Sharp Healthcare Community Benefit Plan and RePort Fiscal Year 2015
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Sharp HealthCare Community Benefit Plan and Re port Fiscal Year 2015 ~ Committed to Improving the Health and Well-being of the Community ~ Sharp HealthCare Community Benefit Plan and Report Fiscal Year 2015 Submitted to: Office of Statewide Health Planning and Development Healthcare Information Division – Accounting and Reporting Systems Section 400 R Street, Room 250 Sacramento, CA 95811 Contents Section Description Page Preface ................................................................................................ i Glossary of Terms and Abbreviations ................................................ iii 1 An Overview of Sharp HealthCare......................................................1 2 Executive Summary .......................................................................... 49 3 Community Benefit Planning Process .............................................. 57 4 Sharp Chula Vista Medical Center.................................................... 65 5 Sharp Coronado Hospital and Healthcare Center ............................ 95 6 Sharp Grossmont Hospital ............................................................. 111 7 Sharp HospiceCare…………………………………………………….163 8 Sharp Metropolitan Medical Campus……………………………...….185 9 Sharp Mary Birch Hospital for Women & Newborns ....................... 187 10 Sharp Memorial Hospital ................................................................ 205 11 Sharp Mesa Vista Hospital and Sharp McDonald Center ............... 245 12 Sharp Health Plan .......................................................................... 265 Appendices A Sharp HealthCare Involvement in Community Organizations ......... 271 B Map of Sharp HealthCare Locations ............................................... 277 C Map of Community and Region Boundaries in San Diego County . 279 Community. It’s a powerful word. It means different things to different people. For one San Diego father many years ago, it meant a promise. In 1944, Thomas E. Sharp lost his son – 22-year-old San Diego pilot Donald N. Sharp – who gave his life for his country on a mission with the B-26 Marauders of the United States Army Air Forces. To honor his son, Thomas E. Sharp made a generous donation in 1950 to fund the first Sharp hospital, with the promise that the new hospital be named the Donald N. Sharp Memorial Community Hospital and be “dedicated to all servicemen who sacrificed their lives.” It was to be a health care organization designed not for profit, but for people; committed to the care, health and well-being of the community. Since that time, Sharp HealthCare has held true to its commitment, and has expanded to serve San Diego County with four acute care and three specialty care hospitals, two affiliated medical groups and more than 17,000 employees. In addition, Sharp has pledged to our community an extraordinary standard of care through The Sharp Experience – bringing focus and alignment in all we do to the most basic and critical element of the health care equation: people. Each page of our Fiscal Year 2015 Sharp HealthCare Community Benefit Plan and Report reflects a commitment to the community that is stronger than ever. This commitment is represented not only by uncompensated care dollars, but also by hundreds of thousands of hours devoted by Sharp team members and volunteers to programs beyond our medical facilities – including free screenings, resources and transportation to those in need, mentorship and training for students, and education and support to members of our community. In Fiscal Year 2015, Sharp’s community benefit contributions totaled more than $289 million and included such vital community support as uncompensated care, benefits for vulnerable populations, and health research and education activities. This support is our commitment to the promise that founded Sharp HealthCare. That promise to the San Diego community defines our organization, and inspires our vision to be the best place to work, the best place to practice medicine and the best place to receive care. As we look ahead to the challenges in health care, our commitment is only further strengthened, and we will continue to go above and beyond to serve members of the San Diego community. We will continue to spend each day providing care and programs that set community standards, exceed community expectations, and honor the sacrifice Donald N. Sharp made for his nation more than 70 years ago. Michael W. Murphy President and CEO Preface Sharp HealthCare (Sharp or SHC) prepared this Community Benefit Report for Fiscal Year 2015 (FY 2015) in accordance with the requirements of Senate Bill 697, community benefit legislation.1 Enacted in September 1994, Senate Bill 697 (SB 697) requires not-for-profit hospitals to file a report annually with the Office of Statewide Health Planning and Development (OSHPD) on the activities undertaken to address community needs within their mission and financial capacity. In addition, not-for-profit hospitals are, to the extent possible, to assign and report the economic value of community benefit provided in furtherance of their plans, according to the following framework: medical care services; other benefits for vulnerable populations; other benefits for the broader community; health research, education and training programs; and non-quantifiable benefits. 1 According to Senate Bill 697, hospitals under the common control of a single corporation or another entity may file a consolidated report with the OSHPD. See California Health and Safety Code Section 127340 et seq. Sharp HealthCare Community Benefit Plan and Report Page i Glossary of Terms and Abbreviations ANAD National Association of Anorexia A Nervosa and Associated Disorders AA ANCC Alcoholics Anonymous American Nurses Credentialing Center AAP ANN American Academy of Pediatrics Academy of Neonatal Nursing AAHRPP APA Association for the Accreditation of American Psychological Association Human Research Protection Programs APU AARP Azusa Pacific University American Association of Retired Persons Are You OK? A component of San Diego County’s ACHE Project CARE program where daily American College of Healthcare phone calls are made to individuals who Executives have signed up for this service. A computer automatically makes the calls ACNL at a regularly scheduled time selected Association of California Nurse Leaders by the participant. If the call goes unanswered, volunteers check to ensure ACP the individual is OK. Advance Care Planning ASA ACS American Stroke Association American Cancer Society AWHONN ADA Association of Women’s Health, American Diabetes Association Obstetric and Neonatal Nurses AFPJ B American Family Physician Journal BFCHC AHA The Breastfeeding-Friendly Community American Heart Association Health Centers project- a HHSA Live Well San Diego initiative that selected AIS SGH’s Prenatal Clinic as a pilot to help San Diego County Health and Human establish Baby-Friendly USA guidelines Services Agency Aging and in clinics around breastfeeding during Independence Services the prenatal period and after discharge Sharp HealthCare Community Benefit Plan and Report Page iii BFHI CCPs Baby-Friendly Hospital Initiative – a Community Care Partner volunteers global program designed to support and recognize hospitals and birthing facilities CCR that offer an optimal level of care for California Cancer Registry infant feeding and mother/baby bonding. CCT BLS Compassion Cultivation Training U.S. Bureau of Labor Statistics CCTP BMI Community Care Transitions Program Body Mass Index CDC C Centers for Disease Control and Prevention Cal MediConnect Three-year project between Medi-Cal CDPH and Medicare in seven California California Department of Public Health counties, to promote coordinated health delivery to seniors and people with CHA disabilities who are dually eligible for California Hospital Association both public health insurance programs. CHAMPVA CAHPS Civilian Health and Medical Program of Consumer Assessment of Healthcare the U.S. Department of Veterans Affairs Providers and Systems CHAPCA CalFresh/SNAP California Hospice and Palliative Care Supplemental Nutrition Assistance Association Program – a federal program known locally as the CalFresh Program. CHCF California HealthCare Foundation CAPC Center to Advance Palliative Care CHF Congestive Heart Failure CCARE Center for Compassion and Altruism CHIP Research and Education – Stanford San Diego Community Health University School of Medicine Improvement Partners CCCC CHIS Coalition for Compassionate Care of The California Health Interview Survey – California California’s state health survey and the largest state health survey in the nation. CCP Conducted on a continuous basis, a full Community Care Partner program data cycle takes two years to complete. Sharp HealthCare Community Benefit Plan and Report Page iv CHIS data provide statewide information CPE on the overall population, including Clinical Pastoral Education many racial and ethnic groups, as well as local level information on most CPN counties. Cancer Patient Navigator CHNA CPR Community Health Needs Assessment – Cardiopulmonary Resuscitation a report on the current health status and health-related needs of San Diego CSA County residents, as well as changes Community Supported Agriculture and trends in resident health status. The needs assessment began in 1995 to CSUDH comply with state community benefit California State University Dominguez legislation (SB 697), and is an integral Hills part of the community benefit process.