Adventist Health Bakersfield 2017 Community Plan Update/Annual Report Table of Contents
Adventist Health Overview ...... 3
Letter from the CEO ...... 4
Hospital Identifying Information ...... 5
Community Health Development Team ...... 6
Invitation to a Healthier Community ...... 7
2017 Community Benefit Update ...... 8
Connecting Strategy and Community Health ...... 15
COMMUNITY HEALTH PLAN 2017 | 2 Adventist Health Overview
Adventist Health Bakersfield is an affiliate of Adventist Health, a faith-based, nonprofit integrated health system serving more than 75 communities on the West Coast and Hawaii.
Adventist Health entities include:
• 19 hospitals with more than 2,800 beds
• More than 280 clinics (hospital-based, rural health and physician clinics)
• 13 home care agencies and seven hospice agencies
• Four joint-venture retirement centers
• Workforce of 33,000 includes more than 24,600 employees; 5,000 medical staff physicians; and 3,700 volunteers
We owe much of our heritage and organizational success to the Seventh-day Adventist Church, which has long been a promoter of prevention and whole person care. Inspired by our belief in the loving and healing power of Jesus Christ, we aim to bring physical, mental and spiritual health and healing to our neighbors of all faiths. Every individual, regardless of his/her personal beliefs, is welcome in our facilities. We are also eager to partner with members of other faiths to enhance the health of the communities we serve.
Our commitment to quality health care stems from our heritage, which dates back to 1866 when the first Seventh-day Adventist health care facility opened in Battle Creek, Michigan. There, dedicated pioneers promoted the “radical” concepts of proper nutrition, exercise and sanitation. Early on, the facility was devoted to prevention as well as healing. They called it a sanitarium, a place where patients—and their families—could learn to be well.
More than a century later, the health care system sponsored by the Seventh-day Adventist Church circles the globe with more than 170 hospitals and more than 500 clinics, nursing homes and dispensaries worldwide. And the same vision to treat the whole person—mind, body and spirit—continues to provide the foundation for our progressive approach to health care.
COMMUNITY HEALTH PLAN 2017 | 3 Letter from the CEO
Dear Friends and Colleagues,
Health care continues to rapidly evolve, bt uo ne thing remains constant at Adventist Health Bakersfield: Our passion to make our community a better, healthier place to l ive.
Kern County faces its share of public health issues, for sure. Historically, our county has seen high rates of asthma, stroke, obesity, diabetes and STDs. We, like many counties across California, struggle with pockets of poverty and persistent homelessness. But at Adventist Health Bakersfield, we believe our past doesn’t have to define our future and that challenges are really opportunities. As you’ll see in the following pages, we’re working to develop real-world answers to some of these pressing health issues.
Really, it’s part of our renewed mission, and perhaps more prominent, our new name. In 2017, San Joaquin Community Hospital officially became Adventist Health Bakersfield. The change speaks to our heritage in the healing ministries of the Seventh-day Adventist Church. And it shows our medical center is part of a four-state health system with 19 hospitals, hundreds of clinics and thousands of employees. Our new mission, "Living God’s love by inspiring health, wholeness and hope," emphasizes that we’re not just caring for the sick but helping our community be well in mind, body and spirit.
The latest population health research shows we can’t live our mission simply by staying within the four walls of our hospital. We’ll need to continue to reach out to community partners as we tackle social determinants of health like access to nutritious food, safe housing and educational and job opportunities. We’ve built a legacy in our community since opening our doors more than 100 years ago, but we haven’t gone it alone. And our work isn’t done yet.
Warmly,
Sharlet Briggs Market President and CEO
COMMUNITY HEALTH PLAN 2017 | 4 Hospital Identifying Information
Number of Beds: 254
Mailing Address: PO Box 2615, Bakersfield, CA 93303
Contact Information: 661-395-3000
Koyoshi Tomono; Associate Vice President of Community Relations
Existing healthcare facilities that can respond to the health needs of the community:
• Adventist Health Bakersfield
• The AIS Cancer Center
• Quest Imaging
• The Adventist Health Physicians Network
COMMUNITY HEALTH PLAN 2017 | 5
Community Health Development Team
Sharlet Briggs, PhD.
Market President and CEO
Mark Newmyer, MBA Vice President of Business Development
Kiyoshi Tomono Associate Vice President, Community Partnership
CHNA/CHP contact: Kiyoshi Tomono Associate Vice President, Community Partnership PO Box 2615 Bakersfield, CA 93303 Phone: 661-869-6187 Email: [email protected]
Request a paper copy from Administration/President’s office. To provide comments or view electronic copies of current and previous community health needs assessments go to: AdventistHealth.org/community.benefit or https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx
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Together Inspired
Invitation to a Healthier Community
Fulfilling Adventist Health’s Mission
Where and how we live is vital to our health. We recognize that health status is a product of multiple factors. To comprehensively address the needs of our community, we must take into account health behaviors and risks, the physical environment, the health system, and social determinant of health. Each component influences the next and through strategic and collective action improved health can be achieved.
The Community Health Plan marks the second phase in a collaborative effort to systematically investigate and identify our community’s most pressing needs. After a thorough review of health status in our community through the Community Health Needs Assessment (CHNA), we identified areas that we could address through the use of our resources, expertise, and community partners. Through these actions and relationships, we aim to empower our community and fulfill our mission, “Living God’s love by inspiring health, wholeness and hope.” Identified Community Needs
The results of the CHNA guided the creation of this document and aided us in how we could best provide for our community and the most vulnerable among us. As a result, Adventist Health Bakersfield has adopted the following priority areas for our community health investments for 2017-2019:
• Access to Health Care
• Cancer
Additionally, we engage in a process of continuous quality improvement, whereby we ask the following questions for each priority area:
• Are our interventions making a difference in improving health outcomes?
• Are we providing the appropriate resources in the appropriate locations?
• What changes or collaborations within our system need to be made?
• How are we using technology to track our health improvements and provide relevant feedback at the local level?
• Do we have the resources as a region to elevate the population’s health status?
Building a healthy community requires multiple stakeholders working together with a common purpose. We invite you to explore how we intend to address health challenges in our community and partner to achieve change. More importantly though, we hope you imagine a healthier region and work with us to find solutions across a broad range of sectors to create communities we all want for ourselves and our families.
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OUR MISSION: Living God’s love by inspiring health, wholeness and hope
2017 Community Benefit Update
In 2016, Adventist Health Bakersfield, conducted a community health needs assessment and was followed by a 2017 Community Health Plan (Implementation Plan) that identified the priority needs listed below. The prioritized needs were chosen based on community health data and the voices of our community. Working together with our community is key to achieving the necessary health improvements to create the communities that allow each member to have safe and healthy places to live, learn, work, play, and pray. Below you will find an inventory of additional interventions supporting the health of our communities.
Priority Need - Access to Health Care
Children’s Mobile Immunization Program
The SJCH Children's Mobile Immunization Program began in 1996 as a hospital-based effort to immunize Kern County children. In 2000 Adventist Health Bakersfield received a Proposition 10 Grant from First 5 Kern (Kern County Children and Families Commission/KCCFC) to provide free services through a mobile unit. The services include immunizations, nutrition screenings via hemoglobin levels, information and education, and referral and linkage services. The mobile unit services the Greater Bakersfield area as well as outlying areas, including Taft, Arvin, Lamont, McFarland, Delano, Shafter, Wasco, Lost Hills, Maricopa and Buttonwillow.
The vaccines are currently provided at no cost to children who meet one of these criteria: • No health insurance • Eligible for Medi-Cal and the Child Health and Disability Program • American Indian or Native Alaskan
Number of Community Members Served: 1,558 children were immunized and 447 children were screened for anemia through 171 clinics.
Free Dental/Health Clinic In January 2017, Adventist Health Bakersfield provided needed medical supplies to the AMEN Clinic at Bakersfield Hillcrest Seventh-day Adventist Church. The annual event provides free dental, medical, vision, and chiropractic care. This was the second year for the event, which was held again in 2018.
Number of Community Members Served: 600
Flu Clinics In response to a severe flu season in 2017, Adventist Health Bakersfield expanded the number and type of clinics offering free adult flu shots to the public. In addition to two flu drive-thru fly shot clinics, the program teamed up with the mobile childhood immunizations program to offer clinics throughout
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OUR MISSION: Living God’s love by inspiring health, wholeness and hope
the clinic. Influenza is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, according to the Centers for Disease Control. Serious outcomes of flu infection can result in hospitalization or death. A 2015 study published in the journal Vaccine supports the benefits of flu vaccination and suggests that both increased flu vaccination coverage and increased flu vaccine effectiveness would help to prevent more flu-associated deaths.
Number of Community Members Served: 773 doses of adult flu immunization were administrated through 50 clinics.
Community Lecture Series Adventist Health Bakersfield offers a monthly Lecture Series presented by physicians and experts spanning a multitude of health care fields. The lectures are designed to educate and inform our community on how to thrive and enjoy life through a healthy lifestyle. Lectures are streamed live on the hospital’s Facebook page and archived online on the Adventist Health Bakersfield Website. Topics in 2017 included arthritis, diabetes, weight management, breast cancer, stroke and valley fever.
Number of Community Members Served: More than 700 through 7 lectures.
Partners • First 5 Kern • Bakersfield Hillcrest Seventh-day Adventist Church
2017 Measured Impact
Baseline Performance Objective Measurement Target Indicator Data Source Immunizations: First 5 Kern monthly reports Women & children 24 20 Total patients per (for all receiving year immunization’s pre/postnatal data) screening
Clinics held 171 144 Number of clinics per year Children seen 1,558 2,300 Patients given vaccines per year Chronic Disease:
Free flu clinic 773 400 Total vaccines Immunization’s given program report 2017 Annual Community Health Plan Update | 9
OUR MISSION: Living God’s love by inspiring health, wholeness and hope
Community Lecture Series Average of 100 per Average of 120 per Average number of SJCH’s Marketing event event attendees per Department event Amen Health Clinic 600 900 Patients provided Hillcrest Adventist with free health Church care services per year Chronic disease All stats in this rate/frequency section taken from healthykern.org
Heart Disease 5.4% <5% Percentage of adults who experienced coronary heart disease
Stroke 2.7% <2% Percentage of adults who experienced a stroke
Diabetes 10% <9% Percentage of adults diagnosed with diabetes
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OUR MISSION: Living God’s love by inspiring health, wholeness and hope
Program highlight: Children’s Mobile Immunization Unit
Making a difference – that’s what the team from the Children’s Mobile Immunization department does each and every time they hit the road. This unique program – operated and funded in partnership with First 5 Kern – provides FREE (some restrictions apply) children’s immunizations via a brightly-colored, jungle-animal-clad RV unit that travels throughout Bakersfield and surrounding communities in Kern County. The clinics are held at shopping centers, health fairs, parking lots, etc. on weekdays and weekends. Let’s look at some of the numbers that show the major impact the Children’s Mobile Immunizations program has made since it started in August 1996: • 235,914 vaccines • 89,692 patients • 3,098 clinics
“It is the only program of its kind in the Central Valley,” said Supervisor Melissa Vega. “We give thanks to First 5 Kern for their continued funding and SJCH for their support and that of our leadership as well. Without collaboration, this program could not be successful.” The team truly enjoys their work and their bond, describing their jobs with uplifting phrases like: “opportunity to serve,” “protecting children,” “caring environment,” “keeping our community healthy,” “preventing disease,” “working with passionate people, who show Sacred Work on a daily basis.” Another aspect for the department is education. Community outreach associates teach prenatal mothers, parents and families about the need for timely immunizations and other health-related information by presenting at a family resource center or attending a community collaborative. “It’s very rewarding to hear parents say how grateful they are to have this type of program out in their community,” Melissa said.
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OUR MISSION: Living God’s love by inspiring health, wholeness and hope
Priority Need – Cancer
Community Screenings As part of its commitment to raise awareness about prevention and early detection, the AIS Cancer Center hosted 4 screening events in 2017 targeting some of the top cancer disease sites: skin cancer, colon cancer, prostate cancer and breast cancer.
Number of Community Members Served: 175 members of the community were screened. Of those screened, 34 people, or almost 20%, were found to have abnormal results that were flagged for additional testing.
Community Health Fairs The center participated in numerous health fairs and wellness seminars throughout 2017. The AIS Cancer Center was able to educate the public on the importance of prevention and early detection. Of note, a predominant amount of this outreach was conducted towards the underserved populations in Kern County at events such as the Mercado Latino, Arvin Health Fair, Shafter Parent Center, Our Lady of Guadalupe Church and the Greenfield Family Resource Center.
Number of Community Members Served: 2,000+
VIPink Breast Cancer Event In October 2017, the AIS Cancer Center played host to the VIPink Breast Cancer awareness event. Extended hours were provided at Quest Imaging for mammograms, and Adventist Health Bakersfield partnered with the Kern High School District to encourage teachers and school staff to get screened at a convenient time and at a discounted rate. Women were empowered to perform Breast Self-Exams and taught the proper technique for performing self-examinations.
Number of Community Members Served: 500+
Bakersfield Relay for Life/Valley of Hope Gala
Adventist Health Bakersfield team members participated in and walked in the local Relay for Life event, raising funds for cancer research, education and advocacy services. The AIS Cancer Center also was the presenting sponsor of the Valley of Hope Gala, which recognizes local cancer survivors and care providers.
Number of Community Members Served: Relay for Life included 300 volunteers, 223 teams, 2,754 participants and 4,747 visitors. Valley of Hope included 300 in attendance.
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OUR MISSION: Living God’s love by inspiring health, wholeness and hope
Campout Against Cancer
This event raises money for Kern County cancer patients. Contributions help with medical costs associated with cancer care including prescriptions, co-pays, deductibles, insurance premiums and COBRA. AH Bakersfield and the AIS Cancer Center financially supports the event and organizes a team of volunteers who help raise money and participate in the event.
Number of Community Members Served: With the funds raised from the last three years KCCF has allocated over $2 million dollars to over 400 local cancer patients in need.
Links for Life Adventist Health Bakersfield provides financial support to Links for Life, which offers a host of resources for local women suffering from breast cancer. The Comprehensive Breast Health Program funds mammograms, ultrasounds and needle biopsies for women and men who are uninsured or under insured and live in Kern County. The group also provides support group services and raises awareness about breast cancer at various health events throughout the community.
Number of Community Members Served: From 2016-2017 the organization assisted 1,165 Walk-ins and helped fund 91 mammograms, 222 ultrasounds, and 13 Needle Biopsies. 374 women attended the support group.
Partners
• American Cancer Society • Kern High School District • Kern County Cancer Fund • Links for Life
2017 Measured Impact
Baseline Performance Objective Measurement Target Indicator Data Source Screenings 175+ patients 250+ patients Number of patients The AIS Cancer screened for cancer Center tracking list in 2017
Cancer Prevention
N/A >20 visits Number of school The AIS Cancer >200 adults visits and adults Center Outreach educated coordinator
Cancer rates 5.1 <5% Adults with cancer Healthykern.org 2017 Annual Community Health Plan Update | 13
OUR MISSION: Living God’s love by inspiring health, wholeness and hope
Program highlight – VIPink Cancer Awareness Event
VIPink: Don’t miss the breast event of the year! AH Bakersfield is once again kicking off Breast Cancer Awareness Month with VIPink. Gather your girlfriends and get pretty in pink! This is a fun night out for all the ladies! But it’s more than just a nice time with your friends and family, it’s also a fun way to learn more about the importance of breast health. The event will feature reduced price 3D mammograms available for one night only by appointment. There will also be beauty and cosmetology vendors – including special discounted services by Beautologie and Lavish Beauty, tastings from some of Bakersfield’s finest restaurants and shopping! Join us at 5:30 to 8:30 p.m., Thursday, Oct. 12 at The AIS Cancer Center.
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OUR MISSION: Living God’s love by inspiring health, wholeness and hope.
Connecting Strategy and Community Health
As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy.
Health systems must now step outside of the traditional roles of hospitals to begin to address the social, economic, and environmental conditions that contribute to poor health in the communities we serve. Bold leadership is required from our administrators, healthcare providers, and governing boards to meet the pressing health challenges we face as a nation. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders.
Population health is not just the overall health of a population but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy—even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.
Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages: 1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.
Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety and 3) Advance care coordination across the health care continuum.
Our mission as a health system is Living God’s love by inspiring health, wholeness and hope, we believe the best way to re-imagine our future business model with a major emphasis of community health is by working together with our community.
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