TWENTY YEARS OF OUR TITHE

We are growing healthy communities

INTRODUCTION

Our hospital began with a vision that changed a community. From Richland Memorial Hospital’s humble beginnings in 1892, to the formation of

South Carolina Baptist Hospital (later known as

Baptist Medical Center) in 1914, and eventually to the creation of Palmetto Health in 1998,

Palmetto Health remains committed to providing high-quality health care to those we serve.

That commitment has been the driving force behind a wide range of community investments, educational programs and health care initiatives, all designed to promote more healthy communities. The Palmetto Health tithe and commitment

Background Palmetto Health made a commitment in 1998 to return 10 percent of its annual bottom line to the community. Together with our partners, we are working to improve its overall health.

During its more than 20 years of service, the Palmetto Health Office of Community Health has invested $56,437,435 in health care services and impacted more than 600,000 individuals.

The promise Palmetto Health believed, and still believes, that the health of the uninsured is as important as everyone else. This was one of the driving factors in the health system’s decision in 1998 to commit 10 percent of its annual bottom line for 35 years – with a guaranteed $17 million the first seven years – to fund community-based health care initiatives.

During the 1988 hospital merger, community members and leaders spoke out about the continued disparities in health care between Caucasians and African Americans and other minorities, as well as the insured and uninsured. Severe community health problems persisted because people lacked access to health care services and education.

The merger committee developed a Certificate of Public Advantage (COPA) document stipulating that Palmetto Health create new programs to address health disparities. The COPA led to the establishment of the Office of Community Services to coordinate the programs. The journey Community involvement and partnerships have steered the development and sustainability of the Office of Community Services. The Community Outreach Advisory Taskforce, a group of community members and health care advocates who serve as the voice of the community, guide us in developing its programs and selecting existing organizations to support. The task force identifies the most important health care problems and community needs. Palmetto Health provides funding and support staff and collaborates with more than 350 community and government organizations to help identify the best ways to reach people and to make things happen.

To reach people in the best way possible, Palmetto Health had to overcome lack of knowledge about the programs and distrust in “the system” by some in the community as well as the inability of many others to access health care services due to circumstances caused by poverty. Initially, community members were fearful and skeptical of health care services offered at little or no cost. Over time, such fear and skepticism has evolved into trust.

The journey continues because Palmetto Health has held true to its promise and makes life changing and lifesaving impact in the community. Programs have been locally and nationally recognized with various awards and partnerships have been established with major universities and foundations. Other health care systems and communities ask for guidance in replicating our programs.

We invite you to learn more about our programs and to support us in the years ahead.

u Mission SC From 2010–2014, Palmetto Health and other partners provided a multi-day free health care mission event at the SC State Fairgrounds and other areas around the state. Medical professionals and administrators volunteered hundreds of hours to care for the health, dental and vision care needs of thousands of residents.

t Vision care Palmetto Health began an early partnership with Midlands vision professionals and eye clinics to provide free exams and glasses to residents unable to afford vision care. Now known as WellPartners, thousands of free eye exams and glasses have been provided to those who need care most. 1892p

In 1892, Columbia Hospital was founded, later becoming Richland Memorial Hospital in 1972. A look back: 1892

t In April 1892, at a meeting of the King’s Daughters, Mrs. David Flenniken proposed that the organization “undertake the building of a hospital in Columbia.” With less than $20 in their treasury, there was little enthusiasm for the suggestion. Nonetheless, the idea persisted and in May, the Columbia Hospital Association was organized to raise funds to build the hospital. On Sept. 17, 1892, the state issued a charter to Columbia Hospital.

t When Columbia Hospital opened its first permanent structure on Nov. 1, 1893, it was a 20-bed brick hospital with a fireplace in each room. Adjacent to the hospital was a railroad infirmary where care was offered to sick railway passengers, and an almshouse built by a local organization to provide charity care.

t In 1974, the first Richland Memorial/University of South Carolina affiliation for medical resident education was signed. Over the next decade, the campus continued to expand with the construction of several clinics including an Ambulatory Care Center to house full-time faculty members from the University of South Carolina School of Medicine who taught and still practiced privately. 1914p

In 1914, South Carolina Baptist Hospital was founded and in 1980 became Baptist Medical Center. A look back: 1914

In the summer of 1914, the widow of Augustus B. Knowlton, MD, a respected physician, approached the South Carolina Baptist Convention about purchasing the small hospital her husband had established in downtown Columbia.

Recognizing this as a chance to enter the healing ministry, the Baptists agreed. On Sept. 1, 1914, they reopened the facility on Marion Street as South Carolina Baptist Hospital, comprised of two buildings that housed 70 beds and a school of nursing. 1998p

In 1998, Richland Memorial Hospital and Baptist Healthcare System of South Carolina, came together to form Palmetto Health. A look back: 1998

Dramatic changes in the health care industry forced many hospitals to change or be left behind. To remain competitive, health care systems had to become more efficient, deliver high quality health care, and increase access and choice for patients. Together, with a Certificate of Public Advantage (COPA), our health care delivery system provides access to care for all people in the communities it serves.

p In February 1998, Richland Memorial Hospital and Baptist Healthcare System of South Carolina came together to form Palmetto Health, a bold, new, locally led health care system. Pictured left to right: Rep. Lester P. Branham Jr., James H. “Jed” Suddeth Jr., Kester S. Freeman Jr. and Charles D. Beaman Jr.

t In April 1997, Vince Ford was named Vice President of Community Services at Palmetto Health. Ford, a civic and education leader in Columbia, was hired to lead a Community Outreach Task Force in developing a plan to spend $1.5 million for grass-roots issues involving health and wellness and to oversee the disbursement of the tithe. Pictured left to right: Charles D. Beaman, Jr., Vince Ford, Kester S. Freeman Jr. (picture from March 1998)

What is the COPA? The Certificate of Public Advantage (COPA) is a provision of the Health Care Cooperation Act passed by the General Assembly in 1994 to protect consumers from unfair advantages of dominant health care providers. It allows SC DHEC to review cooperative agreements to determine if the benefits to SC outweigh the disadvantages caused by potential adverse effects on competition. Palmetto Health’s COPA application included the commitment to tithe 10 percent of the annual bottom line. 2017p

Palmetto Health Baptist Parkridge and Palmetto Health Tuomey have significantly expanded the reach and impact of quality health care and programs for thousands of communities in South Carolina. Palmetto Health: 2017 Between 1998 and 2004, Baptist Healthcare System of South Carolina and Palmetto Health purchased tracts of land (approximately 75 acres) in Northwest Columbia at Hwy. 60 and I-26 for future expansion. Parking expansions also were begun at the Baptist campus in 1998, with the construction of new garages at Marion and Hampton Sts. and at Sumter St.

2006 Palmetto Health Parkridge Medical Office Building opened on the tract of land at Hwy. 60 and I-26, featuring an Outpatient Surgery Center and Convenience Care. This expansion served as the precursor to and initial part of the Palmetto Health Baptist Parkridge campus.

Palmetto Health Heart Hospital opened to become South Carolina’s first freestanding heart hospital, located on the Palmetto Health Richland campus.

2008 Palmetto Health Children’s Hospital opened its new freestanding hospital.

2009 Palmetto Health and Greenville Health System entered into a 50/50 joint venture to form Baptist Easley Hospital, formerly Palmetto Health Baptist Easley.

2014 In March, Palmetto Health opened a 76-bed full-service hospital, Palmetto Health Baptist Parkridge (pictured left, top), at Hwy. 60 and I-26 to serve the residents of the Northwest Columbia area.

2016 Tuomey Healthcare System in Sumter, a 301-bed full-service hospital, became a member of Palmetto Health on Jan. 1, as Palmetto Health Tuomey (pictured left, bottom).

In April, Palmetto Health and the University of South Carolina announced the Palmetto Health-USC Medical Group, a not-for-profit company that brings together physicians, nurse practitioners, physician assistants, and other health care providers from two of South Carolina’s most respected organizations—Palmetto Health and the University of South Carolina School of Medicine. The multispecialty, clinically integrated medical group is the Midlands region’s largest multispecialty medical group and the 11th largest employer in the Midlands.

2017 Palmetto Health and Greenville Health System announced an agreement to partner to create a new, not-for- profit, locally governed health company designed to shape and lead the future of health care for all South Carolinians. The affiliation aims to improve the patient experience, clinical quality and access to care, and address rising health care costs. Palmetto Health leadership

The catalyst for Baptist and Richland coming together was common values. Both institutions wanted the same things for our community. We knew that in each other we had a partner we could work with to enhance the quality of life and health of our community. Doing this required a formal structure, committed resources and accountability. With so many needs, we could not throw money in the wind and hope it would stick.

Charles D. Beaman Jr. Co-CEO, New Health Company SC CEO, 1998–2017

One of the first things Palmetto Health did when it became a merged system was to tithe 10 percent to the community. That was courageous and visionary. We’ve committed to that every year, even during tough financial times. Thousands have been served every day. I do think we have a healthier community because of that.

Vince Ford Chief Community Health Services Officer, 1998–present

As a Palmetto Health Board of Directors member, I can see the impact we are making in our community. Our tithe is designed to go outside our hospital system walls and into the parts of our state where we need it most. We are doing that not just because we’re supposed to, but because we want to. It’s the right thing to do.

Beverly Chrisman Chair, 2018 Board of Directors Notable partners and key support

Success is not achieved alone. Going beyond hospital walls and into the community is key in learning more about the individuals and families we serve. As we develop programs and events that are focused on community needs, that’s when you begin to improve the health of a population. Investment in these initiatives is transformative for families, neighborhoods and entire communities.

Through the help of key community leaders and Palmetto Health team members, community health initiatives are created and implemented. What may begin as a small idea can develop into a big impact for our community.

Kester Freeman, former CEO, Palmetto Health People didn’t think creating the Office of Community Health would make a positive impact, but it has. You see the improvements in health and quality of life every day, and it’s inspired and motivated further community support and involvement, and expansion of services. We didn’t intend to make history. We changed it, through a unique, major financial commitment to our community.

Candy Waites, Chair, Community Health Committee, Palmetto Health By providing this tithe, which helps fund a lot of these community services, we are not only serving the people today, but we are serving the people in the future.

Calvin Elam, Palmetto Health Board of Directors People are afraid of the unknown. When Palmetto Health was formed, people were afraid critical services would be lost. This was not the case. As a corporate citizen, our role is to recognize the medical needs in the community and meet them at all costs.

Mac Bennett, former president, United Way Palmetto Health has demonstrated its support of the community through the way it extends its health services to our residents and the way it approaches corporate social responsibility in the Midlands. Palmetto Health has been a catalyst for addressing critical community health deficiencies in a collaborative way with results that improve the lives of all our residents.

Traci Young Cooper, PhD, Richland School District One Palmetto Health is committed to our community in ways that some may not know. They are in our schools making sure they are healthy and they are guiding parents on the best ways to raise healthy kids. The partnerships they form are nurturing our families through education, awareness and prevention. We all are growing together to make a healthier state. Better Together In 2016, former Palmetto Health team member, Judy Cotchett Smith, published Better Together: The Making of Palmetto Health, a South Carolina Health System. The book chronicles the history, development, creation and ideology behind Palmetto Health. The following excerpts provide a look at how Baptist Medical Center and Richland Memorial Hospital joined to form Palmetto Health.

From the beginning, the health system was always about how one plus one would equal three or more. Palmetto Health Alliance was in the “giving business.” Giving more wherever possible; there should be no losers. Leaders insisted that coming together would make the two hospitals stronger, better able to withstand pressures from the outside environment, especially a growing volume of indigent care and ratcheting down reimbursement.

The promise to provide care for the uninsured and underinsured was a fundamental principle of the alliance.

There was no question about the magnitude of this commitment nor the alliance’s intent to adhere to it. The founding partners went a step further in promising that the alliance would not be just brick and mortar. It also would be about reaching outside their walls to improve health, meeting people where they were, where they had need and collaborating with others who shared the same concerns.

The premise for this commitment was that becoming a system would create savings of sufficient magnitude as to allow more for community health initiatives.

The alliance’s community health initiatives launched the same day the alliance was created-Feb. 9, 1998. The board of directors designated a standing committee, the Community Health Committee, to oversee this very important issue.

In the first eight months of fiscal year 1998, the first full COPA year, a little more than $600,000 was spent.

The alliance established criteria to guide investment. It would not fund personnel or bricks and mortar. Funds were limited to direct services for people that should be or were being provided, and qualified organizations would have to increase services that they provided with alliance dollars. Over the next decade, the alliance worked with hundreds of other organizations to improve access and care for the community in addition to initiating and sustaining its own efforts. It also combined its new efforts with ones already being undertaken within the system, like a federally funded program called Healthy Start, where experienced moms help provide resources for new at-risk moms to raise healthier children, and Richland Care, an alliance-led partnership of community organizations that makes health services and medical homes accessible to those without health insurance.

Cutting back on community outreach was never considered even when the huge financial losses were suffered during the first few years of operation.

To its credit, Palmetto Health Alliance always stuck by its promise. By continuous accrual and careful planning for proven outcomes, Palmetto Health has sustained its work year after year.

The investment continues. It pays off each year in discovered and treated cancers, improved infant mortality, fewer teens facing pregnancy, earlier diagnosed diabetes and countless other health improvements. There are no screenings without follow-up. No outreach without referral to medical homes. As more is learned about evidence informed health, quality outcomes, patient experience and how much of that also leads to lower health costs, Palmetto Health’s investment continues to improve health. It’s a promise that’s become a way of life. Years in review

The Office of Community Health has provided more than During its more than 20 years of service, the Palmetto Health 600,000 services to the underinsured, uninsured and medically Office of Community Health has invested $56,437,435 underserved people in the Midlands, along with the general in health care services. population. Services were provided to people throughout South Carolina. Funding Dollars Spent Per Year

$5,000,000

$4,000,000

$3,000,000

$2,000,000

$1,000,000

1 2345678910 11 12 13 14 15 16 17 18 19 20 1998 2017 Year

Palmetto Health Annual Report of the Building a Healthier Community Tithe

FY 1998–FY 2010

Report of the Tithe Fiscal Year 2011 1

Beginning in FY 2011, Palmetto Health created a more reader-friendly version of the annual report, designed with photos, stories and impact reports. Previous documents included all statistical information, fiscal reports and impact, but designed in a text-only format. Previous reports can be found at PalmettoHealth.org/CommunityHealth.

OUR STORY

Palmetto Health’s commitment to the community stays strong. Despite tough economic times and years when budgets across the hospital system were cut, senior leadership remained committed to the community investment. Early detection of chronic diseases such as diabetes, cancer and hypertension are being revealed to a population that previously may not have had the same access as others. Case management is provided to individuals who require further intervention.

Partnerships are being bridged with schools, food providers and employment centers. Innovation is fueling the way health care is provided. Palmetto Health’s Office of Community Health focuses on multiple innovative initiatives to improve the physical, emotional and spiritual health of all individuals and communities it serves.

The goals are to: • Impact individual health statuses • Foster and promote collaboration among various agencies • Help create a healthier community and organizations • Provide quality screening, intervention and education

For the past 20 years, the Office of Community Health has focused on several health issues and initiatives. Most of these continue today. • Diabetes • Colon cancer • Lung health • Fatherhood support • Breast cancer • Vision and dental (services • Obesity • Pregnancy support • Prostate cancer now have shifted to • Teen health/risky behavior • Pre- and post-natal • Cervical cancer WellPartners) modification development

In addition, the community health team has been featured in nearly every media outlet throughout the state including: • TV: WIS, WOLO, WLTX, WACH, • The State • STAR News • Vision magazine SC ETV • The Sumter Item • Carolina Panorama • Lamar • Radio: WWDM, WFMV, • Imara Woman magazine • Millennium/Momentum SUNY100, WTGH, KissFM, • Black News • Free Times WCOS, WXRY, WNOK, WTCB • Black Pages Palmetto Health appreciates the support of our partners, our media outlets, community centers, faith-based, civic and government organizations in helping provide information and opportunities to our South Carolina residents. t Screenings For 20 years, we have provided free screenings for a variety of chronic diseases, cancers and other co-morbidities. We began with a focus on cancer prevention and healthy lifestyles and now are looking at ways to keep our community healthy through preventative screenings and interventions.

u Free Medical Clinic The Free Medical Clinic has provided free medical care to those in our community unable to pay for adequate health care since 1984. Palmetto Health helps provide resources and support to this mission-critical service.

t Diabetes Prevention Program Palmetto Health follows Centers for Disease Control (CDC) guidelines to provide a diabetes prevention program proven to help patients with elevated HbA1c levels to decrease their risk for Type 2 diabetes. The program is one of three in the country being followed by the CDC as a model for other communities. We inspire

We provide intervention for all stages of life to prevent chronic diseases, risky behaviors and unhealthy lifestyles. Efforts include focused initiatives, events, programs and campaigns.

Teen Health (1998–present) Palmetto Health helps guide efforts associated with adolescent health and community partnerships. Children of teenage parents are at increased risk for violence and drug use exposure and, as they grow older, more likely to become high school dropouts. Daughters of teenage mothers are more likely to become teenage mothers. According to the SC Youth Risk Behavior Survey, nearly one half of high school students reported having had sex at least once. SC DHEC reported 3,696 teenage births in 2016. However, in Richland County, teenage birth rates have steadily decreased by 75 percent since 1991.

Now known as Community Health Improvement, the programs address adolescent health through school, community and faith- based programs in Midlands counties. The initiative is implemented in school and community-based teen pregnancy prevention programs. Richland and Lexington counties have experienced significant declines in teen pregnancy for the past six years, in part because of community organizations and Palmetto Health programs.

Teens make healthy Teen Talk (2001–present) choices through Teen Talk is an abstinence-based education program for middle and high school students held program interventions. weekly during each participating school’s lunch period. Program facilitators, also known as a community advocates, use an approved curriculum developed by Advocates for Youth, a national adolescent health research organization.

Teen Health Summit (2004–present) Research has shown that risky behaviors among teens heighten during unsupervised times. To confront and combat the potentially crippling consequences of these behaviors, Palmetto Health sponsors the Teen Health Summit annually in June. It is the program’s mission to address pressing teen health issues that teens battle during the school year and throughout the summer. The annual Teen Health Summit is held during the Although the theme changes each year, the workshops typically summer with nearly 500 students from the Midlands. address healthy relationships, self-esteem and body image, parent-child communication, nutrition and physical activity and sexuality education. The Teen Health Summit is a large, comprehensive program that requires the commitment of Palmetto Health team members, local teachers, administrators and community members. Palmetto Health has sponsored the summit for 13 years and has reached more than 4,600 students.

Silver Ring Thing (SRT) is a Christian ministry that promotes abstinence until marriage through an intense live stage performance. In 2001, SRT was invited to bring its program to South Carolina and in 2013, SRT began providing their live stage show for the Teen Health Summit. More than 30,000 people have attended a SRT show in South Carolina with support from Palmetto Health and other partners.

ParenTeen (2005–present) Palmetto Health understands the importance of parent-child connections in improving overall teen health outcomes. ParenTeen was created to help parents of teens with communication about sexuality and health education. The program raises awareness of important issues facing teens, informs parents of the economic and social impacts of teen pregnancy and nurtures parental skills in developing strong, positive and connected relationships. One session is hosted per quarter.

Midlands teens have benefitted from teen health programs for more than 20 years. Teen Talk offers a safe place for healthy discussions about sensitive topics. Trumpeter (1998–present) It’s Time to Let More than 100,000 middle and high school students have THE TRUTH BE HEARD participated in the Trumpeter Campaign, an anti-tobacco Give your students the opportunity to learn about the dangers of tobacco educational program and competition, since 1998. use and tobacco advertising. Schedule a Trumpeter presentation for students in schools, clubs and organizations today. This fun, interactive presentation lasts 45 minutes Trumpeter is an education program that addresses the and is great for assemblies or small student groups. Students can win great prizes, and there is also a drawing for teachers and guidance powerful effect media has on a young person’s decision to counselors who schedule assemblies! Presentations begin February 1, 2012, so reserve your spot today. use or not use tobacco products and seeks to help prevent Also, Palmetto Health’s Trumpeter Campaign will again sponsor a contest for 6–12th grade students from April 1-30, 2012. This year’s theme lung cancer. The program encourages teens to think critically is “The Truth Is....” Look for additional information at the presentations. and talk about the influence of tobacco advertisement. With For more information or to schedule the help of our Teen Talk program, students are encouraged your presentation, contact Natalia Bostic (803) 296-3485 to become positive peer role models by creating counter- [email protected] advertisements for tobacco products that tell the truth about tobacco.

Freshman Focus (2007–present) According to SC DHEC, 44.3 percent of the state’s pregnant teens are between the ages So Fo cused. of 18 and 19. In response, Palmetto Health partners with local colleges to implement a college-based sexual health workshop. Freshmen Focus is a 50-minute session that provides accurate information to first-year college students on healthy relationships, signs and symptoms of sexually transmitted diseases and the appropriate use of contraceptive methods to protect against sexually transmitted diseases (STDs) and For a Healthier Student Body unintended pregnancy.

Summer Connections (2005–present) Summer Connections supports the community in educating teens about pregnancy prevention. This six-week program incorporates weekly youth development sessions into existing summer programs. Students are engaged in discussions and activities Summer regarding self-esteem, body image, decision-making, goal setting, values and building Connections positive relationships. These topics are universal and can be incorporated into most From Teen Talk existing summer programs. Palmetto Health team members conduct hour-long sessions. Programs and organizations within Richland and Lexington counties are eligible to participate, and each session accommodates at least 10 students (ages 10–19).

GoNoodle, Inc., Community Youth Health Literacy Collaborative (2013–present) GoNoodle online movement videos and games are designed to get kids running, jumping, dancing and stretching at school and at home. Trusted by teachers and parents and loved by kids, GoNoodle is one of the fastest-growing digital brands that inspires, measures and rewards elementary-age kids to move more while having fun. GoNoodle videos and games also are used to improve students’ focus and classroom engagement as well as teach healthy lifestyle habits. GoNoodle Plus videos and games incorporate kinesthetic and active learning principles by closely tying movement with core content, giving teachers the ability to channel kids’ energy for good while incorporating math, spelling and vocabulary. Palmetto Health’s partnership with GoNoodle began in 2013, and Midlands-area schools have continuously ranked in the top five for mid-sized city engagement.

To date, there have been nearly 15 million combined average minutes of physical activity annually, with 120 schools actively using GoNoodle. GoNoodle is being used in many Richland, Lexington, Sumter and Lee county schools. Children and teachers enjoy the games and characters featured in the activities.

Boys to Men and Real Talk (1998–2014) This is a Palmetto Healthy Start program that filled the need for teen male-focused programs. Young men received guidance on professional and personal development through community involvement. To help prevent repeated pregnancies, the Real Talk program worked with teen mothers and fathers through a culturally-appropriate curriculum that incorporated community service.

Fit Together (2001–present) Through Fit Together, educational sessions were offered at local schools and afterschool programs. This is a youth program that teaches kids to make healthy choices order to prevent Type 2 diabetes.

Project Breathe Easy (2001–present) Asthma is the leading chronic illness for children in South Carolina and the top reason for inpatient hospital admissions in Richland County. Family Connection of South Carolina created Project Breathe Easy for families struggling with asthma in Richland and Lexington counties’ public housing communities and low-income neighborhoods. Funded in part by Palmetto Health, Project Breathe Easy takes a “grassroots” approach to educating parents on the frontline of care. At the heart of the program are “community parents” whose children have asthma: they have learned to manage the condition, they have completed training, and they share their knowledge with other parents. Parents learn how to prevent serious asthma attacks and help their children take medication properly. They also meet for a monthly support group.

Since 2001, more than 740 parents have participated in Project Breathe Easy. Program results include fewer and shorter hospitalizations or emergency room visits because families are managing the asthma more effectively and going to a doctor for on-going care. School days missed by children in the program have declined 82 percent and workdays missed by caregivers are down 90 percent. Youth summer programs (1998–present) Throughout the summer, Healthy Palmetto provided education that focused on nutrition, physical activity and healthy choices to 840 youth. This was possible through partnerships with local non-profits and faith-based organizations whose missions emphasize education, family literacy, character development and wellness.

Students engage with health professionals WeCan (2006–2013) during summer and after school programs. The Ways to Enhance Children’s Activity and Nutrition program is designed to help children 8–13 years old stay at a healthy weight by improving food choices, increasing physical activity, and reducing screen time. This program focuses on parents and families in community settings. Families have a big impact on shaping the behavior of children. Palmetto Health is one of only a few providers approved by NIH in South Carolina to offer this program.

Diabetes Prevention Program (2015–present) This year-long program is an evidence-based program from the Centers for Disease Control and Prevention. Palmetto Health originally initiated this with the University of South Carolina Family and Preventive Medicine Department. In 2010, the program was partnered with Palmetto Health Cardiac Rehabilitation. Today, the program continues and helps participants make changes such as eating healthier, including physical activity in their lives and improving problem-solving and coping skills. Lifestyle coaches meet weekly with small groups for six months (core phase) and then monthly for six months (post-core phase). Sessions are available at convenient times, and routine measurements are done throughout the program.

In August 2017, Palmetto Health was selected one of two sites in the country to undergo a two-year rigorous evaluation by the CDC’s Division of Diabetes Translation. Palmetto Health’s selection was based on the successes in recruiting and impacting the health of African-Americans in the Midlands, along with a rigorous evaluation. Findings from the evaluation will be used to develop program implementation guidance, evaluation tools and other resources for DPP sites throughout the country.

Partnerships with local grocers provide an introduction and discussion about healthy and fresh produce. Healthy Palmetto participants learn more about healthy cooking and the value of fresh ingredients.

Healthy Palmetto (2008–present) This initiative stemmed from the Diabetes Prevention Program and provides a continuum of healthy lifestyle educational support for all ages. Originally called Healthy Richland, the program focused on obesity in Richland County. It has now expanded into education and physical activity programs throughout the Palmetto Health service areas and is called Healthy Palmetto. Initiatives such as walking challenges, weight loss and body fat decreases are examples of successful initiatives that have been implemented since the program’s conception.

Pre-diabetes and health education (1998–present) From 1998 until the present, various classes and support groups to help prevent Type 2 diabetes have been offered to the community. Classes were called “Type 2, We’re On To You” and “Pre-Diabetes, Now What” and provided a general overview of nutrition and physical activity. The USDA’s My Plate guide and the exercise pyramid were used to discuss recommendations for diet and physical activity. Goal-setting was also taught and encouraged. In addition, Lifestyle University was a six-week program, provided Walking clubs and fitness competitions have provided in the mid 2010’s and designed to help participants make and Healthy Palmetto program participants a chance to sustain lifestyle changes that will enable them to lower blood motivate each other and to hold each other accountable pressure, cholesterol and blood sugar. for fitness goals.

Palmetto Health partners with the Columbia Housing Authority to provide health resources, including the smoking cessation program.

Smoking Cessation (2001–present) Smoking Cessation Program Palmetto Health, in conjunction with Philip Michels, PhD, and Gary Ewing, MD, offers a I choose to say NO. Palmetto Health, in conjunction with Philip Michels, PhD, and comprehensive, adult smoking cessation program to residents of Richland, Lexington, Gary Ewing, MD, offers a comprehensive, adult smoking cessation program to residents of Richland, Lexington, Fairfield and Sumter Fairfield and Sumter counties. Recent results indicate 54.5 percent of smokers quit counties. Recent results indicate 74 percent of smokers quit smoking by the end of the three-week program and those who smoking by the end of the three-week program and those who continued to smoke continued to smoke significantly reduced the number of cigarettes consumed each day. significantly reduced the number of cigarettes consumed each day. The program includes: The program includes: • Free counseling and consultation • Free one-month supply of medication to those who qualify • Free counseling and physician consultation • Six sessions within three weeks • Free one-month supply of medication to those who qualify For more information or to register, call CareCall at 803-296-CARE (2273). • Six 90-minute group sessions within three weeks Whatever your reason, we can help. The initial meeting is a medical consultation with the program physician. Participants, if desired, receive a prescription for Wellbutrin®, Chantix®, Zyban® or the nicotine patch. During the initial session, participants can discuss personal motivations to quit smoking and throughout the program learn cognitive-behavioral skills to quit smoking.

Palmetto Health Scholars Program (2001–present) The Palmetto Health Scholars Program provides financial assistance to and professional development for African-American graduate students identified as potential leaders in healthcare management at the University of South Carolina Arnold School of Public Health (ASPH). While there is a desire among African Americans to pursue such careers, expense is the greatest obstacle. The Scholars Program removes that barrier. Created through a partnership between Palmetto Health and ASPH, the program fulfills part of the Certificate of Public Advantage’s requirements to increase minority involvement in the health administration field.

Each scholarship covers full tuition, a stipend, books and school fees and a graduate assistantship at Palmetto Health, which provides a dynamic work environment and mentoring from senior management. To date, Palmetto Health has funded 17 scholarships and internship opportunities. All graduates are entry- or mid-level administrators in health services organizations or are pursuing further education. The Scholars Program is a win for students, ASPH and Palmetto Health, as the program helps to develop future leaders for the health system who are more representative of the racially diverse community served. The program is the first of its kind in South Carolina and among the first in the United States. Real Men/Prostate Health Campaign (2000–2014) The Real Men Prostate Health Campaign, formerly known as Real Men Checkin’ It Out, was born out of a unique partnership with faith and civic communities to provide prostate cancer screenings and education, particularly for African-American men. The program was revised and is now a part of an array of free screenings and education offered by the Office of Community Health throughout the Midlands.

Men’s Health Day (2001–present) For the past 17 years, Palmetto Health has organized a men’s health program in June. Speakers, former participants and hospital experts are brought in to talk about the importance of early screenings and issues specific to keep men healthier. Screenings also are provided to help men understand their risks of certain chronic conditions.

Women at Heart (2008–present) Heart disease is the number one killer among diabetics and women. Since 2008, Palmetto Health has hosted the Women at Heart Forum and Exhibition, with an average of 1,000 women each year attending. Women receive important information regarding heart disease risk factors, heart attack symptoms that differ from men and heart-healthy cooking recipes. Women also learn about the effects of menopause on heart health, the heart health benefits of starting a weight loss program and cooking tips. Fitness and cooking demonstrations are provided along with free heart-health screenings, breast exams and, as needed, case management. Palmetto Health recently celebrated the tenth year of this annual event. From exercise programs, diabetes prevention plans, community partnerships and school initiatives, Palmetto Health is inspiring our community to live healthier and happier lives. Connections

I have been connected with the Office of Community Health since 2004. I started out as a Teen Talk student at Keenan High School. I gained a wealth of knowledge and life skills that followed me all the way into adulthood. I continued to stay connected with Office of Community Health by volunteering at various events including the Teen Health Summit, eventually joining the team as a Community Advocate. This gave me an opportunity to pursue my passion of helping students make healthier and thoughtful decisions, as well as reaching inside themselves to see the potential that each of them possess. I have had the pleasure of being a support system to our team through various roles and an advocate and voice of reason. My experiences in the community and Palmetto Health still motivate me to be the best version of myself. Christanny Bryant, program coordinator, Palmetto Health

Palmetto Health’s partnership provides an integral part in the advancement of the health and well- being of the students and staff of Richland School District One. Their knowledgeable, respected health professionals serve as key members of a School Wellness Council. The Council supports the assessment of the school health environment, the development of an action plan to improve the health of students and staff and help celebrate the school’s successful wellness efforts. Tony Boatwright, PhD, health and physical education coordinator, Richland School District One

Palmetto Health’s Vision spoke to me and I continue to use it even after relocating. Providing the care and compassion that I would want for myself and my family is a health care principle that connects to everything I do and everything I want to be as a health care administrator. Kimberly Butler Willis, former Palmetto Health community program manager, 2008–2014

Teen Talk has forever changed my life. Now an adult and working full-time at Palmetto Health, I can truly appreciate our discussions. The 3C’s to decision-making are still a huge part of my life and I’m forever grateful for the experience. Tera Jackson, A.C. Flora High School, TeenTalk participant, 2011–2014 We heal

As a safety net for the middle region of the state, our health system offers access to a wide variety of more than 600,000 health and education services. In the 2017 fiscal year, more than $221 million was provided as a community health benefit (charity care and community benefits and services). We are continuing our work to create and implement initiatives aimed at reducing health disparities.

Dental (2001–present) Our dental health initiative goes beyond the health systems’ walls and provides needed care for hundreds of area residents. This comes in the form of emergency dental care, family preventive care, HIV/AIDS oral health support and care for pregnant women at risk for periodontitis. Non-traditional partnerships with local hospital competitors in the community allow for broader reach and increased funding. Collaboration with long-term partners like the South Carolina Hospital Association, United Way, SC Department of Health and Environmental Control (SC DHEC) and local dentists create opportunities for patients to be seen and treated at no cost. This dental care support model takes patients out of emergency rooms and into facilities where they can be treated quickly.

Palmetto Health’s Dental Initiative overall goal was to reduce dental-related visits to the emergency department and to redirect patients to a dental home. An additional goal included providing access to dental care to the most vulnerable of populations, including low-income, uninsured, at-risk populations (pregnant women, HIV+/AIDS patients). Methods to achieve this were to partner with local dentists, area hospitals, medical facilities and city and local organizations to form a freestanding “medical home”, WellPartners. This provides an alternative to the Emergency Department for individuals in need of dental and vision care, along with access to primary medical needs.

WellPartners provides comprehensive dental services to adults and those children caught in the government assistance and insurance gap. Dental services include cleanings, X-rays, sealants, fluoride and fillings. The children’s dental clinic is operated using private volunteer dentists. The WellPartners Dental Clinic in Richland County also provides comprehensive dental services to uninsured and underinsured adults 36 hours per week. Services are provided to patients at no cost. Evidence supporting a strong association between periodontal disease and preterm and low birth-weight births prompted a third program through the WellPartners Dental Clinic. This common gum disease and severe gingivitis are factors in premature and low-weight births. Women participating in Palmetto Healthy Start’s prenatal program are referred to the dental clinic, screened for periodontal disease and treated at no cost.

Vision (2001–present) Palmetto Health has provided an eye care clinic and screenings for the medically underserved through partnerships with local optometrists such as Lonnie Randolph, OD and ophthalmologists. This model has evolved into the present WellPartners clinic, which is a collaboration of the United Way of the Midlands, Palmetto Health and South Carolina Optometric Physicians Association. WellPartners serves the state’s only eye care clinics for the uninsured. Residents of Richland, Lexington and Fairfield counties are provided a free comprehensive eye Vision care is not always covered by standard insurance. exam and glasses, as needed. Palmetto Health helps support many people unable to afford adequate eye care maintenance. Palmetto AccessHealth, formerly Richland Care (2001–present) Palmetto AccessHealth is a collaborative initiative designed to improve access to care and health outcomes for low-income (below 100 percent of the federal poverty level), uninsured residents. Since its inception in 2001, Palmetto AccessHealth has provided health care services to nearly 30,000 residents of Richland County and expanded to cover Lexington and Fairfield counties in May 2015. Sumter County residents also became eligible for program services in January 2016. Palmetto AccessHealth participants choose a medical home and have access to primary care, specialty care, hospital and pharmacy services, plus referral to mental health and substance abuse services. Specialty care services include opthalmology, gastroenterology, orthopedics, urology, cardiology, podiatry, ENT, neurology, endocrinology, nephrology, infectious disease, obstetrics, pulmonology and rheumatology.

Free health screenings (1998–present) Since the inception of the tithe, Palmetto Health has provided free health screenings to men and women who qualify based on age and risk factors. Care coordination is provided for anyone who receives an abnormal report. Although screenings in the early years were limited, there is now a more comprehensive set of screenings available to adults. Some screenings require qualifying risk factors. Screenings include cholesterol, mammograms, clinical breast exams and Pap smears, colonoscopies, diabetes, prostate, lung health, heart and hypertension.

From the very beginning, Palmetto Health has provided free health screenings to thousands of people in the community, regardless of their income and insurance status. When Kim Irwin first discovered the lump in her breast in June 2010, she waited to call her doctor. She had a gut feeling that it was cancer, but she didn’t know what she would do with the news since she didn’t have health insurance. She called her OB/Gyn and was sent to the Cancer Health Division at the Office of Community Services. The team there helped Kim navigate a diagnosis of breast cancer, which she received after a mammogram and biopsy. A double mastectomy and reconstructive surgery followed. Kim said that she couldn’t have received better care and “was treated like family” by her doctors and their staffs. Although her breast cancer was Stage 1, it was in a very aggressive state. She returned to work as a survivor months later. Kim’s initial gut feeling was correct and she is grateful that her story is now one of survival. Seeing is believing. Among other needed health assistance, CareReach helps connect many families to vision resources in Sumter and Lee counties.

CareReach (1996–present) Care Reach connects children to needed medical and dental care. The program began as Health Reach in 1996 and became CareReach in 2009. In partnership with Lee and Sumter County school districts, Palmetto Health Tuomey provides the following services: • Direct medical, vision, mental health and dental care • Case management • Transportation and funding, if needed • Parent/child health education • Assistance with Medicaid enrollment

Senior/geriatric care (1998–present) Palmetto Health provides funding to the Ambulatory Care Transition Team (ACTT) to cover the costs of a nurse for elderly patients of Columbia Housing Authority (CHA). CHA matches the health system’s funds to ensure supplemental materials and resources also are provided. The elderly, low-income residents of CHA high-rise apartments, who typically receive little to no care, benefit tremendously from the services and convenience of an on-site nurse and support team. They receive home visits, health screenings, blood pressure monitoring, chronic disease education, health histories, flu shots, prescription assistance and referrals.

Women’s Health in Full Bloom (2005–2014) Palmetto Health held an event aimed at elevating women’s health, called Women’s Health in Full Bloom. Speakers from Palmetto Health discussed topics such as cancer, women’s screenings, mammograms and healthy lifestyles. Cancer survivors shared their stories and provided motivation for other women to get screened early.

SC Mission (2010–2014) Modeled after a similar two-day event held in Greenville in 2010, SC Mission was a collaboration between SC Mission 2014 Palmetto Health, area hospitals, United Way of the Midlands, the SCHA and non-profit organizations that recognized the tremendous need in the community for accessibility to health care services. Palmetto AccessHealth

Mildred Bradley is a grateful patient. “A few years ago, I In addition to access to medical homes across Richland found myself in a tough place. I needed health care, eye care, County, Palmetto AccessHealth also provides discounted dental care and I had nothing. But I found out about Palmetto pharmaceutical services, and access to specialty care services. AccessHealth and I was able to get the medical attention I They also refer participants for dental and vision care. Since needed. I am just grateful that now I can help others find the 1998, thousands of participants have been helped with an care that they need,” says Mildred. average of $1 million annually in health care services.

Her advice is for people to not be afraid to ask for the care they need. Connections

Health care doesn’t reach everyone, especially vision care. As a result of Palmetto Health’s support, we’ve made significant progress. Next to life itself, nature’s greatest gift is sight. It helps us to experience our other senses more fully. It helps children to develop to their full potential. Lonnie Randolph, OD, optometrist Palmetto Health Community Outreach Advisory Task Force Committee

You have options and you’re not alone. There’s a whole community out there. There’s physicians, and there’s special centers outside of your family that are there for you for your support. Keyshara Bailey, 2016 womens clinic screening participant

I heard an advertisement on a local radio station in Columbia about getting screened for prostate cancer. I knew I had to get it done. With early detection of prostate cancer, you can beat the odds. Don’t forget that God will never put more on you than you can bear. Willie March, 2015 screening participant and Community Outreach Advisory Task Force Committee

Thank you to the people who make this clinic possible. I could not have afforded to see a dentist. I am so grateful that this wonderful clinic is available to those like me who have nowhere else to turn. Palmetto Health dental clinic patient

We must take into account all of the social determinants of health when working with our patients. In order to do that we must build collaborative relationships with community partners and meet our patients where they are. Tiffany Sullivan, former director, Diabetes Health Initiative, Office of Community Health, Palmetto Health, 1999-2015 We comfort

From successful outcomes to community events, Palmetto Health is more than a health care system. We are committed to keeping those we serve healthy.

MARYS (2000–present) The MARYS (Meeting and Reviving Your Spirit) support group continues to meet the second Tuesday of each month at the Celia Saxon Health Center. MARYS was created to meet the unique needs of African-American women diagnosed with cancer. The social work case manager facilitates the group and coordinates speakers/presenters to share information on various topics, including health, nutrition, spirituality and arts. Group members share stories and provide care and comfort to each another. MARYS continues to grow and welcome new members.

Chronic disease education and screening (1998–present) This initiative was designed to aid in detecting chronic health conditions at an early stage of development, while providing education and intervention programs to those at risk. The work of this team addresses the chronic health conditions of heart disease, hypertension, pre-diabetes, Type 2 diabetes, and breast, cervical, lung, prostate and colorectal cancers within the community. Partnerships with schools, faith-based and civic organizations provide comprehensive prevention and screening programs through clinics, health fairs and intervention services with a strong care coordination component. A focus on chronic disease prevention began in 2015 and includes programs and services designed to decrease the prevalence of many chronic illnesses.

Diabetes support program (2016–present) The Diabetes Prevention Program Support Group is designed to provide ongoing support and encouragement to graduates of DPP after their completion of the year-long program. The purpose of the support group is to maintain participants’ motivation to make healthier lifestyle choices related to nutrition, physical fitness and stress management in a supportive group atmosphere. Sessions are interactive and include group discussion, guest speakers and demonstrations to keep participants engaged and enthusiastic about preventing the onset of diabetes. The group began in March 2016. Palmetto Healthy Start (1998–present) Palmetto Healthy Start (PHS), formerly Richland Healthy Start, began providing prenatal care services to low-income pregnant women in four ZIP codes of Richland County in 1998, expanded to all of Richland and Fairfield counties in 2001, and to Lexington and Sumter counties in 2010. Palmetto Healthy Start (PHS) targets expectant mothers and infants in Lexington and Sumter counties and teen moms in Richland County. Palmetto Healthy Start’s goal is to reduce infant mortality, low-birth weights and racial disparities within perinatal health outcomes. PHS continues to provide services in Lexington and Sumter counties through federal grant funds and to at-risk teens in Richland County through funds received from Palmetto Health’s Office of Community Health.

PHS has organized dozens of events and holds regular support sessions, such as infant mortality awareness walks and bubble ceremonies, baby showers and fairs, family festivals, parent seminars, breastfeeding classes, baby bootcamps and other events focused on family support and education. A new spark on life

When you think about welding and engine mechanics, you may “I was young, single and pregnant,” said Timmons. “I was scared not always think about the possibility that there is a woman about the future. After the accident, I knew I had to get back on my behind the “mask” or protective face covering. If you were to go feet, not just for me, but for my son as well. The journey was tough. into the Central Carolina Technical College welding workshop, The Healthy Start team and the other participants provided me you may be surprised. With a brown ponytail sticking out, you the love and support needed to get through this.” can find Sumter resident Krysta Timmons, standing with sparks flying, holding a welding tool. In an industry that men typically Timmons gives advice for other women who may be struggling dominate, Timmons is getting a fresh start and working on to find their new start. “Resources are out there for you. earning a welding certificate. Whether it’s going back to school, finding a new career, searching for information or raising a family, just look for what’s But Timmons’ atypical journey actually began several years available. For me, Palmetto Healthy Start was there and will ago. She found out she was pregnant early in 2015 and, a few always be a part of my extended family.” months later, was hit by a car while crossing the street. While her injuries were not life threatening and her unborn baby was not injured, she spent months recovering from broken bones in her knee, ankle and foot. The majority of this young mom’s pregnancy was spent in a foot brace.

During her pregnancy, Timmons enrolled in the Palmetto Healthy Start program in Sumter and began to learn how to be a successful mom and raise a healthy child. In November 2015, she gave birth to a beautiful and healthy baby boy, Kristopher “Rocket” Timmons. Despite her injuries from the accident, she was an active member of the program and advocated the importance of healthy babies to other moms. She also assisted other participants with car seat safety.

Timmons says without the support of Palmetto Healthy Start, she doesn’t know if she would have the support, knowledge and motivation that she has today. Connections

The men in our lives and family and friends help. But they may not be the right people to support and lean on with all the questions we may have. This type of support group is what women need. I like to help other women, and I believe God has given me this gift. Selena Brunson-Brown, MARYS participant

Stephanie and David are the proud parents of their baby Joaquin. They were able to move into their new home days before the birth of their son. Joaquin is an absolute blessing to their family. Not only do they have access to the resources they need, but are empowered to be the best mother and father they can be. Stephanie Prince and David Patterson Palmetto Healthy Start participants

Jameika learned the ropes of juggling family and motherhood with the support of Palmetto Healthy Start. When she found out she was pregnant, Jameika says she was scared. She knew that whatever she decided, her life would never be the same. She was able to get resources from Palmetto Healthy Start and had a healthy pregnancy and baby. Her advice to others who may be in her situation is to reach out for help. Jameika Jacobs Palmetto Healthy Start participant

As a community, we are committed to helping people live full and healthy lives. Whether through faith or medical professionals, we should remember to be compassionate and caring to everyone we meet. Dr. Wendell Estep, Senior Pastor First Baptist Church, Columbia

When we take care of our health, we empower ourselves to help one another. We are proud to partner with Palmetto Health on a number of initiatives and be part of a very important mission. Dr. Charles Jackson, Senior Pastor Brookland Baptist Church, West Columbia

Palmetto Health often partners with faith-based organizations, such as First Baptist Church of Columbia and Brookland Baptist Church of West Columbia, for screenings, health initiatives and community support. We strive

Partnerships serve as the cornerstone for Palmetto Health’s community commitment. Without the collaboration and engagement from other organizations, including our competitors, Palmetto Health likely wouldn’t have the same impact. From providing screening events with faith-based and civic organizations to exercise classes with local recreation facilities, together we are making a difference our community. Palmetto Health has partnered with dozens of agencies as well, through financial, physical, administrative and community support.

South Carolina HIV/AIDS Council South Carolina HIV/AIDS Council (SCHAC) provides HIV testing in the community using a mobile unit and the rapid HIV/AIDS test. Palmetto Health funded SCHAC to provide free screening and treatment for adults in Richland, Lexington and Fairfield counties.

PASOs PASOs (which means “steps” in Spanish) is a statewide, community-based organization that helps the Latino community and service providers work together to build strong and healthy families. PASOs supports the Latino community by providing prevention services while offering parenting and early childhood development skills. The program trains Latino community health workers who support others with connections to community resources. PASOs partners with local health care providers to ensure they are effectively and efficiently serving Latino patients. Recently, PASOs partnered with the Palmetto Health Children’s Hospital Outpatient Center to provide Reach Out and Read, a program promoting breastfeeding, child oral health, family planning, positive parenting and early childhood development.

Good Samaritan Clinic Palmetto Health partners with the Good Samaritan Clinic to help increase access to health care, case management and health education services, primarily for the Latino community. The clinic has two site locations that are each open one afternoon every week. Columbia Housing Authority Palmetto Health provides funding to cover the costs of a nurse for elderly residents of Columbia Housing Authority (CHA). This program begin as a partnership with parish nurses and now is part of Palmetto Health’s Ambulatory Care Transition Team (ACTT). CHA matches the health system’s funds to ensure supplemental materials and resources also are provided. The elderly, low- income residents of CHA high-rise apartments, who typically receive little to no care, benefit tremendously from the services and convenience of an on-site nurse and support team. They receive home visits, health screenings, blood pressure monitoring, chronic disease education, health histories, flu shots, prescription assistance and referrals.

Mobi-Rec Palmetto Health provides funding and support to the Columbia Housing Authority for the first mobile recreation vehicle in Columbia, designed to increase opportunities for youth to participate in safe, structured play and recreation in areas where access is limited. The new vehicle, officially named “Mobi-Rec,” has recreation equipment that will travel to select neighborhoods. A similar vehicle is located in Greenville, SC. Adequate exercise is a critical part of living a healthy lifestyle. The project’s goal is to provide children in Columbia with the opportunity to exercise through play and recreation.

Welvista A partnership with Welvista provides a single point of access to uninsured patients for prescription medication. These medications, mailed to patient homes, are critical in controlling chronic diseases such as diabetes, cardiovascular diseases, asthma and mental health. If left untreated, patients often may require emergency treatment and hospitalization.

Sexual Trauma Services of the Midlands Sexual Trauma Services of the Midlands provides public awareness, community education and prevention programming to local schools, youth and adult organizations, educators, parents and professionals in Richland, Lexington and Newberry counties. The program’s goals include exploration of boundaries to help youth identify a sense of safety, teaching youth to express their needs assertively and providing a 24-hour hotline and hospital response to sexual violence survivors.

James R. Clark Memorial Sickle Cell Foundation For patients with a chronic illness like sickle cell disease, case management is essential for a healthy lifestyle. Palmetto Health helps fund the James R. Clark Memorial Sickle Cell Foundation to provide direct nurse case management to patients in Richland and Lexington counties and to better understand and address avoidable usage of emergency rooms and to measure the impact of case management services.

Other partnerships include: Allen University Free Medical Clinic SC Thrive American Cancer Society Health Teacher SC Campaign to Prevent Teen Pregnancy American Heart Association March of Dimes The Council on Aging American Medical Association Oliver Gospel mission The Kidney Foundation Benedict College Palmetto Poison Control The Salvation Army Columbia College Palmetto Project United Way of the Midlands Church and faith-based organizations SC Department of Health and University of South Carolina City and county officials, law enforcement Environmental Control Various community centers Eau Claire Cooperative SC Department of Education and various Women’s Cancer Coalition Family Connection of South Carolina school districts YWCA/YMCA Connections

Upon starting the PASOS program, Piedad was struggling with difficulties in her relationships with her husband and daughter. He preferred spending time with their family dog and their daughter only, not as a family together. This was always a point of discussion between Piedad and her husband. Piedad felt that her daughter didn’t listen to her, and this caused arguments between her and her husband in front of their daughter. After several weeks in the PPP Parenting Program, her husband told her she seemed different – more patient, more calm and in a better mood. Piedad told him she had been attending the Program for Positive Parenting that PASOs offered. Upon finishing the program, Piedad said she had an improved relationship with her daughter, who was doing better in school. She also felt that she and her husband were communicating better and sharing quality time together as a family.

The chance to spend meaningful time with a student at Carver Elementary is a blessing. I attended Carver Lyon Elementary and I believe he is “me.” I know that I would not be where I am today without the help and mentorship of others during that time. I also believe that students can be what they see. I can’t think of a better way to spend my lunch hour than listening to my lunch buddy tell me about his success and challenges. My prayer is that 20 years from now, he will go back and be a lunch buddy. Vince Ford, Chief Community Health Services Officer, Palmetto Health

Our underserved population is a group that so many forget about. We are all God’s people, and everyone deserves the right to health care. Not only do they deserve it, but it is the right thing to do. Regina Brown, manager, community relations, Palmetto Health

OUR IMPACT

Palmetto Health leadership provides a strong example in showing our community that we are a caring and supportive health system. Senior leaders are active participants in school systems, civic and faith organizations and volunteer regularly for charity organizations. These efforts have been ongoing for more than 20 years at Palmetto Health. We engage our community about their overall health and provide them opportunities to tell us how to improve our services to them. In 2014, Palmetto Health was named the Foster G. McGaw Prize winner. The prize is awarded to one health care system that exemplifies excellence in community health services. Palmetto Health was a finalist for the award in 2010 and 2011.

We are honored that the American Hospital Association recognized our hard work as we continue to strive to improve the physical, emotional and spiritual health of all individuals and communities we serve.

In addition to national recognition, Palmetto Health received a $100,000 prize that will be used to continue supporting community health services and programs. Awards and Recognition

2017 • Winner of the American Hospital Association NOVA Award for dental health • Recipient of the Disparities Leadership Program Award from the Disparities Solutions Center at Massachusetts General Hospital for work with African-American patients diagnosed with COPD 2014 • Winner of the American Hospital Association Foster G. McGaw National Prize, recognizing excellence in community service 2010 and 2011 • Finalist for the American Hospital Association’s Foster G. McGaw Award 2008 • Palmetto Healthy Start finalist for the American Hospital Association’s NOVA Award 2007 • Palmetto Health’s Richland Care Program recipient of the American Hospital Association’s NOVA Award • Palmetto Health’s Cancer Initiative receives S.C. Healthy Challenge Award for its Trumpeter Program 2006 • Palmetto Health’s Cancer Initiative receives the S.C. Healthy Challenge Award for its smoking cessation program • Palmetto Health’s Vision and Dental Initiatives finalists for the Premier Cares Award 2005 • Palmetto Health’s Vision Initiative receives American Hospital Association’s NOVA Award 2004 • Recipient of the South Carolina Hospital Association’s Community Service Award • Project Breathe Easy was one of five Premier Cares Award finalists

Palmetto Health Leader of the Year: MaLinda McCray Palmetto Health’s Leadership Institute recognizes one leader annually for their outstanding leadership in living Palmetto Health’s Vision. In 2015, MaLinda McCray, a manager in the Office of Community Health, received this prestigious award for her impact in the community and as a leader for her team.

The award criteria includes a leader who: • Implements new ideas and solutions without prompting • Models the • Makes difficult decisions and takes risks Palmetto • Shows genuine concern about the development of Health values others’ careers and Behavior • Holds staff accountable for service excellence Expectations • Gives and receives feedback willingly • Supports • Exemplifies the Palmetto Health Experience equal and fair • Aligns key actions with mission, Vision, strategy and goals treatment and opportunity for all • Practices strong work ethic and personal accountability • Actively practices diversity management by sponsoring an • Is respectful and honest in all situations inclusive environment that accesses 100 percent of the talent • Values work of others from 100 percent of his/her team members 100 percent of • Instills pride in others the time Community Health Needs Assessment The 2016 Community Health Needs Assessment (CHNA) was conducted to identify primary health issues among Richland, Lexington and Sumter counties. Understanding the current health status of South Carolinians provides valuable information to Palmetto Health and other community organizations that are seeking to positively improve health outcomes of area residents. The Palmetto Health Board of Directors and the Palmetto Health Tuomey Board accepted the results of the 2016 CHNA findings and an action and implementation plan were posted to the Palmetto Health website. The 2016 Community Health Needs Assessment results indicated three distinctive health issues and priority areas for intervention within Richland, Lexington and Sumter counties: access to care, overweight/obesity and hypertension.

Access to care Overweight/ Hypertension Obesity

Palmetto Health is committed to partnering with health care and community leaders to prioritize and select critical areas for intervention and action planning. The report is conducted every three years, with the first completed in 2013. Plans are underway for the 2019 CHNA Report. A copy of the CHNA report can be found at PalmettoHealth.org/CHNA .

Palmetto Health Office of Community Health team members, December 2016 Board of Directors and Community Health Committee, 1999–2018 Alphabetical order; *Denotes deceased; Paranthesis marks years served

Lynette Allston (Chair 2005–2007; 2001–2004) Kester Freeman (1999–2006) Lester Bates (2005)* William Freeman (2003, 2005–2006, 2011–2013) Charles Beaman (1999–2017) Troy Gamble (2004–2005) James Bennett (2010–2012, 2018) Charles T. Gatch (2006–2007)* James Best (Chair 2018; 2016, 2017) William Gerard, MD (2012–2017) John Brabham (2016–2018) James Herlong, MD (2006, 2009) Lester Branham (1999–2002, 2007, 2015–2016) Jean Hopkins, RN (1999–2000) Beverly Chrisman (Chair 1999–2002; 2000, 2003, 2004, 2006, Milton Kimpson, Sr. (1999–2000) 2013–2015, 2017–2018) Jermoe Odom, PhD (2010-2011, 2017) Robert Bunch, MD (2001–2004) James Reynolds, MD (2005)* William Cogdill (1999-2005, 2007, 2009–2010) Ronald Scott (2018) Traci Cooper, EdD (Chair 2010–2013; 2008-2009) John Stewart, MD (2006–2007, 2009–2011) U.X. Cullum, Jr., MD (1999) James Suddeth (Chair 2003–2004; 1999–2002) Charles Dickerson (2005)* James Vasarhelyi (Chair 2000; 2001–2002)* Otha Dillihay (2001, 2002–2003) Charles Waddell (2017–2018) Alexander Donald, MD (2000, 2003)* Candy Waites (Chair 2014–2015; 2010–2012) Robert Dye (2008) Ann Washington (2007–2008) Calvin Elam (2006-2008) Rick Wheeler (2009, 2012–2016) Paul Fant (Chair 2016–2017; 2014–2015, 2018) Lynn Williams (Chair 2008–2009; 2004) John Foster (2012–2013, 2017)

Community Outreach Advisory Task Force members,1999–2018 Not all members have served for the entire 20 years | * Denotes task force member since inception (1999)

Johnathan Bell Rev. Jamey Graham James Morris Deborah Billings, PhD J. Marie Green Barbara Rackes Heather Brandt, PhD Randy Heath Dr. Lonnie Randolph* Edith Canzater* Rhett Jacobs Mattie Anderson-Roberson Beverly Chrisman Sandra Jones Carol Sloop* Ana Cossio Elizabeth McCullough Benjamin Small Kathy Creech Willie March Greg Taste Timothy Evans Rhonda Marshall Carol Wofford Harriotte Faucette Fred Miller Tommy Gatch H.W. Moore

Palmetto Health Foundation Palmetto Health Foundation, a 501(c)(3) non-profit organization, engages community partners to enhance health care for patients and families served by Palmetto Health. Gifts to the Foundation allow Palmetto Health to continue to offer an ever increasing array of services targeted to meet specific community needs. Private support is essential to maintain a level of excellence with new programs, services and equipment. Find out more at PalmettoHealthFoundation.org or call 803-434-7275.

OUR FUTURE

Palmetto Health is the largest and most comprehensive integrated health care system in the South Carolina Midlands region. Nearly 15,000 team members, physicians and volunteers are dedicated to working together to fulfill Palmetto

Health’s Vision: To be remembered by each patient as providing the care and compassion we want for our families and ourselves.

Looking ahead 2018p

Palmetto Health has grown in size, services, geography and people. In 2018, the opportunities that are presented to our system will impact thousands of communities in South Carolina. Palmetto Health is the largest and most comprehensive integrated health care system in the South Carolina Midlands region. Whether we’re providing emergency care, welcoming a baby into the world or mending a heart, our team is dedicated to working together to fulfill our Vision: To be remembered by each patient as providing the care and compassion we want for our families and ourselves.

When you’re here, it is our goal for you to remember how a simple touch eased your pain or how a nurse’s warm smile put your family at ease. Every time you visit Palmetto Health – in the hospital, at a physician’s office or for screening or diagnostic services – you’ll receive care to be remembered.

Our team members, physicians and volunteers are here to care for you throughout our system, which includes: Palmetto Health Baptist Palmetto Health Richland (374 beds) (641 beds) Palmetto Health Baptist Parkridge Palmetto Health Tuomey (76 beds) (301 beds) Palmetto Health Children’s Hospital Baptist Easley Hospital (97 beds at Palmetto Health Richland) (109 beds, joint venture with Greenville Hospital System) Palmetto Health Heart Hospital (124 beds at Palmetto Health Richland) Our locally owned, not-for-profit system includes six Joint Commission-accredited acute-care hospitals with 1,392 patient beds. In June 2017, we announced our intention to combine with Greenville Health System to create a new, not-for-profit health company. The new company is designed to improve the health and well-being of the communities we serve. In November 2017, we finalized our partnership with Greenville Health System and began operating as one health company under the leadership of co-CEOs Charles D. Beaman Jr., and Michael C. Riordan, who previously led Palmetto Health and Greenville Health System, respectively.

Palmetto Health is supported by a network of physicians and advanced practice providers in the Palmetto Health–USC Medical Group and the Palmetto Health Quality Collaborative, as well as two 501(c)(3) foundations. Palmetto Health trains the next generation of physicians through its 26 residency and fellowship programs affiliated with the University of South Carolina School of Medicine.

As we look ahead, it is important to grow from the success and improvements from the past.

Telehealth in schools and the community School-based telehealth A telehealth pilot program in the Lower Richland community launched as a partnership between Palmetto Health and Richland School District One. A grant from the U.S. Department of Agriculture (USDA) and support of the SC Telehealth Alliance has helped provide educational and clinical services to students and families in the community.

Youth education As a result of findings in the CHNA, Palmetto Health adopted an evidence-based curriculum entitled “Eat Well and Keep Moving” to address childhood obesity. The educational program is a 16-week obesity prevention/reduction program operated in the after- school programs of elementary schools in the Lower Richland community.

Clinical program A school-based clinical program was added in 2017 to allow students to receive primary care services in the school health room setting. Students participating in the program have face-to-face visits with a doctor or nurse practitioner using video conferencing equipment. This does not replace existing primary health care and is provided to address non-emergent health care needs. Prescriptions may be sent to the pharmacy following a student visit.

The program goals include: • Getting students better, quicker • Reducing missed work days by parents • Reducing missed time from school • Eliminating transportation barriers

Community-based telehealth/adult education Palmetto Health offers chronic disease self-management and diabetes prevention classes to qualified adults (based on age and risk) who live in Lower Richland communities. Free classes will be provided through state-of-the-art telehealth equipment at Lower Richland High School. Palmetto Health team members deliver education through computer equipment, incorporating interactive discussions and live conversations. Topics range from nutrition, physical activity, self-motivation and goal setting. A health screening and assessment is required to determine eligibility. Community Connections Being healthy is about more than just physical health. It also is about understanding the social determinants that keep families healthy. Access to healthy foods, safe places to live and employment opportunities are important to keep families well. Palmetto Health, the United Way of the Midlands and Hyatt Park Elementary School have partnered for the Community Connections project, to connect families to resources in their community.

Improving our community’s health is critical to our overall well-being. We want our community to know we are here to support them and provide resources that will allow them to become successful and healthy individuals. Stacey McPhail, system director, Office of Community Health

After school education is provided to students at several Lower Richland schools through special telehealth equipment. Free Community Flu Shots Influenza is a contagious respiratory illness caused by a virus and spread by droplets when people sneeze, cough or talk. According to SC Department of Health and Environmental Control (SC DHEC), in 2016-17, more than 2,000 hospitalizations and 94 deaths occurred as a result of flu complications. In the United States, 104 pediatric deaths were reported to the Centers for Disease Control. In 2017, Palmetto Health emergency department data showed an increased number of African-American children with flu-related symptoms. The Palmetto Health Richland Board requested a targeted campaign involving the faith-based community to help increase the number of flu vaccines Rev. Jamey Graham, St. Johns Baptist Church, for African-American children. This flu shot initiative leads by example in receiving his free flu shot. was launched in October 2017, designed to provide free flu shots to the community, with clinics held at local churches. As a result, Palmetto Health provided 579 vaccinations to children and adults in the Midlands.

Diabetes Prevention Program – CDC evaluation In August 2017, Palmetto Health was selected one of two sites in the country to undergo a two-year rigorous evaluation by the CDC’s Division of Diabetes Translation. Palmetto Health’s selection was based on the successes in recruiting and impacting the health of African-Americans in the Midlands. Findings from the evaluation will be used to develop program implementation guidance, evaluation tools and other resources for DPP sites throughout the country.

Diversity and Inclusion Palmetto Health works to strengthen and sustain a culture of inclusion where team members, patients, families and the communities served feel visible, valued and respected. Under the direction of Cynthia Walters, EdD, Palmetto Health continues to create an inclusive culture where similarities are embraced and differences valued. We strive to ensure all team members have the opportunity to develop skills and talents consistent with our mission, vision and values. Palmetto Health continuously engages with team members, patients and the community to identify opportunities for improving inclusion, cultural competence and health equity. TWENTY YEARS OF OUR TITHE

Palmetto Health’s promise is very much alive today, but

the journey ahead will not be easy. Health care access

and health disparities persist in our community. We will

work hard to continuously evaluate and improve our

programs. We will continue to gain trust and fill the gaps

in service so that people will experience improvement

in their quality of life and health status. Uninsured and

underserved community members will get the support

they need to navigate and use our health care system

for preventive care and treatment. We will reach people

who need help the most. This is our promise.

Thank you to our community, our hospital leadership and our valued team members for allowing us to help be part of your health journey. We are grateful for the many team members and partners who have walked the journey with us. © Palmetto Health Marketing Communications | OCH-14009 | 3-18