Under183,5823,73610,811Language Spoken (ACS) Age 5-17 18-64 Age 65+ TotalEnglish Only 2,795 9,622 3,249 15,666Spanish 22 154 2 178Spanish & English Well 22 141 2 165Spanish & English Not Well 0 14 0 14Spanish & No English 0 0 0 0Indo-European 121 218 31 370Indo-European & English Well 121 218 31 370Indo-European & English Not Well 0 0 0 0Indo-European & No English 0 0 0 0Asian-Pacic Island 16 73 1 90Asian-Pacic Isl & English Well 16 61 1 78Asian-Pacic Isl & English Not Well 0 12 0 12Asian-Pacic Isl & No English 0 0 0 0Other Language 0 0 14 14Other Language & English Well 0 0 14 14Other Language & English Not Well 0 0 0 0Other Language & No English 0 0 0 0Source: This infographic contains data provided by Esri, Esri, American Community Survey (ACS), Esri and Data Axle. The vintage of the data is 2021, 2026, 2015-2019, 2021.Version 1.8© 2022 EsriSource: Esri forecasts for 2021, U.S. Census Bureau2015-2019 American Community Survey (ACS) Data,AT RISK POPULATION PROFILE11 ZIP CodesGeography: ZIP Code18,129Population7,472Households2.42Avg SizeHousehold44.4MedianAge$67,079MedianHousehold Income$162,390MedianHome Value92WealthIndex231HousingAffordability9DiversityIndexAT RISK POPULATION1,871Households WithDisability3,856Population 65+221HouseholdsWithout VehiclePOVERTY AND LANGUAGE6%Households Belowthe Poverty Level425Households Belowthe Poverty Level0Pop 65+ SpeakSpanish & No EnglishPOPULATION AND BUSINESSES14,949DaytimePopulation575TotalBusinesses4,612TotalEmployeesPOPULATION BY AGE12,0008,0004,0000Aged65+18to65Under183,5823,73610,811Language Spoken (ACS) Age 5-17 18-64 Age 65+ TotalEnglish Only 2,795 9,622 3,249 15,666Spanish 22 154 2 178Spanish & English Well 22 141 2 165Spanish & English Not Well 0 14 0 14Spanish & No English 0 0 0 0Indo-European 121 218 31 370Indo-European & English Well 121 218 31 370Indo-European & English Not Well 0 0 0 0Indo-European & No English 0 0 0 0Asian-Pacic Island 16 73 1 90Asian-Pacic Isl & English Well 16 61 1 78Asian-Pacic Isl & English Not Well 0 12 0 12Asian-Pacic Isl & No English 0 0 0 0Other Language 0 0 14 14Other Language & English Well 0 0 14 14Other Language & English Not Well 0 0 0 0Other Language & No English 0 0 0 0Source: This infographic contains data provided by Esri, Esri, American Community Survey (ACS), Esri and Data Axle. The vintage of the data is 2021, 2026, 2015-2019, 2021.Version 1.8© 2022 EsriSource: Esri forecasts for 2021, U.S. Census Bureau2015-2019 American Community Survey (ACS) Data,AT RISK POPULATION PROFILE11 ZIP CodesGeography: ZIP Code18,129Population7,472Households2.42Avg SizeHousehold44.4MedianAge$67,079MedianHousehold Income$162,390MedianHome Value92WealthIndex231HousingAffordability9DiversityIndexAT RISK POPULATION1,871Households WithDisability3,856Population 65+221HouseholdsWithout VehiclePOVERTY AND LANGUAGE6%Households Belowthe Poverty Level425Households Belowthe Poverty Level0Pop 65+ SpeakSpanish & No EnglishPOPULATION AND BUSINESSES14,949DaytimePopulation575TotalBusinesses4,612TotalEmployeesPOPULATION BY AGE12,0008,0004,0000Aged65+18to65Under183,5823,73610,811Language Spoken (ACS) Age 5-17 18-64 Age 65+ TotalEnglish Only 2,795 9,622 3,249 15,666Spanish 22 154 2 178Spanish & English Well 22 141 2 165Spanish & English Not Well 0 14 0 14Spanish & No English 0 0 0 0Indo-European 121 218 31 370Indo-European & English Well 121 218 31 370Indo-European & English Not Well 0 0 0 0Indo-European & No English 0 0 0 0Asian-Pacic Island 16 73 1 90Asian-Pacic Isl & English Well 16 61 1 78Asian-Pacic Isl & English Not Well 0 12 0 12Asian-Pacic Isl & No English 0 0 0 0Other Language 0 0 14 14Other Language & English Well 0 0 14 14Other Language & English Not Well 0 0 0 0Other Language & No English 0 0 0 0Source: This infographic contains data provided by Esri, Esri, American Community Survey (ACS), Esri and Data Axle. The vintage of the data is 2021, 2026, 2015-2019, 2021.Kirby Medical Center Service Area

34 I Community Health Needs AssessmentNote: This indicator is compared to the state average.Data Source: US Department of Labor, Bureau of Labor Statistics, 2021 - August. Source geography: CountyEconomic Stability Economic and social insecurity often are associated with poor health. Poverty, unemployment, and lack of educational achievement aect access to care and a community’s ability to engage in healthy behaviors. Without a network of support and a safe community, families cannot thrive. Ensuring access to social and economic resources provides a foundation for a healthy community. Employment – Unemployment RateTotal unemployment in the service area for the current month equals 249 or 2.8% of the civilian, non‐institutionalized population age 16 and older (non‐seasonally adjusted). This indicator is relevant because unemployment creates nancial instability and barriers to access including insurance coverage, health services, healthy food, and other necessities that contribute to poor health status.Note: Unemployment data changes monthly, and the numbers reported here depend on the date the data was collected for this report.

Kirby Medical Center I 35Income – Median Household IncomeThis indicator reports median household income based on the latest 5-year American Community Survey estimates. This includes the income of the householder and all other individuals 15 years old and over in the household, whether they are related to the householder or not. Because many households consist of only one person, average household income is usually less than average family income.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: Tract

36 I Community Health Needs AssessmentNote: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: TractIncome - Per Capita IncomeThe per capita income for the report area is $33,142. This includes all reported income from wages and salaries as well as income from self-employment, interest or dividends, public assistance, retirement, and other sources. The per capita income in this report area is the average (mean) income computed for every man, woman, and child in the specied area. $33,142

Kirby Medical Center I 37Poverty – Population Below 100% FPLPoverty is considered a key driver of health status. Within the service area, 5.88% or 969 individuals are living in households with income below the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, health food, and other necessities that contribute to poor health status.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: Tract

38 I Community Health Needs AssessmentPoverty – Children Below 100% FPLIn the service area, 6.92% or 264 children aged 0-17 are living in households with income below the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: Tract

Kirby Medical Center I 39Poverty – Children Eligible for Free/Reduced Price LunchFree or reduced price lunches are served to qualifying students in families with income between under 185 percent (reduced price) or under 130% (free lunch) of the U.S. federal poverty threshold as part of the federal National School Lunch Program (NSLP). Out of 15,998 total public school students in the service area, 5,491 were eligible for the free or reduced price lunch program in the latest report year. This represents 34.30% of public school students, which is lower than the state average of 48.7%.Note: This indicator is compared to the state average.Data Source: US Census Bureau, American Community Survey. 2015‐19. Source geography: County

40 I Community Health Needs AssessmentEducation – AttainmentEducational attainment shows the distribution of the highest level of education achieved in the report area and helps schools and businesses to understand the needs of adults, whether it be workforce training or the ability to develop science, technology, engineering, and mathematics opportunities. Educational attainment is calculated for persons over 25, and is an estimated average for the period from 2014 to 2019. For the selected area, 18.8% have at least a college bachelor’s degree, while 34.8% stopped their formal educational attainment after high school.Note: This indicator is compared to the state average.Data Source: U.S. Census Bureau, American Community Survey, 2015-19. Source geography: County

Kirby Medical Center I 41Note: This indicator is compared to the state average.Data Source: Feeding America, 2017. Source geography: CountyFood Insecurity RateFood insecurity is the household-level economic and social condition of limited or uncertain access to adequate food. This indicator reported the estimated percentage of the population that experienced food insecurity at some point during the report year. Food insecurity is the household-level economic and social condition of limited or uncertain access to adequate food.

42 I Community Health Needs AssessmentHEALTH AND WELLNESS INDICATORSPhysical InactivityWithin the service area, 101,754 or 21.8% of adults aged 20 and older self-report no active leisure time, based on the question: “During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?” This indicator is relevant because current behaviors are determinants of future health, and this indicator may illustrate a cause of signicant health issues, such as obestity and poor cardiovascular health. Note: In 2021, the CDC updated the methodology used to produce estimates for this indicator. Estimated volumes for prior years (2004-2017) have been updated in this platform to allow comparison across years. Use caution when comparing with saved assessments generated prior to November 10, 2021. Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 2019. Source geography: County

Kirby Medical Center I 43Note: This indicator is compared to the state average.Data Source: State Cancer Proles. 2014-18. Source geography: CountyCancer Incidence – All SitesThis indicator reports the age-adjusted incidence rate (cases per 100,000 population per year) of cancer (all sites), adjusted to 2000 U.S. standard population age groups (under age 1, 1-4, 5-9, ..., 80-84, 85 and older). Within the report area, there were 114 new cases of cancer reported. This means there is a rate of 500.4 for every 100,000 total population.CHRONIC ILLNESS

44 I Community Health Needs AssessmentMortality – CancerThis indicator reports the 2016-2020 ve-year average rate of death due to malignant neoplasm (cancer) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for service areas from county level data, only where data is available. This indicator is relevant because cancer is a leading cause of death in the United States. Within the service area, there are a total of 193 deaths due to cancer. This represents an age-adjusted death rate of 159.3 per every 100,000 total population.Note: Data are suppressed for counties with fewer than 20 deaths in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System, Accessed via CDC WONDER, 2015-2019. Source geography: County

Kirby Medical Center I 45Chronic Conditions – AdultChronic Lower Respiratory DiseaseThese tables present the percentage of adultsever diagnosed with Chronic Lower Respiratory Disease and CoronaryHeart Disease. The data is reected by county and the entire service area and provides comparisons within the service area. Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the 500 Cities Data Portal, 2018. Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the 500 Cities Data Portal, 2018. Coronary Heart Disease

46 I Community Health Needs AssessmentNote: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the 500 Cities Data Portal, 2018. High Blood PressureThese tables present the percentage of adultsever diagnosed with High Blood Pressure and High Cholesterol. The data is reected by county and the entire service area and provides comparisons within the service area. Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the 500 Cities Data Portal, 2018. High Cholesterol

Kirby Medical Center I 47Mortality – Coronary Heart DiseaseThis indicator reports the 2016-2020 ve-year average rate of death due to coronary heart disease (ICD10 Codes I20-I25) per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for service areas from county level data, only where data is available. This indicator is relevant because coronary heart disease is a leading cause of death in the United States. Within the report area, there are a total of 92 deaths due to coronary heart disease. This represents an age-adjusted death rate of 76.4 per every 100,000 total population. Note: Data are suppressed for counties with fewer than 20 deaths in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention: National Vital Statistics System. Accessed via CDC WONDER: 2015-2019. Source geography: County

48 I Community Health Needs AssessmentPoor Mental HealthThis indicator reports the percentage of adults aged 18 and older who report 14 or more days during the past 30 days during in which their mental health was not good.MENTAL HEALTHNote: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the 500 Cities Data Portal, 2018.

Kirby Medical Center I 49Depression (Medicare Population)This indicator reports the number and percentage of the Medicare fee-for-service population with depression. Data are based upon Medicare administrative enrollment and claims data for Medicare beneciaries enrolled in the fee-for-service program. Within the report area, there were 360 beneciaries with depression based on administrative claims data in the latest report year. This represents 17.1% of the total Medicare fee-for-service beneciaries.Note: This indicator is compared to the state average. Data Source: Centers for Medicare and Medicaid Services, CMS - Geographic Variation Public Use File, 2018. Source geography: County.

50 I Community Health Needs AssessmentAccess to Care – Mental HealthThis indicator reports the number of mental health providers in the report area as a rate per 100,000 total area population. Mental health providers include psychiatrists, psychologists, clinical social workers, and counselors that specialize in mental health care.Note: This indicator is compared to the state average. Data Source: Centers for Medicare and Medicaid Services, CMS - National Plan and Provider Enumeration System (NPPES). Accessed via County Health Rankings.

Kirby Medical Center I 51Deaths of Despair – Suicide + Drug/Alcohol PoisoningThis indicator reports average rate of death due to intentional self-harm (suicide), alcohol-related disease, and drug overdose, also known as “deaths of despair,” per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for service areas from county level data, only where data is available. This indicator is relevant because death of despair is an indicator of poor mental health. Within the service area, there were 33 deaths of despair. This represents an age-adjusted death rate of 36.3 per every 100,000 total population.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER, 2015-2019. Source geography: CountyBEHAVIORAL HEALTH

52 I Community Health Needs AssessmentMortality – SuicideThis indicator reports the 2016-2020 ve-year average rate of death due to intentional self-harm (suicide) per 100,000 population. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because suicide is an indicator of poor mental health. Note: Data are suppressed for counties with fewer than 20 deaths in the time frame.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System, Accessed via CDC WONDER, 2015-2019. Source geography: County

Kirby Medical Center I 53Teen BirthsThis indicator reports the seven-year average number of births per 1,000 female population aged 15-19.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System. Accessed via the 500 Cities Data Portal, 2018.

54 I Community Health Needs AssessmentAlcohol – Heavy Alcohol ConsumptionExcessive drinking is dened as the percentage of the population who reports at least one binge drinking episode involving ve or more drinks for men and four or more per day for women, over the same time period. Alcohol use is a behavioral health issue that is also a risk factor for a number of negative health outcomes, including: physical injuries related to motor vehicle accidents, stroke, chronic diseases such as heart disease and cancer, and mental health conditions such as depression and suicide. There are a number of evidence-based interventions that may reduce excessive/binge drinking; examples include raising taxes on alcoholic beverages, restricting access to alcohol by limiting days and hours of retail sales, and screening and counseling for alcohol abuse (Centers for Disease Control and Prevention, Preventing Excessive Alcohol Use, 2020).Note: This indicator is compared to the state average. Data Source: University of Wisconsin Population Health Institute, County Health Rankings, 2018. Source geography: County.SUBSTANCE USE

Kirby Medical Center I 55Mortality – Opioid OverdoseThis indicator reports the 2016-2020 ve-year average rate of death due to opioid drug overdose per 100,000 population. Figures are reported as crude rates, and as rates age-adjusted to year 2000 standard. Rates are resummarized for report areas from county level data, only where data is available. This indicator is relevant because opioid drug overdose is the leading cause of injury deaths in the United States, and they have increased dramatically in recent years.Note: Data are suppressed for counties with fewer than 20 deaths in the timeframe.Note: This indicator is compared to the state average. Data Source: Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER, 2015-2019. Source geography: County.

56 I Community Health Needs AssessmentPopulation in Poverty Race Alone, PercentThis indicator reports the average (population weighted) Area Deprivation Index (ADI) for the selected area. The ADI ranks neighborhoods and communities relative to all neighborhoods across the nation (National Percentile) or relative to other neighborhoods within just one state (state percentile). The ADI is calculated based on 17 measures related to four primary domains (education; income and employment; housing; and household characteristics). The overall scores are measured on a scale of 1 to 100 where 1 indicates the lowest level of deprivation (least disadvantaged) and 100 is the highest level of deprivation (most disadvantaged). DIVERSITY AND MINORITY HEALTH STATUSNote: This indicator is compared to the state average. Data Source: University of Wisconsin-Madison School of Medicine and Public Health, Neighborhood Atlas, 2021. Source geography: Block Group.

Kirby Medical Center I 57Emergency PreparednessKirby Medical Center works with the US-HHS ASPR, the Illinois Department of Public Health, county health departments, the Illinois Emergency Management Agency, and other state, regional, and local partners to plan, exercise, and equip for emergency preparedness and to ensure the ability to address a wide range of potential emergencies, ranging from disasters of all causes to pandemics and terrorism. EMERGENCY PREPAREDNESS

Kirby Medical Center I CESSThe steering group was comprised of representatives from both focus groups(law enforcement, faith-based providers, mental health service providers, andschools), and members serving persons likely to be unserved, underserved, orotherwise experiencing unmet needs. This group met virtually on January 17, 2021,to identify and prioritize signicant health needs.The group reviewed notes from the focus groups and summaries of data reviewedby the consultant which included SparkMap, ESRI, Illinois Department of PublicHealth, CDC, USDA, Illinois Department of Labor, HRSA, County Health Rankingsand Roadmaps, National Cancer Institute, and other resources.PROCESSIDENTIFICATION AND PRIORITIZATION OF NEEDSCreating aPost-COVIDResponseAddressingTransportationGapsLocationsand Patternsof PovertyMental Healthand Wellness Needs

60 I Community Health Needs AssessmentFollowing the review, the group identied and then prioritized the following as being the signicant health needs facing the Kirby Medical Center service area.1. Create a community-wide post-COVID response for adults and youth2. Identify and address gaps in transportation related to: – Flexibility in and outside of Kirby Medical Center service area for transportation to and from local appointments– Transportation to out-of-the-area substance use disorder and othermental health services3. Identify location and patterns of poverty within the Kirby Medical Centerservice area and address issues related to scattered or isolated poverty4. Identify and plan to address mental health and wellness needs acrossthe Kirby Medical Center service areaDESCRIPTION OF THE COMMUNITY HEALTH NEEDS IDENTIFIED

Kirby Medical Center I 61

Kirby Medical Center I 63Resources PartnersVolunteersGovernment WellnessHOSPITAL RESOURCESRESOURCESServices at Kirby Medical Center•  Administration• Kirby Medical Group• Kirby Health and Wellness• Quality and Community Advisory Committee of the Governing Board• Marketing•

64 I Community Health Needs AssessmentCOMMUNITY RESOURCES• Piatt County Health Department• Mental health agencies, providers, and organizationsHEALTHCARE PARTNERS OR OTHER RESOURCES, INCLUDING TELEMEDICINE• Schools• Community leaders• Local government leaders• Community organizations• Faith-based organizations• Piatt County Sheri• Faith In Action – services for seniors

Kirby Medical Center I 65

Kirby Medical Center I 67Documentation Online PresenceCommentsImplementationSECONDARY DATAThis CHNA Report will be available to the community on the hospital’s public website, www.kirbyhealth.org. A hard copy may be reviewed at the hospital by inquiring at the information desk at the main entrance. No written comments were received concerning the hospital facility’s most recently conducted CHNA nor on the most recently adopted Implementation Strategy. A method for retaining written public comments and responses exists,but none were received.DOCUMENTING AND COMMUNICATING RESULTS

Kirby Medical Center I 69The Implementation Strategy was developed through a facilitated meetinginvolving key administrative sta at Kirby Medical Center on January 18, 2022.The group reviewed the needs assessment process completed to that pointand considered the prioritized signicant needs and supporting documents.They discussed steps taken to address the previous Community Health NeedsAssessment. They also considered internal and external resources potentiallyavailable to address the current prioritized needs.The group then considered each of the prioritized needs. For each of the fourcategories, actions the hospital intends to take were identied, along with theanticipated impact of the actions, the resources the hospital intends to commit tothe actions, and the external collaborators the hospital plans to cooperate with toaddress the need. The plan will be evaluated by periodic review of measurableoutcome indicators in conjunction with annual review and reporting.PLANNING PROCESSIMPLEMENTATION STRATEGYCreating aPost-COVIDResponseAddressingTransportationGapsLocationsand Patternsof PovertyMental Healthand Wellness Needs

70 I Community Health Needs AssessmentThe group addressed the needs with the following strategies:1. Create a community-wide post-COVID response for adults and youthActions the hospital intends to take to address the health need:• Kirby Medical Center will collaborate with local ocials, providers, agencies, and organizations within the communities to recognize the potential post-COVID needs of the communities and begin to analyze, assist, and move together toward solutions.Anticipated impacts of these actions:• The collaborative approach to post-COVID is expected to prepare the communities, optimize their combined resources and provide pro-active, realistic, complementary approaches to the issues anticipat-ed post-COVID including improvement of physical and mental health services, advancement of community well-being, and opportunities for socialization of all age levels.Programs and resources the hospital plans to commit to address health need:• Administration• Kirby Medical Group• Kirby Health and Wellness• Quality and Community Advisory Committee of the Governing BoardPlanned collaboration between the hospital and other facilities:• Local government ocials• Public Health• Schools• Mental health agencies, providers, and organizations• Community organizations• Faith-based organizationsIMPLEMENTATION STRATEGY

Kirby Medical Center I 712. Identify and address gaps in transportation related to: – Flexibility in and outside of Kirby Medical Center service area for transportation to and from local appointments– Transportation to out-of-the-area substance use disorder and othermental health services Actions the hospital intends to take to address the health need:• Kirby Medical Center will investigate ways to make availabilityof KMC van service better known.• Kirby Medical Center will collaborate with the Sheri to explore transfers out-of-the-area for mental health and substance use disorder services. Anticipated impacts of these actions:• Kirby Medical Center anticipates that the selected actions will increase community awareness of additional available, exible, local transporta-tion options and address transportation needs for out-of-the-area ser-vices for persons with mental health issues and substance use disorders.Programs and resources the hospital plans to commit to address health need:• Administration• MarketingPlanned collaboration between the hospital and other facilities:• Piatt County Sheri3. Identify location and patterns of poverty within the Kirby Medical Centerservice area and address issues related to scattered or isolated poverty Actions the hospital intends to take to address the health need:• Kirby Medical Center will utilize new U.S. Census and other data in combination with input from local government ocials and faith-based organizations to identify poverty in the smaller communities and rural areas, analyze its impact to health and wellness, and plan for mitigation.

72 I Community Health Needs AssessmentAnticipated impacts of these actions: • Kirby Medical Center anticipates that the actions described will lead to improvement of the health and wellness of those in poverty within the hospital’s service area.Programs and resources the hospital plans to commit to address health need:• Administration • Quality and Community Relations Committee of the Governing Board • WellnessPlanned collaboration between the hospital and other facilities:• Local government ocials• Faith-based organizations • Faith In Action – services for seniors4. Identify and plan to address mental health and wellness needs acrossthe Kirby Medical Center service areaActions the hospital intends to take to address the health need:• Kirby Medical Center will continue new mental health services• Kirby Medical Center will continue community wellness programming including education, cooperation with food pantries, and other providers• Kirby Medical Center will work to increase community understanding of the links between physical and mental wellness Anticipated impacts of these actions:• Kirby Medical Center anticipates that the actions described will help to better address health and wellness needs across the service area through development of new services and programs, improved collaboration among providers, and better understanding of the concepts of health and wellness, their interaction, and their importance to each other.

Kirby Medical Center I 73Programs and resources the hospital plans to commit to address health need:• Health and wellnessPlanned collaboration between the hospital and other facilities:• Schools• Food pantries• Local businesses• Kirby Medical Group• Piatt County Mental Health• Other mental health counselors and providers

Kirby Medical Center I 75Focus Groups AdministrationOrganizationsBusinessSECONDARY DATACommunity Members – Focus Group OneJohn Carter, Monticello Police DepartmentScott Harris, Atwood Board Member and rst responderLarry Stoner, City of MonticelloJerry Dusenberry, Monticello Christian ChurchMark Vogelzang, Piatt County SheriKarla Bradley, Kirby Medical Center Board of DirectorsRachel LeJeune, Willow Tree MissionsJill Maxey, Willow Tree MissionsSheila Greenwood, Bement C.U.S.D. #5Adam Clapp, Monticello C.U.S.D. #25Tony Kirkman, Piatt County Mental Health Executive Director and The Kirby Foundation Board MemberJohn Rupkey, Monticello Fire & RescueRay Spencer, Piatt County BoardREFERENCES AND APPENDIX

76 I Community Health Needs AssessmentMedical Providers and Professionals – Focus Group TwoTony Kirkman, Piatt County Mental Health Executive Director and The Kirby Foundation Board MemberSheila Lanker, RN, Monticello C.U.S.D. #25Leslie Sheets, Director of Nursing, Kirby Medical CenterStephanie Whooley, Christie ClinicJennifer Moss, Chief Clinical Ocer, Kirby Medical CenterCrystal Alexander, EMS/Ambulance Services, Kirby Medical CenterDr. Narain Mandhan, Chief Medical Ocer, Kirby Medical CenterDr. Kevin Kim, Carle

Kirby Medical Center I 77Identication and Prioritization GroupMark Vogelzang, Piatt County SheriTony Kirkman, Piatt County Mental Health Executive Director and The Kirby Foundation Board MemberJill Maxey, Willow Tree Missions Executive DirectorMary Vogt, Bement School Superintendent Leadership Planning GroupNarain Mandhan, Chief Medical Ocer, Kirby Medical CenterJennifer Moss, Chief Clinical Ocer, Kirby Medical CenterAndrew Buenbarger, Chief Compliance Ocer, Kirby Medical CenterAnna Crawford, Wellness Coordinator, Kirby Medical CenterTony Kirkman, Piatt County Mental Health Executive Director and The Kirby Foundation Board Member

1000 Medical Center Drive, Monticello, IL 61856 • (217) 762.2115 • www.kirbyhealth.org