Care in Action 2016 Community Benefits Report

Care in Action 2016 Community Benefits Report

Bay Area Hospital Tom McAndrew, MD, Chair Donna Rabin, MD with Bay Area Hospital Board Members Focusing on Mental Health in Our Area Why is the issue of mental health gaining so much attention these days? Donna Rabin There are probably multiple reasons. We have a better understanding of mental health disorders; we are far beyond where we were, say, 20 years ago. In addition, I think that almost everyone is close to someone who is dealing with mental health issues a family member, a friend, a neighbor, or a business associate. It affects everybody. Tom McAndrew And we re talking about it now as a brain disease, rather than as a characterological flaw. That s a step in the right direction. But I think it s a combination of things. Part of it is funding and part of it is that it is becoming part of the national conversation. What can the hospital do to help in this area of concern? Donna Rabin The hospital is a key player in this community, and mental health is a community issue. It involves everybody, and it requires a tremendous amount of collaboration. Bay Area Hospital is in a perfect position to help facilitate that collaboration, as well as provide key services. 2

2016 Community Benefits Report Doesn t the hospital already offer psychiatric services for the community? Tom McAndrew Yes, we do have both inpatient and outpatient care. The adult inpatient unit, currently an 11-bed acute care facility inside the hospital, treats a variety of psychiatric disorders, including addictions, schizophrenia, bipolar disorder, PTSD (post-traumatic stress disorder), and anxiety. And I m very pleased to say that we ve recently committed to expanding our inpatient unit. That will allow routine patients and patients who may become physical to be separated under that new floor plan. Donna Rabin The outpatient services are more challenging, but we are starting to think outside the box to put together a system. Creating a functioning system is critical because without adequate outpatient services, treatment is likely to fail; you can t put someone in the hospital for days or weeks and then send them back out into the community without support. To achieve the support needed, there needs to be collaboration among the hospital, mental health, primary care providers, and the schools. You know the saying, It takes a village? Well, it takes a whole community to work on this problem. Bay Area Hospital is the perfect lead, I think, because we have the resources. Aside from continuing the conversation and offering inpatient and outpatient care, what more can Bay Area Hospital do? Tom McAndrew We, as a hospital board, are committed to continuing our presence in mental health services. Part of that is continuing to recruit psychiatrists for outpatient care. But we re also trying to get everyone out of our own individual silos of care and actually gather in the same room on a regular basis and talk together and try to work together. Donna Rabin I agree. This is a community problem that needs to be solved by the community. One of the reasons why I wanted to be on the board was that I was hoping mental health could become a bigger priority. I saw the impact of mental health on the families and the kids I took care of in my practice as a pediatrician every day. I don t think a day went by when a mental health issue didn't come up, and finding support services in the community was difficult and often impossible. I am thrilled with the emphasis being placed on mental health now. 3

Bay Area Hospital Art Therapy provides therapeutic, healing benefits for psychiatric patients. Fending Off a Crisis MY-CRU, or the Mobile Youth Crisis Response Unit, is a project that aims to intercede in the early stages of a child s mental behavioral emergency. Kera Hood, hospital manager of Psychiatric Services, says before MY-CRU a child experiencing psychiatric or behavioral issues would be directed or brought to the Emergency department and often hospitalized until a safe discharge plan could be formed. But that does little to teach life skills or help build relationships that allow for future success in heading off these types of events, she says. Bob Lieberman, CEO of Kairos, a residential treatment program for youths with mental health issues, helped create the program. He was among the community partners called together by Bay Area Hospital CEO Paul Janke more than a year ago to look into a looming crisis in the local community. Between 2011 and 2014, numbers showed a sharp increase in child psychology consultations and admissions at Bay Area Hospital. We sat around the room and kind of bemoaned our fate, Lieberman says, but we also had some ideas. 4

2016 Community Benefits Report The room was full of doctors and other community partners, like Coos Health and Wellness and Child Welfare, in addition to Lieberman and his Kairos group. That meeting led to the creation of MY-CRU, which was one of the projects to receive funding from the foundation in May. Modeled after several similar programs in Oregon, it hit the streets in July; in August it showed six cases managed successfully through different degrees of intervention. This is an incredibly innovative and exciting new approach to helping youth in crisis, says Hood. Now a group of trained staff are often able to meet the patient and families in a familiar and less threatening place. MY-CRU not only is able to diffuse a crisis in the moment but can also help put in place the kind of support structure needed to help prevent similar events from occurring down the road. We re hoping this new approach will be less traumatizing and more therapeutic. So far the stats are showing a great deal of promise. MY-CRU is dispatched by the Oregon Department of Human Services, the Coos County Crisis Line, Coos Bay and North Bend Police, and Emergency Medical Services after the situation is screened by professional on-call staff. The unit involves a qualified mental health professional, a qualified mental health associate, and a family/peer support specialist. It s been a great, great community collaboration, Lieberman adds, noting that they also received funding from Western Oregon Advanced Health, and we are very pleased to have had the opportunity to participate. MY-CRU (Mobile Youth Crisis Response Unit)

Bay Area Hospital Summary Balance Sheet Summary Statement of Revenues and Expenses As of June 30, 2016 As of June 30, 2016 Assets Operating Revenue Current assets $45,440,627 Investments $59,984,163 Property, plant, and equipment, net $80,566,751 Other assets $8,693,488 Total assets $194,685,029 Net operating revenue Operating Expenses Wages and benefits $86,675,960 Supplies $47,025,019 Depreciation and interest Other expenses Liabilities Current liabilities Long-term debt Total operating expense $20,126,667 (less current portion) $10,665,480 Other liabilities and minority interest $14,881,415 Net position Total liabilities and net position $149,011,467 Patient days (inpatient) Patient days (observation) Average daily census Discharges Adjusted discharges 6 129 $168,307,789 Income (loss) from operations $7,741,118 Net nonoperational gains (losses) $2,556,075 (primarily investment income) Revenue in excess of expenses $10,297,193 Average number of employees 1,039 23,523 Average age of employee 46.28 2,546 Average length of service 10.42 64 6,477 13,245 4.06 Babies delivered 678 Emergency department visits $26,125,974 Workforce Statistics Fiscal Year 2016 Average length of stay (days) Surgeries $8,480,836 $194,685,029 Key Operating Indicators Fiscal Year 2016 Average available beds $176,048,907 4,610 26,317 % Regular full-time 66% % Regular part-time 17% % Supplemental, on-call, and per diem 17% 100% % Physicians 1% % Managers 3% % Registered Nurses 37% % Certified Nursing Assistants/ Licensed Practical Nurses 10% % Office, trades, services 49% 100%

2016 Community Benefits Report A Rewarding Task In just the past 10 years, Bay Area Hospital Community Foundation has directed more than $2 million in grant funds back to the community. Those funds have accomplished many wonderful things, like helping immunize hundreds of local children, feed the hungry over the holiday season, and make sure homeless teens have everyday items that many people take for granted. In fact, the list of agencies receiving grant funding gets longer and more diverse every year. Each year on a day in May, Bay Area Hospital Community Foundation gathers organizations together to award grants to those who are working in innovative, collaborative ways with other nonprofits or agencies to foster better health and quality of life for the residents of Oregon s South Coast. This year 27 grants were awarded, totaling $239,000. We think it is important that every year we provide some hard-dollar support to organizations that, like Bay Area Hospital, are focused on really improving the health of the community and providing some safety net services that couldn t otherwise be funded, says Bay Area Hospital CEO Paul Janke. Deciding who gets funding is a challenging though rewarding task. John Sweet, a member of the Community Foundation Advisory Committee, says you always wish you could do more, but he still calls it a fantastic experience: We get a big printout [of all the applicants], and we each make our decisions from there, and then we come to the meeting. Not everyone on the committee gets everything they ask for, so to spread the wealth we do compromise a bit. The application deadline for 2017 is March 1. For more information about the foundation or to become a member with a tax-deductible gift, call Barbara Bauder at (541) 269-8543. 7

Together for the Health of Our Community It takes people caring about each other to make the dream of a healthy community into a reality. This was true many decades ago when the first hospital was built here and it s still true today. Bay Area Hospital is our hospital, and with continued community support, we can address the major health issues in our region and improve the quality of life for everyone who lives here. As 2016 ends, join your many friends and neighbors who give to the Bay Area Hospital Community Foundation ensuring high-quality healthcare for generations to come. For more information regarding donations, contact Barbara Bauder, Bay Area Hospital s Chief Development Officer, at (541) 269-8543 or Barbara.Bauder@bayareahospital.org. All contributions are significant and tax deductible. Pinwheels planted at the Kids HOPE Center represent the more than 300 children served this year. 1775 Thompson Road Coos Bay, OR 97420 Copyright 2016 Bay Area Hospital. All rights reserved. No part of this publication may be reproduced in any form except by prior written permission. 1695