Community Hospital East (CHE) has been a stabilizing force on Indianapolis’ Eastside for over 60 years. Since then, the Eastside and the healthcare landscape has changed significantly, but Community Health Network has recommitted to the Eastside with a $175 million new bed tower and ER. This will be complimented by the State of Indiana’s new $120 million Indiana Neuro-Diagnostic Institute, intended to address mental health issues in the larger region.
Greenstreet has continued to work with CHE since 2012, and was reengaged in 2017 to measure CHE’s economic and community impact, while also considering policies, programs, and place-based investments to address preventable hospitalizations. The first phase, an Economic Impact, and a second, Community Benefit, were completed in partnership with Ball State University’s Center for Business and Economic Research and Global Health Institute. These were both updates to a similar study in 2012 which allowed the hospital to track changes over time. The result of the updated economic impact study found that CHE generated approximately $292 million in direct output (revenue), and contributed $277 million of additional output in the region through indirect and induced effects.
A new third phase included a summary of preventable hospitalizations at CHE, defined by ER visits that likely could have been avoided with proper primary care. Greenstreet and CBER worked together with CHE to establish a new goal of preventable inpatient visits representing a 10-12 percent share down from 16, in line with national trends. To meet this goal, Greenstreet first analyzed the hospital and its partners’ efforts to reach more patients and also address the social determinants of health for its service area. These include issues such as substandard housing which can exacerbate medical issues like asthma, and transportation which is often a significant barrier to receiving primary care. Second, recommendations were made based on gaps in the services and national best practices. Greenstreet’s analyses and findings have been incorporated into future programs, including a $2.56 million Centers for Medicare and Medicaid Services grant which will address health-related social needs through clinical-community collaboration to improve health outcomes and reduce costs.