2015 Community Service Plan

Transcription

1 2015 Community Service Plan 169 Riverside Drive Binghamton, NY

2 MESSAGE from the CEO Dear Friends, 2015 was a year of reflection as Lourdes celebrated 90 years of service. The four Daughters of Charity and lay men who founded Lourdes in October of 1925 could not have envisioned what Lourdes would have become over the next 90 years and how many people in this community would benefit from the care and compassion that was evident on that October day. Our strength is in our history and Mission. It is our honor to continue their legacy to live in the present and engage our future. Living in the Present. Providing community benefit continues to be an important part of our Mission. It represents a vital link to our community & neighbors. As a leading health care provider, each year we provide millions of dollars in charity care & health education programs to our community. Lourdes is pleased to report to the community the services provided directly or in collaboration with community agencies during These services addressed the community s health status priorities of obesity and associated chronic diseases, falls prevention among the elderly, and mental health and substance use. True to our Mission, Lourdes paid particular attention to those who are poor and vulnerable. In order to improve the health status of the community, Lourdes continues to take seriously our stewardship to provide access and coverage to quality health care services. Increasing access is in large part about removing barriers. One way in which Lourdes accomplished this was to take care out into the community in a very different way. We provided our first Medical Mission at Home in downtown Binghamton where more than 200 persons of all ages received free medical care. Removing financial barriers to care helps provide access to care. These barriers were removed through the efforts of our financial counselors, the Hope Dispensary and our charity care policies. This year alone, over 10,000 people were enrolled in Lourdes financial assistance program; those who received assistance enrolling in an insurance plan through the Affordable Care Act increased 30%; and over $961,000 in prescriptions were given to people who would not have been able to receive prescriptions otherwise. This year access to primary and specialty care was expanded through hiring or recruiting to the community twenty-three providers, of which all are critical to addressing community health priorities. We took many steps to address the mental health crisis in our community by expanding mental health services, hiring additional mental health providers, providing suicide intervention skills training for caregivers, hosting community naloxone trainings to combat the effects of opioid overdose, and beginning a support group for people who have lost a loved one from an overdose. Lourdes holds a deep commitment to increase Veterans access to compassionate, high quality health care. As such, Lourdes Hospice was recognized as a We Honor Veterans Partner and in 2016, Lourdes and Ascension Health will nationally be accepting the Veterans Choice Card, which will allow us to provide services for eligible Veterans outside of the VA. To address the falls prevention health priority, Lourdes associates were certified as Tai Chi instructors and provided two 8 week series of classes. Beginner, advanced, and seated Tai Chi classes will be available in Lourdes also certified 100% of Lourdes at Home physical therapists in a falls prevention program; and focused on falls prevention as part of Medicare wellness visits. Beyond the walls of Lourdes, our associates extended our ministry into the community by serving on community boards, participating in community awareness events, providing supplies to elementary schools and participating in food drives. I express my heart felt gratitude to them for living our Mission. Lourdes continued to be an active participant in transforming the Medicaid health care delivery system by working with more than 150 partner organizations. Lourdes associates are committed to participate in transformative work to manage our community s health. Engaging Our Future. The healthcare needs in our region continue to grow. To address these changes, we are transitioning our care model to support managing populations of patients. We look forward to continuing to partner with the community. Our relationships inspire us and make our community a stronger, healthier place to live. We invite you to join us as we continue to participate in furthering the healing ministry to which we ve been called. Kathryn Connerton President/CEO

3 Priorities for the Year During 2015, Lourdes collaborated with community agencies under the direction of the New York State Health Department and County Health Departments to identify and address public health issues that and underlying causes and contributing factors to health status and chronic disease. This report to the Community demonstrates how Lourdes has continued to work over the last year to help the Greater Binghamton community in the following community health priority areas: Community Health Priorities Falls Prevention with a focus on helping the elderly. Access to mental health and substance abuse Obesity prevention and managing associated chronic diseases with a focus on diabetes and reducing hospitalizations due to heart failure. PROGRAM In addition to these community priorities, Lourdes remains committed to addressing community needs in the areas of access to health care by increasing access to health care coverage and prescription drug medication, cardiovascular disease, maternal/child/ adolescent Health and the frail & elderly. Community and professional outreach and education initiatives were designed to address health priorities. Lourdes will be updating community health priorities during The following chart provides an overview of some of the programs and services Lourdes offers that impact the community s health status. More information about these programs is available on our website at PERSONS SERVED Access To Healthcare Pharmaceutical Access Hope Dispensary Pharmacy Assistance Program Patient Financial Assistance Program 1,212 persons receiving over 1,543 prescriptions, a $332,375 value 311 persons receiving over 420 prescriptions, a $629,286 value 7,598 enrolled, a 4% increase from last year Discounted self-pay accounts 11,520 Facilitated Healthcare Coverage Enrollment LECCO Total Donations 8 Community Agencies which assist with access to services and to persons in need Mobile Mammography Physician Referral Services/Call Center 1,218 screened with 91% enrolled in a health coverage program. 922 screened for Qualified Health Plans with 85% being enrolled in Medicaid or a QHP. $40,000 1,729 served 3,000 persons served 1 (continued on next page)

4 PROGRAM PERSONS SERVED Behavioral/Mental Health Lourdes Center for Mental Health Mental Health Juvenile Justice Project (MHJJ) Detention Alternative After School Program (DAASP) Binghamton Community and Schools Together (BCAST) Student Assistance Program (SAP) and Alcohol & Drug Education Prevention Team (ADEPT) Screening Brief Intervention & Referral to Treatment (SBIRT) Death from Overdose Recovery & Support Group (DORS) 13,011 visits, a 32% decrease, and over 920 clients 64 clients served 44 clients served 169 clients served Persons served: 7,019 Units of service: 3,316 4 trainings, 31 associates 20 participants Falls Prevention Home Health Falls Risk Assessments Tai Chi for Arthritis Over 49,000 visits with falls risk assessments 3 instructors trained, 20 participants, 16 classes Frail & Elderly Hospice Volunteers Palliative Care 31,532 days of care 110 volunteers provided 6,989 volunteer hours; Drove over 36,000 miles to assist patients and families 2,651 consultations and visits Maternal/Child/Adolescent Health DeMarillac Prenatal Program DePaul Pediatric Program Center for Oral Health Clinic Mobile Dental Van Sealant Program School Based Sites Community Outreach and Oral Health Education Parents And Children Together (PACT) 4,458 visits 10,358 visits 4,778 patients and 14,097 visits 3,981 patients served and 12,419 visits 486 patients and 1,248 visits 309 patients and 422 visits 18 sites 1,815 persons served at 10 events 328 families and 4,021 home visits 2

5 PROGRAM PERSONS SERVED Mission in Action (Community Outreach) Community Awareness Events Donations raised by Lourdes Associates and the Medical Staff (American Heart Association, American Cancer Society, March of Dimes, Rescue Mission and other events) Over $77,000 in donations Obesity Prevention Bariatric Services Lourdes Primary Care Services Body Mass Index Over 380 procedures, a 28% increase 724 patients receiving 2,571 nutritional consults 84% children age 3 17 screened 83% adults age screened 91% adults age 65+ screened Preventing & Managing Chronic Disease Cancer Breast Cancer Screening Radiation Therapy Cardiovascular Disease Community Screenings T-Time Classes Diabetes-Endocrinology Home Health Infectious Disease/Pneumonia Influenza Vaccines Women s Health 28,984 Screenings 1,729 Mobile Mammography Over 6,322 Treatments ,837 visits, an 11% increase 49,339 visits 16,017 persons Over 2,100 health care workers Celebration of Women outreach and education, 225 attended 3

6 Overview of Programs & Services 4 COMMITMENT TO COMMUNITY HEALTH STATUS Access to Health Care Increased Health Care Coverage. Lourdes continues to make a significant impact on healthcare access and coverage to the uninsured by our complement of Financial Counselors that are at various locations throughout the hospital and offsite locations. All counselors are CAC s (Certified Application Counselors) through the New York State of Health Marketplace. All Financial Counselors are able to assist individuals and families in enrollment in the Affordable Care Act, ACA, plans, such as NYS Medicaid, Child Health Plus, Essential Plans, Qualified Health Plans, and the Lourdes Patient Financial Assistance Program. The number of persons enrolled in the Patient Financial Assistance program was 7,598, a 4% increase from 2014 to Financial Counselors are available at 6 locations. A full-time financial counselor was placed at Lourdes Vestal a multi-specialty location providing primary care, walk in, specialty care and Retail Pharmacy services. The Financial Counselor team participated in 2 community enrollment events at 2 different locations, on weekends, with one event occurring at Lourdes first Medical Mission at Home in October, and another enrollment at a Lourdes Primary Care location that was easily accessible to the public. Both events allowed for enrollment of more than 100 individuals. Medical Mission at Home. Lourdes provided our first Medical Mission at Home in downtown Binghamton at a location easily accessible to those most in need. Nearly 200 associates and volunteers came together, ready to provide care. More than 200 persons of all ages received free medical care including screenings, dental care, mammograms, foot and wound care, pharmacy services, and flu shots. Financial counseling for the uninsured and underinsured was offered for financial assistance and marketplace enrollment. Bags of fresh vegetables and fruit were provided by CHOW and personal care items were given to all who participated. We anticipate offering two Medical Mission s at Home in Lourdes annual Diversity Fair focused on Welcoming our New Neighbors. The intent around the fair was to engage the multiple perspectives, human gifts, skills, experiences, and knowledge of our associates and the patients we serve. Increased Access to Primary Care, Prevention and Specialty Services. Lourdes assisted the community in ensuring access to primary and specialty care by employing twenty-three providers specializing in cardiology, primary care, endocrinology, and vascular disease. All of the providers recruited are important to improving the community s health status. Lourdes Center for Mental Health has continued to expand with the need for mental health services in the community. We have implemented an EHR and added additional staff to better meet the needs of the community. The center served 920 clients in The Lourdes Student Assistance Program (SAP) and Alcohol and Drug Education Prevention Team (ADEPT) served 2,834 Lourdes associates and local community members on topics including Current Drug Trends, Adolescent Brain Development, Heroin and Prescription Drug, Gambling and Opioid Overdose Prevention.

7 Oral Health. In 2015 we doubled our capacity to provide oral health to meet the on-going needs of low income patients as well as to increase access to endodontic services. Mobile Mammography. The Mission in Motion mobile mammography provided screening mammography in 64 locations. Of these locations, 22 are rural locations, where residents do not have ready access to public transportation to travel to receive breast cancer screening services. Services are provided where residents live, work, and play. Palliative Care and Hospice. Lourdes provides the area s only palliative care services, and is the only hospice provider for Broome and Tioga county residents. Lourdes Hospice provided over 19,500 visits to Broome and Tioga Residents. Increased Access to Behavioral & Mental Health, Substance Abuse, and Maternal, Child and Adolescent Health Lourdes Youth Services provided services to atrisk adolescents through two programs in The Lourdes Mental Health Juvenile Justice Project (MHJJ) worked successfully to keep 98% of the youth served out of detention and out of home placement. This was accomplished by providing intensive counseling and case management as well as providing life skills enhancement groups for the participants. The Lourdes Detention Alternative After School Program (DAASP) provided services to 37 high risk youth during Of these youth, 94.5% were successfully kept out of non-secure detention facilities. The Lourdes DAASP program received additional funding from New York State Office of Children & Family Services (OCFS) to expand programming and add a family programming component to encourage continued success in keeping youth out of detention facilities. Lourdes Youth Services program was selected as one of nine community agencies nationwide, to receive $325,000 per year in Federal funding to implement programming geared toward reducing violence, increasing school engagement and performance, and improving health outcomes for minority youth. This grant is a collaborative effort between the City of Binghamton, Broome-Tioga BOCES and Lourdes Youth Services. The BCAST (Binghamton Community and Schools Together) program serves 45 youth (and their families) annually. Lourdes continued to (1) offer suicide intervention training programs in 2015: ASIST and SAFE Talk programs for associates; and the Kognito suicide prevention training program for the medical staff; (2) lead a Lourdes specific Substance Abuse and Mental Health Task Force to better address community mental health and substance abuse needs; (3) administer suicide prevention screening in a Lourdes Pediatric practice and (4) provide inpatient and emergency department screening for alcohol and substance abuse. Over 850 persons received SBIRT services (Screening, Brief Intervention & Referral to Treatment). Increased Access to Prescription Drug Medication Lourdes increased Pharmaceutical Access in the community through the Dispensary of Hope of the Southern Tier. Together with Pharmacy Assistance Programs, Lourdes served 1,523 persons, filling 1,963 prescriptions, which resulted in over $961,000 in free pharmaceuticals to the community. Twenty percent of the medications dispensed tied to community health priorities of diabetes, cardiovascular disease, or mental health. 5

8 6 The Dispensary of Hope served as an access point for persons being linked to a medical home and to a health insurance plan: 74 persons linked to a medical home; 361 enrolled or referred to an insurance plan (Medicaid, Family Health Plus, Child Health Plus, and Lourdes Patient Financial Assistance Program). Access to Chronic Disease Prevention Cardiovascular Disease Prevention Reducing cardiovascular disease was achieved through activities such as participation in the American Heart Association s Heart Walk to increase community awareness of heart disease, and education on reducing cardiovascular disease. Education is provided to the public on: ways to reduce the risk of cardiovascular disease, early identification of these diseases and how to manage symptoms associated with cardiovascular disease in order to maintain a quality life. The Cardiovascular Disease Managers at Lourdes coordinate T-Time, a support group for patients with Heart Failure and their caregivers. The program is offered to the public every other month at no charge. Topics include: healthy eating at the holidays, understanding your medications, and coping with chronic disease. These sessions are often led by guest speakers. In 2015, three hundred community residents were screened for cardiovascular disease at community events. Lourdes sponsored a Stroke Awareness day in February 2015 to educate the public on early warning signs and offer blood pressure screenings. Lourdes continued to maintain quality standards to receive the Get with the Guidelines Stroke Gold Plus Achievement Award. Lourdes was welcomed by the American Heart Association to the Fit-Friendly Company Recognition Program and received Gold Fit status. The program recognizes employers who champion the health of their employees by creating healthy eating options and physical activity programs within the work place, such as implementing the Step it Up Fitness Challenge. Lourdes piloted a wellness and prevention program for associates, called EXOS which is an American company founded in 1999 to maximize the potential of athletes. Obesity Prevention Obesity Prevention, and the treatment of associated chronic diseases such as diabetes and cardiovascular disease is provided throughout the Lourdes system, including primary care, endocrinology, the Lourdes Diabetes Center, and Lourdes Bariatric Surgery Program at Lourdes Riverside Surgical. Diabetes Education. Thirty-one providers participated in a professional teaching day. Increased educational focus occurred throughout the year on the identification and treatment of diabetic ketoacidosis and gestational diabetes. The Lourdes Diabetes Center promoted A1C as the definitive test for diagnosis while continuing to promote pre-diabetes education. Fit and Fun Meals provided at the Lourdes All Spice Café contain a moderate amount of fat, cholesterol, and sodium. Fit meals include a delicious variety of entrees and sides. An Action Station, offers a variety of fresh ingredients, from which health meal options are made while people wait. Superfood of the Month nutritional benefits and recipes is featured in the cafeteria and on the Lourdes Facebook page. Newborn and Pediatric health. Supporting a healthy start for newborns, patients are encouraged to breast feed, as evidenced by a 80% breastfeeding

9 initiation rate. Lourdes is a NYS Department of Health New Beginnings Hospital, and provides lactation and nutritional consultations Cancer Prevention Lourdes Regional Cancer Center provided outreach and education information for breast, cervical and colorectal cancer through the Cancer Services Program, community health fairs and events, and support groups. In 2015, Lourdes expanded several cancer screening programs around lung cancer, colorectal cancer, and breast cancer. In an effort to prevent lung cancer, Lourdes also provided smoking cessation classes throughout the year. 63.3% of Lourdes primary care patients were screened for breast cancer. Over 1,700 mammograms were provided through the Mobile Mammography Van across 64 locations. Lourdes associates continued a strong presence and participation in Relay for Life and Making Strides Against Breast Cancer as other ways to increase overall awareness around Cancer. Lourdes completed its 9th year of CAMP HOPE for KIDS to help children learn to cope with their loss of a loved one to cancer. Initiatives taken by Lourdes to achieve the NYS Department of Health prevention agenda items to increase access to cancer prevention services included: maintaining National Accreditation Program for Breast Centers (NAPBC) for the Mobile Mammography program and the Lourdes Breast Center. NAPBC accreditation demonstrates a firm commitment by Lourdes to offer patients every significant advantage in their battle against breast disease. As an NAPBC accredited center, Lourdes commits to ensure patients will have access to comprehensive care, a multi-disciplinary team approach to coordinate the best treatment options, and information about on-going clinical trials and new treatment options close to home. Commitment to Health Care that is Safe Lourdes is committed to providing quality care to everyone we serve. By instituting a number of quality improvement initiatives, Lourdes continues to offer improved community health status. Cardiovascular Disease Cardiovascular disease, including stroke and heart failure, remains a significant health concern locally and nationally. Lourdes commitment to improving community health status around stroke care is evidenced by maintaining its New York State Health Department Stroke Center designation. Lourdes has maintained its Gold Plus award from Get With the Guidelines for exceptional care in the management of patients that present to Lourdes with symptoms of stroke. The award recognizes efficient processes, evidence based care through a multidisciplinary team approach and quality outcomes. COACH for Heart Failure is a multidisciplinary team that spans the healthcare continuum to improve the coordination of care for this patient population. COACH provides services to patients 7

10 8 in the acute care settings, in homes, in primary care and specialty practices. The focus of the program is engagement of persons with heart failure and their caregivers in the management of their chronic disease. Early intervention leads to extended wellness in the community. COACH for COPD began in February, Falls Prevention The need to prevent falls in the community is evident by nearly 3,500 persons visiting Lourdes walk-in s or emergency room upon experiencing a fall. Ways in which Lourdes helps to prevent falls include: Tai Chi for Arthritis. Lourdes is participating in a Broome County-wide initiative to reduce community falls. One evidence-based measure for falls reduction is Tai Chi. In 2015, as part of the Broome County Better Balance program, a community-wide collaborative, four Lourdes associates were trained to be Tai Chi for Arthritis instructors. Tai Chi is a low impact exercise program that integrates mind and body through meditative movement, to help improve balance and mobility and reduce pain. Participants commit to completing two one hour classes per week for 8 weeks and to practice what they learn between classes. In 2015 two class series were offered to twenty persons. Beginner, advanced, and seated tai chi classes will be available in % of Lourdes at Home physical therapy staff received advanced training and certification around falls prevention over the last year to help meet the growing needs of the community. Fall prevention education along with specific strengthening and balance activities have been incorporated in nearly all ambulatory patients visits to help decrease falls. Lourdes at Home participated in Broome County s National Fall Prevention Awareness Day providing information to the community at the Oakdale Mall. Lourdes provided over 49,000 home health visits in Falls risk is assessed at every home health visit. Physical Therapy. Lourdes Physical Therapy provides comprehensive evaluation and treatment of balance and vestibular disorders. Highly trained staff are skilled at helping people prevent falls. Persons who may benefit from balance or vestibular treatment are those who experience balance deficits due to generalized weakness, light headedness, vertigo (spinning sensation) with or without nausea, difficulty walking in visually busy environments or on uneven surfaces, post joint replacement, post fracture or sprains, post stroke, neurologic diagnoses such as multiple sclerosis or Parkinson s disease, malnutrition, and medication side-effects. Joint Academy patients are encouraged to attend Lourdes Pre-op Education class where patients and family members learn about safety in the home including proper use of assistive devices and simple modifications of the home setting such as installing railings, widening pathways, and removing throw rugs. Vestibular Therapy is offered at all 4 outpatient locations in Binghamton, Endwell, and Vestal. Primary Care. Falls prevention screenings are performed as part of the Medicare primary care wellness visits, and on patients identified by their provider to be at risk for a fall. Retail Pharmacy & Medication Management. Pharmacists discuss falls prevention with patients as part of their visit to the pharmacy. Whether filling a new prescription that has a fall risk to it or refilling other prescriptions, our pharmacists are aware of falls risk criteria and utilize that while communicating to patients about their prescription use. Occupational Health. Lourdes focuses on creating a safe work environment to prevent associate injury due to slips, trips and falls. On-going communication and guidance is provided through Occupational health services to Lourdes and area businesses on appropriate footware and body mechanics.

11 Frail & Elderly Lourdes addressed the needs of the frail and elderly and their families through many venues, among which were participation in the Aging Futures community-wide coalition whose mission is to address the needs of the senior population in the community. Geriatric Services. Lourdes has demonstrated commitment to serving the frail and elderly in all our care settings: primary care, specialty care, homecare and hospice, emergency room and hospital. Our Geriatrics team provides specialty care that focuses on health promotion, prevention and treatment of disease, and quality of life in later years. These providers devote their work solely to working with the frail and elderly through Medicare Wellness visits, care of residents in area nursing homes, and the provision of primary care services on site at one of the multi-level facilities in our community. Lourdes at Home provided 47,048 home health visits to Broome County residents. Fifty-two telehealth monitors continue to be used at capacity. This evidenced based program has decreased Acute Care Hospitalization rates significantly for patients with Congestive Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) as well as CHF. Lourdes continues to be the only Home Health Care Agency to service pediatric patients. Palliative Care and Hospice. Lourdes provides the area s only palliative care services, and is the only hospice provider for Broome and Tioga county residents. Lourdes Financial Commitment to the Community 2015 CALENDAR YEAR Charity Care Free Care...$7,740,501 Community Benefit Programs...$15,919,000 Total Charity Care...$23,659,501 Bad Debt...$14,387,172 Medicaid Shortfall...$7,758,000 Medicare Shortfall...$7,975,000 Lourdes Regional Cancer Center. Lourdes participates in the rapid quality reporting system (RQRS) through the Commission on Cancer in an effort to improve the quality of care to our patients through early reporting on certain quality metrics identified by the Commission on Cancer. Community Education. Lourdes believes that one of the hallmarks of Health Care that is safe is to provide a variety of education programs for our community, including cancer, diabetes, issues of aging, and women s health to name a few. Patient and Associate Safety. Lourdes adheres to a Universal Influenza Vaccination annually to provide for the safety of all those in our care. Occupational Health. At Lourdes, we believe that examples of healthy lifestyles should start at home. In 2015, Lourdes associates were given the opportunity to participate in a Health Risk Assessment appraisal and education to help associates to successfully engage in managing obesity, diabetes, heart disease and falls prevention. Over 50 associates participated in a healthy life style project, EXOS an integrated model which focuses on mindset, nutrition, movement, and recovery to overall better their health and well being in the workplace. As we experience success in healthy life styles we will share our successes with the comunity. 9

12 Our Mission Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. Core Values SERVICE OF THE POOR Generosity of spirit, especially for persons most in need. REVERENCE Respect and compassion for the dignity and diversity of life. INTEGRITY Inspiring trust through personal leadership. WISDOM Integrating excellence and stewardship. CREATIVITY Courageous innovation. DEDICATION Affirming the hope and joy of our ministry. About Lourdes For 90 years, Lourdes has been a cornerstone of our community, offering resources that have made a difference. With our Catholic faith tradition, Lourdes Hospital provides the holistic, compassionate care that every patient deserves. Lourdes is more than an inpatient acute care hospital we are an outpatient ambulatory surgery center we are a Regional Cancer Center. We provide Palliative Care and Hospice Care, an orthopedics program, diabetes care, home health care, and much more. Reaching beyond the boundaries of our main campus, Lourdes has established a network of primary and specialty care physician offices at convenient sites throughout the region. The Mobile Mammography and Mobile Dental Care programs provide women s health and mammography services and dental care through two mobile medical vans, making health care accessible to rural populations and children in need. Lourdes is also a member of Ascension Health, the largest, Catholic, nonprofit health system in the nation with 150,000 associates and 35,000 affiliated providers serving in 1,900 sites of care across 23 states and the District of Columbia. Much has changed in the community and at Lourdes since the Daughters of Charity opened a small 25-bed hospital on Riverside Drive 90 years ago, but one thing remains constant: the commitment and Mission of caring found here each and every day.