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Community Health Needs Assessment 2018 TABLE of CONTENTS

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Community Health Needs Assessment 2018 TABLE of CONTENTS Sinai Hospital of Baltimore • Northwest Hospital • Levindale Hebrew Geriatric Center and Hospital Community Health Needs Assessment 2018 TABLE OF CONTENTS Executive Summary . 3 LifeBridge Health Overview . 4 The CHNA Process . 6 Sinai Hospital of Baltimore . 12 Levindale Hebrew Geriatric Center and Hospital . .. 27 Northwest Hospital . 41 Appendix . 56 Appendix A2 - Overall Survey Results . 59 Appendix A3 - Sinai Hospital Survey Results . 72 Appendix A4 - Levindale Survey Results . 90 Appendix A5 - Northwest Survey Results . 106 Appendix B1 - Focus Group - LGBTQ . 123 Appendix B2 - Focus Group - Disabilities . 125 Appendix B3 - Focus Group - Older Adults 1 . 126 Appendix B4 - Focus Group - Older Adults 2 . 127 Appendix B5 - Focus Group - Single Parents . 128 Appendix B6 - Focus Group - Spanish Speaking . 130 Appendix B7 - Focus Group - Currently Homeless Men and Women . 132 Appendix B8 - Focus Group - Homeless Men in Temporary Housing at the Helping Up Mission (#1 of 2) . 134 Appendix B9 - Focus Group - Homeless Men in Overnight Shelter Services at the Helping Up Mission (#2 of 2) . 135 Appendix B10 - Focus Group - Cancer . 136 Appendix B11 - Focus Group - Population Health Clients . 137 Appendix C1 - Focus Group - Key Community Stakeholders . .. 139 Appendix C2a - Sinai/Levindale Community Stakeholder Interviews . 143 Appendix C2b - Northwest Community Stakeholder Interviews . 145 Appendix D1 - Sinai Public Health Data Summary . 149 Appendix D2 - CHNA Sinai Mortality Map . 153 Appendix D3 - CHNA Sinai Drug Alcohol Mortality Map . 154 Appendix D4 - CHNA Sinai Family Poverty Map . 155 Appendix D5 - CHNA Sinai Life Expectancy Map . 156 Appendix E1 - Kujichagulia Center Progress Report Sinai Program . 156 Appendix E2 - Community Health Education Progress Report Sinai-Levindale-Northwest Program . 157 Appendix E3 - Changing Hearts Program Progress Report Sinai-Levindale-Northwest Program . 158 Appendix E4 - SAFE Program Progress Report Levindale Program . 159 EXECUTIVE SUMMARY Sinai Hospital of Baltimore, Levindale Hebrew Geriatric Center and Hospital, and Northwest Hospital conducted their Community Health Needs Assessments (CHNA) in fiscal year 2018 (July 1, 2017 – June 30, 2018). The CHNA complies with the Internal Revenue Service (IRS) mandated requirement that all not-for-profit 501(c)(3) hospitals conduct a CHNA every three years. The CHNA was conducted just two years after the prior CHNA to align with other area hospitals, enabling joint data collection and potential shared implementation projects. Involvement of residents, stakeholders, and community partners was an essential component of the CHNA process for the three hospitals. The process used to identify the health needs of communities in the LifeBridge Health (LBH) service areas included analyzing primary and secondary health data at the hospital and community level, and involving public health experts, community members and key community groups in further identification of priority concerns and needs. In partnership with other Baltimore City hospitals, 4,755 public surveys were collected, including 1,678 from zip codes in the Primary Service Areas of the three LBH hospitals (Sinai, 1,283; Northwest, 756; Levindale, 409 with overlap among the service areas). Concurrently, a series of focus groups were conducted with residents that were either underrepresented or had higher need. Group meetings of regional leaders and private interviews with stakeholders from the neighborhoods served by the hospitals were also conducted. The information was synthesized and presented to LifeBridge Health’s Community Mission Committee for evaluation to determine the LBH approach to address the priority needs. The prioritized needs correspond to the three major areas of inquiry from within the survey: 1) health concerns, 2) social/environmental concerns, and 3) reasons for lack of access to health care. The identified priorities are: behavioral health, chronic disease, job opportunities, access to doctors’ offices, health education/literacy, and insurance signups. The Department of Population Health performed an assessment of hospitals’ resources, expertise and capacity to determine implementation plans to address these prioritized needs. The implementation plans address the priority needs in the three major areas of inquiry mentioned above for Sinai, Northwest and Levindale. The Board of LifeBridge Health, Inc., approved the prioritized needs and implementation plans as recommended by the Community Mission Committee on March 15, 2018. 3 Community Health Needs Assessment LIFEBRIDGE HEALTH OVERVIEW Sinai Hospital of Baltimore Founded in 1866 as the Hebrew Hospital and Asylum, Sinai Hospital has evolved into a Jewish-sponsored health care organization providing care for all people. Today, Sinai Hospital is a 505-bed community teaching hospital that provides patient care in a variety of settings including inpatient, surgical, outpatient, trauma center (Level II designation), high risk Neonatal Unit, state-of-the-art Emergency Department, and responsive community outreach provided by M. Peter Moser Community Initiatives Department (Community Initiatives), an integral part of the Population Health Department. Sinai Hospital has 16 specialized clinical Centers of Excellence, including the Alvin & Lois Lapidus Cancer Institute, Sandra and Malcolm Berman Brain & Spine Institute, the Rubin Institute for Advanced Orthopedics, and the Krieger Eye Institute, and the Herman & Walter Samuelson Children’s Hospital. Sinai Hospital is the most comprehensive and largest community hospital in Maryland and is the state’s third largest teaching hospital. Community teaching hospitals such as Sinai find one of their greatest strengths is their clinicians’ commitment to direct patient care. The residents and medical students who train at Sinai have chosen a community-teaching setting over a classic academic medical center setting. Sinai provides medical education and training to 2,000 medical students, residents, fellows, nursing students, and other health professionals each year from the Johns Hopkins University, University of Maryland, and other teaching institutions in the Baltimore/ Washington/ Southern Pennsylvania region. Sinai Hospital is a member of the LifeBridge Health system, which was formed in 1998 by the merger between Sinai Health System, Inc., that included Sinai and Levindale Hebrew Geriatric Center and Hospital, and Northwest Health System, Inc. A fourth hospital, Carroll County Health Services Corporation, joined the LifeBridge Health system in April 2015. Sinai Hospital completed its formal community health needs assessment as required and defined by the Patient Protection and Affordable Care Act and Section 501(r)(3) of the Internal Revenue Code during fiscal year 2018 (FY18). Levindale Hebrew Geriatric Center and Hospital Levindale Hebrew Geriatric Center and Hospital was founded in Baltimore City in 1890 as the Hebrew Friendly Inn and Aged Home, giving temporary shelter to the waves of incoming Jewish immigrants fleeing persecution in Europe. In 1927, the residents of the Hebrew Friendly Inn and Aged Home moved to a 22-acre lot at Greenspring and Belvedere Avenues in Baltimore, the former home of the Jewish Children’s Society orphanage. The facility was renamed Levindale, in honor of Louis Levin, secretary of the Children’s Society and first Executive Director of the Associated Jewish Charities. Today, Levindale has evolved into a 330- licensed-bed facility. Levindale’s geriatric center includes 126 comprehensive care (long-term care) beds, 35 sub-acute beds, 28 dementia care beds and a 21-bed respiratory care unit. The Specialty Hospital at Levindale consists of a 40-bed high intensity care unit and an 80-bed behavioral health unit. Levindale also has two adult medical day centers; an outpatient mental health clinic and a geriatric partial day hospital program. As a multi-denominational geriatric hospital and long-term care facility, Levindale offers a complete range of quality health care programs for the elderly and disabled. In 2000, Levindale became the first registered Eden Alternative facility in Maryland. The Eden Alternative philosophy focuses on the joys of life for the elders who live 4 Overview here and the employees who work here. The goal is to eliminate loneliness, helplessness and boredom from the daily lives of Levindale residents through special programming incorporating gardening, pet visits and activities with area children. Levindale is a member of LifeBridge Health – a Baltimore-based health system composed of Sinai Hospital of Baltimore, Northwest Hospital, Carroll County Health Services Corporation, and Levindale Hebrew Geriatric Center and Hospital – and is a constituent agency of The ASSOCIATED: Jewish Community Federation of Baltimore. Levindale has completed a formal community health needs assessment as required and defined by the Patient Protection and Affordable Care Act and Section 501(r)(3) of the Internal Revenue Code during fiscal year 2018 (FY18). Northwest Hospital Northwest Hospital is an acute care, 238-bed community hospital located in Randallstown, Maryland. It has 164 medical/surgical beds, 37 psychiatric beds, and 39 subacute care beds. The hospital was originally established in 1962 as the Liberty Court Rehabilitation Center. A year later, the center changed its name to the Baltimore County General Hospital, and in 1993, made a final change to Northwest Hospital. The merger of Sinai Health System, Inc. and Northwest Health System, Inc. formed
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