2012 Community Benefit Annual Report
Transcription
2012 Community Benefit Annual Report
2012 Community Benefit Annual Report Mission Dear Friends of St. Mary Medical Center, St. Mary Medical Center is a community of caring people committed to extending and strengthening the healing ministry of Jesus. —M ember of Catholic Health East, Sponsored by Hope Ministries Vision Through God’s loving spirit, St. Mary Medical Center serves the needs of those who entrust their lives to us, cherishing the whole person — physically, emotionally, and spiritually — with special commitment for the poor and underserved. One of the most inspiring aspects of mission-driven Catholic healthcare is being able to embody the values that guide our daily care at St. Mary Medical Center. All of us at St. Mary are mindful of the healing ministry through which we strive to provide high-quality care to our patients, as well as our responsibility to improve the health of the communities we serve — with the highest, most compassionate regard for those living in need. This is especially true when considering the St. Mary value of Justice, which we define as serving and advocating for the marginalized, the vulnerable, and the poor. Our concept of Justice compels us to challenge the status quo not only by increasing access to care and services for all persons, especially for the segments of society who most need our healing ministries, but also by providing the resources and services people need to become financially independent and self-sufficient. Through our comprehensive community benefit program, we dedicated more than $16.3 million in 2012 for health-promotion and disease-prevention education programs and to address the unmet needs of our community. We also continued to strengthen relationships with numerous social service agencies to help us effect change in the delivery of traditional healthcare by providing programs that meet the needs of even the most vulnerable. In our 2012 annual report, you will read about the highlights of the different ways our community benefit resources are making a difference in the health of residents throughout Bucks County and addressing the greatest public health needs; for example: n T he comprehensive care provided at our St. Mary Community Ministries (Bensalem) for low-income families and individuals n T he CATCH program, which provides nutritional education and activities that help in the fight against childhood obesity n R oad to Healthier Living, a self-care program for people diagnosed with a chronic disease (e.g. diabetes) SUPPORT n H ealth education programs and screenings that are offered throughout the year at no cost to participants n P ersonal stories of success from individuals who’ve benefited from our services and programs As a leading regional healthcare provider and an internationally designated healthpromoting hospital, St. Mary Medical Center understands the significance of advocating for justice. We remain steadfast in our commitment to improve health for everyone we serve and to respond to underserved areas and vulnerable families and individuals. It is not just our responsibility to advocate for justice on their behalf but also our privilege to be able to do so. Sincerely, ENCOURAGE 2 Gregory T. Wozniak President and Chief Executive Officer Financial Assistance Uninsured patients and those with limited incomes who cannot afford to pay for all or part of the care they received at St. Mary Medical Center are welcome to consult with a St. Mary financial counselor to learn more about financial assistance. Our counselors are able to discuss potential options for financial assistance and can assist individuals in applying for Medical Assistance and the Children’s Health Insurance Program (CHIP). If circumstances warrant, applicants who do not qualify for Medical Assistance or CHIP may find that the St. Mary Financial Assistance Program is an option. To qualify for no-cost medical care through the St. Mary Financial Assistance Program, family income must be at or below 250 percent of the federal poverty level. Family income must be below 400 percent of the federal poverty level to qualify for partial assistance. Financial counselors are available at St. Mary Medical Center in Langhorne and St. Mary Community Ministries in Bensalem. For more information, please call 215.710.6546. 2013 Federal Family Poverty Guideline Size (FPG) 250% 300% 350% 400% 1 $11,490 $28,725$34,470 $40,215$45,960 2 $15,510 $38,775$46,560 $54,285$62,040 3 $19,530 $48,825$58,590 $68,355$78,120 4 $23,550 $58,875$70,650 $82,425$94,200 5 $27,570 $68,925 $82,710 $96,492$110,280 6 $31,590 $78,975 $94,770 $110,565$126,360 7 $35,610 $89,025$106,830 $124,635$142,440 8 $39,638 $99,095$118,914 $138,733$158,552 FAIRNESS UPHOLD Financial Assistance: Annual Income Guidelines Each additional person $4,020 St. Mary’s Investment in Community Benefit — 2012 Unpaid Cost of Medicaid $4,030,348 $4,554,277 Financial Assistance (Charity Care) TOTAL $16,373,642 $7,789,017 Community Programs and Services 3 Community Needs St. Mary Service Area n Access to care for the uninsured and underinsured n Homelessness n Adult and childhood obesity n Diabetes n Mothers who received late or no prenatal care n Breast cancer and cervical cancer screenings Health Promotion and Disease Prevention As a designated member of the World Health Organization’s International Health Promoting Hospitals (HPH) Network, St. Mary Medical Center demonstrates an ongoing commitment to providing health-promotion and disease-prevention programs for area residents. Responding to the health needs of individuals and families in our community — especially to the most vulnerable among us — is central to our mission as a mission-driven Catholic healthcare organization. As such, our focus is to better understand and identify critical areas of unmet need and to address those needs through strategic and targeted programming, educational outreach, and healthcare and other services. St. Mary assesses community health needs and updates its community benefit plan every three years. During our most recent countywide assessment in 2012, we built upon the information collected during previous years. In addition to examining public health issues, our assessments consider social determinants of health — for example, employment status, education, cultural and language barriers, and housing stability. Through our analysis of public and private health data, household telephone surveys, and community focus groups, we gain insights into the evolving needs of the diverse populations served by St. Mary Medical Center. We continually monitor the impact of our comprehensive community benefit plan and adjust that plan as needed. We do this to ensure our resources are aligned appropriately to bridge gaps in services for the underserved, as well as for the broader community. Community Need Score St. Mary Medical Center utilized the Community Need Score for use in this report to align our resources with the areas of highest need. It is calculated by comparing and ranking multiple socioeconomic measures for a ZIP Code with those of all other ZIP Codes. The CNS is a single number from one to five that ranks community health need from lowest need (one) to highest need (five) for every populated ZIP Code in the United States. Because the CNS represents multiple measures, it serves as an effective statistic to consider as part of a community needs assessment. For this report, we evaluated the CNS for 18 Bucks County ZIP Codes, as illustrated in the table below. Communities Surrounding Poverty SingleNo High St. Mary Medical Center Poverty Female w/ SchoolLimited Location Zip Code Age 65+ ChildrenDiplomaMinorityEnglishUninsuredRenting Bristol 19007 51% 32%15%34%13%10%36% Bensalem 19020 41% 32%12%29%20% 6%38% Croydon 19021 43% 21%16%18%10% 6%27% Levittown 1905625% 14%9%19%9% 4%31% 19057 35% 25%10%19% 5% 5%23% Levittown Warminster 1897427% 26%9%13%11%4%22% Feasterville/Trevose 1905334% 16%9%12%14%5%19% Fairless Hills 1903044% 3%11%14%7% 7%27% Langhorne 1904723% 17%8%12%7% 3%23% Morrisville/Yardley 1906721% 18%6%18%12%3%20% Levittown 19054 32% 10%11%12% 6% 5%20% Levittown 19055 33% 11%12%15% 5% 5%16% Warrington 1897623% 2% 5%14%13%3%17% Newtown 1894023% 6% 2%11%12%2%9% Southampton 1896624% 18%5% 6%13%3%12% Richboro 1895411% 24%4% 6%11%1%4% New Hope 1893819% 1%5%9%8%4% 12% Washington Crossing 1897721% 0%2%8%5%2%8% Weighted Ave. 29% 18%8%16%12%4%22% 4 *Poverty rates for subgroups above are based on the population of that specific subgroup in each Zip Code. Findings n Seven ZIP Codes have CNS in the higher end of the range, which indicates greater areas of unmet need: Bristol 19007 (3.6), Bensalem 19020 (3.5), Croydon 19021 (3.4), Levittown 19056 (2.8), Levittown 19057 (2.7), Langhorne 19047 (2.6), and Levittown 19053 (2.5). n The ZIP Code with the highest level of community need is 19007, Bristol. Bristol has the highest percentage of families with children in poverty, older adults (65+) in poverty, and individuals without health insurance. In addition, Bristol ranks second among the provided ZIP Codes in renters, single females with children in poverty, and those with no high school diploma. n ZIP Codes 19020 and 19021, in Croydon and Bensalem, also have high community need scores. Poverty Rates n Poverty rates for seniors remain high at 51 percent of all seniors in Bristol, possibly due to the fact that there are several senior residential housing facilities in Bristol that are subsidized. Fairless Hills (44 percent), Croydon (43 percent), Levittown 19057 (35 percent), and Feasterville/Trevose (34 percent) were among the other communities with high poverty rates among senior adults. n In most target ZIP Codes, poverty rates for families with children are decreasing, with the exception of Bensalem (+2 percent) and Levittown 19057 (+2 percent). n There are dramatic shifts downward for poverty rates among single females with children in Fairless Hills (15 percent in 2009 to 3 percent in 2012), Levittown 19055 (21 percent in 2009 to 11 percent in 2012), and Warrington (25 percent in 2009 to 2 percent in 2012). n However, poverty rates for single females with children are trending significantly upward in other communities; for example, in Bensalem, rates increased from 21 percent in 2009 to 32 percent in 2012, despite the fact that the minority population in this town increased just 3 percent during that same period. HEALTH Community Needs Assessment: Snapshot of Bucks County PROMOTE Education n In Bristol, only 15 percent of residents did not graduate from high school in 2012 vs. 25 percent in 2009. (Note: The new uniform rate calculation is not comparable to previously reported rates. This is a snapshot only). Cultural Influences n In n the St. Mary service area overall, the minority population increased 2 percent between 2009 and 2012. Among specific towns, the greatest increases were noted in Levittown 19055 (9 percent in 2009 to 15 percent in 2012), followed by Warrington (9 percent in 2009 to 14 percent in 2012). The largest increase in residents who speak limited English was observed in Warrington (7 percent in 2009 to 13 percent in 2012). Employment 2009 and 2012, unemployment rates increased in every town within the St. Mary service area. The greatest increases were seen in Croydon (4 percent in 2009 to 10 percent in 2012). St. Mary Service Area Key Health Findings 2012 percent of adults are overweight or obese n 6 0.6 n Between Housing n Families who are renting has dropped from 23 percent to 22 percent in the period between 2009 and 2012. percent of children are overweight or obese n 3 1.5 percent of residents have high blood pressure n 2 8.4 percent of residents have diabetes n 1 0.9 n 19.1 percent of residents smoke 5 2012 Healthy Communities Achievement Award INTEGRITY St. Mary Medical Center was a proud recipient of a Healthy Communities Achievement Award from the Healthy Communities Institute (HCI). The award recognizes St. Mary’s successful use of HCI’s Promising Practices database, through which we identified an evidence-based approach — Stanford University’s Chronic Disease Self-Management Program — to improving the health status of people living with a chronic disease. St. Mary licensed the Stanford program and offers the six-week workshop as Road to Healthier Living, a peer-to-peer health education program that helps participants navigate the challenges of daily life with a chronic illness. Road to Healthier Living Chronic diseases are taking a costly toll in the Bucks County region — not just in terms of economic burdens on the healthcare system, but also in terms of the impact on the thousands of individuals who face every day of their lives with a diagnosis of diabetes, cardiovascular disease, arthritis, and other lifelong health conditions. Our countywide assessment has identified an ongoing need for targeted outreach to these populations to help improve their overall health. To address this priority, St. Mary’s community benefit program includes a variety of health-promotion resources that enable people to increase control over their health and engage in healthier lifestyles. One of our successful health-promotion initiatives in 2012 was Road to Healthier Living, a chronic disease self-management program that St. Mary Medical Center licensed from Stanford University in 2011. Road to Healthier Living uses an evidence-based curriculum designed by patients, physicians, nurses, dietitians, and other allied health professionals to help people better manage their chronic health conditions. Workshops are facilitated by two trained lay leaders, one or both of whom are non-health professionals with their own chronic disease diagnosis. Between September 2011 (the launch of the program) and December 2012, we held 16 workshops attended by 157 Bucks County residents. Workshops were held at senior centers, senior housing facilities, churches, and 55+ residential communities in Levittown, Langhorne, Yardley, Newtown, Bensalem, Bristol, and Fairless Hills. During the first year, participants reported that 9.9 out of 10 would use what they learned from the workshops and 9.2 would make an action plan and manage their health problems. PORTRAIT OF SUCCESS Anne and Jeff Tihansky When Anne Tihansky learned about St. Mary Medical Center’s Road to Healthier Living program from a neighbor, she wondered if she could be trained as a workshop leader. Anne has been the primary caregiver for her husband, Jeff, who was diagnosed with multiple sclerosis years ago. She believed she could bring a lot of wisdom to the program based on all she had learned from assisting Jeff. So did St. Mary. To date, Anne has led three seminars and fills in for other leaders when she’s needed. She likes it so much that she recently attended the training session to lead a new series of workshops focused exclusively on diabetes self-management. “Road to Healthier Living really does benefit those who come to the workshops — not just those who have a chronic disease, but also people who take care of those who do,” Anne says. “Being a caregiver can make you feel very secluded sometimes. People in the program not only learn about how to manage their care and how to communicate with their physicians, but also find that they received support and information from one another.” Anne was so impressed by the program she talked her husband into attending one of the workshops and told him she’d go with him — as a participant, not a leader. “The workshops teach participants how to take control of their health and improve their quality of life. As a caregiver, I found support and learned skills in how to cope, and so did Jeff,” she says. 6 Other Health-Promoting Programs In addition to providing targeted community education and outreach, as a health-promoting hospital, St. Mary Medical Center conducts a variety of special health-related events to raise awareness of highly prevalent diseases that affect area residents. Among the special events we held in 2012 were: nOur fourth annual Jog for Joints event, a professionally timed 5K run/walk and orthopedic patient reunion walk of up to one mile, attracted more than 400 people. Jog for Joints is held each spring to promote regular physical activity as part of a healthy lifestyle. n “ Take Action | Cut Stroke,” an educational event, was attended by more than 500 community members. The program featured panel discussions focusing on advances in stroke care and informative exhibits by St. Mary clinical areas that support stroke care. In addition, 150 attendees received free stroke screenings and discussions to identify personal risk factors and lifestyle changes that could help prevent a stroke. n A women’s health exposition, Caring for the Whole Woman, educated more than 500 community members about current issues in women’s healthcare. Among the featured topics were pelvic and bladder health, infertility and obesity, weight-loss surgery, osteoporosis, menopause, breast health, heart disease, and stroke. are the leading cause of trauma at St. Mary, and significant effort is made to reduce the number of falls for older adults in Bucks County. Eight Matter of Balance classes, led by volunteer coaches, were conducted in 2012, and more than 100 participants received training in the evidence-based Matter of Balance fall-prevention program. Our Culture of Inclusion In our community needs assessment, language and cultural issues were identified as major barriers to quality medical care and healthful living by disadvantaged Bucks County residents. These barriers are associated with less healthcare education, poorer caregiver–patient interactions, longer hospital stays, and unnecessary medical errors. For this reason, providing culturally competent care is a major goal of St. Mary’s culture of inclusion initiative. According to data from our Community Needs Score, the St. Mary service area contains a high percentage of minority residents; in particular: n 34 percent in Bristol, 13 percent with limited English n 29 percent in Bensalem, 20 percent with limited English n 19 percent in Levittown, with 10 percent limited in English St. Mary promotes a culture of inclusion in many ways. First and foremost, we advance the understanding of a greater cultural awareness among all St. Mary colleagues. We offer medical consent forms and patient education materials in Spanish, and we provide access to trained medical interpreters through a 24-hour, toll-free telephone translation service. Translation services for more than 100 languages are available on all inpatient units and all outpatient care departments at the Medical Center, as well as at the St. Mary Community Ministries in Bensalem, and our LIFE St. Mary center in Trevose. Last year St. Mary provided over 36,000 hours of interpretation services. Our goal in developing a culture of inclusion is to demonstrate a reverence for each person and to be recognized as welcoming, embracing, and gaining enrichment from individual differences and similarities. consideration n F alls WELL-BEING 7 St. Mary Breast Health Initiative: 2012 At a Glance Intake Calls 681 Clinical Breast Exam 563 Screening Mammogram 521 Programs for Adults and Senior Adults With one of the most comprehensive breast centers in the greater Philadelphia area, St. Mary Medical Center is a long-time advocate of screening and early detection/ treatment for breast cancer. The St. Mary Breast Health Initiative, in partnership with the St. Mary radiology team and our breast surgeons, is one successful example of our vision of Justice brought to life for uninsured and low-income women. We promote the healing and wellness of women in recovery from breast cancer — particularly those with limited financial means and no health insurance — through our Ultrasound 54 Way to Wellness Program. This program provides access to physical activity, nutrition Consult w/Surgeon 19 education, and other supportive resources for a healthy lifestyle. Most of the participants were identified through our Breast Health Initiative and through Biopsy 11 outreach to community organizations. The program received support from the Positive 3 Susan G. Komen Foundation. Outreach/Contacts 282 Three 10-week sessions were offered in 2012, followed by three 14-week maintenance sessions. To date, 22 women have completed the program. Through pre- and post-intervention surveys, participants have reported increases in healthy food consumption and decreases in body mass index, and all have developed physical activity plans for the future. Diagnostic Mammogram 69 In addition, women who completed this program indicated that they feel more equipped to manage their life, set long-term goals for better nutrition and exercise, and make healthy choices that will help reduce their risk for breast cancer recurrence. In April 2012, we held a Senior Health and Wellness Day, which was attended by more than 335 community members. The program included four educational seminars led by St. Mary specialists in cardiology, orthopedics, neurosciences, and physical medicine and rehabilitation, as well as a variety of “Ask the Experts” table exhibits. In addition, free balance and gait testing and screenings for osteoporosis, peripheral arterial disease, and stroke were offered. Without the support and gracious participation of the St. Mary radiologists and our breast surgeons, the Breast Health Initiative would not be possible, and women in need in our community — women who don’t have insurance — would not have the important screenings and mammograms that are vital in saving lives. Together we’re truly making a difference in the lives of those who need us most. 8 JUSTICE KEEP SAFE Participants also enjoyed presentations of Thera-Band® resistance training, tai chi, and osteoporosis-prevention techniques (i.e., our Strong Women program) by the St. Mary Wellness Center. Each attendee took home a free copy of Aging 101: Top Ten Medical Concerns, which addresses senior health and wellness topics such as dementia, heart disease, osteoporosis, diabetes, depression, pharmacology, and preventive medicine. St. Mary has a strong ongoing commitment to sustaining healthy changes that families achieve through these programs, and support to empower children with the tools to build a healthier future. In 2012, a total of 9,272 students and families participated in Families Living Well programs. Specific programs and participation data are detailed in the chart below: Families Living Well Programs 2012 KidShape 2.0® A fun-filled, eight-week program that helps children 92 children ages 6 to 12 and their families live a healthier lifestyle, 72 families 179 participants focusing on nutrition, physical activity, and group support. Kinder Connection A six-week program for children ages 3 to 5 and their parents or guardians, focusing on the building blocks of a healthy lifestyle at a young age. 20 participants 10 children 8 families Teen Cuisine A six-week program for ages 13 to 18, 11 children providing nutritional and fitness information, 11 families ADVANCE Through St. Mary’s popular Families Living Well programs, families are offered a variety of educational initiatives that build on small changes in everyday living. The programs provide strengthening social and emotional skills. Families have demonstrated improved food choices, especially in vegetable consumption; an increase in family physical activities on the weekends; and increased confidence in making healthier choices. UPHOLD 20 participants self-esteem, and social support. Now You’re Cookin’! A six-week class is for students ages 6 to 12 and their 63 children families or teens ages 13 to 18, through which participants 46 families learn to cook healthy recipes for meals and snacks. Chop-Chop Cooking Camp A one-week summer program for ages 6 to 12 who are interested in learning how to prepare healthy snacks and light, healthy meals for breakfast and lunch. CATCH (Coordinated Approach To Child Health) An evidence-based, coordinated after-school health program designed to promote physical activity and healthy food choices from preschool through eighth grade. Catchy Camp In the summer, St. Mary brings a nutrition lesson and healthy food tasting demonstration to various camps throughout the county. 92 participants 272 campers 54 teen campers 500 students in five school districts 900 students Outreach7,235 people 9 St. Mary Service Area Access and Barriers to Care n 7.6 percent of adults ages 18 to 64 do not have health insurance n 9.4 percent of adults do not have a regular source of care nMost children (97.6 percent) do have a regular source of care nOne in eight (12.6 percent) adults do not have prescription drug coverage nCultural and language differences were identified by community members as barriers to care; Latino families were specifically mentioned as encountering barriers St. Mary Community Ministries St. Mary Medical Center’s commitment to making our values come alive is most evident at the St. Mary Community Ministries in Bensalem. At the Mother Bachmann Maternity Center, the St. Mary Children’s Health Center, and the St. Mary Family Resource Center, we advocate and care for Bucks County families living at or near the poverty level, individuals without health insurance, and homeless mothers and their children. The amount of community benefit resources that St. Mary dedicates to our Community Ministries has increased significantly in recent years; in part, because we continuously seek out those in our community who are struggling to overcome barriers to care. We’ve also seen increasing numbers of immigrant families seeking assistance from St. Mary Community Ministries. For example, clients enrolled in English-language classes provided by our partners at the St. Mary Family Resource Center have emigrated from more than 45 countries and speak more than 32 different languages. St. Mary Community Ministries serves the community from four rented storefronts in the Bensalem Shopping Center — right in the heart of the region identified as most needing access to care and services by the Community Needs Score. The Mother Bachmann Maternity Center provides quality prenatal and delivery care by staff members who are sensitive to multicultural differences. Services include: nBreast-feeding n guidance Nutrition education to medical appointments when needed CHAMPION nTransportation LIFT UP 10 n Financial counseling n Translation services nConfidential postpartum depression screening and case management after childbirth In addition, to provide a continuum of care to new mothers and their children who are in crisis, St. Mary and our social services partners offer emergency housing in 26 local apartments. Families in the transitional housing program receive financial counseling, parenting-skills instruction, and other social services necessary to help them learn to live independently. In 2012, the Mother Bachmann Maternity Center assisted in 439 deliveries. Our financial counselors assisted 328 patients in in applying for St. Mary Financial Assistance. The St. Mary Children’s Health Center offers preventive and primary healthcare to children from birth through 18. Services include: nVaccinations nReferrals nHearing and vision screenings nGrowth and development assessments nBreast-feeding support and instruction nBehavioral counseling to WIC (Women, Infants and Children) program through the Department of Health nTransportation to medical appointments if needed Additionally, a St. Mary financial counselor assists individuals with applications for Medical Assistance, the Children’s Health Insurance Program (CHIP), and other types of financial assistance. At the St. Mary Family Resource Center, people who are most in need can access a wide range of services and programs, free of charge, that they need to become self-sufficient and financially stable, as well as physically and emotionally stronger and healthier. We believe that by empowering individuals to make lasting changes in their lives and to overcome adverse socioeconomic barriers, they can improve their overall health, well-being, and quality of life. The Children’s Health Center served 3,072 pediatric patients in 2012. St. Mary financial counselors assisted 380 patients in obtaining Medical Assistance, 64 for CHIP, 25 for the COLLABORATE obtaining Medical Assistance, and 155 were assisted Bucks County Dental Program, and aided 215 people in St. Mary Financial Assistance applications. Services include: nAfter-school nChildren’s activity programs Learning Center (kindergarten-preparation program) nCitizenship-preparation nEmergency classes, which enrolled 45 adult students in 2012 and transitional housing nEmployment training and job placement nEnglish-as-a-second-language (ESL) and literacy classes nFamily and individual counseling, including drug and alcohol counseling nFamily Wellness Center, which welcomed 192 new adult members in 2012 nFinancial nGED planning on a limited budget tutoring and preparation nHome-safety nLife-skills nNutrition programs training education classes, which were attended by 47 families in 2012 nParenting classes nTechnology Center, which provided basic computer skills training to 80 students in 2012, 60 of whom progressed to advanced classes PARTNER 11 PORTRAIT OF SUCCESS The Odeh Family When Michael and Gloria Odeh emigrated to Bucks County from Nigeria, they were struggling to make ends meet as they began their new lives in the United States. In addition, Gloria was pregnant with their first child, didn’t have an OB-GYN, and was having issues with her pregnancy. Michael brought her to St. Mary Medical Center’s Emergency Department, where she was treated and told about the Mother Bachmann Maternity Center. Relieved to know that there was a place that Gloria could receive prenatal and delivery care, they immediately called the center, and Gloria received an ultrasound to assure them that the baby was all right. “From the moment we came here, they were so good to us,” says Michael Sr. “They made us feel welcome and informed us about what to do every step of the way.” With the help of the colleagues at Mother Bachmann Maternity Center, Gloria delivered their son, Michael Jr., at St. Mary Medical Center. With an active baby beginning to toddle around, Gloria and Michael became concerned about his safety. They weren’t certain what they needed in their apartment to keep their son safe, and they didn’t know how they were going to afford to purchase all the products needed to do so. HERISH Michael Jr. is receiving primary care at the St. Mary Children’s Health Center. The financial counselor at St. Mary Community Ministries assisted them in obtaining insurance for themselves and their baby, and the Odehs are beginning to access the many programs that the St. Mary Community Ministries offer free of charge — including the Home Safety Program. The Odehs received instruction in home safety, free products to modify their home, a pack-and-play crib, and an appropriately sized car seat for Michael Jr. “We have a very deep gratitude to St. Mary Medical Center for all that they are doing for us,” says Michael Sr. “These gifts will keep our son safe now, and that’s what is most important to us.” JOY 12 12 When a need is identified in the community we strive to partner with other organizations and social service agencies to fill any gaps. St. Mary Community Ministries provides space to more than 14 different social services organizations, under one roof, to make care most accessible to those who need it. Some of our longer-term partnerships are with the following organizations that share our vision of justice for the underserved: Bucks County Children and Youth Social Services Agency, Bucks County Homeless Shelter, Bucks County Housing Group, Catholic Social Services, Penn State Cooperative Extension, Vita Education Services, and Welcoming the Stranger. For example, through a partnership between the Bucks County Children and Youth Social Services Agency, Bucks County Housing Group and St. Mary Medical Center, we continued our work in 2012 to address the growing problem of homelessness and housing instability in Bucks County. The Family Resource Center Supportive Housing Program was established to provide a safe place where disadvantaged families can develop a plan to secure permanent and sustainable housing. Clients are provided support with housing and case management while they pursue an educational or job-training program that will allow them to earn enough income to support their family. In 2012, 43 families, 49 adults, and 62 children received assistance through this program. St. Mary Community Ministries also provides dedicated space for the Bucks County Health Improvement Program (BCHIP) Lower Bucks Clinic, a nonprofit organization where residents receive free healthcare. The BCHIP Lower Bucks Clinic provides physical examinations, screenings, treatment for acute illnesses, and management of chronic conditions, as well as medications, to its patients. The clinic saw 1,186 patients through 8,328 free clinic visits during calendar year 2012. Programs to Protect Children and the Frail Elderly Child Home Safety Keeping children safe in their own homes is an important way that St. Mary partners with parents and guardians in caring for our most vulnerable and youngest community members. According to the Center for Disease Control, more than 9,000 children die each year due to unintentional accidents. More than 225,000 children are hospitalized annually, and nearly 9 million children are treated for their injuries in hospital emergency departments every year. These injuries often occur because parents don’t recognize common hazards in their home or because a family simply cannot afford to buy home-safety products. While parents in low-income families are trying to figure out how to feed, clothe, and keep a roof over their children’s heads, purchasing safety items for their home becomes a low priority. The Home Safety Program at the St. Mary Children’s Health Center is working hard to reverse this unfortunate trend. The program provides low-income families with simple but necessary home-safety products at no charge — from shorteners for window blind cords and multi-purpose latches, to tot locks for cabinets, electric outlet covers, power strips, bathroom-safety devices, and safety gates. In 2012, we also gave 150 pack-and-play cribs to parents whose children were cared for at the St. Mary Children’s Health Center, as well as to some of the social service agencies in our network that care for children living in poverty. Additionally, 100 child-safety seats were given to our Community Ministries patients. Safe Kids Coalition the St. Mary Trauma Program, 16 area schools have committed to mandate that all coaches and athletes participate in the Comprehensive Concussion Program offered by St. Mary. Additionally, all contact sports athletes are provided with a baseline neurocognitive test (ImPACT). Approximately 5,800 students were provided with comprehensive concussion education and testing throughout Bucks County in 2012. n St. Mary provided six AED units to youth sports organizations in 2012. This program includes the AED, as well as CPR training for up to 20 volunteers within the participating youth sport organization. n A total of 561 families participated in the Car Seat Check-Up Program at four locations throughout Bucks County, including two car seat check events held each month at St. Mary Medical Center. HONOR LIFE St. Mary LIFE St. Mary is a program offered by St. Mary Medical since 2010 to address a critical shortage of coordinated, quality eldercare services in Bucks County. As a Program of All-inclusive Care for the Elderly (PACE), LIFE St. Mary provides an innovative model of long-term care designed to allow frail and disabled older adults to live independently and safely at home with help from our specially qualified team of eldercare professionals. RESPECT n Through PORTRAIT OF SUCCESS Vera and Marie For Marie Brown, a nurse, having a specialized plan of care for her 85-year-oldmother was very important. In particular, Marie wanted her mother, Vera, to be cared for by skilled professionals who would address all her needs and health issues, such as mobility, degenerative joint disease, progressive dementia, and aphasia from a stroke years ago. The only obstacle: Marie wanted to keep her mother in the comfort of her home. This is where LIFE St. Mary comes in. LIFE is a Program of All-inclusive Care for the Elderly (PACE). This unique model of care helps people live safely at home with assistance from a team of compassionate healthcare experts. As a LIFE participant, Vera is picked up in a LIFE van and taken to the LIFE Center in Trevose three days a week. There, she receives meals, therapeutic recreation, routine physical therapy, and a full range of medical services. The LIFE team, which includes Vera’s doctor, nurse, social worker, physical therapist, occupational therapist, dietitian, recreation therapist, and home care nurse collaborate to ensure that the care provided is meeting her needs. “The nurses and doctors update me regularly to discuss what my mom’s needs are, and if what has been implemented is working,” Marie says. In addition, all of Vera’s medications come directly to the LIFE Center and are sent home with her. This saves her daughter the time of making trips or phone calls to the pharmacy, or coordinating doctor’s visits. LIFE even got Vera a new wheelchair. “If there is something we need, I ask LIFE, and if there is any possible way they can do it, they will,” Marie says. “I would recommend the program to anyone with an older parent they are concerned about.” 13 Many of the program’s medical and supportive-care services are delivered to participants at the LIFE Center in Trevose. Like St. Mary Community Ministries, the LIFE Center is conveniently located to serve Bucks County’s highest-need ZIP Codes (Bensalem, Bristol, and Croydon) as identified by their Community Need Scores. In 2012, LIFE St. Mary had more than 160 members, who received a variety of services, including primary medical care, dental and vision care, prescription medicines, rehabilitative therapies, social services, nutrition counseling, and healthy meals. The program, which has a capacity of up to 222 participants, also offers home healthcare and transportation to and from medical appointments and the LIFE Center, as well as resources to support family caregivers. For more information, visit www.LIFEStMary.org or call 267.991.7600. Community Collaborations by Our Colleagues Brush with Kindness – Habitat for Humanity Working to create truly healthy communities means more to us at St. Mary Medical Center than traditional healthcare and health promotion; it also involves recognizing all the needs of those we serve and doing our best to support them. For example, two area families in need are living more comfortably in their homes and more proudly in their neighborhoods, thanks to a partnership formed between Habitat for Humanity of Bucks County and St. Mary Medical Center in 2012. Partnering with this organization uniquely fulfills our values of Justice and Collaboration. Nearly 40 St. Mary colleagues volunteered to rehabilitate houses in Levittown and Bristol in support of Habitat for Humanity’s A Brush with Kindness program. These two towns are among those with the highest poverty levels, especially among seniors, according to their Community Need Score. BUILD 14 SUPPORT A Brush with Kindness provides painting, landscaping, and minor repair services primarily for low-income homeowners who are affected by age, disability, or family circumstances, and who are struggling to maintain the exterior of their homes. Renovations on each house took place over a Thursday, Friday, and Saturday. Work on the Bristol home included installing new shutters, painting the entire outside of house, and mulching flower beds. The house in Levittown had a badly deteriorated front porch that volunteer crews completely demolished and replaced with new deck framing, boards, and railings. A nurse with the St. Mary Children’s Health Center and part of the crew that renovated the Bristol home says that she would do it all over again. “Driving over to the house that beautiful morning, I was thinking it would be a beautiful day to go to the shore instead of working on a house — but I’m so glad I took part in this project. Working together, getting dirty, and seeing the transformation into a home to be proud of was the best feeling! Knowing that we were giving someone’s pride a lift also made me feel that I was truly living my favorite quote, ‘Be the change you wish to see in the world,’” she says. Bucks County Homeless Shelter The Bucks County Emergency Homeless Shelter in Langhorne serves families and individuals who have lost stable and safe housing. While staying in a safe environment, residents are provided with case management to help them move from homelessness to self-sufficiency. The shelter is staffed primarily by volunteers from the community. When Family Service Association (FSA) took over the shelter’s operation in 2012, the organization’s leaders partnered with St. Mary to significantly enhance the volunteer-management program. FSA turned to St. Mary Medical Center, which has an active and highly successful volunteer program, for a helping hand in redesigning the shelter’s volunteer program and assisting with the administration of the program. St. Mary provided guidance once a week for many months and assisted in the process for interviewing, orientating, and training all current and newly recruited volunteers. Other colleagues from St. Mary’s Environmental Services, Plant Operations, Nutrition, and Infection Control Departments offered their expertise as well. St. Mary donated all-new furniture for the dining area of the shelter, switching from long hall tables to round so that the space felt more homelike and comfortable. A playroom for children living in the shelter was redesigned by St. Mary, complete with new furniture. A tutoring room, where school-aged children do their homework, was added. Tutoring is provided in the room twice a week. The St. Mary Parenting Center trained staff and conducts parenting programs at the shelter. Every new child who enters the shelter is given a welcome kit, complete with ageappropriate personal-care products — a comb, hairbrush, toothbrush and toothpaste, shampoo and soap, warm socks — to make their stay more comfortable. The Home Safety Program at St. Mary Community Ministries provided 10 new cribs, as well as a highchair for every young child living at the center, which the family can keep when they move from the shelter. Car seats also were provided and installed in the shelter’s vans that transport residents who don’t have cars. Nurse practitioners from the clinics at St. Mary Community Ministries administered flu shots to people living at the shelter. Children needing healthcare received treatment at the St. Mary Children’s Health Center. GUIDE Darlene Holloman, nutrition education advisor for Penn State Extension (left), presents Mary Blazosky with a certificate of achievement for her completion of the Nutrition Link Workshops. PORTRAIT OF SUCCESS Mary Blazosky Mary Blazosky — affectionately known as Ms. Mary — is a “regular” at the St. Mary Family Wellness Center in Bensalem. She arrives every day, enjoys socializing with other clients, and takes advantage of all the wellness programs that are offered at the Center. When Ms. Mary, 78, was diagnosed with coronary artery disease and aortic stenosis in 2009, she underwent an aortic valve replacement at St. Mary Medical Center. An important part of her recovery was to exercise. She began attending the Family Wellness Center at St. Mary Community Ministries in Bensalem, which was close to her home and free of charge as part of the St. Mary community benefit. “All I needed was a doctor’s note,” says Ms. Mary. “I love going to the Family Wellness Center every day, and I haven’t missed a day since I started in June 2010. Not only is my heart better, but I used to have pain in my knees and legs, and now I don’t feel any pain. I’m so much better since I’ve been exercising.” Ms. Mary also attended the Penn State Nutrition Link course presented by Penn State Extension, one of our partners in nutrition education, at the St. Mary Family Resource Center. She says the nutrition education was “wonderful,” because it taught her a lot about eating healthier. Ms. Mary’s cardiologist, Dr. Rakesh Shah, agrees that the Family Wellness Center has made a difference in Ms. Mary’s health. “Her cholesterol has been under great control, and she feels wonderful. We have encouraged her to continue with the Wellness Center as it is helping her overall well-being,” he says. 15 Donors Who Help Us Live Our Value of Justice Prenatal care for financially disadvantaged women and their babies, short-term housing for homeless adults and children, and assistance with job training and placement are some of the various resources made possible by the generous support of individual, government, and corporate donors. Their designated gifts to the St. Mary Medical Center Foundation enable us to advocate for justice for community members of all ages and to bring them the tools and services they need to improve their current and future well-being. We would like to express our deepest appreciation to the following donors for their contributions to St. Mary Community Ministries in 2012: Bucks County Neighbors County of Bucks Foundations Community Partnership Independence Blue Cross Janssen Pharmaceuticals, Inc. Mr. & Mrs. William H. Pullis Mr. & Mrs. Alan Simon The Louis and Sandra Berkman Foundation BLESS Drs. Gary D. & Karen Zimmer 16 Living Our Mission and Values Advance Healthcare Directives Advance directives are a way of making your voice heard if you become unable to communicate your treatment preferences to your family and physicians. Advance directives enable you to decide how much or how little medical treatment you want when you can no longer make these decisions. St. Mary Medical Center supports our patients’ right to make personal decisions about their treatment options, including life choices surrounding critical illness. St. Mary respectfully implements all Advance Healthcare Directives in accordance with the Ethical and Religious Directives for Catholic Health Care. More information: 215.710.5902 or 215.710.5036 Bereavement Support Group Grief can feel unbearably lonely, but there are healthy ways to cope with death of a loved one, such as connecting with others who also are grieving. The St. Mary Bereavement Support Group, which was attended by 54 individuals in 2012, is a resource for people to share feelings and personal experiences. Meetings are scheduled over six weeks in the spring, fall, and winter at St. Mary Medical Center and facilitated by St. Mary chaplains who are certified by the American Academy of Bereavement. More information: 215.710.5902 Catholic Health East Global Health Ministry St. Mary Medical Center’s value of Justice reaches far beyond the Bucks County community. Through our participation in Catholic Health East’s (CHE) Global Health Ministry, we advocate for justice in some of the poorest countries in the world. In 2012, a team of nine nurses, physicians, and non-clinical colleagues from St. Mary volunteered to serve on Global Health Ministry medical missions in Peru, Jamaica, and Guatemala. Collectively, the surgery teams performed nearly 200 procedures, including hernia repairs, gynecologic procedures, and plastic surgery for children with cleft palate. This team also helped continue the Madre y Niño education program focused on reducing maternal and infant mortality. St. Mary also supports CHE’s medical and surgical missions with generous donations of needed medications and medical supplies. The patients, family, and staff of St. Mary Medical Center have been deeply touched by the kindness and comfort provided by the volunteers in our No One Dies Alone (NODA) program. NODA is designed to provide solace and companionship to terminally ill patients and peace of mind to their family caregivers. Specially trained volunteers called Comfort Companions sit with patients who are alone as the end of life approaches or whose family members need to be away from the hospital and their loved one for brief periods. In 2012, our Comfort Companions volunteered 469 hours to the NODA program and provided support to patients and their families in eight different patient care units. More information: 215.710.5140 Palliative Care Our Palliative Care team is a resource for patients who are diagnosed with chronic and life-limiting illnesses. The team aims to enhance the quality of life of patients and their families and to provide comfort through the prevention and treatment of symptoms, including pain relief. Our Palliative Care team provided services to more than 1,100 patients in 2012. More information: 215.710.4616 or 215.710.5036 OMFORT Comfort Companions 17 Resources for Those in Need If you or someone close to you needs help finding support for issues relating to housing, healthcare, employment, or parenting, as well as other personal or family issues, the following organizations and agencies are here to help: A Woman’s Place 215.343.9241 24-Hour Hotline 1.800.220.8116 www.awomansplace.org Bucks County SAFE KIDS Coalition 215.710.5976 www.pasafekids.org Provides comprehensive free, private, and confidential service, support, education, outreach, and advocacy to victims of domestic violence, their children, and the community. SAFE KIDS promotes the prevention of childhood injuries through education, collaboration, and advocacy. Catholic Social Services Bucks County Family Service Centers 215.945.2550 www.catholicsocialservicesphilly.org/contact.php Bucks County Emergency Homeless Shelter 215.949.1727 1.800.810.4434 www.fsabc.org Provides counseling and case management services, pregnancy and adoption services, and immigration/refugee settlement services. Provides emergency shelter and case management for families in crisis. Bensalem Head Start 215.244.1620 www.bcheadstart.org Penn State Cooperative Extension, Bucks County 215.345.3283 http://bucks.extension.psu.edu GENEROSITY Welcoming the Stranger 215.702.3445 www.welcomingthestranger.org Child, Home & Community 888.215.9770 or 215.348.9770 www.chcinfo.org Provides prenatal programs for pregnant adolescents, fathers-to-be, and their support people. Offers parenting skills training and monthly gatherings for young parents and their children. Children’s Health Insurance Program (CHIP) 800.986.KIDS www.chipcoverspakids.com Bucks County Housing Group 215.598.3566 www.bchg.org CHIP is Pennsylvania’s program to provide health insurance to all uninsured children and teens who are not eligible for or enrolled in Medical Assistance. 18 A free clinic that provides primary medical and dental care to families and individuals ages 19 to 65 who are employed, who do not have health insurance, and whose earnings fall within 200 percent of the federal poverty guidelines. Provides free adult education services including basic literacy, GED preparation, adult diploma program, and English-as-asecond language. Bucks County Health Improvement Partnership 215.710.2201 www.bchip.org Bucks County Housing Group is a private, nonprofit social service organization that provides a wide range of housing and related social services to homeless and low-income families. HealthLink Medical Center 215.364.4247 • www.healthlinkmedical.org Vita Education Services 215.345.8322 www.vitaeducation.org Bucks County Children and Youth 215.348.6900 24-Hour Child Abuse Reporting Hotline 1.800.932.0313 www.buckscounty.org/government/ departments/humanservices/Childrenand Youth/index.aspx Bucks County Health Department 215.345.3318 www.buckscounty.org/ government/departments/ humanservices/ HealthDepartment/index.aspx Protects, maintains, strengthens, and enhances individuals, families, and children, and their social and psychological functioning. The Expanded Food and Nutrition Education Program (EFNEP) helps parents with limited resources acquire knowledge, improve skills, and change behavior to achieve health and well-being. Head Start helps preschool children develop intellectually, socially, emotionally, and physically, and helps prepare them for kindergarten. The county child-welfare agency provides protective services, information, and referral services. Family Service Association 215.757.6916 • www.fsabc.org Collaboration Works! 215.510.3365 Dedicated to bridging the gap between ages, races, communities, and cultures through performing arts. CONSIDERATION A ministry of the Lower Bucks Center for Church and Community, which provides free classes in English, computers, and citizenship to immigrants and refugees in Lower Bucks County. Women, Infants, and Children (WIC) Lower Bucks 267.580.3570 Central Bucks 215.345.3494 www.buckscounty.org/government/ departments/humanservices/Health Department/WICBenefits.aspx Provides a supplemental health and nutritional program for pregnant and breast-feeding women and for children under 5 years of age who meet financial and nutritional eligibility requirements. YWCA of Bucks County 215.953.7793 www.ywcabucks.org Supports youth services, family centers, and self-sufficiency programs, and offers employment training services and the Senior Shared Housing Program. St. Mary Community Health Services 1201 Langhorne-Newtown Road Langhorne, PA 19047 215.710.6875 www.StMaryHealthcare.org www.facebook.com/stmaryhealthcare St. Mary Community Ministries Bensalem Square Shopping Center 2546 Knights Road Bensalem, PA 19020 Mother Bachmann Maternity Center 215.245.4334 St. Mary Children’s Health Center 215.245.8873 St. Mary Family Resource Center 215.245.8563 BCHIP Lower Bucks Clinic 215.633.8652