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 the patient experience and include expanding the education and training offered by the system’s Diversity Committee. Wellforce has engaged Navigant Consulting to support this important work. In 2017, the health system has begun to offer services through BHIP­ Behavioral Health Integration Program. In this model, social workers are available to support Hallmark Health providers, offering resource and referral information around social needs such as access to healthy foods, housing Hallmark Health providers, offering resource and referral information around social needs such as access to healthy foods, housing resources, and other social determinants of health.

Maintain and Seek New State, Federal, and Private Funding During FY 2017, several of Hallmark Health's multi­year state grants will again come up for renewal. The system is planning to respond to the Request for Proposals (RFP) from the Massachusetts Department of Early Education and Care to fund a Coordinated Family and Community Engagement (CFCE) program in partnership with the Wakefield Public Schools. Hallmark Health has also applied for funding from the Children’s Trust for a multi­year contract for a Parenting Education and Support Program (PESP) for vulnerable parents and infants. Other state and federally funded grant opportunities supporting priority health areas or concerns will be evaluated on a case­by­case basis and applications prepared and submitted accordingly.

Continue to Assess and Evaluate Community Needs In FY 2017, Hallmark Health has begun implementing the Board approved Community Health Improvement Plan (CHIP). The CHIP serves as the blueprint for the health programs provided in the community by the health system from 2017 through 2019.

Community Benefits Process

Select Community Benefits Process

Community Benefits Leadership/Team At the close of the FY 2016 reporting period, the Hallmark Health System Community Benefits Advisory Council consisted of the following hospital members: a Trustee representing the hospital's Board of Trustees; the Executive Vice President and Chief Legal Officer; the System Vice President of Home Care and Community Programs (Chair of the Community Benefits Advisory Council); the Chief Marketing Officer; the System Director, Hematology/Oncology; the Controller; the Director, Community Services; the Manager, Case Management; the Manager, Central Scheduling, Insurance Coordination & Interpreter Services; and the Manager, Community Benefits & Operations. Hallmark Health physician representatives to the Council include a HHS Family Medicine physician and a HHS OB/GYN. Three community representatives­ local residents and leaders of community­ based organizations reflect the diverse populations served by Community Benefits programs. In 2016, one of the community representatives recused himself from the committee after a job change that had him no longer working in this service area. This Community Benefits Council position will be replaced in early 2017. The Council continues to serve as the functional program development committee for the Community Benefits Health Improvement Plan, defining the hospital’s efforts based on identified and assessed health needs in the community, and refining the Improvement Plan to respond to urgent or emerging needs. The Council formally recommends the plan to the Board Governance Committee for review prior to its ratification by the full Board of Trustees, and assesses impact and measurement of goals and activities prior to this data being reported to mandated state and federal entities.

Community Benefits Team Meetings The Community Benefits Advisory Council was provided an email program update on October 15, 2016 and met in person five times during FY 2016. Meetings were held on December 10, 2015, February 18, 2016, April 21, 2016, June 16, 2016, and August 18, 2016. Between meetings, the group communicated and shared documents via email and telephone as needed.

Community Partners Action for Boston Community Development, Inc. (ABCD) American Cancer Society Asian American Civic Association American Diabetes Association American Heart Association American Lung Association American Red Cross Association for Community Health Improvement Baby Café USA Baby Friendly America Boys and Girls Clubs of Stoneham/Wakefield Bread of Life Malden Burbank YMCA of Reading Cambridge Health Alliance Catholic Charities Children’s Trust Massachusetts Chinese Culture Connection CMS Innovation Forum Community Health Network Areas (CHNA) 15 & 16 Community Family Human Services, Inc. Community Servings Cross Cultural Communications, Inc. Early Intervention Programs (Several) East Boston Neighborhood Health Center Eliot Community Human Services EMARC (Eastern Middlesex Association of Retarded Citizens) Elder Services of the North Shore Everett Coordinated Family Community Engagement Grant Families First Friends of the Middlesex Fells Reservation Friends of Oak Grove Greater Boston Food Bank Greater Lynn Senior Services Health Care for All Health Care Without Harm Healthy M.E. Housing Families, Inc. Immigrant Learning Center of Malden Institute for Community Health (ICH) Jackson Healthcare – Hospital Charitable Service Awards Jewish Family & Children's Services Joint Committee for Children’s Health Care in Everett Joslin Diabetes Center La Comunidad, Inc. Local Arts Councils Local Boards of Health Local Chambers of Commerce Local Civic Groups (such as Rotary and Kiwanis) Local Councils on Aging Local faith­based organizations Local Public Schools Malden Coordinated Family and Community Engagement Grant Malden's Promise Coalition MA Executive Office of Elder Affairs Tri­City Homelessness Task Force Malden YMCA MA Department of Children and Families (DCF) MA Department of Conservation & Recreation (DCR) MA Department of Early Education and Care (EEC) Massachusetts Department of Public Health (DPH) Massachusetts Department of Mental Health (DMH) Massachusetts Department of Transitional Assistance (DTA) Mass in Motion Coalitions for Everett, Malden, Medford, and Melrose­Wakefield Massachusetts General Hospital Massachusetts Health Policy Commission Massachusetts Hospital Association Medford Family Network Medford Health Matters Medford Substance Abuse Task Force Melrose Alliance Against Violence Melrose Birth to Five Coalition Melrose Community Coalition Melrose Family YMCA Melrose Human Rights Commission Melrose Substance Abuse Prevention Coalition Melrose Substance Abuse Prevention Coalition Merrimack Valley Elder Services Middlesex Recovery, PC Middlesex County District Attorney's Office Mount Auburn Hospital MotherWoman Mystic Valley Elder Services Mystic Valley Public Health Coalition: Mystic Valley MA Opioid Abuse Prevention Collaborative Mystic Valley Tobacco and Alcohol Program Substance Abuse Prevention Collaborative Oak Grove Improvement Organization Portal to Hope, Inc. Reading Substance Abuse Prevention Coalition (RCASA) Regional EMS Providers Regis College and other area colleges and universities Respond, Inc. South Bay Mental Health Center Somerville Cambridge Elder Services Staples, Inc. Stoneham Alliance Against Violence Stoneham Substance Abuse Coalition Systems of Care, Eliot Human Services Tailored for Success The Stoneham Theater Tri­City Hunger Network Tufts Medical Center Tufts University The Salvation Army The Sharewood Project UMass Memorial Health System Wakefield Alliance Against Violence WAKE­UP: Wakefield Unified Prevention West Medford Community Center Winchester Hospital/Lahey Health YouthHarbors Program (JRI) YWCA of Malden Zonta Clubs of Medford and Malden Zoo New England­Stone Zoo

Collaborations developed with other groups as needed to plan and implement Community Benefits programming.

Community Health Needs Assessment

Date Last Assesment Completed and Current Status Hallmark Health System completed its latest formalized Community Health Needs Assessment (CHNA) in September 2016. The CHNA will serve as the blueprint for the hospital’s multi­year Community Health Improvement Plan (2017­ 2019). The CHNA development process included a review of secondary data from local, state, foundation, federal and socio­economic data, and primary data from key stakeholders, system leaders who work in the community, and three focus groups. In addition to the CHNA, Hallmark Health completes annual Comprehensive Language Needs Assessments for the Massachusetts Department of Public Health, reviewing admission statistics on language, race and ethnicity. These processes were supported by the hospital’s Community Teams and the HHS Patient/Family Advisory Council (PFAC) who provided additional feedback on the health assessment and emerging health needs. Hallmark Health continues to participate in social and community health groups, multiple community coalitions, two Community Health Network Areas, and shares feedback from all of these stakeholders across the nine departments comprising the Community Services division.

Consultants/Other Organizations The Institute for Community Health (ICH), 350 Main Street, Malden, MA 02148, partnered with HHS to complete the 2016 Needs Assessment. Hallmark Health and ICH continue to review and collaborate on emerging data and future health assessment efforts. ICH also supported the HHS Community Benefits Council in developing the 2017­2019 Community Health Improvement Plan (CHIP) which was unanimously approved by the Board of Trustees in January 2017. The current Plan was in effect until January 31, 2017. In addition to ICH, Peg Sallade of Health Planning and Program Development at 41 Reynolds Road, Wakefield, MA 01880 assisted in the planning and facilitation of one focus group, and Caron Lanouette, of Community Benefits Consulting LLC of 18 Woodmont Road, West Hartford, CT 06117 provided consulting support when needed.

Data Sources Community Focus Groups, Hospital, Consumer Group, Interviews, MassCHIP, Public Health Personnel, Surveys, CHNA, Other ­ Community Teams and the HHS Patient Family Advisory Council.

Select Community Benefits Programs

Patient Financial Navigators Brief Description or Patient Financial Navigators screen uninsured and underinsured individuals and provide case Objective management to newly enrolled Mass Health recipients. Financial Counselors also assist patients with the re­determination process and provide support with billing issues and enrolling in other support and community services such as SNAP. The Hallmark Health program provides a full spectrum of Certified Application Counselor (CAC) services both at HHS sites and at locations in the community through a variety of programs and events, and all three Navigators have completed the required trainings to support the CAC program. Assisting vulnerable individuals to access insurance and other supportive services helps them to better address health disparities and is consistent with reform goals around universal health coverage. Program Type Health Coverage Subsidies or Enrollment,Outreach to Underserved Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults Ethnic Group: All Language: All , English , Spanish Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Assist community residents to 2726 Encounters were for enroll and re­enroll in health residents that needed support insurance. in completing applications. These applications may have been online, on paper, via phone with the Health Connector, reviewing forms, completing free care applications, hardship and long term care applications. 20.49% of the time spent is with non Hallmark Health patients. Support community 934 Encounters are reported as individuals in navigating “other” and include… health insurance systems and counseling over the phone­ provide referrals to public may refer to WIC or SNAP, billing issues, collecting assistance programs such as copays, ID proofing, WIC and SNAP. counseling for Medicare benefits (in general), Part B counseling and Part D counseling.

Partners

Partner Name, Partner Web Address Description Neighborhood http://nhp.org/Pages/home.aspx Health Boston http://bmchp.org/pages/home.aspx Medical Center Health Net Greater http://www.gbfb.org/ Boston Food Bank MassHealth http://www.mass.gov/eohhs/gov/departments/masshealth/ Medicare http://www.medicare.gov/ The Joint http://jcchce.org/ Committee for Children's Health Care in Everett (JCCHCE) Massachusetts http://www.mass.gov/eohhs/gov/departments/dta/ Department of Transitional Assistance (DTA)

Contact Information Janet Hare, Manager, Patient Financial Services, Hallmark Health System, Phone: 781­338­ 7068, [email protected] Detailed Description Download/View Attachment(702.13 KB) File Name: #1­ Financial Counseling.pdf

Domestic Violence Education and Support in the community. Brief Description or Domestic Violence and Intimate Partner Violence Prevention & Education are key initiatives Objective for Hallmark Health System. The system works closely with local community prevention agencies and coalitions, including the Melrose, Stoneham, and Wakefield Alliances Against Violence (MAAV, SAAV, and WAAV), and serves as a convener of agencies and providers to build awareness of services and resources available to serve a range of vulnerable populations around this issue. Program Type Community Education,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Domestic Violence, Other: Public Safety, Other: Rape, Other: Safety, Other: Stress Management, Substance Abuse Sex: All Age Group: Adult, Adult­Elder, Adult­Young, Child­Preteen, Child­Teen Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide hospital clinicians and Six hospital leaders and staff staff to serve on local Intimate provided more than 250 hours Partner Violence Prevention of direct service as Board Coalitions. members and group members of Melrose Alliance Against Violence (MAAV), Stoneham Alliance Against Violence (SAAV},Wakefield Alliance Against Violence (WAAV), and Portal to Hope. Provide space and LICSW In 2016, the group met 43 support in­kind for a MAAV times on Mondays from 6:30 weekly support group, to 8:00 pm. The average "Moving Forward in Your attendance was 7 participants Relationships". per group.

Partners

Partner Name, Partner Web Address Description Local Police Departments Melrose http://www.maav.org Alliance Against Violence (MAAV) Wakefield http://www.waavonline.org Alliance Against Violence (WAAV) Stoneham http://saavma.wordpress.com Alliance Against Violence (SAAV) Portal to http://www.portaltohope.org Hope Victim http://www.middlesexda.com/ Witness Services Bureau­ Office of Middlesex District Attorney's Office MA http://www.mass.gov/eohhs/gov/departments/dcf Department of Children and Families Mystic http://www.mves.org Mystic http://www.mves.org Valley Elder Services Somerville http://www.eldercare.org Cambridge Elder Services RESPOND, http://www.respondinc.org Inc

Contact Information Susan Appleyard, LICSW, Manager, Case Management, Hallmark Health System, 585 Lebanon Street, Melrose, MA 02176, Phone: 781­979­3439, [email protected] Detailed Description Download/View Attachment(2523.24 KB) File Name: IPV­All­FY2016.pdf

In­kind space for Portal to Hope (Domestic Violence Program) Brief Description or Portal to Hope (PTH) is a non­profit agency dedicated to supporting victims of domestic Objective violence, sexual assault, and stalking, as well as advocating for legislative changes to support these victims. Services include Crisis Intervention and 3­day Emergency Shelter; transportation assistance; Legal Aid and victim advocacy in the courts; Job and Housing Search and Application Assistance; Violence Against Women Act­based Immigration Assistance; Youth Programs; and other advocacy. PTH also facilitates support groups and public forums for businesses, high schools, colleges, religious organizations, medical facilities and to the public. Hallmark Health has provided office and IT/telephone support free of charge for more than 10 years, first at Lawrence Memorial Hospital, and since 2011, at the Malden Family Health Center building. Providing space enables Portal to Hope to both work with vulnerable individuals and families directly impacted by intimate partner violence, and outreach to individuals with active 209A Abuse Prevention Orders. Program Type Community Education,Community Participation/Capacity Building Initiative,Direct Services,Outreach to Underserved,Prevention Target Population Regions Served: County­Middlesex, Everett, Lynn, Malden, Medford, Winthrop Health Indicator: Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Domestic Violence, Other: Homelessness, Other: Public Safety, Other: Safety, Substance Abuse Sex: All Age Group: All Adults, All Children, Child­Infant Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide in­kind office space, PTH served 903 people during internet access capabilities, FY 2016. Of this number, 67% and phone service for Portal to were females and 33% were Hope. This allows the males. 38% of clients who organization to facilitate direct benefited from PTH programs care services, outreach, and were under the age of 18. advocacy for individuals experiencing domestic violence. Provides additional in­kind These activities included the meeting space for Portal to Benevolence Project; crisis Hope programming intervention; Legal Aid; job and housing search assistance; youth support; safety planning; and other direct care services, including support groups. In addition, the Tri­ City Domestic Violence Task Force meetings, and Board and Advisory Committee meetings are held at the Lawrence Memorial campus.

Partners

Partner Name, Partner Web Address Description Local Police Departments Middlesex http://www.middlesexda.com District Attorney's Office Melrose Alliance http://www.maav.org Against Violence (MAAV) Stoneham http://saavma.wordpress.com Alliance Against Violence (SAAV) Wakefield http://www.waavonline.org Alliance Against Violence (WAAV) MA Department www.mass.gov/eohhs/gov/departments/dcf/ of Children and Families (DCF) Mystic Valley http://www.mves.org Elder Services Somerville http://www.eldercare.org Cambridge Elder Services Greater Lynn http://www.glss.net Social Services North Shore Elder http://www.nselder.org Services

Contact Information Susan Appleyard, LICSW, Manager, Case Management, Hallmark Health System, 585 Lebanon Street, Melrose, MA 02176, Phone: 781­979­3439, [email protected] Detailed Description Download/View Attachment(4534.48 KB) File Name: #3 Portal to Hope.pdf

Cancer Center Support Groups Brief Description or The Hallmark Health System Hematology and Oncology Center offers multiple support groups, Objective as well as educational programs to help patients and their families and area residents cope with cancer treatments and related side effects. Program Type Community Education,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Cancer, Other: Cancer ­ Breast, Other: Cancer ­ Cervical, Other: Cancer ­ Colo­rectal, Other: Cancer ­ Lung, Other: Cancer ­ Multiple Myeloma, Other: Cancer ­ Ovarian, Other: Cancer ­ Prostate, Other: Cancer ­ Skin, Other: Nutrition, Other: Smoking/Tobacco, Other: Stress Management, Tobacco Use Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations

Goal Description Goal Status Provided a facilitated support The general cancer support group for cancer patients, group met monthly for 90 suvivors, and their families to minutes per session. aid them in coping with their Approximately 40 individuals illness. Group activities attended in FY 2016. included expert guest speakers on a range of related topics. In collaboration with the More than 15 women American Cancer Society, participated either online or "Look Good Feel Better" and through live sessions. "I Can Cope" sessions were offered. Offered a monthly facilitated In FY 2016, there were 40 support group for breast cancer patients served by the patients and families. The program. group was blended with the overall support group toward the end of the fiscal year.

Partners

Partner Name, Description Partner Web Address Local health care providers American Cancer Society http://www.cancer.org YWCA of Malden http://www.ywcamalden.org

Contact Information Elisa Scher MSN RN­BC Executive Director, Cancer Services Hallmark Health System, 41 Montvale Avenue, Stoneham, MA 02180, Phone: 781­224­5877, [email protected] Detailed Description Download/View Attachment(316.92 KB) File Name: #4 Cancer Support Groups.pdf

Continuing Medical Education Brief Description or With rapid advances in technology and pharmaceuticals, all physicians and health care Objective professionals must be engaged in lifelong learning or Continuing Medical Education (CME). The program is available to providers and the community. Some of the topics provided that are related to Community Benefits include “Endovascular Treatment and Management of Stroke”, “Osteoporosis Update”, “Colorectal Cancer Screening”, Substance Use Disorder”, and “Obsessive Compulsive Disorder”. Program Type Community Education,Health Professional/Staff Training,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Immunization, Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Alzheimer Disease, Other: Arthritis, Other: Asthma/Allergies, Other: Cancer, Other: Cardiac Disease, Other: Chronic Pain , Other: Colitis/Crohn Disease, Other: Cultural Competency, Other: Diabetes, Other: Education/Learning Issues, Other: Elder Care, Other: Family Planning, Other: Hearing, Other: Hepatitis, Other: HIV/AIDS, Other: Hypertension, Other: Lead Poisoning, Other: Lyme Disease, Other: Nutrition, Other: Osteoporosis/Menopause, Other: Parkinson’s Disease, Other: Pregnancy, Other: Pulmonary Disease/Tuberculosis, Other: Sexually Transmitted Diseases, Other: Smoking/Tobacco, Other: Stroke, Other: Vision , Overweight and Obesity, Physical Activity, Responsible Sexual Behavior, Substance Abuse, Tobacco Use Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide topical continuing In FY 2016, Hallmark Health medical education (CME) hosted 70 CME sessions with open and available to area 1,225 Clinicians attending. physicians and clinicians. This included 968 Physicians and 257 Non­ Clinicians/RNs/Advanced Practice Clinicians.

Partners

Partner Name, Description Partner Web Address Local health providers Other local hospitals Tufts Medical Center http://www.tuftsmedicalcenter.org Lawrence Memorial/Regis http://www.lmregis.edu College Schools of Radiology and Nursing Mass General Hospital http://www.massgeneral.org/

Contact Information Edward Butler, MD, Chief, Department of Medicine, Lawrence Memorial Hospital, 170 Governors Avenue, Medford, MA 02155, Phone: 781­306­6265, [email protected] Detailed Description Download/View Attachment(23.75 KB) File Name: FY2015­CEU_List.pdf

Community Health Education Brief Description or Hallmark Health provides a variety of ongoing community health education programs, planned Objective and offered at low cost or free of charge to area residents. Topics ranged from cardiac health, to diabetes education, to parenting education. Community input and reliable health and socio­ economic data were used to develop and implement programs best suited to the community needs. An online health library is also available, free of charge, via Hallmark Health's web site. Program Type Community Education,Outreach to Underserved,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: All, Immunization, Mental Health, Other: Asthma/Allergies, Other: Child Care, Other: Diabetes, Other: Domestic Violence, Other: Education/Learning Issues, Other: First Aid/ACLS/CPR, Other: Hypertension, Other: Language/Literacy, Other: Nutrition, Other: Parenting Skills, Other: Safety, Other: Smoking/Tobacco, Other: Stress Management, Overweight and Obesity, Physical Activity, Tobacco Use Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults, All Children, Child­Infant, Child­Preschool, Child­Preteen, Child­Primary School, Child­Teen, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status In FY 2016, through a grant The App was used by 609 from Cardinal Health individuals in the first six from Cardinal Health individuals in the first six Foundation a Maternity months it was available. Mobile App was developed and implemented. Provide an on­line health In FY 2016,the Health Library information library for had 4898 unique visitors, with community members to access 9185 Page Views, for an free of charge. Available average of 25 average page through the health system views per day. website. Provide education programs In FY 2016, the system on a variety of health topics. provided the following programs: Baby Sitting classes, Breastfeeding classes live and on­line, Family and Friends CPR, Heartsaver AED, Infant Care I and Infant Care II classes, and Prenatal Classes both live and on­line. A total of 443 individuals attended. In addition, education was offered on nutrition and weight loss for 222 individuals, the impact of Alzheimer’s Disease on families was offered for 25 individuals, and parenting programs including one for Chinese families in Malden were offered. Offer concussion education In 2016, Hallmark Health and screening in the educated coaches, community administrators, and nursing staff at Everett High on concussion awareness (including signs/symptoms, complications, return to play criteria) and what to do in the event an athlete has suffered a concussion. Sideline concussion reference cards were handed out. 85 were served. An additional 59 student­athletes from the Reading Pop Warner football association were provided the computer based ImPACT baseline concussion test. The test provides a baseline score to compare to post­injury results and help with the management of a potential head injury. Sideline Concussion cards and an information letter/consent form were handed out. In another session, 16 additional student athletes were served. Support Parent University Acted as a planning member of Programs in Everett and the 2016 Parent University in Wakefield. Everett­ Engaging Families, Wakefield. Everett­ Engaging Families, Building Kids and Communities: One Child at a Time A One Day Conference for Parents, Families, Educators, and the Communities Sponsored by Joint Committee for Children's Health Care in Everett Sat, April 2, 2016 | 7:15am­2:30pm | Everett High School. 175 community residents attended. Supported the Parent University in Wakefield on March 16, 2016 by providing childcare for the 150 parents attending educational sessions. Provide programming focused Offered "Align the Mind and on reducing stress and anxiety Balance the Body" a program for community residents that teaches meditation, positive self­messaging, and negative energy release to quiet the mind. Twenty seven individuals attended the two three session programs offered.

Partners

Partner Name, Description Partner Web Address Local Councils on Aging American Cancer Society http://www.cancer.org American Heart Association http://www.heart.org YWCA of Malden http://www.ywcamalden.org Cardinal Health Foundation https://fdo.foundationcenter.org Customized https://www.customizedinc.com Communications, Inc

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(3120.80 KB) File Name: #6 CHE.pdf

Save a Life, Pass it On! Brief Description or To increase the number of area residents trained in CPR, and address the high potential of Objective sudden cardiac death within the region as identified in the Community Health Needs Assessment, Hallmark Health has made teaching CPR to local high school students on an ongoing annual basis a high priority. These trained students will then bring CPR skills home to train their families, where it is most needed. Students are trained using the American Heart Association “Family and Friends, CPR Anytime” model. This method of training is easily offered in a group setting and takes less than one hour. Each student learns on a provided kit and is then asked to train 2­3 additional family members or friends using these materials. Program Type Community Education,Prevention,School/Health Center Partnership Target Population Regions Served: Malden, Medford, Melrose, Wakefield Health Indicator: Access to Health Care, Other: Cardiac Disease, Other: First Aid/ACLS/CPR, Other: Public Safety, Other: Safety ­ Home Sex: All Age Group: Adult, Adult­Young, Child­Teen Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations

Goal Description Goal Status Provide Instruction to area Students were trained at high schools using the Medford High School ­ 250 American Heart Association students, Malden High School CPR Friends and Family ­ 350 students and Wakefield training program. Students High School ­ 200 students for were also asked to pledge to a total of 800 students. If each teach 3 other community or trains 3 community residents, family members using their another 2,400 people could be kits. trained.

Partners

Partner Name, Partner Web Address Description Cataldo Ambulance http://www.cataldoambulance.com Armstrong Ambulance http://www.armstrongambulance.com American Heart http://www.heart.org Association Medford Public Schools http://www.medfordpublicschools.org Melrose Public Schools http://www.melroseschools.com/ Wakefield Public http://www.wakefield.k12.ma.us Schools Malden Public Schools http://www.maldenps.org

Contact Information Judith Sadacca, Outreach Manager, Ambulatory Services, Hallmark Health System, 48 Montvale Avenue, Stoneham, MA 02180, Phone: 781­279­2213, [email protected] Detailed Description Download/View Attachment(389.64 KB) File Name: CPR­HS­FY2015.pdf

Education for Area First Responders Brief Description or Hallmark Health hosts educational sessions for local EMTs and paramedics including area fire Objective departments, provided by the Hallmark Health Emergency Department (ED) Medical Director and the ED staff. These programs are offered to meet the educational needs of these local care providers. Topics are determined to meet the needs identified by the participants and the Chairman of Emergency Medicine. Participants earn Continuing Education credits, and Hallmark Health staff members may also attend. Improving training for first responders and how they interface with community members and hospital clinicians can be invaluable in ultimately improving the patient experience and quality of care from the very beginning of a health emergency. Program Type Community Participation/Capacity Building Initiative,Health Professional/Staff Training,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Public Safety Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform Goal Description Goal Status Nurse liaison interviews area In FY 2016 two lectures were paramedics to find topics of offered. Cardiac emergencies interest to them. Educational in the community, a lecture on sessions are provided to advanced treatment for enhance medical knowledge, cardiogenic shock and heart to foster inter­agency failure was provided by Dr. collaboration, and improve Carl Turissini. The 20 patient safety. paramedics received 2 CEUs for attending this lecture and dinner was provided. The second lecture was Cardiac emergencies in the community, offered by Dr. Laurence Conway. The 20 paramedics attending received 2 CEUs and dinner was provided.

Partners

Partner Name, Partner Web Address Description Armstrong Ambulance http://www.armstrongambulance.com Cataldo Ambulance http://www.cataldoambulance.com Action Ambulance http://www.actionambulance.com Other EMT professionals as space permits

Contact Information Judith Sadacca, Outreach Manager, Ambulatory Services, Hallmark Health System, 48 Montvale Avenue, Stoneham, MA 02180, Phone: 781­279­2213, [email protected], [email protected] Detailed Description Download/View Attachment(648.50 KB) File Name: #8 Education for First Responders.pdf

Diabetes Screening and Education Brief Description or Diabetes is the 7th leading cause of death in the US and it is estimated that more than 22 Objective million people have diabetes. The sad truth is 11 million people don’t know it. Diabetes is also a high priority health issue for multiple populations in the Hallmark Health service area, identified by the Community Health Needs Assessment. The good news with diabetes is that knowledge really is power! The power to live life healthier starts with the identification and treatment of diabetes, especially good diabetes control. Taking control of diabetes is the key to improving the quality of life. Hallmark Health provides a variety of diabetes education and screenings in our communities. Seniors and middle aged adults are the majority of residents screened. Program Type Community Education,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Diabetes, Other: Nutrition, Overweight and Obesity, Physical Activity Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All, Asian, Black/African American, White Language: All , Chinese , Haitian Creole Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description Goal Status Increase community awareness In 2016, more than 190 about risk factors and signs residents were screened in the and symptoms of diabetes and community. Literature was pre­diabetes through lectures, provided at more than six participation at community community events. events, and dissemination of educational materials

Partners

Partner Name, Partner Web Address Description Joslin Diabetes Center http://www.joslin.org American Diabetes http://www.diabetes.org Association Mystiv Valley Elder http://www.mves.org Services La Comunidad, Inc. http://www.lacomunidadinc.org Local Councils on Aging YWCA of Malden http://www.ywcamalden.org Tri­City Hunger http://www.breadoflifemalden.org/ Network Asian Breast Cancer http://www.asianwomenforhealth.org/ Project (ABC)

Contact Information Melissa Roberto, DPT, MS­PT, ATC, System Director, Ambulatory Services, Hallmark Health System, 30 Newcrossing Road, Reading, MA 01867, Phone: 781­213­5110, [email protected] Detailed Description Download/View Attachment(825.47 KB) File Name: #9 Diabetes Screening.pdf

Diabetes Support Groups Brief Description or To support a significant population of individuals living with Diabetes and Pre­Diabetes Objective conditions, Diabetes Support Groups meet quarterly on the Lawrence Memorial Hospital campus. Clinical support from Certified Diabetes Nurse Educators and the Diabetes Self­ Management Team facilitate the groups, and attendance is tracked. Program Type Community Education,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Diabetes, Overweight and Obesity, Physical Activity Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations

Goal Description Goal Status Offer a diabetes support group In FY 2016, an average of 7 at least quarterly to help residents attended the 5 individuals and their families sessions offered. better manage this chronic illness.

Partners Partners

Partner Name, Description Partner Web Address Local health care providers Local Councils on Aging American Diabetes http://www.diabetes.org Association Joslin Diabetes Center http://www.joslin.org Mystic Valley Elder Services http://www.mves.org

Contact Information Melissa Roberto, DPT, MS­PT, ATC, System Director, Ambulatory Services, Hallmark Health System, 30 Newcrossing Road, Reading, MA 01867, Phone: 781­213­5110, [email protected] Detailed Description Download/View Attachment(443.59 KB) File Name: DiabetesGrp­FY2015.pdf

Diabetes Self­Management Program Brief Description or The Diabetes Self­Management Program offers small group and 1:1 classes. Many important Objective topics are covered including nutrition and exercise. Family members and friends are also invited and strongly encouraged to attend without cost to allow them to be able to support the patient with diabetes as well as increasing their own awareness of diabetes, risk factors and prevention strategies. The Program is affiliated with Joslin Diabetes Center. Program Type Community Education,Direct Services Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Diabetes, Overweight and Obesity, Physical Activity Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations

Goal Description Goal Status Provide individuals and their In FY 2016, 494 patients and family members an 366 family members attended opportunity to learn about the programs. their chronic illness through small classes facilitated by an RN, Certified Diabetes Educator.

Partners

Partner Name, Description Partner Web Address Local Councils on Aging American Diabetes http://www.diabetes.org Association Joslin Diabetes Center http://www.joslin.org

Contact Information Melissa Roberto, DPT, MS­PT, ATC, System Director, Ambulatory Services, Hallmark Health System, 30 Newcrossing Road, Reading, MA 01867, Phone: 781­213­5110, [email protected] Detailed Description Download/View Attachment(1636.19 KB) File Name: diabetes­sm­2015.pdf

Allied Health Professionals Clinical Education Brief Description or Hallmark Health System provides educational opportunities and one­on­one professional Objective training for students in a variety of health fields such as physical therapy, occupational therapy, nutrition, respiratory therapy, laboratory, social services, and pharmacy. The health system also provides operational learning opportunities related to the management of large scale facilities, including physical plant and food and nutrition operations. Program Type Mentorship/Career Training/Internship,School/Health Center Partnership Target Population Regions Served: County­Middlesex, Other­Northeastern Massachusetts Health Indicator: Access to Health Care, Other: Education/Learning Issues Sex: All Age Group: Adult, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Partner with local technical In FY 2016, 6 students schools and health science received extensive training education and training of and mentoring in laboratory laboratory scientists, sciences. technologists, and phlebotomists. Partner with colleges and In FY 2016, 6 area physical universities to support the and occupational therapy clinical education and training students received clinical of physical therapy and training and mentoring in occupational therapy students. rehabilitation and occupational services. Partner with local technical In FY 2016, 2 students schools, colleges and received education and universities to support the training around physical plant, education and training around food and nutrition, and other physical plant, food and environmental services nutrition, and other management of hospital environmental services facilities. management of hospital facilities. Partner with colleges and In 2016, 68 students were universities to support the mentored. clinical education and training of pharmacists and pharmacy residents. Partner with colleges and In 2016,there was 1 social universities to support the work student mentored. clinical education of social workers.

Partners

Partner Name, Partner Web Address Description Salem State University http://www.salemstate.edu Northeastern University http://www.neu.edu North Shore Community http://www.northshore.edu College Simmons College http://www.simmons.edu Bunker Hill Community http://www.bhcc.mass.edu College Northeast Metro http://www.northeastmetrotech.com/ Technical Vocational School Massachusetts Maritime https://www.maritime.edu/ Academy Middlesex Community http://www.middlesex.mass.edu College Other accredited colleges, universities, and certificate programs

Contact Information Eileen Dern, Director Community Services Hallmark Health System 239 Commercial Street, Suite 141 Malden, MA 02148, [email protected] Detailed Description Download/View Attachment(1302.75 KB) File Name: Pharmacy_Residency_Program­Brochure.pdf

Healthy Heart Education Series Brief Description or Hallmark Health seeks to educate residents about taking care of their heart, as well as the rest of Objective the body. The impact of a few lifestyle changes, along with a heart healthy diet and exercise regimen, community members can maintain a healthy heart for life! The 3­part Healthy Heart lecture series is designed to help reduce the incidence of heart disease by educating individuals about heart disease, its risks, and promoting regular physical activity, healthy eating habits, and stress reduction to reduce and prevent these life­threatening illnesses. Program Type Community Education,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Cardiac Disease, Other: Nutrition, Other: Stress Management, Overweight and Obesity, Physical Activity Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide heart health In 2016, 20 individuals community education in attended. alignment with the Hallmark Health Community Health Needs Assessment (CHNA). This was scheduled as a two part series. Unfortunately due to low enrollment we only ran the first section with Dr. Michael Mazzini and Dr. Khether Raby. They presented to the group information on arrhythmias, signs and symptoms and the prevention of heart disease.

Partners

Partner Name, Description Partner Web Address Local service agencies American Heart Association http://www.heart.org

Contact Information Judith Sadacca, Outreach Manager, Ambulatory Services, Hallmark Health System, 48 Montvale Avenue, Stoneham, MA 02180, Phone: 781­279­2213, [email protected] Detailed Description Download/View Attachment(609.39 KB) File Name: # 12 Heart to Heart.pdf

Lifeline Testing Buddies Brief Description or Lifeline provides a personal emergency response system that is available 24/7. The department Objective provides installation and maintenance of equipment. Optional enhanced services available include an alert button that auto­activates in the event of a fall, and a medication dispensing unit to reduce medication errors, thus helping to reduce hospital re­admittance. The program works with local Area Senior Access Point (ASAP) agencies as well as MassHealth and private pay subscribers to assure the service is available to vulnerable populations in need of quality Personal Emergency Response Services. In FY 2016, the program began a unique partnership with the hospital's Volunteer Services department to train and support youth volunteers in making scripted calls to remind and assist Lifeline subscribers with regular monthly testing of their equipment. The effort has increased testing rates among vulnerable elders in the community, while providing youth training to gain valuable telephone and interaction skills in a structured and positive setting. Program Type Direct Services,Mentorship/Career Training/Internship,Outreach to Underserved,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Homebound, Other: Safety, Other: Safety ­ Home Sex: All Age Group: Adult, Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Improve rate of regular Over the past year, seven subscriber testing ( more than Lifeline Testing Buddies 300 subscribers do not test provided more than 4,500 each month); while providing monthly test calls to the training in telephone etiquette Lifeline subscriber pool of and cross­generational 3,200 customers. communication to local high school aged youth.

Partners

Partner Name, Partner Web Address Description Local Councils on Aging Hallmark Health https://www.hallmarkhealthhomecare.org/ VNA & Hospice Mystic Valley Elder http://www.mves.org Services Greater Lynn Social http://www.glss.net Services Elder Services of http://www.nselder.org North Shore Somerville http://www.eldercare.org Cambridge Elder Services Chelsea, Revere, http://www.crwelderservices.org Winthrop Elder Services Philips Lifeline http://www.lifelinesys.com/

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(525.61 KB) File Name: #13 Lifeline Buddies.pdf

Blood Drives in Partnership with the American Red Cross Brief Description or Hallmark Health regularly partners with American Red Cross to support local blood needs. Objective Blood drives are scheduled throughout the year at both hospital campuses, both in­facilities and utilizing bloodmobiles parked on site. Program Type Community Participation/Capacity Building Initiative Target Population Regions Served: County­Middlesex Health Indicator: Access to Health Care, Other: Public Safety Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide nine blood drives over In FY 2016 the following the fiscal year. drives were held and the units of blood collected tracked. • 2/20 Red Cross Blood Drive ­ LMH campus, Collected 25 units • 3/25 MWH­ 22 donors, 1 deferred • 5/1 LMH­ 31 • 6/13 LMH­ 17, 3 deferred • 6/24 MWH­ 17 • 6/26 MWH­ 36 • 8/21 LMH­ 26 • 9/03 MWH­ 31 Total number of units collected was 201.

Partners

Partner Name, Partner Web Address Description American Red Cross of http://www.redcross.org/ma/boston Massachusetts

Contact Information Deborah Murphy, Manager, Laboratory Services, Hallmark Health System, 585 Lebanon Street, Melrose, MA 02176, Phone: 781­979­3335 , [email protected] Detailed Description Download/View Attachment(868.88 KB) File Name: Blood drives 2016.pdf

North Suburban Child and Family Resource Network Brief Description or The North Suburban Child and Family Resource Network (NSCFRN) is a community­based Objective parenting education and support program that serves families living or working in Lynnfield, Melrose, North Reading, Reading, Stoneham, Wakefield and Winchester. The Network is funded by a grant from the Massachusetts Department of Early Education and Care and managed in partnership with the Wakefield Public Schools. The program offers parent/child play­groups, parenting education programs, support groups, family fun activities, as well as information on resources and referrals. Specific programs are offered for grandparents. The Network is advised by a parent­led community coalition, which over­sees the numerous programs. Parents and community representatives assist with fundraising, community outreach and program development. The NSCFRN serves families with children up to school age and offers resources to families with children up to 13 years. The Harvard Center for the Developing Child and others have linked health improvement to early family supports and literacy, as well as long­term developmental benefits through the support of "brain building" activities and the reduction of toxic stress in early stages of a child's growth and development. Program Type Community Education,Community Participation/Capacity Building Initiative,Direct Services,Health Professional/Staff Training,Health Screening,Mentorship/Career Training/Internship,Outreach to Underserved,Prevention,School/Health Center Partnership Target Population Regions Served: Lynnfield, Melrose, North Reading, Reading, Stoneham, Wakefield, Winchester Health Indicator: Mental Health, Other: Bereavement, Other: Child Care, Other: Cultural Competency, Other: Domestic Violence, Other: Education/Learning Issues, Other: Language/Literacy, Other: Nutrition, Other: Parenting Skills, Other: Pregnancy, Other: Safety, Other: Stress Management Sex: All Age Group: Adult, Adult­Elder, Child­Infant, Child­Preschool, Child­Preteen, Child­ Toddler Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide parenting education FY 16 Participation: 810 and support programs for Unduplicated Families 1096 families with children from Children Age Birth­6 Years birth to school age. 2141 Families received information on community resources and activities Partner on "Story Walk" with The Family Network other local CFCEs and sponsored a series of Four provider agencies. Seasonal Story Walks during FY 2016. Story Walks (10/15 ­ 09/16) A Total of 380 Families and 1,203 people in all attended during the walks in Fall, Winter, Spring and Summer. Offer a weekly postnatal An average of 12 parents support program for all parents attend each program. of newborns in the community.

Partners

Partner Name, Partner Web Address Description EMARC http://www.theemarc.org Healthy http://www.childrenstrustma.org/our­programs/healthy­families Families MA http://www.mass.gov/edu/government/departments­and­ Department boards/department­of­early­education­and­care/ of Early Education and Care Melrose http://www.melroseschools.com Public Schools Wakefield http://www.wakefield.k12.ma.us Public Schools Stoneham http://www.stonehamschools.org Public Schools Stone Zoo http://www.zoonewengland.org/stone­zoo Friends of http://www.friendsofthefells.org the Middlesex Fells Lynnfield http://www.lynnfield.k12.ma.us/pages/Lynnfield_PS Public Schools Reading http://www.edline.net/pages/ReadingPublicSchools Public Schools Winchester http://www.winchester.k12.ma.us/pages/Winchester_Public_Schools Public Schools Early http://www.mass.gov/eohhs/gov/departments/dph/programs/family­ Intervention health/early­intervention/

Contact Information Kathy Harlow, Program Manager, North Suburban Child and Family Resource Network, Woodville School, 30 Farm Street, Wakefield, MA 01880, Phone: 781­246­5187, [email protected] Detailed Description Download/View Attachment(2856.93 KB) File Name: # 15 NSCFRN.pdf

Grandparents Raising Grandchildren in Harmony Brief Description or The North Suburban Child and Family Resource Network provides education and support to Objective grandparents raising grandchildren on their own across our area. This is a growing challenge statewide, exacerbated by the rapid increase in opioid abuse and other substance use disorders in the area, in addition to other health and socioeconomic factors. Program Type Community Education,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention,School/Health Center Partnership,Support Group Target Population Regions Served: County­Middlesex, Lynnfield, Melrose, North Reading, Reading, Stoneham, Wakefield, Winchester Health Indicator: Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Child Care, Other: Education/Learning Issues, Other: Safety, Other: Safety ­ Home, Other: Stress Management, Substance Abuse Sex: All Age Group: Adult­Elder, Child­Infant, Child­Preschool, Child­Preteen, Child­Primary School Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description Goal Status Provide programming based Educational sessions were on expressed needs of the offered such as American Heart grandparents. Association CPR training, a discussion on Attention Deficit Disorder facilitated by a local pediatrician, a program on Special Education offered by a retired Public School Special Education Director, and strategies for improving the emotional health of grandparents and children provided by a retired school guidance counselor. Through a partnership with Families First Parenting Programs additional workshops were offered. The topics included: “Finding Happiness”, “Parents/Caregivers as First Teachers”, “Children’s Learning Styles”, “The Social Emotional Side of Learning”, “Homework Healthy Households”, and “Parenting in the 21st Century”. Provide bi­weekly support for During FY 2016: 99 members grandparents raising their either attended twice monthly grandchildren. group sessions, were provided resources through an email group, or were supported in 1­ to­1 sessions with the Program Manager. Support Legislative Advocacy Grandparents were also Efforts for the grandparents supported in legislative and their grandchildren. advocacy efforts through informational sessions with State Senator Jason Lewis, State Senator Patricia Jehlen, State Representative Paul Brodeur, and State Representative Paul Donato. Hallmark Health Executive Leaders also attended these sessions. In 2016, five of the grandparents from the group attended the state sponsored Grandparents Raising Grandchildren conference with the Manager of the NSCFRN and one grandparent attended a Talking Tour of the Commission on Grandparents Raising Grandchildren sponsored in collaboration with the Middlesex County District Attorney’s Office. Support the development of The NSCFRN Manager additional resources for supported the Stoneham­ additional resources for supported the Stoneham­ grandparent/caregivers in the Wakefield Boys and Girls Club community. leadership to start their own program for grandparents in the evening; offering grandparents another time and day of the week option for services.

Partners

Partner Name, Partner Web Address Description Families http://www.families­first.org First MA http://www.mass.gov/elders Department of Elder Affairs Mystic http://www.mves.org Valley Elder Services Department http://www.mass.gov/edu/government/departments­ of Early and­boards/department­of­early­education­and­ Education care/ and Care Middlesex http://middlesexda.com/ County District Attorney's Office State https://malegislature.gov/ Legislative Delegation Stoneham­ http://bgcstoneham.org/ Wakefield Boys and Girls Club

Contact Information Kathy Harlow, Program Manager, North Suburban Child and Family Resource Network, Woodville School, 30 Farm Street, Wakefield, MA 01880, Phone: 781­246­5187, [email protected] Detailed Description Download/View Attachment(655.29 KB) File Name: #16 Grandparents Raising Grandchildren.pdf

Support for Smoking Cessation Brief Description or Since November 2008, when all of Hallmark Health’s campuses became “smoke­free”, Objective Hallmark Health has continued to focus on this important public health topic by providing ongoing resources for both employees and patients. Hallmark Health works with the Mystic Valley Public Health Coalition's Mystic Valley Tobacco and Alcohol Program (MVTAP) in supporting a regional approach to tobacco cessation and access to tobacco cessation services in its communities. Program Type Community Education,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Cancer ­ Lung, Other: Smoking/Tobacco, Substance Abuse, Tobacco Use Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Resource and referral for There were no group classes tobacco cessation is provided held in 2016. There were two to inpatients and to adult community members that community members received 1­to­1 education. The requesting support. Respiratory Services Director provided materials for distribution at the Mobile Food Market and for community health fairs and programs such as the annual Red Dress Day event.

Partners

Partner Name, Partner Web Address Description American Lung http://www.lung.org Association Mystic Valley http://www.cityofmelrose.org/dept_health.cfm Tobacco and Alcohol Program (MVTAP)

Contact Information Geraldine Healey, Director, Respiratory Therapy, Hallmark Health System, 585 Lebanon Street, Melrose, MA 02176, Phone: 781­979­3279, [email protected] Detailed Description Not Specified

Senior Citizen Lunches/Community Suppers Brief Description or Hallmark Health continues to support Mystic Valley Elder Services Senior Citizen lunches Objective weekly at the West Medford Community Center. This is a racially diverse area of the community where many seniors live below the poverty level. The meals program also compliments other services provided at the Center, including blood pressure checks and other health screening activities provided by Hallmark Health's Senior Outreach Nurse. In a similar approach, Hallmark Health's "Team Stoneham" Community Team also provides assistance serving dinners or providing blood pressure screenings monthly for community dinners at the First Church of Stoneham. Food insecurity has been identified by providers including the Greater Boston Food Bank as an unmet need for vulnerable populations in Medford, Stoneham and surrounding communities, including many elders. Program Type Community Education,Community Participation/Capacity Building Initiative,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: Medford, Stoneham Health Indicator: Other: Elder Care, Other: Homelessness, Other: Nutrition Sex: All Age Group: Adult, Adult­Elder Ethnic Group: All Language: Cape Verdean Creole , English , Haitian Creole , Other Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Support the activities of In 2016, hospital staff Mystic Valley Elder Services volunteers assisted the (MVES) in reducing food program weekly by serving on insecurity by providing average 20 meals weekly and nutritious meals to vulnerable providing basic health elders in West Medford. information and screening. Medford has the highest food insecurity recorded in the Hallmark Health Service area. Support activities of the First In FY 2016, hospital Congregational Church in volunteers supported Stoneham in reducing food community dinners serving a insecurity for vulnerable low­ range of 45 to 65 individuals income individuals. at each supper for a total of 220 meals. On three other days, the Hallmark health volunteers come to provide health education and screening to dinner participants.

Partners

Partner Name, Partner Web Address Description Mystic Valley Elder http://www.mves.org Services West Medford http://www.wmcc.us Community Center First Church of Stoneham http://www.firstchurchstoneham.org/

Contact Information Medford: Sam Tarabelsi, Regional Practice Administrator, Hallmark Health System, 101 Main Street, Medford, MA 02155, Phone: 781­391­2121 Stoneham: Judith Sadacca, Outreach Manager, Ambulatory Services, 48 Montvale Avenue, Stoneham, MA 02180, Phone:781­279­ 2213, [email protected] Detailed Description Download/View Attachment(730.98 KB) File Name: wmcc­2013.pdf

Kids in Grief Brief Description or Offered in partnership with Hallmark Health VNA and Hospice, "Kids in Grief" is a program for Objective children who have experienced loss. The program utilizes expressive therapies to help children, and also their caregivers, develop healthy ways to deal with their grief. Program Type Community Education,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Mental Health, Other: Bereavement Sex: All Age Group: All Children, Child­Preschool, Child­Preteen, Child­Primary School Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description Goal Status Provide comprehensive In FY 2016, 16 children and support to children (and their their families were served. families) that have suffered the loss of a loved one.

Partners

Partner Name, Partner Web Address Description Local pediatricians and mental health providers Hallmark Health http://www.hallmarkhealthhomecare.org VNA and Hospice

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(565.98 KB) File Name: #19 Kids in Grief.pdf

Women's Health ­ "Healthy, Wealthy & Wise Women" Education Series Brief Description or Hallmark Health has made enhancing knowledge around the full spectrum of health issues that Objective women encounter at all stages of their lives a priority in its community education offerings. The health system offers programs throughout the year sharing important updates on topics impacting women's health, including cardiac and pulmonary disease, osteoporosis, breast health, peripheral vascular disease and pelvic floor health. Program Type Community Education,Health Screening,Outreach to Underserved Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Alzheimer Disease, Other: Cancer, Other: Cancer ­ Breast, Other: Cancer ­ Cervical, Other: Cardiac Disease, Other: Chronic Pain , Other: Cultural Competency, Other: Education/Learning Issues, Other: Hypertension, Other: Nutrition, Other: Osteoporosis/Menopause, Other: Pulmonary Disease/Tuberculosis, Other: Sexually Transmitted Diseases, Overweight and Obesity, Physical Activity, Responsible Sexual Behavior Sex: Female Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide free health education In FY 2016, 5 screenings were and screening on osteoporosis. offered with 116 served. Residents with positive findings were referred for further screening and treatment. Provide a free health education In FY 2016, Hallmark Health program focused on women's offered one Healthy, Wealthy, health topics from aging to and Wise session focused on chronic disease management, women's health. 63 attended cancer, cardiovascular disease, receiving information on and pulmonary health women's cardiac health, breast health, OB/GYN Care, and cancer prevention strategies. cancer prevention strategies.

Partners

Partner Name, Description Partner Web Address Local health care providers YWCA of Malden http://www.ywcamalden.org Hallmark Health Medical http://www.hhma.org Associates

Contact Information Judith Sadacca, Outreach Manager, Ambulatory Services, Hallmark Health System, 48 Montvale Avenue, Stoneham, MA 02180, Phone: 781­279­2213, [email protected] Detailed Description Download/View Attachment(574.02 KB) File Name: #20 Wise Women.pdf

Seasonal Toy, Book and Other Resource Drives Brief Description or Hallmark Health's annual toy drive supports children that are Department of Children and Objective Families­involved during the holiday season. Through a separate intiative of the Healthy Families program, children's books are also collected and distributed during the holiday season. The hospital also periodically connects its employees to the community as a conduit for other need­based collection efforts, including back to school supplies for area schools, gloves and winter clothing items, and canned goods to support local food pantries, throughout the year. Program Type Community Participation/Capacity Building Initiative,Outreach to Underserved Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Mental Health, Other: Homelessness Sex: All Age Group: All Children, Child­Infant, Child­Preschool, Child­Preteen, Child­Primary School, Child­Teen Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Support the Adopt­A­Family In 2016, 10 families were Program through EMARC. adopted. The Community Outreach Specialist coordinates the donations and delivers them to EMARC in Wakefield. Support a back pack drive for 2016 was the 9th year of the Medford Public Schools. serving Medford students through a partnership with Staples. In 2016, the Hallmark Health Stuffed "Lucky and Chance" Volunteer Coordinator animals were provided to organized a stuffed animal Community Services and the give­away with Pet Smart. hospitals to share to our patients throughout the holiday season and beyond. In FY16 we delivered animals to more than 1400 children and developmentally disabled adults. The animals were shared with local fire departments and domestic violence prevention agencies. violence prevention agencies. Support for the underserved in In 2016, the Hallmark Health our region. Diversity Committee prepared more than 100 personal care bags to be shared with local domestic violence agencies and agencies serving the homeless. Sponsor a holiday book and In FY 2016, 312 books were clothing drive to benefit received and 500 articles of children in the Healthy clothing. Families Program Support a system­wide holiday Over 1000 gifts were donated. toy drive to support DCF involved children in the area. Support a drive for In 2016, 12 Thanksgiving Thanksgiving baskets for local baskets were donated from families in need through the Hallmark Health Imaging and WIC program. The Malden Family Health Center. 27 Baskets were also donated by the Metro Credit Union. Community Services and WIC organized and distributed the baskets to individuals and families.

Partners

Partner Name, Description Partner Web Address MA Department of Children http://www.mass.gov/dcf and Families (DCF) The Children's Trust http://www.childrenstrustma.org Massachusetts MA Department of Public http://www.mass.gov/dph Health (DPH) Bread of Life Inc. http://www.breadoflifemalden.org

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(561.17 KB) File Name: #21 Seasonal Drives.pdf

Transportation Services Brief Description or Hallmark Health System provided cab vouchers for patients without other means to return Objective home after receiving emergency, inpatient or ambulatory care services. Whenever prudent, the hospital helps patients to secure long­term transportation solutions, through the RIDE, Mass Health Transportation, and/or the Mystic Valley Elder Services TRIP program. Program Type Direct Services,Health Coverage Subsidies or Enrollment Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Other: Safety, Other: Safety ­ Auto/Passenger, Other: Uninsured/Underinsured Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide transportation In FY 2016, based on ridership assistance in the form of taxi and estimated costs/ride, 1,851 vouchers for individuals individual rides were without means to return home provided. following their care.

Partners

Partner Name, Partner Web Address Description Malden Taxi http://www.maldentaxi.com Service Massachusetts http://www.mbta.com Bay Transportation Authority Mystic Valley http://www.mves.org Elder Services MassHealth http://www.mass.gov/eohhs/gov/commissions­ Transportation and­initiatives/hst Program

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Not Specified

North Suburban Women, Infants and Children (WIC) Nutrition Program Brief Description or North Suburban Women, Infants and Children (WIC) Nutrition Program The North Suburban Objective Women, Infants and Children (WIC) Nutrition Program provides food and nutrition services to prenatal and postpartum women and to infants and children under the age of five at four local sites in Malden, Everett, Woburn and Reading. Early in 2017, an additional site was opened in Medford. Participants in WIC meet income and other eligibility requirements, and reflect vulnerable populations within the region whose children are at risk of a variety of health challenges, including low­birth weight and food insecurity. WIC beneficiaries receive nutrition education on topics such as diet during pregnancy, feeding infants and children, and the benefits of breastfeeding as well as referrals to other health and social services. In addition, participants receive vouchers for nutritious foods and formula to redeem at local grocery stores, pharmacies, and farmers markets. The program initiated an electronic benefits (EBT) card to streamline the utilization of services at supermarkets and other WIC vendors across Massachusetts in 2015. Hallmark Health provides additional resources to the WIC program, as well as incorporating it into a more comprehensive continuum of care for women and children with the community, increasing the effectiveness and reach of services. The hospital successfully submitted for re­funding through the WIC competitive RFR process in FY 2016. Program Type Community Education,Direct Services,Health Screening,Mentorship/Career Training/Internship,Outreach to Underserved,Prevention Target Population Regions Served: Burlington, Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield, Wilmington, Winchester, Woburn Health Indicator: Access to Health Care, Other: Nutrition, Other: Pregnancy Sex: All Age Group: Adult, Child­Infant, Child­Preschool, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description Goal Status Provide nutrition education The caseload for the program and vouchers to eligible at the end of the year was residents. WIC is available for averaging 3,000 participants. income eligible pregnant and postnatal women, infants, and children until age five years. Provide Farmers Market In FY 2016, 707 vouchers were vouchers to WIC eligible distributed. families to aid them in buying fresh, seasonal produce at local Farmers Markets. Utilize two Baby Cafe's in the By the end of 2016, the community to increase breastfeeding initiation rate at initiation and duration rates in WIC was more than 80% and the program. the duration at 3 months was 51% and at 6 months 38%. In total, 214 women utilized the Baby Café services.

Partners

Partner Name, Partner Web Address Description Local CFCE sites Other local health and community service providers MA http://www.mass.gov/dph Department of Public Health MA http://www.mass.gov/eohhs/gov/departments/dta Department of Transistional Assistance Cambridge http://www.challiance.org Health Alliance Winchester http://www.winchesterhospital.org Hospital Early http://www.mass.gov/eohhs/gov/departments/dph/programs/family­ Intervention health/early­intervention/ Healthy http://childrenstrustma.org/our­programs/healthy­families Families Tri­City http://www.breadoflifemalden.org/ Hunger Network

Contact Information Saratha Sivasithamparam, MS, LN, CLC, Director, North Suburban WIC Program, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7577, [email protected] Download/View Attachment(1343.86 KB) Download/View Attachment(1343.86 KB) Detailed Description File Name: #23 WIC.pdf

Feeling Fit and Fabulous Brief Description or “Feeling Fit and Fabulous” WIC is a program funded by special funding from Massachusetts Objective WIC. The program serves a vulnerable population, helping in the prevention of gestational diabetes and obesity in pregnancy. Expectant mothers meet with a MotherWell Certified facilitator weekly throughout the last two trimesters of pregnancy to learn about healthy nutrition and safe effective exercise, such as walking, that will support their optimum prenatal health and their baby. Due to reduced state funding, the program ended in June 2016. Program Type Community Education,Outreach to Underserved,Prevention Target Population Regions Served: Burlington, County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield, Wilmington, Winchester, Woburn Health Indicator: Access to Health Care, Other: Diabetes, Other: Nutrition, Other: Pregnancy, Overweight and Obesity, Physical Activity Sex: Female Age Group: Adult, Adult­Young, Child­Infant, Child­Preschool, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide information on In 2016, 40 women received healthy eating and exercise in educational folders. pregnancy to WIC enrolled or potentially WIC eligible women. Provide basic exercise In FY 2016, 20 women instruction to allow pregnant participated in the weekly women to manage prenatal program sessions. weight gain and improve their health in pregnancy.

Partners

Partner Name, Partner Web Address Description Local providers MA Department of http://www.mass.gov/dph Public Health MA WIC Program www.mass.gov/eohhs/consumer/basic­ needs/food/wic Motherwell Fitness http://www.bonnieberk.com/

Contact Information Karen Andrews, Community Outreach Specialist, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7607, [email protected] Detailed Description Download/View Attachment(395.65 KB) File Name: # 24 Feeling Fit and Fabulous.pdf

Community Teams Brief Description or Community Teams Hallmark Health facilitates Community Outreach Teams for Objective Malden/Everett, Medford, Melrose, Reading/North Reading, Saugus, Stoneham and Wakefield that work to boost hospital involvement in community activities, identify community needs and reach out to local organizations. These efforts have brought recognition to Hallmark Health and received major awards from area Chambers of Commerce. Approximately 60% of Hallmark Health staff members live in the primary or secondary service area. Employees, volunteers and physicians take part in team­sponsored events, and Team leaders solicit input from community leaders including; public school administrators, state representatives and local health departments. Community team leaders log several hundred hours annually as active members in more than 40 civic and service organizations in the North Suburban Region. In 2016, Hallmark Health developed a region­wide "Team Hallmark Health" broadening support for other employees to give back in its communities. Program Type Community Benefits Planning Process,Community Education,Community Participation/Capacity Building Initiative,Grant/Donation/Foundation/Scholarship,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Cancer, Other: Cardiac Disease, Other: Diabetes, Other: Domestic Violence, Other: Hypertension, Other: Language/Literacy, Other: Nutrition, Other: Osteoporosis/Menopause, Other: Parenting Skills, Other: Pregnancy, Other: Public Safety, Other: Safety, Other: Smoking/Tobacco, Other: Stroke, Overweight and Obesity, Physical Activity, Substance Abuse, Tobacco Use Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide leadership and support In FY 2016, more than 400 to community groups and service hours were provided by coalitions to support the Community Team members to overall health of the region. local groups and coalitions. The leaders also provide feedback to the organization relating to the health and social issues facing the communities served. Support community health In FY 2016, Community Team events and health fairs in core members supported more than communities to address health 20 events in its service area. risks and disparities in the community­at­large.

Partners

Partner Name, Description Partner Web Address Local cities and towns Local Boards of Health Local city/town leaders

Contact Information Lori Howley, Chief Marketing Officer, Hallmark Health System, 170 Governors Avenue, Medford, MA 02155, Phone: 781­338­7427, [email protected] Detailed Description Download/View Attachment(996.63 KB) File Name: #25 Community Teams.pdf

Support to North Suburban Health Alliance (CHNA 16) Brief Description or Hallmark Health System's Community Services Director co­chairs this group with a community Objective member and the Founding Executive Director of the Joint Committee for Children's Health Care in Everett. Hallmark Health also provides four other staff members who support this initiative, representing WIC, North Suburban Child and Family Resource Network, and Community Services departments. These staff members participate in inter­CHNA meetings Community Services departments. These staff members participate in inter­CHNA meetings held across the state, taking meeting minutes, and managing the email and distribution lists for the CHNA. Program Type Community Benefits Planning Process,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield Health Indicator: Access to Health Care, All, Environmental Quality, Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Asthma/Allergies, Other: Cancer, Other: Cultural Competency, Other: Domestic Violence, Other: Education/Learning Issues, Other: Elder Care, Other: Public Safety, Other: Safety, Other: Uninsured/Underinsured Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults, All Children, Child­Infant, Child­Preschool, Child­Preteen, Child­Primary School, Child­Teen, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Build the membership of In 2016, three meetings were CHNA 16 held. The members attending provided feedback about their reasons for attending and talked about ways to expand understanding of the CHNA's value and increase membership. Attend Inter­CHNA sessions to In 2016, Hallmark Health engage with other more robust representatives attended all CHNAs. Inter­CHNA meetings. In 2017, the health system is planning to work with a consultant to re­ engage the local CHNA. This CHNA has not had any DoN funding in many years.

Partners

Partner Name, Partner Web Address Description Local Boards of Health Other local health and community service providers MA Department of Public http://www.mass.gov/dph Health Winchester Hospital http://www.winchesterhospital.org Cambridge Health Alliance http://www.challiance.org Mystic Valley Elder http://www.mves.org Services YWCA of Malden http://www.ywcamalden.org Action for Boston http://www.bostonabcd.org Community Development

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(876.80 KB) Detailed Description Download/View Attachment(876.80 KB) File Name: #26 CHNA 16.pdf

Integrated Breastfeeding Services Brief Description or Hallmark Health provides a variety of education and support programs to promote Objective breastfeeding including three Baby Cafes in Melrose, Malden and Everett. WIC Peer Counselors and Lactation Consultants provide support, and breastfeeding classes are offered monthly at WIC and through Community Health Education. In 2012, Hallmark Health System was designated as a "Baby Friendly" health system, further demonstrating its commitment to emphasize breastfeeding within all women and childrens programs including the hospital's Maternal/Child Health department, WIC, Hallmark Health VNA's Maternal/Child Health Program, and Healthy Families. Online continuing education resources (developed through a grant) to share best practice information with other providers across the country and globally continue to be accessed and will be available through August 2017. Program Type Community Education,Direct Services,Health Professional/Staff Training,Mentorship/Career Training/Internship,Outreach to Underserved,Research Target Population Regions Served: Burlington, County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield, Wilmington, Winchester, Woburn Health Indicator: Other: Diabetes, Other: Nutrition, Other: Parenting Skills, Other: Pregnancy, Other: Stress Management, Overweight and Obesity Sex: Female Age Group: Adult, Adult­Young, Child­Infant Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Maintain on­line Continuing In 2016, a total 8,506 Medical Education (CME) individuals participated in the modules created to train on­line CME program. clinicians on strategies for Expanding Pediatrician's supporting breastfeeding Roles in Breastfeeding 1.5 duration and exclusivity hours, 1681 MDs, 2778 non­ through August 2017. MDs; Expanding Clinicians Roles in Breastfeeding (1)1.5 hours, 843 MDs, 1298 non­ MDs; Expanding Clinicians Roles in Breastfeeding (2)1.5 hours, 727 MDs, 1179 non­ MDs. Continue to offer In 2016, Baby Café Melrose breastfeeding support through was open twice a week. Baby the Melrose Baby Café. The and Mom visits: 914 postnatal Everett and Malden Cafes are women and infants, 16 reported through WIC. pregnant women, and 23 others (friends, students etc.) Total: 953 visits

Partners

Partner Name, Partner Web Address Description La Leche http://www.lllmarivt.org/ League MA http://www.mass.gov/dph Department of Public Health Medela http://www.medela.us MA WIC www.mass.gov/eohhs/consumer/basic­ Program needs/food/wic/?Cached Northeastern http://www.neu.edu University Breastfeeding http://www.northeastern.edu/breastfeedingcme/ CME Programs Home Page Baby Cafe http://www.babycafeusa.org USA

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(499.24 KB) File Name: #27 Integrated Breastfeeding.pdf

The Robert M. Dutton Center Brief Description or The Robert M. Dutton Center Adult Day Health Program offers daily care for elders and adults Objective with special physical, cognitive or emotional needs, assisting families in keeping elders at home. In addition to counseling, support groups, nursing supervision, medication management, nutrition (meals), and socialization, the program offers activities such as music programs, arts and crafts sessions, games, and exercise groups. In FY 2015, the Dutton Center became a fully licensed Adult Day Health program, under new regulations set forth by the Massachusetts Department of Public Health (MDPH) and MassHealth for the provision of adult day health services in the Commonwealth. In 2016, the Center successfully passed first MDPH site review without any regulatory findings. Program Type Community Education,Direct Services,Health Professional/Staff Training,Health Screening,Mentorship/Career Training/Internship,Outreach to Underserved,Prevention,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Alzheimer Disease, Other: Elder Care, Other: Homebound, Other: Parkinson’s Disease, Other: Safety ­ Home, Other: Stroke, Physical Activity Sex: All Age Group: Adult, Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Offer a community Caregiver In 2016, an average of 4 to 7 Support program monthly. family members and local caregivers participate monthly. Respite care is provided for family members as needed during the group. New MDPH regulations In 2016, dieticians provided require quarterly visits by a menu nutrient analysis, dietician to the Dutton Center extended the menu cycle to 3 Adult Day Health Program. weeks, expanded snack options, provided support for policies and diet manual, provided RD hours for patient education and counseling and education and counseling and ongoing staff support and education. Provide Adult Day Health In 2016, 100 adults received services to vulnerable services through the program. populations including frail The program became licensed elders, adults with special by the Massachusetts needs, and those coping with Department of Public Health in behavioral health and 2015. cognitive impairment. All services are provided in an engaging and supportive homelike environment.

Partners

Partner Name, Partner Web Address Description Local health and human service providers Hallmark http://www.hallmarkhealthhomecare.org Health VNA and Hospice Mystic http://www.mves.org Valley Elder Services MassHealth http://www.mass.gov/eohhs/gov/departments/masshealth/ MA http://www.mass.gov/eohhs/gov/departments/dph/ Department of Public Health (DPH) MassTran http://www.masstran.biz/

Contact Information Susan Morton, RN, Director, Dutton Center Adult Day Health Program, 1117 Main Street, Wakefield, MA 01880, Phone: 781­246­2820 , [email protected] Detailed Description Download/View Attachment(1214.43 KB) File Name: #28 Dutton Center.pdf

Healthy Families/MA Home Visiting Initiative Brief Description or Hallmark Health provides a home­visiting program for first­time parents age 24 and under, Objective living in Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, and Wakefield. Funded by The Children’s Trust of Massachusetts, the Massachusetts Department of Public Health, and by Hallmark Health, services are free for participants and their families during pregnancy and until the child turns three. Intensive services include home visiting, mentoring, role modeling, prenatal and parenting education, parenting activities, and groups for young parents. In addition, services include educational classes such as prenatal classes, infant care, CPR, and First Aid. In 2016, both Healthy Families and the MA Home Visiting Initiative were successfully refunded for multiple years through a competitive process. The funding for MA Home Visiting Initiative has been reduced by more than 60% due to decreased federal funding availability. Program Type Community Education,Community Participation/Capacity Building Initiative,Direct Services,Health Screening,Outreach to Underserved,Prevention Services,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Child Care, Other: Education/Learning Issues, Other: Family Planning, Other: Language/Literacy, Other: Nutrition, Other: Parenting Skills, Other: Pregnancy, Other: Sexually Transmitted Diseases, Other: Smoking/Tobacco, Other: Stress Management, Other: Uninsured/Underinsured, Overweight and Obesity, Physical Activity, Responsible Sexual Behavior, Substance Abuse, Tobacco Use Sex: All Age Group: Adult­Young, Child­Infant, Child­Teen, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Screen for eligibility and In FY 2016, 101 referrals were enroll first­time parents age 24 received and 138 participants years and younger. The were provided services. program provided intensive long­term home visiting and group services until the child turns three. Provide "Moving Beyond Services for parents or Depression" Services for expectant parents. In FY 2016, Healthy Families enrolled 8 Healthy Families' parents or expectant parents. participants from the Melrose­ Wakefield program benefitted from this service.

Partners

Partner Name, Partner Web Address Description Public and private schools The http://www.childrenstrustma.org Children's Trust Massachusetts Medford http://www.medfordpublicschools.org/medford­family­network Family Network MA http://www.mass.gov/eohhs/gov/departments/dcf/ Department of Children and Families MA http://www.mass.gov/eohhs/gov/departments/dta/?Cached Department of Transitional Assistance WIC http://www.mass.gov/eohhs/consumer/basic­needs/food/wic/? Massachusetts North http://www.hallmarkhealth.org/north­suburban­child­and­family­ Suburban resource­network.html Child and Child and Family Resource Network MA http://www.mass.gov/dph Department of Public Health (DPH) Early http://www.mass.gov/eohhs/gov/departments/dph/programs/family­ Intervention health/early­intervention/

Contact Information Lizabeth Chockley RN, MS, Program Director, Healthy Families/MA Home Visiting Initiative, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7541, [email protected] Detailed Description Download/View Attachment(873.63 KB) File Name: #29 HF­MHVI.pdf

Support for Nursing Students Brief Description or Hallmark Health supports the development of clinical nursing skills by providing several slots Objective for placement through the Commonwealth of Massachusetts's central statewide database for clinical nursing opportunities. A separate statewide database also makes available one on one clinical preceptoring opportunities throughout the year at both hospital campuses. These opportunities for students are available to several local colleges and universities with undergraduate and graduate nursing programs. Program Type Mentorship/Career Training/Internship,School/Health Center Partnership Target Population Regions Served: County­Middlesex, County­Suffolk Health Indicator: Other: Education/Learning Issues Sex: All Age Group: Adult, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Partner with colleges and In FY 2016, 416 students were universities to support the mentored. These ranged from clinical education and training undergraduate to advanced of nurses. placement nurses.

Partners

Partner Name, Description Partner Web Address Bunker Hill Community http://www.bhcc.mass.edu/ College Salem State University http://www.salemstate.edu Lawrence Memorial­Regis http://www.lmregis.org College School of Nursing North Shore Community http://www.northshore.edu College MA College of Pharmacy and http://www.mcphs.edu/ Health Sciences Endicott College http://www.endicott.edu MGH Institute of Health http://www.mghihp.edu Professions Bay State College http://www.baystate.edu University of Massachusetts­ http://www.uml.edu University of Massachusetts­ http://www.uml.edu Lowell Curry College http://www.curry.edu Simmons College http://www.simmons.edu University of Massachusetts­ http://www.umassd.edu Dartmouth Rivier University http://www.rivier.edu/ Northeastern University http://www.neu.edu

Contact Information Pam Duchene, PhD, APRN­BC, NEA, FACHE, Vice President, Patient Services & Chief Nursing Officer, Hallmark Health System, 585 Lebanon Street, Melrose, MA 02176, Phone: 781­979­ 3366, [email protected] Detailed Description Download/View Attachment(834.90 KB) File Name: RN­TrainingPamphlets­FY2014.pdf

Creative Coping for New Mothers Brief Description or Creative Coping for New Mothers For the past nine years, Hallmark Health has offered 8­week Objective sessions of “Creative Coping: New Mothers Group”. The program provides small­group parenting education in a supportive environment based on the Strengthening Families Initiative (SFI) Protective Factors from the Center for the Study of Social Policy. The five Protective Factors are parental resilience; social connections; knowledge of parenting and child development; concrete support systems in times of need; and support for children’s social and emotional development. While many local community programs assist mothers with toddler age children, feedback from various community programs indicates there is a lack of programming designed to provide support to mothers with children under the age of one in our area. Through discussion of salient topics for new mothers, including safety, exercise after birth, financial planning, developmental milestones, and stress management, Creative Coping addresses an identified community need, providing support, guidance, and resource and referrals to new mothers who may be vulnerable due to social isolation from their families and other risk factors. The program is currently funded by a Parenting Education and Support (PESP) grant from The Children's Trust Massachusetts. In 2016, Hallmark Health has re­bid for a new multi­year contract to allow for expansion of the program into geographic areas not as well served by the current program. Program Type Community Education,Outreach to Underserved,Prevention,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Mental Health, Other: Child Care, Other: Family Planning, Other: Nutrition, Other: Parenting Skills Sex: Female Age Group: Adult, Adult­Young, Child­Infant Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide two eight week In 2016, Hallmark Health educational and support offered two session of Creating sessions for first time parents Coping. Fall session: of infants under 1 year. 10/19/15­12/7/15. The Childcare, transportation, and program served 13 moms and a hot meal are provided 13 infants were provided care. Spring session: 3/14/16­ 5/16/16. In the spring session 10 moms and 11 infants received services.

Partners Partner Name, Partner Web Address Description Local providers The http://www.childrenstrustma.org Children's Trust Massachusetts MA http://www.mass.gov/eohhs/gov/departments/dcf/ Department of Children and Families Hallmark http://www.hallmarkhealthhomecare.org Health VNA and Hospice Cambridge http://www.challiance.org Health Alliance Medford http://www.medfordpublicschools.org/departments­ Family programs/medford­family­network/ Network Early http://www.mass.gov/eohhs/gov/departments/dph/programs/family­ Intervention health/early­intervention/

Contact Information Karen Andrews, Community Outreach Specialist, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7607, [email protected] Detailed Description Download/View Attachment(1128.52 KB) File Name: #31 Creative Coping.pdf

Support to CHNA 15 Brief Description or The North Suburban WIC program serves four of the communities in CHNA 15, Woburn, Objective Winchester, Wilmington, and Burlington. The North Suburban Child and Family Resource Network now also serves Winchester in CHNA 15. The WIC program supported the efforts of the CHNA through the membership and particiption of its Outreach Coordinator, on behalf of Hallmark Health's Community Services programs. Program Type Community Health Needs Assessment,Community Participation/Capacity Building Initiative,Prevention Target Population Regions Served: Burlington, Wilmington, Winchester, Woburn Health Indicator: All, Environmental Quality, Injury and Violence, Mental Health, Other: Cultural Competency, Other: Nutrition, Other: Public Safety, Other: Safety Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults, All Children Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Participate in CHNA 15 The WIC Community meetings. CHNA 15 covers 4 Coordinator attends a towns served by the North minimum of 80% of the annual Suburban WIC program­ meetings. Burlington, Wilmington, Winchester, and Woburn

Partners Partners

Partner Name, Partner Web Address Description Local CFCE Coordinated Family and Community Engagement Grants Woburn Social http://www.socialconcern.org Concern North Suburban http://www.ymcaboston.org/northsuburban YMCA Healthy Families http://childrenstrustma.org/our­ for this region programs/healthy­families

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(993.79 KB) File Name: #32 CHNA 15.pdf

Aging in Balance­Senior Outreach Program Brief Description or Aging in Balance­Senior Outreach Program Hallmark Health System and Hallmark Health VNA Objective and Hospice partnered to provide health care counseling clinics and education programs for older adults at senior housing sites and Councils on Aging. A Registered Nurse with extensive experience and training in geriatric health provided health counseling and referral, educational programs, and exercise and nutrition classes on an ongoing basis, along with more than a dozen health screenings and resource fairs. Screenings included blood pressure, blood sugar, osteoporosis, eye and hearing. Flu immunization clinics were also sponsored. New multi­ session programs include "Sunny Side Up" a program focused on building resilience and "Knowledge Up, BP Down" a blood pressure management program. The lead nurse is also a certified instructor in the Stanford University Chronic Disease, Chronic Pain Self­Management programs, and the “Cancer: Thriving and Surviving” program, and co­facilitates these programs in the community. The Chronic Disease (CDSMP) and Chronic Pain (CPSMP) Self­ Management Programs are designed to help those with chronic conditions to improve healthful behaviors, improve health status, and decrease days in the hospital. Based upon models developed by Stanford University, workshops run weekly for 2.5 hours for 6 weeks, led by 2 trained and certified leaders to help participants and their caregivers learn strategies around managing chronic illness more effectively, as well as techniques to better manage chronic pain as the result of illness and injury, including specific impacts related to the treatment of cancer. Evidence­based approaches help to empower individuals in addressing their personal issues, as well as preventing medication and substance abuse within these vulnerable populations. Program Type Community Education,Community Participation/Capacity Building Initiative,Direct Services,Health Screening,Outreach to Underserved,Prevention,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: All, Mental Health, Other: Alzheimer Disease, Other: Arthritis, Other: Chronic Pain , Other: Elder Care, Other: Hypertension, Other: Osteoporosis/Menopause, Other: Parkinson’s Disease, Other: Pulmonary Disease/Tuberculosis, Other: Stress Management, Other: Stroke, Physical Activity Sex: All Age Group: Adult, Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description Goal Status Offer educational In 2016, 284 residents programming for elders in the attended programs such as the community following: Slips, Trips, Falls, SNAP Program with education and screening, Blood Pressure Bingo, Understanding and responding to Dementia related behaviors, Effective Communication Strategies, We Honor Veterans, Getting the Most out of your MD Appointment, My Life, My Health CDSMP, Chronic Pain Self­Management Program CDSMP, Cancer Surviving and Thriving CDSMP, Sleepless in New England, Stress Management for Heart Health, Taking Care of yourself in the New Year, Sunny Side Up, Holiday Fear/Holiday Cheer, Death and Dying Provide scheduled monthly In 2016, 2043 blood pressures blood pressure screening and were taken averaging 170 per monitoring to elders in 6 month. community locations­ congregate living sites, senior centers, and others.

Partners

Partner Name, Partner Web Address Description Local Councils on Aging Mystic Valley Elder http://www.mves.org Services Hallmark Health http://www.hallmarkhealthhomecare.org VNA and Hospice Greater Lynn Senior http://www.glss.net Services West Medford http://www.wmcc.us Community Center

Contact Information Joya Pezzuto, RN, Senior Citizens Outreach Program, Hallmark Health System, 178 Savin Street, 3rd Floor, Malden, MA 02148, Phone: 781­338­7823, [email protected] Detailed Description Download/View Attachment(3667.32 KB) File Name: #33 Aging in Balance.pdf

Mothers Helping Mothers Store Brief Description or This program, under the guidance of the North Suburban WIC Program, provides an Objective opportunity to assist a vulnerable population with parenting support while fulfilling basic material needs. Mothers help each other by donating gently used maternity clothing, children's clothing and baby equipment. "The Store" is run by a WIC parenting peer counselor with additional resources provided by the WIC Family Support Worker. Appointments are made on Wednesdays and Saturdays. Parenting education and resources, and referrals to other services are provided during store appointments. The Store has also collaborated with the Malden Coordinated Family and Community Engagement Grant program to enrich the parent Coordinated Family and Community Engagement Grant program to enrich the parent education services and expand the number of in­community referrals and resources. In 2016, a Pop­up­Store was added at the Woburn WIC site. This allows additional families to be served. The items are requested by families and delivered to Woburn by the WIC Community Coordinator or by WIC Peer Counselors. Program Type Community Education,Direct Services,Outreach to Underserved,Prevention Target Population Regions Served: Burlington, County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield, Wilmington, Winchester, Woburn Health Indicator: Environmental Quality, Immunization, Injury and Violence, Mental Health, Other: Asthma/Allergies, Other: Child Care, Other: Domestic Violence, Other: Education/Learning Issues, Other: Homelessness, Other: Language/Literacy, Other: Nutrition, Other: Parenting Skills, Other: Safety ­ Home, Other: Stress Management, Physical Activity, Substance Abuse, Tobacco Use Sex: All, Female, Male Age Group: Adult, Adult­Young, Child­Infant, Child­Preschool, Child­Preteen, Child­ Primary School, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide parenting resource and In FY 2016, the Malden CFCE referrals. partnered with the store to provide literacy materials to families and enroll them in the Malden CFCE if they were interested. The Malden CFCE worker attended more than 20 store visits. Provide lightly used clothing In FY 2016, the Community and baby care equipment for Service Outreach Specialist infants and children in low­ provided transport for items. income WIC eligible families. An elderly volunteer attended visits for 2 hours/week. The number of individuals served in FY 2016, calculated as 349 scheduled visits and 60 walk­ in visits (From Direct Program Utilization such as from the Healthy Families/MA Home Visiting Initiative). Total Served in FY 2016: 409 families.

Partners

Partner Name, Partner Web Address Description Hallmark http://www.hallmarkhealthhomecare.org Health VNA and Hospice MA http://www.mass.gov/eohhs/gov/departments/dcf/ Department of Children and Families MA State http://www.mass.gov/eohhs/consumer/basic­needs/food/wic/ WIC WIC Program Early http://www.mass.gov/eohhs/gov/departments/dph/programs/family­ Intervention health/early­intervention/ Malden http://www.mass.gov/edu/birth­grade­12/early­education­and­ CFCE care/find­early­education­and­care­programs/coordinated­family­ Program and­community­engagement.html

Contact Information Sharon Burton, WIC Community Coordinator, North Suburban WIC Program, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7579, [email protected] Detailed Description Download/View Attachment(464.40 KB) File Name: Mothers Helping Mothers Store FY16.pdf

Bereavement Support Groups Brief Description or Hallmark Health VNA and Hospice offers a series of ongoing support groups to help those who Objective have experienced loss, including on­going support groups such as Loss of a Spouse or Partner, Adult Child Loss of a Parent, and Loss after 60. Program Type Community Education,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Mental Health, Other: Bereavement, Other: Stress Management Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations

Goal Description Goal Status Provide community­based In FY 2016, Surviving Loss grief support services. After 60 held 23 meetings, with 10 individuals attending on average per group. The Bear Hill support group was offered monthly for 10 meetings with an average of 8 individuals attending each meeting.

Partners

Partner Name, Partner Web Address Description Hallmark Health http://www.hallmarkhealthhomecare.org VNA and Hospice Mystic Valley Elder http://www.mves.org Services Bear Hill Nursing and http://www.bearhillrehab.com Rehabilitation Center

Contact Information Judy Seifert, Bereavement Coordinator, Hallmark Health VNA & Hospice, 173 Savin Street, Malden, MA 02148, Phone: 781­338­7861, [email protected] Detailed Description Download/View Attachment(384.86 KB) File Name: bereavement_groups­2013.pdf

Skin Cancer Screening and Education Brief Description or Skin Cancer Screening and Education Opportunities for Skin Cancer Screening and education are made available for the community, given the rate of cancer incidence documented in the are made available for the community, given the rate of cancer incidence documented in the Objective Community Health Needs Assessment and the ongoing concerns about sun safety by area residents. Skin cancer awareness and prevention information is also provided at other community health events. Program Type Community Education,Health Screening,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Cancer, Other: Cancer ­ Skin Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations

Goal Description Goal Status Provide skin cancer prevention In FY 2016, 70 residents were education and screening screened. All residents with through an annual screening positive finding were referred event. for treatment.

Partners

Partner Name, Description Partner Web Address American Cancer Society http://www.cancer.org

Contact Information Elisa Scher MSN, RN­BC, System Director, Oncology, Hallmark Health System, 41 Montvale Avenue, Stoneham, MA 02180, Phone: 781­224­5877, [email protected] Detailed Description Download/View Attachment(607.09 KB) File Name: # 36 Skin Cancer Screening June 2016.pdf

Support for Tri­City Hunger Network Brief Description or The WIC Community Coordinator regularly attends the monthly Tri­City Hunger Network Objective meetings, and shares resources regionally to support families living in poverty. Many of these families are Haitian or Haitian/American. The group remains instrumental in supporting the Mobile Food Market offered through a collaboration with the Greater Boston Food Bank, the Zonta Clubs of Malden and Medford, and Hallmark Health System. Program Type Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford Health Indicator: Access to Health Care, Other: Diabetes, Other: Homelessness, Other: Nutrition Sex: All Age Group: Adult, All Adults, All Children Ethnic Group: All, Black/African American Language: All , Haitian Creole Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide support to the area In FY 2016, the WIC Hunger Network including Community Coordinator offering meeting space as remained active and attended needed. monthly meetings. She reports needs and findings back to the Director of Community Services. Partners

Partner Name, Partner Web Address Description North Shore http://www.northshorerescuemission.org/nsrm/ Rescue Mission Greater http://www.gbfb.org Boston Food Bank Bread of Life, http://www.thebreadoflifeonline.org/ Malden The Salvation http://www.salvationarmyma.org/MysticValley Army MA http://www.mass.gov/eohhs/gov/departments/dta/? Department of Transitional Assistance Project Bread http://www.projectbread.org/ Action for http://www.bostonabcd.org Boston Community Development, Inc. Evangelical Evangelical Church of Holiness Church of Holiness

Contact Information Saratha Sivasithamparam, MS, LN, CLC, Director, North Suburban WIC Program, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7577, [email protected] Detailed Description Download/View Attachment(869.73 KB) File Name: Tri­City­Hngr­FY2015.pdf

Oral/Head/Neck Screening Brief Description or Oral, Head and Neck Cancer arises in the head or neck region, including the nasal cavity, Objective sinuses, lips, mouth, thyroid glands, salivary glands, throat, or larynx (voice box). It is the sixth­most­common form of cancer in the world; 50,000 cases are diagnosed annually. Hallmark Health offers annual oral/head/neck screenings for area residents based on the high incidence and mortality rates for these cancers. Program Type Community Education,Health Screening,Outreach to Underserved Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Other: Cancer, Other: Uninsured/Underinsured, Tobacco Use Sex: All Age Group: Adult, Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide annual screenings and In 2016, one screening was educational information. held with 15 adults participating. Any unusual participating. Any unusual findings were noted and the resident referred for treatment.

Partners

Partner Name, Description Partner Web Address American Cancer Society https://www.cancer.org/

Contact Information Elisa Scher MSN, RN­BC, System Director, Oncology, Hallmark Health System, 41 Montvale Avenue, Stoneham, MA 02180, Phone: 781­224­5877, [email protected] Detailed Description Download/View Attachment(151.50 KB) File Name: # 38 Cancer Oral Head Neck.pdf

Family Shelter Supper Visits Brief Description or Family Shelter Supper Visits A group of social service agencies come together each month to Objective provide support to families living in the Rte. 99 shelters. The visits are planned in coordination with Bread of Life. Hallmark Health staff members provide information about WIC, Healthy Families, the Malden Baby Café, the COACHH program and the Mothers Helping Mothers Store. Toothbrushes, coloring books, crayons, and children’s books are given to families. In addition, hot meals and groceries, provided as part of a weekly food program by Bread of Life are also distributed to families during these visits. Program Type Direct Services,Outreach to Underserved,Prevention Target Population Regions Served: Malden, Melrose, Saugus Health Indicator: Access to Health Care, Environmental Quality, Mental Health, Other: Alcohol and Substance Abuse, Other: Dental Health, Other: Education/Learning Issues, Other: Homelessness, Other: Language/Literacy, Other: Nutrition, Other: Parenting Skills, Other: Pregnancy, Other: Safety ­ Home, Other: Stress Management, Overweight and Obesity Sex: All Age Group: Adult, Adult­Young, Child­Infant, Child­Preschool, Child­Preteen, Child­ Primary School, Child­Teen, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide support for the Bread In FY 2016, the program of Life's hot meal and grocery served an average of 50 distribution. Provide books, families per month. toothbrushes, and other personal care items to families in need. Support the Annual Holiday Town Line Shelter Holiday party for families at the Town Party: Town Line Inn families Line Motel (and other local and families from two other motels when open). This area motel shelters were program is in collaboration invited for a party at the with local churches, the Freedom Hill Church in Malden YMCA, and Bread of Malden on 12/19/15. The Life. party consisted of games, food and entertainment for the families. Sixty families were invited and the children received gifts from local churches

Partners

Partner Partner Web Address Partner Partner Web Address Name, Description Bread of http://www.thebreadoflifeonline.org Life Junior Aid http://www.junioraid.org of Malden MA http://www.mass.gov/eohhs/gov/departments/dta/ Department of Transitional Assistance

Contact Information Karen Andrews, Community Outreach Specialist, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7607, [email protected] Detailed Description Download/View Attachment(3481.65 KB) File Name: ShelterVisits­FY­2014.pdf

Family Support Program WIC Brief Description or The North Suburban Women, Infants and Children (WIC) Nutrition Program assists families Objective with health insurance enrollment and navigating a myriad of other services through its Family Support Program. The Family Support Coordinator helps participants connect to services in the following areas: Supplemental Nutrition Assistance Program (SNAP), domestic/intimate partner violence support, child care services, fuel assistance, alternate food resources, such as food pantries, health insurance enrollment, English as a Second Language (ESL) classes, immigration assistance, smoking cessation programs, parenting education, and other challenges families may face. Program Type Community Education,Community Participation/Capacity Building Initiative,Health Coverage Subsidies or Enrollment,Outreach to Underserved,Prevention Target Population Regions Served: Burlington, County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield, Wilmington, Winchester, Woburn Health Indicator: Access to Health Care, Immunization, Mental Health, Other: Alcohol and Substance Abuse, Other: Asthma/Allergies, Other: Bereavement, Other: Child Care, Other: Dental Health, Other: Domestic Violence, Other: Education/Learning Issues, Other: Elder Care, Other: Family Planning, Other: Homelessness, Other: Lead Poisoning, Other: Nutrition, Other: Parenting Skills, Other: Smoking/Tobacco, Other: Stress Management, Other: Uninsured/Underinsured, Overweight and Obesity, Physical Activity, Substance Abuse, Tobacco Use Sex: All Age Group: Adult, Adult­Elder, Adult­Young, Child­Infant, Child­Preschool, Child­ Preteen, Child­Primary School, Child­Teen, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Provide navigation and In 2016, the Family Support support services as well as Specialist provided 522 facilitate referrals for WIC families with 1037 service families to supportive services. referrals. In FY 2016 she also began recording referral data for the Mothers Helping Mothers Closet also included in these reported numbers.

Partners Partner Partner Web Address Name, Description Physician practices Hallmark http://www.hallmarkhealthhomecare.org Health VNA and Hospice MA http://www.mass.gov/eohhs/gov/departments/dcf Department of Children and Families MA http://www.mass.gov/eohhs/gov/departments/dta/ Department of Transitional Assistance Early http://www.mass.gov/eohhs/gov/departments/dph/programs/family­ Intervention health/early­intervention/ Healthy http://childrenstrustma.org/our­programs/healthy­families Families MA Home http://www.mass.gov/eohhs/gov/departments/dph/programs/family­ Visiting health/home­visiting/

Contact Information Madlyna Bouchotte, CLE, Family Support Worker, North Suburban WIC Program, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7778, [email protected] Detailed Description Download/View Attachment(1015.13 KB) File Name: #40 WIC Family Support.pdf

Asian Elder Diabetes Health Project Brief Description or The Adelaide Breed Bayrd and Marshall Foundations have provided Hallmark Health System Objective with funding to provide health benefits to Asian and Asian­Americans (over the age of 60) to build awareness about the risk factors and incidence of diabetes in the Asian community, educating this population of the projected and present risks, hosting classes and events on how to cope with diabetes, and offering screening. In 2013, the program expanded its focus solely from Malden to include Asian populations within surrounding communities.The program ended in 2016 due to funding constraints. Program Type Community Education,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, Reading, Stoneham Health Indicator: Access to Health Care, Other: Diabetes, Overweight and Obesity, Physical Activity Sex: All Age Group: Adult, Adult­Elder Ethnic Group: Asian Language: Chinese , Other , Vietnamese Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provided diabetes education In 2016, the program ended classes at the Malden Senior with 15 elders completing the Center for Asian Elders. final program. In 2017, Asian elders will be provided services through other diabetes education programming and interpreters will continue to be provided.

Partners

Partner Name, Partner Web Address Description Joslin Diabetes http://www.joslin.org Center Chinese Culture http://www.chinesecultureconnection.org Connection Asian American http://www.aaca­boston.org Civic Association Hallmark Health http://www.hallmarkhealthhomecare.org VNA and Hospice Malden Senior http://www.cityofmalden.org/Senior­ Center Center Malden Community http://www.matv.org Access Television Hallmark Health http://hhma.org/ Medical Associates

Contact Information Melissa Roberto, DPT, MS­PT, ATC, System Director, Ambulatory Services, Hallmark Health System, 30 Newcrossing Road, Reading, MA 01867, Phone: 781­213­5110, [email protected] Detailed Description Download/View Attachment(422.31 KB) File Name: maedp­2013­0001.pdf

Child Developmental Screening Brief Description or The Ages and Stages screening is an on­line program funded by the MA Department of Early Objective Education and Care. Using the Ages and Stages and Social Emotional Development Questionnaires, parents are able to monitor their child’s growth, physically, emotionally, and socially. These questions are answered on­line by the parent, with the results shared with the Family Resource Network. The parent and Family Resource Network Manager then meet to discuss the results and work together to provide resources and tools to help children reach their optimal growth and development potential. Program Type Community Education,Community Participation/Capacity Building Initiative,Health Screening,Outreach to Underserved,Prevention,School/Health Center Partnership Target Population Regions Served: Lynnfield, Melrose, North Reading, Reading, Stoneham, Wakefield, Winchester Health Indicator: Mental Health, Other: Education/Learning Issues, Other: Hearing, Other: Language/Literacy, Other: Parenting Skills, Other: Vision , Physical Activity Sex: All Age Group: Adult, Adult­Elder, Adult­Young, Child­Infant, Child­Preschool, Child­ Toddler Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide Ages and Stages 28 children were screened in Developmental Screenings to FY 2016. ensure parents know that their child is on track with healthy child is on track with healthy growth and development benchmarks for their age range.

Partners

Partner Name, Partner Web Address Description Local public and private schools Massachusetts http://www.mass.gov/edu/government/departments­ Department of and­boards/department­of­early­education­and­ Early care/ Education and Care

Contact Information Kathy Harlow Program Manager North Suburban Child and Family Resource Network The Woodville School 30 Farm Street Wakefield, MA 01880 781­246­5187 , [email protected] Detailed Description Download/View Attachment(23.17 KB) File Name: # 42 Developmental Screening.pdf

Regional TB Clinic Brief Description or Regional TB Clinic The Massachusetts Department of Public Health Division of Tuberculosis Objective Prevention and Control seeks to reduce the incidence of tuberculosis (TB) through surveillance, education and clinical services delivered within a collaborative multiagency system. A wide spectrum of educational services coupled with a network of contracted tuberculosis clinics and multidisciplinary projects creates a comprehensive prevention and treatment strategy. Provision of these services involves a cooperative working relationship with local boards of health and other community agencies, to ensure that needs are met and to build community capacity to respond to TB­related health issues, including exploring more advanced and less invasive screening for children. Hallmark Health is currently working with its public health partners in the community to explore ways to better serve residents with TB in its communities, many of whom represent vulnerable populations including immigrants and individuals proficient in languages other than English. In 2016, the long­term physician provider retired and a new physician leader was identified to fill this role. Program Type Community Education,Community Participation/Capacity Building Initiative,Direct Services,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford Health Indicator: Other: Pulmonary Disease/Tuberculosis Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults, Child­Preteen, Child­Primary School, Child­Teen, Child­Toddler Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status In 2016, provided monthly or In FY 2016, 8 individuals were twice monthly TB Clinic served by the clinic. services (based on need). This included x­rays, lab testing, and follow­up visits. Hallmark Health works closely with local Boards of Health nurses.

Partners

Partner Name, Partner Web Address Description Everett http://www.ci.everett.ma.us/Everett_files/health/index.htm Board of Health MA http://www.mass.gov/eohhs/gov/departments/dph/programs/id/tb/ Tuberculosis Prevention Program Hallmark http://www.hhma.org Health Medical Associates Malden http://www.cityofmalden.org/Board­of­Health Board of Health Medford http://www.medfordma.org/departments/health­department Health Department

Contact Information Pamela Duchene, PhD, APRN­BC, NEA, FACHE Vice President of Patient Care Services & Chief Nursing Officer (Office) 781­979­3366 , [email protected] Detailed Description Download/View Attachment(1750.91 KB) File Name: #43 TB Clinic.pdf

Medical Direction for Area Communities and Oversight for the Melrose Ambulance Service Brief Description or In 2010, The City of Melrose began providing ambulance service through its Fire Department. Objective Cataldo Ambulance and Hallmark Health System supported these efforts. In 2013, the city added ACLS ambulance services. The Physician Chairman of the HHS Emergency Department acts as Medical Director for the program, conducting quarterly case management, STEMIs review, training and other rounding with the Melrose Fire Department EMTs and paramedics. In addition, the ED Chairman serves in a similiar capacity as Affiliate Hospital Medical Director for the Towns of Reading and North Reading. Program Type Community Health Needs Assessment,Community Participation/Capacity Building Initiative,Direct Services,Health Professional/Staff Training,Physician/Provider Diversity Target Population Regions Served: Melrose, North Reading, Reading Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Asthma/Allergies, Other: Cardiac Disease, Other: Public Safety, Other: Stroke Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Through the physician In FY 2016, the Medical Emergency Services Director, Director oversaw ongoing provide training and oversight training and supervision of to the ambulance service and Melrose paramedics and ACLS services provided in oversight for EMTs and partnership to the City of emergency services in Melrose and act as the Affiliate Melrose, North Reading, and Medical Director for Melrose, Reading. Reading, and North Reading.

Partners

Partner Name, Partner Web Address Description City of Melrose http://www.cityofmelrose.org Cataldo Ambulance http://www.cataldoambulance.com Services Town of Reading http://www.readingma.gov Town of North Reading http://www.northreadingma.gov

Contact Information Alec Walker, MD, FACEP, Chairman, Emergency Department, Hallmark Health System, 585 Lebanon Street, Melrose, MA 02176, Phone: 781­979­3778, [email protected] Detailed Description Download/View Attachment(689.13 KB) File Name: melrose­ambulance­2013.pdf

Women and Heart Disease Red Dress Day Event Brief Description or Each year for the past ten years, Hallmark Health System has offered a six hour program to Objective educate women in the community about cardio­vascular risk factors and provide a range of health screenings on a variety of issues impacting women's health­all in one central location and at one event. Red Dress Day serves women of all ages and ethnic backgrounds. As identified in its Community Health Needs Assessment, cardiovascular health issues are a high priority to address in the Hallmark Health service area, in particular for women who are often unaware of their risk factors and signs and symptoms of cardiovascular diseases. Program Type Community Education,Health Screening,Prevention Target Population Regions Served: County­Middlesex Health Indicator: Access to Health Care, Other: Cancer ­ Lung, Other: Cardiac Disease, Other: Diabetes, Other: Education/Learning Issues, Other: Hypertension, Other: Nutrition, Other: Smoking/Tobacco, Other: Stress Management, Other: Stroke, Overweight and Obesity, Physical Activity, Tobacco Use Sex: Female Age Group: Adult, Adult­Elder Ethnic Group: All Language: All , English Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide an annual In FY 2016, 90 women comprehensive program to attended the 10th Annual Red increase awareness of cardiac Dress Day Event. risk factors in women. Offer opportunities to ask The day included instruction questions of providers and on how stress, exercise and clinicians across a broad wellness can affect cardiac spectrum of disciplines. health. Also included was information on the importance of good nutrition, exercise medication monitoring, routine screening, and other health maintenance activities. Provide a range of cardiac Nursing staff completed the health screening. following screenings: Blood Pressures BMI Veins Pulmonary Function Nutrition / Diabetes and offered stroke prevention materials.

Partners

Partner Name, Description Partner Web Address American Heart Association http://www.heart.org

Contact Information Judith Sadacca, Outreach Manager, Ambulatory Services, Hallmark Health System, 48 Montvale Avenue, Stoneham, MA 02180, Phone: 781­279­2213, [email protected] Detailed Description Download/View Attachment(468.22 KB) File Name: # 45 Red Dress Day.pdf

Community­based Care Transitions Program (CCTP) Brief Description or In 2012, Hallmark Health System, the Hallmark Health VNA & Hospice, Somerville Cambridge Objective Elder Services, Mystic Valley Elder Services, and Cambridge Health Alliance received funding to begin a Community­based Care Transitions Program (CCTP). Awarded through the Centers for Medicare and Medicaid Innovation Program, the initiative provides a broad spectrum of interventions and services to patients at high risk of hospital readmission. The program seeks to expand and enhance existing discharge practices and patient care with the goal of decreasing readmissions by improving how information is shared, care coordination and patient’s transition to the outpatient setting. Transition facilitators at the hospitals work closely with case managers and staff to implement additional interventions for patients identified to be medically complex at discharge, and nurse practitioners monitor medically­complex patients in the community and in skilled nursing facilities. Primary care physicians are closely involved with their patients. The program has continued to be successful, and identified as a high­ performing program by CMS. In late FY 2014, the program was awarded an additional year of funding to continue operation through FY 2016, with options for additional extensions at that time. The program services ended in January 2017. Program Type Community Education,Community Participation/Capacity Building Initiative,Direct Services,Outreach to Underserved,Prevention,Research Target Population Regions Served: County­Middlesex Health Indicator: Access to Health Care, Other: Cultural Competency, Other: Elder Care, Other: Homebound Sex: All Age Group: Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Within these high risk groups, At the end of 2016, the Mystic demonstrate measured progress Basin remained in the top five in bringing hospital of the remaining CCTPs readmission rates to the stated nationwide. 20% reduction rate or below, set by CMS. Identify and enroll eligible The CCTP has served 2,160 patients in the Mystic Basin patients over the total years of area. Eligibility includes the grant. patients 65 and older with an inpatient stay over 3 days, and all patients with a diagnosis of Chronic Heart Failure.

Partners

Partner Name, Partner Web Address Description Somerville­ http://www.eldercare.org/ Cambridge Elder Services Mystic Valley Elder http://www.mves.org Services Cambridge Health http://www.challiance.org Alliance Hallmark Health http://www.hallmarkhealthhomecare.org VNA and Hospice

Contact Information Cheryl Warren, MS, RN, System Director, Clinical and Fiscal Integration & Case Management, Hallmark Health System, 170 Governors Avenue, Medford, MA 02155, Phone: 781­306­6402, [email protected] Detailed Description Download/View Attachment(387.21 KB) File Name: CCTP­FY2015.pdf

Emergency Planning & Preparedness Brief Description or Emergency Planning & Preparedness Hallmark Health System's Chairman of Emergency Objective Medicine serves as Medical Director of EMS Region III for the Commonwealth of Massachusetts and is very active in regional planning and efforts to improve coordinated response to natural and man­made disasters at all levels. This includes both provider and community education around outbreaks of disease or potential risks of outbreak, such as concerns related to the Ebola and Zika viruses. Hallmark Health continues to explore ways to inform the community on these issues, as well as to improve its physical plant to better respond to these occurrences. Growing evidence and governmental policies on disaster response suggests that preparation and community resiliency are both key factors in recovery and return to normalcy following a disaster in the community. Program Type Community Participation/Capacity Building Initiative,Direct Services,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield Health Indicator: Access to Health Care, Environmental Quality, Injury and Violence, Other: First Aid/ACLS/CPR, Other: Public Safety Sex: All Age Group: Adult, All Adults, All Children Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Provide training to clinical The HHS Chairman of staff and community health Emergency Medicine information regarding participates on an Emergency outbreaks or potential Medicine Community outbreaks of disease by the Advisory Board and provides Centers for Disease Control or Medical Liaison Work for the the Massachusetts Department YMCA of Greater Boston. He of Public Health. also presented stroke education for "Health Minutes" this year. "Health Minutes" are the short video Minutes" are the short video educational programs used to present community health education topics on Facebook. Provide emergency planning In 2016, the HHS Chairman of for the community­at­large to Emergency Medicine prepare for disasters and continued to serve as the emergencies, both natural and Medical Director of Region III man­made, including seasonal EMS and the Massachusetts and pandemic flu and mass Emergency Care Advisory casualties. Board (MECAB). Provide emergency planning In 2016, grant­funding from for the community­at­large to the Health Resource Services prepare for disasters and Administration continued to emergencies, both natural and support physical plant man­made, including seasonal improvements and and pandemic flu and mass preparations at both LMH and casualties. MWH Emergency Departments.

Partners

Partner Name, Description Partner Web Address Local cities and towns State and regional EMS providers MA Department of Public http://www.mass.gov/dph Health U.S. Centers for Disease http://www.cdc.gov Control

Contact Information Alec Walker, MD, FACEP, Chairman, Emergency Medicine, Hallmark Health System, 585 Lebanon Street, Melrose, MA 02176, Phone: 781­979­3378, [email protected] Detailed Description Download/View Attachment(3284.82 KB) File Name: ems­planning­2013.pdf

Support to Mass in Motion Programs Brief Description or Five communities in the Hallmark Health service area maintain Mass In Motion (MIM) Objective funding, including Everett, Malden, Medford, Melrose, and Wakefield. Hallmark Health works to support these communities in a variety of ways based on their individual needs­from community gardens, to information on Farmers' Markets, menu reviews and walking programs. A shift in the program funding at the state level has adjusted the scale and scope of program activities for MIM, but Hallmark Health continues to support efforts in the communities served whenever possible. Program Type Community Education,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention,School/Health Center Partnership Target Population Regions Served: Everett, Malden, Medford, Melrose, Wakefield Health Indicator: Environmental Quality, Other: Nutrition, Other: Public Safety, Overweight and Obesity, Physical Activity Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Attend regular meetings and In 2016, the WIC Senior provide ongoing support for Nutritionist continued to MIM activities within Everett, provide support to Medford Malden, Medford, Melrose, and Malden programs and and Wakefield. Community Services staff attended meeting in Melrose/Wakefield and in Everett's Community Health Partnership which included MIM activities.

Partners

Partner Name, Partner Web Address Description Local Boards of Health Cambridge http://www.challiance.org Health Alliance YWCA of http://www.ywcamalden.org Malden MIM­ http://www.ci.everett.ma.us/Everett_files/energize/? Energize Everett MIM http://www.mimmelrosewakefield.com Melrose­ Wakefield MIM­ http://www.ourhealthymass.org/place/programs/medford/? Medford MIM­ http://www.maldenismoving.org/ Malden

Contact Information Kristen Giuliani, RD, LDN, CLC, Senior Nutritionist, North Suburban WIC Program, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7576, [email protected] Detailed Description Download/View Attachment(768.49 KB) File Name: #48 MIM local.pdf

Mobile Food Market Brief Description or In August 2012, the North Suburban Women, Infants and Children (WIC) Nutrition program Objective began partnering with the Greater Boston Food Bank (GBFB) to offer a monthly Mobile Food Market to address the lack of access to healthy food for low­income families in several area communities. Providing access to healthy foods allows older adults and elders to better manage chronic diseases like diabetes, while younger adults and children are able to maintain a healthy weight and families can focus their limited resources on other needs such as housing costs. When families have their basic economic needs such as food, shelter, clothing and healthcare met, studies show that this leads to improved health for adults and optimal growth and development for children. HHS partners on this initiative with the Malden Zonta Club, a local service organization whose mission is to advance the status of women world­wide and to locally serve the community. Malden Zontians support the Mobile Market food distribution effort each month. The City of Malden Mayor's office provides police details in­kind each month, the City of Medford notifies residents about the Market through a robotic­call system and Hallmark Health provides a variety of screenings and health information throughout the year. The Mobile Market has been recognized with a Peter Lee Memorial Healthy Communities Award by the Massachusetts Department of Public Health, as a "Program of Promise" by the 2013 Hospital Charitable Service Awards in Atlanta, GA, and as a Hospital Charitable Service Award's "Program of Excellence" winner in 2016. In 2016, the Mobile Market began enrolling participants using the Greater Boston Food Bank's centralized "Oasis Insight" database. The participants using the Greater Boston Food Bank's centralized "Oasis Insight" database. The system has improved tracking of ongoing participation and provided additional insights into the frequency, duration, and geographic locations of individuals and families served by the Market. In 2016, the GBFB hired a physician to expand the Mobile Market program into health centers. Two sites, one in Brighton and another in Lawrence, were opened in 2016. Hallmark Health acted as a mentor program to both sites. In 2016, the GBFB also offered Hallmark Health a seat on its new Hunger Task Force. Program Type Community Education,Community Participation/Capacity Building Initiative,Health Screening,Outreach to Underserved,Prevention,Research Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, Woburn Health Indicator: Access to Health Care, Immunization, Other: Diabetes, Other: Homelessness, Other: Nutrition, Other: Smoking/Tobacco, Other: Uninsured/Underinsured, Overweight and Obesity Sex: All Age Group: Adult, Adult­Elder, Adult­Young, Child­Infant, Child­Toddler Ethnic Group: All Language: All , Chinese , Haitian Creole , Other , Vietnamese Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide services using staff In FY 2016, more than 2,892 and community partners as volunteer hours were provided volunteers. This program by Hallmark Health leaders, allows volunteers to receive staff, and community residents. food as needed. Provide health education and During 2016, flu shots were screening to Market recipients offered, information on health whenever possible. insurance registration, information on colon health, stroke health, child literacy, tobacco cessation, and a variety of other topics. Track the amount of food Total food distributed was provided. Results from May 196,450 pounds which equates 2015 through June 2016. to 163,708 meals. Provide monthly healthy food The Mobile Market has more market for the community to than 1,000 families enrolled in address food insecurity. the data base. Over 4,524 family visits were documented in 2016, an average of 377 families/month. Reduce food insecurity in the In all of the 9 Hallmark Health Hallmark health service area. communities, the GBFB has reached its goal of "one meal per day". In Reading, Melrose, Medford, and Everett there is still work to be done to reach "two meals/day". The "two meals/day" has been reached in Malden, North Reading, Saugus, Stoneham, and Wakefield.

Partners

Partner Partner Web Address Name, Description Description Greater http://www.gbfb.org Boston Food Bank Bread of http://www.breadoflifeonline.org Life Zonta http://www.zontadistrict1.org Clubs of Malden and Medford Hospital http://www.jacksonhealthcare.com/awards/community/program­ Charitable database/the­mobile­food­market.aspx Service Awards Malden http://www.maldenteenenrichmentcenter.org Teen Enrichment Center City of http://www.cityofmalden.org Malden City of http://www.medford.org Medford Malden http://www.maldenpd.com Police Department

Contact Information Kristen Giuliani, RD, LDN, CLC, Senior Nutritionist, North Suburban WIC Program, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7576, [email protected] Detailed Description Download/View Attachment(1166.14 KB) File Name: #49 Mobile Market.pdf

Tumor Registry Brief Description or The Hallmark Health Tumor Registry records all incidences of cancer or related malignant Objective tumors into a central registry that coordinates all data across Hallmark Health System. The program is staffed by certified professional staff and additional analyst support consistent with accredited cancer tumor registry programs nationwide, and undergoes full program accreditation every three years. Given high rates of cancer incidence and mortality in the region, a more comprehensive assessment of cancer data is invaluable to addressing health disparities and serving at­risk populations. Program Type Prevention,Research Target Population Regions Served: County­Middlesex Health Indicator: Other: Cancer, Other: Cancer ­ Breast, Other: Cancer ­ Cervical, Other: Cancer ­ Colo­rectal, Other: Cancer ­ Lung, Other: Cancer ­ Multiple Myeloma, Other: Cancer ­ Ovarian, Other: Cancer ­ Prostate, Other: Cancer ­ Skin Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults, All Children Ethnic Group: All Language: All Goals Statewide Priority: Reducing Health Disparity, Supporting Healthcare Reform

Goal Description Goal Status Conduct regular scheduled In FY 2016, weekly meetings, weekly Tumor Board meetings quarterly Tumor Board at each hospital and six meetings, and bi­monthly (six system­wide Cancer times/year) Cancer Committee Committee meetings per year. meetings took place. Review no fewer than 10% of In FY 2016, the Cancer all cases reported to the Board Conference reviewed 187 as mandated by accreditation. cases (48% of the total number of cases). Document all incidence of In FY 2016, the total number tumors diagnosed and of cases reported to the board identified across Hallmark was 400. Health System and affiliated providers.

Partners

Partner Name, Description Partner Web Address American Cancer Society http://www.cancer.org Commission on Cancer­ http://www.facs.org/cancer American College of Surgeons

Contact Information Nancy Cloutier, Director, Medical Records, Hallmark Health System, 585 Lebanon Street, Melrose MA 02176, Phone 781­979­3114, [email protected] Detailed Description Not Specified

1­2­3GO! Diabetes Exercise Program Brief Description or The 1­2­3­GO Diabetes and Exercise Program is a 12 week exercise and education program Objective designed for CHNA 16 residents with Type 1, Type 2, or pre­diabetes to learn and practice self­ management techniques designed to help them improve their energy and activity level and reduce the impact of the disease on their overall health. While current Hallmark Health System diabetes management programs include education and nutritional counseling, the 1­2­3­GO Diabetes and Exercise Program enhances the overall benefit to the participant by adding an exercise component. The program provides health metrics screening (BP, BMI, girth measurement, weight, and blood sugar) and evaluates each enrolled participant’s baseline physical activity level and educational and support needs. Classes are offered in 8 segments and took place at the Malden YMCA. Each session lasts one hour and meets twice per week. A certified athletic trainer provides exercise instruction, and a registered nurse conducts baseline and outcome evaluations at the first and last session of each series. Program Type Community Education,Community Participation/Capacity Building Initiative,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: County­Middlesex, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham Health Indicator: Access to Health Care, Other: Diabetes, Other: Nutrition, Other: Stress Management, Overweight and Obesity, Physical Activity Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status provide evidenced­based In 2016, one final session of an interventions to assist Provide 8 session program was held evidence­based interventions serving 11 residents. Hallmark to assist patients with diabetes Health hopes to secure funding improve their health, lose to bring the program back in weight, and become more 2017 physically active.

Partners Partner Name, Description Partner Web Address CHNA 16 Malden YMCA http://www.maldenymca.org

Contact Information Melissa Roberto, DPT, MS­PT, ATC, System Director, Ambulatory Services, Hallmark Health System, 30 Newcrossing Road, Reading, MA 01867, Phone: 781­213­5110, [email protected] Detailed Description Not Specified

In­Kind space to local Alcoholics Anonymous/Overeaters Anonymous Groups Brief Description or For several years, a local chapter of Alcoholics Anonymous has held a weekly meeting in Objective Perkins Hall at Melrose­Wakefield Hospital. The meeting takes place on Sunday mornings, and is one of only three AA meetings offered in Melrose. A regularly scheduled Overeaters Anonymous Group also meets in the Johnson Conference Room at Lawrence Memorial Hospital. The group also meets weekly. In 2016, the statewide Parent Teachers Association and the Middlesex County District Attorney's Eastern Middlesex Opioid Task Force also began to meet regularly at Hallmark Health. Program Type Community Education,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention,Support Group Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Other­Northeastern Massachusetts, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Drunk Driving, Other: Stress Management, Substance Abuse Sex: All Age Group: Adult, Adult­Elder, Adult­Young, All Adults Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide in­kind space for a In FY 2016, the group met weekly Alcoholics weekly at Melrose­Wakefield Anonymous (AA)meeting. The Hospital. program supports individuals with alcohol and substance use disorders to maintain recovery and gain peer support through a regularly scheduled evidenced­based intervention. Provide in­kind meeting space The group met weekly at to weekly Overeaters Lawrence Memorial Hospital. Anonymous group. This program supports individuals with eating disorders through an evidence­based intervention. Provide in­kind meeting space The group met monthly in the to the Middlesex County School of Nursing conference District Attorney for the area. The group also utilized Eastern Middlesex Opioid the space for a Scope of Pain Task Force. training on a Saturday. Provide in­kind meeting space The group met three times over to the statewide committee of the year. Once was to offer a the Parent/Teachers training for their leadership Association. team. Association. team.

Partners

Partner Name, Description Partner Web Address Alcoholics Anonymous http://www.aaboston.org Central Boston Service Committee Overeaters Anonymous http://www.oambi.org MassBay Local addiction treatment and recovery agencies Middlesex County District Attorney Parent/Teachers Association Statewide Committee

Contact Information Eileen Dern RN, CES, Director, Community Services, Hallmark Health System, 239 Commercial Street, Malden, MA 02148, Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(107.88 KB) File Name: AA­OA­FY2014.pdf

Support for Malden's Promise Coalition Brief Description or In 2010, the Malden High School drop­out rate reached a high of 7.2%. The Malden Public Objective Schools, City of Malden Mayor's Office, and a group of community­based organizations joined forces to develop a collaborative effort to address the drop­out rate challenge. Through funding from the MA Department of Elementary and Secondary Education (DESE), the Malden's Promise Coalition was created, bringing together stakeholders from schools, local government, and not­for­profit community agencies to address the core factors impacting graduation rates in the community: lack of mentorship for youth, lack of knowledge around available resources, and behavioral health and substance abuse issues. A series of interventions was developed and implemented through the work of the coalition that, by 2014 had resulted in the high school drop out rate being reduced to 2.2%. As funding for the DESE project winds down, the coalition has decided to continue beyond the life of the grant, to be a "coalition that provides the city, schools, and community organizations of Malden with a supportive network to communicate, collaborate, share resources, and provide opportunities for youth." Recognizing the value in this collaboration, as well as the key impact of high school graduation as a social determinant of health for young adults in the community, Hallmark Health has been an active participant and supporter of Malden's Promise. This has included both engaging in trainings and presentations at monthly meetings, but also in providing technical support around the future evolution of the Coalition. Representatives from North Suburban WIC, Healthy Families/MA Home Visiting Program, and Hallmark Health Community Services are all active members of the Coalition. Program Type Community Participation/Capacity Building Initiative,Health Professional/Staff Training,Mentorship/Career Training/Internship,Outreach to Underserved,Research,School/Health Center Partnership Target Population Regions Served: Malden Health Indicator: Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Education/Learning Issues, Other: Homelessness, Other: Language/Literacy, Other: Stress Management, Substance Abuse Sex: All Age Group: Adult, Child­Preteen, Child­Primary School, Child­Teen Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Support the ongoing activities In FY 2016, the WIC Support the ongoing activities In FY 2016, the WIC of the Malden's Promise Community Coordinator, the Coalition through Healthy Families Supervisor, representation at monthly and the Community Benefits meetings and participating on Manager shared sub­committee and ad­hoc responsibilities for attending activities. meetings and training, and participating on task forces. Represent Hallmark Health on In FY 2016, the Community the leadership group of the Benefits Manager continued to Malden's Promise Coalition. attend regular operational meetings as a member of the Coalition's Steering Committee.

Partners

Partner Name, Description Partner Web Address City of Malden http://www.cityofmalden.gov Malden Public Schools http://www.maldenps.org MA Department of Elementary http://www.doe.mass.edu and Secondary Education Cambridge Health Alliance http://www.challiance.org Community serving agencies, school officials, and government representatives.

Contact Information Eileen Dern, Director Community Services, Hallmark Health System, 239 Commercial Street, Suite 141, Malden, MA 02148 Phone: 781­338­7552, [email protected] Detailed Description Download/View Attachment(372.21 KB) File Name: # 53 Malden's Promise.pdf

Cultural Conversations Series Brief Description or The Hallmark Health Diversity Committee has met for more than a decade, bringing attention Objective to the cultural diversity reflected in both its employees and the communities served by Hallmark Health. As many demographic changes take place within the health system's service area, the committee decided in FY 2014 to take a slightly different look at the concept of diversity, beyond the traditional lens of national identity and language. In March 2014, the first of three Cultural Conversations took place, welcoming speakers from the community that reflected voices and perspectives relevant to the work of Hallmark Health, to encourage learning and dialogue around cultural differences and distinctions. The series focused on topics including immigration, navigation of services with limited English proficiency,the experience of poverty, and the impact of race and cultural identity on the experience of illness. The Series is open to all Hallmark Health employees, as well as other providers and members of the community, and will continue informing clinicians, enabling dialogue and welcoming new perspectives for Hallmark Health to reflect the many differences and common bonds that bring its community of caring together. Program Type Community Education,Health Professional/Staff Training Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Other: Cultural Competency Sex: All Age Group: Adult, All Adults Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description Goal Status Offer programming for There were four Cultural students, staff, leaders, and Conversations offered in FY providers to better understand 2016. The attendance at each the diverse health and social was on average between 20 needs of community members. individuals per session, plus sharing of handouts/materials to others unable to attend. October 22, 2015, the topic was Outreach in Cape Town, South Africa. Vanja Calantrotpo, Evelyse Dorcelus and Samuel Rothschild presented. January 19, 2016, the topic was Transgender Rights and the Patient Experience. Reed Wetmore presented. In March 2016, the topic was Public Perceptions Surrounding Weight Loss Surgery. Deborah Van Etten presented. On May 3, 2016 the topic was Refugee Mental Health. Dr. Hossam Mahmoud presented.

Partners

Partner Name, Partner Web Address Description Immigrant http://www.ilctr.org/ Learning Center Medford http://www.medfordpublicschools.org/departments­ Family programs/medford­family­network/ Network

Contact Information Johna Wasdyke, Director, Human Resources, Hallmark Health System, 170 Governors Avenue, Medford, MA 02155 Phone: 781­306­6570, [email protected] Detailed Description Download/View Attachment(629.22 KB) File Name: # 54 Cultural Conversations.pdf

Health Minutes Brief Description or In FY 2016, Hallmark Health continued its collaboration with Wakefield Public Access Objective Television to create a series of short, topical health related public service announcements. Under the direction of the HHS Public Affairs and Marketing team, a series of monthly "Health Minutes" were developed to support key messages around health issues and concerns, such as diabetes, and stroke, and included health messaging about the importance of weight loss, exercise and eating healthy. Utilizing social media and traditional local public access allows the programs to be affordably produced but also available to a full spectrum of audiences varying by age and socioeconomic characteristics. Hallmark Health plans to continue the Health Minute messages into FY 2017. The full lineup of Health Minute videos are available at: http://bit.ly/1OGeDn4. Program Type Community Education,Prevention Target Population Regions Served: County­Middlesex, Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Mental Health, Other: Alcohol and Substance Abuse, Other: Alzheimer Disease, Other: Arthritis, Other: Asthma/Allergies, Other: Cancer, Other: Cancer ­ Colo­rectal, Other: Cardiac Disease, Other: Chronic Pain , Other: Diabetes, Other: Education/Learning Issues, Other: Public Safety Sex: All Age Group: Adult, Adult­Elder, Adult­Young Ethnic Group: All Language: All , English Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide health education programming through the programming through the Health Minutes programs Health Minutes programs posted on the Hallmark Health posted on the Hallmark Health Facebook page. In FY2016, we Facebook page. provided Health Minute videos to the community covering the following topics: Asthma, Exercise, Stroke, Advantages of Eating Healthy Produce, Obesity Prevention, Type 2 Diabetes, Women and Heart Disease, Varicose Veins, Poison Ivy, Insect Bites including the spread of diseases. Engage the community with In FY 2016, the videos were health information through the promoted using the three production and distribution of social media channels of health minute videos. YouTube, Twitter and Facebook, for a total reach of 127,286. The HHS home page had 1,207,808 views for FY2016, averaging 100,650 views per month. Our ten videos reached 127,286 on social media during our fiscal year. Additionally, each video was featured on WCAT (Wakefield public access). Unfortunately, WCAT does not subscribe to Nielsen, so does not have the data to demonstrate how many viewers are watching segments when they air. We do know that WCAT reaches 25,000 households in Wakefield. Total views estimated at 340,023.

Partners

Partner Name, Description Partner Web Address WCAT­Wakefield Public http://www.wcatwakefield.org/ Access TV

Contact Information Rob Brogna, Director, Social Media & Media Relations, Hallmark Health System, 170 Governors Avenue, Medford, MA 02155,Tel:(781)338­7234, [email protected] Detailed Description Download/View Attachment(236.59 KB) File Name: HealthMin­FY2015.pdf

Regional Substance Use Prevention Coalitions Brief Description or Hallmark Health continues to provide support to the Melrose, Medford, Reading, Wakefield, Objective and Stoneham Substance Abuse Prevention Coalitions. In 2016, the health system also supported the successful efforts to develop coalitions in Malden and Saugus. Recognizing the high­level priority of substance abuse and in particular the crisis of opioid addiction in its service area, Hallmark Health has worked individually and collectively with the members of the Mystic Valley Public Health Coalition to address prevention and treatment of substance use disorders on a regional level. In 2013, this included a leadership role in the creation of Mystic Valley's Massachusetts Opioid Abuse Prevention Collaborative (MOAPC). Hallmark Health convened data and stakeholders toward developing the Mystic Valley MOAPC proposal. Most of the coordination of data and resources initially facilitated by HHS is now overseen centrally by the MOAPC. Hallmark Health continues to actively participate in regular MOAPC meetings and events. In addressing substance use disorders, Hallmark Health recognizes the need for their treatment as chronic health conditions, and seeks ways to reduce barriers to treatment and recovery, improve access to health services, and reduce health disparities, particularly among individuals with co­occurring mental health and substance use disorders. In FY 2017, Hallmark Health will continue to support the Mystic Valley Public Health Coalition and its initiative, the Substance Abuse Prevention Collaborative (SAPC) program, a regional grant­funded approach developing evidence­based prevention strategies around non­opioid based substance abuse, including alcohol and marijuana. Program Type Community Participation/Capacity Building Initiative,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Domestic Violence, Other: Public Safety, Substance Abuse Sex: All Age Group: All Ethnic Group: Not Specified Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Supported efforts to develop In 2016, both Saugus and Substance Abuse Prevention Malden began new coalitions Coalitions in Malden and to address Substance Use Saugus. Disorders (SUD) and prevention efforts. Malden's Coalition is very active but currently the coalition Saugus is facing challenges to move forward. Provide support to the In 2016, Hallmark Health Melrose, Medford, Reading, Leaders and staff continue to Wakefield, and Stoneham be assigned to support the Substance Abuse Prevention community Coalitions in the Coalitions. communities in our service area. Continue to support the In 2016, the Community Mystic Valley Public Health Benefits Manager represented Coalition and its initiative, the HHS on the Coalition. Substance Abuse Prevention Collaborative (SAPC) program, a regional grant­ program, a regional grant­ funded approach developing evidence­based prevention strategies around non­opioid based substance abuse, including alcohol and marijuana.

Partners

Partner Name, Description Partner Web Address City of Medford Town of Reading City of Melrose City of Malden Town of Saugus Town of Stoneham Town of Wakefield City of Everett

Contact Information Eileen Dern, Director Community Services, Hallmark Health, 239 Commercial Street, Suite 141, Malden, MA 02148, (718)338­7552, [email protected] Detailed Description Download/View Attachment(3637.45 KB) File Name: #56 Support to Local Substance Use Prevention Efforts.pdf

Care Collaborative­ MotherWoman Initiative Brief Description or In 2016, the Supported Birth Program services became part of the new CHART funded Objective Collaborative Outreach and Accountable Care (COACHH) Program. The COACHH program serves high risk populations including expectant women in the community who are in early recovery. During this period Hallmark Health also received a training grant from MotherWoman to expand the work of the coalition that had been established. The Care Collaborative meets monthly over the school year and has offered training, support, and sharing of 'best practices" among local provider agencies caring for women in treatment or in need of treatment for Substance Use Disorder (SUD) in pregnancy or during the postnatal period. The group is tri­chaired by Hallmark Health, the Middlesex County District Attorney's Office, and Jewish Family & Children's Services NESST Project. Program Type Community Participation/Capacity Building Initiative,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Domestic Violence, Other: Parenting Skills, Other: Pregnancy, Other: Public Safety, Other: Stress Management Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide a range of case The Care Collaborative meets management supports and for 2 hours and had four training for providers working meetings in 2016. The group is with pregnant and postnatal well­attended with 10­15 women in treatment for members at each meeting. In Substance Use Disorder (SUD) 2016, the Collaborative or in need of treatment. created a Strategic Plan and or in need of treatment. created a Strategic Plan and provided post partum training in collaboration with MotherWoman. The training was titled Promoting Maternal and Infant Mental Health: The Community­Based Perinatal Support Model for Mothers­ 30 providers were in attendance for the 3 hour training.

Partners

Partner Name, Description Partner Web Address Middlesex County District Attorney Jewish Family & Children's Services Early Intervention Massachusetts Department of Children and Families (DCF) Hallmark Health VNA and Hospice South Bay Community Services

Contact Information Sue Appleyard LICSW Hallmark Health Social Work Manager, Case Management Department (781) 979­3439 , [email protected] Detailed Description Download/View Attachment(1300.57 KB) File Name: #57 Care Collaborative.pdf

Support to the Eastern Middlesex Opioid Task Force Brief Description or In July of 2015 Middlesex County District Attorney, Marian Ryan with State Sen. Jason Lewis Objective convened the first Eastern Middlesex Opioid Task Force to address the rise in opioid addiction and drug­related deaths in the communities of Medford, Malden, Melrose, and surrounding communities. The group meets monthly to work together on learning about "best practice" strategies to face this nationwide epidemic. Hallmark Health Leaders host the meetings each month. Program Type Community Education,Community Participation/Capacity Building Initiative,Health Professional/Staff Training,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham, Wakefield Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Public Safety, Substance Abuse Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide support to the District Hallmark Health provides Attorney's Eastern Middlesex leadership through attendance Opioid Task Force. by the President and CEO, Alan Macdonald and often the COO, William Doherty M.D. Hallmark Health provides coordination of the monthly meetings, food service, IT/AV support, and a minimum of 5 employees in attendance each month. The meetings are 90 minutes in length and attended by more than 50 local representatives from health, public service organizations, and law enforcement.

Partners

Partner Name, Description Partner Web Address Middlesex County District Attorney Hallmark Health Cambridge Health Alliance Mount Auburn Hospital Winchester Hospital­ Lahey Local Law Enforcement Local Cities and Towns Sustance Use Treatment Providers Community Advocacy Organizations Local Social Service Agencies

Contact Information Rob Brogna Director, Media Relations and Social Media Hallmark Health System 170 Governors Ave Medford, MA 02155 Office: (781) 338­7234 Cell: (781) 507­5551 Twitter: @HallmarkHealth , [email protected] Detailed Description Download/View Attachment(111.94 KB) File Name: #58 Easter Middlesex Opioid Task Force.pdf

Support to the Middlesex County District Attorney’s Safe Baby/Safe Child Task Force Brief Description or District Attorney Marian Ryan created the Safe Babies, Safe Kids (SBSK) Task Force in 2009 to Objective address issues of health and safety affecting babies and children in Middlesex County. Community partners include Winchester Hospital, Melrose­Wakefield Hospital, Emerson Hospital, Mt. Auburn Hospital, and a variety of local emergency planning organizations and other social service organizations. The group works closely together to discuss and promote "best practice" strategies to address issues such as safe sleep for infants, "Shaken Baby Syndrome" or prevention of Abusive Head Trauma in infants and other like topics. Program Type Community Education,Community Participation/Capacity Building Initiative,Health Professional/Staff Training,Outreach to Underserved,Prevention,Research Target Population Regions Served: County­Middlesex Health Indicator: Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Parenting Skills, Other: Pregnancy, Other: Public Safety, Other: Safety ­ Auto/Passenger, Other: Smoking/Tobacco, Other: Stress Management Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description Goal Status Provide representation to the The Maternal/Newborn Middlesex County District Director and the Community Attorney's Safe Baby/Safe Services Director attend Child Task Force. meetings and work with other local hospitals and providers on important infant and child safety topics such as promoting safe sleep in infants, water safety, prevention of Abusive Head Trauma, and car seat safety. In 2016, a focus has been working with population serving children impacted by the Opioid Crisis.

Partners

Partner Name, Description Partner Web Address Emerson Hospital Lowell General Hospital Melrose­Wakefield Hospital Mount Auburn Hospital Winchester Hospital­Lahey Middlesex County District Attorney's Office Local EMS Providers Children's Trust

Contact Information Kati Roe, BSN, RNC Director of Maternal­Newborn Services 585 Lebanon Street Melrose, MA 02176 781­979­3643/603­260­1897 , [email protected] Detailed Description Download/View Attachment(124.66 KB) File Name: # 59 Safe Baby­Safe Kid.pdf

Baby Care Basics Brief Description or Baby Care Basics­ On November 4, 2015 Hallmark Health and the Wakefield Public Schools Objective along with the Middlesex County District Attorney’s Office committed to promoting safety for infants and young children during the annual North Suburban Childcare Expo. In February 2016, Hallmark Health presented its first class of “Baby Care Basics” using a focused approach on three areas of infant health and safety­ water safety from the first bath, car seat safety, and safe sleep practices. The class is taught by the Hallmark Health Chief of Pediatrics and a childbirth educator. The District Attorney, Marian Ryan visited the class to speak with staff and expectant parents in June 2016. Program Type Community Education,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Immunization, Injury and Violence, Other: Child Care, Other: Parenting Skills, Other: Safety, Other: Safety ­ Auto/Passenger, Other: Safety ­ Home, Other: Stress Management Sex: All Age Group: Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide an updated curriculum Baby Care Basics In 2016, 31 for expectant parents with a couples attended Baby Care focus on safe sleep, water Basics. Six classes were safety from the first bath, and offered. car seat safety.

Partners

Partner Name, Description Partner Web Address Middlesex County District http://middlesexda.com/ Attorney's Office

Contact Information Diana DeStefano Office Manager, Community Services and Community Health Education 781­ 338­7561 Fax (781) 338­7575 , [email protected] Detailed Description Download/View Attachment(695.02 KB) File Name: #60 Baby Care Basics.pdf

Summer Safety Program Brief Description or In June 2016, the Middlesex County District Attorney’s Office partnered with Hallmark Health, Objective the Wakefield Public Schools, the Stone Zoo, and many local police and fire departments and ambulance companies on a Summer Safety Day event at the Stone Zoo. Car seat inspections were done, health and safety information disseminated and the first 150 families were treated to a free pass to the zoo. Program Type Community Education,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Injury and Violence, Other: Public Safety, Other: Safety, Other: Safety ­ Auto/Passenger, Other: Safety ­ Home Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide free passes to the first All 151 families received free 150 families attending the Zoo passes. event. Provide an opportunity for 151 Families attended the local families to have their car event. 26 car seat inspections seats checked, visit with and were completed. Hallmark gain information from local Health provided $500 in new public safety providers, and car seat replacements for the visit the Stone Zoo. event.

Partners

Partner Name, Partner Web Address Description Middlesex http://middlesexda.com/ County District Attorney's Office Stone Zoo http://www.zoonewengland.org/stone­zoo North https://www.hallmarkhealth.org/north­suburban­child­and­ Suburban family­resource­network.html Child and Family Resource Network Action http://actionambulance.com/ Ambulance Service Stoneham Fire http://www.stoneham­ma.gov/fire­department Department Concord http://www.concordma.gov/250/Police Police Department Chelmsford http://www.townofchelmsford.us/167/Police­Department Police Department Lexington http://www.lexingtonma.gov/police Police Department Woburn http://cityofwoburn.com/index.aspx?NID=108 Police Department North http://www.nrpd.org/ Reading Police Department Massachusetts http://www.mass.gov/eopss/agencies/msp/#.WNqDv411rcs State Police Stoneham http://www.stoneham­ma.gov/police­department Police Department

Contact Information Kathy Harlow Program Manager North Suburban Child and Family Resource Network The Woodville School 30 Farm Street Wakefield, MA 01880 781­246­5187 , [email protected] Detailed Description Download/View Attachment(454.80 KB) File Name: #61 Summer Safety.pdf

Produce in a SNAP for Seniors Brief Description or In partnership with the City of Medford and the Medford Mass in Motion Program, this Objective program provided low cost locally grown produce and educational sessions and screenings during the time of the food pick­up to elders in Medford. The screenings and education were provided by Hallmark Health providers and clinicians. The topics were developed to focus on the expressed needs of the elders served and the past experience of the program providers. Program Type Community Education,Community Participation/Capacity Building Initiative,Grant/Donation/Foundation/Scholarship,Health Screening,Outreach to Underserved,Prevention Target Population Regions Served: Medford Health Indicator: Other: Elder Care, Other: Nutrition, Overweight and Obesity Sex: All Age Group: Adult­Elder Ethnic Group: All Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide healthy, fresh, The total number of people seasonal, and local produce to served was 72 and the total low­income Medford residents bags of produce was 514. in collaboration with the City's EBT­matching program. Offer health information, An average of 12 seniors cooking demonstrations, and participated in the weekly health screenings to low­ health education/screening income seniors. portion of the program.

Partners

Partner Name, Partner Web Address Description The http://www.mass.gov/eohhs/gov/departments/dph/programs/community­ Medford health/mass­in­motion/community/mim­communities/medford.html Mass in Motion Program Medford https://medfordfarmersmarket.org/ Farmers Market Medford http://www.medfordma.org/departments/health­department/ Board of Health Medford http://www.medfordpublicschools.org/departments­programs/medford­ Family family­network/ Network Medford http://www.medfordhousing.org/ Housing Authority New Entry https://nesfp.org/ Sustainable Farming Project

Contact Information Joya Pezzuto RN Aging in Balance Outreach Nurse Aging in Balance Program 178 Savin Street, 3rd Floor Malden, MA 02149 Phone: 781­338­7823 Fax: 781­338­7801 , [email protected] Detailed Description Download/View Attachment(514.01 KB) File Name: #62 Produce in a Snap.pdf

Pharmacy Technician Scholarship Program Brief Description or In 2014, Hallmark Health Pharmacy and the Lawrence Memorial/Regis College School of Objective Nursing jointly developed a Pharmacy Technician training program. The program prepares candidates for the Pharmacy Technician Board Exam. In 2016, funds were made available through the Staples Foundation and Hallmark Health to offer five local young adults scholarships to enter the program. Program Type Community Education,Community Participation/Capacity Building Initiative,Grant/Donation/Foundation/Scholarship,Mentorship/Career Training/Internship,Outreach to Underserved,Physician/Provider Diversity,Prevention,School/Health Center Partnership Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Other: Safety Sex: All Age Group: Adult­Young Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide educational In FY2016, five young adults opportunity for diverse young received full scholarships to adults to develop professional the Pharmacy Technician job skills. Program. This also included books and materials. Four of the five candidates completed the program.

Partners

Partner Name, Partner Web Address Description Staples http://www.staples.com/sbd/cre/marketing/about_us/how­ Foundation we­give.html Regis https://lmregis.org/ University School of Nursing

Contact Information Nicole Clark, PharmD, MHA, BCPS Pharmacy Clinical Practice and Education Manager Residency Program Director Hallmark Health System Office: 781.979.6125 Fax: 781.979.3150 , [email protected] Detailed Description Download/View Attachment(655.18 KB) File Name: #63 Pharmacy Technicians Scholarships.pdf

Scope of Pain Training Brief Description or In 2016, Hallmark Health in collaboration with the Middlesex County District Attorney’s Objective Office offered a Saturday morning Scope of Pain session. SCOPE of Pain is a series of education activities designed to help providers safely and effectively manage patient pain while promoting prescribing practices that focus on decreasing opioid over use and abuse in the community. Program Type Community Participation/Capacity Building Initiative,Health Professional/Staff Training,Prevention Target Population Regions Served: County­Middlesex Health Indicator: Access to Health Care, Other: Chronic Pain , Other: Public Safety, Substance Abuse Sex: All Age Group: Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide education to 105 providers and clinicians physicians and providers on attended the training. safer strategies to prescribe and address pain management in their patient populations.

Partners

Partner Name, Partner Web Address Description Local providers in the community Middlesex County http://middlesexda.com/ District Attorney's Office Boston Medical https://www.bmc.org/ Center Hallmark Health https://www.hallmarkhealthhomecare.org/ VNA and Hospice

Contact Information Rob Brogna Director, Media Relations and Social Media Hallmark Health System 170 Governors Ave Medford, MA 02155 Office: (781) 338­7234 Cell: (781) 507­5551 , [email protected] Detailed Description Download/View Attachment(505.20 KB) File Name: #64 Scope of Pain.pdf

Behavioral Health Referral Line Brief Description or The outpatient Community Counseling Department helps community members find necessary Objective community resources and supports referrals for behavioral health issues beyond the scope of services provided at Hallmark Health. Program Type Community Participation/Capacity Building Initiative,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Alzheimer Disease, Other: Bereavement, Other: Domestic Violence, Other: Drunk Driving, Other: Gambling, Other: Stress Management, Other: Uninsured/Underinsured Sex: All Age Group: Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Offer resource and referrals for The phone line provides community residents needing resources and referrals to an mental health and related average of 5 callers per day, 4 services. days per week.

Partners

Partner Name, Description Partner Web Address Riverside Community Care http://www.riversidecc.org/ Eliot Human Services http://www.eliotchs.org/ Eliot Human Services http://www.eliotchs.org/

Contact Information Brian O'Sullivan, Clinical Director of Community Counseling 101 Main Street, Suite 112 Medford, MA 02155 781­338­7274 Malden, MA 02148, BO'[email protected] Detailed Description Not Specified

Let's Talk About It Brief Description or In May of 2016, Hallmark Health partnered with the Stoneham Substance Abuse Prevention Objective Coalition and the Massachusetts Department of Mental Health to offer a community forum to discuss behavioral health issues and identify local resources for families and residents in need of these supports. Program Type Community Education,Community Participation/Capacity Building Initiative,Outreach to Underserved,Prevention Target Population Regions Served: Everett, Malden, Medford, Melrose, North Reading, Reading, Saugus, Stoneham, Wakefield Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Alzheimer Disease, Other: Chronic Pain , Other: Domestic Violence, Other: Drunk Driving, Other: Homelessness, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse Sex: All Age Group: Adult­Elder Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status In partnership with the More than 50 residents Stoneham Substance Abuse attended the event. The group Prevention Coalition, the has discussed the possibility of Massachusetts Department of this event becoming an annual Mental Health, and Riverside program. Community Care, Hallmark Health provided speakers and a resource table to assist local residents to find appropriate behavioral health services locally for themselves and family members.

Partners

Partner Name, Partner Web Address Description Massachusetts http://www.mass.gov/eohhs/gov/departments/dmh/ Department of Mental Health Riverside http://www.riversidecc.org/ Community Care Stoneham https://stonehamsac.com/ Substance Use Prevention Coalition South Bay https://www.southbaycommunityservices.com/ Community Services Services

Contact Information Judith Sadacca Physician Outreach and Community Relations Manager 400 Unicorn Park Woburn, MA 01801 (O): 781.338­7246 (F): 781.338­7238 , [email protected] Detailed Description Download/View Attachment(429.75 KB) File Name: # 66 Let's Talk About It.pdf

Malden Coordinated Family and Community Engagement Grant (CFCE) Brief Description or At the end of the FY 2015 school year, the Malden Public Schools had significant staffing Objective changes. One program impacted with new leadership was the Malden CFCE. To ensure new leaders would have the training and mentoring needed to create a smooth transition, the Massachusetts Department of Early Education and Care asked that Hallmark Health consult with the Malden Public Schools. Hallmark Health had successfully collaborated with the Everett Public Schools on a similar project a few years before. Program Type Community Education,Community Participation/Capacity Building Initiative,Direct Services,Health Professional/Staff Training,Health Screening,Mentorship/Career Training/Internship,Outreach to Underserved,Prevention,School/Health Center Partnership Target Population Regions Served: Malden Health Indicator: Access to Health Care, Other: Education/Learning Issues, Other: Language/Literacy, Other: Parenting Skills, Other: Public Safety, Other: Stress Management Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity

Goal Description Goal Status Provide training and Through a subcontract, the mentoring for new leaders and Manager of the NSCFRN staff at the Malden CFCE. provided many hours of support and training. Support the development of a By the spring of 2016, a new Community Advisory Council Council had been formed with for the Program. members from more than 30 local organizations. The Malden Mayor and Acting Superintendent attended the meeting.

Partners

Partner Name, Partner Web Address Description Massachusetts http://www.mass.gov/edu/government/departments­ Department of and­boards/department­of­early­education­and­ Early care/ Education and Care Malden https://maldenps.org/ Public Schools

Contact Information Kathy Harlow Program Manager North Suburban Child and Family Resource Network The Woodville School 30 Farm Street Wakefield, MA 01880 781­246­5187 , [email protected] Detailed Description Download/View Attachment(588.39 KB) File Name: #67 Malden CFCE.pdf File Name: #67 Malden CFCE.pdf

Expenditures

Program Type Estimated Total Expenditures for FY2016 Approved Program Budget for 2016 Community Benefits Direct Expenses $2,029,109 $3,000,000 Programs Associated Expenses $1,959,516 *Excluding expenditures Determination of Need $0 that cannot be projected at Expenditures the time of the report. Employee Volunteerism $25,509 Other Leveraged $1,639,647 Resources Net Charity Care HSN Assessment $2,976,051 HSN Denied Claims $71,827 Free/Discount Care $0 Total Net Charity Care $3,047,878 Corporate Sponsorships $23,350 Total Expenditures $8,725,009 Total Patient Care­Related Expenses for FY2016 $239,947,852 Comments: None

Optional Information Expenditures Amount Community Service Programs Direct Expenses Not Specified Associated Not Specified Expenses Determination of Not Specified Need Expenditures Employee Not Specified Volunteerism Other Leveraged Not Specified Resources

Total Community Service Programs Not Specified

Bad Debt: Not Specified Not Specified IRS 990: Not Specified