Community Report
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COMMUNITY REPORT Beyond the Walls SM Methodist Le Bonheur Community Outreach Strategy As a health care organization, Methodist Le Bonheur Healthcare (MLH) has a responsibility to our community. This responsibility leads us to partner with our citizens to promote and protect their own health and well-being. Our Community Outreach division is committed to providing evidence-based services for children and families and working with community partners to improve health in the counties we serve. This strategy guides our work as we strive to create a healthier community. Address the unique health needs of our community We believe it is our responsibility to strategically evaluate and select programs that address the unique health needs of individuals in our community. Successful programs will demonstrate: • Focus on recognized community health needs • Fit with MLH mission • Capabilities to create impact with MLH expertise Demonstrate meaningful outcomes We are focused on studying and improving the health of our community. By using established best practices with solid clinical oversight and monitoring our progress, we continuously learn how to be better. We evaluate, make changes and ultimately deliver better results. To demonstrate outcomes, we will: • Define anticipated health impact • Measure the impact with specific metrics • Learn and continuously improve Ensure sustainability We are dedicated to long-term community change. In order to support this mission, we must secure sustainable sources of funding and manage our resources effectively. To ensure sustainability, we will: • Diversify funding sources and seek new sources • Control costs and maximize resources • Demonstrate return on investment for funders Develop infrastructure and expertise We recognize that our people are our greatest resource, and working together means that all of our programs benefit from the expertise of the group. To develop an effective infrastructure, we will: • Bring people together in one organization to foster collaboration and teamwork • Invest in technology to support cross-program integration • Build collaboration with other MLH care teams to enhance continuity of care • Consolidate all community health operations at 600 Jefferson Develop meaningful partnerships to extend our reach We will develop partnerships with those organizations that are experts in other areas of community work and connect our clients to the resources they need to be healthier. To extend our reach, we will: • Engage in meaningful community collaborations • Develop a trusted network of partners • Create a consensus voice to advocate for community needs SM Community Outreach Milestones In the Community 1977 Center for Children in Crisis (CCC) • 250 staff 1989 • 100,000 children and adults served CCC Counseling program annually 1990s Women and Children’s Health Initiative • More than 20 evidence-based programs Injury Prevention Community HIV Network • Focused on children and families Memphis City Schools Nursing Services • $28.6 million annual investment 1992 Safe Kids Mid-South • Funded by grants, philanthropy and service contracts 1995 Healthy Families America Program • More than 30 years serving our CCC becomes Center for Children and Parents (CCP) community 1997 501(c)3 established for Outreach Efforts • Medical leadership provided by Le Bonheur Early Intervention and Development (LEAD) University of Tennessee Center for Responsible Fatherhood Program Health Sciences physicians Parenting after Divorce Education Abstinence-Based Teen Pregnancy Prevention • More than 500 community partners, 1998 including churches, schools, child care Designated Certified Regional Pediatric Center centers, community organizations, businesses and governmental agencies 2000 Tipton County Schools Nursing Services 2005 CCP Becomes Le Bonheur Community Outreach Le Bonheur On the Move 2007 Sources of Funding Congregational Health Network 2008 Early Success Coalition Network 11% Child-Care Resource and Referral Philanthropy 2009 Nurse Family Partnership 31% 2010 Grants Be Proud! Be Responsible! Memphis! 2012 CHAMP Healthy Lifestyle Tennessee Breastfeeding Hotline 2013 Healthy Homes Partnership 2014 Nurturing Parenting Program 2015 Memphis CHiLD Reach Out and Read 2016 58% Parent Support Warm Line Contracts 2018 Family Resilience Intiative Risk Reduction for children and families CHAMP, Changing High-Risk Asthma in educators teach more than 4,000 teens annually in Memphis through Partnership – A program that community centers, churches and Shelby County schools. targets asthma, the most chronic disease of childhood. A team of physicians, nurses, a respiratory therapist and community Community HIV Network – A network of programs health workers teach families how to better manage asthma that cares for individuals infected and affected by HIV, by and address the triggers that cause attacks. Of the nearly diagnosing new cases and facilitating connections to care. 800 children enrolled in the program, hospitalizations are Our community, one of the worst in the country for HIV and down 70 percent, and the cost to care for each child has AIDS is making progress in fighting the epidemic; recent been cut in half. With technical assistance from the Green epidemiologic data indicates that Memphis has improved & Healthy Homes Initiative Le Bonheur is seeking to secure from 6th highest in the country for new HIV infections down investments in asthma-related housing, preventive health care to 8th, and an even more remarkable achievement is that we management and legal services which have been proven to have moved from the 2nd highest rate of new AIDS cases in yield health care cost savings. the U.S., down to 12th. More than 98% of the 222 babies born to HIV positive women served in our program were Be Proud! Be Responsible! – A two-week program born HIV negative. that empowers teenagers to develop a sense of pride, self- confidence and self-respect through sexual disease education, safe-sex practices and life skills-building activities. Le Bonheur CHAMP – The most frequent reason for children visiting our emergency department is breathing difficulties. Four years ago, Le Bonheur launched a program to target the most chronic disease of childhood. CHAMP, Changing High-Risk Asthma in Memphis through Partnership, developed a team of physicians, nurses, respiratory therapists and community health workers who walk alongside families of children with poorly-controlled asthma. They teach the family how to better manage the disease and help reduce the triggers that cause attacks. Of the nearly 800 children in the program, hospitalizations are down 70 percent, and the cost to care for each child has been cut in half. The program was created through a grant from Health Care Innovation Award from the Centers for Medicare and Medicaid Services (CMS), and is now funded through philanthropy. Teen Birth Rate Ages 15-19 2004-2015 70 60 50 40 30 20 Rate per 1,000 Population Rate 10 0 Be Proud! Be Responsible! Memphis! – Teen births in Shelby 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 County have dropped dramatically; however, with a teen birth rate of 40.1 ■ Shelby County ■ Tennessee ■ United States per 1000, Shelby County teen birth rates remain higher than both the national average of 22.0 births per 1000 and the Tennessee average of 33.0 births per 1000. To help address this issue, Le Bonheur applied for and received a federal grant to implement Be Proud! Be Responsible! Memphis! The program aims to increase knowledge and eliminate or reduce risky sexual behaviors among adolescent populations. Child Safety – Multiple programs and initiatives are dedicated to the safety of children. Safe Kids Mid-South works to prevent accidental injuries to children. Safe Kids programs and partnerships include: Buckle Up to educate proper installation and use of child safety seats; Car Seats and Cribs for Kids to promote safe transportation and safe sleep practices; Splash Mid-South to provide swimming lessons to the underserved; Walk This Way Radika Takes a Ride, Safe Kids Mid-South – Safe Kids Mid- to make changes in the environment to make pedestrians South developed an activity/coloring book to encourage bicycle helmet use among children. This book is based upon a true story of a safer in school zones; Sports Safety clinics for athletes, local teenager, Radhika, who suffered a traumatic head injury from a crash while not wearing a helmet. The book highlights her experience coaches and parents and many other programs to raise and, most importantly, the importance of wearing a helmet. awareness and promote safety to children and their families. Annually, 10,000 children and 30,000 adults participate for children’s hospitals in the State of Tennessee and to in Safe Kids programs. address firearm safety in the community. Additionally we We work on many other initiatives with community partners provide training for our Associates and physicians to teach to promote safety in the community. Multidisciplinary and them to protect children from sexual abuse. collaborative teams are working to pilot a safe sleep program Intervention to promote healthy child development and support for effective parenting Nurse Family Partnership – An evidenced-based screens children for Adverse Childhood Experiences (ACEs) in home visitation program that has shown improvements in order to provide referrals for supportive services to improve pregnancy outcomes, the health, well-being and self-sufficien- health. Two thirds of the clinic’s patients