Posted on Friday, June 29, 2018 Wednesday, July 11, 2018 6:00 p.m. PLEASE TURN OFF OR SILENCE YOUR CELL PHONE UPON ENTERING THE MEETING ROOM AGENDA Board Community Relations Committee Meeting Palomar Medical Center Escondido Raymond Family Conference Room, 2 nd Floor 2185 Citracado Parkway, Escondido CA 92029 Time Form A Page CALL TO ORDER 6:00 Public Comments 1 15 6:15 Start 1. Information Item(s) * Approval: Palomar Health Board Community Relations Committee Meeting Minutes June 6, 2018 (ADD A Pp 3-17) 2 1 6:17 2. Standing Item: Foundation Update.. 8 6:25 3. Standing Item: Marketing Update.... 8 6:33 4. Behavioral Health Services Presentation (ADD B Pp 18-30). 15 2 6:48 5. Group Discussion/Population Health Strategy.. 30 7:18 6. Public Comments 1 15 7:33 ADJOURNMENT 1 7:34 Board Community Relations Committee Members -- **Voting Member **Dara Czerwonka, MSW, Chair **Jerry Kaufman, PTMA **Hans Sison, LVN **Diane Hansen, Interim President & CEO Sheila Brown, Chief Operations Officer Marketing Representative **Kirk Effinger, PHF Board Member Foundation Philanthropy Officer RN Representative **Alternate: Ray McCune, RN Community Engagement & Volunteer Development Tom Kumura, Patient Family Advisory Council Asterisks indicate anticipated action. Action is not limited to those designated items NOTE: If you have a disability, please notify us by calling 760.740.6323 72 hours prior to the event so that we may provide reasonable accommodations. 1 5 minutes allowed per speaker with a cumulative total of 15 minutes per group. For further details & policy, see Request for Public Comment notices available in meeting room.
Minutes Palomar Health Board of Directors Community Relations Committee Wednesday, June 6, 2018 TO: Palomar Health Board of Directors Community Relations Committee MEETING DATE: Wednesday, July 11, 2018 FROM: BY: BACKGROUND: BUDGET IMPACT: STAFF RECOMMENDATION: Nancy Calabria, Committee Assistant Sheila Brown, Chief Operations Officer The minutes of the Board of Directors Community Relations Committee meeting held on Wednesday, June 6, 2018 are respectfully submitted for approval (Addendum A). None Staff recommends approval of the June 6, 2018 Palomar Health Board of Directors Community Relations Committee meeting minutes. Committee Questions: COMMITTEE RECOMMENDATION: Motion: Individual Action: Information: Required Time: 1
Palomar Behavioral Health Services TO: Board Community Relations Committee MEETING DATE: July 11, 2018 FROM: Don Myers Background: Behavioral Health Services provides the full continuum of adult behavioral health services to include: consult & liaison; crisis stabilization, acute inpatient geriatric psychiatry, acute inpatient adult psychiatry; and adult intensive outpatient. Budget Impact: N/A Staff Recommendation: Committee Questions: COMMITTEE RECOMMENDATION: Motion: Individual Action: Information: Required Time: 2
ADDENDUM A 3
MEETING DATES MEMBERS BOARD OF DIRECTORS COMMUNITY RELATIONS COMMITTEE ATTENDANCE ROSTER 1/3/18 2/21/18 3/7/18 4/4/18 5/2/18 6/6/18 7/4/18 8/1/18 9/5/18 10/3/18 11/7/18 12/5/18 Dara Czerwonka, Chair X X C X X X Jerry Kaufman, Director X E A X X X Hans Sison, Director X X N E X X Diane Hansen, Interim President & CEO X X C E X X Kirk Effinger, PHF Board Member E X E X E X Ray McCune, Alternate Director - - L - - - STAFF ATTENDEES Sheila Brown, Chief Operations Officer - X L X X X Foundation Philanthropy Officer - - L X X X Community Engagement & Volunteer Development John Van Cleef X X E X X E Marketing Representative X D X X X RN Representative - X X Tom Kumura, Patient & Family Advisory Council X - X E X Nancy Calabria, Board Committee Assistant X X X X X INVITED GUESTS (see meeting minutes) 4
BOARD OF DIRECTORS COMMUNITY RELATIONS COMMITTEE MEETING MINUTES WEDNESDAY, JUNE 6, 2018 AGENDA ITEM CONCLUSION/ACTION FOLLOW UP / RESPONSIBLE PARTY FINAL? DISCUSSION CALL TO ORDER T The meeting held in the Palomar Medical Center Raymond Family Conference Center, 2185 Citracado Parkway, Escondido, CA 92029 was called to order at 6:00 p.m. by Chair Dara Czerwonka. AF ESTABLISHMENT OF QUORUM Quorum comprised of Director Czerwonka, Director Kaufman and Director Sison Excused Absences: None NOTICE OF MEETING There were no public comments * INFORMATION ITEMS D PUBLIC COMMENTS R Notice of meeting was posted at Palomar Health s Administrative Office. The meeting notice was also posted with the full agenda packet on the Palomar Health website on Friday, June 1, 2018 which is consistent with legal requirements 1. *Minutes: Board of Directors Community Relations Committee Meeting Wednesday, May 2, 2018 MOTION: By Director Kaufman; 2nd by Director Sison, and carried to recommend approval of the minutes of the Wednesday, May 2, 2018 meeting. All in favor. None opposed. No Discussion 2. Standing Item: Foundation Update Ron Mirenda, Interim Director of Foundation provided the following update: During May, the Foundation received $750,000; which has pushed year-to-date $2.24 million in fundraising 5 NA Y
BOARD OF DIRECTORS COMMUNITY RELATIONS COMMITTEE MEETING MINUTES WEDNESDAY, JUNE 6, 2018 AGENDA ITEM CONCLUSION/ACTION FOLLOW UP / RESPONSIBLE PARTY FINAL? DISCUSSION Palomar Health Foundation sent out letter after FHS pinwheel event using a survivor story; are currently receiving gifts from that. Another letter will go out in June Foundation has partnered with Home Health to create a mini-campaign to include: hosting a cultivation event for their patients and family members in October, to include a program featuring a physician, social worker and Joe Parker, Director of Home Health, who will announce the fund he and his team created to provide underfunded patients the opportunity to stay in their home during the healing process 3. Standing Item: Marketing Update T Bobette Brown, Director Marketing Communication and Public Relations, provided marketing update to include: May Classes: Community classes attended by 612 people, highest attendance. Top 3 classes attended were related to atrial fibrillation (57 attended), active shooter (57 attended), and tinnitus (39 attended) Marketing has done a brand perception study; results should be available next week Palomar Health posted the Laurel versus Yanny video with additional brief education narrative from a Palomar Health audiologist. This video went viral and international. Most successful social video yet. Palomar Health was only health system who localized and put a doctor behind it 4. Media Strategy AF Bobette Brown, Director Marketing Communication and Public Relations, and Derryl Acosta, Manager, Public Relations, provided media and public relations strategy (per attached presentation): Provided insight as to how Palomar Health responds to negative media and approach to media relations strategy. Media is made up of many different channels: print, TV, radio, digital, etc. The best approach to media relations is to be proactive, timely and transparent in both positive and negative press. Media is about building relationships, but is often unpredictable. The public relations strategy consists of goals to publish, pitch and acquire positive media stories each month. Over the past five months, 79% of Palomar Health s media stories have been positive. The overall goal is to build brand awareness and work to find and sell the stories that will benefit Palomar Health Also advised the group to inform them of any Palomar Health stories that are potentially newsworthy and let them determine if and how to present the story Y D R 5. Forensic Health Services Michelle Shores, Director Forensic Health Services, and Christina Shultz, Supervisor Forensic Social Workers, provided presentation on our Forensic Health Services program, services performed and locations. They are full-functioning forensic health center, providing forensic medical exams, sexual assault exams and forensic interviews, utilizing multidisciplinary team approach. 6 Y
BOARD OF DIRECTORS COMMUNITY RELATIONS COMMITTEE MEETING MINUTES WEDNESDAY, JUNE 6, 2018 AGENDA ITEM CONCLUSION/ACTION FOLLOW UP / RESPONSIBLE PARTY FINAL? DISCUSSION 6. North Region First 5 First Steps Home Visiting Program Shirin Strauss, Manager First Steps Program, provided presentation on the First 5 First Steps home visiting program, which is grant-funded by First 5 San Diego, who funds programs from the California tobacco tax. Services are directed towards low-income, military, immigrant and refugee families, and teens (all expectant moms, not just first-time moms). They provide services to all of North County, some of which include home visits, educational workshops, learning groups and family events Y AF T 7. Healthy Development Services Cindy Linder, Regional Coordinator, Healthy Developmental Services North Inland, provided presentation on Healthy Development Services. This program provides health-oriented services at no cost to children aged 0-5, living in San Diego County. Services include developmental and behavioral as well as parent workshops and care coordination. These services are targeted towards children with mild to moderate needs, who otherwise may not receive the care they need. This program is funded at just shy of $2 million per year, also funded by First 5 San Diego 8. Corporate Health Community Connection Russ Riehl, Director Employee, Corporate, and Retail Health, provided a presentation on Corporate Health s Occupational Medicine program. Corporate Health has provided employment related medical services to more than 850 employers in Palomar Health s primary and secondary service area this fiscal year. The services include employment exams, drug screening, vaccinations programs, workers compensation injury care, and other work required medical screenings. The businesses working in the districts primary and secondary service areas employ more than 350,000 employees. The program s goal is to leverage these employer relationships to brand and drive downstream services to the system and local primary care groups supporting the system Y Y D R 9. Group Discussion/Implications for Population Health Strategy Dara initiated conversation on population health strategy. She is struck that we go from prevention to acute to chronic, and holistic, touch all aspects. Palomar Health works with families from birth to death. We are an important player in this region and do so many great things, but so much opportunity remains. She hopes for us to be intentional in coordination. 7 N
BOARD OF DIRECTORS COMMUNITY RELATIONS COMMITTEE MEETING MINUTES WEDNESDAY, JUNE 6, 2018 AGENDA ITEM CONCLUSION/ACTION FOLLOW UP / RESPONSIBLE PARTY FINAL? DISCUSSION PUBLIC COMMENTS There were no public comments FINAL ADJOURNMENT Meeting adjourned at 07:53 p.m. by Committee Chair Czerwonka COMMITTEE CHAIR SIGNATURES: COMMITTEE SECRETARY Dara Czerwonka, MSW Nancy Calabria DRAFT 8
Passion. People. Purpose. TM Media Strategy Bobette Brown Marketing Director Derryl Acosta Public Relations Manager June 6, 2018 9 1 1
Why We re Here Recent negative press Discuss media strategy Function of media relations 10 2
What is Media? Media is many things: print, TV, radio, digital, etc. Paid vs Unpaid Media Buy vs PR Plan media: (noun) the main means of mass communication (broadcasting, publishing, and the Internet), regarded collectively. 11 3
Public Relations Strategy Annual Goals Publish 6+ positive stories per month Pitch 5+ positive stories per month Acquire 8+ media hits each month Public Relations vs Media Relations Media is Unpredictable 12 4
What Does the Media Want? If it bleeds, it leads. Timely, relevant, prominent stories Goals are not aligned Feel Good stories fall to the bottom 13 5
What We Give Them Trust and transparency Responsive during good and bad News = people Healthcare experts and patients 14 6
How We Do It Focus on local outlets Phone calls and press releases Healthy Matters column Original content posted on website and social media Reduced C-Sections story example 15 7
Results May Spring Allergies Survey Update CEO Appointment Nurse & Physician of the Year ARU burn patient success story Robotic Surgery Trends C-Section Rates (pending) April Coffee Causing Cancer FHS Pinwheel Event Active Shooter Class Sexual Harassment Case Survey Response March Community Class Listing Pod D Ribbon Cutting Sisters give birth at Poway Healthy Cooking Class February Flu Clinics Hip replacement patient success story PMC Downtown Escondido Sale Pathmaker student success story January National Flu Coverage Flu Clinics Privacy Breach Reducing Senior Admissions in ED First Poway Baby Born PMC Downtown Escondido Sale Update Organizational Restructure Ortho & Spine Center Reducing Opioid Use 79% positive 16 8
Questions 17 9
ADDENDUM B 18
Passion. People. Purpose. TM Board Community Relations Committee Behavioral Health Services Update Don Myers, MSW, LCSW, MBA Director, Behavioral Health Services July 11, 2018 19 1 1
Background Full continuum of adult psychiatric services LPS (Lanterman Petris Short) designation Recent remodel of inpatient psychiatric units to meet stringent ligature resistant regulatory standards Strong community and statewide partnerships Roll out of staff Wellness & Recovery training beginning in September 2018 2 20
Palomar Health Behavioral Health Services Inpatient Behavioral Health Services Palomar Medical Center Downtown 14 Acute Adult beds (staffing only 11 beds) 11 Older Adult beds Historically runs at full capacity Palomar Medical Center Poway 12 acute Gero Psychiatric beds Phase I remodeled rooms (5 beds) complete and staffed Phase II remodeled rooms (7 beds) to be completed mid August 2018 Historically runs at full capacity 3 21
Palomar Health Behavioral Health Services Outpatient Behavioral Health Services Intensive Outpatient Program Serves adult and older adults Offers Day Program Located in San Marcos Patient attendance two to three days a week Crisis Stabilization Unit (San Diego Grant Funded Partnership) 8 recliner chairs at Downtown campus current status 16 recliner chair at Escondido campus future status Open 24 hours a day, seven days a week Relocation to new modular building adjacent to the Emergency Department at Palomar Medical Center Escondido February 2019 Title 9 California Code of Regulations requirement less than 23 hrs & 59 min Length of stay reimbursed up to 20 hours 4 22
Palomar Health Behavioral Health Services Consultation/Liaison Services Psychiatrists and Behavioral Health Liaisons evaluate patients with behavioral health issues in: Emergency Departments focus on medical clearance for: Inpatient Behavioral Health admission, Transfer to the Crisis Stabilization Unit or another facility Discharge to home or placement in the community Acute Care Units at Palomar Medical Center Escondido and Palomar Medical Center Poway Villa Pomerado Skilled Nursing Facility Acute Rehabilitation Unit at Palomar Medical Center Downtown 5 23
Mental Health Facts One in four Americans experiences a mental illness or substance abuse disorder each year; half will experience a Behavioral Health disorder in their lifetime Behavioral Health conditions (mental illness and substance abuse) are the leading cause of disability and death for women and the second highest cause for men Source: NIMH National Institute of Mental Health Disorders, Part of the National Institute of Health 2014 24 6
Statewide Psychiatric Bed Status 1995 2015 30% decrease in adult psych beds (2800) 11% decrease in child/adolescent beds (80) 24% decrease in adult psych facilities (44) 6.5% decrease in child/adolescent facilities (2) 43% increase in adult bed gap (50 bed/100,000 need, 29.5 bed/100,000 actual) 4% increase in child/adolescent bed gap 20% population gain (7 million) 25 7
Current San Diego County Bed Status San Diego County Public and Private Hospitals 648 Adult Psychiatric beds 65 Child/Adolescent Beds Scripps has plan to temporarily close beds during construction/renovation (36 beds) UCSD has plan to temporarily close beds during construction/renovation (32 beds) San Diego County Hospital has one closed 22 bed unit Tri City recently announced permanent closure of 18 bed adult acute inpatient bed unit and 8 chair Crisis Stabilization unit by September 2018 8 26
Behavioral Health Services Climate San Diego County s hospitals are overtaxed for inpatient behavioral health beds (6 8 behavioral health patients boarding in ED s for days awaiting Behavioral Health beds) Over 4,500 emergency department behavioral health assessments are seen in Palomar Health s Emergency Departments annually (increasing 10% annually); 35 40% are admitted for inpatient mental health treatment At times, patients needing treatment wait for extended periods of time in Palomar Health Emergency Departments due to limited beds and placement/referral options 27 9
Impact on Emergency Departments Delayed treatment of urgent psychiatric condition Wait times/emergency Department Throughput Wrong setting despite Emergency Department Providers and Staff doing all they can Wasted resources Cost (RNs, sitters, security and space) Insufficient resources post discharge Increased safety risk for staff and patients High recidivism 10 28
Behavioral Health Services Opportunities Exploring Feasibility of Joint Venture Preliminary assessment for Palomar Health service area shows current demand at 33 additional beds above current level Proposed Freestanding Psych Pavilion of 118 beds (135 beds in 5 years) 11 29
Thank You 12 30