Peninsula Regional Medical Center

FY 2018 Community Benefit Narrative Report

PART ONE: ORIGINAL NARRATIVE SUBMISSION Q11.. 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.. 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.. 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:: Peenniinnssuullaa Reeggiioonnaall Meeddiiccaall Ceenntteerr..

Yoouurr hhoossppiittaall''ss IID iiss:: 221100001199..

Yoouurr hhoossppiittaall iiss ppaarrtt ooff tthhee hhoossppiittaall ssyysstteem ccaalllleedd N//A..

Yoouurr hhoossppiittaall waass lliicceennsseedd ffoorr 228899 bbeeddss dduurriinngg FY 22001188..

Yoouurr hhoossppiittaall''ss pprriimaarryy sseerrvviiccee aarreeaa iinncclluuddeess tthhee ffoolllloowiinngg zziipp ccooddeess:: 2211880011,, 2211880022,, 2211880033,, 2211880044,, 2211881100,, 2211881111,, 2211881133,, 2211881144,, 2211881177,, 2211882211,, 2211882222,, 2211882244,, 2211882266,, 2211882299,, 2211883300,, 2211883366,, 2211883377,, 2211883388,, 2211884400,, 2211884411,, 2211884422,, 2211884433,, 2211884499,, 2211885500,, 2211885511,, 2211885522,, 2211885533,, 2211885566,, 2211885577,, 2211886611,, 2211886622,, 2211886633,, 2211886644,, 2211886655,, 2211886666,, 2211886677,, 2211887711,, 2211887722,, 2211887744,, 2211887755,, 2211889900..

Yoouurr hhoossppiittaall sshhaarreess ssoomee oorr aallll ooff iittss pprriimaarryy sseerrvviiccee aarreeaa wiitthh tthhee ffoolllloowiinngg

hhoossppiittaallss:: Attllaannttiicc Geenneerraall Hoossppiittaall,, MccCrreeaaddyy Heeaalltthh..

Q33.. 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..

Q44.. ((Oppttiioonnaall)) Plleeaassee ddeessccrriibbee aannyy ootthheerr ccoommuunniittyy hheeaalltthh ssttaattiissttiiccss tthhaatt yyoouurr hhoossppiittaall uusseess iinn iittss ccoommuunniittyy bbeenneeffiitt eeffffoorrttss..

Please see attached "Market Area and Demographics.docx"

Q55.. ((Oppttiioonnaall)) Plleeaassee aattttaacchh aannyy ffiilleess ccoonnttaaiinniinngg ccoommuunniittyy hheeaalltthh ssttaattiissttiiccss tthhaatt yyoouurr hhoossppiittaall uusseess iinn iittss ccoommuunniittyy bbeenneeffiitt eeffffoorrttss..

Market_Area_and_Demeographics.docx 2.2MB application/vnd.openxmlformats-officedocument.wordprocessingml.document

Q66.. 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 Q2255.. Please check all Somerset County ZIP codes located in your hospital's CBSA.

2211881177 2211882244 2211885533 2211882211 2211883388 2211887711

2211882222 2211885511

Q2299.. Please check all Wicomico County ZIP codes located in your hospital's CBSA.

2211880011 2211883300 2211885566

2211880044 2211883377 2211886611

2211881144 2211884400 2211886655

2211882222 2211884499 2211887744

2211882266 2211885500 2211887755

Q3300.. Please check all Worcester County ZIP codes located in your hospital's CBSA.

2211880044 2211882299 2211886622

2211881111 2211884411 2211886633

2211881133 2211884422 2211886644

2211882222 2211885511 2211887722

Q3311.. 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..

Otthheerr.. Plleeaassee ddeessccrriibbee.. Peninsula Regional Medical Center's Primary Service Area historically and currently is Wicomico, Worcester, and Somerset Counties.

Q3322.. Prroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss miissssiioonn ssttaatteemeenntt..

https://www.peninsula.org/about-us

Q3333.. Is your hospital an academic medical center?

Yeess

Noo

Q3344.. ((Oppttiioonnaall)) IIss tthheerree aannyy ootthheerr iinnffoorrmaattiioonn aabboouutt yyoouurr hhoossppiittaall tthhaatt yyoouu woouulldd lliikkee ttoo pprroovviiddee?? Q3355.. ((Oppttiioonnaall)) Plleeaassee uuppllooaadd aannyy ssuupppplleemeennttaall iinnffoorrmaattiioonn tthhaatt yyoouu woouulldd lliikkee ttoo pprroovviiddee..

Q3366.. Within the past three fiscal years, has your hospital conducted a CHNA that conforms to IRS requirements?

Yeess

Noo

Q3388.. Whheenn waass yyoouurr hhoossppiittaall''ss ffiirrsstt--eevveerr CHNA ccoompplleetteedd?? ((MM//DD//YYYY))

06/01/2013

Q3399.. Whheenn waass yyoouurr hhoossppiittaall''ss moosstt rreecceenntt CHNA ccoompplleetteedd?? ((MM//DD//YYYY))

06/28/2016

Q4400.. Plleeaassee pprroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss moosstt rreecceennttllyy ccoompplleetteedd CHNA..

https://www.peninsula.org/community/community-health-needs-assessment-and-implementation-plan

Q4411.. Did you make your CHNA available in other formats, languages, or media?

Yeess

Noo

Q4422.. Plleeaassee ddeessccrriibbee tthhee ootthheerr ffoorrmaattss iinn whhiicchh yyoouu maaddee yyoouurr CHNA aavvaaiillaabbllee..

The CHNA was made available in an electronic copy format and a hard copy format that was available to be viewed and distributed to residents of our community. The CHNA will be translated into Spanish for our Spanish speaking residents. We are also in the process of reviewing our Creole population to determine if we need to translate the CHNA into Creole.

Q4433.. 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))

CB// Coommuunniittyy Heeaalltthh// Pooppuullaattiioonn

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

((ffaacciilliittyy lleevveell))

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

((ssyysstteem lleevveell))

The Board of Trustees receives a copy of the Community Health Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee Needs Assessment and the Implementation Strategy Plan to review,

((ffaacciilliittyy lleevveell)) discuss, and approve. There are also periodic updates to action plans, milestones, and progress updates.

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 The Board of Trustees receives a copy of the Community Health Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee Needs Assessment and the Implementation Strategy Plan to review,

((ssyysstteem lleevveell)) discuss, and approve. There are also periodic updates to action plans, milestones, and progress updates.

Clliinniiccaall LLeeaaddeerrsshhiipp ((ffaacciilliittyy lleevveell))

Clliinniiccaall LLeeaaddeerrsshhiipp ((ssyysstteem lleevveell))

Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ffaacciilliittyy lleevveell))

Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ssyysstteem lleevveell))

Coommuunniittyy Beenneeffiitt ssttaaffff ((ffaacciilliittyy lleevveell))

Coommuunniittyy Beenneeffiitt ssttaaffff ((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

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 Those identified in the preceding positions (nurses, social workers, etc.) make up the Community Benefit Task Force. Others from Community Benefit Task Force Community Benefit Task Force Behavioral Health, Marketing, and Planning were also participants in the Community Benefit Task Force.

Hoossppiittaall Addvviissoorryy Booaarrdd

Otthheerr ((ssppeecciiffyy)) Behavioral Health, Marketing, Planning, Participants in each of these departments used their knowledge and Diabetes Department, Emergency unique expertise to contribute in the CHNA. Department, Cardiac Rehab, Pediatric Endocrinology, and Employee Health and Wellness 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

Q4444.. 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

Otthheerr Hoossppiittaallss ---- Plleeaassee lliisstt tthhee hhoossppiittaallss 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

LLooccaall Heeaalltthh Deeppaarrttmeenntt ---- Plleeaassee lliisstt tthhee LLooccaall Heeaalltthh Deeppaarrttmeennttss hheerree:: Wicomico County Health Department and Somerset County Health Department 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::

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 aaggeenncciieess hheerree::

LLooccaall Goovvtt.. 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

Faaiitthh--Baasseedd Orrggaanniizzaattiioonnss

Scchhooooll -- K--1122 ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

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

Scchhooooll ooff Puubblliicc Heeaalltthh ---- Plleeaassee lliisstt tthhee sscchhoooollss hheerree::

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

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:: 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

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::

Q4455.. Has your hospital adopted an implementation strategy following its most recent CHNA, as required by the IRS?

Yeess

Noo

Q4466.. Plleeaassee eenntteerr tthhee ddaattee oonn whhiicchh tthhee iimpplleemeennttaattiioonn ssttrraatteeggyy waass aapppprroovveedd bbyy yyoouurr hhoossppiittaall''ss ggoovveerrnniinngg bbooddyy..

11/02/2016

Q4477.. Plleeaassee pprroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss CHNA iimpplleemeennttaattiioonn ssttrraatteeggyy..

https://www.peninsula.org/community/community-health-needs-assessment-and-implementation-plan

Q4499.. 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 Obesity

Ennvviirroonnmeennttaall Heeaalltthh

Q5500.. Plleeaassee ddeessccrriibbee hhoow tthhee nneeeeddss aanndd pprriioorriittiieess iiddeennttiiffiieedd iinn yyoouurr moosstt rreecceenntt CHNA ccoomppaarree wiitthh tthhoossee iiddeennttiiffiieedd iinn yyoouurr pprreevviioouuss CHNA..

The needs and priorities identified in Peninsula Regional Medical Center's most recent CHNA are comparable to the needs and priorities identified in the previous CHNA. There is a substantial need when it comes to the population in our CBSA. The same needs and priorities are obesity, diabetes, and behavioral health.

Q5511.. ((Oppttiioonnaall)) Plleeaassee uussee tthhee bbooxx bbeelloow ttoo pprroovviiddee aannyy ootthheerr iinnffoorrmaattiioonn aabboouutt yyoouurr CHNA tthhaatt yyoouu wiisshh ttoo sshhaarree..

On November 2, 2016, the Board of Trustees approved Peninsula Regional's strategic implementation strategy to proceed with the following three themed initiatives: Chronic Disease Management with an emphasis on Diabetes, Exercise, Nutrition and Weight, and Behavioral Health. The 2018 CHNA will be completed in December and subsequently a strategic implementation plan with an outline of its strategic initiatives will be presented to the Board for approval approximately the first quarter of the New Year.

Q5522.. ((Oppttiioonnaall)) Plleeaassee aattttaacchh aannyy ffiilleess ccoonnttaaiinniinngg iinnffoorrmaattiioonn rreeggaarrddiinngg yyoouurr CHNA tthhaatt yyoouu wiisshh ttoo sshhaarree..

Market_Area_and_Demographics.docx 2.2MB application/vnd.openxmlformats-officedocument.wordprocessingml.document

Q5533.. 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))

CB// Coommuunniittyy Heeaalltthh// Pooppuullaattiioonn

Heeaalltthh Diirreeccttoorr ((ssyysstteem lleevveell))

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

((ffaacciilliittyy lleevveell))

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

((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 The Board of Trustees receives a copy of the Community Benefit Report (financial & narrative) with a presentation at their monthly Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee education session. Following the education session, the Board fully ((ffaacciilliittyy lleevveell)) accepts the Community Benefit Report through the passing of a resolution. 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 The Board of Trustees receives a copy of the Community Benefit Report (financial & narrative) with a presentation at their monthly Booaarrdd ooff Diirreeccttoorrss oorr Booaarrdd Coommiitttteeee education session. Following the education session, the Board fully ((ssyysstteem lleevveell)) accepts the Community Benefit Report through the passing of a resolution. 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

Clliinniiccaall LLeeaaddeerrsshhiipp ((ffaacciilliittyy lleevveell))

Clliinniiccaall LLeeaaddeerrsshhiipp ((ssyysstteem lleevveell))

Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ffaacciilliittyy lleevveell))

Pooppuullaattiioonn Heeaalltthh Sttaaffff ((ssyysstteem lleevveell))

Coommuunniittyy Beenneeffiitt ssttaaffff ((ffaacciilliittyy lleevveell))

Coommuunniittyy Beenneeffiitt ssttaaffff ((ssyysstteem lleevveell))

Oversees and directs the initiatives. Phhyyssiicciiaann((ss))

Nuurrssee((ss))

Soocciiaall Woorrkkeerrss

Hoossppiittaall Addvviissoorryy Booaarrdd

Other (specify) Other (specify)

Q5544.. 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 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

Otthheerr Hoossppiittaallss ---- Plleeaassee lliisstt tthhee hhoossppiittaallss hheerree:: McCready Memorial Hospital, Atlantic General Hospital, Children's National Medical Center 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 LLooccaall Heeaalltthh Deeppaarrttmeennttss hheerree:: Wicomico Health Department, Somerset Health Department, and Worcester Health Department 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:: Wicomico County Local Health

Improvement Coalition, Healthy Somerset, and the Worcester County Planning Committee 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

Maarryyllaanndd Deeppaarrttmeenntt ooff Heeaalltthh

Maarryyllaanndd Deeppaarrttmeenntt ooff Huumaann

Reessoouurrcceess

Maarryyllaanndd Deeppaarrttmeenntt ooff Naattuurraall

Reessoouurrcceess

Maarryyllaanndd Deeppaarrttmeenntt ooff tthhee Ennvviirroonnmeenntt 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

Maarryyllaanndd Deeppaarrttmeenntt ooff Trraannssppoorrttaattiioonn

Maarryyllaanndd Deeppaarrttmeenntt ooff Edduuccaattiioonn

Arreeaa Aggeennccyy oonn Aggiinngg ---- Plleeaassee lliisstt tthhee aaggeenncciieess hheerree:: MAC, Inc. (Maintaining Active Citizens)

LLooccaall Goovvtt.. Orrggaanniizzaattiioonnss ---- Plleeaassee lliisstt The City of Salisbury continues to work on improving the quality of life tthhee oorrggaanniizzaattiioonnss hheerree:: through events that promote walkability and healthy lifestyles. City of Salisbury

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 Peninsula Regional Medical Center works with Faith Based Organizations in the community to provide healthy lifestyle education, flu shots, facilitate the pairing of people with local health-based resources. The organizations we have partnered with are: Union Faaiitthh--Baasseedd Orrggaanniizzaattiioonnss United Methodist, Ewell United Methodist, New Dimensions, New Macedonia Church, Mount Carmel Baptist, Emanuel Wesleyan, St. Paul AME Zion Church - Berlin, St. Paul's - Salisbury, St. James, AME, St. Peter's Lutheran, Grace United Methodist, Holy Redeemer, and Mt. Zion Baptist. 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:: The coalition coordinates care between 130-150 middle and high Wicomico High, Wicomico Middle, school students. Peninsula Regional's team educates and advocates Westside Intermediate, Salisbury for children in need of specialty care by working with the tri-county Middle, Parkside High, James M school nurses to develop each patient's diabetes management plan Bennett High, Bennett Middle, and for the school year. Fruitland Intermediate 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 We partner with the local universities in various population health Scchhooooll -- Coolllleeggeess aanndd//oorr Unniivveerrssiittiieess ---- capacities that include participating in university sponsored health Please list the schools here: fairs. In addition, through sponsorship and education, we support their Please list the schools here: UMES, Salisbury University, and Wor- diabetes and pharmacy education programs. Also, we promote and Wic Community College attend local Walkability events and other exercise events that promote healthy lifestyles. 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 sscchhoooollss hheerree::

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 Nursing students at Salisbury University intern on the Wagner Wellness Van Mobile Outreach Clinic, providing health screenings Scchhooooll -- Nuurrssiinngg Scchhooooll ---- Plleeaassee lliisstt tthhee and health education to medically undeserved areas in the sscchhoooollss hheerree:: community. The nursing students also learn about the continuum of Salisbury University Nursing School care from a population health perspective throughout their clinical rotation process among the various departments of Peninsula Regional. 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 Pharmacy students at the University of Maryland Eastern Shore intern tthhee sscchhoooollss hheerree:: with Peninsula Regional's pharmacy department and retail pharmacy University of Maryland Eastern Shore HomeScripts.

Beehhaavviioorraall Heeaalltthh Orrggaanniizzaattiioonnss ---- Resource and Recovery Center provides space for Wagner Wellness Please list the organizations here: Please list the organizations here: Van Mobile Outreach Clinic. C.O.A.T., CareWrap, Resource and Recovery Center 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 Provided space for Wagner Wellness Van Mobile Outreach Clinic. lliisstt tthhee oorrggaanniizzaattiioonnss hheerree:: Worcester County Social 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 Poosstt--Accuuttee Caarree Faacciilliittiieess ---- pplleeaassee lliisstt tthhee ffaacciilliittiieess hheerree:: Salisbury Genesis, Anchorage, Coastal Peninsula Regional Medical Center continues to work with post-acute Hospice, Aurora Nursing Home, Berlin care facilities to provide appropriate transitions of care for patients. Nursing Home, White Oak SNF, Harrison House, Hartley Hall, and Deers Head Center 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

Coommuunniittyy//Neeiigghhbboorrhhoooodd Orrggaanniizzaattiioonnss PRMC continues to partner with local community/neighborhood ---- Plleeaassee lliisstt tthhee oorrggaanniizzaattiioonnss hheerree:: organizations to increase awareness and engagement in healthy Local EMT Serivces, Lower Shore lifestyles and behaviors. Peninsula Regional engages in and partners Clinic, Lower Shore Enterprises, with each neighborhood organization and their vision, whether it's Bayshore Services, Tri-County diabetes screenings and education, nutrition and weight loss, social Diabetes Alliance, Salvation Army, determinants of health and its corresponding correlation to behavioral Coastal Hospice, James Leonard health, or any unmet identified health need in the community. These Apartments (Low Income Housing), organizations also provided space for the Wagner Wellness Van Salisbury Urban Ministries, YMCA Mobile Outreach Clinic and subsequently refers patients to physician Delmarva, and Parents and Children providers and community based services determined by their (Childcare Center) condition.

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 Otthheerr ---- IIff aannyy ootthheerr ppeeooppllee oorr oorrggaanniizzaattiioonnss weerree iinnvvoollvveedd,, pplleeaassee lliisstt tthheem hheerree:: Crisfield Clinic, HALO, Hope, Inc., Chesapeake Health Care, Other Independent and Employed Physicians, (PRCIN - Peninsula Regional Clinically Integrated Network), Dr. Jonathan Patrowicz, Dr. Alon Davis, Dr. Chris Huddleston, and Dr. Vel Natesan. 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

Q5555.. 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

Q5566.. Does your hospital conduct an internal audit of the community benefit narrative?

Yeess

Noo

Q5577.. Plleeaassee ddeessccrriibbee tthhee ccoommuunniittyy bbeenneeffiitt nnaarrrraattiivvee rreevviieew pprroocceessss..

Both the spreadsheet and narrative component of the Community Benefits Report is reviewed by the Finance Department and the Strategy and Business Development Department. Upon completion of their review, the Vice President of Population Health, and the Director of Community Health Initiatives evaluates and provides additional input to the narrative component. Following review/audit by these three departments, the Report is forwarded to the Executive Staff for final review.

Q5588.. Does the hospital's board review and approve the annual community benefit financial spreadsheet?

Yeess

Noo

Q6600.. Does the hospital's board review and approve the annual community benefit narrative report?

Yeess

Noo

Q6622.. Does your hospital include community benefit planning and investments in its internal strategic plan?

Yeess

Noo

Q6633.. Plleeaassee ddeessccrriibbee hhoow ccoommuunniittyy bbeenneeffiitt ppllaannnniinngg aanndd iinnvveessttmeennttss aarree iinncclluuddeedd iinn yyoouurr hhoossppiittaall''ss iinntteerrnnaall ssttrraatteeggiicc ppllaann..

Peninsula Regional Health System's mission is to improve the health of the communities we serve. Community Benefit Planning and our Strategic Plan Vision 2020 work in unison creating synergy for advancing community health. Peninsula Regional is transforming healthcare within our CBSA as the journey is to partner with our communities and local providers to help them understand how to best manage their pre-existing conditions. The System is focused on Care | Coach | Connect on health and wellness, providing the appropriate care in the appropriate setting and connecting them to services and information to promote a healthy lifestyle. Achieving the best outcomes through improving coordination both inside and outside the institution while avoiding preventable hospital admissions/readmissions and emergency room visits. Using the Community Health Needs Assessment as a roadmap to prioritize community health privations, the integration of System Strategy and Community Benefits creates a strong cooperative and focused approach to population health planning and execution. Vision 2020, Peninsula Regional's Strategic Plan, has four overall arching themes, theme 3.0 is "Meet Consumer's Health Needs in All Stages of Life". This theme has multiple population health and community benefit strategies as evidenced: - Develop a model of care for chronic care management - Promote a sustainable culture of health, well-being, and community engagement Identify the most important health needs for key population segments during their life journey Prioritize efforts in areas that drive the best health and efficiency outcomes Improve health literacy Build an information asset related to community health needs, attitudes and behaviors and use it to benefit the community.

Q6644.. ((Oppttiioonnaall)) IIff aavvaaiillaabbllee,, pplleeaassee pprroovviiddee aa lliinnkk ttoo yyoouurr hhoossppiittaall''ss ssttrraatteeggiicc ppllaann..

www.peninsula.org/publications (Please see Vision 2020 and other strategic planning documents)

Q6655.. ((Oppttiioonnaall)) IIss tthheerree aannyy ootthheerr iinnffoorrmaattiioonn aabboouutt yyoouurr hhoossppiittaall’’ss ccoommuunniittyy bbeenneeffiitt aaddmiinniissttrraattiioonn aanndd eexxtteerrnnaall ccoollllaabboorraattiioonn tthhaatt yyoouu woouulldd lliikkee ttoo pprroovviiddee??

Please see following document.

Q6666.. ((Oppttiioonnaall)) Plleeaassee aattttaacchh aannyy ffiilleess ccoonnttaaiinniinngg iinnffoorrmaattiioonn rreeggaarrddiinngg yyoouurr hhoossppiittaall''ss ccoommuunniittyy bbeenneeffiitt aaddmiinniissttrraattiioonn aanndd eexxtteerrnnaall ccoollllaabboorraattiioonn..

Additional_Pop_Health_Initiatives_Collaborations.docx 1.5MB application/vnd.openxmlformats-officedocument.wordprocessingml.document

Q6677.. 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.. Q6688.. IInniittiiaattiivvee 11

Q6699.. Naamee ooff iinniittiiaattiivvee..

Chronic Disease Management

Q7700.. Does this initiative address a need identified in your CHNA?

Yeess

Noo

Q7711.. 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 Hypertension

Q7722.. Whheenn ddiidd tthhiiss iinniittiiaattiivvee bbeeggiinn??

01/01/2015

Q7733.. 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.. 1. MAC Chronic Disease Management - This initiative will continue into the foreseeable future. 2. Wagner Wellness Van Mobile Outreach Clinic - This initiative has been well received by the community and will be continued into the future. 3. Smith Island Telemedicine - This initiative will be continued into the future because there is a need for the people of Smith Island, which is in PRMC's Primary Service Area. 4. SWIFT - This initiative is grant based and will continue until the grant ends, however, there will be joint meetings to evaluate the continuation of this program.

Q7744.. Enntteerr tthhee nnuumbbeerr ooff ppeeooppllee iinn tthhee ppooppuullaattiioonn tthhaatt tthhiiss iinniittiiaattiivvee ttaarrggeettss..

1. MAC Chronic Disease Self-Management - 20,000+ residents. 2. Wagner Wellness Van Mobile Outreach Clinic - 71,058 residents. 3. Smith Island Telemedicine - 250 residents. 4. SWIFT - 300 high ED utilizing residents.

Q7755.. Deessccrriibbee tthhee cchhaarraacctteerriissttiiccss ooff tthhee ttaarrggeett ppooppuullaattiioonn..

"1. MAC Chronic Disease Self-Management - Patients with uncontrolled chronic diseases which are identified via ER visits, the Wagner Wellness Van Mobile Outreach Clinic, and other providers. 2. Wagner Wellness Van Mobile Outreach Clinic - Residents of PRMC's primary service area who have barriers to care. 3. Smith Island Telemedicine - The average age of the population is 54 years old. A large percentage of the population is below poverty level, living on a remote island isolated from health services. Transportation is limited and can only be done by boat. 4. SWIFT - The target population is patients who rely heavily on EMS for non-emergency care."

Q7766.. Hoow maannyy ppeeooppllee ddiidd tthhiiss iinniittiiaattiivvee rreeaacchh dduurriinngg tthhee ffiissccaall yyeeaarr??

2,583

Q7777.. 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..

Q7788.. Did you work with other individuals, groups, or organizations to deliver this initiative?

Yeess.. Plleeaassee ddeessccrriibbee whhoo waass iinnvvoollvveedd iinn tthhiiss iinniittiiaattiivvee.. 1. MAC Chronic Disease Self-Management - MAC, Inc. the Area Agency on Aging 2. Wagner Wellness Van Mobile Outreach Clinic - Atlantic General Hospital McCready Health MAC, Inc. the Area Agency on Aging Wicomico County Health Department Worcester County Health Department Somerset County Health Department City of Salisbury HALO Shelter HOPE Inc. Salisbury Urban Ministries St. James AME Church St. Paul's AME Church St. Peter's Catholic Church Somerset County Library Chesapeake Health Center Community Foundation of the Eastern Shore Resource and Recovery Center National Kidney Foundation Salisbury Fire Department 3. Smith Island Telemedicine - McCready Health Crisfield Clinic Somerset County Health Department National Kidney Foundation MAC, Inc. the Area Agency on Aging 4. SWIFT - City of Salisbury Wicomico County Health Department Salisbury Fire Department/EMS

Noo..

Q7799.. Plleeaassee ddeessccrriibbee tthhee pprriimaarryy oobbjjeeccttiivvee ooff tthhee iinniittiiaattiivvee..

1. MAC Chronic Disease Self-Management - Managing chronic diseases that ultimately reduce ER visits and admissions. This is done through programs that are designed to assist with the management of chronic diseases, providing the participants awareness and education on controlling their diabetes, hypertension, and pain. These programs give the aging population a higher quality of life and sense of independence, ultimately keeping them healthy, strong, and out of the hospital. 2. Wagner Wellness Van Mobile Outreach Clinic - Providing health education, health resource coordination, screenings, healthy lifestyle promotion, reducing ED utilization. The van visits areas where the social determinants of health indicate the greatest amount of need. It provides care in areas with a higher prevalence of ER visits, lower median incomes, an indigent population, trouble accessing care, communication barriers, and overall poor health outcomes. 3. Smith Island Telemedicine - To increase access of care to island residents, educate residents about chronic disease management, and promote healthy lifestyles. The goal of the partnership was to improve the health of the Smith Island community, provide health literacy to residents, and reduce ED utilization. A major goal was to increase access to care within 48 hours of need being identified. All visits have occurred on the same day as the need was identified. 4. SWIFT - Reducing EMS and ED utilization by identification and intervention for the very highest utilizers. The SWIFT team works collaboratively to reduce overuse of emergency services and improve access by connecting these community members to area resources that address the social determinants of health that are at the root of their unnecessary use of the EMS system. The program also connects clients to more appropriate settings in which to have their care provided, such as primary care offices and FQAC's.

Q8800.. Plleeaassee ddeessccrriibbee hhoow tthhee iinniittiiaattiivvee iiss ddeelliivveerreedd..

1. MAC Chronic Disease Self-Management - Workshops/Classes located at MAC, Inc. 2. Wagner Wellness Van Mobile Outreach Clinic - Mobile Clinic serves locations in three counties. The staff includes an NP, RN, a Medical Assistant, and a Social Worker. 3. Smith Island Telemedicine - Clinical Health Worker's serve as liaisons for telemedicine visits with providers. In-person visits by a provider to the island occur every two weeks with the weather permitting. 4. SWIFT - An EMT and NP visit patients who are identified as high utilizers of EMS. A plan is then created based on a home assessment and then patient is followed by a team for an average of six months.

Q8811.. Based on what kind of evidence is the success or effectiveness of this initiative evaluated? Explain all that apply.

Coouunntt ooff ppaarrttiicciippaannttss//eennccoouunntteerrss 1. MAC Chronic Disease Self- Management - 269 participants and See Attached Data. 2. Wagner Wellness Van Mobile Outreach Clinic - 2,022 encounters. 3. Smith Island Telemedicine - 100 participants. 4. SWIFT - 192 participants.

Otthheerr pprroocceessss//iimpplleemeennttaattiioonn meeaassuurreess ((ee..gg.. nnuumbbeerr ooff iitteemss ddiissttrriibbuutteedd))

Suurrvveeyyss ooff ppaarrttiicciippaannttss 1. MAC Chronic Disease Self- Management - See attached.

Biioopphhyyssiiccaall hheeaalltthh iinnddiiccaattoorrss 3. Smith Island Telemedicine - A couple's A1C levels reduced from the 300s to the 120s. 2. Wagner Wellness Van Mobile Outreach Clinic - Patients have reduced A1C levels in some cases. Other patients have seen hypertension reduced after receiving treatment from the Wagner Wellness Van.

Asssseessssmeenntt ooff eennvviirroonnmeennttaall cchhaannggee 4. SWIFT - Patients are getting help finding local healthcare instead of calling 911.

IImppaacctt oonn ppoolliiccyy cchhaannggee Effffeeccttss oonn hheeaalltthhccaarree uuttiilliizzaattiioonn oorr ccoosstt 2. Wagner Wellness Van Mobile Outreach Clinic - Patients are getting referred to Primary Care Physicians instead of going to the ED. 3. Smith Island Telemedicine - 5% reduction in McCready Health ED usage. 4. SWIFT - Total ED Reduction is 37% of those participating in the program.

Asssseessssmeenntt ooff woorrkkffoorrccee ddeevveellooppmeenntt

Otthheerr 4. SWIFT - Reduction in EMS calls.

Q8822.. Plleeaassee ddeessccrriibbee tthhee oouuttccoomee((ss)) ooff tthhee iinniittiiaattiivvee..

1. MAC Chronic Disease Self-Management - Increased the number of classes offered from 26 to 47. Increasing the number of classes increased encounters to over 450 lives, which has improved the quality of life for those enrolled, and reduced the probability of ER visits and inpatient admissions. 2. Wagner Wellness Van Mobile Outreach Clinic - Of the 893 encounters, repeat patients have shown improvement in their individual health conditions as provisions are made for screenings, health education, matching residents to community health resources, health literacy and healthy lifestyle promotion. 3. Smith Island Telemedicine - Residents are being matched with Community Health Workers to identify and review their chronic diseases, in conjunction with using telemedicine for primary care physician visits- in lieu of ending up in the ED with a possible admission. Over 50% of the residents on Smith Island have participated in our telemedicine primary care program which has also decreased ED utilization at McCready Memorial by 5%. 4. SWIFT - Decreased EMS and ED utilization for enrolled clients. Of the patients enrolled, there was a 35% reduction in EMS calls and a 37% reduction in ED utilization.

Q8833.. Plleeaassee ddeessccrriibbee hhoow tthhee oouuttccoomee((ss)) ooff tthhee iinniittiiaattiivvee aaddddrreesssseess ccoommuunniittyy hheeaalltthh nneeeeddss..

1. MAC Chronic Disease Self-Management - There is a need for chronic disease management within our community. There are many residents who have diabetes, are overweight, or are nutritional deficient. As the baby boomer generation ages, there is a need to better manage associated chronic diseases. With the partnership with MAC, many residents are gaining a better understanding of their chronic disease,reducing ER visits and avoiding future utilization of the healthcare system. 2. Wagner Wellness Van Mobile Outreach Clinic - There has been improved control of diabetes and hypertension. The Wagner Wellness Van strives to educate patients by providing nutritional and healthy lifestyle counseling, in addition to medication compliance, to control diabetes and hypertension. Health screenings are performed on residents to help determine appropriate education, self-management class information, or referrals to community resources and services. These screenings include pre-diabetes, hypertension and obesity. When warranted, drug and alcohol misuse screenings are also conducted, and counseling is available. If a resident is at risk for diabetes, an A1C screening is performed to further assist with diagnosis and treatment. 3. Smith Island Telemedicine- Improved health access to this isolated island, providing chronic care management services and preventative care opportunities through the installation of donated exercise equipment (bikes), donated pedometers, and provision of walking logs to residents. With the help of Community Health Workers and telemedicine primary care visits, there were improvements in chronic disease management and bio-metrics among participants. 4. SWIFT - This initiative identifies social determinants that contribute to the negative health outcomes of the patient and the subsequent high utilization of EMS services and the PRMC's Emergency Room. With identification of these single or multiple social determinants, solutions can be provided to these patients which can take the form of coaching, matching the patient to local health resources, or chronic disease management. This program meets the patients where they are at and provides coaching and direction in the management of their life and health.

Q8844.. Whhaatt waass tthhee ttoottaall ccoosstt ttoo tthhee hhoossppiittaall ooff tthhiiss iinniittiiaattiivvee iinn FY 22001188?? Plleeaassee lliisstt hhoossppiittaall ffuunnddss aanndd ggrraanntt ffuunnddss sseeppaarraatteellyy..

$2,553,274.85

Q8855.. ((Oppttiioonnaall)) Suupppplleemeennttaall iinnffoorrmaattiioonn ffoorr tthhiiss iinniittiiaattiivvee..

Chronic_Disease_Management_with_All_Initiatives_a.docx 2MB application/vnd.openxmlformats-officedocument.wordprocessingml.document

Q8866.. IInniittiiaattiivvee 22

Q8877.. Naamee ooff iinniittiiaattiivvee..

Exercise, Nutrition, and Weight

Q8888.. Does this initiative address a need identified in your CHNA?

Yeess

Noo

Q8899.. Select the CHNA need(s) that apply.