Adventist Health Hanford & Selma 2017 Community Plan Update/Annual Report
Table of Contents Adventist Health Overview... 3 Letter from the President... 4 Adventist Health Hanford... 5 Community Health Development Team... 7 Invitation to a Healthier Community... 8 2017 Community Benefit Inventory... 9 Connecting Strategy and Community Health... 14 2017 Annual Community Health Plan Update 2
Adventist Health Overview Adventist Health Hanford & Selma are an affiliate of Adventist Health, a faith-based, nonprofit integrated health system serving more than 75 communities on the West Coast and Hawaii. Adventist Health entities include: 19 hospitals with more than 2,800 beds More than 280 clinics (hospital-based, rural health and physician clinics) 13 home care agencies and seven hospice agencies Four joint-venture retirement centers Workforce of 33,000 includes more than 24,600 employees; 5,000 medical staff physicians; and 3,700 volunteers We owe much of our heritage and organizational success to the Seventh-day Adventist Church, which has long been a promoter of prevention and whole person care. Inspired by our belief in the loving and healing power of Jesus Christ, we aim to bring physical, mental and spiritual health and healing to our neighbors of all faiths. Every individual, regardless of his/her personal beliefs, is welcome in our facilities. We are also eager to partner with members of other faiths to enhance the health of the communities we serve. Our commitment to quality health care stems from our heritage, which dates back to 1866 when the first Seventh-day Adventist health care facility opened in Battle Creek, Michigan. There, dedicated pioneers promoted the radical concepts of proper nutrition, exercise and sanitation. Early on, the facility was devoted to prevention as well as healing. They called it a sanitarium, a place where patients and their families could learn to be well. More than a century later, the health care system sponsored by the Seventh-day Adventist Church circles the globe with more than 170 hospitals and more than 500 clinics, nursing homes and dispensaries worldwide. And the same vision to treat the whole person mind, body and spirit continues to provide the foundation for our progressive approach to health care. 2017 Annual Community Health Plan Update 3
Letter from the President Dear Friends and Colleagues, For more than 100 years, Adventist Health has provided faith-based whole person care to the more than 75 communities we serve in California, Hawaii, Oregon and Washington. Community is at the heart of Adventist Health s mission of Living God s love by inspiring health, wholeness and hope. Our efforts are guided by the understanding that our patients are our friends, family and neighbors. We want to inspire our loved ones to live healthier lives, nurture their mind, body and spirit and hope for a future of better health. The Community Health Plan is one way we put our mission into action. Each year, we review and update our Community Health Needs Assessment to ensure that our services at Adventist Health in Hanford, Selma, Reedley and more than 20 other rural communities across the San Joaquin Valley meet the needs of our communities. Since we serve multiple and diverse areas with a variety of needs and challenges, we depend on our communities and community partners to help us identify our most pressing health needs and utilize existing resources to improve health outcomes. Together, we can stop the root causes of preventable conditions, such as diabetes and obesity, and build healthier communities. We hope you ll join us in creating a community that we can all be proud of. Sincerely, Andrea Kofl President Adventist Health in the Central Valley 2017 Annual Community Health Plan Update 4
Adventist Health Hanford Adventist Health Hanford Number of Beds: 142 Mailing Address: 115 Mall Drive, Hanford CA 93230 Contact Information: Andrea Kofl, President Existing healthcare facilities that can respond to the health needs of the community: 24-hour Emergency Services Breast Care Center Cardiac Catheterization Laboratory Cardiopulmonary Services Chaplain Services Dialysis Services Family Birthing Center Inpatient and Outpatient Imaging Inpatient and Outpatient Laboratory Inpatient and Outpatient Surgery Intensive Care Services Lung Care Center Medical/Surgical Nursing Care Physical Therapy Cancer Center Sleep Apnea Center Social Services Intensive Care Neonatal Nursery Physicians Network 2017 Annual Community Health Plan Update 5
Adventist Health Selma Adventist Health Selma Number of Beds: 57 Mailing Address: 1141 Rose Ave, Selma CA 93612 Contact Information: Andrea Kofl, President Existing healthcare facilities that can respond to the health needs of the community: 24-hour Emergency Services Chaplain Services Inpatient and Outpatient Imaging Inpatient and Outpatient Laboratory Inpatient and Outpatient Surgery Medical/Surgical Nursing Care Physical Therapy Social Services 2017 Annual Community Health Plan Update 6
Community Health Development Team Nina Cornell Plata, RN, BSN, MS Network Vice President Population Health Rebecca Russell, MPH, RD Community Wellness Director Maricela Gonsalves Comprehensive Perinatal Health Worker CHNA/CHP contact: Rebecca Russell, MPH, RD RusselRA@ah.org (559) 537-0083 Community Wellness Director 1524 W Lacey Blvd, Suite 205, Hanford CA 93230 Request a paper copy from Administration/President s office. To provide comments or view electronic copies of current and previous community health needs assessments go to: AdventistHealth.org/communitybenefit or https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx 2017 Annual Community Health Plan Update 7
Together Inspired Invitation to a Healthier Community Fulfilling AH s Mission Where and how we live is vital to our health. We recognize that health status is a product of multiple factors. To comprehensively address the needs of our community, we must take into account health behaviors and risks, the physical environment, the health system, and social determinant of health. Each component influences the next and through strategic and collective action improved health can be achieved. The Community Health Plan marks the second phase in a collaborative effort to systematically investigate and identify our community s most pressing needs. After a thorough review of health status in our community through the Community Health Needs Assessment (CHNA), we identified areas that we could address through the use of our resources, expertise, and community partners. Through these actions and relationships, we aim to empower our community and fulfill our mission, Living God s love by inspiring health, wholeness and hope. Identified Community Needs The results of the CHNA guided the creation of this document and aided us in how we could best provide for our community and the most vulnerable among us. As a result, Adventist Medical Center-Hanford and Adventist Medical Center - Selma have adopted the following priority areas for our community health investments for 2017-2019: Access to Care Breathing Problems (Asthma) Diabetes Mental Health and Substance Abuse Obesity Additionally, we engage in a process of continuous quality improvement, whereby we ask the following questions for each priority area: Do our interventions make a difference in improving health outcomes? Are we providing the appropriate resources in the appropriate locations? What changes or collaborations within our system need to be made? How are we using technology to track our health improvements and provide relevant feedback at the local level? Do we have the resources as a region to elevate the population s health status? Building a healthy community requires multiple stakeholders working together with a common purpose. We invite you to explore how we intend to address health challenges in our community and partner to achieve change. More importantly though, we hope you imagine a healthier region and work with us to find solutions across a broad range of sectors to create communities we all want for ourselves and our families. 2017 Annual Community Health Plan Update 8
OUR MISSION: Living God s love by inspiring health, wholeness and hope 2017 Community Benefit Inventory In 2016 Adventist Health Hanford & Selma conducted a community health needs assessment and was followed by a 2017 Community Health Plan (Implementation Plan) that identified the priority needs listed below. The prioritized needs were chosen based on community health data and the voices of our community. In collaboration with our community are making progress towards improving community health by the activities outlined below for 2016 Priority Need Access to Care Intervention: Childbirth and Breastfeeding Classes for expecting mothers and fathers. o Number of Community Members Served: 288 Intervention: Senior Picnic in the Park outreach and education of available services to seniors in Kings County. o Number of Community Members Served: 200 Intervention: Senior Nutrition Program including Meals on Wheels for homebound seniors and Congregate Meals services for Kings County Senior Centers. o Number of Meals Served: 26,921 Intervention: A Time to Heal a 12-week support group program for those battling cancer. o Number of Community Members Served: 72 Partners Kings County Breastfeeding Coalition Kings County Commission on Aging Kings County Health Department - Comprehensive Perinatal Services Program Priority Need Diabetes Intervention: Diabetes Among Friends, a five-week diabetes self-management education curriculum in English and Spanish from Scripps University, debuted in our rural health clinics in July 2017. o o 17 cohorts were offered throughout the network. 95 people successfully completed a 5 week diabetes self-management education course. 2017 Annual Community Health Plan Update 9
OUR MISSION: Living God s love by inspiring health, wholeness and hope Intervention: Diabetes Among Friends Train the Trainer so that point of care education could be provided to patients who have diabetes. o 24 health care professionals were trained in the curriculum Intervention: Diabetes Case Management o Certified Diabetes Educators work as case managers for high risk rural health clinic patients with diabetes. High risk is defined as HgA1c greater than 9.0, LDL greater than 100 and blood pressure greater than 140/90. Educators work to help patients manage their diabetes including education and support with medications and clinic appointments. Partners Scripps Whittier Diabetes Institute Fresno Community Health Improvement Collaborative Diabetes Workgroup Kings County Diabesity Coalition Madera County Health Department DSME Advisory Group Kings Partnership For Prevention 2017 Impact Metrics Objective Increase number of patients with HgbA1c 8% Baseline Measurement 2017 Actual 32% 38.7% 59% Performance Target Indicator % of patients with a HgbA1c indicating controlled diabetes Data Source HEDIS measure Program highlight Diabetes Among Friends is taught in a support group atmosphere. One of our Spanish speaking cohorts had a woman who was homebound and only ate food that neighbors brought her to eat, which consisted of beans, rice and tortillas. She insisted that her glucometer did not work because all it ever said was HI. During the course of the class, this individual learned that HI means that her blood sugar level was too high for the glucometer to measure. Through learning healthy eating behaviors and freezing food so that it would not bad rather than eat it all at once, her blood sugar on the last class was less than 100, well within the normal blood sugar range. 2017 Annual Community Health Plan Update 10
OUR MISSION: Living God s love by inspiring health, wholeness and hope Priority Need #3 Obesity Intervention: Athletic Training and sports physicals partnership with local schools to provide sports physicals and injury prevention at high school games. Goal to increase physical activity amongst youth and prevent injuries in an effort to combat obesity. Intervention: Kings County Diabesity Symposium a day long education for health care professionals discussing the prevention and treatment of obesity and diabetes. Partners o Number of Community Members Served: 49 Kings County Diabesity Coalition Hanford Joint Union School District Kings County Department of Public Health 2017 Impact Metrics Objective Decrease Obesity Rates Baseline Measurement Fresno County: 26.5%; Kings County: 26.4% 2017 Data No New Data Available Performance Target California Average: 22.4% Indicator Percentage of adults with BMI > 30 Data Source CDC 2013 data www.chna.org Program highlight Athletic Trainer partnering with local schools: Adventist Health has an athletic trainer, Andy Taylor, who partners with local high schools and provides sports physicals, and support services to student athletes during games and practices. He is often accompanied by Dr. Verioti, Orthopedic surgeon and Larry Jones, Director of Rehabilitation Services. Andy has been working with Hanford and Reedley schools to improve safe physical activity options and combat the obesity epidemic. Priority Need #4 Breathing Problems (Asthma) Intervention: Freedom from Smoking - a seven-week smoking cessation class developed by the American Lung Association. o Number of Community Members Served: 7 people participated in the program. Intervention: Better Breather s Club a support group for those living with chronic lung diseases including asthma, COPD, pulmonary fibrosis, sleep apnea, allergies and any other lung health issue. o Number of Community Members Served: 145 2017 Annual Community Health Plan Update 11
OUR MISSION: Living God s love by inspiring health, wholeness and hope Intervention: Respiratory Therapy Educator who works with patients from the inpatient setting through outpatient and home visits. He was recently able to help a patient go from a smoker unable to walk through quitting and being able to walk around freely. Partners Kings County Asthma Coalition American Lung Association Kings County Tobacco Prevention Partnership Central California Asthma Collaborative Kings Partnership For Prevent 2017 Impact Metrics Objective Decrease Adult Smoking Rates Baseline Measurement Fresno County: 13.5%; Kings County: 12.6% 2017 Data No New Data Available Performance Target California Average: 12.8% Indicator Percent Adult Population Smoking Cigarettes Data Source CDC 2006-2012 data source www.chna.orgjj Program highlight Better Breather's Club: the first and only lung health support group in Kings County for anyone with a chronic lung disease including COPD, Asthma, Pulmonary Fibrosis, Sleep Apnea, undiagnosed lung diseases, etc. Facilitated by Rebecca Russell, Community Wellness Director, this group has been meeting monthly since March 2016. Members not only look forward to learning about ways to improve their own lung health, but the mostly look forward to seeing each other. In fact, they spend so much time talking, we had to extend our meeting times to accommodate the speakers as well as all the supportive conversations amongst these friends. Priority Need #5 Mental Health and Substance Abuse Intervention: Respite bed services for hospitalized patients who need a safe place to discharge who are homeless or inadequately housed and substance abusing. Intervention: Project Homeless Connect an annual event providing services for the homeless including medical care, hygiene, dog vaccinations, bike repair, haircuts, state ID and social services, etc. o Number of Community Members Served: 256 2017 Annual Community Health Plan Update 12
OUR MISSION: Living God s love by inspiring health, wholeness and hope Program highlight Project Homeless Connect: Every January, Kings and Tulare Counties partner for a point in time homeless services day. Adventist Health is proud to partner with our residency clinic and Project Homeless Connect in providing health screening to those in need who attend the annual event. This helps address access to care as well as provide services to homeless and mental health patients in our communities. Partners Kings County Wellness Bridge Champions Recovery Programs KARELink Kings County Behavioral Health Kings Gospel Mission Kings Community Action Organization Kings Tulare Homeless Alliance Kings United Way Kings Partnership For Prevention Kings County Department of Public Health Other Community Benefit Activities Intervention: Safe Kids Day an annual event that teaches first graders in Kings County how to stay safe. Adventist Health s booth was handwashing with the message Clean Hands are Safe Hands!. o Number of Community Members Served: 1100 Intervention: Car Safety Seat Checks provided by Security Department staff who are trained and certified car safety seat technicians. Offering services at the Adventist Health Hanford - Family Birth Center. o Number of Community Members Served: 158 Intervention: Discover Healthcare an annual healthcare career education program offered to local high school students to learn about different healthcare career opportunities. o Number of Community Members Served: 100 Intervention: Bringing Broken Neighborhoods Back to Life an effort to connect Selma residents with education and resources to help the community thrive. Partners o Number of Community Members Served: 1000 Safe Kids Kings County Kings Partnership for Prevention 2017 Annual Community Health Plan Update 13
OUR MISSION: Living God s love by inspiring health, wholeness and hope Connecting Strategy and Community Health As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Health systems must now step outside of the traditional roles of hospitals to begin to address the social, economic, and environmental conditions that contribute to poor health in the communities we serve. Bold leadership is required from our administrators, healthcare providers, and governing boards to meet the pressing health challenges we face as a nation. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. Population health is not just the overall health of a population but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced. Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages: 1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes. Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety and 3) Advance care coordination across the health care continuum. Our mission as a health system is Living God s love by inspiring health, wholeness and hope, we believe the best way to re-imagine our future business model with a major emphasis of community health is by working together with our community. 2017 Annual Community Health Plan Update 14