“Vince, Thanks so much to both you and Alexa for your assistance with this project. It was a pleasure working with you both. I will certainly recommend your services to any other Health Departments who are considering performing a CHNA in the future. Have a wonderful Holiday Season!” – RCHD Administrator, 12/05/2016

Town hall illuminates Randolph County health priorities

Thursday; By Connie Duvall, MI News Reporter

A Community Health Needs Assessment town hall meeting Tuesday at the Randolph Area YMCA provided health care officials the opportunity to gather input from the public, those within various health care fields, community leadership groups, and others in an effort to understand Randolph County’s health care strengths and weaknesses.

Three years ago, the Community Needs Assessment identified maternal and child health, chronic disease and access to mental health care, among other issues, as health areas of focus for Randolph County.

During Tuesday’s town hall, areas discussed to improve or change in no particular order were local providers working together; working outside the community; affordable quality housing; mental health care (access, diagnosis and placement), especially for children; dental and vision services for Medicaid; more local cancer treatment; health education in middle and high school; physician retention; smoking, nutrition and breastfeeding; expanding affordable indoor recreation; drug use; education on available health care resources; self-accountability for health practices; economic development; teen pregnancy; the uninsured; quality nursing homes; and health care transportation.

All attendees were given four dots to place beside the categories they felt need most improvement.

MRMC Director of Professional Outreach Jaime Morgans said Wednesday afternoon that, once the results of the survey and town hall are known, officials will announce an action planning meeting. Tactics will be discussed on how to improve or solve those top areas of need, she said.

The town hall event was sponsored by the Randolph County Health Department and MRMC.

Randolph County Health Department Administrator Debra Laird said the town hall “points out where health care providers need to focus their attention.”

Laird said she was very pleased with the town hall event. It showed that many are invested in the community, she said.

The room at the YMCA filled quickly with interested parties ready to give their input. Moberly Regional Medical Center CEO John Dawes welcomed everyone and turned the floor over to Vince Vandehaar, principal consultant and owner of VVV Consultants.

A PowerPoint presentation about county health rankings compiled by the Robert Wood Johnson Foundation and the University of Wisconsin Health Institute was shown. It ranked the health services of Randolph County with similar-size communities.

Per capita income showed Randolph County down at $18,263 – compared to the rural norm of 26 counties at $21,699. For health care, that’s not good, Vandehaar pointed out.

“You have to have money to pay for health care,” he said.

Live births in the county were also down. In 2010, there were 323. In 2014, there were 270.

On the positive side, drug overdoses were down compared to other counties. The year studied showed 13 in Randolph versus the average of 16 in 17 similar counties.

The same was true for alcohol-related deaths: Randolph County had 13, and similar-size counties had 34 on average.

Obesity in Randolph County was up at 33 percent compared to the state average of 31 percent. The rural norm was 32.8 percent, according to the presentation.

MRMC’s emergency room wait time was recorded at nine minutes last week, Dawes pointed out. He said the rural norm is over 16 minutes.

Each table at the town hall had a spokesperson. The tables discussed health issues, and the spokesperson offered areas of focus.

Discussion began at each table and ended with a spokesperson offering areas of focus.


Alexa Backman, with VVV Consultants, right, posts in no particular order the top health issues discussed that need improvement or change in Randolph County. Each town hall attendee received four dots to place by the categories they felt needed most improvemen