COLUMBIA ST. MARY S MILWAUKEE FY15 COMMUNITY IMPACT REPORT CONTENTS

Transcription

1 HEALTH

2 CONTENTS FY15 Community Impact Report Accomplishments Summary Page 2 Infant Mortality Pages 3-4 Children s Oral Health Access Page 5 Breast Cancer Screening Page 6 Access to Care Page 7-9 Financial Impact Financial Impact Report Page 10 PAGE 1

3 ACCOMPLISHMENTS COMMUNITY NEEDS: INFANT MORTALITY CHILDREN S ORAL HEALTH ACCESS BREAST CANCER SCREENING ACCESS TO CARE PAGE 2

4 INFANT MORTALITY The United Way in collaboration with Milwaukee Health Care Partnership is leading the community collaboration, Lifecourse Initiative for Healthy Families (LIHF) to improve infant mortality in the community through coordinated and systemic efforts. CSM Milwaukee will collaborate in the implementation of LIFH and a Health Access Plans. Participate in United Way Lifecourse Initiative for Healthy Families (LIHF) CSM is a charter member of the Health Access Committee and a co-leader for Interconceptional Care Task Force PAGE 3

5 INFANT MORTALITY The greatest cause of infant mortality is prematurity. Since prematurity is linked to systemic infection and inflammation, it is critical to treat periodontal disease as an important source of inflammation and infection. Unfortunately, few pregnant women have access to prenatal oral health through existing programming. CSM s plan is to expand prenatal oral health through Seton Dental Clinic. Develop program sustainability funding for POH. United Way funding has been secured. Serve 200 women through POH in FY15. Prenatal Oral Health Program served 261 women in FY15. Provide POH within CSM to two additional sites. Seton POH serve patients from the Family Health Center and from Prospect Medical Commons PAGE 4

6 CHILDREN S ORAL HEALTH ACCESS The most prevalent childhood disease is dental caries. The greatest cause of school absenteeism is untreated dental caries. Evidence-based practice is to provide dental sealants to molars to prevent caries. Smart Smiles is an award-winning school-based program of dental sealants provided in Milwaukee schools. CSM will increase the number of children in Milwaukee receiving dental sealants through the Smart Smiles school-based prevention program. Serve 4,300 children and save $2.2 million in averted dental procedures from cavities that would have occurred. Served 5,232 children with sealants and averted $3.1 million in dental procedures. PAGE 5

7 BREAST CANCER SCREENING The breast cancer mortality rate among African American women is higher than the rate for white women, even though the incidence of breast cancer in white women is higher. Poverty and lack of access to care resulting in later screening and diagnosis is considered a cause. The Wisconsin Well Woman Program (WWWP) offers screening and diagnostic support to uninsured women; but has changed its model of service delivery. CSM will become a WWWP provider in the new model and will develop additional partnerships to screen an increased number of women. Become a WWWP provider in the new model of service delivery. CSM was named a new provider across Milwaukee, Ozaukee, Sheboygan and Washington Counties. Serve 700 women with mammography screening through Outreach activity. Served 810 women through outreach screening. Case management of 95% of patients with abnormal screenings. Served 100% of patients with abnormal screenings. PAGE 6

8 ACCESS TO CARE Milwaukee continues to have challenges in accessing care for uninsured and impoverished people. Availability of the Affordable Care Act and expansion of BadgerCare coverage to childless adults who had been previously uninsured. This represents an opportunity of coverage for many people; however many have no knowledge of insurance or coverage, so will need education and assistance in applications. CSM will provide community education and enrollment assistance to address this need. Provide five community education programs to support enrollment awareness. Community education provided at ten sites, primarily in collaboration with Urban Church Wellness congregations. Enroll 200 people into BadgerCare or Marketplace through outreach. Total enrollment of 352 through outreach programs. PAGE 7

9 ACCESS TO CARE Patients who are served at Federally Qualified Health Centers and free clinics have access to primary care; but are often unable to find specialty care if they are uninsured. A Milwaukee Health Care Partnership collaborative program, Specialty Access for Uninsured Program (SAUP) assigns responsibility to health systems to cover specific FQHC and free clinics for medical specialists. CSM will expand SAUP coverage onsite at Sixteenth Street Community Health Center and through SAUP referrals to CSM. Serve 100 patients through SAUP services at CSM Milwaukee. CSM SAUP served 387 patients in FY15 Serve 50 patients through specialty services delivered on-site at Sixteenth Street Community Health Center. CSM specialists have served 180 patients on-site. PAGE 8

10 ACCESS TO CARE Due to lack of primary care connection, many patients come to the Emergency Department to receive care that would be more appropriate for a primary care setting. Patients who lack a primary care provider can be given appointments to providers in Federally Qualified Health Centers (FQHCs), free clinics, residency programs or dental clinics. A program, ED Care Connect, connects patients to available slots in clinics to establish primary care on an ongoing basis. CSM will expand the number of accepted appointments through this program. Expand accepted appointments y 50 patients at Seton Dental Clinic or St. Ben s Clinic. Seton accepted 205 appointments and St. Ben s accepted 32 appointments PAGE 9

11 FINANCIAL IMPACT Charity Care Free or discounted health services provided to those who cannot afford to pay and who meet all criteria for financial assistance. Charity care is based on actual costs, not charges, and does not include bad debt. Unreimbursed Cost of Government-Sponsored Programs Actual cost shortfall of patient care for patients with Medical Assistance or Medical Assistance HMO care. Subsidized Health Services Expense of supporting clinical services that are necessary to meet a community need not available through government or other community organizations, despite negative margins that remain after revenue and charity support. A program such as Brain Injury Rehabilitation is an example. Health Professional Education Direct costs incurred for accredited training and education programs for physicians, nurses, allied health professionals and health technicians. Residency training and nursing education are key elements in this category. Community Health Improvement Expenses to support clinics that serve vulnerable populations, including St. Ben s Clinic, Seton Dental Clinic and Community Chronic Disease Management Clinics. Financial Contributions Contributions made to individuals, community groups, collaboratives or nonprofit organizations, with a special focus on vulnerable communities. $ 6,021,332 $32,755,837 $127,732 $8,646,140 $2,218,350 $495,077 Community Building Programs that provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental issues. Costs may include cash or in-kind contributions. Community Benefit Operations Costs associated with dedicated staff and community health improvement processes, as well as other costs associated with community benefit strategy and operations. TOTAL FINANCIAL IMPACT $577,601 $50,842,069 PAGE 10