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Hallmark Health System FY2016

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Hallmark Health System FY2016 Hallmark Health System ­ FY2016 Community Benefits Mission Statement Hallmark Health System (HHS) is committed to building and sustaining a strong, vibrant, and healthy community. Hallmark Health System dedicates appropriate resources to collaborations with community partners and the utilization of community members' input toward improving health services. Hallmark Health System pledges to act as a resource, and to work with the community during emergencies, improve access to care, identify, monitor, and address the unique health care needs within its core communities, and promote healthier lifestyles for residents through health education and prevention activities. Target Populations Name of Target Population Basis for Selection Chronic Disease Management­ Community members at risk for developing diabetes or with diabetes management issues. Statewide Priority Community members at risk for developing cancer, with a special focus on breast, uterine, Identified through health cervical, skin, lung, and colorectal cancers. assessment data from 2013. Chronic Disease Management Men, women, and children with weight management issues, with a special focus on obesity and Prevention/Wellness prevention for adults and children. Statewide Priorities Vulnerable Population, Families and patients coping with a variety of behavioral health issues and Substance Use Statewide Priority, and Disorder (SUD) in our communities. declared Public Health Crisis Low to moderate income, unserved elderly in our communities, especially those living in the Vulnerable population­ communities of Everett, Malden, Medford, Melrose, Reading, Saugus, Stoneham, and Statewide Priority Wakefield. Men and women needing bone and joint health awareness with a focus on injury prevention; Chronic Disease Management specifically falls prevention, arthritis and osteoporosis prevention and detection, and and Prevention/Wellness prevention of sports injuries especially in youth. Statewide Priorities The community­at­large to be prepared for emergencies, both local and more pervasive such During emergencies all as seasonal flu, accidents involving large numbers of victims, natural disasters, pandemic flu, populations may be impacted or terrorist activities. and require support. Chronic Disease Management­ Residents at risk for developing cardiovascular disease or those experiencing health issues due Statewide Priority and to undiagnosed or poorly understood cardiovascular risks including those at risk for developing identified through health Chronic Heart Failure (CHF) and for suffering a stroke. assessment data in 2013. Chronic Disease Management, Residents impacted by tuberculosis, especially those residing in Everett, Malden and Medford. Vulnerable Population, Statewide Priority Uninsured and underinsured residents of our core communities and specifically the target populations identified. This includes the recruitment, education, and training of nurses, Statewide Priority physicians, and other practitioners needed to care for the target populations. Families with children/adolescents at risk due to poverty, isolation, language or cultural barriers, domestic violence, lack of skills to navigate the healthcare system, or those in need Vulnerable Population­ of developing parenting skills. Based on public health data, these efforts will focus especially Statewide Priority on families in Burlington, Everett, Lynnfield, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield, Wilmington, Winchester, and Woburn. Connections to local health providers and community Community agencies and coalitions for capacity­building by strengthening connections with organizations ensure that local groups and health care systems to avoid duplication of services and provide services to community needs are met and those most in need. that services are not duplicated. Publication of Target Populations Marketing Collateral, Annual Report, Website, Other­ Internal documents and Annual Community Benefits Report Hospital/HMO Web Page Publicizing Target Pop. http://www.hallmarkhealth.org/community­benefits/Target­Populations.html Key Accomplishments of Reporting Year Strengthened Hallmark Health as an Organization During FY 2016, Hallmark Health continued to advance strategies to assure overall excellence through improvement of key operational and quality milestones (including standards set forth by MAGNET, Baby Friendly, and other accreditation bodies). This included an ongoing commitment to Safety and Excellence through programs such as the training and education completed as a component of certification by nurses at Lawrence Memorial Hospital to improve care for health system elders (NICHE). In Maternal/Newborn Services nurses completed a certification training program from the Vermont Oxford Network to improve care for mothers and babies coping with the impacts of Substance Use Disorders (SUD). In addition the system, working with long­term consulting group Kaufman and Hall diligently designed and implemented strategies to reduce significant budget deficits and maximize revenue streams. Continued Exploration of a Tertiary Partner Affiliation During FY 2016, Hallmark Health remained committed to strengthening its core operations, developing plans to enhance its clinical services, physical presence and infrastructure. The pursuit of a comprehensive affiliation remained a top priority of Board and Executive Leadership, to access resources to further these plans, foster primary, behavioral and specialty care integration, and reduce the cost of care. The completion of a formal affiliation agreement was fulfilled on January 1, 2017 when Hallmark Health became a third founding member of Wellforce, joining Circle Health in Lowell and Tufts Medical Center in Boston. Maintained and Sought New State, Federal, and Private Funding Hallmark Health continued to demonstrate an ability to leverage external resources to support innovative community benefits programs and partnerships. The system again received funding from the Health Policy Commission’s CHART program to provide services to high risk populations through the Collaborative Outreach and Accountable Care program at Hallmark Health (COACHH) . During FY 2016, the Centers for Medicare and Medicaid Services (CMS) Innovation Funding was extended for the Community Care Transitions Program (CCTP). Hallmark Health also prepared and submitted successful grant applications for refunding the Women, Infants and Children (WIC) Nutrition Program, the Healthy Families Program, and the Massachusetts Home Visiting Initiative. This grant writing success demonstrates Hallmark Health’s ability to achieve targeted objectives, and serve as prudent stewards of external resources. In addition, Hallmark Health implemented a two­year program funded by Cardinal Health Foundation to utilize a mobile app and on­line education to expand and improve prenatal education rates to impact health outcomes and overall experiences of care across inpatient, outpatient, and community programs. Developed new programs to address health concerns In 2016, Hallmark Health developed the Stress­free Colon Health Screening Program; producing community awareness materials focusing on the importance of screening to reduce colon cancer morbidity and mortality, hiring navigators to answer questions and help allay residents' fears around the preparation needed for a colonoscopy, and addressing social determinants such as transportation needs to ensure community members have ready access to colon health screening. Continued to Assess and Evaluate Community Needs During FY 2016, Hallmark Health completed the final year of its current three­year Community Benefits Implementation Plan. The plan's use was approved by the Board of Trustees to continue through January 31, 2017 when the new Community Health Improvement Plan (CHIP) was completed and approved. In 2016, a Community Health Needs Assessment (CHNA) was also completed as required. The health system again selected the Institute for Community Health as its lead research partner for both the CHNA and the CHIP. These documents may be found at https://www.hallmarkhealth.org/Community­Benefits/Community­ Health­Needs­Assessment.html. Received recognition In 2016, the health system’s Mobile Food Market was awarded a designation as a Program of Excellence from Jackson Healthcare’s Hospital’s Charitable Service Award Program, the only awarded Program of Excellence in New England in 2016. The Market has provided healthy food items to thousands of local residents monthly for almost five years. During the Market, health information and services such as flu vaccines are also offered. The program has had tremendous local partnerships such as with the Greater Boston Food Bank, an International Women’s Group, Zonta, and municipalities such as the cities of Malden and Medford. The program has had a positive impact on food insecurity throughout the service area. In addition the North Suburban WIC Program Community Coordinator was chosen as a Community Hero by Action for Boston Community Development (ABCD) for her support of the agency as it transitioned to be the Community Action Program (CAP) for the area. Plans for Next Reporting Year Strengthen Hallmark Health as an Organization In FY 2017, Hallmark Health plans to work closely with members of the Wellforce organization to further strengthen the health system’s capacity and financial performance. These efforts will continue to focus on improving quality and safety through the clinician and
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