Supporting Our Communities COMMUNITY HEALTH. Improvement. Report

Transcription

1 Supporting Our Communities COMMUNITY HEALTH Improvement Report 2015 CHIR-FY2015-UMSRH.indd 1

2 Mission and Vision During the past decade, changes in the health care landscape have ushered in new opportunities to meet increasingly high expectations in quality, accessibility, efficiency and patient satisfaction. As University of Maryland Shore Regional Health Chestertown expands the regional health care network, we have explored and renewed our mission, vision and values to reflect a changing health care environment and our communities needs. Our five-year Strategic Plan was adopted in 2014 and with input from physician team members, patients, community leaders and other stakeholders, we are continuing Dorchester to work through the plan. The Strategic Plan supports our Mission of Creating Healthier Communities Together, and our Vision to be the Region s Leader in Patient Centered Health Care. Our goal is to provide quality health care services that are comprehensive, accessible Easton and convenient, and that address the needs of our patients, their families and our wider communities. See more at the UM SRH website, UMShoreRegional.org/about. Queenstown PAGE CHIR-FY2015-UMSRH.indd 2 2 UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH

3 A Message to Our Community Hospitals and health systems nationwide are becoming more involved in population health management to improve the health of the communities they serve. At University of Maryland Shore Regional Health, our Mission, Creating Healthier Communities Together, reflects our commitment to building community partnerships that will help us foster better health outside the walls of our hospitals and outpatient facilities while enhancing access to care and the overall quality of life in the five counties we serve. Kenneth D. Kozel, FACHE Kathleen McGrath We are proud and gratified that so many of our UM Shore Regional Health team members are highly engaged in this endeavor. They understand that in our largely rural and geographically expansive region, health determinants include individual behavior, transportation, access to care, chronic disease management, preventive care and health education. They have risen to the challenges of meeting our regional health needs by strengthening existing partnerships with community agencies and organizations while also launching new initiatives to address the challenges of our specific populations. In so many health arenas addiction services, diabetes and endocrinology, cancer, home-based care, rehabilitation, stroke recovery, men s health and women s health, to name just a few Shore Regional Health physicians, nurses and other care providers are out in the community. They provide screening, education and support services to groups in churches and community centers; they participate in health fairs and other wellness events; they serve on inter-agency committees; and they support health awareness programs and events benefiting individual patients, their families and the community at large. Their extraordinary dedication and energy is making Shore Regional Health an increasingly important resource for the 171,000 men, women and children who live, learn and work in our five-county region. This report describes some of the recent highlights of Shore Regional Health s community health improvement programs and activities. In dollar terms, the value of our 2015 community benefit programs and services, including charity care, exceeds $28 million. In human terms, the value is even greater: healthier communities and our steadfast commitment to helping our patients and their families enjoy their best health and quality of life. On behalf of our dedicated staff, physicians and allied health care providers, we thank you for your contributions toward and interest in the 2015 UM Shore Regional Health Community Health Improvement Report. Sincerely, Kenneth D. Kozel, FACHE President and Chief Executive Officer University of Maryland Shore Regional Health Kathleen McGrath Regional Director, Outreach and Business Development PAGE COMMUNITY HEALTH IMPROVEMENT REPORT CHIR-FY2015-UMSRH.indd 1

4 About University of Maryland Shore Regional Health As a regional health care system, University of Maryland Shore Regional Health provides comprehensive health care services for the residents of Caroline, Dorchester, Kent, Queen Anne s and Talbot counties on Maryland s Eastern Shore. University of Maryland Shore Regional Health, consisting of 2,500 employees, a medical staff of 390, board members and volunteers, works with community partners to provide high-quality health care and to fulfill the organization s Mission, Creating Healthier Communities Together. The health system includes UM Shore Medical Centers at Chestertown, Dorchester and Easton; UM Shore Emergency Center at Queenstown; UM Shore Medical Pavilions at Easton, Dorchester and Queenstown; UM Shore Nursing and Rehabilitation Center at Chestertown; a broad array of inpatient and outpatient centers; physician practices and home health services. UM SRH is committed to improving the health of the communities it serves. Every three years a community health needs assessment (CHNA) is conducted to identify, evaluate and prioritize health needs in the five-county area. The CHNA plays a key role in developing effective strategies to improve the health and wellness of our communities. Our comprehensive community health improvement program includes subsidized health services; screenings, health fairs, support groups and educational events; wellness programs; financial support for community-based health organizations; and necessary medical services provided to people who otherwise could not afford care, known as charity care. We also facilitate economic development programs and foster community partnerships. This report highlights four key community benefit activities: the Mobile Integrated Health Care Pilot Program; our partnership with HomePorts, Inc.; Recovery for Shore; and Wellness for Women. We hope it broadens your understanding of our commitment to advancing the overall quality of health and life in our five-county region. PAGE 2 UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH CHIR-FY2015-UMSRH.indd 2

5 Mobile Integrated Community Health Pilot Program KEY PROGRAM FACTS: Partners in the Mobile Integrated Community Health Pilot Program (MICH) include: UM Shore Regional Health (UM SRH) Queen Anne s County Department of Emergency Services Maryland Institute for Emergency Medical Services Systems (MIEMSS) Queen Anne s County Commissioners Queen Anne s County Addictions Treatment and Prevention Services Queen Anne s County Area Agency on Aging Department of Health & Mental Hygiene (DHMH) Zoll Medical Corporation Since its inauguration in August, 2014, 26 individuals enrolled in MICH Pilot Program, with a total of 80 services provided, resulting in 22 percent reduction in 911 transports to hospital. Top photo: Bobbi Graef, NP, MICH Program Manager and Amy Crooks, RN, MICH Nurse In August 2014, UM Shore Regional Health partnered with local government and health care agencies in Queen Anne s County (QAC) to launch a program designed to improve health outcomes among the County s medically vulnerable populations. Led by QAC s Health Officer and EMS Medical Director Joseph A. Ciotola Jr., MD, the Mobile Integrated Community Health Pilot Program (MICH) is the first in the state to address the fragmentation of access to health care. Fragmentation of access to health care occurs when an individual perceives a routine or low-acuity urgent issue as an emergency and calls 911. This results in emergency care being provided for an issue that could be treated more appropriately in a non-emergency setting. Nationwide, emergency medical service providers treat five to 10 percent of the overall population each year in response to emergency care requests; however, less than three percent of these requests involve a life-threatening injury or illness. According to the Centers for Medicare and Medicaid Services, the high incidence of non-emergency care in emergency settings causes overcrowding, delivery of unnecessary services and excessive administrative costs. Additionally, emergency settings do not provide services that would help patients better manage their health issues to prevent recurring problems. The MICH Program focuses on people who have utilized 911 services five times or more within a six-month period. Enrollment in the program is voluntary and services are offered at no cost. Participants receive a scheduled home visit from a home care team to help determine the underlying reason(s) for their frequent utilization of emergency services and to identify community resources that can better address their particular health concerns and care needs. The care team may review the safety of the household (for example, the need for railings or grab bars to reduce fall risk) and the individual s support system for such tasks as getting to a primary care practitioner, staying up to date on prescription changes and refills, and obtaining help with insurance and social services for which he or she may qualify. To date, 26 people have enrolled in the program, receiving a total of 80 services and resulting in a 22 percent reduction in 911 transports to the hospital for this group. PAGE COMMUNITY HEALTH IMPROVEMENT REPORT CHIR-FY2015-UMSRH.indd 3

6 UM Shore Regional Health s Partnership with HomePorts, Inc. Benefits Community KEY PROGRAM FACTS: UM Shore Regional Health s partnership with HomePorts began in UM SRH clinical experts and specialists provide regular presentations to HomePorts members and the Kent County community. UM SRH supports the annual HomePorts Aging Symposium and Community Health event with a $5,000 sponsorship. About 30 UM SRH clinicians participate, providing free screenings, risk assessments and more for 200 community members. Approximately 22 percent of Kent County population is age 65 or older. University of Maryland Shore Regional Health s partnership with HomePorts, Inc., a nonprofit organization that promotes healthy aging in place for the local senior population, addresses the challenges faced by the aging population in Kent County, where approximately 22 percent of the residents are age 65 or older. Since 2011, UM SRH clinicians have partnered with HomePorts on numerous health care presentations, seminars and free screenings relevant to older residents. Seniors are connected to UM SRH programs and services offered near their homes. To help individuals remain healthy as they age. These programs encourage healthy lifestyle choices, nutrition and exercise, preventive care and informed self-care for chronic conditions. Each year, UM SRH sponsors HomePorts annual aging symposium and health fair. UM SRH staff members including nurses, dietitians, certified diabetes educators, home health care providers and physical therapists provide free screenings, risk assessments and health care information on topics such as falls prevention, heart health, diabetes and other chronic diseases, breast care and palliative care to more than 200 community members. At the 2015 event, 28 UM SRH team members staffed 12 screening areas, including a gait walking assessment and a Body Mass Index screening. We are committed to our partnership with HomePorts, and to working with the organization s board, staff and membership to meet the particular health care needs of Kent County seniors so that they can continue living independently for a longer period of time, says Kathleen McGrath, regional director, community outreach and business development for UM Shore Regional Health. Brooke Maier, PT, physical therapist for UM Chester River Home Care, with Courtney Sjostrom, board member for HomePorts, Inc., in front the Homeports office in Chestertown. Maier is one of many UM SRH staff members who have given health education seminars to HomePorts members. Top photo: UM SRH staff members Jessica Fluharty, Sherrie Hill, Chrissy Nelson, Madeline Steffens and Kelly Bottomley provide information at the HomePorts Symposium. PAGE 4 UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH CHIR-FY2015-UMSRH.indd 4

7 Recovery for Shore Promotes Awareness of Recovery from Addiction KEY PROGRAM FACTS: In fall 2013, Recovery for Shore (RFS) was formed to raise awareness about addiction and recovery. RFS includes 18 local county agencies and organizations and has participated in and/or sponsored more than 20 events. Two legislative forums and two trainings attracted a total of 200 participants. Recovery for Shore s Facebook page reaches 650 people each week. Sharon Dundon, program specialist, Substance Disorders Program, UM Shore Behavioral Health; Charlie Roe, peer support, Dri-Dock Recovery and Wellness Center, Cambridge; David Hill, founder, Chesapeake Treatment Services at the Gratitude for Recovery dinner. Top photo: Present at the Gratitude for Recovery Dinner: Stephen Kehoe, judge, Talbot County Circuit Court; Keith Mills, sports news broadcaster, WBAL-TV; Corey Pack, member, Talbot County Council; Addie Eckardt, delegate, Maryland State Senate, District 37; and John Mautz, Maryland House of Representatives, District 37B. University of Maryland Shore Regional Health is a partner and supporter of Recovery for Shore (RFS), whose members include individuals in recovery from alcohol and other drug abuse, and professionals working in prevention, treatment and recovery. One of RFS founders and key organizers is Sharon Dundon, program specialist for UM Shore Behavioral Health s Substance Disorders Program. The group meets monthly at UM Shore Medical Center at Easton. In the advocacy realm, RFS held two legislative forums that educated Eastern Shore legislators on issues relative to behavioral health, which attracted 200 participants. In addition, the group held two trainings on recovery messaging, teaching participants how to share the recovery message positively with legislators and media outlets. RFS engages in community activities that celebrate recovery and wellness. The group promoted September 2014 as Recovery Month by distributing printed materials, designed by individuals in recovery, at UM Shore Medical Centers at Chestertown, Dorchester and Easton. Other events RFS sponsored and participated in during the year included: the first Mid-Shore Out of the Darkness Suicide Prevention Walk; First Night Talbot; Rally 4 Recovery; Dri-Dock s Celebrate Recovery; and Unity in the Park. Recovery for Shore Member Agencies and Organizations Caroline Counseling Center Caroline County Prevention Services Chesapeake Treatment Services Chesapeake Voyagers, Inc. Circuit Court of Talbot County, Problem Solving Court Community Newspaper Project (Chestertown Spy and Talbot Spy) Dorchester County Addictions Program Dri-Dock Recovery and Wellness Center Kent County Department of Health Addiction Services Mariah s Mission Mid-Shore Mental Health Systems, Inc. Queen Anne s County Department of Health Addictions Treatment and Prevention Services University of Maryland Shore Behavioral Health Talbot Association of Clergy and Laity Talbot County Health Department Addictions Program (TCAP) and Prevention Talbot County Parole and Probation Talbot Partnership for Alcohol and Other Drug Abuse Prevention Warwick Manor Behavioral Health PAGE COMMUNITY HEALTH IMPROVEMENT REPORT CHIR-FY2015-UMSRH.indd 5

8 Wellness for Women Program Provides Breast Cancer Education and Screenings for At-Risk Women KEY PROGRAM FACTS: The Wellness for Women (WFW) program, offered through the University of Maryland Shore Regional Health Comprehensive Breast Center, provided 207 free annual mammogram screenings in fiscal year 2015 a 24 percent increase from previous years. WFW took part in 62 community outreach events, and provided speakers to nine professional organizations for a total of 3,324 contacts. WFW provides interpretation and translation services to Latina women. A program offered by the University of Maryland Shore Regional Health s Comprehensive Breast Center (CBC) assists uninsured and underinsured women with age- and risk-specific mammography screenings and clinical breast exams. Called Wellness for Women (WFW), the program serves younger women (20 to 39) identified as at-risk, women over 64, and Latina women of all ages. During fiscal year 2015, WFW provided 207 women in Caroline, Dorchester, Kent, Queen Anne s and Talbot counties with free annual mammograms. Educating women about breast cancer is a vital part of the program. WFW team members took part in 62 outreach events in fiscal year 2015, including health fairs, multicultural programs, college events and social services programs. Mattie Fountain, CBC community outreach worker, works primarily with African-American women. African-American women are often more reluctant to receive preventive care, says Fountain, adding that fear is the main reason. We build relationships in African-American communities by doing presentations on breast cancer awareness in churches and at community events. WFW partners with all five county health departments to ensure all age groups are covered and to assist women in determining their eligibility for services. WFW also receives referrals from health departments, gynecologists and former patients and senior centers, and partners with other breast cancer groups, such as the Survivors Offering Support program and the American Cancer Society s Road to Recovery program. Mattie Fountain, community outreach worker, was awarded the Barbara Jeffries Unsung Heroine Award by the Talbot County Branch of the NAACP for her dedication to educating the community about breast cancer. Fountain has worked with the Wellness for Women program since its inception in Top photo: In an effort to promote the Wellness for Women program and its valuable services, Comprehensive Breast Center team members Mattie Fountain, Maria D Arcy and Jane Escher participate in numerous outreach events throughout the five-county region served by UM Shore Regional Health. PAGE 6 UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH CHIR-FY2015-UMSRH.indd 6

9 Community Health Needs Assessment The Community Health Needs Assessment is conducted every three years in partnership with multiple local agencies and organizations, including the health departments serving Caroline, Dorchester, Kent, Queen Anne s and Talbot counties. The last CHNA was completed in 2013 and a new CHNA is currently in progress. Top photo: UM Shore Regional Health CHNA Steering Committee members: Patti Willis, sponsor; Trish Rosenberry, BSN, RN; Elizabeth Todd, BSN, RN I-V,CRRN, RN; Jaclyn Weston, BSN, RN-BC; Ruth Ann Jones, EdD, MSN, RN, NEA-BC; Iris Giraudo, RN; and Greg Vasas. Back: Kathleen McGrath, chair; Bill Roth; Chris Pettit; Brian Leutner; and Sharon Stagg, DNP, MPH, RN, NEA-BC, CNOR. The Community Health Needs Assessment (CHNA) helps University of Maryland Shore Regional Health to better understand the health status and needs of the community and develop programs that will benefit the community by: Defining gaps in community health and developing strategies to assist in closing those identified gaps Informing the community about health services and other resources available regionally Developing partnerships and collaborations that impact the CHNA s select initiatives. In order to capture the best data possible, UM SRH has a CHNA steering committee, composed of physicians, nurses and other health care providers as well as administrators. For the 2013 CHNA, UM SRH adopted the Association for Community Health Improvement s Community Health Assessment Process as an organizing methodology. This methodology includes focus group sessions conducted with businesses, community and social service leaders; and telephone interviews and online surveys with residents of Caroline, Dorchester, Kent, Queen Anne s and Talbot counties. Additional data was obtained from government agencies and from private consulting and research groups, including: U.S. Census Bureau Maryland Vital Statistics Administration Mid-Shore Regional Health Improvement Coalition Maryland Department of Health and Mental Hygiene Office of Minority Health and Health Disparities HealthStream Research (phone survey) Hollander, Cohen & McBride Marketing Research (phone survey) Through the CHNA process, the communities health priorities are established and a strategy is designed to address the most serious needs. Conducting CHNAs and making them available to the public meets requirements under the Patient Protection and Affordable Care Act and complies with regulations of the Health Services Cost Review Commission and the Internal Revenue Service. UM Shore Regional Health s CHNA assessments can be viewed online at UMShoreRegional.org. PAGE COMMUNITY HEALTH IMPROVEMENT REPORT CHIR-FY2015-UMSRH.indd 7

10 Community Health Needs Assessment Implementation Plan UM Shore Regional Health s (UM SRH) most recent Community Health Needs Assessment (CHNA), conducted in 2013, identified six top health concerns within the five-county region: Obesity Diabetes Heart Disease/Stroke Cancer Behavioral Health Access to Care/ Prevention By focusing resources on these issues, UM SRH determined the greatest transformation in population health would be achieved in the Mid-Shore region. Analysis revealed the same top health concerns and top health barriers with little deviation from the overall Maryland Department of Health and Mental Hygiene State Health Improvement Process (DHMH SHIP) county data. For each top priority identified in the CHNA, an implementation plan was developed including key activities and components to improve care coordination and health education. The UM Shore Regional Health CHNA Steering Committee also incorporated the identified priorities with those of Maryland s SHIP. Three of the top priorities and their key activities included in the CHNA implementation plan were: Diabetes To reduce diabetes-related emergency department visits, the plan incorporated Shore Regional Health s Shore Wellness Partners (SWP), a unique program that provides medical case management services to residents of the five-county region. SWP serves patients with chronic disease who are high utilizers of acute health care services, uninsured, and not eligible for skilled home care services. In fiscal year 2015, SWP admitted 115 new clients and made 3,934 client and provider visits. Heart Disease/Stroke To target the population affected by heart disease and stroke, UM SRH provides an anti-thrombosis clinic at no charge to patients. Qualified individuals were provided with close medication monitoring and educational resources to prevent adverse outcomes and reduce hospital visits due to over/ under anticoagulation. During fiscal year 2015, a total of 1,479 patients were served in 20,237 encounters at UM Shore Medical Centers at Chestertown and Easton. Breast Cancer The Comprehensive Breast Center s Wellness for Women (WFW) Program implementation plan addresses breast cancer by providing uninsured and underinsured women with ageand risk-specific mammography screenings and clinical breast exams at no charge. During fiscal year 2015, WFW provided 207 screenings, while case workers completed 1,706 patient visits and managed a total of 284 patients, 16 percent of whom were newly diagnosed with breast cancer. PAGE 8 UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH CHIR-FY2015-UMSRH.indd 8

11 Community Benefits Financial Contributions for Fiscal Year 2015 UM Shore Regional Health $17,149,948 Mission-Driven Health Care Services $6,950,851 Charity Care $1,496,578 Community Health Services $1,148,041 Health Professions Education $1,116,809 Medicaid Assessments $532,298 Financial Contributions $192,398 Foundation-Funded Community Benefit $116,072 Community Building Activities $111,883 Community Benefit Operations $28,814,878 TOTAL COMMUNITY BENEFIT CHIR-FY2015-UMSRH.indd 9

12 University of Maryland Shore Medical Center at Chestertown 100 Brown Street Chestertown, MD University of Maryland Shore Medical Center at Dorchester 300 Byrn Street Cambridge, MD University of Maryland Shore Medical Center at Easton 219 South Washington Street Easton, MD UMShoreRegional.org Financial Assistance Policy Hospital care is available to all patients regardless of their race, color, national origin, age, gender or ability to pay. We recognize the financial needs of our patients and families who are unable to afford charges associated with medical care. Our Financial Assistance Policy follows the federal poverty guidelines and is based on household size and income. We may consider other financial assets and liabilities of the patient and family when determining the ability to pay. The patient is responsible for providing information requested during the qualification process. Bills will continue to arrive until eligibility has been determined. For more information on or questions about our financial assistance policy, or to receive a copy of the application, please call: For UM Shore Medical Center at Chestertown, For UM Shore Medical Centers at Dorchester and Easton, , extension CHIR-FY2015-UMSRH.indd 10