annual report and plan for community benefit · 2020. 4. 28. · annual report and plan for ....

GOOD SAMARITAN HOSPITAL LOS ANGELES

Annual Report and Plan for COMMUNITY BENEFIT

Fiscal Year 2019

September 1, 2018 – August 31, 2019

Submitted to: Office of Statewide Health Planning & Development

Healthcare Information Division Accounting and Reporting Systems Section

Sacramento, California

Good Samaritan Hospital, Los Angeles Community Benefit Annual Report and Plan FY 2019

2

ABOUT GOOD SAMARITAN HOSPITAL Good Samaritan Hospital (GSH) is a 408-bed facility located on the western side of downtown Los Angeles. Addressing the healthcare needs of the Los Angeles community since 1885, the hospital continues its mission to provide accessible, quality, cost-effective and compassionate healthcare services that meet the needs of our patients and their families, the community and our physicians. We are a leader in specialty and tertiary services, and our regional centers of excellence draw patients from California, the western states and other countries. GSH addresses the needs of patients, families and the community with state-of-the-art heart care programs, including cardiology, cardiothoracic surgery and an acute myocardial Infarction transport ambulance; a neurosciences program; women’s health services, including obstetrics, gynecology, perinatology, neonatal intensive care, gyn-oncology, and breast care; orthopaedic services, including sports medicine, joint replacement and spine surgery program; podiatric services; nasal and sinus disorders treatment; ophthalmologic care, including retinal surgery; an oncology program; a transfusion-free medicine and surgery program; emergency services and many other outstanding specialized medical services. GSH has been certified as a comprehensive stroke center, acknowledging its ability to receive and treat the most complex stroke cases. GSH has also achieved Mother Friendly and Baby-Friendly status.


3

Service Area GSH is located at 1225 Wilshire Blvd., Los Angeles, California, 90017. The primary service area includes 18 zip codes in Los Angeles City Council District 1. The service area is comprised of portions of Los Angeles County Service Planning Areas 4 (Metropolitan Los Angeles) and 6 (South).

Geographic Area ZIP Code Central LA 90011-90013, 90015, 90017, 90026, 90037, 90044, 90062 University 90007, 90018 Wilshire/LA 90003-90006, 90019-90020, 90057


4

FINANCIAL SUMMARY OF COMMUNITY BENEFIT FY19

GSH community benefit investment for FY19 (September 2018 – August 2019) is summarized in the table below. The hospital’s community benefit costs are in compliance with Internal Revenue Service instructions for Form 990 Schedule H. All community benefit expenses are based on actual costs, not charges, in compliance with IRS Form 990 Schedule H instructions using a cost-to-charge ratio for financial assistance and a cost accounting methodology for all other categories.

Community Benefit Activities Persons Served

Net Community

Benefit Expense

Financial Assistance and Means-Tested Programs Financial Assistance at cost 7,101 $ 8,615,861 Medi-Cal 25,634 $ 26,229,268 Total Financial Assistance and Means-Tested Programs 32,735 $ 34,845,129 Other Benefits Community health improvement services and community benefit operations

780 $ 38,800

Health professions education 306 $ 186,312 Research n/a $ 392,632 Cash and in-kind contributions for community benefit 1 $ 5,000 Total Other Benefits 1,087 $ 622,744 Total Community Benefit

33,822

$ 35,467,873

9.25% of organization expenses


5

COMMUNITY BENEFIT SERVICES SUMMARY Community benefit services promote health and healing and are focused on addressing the identified unmet health needs of the community. For a program or service to be counted as community benefit it must: improve access to healthcare, or enhance the health of the community, or advance medical or healthcare knowledge, or reduce the burden of government or other nonprofit community efforts. FINANCIAL ASSISTANCE (CHARITY CARE) $8,615,861 | 7,101 SERVED Defined as free/discounted health services for individuals who cannot afford to pay and who meet financial assistance eligibility criteria. GSH offers a generous program, providing charity care to those with family income(s) at or below 350% of Federal Poverty Level* guidelines. *For 2019, the Federal Poverty Level threshold was $12,490 for one person and $25,750 for a family of four. UNREIMBURSED COSTS OF PUBLIC HEALTH INSURANCE PROGRAMS $26,229,268 | 25,634 SERVED Defined as the shortfall (or unpaid cost) that is created when insurance payments are less than the cost of care, specifically for individuals with healthcare coverage through means-tested public programs (such as Medi-Cal). OTHER COMMUNITY BENEFIT SERVICES Community Health Improvement Services and Community Benefit Operations $38,800 | 780 SERVED Community Health Improvement is defined as activities carried out to improve community health, available to the public, which address a community need. Our Korean Health Fair has been serving the Korean American community since 1997. Services focus on community needs, with emphasis on prevention and health management. The event is free and open to the community. Services provided include blood pressure checks, blood sugar and cholesterol testing, flu vaccinations, dental, foot and vision examinations, and preventative cancer screenings. Community Benefit Operations is defined as direct and indirect costs associated with assigned staff, community health needs assessments, community benefit planning, tracking, reporting, evaluating and operations.


6

Health Professions Education $186,312 | 306 SERVED Defined as education programs for physicians, medical students, nurses, nursing students, and other health professionals. Our Internship Programs support the next generation of healthcare providers by educating and mentoring students in various settings. Students were supported with job training resources as a well as stipends. Research $392,632 Defined as health research and studies that are shared with the public. GSH has a long history of being engaged in clinical trials and research. The primary focus is in cardiology and neurology related to the hospital’s comprehensive stroke program and development of new therapies and treatment. Cash and In-Kind Contributions $5,000 Defined as funds and in-kind services donated to community groups and non-profit organizations. GSH provides in-kind donations and financial contributions to local nonprofit organizations that are responsive to health needs.


7

COMMUNITY BENEFIT REVIEW OF PROGRESS FY19 In 2016, GSH conducted its previous Community Health Needs Assessment (CHNA). In developing the hospital’s Implementation Strategy or Community Health Improvement Plan associated with this CHNA, it was determined to address healthcare access, cancer, chronic conditions (diabetes and heart disease), community/social issues (including mental health), and disease management and preventive care through a commitment of community benefit programs and resources. The following section outlines the impact made on the selected significant health needs during FY19. Access to Healthcare INITIATIVE MEASUREMENT PROGRESS PARTNERS BARRIERS • Korean

Health Fair

• Provide education and screening to a minimum of 900 participants

• Screened a total of 780 patients

• Korean American Medical Group

• Los Angeles Department of Aging

• Wilshire State Bank

• Hanmi Bank • Korean American

Medical Association

• Lack of interest from patients due to event set-up; morning health lecture session was changed to an inspirational talk by Radio Korea personality


8

Cancer Care INITIATIVE MEASUREMENT PROGRESS PARTNERS BARRIERS • Psychosocial

Distress Screening of Radiation Therapy

• Cancer Patients

• Screen a minimum of 25 patients seen in the Radiation Therapy Department

• Provided screenings to 41 patients

• American Psychosocial Oncology Society (APOS)

• Yale School of Nursing

• Physician offices

• Limited number of patients seen in the Radiation Oncology Department

• Korean Breast Cancer Support Group

• Provide support to a minimum of 120 participants

• Attended by 76 people

• American Cancer Society (ACS)

• Shine Korea • Physician offices

• Decreased participants due to leadership changes and day changed

• Women’s Cancer Support Group


• Attended by 106 people

• ACS • Sisters Breast

Cancer Survivors Network

• Cancer Support Community

• Lack of referrals from physician and ACS Central office

• Lack of patient transportation to the facility

• Look Good Feel Better (LGFB)


• No progress • LGFB Foundation • Professional

Beauty Association

• Dissolution of partnership between the ACS and LGFB Foundation; no signed agreement with LGFB Foundation until October 2019.

• First Program to be held April 2020

• Lack of training with new system

• Cancer Care Support Group


• No progress • ACS • Cancer Support

Community

• Group not formed, lack of interest

• Relocation of Cancer Services Center

• Helen’s Room • Provide support to a minimum of 100 participants

• 245 participants; less than prior year

• ACS • Cancer Support

Community • Physician Offices • Los Angeles

County Breast Health Resource Guide

• Dynamics Prosthesis

• Local hospitals

• Transition period; Helen’s Room relocated

• Breast Reconstructive Awareness Day (BRA)

• Provide support regarding laws and rights to reconstructive surgery following conservative breast surgery for cancer

• Provided information to 60 women

• ACS • Physician Offices • Shine Korea • Cancer Support

Community • Local Hospitals

• No barriers identified • This program not

included in 2019 plan. Staff MD identified need to educate women on rights regarding Conservative Breast Cancer Therapy


9

Care for Chronic Conditions INITIATIVE MEASUREMENT PROGRESS PARTNERS BARRIERS • Diabetes

Prevention and Management

• At a minimum, 75% of participants can select a meal with an appropriate amount of carbohydrate

• At a minimum,

75% of participants with diabetes can state actions to take to treat hypoglycemia

• 100% were able to demonstrate selecting a healthy meal with an appropriate amount of carbohydrate based on their body type and activity level

• 98% with diabetes were able to state the actions to take to treat hypoglycemia

• 421 participants in one or more of the diabetes classes

• Senior centers • Recreation centers • Local schools • Local businesses • Community

organizations: Pico Union Project, Central City Neighborhood Partners

Transportation: 70 trips provided to Community Health Education class participants

• Heart and Stroke H.E.L.P (Healthy Eating and Lifestyle Program)

• Educate a minimum of 100 participants

• Educated 3,081 participants

• Provided stroke and heart health education to large church congregations

• Increased education at Farmer’s markets, jazz festival

• American Heart Association

• American Stroke Association

• Local churches • Local schools • Community

organizations: Pico Union Project, Central City Neighborhood Partners

• California Community Foundation

• Angeles Plaza Housing Complex

• Korean Resource Center

• Some participants had difficulty in understanding written test due to language and anxiety

• Used verbal teach back at large events


10

Community/Social Issues INITIATIVE MEASUREMENT PROGRESS PARTNERS BARRIERS • Volunteer

Management Program

• Enroll a minimum of 300 students per year in the program

• Enrolled 304 students

• Los Angeles Unified School District

• High Schools • Private/Charter

Schools • Joseph Pomeroy

Widney Career Preparatory & Transition Center

• Community Colleges

• Cal State University campuses

• University of California campuses

• Technical Schools • Los Angeles

Chamber of Commerce

• Archdiocesan Youth Employment Services (AYE)

• None


11

Disease Management and Preventive Care INITIATIVE MEASUREMENT PROGRESS PARTNERS BARRIERS • Breastfeeding

and Healthy Habits for Mothers and Infants

• Educate a minimum of 500 women who breastfeed their children

• Maintain 85% or more of women who hold their infants skin to skin after delivery at GSH and provide any breast milk

• 1,921 women educated on benefits of breastfeeding (954 attended intensive breastfeeding class and 967 attended a class with breastfeeding and skin to skin topics included)

• In addition, 1,623 support people (husbands, partners, other family) also attended and received education

• 94.3% of new mothers provide some breastmilk to their infants while in the hospital

• 84.6% of women held their baby skin to skin after delivery

• Local clinics • MCH Access • Choose Health LA

Moms • Baby-Friendly USA • WIC • California

Community Foundation

• None


12

2019 COMMUNITY HEALTH NEEDS ASSESSMENT SUMMARY In 2019, GSH completed a Community Health Needs Assessment (CHNA) as required by state and federal law. The purpose of the CHNA is to identify and prioritize significant health needs of the community served by Good Samaritan Hospital. The health needs identified in the CHNA help to guide the hospital’s community benefit activities. GSH participated in a collaborative process for the CHNA, in partnership with St. Vincent Medical Center and California Hospital Medical Center. The CHNA examined up-to-date data sources for the service area to present community demographics, social determinants of health, healthcare access, birth characteristics, leading causes of death, acute and chronic disease, health behaviors, mental health, substance use and misuse, and preventive practices. When applicable, these data sets were presented in the context of Los Angeles County and California and compared to the Healthy People 2020 objectives. The population for the GSH service area is 516,340. Children and youth, ages 0-17, make up 15.6% of the population, 74% are 18-64 years of age, and 10.4% are seniors, 65 years and older. In the service area, 53.1% of the population are Hispanic/Latino, 22.5% are Asian, 13.2% are White, 8.9% are Black/African American; and the remaining 2.3% are American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, other or multiple races. English is spoken in the home among 32.8% of the service area population. Spanish is spoken at home among 42.3% of the population, and 21.1% of the population speaks an Asian language in the home. In the service area, 30% of the population is at or below 100% of the federal poverty level. Among area adults, ages 25 and older, 30.2% lack a high school diploma, 19% are high school graduates and 35.6% are college graduates.

Targeted interviews were used to gather information and opinions from persons who represent the broad interests of the community served by the hospital. Twenty-nine (29) interviews were completed from November 2018 to January 2019. Interviewees included individuals who are leaders and/or representatives of medically underserved, low-income, and minority populations, local health or other departments or agencies that


13

have current data or other information relevant to the health needs of the community. Input was obtained from the Los Angeles County Department of Public Health. The calculations of the community input resulted in the following priority ordering of the significant health needs:

1. Housing and homelessness 2. Access to healthcare 3. Mental health 4. Chronic diseases 5. Economic insecurity 6. Substance use and misuse 7. Food insecurity 8. Education 9. Preventive practices 10. Birth indicators, including breastfeeding 11. Overweight and obesity 12. Dental care 13. Sexually transmitted infections 14. Violence and injury 15. Unintentional injuries 16. Pneumonia and influenza

The complete Community Health Needs Assessment report and the prioritized health needs can be accessed at: https://www.goodsam.org/About-Us/Community-Health-Needs-Assessment.aspx. Comments from community members are welcome.

https://www.goodsam.org/About-Us/Community-Health-Needs-Assessment.aspx

https://www.goodsam.org/About-Us/Community-Health-Needs-Assessment.aspx


14

COMMUNITY BENEFIT PLAN FOR 2020-2022 As a result of the 2019 CHNA, GSH has selected significant health needs it will address through its Implementation Strategy or Community Health Improvement Plan. The plan outlines the health needs the hospital will and will not address, the strategies it will use to address the selected health needs and the anticipated impact of its work in the community. Appendix 1 includes the 2020-2022 Community Health Improvement Plan.

Every three years, PIH Health assesses the health status of our communities. Separate reports are produced for the PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, and PIH Health Whittier Hospital primary service areas. These 2019 Community Health Needs Assessment reports identify health needs in our primary service area, provide information to select priorities for action and target geographic areas. This information serves as the basis for community benefit initiatives.

The 2019 reports identified the following significant health needs:

• Access to healthcare

• Birth indicators• Chronic diseases (asthma incidence, cancer incidence, diabetes incidence/mortality, heart disease

and stroke incidence/mortality, kidney disease mortality, liver disease mortality)

• Dental care

• Economic insecurity

• Education

• Food insecurity

• Housing and homelessness

• Mental health

• Overweight and obesity

• Pneumonia and influenza mortality

• Preventative practices (vaccines and screenings)

• Sexually transmitted infections

• Substance use and misuse

• Violence and injury

After a prioritization process that included an assessment of PIH Health’s ability to effectively address each of the needs over the next three years, PIH Health’s leadership and Community Benefit Oversight Committee determined areas of focus for PIH Health (as noted on image on the right). These areas serve as the framework for this Plan, which outlines initiatives designed to improve community health.

For the health needs not prioritized as areas of focus - access to healthcare, asthma incidence, birth indicators, economic insecurity, education, kidney disease mortality, liver disease mortality, sexually transmitted infections, violence and injury - it was determined that PIH Health has neither the expertise nor the infrastructure to lead efforts in these areas. As these health needs are still very important to PIH Health and the community it serves, emphasis will be placed on referral relationships with community-based agencies already working in these areas.

The 2019 Community Health Needs Assessment reports can be found at PIHHealth.org/CHNA.

SOCIAL DETERMINANTS OF HEALTHAccess to Care• Dental Care• Mental Health

Food Insecurity

Housing / Homelessness

CHRONIC DISEASES/DISORDERS• Cancer Incidence Emphasis

on colon and breast cancer

• Diabetes Incidence/Mortality

• Heart Disease/Stroke Incidence/Mortality

• Overweight and Obesity• Substance Use and Misuse

PREVENTATIVE PRACTICESEmphasis on flu and pneumonia vaccines and cancer screenings

Collaboration. Community. Connection.COMMUNITY HEALTH IMPROVEMENT PLAN 2020-2022

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

APPENDIX 1

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

rdelgado2

Typewritten Text

Every three years, PIH Health assesses the health status of our communities. Separate Community Health Needs Assessment reports are produced for the PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, and PIH Health Whittier Hospital primary service areas, identifying significant health needs for each hospital’s geography. This plan represents areas of focus and strategies intended to respond to these findings and applies to PIH Health Downey Hospital, PIH Health Good Samaritan Hospital and PIH Health Whittier Hospital cities/communities.

Our Focus Our Strategies Our Anticipated Impact

Impact will be evaluated through a variety of methods with results reported annually

Our Partners

Social Determinants of Health

Access to care: • Dental care• Mental health

Food insecurity

Housing/homelessness

Community-Level Strategies• Invest financial resources in

organizations to improve community conditions; emphasize funding where there are gaps in resources

• Foster cross-sector collaboration

Population Health Strategies• Leverage clinical-community

partnerships to meet health-related needs of vulnerable populations

• Strengthen integration of health services and systems

Increase in access to dental care and mental healthcare services

Increase in individuals connected with food resources

Increase in resources available for unsheltered homeless

Los Angeles County Department of Public Health

Local service clubs, nonprofit organizations, dental and mental health providers

Homeless coalitions and consortiums

• Food Security Coalition• Integrated Community Health

Coalition• Opportunities for Youth

Coalition

COMMUNITY HEALTH IMPROVEMENT PLAN 2020-2022

A Coordinated E�ort to Improve Health


https://healthactionlab.shutterfly.com

Our Focus Our Strategies Our Anticipated Impact

Impact will be evaluated through a variety of methods with results reported annually

Our Partners

Preventative Practices• Flu and pneumonia vaccines• Cancer screenings




partnerships to promote cancer screenings and preventative vaccine clinics

Increased awareness of flu and pneumonia vaccination importance and resources

Increased awareness of cancer screening importance and resources


Local service clubs, nonprofit organizations, and healthcare providers

Chronic Diseases / Disorders• Cancer (Emphasis: colon and breast)• Diabetes• Heart Disease/Stroke• Overweight and Obesity• Substance Use and Misuse



• Active participation in our community to increase prevention and symptom awareness

• Foster cross-sector collaboration


partnerships to promote awareness• Foster multidisciplinary collaboration

Increased awareness of and access to chronic disease / disorder resources

Increased nutrition and physical activity education


Local service clubs, nonprofit organizations, and healthcare providers

• Integrated Community Health Coalition

• Partnership for Healthy Communities Coalition



https://healthactionlab.shutterfly.com

annual report and plan for community benefit · 2020. 4. 28. · annual report and plan for ....

Documents