HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM BOARD OF TRUSTEES EXECUTIVE COMMITTEE

Transcription

1 HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM BOARD OF TRUSTEES EXECUTIVE COMMITTEE Reslutin t Apprve the Hspital f the University f Pennsylvania, the Penn Presbyterian Medical Center, and Pennsylvania Hspital f the University f Pennsylvania Health System s Cmmunity Health Needs Assessment Implementatin Strategy Written Plan INTENTION: The Hspital f the University f Pennsylvania ( HUP ), Penn Presbyterian Medical Center ( PPMC ), and Pennsylvania Hspital ( PAH ) are licensed acute care hspitals and are each a cmpnent f the University f Pennsylvania Health System ( UPHS ) and Penn Medicine which is an perating divisin f The Trustees f the University f Pennsylvania. As nt-fr-prfit 501(c)(3) hspitals, HUP, PPMC, and PAH are cmmitted t identifying, priritizing and serving the health needs f the cmmunity they serve. In fulfillment f the Patient Prtectin and Affrdable Care Act, HUP, PPMC, and PAH cllabratively perfrmed a Cmmunity Health Needs Assessment ( CHNA ) under the auspices f UPHS and jintly prepared a written CHNA implementatin strategy ( CHIP ). The purpse f the CHNA is t identify and assess the health needs f, and take int accunt input frm peple wh represent the brad interests f the cmmunity served by HUP, PPMC, and PAH. On Octber 20, 2016, the Penn Medicine Bard delegated authrity t the HUP Bard f Trustees Executive Cmmittee t review and apprve the CHIP fr Fiscal Year 2016 fr HUP, which sets frth UPHS and HUP s assessment and implementatin strategies. The HUP Bard f Trustees Executive Cmmittee has reviewed the CHIP fr Fiscal Year 2016 as presented and as attached as Exhibit A. ACCORDINGLY, IT IS HEREBY RESOLVED, that the CHNA Implementatin Plan fr Fiscal Year 2016 as described in the freging Intentin is hereby apprved. FURTHER RESOLVED, that the prper fficers f HUP be, and each f them hereby is, authrized t execute and deliver such additinal dcuments, and t take such additinal actins as may be necessary r desirable in the pinin f the individual s acting, t effectuate the intent f the freging reslutin. Garry L. Scheib Octber 24, 2016 C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

2 THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM EXECUTIVE COMMITTEE OF THE BOARD OF MANAGERS Reslutin t Apprve the Hspital f the University f Pennsylvania, the Penn Presbyterian Medical Center, and Pennsylvania Hspital f the University f Pennsylvania Health System s Cmmunity Health Needs Assessment Implementatin Strategy Written Plan INTENTION: The Hspital f the University f Pennsylvania ( HUP ), Penn Presbyterian Medical Center ( PPMC ), and Pennsylvania Hspital ( PAH ) are licensed acute care hspitals and are each a cmpnent f the University f Pennsylvania Health System ( UPHS ) and Penn Medicine which is an perating divisin f The Trustees f the University f Pennsylvania. As nt-fr-prfit 501(c)(3) hspitals, HUP, PPMC, and PAH are cmmitted t identifying, priritizing and serving the health needs f the cmmunity they serve. In fulfillment f the Patient Prtectin and Affrdable Care Act, HUP, PPMC, and PAH cllabratively perfrmed a Cmmunity Health Needs Assessment ( CHNA ) under the auspices f UPHS and jintly prepared a written CHNA implementatin strategy ( CHIP ). The purpse f the CHNA is t identify and assess the health needs f, and take int accunt input frm peple wh represent the brad interests f the cmmunity served by HUP, PPMC, and PAH. The CHIP fr Fiscal Year 2016 sets frth UPHS and PAH s assessment and implementatin strategies. The PAH Bard f Managers, thrugh its Executive Cmmittee has reviewed the CHIP fr Fiscal Year 2016 as presented and as attached as Exhibit A. ACCORDINGLY, IT IS HEREBY RESOLVED, that the CHNA Implementatin Plan fr Fiscal Year 2016 as described in the freging Intentin is hereby apprved. FURTHER RESOLVED, that the prper fficers f PAH be, and each f them hereby is, authrized t execute and deliver such additinal dcuments, and t take such additinal actins as may be necessary r desirable in the pinin f the individual s acting, t effectuate the intent f the freging reslutin. Theresa M. Larivee Octber 24, 2016 C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ PAH UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

3 PENN PRESBYTERIAN MEDICAL CENTER TRUSTEE BOARD EXECUTIVE COMMITTEE Reslutin t Apprve the Hspital f the University f Pennsylvania, the Penn Presbyterian Medical Center, and Pennsylvania Hspital f the University f Pennsylvania Health System s Cmmunity Health Needs Assessment Implementatin Strategy Written Plan INTENTION: The Hspital f the University f Pennsylvania ( HUP ), Penn Presbyterian Medical Center ( PPMC ), and Pennsylvania Hspital ( PAH ) are licensed acute care hspitals and are each a cmpnent f the University f Pennsylvania Health System ( UPHS ) and Penn Medicine which is an perating divisin f The Trustees f the University f Pennsylvania. As nt-fr-prfit 501(c)(3) hspitals, HUP, PPMC, and PAH are cmmitted t identifying, priritizing and serving the health needs f the cmmunity they serve. In fulfillment f the Patient Prtectin and Affrdable Care Act, HUP, PPMC, and PAH cllabratively perfrmed a Cmmunity Health Needs Assessment ( CHNA ) under the auspices f UPHS and jintly prepared a written CHNA implementatin strategy ( CHIP ). The purpse f the CHNA is t identify and assess the health needs f, and take int accunt input frm peple wh represent the brad interests f the cmmunity served by HUP, PPMC, and PAH. The CHIP fr Fiscal Year 2016 sets frth UPHS and PPMC s assessment and implementatin strategies. The PPMC Bard f Trustees, thrugh its Executive Cmmittee has reviewed the CHIP fr Fiscal Year 2016 as presented and as attached as Exhibit A. ACCORDINGLY, IT IS HEREBY RESOLVED, that the CHNA Implementatin Plan fr Fiscal Year 2016 as described in the freging Intentin is hereby apprved. FURTHER RESOLVED, that the prper fficers f PPMC be, and each f them hereby is, authrized t execute and deliver such additinal dcuments, and t take such additinal actins as may be necessary r desirable in the pinin f the individual s acting, t effectuate the intent f the freging reslutin. Michele M. Vlpe Octber 27, 2016 C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ PPMC UPHS CHNA FY16 Plan Adptin Reslutin V2 (2).Dcx

4 Cmmunity Health Needs Assessment (CHNA) Implementatin Strategy Written Plan TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA AS OWNER AND OPERATOR OF THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, PENN PRESBYTERIAN MEDICAL CENTER, AND PENNSYLVANIA HOSPITAL 3400 SPRUCE STREET, PHILADELPHIA, PA FY 2016 I. General Infrmatin Cntact Persn: Gary Scheib, Executive Directr Date f Written Plan: Octber 19, 2016 Date Written Plan Was Adpted by Organizatin's Authrized Gverning Bdy: Octber 24, 2016 Date Written Plan Was Required t Be Adpted: Nvember 15, 2016 Authrizing Gverning Bdy that Adpted the Written Plan: Hspital f the University f Pennsylvania Bard f Trustees Executive Cmmittee, Penn Presbyterian Medical Center Bard f Trustees Executive Cmmittee, and Pennsylvania Hspital Bard f Trustees Executive Cmmittee, as delegated t it by Penn Medicine Executive Cmmittee per its delegatins frm the gverning bdies f the Trustees f the University f Pennsylvania, Penn Presbyterian Medical, and Pennsylvania Hspital. Was Written Plan Adpted by Authrized Gverning Bdy by End f Tax Year in Which CHNA was Made Available t the Public? Yes Date Facility's Prir Written Plan Was Adpted by Organizatin's Gverning Bdy: FY Name and EIN f Hspital Organizatins Operating the Hspital Facilities: Trustees f the University f Pennsylvania, EIN: Penn Presbyterian Medical Center, EIN: Pennsylvania Hspital, EIN: C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

5 Address f Hspital Organizatin: HUP, 3400 SPRUCE STREET PHILADELPHIA, PA PPMC, 51 N 39th St, Philadelphia, PA PAH, 800 Spruce St, Philadelphia, PA II. List f Cmmunity Health Needs Identified in Written Reprt Unmet health care needs f the residents f this service area include (in rder f pririty): A. Access t, and crdinatin f, preventative, primary, and specialty care services, and prescriptin drugs particularly fr lw-incme peple in the area; B. Access t behaviral health services fr adults, teens, lw-incme and uninsured individuals specifically fr addictin, depressin, r the aftermath f trauma; C. Access t dental care, specialty care fr adults and children; D. Barriers t navigating cmplex health systems; E. Transprtatin t health care settings especially fr thse with mbility challenges; F. Prgrams that address health behavirs that increase risk fr heart disease and cancer including smking, nutritin, and physical activity; G. Access t wmen s health service, especially access t prenatal care, and address lw-birth weight, prematurity and infant mrtality Unmet needs in this area als include increased educatinal and ther prgrams t address: A. Crdinatin f health imprvement and prmtin effrts with the cmmunity; B. Use f preventive care fr key causes f death, cardivascular disease and cancer, including fllw-up after screening fr cancer and hypertensin; C. Cultural and language barriers, particularly amng nn-english speaking ppulatins. C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

6 III. List f Cllabrating Organizatins List f Cllabrating Organizatins: Clinical Practices f the University f Pennsylvania The Clinical Care Assciates and Clinical Health Care Assciates f New Jersey University f Pennsylvania - Center fr Public Health Initiatives University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Children s Hspital f Philadelphia The Sutheastern Pennsylvania Cllabrative Opprtunities t Advance Cmmunity Health The City f Philadelphia The Health Federatin f Philadelphia and affiliated federally-qualified health centers Mercy Philadelphia Health System Mercy LIFE - Living Independently Fr Elders (LIFE) prgram University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Plice Public Health Management Crpratin Mental Health Assciatin f Sutheastern Pennsylvania Peple s Emergency Center University City District West Pweltn Cncerned Citizens Friends f 40th Street West Philadelphia Cmmunity Center Hebrew Immigrant Aid Sciety and Cuncil Migratin Service Lutheran Children and Family Service- lcal shelter fr wmen and children Sickle Cell Disease Assciatin f America - Philadelphia Delaware Valley Chapter Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers Philadelphia Plice Department District 18 Enterprise Center Cmmunity Develpment Crpratin Health Prmtin Cuncil f Philadelphia Cmmunity Legal Services Maternal Care Calitin Philadelphia Blck Captain s Assciatin Suthwest Cmmunity Develpment Crpratin Philadelphia Cuncilwman Janie Blackwell Philadelphia Department Human Services Pennsylvania Senate, District 7 Philadelphia Crpratin fr Aging St. Cyprian Rman Cathlic Church United Clergy f West Philadelphia The Enterprise Center CDC Cmmunities in Schls f Philadelphia, Inc. Actin AIDS Aid fr Friends MANNA Yuth Service, Inc. Health Start 52 nd Street Business Assciatin Family Practice & Cunseling Netwrk Health Annex Lancaster Avenue Business Assciatin C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

7 IV. Health Needs Planned t Be Addressed By Facility List f Health Needs the Facility Plans t Address A. Access t, and crdinatin f, preventative, primary, and specialty care services, and prescriptin drugs particularly fr lw-incme peple in the area; B. Access t care fr behaviral health cnditins and treatment ptins, particularly fr addictin, depressin, r the aftermath f trauma; C. Access t wmen s health service, especially access t prenatal care, and address lw-birth weight, prematurity and infant mrtality; D. Prgrams t crdinate access t care and use f health imprvement and prmtin effrts with the cmmunity; E. Educatinal prgrams t address: a. Health behavirs that increase risk f heart disease and cancer including smking, besity, and physical activity b. The imprtance f screening and preventive care fr cardivascular disease and cancer, particularly fllw-up after screening fr cancer and hypertensin. Facilities Addressing Need HUP PPMC PAH HUP PPMC PAH HUP PPMC PAH HUP PPMC PAH HUP PPMC PAH Identificatin and Descriptin f Hw Facility Plans t Address Each Health Need A. Access t, and crdinatin f, preventative, primary, and specialty care services, and prescriptin drugs particularly fr lw-incme peple in the area Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need The University f Pennsylvania Health System (UPHS) will help increase access t primary care services in its catchment area by increasing crdinatin f services in the Penn primary care netwrk, and cllabrate with cmmunity partners t increase access. UPHS prvides access t many specialists thrugh services prvided in the hspitals as well as thrugh cmmunity partnerships that expand patients access t UPHS specialists, particularly fr thse lw-incme patients wh receive primary care at cmmunity-based clinics and FQHCs. In this regard, HUP, PPMC & PAH, cllectively as part f UPHS, are each taking active rles and each devting their resurces t these activities. The UPHS has develped a primary care plan t increase primary care access UPHS partners with health centers in West Philadelphia t crdinate the delivery f care and help prvide inpatient and emergency care services fr peple in UPHS service area. There is an agreement fr Penn Medicine attending physicians t prvide services at The Crpral Michael J. Crescenz VA Medical Center in Philadelphia in several specialties. UPHS Nurse Primary Care Cnnectrs supprt patients after discharge by facilitating access t n-ging care services and cmmunity service prviders. UPHS supprts expanded residency slts that increase access t care and increase the pl f prviders in the cmmunity particularly at FQHCs. Residents als help prvide direct primary care and wmen s health services in the cmmunity C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

8 UPHS will cllabrate with cmmunity-based rganizatins, partner health care prviders (such as Mercy Health System and FQHCs), and cmmunity scial services prviders t identify and implement effective prgrams t imprve access t care: Penn Medicine, thrugh its primary care netwrk and Abramsn Cancer Center, will imprve access t screening fr breast, clrectal, cervical, and lung cancers thrugh crdinated utreach and in-reach prgrams at UPHS and at cmmunity partners; Penn Medicine, thrugh its primary care netwrk, The Nursing Outreach Prgram, Divisin f Endcrine and Diabetes, and thers will prvide screening fr diabetes, hypertensin, and smking thrugh crdinated UPHS-wide effrts and in cllabratin with cmmunity partners; Penn Medicine will cntinue t supprt patients with access t fllw-up care after screening fr cancer, r if identified with risk factrs fr cardivascular disease, including prviding navigatin services and supprt with scheduling appintments with specialist r fllw-up care such as clnscpy, clpscpy, diagnstic imaging, r cnsultatins Penn Center fr Primary Care at PPMC hsts a weekly refugee clinic targeted at the health needs and resettlement f patients wh have received plitical asylum in the United States, prviding medical care, vaccinatins, referrals and ther services, wrking clsely with the Hebrew Internatinal Aid Sciety and ther agencies. The PPMC Divisin f Infectius prvide nursing care, case management and care crdinatin, nutritinist, linkages t cmmunity service prviders, n-site utpatient pharmacy services, wellness events, and supprt grups. The Divisin als prvides early interventin, thrugh federal funding, fr HIV including prviding rapid HIV testing in the Emergency Department, inpatient units, in ur utpatient practice, and at cmmunity events and linking them t care. UPHS prvides ppulatin health management services such as in the Center fr Cmmunity and Ppulatin t identify peple with gaps in care fr cln cancer and lung cancer screening, smking cessatin, and timely treatment fr cancer, diabetes and hypertensin. UPHS prgrams will prvide services t patients with cmplex needs: The Pririty Access Prgram, a ppulatin health management prgram, supprted thrugh the Penn Medicine Center fr Healthcare Innvatin and the Center fr Cmmunity and Ppulatin Health, helps identify patient with cmplex needs wh verrely n the emergency department fr care and enables them t get access t primary care and services fr unmet scial needs that lead t lw-value care frm ptentially preventable readmissins IMPaCT s cmmunity health wrkers prgram helps patients schedule dctrs appintments and tests, btain medicatins and maintain adherence t treatment, and find child care, transprtatin, and shelter UPHS will cntinue t assist patients with access its specialty services including assistance with financial needs. Thrugh the Department f Clinical Resurce Management and Scial Wrk, and Financial Cunselrs, UPHS assists uninsured patients t apply fr Medicaid and Medical Assistance fr Wrkers with Disabilities with in-huse Financial Cunselrs and Patient Financial Advcates. UPHS als helps link patients t cmmunity based resurces and vendrs wh help patients access services after discharge frm the hspital. UPHS s Patient Authrizatin fr Secured Services (PASS) prgram in the Departments f Scial Wrk and Clinical Resurce Management prvides access t fllw-up care after discharge in UPHS fr uninsured patients; UPHS prvides free healthcare services r at a discunt t individuals residing in the primary care services area f a Penn Medicine prvider wh are in financial need, are nt eligible fr cverage by external surces f funding, have limited r n health insurance, and d nt qualify fr gvernment assistance; C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

9 UPHS prvides patients with infrmatin and assistance n reduced cst prescriptin prgrams frm pharmaceutical cmpanies and refer t state prescriptin drug prgrams fr adults wh d nt quality fr r d nt have prescriptin drug cverage. UPHS ffers eligible patients the Prescriptin Assistance Cntract fr the Elderly (PACE) and Prescriptin Assistance Cntract fr the Elderly Needs Enhancement Tier (PACENET) prgram thrugh eligibility identificatin during hspitalizatin. PACE and PACENET ffer lw-cst prescriptin medicatin t qualified residents, age 65 and lder. The Department f Scial Wrk and Clinical Resurce Management screens all patients fr PACE and PACENET eligibility and prvides assistance t apply t the prgram and refers t the PA Department f Aging, Benefits Data Trust, and Pennsylvania Health Law Prject. UPHS has established specific purpse funds t cver the cst f medicatins fr any hspitalized r bservatin patient withut prescriptin cverage fr their discharge medicatins, withut regard t the cst f medicatins fr thse eligible based n the incme and ther sciecnmic factrs, as determined by the Scial Services Department. The PPMC Divisin f Infectius Disease thrugh the federal Ryan White prgram cvers the csts f medical care fr uninsured patients living with HIV/AIDS and certain expensive medical tests fr patients withut insurance cverage. The Gift f Life Unifrm Organ Dnatin Cuncil is held n site at HUP and prvides access t transplantatin services. The multicultural ppulatin served by this facility is vast. UPHS is cmmitted t addressing the cultural needs f the patients and cmmunity that we serve. Sme f the many ppulatins that we serve include Latin, Chinese, Vietnamese, and West African. Prgrams and resurces that are currently available at the UPHS include: All patients will cntinue t have access t live interpreters; All patients will cntinue t have direct cntact with a certified medical interpreter via a telephne service (each nursing units has access t mre than ne telephne device and additinal are available as needed); All patients will cntinue t be prvided availability t have dcuments translated int written dcuments within a few hurs t ne business day; A UPHS Cultural Cmpetence Cmmittee (HCCC) creates envirnments that respect diverse perspectives, generate multiple alternatives, and develp new pssibilities fr delivering culturally apprpriate care; The Patient and Guest Services Department address specific interventins fr patients and their families; The Department f Pastral Care meets the spiritual needs f the multicultural ppulatin that we serve; Hspital signage is available in cmmn languages identified by ur cnsumers. Every autumn, Penn Asian Health Initiatives administers free influenza vaccines t uninsured and underinsured members f the Vietnamese American cmmunity and prvides health educatin n tpics such as cancer screening and preventin, diabetes, and hypertensin. Every autumn, UPHS administers free influenza vaccines t members f the cmmunity. Describe anticipated impact f cmmitted prgrams and resurces n the health need The abve described plan is part f a cmprehensive and crdinated strategy t address the multiple barriers t access primary and specialty care services thrugh UPHS and ur partners fr lw-incme peple in ur cmmunity. Our primary anticipated lng-term impact is t eliminate health disparities as identified in the CHNA and imprve Philadelphia s ranking in the health measures amng similar cities in the cuntry. The plan is anticipated t: C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

10 Imprve access t primary care and specialty services fr peple in ur cmmunity; Imprve the wellbeing f members f ur cmmunity t, in the lng-term, reduce the burden f disease, and increase access t educatin and ecnmic pprtunities; Reduce premature deaths frm cancer in the cmmunity; Reduce premature deaths frm cardivascular disease related t smking, hypertensin and diabetes in the cmmunity The impact f meeting the cultural needs f the patients that we serve will directly impact patient safety, and affect mrbidity and mrtality rates. Describe facility's pririties in meeting these needs The prvisin f excellent medical care underlies the missin f the UPHS. This missin is reflected in the cmmitted resurces acrss a multi-prnged apprach t address barriers t access t primary and specialty care. The pririty f the UPHS is t prvide accessible health care, health educatin, patient navigatin, and direct utreach t preventive disease, diagnse disease in a timely manner and prvide the highest quality f care that care that can btained in the wrld. It is a pririty f the UPHS t prvide admissin and treatment services t all individuals equitably, with dignity, respect and cmpassin withut regard t age, race, ethnicity, clr, natinal rigin, ancestry, genetic infrmatin, culture, sci-ecnmic status, dmestic r sexual vilence status, surce f incme, surce f payment, veteran status, religius creed, physical r mental disability, marital status, gender, gender rientatin, r sexual preference and in accrdance with the requirements f the Patient Prtectin and Affrdable Care Act. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need UPHS will create a cllabrative cmmunity benefit infrastructure fr cmmunity partnerships and engagement t direct, measure and catalyze activities t select pririties t imprving access t care, prvide health educatin, reduce lw-value care, and prvide culturally apprpriate services. This cllabratin with cmmunity-based rganizatins, partner health care systems (such as Mercy Health System and FQHCs), cmmunity services prviders, and ther entities in Penn Medicine will enable all parties t identify and implement effective prgrams t imprve access t care. Related rganizatins include but nt limited t: The Clinical Care Assciates and Clinical Health Care Assciates f New Jersey University f Pennsylvania Schl f Nursing -Healthy in Philadelphia Prgram Spectrum Health Center Bernett Jhnsn Sayre Health Center Healthy Philadelphia University f Pennsylvania Office f Gvernment Relatins University f Pennsylvania Netter Center fr Cmmunity Partnerships Mercy LIFE - Living Independently fr Elders Hspital f the University f Pennsylvania Nursing Cmmunity Outreach Advisry Health Prmtin Cuncil f Philadelphia Cmmunity Legal Services Philadelphia Legal Aid Maternal Care Calitin Philadelphia Plice Department District # 18 United Blck Captain s Assciatin Philadelphia Cuncilwman Janie Blackwell C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

11 Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy This plan was develped cllabratively with Penn Presbyterian Medical and Pennsylvania Hspital t crdinate effrts t maximize utcmes: The Clinical Care Assciates and Clinical Health Care Assciates f New Jersey Clinical Practices f the University f Pennsylvania The Clinical Care Assciates and Clinical Health Care Assciates f New Jersey Cmmunity primary care physicians University f Pennsylvania - Center fr Public Health Initiatives University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Children s Hspital f Philadelphia The Health Federatin f Philadelphia and affiliated federally-qualified health centers The Sutheastern Pennsylvania Cllabrative Opprtunities t Advance Cmmunity Health The City f Philadelphia Mercy Philadelphia Health System Public Health Management Crpratin The Philadelphia Department f Public Health Ambulatry Care Divisin B. Access t care fr behaviral health cnditins and treatment ptins, particularly fr addictin, depressin, r the aftermath f trauma Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need UPHS will cllabrate with cmmunity-based rganizatins, and partner health care and cmmunity scial services prviders t enable the cmmunity t identify and implement effective prgrams t imprve access t behaviral health care with a fcus n depressin/anxiety and substance abuse. In this regard, HUP, PPMC & PAH, cllectively as part f UPHS, are each taking active rles and each devting their resurces t these activities. UPHS behaviral health prgrams prmte empathy and understanding while increasing effective cmmunicatin with vulnerable cmmunity members and the mental health systems: Penn Medicine will imprve screening fr depressin; UPHS has implemented UPHS-wide prgrams t identify substance abuse particularly prescriptin drug abuse; UPHS will supprt integrated behaviral health services in primary care and ther services t increase access t treatment fr mental illness including trauma-infrmed care, leveraging the Penn s Center fr Integrated Behaviral Health in Primary Care, a partnership between the Department f Family Medicine and Cmmunity Health, the Department f Psychiatry, and the Schl f Nursing; UPHS prvides resurces t assist patients t gain access t treatment fr behaviral health services and pst-traumatic stress disrders including: Implementatin f system-wide screening and referral fr depressin; Building n nging ppulatin health prgrams t identify and prvide treatment fr depressin in primary care; Free mental health services fr veterans and their families; A new center t prvide treatment and research n Traumatic Brain Injury; Treatment services fr substance use disrders and participatin in the Pennsylvania Prescriptin Drug Mnitring Prgram t reduce the burden f prescriptin drug abuse and substance abuse; Penn Medicine will cntinue t supprt patients with access t fllw-up care after diagnsis with mental illness including prviding navigatin t behaviral health services PPMC supprts inpatient care fr behaviral health as well as an intensive utpatient C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

12 treatment prgrams. Thrugh partnership with the VA Medical Center in Philadelphia, veterans have access t treatment fr mental health disrders including trauma-induced disrders. UPHS cllabrates with ther trauma centers in the regin in the Health Hurt Peple prgram t prvide utreach and cunseling t victims f vilent crime t prevent recidivism. The PPMC Behaviral Health Prgram prvides inpatient and utpatient services fr mental health and addictin treatments as well as mental health prgrams fr lder adults. In cnjunctin with SAMSHA and the Philadelphia Department f Behaviral Health and Intellectual Disability Services, PAH established the Philadelphia Alliance fr Child Trauma Services (PACTS) as a cnsrtium f behaviral health and child serving agencies t: 1) increase screening fr traumatic stress symptms in child-serving prgrams such as pediatric emergency departments, primary care clinics, juvenile curt and child welfare sites; 2) prvide trauma-infrmed clinical assessments at child and adlescent behaviral health prgrams; 3) develp a crdinated netwrk f service prviders fr expeditius referral f children and families; 4) prvide early psttraumatic interventin t prevent the develpment f PTSD using CFTSI; and 5) prvide trauma-infrmed cgnitive behaviral therapy fr children and adlescents wh have PTSD with c-mrbid disrders and difficulties. The Crisis Respnse Center at PAH in partnership with the Philadelphia Department f Behaviral Health and Intellectual Disability Services supprts training fr all hmeless street utreach teams in the use f Narcan. UPHS cllabrates with plice departments t reduce cnflict during encunters between cmmunity members and individuals with mental illness including prviding training n a mnthly basis in cllabratin with plice n: weapn management, medical clearance, handcuff utilizatin, cmmitment cmpletin, cmmitment management n grunds f PAH, vluntary verses invluntary status in the cmmunity Describe anticipated impact f cmmitted prgrams and resurces n the health need The abve described plan is part f a cmprehensive and crdinated strategy t address the multiple barriers t treatment mental health cnditins including addictin, depressin, and the aftereffects f trauma. Our anticipated lng-term impact is t reduce lw-value care frm unmet behaviral health needs and reduce the burden f suicide and vilence in ur cmmunities. The plan is anticipated t: Increase the number f peple identified with depressin/anxiety r substance use disrder; Increase the number f peple receiving treatment fr depressin/anxiety r substance use disrder including trauma-infrmed care in ur cmmunity; Imprvement in disease scres (such as PHQ-9) in patients with depressin; Reduce the use f lw-value emergency department visits and ptentially preventable readmissins fr patients with mental health disrders; Imprve screening and prvisin f resurces fr victims f intimate partner vilence; Increase the ability f nurses and staff at the frefrnt f cmmunity utreach t prvide timely care fr peple with substance use disrders. Describe facility's pririties in meeting these needs The prvisin f excellent medical care underlies the missin f the UPHS; Penn Medicine s Department f Psychiatry and Primary Care Netwrk deeply cmmitted t imprving access t mental health services thrugh system-wide screening and treatment effrts as well as develp inventries f cmmunity resurces t enable the crdinatin f care; It is a pririty f the UPHS t prvide health care services t all individuals equitably, with dignity, respect and cmpassin withut regard t age, race, ethnicity, clr, natinal rigin, ancestry, genetic infrmatin, culture, sci-ecnmic status, dmestic r sexual vilence status, surce f incme, surce f payment, veteran status, religius creed, physical r mental C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

13 disability, marital status, gender, gender rientatin, r sexual preference and in accrdance with the requirements f the Patient Prtectin and Affrdable Care Act; Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need UPHS will create a cllabrative cmmunity benefit infrastructure fr cmmunity partnerships and engagement t direct, measure and catalyze activities t select pririties t imprving access t care, prvide health educatin, reduce lw-value care, and prvide culturally apprpriate services. This cllabratin with cmmunity-based rganizatins, partner health care systems, cmmunity services prviders, and ther entities in Penn Medicine will enable all parties t identify and implement effective prgrams t imprve access t behaviral health care. Related rganizatins include, but nt limited t: Clinical Practices f the University f Pennsylvania The Clinical Care Assciates and Clinical Health Care Assciates f New Jersey University f Pennsylvania Schl f Nursing -Healthy in Philadelphia Prgram The Health Federatin f Philadelphia The Sutheastern Pennsylvania Cllabrative Opprtunities t Advance Cmmunity Health The City f Philadelphia Spectrum Health Center Bernett Jhnsn Sayre Health Center Healthy Philadelphia University f Pennsylvania Office f Gvernment Relatins University f Pennsylvania Netter Center fr Cmmunity Partnerships Mercy LIFE - Living Independently fr Elders Hspital f the University f Pennsylvania Nursing Cmmunity Outreach Advisry Health Prmtin Cuncil f Philadelphia Philadelphia Plice Department District # 18 United Blck Captain s Assciatin Philadelphia Cuncilwman Janie Blackwell Drexel University Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy This plan was develped cllabratively with Penn Presbyterian Medical and Pennsylvania Hspital t crdinate effrts t maximize utcmes: Clinical Practices f the University f Pennsylvania The Clinical Care Assciates and Clinical Health Care Assciates f New Jersey Cmmunity primary care physicians The Health Federatin f Philadelphia The Sutheastern Pennsylvania Cllabrative Opprtunities t Advance Cmmunity Health The City f Philadelphia University f Pennsylvania - Center fr Public Health Initiatives University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Children s Hspital f Philadelphia The Health Federatin f Philadelphia and affiliated federally-qualified health centers Mercy Philadelphia Health System Public Health Management Crpratin The Philadelphia Department f Public Health Ambulatry Care Divisin Drexel University C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

14 C. Access t wmen s health services, especially prenatal care, and address lw-birth weight, prematurity and infant mrtality Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need UPHS, thrugh its extensive netwrk f inpatient and utpatient clinical services and partnerships, prvides timely prenatal care, family planning services, screening fr cancer and sexually transmitted diseases including HIV, and urgent and emergency bstetric care wmen. Services are als prvided thrugh established UPHS medical practices in the cmmunity and at FQHCs in West Philadelphia thrugh the departments f Family Medicine and Cmmunity Health, and Obstetrics and Gyneclgy. In this regard, HUP, PPMC & PAH, cllectively as part f UPHS, are each taking active rles and each devting their resurces t these activities. UPHS prvides care fr the wmen in the cmmunity including clpscpy services, a perinatal lss center, high-risk bstetrics services, adlescent bstetrics and gyneclgical services, and lactatin cnsultants. Immigrants wh are nt legally dcumented have access t healthcare at UPHS if pregnant. The Penn Medicine Breast Health Initiative/Healthy Wman Prgram prvides free SEPTA tkens fr patients t get t their appintment, translatr services, educatin abut breast cancer preventin, and assistance with appintment scheduling, and fllw up. The Philadelphia Safe Sleep Awareness Fr Every Well Newbrn (S.A.F.E.) prgram prvides safe sleep educatin and resurces t new parents at the HUP and PAH and partners with the Maternity Care Calitin n media utreach t prmte safe sleep practices. The prgram als engages ther Philadelphia hspitals t share resurces and adpt best practices. The Ludmir Center fr Wmen s Health at PAH prvides prenatal and gyneclgic care t the cmmunity and health wrker training. Baby friendly designatin at the UPHS (HUP and PAH) campuses prmte breast feeding t all wmen and ffers a warm line fr wmen t access resurces in the cmmunity. Describe anticipated impact f cmmitted prgrams and resurces n the health need The abve described plan is part f UPHS cmprehensive and crdinated prvisin f health care services t peple in the catchment area. Our primary anticipated lng-term impact will include: High uptake f HPV vaccinatin; Increase fllw-up f abnrmal Pap; Reduce prematurity rate; Reduce unwanted pregnancies; Reduced perinatal expsure t drugs f addictin; Imprve screening and prvisin f resurces fr victims f intimate partner vilence; Increased detectin f depressin/anxiety in pregnancy and pst-partum depressin. The baby friendly prgrams at HUP and PAH aim t reduce SIDS rate, childhd besity and imprve maternal health fr mthers Describe facility's pririties in meeting these needs UPHS is cmmitted t prviding and meeting the healthcare needs f the wmen f this service cmmunity. This effrt will be undertaken in partnership with the Departments f Family Medicine and Cmmunity Health, Obstetrics and Gyneclgy, and Psychiatry and the Clinical Practices f University f Pennsylvania. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

15 HUP, Department f Wmen s Health; UPHS will cntinue t cllabrate in wmen s health educatin activities at Cmmunity Health Fairs, including birth cntrl thrugh its cmmunity health utreach prgrams; Philadelphia Department f Public Health, Divisin f Maternal, Child, and Family Health; Health Federatin f Philadelphia and partner FQHCs; UPHS will cllabrate with the Maternity Care Calitin t imprve access t wmen s health services. Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Clinical Practices f the University f Pennsylvania The Clinical Care Assciates and Clinical Health Care Assciates f New Jersey Cmmunity primary care physicians University f Pennsylvania - Center fr Public Health Initiatives University f Pennsylvania Schl f Nursing - Healthy in Philadelphia The Health Federatin f Philadelphia and affiliated federally-qualified health centers Mercy Philadelphia Health System Public Health Management Crpratin The Philadelphia Department f Public Health Ambulatry Care Divisin D. Prgrams t crdinate access t care and use f health imprvement and prmtin effrts with the cmmunity Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need UPHS will supprt a prgram t crdinate effrts with cmmunity partners and align with nging prgrams such as the Penn Primary Care Netwrk, advancing Medicare Access and CHIP Reauthrizatin Act f 2015 (MACRA) initiatives, and effrts acrss multiple departments, centers (such as the Abramsn Cancer Center), and institutes in Penn Medicine and ther schls at the University f Pennsylvania. In this regard, HUP, PPMC & PAH, cllectively as part f UPHS, are each taking active rles and each devting their resurces t these activities. The prgram will: Cllabrate with cmmunity-based rganizatins t: Prvide health educatin n risk fr cancer, cardivascular disease and diabetes Prmte use f screening and fllw-up care fr cancer, diabetes, and hypertensin. Identify, enable and empwer peple and health wrkers t address unmet scial needs (such as fd insecurity and transprtatin) that affect health behavirs and/r restrict access t care, address factrs that affect cancer and heart disease risk, particularly smking and besity Help pilt screening fr health-related scial needs. The Cllabrative Opprtunities t Advance Cmmunity Health (COACH) in sutheastern Pennsylvania is an initiative spnsred by the Hspital and Healthsystem Assciatin f Pennsylvania that brings tgether hspital/health system, public health, and cmmunity partners t address cmmunity health needs. COACH has develped a shared implementatin strategy fr a healthy fd access pilt t a) screen fr fd insecurity in the clinical setting using a validated tw-item tl; and b) refer t cmmunity resurces, prgrams, and services t imprve access t healthy fd. UPHS will supprt this pilt prgram at select clinical sites t evaluate the effectiveness f addressing unmet health-related scial needs. UPHS is creating a website t link cmmunity members and Penn Medicine t identify needs and crdinate effrts; UPHS will cntinue cllabratins with cmmunity-based rganizatins and leaders including C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

16 nn-health care prfessinal, educatrs, and religius leaders, as well as ther health systems and hspitals t implement prgram t imprve access t care; In additin t the many prgrams and resurces available in UPHS, the Penn Medicine wrks cllabratively with cmmunity partners t meet access t care and health prmtin needs f multiple cmmunities. Sme examples include: Puentes de Salud (Bridges f Health) is a 501(c)3 nnprfit rganizatin that prmtes the health and wellness f Suth Philadelphia s rapidly grwing Latin immigrant ppulatin thrugh high-quality health care, innvative educatinal prgrams, and cmmunity building. The prgram trains health prmters t escrt patients t their visits and help patients n health care management plans. Healthy in Philadelphia Cmmittee, which versees utreach pprtunities in the lcal area, is a partnership between UPHS nursing and the lcal cmmunity t leverage cllective resurces t imprve the health f residents. Since 2011, PPMC has been a standing member f this rganizatin s First Thursday initiative, which enables nurses t meet regularly with blck captains t serve and educate the cmmunity. The Department f Family Medicine and Cmmunity Health will recruit a Divisin Chief fr Cmmunity Health as envisined in Penn Medicine s strategic plan t fcus effrts n cmmunity engagement, partnership building and identifying effective interventins t address needs f the cmmunity fr prmting health and well-being including effrts t imprve access t primary care, behaviral health care, and specialty care Describe anticipated impact f cmmitted prgrams and resurces n the health need Crdinated actin with the cmmunity with enable the cmmunity t develp shared visin and implement prgrams that address the highest pririties fr the cmmunity. Addressing scial determinants f health can help prmte health, increase the ability f peple t manage their health, and imprve use f high-value health services such as reducing ptentially preventable readmissins and emergency care. Meeting the cultural needs f the patient, thrugh enlisting them as the best teacher f their wn culture, will decrease misinterpretatins in cmmunicatin; written, verbal and nn-verbal. Describe facility's pririties in meeting these needs UPHS has made cmmitment t meeting the needs f the multicultural patient and cmmunity ppulatin that we serve. UPHS will create a cllabrative cmmunity benefit infrastructure fr cmmunity partnerships and engagement t direct, measure and catalyze activities t select pririties t imprving access t care, prvide health educatin, reduce lw-value care, and prvide culturally apprpriate services. This cllabratin with cmmunity-based rganizatins, health care prviders (such as Mercy Health System and FQHCs), cmmunity services prviders, and ther entities in Penn Medicine will enable all parties t identify and implement effective prgrams t imprve access t behaviral health care. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Cllabrative Opprtunities t Advance Cmmunity Health (COACH) City f Philadelphia Center fr Public Health Initiatives, University f Pennsylvania Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy The Sutheastern Pennsylvania Cllabrative Opprtunities t Advance Cmmunity Health Center fr Public Health Initiatives, University f Pennsylvania C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

17 E. Educatinal prgrams t address health behavirs that increase risk f heart disease and cancer including smking, besity, and physical activity Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need: The UPHS will supprt activities t prmte the health f the cmmunity with a particular fcus n besity, smking, and awareness f screening and fllw-up after screening. These activities will incrprate UPHS Blueprint fr Quality. In this regard, HUP, PPMC & PAH, cllectively as part f UPHS, are each taking active rles and each devting their resurces t these activities. UPHS Cmmunity Outreach Prgram in the Department f Nursing prvides educatinal utreach t the lcal cmmunity thrugh health fairs, lectures and arranging screenings f thse persns with n primary access t healthcare. Smking cessatin remains a tp pririty fr the health system as tbacc and tbacc prducts has a direct impact n ne s health. Smking assessment and cunseling is a mandatry dcumentatin field in the electrnic medical recrd f patients, t be cmpleted by healthcare prviders in the health system during patient encunters. Penn Medicine cmmitted t hiring nn-smkers nly. UPHS identifies patients with heart disease and cancer in the health system and als prvides educatin n general as well as their individual risk factrs fr heart disease and cancer. UPHS ffers peridic BP screenings at cmmunity health awareness events thrughut the year; prviding n site availability f prviders and assessment. Specific prgrams such as the Nursing Outreach Prgram, and prgrams in the Institute f Diabetes, Obesity, and Metablism, the Department f Family Medicine and Cmmunity Health, and at the Abramsn Cancer Center prvide screening fr hypertensin, diabetes, and cancer as well as educatinal prgrams n risk and preventative strategies fr cancer, smking, cardivascular disease and healthy nutritin and services fr weight lss. Every autumn, Penn Asian Health Initiatives prvides health educatin n tpics such as cancer screening and preventin, diabetes, and hypertensin. UPHS partners in the Annual West Philadelphia Cmmunity Wellness Day and spnsrs mre than 500 peple in the cmmunity attend t learn abut imprving their health and receive health screening. The event is in cllabratin with Cuncilwman Jannie L. Blackwell, the University f Pennsylvania Schl f Nursing, Healthy in Philadelphia, LIFE, and the University f Pennsylvania Office f Gvernment & Cmmunity Affairs and PPMC. Penn Medicine prvides resurces fr emplyees that are smkers like cunseling, nictine patches, and educatin n the physical and emtinal effects f tbacc use in pen frums. Describe anticipated impact f cmmitted prgrams and resurces n the health need Heart Disease is the leading cause f death and cancer is the secnd leading cause f death in the service area. Educatinal prgrams will raise awareness f heart disease and cancer, their risk factrs and way t reduce risk. Cessatin and reductin f tbacc and tbacc prducts will have a significant impact n the health f the patients served as well as reduce the effects f secnd hand smke t the same and their families. The UPHS treats a significant number f adult patients with the diagnsis f asthma. Smking, as well as ther envirnmental factrs. The reductin f emergency treatment, as well as inpatient admissins fr asthma, and COPD will imprve the health status f many affected individuals. Describe facility's pririties in meeting these needs Prvisin f infrmatin and educatin regarding the symptms f and risk factrs fr heart C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx

18 disease and cancer remain a pririty fr this medical center as they are the leading causes f death f residents in the service area. Physicians, nurses and ther licensed qualified staff members have been identified t carryut implementatin f the educatin. Leadership is meeting regularly with utreach team t mnitr plans and make imprvements where needed. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Philadelphia Department f Health n sharing educatinal resurces and health gals as well as website and written literature. Resurces fr lw cst r free educatinal prgrams are available. Health educatin and health screenings will be held at lcal, knwn cmmunity sites such as lcal churches, and the Sayre Mrris Recreatin Center We will als cllabrate the Bernett L. Jhnsn Sayre Health Center, United Cmmunities Clinic, and the ODUNDE Festival, a cmmunity festival that attracts ver 12,000 peple Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Philadelphia Department f Health Philadelphia District Health Center # 3 Philadelphia District Health Center # 4 Bernett L. Jhnsn, MD (Sayre) Health Center PENN Medicine CAREs ODUNDE 365 F. Educatinal prgrams t address the imprtance f screening and preventive care fr cardivascular disease and cancer, particular fllw-up after screening fr cancer and hypertensin Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need In this regard, HUP, PPMC & PAH, cllectively as part f UPHS, are each taking active rles and each devting their resurces t these activities. The Penn Medicine Clrectal Cancer Screening Navigatin Prgram was established in 2011 and serves peple ver 50 wh have received a prvider rder t underg clnscpy. The prgram prvides free assistance with Penn Medicine clnscpy scheduling, translatr services, prep materials, SEPTA tkens, and a persnal navigatr t escrt them t the GI endscpy suite nce they arrive at Penn Medicine. The Center fr Cmmunity and Ppulatin Health prvides mailed utreach clrectal cancer screening including telephne navigatin services t advance the 80 by 2018 natinal initiative. UPHS is creating a Ppulatin Science Center f Excellence at the Abramsn Cancer Center t characterize the ppulatin and identify appraches t increase use cancer preventin, screening and treatment in the cmmunity. Cut Hypertensin, perated by Penn medical students, prvides nsite bld pressure screening, referral and evidence-based recmmendatins fr men in West Philadelphia barbershps. The Institute f Diabetes, Obesity and Metablism and primary care physicians in Penn Medicine prvide cmprehensive services fr patients with diabetes, hypertensin, and besity including nutritin cunseling. PPMC hlds an Annual Cmmunity Health Fair that prvides health infrmatin, and CPR demnstratins t children, adults and senirs in West Philadelphia cmmunity. The prgrams include bld pressure screenings, nutritinal cunseling, medicatins, and physical activity. Describe anticipated impact f cmmitted prgrams and resurces n the health need C:\Users\Cpertw\Appdata\Lcal\Micrsft\Windws\Temprary Internet Files\Cntent.Outlk\3MTYEVIY\ HUP UPHS CHNA FY16 Plan Adptin Reslutin V2.Dcx