2012 Community Service Plan

Transcription

1 2012 Community Service Plan 169 Riverside Drive Binghamton, NY

2 Message from the CEO Dear Friends, Providing community benefit is an important part of our Mission. It represents a vital link to our community & neighbors. Our strength is in our history and Mission. Over the past year, Lourdes continued to work diligently to serve our community and deliver the Mission bestowed upon us almost 90 years ago. Recognizing the importance of Community input, Lourdes formed the Patient and Family Advisory Group this past year. This group provided input on how we are meeting community needs and expectations. We are grateful for those who have shared their wisdom and time with us. Every year we learn the importance of depending upon each other in times of need. This past year, by working closely with members of the community we were able to re-open the Owego Primary Care Practice and announce plans to create a comprehensive medical center to expand primary care and specialty services as well as replace the former primary care sites in Johnson City and the Southside of Binghamton which were closed following the devastating flood of We continue to take seriously our stewardship to provide access and coverage to quality health care services. In order to assist our community to prepare for the future, we sponsored two Healthcare Reform Education Series for providers and small business to help all stakeholders understand the access and coverage implications and opportunities of the Affordable Care Act. In preparing to meet our community s need, this year, access to primary and specialty care was expanded through the hiring of eleven providers specializing in primary care and dermatology. Additionally, bone density testing and podiatry services were expanded to the rural community of Hancock, New York. After almost four years of construction, we are thrilled to announce that access to outpatient services was expanded in the Fall of 2012 with the completion of the newly renovated and expanded emergency room and Clinical Decision Unit, diagnostic imaging, gastroenterology suite, outpatient laboratory services, rehabilitation services, and provider offices; all part of the Mission 2012 project. Access and coverage to health was expanded for our community, relative to financial affordability, through our hiring three additional financial counselors to assist the uninsured and underinsured in the Lourdes primary care practices. As a result of these initiatives and others, Lourdes Patient Financial Assistance Program enrolled over 6,100 persons, up nearly 29% from Providing support to families has historically been a focus of Lourdes Youth Services. Throughout the year we continued to press forward to address access needs for children s oral health, pharmaceuticals, and behavioral health services for youth. This past year the Lourdes Family Support program provided evidenced based programming to ten local school districts through funding from the Federal SHARE grant. Additionally, access to mental health services for children was increased by co-locating a mental health counselor in one of Lourdes pediatric practices. 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, participating in food drives, and ensuring that over 500 persons were able to enjoy the blessings of the holiday season. I express my heart felt gratitude to them for living our Mission. 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 during 2012 which address the Community s Health Status and Health Priorities. We look forward to continuing to partner with the community as we fulfill our call to provide Health Care that Works, Health Care that is Safe, and Health Care that leaves No One Behind. Our relationships inspire us and make our community a stronger, healthier place to live. We invite you to continue to participate in furthering the healing ministry to which we ve been called. David Patak President/CEO

3 Priorities for the Year During 2012, Lourdes collaborated with community agencies under the direction of the New York State Health Department and County Health Departments to address public health issues and underlying causes and contributing factors to health status and chronic disease. This report to the Community demonstrates how Lourdes has worked over the last year to help the Greater Binghamton community in the following community health priority areas: Preventing & Managing Chronic Disease, with a focus on decreasing obesity, diabetes, and reducing hospitalizations due to heart failure. In addition to these community priorities, Lourdes remains committed to addressing community needs in the areas of Cardiovascular Disease, Maternal/ Child/Adolescent Health and the Frail & Elderly. Community and professional outreach and education initiatives were designed to address health priorities. Community Health Priorities Access to Healthcare Increased health care coverage Increased access to behavioral / mental health and substance abuse Increased access to prescription drug medication. The following chart gives 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 Program Access To Healthcare Pharmaceutical Access Hope Dispensary 1,323 persons receiving over 2,707 prescriptions, $132,630 value Pharmacy Assistance Program (PAP) 2,520 prescriptions, $1,924,581 value Patient Financial Assistance Program 6,168 enrolled, a 28.5% increase from prior year. Discounted selfpay accounts 14,756 Medicaid Facilitated Enrollment 2,595 screened with 96.7% enrolled in a health coverage program LECCO Total Donations 10 Community Agencies which assist with access to Over $43,000 services and to persons in need Mobile Mammography 1,367 Physician Referral Services/Call Center 3,500 persons served Behavioral/Mental Health Lourdes Center for Mental Health 9,000 visits and over 900 clients Mental Health Juvenile Justice Project (MHJJ) Detention Alternative After School Program (DAASP) Student Assistance Program and Alcohol & Drug Education Prevention Team Persons Served 60 clients served 27 served Persons served: 10,173 Units of service: 4,033 (continued on next page)

4 Program Persons Served Frail & Elderly Hospice 30,386 days of care Volunteers 10,240 volunteer hours; Drove over 35,000 miles to assist patients and their families Palliative Care 1,925 consultations and visits Maternal/Child/Adolescent Health DeMarillac Prenatal Program 5,436 visits DePaul Pediatric Program Over 9,980 visits Center for Oral Health Mobile Dental Van Community Outreach and Oral Health Education 4,697 patients and 14,943 visits 1,349 patients and 2,752 visits 1,351 persons at 19 community events Parents And Children Together (PACT) 421 families and 4,716 home visits Family Support Program Families and Schools Together (FAST) Mission in Action (Community Outreach) School Supply, Holiday Programs, Thanksgiving and other service Community Awareness Events - Donations raised by Lourdes Associates (American Heart Association, American Cancer Society, Diabetes Walk, March of Dimes, Rescue Mission and other events) Preventing & Managing Chronic Disease Cancer Breast Cancer Screening Radiation Therapy Diabetes Community Education, support groups Endocrinology 10 school districts provided services until funding ended in October 2012 Over 1,000 persons More than 6,000 persons served and over $50,000 in donations 22,041 Screenings 1,367 Mobile Mammography Over 7,100 Treatments Nearly 2,500 persons served Over 11,000 visits Infectious Disease/Pneumonia Influenza Vaccines Over 13,000 Home Health Over 50,000 visits Women s Health Celebration of Women outreach and education Over 400 attended

5 Overview of Programs & Services Commitment to Community Health Status Access to Health Care Increased Health Care Coverage. Lourdes made a significant investment in helping to provide healthcare access and coverage to help the uninsured. Lourdes continued to employ six financial counselors to assist uninsured individuals to determine eligibility for healthcare coverage. Outreach was expanded by hiring three additional financial counselors to assist the uninsured and under-insured in Lourdes primary care practices in accessing health care coverage and to assist Lourdes associates. The number of persons who were enrolled in the Lourdes Patient Financial Assistance Program was over 6,100, up almost 29% from the previous year. Through Lourdes Dispensary of Hope of the Southern Tier, 103 persons were linked to a medical home and nearly 50 were assisted in enrolling in a medical insurance plan. Lourdes annual Diversity Fair was focused entirely upon the poor and vulnerable with the theme Serving Persons in Poverty The intent around this fair was to increase awareness of the issues of limited access to healthcare for those living in poverty. Increased Access to Primary Care, Prevention and Specialty Services. Lourdes expanded access through the opening of a newly renovated and expanded emergency room and completing of a Clinical Decision Unit designed to meet the increased needs of the community. Lourdes worked closely with the community to ensure continued access to care following the September 2011 flood. The Owego Primary Care Practice site was reopened in early 2012 and plans were underway to create a comprehensive medical center to expand primary care and specialty services as well as replace the former primary care sites in Johnson City and the Southside of Binghamton. Lourdes assisted the community in ensuring access to primary and specialty care by employing six providers specializing in primary care, and two dermatologists. Additionally Lourdes assisted with the recruitment of other specialties to the Broome County community to promote access for the residents of our service area. Lourdes Center for Oral Health provided Dental Services to 4,697 patients at the main clinic site in Binghamton, and 1,349 patients through the mobile clinic and 19 school-based sites (including Head Start). The School-Based Dental Sealant Program served 228 patients. Oral Health outreach and education reached 3,109 persons in our community. Emergency Department added 3 additionally Registered Professional Nurses specifically trained in the care of sexual assault patients. Increased access to behavioral & mental health, substance abuse, and Maternal, Child and Adolescent Health Lourdes Youth Services touched the lives of many children and families during 2012 through a variety of programs. Lourdes Center for Mental Health (LCMH) served 900 clients in In addition, LCMH received an initial 12 month operating certificate renewal in 2012 with no citations which is double the normal renewal length of time given to a new program. Lourdes Center for Mental Health also received a grant from the NYS Office of Mental Health which enabled a satellite clinic to be established at a Lourdes Pediatric Practice. The Lourdes Student Assistance Program and Alcohol and Drug Education Prevention Team provided alcohol and drug abuse prevention services to 10,173 students and parents through a variety of evidenced based programs. SBIRT training (Screening, Brief Intervention and Referral to Treatment) was provided to Lourdes associates in the Emergency Department as part of our commitment to the treatment of substance abuse. Lourdes Youth Services provided services to at-risk 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 27 adjudicated high risk youths during Of these youth, 90% were successfully kept out of nonsecure detention facilities.

6 Providing support to families has historically been a focus of Lourdes Youth Services. In 2012, the Lourdes Family Support program provided evidenced based programming to ten local school districts via funding from the Federal SHARE grant. The Family Support team completed training in the Olweus Bullying Prevention program and subsequently trained local middle school staff in this program. The Lourdes PACT program provided intensive home visiting services to 421 families in Broome and Tioga County. All three PACT programs met or exceeded their performance measures as determined by Healthy Families New York. Increased access to prescription drug medication. Lourdes increased Pharmaceutical Access in the community through the Dispensary of Hope of the Southern Tier. During 2012, together with Pharmacy Assistance Programs, Lourdes served over 1,300 persons, filling, over 5,200 prescriptions, which resulted in over $2,057,000 in free pharmaceuticals to the community. The Hope Dispensary linked 103 persons to a medical home. Lourdes facilitated the enrollment of almost 50 persons in a health insurance program. Chronic Disease 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. Lourdes associates increased cancer awareness through active participation in the American Cancer Society s Cancer Program 3 research project. More than 350 associates participated in the Cancer Society s drive to participate in the nationwide research project. Associates continued a strong presence and participation in Relay for Life and Making Strides Against Breast Cancer as other ways to increase overall awareness and fundraising around Cancer. Lourdes continued its partnership with Senator Tom Libous and United Health Services for the I Turned Pro a community prostate awareness campaign. The American College of Radiation Oncology recognized the Radiation Oncology Department for their overall excellence, including community participation, with the awarding of a three year accreditation. The annual report to the community showed outcome information in Colon Cancer exceeding state and regional standards. Working on Wellness (WOW), a community partnership designed to address childhood obesity issues and their relationship to health, disease, and Type II diabetes continued. Lourdes continued collaboration with WSKG in the After School Fuel recipe contest and TV special which featured healthy snacking tips and winning recipes which are available on WSKG YouTube. Lourdes is an active member of the Food and Health Network, a collaborative effort with community stakeholders that aims to create food-secure communities and improve the quality of life in South Central New York by supporting proactive projects, and policies leading to increased use of nutritious, locally produced foods. Strategic Alliance Grant partner with the Broome County Health Department to address obesity for the poor and vulnerable pediatric population. Lourdes continues to offer these services to our community despite the ending of the funding for the partnership. Reducing heart disease through activities such as Mission Meltaway and maintaining a smoke free environment. Smoking cessation programs continued throughout the Lourdes Primary Care Network with the local Team Act coalition, increasing community awareness of heart disease by sponsoring the American Heart Association Heart Walk, and providing heart healthy foods. 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. Efforts focused on Falls Prevention among the frail elderly. Lourdes at Home served provided more than 50,000 home health visits to Broome County residents. Fifty-four telehealth monitors continue to be

7 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. Lourdes at Home implemented an in home anticoagulation program. Lourdes provides the area s only palliative care services, and is the only hospice provider for Broome and Tioga county residents. 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, including stroke and heart failure, remains a significant health concern locally and nationally. Through Lourdes heart failure disease management programs and home care heart failure program, Lourdes met or exceeded local and New York State clinical outcomes for Heart Failure. Free bimonthly education sessions, called T-Time were launched to support heart failure patients and their families. Lourdes commitment to improving community health status around stroke care is evidenced by maintaining its New York State Health Department Stroke Center designation; receiving the American Heart Association s Get with the Guidelines Gold Plus award for Stroke Care in the last two (2) consecutive years, and being recognized in the US World News Journal as one of the top 10 organizations for Stroke Care. 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 communities. In 2012 programs were offered on a variety of topics including Cancer, Diabetes, Issues of Aging and Womens Health. Over 3,100 community residents that took part in the various offerings in Patient and Associate Safety: Lourdes implemented a Universal Influenza Vaccination Program two years ahead of Ascension national goal to provide for the safety of all those in our care. Lourdes Financial Commitment to the Community 2012 Calendar Year Charity Care Free Care...$10,190,082 Community Benefit Programs...$17,528,000 Total Charity Care...$27,718,082 Bad Debt... $13,032,000 Medicaid Shortfall... $4,516,000 Medicare Shortfall... $12,522,881 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.

8 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 over 85+ years, Lourdes has been a cornerstone of our community, offering resources that have made a difference. With our spiritual, Catholic faith tradition, Lourdes Hospital provides the 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 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 serving in more than 1,500 locations in 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 over 85+ years ago, but one thing remains constant: the commitment and Mission of caring found here each and every day.