2020 Annual Report by YOUR SIDE… CMYK: in the Best and Worst of Times
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CMYK: 2020 Annual Report BY YOUR SIDE… CMYK: in the Best and Worst of Times We concluded last year’s annual report letter stating, “We cannot know what health care challenges the future holds. We do know that we will do everything possible to rise up to meet those challenges with a steadfast commitment to promoting access for all.” OUR MISSION: At the time, we had no way of knowing how prescient those words were or the degree VNA Health Care is a humanitarian, not-for-profit to which we would be tested by the novel coronavirus—COVID-19. VNA Health Care was founded in Aurora, Illinois in the midst of the influenza pandemic of 1918. Responding organization dedicated to providing compassionate, in the time of need is an indelible part of our organizational DNA. dependable and comprehensive primary care Dedication to improving health access and health outcomes, especially for vulnerable populations, was VNA’s founding mission which, to this day, remains our core purpose. and community health services. Around the globe, the pandemic has exposed the compounding effect of the virus upon those whose health is already impacted by health inequities and health disparities, making the pandemic a particular call to action for VNA. This report traces VNA’s answer to the call. From instituting telemedicine in 7 days to providing 25,000 COVID-19 tests by the time of this report’s publishing, administering 12,000 flu shots, providing contact tracing with patient consent and, of course, meeting the “regular care” needs for over 72,000 patients across suburban Chicago, VNA staff are meeting the moment with courage and commitment. As we continue to work through the stages of this pandemic, our overarching thoughts are that of gratitude. We are honored that our patients trust us to provide their care. We are touched by the kind words and deeds of the countless individuals who support our work and we admire our staff who are on the front lines of the pandemic and by your side to provide care, no matter the challenges. OUR COVER PHOTO: Photo Credit: Linnea Windel, MSN, RN, FAAN Mike Shales, CPA This photo of Rocio Cepeda, Assistant Director of Cecilia Flores, VNA Certified Nurse Assistant Clinical Coordination, was taken at the beginning captured this image President & CEO Chairman of the pandemic, following a long day battling the myriad of challenges presented by COVID-19. 1 CMYK: Serving the Most Vulnerable COVID-19 Impact on the Populations 72,000 188,000 VNA Serves Patients Visits Social Determinants of Health 61.2% 81% 93% Economic Neighborhood Education Food Community Health Care Stability and Physical and Social System Environment Context 9.8% Employment Housing Literacy Hunger Social Health 3.6% 19% 12.9% 12.5% integration coverage 7% Income Transportation Language Access to healthy options Support Provider Debt Safety Early childhood systems availability education Medical bills Parks Community Provider VNA Patient Demographics Vocational engagement Positivity Rate among Positivity Rate among VNA serves Patient visits Support Playgrounds training Linguistic l Hispanic 61.2% l Black 12.5% l Other 9.8% Stress and cultural Individuals Tested by VNA Individuals Tested in IL with VNA Walkability Higher competency men, women l White 12.9% l Asian 3.6% education l Positive 19% l Positive 7% and providers – Zip Code/ Quality of care children geography l Negative 81% l Negative 93% of all ages in-person and via 56% telemedicine Health Outcomes Mortality, Morbidity, Life Expectancy, Health Care Expenditures, Health Status, Functional Limitations 2.2% 8.2% Source: Henry J. Kaiser Family Foundation 33% Social determinants of health have a major impact on health, 13% 14% 7% 4% 12% 9% well-being, and quality of life and, for example, affect the risk for 26% 19% VNA Serves Individuals chronic conditions such as heart disease, diabetes and asthma. With and Without Insurance VNA Positivity Rate by IL Positivity Rate by l Patients with Medicaid 56% Demographic Group Demographic Group l Hispanic 26% l Hispanic 19% l Patients with Medicare 2.2% Many VNA Patients are Essential Workers l Black 12% l Black 9% l Patients with Commercial Insurance 8.2% • Healthcare Aides, • Transportation l White 13% l White 7% l Uninsured 33% Orderlies, etc. • Warehouse and Delivery l Asian 14% l Asian 4% • Emergency Services • Industrial Manufacturing Notes: Illinois has reported race and ethnicity data for 68% of cases. VNA has reported race and ethnicity 56.5% • Food Service • Utilities Sector data for 67% of cases. Positivity rates are calculated from the beginning of the COVID-19 pandemic through December 3rd, 2020. Data sources: VNA Electronic Medical Record and Illinois Department of Public Health. • Grocery and Retail • Agriculture Data from Illinois Department of Public Health combines confirmed and probable cases of COVID-19. 43.5% The Impact of COVID-19 in Illinois Among Populations Served by VNA through December 1 Preferred Language of Patient l Other than English 43.5% l English 56.5% 13,300 9,300 3,266 66 144 84 6,448 3,830 3,060 2,051Asian 98 Asian White White VNA Patients with Black Miriam is an uninsured mother of three children. She lives with her family Hispanic Hispanic Black Chronic Health Conditions in Aurora and works long hours in her hair salon, which was closed for over l Asthma 3,266 five months during the COVID-19 lockdown. She was not eligible for any Cases per 100,000 people Deaths per 100,000 people governmental assistance and has struggled to keep up with her bills during l Diabetes 9,300 this difficult time. “I have been a patient of VNA for over 15 years. Both my Notes: Illinois has reported race and ethnicity data for 68% of cases and 92% of deaths. Graphic only l Hypertension 13,300 husband and I got COVID-19 in May and VNA took care of us. I also have includes demographic groups reported by the state that reflect the predominant populations served by high blood pressure, so I love being able to come and get my blood pressure VNA. Race categories are mutually exclusive and defined as not Hispanic or Latino. Data sources: Boston checked at VNA’s drive-thru clinic because it gives me some peace of mind.” University; The COVID Tracking Project at The Atlantic 2 3 300,000 34,400 Caring for Our Community CMYK: Calls Answered Telemedicine In the Midst of a Global Pandemic Visits VNA worked to provide COVID-19 related care while also addressing everyday health needs and Provided assistance Early in the helping patients manage chronic with over 300,000 pandemic, VNA calls answered – a offered telemedicine conditions in order to stay as 70% increase as an option, healthy as possible. over pre-pandemic implementing volume of calls the system in 7 business days Family Practice Dental • In addition to COVID-19 care, VNA Providers helped patients • Completed HVAC modifications to attend to their other healthcare needs Dental Suite and recommenced dental • 30,205 females served; 21,103 males served services Women’s Health Pharmacy • Provided prenatal care and delivered 1,442 infants • Filled 42,982 prescriptions • Mammograms now provided with 3D technology • 5,880 cervical cancer screenings Population Health • 69,726 Patients received care Dr. Natalie Layne, Pediatrics coordination services • Cared for newborns, sick and hospitalized children and held one of VNA’s Dentists catch-up clinics for check-ups, school physicals and immunizations Fresh First — Fruit & Vegetable prepares to see her • 15,588 children served Rx Program patient wearing full • 1,542 produce boxes with healthy recipes and educational resources Mental & Behavioral Health were given out to SNAP recipients in a drive-through market Personal Protective • Provided psychiatry, counseling services and Medication Assisted Equipment. Treatment for Substance Use Disorder services. Women, Infants, and Children (WIC) • 14,169 patient visits • 69,650 Supplemental Nutrition Coupons/EBT cards provided to moms and children aged 5 and under via drive-through clinic Hospitalists • VNA provided care to patients in hospital, some of whom had COVID-19 Family Case Management • 2,952 hospitalized pediatric patient visits • Served an average of 1,492 pregnant women and their babies • 2,850 hospitalized adult patient visits each month and completed 833 home visits Healthy Families • Program reaccredited in October 2019 by Healthy Families America • Provided support for positive parenting for 102 participants with 1,914 home visits Optometry • 814 comprehensive eye exams completed Podiatry • Specialist services provided to treat and prevent foot and ankle injuries and conditions often associated with diabetes 4 5 CMYK: Caring for Our Community 12,000 25,000 In the Midst of a Global Pandemic Influenza COVID-19 Tests Vaccinations Influenza Vaccination Campaign VNA devoted • Influenza vaccinations were especially important this year resources to community and VNA conducted a robust influenza vaccination campaign. testing especially Special thanks to Aurora Mayor Richard C. Irvin, Elgin Mayor during periods David Kaptain, Aurora Township Supervisor William Catching of increasing and other community leaders for their participation in our virus positivity social media campaign promoting vaccination at VNA drive- Flu Shots given in rates, averaging though clinics and Health Centers. VNA drive-through 1,800 tests clinics and Health completed per Centers as well as week by VNA at community sites. the end of 2020. COVID-19 Testing and Care • Drive-through and in-clinic testing in multiple locations • Mobile testing sites in Aurora, Bensenville and West Chicago • Medical house calls visits with testing as needed • Contact tracing offered to all individuals tested Drive-Through Catch-Up Clinics • In order to help individuals stay as healthy as possible, VNA began providing quick and convenient care for vulnerable populations via drive-through catch-up clinics outside VNA Health Center locations.