Adventist Healthcare Shady Grove Medical Center

Adventist HealthCare Shady Grove Medical Center

FY 2018 Community Benefit Narrative Report

PART ONE: ORIGINAL NARRATIVE SUBMISSION Q11.. IInttrroducttiion::

COMMUNIITY BENEFIIT NARRATIIVE REPORTIING IINSTRUCTIIONS

Thhee Maarryyllaanndd Heeaalltthh Seerrvviicceess Coosstt Reevviieew Coommiissssiioonn’’ss ((HSCRC''ss oorr Coommiissssiioonn''ss)) Coommuunniittyy Beenneeffiitt Reeppoorrtt,, rreeqquuiirreedd uunnddeerr §§1199--330033 ooff tthhee Heeaalltthh Geenneerraall Arrttiiccllee,, Maarryyllaanndd Annnnoottaatteedd Cooddee,, iiss tthhee Coommiissssiioonn’’ss meetthhoodd ooff iimpplleemeennttiinngg aa llaaw tthhaatt aaddddrreesssseess tthhee ggrroowiinngg iinntteerreesstt iinn uunnddeerrssttaannddiinngg tthhee ttyyppeess aanndd ssccooppee ooff ccoommuunniittyy bbeenneeffiitt aaccttiivviittiieess ccoonndduucctteedd bbyy Maarryyllaanndd’’ss nnoonnpprrooffiitt hhoossppiittaallss..

Thhee Coommiissssiioonn ddeevveellooppeedd aa ttwoo--ppaarrtt ccoommuunniittyy bbeenneeffiitt rreeppoorrttiinngg ssyysstteem tthhaatt iinncclluuddeess aann iinnvveennttoorryy sspprreeaaddsshheeeett tthhaatt ccoolllleeccttss ffiinnaanncciiaall aanndd qquuaannttiittaattiivvee iinnffoorrmaattiioonn aanndd aa nnaarrrraattiivvee rreeppoorrtt ttoo ssttrreennggtthheenn aanndd ssuupppplleemeenntt tthhee iinnvveennttoorryy sspprreeaaddsshheeeett.. Thhee gguuiiddeelliinneess aanndd iinnvveennttoorryy sspprreeaaddsshheeeett weerree gguuiiddeedd,, iinn ppaarrtt,, bbyy tthhee VHA,, CHA,, aanndd ootthheerrss’’ ccoommuunniittyy bbeenneeffiitt rreeppoorrttiinngg eexxppeerriieennccee,, aanndd waass tthheenn ttaaiilloorreedd ttoo ffiitt Maarryyllaanndd’’ss uunniiqquuee rreegguullaattoorryy eennvviirroonnmeenntt.. Thhiiss rreeppoorrttiinngg ttooooll sseerrvveess aass tthhee nnaarrrraattiivvee rreeppoorrtt.. Thhee iinnssttrruuccttiioonnss aanndd pprroocceessss ffoorr ccoompplleettiinngg tthhee iinnvveennttoorryy sspprreeaaddsshheeeett rreemaaiinn tthhee ssaamee aass iinn pprriioorr yyeeaarrss.. Thhee nnaarrrraattiivvee iiss ffooccuusseedd oonn ((11)) tthhee ggeenneerraall ddeemooggrraapphhiiccss ooff tthhee hhoossppiittaall ccoommuunniittyy,, ((22)) hhoow hhoossppiittaallss ddeetteerrmiinneedd tthhee nneeeeddss ooff tthhee ccoommuunniittiieess tthheeyy sseerrvvee,, ((33)) hhoossppiittaall ccoommuunniittyy bbeenneeffiitt aaddmiinniissttrraattiioonn,, aanndd ((44)) ccoommuunniittyy bbeenneeffiitt eexxtteerrnnaall ccoollllaabboorraattiioonn ttoo ddeevveelloopp aanndd iimpplleemeenntt ccoommuunniittyy bbeenneeffiitt iinniittiiaattiivveess..

Thhee Coommiissssiioonn moovveedd ttoo aann oonnlliinnee rreeppoorrttiinngg ffoorrmaatt bbeeggiinnnniinngg wiitthh tthhee FY 22001188 rreeppoorrttss.. IInn tthhiiss nneew tteemppllaattee,, rreessppoonnsseess aarree nnoow maannddaattoorryy uunnlleessss maarrkkeedd aass ooppttiioonnaall.. IIff yyoouu ssuubbmiitt aa rreeppoorrtt wiitthhoouutt rreessppoonnddiinngg ttoo eeaacchh qquueessttiioonn,, yyoouurr rreeppoorrtt maayy bbee rreejjeecctteedd.. Yoouu woouulldd tthheenn bbee rreeqquuiirreedd ttoo ffiillll iinn tthhee miissssiinngg aannssweerrss bbeeffoorree rreessuubbmiittttiinngg.. Quueessttiioonnss tthhaatt rreeqquuiirree aa nnaarrrraattiivvee rreessppoonnssee hhaavvee aa lliimiitt ooff 2200,,000000 cchhaarraacctteerrss.. Thhiiss rreeppoorrtt nneeeedd nnoott bbee ccoompplleetteedd iinn oonnee sseessssiioonn aanndd ccaann bbee ooppeenneedd bbyy muullttiippllee uusseerrss..

Foorr tteecchhnniiccaall aassssiissttaannccee,, ccoonnttaacctt [email protected]..

Q22.. Secttiion II -- Generrall IInffo Parrtt 1 -- Hospiittall IIdenttiiffiicattiion

Q33.. Plleeaassee ccoonnffiirrm tthhee iinnffoorrmaattiioonn wee hhaavvee oonn ffiillee aabboouutt yyoouurr hhoossppiittaall ffoorr FY 22001188..

Is this information correct? Yes No If no, please provide the correct information here:

Thhee pprrooppeerr nnaamee ooff yyoouurr hhoossppiittaall iiss:: Addvveennttiisstt HeeaalltthhCaarree Shhaaddyy Grroovvee Meeddiiccaall

Ceenntteerr

Yoouurr hhoossppiittaall''ss IID iiss:: 221100005577

Yoouurr hhoossppiittaall iiss ppaarrtt ooff tthhee hhoossppiittaall ssyysstteem ccaalllleedd Addvveennttiisstt HeeaalltthhCaarree..

Yoouurr hhoossppiittaall waass lliicceennsseedd ffoorr 226666 bbeeddss dduurriinngg FY 22001188..

Yoouurr hhoossppiittaall''ss pprriimaarryy sseerrvviiccee aarreeaa iinncclluuddeess tthhee ffoolllloowiinngg zziipp ccooddeess:: 2200884411,, 20878 20874 20850 20877 20886 20879 20852 20876 20906 2200885500,, 2200885511,, 2200885522,, 2200885533,, 2200885544,, 2200885555,, 2200887711,, 2200887722,, 2200887744,, 2200887766,, 2200887777,, 2200887788,, 2200887799,, 2200888866,, 2200990066

Yoouurr hhoossppiittaall sshhaarreess ssoomee oorr aallll ooff iittss pprriimaarryy sseerrvviiccee aarreeaa wiitthh tthhee ffoolllloowiinngg hhoossppiittaallss:: Hoollyy Crroossss Geerrmaannttoownn Hoossppiittaall,, Hoollyy Crroossss Hoossppiittaall,, Meeddssttaarr Moonnttggoomeerryy Meeddiiccaall Ceenntteerr,, Suubbuurrbbaann Hoossppiittaall,, Waasshhiinnggttoonn Addvveennttiisstt Hoossppiittaall

Q44.. The nexxtt ttwo quessttiionss asskk aboutt tthe arrea wherre yyourr hosspiittall diirreccttss iittss ccommuniittyy beneffiitt efffforrttss,, ccalllled tthe Communiittyy Beneffiitt Serrvviicce Arrea.. You mayy ffiind tthesse ccommuniittyy healltth ssttattiissttiiccss usseffull iin prreparriing yyourr rressponssess..

Q55.. ((Oppttiioonnaall)) Plleeaassee ddeessccrriibbee aannyy ootthheerr ccoommuunniittyy hheeaalltthh ssttaattiissttiiccss tthhaatt yyoouurr hhoossppiittaall uusseess iinn iittss ccoommuunniittyy bbeenneeffiitt eeffffoorrttss..

Q66.. ((Oppttiioonnaall)) Plleeaassee aattttaacchh aannyy ffiilleess ccoonnttaaiinniinngg ccoommuunniittyy hheeaalltthh ssttaattiissttiiccss tthhaatt yyoouurr hhoossppiittaall uusseess iinn iittss ccoommuunniittyy bbeenneeffiitt eeffffoorrttss..

Q77.. Secttiion II -- Generrall IInffo Parrtt 2 -- Communiitty Beneffiitt Serrviice Arrea

Q88.. Please select the county or counties located in your hospital's CBSA.

Alllleeggaannyy Coouunnttyy Chhaarrlleess Coouunnttyy Prriinnccee Geeoorrggee''ss Coouunnttyy

Annnnee Arruunnddeell Coouunnttyy Doorrcchheesstteerr Coouunnttyy Quueeeenn Annnnee''ss Coouunnttyy

Baallttiimoorree Ciittyy Frreeddeerriicckk Coouunnttyy Soomeerrsseett Coouunnttyy

Baallttiimoorree Coouunnttyy Gaarrrreetttt Coouunnttyy Stt.. Maarryy''ss Coouunnttyy

Caallvveerrtt Coouunnttyy Haarrffoorrdd Coouunnttyy Taallbboott Coouunnttyy

Caarroolliinnee Coouunnttyy Hoowaarrdd Coouunnttyy Waasshhiinnggttoonn Coouunnttyy Caarrrroollll Coouunnttyy Keenntt Coouunnttyy Wiiccoomiiccoo Coouunnttyy

Ceecciill Coouunnttyy Moonnttggoomeerryy Coouunnttyy Woorrcceesstteerr Coouunnttyy

Q1199.. Please check all Frederick County ZIP codes located in your hospital's CBSA.

2211770011 2211772277 2211777744

2211770022 2211775544 2211777777

2211770033 2211775555 2211777788

2211774400 2211775588 2211778800

2211771100 2211776622 2211778833

2211771144 2211776699 2211778888

2211771166 2211777700 2211779900

2211771177 2211777711 2211779933

2211771188 2211777733 2211779988 Q2244.. Please check all Montgomery County ZIP codes located in your hospital's CBSA.

2200770055 2200883333 2200885533 2200887711 2200888822 2200990033

2200770077 2200883377 2200885544 2200887722 2200888866 2200990044

2200881122 2200883388 2200885555 2200887744 2200888899 2200990055

2200881144 2200883399 2200886600 2200887766 2200889955 2200990066

2200881155 2200884411 2200886611 2200887777 2200889966 2200991100

2200881166 2200884422 2200886622 2200887788 2200889999 2200991122

2200881177 2200885500 2200886666 2200887799 2200990011 2211777711

2200881188 2200885511 2200886688 2200888800 2200990022 2211779977

2200883322 2200885522

Q3333.. How did your hospital identify its CBSA?

Baasseedd oonn ZIIP ccooddeess iinn yyoouurr Fiinnaanncciiaall Assssiissttaannccee Poolliiccyy.. Plleeaassee ddeessccrriibbee..

Baasseedd oonn ZIIP ccooddeess iinn yyoouurr gglloobbaall bbuuddggeett rreevveennuuee aaggrreeeemeenntt.. Plleeaassee ddeessccrriibbee..

Baasseedd oonn ppaatttteerrnnss ooff uuttiilliizzaattiioonn.. Plleeaassee ddeessccrriibbee.. Our hospital identifies the CBSA via the top 85.0 percent of our hospital discharges. The first 60.0 percent of discharges make up our Primary Service Area and the remaining 25.0 percent make up our Secondary Service Area.

Otthheerr.. Plleeaassee ddeessccrriibbee.. Q3344.. ((Oppttiioonnaall)) IIss tthheerree aannyy ootthheerr iinnffoorrmaattiioonn aabboouutt yyoouurr hhoossppiittaall''ss Coommuunniittyy Beenneeffiitt Seerrvviiccee Arreeaa tthhaatt yyoouu woouulldd lliikkee ttoo pprroovviiddee??

Q3355.. Secttiion II -- Generrall IInffo Parrtt 3 -- Ottherr Hospiittall IInffo

Q3366.. Prroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss miissssiioonn ssttaatteemeenntt..

https://www.adventisthealthcare.com/about/mission/

Q3377.. Is your hospital an academic medical center?

Yeess

Noo

Q3388.. ((Oppttiioonnaall)) IIss tthheerree aannyy ootthheerr iinnffoorrmaattiioonn aabboouutt yyoouurr hhoossppiittaall tthhaatt yyoouu woouulldd lliikkee ttoo pprroovviiddee??

Q3399.. ((Oppttiioonnaall)) Plleeaassee uuppllooaadd aannyy ssuupppplleemeennttaall iinnffoorrmaattiioonn tthhaatt yyoouu woouulldd lliikkee ttoo pprroovviiddee..

Q4400.. Secttiion IIII -- CHNA Parrtt 1 -- Tiimiing & Forrmatt

Q4411.. Within the past three fiscal years, has your hospital conducted a CHNA that conforms to IRS requirements?

Yeess

Noo

Q4433.. Whheenn waass yyoouurr hhoossppiittaall''ss ffiirrsstt--eevveerr CHNA ccoompplleetteedd?? ((MM//DD//YYYY))

04/18/2013

Q4444.. Whheenn waass yyoouurr hhoossppiittaall''ss moosstt rreecceenntt CHNA ccoompplleetteedd?? ((MM//DD//YYYY))

12/28/2016

Q4455.. Plleeaassee pprroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss moosstt rreecceennttllyy ccoompplleetteedd CHNA..

https://www.adventisthealthcare.com/app/files/public/3949/2017-CHNA-SGMC.pdf

Q4466.. Did you make your CHNA available in other formats, languages, or media?

Yeess

Noo

Q4477.. Plleeaassee ddeessccrriibbee tthhee ootthheerr ffoorrmaattss iinn whhiicchh yyoouu maaddee yyoouurr CHNA aavvaaiillaabbllee.. A hard copy is available at Shady Grove Medical Center and at the Adventist HealthCare corporate office located in Gaithersburg, MD.

Q4488.. Secttiion IIII -- CHNA Parrtt 2 -- Parrttiiciipantts

Q4499.. Plleeaassee uussee tthhee ttaabbllee bbeelloow ttoo tteellll uuss aabboouutt tthhee iinntteerrnnaall ppaarrttiicciippaannttss iinnvvoollvveedd iinn yyoouurr moosstt rreecceenntt CHNA..

CHNA Activities Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs

CB// Coommuunniittyy Heeaalltthh//Pooppuullaattiioonn Heeaalltthh

Diirreeccttoorr ((ffaacciilliittyy lleevveell))

Chair of the Community Benefit Steering Committee which provides CB// Coommuunniittyy Heeaalltthh// Pooppuullaattiioonn guidance and oversight of Adventist HealthCare community benefit, Heeaalltthh Diirreeccttoorr ((ssyysstteem lleevveell)) including the CHNA process.

Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs Member of the Community Benefit Steering Committee which Seenniioorr Exxeeccuuttiivveess ((CEO,, CFO,, VP,, eettcc..)) provides guidance and oversight of Adventist HealthCare community ((ffaacciilliittyy lleevveell)) benefit, including the CHNA process.

Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs Member of the Community Benefit Steering Committee which Seenniioorr Exxeeccuuttiivveess ((CEO,, CFO,, VP,, eettcc..)) provides guidance and oversight of Adventist HealthCare community ((ssyysstteem lleevveell)) benefit, including the CHNA process.

Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee

((ffaacciilliittyy lleevveell))

Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs Reviewed and approved final reports. Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee

((ssyysstteem lleevveell))

Member of the Community Benefit Steering Committee which Clliinniiccaall LLeeaaddeerrsshhiipp ((ffaacciilliittyy lleevveell)) provides guidance and oversight of Adventist HealthCare community benefit, including the CHNA process.

Clliinniiccaall LLeeaaddeerrsshhiipp ((ssyysstteem lleevveell)) Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs

Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ffaacciilliittyy lleevveell))

Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs Member of the Community Benefit Steering Committee which Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ssyysstteem lleevveell)) provides guidance and oversight of Adventist HealthCare community benefit, including the CHNA process.

Coommuunniittyy Beenneeffiitt ssttaaffff ((ffaacciilliittyy lleevveell))

Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs Member of the Community Benefit Steering Committee which Coommuunniittyy Beenneeffiitt ssttaaffff ((ssyysstteem lleevveell)) provides guidance and oversight of Adventist HealthCare community benefit, including the CHNA process.

Phhyyssiicciiaann((ss))

Nuurrssee((ss))

Soocciiaall Woorrkkeerrss

Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs Known as the Community Benefit Steering Committee. Coommuunniittyy Beenneeffiitt Taasskk Foorrccee

Hoossppiittaall Addvviissoorryy Booaarrdd Participated Participated in N/A - Person N/A - Participated Advised Participated in identifying Provided or Position or Member of in on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization Department CHNA development CHNA data priority resources health (explain) below: was not does not Committee of CHNA best collection health to meet data Involved exist process practices needs health needs

Otthheerr ((ssppeecciiffyy))

System Advisory Board

Q5500.. Secttiion IIII -- CHNA Parrtt 2 -- Parrttiiciipantts ((conttiinued))

Q5511.. Plleeaassee uussee tthhee ttaabbllee bbeelloow ttoo tteellll uuss aabboouutt tthhee eexxtteerrnnaall ppaarrttiicciippaannttss iinnvvoollvveedd iinn yyoouurr moosstt rreecceenntt CHNA..

CHNA Activities Click to write Column 2 Participated Participated in N/A - Person Participated Advised Participated in identifying Provided or Member of int he on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization CHNA development CHNA data priority resources health (explain) below: was not Committee of the CHNA best collection health to meet data involved process practices needs health needs

These hospitals are a part of Healthy Montgomery which leads the Otthheerr Hoossppiittaallss ---- Plleeaassee lliisstt tthhee hhoossppiittaallss prioritization of health needs for Montgomery County and also hheerree:: provides a significant amount of data publicly as well as for the Medstar Montgomery, Suburban, Holy hospitals. These hospitals are also part of a Hospital Workgroup that Cross, Holy Cross Germantown meets regularly regarding Community Benefit efforts. Participated Participated in N/A - Person Participated Advised Participated in identifying Provided or Member of int he on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization CHNA development CHNA data priority resources health (explain) below: was not Committee of the CHNA best collection health to meet data involved process practices needs health needs

LLooccaall Heeaalltthh Deeppaarrttmeenntt ---- Plleeaassee lliisstt tthhee Montgomery County DOH leads and organizes Healthy Montgomery Local Health Departments here: Local Health Departments here: (LHIC) Montgomery County Department of Health Participated Participated in N/A - Person Participated Advised Participated in identifying Provided or Member of int he on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization CHNA development CHNA data priority resources health (explain) below: was not Committee of the CHNA best collection health to meet data involved process practices needs health needs

LLooccaall Heeaalltthh IImpprroovveemeenntt Cooaalliittiioonn ---- Plleeaassee lliisstt tthhee LLHIICss hheerree:: Healthy Montgomery

Maarryyllaanndd Deeppaarrttmeenntt ooff Heeaalltthh

Maarryyllaanndd Deeppaarrttmeenntt ooff Huumaann

Reessoouurrcceess

Maarryyllaanndd Deeppaarrttmeenntt ooff Naattuurraall

Reessoouurrcceess

Maarryyllaanndd Deeppaarrttmeenntt ooff Trraannssppoorrttaattiioonn

Maarryyllaanndd Deeppaarrttmeenntt ooff Edduuccaattiioonn

Arreeaa Aggeennccyy oonn Aggiinngg ---- Plleeaassee lliisstt tthhee aaggeenncciieess hheerree::

LLooccaall Goovvtt.. Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree::

Faaiitthh--Baasseedd Orrggaanniizzaattiioonnss

Scchhooooll -- K--1122 ---- Plleeaassee lliisstt tthhee sscchhoooollss The Principal was a member of our System Advisory Board. hheerree:: Quince Orchard High School

Scchhooooll -- Coolllleeggeess aanndd//oorr Unniivveerrssiittiieess ---- Served on our System Advisory Board. Please list the schools here: Please list the schools here: University of Maryland, College Park and Georgetown University Participated Participated in N/A - Person Participated Advised Participated in identifying Provided or Member of int he on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization CHNA development CHNA data priority resources health (explain) below: was not Committee of the CHNA best collection health to meet data involved process practices needs health needs

Scchhooooll ooff Puubblliicc Heeaalltthh ---- Plleeaassee lliisstt tthhee Served on our System Advisory Board. sscchhoooollss hheerree:: University of Maryland, College Park

Scchhooooll -- Meeddiiccaall Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree:: Participated Participated in N/A - Person Participated Advised Participated in identifying Provided or Member of int he on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization CHNA development CHNA data priority resources health (explain) below: was not Committee of the CHNA best collection health to meet data involved process practices needs health needs

Scchhooooll -- Nuurrssiinngg Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

Scchhooooll -- Deennttaall Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

Scchhooooll -- Phhaarrmaaccyy Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

Beehhaavviioorraall Heeaalltthh Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree::

Soocciiaall Seerrvviiccee Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree::

Poosstt--Accuuttee Caarree Faacciilliittiieess ---- pplleeaassee lliisstt tthhee ffaacciilliittiieess hheerree::

Coommuunniittyy//Neeiigghhbboorrhhoooodd Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree::

Participated Participated in N/A - Person Participated Advised Participated in identifying Provided or Member of int he on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization CHNA development CHNA data priority resources health (explain) below: was not Committee of the CHNA best collection health to meet data involved process practices needs health needs Otthheerr ---- IIff aannyy ootthheerr ppeeooppllee oorr oorrggaanniizzaattiioonnss weerree iinnvvoollvveedd,, pplleeaassee lliisstt tthheem hheerree:: Cook Ross, Primary Care Coalition, Association of Clinicians for the Served on our System Advisory Board. Underserved, Maryland Healthcare Education Institute (MHA), Montgomery County Minority Health Initiatives (African American Health Program, Latino Health Initiative, Asian American Health Initiative) Participated Participated in N/A - Person Participated Advised Participated in identifying Provided or Member of int he on in primary identifying community secondary Other Other - If you selected "Other (explain)," please type your explanation Organization CHNA development CHNA data priority resources health (explain) below: was not Committee of the CHNA best collection health to meet data involved process practices needs health needs

Q5522.. Secttiion IIII -- CHNA Parrtt 3 -- Follllow--up

Q5533.. Has your hospital adopted an implementation strategy following its most recent CHNA, as required by the IRS?

Yeess

Noo

Q5544.. Plleeaassee eenntteerr tthhee ddaattee oonn whhiicchh tthhee iimpplleemeennttaattiioonn ssttrraatteeggyy waass aapppprroovveedd bbyy yyoouurr hhoossppiittaall''ss ggoovveerrnniinngg bbooddyy..

5/15/2017

Q5555.. Plleeaassee pprroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss CHNA iimpplleemeennttaattiioonn ssttrraatteeggyy..

https://www.adventisthealthcare.com/app/files/public/4202/2017-CHNA_SGMC-ImplementationStrategy.pdf

Q5577.. Please select the health needs identified in your most recent CHNA. Select all that apply even if a need was not addressed by a reported initiative.

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: Heeaalltthh IInnssuurraannccee Faamiillyy Pllaannnniinngg Ollddeerr Adduullttss

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: Prraaccttiicciinngg PCPss Foooodd Saaffeettyy Orraall Heeaalltthh

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: Reegguullaarr PCP Viissiittss Geennoomiiccss Phhyyssiiccaall Accttiivviittyy

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: ED Waaiitt Tiimeess Glloobbaall Heeaalltthh Prreeppaarreeddnneessss

Addoolleesscceenntt Heeaalltthh Heeaalltthh Coommuunniiccaattiioonn aanndd Heeaalltthh IInnffoorrmaattiioonn Teecchhnnoollooggyy Reessppiirraattoorryy Diisseeaasseess

Arrtthhrriittiiss,, Osstteeooppoorroossiiss,, aanndd Chhrroonniicc Baacckk Coonnddiittiioonnss Heeaalltthh--Reellaatteedd Quuaalliittyy ooff LLiiffee & Weellll--Beeiinngg Seexxuuaallllyy Trraannssmiitttteedd Diisseeaasseess

Blloooodd Diissoorrddeerrss aanndd Blloooodd Saaffeettyy Heeaarriinngg aanndd Otthheerr Seennssoorryy oorr Coommuunniiccaattiioonn Diissoorrddeerrss Slleeeepp Heeaalltthh

Caanncceerr Heeaarrtt Diisseeaassee aanndd Sttrrookkee Soocciiaall Deetteerrmiinnaannttss ooff Heeaalltthh

Chhrroonniicc Kiiddnneeyy Diisseeaassee HIIV Suubbssttaannccee Abbuussee

Coommuunniittyy Unniittyy IImmuunniizzaattiioonn aanndd IInnffeeccttiioouuss Diisseeaasseess Teelleehheeaalltthh

Deemeennttiiaass,, IInncclluuddiinngg Allzzhheeiimeerr''ss Diisseeaassee IInnjjuurryy Prreevveennttiioonn Toobbaaccccoo Ussee

Diiaabbeetteess LLeessbbiiaann,, Gaayy,, Biisseexxuuaall,, aanndd Trraannssggeennddeerr Heeaalltthh Viioolleennccee Prreevveennttiioonn

Diissaabbiilliittyy aanndd Heeaalltthh Maatteerrnnaall & IInnffaanntt Heeaalltthh Viissiioonn

Edduuccaattiioonnaall aanndd Coommuunniittyy--Baasseedd Prrooggrraamss Meennttaall Heeaalltthh aanndd Meennttaall Diissoorrddeerrss Woouunndd Caarree

Otthheerr ((ssppeecciiffyy)) Emeerrggeennccyy Prreeppaarreeddnneessss Nuuttrriittiioonn aanndd Weeiigghhtt Sttaattuuss

Ennvviirroonnmeennttaall Heeaalltthh

Q5588.. Plleeaassee ddeessccrriibbee hhoow tthhee nneeeeddss aanndd pprriioorriittiieess iiddeennttiiffiieedd iinn yyoouurr moosstt rreecceenntt CHNA ccoomppaarree wiitthh tthhoossee iiddeennttiiffiieedd iinn yyoouurr pprreevviioouuss CHNA..

During the 2013-2016 CHNA cycle, Adventist HealthCare Shady Grove Medical Center selected lung cancer in the Asian population and diabetes among uninsured patients as the prioritized community health needs to address. Similarly, the most recent 2017-2019 CHNA found that both lung cancer and diabetes were an identified community health need. Several health needs were identified during both cycles; they include breast cancer, obesity, maternal and child health, colorectal cancer, and influenza. During the most recent CHNA prioritization process, Adventist HealthCare Shady Grove Medical Center elected to focus new initiatives on diabetes; particularly focusing on uninsured/underinsured populations.

Q5599.. ((Oppttiioonnaall)) Plleeaassee uussee tthhee bbooxx bbeelloow ttoo pprroovviiddee aannyy ootthheerr iinnffoorrmaattiioonn aabboouutt yyoouurr CHNA tthhaatt yyoouu wiisshh ttoo sshhaarree..

Q6600.. ((Oppttiioonnaall)) Plleeaassee aattttaacchh aannyy ffiilleess ccoonnttaaiinniinngg iinnffoorrmaattiioonn rreeggaarrddiinngg yyoouurr CHNA tthhaatt yyoouu wiisshh ttoo sshhaarree.. Q6611.. Secttiion IIIIII -- CB Admiiniisttrrattiion Parrtt 1 -- Parrttiiciipantts

Q6622.. Plleeaassee uussee tthhee ttaabbllee bbeelloow ttoo tteellll uuss aabboouutt hhoow iinntteerrnnaall ssttaaffff meembbeerrss weerree iinnvvoollvveedd iinn yyoouurr hhoossppiittaall''ss ccoommuunniittyy bbeenneeffiitt aaccttiivviittiieess dduurriinngg tthhee ffiissccaall yyeeaarr..

Activities Selecting Selecting N/A - Person N/A - Determining Allocating Evaluating health the Providing or Position or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization Department evaluate for CB outcome that will that will for CB (explain) below: was not does not the impact individual initiatives of CB be be activities Involved exist of initiatives initiativves initiatives targeted supported

CB// Coommuunniittyy Heeaalltthh//Pooppuullaattiioonn Heeaalltthh

Diirreeccttoorr ((ffaacciilliittyy lleevveell))

Selecting Selecting N/A - Person N/A - Determining Allocating Evaluating health the Providing or Position or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization Department evaluate for CB outcome that will that will for CB (explain) below: was not does not the impact individual initiatives of CB be be activities Involved exist of initiatives initiativves initiatives targeted supported

CB// Coommuunniittyy Heeaalltthh// Pooppuullaattiioonn

Heeaalltthh Diirreeccttoorr ((ssyysstteem lleevveell))

Seenniioorr Exxeeccuuttiivveess ((CEO,, CFO,, VP,, eettcc..))

((ffaacciilliittyy lleevveell))

Seenniioorr Exxeeccuuttiivveess ((CEO,, CFO,, VP,, eettcc..))

((ssyysstteem lleevveell))

Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee

((ffaacciilliittyy lleevveell))

Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee

((ssyysstteem lleevveell))

Clliinniiccaall LLeeaaddeerrsshhiipp ((ffaacciilliittyy lleevveell))

Clliinniiccaall LLeeaaddeerrsshhiipp ((ssyysstteem lleevveell))

Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ffaacciilliittyy lleevveell))

Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ssyysstteem lleevveell)) Selecting Selecting N/A - Person N/A - Determining Allocating Evaluating health the Providing or Position or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization Department evaluate for CB outcome that will that will for CB (explain) below: was not does not the impact individual initiatives of CB be be activities Involved exist of initiatives initiativves initiatives targeted supported

Coommuunniittyy Beenneeffiitt ssttaaffff ((ffaacciilliittyy lleevveell))

Coommuunniittyy Beenneeffiitt ssttaaffff ((ssyysstteem lleevveell))

Phhyyssiicciiaann((ss))

Nuurrssee((ss))

Soocciiaall Woorrkkeerrss

Known as the Community Benefit Steering Committee. Coommuunniittyy Beenneeffiitt Taasskk Foorrccee

Hoossppiittaall Addvviissoorryy Booaarrdd

Otthheerr ((ssppeecciiffyy))

System Advisory Board

Q6633.. Secttiion IIIIII -- CB Admiiniisttrrattiion Parrtt 1 -- Parrttiiciipantts ((conttiinued))

Q6644.. Plleeaassee uussee tthhee ttaabbllee bbeelloow ttoo tteellll uuss aabboouutt tthhee eexxtteerrnnaall ppaarrttiicciippaannttss iinnvvoollvveedd iinn yyoouurr hhoossppiittaall''ss ccoommuunniittyy bbeenneeffiitt aaccttiivviittiieess dduurriinngg tthhee ffiissccaall yyeeaarr..

Activities Click to write Column 2

Otthheerr Hoossppiittaallss ---- Plleeaassee lliisstt tthhee hhoossppiittaallss Through the hospital workgroup, we have worked with these hospitals hheerree:: to compare the work that we are doing and identify opportunities for

Holy Cross Health System, Suburban collaboration in order to address health needs and gaps in our service Hospital, Medstar Montgomery area. Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported

LLooccaall Heeaalltthh Deeppaarrttmeenntt ---- Plleeaassee lliisstt tthhee Local Health Departments here: Local Health Departments here: Montgomery County Department of Health and Human Services Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported

LLooccaall Heeaalltthh IImpprroovveemeenntt Cooaalliittiioonn ---- Plleeaassee lliisstt tthhee LLHIICss hheerree:: Healthy Montgomery

Maarryyllaanndd Deeppaarrttmeenntt ooff Heeaalltthh

Maarryyllaanndd Deeppaarrttmeenntt ooff Huumaann

Reessoouurrcceess

Maarryyllaanndd Deeppaarrttmeenntt ooff Naattuurraall

Reessoouurrcceess

Maarryyllaanndd Deeppaarrttmeenntt ooff tthhee Ennvviirroonnmeenntt

Maarryyllaanndd Deeppaarrttmeenntt ooff Trraannssppoorrttaattiioonn

Maarryyllaanndd Deeppaarrttmeenntt ooff Edduuccaattiioonn

Arreeaa Aggeennccyy oonn Aggiinngg ---- Plleeaassee lliisstt tthhee agencies here: agencies here: Montgomery County DHHS Area Agency on Aging Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported

LLooccaall Goovvtt.. Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree::

Faaiitthh--Baasseedd Orrggaanniizzaattiioonnss Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported

Scchhooooll -- K--1122 ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree:: Daly Elementary School

Scchhooooll -- Coolllleeggeess aanndd//oorr Unniivveerrssiittiieess ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported Scchhooooll ooff Puubblliicc Heeaalltthh ---- Plleeaassee lliisstt tthhee schools here: schools here: University of Maryland, College Park and Towson Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported Scchhooooll -- Meeddiiccaall Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported Scchhooooll -- Nuurrssiinngg Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree:: Montgomery College, Washington Adventist University, University of Maryland, Fredrick Community College Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported

Scchhooooll -- Deennttaall Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

Scchhooooll -- Phhaarrmaaccyy Scchhooooll ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

Beehhaavviioorraall Heeaalltthh Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree::

Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported Soocciiaall Seerrvviiccee Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree:: Primary Care Coalition, Manna, Hungry Harvest, WISH, Casa de Maryland, Interfaith Works, Rebuilding Together Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported

Poosstt--Accuuttee Caarree Faacciilliittiieess ---- pplleeaassee lliisstt tthhee ffaacciilliittiieess hheerree:: Montgomery Hospice

Shady Grove, Plum Gar, and Bender JCC), Housing Units (Victory Tower, Ridge House, Green Ridge), CHEER, Crossroads Community Farmers Market Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported Coonnssuumeerr//Puubblliicc Addvvooccaaccyy Organizations -- Please list the Organizations -- Please list the oorrggaanniizzaattiioonnss hheerree::

Clinics (Mobile Med, Mary Center, and Mercy Health Clinic), Health Quality Innovator, Leadership Montgomery Selecting Selecting N/A - Person Determining Allocating Evaluating health the Providing or how to budgets Delivering the needs initiatives funding Other Other - If you selected "Other (explain)," please type your explanation Organization evaluate for CB outcome that will that will for CB (explain) below: was not the impact individual initiatives of CB be be activities involved of initiatives initiatives initiatives targeted supported

Q6655.. Secttiion IIIIII -- CB Admiiniisttrrattiion Parrtt 2 -- Prrocess & Goverrnance

Q6666.. Does your hospital conduct an internal audit of the annual community benefit financial spreadsheet? Select all that apply.

Yeess,, bbyy tthhee hhoossppiittaall''ss ssttaaffff

Yeess,, bbyy tthhee hhoossppiittaall ssyysstteem''ss ssttaaffff

Yeess,, bbyy aa tthhiirrdd--ppaarrttyy aauuddiittoorr

Noo

Q6677.. Does your hospital conduct an internal audit of the community benefit narrative?

Yeess

Noo

Q6699.. Does the hospital's board review and approve the annual community benefit financial spreadsheet?

Yeess

Noo

Q7700.. Plleeaassee eexxppllaaiinn::

Q7711.. Does the hospital's board review and approve the annual community benefit narrative report?

Yeess

Noo

Q7722.. Plleeaassee eexxppllaaiinn::

The Adventist HealthCare Board of Trustees reviewed and approved the Community Health Needs Assessment and Implementation Strategy. The Board of Trustees only meets twice per year so they have not yet had a chance to review this report. Q7733.. Does your hospital include community benefit planning and investments in its internal strategic plan?

Yeess

Noo

Q7744.. Plleeaassee ddeessccrriibbee hhoow ccoommuunniittyy bbeenneeffiitt ppllaannnniinngg aanndd iinnvveessttmeennttss aarree iinncclluuddeedd iinn yyoouurr hhoossppiittaall''ss iinntteerrnnaall ssttrraatteeggiicc ppllaann..

As a part of Adventist HealthCare, Shady Grove Medical Center (SGMC) is dedicated to Community Benefit which aligns with the system’s core mission and values. The Strategic Plan for SGMC as well as all of Adventist HealthCare (AHC) is based on six pillars of success: People, Quality and Safety, Patient Experience, Finance, Growth, and Population Health. Each of these pillars is centered on measurable objectives and targets and is led by an overarching council with several committees reporting up to it. Included within the Population Health pillar are the hospital’s community benefit efforts. The Community Benefit Steering Committee which oversees the CHNA and Implementation Strategy process as well as community benefit system wide, reports to the Population Health Council. The strategic plan also outlines system-wide community benefit infrastructure and the areas of focus as determined by the CHNA process.

Q7755.. ((Oppttiioonnaall)) IIff aavvaaiillaabbllee,, pplleeaassee pprroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss ssttrraatteeggiicc ppllaann..

The strategic plan is not a publicly available document.

Q7766.. ((Oppttiioonnaall)) IIss tthheerree aannyy ootthheerr iinnffoorrmaattiioonn aabboouutt yyoouurr hhoossppiittaall’’ss ccoommuunniittyy bbeenneeffiitt aaddmiinniissttrraattiioonn aanndd eexxtteerrnnaall ccoollllaabboorraattiioonn tthhaatt yyoouu woouulldd lliikkee ttoo pprroovviiddee??

Q7777.. ((Oppttiioonnaall)) Plleeaassee aattttaacchh aannyy ffiilleess ccoonnttaaiinniinngg iinnffoorrmaattiioonn rreeggaarrddiinngg yyoouurr hhoossppiittaall''ss ccoommuunniittyy bbeenneeffiitt aaddmiinniissttrraattiioonn aanndd eexxtteerrnnaall ccoollllaabboorraattiioonn..

Q7788.. Baasseedd oonn tthhee iimpplleemeennttaattiioonn ssttrraatteeggyy ddeevveellooppeedd tthhrroouugghh tthhee CHNA pprroocceessss,, pplleeaassee ddeessccrriibbee tthhrreeee oonnggooiinngg,, muullttii--yyeeaarr pprrooggrraamss aanndd iinniittiiaattiivveess uunnddeerrttaakkeenn bbyy yyoouurr hhoossppiittaall ttoo aaddddrreessss ccoommuunniittyy hheeaalltthh nneeeeddss dduurriinngg tthhee ffiissccaall yyeeaarr..

Q7799.. Secttiion IIV -- CB IIniittiiattiives Parrtt 1 -- IIniittiiattiive 1

Q8800.. Naamee ooff iinniittiiaattiivvee..

Diabetes Self-Management Program (DSMP)

Q8811.. Does this initiative address a need identified in your CHNA?

Yeess

Noo

Q8822.. Select the CHNA need(s) that apply.

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: Heeaalltthh IInnssuurraannccee Heeaarrtt Diisseeaassee aanndd Sttrrookkee

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: Prraaccttiicciinngg PCPss HIIV

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: Reegguullaarr PCP Viissiittss IImmuunniizzaattiioonn aanndd IInnffeeccttiioouuss Diisseeaasseess

Acccceessss ttoo Heeaalltthh Seerrvviicceess:: ED Waaiitt Tiimeess IInnjjuurryy Prreevveennttiioonn

Addoolleesscceenntt Heeaalltthh LLeessbbiiaann,, Gaayy,, Biisseexxuuaall,, aanndd Trraannssggeennddeerr Heeaalltthh

Arrtthhrriittiiss,, Osstteeooppoorroossiiss,, aanndd Chhrroonniicc Baacckk Coonnddiittiioonnss Maatteerrnnaall aanndd IInnffaanntt Heeaalltthh

Blloooodd Diissoorrddeerrss aanndd Blloooodd Saaffeettyy Meennttaall Heeaalltthh aanndd Meennttaall Diissoorrddeerrss

Caanncceerr Nuuttrriittiioonn aanndd Weeiigghhtt Sttaattuuss

Chhrroonniicc Kiiddnneeyy Diisseeaassee Ollddeerr Adduullttss

Coommuunniittyy Unniittyy Orraall Heeaalltthh

Deemeennttiiaass,, IInncclluuddiinngg Allzzhheeiimeerr''ss Diisseeaassee Phhyyssiiccaall Accttiivviittyy

Diiaabbeetteess Prreeppaarreeddnneessss

Diissaabbiilliittyy aanndd Heeaalltthh Reessppiirraattoorryy Diisseeaasseess

Edduuccaattiioonnaall aanndd Coommuunniittyy--Baasseedd Prrooggrraamss Seexxuuaallllyy Trraannssmiitttteedd Diisseeaasseess

Emeerrggeennccyy Prreeppaarreeddnneessss Slleeeepp Heeaalltthh

Ennvviirroonnmeennttaall Heeaalltthh Soocciiaall Deetteerrmiinnaannttss ooff Heeaalltthh

Faamiillyy Pllaannnniinngg Suubbssttaannccee Abbuussee

Foooodd Saaffeettyy Teelleehheeaalltthh

Geennoomiiccss Toobbaaccccoo Ussee Glloobbaall Heeaalltthh Viioolleennccee Prreevveennttiioonn

Heeaalltthh Coommuunniiccaattiioonn aanndd Heeaalltthh IInnffoorrmaattiioonn Teecchhnnoollooggyy Viissiioonn

Heeaalltthh--Reellaatteedd Quuaalliittyy ooff LLiiffee aanndd Weellll--Beeiinngg Woouunndd Caarree

Otthheerr.. Plleeaassee ssppeecciiffyy.. Heeaarriinngg aanndd Otthheerr Seennssoorryy oorr Coommuunniiccaattiioonn Diissoorrddeerrss

Q8833.. Whheenn ddiidd tthhiiss iinniittiiaattiivvee bbeeggiinn??

Fall 2015

Q8844.. Does this initiative have an anticipated end date?

Thhee iinniittiiaattiivvee wiillll eenndd oonn aa ssppeecciiffiicc eenndd ddaattee.. Plleeaassee ssppeecciiffyy tthhee ddaattee..

Thhee iinniittiiaattiivvee wiillll eenndd whheenn aa ccoommuunniittyy oorr ppooppuullaattiioonn hheeaalltthh meeaassuurree rreeaacchheess aa ttaarrggeett vvaalluuee.. Plleeaassee ddeessccrriibbee..

Thhee iinniittiiaattiivvee wiillll eenndd whheenn aa cclliinniiccaall meeaassuurree iinn tthhee hhoossppiittaall rreeaacchheess aa ttaarrggeett vvaalluuee.. Plleeaassee ddeessccrriibbee..

Thhee iinniittiiaattiivvee wiillll eenndd whheenn eexxtteerrnnaall ggrraanntt moonneeyy ttoo ssuuppppoorrtt tthhee iinniittiiaattiivvee rruunnss oouutt.. Plleeaassee eexxppllaaiinn..

Thhee iinniittiiaattiivvee wiillll eenndd whheenn aa ccoonnttrraacctt oorr aaggrreeeemeenntt wiitthh aa ppaarrttnneerr eexxppiirreess.. Plleeaassee eexxppllaaiinn..

Otthheerr.. Plleeaassee eexxppllaaiinn.. Currently, there is no anticipated end date for this initiative.

Q8855.. Enntteerr tthhee nnuumbbeerr ooff ppeeooppllee iinn tthhee ppooppuullaattiioonn tthhaatt tthhiiss iinniittiiaattiivvee ttaarrggeettss..

In Montgomery County, the total population is 1,058,810.00 . According to the Maryland Behavioral Risk Factor Surveillance System, 7.0 percent of adults living in Montgomery County have been diagnosed with Diabetes .

Q8866.. Deessccrriibbee tthhee cchhaarraacctteerriissttiiccss ooff tthhee ttaarrggeett ppooppuullaattiioonn..

This program primarily targets low-income, uninsured, and/or underinsured community members who are living with diabetes. The program is also open to family members and caretakers who are interested in learning more about diabetes management and prevention for their loved ones.

Q8877.. Hoow maannyy ppeeooppllee ddiidd tthhiiss iinniittiiaattiivvee rreeaacchh dduurriinngg tthhee ffiissccaall yyeeaarr??

There were 154 individuals who attended the Diabetes Self-Management Program with a total of 490 encounters.

Q8888.. What category(ies) of intervention best fits this initiative? Select all that apply.

Chhrroonniicc ccoonnddiittiioonn--bbaasseedd iinntteerrvveennttiioonn:: ttrreeaattmeenntt iinntteerrvveennttiioonn

Chhrroonniicc ccoonnddiittiioonn--bbaasseedd iinntteerrvveennttiioonn:: pprreevveennttiioonn iinntteerrvveennttiioonn

Accuuttee ccoonnddiittiioonn--bbaasseedd iinntteerrvveennttiioonn:: ttrreeaattmeenntt iinntteerrvveennttiioonn

Accuuttee ccoonnddiittiioonn--bbaasseedd iinntteerrvveennttiioonn:: pprreevveennttiioonn iinntteerrvveennttiioonn

Coonnddiittiioonn--aaggnnoossttiicc ttrreeaattmeenntt iinntteerrvveennttiioonn

Soocciiaall ddeetteerrmiinnaannttss ooff hheeaalltthh iinntteerrvveennttiioonn

Coommuunniittyy eennggaaggeemeenntt iinntteerrvveennttiioonn

Otthheerr.. Plleeaassee ssppeecciiffyy.. Q8899.. Did you work with other individuals, groups, or organizations to deliver this initiative?

Yeess.. Plleeaassee ddeessccrriibbee whhoo waass iinnvvoollvveedd iinn tthhiiss iinniittiiaattiivvee.. Yes, to provide the DSMP workshop in the community, AHC is licensed under Health Quality Innovators (HQI). HQI provides training for our facilitators as well as technical assistance for our program coordinators. The Montgomery County Health and Human Services Office of Aging is a program funder. We work closely with several community partners such as community centers, low-income housing complexes, the Housing Opportunities Commission, and our faith community network to identify locations to host DSMP workshops in the community as well as to recruit participants.

Noo..

Q9900.. Plleeaassee ddeessccrriibbee tthhee pprriimaarryy oobbjjeeccttiivvee ooff tthhee iinniittiiaattiivvee..

The primary objective of this initiative is to increase access to education and resources for low-income and uninsured/underinsured community members living with diabetes in our service area. The DSMP workshop aims to increase confidence and skills in better managing and controlling diabetes.

Q9911.. Plleeaassee ddeessccrriibbee hhoow tthhee iinniittiiaattiivvee iiss ddeelliivveerreedd..

The Diabetes Self-Management Program (DSMP) is an evidence-based workshop developed by Stanford University. This workshop is designed to be interactive and build participants’ skills and confidence in managing chronic conditions while simultaneously maintaining a healthy and active lifestyle. One workshop takes place over six weeks and includes a total of six, 2.5-hour sessions held weekly. Each workshop is led by two trained facilitators and offered free to community members who are either living with diabetes or taking care of someone living with diabetes. Initially led by trained Adventist HealthCare employees, in the fall of 2017 the program expanded to also include lay and clinical community members as facilitators. Adventist HealthCare in partnership with Health Quality Innovators (HQI) facilitated a free train-the-trainer session for interested community members. For those community members that are clinicians, Adventist HealthCare has also offered them the opportunity to earn hours towards becoming a Certified Diabetes Educator (CDE) through the facilitation of DSMP workshops. Following the completion of the train-the-trainer session, as well as the facilitation of a DSMP workshop in the community, each of the clinical leaders also receive a stipend to cover the costs of their CDE exam. Note: The Diabetes Self- Management Program is an AHC program that is a joint effort between Shady Grove Medical Center and Washington Adventist Hospital. The description and outcomes for this program have been listed on the reports for both hospitals.

Q9922.. Based on what kind of evidence is the success or effectiveness of this initiative evaluated? Explain all that apply.

Coouunntt ooff ppaarrttiicciippaannttss//eennccoouunntteerrss The total number of participants who attend all sessions and number of program completers.

Otthheerr pprroocceessss//iimpplleemeennttaattiioonn meeaassuurreess ((ee..gg.. nnuumbbeerr ooff iitteemss ddiissttrriibbuutteedd)) Number of workshops completed

Suurrvveeyyss ooff ppaarrttiicciippaannttss Participants are asked to complete a pre and post-test to measure change in knowledge, behavior, and self- efficacy from the class.

Biioopphhyyssiiccaall hheeaalltthh iinnddiiccaattoorrss

Asssseessssmeenntt ooff eennvviirroonnmeennttaall cchhaannggee

IImppaacctt oonn ppoolliiccyy cchhaannggee

Effffeeccttss oonn hheeaalltthhccaarree uuttiilliizzaattiioonn oorr ccoosstt

Asssseessssmeenntt ooff woorrkkffoorrccee ddeevveellooppmeenntt

Otthheerr

Q9933.. Plleeaassee ddeessccrriibbee tthhee oouuttccoomee((ss)) ooff tthhee iinniittiiaattiivvee..

Ten 6-week workshops were completed as of November 2018. Completed workshops took place at Dawson’s Market, White Oak Senior Center, Hampshire Village, Bedford Court, Plum Garden Community Recreation Center, Arcola Towers, Rockville Senior Center, Forest Oak Tower Apartment, and The Bonifant. o 154 unique individuals attended the workshops, with a total of 490 encounters o 69 individuals were completers, having attended at least 4 of the 6 sessions of their workshop Pre and Post assessment outcomes (*information based on participants who completed both pre and post assessments): 8 reported an increase in fruit and vegetable consumption (n = 17) 17 reported increase in exercise frequency (n = 22) 2 reported an increase in blood sugar testing (n = 8) 5 reported an increase in checking of feet (n = 12) Of the 20 community members trained as DSMP facilitators, 12 have facilitated a workshop in the community, and 7 have received a stipend for their CDE exam thus far

Q9944.. Plleeaassee ddeessccrriibbee hhoow tthhee oouuttccoomee((ss)) ooff tthhee iinniittiiaattiivvee aaddddrreesssseess ccoommuunniittyy hheeaalltthh nneeeeddss..

During the 2016 CHNA cycle, diabetes was identified as a primary community health concern. The outcomes indicate improvement in participants confidence, knowledge, and overall lifestyle behaviors surrounding diabetes management. Additionally, community members who are either uninsured or underinsured now have access to affordable and comprehensive diabetes education. With the additional training of lay and clinical community members to be DSMP facilitators, and work toward earning their CDE certifications, we are working to build capacity within our community and increase access to diabetes education.

Q9955.. Whhaatt waass tthhee ttoottaall ccoosstt ttoo tthhee hhoossppiittaall ooff tthhiiss iinniittiiaattiivvee iinn FY 22001188?? Plleeaassee lliisstt hhoossppiittaall ffuunnddss aanndd ggrraanntt ffuunnddss sseeppaarraatteellyy.. Total Cost of Diabetes Self-Management Program: $10,811.70 • Paid by Hospital: $3,057.41 • Grant Funding from Montgomery County Health and Human Services Office of Aging: $7,754.29 Note: The Diabetes Self-Management Program is an AHC program that is a joint effort between Shady Grove Medical Center and Washington Adventist Hospital. The costs and offsetting revenue for these programs have been split accordingly between the two reports.

Q9966.. ((Oppttiioonnaall)) Suupppplleemeennttaall iinnffoorrmaattiioonn ffoorr tthhiiss iinniittiiaattiivvee..

Q9977.. Secttiion IIV -- CB IIniittiiattiives Parrtt 2 -- IIniittiiattiive 2

Q9988.. Naamee ooff iinniittiiaattiivvee..

Hungry Harvest Harvest RX Program

Q9999.. Does this initiative address a need identified in your CHNA?

Yeess

Noo

Q110000.. Select the CHNA need(s) that apply.