2019 Community Benefit Plan and Implementation Strategy in Support of Pomona Valley Hospital Medical Center‘s 2018 Community Health Needs Assessment Prepared by: Leigh C. Cornell, FACHE Courtney Greaux, MHA Prepared in Compliance with California’s Community Benefit Law and Section 501(r)(3) of the Internal Revenue Code Report for fiscal year 2018 pvhmc.org 1798 North Garey Avenue, Pomona, CA 91767 TABLE OF CONTENTS PREFACE ........................................................................................................................ 4 APPROVAL FROM A GOVERNING BODY .................................................................................... 4 EXECUTIVE SUMMARY ........................................................................................................ 5 ABOUT POMONA VALLEY HOSPITAL MEDICAL CENTER ................................................................. 6 OUR MISSION .................................................................................................................. 6 OUR VISION .................................................................................................................... 6 OUR VALUES ................................................................................................................... 6 OUR LOCATION ............................................................................................................... 7 OUR ORGANIZATIONAL STRUCTURE ...................................................................................... 7 UNIQUE POMONA VALLEY HOSPITAL MEDICAL CENTER ASSETS ...................................................... 8 SERVICES .................................................................................................................... 8 AWARDS AND DESIGNATIONS ............................................................................................ 8 FACTS AND FIGURES ........................................................................................................... 9 PVHMC ADMISSION STATISTICS ............................................................................................ 9 OUR COMMUNITY .......................................................................................................... 10 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ................................................................... 12 INTRODUCTION .......................................................................................................... 12 PRIMARY DATA COLLECTION (TELEPHONE SURVEY) ..................................................... 13 SECONDARY DATA .......................................................................................................... 33 SUMMARY OF PUBLIC HEALTH EXECUTIVE INTERVIEWS ............................................................... 47 FOCUS GROUPS .............................................................................................................. 49 SUMMARY OF 2018 NEEDS ASSESSMENT FINDINGS ..................................................................... 55 PRIORITIZED HEALTH NEEDS .............................................................................................. 57 PRIORITIZATION PROCESS ........................................................................................... 58 IMPLEMENTATION STRATEGY .............................................................................................. 58 EVALUATION OF THE IMPACT OF ACTIONS TAKEN TO ADDRESS NEEDS - 2018.................................... 60 COMMUNITY PARTNERS .................................................................................................... 64 FY 2018 FOCUS STUDY AND PROGRESS REPORT .................................................................... 66 TRAUMA SERVICES .......................................................................................................... 66 STROKE CARE ................................................................................................................ 69 2018 STROKE PROGRAM PROGRESS REPORT ........................................................................ 70 DIABETES CARE 2015- 2018 ............................................................................................... 74 2018 DIABETES PROGRESS UPDATE ................................................................................... 82 COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS ............................................................... 86 EMERGENCY SERVICES ...................................................................................................... 87 WOMEN‘S AND CHILDREN‘S SERVICES ................................................................................... 89 MBULATORY ERVICES A S .................................................................................................... 94 2019 Community Benefit Plan and Implementation Strategy 2 THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CARE CENTER ................................................. 94 POMONA VALLEY HEALTH CENTERS ..................................................................................... 96 POMONA VALLEY HEALTH CENTER-CHINO HILLS (PVHC-CH) AND CROSSROADS (PVHC-CR) .............. 96 POMONA VALLEY HEALTH CENTER-CLAREMONT ..................................................................... 96 POMONA VALLEY HEALTH CENTER-LA VERNE ......................................................................... 97 SLEEP DISORDERS CENTER ................................................................................................. 97 STEAD HEART AND VASCULAR CENTER .................................................................................. 97 ANCILLARY SERVICES ...................................................................................................... 100 ADMINISTRATION AND HUMAN RESOURCES ........................................................................... 100 CASE MANAGEMENT, SOCIAL SERVICES, AND CHAPLAIN SERVICES ................................................. 101 EDUCATION DEPARTMENT ............................................................................................... 102 FOOD AND NUTRITION SERVICES ........................................................................................ 102 MARKETING AND PUBLIC RELATIONS ................................................................................... 103 MEDICAL STAFF OFFICE AND FAMILY MEDICINE RESIDENCY PROGRAM ........................................... 104 FAMILY-MEDICINE RESIDENCY PROGRAM .............................................................................. 104 PATIENT RELATIONS AND RISK MANAGEMENT ........................................................................ 108 PHARMACY .................................................................................................................. 108 PHYSICAL THERAPY AND REHABILITATION SERVICES ................................................................. 108 REHABILITATION SERVICES ................................................................................................ 108 LABORATORY ............................................................................................................... 110 RADIOLOGY ................................................................................................................. 111 RESPIRATORY SERVICES ................................................................................................... 111 VOLUNTEER SERVICES ..................................................................................................... 112 OUTREACH SERVICES ...................................................................................................... 114 PARKTREE COMMUNITY HEALTH CENTER (FORMERLY POMONA COMMUNITY HEALTH CENTER) .................... 114 SUMMARY OF KEY SERVICES .............................................................................................. 115 VALUATION OF COMMUNITY BENEFITS ................................................................................. 118 PLANS FOR PUBLIC REVIEW ............................................................................................... 119 APPENDICES ................................................................................................................. 120 ADDITIONAL RESOURCES ................................................................................................. 174 2019 Community Benefit Plan and Implementation Strategy 3 Preface California’s Community Benefit Law California‘s Community Benefit Law, referred to as Senate Bill 697 (SB 697) is found in the California Health and Safety Code, section 127340-127365. A detailed description of the law may be found in the appendix. The law began in response to increasing interest from the community on contributions not-for-profit hospitals gave to their communities. The California Association of Catholic Hospitals and the California Healthcare Association co-sponsored SB 697 which was signed into law September, 1994. Senate Bill 697 requires private not-for-profit hospitals in California to describe and document the full range of community benefits they provide to their communities. Hospitals are required to provide a written document describing the hospital‘s charitable activities to the community as a not-for-profit organization and submit this report annually. Every three years, hospitals conduct a community needs assessment and consequently develop a formal planning process addressing those issues. The goals and intent