2010 uvmc community benefit report

32
COMMUNITY BENEFIT REPORT Continuing the t radition— of Compassionate C are

Upload: ukiah-valley-medical-center

Post on 02-Mar-2016

221 views

Category:

Documents


2 download

DESCRIPTION

A report on investments and activity benefitting the local community, from Ukiah Valley Medical Center in Ukiah, California

TRANSCRIPT

Page 1: 2010 UVMC Community Benefit Report

COMMUNITY BENEFIT REPORT

Continuing the tradition—

ofCompassionate Care

Page 2: 2010 UVMC Community Benefit Report

Table of Contents

I. Letters a. ALetterfromOurPresident 2 b. WithGratitude 3

II. Introduction

a. Introduction:WhoWeAre 4 b. OurCommitments 5

III. CommunityBenefitStakeholders a. Communication&FinancialManagersforCommunity 7 BenefitPlanning&Reporting b. GoverningBoard 7 c. CommunityAdvisoryCouncil 8

IV. NeedsAssessment

a. DefiningOurCommunities 9 b. CommunityCollaboration 11 c. CommunityHealthPriorities 12

V. 2010CommunityBenefitReportSummary

a. MeasurableObjectives 18 b. OtherCommunityBenefits 21 c. CommunityBenefitFinancialReport 28 d.AdventistHealthPolicyonCommunityBenefitCoordination 29 e.CommunityReportForm-2010 31

275HospitalDrive,UkiahCA95482707.462.3111 • www.uvmc.org

Right where you need us

Community Benefit Report | 1

2010 Community Benefit Report

Page 3: 2010 UVMC Community Benefit Report

Dear Community Member,

ThankyouforreadingourCommunityBenefitReportfor

2010.Thisisoneimportantwaywecommunicatewith

thoseweserveandthosewepartnerwithtoserveothers.

Iwantyoutobeassuredthatwetakeourresponsibility

seriouslytoprovidehighquality,asafeplacetoreceive

careandtowork.

Wealsotakeourmissionseriously–reflectingGod’slove

byprovidingphysical,mentalandspriritualhealing.That

missiondrivesourentireorganizationtobemorethanjust

aplacetovisitwhenyou’reill.Westrivetobeconnected

toourcommunity:throughtheseniors,homelessshelter,

foodbank,schools,andcommunityhealtheducation

programs.Wealsostrivetokeepourcommunityhealthy

withprogramstoassurechildhoodimmunizationsareobtained,mothersarecounseledon

thevalueofbreastfeedingfortheirnewborns,andpeoplereceiveeducationondiabetesand

healthfulliving.Youcanreadmoreaboutourprogramsandactivitiesatwww.uvmc.org.

Weviewourselvesasmuchmorethanthelocalhospital.Weareyourneighbors,yourfriends,

peoplewhoshareyourloveofthegreaterUkiaharea.Inadditiontoprovidingmorethan$1

millionincharitycare,hospitalemployeesvolunteeratfirst-aidboothsandfiredepartments,

coordinatelocalchurch/school/youth/communityactivities,andmuchmore.

Wehaveworkedhardtotrulylistentoourcommunity.Weinterviewedover100community

leadersandre-wroteourstrategicplanlastyear.Thisyearwearecontinuingcommunity

leadermeetingstoensurethatoureveryactivityisfocusedandmeetingacommunity

need.WecontinuetocollaboratewiththeHealthandHumanServicesAgencytoidentify

communityhealthpriorities.Throughoutthisreport,you’llfindexamplesofhowthehospital

andtheruralhealthclinicsworkedwithcommunitypartnerstoimprovethehealthofour

communitybydonatingtime,organizationalandfinancialsupport,andotherresources.

Iamproudtobepartofateamwhocaresforpatientsandourcommunity,bothontheclock

andduringtheirpersonaltime.Theirtireless,passionatecommitmentinspiresmeeveryday.

Sincerely,

TerryBurns

President/CEO

2 | Ukiah Valley Medical Center2 | Ukiah Valley Medical Center

A Letter from Our President

Page 4: 2010 UVMC Community Benefit Report

OurdonorsmakeUkiahValleyMedicalCenteran

excellentplaceforpatientstoreceivehigh-qualitymedical

care,physicianstopracticemedicineandemployeesto

work.Theirgiftsareanamazinginvestmenttotheentire

community.

In2010,donorgiftswentbeyondUkiahandMendocino

County.Generousdonorsupportallowedustobepartof

ateamofphysicians,nursesandtechnicianswhotraveled

toHaitiafteradevastatingearthquakethatleftthepeople

ofthisimpoverishednationwithoutadequatemedical

suppliesandtrainedpersonnel.Ourteamsarrivedjustin

timetohelpprovidemuchneededmedicalreliefatthe

HospitalAdventisted’HaitiinPort-au-Prince.

Generousgiftsallowedustoupgradeourinpatientcardiacmonitoringequipment.

Thus,allowingourpatientstorecoverfromaccidents,illnessandsurgerycloseto

home.

Donorsupportmadeitpossibletoupgradeourmammographyequipment,

provideadditionalstafftrainingandofferfreeandreduced-ratebreastexamsto

womenduringourOctoberBreastCancerAwarenessMonth.Thissupporthelps

usreducetheincidenceandtheimpactofbreastcanceronourcommunity.

Generousdonorgiftswereespeciallyimportantin2010.Whilewecontinuetobe

challengedbythecurrenteconomiccrisis,wearecommittedtomakingUVMC

thebestplaceforouremployeestowork,ourphysicianstopracticemedicineand

ourpatientstoreceivehigh-qualitymedicalcare.

Wehaveanexcitingfutureaheadofus.Ourstrategicplancallsforustoprepare

forthechangesthathealthcarereformwillbringtothepatientsweserve

everyday.Onbehalfofthosepatients,wethankyouforyoursupport.

With Gratitude,

AllyneBrown

DirectorofPhilanthropy

Community Benefit Report | 3

With Gratitude

Page 5: 2010 UVMC Community Benefit Report

Fromhumblebeginningsasasmallcommunityhospitalinthe1950s,UVMChasgrowntoastate-of-the-arthospital,whichispartofAdventistHealth–anorganizationaffiliatedwiththeSeventh-dayAdventistchurchthatimproveshealthandwellnessworldwide.

Instrivingforabalanceofphysical,mentalandspiritualhealththroughpreventionandtreatmentofdisease,UVMCbringstogetheremployees,physiciansandvolunteerswhoarecommittedtomeetingtheneedsofourcommunity.UVMCemploysabout687peoplewhocollaboratewithapproximately90membersofourmedicalstaff(representing27medicalspecialties).Inadditiontoemployeesandmedicalstaff,morethan60volunteersshareinawiderangeofserviceactivities

tohelpthehospitalbetterservethecommunity.

UkiahValleyMedicalCenteroffers24-houremergency-traumacare,inpatientandoutpatientsurgicalservices,intensivecare(withintensivistandspecialtyconsultationviatelemedicine),diagnosticservices,obstetricalservices,rehabilitationservices,healtheducation,andmore.UkiahValleyRuralHealthCenteroffersoutpatientcareinthefollowingspecialties:Allergy,BehavioralHealth,Cardiology,FamilyPractice,GeneralSurgery,InternalMedicine,Obstetrics&Gynecology,Oncology,Ophthamology,Orthopedics,Pediatrics,PhysicalTherapy,andUrology.

UkiahValleyMedicalCenteremploystechnologythatiswellabovethatfoundinmanyruralsettings.Someofitsstate-of-

the-arttechnologyandservicesincludea64-sliceCTscanner,abletodetectvascularandheartdiseasenon-invasively;oneofthemostpowerfulMagneticResonanceImaging(MRI)unitsinNorthernCalifornia;digitalmammography;mobilePET/CTservicesforcancerdetection;Lithotripsy(non-invasiveremovalofkidneystones;aRemotePresenceRoboticsystem;afamily-orientedbirthingcenter;andspecialcarenursery.AndwecontinueourjointventurewithmedicalstaffmemberstoofferPavilionSurgicalServicesinourOutpatientPavilion,a16,500-square-footbuildingthathousesthemostcurrenttechnologyforoutpatientsurgery,imagingandlaboratoryservices.

Ukiah Valley Medical Center (UVMC) provides care through its 78-bed full-service, acute care hospital and its rural health center, offering care for people of all ages.

4 | Ukiah Valley Medical Center

Introduction: Who We Are

Page 6: 2010 UVMC Community Benefit Report

Patient Focus (Our Mission Statement)WereflectGod’slovetoourcommunitybyprovidingphysical,mentalandspiritualhealing.

Employee FocusWestrivetoprovideeveryteammemberwithpurposeful,worthwhileworkandtohelpthemrecognizethecontributiontheymakepersonally.

Community FocusWecommittobegoodcorporatecitizensthroughcaring,competence,andstewardship.

Our Rallying CryATeamThatCares,AMissionThatMatters

We will fulfill our Mission by…• beingcompassionatetopatients,theirlovedones,andeachother;

• operatingwithfiscalresponsibilitytherebyensuringcontinuousservice;

• workingtogetherasateam;

• providinghigh-quality,technically-advancedservices;

• preservingindividualdignity;

• protectingconfidentiality;

• beingintegraltoourcommunity;

• promotingwelllivinginourcommunity;

• beingadaptable,innovative,andflexible;

• beingexpertlisteners.

Community Benefit Report | 5

Our Commitments

Page 7: 2010 UVMC Community Benefit Report

6 | Ukiah Valley Medical Center

Page 8: 2010 UVMC Community Benefit Report

Communication & Financial Managers for Community Benefit Planning & Reporting TheCommunityBenefitAssessment,PlanandReportarecommunicatedatleastannuallytotheGoverningBoardandCommunityAdvisoryCouncilofUkiahValleyMedicalCenterfortheirapprovalandsupport.ThefollowingindividualsparticipateasCommunityBenefitPlannersandReportingManagers:

• KeithDobbs,AdministrativeDirectorofMarketing,CommunicationandBusinessDevelopment:707.463.7606

• LaurieWood,Director,DecisionSupport:707.462.3111

Governing BoardTheGoverningBoardisthegoverningbodyforUkiahValleyMedicalCenter,andassuch,isinvolvedinstrategicplanningandpolicyapproval.Aspartoftheseresponsibilities,itprovidesmemberswiththemostrecentCommunityHealthStatusReportwhenitispublishedeverytwoyears.MembersareaskedtoapprovetheCommunityBenefitgoalsannually.TheBoardensuresthatthehospital’scommunityserviceroleisinalignmentwiththehospital’smission,vision,andgoals.

TheGoverningBoardatUkiahValleyMedicalCenterincludes:

• ScottReiner,Chairman,SeniorVicePresident,AdventistHealth

• MarcWoodson,ViceChairman,ExecutiveSecretary,NorthernCaliforniaConferenceofSeventh-dayAdventists

• TerryBurns,Secretary,President/CEO,UVMC

• NancyBiggins,Attorney

• JorgeAllende,MD,ViceChiefofStaff

• ChanningCornell,LocalBusinessProfessional

• DonaldCoursey,MD

• DanniHendricks,CertifiedPublicAccountant

• ThomasJutzy,DDS

• MartyLombardi,SeniorVicePresident,SavingsBankofMendocinoCounty

• JeremyMann,MD

• DaleMorrison,MD

• MargieRice,Concertmistress,UkiahSymphony

• DonaldRones,Sr.,RetiredBusinessProfessional

• LauraWedderburn,MD,ChiefofStaff,UVMC

• LauraWinkle,MDCommunity Benefit Report | 7

Our Stakeholders

Page 9: 2010 UVMC Community Benefit Report

Community Advisory CouncilTheCommunityAdvisoryCouncil(CAC)iscomprisedofcommunityleadersdedicatedtoimprovinglocalhealthcarebyprovidinginformationandrecommendationstothehospitalregardingcommunityneedsandfundraising.CACmembersalsoactasambassadorsofgoodwillonthehospital’sbehalfthroughoutthecommunityandprovideinputintothehospital’sstrategicplan.TheyaresolicitedfortheiropinionregardingtheCommunityBenefitgoalseachyear.Membersattendbi-monthlymeetings.

TheCommunityAdvisoryCouncilincludes:

• CharlieBarra,Owner,Vineyard/Winery

• AllyneBrown,DirectorofPhilanthropy,UVMC

• MelissaBurke,Owner,CreditBureauofUkiah

• TerryBurns,President/CEO,UVMC

• BonnieCarter,CommunityVolunteer

• JerryChaney,ChiefNursingOfficer,UVMC

• MaryLouiseChase,VineyardOwner

• LynnChevalier,VolunteerDirector,UVMC

• PaulConrado,VineyardOwner

• RichardCooper,MendoLakeCreditUnion

• DianeDaubeneck,Principal,InsuranceServices

• KeithDobbs,AdministrativeDirectorMarketing,Communication,BusinessDevelopment,UVMC

• GuilDye,Owner,KWINE/KMYXRadio

• EdEversole,EversoleMortuary

• CathyFrey,ExecutiveDirectorofARCH

• RonGester,MD,FormerDirectorUVMCEmergencyDepartment

• RichHearney,RetiredMilitary

• Monte&KayHill,CommunityMembers

• BrendaHoek,Communityvolunteer

• PaulJepson,MD

• StephenJohnson,Attorney

• KathyLehner,President,MendocinoCollege

• MartyLombardi,SeniorVicePresidentSavingsBankofMendocinoCounty

• CarolMordhorst,Retired(formerDirector,MendocinoCountyPublicHealth)

• MargieRice,Concertmistress,UkiahSymphonyOrchestra&GoverningBoardMember

• SharonRuddick,Agriculture

• JoanSchlienger,BoardMemberforMendocinoCollegeFoundationFoundation

• FrancineSelim,AssistantPrincipalUkiahHighSchool(retired)

• DickSelzer,Owner,RealtyWorld/SelzerRealty

• JimWattenburger,RetiredCALFire

• RaymondWorster,CertifiedPublicAccountant

8 | Ukiah Valley Medical Center

Our Stakeholders

Page 10: 2010 UVMC Community Benefit Report

Our Communities

National/International CommunityAdventistHealthispartofanationalandinternationalcommunitythatimproveshealthandwellnessthroughmorethan600facilitiesworldwide.AdventistHealthisanot-for-profit,faith-basedhealthsystemoperatinginCalifornia,Hawaii,OregonandWashington.FoundedontheSeventh-dayAdventistheritageofChristianhealthcare,AdventistHealthincludes17hospitalswithmorethan2,700beds,approximately19,500employees,numerousclinicsandoutpatientfacilities,thelargestsystemofruralhealthclinicsinCaliforniawithadditionalsitesinOregonandWashington,14homecareagenciesandfourjoint-ventureretirementcenters.

Aspartofalargerorganization,UkiahValleyMedicalCenterhasaccesstoinformationandresources,whicharesharedamongthememberfacilities.

Regional CommunityUkiahValleyMedicalCenterisoneofthreehospitalsinNorthernCalifornia’sMendocinoCounty,withtheothersbeingFrankR.HowardMemorialHospitalinWillitsandMendocinoCoastDistrictHospitalinFortBragg.OtherhospitalsinourregionincludeSutterLakesideHospitalinLakeCountyandHealdsburgDistrictHospitalinSonomaCounty.Someout-migrationofpatientstoSantaRosaandSanFranciscooccursforservicesunavailablelocally.

Local CommunityUkiahValleyMedicalCenterislocatedinthecityofUkiah.Itisthelargestofthethreehospitals,andtheonlynon-criticalaccesshospitalservingMendocinoCountyandwesternLakeCounty.

UkiahValleyMedicalCenterprimarilyservesninecommunitiesinMendocinoCounty:Ukiah,AndersonValley,Covelo,DosRios,Hopland,PotterValley,RedwoodValley,TalmageandWillits.Theprimaryserviceareaincludesthecorridoralongthe101HighwayfromWillitsinthenorthtoHoplandinthesouth.Thehospital’ssecondaryserviceareaincludesareasnorthofWillits,northernandWesternLakeCountyandtheMendocinoCoast.TheStateDepartmentofFinanceestimatesthe2010populationforMendocinoCountytobeslightlymorethan93,000,andtheLakeCountypopulationtobeapproximately65,000.

GeographyMendocino’s3,510squaremilesencompassawidevarietyoflandscapes,includingacoastalmountainrange,redwoodforests,andmilesofnorthernCaliforniacoastline.Thecounty’selevationrangesfromsealeveltoalmost7,000feet.

Community Benefit Report | 9

Needs Assessment: Defining Our Communities

Page 11: 2010 UVMC Community Benefit Report

Demographics of Mendocino County

PopulationTheCaliforniaDepartmentofFinanceestimatedMendocinoCounty’sJanuary2010populationtobe90,289makingitthe38thlargestcountyinoverallstatewidepopulation.Itcovers3,510squaremilesandisCalifornia’s15thlargestcountyinlandarea.IncorporatedcitiesincludeUkiah,withanestimatedpopulationof15,711,FortBraggat6,868,andWillitsat5,080.

AgeAccordingtotheDepartmentofFinance,in2010MendocinoCounty’smedianresidentagewas38.4versusthestate’smedianageof35.7.

Race/EthnicityMendocinoCountyisprimarilyCaucasian(includingHispanic),withsomeAsian,BlackandAmericanIndian.Accordingtothe2010CaliforniaDepartmentofFinanceestimates,theethnicdistributionisasfollows:

Race/Ethnicity PercentageWhite 68.9%Hispanic 20.6%AmericanIndian 6.3%Asian 1.3%Black 0.6%Other 2.3%

Socio-economic EnvironmentAccordingtoHousingandUrbanDevelopment2010data,themedianstateincomewasapproxi-mately$66,450.TheMendocinoCountymedianhouseholdincomewas$56,300.(www.efanniemae.com/sf/refmaterials/hudmedinc)

Thepovertyrateisthepercentofallpeopleinhouseholdsearningbelowthefederalpoverty

level.AccordingtoestimatesfromtheAmericanCommunitySurvey2008forMendocinoCounty,theaveragewas19%comparedtoastatelevelof13.3%.Ofnoteisthenumberofchildreninpoverty:childrenunder18showapovertyrateof24%(comparedtostateandnationalaverageof14.2%).

UnemploymentEducational Attainment

AccordingtotheNationalCenterforEducationSta-tistics(2007–08)MendocinoCounty’slevelofhighschooleducationmatchesthestateaverage,butfallsbelowtheU.S.average.

AccordingtotheCaliforniaEmploymentDevel-opmentDepartment,MendoicinoCounty’sunad-justedunemploymentrateforJuly2010is11.4%whichisbelowthestatelevelof12.8%,butabovethenationallevelof9.7%.MendocinoCounty’slargestemployersincludelocalgovernmentwithapproximately1,218employeesandUkiahValleyMedicalCenterwithmorethan687employees(includingfulltime,parttimeandperdiem).

In 2010, the following community members served on the HHSA Advisory Board:

Mendocino County

U.S. Average

HighSchoolGraduation 82% 85%Bachelor’sDegree 23% 27%

10 | Ukiah Valley Medical Center

Needs Assessment: Defining Our Communities

Page 12: 2010 UVMC Community Benefit Report

Needs Assessment Process and InformationIn2009,MendocinoCountyPublicHealthAdvisoryBoard(MCPHAB)becametheHealthandHumanServicesAgencyAdvisoryBoard(HHSAAB).UkiahValleyMedicalCenterworksthroughtheMendocinoCountyHHSAABforitscommunityhealthneedsassessment.HHSAABcombinesrepresentativesfromthemajorhealthcaresectorsinthecounty,aswellaspublicsafety,andotherkeysectors.ThelistbelowdemonstratesHHSAAB’sbroadandinclusivecomposition.

DIANE AGEERedwood Coast Medical Services

SUSAN BAIRD KANAANBoard of Supervisors District 2

LOIS JANE BERRYChildren & Family SOC

PATTY BRUDERWillits Action Group

TERRY BURNSUkiah Valley Medical Center

PAULA COHENMendocino Coast Clinics

ANDY COREN, MDMedical Community

JENDI COURSEYBoard of Supervisors District 1

Mendocino Community Health Clinic

JUDITH DOLANAnderson Valley Health Center

CATHY FREYAlliance for Rural Community Health

SHEILA GRAYInHome Senior Services Representative

LIBBY GUTHRIEMendocino County AIDS Volunteer Network

SARA O’DONNELLBoard of Supervisors District 5

Cancer Resource Centers of Mendocino County

In 2010, the following community members served on the HHSA Advisory Board:

Community Benefit Report | 11

Needs Assessment: Community Collaboration

Page 13: 2010 UVMC Community Benefit Report

Traditionally, Mendocino County has published a report every two years on the health status of its residents. The Public Health Department (now called the Community Branch of Health and Human Services) created the first health status report more than 10 years ago and has continually improved the process.

CommunityHealthStatusReport(CHSR–“cheeser”)2010wasreleasedinApril2010.Itreviewsdatafrom2008–2009,andisanessentialcornerstoneforaddressingandimprovingthehealthofallthecitizensofMendocinoCounty.

Viewacopyat:www.co.mendocino.ca.us/hhsa/newsletters.htm

UkiahValleyMedicalCenterhasbeeninvolvedinthisneedsassessmentprimarilythroughtheparticipationofhospitalrepresentativeTerryBurns.TerryBurns,UVMCPresident/CEO,wasappointedtotheexecutivecouncilin2008andservedasboardpresidentin2009.

TheCommunityHealthStatusReport2010includesdatafromsurveys,censusreports,county,stateandfederalstatistics,localresearch,andmore.

Focus Areas Determined by Needs AssessmentCommunityHealthStatusReport2010continuestofocusonfourhealthareasidentifiedinthefive-yearMendocinoCountyCommunityHealthImprovementPlan,publishedinFebruary2005.Thesefocusareasweredeterminedbythe

MendocinoCountyPublicHealthAdvisoryBoard(MCPHAB),theMendocinoCountyTobaccoSettlementAdvisoryCommittee(MCTSAC)andtheDepartmentofPublicHealthDivisiondirectorsduringastrategicplanningprocessundertakeninlate2004.

ThestrategicplanwasdevelopedtodefinestrategiesforcommunitiesandagenciestoworktogethertoimprovethehealthofMendocinoCountyresidents.

ThefollowinginformationwastakendirectlyfromtheMendocinoCountyCommunityHealthImprovementPlanandtheCommunityHealthStatusReport2010todefinethepriorityareasanddesiredresults.

CommunityHealthStatusReport2010containsthecommunityleveldata,andstateandcountytrendsthatwillhelptrackprogressinthesekeyhealthareas.Thisyear’sreportwillprovideafinalupdateonthebaselinesforthechosenoutcomeindicatorsaswellashighlighteffortsintheseareas.

TocontactHHSAABpleasecall707.472.2793orgotowww.co.mendocino.ca.us/hhsa/advisoryboard.htm

12 | Ukiah Valley Medical Center

Needs Assessment: Community Health Priorities

Page 14: 2010 UVMC Community Benefit Report

Access to CareSummaryTherearemanybarrierstoaccessingappropriatecareinMendocinoCounty.In1991,theentirecountywasdesignatedasMedicallyUnderservedforMedi-Cal.Thereisalackofproviders,especiallyinspecialtiessuchasorthopedics,urology,ears/nose/throat,internalmedicine,pediatrics,psychiatry,dentistry,andsurgery.Theone-thirdofthepopulationlocatedinmoreremoteareasofthecountyhavefurthertotraveltoaccesswhatservicesdoexist,andhaveverylimitedpublictransportavailabletothem.

Inaddition,manypeopledonotknowhowtonavigatethehealthcaresystemtofindtheservicestheyneed.Duetoacomplexsystemoffunding,enrollmentprocedures,andservicesthatarenotfullycoordinatedwitheachother,clientsmaynotbereferredtoorenrolledinavailableservicesoncetheydotrytoaccesscare.

Accordingtothe2001CaliforniaHealthInterviewSurvey(CHIS2001),21.5%ofMendocinoandLakeCountyresidentsunder65yearsofagewereuninsured.Only49.1%havejob-basedinsurance,comparedto63.5%statewide.Uninsuredpeoplearelesslikelytoaccesscare,includingpreventiveservicesandtreatmentintimesofneed.

Thelackofaccesstopreventiveandprimarycareofalltypesleadstoanover-useofemergencyservices.Emergencyservicesaremoreexpensive,andtheirinappropriateusecontributestoanoverallincreaseincostofservicesandhealthinsurancepremiumsthroughoutthesystem.

MendocinoCountycanprovidehigherqualityandlessexpensivecarebydevelopingamorecoordinatedandcomprehensivesystemofcare.

GoalsExpansion of Services–AllMendocinoCountyresidentshavetheabilitytoquicklyandefficientlyobtainappropriatequalityservicesfromhealthcareproviders.

Health Insurance –AllMendocinoCountyresidentshaveaccesstoaffordablehealthinsurance.

Community Benefit Report | 13

Needs Assessment: Community Health Priorities

Page 15: 2010 UVMC Community Benefit Report

SummarySubstanceabusewasidentifiedasthemostimportantissuebymorethan65%ofallrespondentsinarecentMendocinoCountyCommunityHealthSurvey.1Theuseofalcoholanddrugscontributestocrime,mentalhealthissues,teenpregnancy,childabuseandneglect,domesticviolence,employmentissues,unintentionalinjuriesanddeaths,andarangeofothersocialandhealthproblems.TherateofmethamphetamineusehasincreaseddramaticallyinMendocinoCountyinthelastfiveyears.2Alcoholanddrugabusedrivemanyofthecoststhatdeprivefamiliesandcommunitiesoftheirhealthandeconomicviability.Anditisimportanttorecognizethatpublicsafetycanneverbesecuredwithoutattendingtothiscriticalpublichealthissue.

AlcoholandotherdrugabusewasrankedasthemostimportantchildhealthissueinthePerinatalandChildHealthSurveyconductedcountywidebyMCDPH’sMaternal,ChildandAdolescentHealthProgramin2004.Useoftobacco,alcoholorotherdrugsduringpregnancycanleadtoavarietyofphysicalanddevelopmentalproblemsforchildren,suchasfetalalcoholspectrumdisorders.Domesticviolenceandchildabuseandneglect 3arealsocloselyassociatedwithsubstanceabusebycaregivers.

Toaddresssubstanceabuseeffectively,weneedacomprehensiveapproachtopreventionandtreat-ment.ManyMendocinoCountyresidentscannot

accessthetreatmentservicestheyneed.Eithertheydonotknowwheretogo;theyoftendonotreceiveappropriateassessments,especiallyiftheyhavementalhealthissues;ortherearenotenoughaffordabletreatmentservicesavailable.StatewideandinMendocinoCounty,servicesareonlyreach-ing10%oftheyouthand17%oftheadultsthatneedthem.4,5Agenciesareoftenhamperedbytheirfundingsourcesfromprovidingthemosteffectiveservices.Withincreasedcollaborationandadditionalresources,serviceproviderscanbegintofillinthecracksthroughwhichpeopleoftenfall.

Inacountywherealcoholanddrugsareamainstayoftheeconomy,wemuststrengthencommunitiestoprovideeducation,support,andalternativestosubstanceusefortheirresidentstobeeffective.

GoalsTreatment on Request–AllresidentsofMendocinoCountyareabletoaccessalcohol,tobaccoandotherdrugassessment,treatmentandreferralservicesonanas-neededbasis,regardlessoflocation,culture,language,ageormentalhealthstatus.

Community Based Prevention–MendocinoCountycommunitiesareempoweredtoworkonlocalissuesthatleadtopositiveoutcomesforyouthandfamiliesandpreventharmfulbehaviors,suchassubstanceabuse,childabuseandneglect,anddomesticviolence.

Alcohol and Other Drugs

1Ali H. Mokdad, PhD; James S. Marks, MD, MPH; Donna F. Stroup, PhD, MSc; Julie L. Gerberding, MD, MPH. Actual Causes of Death in the United States, 2000. JAMA. 2004;291:1238–1245. 2UCLA Center for Health Policy Research, available at http://www.chis.ucla.edu. 3Department of Health Services. Pediatric Nutrition Surveillance system 2002.

4Analysis by Children Now of California Department of Education data, 2001–2002. Physically fit students are defined as those who passed 6 out of 6 standards set for fitness, including aerobic capacity. 5Overweight Children and Youth was identified as the number two Maternal, Child and Adolescent Health priority to address in Mendocino County by stakeholders in the MCDPH MCAH 5-Year Needs Assessment, June 2004.

14 | Ukiah Valley Medical Center

Needs Assessment: Community Health Priorities

Page 16: 2010 UVMC Community Benefit Report

Aging Population

SummaryAccordingtothe2000Census,MendocinoCounty’s“over60”populationwasat18%overallandashighas22%ontheMendocinoCoast.Thiscompareswiththestateat14%andthenationat16%.Thecounty’sseniorpopulationisprojectedtoincreaserapidly,likelyreachingbetween40–50%ofthetotalpopulationby2020.

Thetraditionalfocusofthepublichealthactivitiesofdiseasepreventionandhealthpromotionencompassesservicesforolderadults.TheAgingStatesProject,ajointprojectbetweentheCenterforDiseaseControlandPrevention(CDC)andtheAdministrationonAging(AoA),seekstonetworkpublichealthprogramsmoreeffectivelywithservicesforolderadultstowardsthegoalofbetterpublichealthoutcomes.

Nationwide,nearlyone-thirdofallhealthcareexpendituresalreadyservetheneedsofolderadults.AccordingtotheAgingStatesProject,“withoutgreateremphasisonprevention,healthcarespendingwillincreaseby25%by2030(notadjustedforinflation)simplybecausethepopulationwillbeolder.”Olderadultsoftendonotgetinformationorencouragementtofocusonpreventionbecausepeopleassumethatitwillnotbeeffectiveatthisstageinlife.Similarly,olderadultsoftendonot

receiveneededmentalhealth,alcohol,orotherdrugservicesbecauseproblemsgounnoticed,aremisdiagnosedasdementiaorotherhealthproblems,oritisassumedthatitistoolatetomakeadifference.

Community-basedprograms,suchasseniorcenters,presentefficientopportunitiesforprovidingeducationandservicestoolderadults.Groupandintergenerationalactivitiesalsohelptocombatisolationandkeepseniorshealthyandindependent.Home-basedcare,suchastheOlderAdultsSystemofCare(OASOC),Linkages,CommunityCare,andIHSSofferimportantopportunitiesforexpandedPublicHealth,MentalHealth,andAlcoholandOtherDrugPrograms(AODP)collaborations.MendocinoCountyhasverygoodmodelsforprovidingqualityandinnovativeservicesforolderadults.Thesecanprovidethebasisforefficientlyexpandingandimprovingtheoverallcontinuumofcaresothattheagingpopulationreceivesneededservices.

GoalOlderadultsinMendocinoCountyareabletoachieveandmaintainoptimalhealthandindependence.

Community Benefit Report | 15

Needs Assessment: Community Health Priorities

Page 17: 2010 UVMC Community Benefit Report

1Ali H. Mokdad, PhD; James S. Marks, MD, MPH; Donna F. Stroup, PhD, MSc; Julie L. Gerberding, MD, MPH. Actual Causes of Death in the United States, 2000. JAMA. 2004;291:1238–1245. 2UCLA Center for Health Policy Research, available at http://www.chis.ucla.edu. 3Department of Health Services. Pediatric Nutrition Surveillance system 2002. 4Analysis by Children Now of California Department of Education data, 2001–2002. Physically fit students are defined as those who passed 6 out of 6 standards set for fitness, including aerobic capacity.

5Overweight Children and Youth was identified as the number two Maternal, Child and Adolescent Health priority to address in Mendocino County by stakeholders in the MCDPH MCAH 5-Year Needs Assessment, June 2004. 6Health of California’s Adults, Adolescents, and Children: Findings from CHIS 2001. LA, CA: UCLA Center for Health Policy Research, 2004. 7Whitaker, R.C., J.A. Wright, M.S. Pepe, L.D. Seidel, and W.H. Dietz. Predicting Obesity in Young Adulthood from Childhood and Parental Obesity. The New England Journal of Medicine, 337 (13): 869–873, 1997.

8Steven P. Hooker, Ph.D., Director Prevention Research Center, Arnold School of Public Health, University of South Carolina, delivered at the California Center for Physical Activity Conference, Sacramento, CA, November 18, 2004.

Healthy Lifestyles Nutrition, Hunger and Physical Activity

SummaryIn2000,poordietandphysicalinactivitycaused400,000deathsintheU.S.,secondonlytotobacco.Ifthetrendcontinues,soonitwillovertaketobaccoasthenumberonekiller.1Theresultsofinactivityandpoordietincludeobesity,diabetes,coronaryheartdisease,cancerandmanyotherchronic

conditionsthatcostCaliforniaover$28billionperyear,accordingtoDepartmentofHealthServices.

OnlyhalfofCalifornianadultsexercisemorethanonceamonthandonlyoneintwoCaliforniansconsumestherecommendedfivefruitsandvegetablesaday.2Asaresult,in2002almost40%ofMendocinoCountychildrenages5–19wereoverweightoratriskforbecomingoverweight3andonly28.7%ofseventhgraderswere“physicallyfit.”4,5Atthesametime,MendocinoCountyisranked6thinthestateforhighestratesoffoodinsecurityandhunger.6

Ironically,povertyandfoodinsecurityareassociatedwithincreasedobesitypossiblyduetothefactthatcheaperandmorereadilyavailablefoodisoftenlowerquality,moreprocessed,andlessnutritious.

TheproblemofpoornutritionandphysicalinactivityisrisingsteadilyintheU.S.:

• AccordingtotheAmericanObesityAssociation,childrentodaybelongtothemostinactivegenerationinhistory.

• AccordingtotheCentersforDiseaseControlandPrevention,ifcurrenttrendsindietandactivitypatternscontinue,oneineverythreechildrenbornin2000willdevelopdiabetesintheirlifetime.

• Between70–80%ofobeseadolescentsbecomeobeseadults.7

NowisthetimeforMendocinoCountytoreversethistrend.Wehavemanyassetsthatcanhelptoaddressthisproblem,includingopportunitiesforoutdoorrecreation,localhealthyfood,gardensinmanyschools,localpolicy-makerscommittedtothisissue,andanactiveNutritionandActivityCollaborative(NAC).Ithasbeenshownthatcommunity-widepolicyinterventionsthatmakehealthychoicesmoreaccessiblearemoreeffectiveandsustainablethaneducationonanindividuallevel.8Thesetypesofinterventionsincludeinfluencingpolicyandlegislation,changingorganizationalpractices,creatinganenvironmentthatencouragesphysicalactivityandprovidingaccesstolow-costnutritiousfood.

16 | Ukiah Valley Medical Center

Needs Assessment: Community Health Priorities

Page 18: 2010 UVMC Community Benefit Report

GoalMendocinoCountyinstitutionsimplementpoliciesandfundingstrategiesthatsupportcountyresidentsinachievingahealthydietandlevelofphysicalactivity.

Parenting and Child Development

SummaryFromApril2003toMarch2004,theincidentrateforsubstantiatedcasesofchildmaltreatmentinMendocinoCountywas33.6per1,000children,almostthreetimesthestaterateof11.6per1,000.Inadditiontomoreobviousformsofmaltreatment,childneglectalsohasamajornegativeimpactonchilddevelopment.Therearealsomoresubtleinfluencesthataffectachild’sdevelopment,includ-inglackofbreastfeedingandinfantattachment,lackofpositiveandconsistentcaregiver-childinteraction,andlackofexposuretolearningopportunities.

Currentresearchinbraindevelopmentclearlyindicatesthattheemotional,physicalandintellectualenvironmentthatachildisexposedtointheearlyyearsoflifehasaprofoundimpactonhowthebrainisorganized.Theexperiencesachildhaswithrespecttoparentsandcaregiverssignificantlyinfluencehowachildwillfunctioninschoolandlaterinlife.Throughtheintegrationofhealthcare,qualitychildcare,parenteducationandeffectiveinterventionprogramsforfamiliesatrisk,childrenandtheirparentsandcaregiverscangainthetoolsnecessarytofostersecure,healthyandlovingattachments.Theseattachmentslaytheemotional,physicalandintellectualfoundationforeverychildtoenterschoolreadytolearnanddevelopthepotentialtobecomeproductive,well-adjustedmembersofsociety.

GoalMendocinoCountychildrenandfamiliesthrivethroughaccesstoanduseofinformation,servicesandsupport.

Community Benefit Report | 17

Needs Assessment: Community Health Priorities

Page 19: 2010 UVMC Community Benefit Report

2010 ResultsHealthy Lifestyles (CHSR p. 25)

2010 Strategy/Goal: UVMCwillcontinueitspublichealtheducationprogramthroughacommunityhealthfair.

2010 Actions/Results: InSeptember,UkiahValleyMedicalCenterandtheSavingsBankofMendocinoCountyjoinedforceswithacoalitionofcommunityorganizationstohostthesecondannualfreechildren’shealthfairattheAlexRorabaughCenterinUkiah.AttheWild About Healthevent,hundredsofchildrenhadtheopportunitytovisitmorethan40healtheducationboothsand20clinicalstations.Allexhibitorsofferedinteractivehealth-relatedactivitiesforchildren.Clinicalstationsprovidedfreescreeningsformorethan300childrenandtheirfamilymembersincludingdental,hearing,glucose(diabetesscreening),visionandmore.

“Wewereabletotest94childrenfordiabetesduringthecourseoftheday.Ofthese,wefoundtwochildrenwithpotentiallylife-threateninghighbloodsugar,”saidUVMCRegisteredDietitianandDiabetesInstructorLindaAyotte.“Ifweareabletocatchevenonepossiblediabetesdiagnosis,wehavedoneourjob.”

Childrenwashedtheirhandsandwereamazedwhenablacklightrevealedremainingdirtandbacteria.Theyenjoyedlearningabouthealthyfoodoptions,andtheimportanceofstayingactive.TheylearnedaboutreducingtheircarbonfootprintandwereinvitedtoaskquestionsofDr.PaulMacdonaldatthe“AskaDoc”booth.Thebuddingartistsexpressedthemselvesatthearttherapybooth,whilebeginningreadershadtalesreadtothem.

Parentsreceivedfreethermometers,whilekidsgotafreecollapsiblegreenlunchbackpack.AllsignswereinEnglishandSpanish,andbilingualvolunteersmadesurefairparticipantsgotthemostfromtheirattendance.ThefairalsoofferedentertainmentwithperformancesbyPinolevilleNativeAmericanYouthDancers,andhealthyfoodforsalebyMiPueblito,JambaJuiceandtheGraceHudsonElementaryPTApopcornlady,KathieSmith.

Children’s Health Fair Coalition members included:

• AllianceforRuralCommunityHealth

• AlexRorabaughCenter

• BoysandGirlsClubofUkiah

• CASA-CourtAppointedSpecialAdvocates

• Family-LifeMagazine

• FIRST5Mendocino

• HealthyKidsMendocino

• JayEpsteinStateFarmInsurance

• MendocinoCommunityHealthClinic,Inc.

• MendocinoCountyHealth&HumanSvcs.

• MendocinoCountyYouthProject

• NorthCoastOpportunities,Inc.

• RedwoodChildren’sServices

• SavingsBankofMendocinoCounty

• TapestryFamilyServices

• UkiahUnifiedSchoolDistrict

• UkiahValleyMedicalCenter

• UkiahValleyRuralHealthCenter

18 | Ukiah Valley Medical Center

Community Benefit Report Summary: Measurable Objectives

Page 20: 2010 UVMC Community Benefit Report

“ My kids had two solid hours of

entertainment and I picked up

a lot of good information. Both

kids had their eyes checked

and did the hand-washing test,

and they loved making their

own jump ropes. The event

was really, really good. There

was so much more there than

I thought there would be,” said

local mom Sandy O’Ferrall.

By collaborating with

community partners, we

were able to provide fair

participants with a full

understanding of the

health services available

in our region.

Community Benefit Report | 19

Page 21: 2010 UVMC Community Benefit Report

Healthy Lifestyles (CHSR p. 36)

2010 Strategy/Goal:UVMCwillexpanddiabeteseducationclassestoincludecounty-widecoverage,aswellasprovideculturallyappropriatediabeteseducationclassesforourminoritypopulations.

2010 Actions/Results: Diabeteshasbecomeanepidemic,nationallyandlocally.Itaffectsourgeneralpopulation,andhasaparticularlydevastatingeffectonourprimaryminiority:Latinos.Withoutreachandeducation,ourDiabetesEducationProgramworkedtoreducetheinstanceofdiabetesthroughprevention,andtoreducetheilleffectsforthoselivingwithdiabetesthrougheducation.

Programsofferedincluded:

• DiabetesSelfManagementclassinEnglishandSpanish.TeamtaughtbyanRNandRD/CDE.

• DiabetesinPregnancyProgramprovidesservicesinEnglishandSpanishtowomenwithgestationdiabetes,type1diabetesandtype2diabetes.ThisprogramisofferedincollaborationwithCaliforniaDiabetesinPregnancyProgram(SweetSuccess).

• Communityoutreachandbloodglucosescreeningsatlocalfarmersmarket,healthfairsandNativeAmericantribalevents.

• Ourgoalistoserveeveryone,includingtheuninsuredandunderinsured.Wedothiswiththehelpofgrantsanddonations.

• FreeDiabetesEducationSupportGroupisopentothepublic.

ThefreeDiabetesEducationSupportGroupmeetsonamonthlybasisatUVMC.Theprogramprovidesspeakerstotalkaboutdiabetesandwaystomoreeffectivelymanagethedisease.Thegroupservesapproximately20peopleateachofitsmonthlymeetings.

In2010theUVMCDiabetesProgramwasa2ndyearrecipientofa$4000grantfromSynodatthePacific.ThefundsfromthisgrantliterallymadeitpossibletooffertheDiabetesSelfManagementclassinSpanish.

Alcohol, Tobacco and Other Drugs (CHSR p.30)

2010 Strategy/Goal: UVMCwillsupportthe“Every15Minutes”program.

2010 Actions/Results:UVMCworkedwithlocalemergencyservicesandlawenforcementonthe“Every15Minutes”program;whichencourageshighschoolstudentstoconsidertheconsequencesofdrinkingalcohol,andtheresponsibilityofmakingmaturedecisionswhenlivesareatstake.Thenameoftheprogramwasderivedfroma1980sstatisticthatsomeoneintheUnitedStateswaskilledinalcohol-relatedtrafficcollisionsevery15minutes.Theprogramoccursonedayperyearinthespring(shortlybeforegraduation).Theprogramrotatesateachofthelocalhighschoolseachyear(oneschoolperyear).In2010,thehighschoolwasinFortBragg.UVMChasbeeninvolvedintheprogramforsevenyearsandplanstocontinue.

20 | Ukiah Valley Medical Center

Community Benefit Report Summary: Measurable Objectives

Page 22: 2010 UVMC Community Benefit Report

Special Care Nursery (HHSAAB – Special Populations)TheUVMCSpecialCareNurseryoffersthecommunityintensivecareservicesforbabiesthatwouldotherwisehavetotravel60–200milestoSantaRosaortheBayAreatoreceivecare.In2010,weadmitted41babiestotheNICU,foratotalof112patientdays.RoomandboardwasofferedtothemothersofSpecialCareNurserypatients.

Sexual Assault Response Team (SART) (HHSAAB – Community Safety)

SARTisacollaborativecommunityeffortthatincludeslawenforcement,medicalexaminers,theDistrictAttorney’soffice,protectiveservicesandadvocacygroupsworkingtogethertoimprovetheinvestigationandprosecutionofsexualassaultcases,andensuringappropriatecareandtreatmentofvictims.ThroughsupportfromtheSoroptomistInternationalofUkiah,UVMCwasabletoacquireacolposcope.Colposcopesareusedduringsexualassaultexaminations,andcanbeinstrumentalinbothassessingapatient’sconditionandprovidingdetailstohelpapprehendandprosecutethosewhoperpetrateviolenceagainstwomen.UVMCcontinuestooffernursingservices,spaceandotherstaffingsupporttoSART;andprovided23SARTexamsin2010—19adultsand4children.ItalsoprovidesfreeeducationtoSANE(SexualAssaultNurseExaminers).

Online Health Library (HHSAAB – Access to Care)ThehospitaloffersanonlineHealthLibrarythroughitswebsitewww.uvmc.orgthatallowspeopletoreviewhundredsoftopicswithasearchabledata-base.Hundredsofhitsweretrackedin2010forthisfreeonlineservice.

Under-reimbursed Care (HHSAAB – Access to Care)Inadditiontotraditionalcharitycare,UVMCprovideshealthcareservicestothosewhocanonlypayforpartoftheircare,eitherthroughgovernmentassistanceorothermeans.Severalyearsago,thehospitalexpandeditscharitycarepolicytoincludepatientswithincomesupto400percentoftheFederalPovertyLevel.SeetheCommunityBenefitFinancialReportonpage28forthecharitycareanduncompensatedcareprovidedbyUVMCin2010.

Low-cost Copies of Medical Records (HHSAAB – Access to Care)

TheUVMCHealthInformationManagementDepartment(MedicalRecords)frequentlyprovidesfreeorlow-costrecordstopatientswhorequestcopiesoftheirinformation.Althoughmostcopiedrecordsarefewerthan50pages,somecantakemorethaneighthourstoproduce.In2010,theMedicalRecordsstafffilled2,549patientrequests,ofthoseapproximately85%werefreeofcharge.

Community Benefit Report | 21

Community Benefit Report Summary: Other Community Benefits

Page 23: 2010 UVMC Community Benefit Report

22 | Ukiah Valley Medical Center

Community Benefit Report Summary: Other Community Benefits

Page 24: 2010 UVMC Community Benefit Report

Free Notary Services (HHSAAB – Access to Care)Thehospitalpresident’sassistantisaNotaryPublicandnotarized107documentsforemployees,medicalstaffandcommunitymembersfreeofchargein2010.

Leadership MendocinoUVMCdonated$1,000totheLeadershipMendocinoprogram,whichteacheslocalleaderstolearnaboutthewholecountyandencouragesthemtoconnectwithoneanothertosolvecounty-wideproblems.Inadditiontosupportingtheprogramfinancially,thehospitalconsistentlysponsorsindividualemployeestoparticipateintheprogram.

In-hospital United Way Campaign (HHSAAB – Aging & Special Populations)UkiahValleyMedicalCenteremployeeseachyeararetraditionallysomeofthehighestgiversinourareatoUnitedWayoftheWineCountry.UnitedWayfundssupport“families,children,seniorsandthoseincrisis”throughagencieschosenbasedonUnitedWay’srigorousapplicationprocess.In2007,UVMCemployeespledgedmorethan$18,000.In2008,theypledgedmorethan$23,500.In2009,itwasmorethan$25,000.In2010,theypledgedover$13,000andthousandsofpoundsoffoodforthelocalfoodbank.

Mendocino College Nursing Program (HHSAAB – Access to Care)In2010,UVMCprovided$60,000worthoffund-ingforaclinicalinstructorintheRNprogramatMendocinoCollegetobenefitnursingeducation.Thiscollaborativeeffortrecognizestheimportanceofsupportinghealthcareeducationprogramsthatintroducewell-trainednursesintothelocalhealthcaresystem.

United Way Day of Caring

OnSeptember10th,twenty-fiveUVMCemployeesparticipatedintheUnitedWayDayofCaring.DayofCaringallowsvolunteerstoexperiencefirst-handtheneedsinourcommunityandthenrolluptheirsleevesandhelp.The

experience,whichstartedwithamorningrallyandconcludedwithdozensofcompletedprojects,leftvolunteersfeelingenergizedanddeeplyconnectedtotheircommunity.

American Cancer Society’s Relay for Life

UVMCstaffedafirstaidtentattheevent.TheACS’smissionstatementisasfollows:TheAmericanCancerSocietyisthenationwidecommunity-basedvoluntaryhealthorganizationdedicatedtoeliminatingcancerasamajorhealthproblembypreventingcancer,savinglives,anddiminishingsufferingfromcancer,throughresearch,education,advocacy,andservice.

Free Use of Hospital Conference Rooms In2010,UVMCoffereditsconferenceroomstovariouscommunitygroupsfornocharge.Thisservicebenefitedseveralhundredpeople,withmorethan222hoursofconferencetimedonated.

Pediatric Trauma EquipmentUVMCwasabletopurchaseaglidescope,anairwaydevice,forintubationswithan$18,000grantreceivedfromMADDYfunds.ThisequipmenthasgreatlyimprovedthecareofyoungpatientsintheEmergencyDepartmentsetting.

Community Benefit Report | 23

Community Benefit Report Summary: Other Community Benefits

Page 25: 2010 UVMC Community Benefit Report

Tours of the Hospital for Elementary and High School Students In2010,UVMCstaffcontinuedthehospital’straditionofprovidinghospitaltourstoschoolchildren.Thetoursfocusontheresponsibilitiesofvariousdepartments,thetypesofpositionsavail-ableinhospitalsandtheimportanceofteamwork,infectioncontrolandhelpingothers.Thetourguideprovidesstudentswithasmallgift,suchasahospitalcoloringbook.Severalschoolsparticipated,servingapproximately60students.

ChaplainAtUVMC,thechaplainisinvolvedincounseling,crisisintervention,andyearlyholidayfoodandtoydrives.SheactsasaliaisonbetweenthehospitalandtheleadersofvariousreligiousorganizationsinMendocinoCounty,andreferspatientstoappropriatecommunityagenciestomeetspiritual,mental,andfinancialneeds.Attimes,thechaplainiscalleduponformediationservicesbetweenmedicalpersonnelandfaithgroupswithdistinctivepractices.

Volunteer First Aid Stations

UMVCemployeesvoluntarilystafffirstaidboothsat

severalcommunityevents,suchasSouthUkiahRotary’s

Triathlon,Ukiah’sCountryPumpkinFest,andthe

AmericanCancerSociety’sRelayforLife.

Free Mammograms (HHSAAB – Access to Care)TohonorNationalBreastCancerAwarenessMonth,UVMCprovided25womenwithfreemammogramsandanother88wereprovidedwithlow-costmammogramsduringthemonthofOctober.

Smoking Cessation Class (HHSAAB – Healthy Lifestyles)Thesix-weekprogramisbasedontheFreedomfromSmokingProgramofferedbytheAmericanLungAssociation.TheprogramispartoftheUVMCcommunitywellnesseducationprogram.Thegroupservesapproximately12peopleateachofitsweeklymeetings.Thementorprogram,guestspeakersandtheon-goingsupportprovidedbytheprogramarequotedasthemosthelpfulaspectsoftheprogramforthosewantingtoquit.

Participation in Coordination of Care (HHSAAB – Access to Care)

UVMCleadersworkedwithotherhealthcareprofessionalsfromcommunityagenciesandhealthcareorganizationstobettercoordinatetheprovisionofandthereferraltohealthservices.UVMCalsohostedtheEmergencyMedicalCareCouncilmeetings,participatedinpre-hospitalchartreviewforparamedicsandEMTs,andassistedinthequalityreviewforthelocaljail.

Complimentary MealsTheNutritionalServicesdepartmentprovidedmorethan2,102complimentarymealstocaregiversand“boardermoms”in2010atavalueofover$9,000.

24 | Ukiah Valley Medical Center

Community Benefit Report Summary: Other Community Benefits

Page 26: 2010 UVMC Community Benefit Report

Hospital Volunteer Program ThevolunteersfromUVMCareanactivegroupof50–60dedicatedpeoplewhocollectivelyhavegivenmorethan100,000hoursofserviceovertheyearstothecommunity.Mostofthegrouphasvolunteeredforatleast15-25years.Volunteersgreetpeopleastheycomeintothehospital,managethegiftshop,deliverflowerstopatientsandaidmanyofthehospital’sdepartmentswithclericalsupportduties.In2010,proceedsfrombakesalesordonationsfromthevolunteergiftshopwereprovidedtoSt.MaryoftheAngelsCatholicSchool,UkiahFiremen,UkiahValleyChristmasEffort,theMendocinoCountyFarmBureau,DiabetesEducationFund,andourEmergencyDepartment.In2010,theyvolunteeredmorethan10,000hourstothehospital.VolunteersintheChaplain’sofficedonatedhundredsofhoursofservice.

Licensed Vocational Nurse (LVN) and Registered Nurse (RN) Training (HHSAAB – Access to Care) Everyyear,UVMCemployeesgivefreeinstructiontocollegenursingstudentsastheytrainatthehospitaltobecomeLVNsandRNs.LVNinstructionincludesapproximately720hoursperstudentfor30LVNstudents.RNinstructionincludestwoclassesofupto24students,whosecombinedclinicallearningtimeisapproximately1,700hours.

Inaddition,RNstudentshavetheoptionofdoingtheirseniorpreceptorshipatUVMC,whichis120hourspernurse(10shifts).ExperiencedUVMCnursesspentthistimewiththeseniornursingstudentsgivingthemone-on-oneinstruction.

Community Benefit Report | 25

Community Benefit Report Summary: Other Community Benefits

Page 27: 2010 UVMC Community Benefit Report

Procurement and Donation of Hospital Supplies for Local Schools & Mission TripsTheMaterialsManagementDepartmentdonatedmedicalsuppliestotheUkiahAdultSchoolMedicalAssistingandLVNclasses.Italsodonatedsuppliestomedicalmissiontrips,includingthosetoGuatemalaandHaiti.

Publication of Free Health Newsletter

UVMCworkswithCoffeyCommunicationstopublishafreecommunityhealthnewsletter,HealthScene.ThepublicationissenttohouseholdsinMendocinoandLakecounties,andincludeshealtharticlesandacalendarofhealthclasses.Thenewsletterispublishedthreetimesayearandismailedtomorethan15,000homesatacostofapproximately$60,000peryear.

Free Education to Emergency Personnel (HHSAAB – Access to Care)In2010,theUVMCEmergencyDepartmentcontinueditstraditionofprovidingfreeeducationtolocalparamedics,firefightersandemergencymedicaltechnicians(EMTs).UVMCprovideseight-hourpreceptorshipstoapproximately60EMTstudents(40fromtheUkiahAdultSchooland20fromAndersonValleyFireDepartment),and240-hourpreceptorshipstosevenparamedicstudentsfromMendocinoCollege.

Lunch & Learn Lecture Series (HHSAAB – Health Lifestyles/ Environmental Health)Thisprogramoffersfreeinformationduringmonthlyprogramstopeopleinterestedinvarioushealthtopicsrangingfromhearthealthtocoloncancer.Theprogramservesapproximately60peoplepermonthandprovidesafreelunchtothosewhoattend.

Public Radio Show on KZYX&ZTheUVMCMarketingDepartmentscheduledspeakersforabi-monthlyone-hourhealtheducationradioshowinconjunctionwithphysician,Dr.MarvinTrotter.Annually,24programsonhealth-relatedtopicswerebroadcastatnocharge.ManyofthespeakersareaffiliatedwithUkiahValleyMedicalCenter.

Supporting Health-Related CharitiesIn2010,UVMCdonatedtotheCancerResourceCentersofMendocinoCounty,UkiahValleyAssociationforHabilitation,NuestraCasa,theMendocinoCountySheriff’sActivitiesLeague,andtheMendocinoCountyAIDSViralNetwork.

Education for Local Students (HHSAAB – Access to Care)UVMCparticipatedintheSCRUBsclassatthelocalhighschoolbyhavingseveralleaderslectureonvariousaspectsofhealthcare,workinginahospital,andthehospital’sroleinthecommunity.

26 | Ukiah Valley Medical Center

Community Benefit Report Summary: Other Community Benefits

Page 28: 2010 UVMC Community Benefit Report

Adventist Community Center

Alex Rorabaugh Center Board

Alexander Valley Regional Medical Center Board Alliance for Rural Community Health Board

Alliance for Rural Community Health

American Cancer Society Relay for Life Captains and Participants

Area Agency on Aging Lake & Mendocino Counties

Audubon Society

Big Brothers, Big Sisters of Mendocino County

Boys & Girls Club of Ukiah

Buddy Eller Center (homeless shelter)

Cancer Resource Centers of Mendocino County

Church Activities: Board members and youth group leader

City of Ukiah Parks, Recreaton and Golf Course

Community CPR Instructor

Community Workshops on Brain Function

County Emergency Medical Services Committee

E-Center

Employers Council of Mendocino County

Foster Parenting

4-H Youth Development Organization

Gardens Project

Girls Scouts of Northern California

Greater Chamber of Commerce

Hearthstone Village – Clinic/Orphanage

Leadership Mendocino

Mendocino Breast Feeding Coalition

Mendocino College Nursing Advisory Board

Mendocino Community Health Clinic Board

Mendocino Rugby Team

MESA

Mission Trips (Guatemala, Haiti)

Plowshares (daily meals for the homeless and Meals on Wheels for the elderly and housebound)

Positive Parenting Program

Redwood MedNet

School Activities: PTA, Jr. Scholarship Federation Advisor, Farm to Cafeteria program and Sports Boosters

Search and Rescue

Soroptimist International of Ukiah

UCC Camp Cazadero Junior High Camp Nurse

Ukiah Adult School Volunteer Educator

Ukiah Community Center (Food Bank)

Ukiah Main Street Program

Ukiah Players Theatre

Ukiah Senior Center

Ukiah Symphony Association

Ukiah Triathlon (South Ukiah Rotary)

Ukiah Valley Christmas Effort

Ukiah Valley Trail Group

United Way Day of Caring

Volunteer firefighters, ambulance attendants and Haz Mat specialists at local fire departments

Workforce Investment Board

Youth sports coaches and team parents

Volunteer Efforts of Employees in the CommunityInadditiontoprovidingexcellentqualityhealthcareintheirrespectivepositions,manyhospitalemployeesvolunteertheirowntimetomakethecommunityabetterplacetolive.StaffatUVMCareinvolvedinserviceclubsinthecommunitysuchasRotary,Kiwanis,andtheAssociationofUniversityWomen.Hereisashortlistoftheplaces,activitiesandeventstowhichUVMCemployeesdonatedthousandsofhours,talentanddollars.

Community Benefit Report | 27

Community Benefit Report Summary: Other Community Benefits

Page 29: 2010 UVMC Community Benefit Report

Cardio Pulmonary Resuscitation Classes (HHSAAB – Access to Care)UVMCsponsorsCPR(BLSandACLS)classesforcommunitymembers,medicalstaffandemployees.In2010,wetaughthundredsofpeople.RespiratoryTherapyDirectorandSafetyOfficerDianaLanealsoofferedtwofreecommunityCPRclasses,whereshetaughtapproximately25communitymembershowtoprovidelife-savingCPR.

Chico State University Rural Nursing Program (HHSAAB – Access to Care) UVMCpartnerswithChicoStateRuralNursingProgramtoprovidearurallocationfornursingstudents.ChicoStateuseslocalnursepreceptorstohelpnursingstudentsunderstandthechallengesandrewardsofworkinginasmall,ruralhospital.

28 | Ukiah Valley Medical Center

Community Benefit Financial Report

Community Benefit Report Summary: Other Community Benefits

Page 30: 2010 UVMC Community Benefit Report

Facility System-wide Corporate Policy Policy No. AD-04-002-S

Standard Policy Page 1 of 1 Model Policy Department: Administrative Services

Category/Section: Planning Manual: Policy/Procedure Manual

POLICY: COMMUNITY BENEFIT COORDINATION

POLICY SUMMARY/INTENT:

The following community benefit coordination plan was approved by the Adventist Health Corporate President's Council on November 1, 1996, to clarify community benefit management roles, to standardize planning and reporting procedures, and to assure the effective coordination of community benefit planning and reporting in Adventist Health hospitals.

POLICY: COMPLIANCE – KEY ELEMENTS

1. The Adventist Health OSHPD Community Benefit Planning & Reporting Guidelines will be the standard for community needs assessment and community benefit plans in all Adventist Health hospitals.

2. Adventist Health hospitals in California will comply with OSHPD requirements in their community benefit planning and reporting. Other Adventist Health hospitals will provide the same data by engaging in the process identified in the Adventist Health OSHPD Community Benefit Planning & Reporting Guidelines.

3. The Adventist Health Government Relations Department will monitor hospital progress on community needs assessment, community benefit plan development, and community benefit reporting. Helpful information (such as schedule deadlines) will be communicated to the hospitals' community benefit managers, with copies of such materials sent to hospital CFOs to ensure effective communication. In addition, specific communications will occur with individual hospitals as required.

4. The Adventist Health Budget & Reimbursement Department will monitor community benefit data gathering and reporting in Adventist Health hospitals.

5. California Adventist Health hospitals' finalized community benefit reports will be consolidated and sent to OSHPD by the Government Relations Department.

6. The corporate office will be a resource to provide needed help to the hospitals in meeting both the corporate and California OSHPD requirements relating to community benefit planning and reporting.

AUTHOR: Administration APPROVED: AH Board, SLT EFFECTIVE DATE: 6-12-95 DISTRIBUTION: AHEC, CFOs, PCEs, Hospital VPs, Corporate AVPs and Directors REVISION: 3-27-01, 2-21-08 REVIEWED: 9-6-01; 7-8-03

Community Benefit Report | 29

Page 31: 2010 UVMC Community Benefit Report

COMMUNITY BENEFIT REPORT FORM – 2010 Return to Community Benefit Coordinator

Hospital______________________________________________________Date___________________________________

Service/Program_____________________________________TargetPopulation___________________________________

TheserviceisprovidedprimarilyforThePoorSpecialNeedsGroupBroaderCommunity

CoordinatingDepartment____________________________________________________

ContactPerson_____________________________________Phone/Ext__________________________________________

BriefDescriptionofService/Program_______________________________________________________________________

Caseload________PersonsServedor_________Encounters

Names of Hospital Staff Involved Hospital Paid Hours Unpaid Hours Total Hours

TotalHours

1. Totalvalueofdonatedhours(multiplytotalhoursaboveby$40.57) _____________

2. Otherdirectcosts _____________ Supplies _____________ TravelExpense _____________ Other _____________ HospitalFacilitiesUsed___________hours@$__________/hour _____________3. Valueofotherin-kindgoodsandservicesdonatedfromhospitalresources _____________ Goodsandservicesdonatedbythefacility(describe):___________________ _______________________________________________________________

4. Goodsandservicesdonatedbyothers(describe):___________________________ _____________ ___________________________________________________________________

5. Indirectcosts(hospitalaverageallocation________%) _____________

Total Value of All Costs (additemsin1-5) _______________

6. FundingSources Fundraising/Foundations _____________ GovernmentalSupport _____________

Total Funding Sources (additemsin6) (_______________)

Net Quantifiable Community Benefit (subtract“TotalFundingSources”from“TotalValueofAllCosts”) _______________

PLEASE USE OTHERSIDETOREPORTNON-QUANTIFIABLECOMMUNITYBENEFITSANDHUMANINTERESTSTORIES

30 | Ukiah Valley Medical Center

Page 32: 2010 UVMC Community Benefit Report

Community Benefit Report | 31