UNIVERSITY of MARYLAND MEDICAL CENTER. making a difference in our COMMUNITY. in Baltimore and beyond 2013 ANNUAL REPORT

UNIVERSITY of MARYLAND MEDICAL CENTER making a difference in our COMMUNITY in Baltimore and beyond 2013 ANNUAL REPORT WELCOME TO OUR 2013 COMMUNI...
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UNIVERSITY of MARYLAND MEDICAL CENTER

making a difference in our

COMMUNITY in Baltimore and beyond

2013 ANNUAL REPORT

WELCOME TO OUR 2013 COMMUNITY BENEFITS REPORT. This annual report provides you a with an overview of the University of Maryland Medical Center’s fiscal year 2012 community benefits and a look at the people and programs that make it happen. In 2013, we reaffirmed our commitment to a healthy and vital Baltimore community as reflected in our 2014 Strategic Plan. Our goal is to give every patient the right care, at the right time, in the right place. The University of Maryland Medical Center (UMMC) plays an active and integral role in the communities we serve at many different levels. The commitment to excellence and compassion of our talented physicians, nurses and staff is what defines the University of Maryland, with each person focused every day on fulfilling our mission: To Heal. To Teach. To Discover. To Care. And that same deep interest in the people we serve goes beyond the quality and patient-centered care provided within our hospital and clinics. Our community outreach programs help extend our mission into the community — reaching out to help communities and individuals with tangible and meaningful assistance. We call this — Medicine on a Mission. In FY 2012, we contributed over $196 million to community benefit programs and services, including nearly $70 million in charity care. Our total community benefit contribution represented 15 percent of our Medical Center’s total operating expenses and $30 million more than our fiscal year 2011 contribution. UMMC provides a wide array of community health programs and services ranging from assisting people in proactively managing their health to providing comprehensive, coordinated care through our new innovative primary care medical homes. Community health educational programs, preventive screening services and extensive informational resources help people more easily access health services and take part in wellness practices to prevent illness and promote health. We recognize the importance of building effective partnerships beyond our campus and deep into the communities themselves, incorporating the knowledge and expertise of our partners, and maintaining engaged and trusting relationships. Working in ways both large and small, we have implemented initiatives that continue to enhance the lives of individuals, communities, and the Baltimore Metro region as a whole. In one of those efforts — such as the West Baltimore Health Enterprise Zone — UMMC is collaborating with 15 other health care organizations to provide a comprehensive approach to improve access to primary care services and significantly improve the health status through implementation of evidenced-based community health intervention programs in four targeted West Baltimore neighborhoods. In addition to this partnership, the strong academic partnership between the Medical Center and the University of Maryland and its professional schools of Medicine, Nursing, Pharmacy, Dentistry, Social Work and Law makes this service to our communities possible. We remain committed to our pursuit of excellence, delivering state-of-the-art care with compassion to patients and their families, and empowering entire communities to good health. This year’s report highlights a few of the extensive services we offer through our commitment to that end. We hope our dedication to making a positive difference in our communities clearly comes through. Thank you for your support of the University of Maryland Medical Center. We pledge our continued commitment to enhancing the well-being of our communities, both through our health care expertise and a genuine compassion and empathy for our neighbors. On behalf of the University of Maryland Medical Center’s staff and physicians, we thank you for your interest in the 2013 Community Benefits Report. We hope you share our pride in Baltimore and our confidence in the people and future of this great region.

JEFFREY A. RIVEST, FACHE President and CEO

DANA D. FARRAKHAN, FACHE Vice President, Planning, System Program Development and Community Outreach

COMMUNITY OUTREACH  |  1

making a difference

HEALTHY COMMUNITIES WHAT IS COMMUNITY EMPOWERMENT? According to the World Health Organization, Community Empowerment “addresses the social, cultural, political, and economic determinants that underpin health and seeks to build partnerships with others to find solutions.” At the University of Maryland Medical Center, we believe in and support this definition of community empowerment in many ways. We provide health services to underserved populations, health education and screenings, financial and in-kind donations, career development, support groups, charitable care, and a variety of clinics to name a few. We are committed to making a positive, sustained difference in the community at many levels. WHAT IS A COMMUNITY BENEFIT? To be recognized as a community benefit under current Maryland law, an activity must be intended to address community needs and priorities primarily through disease prevention and improvement of health status, including: 

Health services provided to vulnerable or underserved populations



Financial or in-kind support of public health programs



Donations of funds, property, or other resources that contribute to a community priority



Health care cost containment activities



Health education, screening, and prevention services

Annually, the University of Maryland Medical Center (UMMC) submits a report to the state of Maryland measuring the community benefit provided. These reports summarize the broad range of health and support activities we offer to meet the needs of the community. In summary for Fiscal Year 2012, 

1,836,269 staff hours, which is an equivalent of 882 FTEs provided for community benefit



$196,676,464 spent (Total Community Benefit)

$196 Million FY12

$145 Million FY08

Health Professions Education

$159 Million FY10 $167 Million FY11

$100,205,386

Charity Care

$69,782,763

Mission Driven Health Care Services

$18,033,040

Medicaid Assessments

$5,572,304

Community Health Services

$1,897,124

Financial Contributions

$669,670

Foundation Funded Community Benefit

$200,286

Community Building Activities

$199,706

Community Benefit Operations

$116,185

TOTAL COMMUNITY BENEFIT

COMMUNITY BENEFITS CONTRIBUTIONS

$152 Million FY09

FY 12 TOTAL CONTRIBUTIONS

$196,676,464

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empowering and building

HEALTHY COMMUNITIES

“UMMC’s identified strategic community priorities will drive community outreach programming and partnerships over the next three years.”

WHAT IS COMMUNITY EMPOWERMENT? To effectively reach our community outreach mission, UMMC conducted a formal community health needs assessment (CHNA) during FY 2012. Despite the larger regional patient mix of UMMC, for purposes of community benefits programming and this report, the Community Benefit Service Area (CBSA) of UMMC is within Baltimore City. UMMC recognizes its commitment and leadership to the state of Maryland and responds accordingly to urgent and immediate community needs, such as planning and response to natural and man-made disasters and communicable disease outbreaks. The majority of the community outreach strategic initiatives, however, target seven primary and three secondary zip codes within Baltimore City. The top six priorities represent the intersection of documented unmet community health needs and UMMC’s key strengths and mission. 

Obesity/Heart Disease/Diabetes & Cancer (Chronic Disease Prevention)



Maternal & Child Health



Workforce Development/Literacy



Injury Prevention



HIV Prevention



Access to Care

UMMC’s identified strategic community priorities will drive community outreach programming and partnerships over the next three years. In accordance with the federal requirements outlined in the Patient Protection and Affordable Care Act (ACA), a formal community health needs assessment will be conducted every three years hereafter to identify changing community needs and strategic priorities. To review the entire Community Health Needs Assessment from FY’12 with Implementation Plans, go to www.umm.edu/about/community/needs-assessment.htm

COMMUNITY OUTREACHˆ | ˆ3

making a difference

WORKFORCE DEVELOPMENT PARTNERING WITH THE COMMUNITY FOR CAREER DEVELOPMENT The University of Maryland Medical Center is committed to providing opportunities for local youth to gain crucial job skills while exploring careers in health care. UMMC partners with YouthWorks, Baltimore City’s summer jobs program, which places young people ages 14 to 21 in six-week summer work experiences throughout Baltimore. Mayor Stephanie Rawlings-Blake challenged Baltimore employers to join the city in creating valuable summer employment opportunities for Baltimore’s teens by hiring young people through the YouthWorks summer jobs program. UMMC responded to the challenge by hosting 38 YouthWorks interns from various city schools. YouthWorks interns work in paid jobs for 20 hours per week during the summer. Each intern is assigned a career coach, who serves as more than a supervisor; he or she focuses on the intern’s growth and teaches important on-the-job skills. The daily tasks of interns vary, depending on the worksite. However, most internships are clerical, involving administrative work in an office setting. Interns attend weekly career development workshops on topics such as work readiness, money management, resume writing, interviewing skills, and career exploration. The program is truly a win/win for UMMC staff and the students — UMMC gains additional help in many administrative areas, while students gain important job skills.

426

Youth and adults encountered through workforce development and educational programs

Michelle Bronner, MBA, manager of physician relations, sums it up best, “It was our pleasure to work with Rysean Grant, a YouthWorks student, in the Marketing Department at UMMC during the summer. Rysean displayed a level of professionalism that is not always displayed by adults. He was always punctual, had a wonderful disposition, and was eager to assist with a multitude of tasks. Rysean was instrumental in completing an on-going assignment for one of our physicians relations associates. Everyone in our department commented on Rysean’s astute abilities. In addition, he is simply a joy to be around. I can tell that he is destined for great things, and it is important that he continues to benefit from opportunities that give him exposure to real-work experiences.” YOU THWOR KS, Baltimore City’s summer jobs program, places young people ages 14 to 21 in six-week summer work experiences throughout Baltimore. UMMC hosted 38 YouthWorks interns from various city schools this past summer.

4ˆ | ˆ2013 ANNUAL REPORT

making a difference

CHRONIC DISEASE PREVENTION “The goal is to promote health and wellness in an engaging way. American adults get half of the daily activity they need, so it’s important to offer easy and interesting ways to get people moving on the path to health.”

ANNE WILLIAMS, DNP, RN Senior Manager, Community Outreach

350

in Youth & Senior Physical Activity Programs

OBESITY impacts overall quality of life and contributes to serious health problems, like diabetes, arthritis, cardiovascular disease, and high blood pressure. Heart disease, which is greatly impacted by obesity, is the leading cause of death in Baltimore City with 26.5% of total deaths attributed to heart disease.

OBESITY PREVENTION Obesity is a serious public health concern nationally and here in Baltimore. Over 60% of US adults are overweight or obese and 18% of the nation’s children, 12-19 years old, are obese as well. Closer to home the trends are similar. Sixty-five percent of Baltimore City adults are overweight or obese, and 18.5% of Baltimore’s children are obese. Obesity impacts overall quality of life and contributes to serious health problems, like diabetes, arthritis, cardiovascular disease, and high blood pressure. Heart disease, which is greatly impacted by obesity, is the leading cause of death in Baltimore City with 26.5% of total deaths attributed to heart disease. There are many factors that contribute to the obesity epidemic, and therefore, there are multiple strategies that must be employed to address this public health concern. The University of Maryland Medical Center is committed to making a difference in the community as it relates to obesity prevention. Our primary strategies for addressing this problem include providing leadership at the local and regional levels, engaging the community through open dialogues, and providing innovative and engaging programs in the community that promote healthy lifestyles. PATHS ENCOURAGE WALKING In May, UMMC and the University of Maryland, Baltimore (UMB) launched newly marked campus walking paths designed to encourage staff, students, and visitors to fit some exercise in their day. Jeffrey A. Rivest, UMMC president and chief executive officer, and Jay A. Perman, MD, president of UMB, launched the new paths for the mutual benefit of everyone who comes to the greater University campus shared by the UMB schools and the Medical Center. For family members of patients, the three new walking paths can provide a way to cope while waiting for a loved one in surgery or awaiting treatment, and the paths remind staff, faculty, and students to add physical activity to their daily routine. The paths are marked with color codes and distances to make them easy to follow. And if the weather does not cooperate, walkers have an inside option. The new outdoor paths complement three indoor paths that are already marked on the first floor of the hospital, starting at the Patient Resource Center. Maps of the paths are available in the UMMC Patient Resource Center.

COMMUNITY OUTREACHˆ | ˆ5

making a difference

MATERNAL CHILD HEALTH PRETERM BIRTH PREVENTION Each year, nearly 500,000 babies are born prematurely in the United States. Preterm birth is defined as the birth of an infant prior to 37 weeks of pregnancy. Preterm births are the leading cause of newborn death and a leading cause of long-term neurological disabilities in children. In Maryland, the preterm birth rate is 12.5% and in Baltimore City it is 13.7%. The Healthy People 2020 goal is 9.6%. CENTERING PROGRAM Centering® Pregnancy is a national, multifaceted model of group prenatal care that integrates three major components of care: health assessment, education, and support, into a comprehensive program in a group setting. Five to 12 pregnant women with similar gestational ages meet together to learn care skills, participate in a facilitated discussion, and develop a support network with other group members. Through this unique model of care, women are empowered to choose health-promoting behaviors. A healthcare provider also conducts regular assessments and examinations of each participant. UMMC embarked on its own Centering Program three years ago, the first in the state of Maryland. Since its inception in 2011, 108 women have participated in the program with 100 births to date. Preliminary data from these participants in the Centering program shows the preterm birth rate at 4%, which is substantially lower than national or local rates. Additionally, the new participating mothers had a higher breastfeeding initiation rate of 70% compared to a lower Baltimore City average. The Centering Pregnancy Institute selected UMMC’s program as one of its national pilot sites, which received funding from the March of Dimes.

“Evaluations from the women have been overwhelmingly positive with women citing continuity of care and the ability to get to know and learn from other pregnant women as the two main highlights of their experience in the program.”

JENIFER FAHEY, CNM, MPH Assistant Professor, Obstetrics/Gynecology

108

Pregnant women in Centering Program since 2011

P R E TE R M BI RT HS are the leading cause of newborn death and a leading cause of long-term neurological disabilities in children.

6ˆ | ˆ2013 ANNUAL REPORT

making a difference

HIV PREVENTION “As a result of our strong relationship with our community partners, the UMMC interdisciplinary team was able to successfully implement a new pilot program to make HIV testing routine in our inpatient medicine units.”

TINA CAFEO, DNP, RN Director, Medical & Surgical Services

500 HIV Screenings

H IV IN FEC TI ON has become a chronic disease that can be managed effectively with treatment. It is, therefore, extremely important for individuals to be screened and know their status to prevent further infections and the spread of this disease.

HIV/AIDS is the fourth leading cause of death in Baltimore City, with 7.4% of all total deaths attributable to this disease. However, HIV infection has become a chronic disease that can be managed effectively with treatment. It is, therefore, extremely important for individuals to be screened and know their status to prevent further infections and the spread of this disease. HIV SCREENING UMMC employees continue to volunteer in many ways in the community with this priority. Some staff members partner with established community- and faith-based organizations, while others seek their own unique way to serve. In partnership with the JACQUES Initiative, more than 30 UMMC nurses from multiple units volunteered their time and talents to perform rapid HIV screening at five sites throughout the city for the City Uprising event in June. UMMC staff recruited individuals for screening, helped residents complete necessary paperwork, conducted the screenings, counseled HIV-positive participants, and served as prayer partners to city residents. Of the nearly 100 screened, the city-wide event identified many individuals who were HIV positive and referred them to appropriate treatment. Additional free HIV screenings were held within UMMC and during health fairs sponsored by UMMC in the local community. Through the collaborative work and partnership between UMMC’s Inpatient Medical Services and Community Outreach, HIV screening in the community setting sparked an interest in the Medical Center nursing staff to expand screening for inpatients. With executive sponsorship and medical leadership, the interdisciplinary team initiated a new program to pilot routine HIV testing in medicine inpatient units and the Medical IMC. The goal of the program is reach a 75% offer rate to all inpatients and has already attained a 50% offer rate. As a result of the program, 300 staff members were trained on HIV awareness, and 13 new positive patients were identified and referred to appropriate treatment.

COMMUNITY OUTREACHˆ | ˆ7

making a difference

INJURY PREVENTION Childhood injury is the primary cause of death in children nationwide. In Baltimore, from 2002– 2006, children were twice as likely to die compared to those in Maryland or the nation as a whole. While the majority of the deaths were due to homicide, 35% were due to accidents or unintentional injuries. In addition, the rate of pedestrian injuries from 2007–2009 is three times as high in Baltimore as compared to Maryland and the nation. Injury prevention and pedestrian safety for children is therefore especially important for the children of Baltimore. SAFE KIDS Safe Kids Baltimore and its lead agency, the University of Maryland Children’s Hospital, celebrated National Safe Kids Day with more than 400 students at Calvin Rodwell Elementary School in May. Over 40 volunteers conducted the all-day, highly interactive outdoor event. UMMC volunteers came from the Pediatric Emergency Department, Pediatric Intensive Care Unit, Acute Pediatrics, Mother/Baby Unit, Adult BMT, and Marketing & Community Outreach. They were joined by volunteers from the many Safe Kids Baltimore coalition member agencies, including Amerigroup, who brought Super Bowl Champion Torrey Smith to the event as spokesperson for their Purple Ticket to the health program promoting annual check-ups and immunizations for school age children. The students participated in hands-on games, relay races, and demonstrations related to pedestrian safety, fire safety, poison prevention, water safety, buckle-up/seat belt safety, wheel/helmet safety and sports safety. Torrey Smith led the students in the sports safety relay and joined them as they belted out the Ravens’ chants. Turbo, Buckle-bear and Bernie the EMS Fire Dog mascots were also there to entertain the children. Students received safety goodie bags filled with injury prevention activity books and incentive items. Safe Kids Baltimore provided more than 50 bike helmets that were raffled off to the students, and the hospital donated sports safety water bottles. Safe Kids Baltimore is one of over 500 coalitions of Safe Kids World Wide that are dedicated to the prevention of unintentional childhood injuries. Led by the University of Maryland Children’s Hospital, the coalition conducts annual school and community based programs focused on pedestrian and fire safety, as well as conducting monthly child safety seat checks.

1,100 Elementary students involved in Safe Kids Baltimore

195

Students in Safe Kids Buckle Up

3,757 Children participated in Safe Kids Inspector Detector Program

SA F E KI DS BALT IM O RE is one of over 500 coalitions of Safe Kids World Wide that are dedicated to the prevention of unintentional childhood injuries.

8ˆ | ˆ2013 ANNUAL REPORT

making a difference

ACCESS TO CARE

1,115 Flu immunizations

500 BP screenings

648

Clinical Breast Exams

336 PAP Exams

759 Mammograms

OU TSIDE OU R DOOR S , in the community, we are teaching Marylanders about how to stay healthy as we screen for risk factors that affect their health.

As an academic medical center, our mission includes teaching. Inside the Medical Center, we educate the next generation of clinicians. Outside our doors, in the community, we are teaching Marylanders about how to stay healthy as we screen for risk factors that affect their health. KNOW YOUR NUMBERS At more than 60 health fairs throughout the year, we offered a variety of health screenings to check blood pressure, cholesterol, glucose, vascular disease risk, stroke risk, body mass index, glaucoma, and visual acuity. We bring our doctors, nurses, nutritionists, and therapists out into the community, so that residents, and most often those who are medically underserved, can have access to medical professionals where questions can be asked in less formal and more familiar environment. At times, these one-on-one consultations in the community result in appointments back in our clinics. We teach people what their important screening numbers are and how they can live a healthy lifestyle to prevent a variety of chronic diseases. On any given day, we can be found in malls, churches, temples, parks, schools, and senior centers, where our community needs us to be. One of our signature events this year focused on seniors and took place in conjunction with Heart Health Awareness Month in February. In partnership with the Baltimore City Health Department and the Baltimore City Recreation and Parks Department, UMMC co-sponsored the Keep the Beat … Dance for Your Heart event. This fun, exercise-filled day featured various dance demonstrations, a heart-healthy lunch, information on living a hearthealthy lifestyle, and most importantly, lots of dancing. More than 300 Baltimore City seniors joined in the fun and danced their way to better heart health.

COMMUNITY OUTREACHˆ | ˆ9

making a difference

EVERYDAY

Additional UMMC community-based programs and services serving Marylanders this year include: • Blood Drives – Monthly blood drives sponsored in partnership with the American Red Cross • Farmers’ Market – Weekly Farmers’ Market featuring local produce from May through November • Get Fit Kids – Pedometer-based walking program in Baltimore City public elementary schools • Flu vaccines – Annual flu vaccine program in partnership with the Baltimore City Health Department • Baltimore City Cancer Program – Free screening for Baltimore City women including mammograms, pap smears, and clinical breast exams

Over 60 Health Fairs reaching over

10,000

people with education and information

• Smoking cessation education and resources • Breathmobile – Asthma prevention and treatment for children in the community • Stork’s Nest – Prenatal education and incentive program for pregnant women • Community Psychiatry Residential Program – Transitional housing for residents with mental health issues in a supervised environment • Healthy City Days – Series of health-related events around Baltimore in the fall in partnership with Sandy Hillman Communications and Baltimore City Health Department • Senior Health and Fitness Day – Engaging, educational event designed to promote senior health and physical activity • Distracted Driving Education – Education targeted to youth to prevent distracted driving and unnecessary accidents • UMMC Staff Volunteers – Staff share their time and talents with community organizations, like the United Way, Baltimore Museum of Art, Salvation Army, Catholic Charities, and local Head Start programs to name a few. • UMMC Community Outreach Website – umm.edu/community

AT T HE U NIVERSITY OF M A RYLA ND MEDICAL CENT ER , we care about the people in our community. We are committed to helping people and to making a positive difference in our communities.

MEDICINE ON A MISSION

OFFICE OF COMMUNITY OUTREACH AND HEALTH EDUCATION: Front Row (left to right): Dana Farrakhan, Anne Williams, JoAnn Williams Second Row (left to right): Mariellen Synan, Lauren Davis umm.edu/community • 1-800-492-5538

COMMUNITY OUTREACH MISSION: To empower and build healthy communities. OUR MISSION: The mission of the University of Maryland Medical Center, the academic flagship of the University of Maryland Medical System, is to provide healthcare services to the Baltimore community, the State of Maryland and the nation. In partnership with the University of Maryland School of Medicine and the University of Maryland health professional schools, we are committed to: Delivering superior healthcare, Training the next generation of health professionals, and Discovering ways to improve health outcomes worldwide. We heal. We teach. We discover. We care. OUR COMMITMENT TO EXCELLENCE: Five Pillars We Focus on Every Day

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