Community Health Needs Assessment Implementation Strategies Overview

• Each licensed tax-exempt 501(c)(3) must: • Conduct a community health needs assessment (CHNA) that takes into account input from a broad range of interests in the community every 3 years • Adopt an implementation strategy to address significant health needs identified through CHNA • UC are developing strategies to address highest priority health needs identified in 2019 CHNAs • Top health needs and each UC hospital’s programs, resources and collaborations committed to address those needs follow UC Health: Implementation Strategy Access Aging Concerns Behavioral Health Cancer Priority Needs Increase access to care & Address conditions Reduce barriers to care and Drive insight on care disparities & Objective reduce impact of chronic that predominantly underlying social supportive services; broaden disease affect seniors determinants communities served

• Partnerships with • Geriatric • Potential partnership • Continue Hillcrest cancer service FQHCs Emergency with SD County on new expansion & broaden geographic • Integrate student Department care models, inpatient network access & needs (EMR & • Memory Disorders services & workforce • Cancer Disparities Research Ctr. campus sites) Clinic training • Patient & Family Resource Ctr. • Student‐run community • Alzheimer’s • Psych. Emergency • Cancer Patient Nutrition Courses free clinics Disease Research Response Team & • Cancer Patient Navigation Strategies & • Financial assistance / Center Crises Service Support • Underserved Community Cancer uncompensated care • Senior Behavioral • Partnerships with Prevention & Screening Programs Implementation • Community Health Program Substance Abuse Capabilities organization • Progress towards Facilities (McAlister sponsorships achieving IHI’s Age Institute) • Telemedicine Friendly Health • Clinical Network System status Expansion • Expanded access to clinical trials and research studies UCI Health: Implementation Strategy Health Need Programs/Other Efforts/Resources Collaborators

Mental Health and • Provide community education on • Communicate to service area • BeWellOC which is a transformative Substance Abuse/Misuse mental health topics residents how to access initiative bringing together public, • Increase inpatient access for healthcare coverage options and private, academic and faith‐based adolescents mental healthcare services organizations in Orange County.

Cancer • Increase cancer prevention for • Increase public awareness of • American Cancer Society, Chao Family lung, cervical and colorectal cancer prevention Comprehensive Cancer Center, Orange cancers County Cancer Coalition, Susan G. • Promote quality cancer care from Komen Breast Cancer Foundation and screening through treatment the UCI Family Health Center

• Explore new healthcare access • Cal Optima, County of Orange, UCI Access to Healthcare • Operate and expand the UCI points for the underserved Family Health Center, other Family Health Center, a federally • Reduce the percentage of healthcare providers qualified Health Center in residents who delay obtaining Anaheim and Santa Ana needed medical care

• Distribute fresh produce at the • Alliance for a Healthy OC, American Overweight and • Provide adult and pediatric weight UCI Health Family Health Center Diabetes Association, American Heart Obesity/Chronic Illness management, a pediatric fitness • Provide support groups to assist Association, CalOptima OC Food clinic and healthy cooking classes those with chronic diseases and Access Coalition, Orange County at UCI Family Health Clinic their families Health Care Agency, UCI Family Health Center

4 UCLA Health: Implementation Strategy Ronald Reagan UCLA Medical Center; UCLA Medical Center, Santa Monica & Resnick Neuropsychiatric Hospital at UCLA Health Need and Goal/ Programs/Other Efforts/Resources Collaborators Anticipated Impact Reduce impact of heart • American Heart Association • Intensive Cardiac • American Heart Association disease and increase focus Rehabilitation, also known as • UCLA and non‐UCLA outpatient on prevention, treatment, the UCLA Ornish Lifestyle clinics and support ™ program

Increase access to mental • CAN REACH (Early Childhood • Support to Reunite, Involve, • Academic & non‐profit research health care services and Partial Hospitalization and Value Each Other orgs resources Program) • UCLA‐DMH Prevention Center • Community providers • Didi Hirsch's Suicide Prevention of Excellence • David Geffen School of Medicine Team clinical partnership • UCLA‐DMH Public Mental at UCLA • Family Development Program Health Partnership • Foundations • Families OverComing Under • UCLA/VA Veteran Family • LA County Dept of Mental Health Stress Wellness Center • UCLA Semel Institute • Strategies for Enhancing Early • Veteran service organizations Developmental Success • Social services organizations Reduce impact of being • Stay Active and Independent • UCLA Health Sound Body • American Diabetes Association overweight and obesity and for Life Senior Exercise Class Sound Mind • David Geffen School of Medicine increase focus on • UCLA Diabetes Prevention • UCLA Santa Monica Diabetes at UCLA prevention, treatment, and Program Center • LAUSD and other local schools support • UCLA Health Sports • UCLA Health internal programs Performance powered by Exos

5 UCLA Health: Implementation Strategy Ronald Reagan UCLA Medical Center; UCLA Medical Center, Santa Monica & Resnick Neuropsychiatric Hospital at UCLA

Health Need and Goal/ Programs/Other Efforts/Resources Collaborators Anticipated Impact Increase access to health • Advance Care Planning for the • UCLA Health 50 Plus • Academic medical centers care for the medically Homeless • UCLA Health Community Flu • Churches underserved • Care Harbor Los Angeles Shot Clinics • Disease‐related associations • Community Programs and • UCLA Health Operation Mend • Health plans Events • UCLA Health Urgent Care • Health services organizations • Community‐based nursing Centers • Local governments, police and home care • UCLA Mobile Eye Clinic fire departments • Harbor‐UCLA Medical Center • UCLA Mobile Stroke Program • Schools • Kershaw’s Challenge Back to • Venice Family Clinic • Shopping malls School Bash • Walk with a Doc • Social services organizations • L.A. Care Health Plan • West Los Angeles VA Medical • Sports team foundations • LA Human Rights Initiative Center • UCLA campus schools and • Olive‐View UCLA Medical • Workshops at The People programs Center Concern and annual flu clinic • UCLA Center for the Health • The Rape Treatment Center Sciences • UCLA Care Coordination and • UCLA Health internal programs Clinical Social Work Support Groups

6 UCSF Health: Implementation Strategy UCSF Medical Center & Langley Porter Psychiatric Hospitals Needs Addressed Initiatives Outcomes Foundational Issues Anchor Institution Initiative Reduce health inequities through • Racial Health Inequities (collaborators: Community Benefits Offices, workforce development, procurement • Poverty public sector, business sector and other health and community investment systems) Food Security Food Security Task Force and EatSF Pregnant Medi‐Cal women are food (collaborators: philanthropy, public sector and secure nonprofits) Increase access to fresh fruit and vegetable in San Francisco Housing Security Benioff Homelessness and Housing Initiative Develop, disseminate and advocate for (collaborators: philanthropy, Community Benefits evidence‐based solutions to prevent and Offices, public sector/local government) end homelessness

• Social, Emotional and Behavioral Health and Homelessness in San Improve system coordination, enhance Behavioral Health Francisco Report (collaborators: philanthropy, access to treatment and increase • Access to Care Community Benefits Offices, public sector, local community engagement health systems of care)

7 UCSF Health: Implementation Strategy UCSF Benioff Children’s Hospital—Oakland

Needs Addressed Initiatives/Programs Outcomes Mental Health • Behavioral telehealth • Initiation of warm line • Screening for Adverse Childhood • Universal ACE screening in primary Experience (ACE) care. Healthcare • Center of Excellence in Child Health • Institutionalize best practices and Access/Delivery and Wellbeing research for immigrant children Diet, Nutrition and • Food as Medicine • Screening for food insecurity; Food Access development of Food

Economic Security • Brilliant Baby • Refer newborns in poverty for free and Housing • FINDconnect college savings accounts; refer for housing assistance via FINDconnect

8 UC Davis Heath: Draft Implementation Strategy

Health Need Programs/Other Efforts/Resources Collaborators

ACCESS TO QUALITY PRIMARY • Expand primary services for • Expand partnerships with Federally • Sacramento County Health Center, CARE HEALTH SERVICES underserved and vulnerable Qualified Health Centers and explore OneCommunity Health, Sacramento community members new collaborations with other Native American Health Center, community clinics CommuniCare

ACCESS TO MENTAL, • Provide support for the Interim Care • Explore new ways to provide case BEHAVIORAL AND SUBSTANCE Program (ICP), a program that management and other needed • Sutter Health, Dignity Health, Kaiser ABUSE SERVICES provides respite care, case services for homeless individuals Permanente, Salvation Army, Volunteers management, and other services for • Enhance care coordination, reduce of America, WellSpace Health homeless patients discharged from emergency room use, and improve hospitals housing outcomes

• Expand patient navigation services SYSTEM NAVIGATION • Provide navigation services in the for community members seeking • Hope Cooperative, Sacramento Covered, hospital health care, social, and other support HealthNet, River City Medical Group • Increase support for referral and services navigation services in the community INJURY AND DISEASE • Increase public awareness of cancer • HALO Clinic, American Cancer Society, PREVENTION AND • Increase cancer prevention of and prevention and screening Cancer Care Network, Asian American MANAGEMENT screening for breast, cervical, and Network of for Cancer Awareness, colorectal cancers for communities Research, and Training experiencing health disparities

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