UMass Memorial Wing Memorial Hospital and Medical Centers 2002 COMMUNITY BENEFIT NARRATIVE

Transcription

1 UMass Memorial Wing Memorial Hospital and Medical Centers 2002 COMMUNITY BENEFIT NARRATIVE Primary Contact: Kathleen M. Orr, MSW Director of Public Relations and Marketing Wing Memorial Hospital 40 Wright St

2 Overview Wing Memorial Hospital and Medical Centers, a wholly owned subsidiary of UMass Memorial Hospitals, Inc., remains a community focused health care provider for those residing in the Quaboag Valley Service area. Wing is a 41 bed hospital located between Springfield and Worcester in Palmer, Massachusetts, providing integrated primary physician care, specialty care, emergency care, acute care and home care. Wing also encompasses five outpatient medical centers, a mental health clinic, a visiting nurse and hospice agency Wing provides emergency services, inpatient care, surgical day care with state-of-the-art surgical suites, neuro-diagnostics (EKG, EEG, EMG, and sleep studies), respiratory, physical, occupational and speech therapies. The imaging department includes CT and MRI scanning, nuclear medicine, ultrasound and mammography. A full service lab is on site at the hospital with mini labs in all five of the medical centers. The system also includes outpatient adult and child behavioral health, as well as a DPH designated secure psychiatric unit. The Wing Medical Centers are in the following towns; Belchertown, Ludlow, Monson, Palmer and Wilbraham. Griswold Center for Behavioral Health and Substance Abuse is on the hospital campus in Palmer as is the Quaboag Valley VNA and Hospice. I. Community Benefit Mission Statement A. Summary Wing Memorial Hospital and Medical Centers is committed to improving the health status of all those it serves and to addressing the health problems of the poor and other medically underserved populations. In addition, non-medical conditions that negatively impact the health and wellness of our communities are addressed. B. Approval of governing body The president of Wing Memorial Hospital along with the senior leadership has approved the community benefit mission. II. Internal Oversight and Management of Community Benefit Program A. Management Structure Ms. Janice Kucewicz, RN MPA, vice president of nursing services oversees and is responsible for the Community Benefit Committee. Each department manager has the ability and authority to move forward with a program provided it does not negatively impact his/her budget. When a program is required that will have an impact on the budget, Wing s president gives final approval for the program based upon need and cost justification. The community benefit and service long-range goals encompass many aspects of community health, such as these four of the ten major public health issues indicated by the Healthy People 2

3 2010 project developed by the Office of Disease Prevention and Health Promotion Access to Health Care Mental Health Immunization Substance Abuse B. Internal Communication of Community Benefits Mission and programs Information is disseminated system-wide to all UMass-Wing Memorial Hospital staff in a variety of ways, including: Community press releases in local publications that are also posted within the hospital. Internal Hospital website Publication and open availability of the annual UMass Memorial Health Care, Inc. Community Benefit Report III. Community Health Needs Assessment A. Process, Including Participants Wing Memorial Hospital was built in 1913 to serve the community and as we continue nearly 100 years later, it is imperative to respond to the changing needs of the community. The Wing Community Benefit approach addressed priority health issues for a very diverse and widespread area, while seeking to improve preventive, behavioral health and primary care services to the Medicaid and uninsured populations of the Quaboag Valley region. As the largest employer in the area, Wing plays a key role in the socioeconomic viability of the greater community According to the latest U.S. Census of 2000, the average number of families in the four towns adjacent to the hospital living below the poverty level is 6.13%. In one town alone the increase in the residents living below the poverty level was over 40% since the 1990 census. Further, a recent report of the Massachusetts Department of employment and Training stated that Palmer had the highest unemployment rate in the in Western Massachusetts. Monson, MA. had the third highest in Western MA. at 6%. The state average unemployment rate is 4.9% These factors have an impact upon access to health care, which is one of the long-range goals, we have chosen. Substance abuse treatment and education is another goal that the hospital has chosen. Data suggests that 21% of all children and teens suffer from mental illness and substance abuse, of these only approximately 20% are in treatment. Using this data as model, it is estimated that there are nearly 1,000 children in need of services. Due to the high rate of unemployment in the area and the number of families living below the poverty level the percentage of children and adults at risk for mental health and substance abuse problems may be greater that what the data suggests. The following participants were involved in obtaining this data; Burt Franzman, PhD, Kathleen Orr, MSW, Anne Grace, RN, BSN, Janice Kucewicz, RN, MPA, Jackie Pahl, MSW, Donna Wood, RN, MS. B. Information Sources US Census Bureau Massachusetts Department of Employment and Training Incoming requests from the community Outpatient surveys 3

4 Department of Public Health Information C. Summary of findings The major area of focus in the 2002 Community Benefit Plan continues to be directed at informing and educating our community on issues related to health care and access to the towns that Wing Memorial Hospital and Medical Centers serve. Critical issues identified : High unemployment Mental health services Transportation Reduction in substance abuse Wing Memorial Hospital and Medial Centers service area spans three counties; Hampden, Worcester and Hampshire. The total population of residents in the eleven towns that Wing considers it primary and secondary service areas is 99,368 per the US Census of Children under the age of 18 years - 28% of the population, Adults aged % Older adults 65 years of age and over %. The area lacks ethnic diversity: over 95% of the population, self report themselves as Caucasian per US Census reports. The service area labor force has a high level of manufacturing and construction jobs (30.9%) and personal and professional business employment (38.6%). Higher rate of poverty overall Higher rate of poverty among children 19.2% of the population of Palmer lives at or below the poverty level. 10.3% of youth under 18 live in poverty, compared to the statewide rate of 13.2 Infant Mortality Need data for Palmer and surrounding areas Child Abuse and Neglect Palmer s rate of reported child abuse and neglect 426, (0.41%) Alcohol and drug abuse Domestic violence School Performance and Risk Factors Palmer has had many more admissions to drug treatment programs and hospital discharges related to alcohol than last reported year. Need data In Worcester the school dropout rate for Hispanics is about double that of Caucasians (11%). Mobility rates range from 35-75%, depending on the school. 4

5 IV. Community Participation A. Process and Mechanism The committee meets once per year to identify goals. Ms. Kusewicz creates the agenda with opportunities for discussion and re-evaluation. Subsequent meetings have been held on an ad hoc basis. Input is solicited from many sources within the community. Continue to enhance mental health programs in the schools with on-site services Assist residents in enrollment for health insurance coverage Educate the community of new health advances or services available Emergency preparedness B. Identification of Community Participants The committee includes the following community representatives; Chief of Police Frydyk of Palmer, Erin Principe, Dir. of the Palmer Council on Aging, Chief Ken Willette, Fire Chief of Wilbraham, Cathy Grabowski RN, coordinator of Palmer School Health Program, Judy White Director of the Monson Senior Center, Patty Clark and Lenny Weake, Quaboag Valley Chamber of Commerce and Joan Fauth, MSW, of Wingate Nursing Home. In addition to the above named members, the following agencies are in involved; the Palmer Public School Health Advisory Council, Monson, Belchertown, Palmer and Hampden Senior Centers, The Quaboag Valley Chamber of Commerce, the Rotary Club, the Palmer-Monson Family Network, the Monson Child Abuse Prevention Planning Project and the Eastern Communities Partnership for Children and the Early Childhood Mental Health Task Force and the Wing Memorial Community Benefits Advisory Committee. C. Community Role in Review of Community Benefits Plan and Annual Reports The Community Benefit Advisory Committee reviews community benefit activities and outcomes and is responsible for yearly updates and revision of the community benefits plan. All community partners and collaborators are asked to provide input regarding their needs as well as the effectiveness with which Wing Memorial Hospital helped those needs through the community benefits plan. Wing Memorial Hospital s Community Benefit annual report is submitted to UMass Memorial Health Care, Inc. The annual report is sent to state and local legislators as well as key community representatives via UMass Memorial Health Care, Inc. Copies are available by request of the general community by contacting the Department of Community Relations, UMass Memorial Medical Center, and d is also available for review on the state Attorney General s website ( V. Community Benefits Plan A. Process of Development of Plan Wing s Community Benefits activities are based on local efforts to address specific issues. Input is obtained in cooperation with community based ad hoc task forces, and local community and state initiatives. It is the responsibility of the designated community benefits coordinator to establish and maintain contacts with community groups and to gather community input in the planning process. The intent of all community benefit programs is not to duplicate currently existing programs offered by local agencies, but rather to work cooperatively to assure services are offered to the individuals 5

6 and families in our community where the need is the greatest. When a request for a service or program from the public or a local community agency is received, a Community Benefit Record is initiated to provide an overview of the content, audience, and related expenses included in the presentation of the program. These records are forwarded to administration once the program is completed. Wing Memorial Hospital and Medical Centers community benefit outreach priorities focus on health education and access to primary medical care for vulnerable populations, Healthy People 2010 Initiatives, community service programs, substance abuse prevention and access to pharmaceuticals for the uninsured and underinsured. B. Choice of target population(s)/identification of priorities Based on input from the community benefit advisory committee the following areas were selected as focus areas: Access to health information and care. School Health Services Substance Abuse Senior Programs C. Short-term (one-year) and Long-term (three to five years) Strategies and Goals Short-term goals: To continue outreach in the community. Expand community awareness of free substance abuse, family support and bereavement groups. Long-term goals: Explore the suitability of creating a separate women s health program that would also offer medical care to underinsured and uninsured in the community. Collaborate with the United Way Campaign in establishing support for local agencies not previously noted as beneficiaries. D. Process for Measuring Outcomes and Evaluating Effectiveness of Programs Initiatives have been created to gather data and to track activity on an ongoing basis. The process allows for the analysis of provision of services, reporting of accomplishments and any unmet needs of the community. Results of the data are used to evaluate existing programs and determine when or if changes are indicated. E. Process and Considerations for Determining a Budget The funding of programs is reviewed by the board of trustees with the process as outline: A report is made to the board of trustees once per year regarding community outreach and benefit activities, including both existing and proposed programs and outcomes; Priority is given to maintain levels of community benefit funding within the overall Wing Memorial operating budget, even within the current fiscally constraining environment. 6

7 F. Process for Reviewing, Evaluating and Updating the Plan The Community Benefit Advisory Committee reviews community benefit activities and outcomes and is also responsible, along with the Director of Public Relations and Marketing for yearly updating and revision of the community benefits plan. VI. Progress Report: Activity During Reporting Year A. Expenditures for UMass-Wing Memorial Hospital COMMUNITY BENEFIT EXPENDITURES (related to the whole report) TYPE ESTIMATED TOTAL EXPENDITURES FOR Fiscal Year 2002 APPROVED PROGRAM BUDGET FOR FY 2003 COMMUNITY BENEFITS PROGRAMS COMMUNITY SERVICE PROGRAMS Direct Expenses $10,607 Other Leveraged Resources $0 Direct Expenses $4,943 Other Leveraged Resources $0 NET CHARITY CARE* $455,083 Unchanged from FY 2002 OTHER CONTRIBUTIONS $1,298,801 TOTAL $1,769,434 TOTAL PATIENT CARE-RELATED EXPENSES FOR FY 2002: $37,820,143 * NET CHARITY CARE as defined by the Attorney General's office. Data is from the September 2002 estimate of the pending 2002 Preliminary Settlement. Amounts are unaudited and subject to change until Final Settlement. 7

8 B. Major Programs and Initiatives, Including Gross Expenditures Where Reported 1. Community Outreach-Health Fairs Brimfield, Monson, Palmer, Wilbraham Bulleted list of key program components Educated participants on a variety of health topics Bone density screening Blood Pressure screening Nutritional Counseling/Education Provide first aide for 3-day community event Diabetic Screenings Cholesterol Screening. 2. Senior Programs Monthly visits to Local Senior Centers RN screening for Blood Pressure Advice on medication compliance Education of risks factors Diabetic screening for hyperglycemia Hypoglycemia-fasting finger stick w/ Glucometer Flu Clinic 3. Early Childhood Provides professional support to ongoing abuse prevention Networking with community childhood mental health leaders and parents to enhance preventive activities and services. 4. Support Groups Cancer Support monthly support and education to patient and caregiver Cardiac Support monthly support for cardiac patients, education and discussion Bereavement Support 2 separate 6 week groups for patients w/ recent losses 5. Mentoring Youth School to career partnership w/ local schools Employing at risk students for summer programs Career Day presentations Vocational School Clinical Rotations 6. Physician Community Education Prostate Screening and education CHF lecture Joint Replacement Risk and care of Diabetes Bioterrorism Asthma Management 8

9 7. Community Mental Health Programs Caring for Caregivers Group Alcohol Awareness Day Depression Screening Adolescent Substance Abuse Taskforce 8. Community Health Education/Occupational Health Municipal Firefighters physical exams Monthly Hypertension Screening for the community Asthma Management Program C. Notable Challenges, Accomplishments and Outcomes A major challenge is becoming significantly engaged in the local agencies with whom we deal and that depend on us for support. These agencies reflect the diversity of our communities and all have different priorities. The community benefits committee was involved in the development of a community education outreach task force that generated a medical educational calendar for increased outreach and educational opportunities and coordinated efforts, which prior to this had been fragmented throughout various departments. The benefit of this newly developed group has been to increase the focus on community needs and the increase in the number of events in which Wing is now involved. Due to increased exposure in the community, the hospital is now hosting two additional support groups; the Hepatitis C and the Multiple Myeloma Support group. VII. Next Reporting Year A. Approved Budget/Projected Expenditures Funding levels will be maintained within the Wing Memorial Hospital operating budget for FY B. Anticipated Goals and Program Initiatives Wing Memorial Hospital and Medical Centers will implement and maintain community benefit programs that positively affect the communities we serve. We will continue to update the programs based on community input and need and will target the audiences as indicated. Programs that will be continued or expanded next year include: Early Childhood Prevention Task Force Cardiac, Cancer, Hepatitis C, Multiple Myeloma and Bereavement Support Groups Prostate Screening Senior Center Educational Seminars Community Health lectures provided by medical staff Community Health Screenings Palmer Public School Health Advisory Council 9

10 Emergency Preparedness Advisory Group (involvement includes surrounding communities) C. Conclusion Wing Memorial Hospital and Medical Centers is committed to provide integrated, community oriented quality healthcare to the people of our service area by emphasizing programs that promote good health, providing superior clinical services; and offering health care resources to the community at large. VIII. Primary Contact Kathleen M. Orr, MSW Director of Public Relations and Marketing Wing Memorial Hospital 40 Wright St

11 Wing Memorial Hospital Community Benefit Advisory Committee Membership NAME Janice Kucewiec, RN, MPA Kathleen M. Orr, MSW Jackie Pahl, MSW Erin Principe Donna Wood, RN, MS Burt Franzman, PhD Kenneth Willette Robert Frydryk Judy White Anne Grace, RN, BSN Kathy Grabowski, RN Joan Fauth, MSW Barbara Hitchcock, RN,DSc AFFILIATION Wing Memorial Hospital Wing Wing Director, Palmer Senior Center Griswold Mental Health Clinic Griswold Mental Health Clinic Wilbraham Fire Chief Palmer Police Chief Director, Monson Senior Center Wing Palmer Schools Public Health Advisory Committee Life Care of Wilbraham Nursing Home Quaboag Valley VNA and Hospice 11

12 Community Health Network Area (CHNA) Selected Health Status Indicators Year Wing Memorial Hospital Statewide Palmer, MA Rate () / Incidence (%) Mortality Infant Mortality % Cardiovascular Disease Deaths (1) Hospitalizations Domestic Violence (hospital admits) ,975 Diabetes (hospital admits) ,663 Drug / Alcohol (hospital admits) (1) Asthma (1) Youth Related Child Abuse/Neglect ,777 High School Drop Out % 3.6% Juvenile Crime ,039 Births to underage mothers (2) MCAS Results 2002 Proficient / Advanced Eng 40.0% 59% Proficient / Advanced Math 25.0% 44% Demographics Population ,900 6,349,097 Poverty Rate (200%) % 21.0% Children in poverty % 13.2% Unemployment Ages 16 up % 3.7% AFDC (3) % 7.1% Ethnic Composition School Hisp % 10.7% Black % 8.7% White-Non Hisp % 75.9% Asian % 4.4% Other 0.0% 0.3% Total 100.0% 100.0% Ethnic Composition City/ town Hisp % 6.8% Black % 5.3% White-Non Hisp % 83.9% Asian % 3.9% Other 0.2% 0.1% Total 100.0% 100.0% Sources: Mass CHIP Health status indicators report. US Census Bureau reports for 2000 Mass Department of Education MCAS results & School data, Mass State Police Crime Statistics Unit 1998 (1) State adjusted rate per 100,000 persons. (2) State adjusted rate per 1,000 persons. (3) Aid for dependent children. (Figures in bold exceed state rates).