2010 UVMC Community Benefit Report
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Transcript of 2010 UVMC Community Benefit Report
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COMMUNITY BENEFIT REPORT
Continuing the tradition—
ofCompassionate Care
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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Needs Assessment: Community Health Priorities
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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.
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Needs Assessment: Community Health Priorities
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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.
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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.
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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.
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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
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“ 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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Community Benefit Financial Report
Community Benefit Report Summary: Other Community Benefits
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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
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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
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