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HomeMy WebLinkAbout11-07-2012 Supplemental Council AgendaSARATOGA LIBRARY COMMISSION FY 2012 -13 ROPOSLD WORK PLAN OVERALL MISSION: The mission of the Saratoga Library Commission is to ensure that access is provided to informational, educational and recreational library materials and services that respond to evolving community needs. The Commission advises the Saratoga City Council regarding the library facility and grounds, as well as current library issues. The Commission guides the Santa Clara County Library Joint Powers Authority Board regarding library budgets, policies, plans and procedures. PROJECT START COMPLETION DESIRED OUTCOME DATE DATE Assist in identification of community groups and resources to create connections with library. Participate with staff members in making presentations to identified community groups. Participate with staff in reach -out events in the community. Assist library staff activities to increase number of cardholders in Saratoga and Monte Sereno. Assist library staff with public awareness activities while a library District Special Tax renewal is under consideration for a possible future ballot measure. El Camino Hospital ® THE HOSPITAL OF SILICON VALLEY Chris Ernst Vice President, Marketing and Corporate Communications t) El Camino Hospital® THE HOSPITAL OF SILICON VALLEY 2500 Grant Road, Mountain View, CA 94040 -4378 Phone: 650-962-5853 Ce11:415- 710 -9445 Fax:650 -988 -8100 chris.er nst @elcaminohospital.org �*14�v 2012 This publication includes a report of Community Benefit activities for fiscal year 2011 -2012 for both the El Camino Hospital District and El Camino Hospital. For clarity, the report is divided into two sections, each with a description of programs, highlights of the year's accomplishments, and a financial summary. El Camino Hospital District and El Camino Hospital's Community Benefit Programs are funded separately, and each is focused on a distinct geographical area. The goal is the same: to make meaningful investments in the community that will help ensure individuals — especially the less fortunate — receive the health care they need, and to fund programs and activities that are working to improve the health and wellbeing of the community as a whole. More detailed information — including 2012 Community Benefit Plans for both El Camino Hospital District and El Camino Hospital, the 2012 Community Benefit Reports for both, as well as past Community Benefit Reports — can be found at www.eicaminohospitaidistrict .org /Comm unity_ Benefit and www.eicaminohospital .org /BenefitReport. 2012 COMMUNITY BENEFIT REPORT P. 7 District - funded Programs p. 21 Total District Community Benefit - Fiscal Year 2011 -2012 p. 23 Hospital - funded Programs p. 33 Total Hospital Community Benefit - Fiscal Year 2011 -2012 EL CAMINO HOSPITAL DISTRICT COMMUNITY BENEFIT PROGRAM The El Camino Hospital District has made a major commitment to the community through its yearly allocation of funds to local nonprofit agencies, school districts, and government- funded programs. The goal is to make a meaningful impact on the health of the community — specifically, underserved residents of the El Camino Hospital District. El Camino Hospital District Community Benefit funds, which focus on programs that serve residents of the District, are approved each year by the El Camino Hospital District Board of Directors and administered by the hospital's Community Benefit staff. "Both the El Camino Hospital District and El Camino Hospital take one of the most thorough and thoughtful approaches to grant- making in the community. Through this strategic and metrics -based approach, organizations dedicated to serving those in need in our community are better able to evaluate the impact of their work and can then leverage these strengths as they go forward in this most vital work." - Cecile Currier, vice president of Corporate & Community Health Services, El Camino Hospital, and CEO of CONCERN: EAP EL CAMINO HOSPITAL COMMUNITY BENEFIT PROGRAM As a nonprofit organization, El Camino Hospital upholds its responsibility to give back to the community through designated community benefit activities such as charity care, subsidized health services, education, training for health professionals, and addressing shortfalls in reimbursement from government programs such as Medi -Cal. In addition, the hospital collaborates with local nonprofit agencies and other community partners to provide care and promote health in response to the documented health needs of the community. El Camino Hospital Community Benefit funds — which focus on programs serving residents in the hospital's wider service area including West San Jose, Campbell, and Los Gatos — are approved each year by the El Camino Hospital Board of Directors and administered by the hospital's Community Benefit staff. COMMUNITY BENEFIT Both the El Camino Hospital District and El Camino Hospital follow national guidelines* when planning their annual Community Benefit Programs. To qualify as community benefit, programs and activities must do the following: • Improve access to health care services • Enhance the health of the community • Advance medical or health knowledge • Relieve or reduce the burden of government or other community efforts • Provide charity care that does not include bad debt, contractual allowances, or quick -pay discounts *Developed by the Catholic Health Association. A COMMON FOUNDATION The foundation of El Camino Hospital District and El Camino Hospital's Community Benefit Programs is the Community Health Needs Assessment, conducted every three years by the Santa Clara County Community Benefit Coalition led by the Public Health Department. El Camino Hospital is a member of this coalition and sits on the executive committee. The most current needs assessment is the 2010 Santa Clara County Health Profile Report. A new assessmentwill be completed in 2013. Each year, El Camino Hospital Community Benefit staff, who oversee and administer the two Community Benefit Programs, prepare individual Community Benefit plans for the District and the hospital. The Community Benefit Advisory Council, which consists of board representation, members of the community, and hospital leadership provide input. Each plan is developed using data from the Health Profile Report as well as information brought forward by existing and potential funding partners. The El Camino Hospital District Community Benefit Plan outlines programs that will serve residents of the District, which includes Mountain View, Los Altos, Los Altos Hills, Sunnyvale, and a portion of Cupertino. The El Camino Hospital Community Benefit Plan outlines the programs the hospital will support in the coming year in communities outside the El Camino Hospital District, which include Campbell, Los Gatos, Saratoga, West San Jose, and parts of Cupertino. Both plans focus on the following areas of need: •Increasing access to primary and preventive care services • Reducing obesity and encouraging healthy active lifestyles for long -term health • Enhancing emotional wellbeing by increasing access to mental health services •Meeting the special needs of vulnerable populations such as seniors and the homeless Santa Clara County residents, as a whole, enjoy better health than most of California and the rest of the country, according to the Santa Clara County 2010 Health Profile Report —yet negative trends and disparities exist. Low - income individuals typically have inadequate access to medical and dental services. Disparities also exist due to gender, race, and ethnicity. The data also shows that risk factors affecting the local population include obesity, poor nutrition, and untreated mental and emotional problems. ©ISSUE: Increasing access to primary and preventive care services • Santa Clara County has one of the highest median incomes in the nation, but one in 10 children and one in 12 adults live below the federal poverty level • About two in 10 adults ages 18 -64 in Santa Clara County do not have health insurance, including three in 10 African Americans and four in 10 Hispanics Over the past decade, the percentage of uninsured adults has more than doubled • In 2012, the unemployment rate was 8.2 percent; 74,000 adults did not have jobs -One-third of adults do not have dental insurance -The percentage of adults not able to see a doctor due to cost or lack of insurance (5 percent in 2000) has more than doubled (13 percent in 2009) ©ISSUE: Reducing obesity and encouraging healthy active lifestyles for long -term health • More than half of adults and a quarter of middle and high school students in the county are either overweight or obese Only 37 percent of students attend daily physical education classes • 10 percent of adults and nine percent of middle and high school students are smokers • One in four adults and nearly one in eight middle and high school students engage in binge drinking 0 ISSUE: Enhancing emotional wellbeing by increasing access to mental health services •33 percent of individuals surveyed reported their mental health was not good at least one day in the past 30 days -This number is higher among adults ages 18 -24 (55 %), women (35 %), Hispanics (41 %), and African American adults (47 %) • 77 percent of youth said access to and use of drugs and alcohol were a serious threat to their success OISSUE: Meeting the special needs of vulnerable populations such as seniors and the homeless • Seniors, especially those who are low- income or medically frail, experience multiple, critical medical and social needs • More than one in 10 Santa Clara County residents are age 65 and older; the number of seniors is expected to double by 2050 -Approximately 5 percent of seniors reported they had more than 15 days of poor mental health -About 6 percent of seniors reported that they were currently receiving counseling from a mental health professional • 18 percent of all suicides in Santa Clara County are committed by seniors •Seniors have an average of three chronic conditions requiring medical care How the plans are developed A strength of both the El Camino Hospital District and the El Camino Hospital Community Benefit Programs is the thorough selection process used to determine each year's grantees. Community Benefit staff review the grant applications and schedule meetings and onsite visits with existing and potential partners. Staff then work collaboratively with potential partners to develop plans that reflect both local health needs and those outlined in the Health Profile Report. Criteria for selecting partners • Must be a health - related, local nonprofit organization, government- sponsored health program, school district, or community coalition • Must be well - established and respected, with a history of strong service to the community • Mission must be to serve the underserved, address health disparities, and meet documented health needs • Program directors should be respected and highly competent; the organizations themselves must demonstrate a competence to address the identified needs • High value goes to funding programs and partnerships that emphasize collaboration as a way to enhance effectiveness and avoid duplication of services Expectations of partners Partners must demonstrate rigorous accountability in return for investment of El Camino Hospital District and El Camino Hospital Community Benefit funds. Each prospective partner must submit a proposal that includes an overview of the specific program for which the funds are requested, a description of the measurable impact of the program being funded, activities, budget, and key personnel. Once selected, partners are given reporting guidelines which include quarterly volume reports, an interim report at six months with metrics, and an annual report with a full year of data and metrics. All program results are summarized in a six -month and a year -end report. Annual Community Benefit Reports are submitted to the Office of Statewide Health Services Planning and Development (OSHPD) and are also distributed to the community. DEAR FRIENDS, The El Camino Hospital District was established by voter approval in 1956 in response to the need for a hospital that would serve the health care needs of residents living in Mountain View, Los Altos, Sunnyvale, and surrounding communities. In the years since El Camino Hospital opened, the District's five publicly elected or appointed representatives, as stewards of this valuable asset, have always had the health of the community as their highest priority. Five years ago, the El Camino Hospital District Board took this commitment even further by establishing a robust Community Benefit Program, funded through annual District tax receipts, that would help meet the health care needs of residents of the District with limited access to care. Through these Community Benefit funds, local nonprofit agencies, school districts, and government- funded programs have been able to expand the scope and size of their programs, especially important during the recent economic downturn. The Board's innovative approach to Community Benefit funding — asking partners to establish annual goals and measure the effectiveness of their programs — has led to partners themselves seeking new and innovative ways to improve the health of our fellow District residents. School programs such as Playworks and HealthTeacher, for example, focus on the health of children now, but with an eye to their futures as well. When children are encouraged and taught to make good food choices and to be more active, they will be less likely to be obese as adults. Obesity, as we know, is one of our country's most pressing health concerns. Improving the community's health is a team effort — no one provider, agency, or program can do it alone. As this important mission continues, the El Camino Hospital District remains committed to the work that began five years ago: using our resources to make a meaningful difference in the health and quality of life for members of our community. Sincerely, John Zoglin Chairman El Camino Hospital District Board of Directors to) El Camino Hospital District The El Camino Hospital District is committed to closing gaps in healthcare access that adversely affect the health and wellbeing of individuals in our community and is a vital funding partner for school districts, non- profit organizations, safety net clinics, and government programs. These organizations are working with the El Camino Hospital District to achieve a common goal: to significantly impact persistent unmet health needs in our community. Funds for these community health improvement programs come from a portion of annual property taxes collected by the District, which are then awarded to programs that serve residents within the boundaries of the El Camino Hospital District (see map, page 35). "The El Camino Hospital District was established by voters 50 years ago to create a hospital close to home, where District residents could receive quality medical services in a hospital that was owned and governed by the residents of the District. Like every public agency, we are continuously seeking to improve our transparency and public accountability. As trustees of this valuable asset, we are proud of our ability to continue delivering on the District's mission to provide medical facilities and quality health care services for the people we serve." - Wes Alles, member, El Camino Hospital District Board of Directors OISSUE: Increasing access to primary and preventive care services In 2012, the El Camino Hospital District invested more than 55.5 million in community partnerships that help individuals in the District who lack adequate resources to get the health care they need for themselves and their families. MEETING BASIC NEEDS RotaCare Clinic, Mountain View The RotaCare Clinic on the campus of El Camino Hospital in Mountain View provides primary care and specialty services to area residents in need, such as families of the working poor, individuals who are temporarily out of work and uninsured, as well as individuals who cannot afford health insurance. The clinic also provides health screenings and chronic disease management. A dedicated staff and volunteer physicians, nurses, pharmacists, and interpreters provide medical services. The clinic is dependent on a number of funding sources, a major portion of which is El Camino Hospital District Community Benefit funds. • Patients served: 2,700 • Services provided: 16,031 • Patients complying with mammography referrals: 85% MayView Community Health Center In Mountain View, home of some of Silicon Valley's most successful high -tech companies, one in five residents is living below 200 percent of the federal poverty level. MayView Community Health Center, a nonprofit community clinic providing primary care services to low- income families, is an essential part of the health care safety net and a medical home for many low- income patients. El Camino Hospital District Community Benefit Program helps to fund a primary care physician and vaccinations for more than a thousand people annually. • Patients served: 1,145 • Chronic asthma patients on long -term medications: 87% Ell Camino Hospital Immunization Program The risk of communicable disease is a significant problem in the community, especially among the underserved. Santa Clara County has the third - highest tuberculosis (TB) rate in California; four in five TB cases are among Asian Pacific Islanders. El Camino Hospital District Community Benefit Program funds help prevent the spread of infectious diseases such as tuberculosis, flu, pneumonia, and hepatitis in the community. • Patients served: 3,244 • Immunizations provided: 9,666 Valley Health Center, Sunnyvale Valley Health Center, a community clinic that serves low- income families in northern Santa Clara County, has developed a "medical home" where patients receive all the care they need in one place. The clinic also offers full- service dental care, a vital resource not readily available to individuals without insurance or funds to pay for the care. Now in its third year, El Camino Hospital District's partnership with Santa Clara Valley Medical Center was recently recognized in a resolution from the Santa Clara County Board of Supervisors (on page 12). • Patients served: 4,229 • Number of encounters: 10,360 A ROUTINE GYNECOLOGICAL EXAM SAVED SARA'S LIFE. Sara, 37, had come to the RotaCare Clinic for another health issue but also signed up for a gynecological exam. When she saw the volunteer gynecologist, she mentioned a lump in her left breast, which was verified during the examination. Sara was sent to get a diagnostic mammogram, which was then interpreted by an El Camino Hospital radiologist who recommended an urgent biopsy. Immediate action was needed but several hurdles arose: a large case load at Valley Medical Center as well as financial issues that were frightening to the unemployed Sara. Fortunately, just at this time, RotaCare was planning a Surgery Day for its patients in partnership with Palo Alto Medical Foundation (PAMF). PAMF not only agreed to do the diagnostic surgery for free but also to handle Sara's case from there on out. They assembled an oncology team to review her condition and develop a plan of action, which included blood work, x -ray, biopsy, chemotherapy, MRI, and a follow -up with an oncologist. Sara reports that she feels good (and tremendously relieved) and her doctors can no longer detect any lumps in her breast. Her routine gynecological appointment at RotaCare caught the cancer when there was still a very good chance of successful treatment. RESOLUTION WHEREAS, cuts in California's state budget have resulted in reductions in coverage for critically important preventive services for Santa Clara County residents using Medi -Cal, and many more people have recently been left without health care coverage due to recent economic constraints across the country, and... WHEREAS, El Camino Hospital District has donated 53,814,000 over the past three years to underwrite otherwise unfunded services at Valley Health Center in Sunnyvale, and... WHEREAS, the partnership between El Camino Hospital District and Santa Clara Valley Medical Center is a model of collaboration between a public health system and a nonprofit hospital district to meet their shared goal of improving our community's health BE IT RESOLVED that the Board of Supervisors of the County of Santa Clara of the State of California does hereby commend and thank the El Camino Hospital District for its dedication to the health of the people of Santa Clara County and the partnership it has undertaken to make the most cost - effective, direct use of its funds to benefit the health of our community. Children's Dental Center, Sunnyvale Now in its second year of operation, the Children's Dental Center of Sunnyvale is serving low- income families who have little or no access to much - needed oral health services. The clinic is sponsored by the Health Trust, with funding from the El Camino Hospital District and First 5 Santa Clara County. • Number of visits: 5,814 • Treatments and procedures: 23,237 Sunnyvale Community Services According to the Santa Clara County Health Profile, 16 percent of Sunnyvale residents and one -fifth of children underage 18 are living below 200 percent of the federal poverty level. The impact of the recession, with layoffs and home foreclosures, has likely made these numbers higher. Support from El Camino Hospital District Community Benefit funds allows Sunnyvale Community Services to provide financial aid forfood, medicine, and medical supplies for low- income residents in Sunnyvale. • Clients served: 622 Lucile Packard Teen Health Van Twenty percent of children under the age of 18 in Mountain View live below 200 percent of the federal poverty level. The Lucile Packard Teen Health Van, with its mobile health care services, is a critical health care safety net program in the community. The Teen Health Van makes regular visits to schools in the Los Altos- Mountain View High School District, providing primary and preventive health care services for homeless and at -risk students. In collaboration with Lucile Packard Children's Hospital, El Camino Hospital District Community Benefit Program funds support the service at one high school. • Students served: 128 • Services provided: 376 Healthy Kids Healthy Kids is a locally funded health insurance program that covers children who do not qualify for Medi -Cal or the Healthy Families program. With budget cuts and the defeat of Measure A in 2010, coverage has been available to fewer children. Because of funds from the El Camino Hospital District Community Benefit Program, 200 low- income children have comprehensive health care coverage. "We cannot do our work without the support of the El Camino Hospital District, which brings not only an unparalleled understanding of the District's health care needs, but the funding that made this dental clinic a reality." - Todd Hansen, chief operating officer, The Health Trust A THANK YOU FROM SCHOOL NURSES Barbara Avery, director of Community Benefit, was chosen as the 2012 recipient of the California School Nurses Organization's Lyda Smiley Award, which honors an outstanding person, other than a school nurse, who has made a significant contribution to the wellbeing of children and the practice of school nursing. "Barbara, you have been the 'face' of the El Camino Hospital District and El Camino Hospital as you implemented the Community Benefit Program," the award reads. "The services represented make a significant difference for those who are at risk and vulnerable in our community. With the increase in school nurse staffing made possible by the El Camino Hospital District and El Camino Hospital, approximately 38,000 students and their families in Santa Clara County have benefited from increased access to vision care, dental care, and better management of chronic diseases." - Katherine Waugh, RN, MS, CNS, president, California School Nurses Organization "As a grantee of the El Camino Hospital District Community Benefit Program for three years, we have been able to make a difference in the lives of more than 14,000 Mountain View students at a critical point in their lives. The grants have enabled us to provide school nursing services, counseling, and crisis intervention. In today's challenging funding environment, it is rare to find a granting organization so integrated and involved in the health of the community." — Craig Goldman, superintendent, Mountain View - Whisman School District SCHOOL HEALTH PROGRAM A centerpiece of the El Camino Hospital District's Community Benefit Program is the school health program, which funds additional school nurses and health aides for elementary and middle schools in the District. The District's Community Benefit Program also funds children's school programs that are working to promote health education and active, healthy lifestyles for long -term health. School nurses Schools area hub where many students and their families receive needed health care services. In today's schools, where mainstreaming (in which special -needs students are incorpo- rated into traditional classrooms) is the norm, school nurses see more medically fragile children, including cancer patients, diabetics, or handicapped children needing special procedures. School nurses provide first aid as well as immediate emergency care such as when a child suffers from a severe food allergy. These additional nurses ensure children are safer in their schools than they were before. With screening and follow -up services, children are receiving the help they need to be healthier physically, mentally, and emotionally. Mountain View - Whisman School District The school district has seven elementary schools and two middle schools. The school population is highly diverse, with a large percentage coming from low- income, underserved families. El Camino Hospital District Community Benefit funds have made it possible to add two nurses and a health aide to the staff. - Students served: 3,353 Sunnyvale School District With funding from the El Camino Hospital District Community Benefit Program, the Sunnyvale Unified School District has been able to hire an additional school nurse as well as a health aide for students in eight elementary and two middle schools. School district leaders also report that one of the greatest problems among the schools is the lack of mental health services. This is especially true in low- income schools, where many children struggle with emotional difficulties and there are few resources available to help them. Other issues facing the schools are truancy and bullying. With El Camino Hospital District Community Benefit funds, mental health and counseling services provided by the Community Health Awareness Council are now available to at -risk students in all 10 Sunnyvale School District's schools. - Students served: 3,404 Cupertino Union School District The Cupertino School District includes schools that fall both within and outside of the El Camino Hospital District boundaries. Funding for the salary of a nurse and a health aide is split between El Camino Hospital and the El Camino Hospital District. The increased staffing has helped to expand student access to health, dental, and vision screenings, as well as health education programs and services for special -needs students. ©ISSUE: Reducing obesity and encouraging healthy active lifestyles for long -term health According to the Centers for Disease Control and Prevention, childhood obesity has more than doubled in the past 30 years. In 2008, more than one -third of children and adolescents were overweight or obese. Obesity has a major impact on health, both short and long term. Doctors are seeing more children with prediabetes, high cholesterol, and elevated blood pressure. Children who are obese also suffer from social and psychological problems such as not being accepted among peers, bullying, and low self- esteem. In the long term, obesity can lead to heart disease, diabetes, cancer, and arthritis. Responding to this growing public health concern, the El Camino Hospital District Community Benefit Program each year funds programs that are working to lower the risk of obesity among children. These programs emphasize healthy lifestyle habits — such as good nutrition and physical activity — and reinforce the impact that school nurses have on children's health. INVESTING IN CHILDREN`S LONG -TERM HEALTH Bay Area Women's Sports Initiative (BAWSI) Bay Area Women's Sports Initiative (BAWSI) is an after - school fitness and confidence - building program that introduces young girls to physical activity. The girls are coached by college and high school female student athletes. An exercise and nutrition program provided at school helps mothers become physically active and learn better ways to cook, shop, and eat. BAWSI is offered atTheuerkauf Elementary School in Mountain View, a Title I school. 5210 Program In collaboration with the Palo Alto Medical Foundation, El Camino Hospital District funds are supporting a school -wide health campaign called 5210 in four low- income elementary schools in the Sunnyvale School District and one school in the Mountain View - Whisman School District. The program promotes certain daily activities that enhance health. Children pledge to eat five or more fruits and vegetables, have two hours or less of screen time, one hour of physical activity, and no sweetened beverages. 5210 also includes school assemblies, meetings with parent groups, goal setting with achievement prizes, and integration into the Playworks program. A SUCCESSFUL END TO A YEAR OF MENTORING The BAWSI girls, all wearing their purple t- shirts, threw a thank you party for Miyoko, their head coach, at the end of the season. During her frequent recess and lunch visits, Miyoko had talked about the importance of eating lots of fruits and vegetables. So it was a pleasant surprise for Miyoko to see the girls bring a variety of fruit and other healthy snacks instead of traditional party food. In response to the program and the coaching they are receiving from their mentors, the girls have been positive, saying they like the exercise, are having fun, and are making new friends. "I feel like a winner," one girl said. The 5210 Program has had a huge impact on Lakewood Elementary School. Teachers continue to comment about how their students` attitudes have changed in regards to health and fitness. "When a first grader approaches you and says, 'Look, I am eating an apple for a snack,' you know the program is working." - Kevin Davis, 5th grade teacher, Lakewood "Thank you for providing my daughter and me with the opportunity to participate in the cooking classes. We're learning to make great meals." - Leticia, parent, San Miguel Elementary "It is very surprising how much sugar can be in what I think are healthy drinks!" - 5th grader, San Miguel Elementary Playworks Playworks, a nonprofit organization that first started in Berkeley and is now in schools nationwide, works to give children plenty of opportunities for physical activity and safe, meaningful play during their school days. The goal is to increase children's physical activity and foster a better social climate. El Camino Hospital District Community Benefit Program funds the Playworks program at several local schools in the District. • Students served: 2,084 • Principals reporting decrease in suspensions, referrals, and /or fights: 94% HealthTeacher An online health education curriculum for K -12 teachers, HealthTeacher gives them an opportunity to fit important health information into the day's learning. The various lessons help students increase their health literacy and learn how to avoid risky behaviors such as alcohol consumption, tobacco use, poor nutrition, and inactivity. El Camino Hospital District partners with Lucile Packard Children's Hospital to provide HealthTeacher to local schools in the District. • Schools served: 31 • Teachers reporting satisfaction with program: 90% West Valley Community Services A nonprofit agency located in Cupertino, West Valley Community Services (WVCS) provides basic services for individuals in need. Low - income families and individuals have access to food pantries through the Raising a Healthy Eater Program, and they learn about nutrition, the causes of obesity, and how healthy lifestyle choices are possible, even when resources are scarce. El Camino Hospital District funds help support this program and other services that assist families and children in need. Clients served: 714 • Clients enrolled in CARE Case Management Program: 81% ISSUE: Enhancing emotional wellbeing by increasing access to mental health services Through partnerships with local mental health services agencies, the El Camino Hospital District Community Benefit Program provides psychiatric treatment and counseling forindividuals in its community who have emotional issues such as stress and anxiety. When mental health and emotional issues are neglected, physical health can suffer. SUPPORT FOR OUR TEENS Community Health Awareness Council The 2010 Health Profile Report documented an unhealthy level of serious, risk-taking behaviors among the county's youth. To address this issue, the Community Health Awareness Council, a nonprofit mental health services agency in Mountain View, offers a number of counseling and therapy programs for children, adults, and families. El Camino Hospital District Community Benefit Program funds support the Teen Talk and Prevention Plus programs in the Mountain View - Whisman and Sunnyvale School Districts. Through these programs, students and families work on issues such as smoking, substance use, bullying, family problems, and depression. • Students served in Teen Talk program: 614 • Students served in Prevention Plus program: 922 �l FILLING THE GAPS IN MENTAL HEALTH SERVICES Momentum for Mental Health Momentum for Mental Health helps people achieve mental and emotional wellbeing. El Camino Hospital District Community Benefit funds support psychiatric evaluations, medication management, and case management for individuals with no insurance or resources to access mental health services. • Patients served: 161 • Services provided: 1,601 OISSUE: Meeting the special needs of vulnerable populations such as seniors and the homeless Fulfilling its responsibility to all citizens in the community, El Camino Hospital District Community Benefit funding provides help for vulnerable populations such as seniors, the homeless, and individuals with barriers — such as cultural differences — that make it hard to access basic medical care. CULTURALLY SENSITIVE PROGRAMS Alzheimer's Association El Camino Hospital District Community Benefit Program funds support the efforts of the Alzheimer's Association through its Chinese Dementia Initiative to increase awareness of the disease among the local Chinese community and to build a network of care for Chinese families coping with the disease. Funds support staffing, the development of educational materials, public awareness efforts, and a half -day Chinese Caregiver Conference. • Participants served: 750 Chinese caregivers given training and resources for dementia care: 538 South Asian Heart Center Research shows that individuals of South Asian descent are disproportionately affected by coronary artery disease and diabetes, compared with the general population. A large number of South Asians live in the communities served by the El Camino Hospital District. District Community Benefit Program funds help the center screen and educate members of this group about how to manage their cardiac risk factors. Special emphasis is placed on screening underserved or uninsured individuals. • Participants: 928 • Underserved /uninsured individuals screened: 250 GIVING SENIORS A HAND RoadRunners Transportation Program Lack of transportation has a huge impact on the health and safety of many seniors. Not being able to drive or access public transportation is a major barrier for seniors in keeping medical appointments and remaining independent. For 26 years, the RoadRunners Transportation Program, with its corps of experienced, friendly volunteer drivers, has provided thousands of rides a year to seniors and others in need. • Clients served: 1,133 • Rides provided: 13,054 Mountain View Community Services Agency By 2050, Silicon Valley will see a 50 to 75 percent increase in the number of residents over 65, with the fastest rate of growth among individuals 85 or older. Seniors typically develop multiple chronic medical conditions requiring many health services. El Camino Hospital District Community Benefit Program funds provided a case management program for seniors with chronic illnesses, helping them find community resources. This service helps seniors avoid unnecessary emergency department visits, hospitalization, and institutionalization, allowing them to remain independent. • Patients served: 78 • Patients maintaining independent living outside institutional setting: 97% iiKOVIDING A SANCTUARY Medical Respite Program The Medical Respite Program provides a clean, safe place for homeless patients to receive medical care when they are discharged from the hospital. The objective is to link the homeless patient to a primary care home and help them access benefits, including housing. Such programs benefit the community by decreasing the number of homeless people living on the streets. New Directions Among the medically underserved are individuals who are homeless orwho live in unstable housing. Two- thirds of these individuals also have mental health and /orsubstance abuse problems, and most are disabled. They are frequent users of hospitals' emergency departments, some making eight or more visits a year to one or more hospitals. New Directions is a collaboration between the Hospital Council of Northern and Central California and local hospitals. The program helps individuals find medical care, mental health services, substance abuse services, and assistance in finding permanent housing and employment. El Camino Hospital District funding enabled the program to expand its capacity by 50 percent this year. • Patients served: 27 • Services provided: 596 Pathways Home Health and Hospice Agency El Camino Hospital District Community Benefit funds enable Pathways to serve patients who need — but are unable to afford — hospice care. Patients /families served: 77 • Patient /family satisfaction with hospice services: 96% PROGRAM RESTORED HEALTH AND DIGNITY Richard, who has been homeless for more than 20 years, was recently living in his wheelchair behind a gas station. Because he was suffering from a severe infection in both legs, he was spending 24 hours a day in the chair. His hygiene was so poor that bus drivers would not let him on the bus. Richard was eventually admitted to the hospital. At discharge, he was referred to the Medical Respite Program, where he spent six weeks recovering from the wounds on his legs. While at Medical Respite, he worked with his case manager and the Medical Respite staff to apply for benefits and find housing. He is now living in a studio apartment of his own. His case manager has connected him to critical medical services and Richard has gone from being unable to move from his wheelchair to being able to stand and walk on his own for short periods of time. r a� El Camino Hospital RoadRunners SENIORS CALL ROADRUNNERS' DRIVERS THEIR "SAVIORS" For one client, the service provided by RoadRunners is not just convenient, it's essential to her survival. In frail health for many years, she's scheduled a trip to the hospital every two weeks for a lab procedure or to check in with her doctor. In addition, she's had several unscheduled hospital admissions and has had to depend on RoadRunners to get her there. "Because we know her situation, we drop what we're doing if she calls," says Betty Smith, RoadRunners office coordinator. "We know how much she is depending on us. "Despite living in a large population area, many seniors find themselves without family or good friends nearby. Often they have no one to depend on for transportation. Betty continues, "That's where RoadRunners comes in. Our drivers are volunteers, but they're known as 'saviors' to many of our clients. The thanks go both ways, however. The people we meet in this service, with all their wisdom and experience, give us so much in return." SPONSORSHIPS El Camino Hospital District's Community Benefit Program also sponsors a number of local nonprofit organizations and government agencies that fill critical gaps in health care services and address health disparities. Association of Fundraising Professionals - Philanthropy Day Aging Services Collaborative Alzheimer's Association Bay Area Women's Sports Initiative (BAWSI) Cancer Support Community Chinese American Coalition for Compassionate Care City of Sunnyvale - Senior Center Community Health Awareness Council Community Service Agency - Mountain View K.I.D.S. 5K Run Los Altos Rotary Endowment - Senior Health Fair Mountain View Police Activities League - Youth Camp National Alliance for Mental Health (NAMI) Pathways Hospice Foundation RotaCare Bay Area Santa Clara Family Health Foundation - Healthy Kids Sunnyvale Community Services Sunnyvale Senior Center VMC Foundation FINANCIAL ACCOUNTING Grants.................... ............................... 55,152,570 Sponsorships ............ ............................... 5154,469 Government - sponsored health care (Healthy Kids program ) ........................... $200,000 Total Fiscal Year 2011 -2012 Ell Camino Hospital District Community Benefit ................. $5,507,039 -- DEAR FRIENDS, Throughout our 50 -year history, El Camino Hospital has been a trusted resource in the communityfor emergency and medical care. As a nonprofit organization, we have taken this responsibility further by offering a number of programs and services that allow us to give back to the community that supports us. Among these are Community Benefit programs that include charity care, free and low -cost services, education and training for future providers, and partnerships with community organizations that are striving to ensure that all individuals have a chance to get the health care they need forthemselves and their families. This 2012 Community Benefit Report shows the work that El Camino Hospital is doing to respond to the documented health needs of our community — especially the needs of people who lack resources and access to health care. The report also shows some of the community outreach activities we are investing in which we believe will impact the lives and health of future generations. For example, we are investing funds to help young children from low- income families get off to a healthier start through the Early Head Start program. With the additional school nurses funded by our Community Benefit Program, elementary school children have preventive screenings and follow -up care. Our high schoolers, who are vulnerable to risky behaviors such as drug and alcohol abuse, are able to get counseling during crisis situations through EMQ (formerly Eastfield Ming Quong) FamiliesFirst programs. Our commitment to the health of the community starts with Community Benefit, but does not stop there. We partner with other community providers, working together to improve the health of individuals throughout their lives — through prevention, education, access to primary care, chronic disease management, and help with decision - making for end -of -life care. Keeping yourself well is very much a personal responsibility, nevertheless, we want to be your partner in helping you achieve your own health goals. Sincerely, t/4v Tomi Ryba k-/ CEO and president El Camino Hospital AEl Camino Hospital THE HOSPITAL OF SILICON VALLEY .1� SERVING THE COMMUNITY FOR MORE THAN 50 YEARS Throughout its history, El Camino Hospital has been a community hospital in every sense of the word, ensuring that residents of the community have access to the health care they need — including 24/7 emergency services, mental health programs, maternity care, expert medical and surgical treatment, as well as health promotion activities such as access to care, screenings, mental health services, and community education. As a nonprofit organization, El Camino Hospital upholds its responsibility to give back to the community through designated Community Benefit activities, as well as through community health improvement programs, which are developed to provide treatment or promote health and healing in response to the documented health needs of the community. WHEN EXTRA HELP IS NEEDED "In El Camino Hospital's Patient Financial Services Department last fiscal year, we were able to help 77 patients obtain Medi -Cal eligibility through our Medi -Cal eligibility assistance program. These patients presented through the Emergency Department or were direct admissions and were uninsured. "We meet with all uninsured patients who are admitted to the hospital and conduct an initial screening to determine if the patient is eligible for Medi -Cal. If the patient is a potential candidate for these programs, we will assist them with the application process, interviews, and anything else they need. "I remember one patient especially who came to the Emergency Department for treatment. He had lost his job and was homeless. We helped him successfully apply for Medi -Cal and state disability. His health care needs were taken care of, his health has recovered, and he is back to work. It is so satisfying to be able to help." - Ted Smith, interim director, Patient Financial Services ©ISSUE: Increasing access to primary and preventive care services Lack of access to basic health care is a serious issue for people in our community. Individuals and families forgo medical treatment because paychecks often will not stretch far enough to afford visits to a doctor. When a serious problem arises, people who cannot afford treatment go to hospital emergency departments, underlying conditions go untreated, and chronic conditions go unmanaged. El Camino Hospital provides care for individuals in need through hospital services as well as through community programs. Both support the hospital's commitment to Community Benefit. MAKING SURE NO ONE GOES WITHOUT CARE Charity care Any individual who cannot pay the bill for emergency services or the cost of a hospital stay and who meets the hospital's guidelines for charity care is eligible for a reduction or even the elimination of a hospital bill. The policy for both inpatients and outpatients applies to patients who are uninsured, underinsured, ineligible for government programs, or are otherwise unable to pay for their medical services. Medi -Cal Medi -Cal is a public health insurance program that provides needed health care services for low- income individuals, including families with children, seniors, persons with disabilities, children in foster care, pregnant women, and low- income people with specific diseases such as tuberculosis, breast cancer, or HIV /AIDS. Medi -Cal is financed equally by the state and federal government. Number of Medi -Cal patients served (Mountain View and Los Gatos campuses): approximately 1,119 inpatient admissions; 108,000 outpatient visits. INVESTING IN THE FUTURE Education and training Without sufficient opportunities to complete internships/ externships and other student trainee programs, tomorrow's health care workers will not be ready to fill the positions required to ensure future patients will have the quality care they need. El Camino Hospital offers significant number of trainee positions in nursing, radiology, clinical laboratory, cardiac and pulmonary rehabilitation, and respiratory medicine. Nursing students from universities and community colleges are placed in areas of the hospital where they can receive hands -on experience with patients while being mentored by the nursing staff. Health care students trained in fiscal year 2011 - 2012:299 Cost to train students, including percentage of staff salaries, as well as supplies: $919,620 SCHOOL HEALTH PROGRAM Fulfilling a commitment to improve the health and wellbeing of youth, the hospital is providing support to many of the community's public schools, often the only place where children from low- income families receive basic health care. School nurses In this time of shrinking school budgets, school nurses are stretched thin, often having to divide their time between many schools within a school district and unable to provide necessary follow -up care. In addition, school nurses today are increasingly called upon to deal with serious conditions such as asthma, diabetes, and mental health issues. They are also responsible forthe care of medically fragile children in our school districts. Many children, especially those who come from under - served households, often have no health care provider outside of the school nurse. Through the El Camino Hospital Community Benefit Program, school districts in Campbell, Cupertino, and Santa Clara have been able to add full -time nurses and health aides. These nurses have been able to substantially increase the scope and quality of health care services for students. Nurses audit student health records, follow up aftervision, hearing, scoliosis, and dental screenings, and provide case management for students with chronic illnesses. They also connect students and families with other health - related services available in the community, including low -cost health insurance. Campbell Union School District Community Benefit funds have made possible the addition of two full -time school nurses and a health aide for the nine elementary and three middle schools serving the communities of Campbell, San Jose, Los Gatos, Monte Sereno, and Santa Clara. • Students served: 6,700 Students seen by providers after poor results at health screenings: 81% general; 80% dental • High- absentee children with chronic asthma now managed by RN: 71% Cupertino Union School District Community Benefit funds that help to support an additional full -time school nurse and a part -time health aide forthis school district come from both El Camino Hospital and El Camino Hospital District Community Benefit Programs. El Camino Hospital Community Benefit funds are allocated to schools that are located outside the El Camino Hospital District boundaries. • Students served: 1,165 Students seen by providers after poor results at health screenings: 66% Santa Clara Unified School District El Camino Hospital Community Benefit funds support school nursing services at fourTitle I schools in the school district, serving a large number of underserved and low - income children. • Students served: 2,002 Uninsured students who applied for insurance: 95% • Kindergarten students needing urgent dental care seen by provider: 91% E, "There is a great need for psychological, social, and crisis counseling on high school campuses today, and it is beyond the financial resources of the school district to provide it. The lack of availability of these kinds of services for at -risk youth is quickly felt by schools, by families, and by the surrounding communities at large because at -risk behaviors manifest themselves throughout our society." — Rhonda Farber, PhD, former superintendent, Campbell Union High School District MEETING THE NEEDS OF FOSTER CHILDREN juvenile Court Foster Children orthodontic program This program is designed to help foster children with the most serious oral health problems that require orthodontics care. Foster children typically are not able to easily or quickly access orthodontic services since the number of dentists and orthodontists who accept Medi -Cal patients for these services is limited in Santa Clara County. With El Camino Hospital Community Benefit funding, the program has helped more than 20 foster children. HELPING INFANTS AND TODDLERS Early Head Start Early Head Start was created to provide educational, social, medical, dental, nutritional, and mental health services for pregnant women and children from birth to three years of age in low- income families. These children are at the highest risk of adverse health and developmental outcomes. El Camino Hospital's Community Benefit Program funded a family advocate position for Santa Clara County's Early Head Start Program, which helps families find primary care providers, connects them to available health resources, and coordinates translation and transportation services, which ',.are often barriers to accessing care. • Children served: 72 • Families in need connected to appropriate services: 92% "The counselors have done wonders for the school climate, by affecting all students' ability to learn, and by preventing the need for emergency services. Neither the principals nor I know how we could function without these services. They are providing a better place to learn for students and a better community for us all, both now and in the future." — Rhonda Farber, PhD, former superintendent, Campbell Union High School District ©ISSUE: Reducing obesity and encouraging healthy active lifestyles for long -term health Obesity rates among children are rising. Young people spend long hours in sedentary activities such as playing video games orwatchingTV. In addition, local super- intendents and principals saythey are seeing a troubling increase in bullying and other antisocial behaviors, especially during recess. Through Community Benefit funding, El Camino Hospital is not only making it possible for students to get the health care they need, but also helping them make good nutrition and exercise part of their lives. When students are healthier physically and emotionally, they have a better chance of being more successful both socially and academically. INVESTING IN THE LONG -TERM HEALTH OF OUR CHILDREN Playworks Playworks is a program for elementary school children to increase their physical activity and to foster a better social climate at school. El Camino Hospital Community Benefit Program funds the Playworks program at a Title I school in the Campbell Union School District. • Students served: 525 Principals reporting decrease in suspensions, referrals, and /or fights: 94% HealthTeacher HealthTeacher, an online health education curriculum for K -12 teachers, gives them an opportunity to fit important health information into the day's learning. El Camino Hospital partners with Lucile Packard Children's Hospital to provide HealthTeacher to school districts in Silicon Valley, including in the Campbell Union and Cupertino Union School Districts. • Schools served: 160 • Teacher satisfaction with program: 90% ©ISSUE: Enhancing emotional wellbeing by increasing access to mental health services One in four people in this country experiences some kind of mental disorder during his or her lifetime. One in 17 has a serious mental illness, while one in 10 children experiences a serious mental or emotional disorder. A great many — especially underserved groups such as the elderly, racial/ ethnic minorities, low- income individuals, and the unin- sured — do not receive the treatment they need. Safety net programs have traditionally provided assistance, but with shortfalls in funding, resources are stretched thin and mental health benefits are often the first to be cut. El Camino Hospital's Community Benefit Program helps fill the gaps that exist iq mental health services for the under - served. The focus of the hospital's program is on providing tools and resources that will helpyouth and adults make behavioral and lifestyle choices that will support successful and healthy lives. DEALING WITH HIGH -RISK BEHAVIORS IN HIGH SCHOOLS Campbell Union High School District: EMQ FamiliesFirst Programs Substance abuse, violence, gang issues, depression, promiscuity, eating disorders, poor attendance, sexual abuse, and suicidal ideation —these are problems faced by young people during their high school years. Add to that increased bullying behaviors through texting and social media. El Camino Hospital's Community Benefit funds are providing students and families in the Campbell Union High School District with two vital mental health programs to help at -risk youth. EMQ FamiliesFirst Addiction Prevention Services provides student counseling, substance abuse prevention, intervention, and post - intervention services for youth. The Child and Adolescent Mobile Crisis Program provides mental health crisis assessment and intervention to youth under age 18 who are severely depressed, suicidal, or in acute psychological crisis. Services are available 24 hours a day, seven days a week, to respond to youth in immediate danger of harming themselves or others and to de- escalate their crises. The program helps families to find resources to keep their children safe at home. • Students, parents, and teachers served: 1,744 • Counseling services provided: 1,301 • Youth participating in the high -risk adolescent program showing a 50% improvement in positive behaviors and attitudes: 75% FILLING THE GAPS IN MENTAL HEALTH SERVICES The need for mental health services for low- income residents is growing in Santa Clara County. Physicians at the RotaCare Clinic and other community clinics have observed an increasing number of individuals with mental health problems that require psychiatric care and medication management. Accessing mental health services is especially difficult for individuals with no insurance or resources. Momentum for Mental Health Momentum for Mental Health, the largest nonprofit provider of mental health services for adults in Silicon Valley, helps people achieve mental and emotional wellbeing. Services include psychiatric evaluation, medication management, and case management for individuals with neither insurance nor resources to access mental health services. Community Benefit funds serve to narrow the gap in access to psychiatric care. Asian Americans for Community Involvement (AACI) Language and cultural barriers, along with a pervasive stigma about mental health problems, keep members of the Asian community from utilizing mental health services. With the closing of a program in the Cupertino School District, these services were no longer available to the large population of Asian students and their families. With funding from El Camino Hospital, AACI, which has expertise in working with the Asian community, provided services to school districts in Cupertino and East San Jose, with a focus on serving uninsured students. Services included individual, group, and family therapy and case management. Individual and group counseling services provided: 1,439 NEW BRACES, A NEW JOHNNY Johnny was excited to get braces, since he was the first of three children in his family to receive them. Johnny attends a school for children with special needs and he often has behavioral issues and doesn't follow through on assignments. But getting new braces has motivated Johnny to improve. He now brushes his teeth every day at school, after lunch, and at home. Proud of his braces, Johnny is attempting to set a good example for the younger children in the foster home who will need braces later this year. OISSUE: Meeting the special needs of vulnerable populations such as seniors and the homeless Among those who rely the most on support services in Santa Clara County are foster children, seniors, and the homeless. These are individuals for whom the lack of available resources has the most negative effect. Foster children need caring and helpful advocates, seniors need resources to maintain their quality of life, and the homeless need access to basic health and social services. El Camino Hospital's Community Benefit Program improves access to critical services for those in need. HOPE FROM THE COMPANY OF OTHERS YOUTH AT RISK Superior court domestic violence intervention for youth Reports say that approximately one in three adolescent girls is a victim of physical, emotional, or verbal abuse from a dating partner. Nearly one in 10 high school students has been physically hurt by boyfriend or girlfriend. For foster children, the difficulty in getting help is compounded. Funds from the El Camino Hospital Community Benefit Program support a superior court domestic violence intervention program which has been established to prevent and stop this kind of behavior from happening to foster children. Through education, mentorship, referrals, and expert legal assistance, these youth will learn the behaviors that typify domestic violence and how to develop healthy and appropriate relationships. For youth facing domestic violence, success is defined by their consistent attendance in the youth group and their desire to continue to engage in the Tuesday group process. The following poem was written by a participant to describe the group experience: In a Life In a life where there is trouble There is Group Tuesday Ferial comes to save the Tuesday From being most terrible Tuesday Gives me time to figure out my struggles In a life where there is trouble El Camino Hospital was a sponsor of the 2012 Healthy Living Fair presented by Congregation Shir Hadash in Los Gatos. The fair's chairperson, Diane Toole, had this to say: "Our goal was to bring much - needed health screening and health information to people who fall through the cracks of the health care system in our community. Members of Congregation Shir Hadash, St. Maria Goretta Parish, People Acting in Community Together (PACT), the Muslim Community Association, and O'Connor Hospital joined together in this multi -faith effort for residents of East San Jose. Thousands of people benefited from 40 community service agencies that provided health and dental screenings, eye exams, free physician counseling, and certificates for free follow -up care. All this and more was provided thanks to your generous donation." A TRUSTED HEALTH CARE RESOURCE El Camino Hospital places a high priority on providing community members with health information and resources that have a positive impact on their health. Health Library 8f Resource Center, Ell Camino Hospital Los Gatos The Health Library& Resource Center at El Camino Hospital's Los Gatos campus provides up -to -date health and wellness information both on site and in the community. The center also provides assistance and referrals to local and national resources for individuals who need information about caring for an aging parent or family member. • In- person visits in 2011 -2012 fiscal year: 900 • Calls for assistance: 300 Outreach: 28 events serving 750 community members SPONSORSHIPS El Camino Hospital's Community Benefit Program also sponsors a number of local nonprofit organizations and government agencies that fill critical gaps in health care services and address health disparities. Asian Americans for Community Involvement (AACI) Able People Foundation - support for the disabled American Cancer Society, California Chinese Unit American Red Cross - disaster relief Avenidas - patient transportation Breast Cancer Connections Breathe California Camp Kesem - for children of parents with cancer Community Health Partnership Congregation Shir Hadash Health Fair EMQ FamiliesFirst Herald Cancer Care Network Jenny's Light - a mental health event Learning Ally (formerly Recording for the Blind & Dyslexic) Leukemia and Lymphoma Society Los Gatos Lion's Club Charities Momentum for Mental Health People Acting in Community Together (PACT) Peninsula Stroke Association Planned Parenthood Mar Monte - Children's Summit Project Cornerstone Self Help for the Elderly Silicon Valley Leadership Group - Turkey Trot The Health Trust VMC Foundation West Valley Community Services f, FINANCIAL ACCOUNTING Community health improvement services ............................. S361,671 Health professions education ..............51,179,367 Subsidized health services .................513,083,292 Clinical research ....... ............................... $4551839 Financial and in -kind contributions ............ ............................... $844,876 Community benefit operations .... ............................... $162,731 Traditional charity care ............ ............................... $3,153,534 Government- sponsored health care (unreimbursed Medi- Cal)$13,174,518 Total Fiscal Year 2011 -2012 El Camino Hospital Community Benefit ...........................532,415,828 COMMUNITY BENEFIT COALITION MEMBERS Community Health Partnership, Inc. Council on Aging Silicon Valley El Camino Hospital FIRST 5 Santa Clara County Hospital Council of Northern & Central California Kaiser Permanente Santa Clara Kaiser Permanente San Jose Kids in Common Lucile Packard Children's Hospital at Stanford O'Connor Hospital Palo Alto Medical Foundation Project Cornerstone Saint Louise Regional Hospital Santa Clara County Office of Education Santa Clara County Public Health Department Santa Clara County Social Services Agency Santa Clara Family Health Foundation Santa Clara Family Health Plan Santa Clara Valley Health & Hospital System Silicon Valley Community Foundation Silicon Valley's University Partner for Research and Innovative Solutions Stanford Hospital & Clinics The Health Trust United Way Silicon Valley YMCA of Silicon Valley COMMUNITY BENEFIT STAFF Cecile Currier, vice president of Corporate & Community Health Services Barbara Avery, director of Community Benefit Carla Paul, director of Community Health Services Victoria Chavez, administrative assistant EL CAMINO HOSPITAL DISTRICT BOARD OF DIRECTORS John L. Zoglin, chairman Patricia A. Einarson, MD, vice chair David W. Reeder, secretary /treasurer Wesley F. Alles, member EL CAMINO HOSPITAL BOARD OF DIRECTORS Tomi Ryba, president and CEO John L. Zoglin, chairman Patricia A. Einarson, MD, vice chair David W. Reeder, secretary/treasurer Wesley F. Alles, member Neal H. Cohen, MD, MPH, MS, member Jeffrey M. Davis, MD, member Nandini Tandon, member Results are shown in brief in this combined 2012 Community Benefit Report. A more detailed report of metrics for both programs can be found at www .eicaminohospitaldistrict.org /Community_ Benefit and www. elcaminohospital .org /BenefitReport. R. rAAr � 2012 '1 Community Benefit Report About El Camino Hospital As an independent, nonprofit hospital with campuses in Mountain View and Los Gatos, we are empowered to do whatever it takes to bring you the finest quality care. Our leadership helps foster a dynamic, collaborative, innovative environment. El Camino Hospital physicians actively seek out the latest treatments and technologies to benefit our patients. And all of our nurses, staff, and volunteers share our commitment to excellence. Together, we do our utmost to bring you compassionate, comprehensive medical care that is truly state -of -the -art. Our key medical specialties include cancer care, heart and vascular services, genomic medicine, urology, orthopedic and spine surgery, rehabilitation services, senior health, and women's health. For a more detailed look at our capabilities, please visit our website at www.elcaminohospital.org. El Camino Hospital " District ©2012 El Camino Hospital B- 0303_CommunityBenefit Oct12 1000 IV , El Camino Hospital "' THE HOSPITAL OF SILICON VALLEY OVERVIEW Community Benefit programs span several cities and neighborhoods within the hospital service area. They target a wide array of individuals, from school -age children to senior citizens, focusing especially on people who lack adequate resources to ensure their own and their family's well- being. Programs are organized into the following categories: Primary Care Access. These partnerships were developed to increase access to primary medical care, immunization services, oral health, and health insurance coverage. School Health Initiatives. These programs address health - related needs at school, early detection, and health education. Mental Health. These initiatives help fill the gap where mental health services do not exist or are unaffordable for low income adults and children. Case Management Services for Seniors and High -Risk Patients. These partnerships offer comprehensive support and connection to other community resources for vulnerable and underserved individuals. Community Health Education /Sponsorships. These programs provide health - related educational resources and support to the community as well as targeted support to identified high -needs groups through screenings, support groups, and other activities. Culturally Sensitive Programs. These initiatives offer health education and health screenings to specific cultural groups that have health disparities, with an emphasis on prevention and early detection. City of Saratoga programs are funded by El Camino Hospital SERVICE AREA SERVICES RotaCare Clinic. RotaCare provides free outpatient medical care and medication to the underserved in our community. An essential component of the community's safety net health care services, the RotaCare Clinic is a "medical home" for many of the community's uninsured, creating access to health care that would otherwise be unavailable. Although primary care is its core service, the clinic also provides access to 11 medical specialty services. Services provided: 16,031 Patients served: 2,700 Volunteer hours: 8,000 RoadRunners. Operated by El Camino Hospital since 1985, RoadRunners is a transportation service providing seniors and frail residents with rides to health care appointments and other activities for a small fee. . Rides provided: 13,054 Immunization Program. This program helps prevent the spread of contagious diseases, including pneumonia, hepatitis, influenza, tuberculosis, and whooping cough through free vaccines and TB testing provided to underserved individuals. Immunizations provided: 9,666 Patients served: 3,244 Chinese Health Initiative. Health education and support for the Chinese community. Participants served: 463 South Asian Heart Center. Health education and lifestyle modification for the South Asian Community. Participants served: 928 Participants case - managed: 161 Volunteers. Just as we give back to the community, so the community gives back to the hospital. Currently, more than 1,400 volunteers at both the Mountain View and Los Gatos locations provide support to our patients, their families and members of the community through service in the El Camino Hospital Auxiliary, RoadRunners, and Spiritual Care programs. ABOUT EL CAMINO HOSPITAL As an independent, nonprofit hospital with campuses in Mountain View and Los Gatos, we are empowered to do whatever it takes to bring you the finest quality care. Our administrative leadership helps foster a dynamic, collaborative environment. Our world -class physicians actively seek out the latest treatments and technologies to benefit our patients. And all of our nurses, staff and volunteers share our commitment to excellence. Together, we do our utmost to bring you compassionate, comprehensive medical care that is truly state -of -the -art. Our key medical specialties include cancer care, heart and vascular services, neuroscience, genomic medicine, urology, ophthalmology, orthopedic and spine surgery, rehabilitation services, weight loss surgery, and women's health. For a more detailed look at our capabilities, please visit our Web site at www.elcaminohospital.org. A NONPROFIT HOSPITAL As this area's only nonprofit hospital, El Camino Hospital Los Gatos is committed to keeping resources in the community and reinvesting them to improve the overall health of the people who live and work here. This gives us a greater ability to grow programs, add new services, and install state -of- the -art equipment. Like our "sister facility" El Camino Hospital, which has a long history of contributing to the South Bay, we're not governed by a large, shareholder -owned corporation. Rather, we are only accountable to local stakeholders, and our primary focus is to meet the growing and changing needs of the communities we serve. About El Camino Hospital Los Gatos Our newly upgraded health care facility recently opened its doors. And yet, this hospital has a long history of providing excellent care and personal service to the people of Los Gatos and surrounding communities. Our experienced adminis- trative and clinical leaders, joined by our nurses, staff and volunteers, are committed to continuing this tradition of service while always seeking new and better ways to provide the highest quality, safest possible care. For a more detailed look at our capabilities, please visit our Web site. 815 Pollard Road Los Gatos, CA 95032 800 -216 -5556 www.elcaminohospital.org 02009 El Camino Hospital F- 1301- LGCapBrochure Jul09 11 i [11.11111 r. Aftt El Camino Hospital Los Gatos is a full- service hospital offering exceptional patient care and a broad spectrum of top specialty programs. Our highly trained, compassionate nurses and staff include people you've known and trusted over the years. Many of our excellent physicians also have a long and distinguished history of serving this community. Now under new ownership, the hospital has seen a substantial investment in new information technology. So, we're in better - than -ever condition with an advanced electronic medical record system and other equipment designed to upgrade care and improve both service and patient safety. At El Camino Hospital Los Gatos, everything is in place to serve you. PROGRAMS AND SERVICES Acute care Critical care services include a 15 -bed intensive care unit with upgraded monitoring equipment and information technologyfor charting and physician order entry — all contributing to enhanced care and patient safety. Emergency services With a history of quality, service, and patient satisfaction, our emergency department prides itself on being attentive to each patient. We provide compassionate care, striving for the shortest possible wait times. V1 ry Surgical services Highly trained teams of surgeons, nurses, and other health professionals use the latest surgical equipment to provide safe and effective care. Labor and delivery services We're continuing the personalized care and service that has been our tradition forgenerations of moms and babies. Our recently refurbished labor and delivery rooms welcome families, helping them to feel calmer and more comfortable. When babies need advanced care, ourfully staffed and equipped neonatal intensive care unit is standing by. Clinical laboratory We offer a full - service clinical laboratory with both emergency and routine testing. To help ensure patient safety, we use new barcode scanning technology at the bedside when collecting test samples. Radiology We've added advanced equipment so images can be transmitted and read more quickly. Other upgrades are on the way, including a 64 -slice CT scanner, in -house MRI system, improved fluoroscopy, and more powerful mammography equipment. Specialty programs Ourfull- service capabilities include urology, orthopedics /spine care, ophthalmology, advanced cardiac diagnostics, and more. 17 rRVICES Classes and support groups We're expanding our wide variety of community education classes and support groups to meet the needs of patients, families, and local residents. Led by nurses and other hospital experts, our classes cover everything from preparation for childbirth, breastfeeding, and new parent groups to smoking cessation and disease prevention. Community Health Library Dedicated to helping patients, families, and the community find the resources and information they need to make informed decisions about their health, our free Community Health Library is open every weekday. Enhanced services provide access to the latest medical research and recent electronic databases. Please call 408 - 866 -4044 for more information. Volunteer services Volunteers are essential to helping our hospital serve patients, families, and visitors with a personal touch. Opportunities for trained volunteers are available in numerous areas throughout the hospital. We encourage you to join our growing auxiliary. Please call 650 - 940 -7214 for membership information. Community Wellness Lecture Series Community lectures on a wide variety of wellness topics feature local physicians and other hospital experts. A longtime tradition in the Los Gatos area, the monthly forums are free and open to the public. Expert speakers bureau In the spirit of our mission to improve the health and well -being of the community, our speakers bureau is a free community service. Medical experts and members of the hospital's leadership team are available to speak at local community events. To arrange for a speaker, please e -mail us at speaker @elcaminohospital.org or call 650- 988 -7948. r ( 0 Et Camino Hospital 2500 Grant Road, Mountain View, CA 94040 -4378 ® THE HOSPITAL OF SILICON VALLEY 800 - 216 -5556 www:elcaminohospital.org © 2009 El Camino Hospital C- 0305- 01_PresFolder Mar09 i Ia I s # -f ss 44 S �I wool _____Ammmkft_ pt:ta�Paer <al �rt1V�KtM� — i" A kii • • A half- century of forward thi S a a. � Ia I s # -f ss 44 S �I wool _____Ammmkft_ pt:ta�Paer <al �rt1V�KtM� — i" A kii • • A half- century of forward thi 50 AND GOING STRONG YEARS A _ 1111M1111 MURIMMIP1191VM. 1961 -2011 CELEBRATING 50 YEARS OF DOING "WHATEVER IT TAKES" TO V� t, _ - s Cover photo: Triple- board - certified surgeon Ram in Beygui, MD; renowned interventional cardiologist James Joye, D0, medical director of the Heart & Vascular Institute; and expert surgical oncologist, Shyamah Singhal, MD. Photo this page: Rashmi)ain, RN. �i r INNOVATION IS OUR INSPIRATION Since first opening our doors in 1961, we've watched the Silicon Valley become a vanguard of technical innovation. As both the area and our services have grown, we've worked hard to embody the entrepreneurial spirit and exceptional standards that characterize this region. As "The Hospital of Silicon Valley," we strive every day to meet the needs of our patients with proven innovations that result in the highest caliber of care. It's been 50 years since we started digging the foundation for our first hospital building and we've been breaking new ground in health care ever since. You might say that innovating is part of our DNA. And it manifests in the multitude of things we do to stay on the cutting edge — in technology, treatments, programs, and even the architecture of our newest structures. Put simply, we believe it's our responsibility to do whatever it takes to deliver the finest care, anywhere. As an independent, not -for- profit hospital, we are uniquely empowered to meet that challenge. That's because we answer to our colleagues and community rather than to a group of corporate stakeholders. This leaves us free to keep investing — and reinvesting — in the health of our patients. Our culture goes beyond a "can -do" attitude. We believe we can always do better. Our employees don't accept the status quo. They challenge it. Our administration doesn't create obstacles. It removes them. Here, ideas are conceived, considered, processed, planned, and launched with remarkable speed and efficiency. You'll see examples of some of these ideas and innovations high- lighted throughout this report. And there are many more in practice and in the works. Many of them are driven by our physicians' vision and creativity. Allowing them the freedom to seek out and try new treatments and technologies has made us a magnet for some of the best medical minds in the nation. This also makes us a desti- nation for patients who seek care that is truly state of the art. It is both our challenge and our honor to continue to meet their needs. ►1 MOUNTAIN VIEW CAMPUS THE INNOVATION OF AN ACADEMIC MEDICAL CENTER AND THE PATIENT - FRIENDLY APPROACH OF A COMMUNITY - FOCUSED HOSPITAL Located on a 41 -acre tree - shaded campus in Mountain View, El Camino Hospital provides a wide range of patient care services to both inpatients and outpatients. In addition to the main patient care facility, the campus includes the Women's Hospital, El Camino Surgery Center, Breast Health Center, Oak Dialysis Center, CyberKnifeo Center, and Melchor Pavilion — home of the Cancer Center, Fogarty Institute, Taft Center for Clinical Research, and Cenomic Medicine Institute. Consistently ranked over our 50 -year history as one of the leading hospitals in the area, we have been distinguished by our high - caliber staff and affiliated physicians, our comprehensive and innovative services, our insistence on quality care and patient safety, and our dedication to community service. Our beautiful. modern. state -of- LOS GATOS CAMPUS A FRIENDLY, FULL - SERVICE HOSPITAL WITH HIGH - QUALITY CARE PLUS SPECIAL EXPERTISE IN UROLOGY AND ORTHOPEDICS In 2009, we acquired our Los Gatos campus in an effort to better meet the needs of our southern service area. We instituted a three -month renovation as soon as the transition began. The revamped, reopened hospital now boasts one of the lowest emergency department wait times in the area. The facility also has a robust maternity program, full- service general surgery and ICU capabilities, and �( several highly specialized programs thatir are unparalleled in the South Bay. no 'a- UROLOGY AND MEN'S HEALTH El Camino Hospital Los Gatos has one of the Bay Area's leading urology programs with expert diagnosis and treatment of medical conditions involving the male and female urinary tract and the male reproductive organs. Our state -of- the -art facilities and equipment include a robotic surgical system, brachytherapy, and two litho - tripters for kidney and bladder stone therapy. We also have the area's only latest - generation Green Light- Laser System to treat benign prostate disease. The hospital's new Men's Health Clinic focuses on male health issues, such as erectile dysfunction and hormone deficiency, and also identifies and addresses the potential health issues of which these symptoms may be a part. Many men are reluctant to discuss these urologic issues with their physicians because of the sensitive nature of these conditions and poor awareness of treatment options. The clinic offers a safe environment where men can feel comfortable discussing these health issues. Led by board - certified urologists, the program is the only one of its kind in Santa Clara Countysupported bya hospital -based urology specialty. Patients have convenient, "one- stop" access to inpatient and outpatient surgery, specialized laboratory and diagnostic imaging, and a network of expert physicians. ORTHOPEDICS: HEAD- TO-TOE EXPERTISE The orthopedic program in Los Gatos draws patients from all over the region. They come seeking expert care from a seasoned, collaborative team of specialists, the majority of whom are board - certified and fellowship- trained. We offer subspecialty expertise for every major joint (hip, knee) and extremity (hand, shoulder, ankle). We handle arthritis cases and sports injuries and provide the latest in minimally invasive surgery for joints and spine. Between our orthopedic and neurosurgery specialists, we can handle virtually any spine issue. To assist and encourage patients to get back on their feet as soon as possible, and to minimize pain and enhance mobility, we have opened our new Orthopedic Pavilion, a postoperative facility designed exclusively for orthopedic patients. Unlike the traditional hospital environment, the hotel -like unit promotes a feeling of wellness, with exclusive dining and rehabilitation space and private rooms with space for a family member or guest to stay with the patient. We also offer a 30 -bed acute inpatient Rehabilitation Center that provides services for patients who have experienced strokes, brain injuries, multiple sclerosis, Parkinson's disease, spinal cord injuries, or complex orthopedic disorders. vc , S M `-F a� Xt A Jr� I ' '1 A Karen and Roger Sutter: Two people, three cancer diagnoses — one fantastic outcome A single diagnosis of cancer can send a family reeling, but three bouts in five years is more than most can bear. That's why the Sutters are so grateful for their extended "family" at the Cancer Center at El Camino Hospital. First Roger was diagnosed with a rare blood cancer that did not require immediate treatment. He remained under the watchful eye of Dr. Shane Dormady, when he then contracted throat cancer, completely unrelated to his blood disorder. Around the same time, Karen was diagnosed with rectal cancer. Both husband and wife underwent extensive chemo and radiation therapies, relying heavily on the expertise of Dr. Robert Sinha and Dr. Dormady. Karen was well on the mend when Roger's original blood cancer took a turn for the worse, and he underwent additional treatment with our experts. Both are now healthy, happy, and grateful to be alive, together. They credit the incredible diligence of our cancer team for their amazing outcome. Photo, opposite page: Infusion specialist jen Landes, RN. I � 1 is THE CANCER CENTER AT EL CAMINO HOSPITAL: LEADING THE CHARGE AGAINST CANCER Our comprehensive Cancer Center is an incredibly healing place where surgeons, medical oncologists, radiation oncologists, pathologists, nurses, and other experts work closely together to provide our patients with the highest level of care possible. We offer all the latest advances in surgical and medical oncology, in one central location. Our multi- disciplinary team reviews challenging cases in a weekly tumor board, in order to arrive at an optimal, individualized treatment plan foreach patient. We are the first West Coast hospital with real -time, high- definition teleconferencing capabilities, which our tumor board uses to consult with other cancer specialists. And because treating the whole person means more than providing medical care, we provide our patients with access to an exceptional amount of support, from nutritional counseling to yoga, survivors' groups and even art classes, available through our Healing Arts Program. Patients travel from all over the Bay Area and beyond to receive our extraordinarily high level of care and innovative approaches. Putting our patients first: Our 48-hour guarantee A cancer diagnosis is a lot for anyone to process. And, unfortunately, many cancer centers, including some of the most renowned facilities, have patients waiting up to six weeks for their first appointments. We believe newly diagnosed patients should seen right away, to allay their fears and get theirtreatments started as soon as possible. That's why we do whatever it takes to guarantee a consult within 48 hours. We understand the stress and worry our patients feel, and feel it's our responsibility to schedule that initial visit as quickly as humanly possible. A healing combination: Talent and technology These days, many hospitals promote their leading -edge technologies. However, owning the latest and greatest equipment is no guarantee that a hospital's physicians are well versed in its use — or in the best way to apply a technology for effective patient care. Here at El Camino Hospital, we battle cancer with a powerful combination of technology and talent. Radiation oncologists use the CyberKnife° Robotic Radiosurgery System to fight tumors throughout the body, including the brain, with exquisite accuracy. In such experienced hands, the CyberKnife® can focus a radioactive surgical beam on an area smaller than a freckle. We were also one of the first area hospitals to offer high -dose breast brachytherapy, a breast cancertreatment in which radioactive seeds are placed inside the breast after I i t a lumpectomy to deliver the dose of radiation as close to the cancer as possible. With this method, the length of treatment may be as little as one week. Focus on prevention: Fighting cancer before it starts While we do whatever is necessary to provide our cancer patients with the best possible care, we are just as engaged in preventing cancer through screening and risk assessment. In fact, we are the first area hospital to offer the REACT clinical trial that is aimed at preventive care. Through the Taft Center for Clinical Research at the Fogarty Institute for Innovation, we are evaluating the Respiragener" genetic test, an assessment for lung cancer risk. The study involves both former and current smokers, and our goal is to determine whether the Respiragener"" genetic test can increase the detection of lung cancer in people without symptoms, potentially saving their lives. THE HEART & VASCULAR INSTITUTE: A BEAT AHEAD Innovation is truly at the heart of every service provided by the Heart & Vascular Institute at El Camino Hospital. We offer an unparalleled combination of services, delivered by world -class specialists on the cutting edge of the field. Our experience and expertise, coupled with new high -tech facilities and equipment, enable us to lead the region with a fully integrated range of care for the prevention, diagnosis, treatment, and rehabilitation of cardiovascular issues. Our goal is to be in the top 10 percent of cardiovascular programs in the United States, based on outstanding quality and care. With that in mind, we continually introduce innovative services and programs like the ones described here. First Chest Pain Center Certification in the area In 2008, we took the lead and worked to become the first Chest Pain Center in the region to be certified by the Society of Chest Pain Centers. To earn this designation, the program has to meet or exceed national quality standards for the full spectrum of heart - related services. This certification applies to every facet of heart care and treatment from primary prevention (before the manifestation of heart disease symptoms), acute heart disease treatment, and secondary prevention (after treatment for a heart condition to limit future heart - related events). The Chest Pain Center consistently achieves door -to- treatment times that are up to 30 percent faster than the national standard of 90 minutes. Studies show that cer- tified Chest Pain Centers can typically reduce mortality up to almost 40 percent in comparison to non - certified Chest Pain Centers. First and only collaborators with EMS in transit For heart attack patients, time is tissue, and every minute counts. That's why we've teamed up with local emergency services personnel to use LifeNet, a new electrocardiogram (ECG) transmission and heart attack alert system from Medtronic, Inc. LifeNet transmits diagnostic - quality elec- trocardiograms (ECGs) from the ambulance to hospital staff via a secure, Web -based alert system. If the heart attack is determined to be a STEMI (ST- elevation myocar- dial infarction), the most dangerous kind and the most damaging to heart muscle, an alert then goes out to everyone involved in the patient's care, from the emer- gency department physicians and nu rses to the cardiac catheterization (cath) lab team. Key cardiovascular physicians can even view results of an incoming patient's ECG on a smart phone. A smart innovation, indeed! Setting the pace for treatment of irregular rhythms (A -fib) Atrial fibrillation (A -fib), or irregular heartbeats, are disorganized rhythms of the upper chamber of the heart. Symptoms can range from none at all to a racing heartbeat, palpitations, shortness of breath, or even feelings of impending doom. The disorder is common, although often untreated. Once detected, there are several ways to treat A -fib, which can cause blood clots, stroke, and congestive heart failure. Doctors look at patient's symptoms, stroke risk, overall health symp- toms, stroke risk, age, and other factors. Here at the Heart & Vascular Institute, we offer a unique combined approach. Our cardiologists, electrophysiologists, and surgeons work together on a treatment plan, and for many patients the solution may include a combina- tion of medication, nonsurgical options like catheter ablation, and minimally invasive surgeries like VATS - Maze surgery. Our team is one ofjust a few in Northern California to perform the Maze procedure, which can be done on a beating heart with just a few small incisions. A collaborative spirit that knows no bounds — including the operating room Treatment for many acute heart ailments has traditionally fallen squarely in one domain or the other — interven- tional or surgical. But our collaborative experts realize that many patients can benefit from a combined approach — or, at the very least, a collaborative conversation between experts. That's why our physicians work closely together to assess cases carefully. We offer more options to solve typical maladies, and we even perform unique hybrid procedures that combine both traditional and minimally invasive tech- niques. We are renowned foroffering an incredible arrayof options, from minimally invasive endovascular procedures to traditional open surgical procedures. Many of our pio- neering procedures are made possible by our participation in clinical trials, through our partnership with theTaft Center forClinical Research at the Fogarty Institute forInnovation. The Heart & Vascular Institute is the only site in the Western United States offering nonsurgical mitral and aortic valve replacement via catheter -based technology. Clinical trials: Staying on the forefront of cardiac and vascular care Individuals cared for at the Heart & Vascular Institute have access to the latest medicines, devices, and techniques, because we are dedicated to investing in the program to stay on the forefront of cardiac and vascular care. Our physicians are participating in a variety of clinical trials, giving patients access to new experimental therapies for conditions that may not respond adequately to exist- ing approaches, as well as helping to advance treatment technologies for the region. Transcatheter aortic valve implantation (TAVI): Good news for patients with advanced aortic stenosis We are one of only 40 centers in the United States selected to participate in this clinical trial, arguably one of the most coveted studies in the cardiovascular arena in decades. Duringthis nonsurgical, percutaneous inter- vention, a device is placed by catheter via the femoral artery inside the diseased valve. Traditional open -heart surgery can be avoided, and early results are promising as patients face fewer complications and recovery time is greatly reduced. This technology offers an alternative option to individuals suffering from severe aortic valve disease and heart failure — many of whom are simply not well enough to withstand traditional treatment. We cater to the " FMO" on the go i a Typically, there is one person in the household who is responsible for most health care decisions — and we've desig- nated that person the Family Medical Officer (FMO). In many homes, it's a woman, and she coordinates care for herself, her immediate family, and in many cases, her parents as well! That means having access to health care resources at home, at the office, and on the road. That's why we're working on an iPhone app that will help busy FMOs of both genders to keep in touch with the many services available from El Camino Hospital for everyone in the family. It's our way of helping the FMOs help everyone around them. Photo, this page: Tina Tai, San Jose. THE WOMEN'S HOSPITAL AT ELCAMINO HOSPITAL: PUTTING WOMEN FIRST At El Camino Hospital, women account for 65 percent of our patient mix and 80 percent of our employee base. They also make 85 percent of the family health care decisions. So it's only natural that when it comes to caring for our female patients, we feel compelled to give 110 percent. That's why in 2009, we founded our Women's Hospital, the first in Northern California. The Women's Hospital encompasses our current Maternal Child Health Services and many other female- specific clinical services. Our goal is to provide seamless, comprehensive, coordinated care for women at both our Mountain View and Los Gatos campuses. Our expertise in women's health goes way beyond obstetrics, covering everything from prevention to the most advanced therapies for pelvic issues, breast cancer, urinary problems, endometriosis, and other common conditions affecting women. El Camino Hospital is consis- tently rated as the "best place to have a baby," and 97 percent of our new moms breastfeed, making us number one in the county, as well as the state, for breastfeeding. HIGHLIGHTS OF INNOVATIVE PROGRAMS AND SERVICES AIMED AT OUR FEMALE PATIENTS The cutting edge of gynecological surgery Manyarea hospitals haveinvested in the da VinciO Surgical System, but finding physicians with expertise in using the robot for hysterectomies and other delicate gynecological procedures can be a challenge. Several surgeons on the medical staff were early adopters of robotic gynecological surgery. The number of gynecological robotic cases these surgeons have performed at the hospital is the highest in Northern California. Robotic hysterectomies are minimally invasive, which reduces pain, scarring, and blood loss, and allows our patients to recover much sooner. At the Women's Hospital, we are focused on treatment of conditions where women are uniquely affected, such as gynecological disor- ders, breast disorders, and obstetrics. But we also care for conditions such as osteoporosis, depression, and sleep disorders. Symptoms and treatment for women also vary in such areas as heart disease, lung cancer, and stroke. The Women's Hospital also offers minimally invasive proce- dures to treat severe endometriosis, infertility, myomas of the uterus, and other gynecological conditions. Tracking patterns and potential problems with the Family Medical History Tool As key health care decision - makers, women have a special interest in tracking and understanding their family health histories. Our unique Family Medical History Tool can help them do just that. The result of a collaboration between El Camino Hospital and DNA Direct, this pri- vate and secure online tool is available through our Genomic Medicine Institute. The more information one adds to the tool, the more powerful it becomes, and the results can be printed and shared with family and physicians to ensure coordinated care. HealthPerks: Membership has its privileges HealthPerks is a unique and growing membership program that offers women health information and resources, including a monthly newsletter, lectures and screenings, age- specific health education, special gifts and discounts, membership to the Health Library & Resource Center and more. Through HealthPerks, women have access to special benefits such as free half -hour consultations on nutrition and eldercare and discounts at select health- oriented businesses. Ilk EDWARD AND PAMELA TAFT (right): A COUPLE OF EXTRAORDINARY DONORS Pamela and Edward Taft's unfailing generosity to our hospital has been timely, targeted, and truly exceptional. Through their financial contributions, the Los Altos Hills couple has helped us build a better hospital and raise the level of care for the entire community. Their $4 million grant forthe newly formed Taft Center for Clinical Research is the largest in the history of the hospital. The Tafts' vision for the new Center is to create a community hospital -based clinical research program atthe Fogarty Institute forInnovation, on the El Camino Hospital Mountain View cam- pus. This program will provide the resources and infrastructure to support research at the Fogarty Institute. Clinical research conducted through the Taft Centerwill focus on two of our core areas of expertise: cancer and heart disease. The Taft Center will give our physicians and patients access to treatments based on the latest findings in clinical research and patient studies. The Taft Center is just the latest in a series of enhancements the Tafts have funded at El Camino Hospital. Other examples of their generous philanthropy include: • Funding an entire electronic medical records system for the RotaCare Clinic, a volunteer- driven clinic on the El Camino Hospital campus that provides uninsured patients with 15,000 free medical services annually Serving as lead donors to the $25 million "Imagine" campaign to raise funds for innovative programs and services Funding the expansion of El Camino Hospital's Palliative Care Program Serving as lead donors to the surgical robot campaign • Challenging other donors at the 2011 Sapphire Soiree fundraiser for the Cancer Center by starting off the contri- butions with a $250,000 matching grant Beyond the Tafts' involvement with the El Camino Hospital Foundation, they support a variety of nonprofits and institutions both here and in their hometown of Boston. El Camino Hospital Foundation THE HOSPITAL OF SILICON VALLEY rA � �I I" I Z7. QW 4s, r -- ti W. Alt J VIKRAM SAHAI AND RASHMI SINHA (left): FORWARD- THINKING PHILANTHROPISTS As high - profile players in the world of information technology, Vikram Sahai and Rashmi Sinha thrive on innovation. Not surprisingly, when a friend told the couple about El Camino Hospital's South Asian Heart Center, they were immediately struck with how new — and needful — the concept was. Here was a hospital that was willing to "push the envelope" to deliver better care. Vikram and Rashmi soon became gen- erous donors to the SAHC — and that was just the beginning of their five -year involvement with El Camino Hospital. Vikram now serves on the El Camino Foundation Board, while Rashmi was instrumental in planning and organizing the Z011 Sapphire Soiree. Both appreciate the Foundation's long -term perspective on community health and its commit- ment to leading -edge technology. Through their work with the board, the couple got to meet some of the physicians at the Cancer Center and were impressed by their level of expertise and commitment.This motivated Vikram and Rashmi to make large donations to the cancer program. The couple believes innovation has a direct, positive impact on the quality of care, and on patient outcomes. The motivation behind their gen- erosity is simple: They live and work in this community and theywantto be instrumental in providing the finest possible care for their family, friends, and neighbors. El Camino Hospital Foundation THE HOSPITAL OF SILICON VALLEY 6L ! WFJO j Y 1` w Five million hours of service with countless dividends for our community How fitting that El Camino Hospital's 50th anniversary coincides with another impressive milestone: an astounding five million hours of selfless volunteering by our Auxilians! That's 570 cumulative years of helping our hospital and our community. And that tally doesn't even factor in the thousands of hours donated at our Los Gatos campus, where the records are still being integrated. Based on a 2008 Independent Sector estimated value of 523.29 per hour, our volunteers have contributed more than $116 million worth of time! Photo, above: Auxilians, Virginia Downs, Christine Kilkenny, and Anne Kusian. Photos, top right: Amir Singhal, MD; Eldercare consultant, Catherine Chavez. k *v. ♦� I M • A POSITIVE ENERGY AT WORK: OUR VOLUNTEER AND COMMUNITY HEALTH PROGRAMS Community Benefit As a nonprofit hospital, El Camino Hospital is deeply committed to the health of our community, especially its most vulnerable members. With annual funds allocated yearly by the El Camino Hospital District and CONCERN Employee Assistance Program, we have instituted a number of community health improvement programs in the South Bay, in partnershipwith local communitygroups and agencies. Funds allocated for 2012 total $7 million, which will be used to deliver a rich portfolio of programs and services. Some of our current efforts include: • Primary care access for the underserved • Mental health initiatives Case management services for seniors and high -risk patients • Community health education /sponsorships • Culturally sensitive programs • School health initiatives A central part of our efforts is our commitment to improv- ing the health and well -being of youth through our school health initiatives. Schools are a natural "hub" for students and their families to gain access to a wide range of health and social services. We collaborate with six school districts and have a positive impact on the long -term health of children, especially the underserved. In these districts, El Camino Hospital provides nurses, health aides, critical mental health services, health screenings, and physical activity programs. Over the last several years we have expanded our services to meet the growing and unmet needs of our local schools. Our schools rely on us fora full range of onsite health services that are provided. Our dedicated volunteers Just as we give back to the community, so the commu- nity gives back to our hospital. The El Camino Hospital Auxiliary provides volunteer services to the hospital, our patients, and the residents of the South Bay. The Auxiliary also grants health care - related scholarships and provides financial support for special projects. Volunteers in the Auxiliary's Roadrunners Program provide transportation to and from appointments within a 10 -mile radius of the Mountain View campus to seniors and people who cannot drive. The Chaplaincy Program's spiritual care volunteers, who represent all faiths, provide support to patients and their families, hospital staff, physicians, and the Auxiliary at both our Mountain View and Los Gatos locations. Services support a healing environment within the hospital and seek to strengthen ties to local religious communities. RotaCare Clinic: Making sure the underserved are not overlooked The mission of our RotaCare Clinic is to give medical care to people in need with limited access to health care. With more than 320 volunteers, including 120 health care providers, each year the RotaCare Clinic provides 15,000 free medical services, plus an addi- tional 10,000 essential immunizations through the El Camino Hospital Immunization Program. A recent donation has allowed RotaCare to convert to electronic medical records, helping the clinic maintain quality and safety standards and attract good doctors. IWIRP_. Minimally invasive procedure meant maximum impact for Ruth Neapolitan Deemed too frail for open -heart surgery, 84- year -old Ruth Neapolitan had been suffering from aortic stenosis for two years and already had a stent. Fortunately, El Camino Hospital had an alternative: a minimally invasive experimental procedure known as the CoreValve transcatheter aortic valve replacement. The hospital, working with the Taft Center for Clinical Research at the Fogarty Institute for Innovation, is one of only 40 hospitals nationwide selected to partici- pate in clinical trials for this amazing nonsurgical percutaneous intervention. The replacement valve is placed on the end of a catheter and threaded through an artery in the groin, all the way to the heart. Asked how she feels now that her blood is pumping efficiently again, Ms. Neapolitan has a simple, one word response: "Fantastic" FOGARTY INSTITUTE FOR INNOVATION: A HEALTHIER APPROACH TO INNOVATION Innovation is the lifeblood of medical advancement and the key to raising the bar for patient care. Yet more and more inventors are going outside the United States, as the path to market is fraught with obsta- cles. The nonprofit Fogarty Institute for Innovation was founded by world -class physician and innovator Dr. Thomas Fogarty in an effort to reinvent the pro- cess of innovation. The Institute provides support to medical innovators in three key ways: Cultivation: Providing the environment and resources to nurture innovative ideas Each year, the mentorship team picks three to five medical innovators whose work is initially promising. The Institute provides them with all the tools for success, from business support to research and development to mentoring and contacts. Validation: Streamlining the process for clinical research Clinical research in a traditional academic setting can take years. Thanks to a gracious contribution from Edward and Pamela Taft to found The Taft Center for Medical Research, we can offer an alternative, stream- lined path for clinical trials. Education: Sharing our experience with the broader medical community The Fogarty Institute's education program is focused on spreading the word and sharing tips with an extended community, through sponsored fellowships and group workshops directed at public, industry, entrepreneur, and physician audiences. THE GENOMIC MEDICINE INSTITUTE: BRINGING PERSONALIZED MEDICINE TO THE PEOPLE Consistent with our reputation as an early technology adopter and our location in the heart of Silicon Valley, El Camino Hospital was the first community hospital in the country to offer a Genomic Medicine Institute. Our goal is to help speed the translation of this important new science from the research labs to the medical offices of El Camino physicians — all for the benefit of our patients and the community. The Genomic Medicine Institute partners with DNA Direct to provide the most current industry exper- tise. As a leader in guidance and decision support for genomic medicine, DNA Direct is exceptionally knowledgeable about the latest advances in clinical testing and scientific developments in the study of the human genome. The Genomic Institute offers support for this effort through four main areas: • Physician education Community outreach and education Clinical trials Risk assessment V 1 N, A4 CREATING INNOVATIVE PROGRAMS TO ADDRESS THE NEEDS OF A DIVERSE COMMUNITY Doing whatever it takes to meet the needs of our patients begins with understanding exactly who they are. Since our hospital first opened its doors back in 1961, our patient base has become increasingly diverse. We have seen an influx of people of Asian and South Asian descent, with specific needs revolving around culture, language, and health risks related to both lifestyle and genetics. As an independent com- munity hospital, we have the autonomy and the agility to create offerings tailored to the particular medical issues affecting these burgeoning communities. Our efforts have resulted in two pioneering programs: the South Asian Heart Center and the Chinese Health Initiative. The South Asian Heart Center: A proactive approach to a heart disease epidemic People who trace their ancestry to India, Pakistan, Sri Lanka, Nepal, or Bangladesh may come from differ- ent cultures, but they share the same elevated risk for heart attack and stroke. Many are nonsmoking vegetarians, yet their risk of coronary heart disease is four times the U.S. average. What's more, South Asians tend to experience heart attacks and strokes at a younger age: 50 percent of heart attacks in South Asians occur before age 55 — 10yearsyounger than the average. Our South Asian Heart Center — the first facility of its kind in the world — was created to raise awareness of this health risk, offer specialized testing to screen people for emerging and genetic risk factors, and help them make positive lifestyle adjust- ments. Participants undergo a specific series of tests and then meet with the Center's clinician to receive a customized summary of risk factors, as well as a plan for ongoing exercise, diet, and stress management. The Chinese Health Initiative: Culturally sensitive and medically savvy As the South Bay's Chinese community continues to grow at a rapid pace, two critical needs have emerged. Specific health risks and health disparities within this patient group have to be addressed and health care must be provided in a way that meets the cultural preferences and expectations of the Chinese popula- tion. The Chinese Health Initiative focuses on health issues affecting this community, including hepatitis B, hypertension, liver cancer, and lung cancer. In addi- tion to offering special screenings for these and other conditions, the Chinese Health Initiative offers work- shops in Chinese, staffed by physicians from our Chinese - Speaking Physician Referral Network. ��� i; •,ter i\ K. A view of innovations in the works: Helping discharged patients stay that way Hospital readmissions account for billions of dollars in health care costs each year and are often preventable. With that in mind, in 2012 Medicare will impose financial penalties on hospitals for readmissions, in an effort to reduce them. To curb readmissions, we have several inno- vative initiatives in progress. First, we are working with hospitals and other associated providers in our area in a program called ARC — Avoiding Readmissions through Collaboration. Members share relevant information about preadmission, hospital stay, and post- discharge in the hopes of finding patterns. What's more, we are tackling the issue by contacting discharged patients to make sure they understand instructions, followed by telephone calls one week, two weeks, and 30 days after release. For certain at -risk patients, we are using a new idea with ties to the past — the doctor house call. Dr. David Jones, an internal medicine specialist and founder of Bay Area House Call Physicians, will visit patients at home during the first 30 days, with the first visit 48 hours after discharge. Dr. Jones will bring all necessary equipment to do x -ray testing or blood work in the home. Patients' medical reports now available to physicians online The residents of Silicon Valley are highly mobile. In addi- tion to receiving treatment from the hospital, our patients see primary care physicians and specialists throughout the region, and visit labs, clinics, and pharmacies all over the world. Providing care safely, efficiently, and privately requires bringing patient information together and then making it available securely to providers at the point of care. Our innovative eConnect program is a health informa- tion exchange that brings together information from multiple sources and delivers it securely over the Internet to authorized physicians in their offices, in skilled nursing facilities and other hospitals. Today eConnect has over 500 subscribers who receive lab results, radiology reports, and transcriptions. In the next year, the number of subscribers will double and more information from more sources will be added. Visitors from abroad The new El Camino Hospital, with its modern design and advanced technology is attracting visitors from all over the world who want to learn more about the hospital's innovative businessand clinical delivery models. Groups have come from Taiwan, Thailand, Norway, Denmark, China, Japan, and Singapore, among others. In addition to touring the facility, visitors meet with hos- pital leaders to share information about their countries' health care systems and to ask about how American health care is structured and managed. In the future, the hospital hopes to further develop these tours into an international envoy program, with a goal of fostering positive cultural and business relationships with "sister hospitals" in Asia and around the world. A half- century of forward thinking. FOR HOSPITAL PROTECTION m i P,wp,<e H<: n om o ,$ xo :v ai JUST MINUTES AWAY HOSPITAL TAL BONDS TUESDAY V YES JUNE it LOOKING BACK s �?.� Although El Camino Hospital wouldn't be referred to as "The Hospital of Silicon Valley" until the mid -90s, throughout our 50 -year history, the organization has shared the same dynamic, entrepreneurial, innovative spirit as its geographical namesake. MILESTONES AND MEMORIES 1960s Only four years after opening, the hospital added two new floors to the original four -story building. Newservices included a coronary care unit, transitional care unit, and a pulmonary function unit. 1970s When engineers at Lockheed wanted a site for the world's first medical information system, they turned to El Camino Hospital, a Silicon Valley neighbor. In 1971, MIS went live, with visitors from all overthe world coming to see one of the first uses of the computer i n patient care. Also in 1971, with Stanford surgeon Norman Shumway as part of the first team, the hospital began offeri ng open - heart surgery. In 1975 the hospital expanded again, with a brand new emergency department, intensive care unit, and radiology department. 1980s When the new OR opened in 1980, the San Jose Mercury News called it "one of the largest and most technologi- cally advanced surgical suites in the area" Other expan- sions included the Oak Pavilion, which housed one of the area's first outpatient dialysis centers. With Silicon Valley luminary David Packard chairing the kickoff event, the El Camino Hospital Foundation was founded in 1982, with initial gifts of $1 million each from Jack and Norma Melchor and Deedee and Burton McMurtry. 1990s Growth continued with the construction and opening of the Orchard Pavilion in 1993, an event attended by more than 6,000 families. Willow Pavilion also opened to house the surgery center, breast screening center, and MRI. And for two consecutive years, El Camino Hospital was named as one of the top 100 hospitals in country. 2000s To meet stringent new earthquake safety guidelines mandated by California law, the hospital's original build- ing needed to be rebuilt. To help finance the project, a 5148 million bond measure was mounted and passed, launching a decade of construction. Added were a new Oak Pavilion, parking structure, and the Melchor Pavilion medical office building. Groundbreaking for the new hospital was in 2006. Threeyears later, the first patients were admitted to a beautiful, modern, technologically advanced hospital building. As a tribute to our nursing excellence, the hospital was designated as the Bay Area's first Magnet® Hospital in 2005. In 2009, after acquiring the former Community Hospital, El Camino Hospital Los Gatos began admitting patients. The Center for Advanced Radiotherapy and CyberKnifeO Radiosurgery opened in 2010, as did the Men's Health Clinic and inpa- tient Rehabilitation Center on the Los Gatos campus. (9)El Camino Hospital" THE HOSPITAL OF SILICON VALLEY OUR MISSION It is the mission of El Camino Hospital to be an innovative, publicly accountable, and locally controlled comprehensive health care organization that cares for the sick, relieves suffering, and provides quality, cost - competitive services to improve the health and well -being of our community. For more information about El Camino Hospital and its services and programs, please call or visit our Web site. El Camino Hospital"' 800- 216 -5556 1�? f THE HOSPITAL OF SILICON VALLEY www.elcaminohospital.org Two campuses 2500 Grant Road, Mountain View 815 Pollard Road, Los Gatos