| FORM 990, PART I AND PART III, LINE 1 |
MISSION STATEMENT FOUNDED IN 1924 BY PHILANTHROPIST ELLEN BROWNING SCRIPPS, SCRIPPS HEALTH IS A $2.9 BILLION, PRIVATE NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEM IN SAN DIEGO, CALIFORNIA. SCRIPPS TREATS OVER HALF A MILLION PATIENTS ANNUALLY THROUGH THE DEDICATION OF 2,600 AFFILIATED PHYSICIANS AND 13,000 EMPLOYEES AMONG ITS FIVE ACUTE-CARE HOSPITAL CAMPUSES, HOME HEALTH CARE, AND AN AMBULATORY CARE NETWORK OF CLINICS, PHYSICIANS' OFFICES AND OUTPATIENT CENTERS THROUGHOUT THE SAN DIEGO REGION. RECOGNIZED AS A LEADER IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE, SCRIPPS IS ALSO AT THE FOREFRONT OF CLINICAL RESEARCH, GENOMIC MEDICINE, WIRELESS HEALTH AND GRADUATE MEDICAL EDUCATION. WITH THREE HIGHLY RESPECTED GRADUATE MEDICAL EDUCATION PROGRAMS, SCRIPPS IS A LONG STANDING MEMBER OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES. MORE INFORMATION CAN BE FOUND AT WWW.SCRIPPS.ORG. TODAY, THE HEALTH SYSTEM EXTENDS FROM CHULA VISTA TO OCEANSIDE, WITH 26 PRIMARY AND SPECIALTY CARE OUTPATIENT CENTERS. A LEADER IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE, SCRIPPS HAS BEEN RANKED FOUR TIMES AS ONE OF THE NATION'S BEST HEALTH CARE SYSTEMS BY TRUVEN HEALTH ANALYTICS. ON THE FOREFRONT OF GENOMIC MEDICINE AND WIRELESS HEALTH TECHNOLOGY, THE ORGANIZATION IS DEDICATED TO IMPROVING COMMUNITY HEALTH WHILE ADVANCING MEDICINE THROUGH CLINICAL RESEARCH AND GRADUATE MEDICAL EDUCATION. SCRIPPS HAS ALSO EARNED A NATIONAL REPUTATION AS A PREMIER EMPLOYER, NAMED BY FORTUNE MAGAZINE AS ONE OF AMERICA'S "100 BEST COMPANIES TO WORK FOR" EVERY YEAR SINCE 2008. SCRIPPS HEALTH'S MISSION STATEMENT IS AS FOLLOWS: SCRIPPS STRIVES TO PROVIDE SUPERIOR HEALTH SERVICES IN A CARING ENVIRONMENT AND TO MAKE A POSITIVE MEASURABLE DIFFERENCE IN THE HEALTH OF INDIVIDUALS IN THE COMMUNITIES WE SERVE. WE DEVOTE OUR RESOURCES TO DELIVERING QUALITY, SAFE, COST-EFFECTIVE, AND SOCIALLY RESPONSIBLE HEALTH CARE SERVICES. WE ADVANCE CLINICAL RESEARCH, HEALTH EDUCATION, EDUCATION OF PHYSICIANS AND HEALTH CARE PROFESSIONALS, AND SPONSOR GRADUATE MEDICAL EDUCATION. WE COLLABORATE WITH OTHERS TO DELIVER THE CONTINUUM OF CARE THAT IMPROVES THE HEALTH OF OUR COMMUNITY. |
| FORM 990, PART III, LINE 4A |
PROGRAM SERVICE ACCOMPLISHMENTS FULFILLING THE SCRIPPS MISSION DURING THIS FISCAL YEAR, SCRIPPS DEVOTED $353,578,378 TO COMMUNITY BENEFIT PROGRAMS AND SERVICES IN THE AREAS OF UNCOMPENSATED CARE, COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND HEALTH RESEARCH. OUR PROGRAMS EMPHASIZE COMMUNITY-BASED PREVENTION EFFORTS AND USE INNOVATIVE APPROACHES TO REACH RESIDENTS AT GREATEST RISK FOR HEALTH PROBLEMS. WE MAKE COMMITMENTS TO IMPROVE THE HEALTH OF OUR PATIENTS AND OUR SAN DIEGO COMMUNITIES. AS A LONG-STANDING MEMBER OF THESE COMMUNITIES, AND AS A NOT-FOR-PROFIT COMMUNITY RESOURCE, OUR GOAL AND RESPONSIBILITY ARE TO PROVIDE HELP AND ASSISTANCE FOR ALL WHO COME TO US FOR CARE, AND TO REACH OUT ESPECIALLY TO THOSE WHO FIND THEMSELVES VULNERABLE AND WITHOUT SUPPORT. THIS RESPONSIBILITY IS AN INTRINSIC PART OF OUR MISSION. THROUGH OUR CONTINUED ACTIONS AND COMMUNITY PARTNERSHIPS, WE STRIVE TO RAISE THE QUALITY OF LIFE IN THE COMMUNITY AS A WHOLE. ASSESSING COMMUNITY NEED CALIFORNIA SENATE BILL 697 REQUIRES THE UPDATING OF A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS. IDENTIFYING SAN DIEGO COUNTY'S HEALTH PRIORITIES IS A COMPLEX PROCESS OUTLINED IN THE FOLLOWING PAGES. SCRIPPS STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS, GOVERNMENT AGENCIES, BUSINESSES AND GRASSROOTS MOVEMENTS, WE ARE BETTER ABLE TO BUILD UPON EXISTING ASSETS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORIGINATED FROM CALIFORNIA STATEWIDE LEGISLATION IN THE EARLY 1990S. SB 697 TOOK EFFECT IN 1995, WHICH REQUIRED PRIVATE NON-PROFIT HOSPITALS TO SUBMIT DETAILED INFORMATION TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) ON THEIR COMMUNITY BENEFIT CONTRIBUTIONS. ANNUAL HOSPITAL COMMUNITY BENEFIT REPORTS ARE SUMMARIZED BY OSHPD IN A REPORT TO THE LEGISLATURE, WHICH PROVIDES VALUABLE INFORMATION FOR GOVERNMENT OFFICIALS TO ASSESS THE CARE AND SERVICES PROVIDED TO THEIR CONSTITUENTS. AS PART OF THE COMMUNITY BENEFIT REPORTS FILED, NON-PROFIT HOSPITALS ARE REQUIRED TO CONDUCT A CHNA EVERY THREE YEARS. THIS COMPREHENSIVE ACCOUNT OF HEALTH NEEDS IN THE COMMUNITY IS DESIGNED FOR HOSPITALS TO PLAN THEIR COMMUNITY BENEFIT PROGRAMS TOGETHER WITH OTHER LOCAL HEALTH CARE INSTITUTIONS, COMMUNITY BASED ORGANIZATIONS, AND CONSUMER GROUPS. IN SAN DIEGO COUNTY, THE LONG HISTORY OF COLLABORATION AMONG HOSPITALS, HEALTHCARE SYSTEMS AND COMMUNITY PARTNERS HAS RESULTED IN SUCCESSFUL PARTNERSHIP ON PAST CHNAS. WHILE PUBLIC INSTITUTIONS AND DISTRICT HOSPITALS DO NOT HAVE TO REPORT UNDER SB 697, THESE INSTITUTIONS HAVE BECOME AN INTEGRAL PART OF THE CHNA IN SAN DIEGO COUNTY. INFORMATION IS GATHERED THROUGH THE CHNA FOR THE PURPOSES OF REPORTING COMMUNITY BENEFIT, DEVELOPING STRATEGIC PLANS, CREATING ANNUAL REPORTS, PROVIDING INPUT ON LEGISLATIVE DECISIONS, AND INFORMING THE GENERAL COMMUNITY OF HEALTH ISSUES AND TRENDS. SCRIPPS STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS, GOVERNMENT AGENCIES, BUSINESSES AND GRASSROOTS MOVEMENTS, SCRIPPS IS BETTER ABLE TO BUILD UPON EXISTING ASSETS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS. VIEW THE FULL SUMMARY OF THE SCRIPPS HEALTH FY2013 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AT HTTPS://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY__ASSESSING-COMM UNITY-NEEDS. THIS DOCUMENT ALLOWS INTERESTED PARTIES AND MEMBERS OF THE COMMUNITY, A MECHANISM TO ACCESS THE FULL SPECTRUM OF INFORMATION RELATIVE TO THE DEVELOPMENT OF THE SCRIPPS HEALTH FY2013 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. BACKGROUND/REQUIRED COMPONENTS OF THE ASSESSMENT SCRIPPS HEALTH HAS A LONG HISTORY OF RESPONDING TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES, EXTENDING BEYOND TRADITIONAL HOSPITAL CARE TO ADDRESS THE HEALTH CARE NEEDS OF THE REGION'S MOST VULNERABLE POPULATIONS. SINCE 1994, THESE PROGRAMS HAVE BEEN CREATED BASED ON AN ASSESSMENT OF NEEDS IDENTIFIED THROUGH HOSPITAL DATA, COMMUNITY INPUT, AND MAJOR TRENDS. PREVIOUS COLLABORATIONS AMONG NON-PROFIT HOSPITALS, HEALTHCARE SYSTEMS, AND OTHER COMMUNITY PARTNERS HAVE RESULTED IN NUMEROUS WELL-REGARDED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) REPORTS. THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ("AFFORDABLE CARE ACT" OR "ACA") OF 2010 IS BRINGING ABOUT SIGNIFICANT REGULATORY CHANGES IN THE HEALTHCARE INDUSTRY. SCRIPPS HEALTH WAS GIVEN THE TASK OF CONDUCTING AN EXPANDED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT MET THE NEW FEDERAL REQUIREMENTS. ADDITIONAL INFORMATION ON THE ACA REQUIREMENTS FOR NONPROFIT HOSPITALS CAN BE FOUND AT WWW.IRS.GOV, KEYWORD: "CHARITABLE ORGANIZATIONS". AS A NONPROFIT HOSPITAL, SCRIPPS HEALTH HAS FULFILLED THIS REQUIREMENT THROUGH THE DEVELOPMENT AND DISTRIBUTION OF THIS ASSESSMENT. WHILE THIS IS A FEDERALLY MANDATED EXERCISE, SCRIPPS HEALTH HOPES TO LEVERAGE THE INFORMATION COLLECTED FOR THIS REPORT TO BENEFIT THE COMMUNITY AT-LARGE IN OTHER FUTURE PLANNING INITIATIVES. THE IRS ALSO REQUIRED HOSPITAL ORGANIZATIONS THAT CONDUCT A CHNA TO MAKE THE REPORT WIDELY AVAILABLE BY POSTING IT ON A PUBLICLY ACCESSIBLE WEBSITE. VIEW THE FULL SUMMARY OF THE Scripps Health FY2013 Community Health Needs Assessment Report AT HTTPS://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY__ASSESSING-COMM UNITY-NEEDS. REQUIRED COMPONENTS OF THE ASSESSMENT PER IRS REQUIREMENTS THERE ARE FIVE COMPONENTS THE CHNA MUST INCLUDE: - A DESCRIPTION OF THE COMMUNITY SERVED BY THE HEALTH SYSTEM AND HOW IT WAS DETERMINED. - A DESCRIPTION OF THE PROCESSES AND METHODS USED TO CONDUCT THE ASSESSMENT. - A DESCRIPTION OF HOW THE HOSPITAL ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. - A PRIORITIZED DESCRIPTION OF ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, AS WELL AS A DESCRIPTION OF THE PROCESS AND CRITERIA USED IN PRIORITIZING SUCH HEALTH NEEDS. - A DESCRIPTION OF THE EXISTING HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. EXECUTIVE SUMMARY GROUNDED IN A LONGSTANDING COMMITMENT TO ADDRESS COMMUNITY HEALTH NEEDS IN SAN DIEGO, SEVEN HOSPITALS AND HEALTHCARE SYSTEMS CAME TOGETHER UNDER THE AUSPICES OF THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) TO CONDUCT A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIES AND PRIORITIZES THE MOST CRITICAL HEALTH-RELATED NEEDS OF SAN DIEGO COUNTY RESIDENTS. PARTICIPATING HOSPITALS WILL USE THE FINDINGS TO GUIDE THEIR COMMUNITY PROGRAMS AND TO MEET IRS REGULATORY REQUIREMENTS THAT NOT FOR PROFIT (TAX EXEMPT) HOSPITALS CONDUCT A HEALTH NEEDS ASSESSMENT IN THE COMMUNITY ONCE EVERY THREE YEARS. PER GUIDANCE FROM AN ADVISORY GROUP OF HOSPITAL REPRESENTATIVES, HASD&IC CONTRACTED WITH THE INSTITUTE OF PUBLIC HEALTH (IPH) AT SAN DIEGO STATE UNIVERSITY TO DESIGN AND IMPLEMENT THE CHNA. THE IPH EMPLOYED A RIGOROUS METHODOLOGY USING BOTH COMMUNITY INPUT (PRIMARY DATA SOURCES) AND QUANTITATIVE ANALYSIS (SECONDARY DATA SOURCES) TO IDENTIFY AND PRIORITIZE THE TOP HEALTH CONDITIONS IN SAN DIEGO COUNTY. SAN DIEGO COUNTY IS A SOCIALLY AND ETHNICALLY DIVERSE COMMUNITY WITH A POPULATION OF 3.2 MILLION PEOPLE. ALTHOUGH THE STUDY AREA FOR THIS CHNA IS THE ENTIRE COUNTY, EACH HOSPITAL HAS THE ABILITY TO USE THE COUNTY-WIDE FINDINGS OR ADAPT THE FINDINGS TO REFLECT THE COMMUNITIES THEY SERVE, AS MUCH OF THE DATA IS AVAILABLE AT ZIP CODE LEVEL. IN ORDER TO PRIORITIZE THE COMMUNITY HEALTH NEEDS, THE IPH DEVELOPED A METHODOLOGY THAT INCLUDED BOTH QUALITATIVE AND QUANTITATIVE DATA SOURCES. QUANTITATIVE DATA INCLUDED HOSPITAL DISCHARGE DATA, STATISTICS FROM THE SAN DIEGO COUNTY HEALTH AND HUMAN SERVICES AGENCY, THE US CENSUS BUREAU, THE CENTERS FOR DISEASE CONTROL, AND OTHERS. THE IPH ALSO SOUGHT DIRECT INPUT FROM THE COMMUNITY THROUGH AN ELECTRONIC SURVEY TO HEALTH EXPERTS AND COMMUNITY LEADERS, KEY INFORMANT INTERVIEWS, AND COMMUNITY FORUMS. HEALTH EXPERT, COMMUNITY LEADER AND RESIDENT FEEDBACK THE IPH AND CHNA ADVISORY WORKGROUP SOUGHT FEEDBACK FROM COMMUNITY LEADERS, HEALTH EXPERTS AND RESIDENTS OF VULNERABLE COMMUNITIES. THIS WAS DONE THROUGH THREE METHODS: AN ELECTRONIC SURVEY FOR COMMUNITY LEADERS AND HEALTH EXPERTS; KEY INFORMANT INTERVIEWS; AND COMMUNITY FORUMS FOR RESIDENTS IN VULNERABLE COMMUNITIES THROUGHOUT SAN DIEGO COUNTY. - ONLINE SURVEY OF HEALTH EXPERTS AND LEADERS INITIAL EMAIL SAMPLE (N=120). TOTAL SURVEYS COMPLETED (N=89) - COMMUNITY FORUMS (106 COMMUNITY RESIDENTS) EL CAJON, OCEANSIDE, ESCONDIDO, LOGAN HEIGHTS, AND SAN YSIDRO CONDUCTED IN NEIGHBORHOODS WITH HIGH COMMUNITY NEED INDEX SCORES - FIVE KEY INFORMANT INTERVIEWS LEADERS CHOSEN BASED ON DISCIPLINE EXPERTISE AND KNOWLEDGE OF HEALTH ISSUES AFFECTING COMMUNITIES |
| FORM 990, PART III, LINE 4A (CONTINUED) |
PRIORITIZED HEALTH CONDITIONS PRIORITIZED SAN DIEGO COUNTY COMMUNITY HEALTH NEEDS: THE HEALTH NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING CRITERIA: - HAVE A SIGNIFICANT PREVALENCE IN THE COMMUNITY, - CONTRIBUTE SIGNIFICANTLY TO THE MORBIDITY AND MORTALITY IN SAN DIEGO COUNTY, - DISPROPORTIONATELY IMPACT VULNERABLE COMMUNITIES, - REFLECT A NEED THAT EXISTS THROUGHOUT SAN DIEGO COUNTY, AND - CAN BE ADDRESSED THROUGH EVIDENCE-BASED PRACTICES BY HOSPITALS AND HEALTH CARE SYSTEMS. REPORT FINDINGS SAN DIEGO COUNTY COMMUNITY HEALTH NEEDS WHEN THE IPH COMBINED THE RESULTS OF ALL THE DATA AND INFORMATION GATHERED, FOUR CONDITIONS EMERGED CLEARLY AS THE TOP COMMUNITY HEALTH NEEDS IN SAN DIEGO COUNTY (IN ALPHABETICAL ORDER): - CARDIOVASCULAR DISEASE - MENTAL/BEHAVIORAL HEALTH - DIABETES (TYPE 2) - OBESITY HEALTH THEMES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ONCE ALL THE COMMUNITY INPUT WAS INTEGRATED (SURVEY RESPONDENTS, KEY INTERVIEWEES, AND COMMUNITY FORUM PARTICIPANTS) THE FOLLOWING FIVE BROAD CATEGORIES EMERGED AS RECOMMENDATIONS FOR HOSPITALS TO ORGANIZE COMMUNITY HEALTH PROGRAMS: - ACCESS TO CARE OR INSURANCE - CARE MANAGEMENT - EDUCATION - SCREENING SERVICES - COLLABORATION SCRIPPS HEALTH IMPLEMENTATION PLAN SCRIPPS HEALTH HAS A LONG HISTORY (SINCE OCTOBER 1994) OF RESPONDING TO THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE, EXTENDING BEYOND TRADITIONAL HOSPITAL CARE TO PROVIDE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH CARE NEEDS OF THE REGION'S MOST VULNERABLE POPULATIONS. WITH THE CHNA COMPLETE AND HEALTH PRIORITY AREAS IDENTIFIED, SCRIPPS HEALTH DEVELOPED A SYSTEM-WIDE CORRESPONDING IMPLEMENTATION PLAN. THE IMPLEMENTATION PLAN TRANSLATES THE RESEARCH AND ANALYSIS PRESENTED IN THE ASSESSMENT INTO ACTUAL, MEASURABLE STRATEGIES AND OBJECTIVES THAT CAN BE CARRIED OUT TO IMPROVE COMMUNITY HEALTH OUTCOMES. IN FY2013, SCRIPPS HEALTH CONVENED AN INTERNAL WORKGROUP COMPRISED OF SCRIPPS EXECUTIVES, COMMUNITY BENEFIT REPRESENTATIVES AND CLINICAL CARE LINE LEADERS TO LEAD THE DEVELOPMENT OF THE SCRIPPS HEALTH IMPLEMENTATION PLAN. WHILE SCRIPPS HEALTH CANNOT REALISTICALLY ADDRESS EVERY ISSUE, SCRIPPS HEALTH WILL ENDEAVOR TO RESOLVE THOSE THAT MOST HEAVILY AFFECT OUR PATIENT POPULATIONS, SERVICE AREA AND ARE CONSISTENT WITH OUR STRATEGY AND RESOURCE AVAILABILITY. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN, SCRIPPS HEALTH WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING CHARITY CARE AND UNCOMPENSATED CARE, PROFESSIONAL EDUCATION AND COMMUNITY BENEFIT PROGRAMS. SCRIPPS OFFERS COMMUNITY BENEFIT SERVICES THROUGH OUR FIVE ACUTE-CARE HOSPITAL CAMPUSES, HOME HEALTH SERVICES, WELLNESS CENTERS AND CLINICS. SCRIPPS HEALTH ANTICIPATES THE IMPLEMENTATION STRATEGIES MAY EVOLVE DUE TO THE FAST PACE AT WHICH THE COMMUNITY AND HEALTH CARE INDUSTRY CHANGES. THEREFORE, A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVELOPMENT OF ITS RESPONSE TO THE SCRIPPS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ON AN ANNUAL BASIS SCRIPPS HEALTH EVALUATES THE IMPLEMENTATION STRATEGY AND ITS RESOURCES AND INTERVENTIONS; AND MAKES ADJUSTMENTS AS NEEDED TO ACHIEVE ITS STATED GOALS AND OUTCOME MEASURES AS WELL AS TO ADAPT TO THE CHANGES AND RESOURCES AVAILABLE. SCRIPPS DESCRIBES ANY CHALLENGES ENCOUNTERED TO ACHIEVE THE OUTCOMES DESCRIBED AND MAKES MODIFICATIONS AS NEEDED. IN SUPPORT OF THE FY2013 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ONGOING COMMUNITY BENEFIT INITIATIVES, A DETAILED DESCRIPTION OF SCRIPPS STRATEGIES AND CORRESPONDING MEASURES/METRICS FOR THE FOUR HEALTH ISSUES CAN BE FOUND AT SCRIPPS.ORG/COMMUNITYBENEFIT. LISTED BELOW ARE THE PROGRAMS SCRIPPS HEALTH IS ADDRESSING FOR THE HEALTH PRIORITY AREAS IDENTIFIED IN THE CHNA (METRICS ARE AS CURRENT AS FY15): CARDIOVASCULAR DISEASE HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR PEOPLE OF MOST RACIAL/ETHNIC GROUPS IN THE UNITED STATES, INCLUDING AFRICAN AMERICANS, HISPANICS AND CAUCASIANS. BETWEEN 70 PERCENT AND 89 PERCENT OF SUDDEN CARDIAC EVENTS OCCUR IN MEN. ABOUT TWO-THIRDS (64 PERCENT) OF WOMEN WHO DIE SUDDENLY OF CORONARY HEART DISEASE HAVE NO PREVIOUS SYMPTOMS. AS A SPONSOR OF THE ERIC PAREDES SAVE A LIFE FOUNDATION, SCRIPPS HAS HELD MORE THAN 10,000 FREE CARDIAC SCREENINGS FOR LOCAL TEENS, INCLUDING THE HOMELESS AND THE UNDERINSURED. SCRIPPS PROVIDES FINANCIAL CONTRIBUTION ANNUALLY TO HELP PAY FOR THE SCREENINGS. IN 2014, SCRIPPS SUPPORTED SCREENING EVENTS AT HIGH SCHOOLS THROUGHOUT THE COUNTY AND SCREENED MORE THAN 4,188 TEENS, IDENTIFYING 85 WITH ABNORMALITIES AND 38 WHO WERE AT RISK. THE GOAL OF THE ERIC PAREDES SAVE A LIFE FOUNDATION SCREENINGS IS TO PREVENT SUDDEN CARDIAC ARREST AND DEATH IN MIDDLE AND HIGH SCHOOL AGED CHILDREN, INCLUDING UNDERSERVED AREAS IN SAN DIEGO COUNTY, THROUGH AWARENESS, EDUCATION AND ACTION. EACH YEAR 7,000 TEENS IN THE UNITED STATES LOSE THEIR LIVES DUE TO SUDDEN CARDIAC ARREST (SCA). SCA IS NOT A HEART ATTACK - IT IS CAUSED BY AN ABNORMALITY IN THE HEART'S ELECTRICAL SYSTEM THAT CAN BE EASILY DETECTED WITH A SIMPLE EKG. UNFORTUNATELY, HEART SCREENINGS ARE NOT PART OF A REGULAR, WELL CHILD EXAM OR PRE-PARTICIPATION SPORTS PHYSICAL. THE FIRST SYMPTOM OF SCA COULD BE DEATH. SAN DIEGO ALONE ANNUALLY LOSES THREE TO FIVE TEENS FROM SCA. SCREENINGS ARE NON-INVASIVE AND INCLUDE A HEALTH HISTORY AND EKG. SINCE 2010, NEARLY 18,500 YOUTH HAVE BEEN SCREENED. OF THOSE, ABOUT 375 HAD HEART ABNORMALITIES, AND 158 WERE FOUND TO BE AT RISK FOR SUDDEN CARDIAC ARREST IN ADDITION, HALF OF SCREENED YOUTH REPRESENT DIVERSE ETHNICITIES AND 40% OF YOUTH ARE FROM MODERATE TO EXTREMELY LOW-INCOME HOUSEHOLDS. HUNDREDS ARE WITHOUT REGULAR DOCTORS AND DOZENS WITHOUT HEALTH INSURANCE. THIRTY-SIX PERCENT OF THE SCHOOLS REPRESENTED ARE TITLE I SCHOOLS, IN WHICH THE MAJORITY OF THE STUDENTS AT THE SCHOOLS MEET POVERTY GUIDELINES. THE SCHOOLS QUALIFY FOR FEDERAL GOVERNMENT ASSISTANCE FUNDING SUCH AS FREE OR REDUCED FEE LUNCH PROGRAMS. WHEN FINDINGS ARE POSITIVE, SCRIPPS TAKES THE FOLLOWING STEPS: - CHECKS FOR AN ABNORMAL HEARTBEAT THAT COULD SIGNAL AN UNDERLYING HEART CONDITION USING AN ECHOCARDIOGRAM. - NOTIFIES PARENTS OF THE RESULTS FOR FOLLOW UP WITH THEIR FAMILY PHYSICIANS. IN FY 15, 4,138 ADOLESCENTS WERE SCREENED AND 61 HAD POSITIVE FINDINGS OF HEART ABNORMALITIES. TWENTY SIX ADOLESCENTS WERE IDENTIFIED AS HIGH RISK. POLICY IMPLICATIONS: A SUDDEN CARDIAC ARREST PREVENTION LEGISLATION HAS RECENTLY BEEN APPROVED BY A STATE ASSEMBLY COMMITTEE. IF THIS PROPOSED LEGISLATION BECOMES LAW, IT COULD BROADEN THE MESSAGE OF AWARENESS TO REACH KIDS THROUGHOUT CALIFORNIA. THE BILL WHICH WAS SPONSORED BY ASSEMBLYMAN BRIAN MAIENSCHEIN, WOULD REQUIRE A COACH OR SOMEONE IN A SIMILAR POSITION TO REMOVE A STUDENT WHO PASSES OUT OR FAINTS DURING ATHLETIC ACTIVITY. THE STUDENTS WOULD NEED TO BE CLEARED BY A MEDICAL PROFESSIONAL BEFORE GETTING BACK ON THE FIELD. ADDITIONALLY, COACHES WOULD HAVE TO COMPLETE SUDDEN CARDIAC ARREST PREVENTION TRAINING ONCE A YEAR. AS WRITTEN, THE PROPOSED LAW WOULD APPLY TO KINDERGARTENERS THROUGH 12TH-GRADERS AT PRIVATE, PUBLIC AND CHARTER SCHOOLS. IF IT PASSES, CALIFORNIA WILL JOIN NINE STATES THAT HAVE IMPLEMENTED PREVENTION REQUIREMENTS. PROPOSALS ARE PENDING IN SIX MORE STATES. DIABETES THERE ARE 29 MILLION PEOPLE WITH DIABETES IN THE UNITED STATES AND 382 MILLION WORLDWIDE, AND THE RATES ARE HIGHEST IN DIVERSE RACIAL AND ETHNIC COMMUNITIES AND LOW-INCOME POPULATIONS. TYPE 2 DIABETES HAS REACHED EPIDEMIC PROPORTIONS, AND PEOPLE OF HISPANIC ORIGIN HAVE DRAMATICALLY HIGHER RATES OF THE DISEASE AND THE COMPLICATIONS THAT GO ALONG WITH ITS POOR MANAGEMENT, INCLUDING CARDIOVASCULAR DISEASE, EYE DISEASE AND LIMB AMPUTATION. IN FACT, IT IS ESTIMATED THAT ONE OUT OF EVERY TWO HISPANIC CHILDREN BORN IN 2000 WILL DEVELOP DIABETES IN ADULTHOOD. THIS IS ESPECIALLY TRUE IN THE SOUTH BAY COMMUNITIES IN SAN DIEGO. SPECIFICALLY, THE CITY OF CHULA VISTA IS HOME TO 26,000 LATINOS WITH DIAGNOSED DIABETES AND TENS OF THOUSANDS MORE WHO ARE UNDIAGNOSED, HAVE PRE-DIABETES AND AT HIGH RISK OF DEVELOPING DIABETES. 1. DIABETES COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAM THE SCRIPPS WHITTIER DIABETES INSTITUTE COLLABORATES WITH COMMUNITY CLINICS AND ORGANIZATIONS TO PROVIDE MUCH NEEDED SERVICES AND SOLUTIONS. THE DIABETES COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAM IMPLEMENTS OUTREACH AND EDUCATIONAL PROGRAMS THAT INCREASE KNOWLEDGE ABOUT DIABETES AND PROVIDE ACCESS FOR THE COMMUNITY AND UNDERSERVED POPULATIONS. FOR THOSE THAT HAVE POSITIVE SCREENINGS AT OUTREACH EVENTS, A MEMBER OF THE SCRIPPS WHITTIER DIABETES TEAM FOLLOWS-UP WITH INDIVIDUALS WITHIN ONE WEEK OR SOONER IF THE FINDINGS ARE DANGEROUSLY OUT OF RANGE. THE FOLLOW-UP ENSURES THAT THE INDIVIDUALS ARE CONNECTED TO A PROVIDER IF THEY DO NOT HAVE ONE AT THE TIME, AND THAT THEY SCHEDULE AN APPOINTMENT WITH THEIR EXISTING PROVIDER (IF THEY HAVE ONE) OR REGISTERED TO ATTEND A PROJECT DULCE CLASS. AT SELECTED FEDERAL QUALIFIED HEALTH CENTERS (FQHC'S) WHITTIER STAFF HAVE DIRECT ACCESS TO SCHEDULING AN APPOINTMENT IN REAL-TIM |
| FORM 990, PART III, LINE 4A (CONTINUED) |
OBESITY DULCE MOTHERS BETWEEN 2007-2010, ONE OUT OF THREE AMERICAN ADULTS WAS CONSIDERED OBESE. OBESE INDIVIDUALS HAVE A 50 PERCENT TO 100 PERCENT INCREASED RISK OF PREMATURE DEATH FROM ALL CAUSES COMPARED TO INDIVIDUALS AT A HEALTHY WEIGHT. OBESITY-RELATED CONDITIONS INCLUDE HEART DISEASE, STROKE, TYPE 2 DIABETES AND CERTAIN TYPES OF CANCER, WHICH ARE SOME OF THE LEADING CAUSES OF PREVENTABLE DEATH. SCRIPPS BEGAN A PILOT PROGRAM, DULCE MOTHERS, WITH THE GOAL OF DECREASING THE INCIDENCE OF TYPE 2 DIABETES BY MANAGING A MAJOR RISK FACTOR - OBESITY - IN UNDERSERVED, ETHNICALLY DIVERSE POPULATIONS THROUGH TESTING THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINO WOMEN WITH GESTATIONAL DIABETES (GDM). WOMEN WITH A HISTORY OF GDM AND WHO MEET THE CRITERIA FOR BEING OVERWEIGHT (BMI ABOVE 25) ARE REFERRED TO THE DULCE MOTHERS PROGRAM. DULCE MOTHERS BEGAN AS A PILOT PROGRAM WITH THE GOAL OF DECREASING THE INCIDENCE OF TYPE 2 DIABETES BY MANAGING A MAJOR RISK FACTOR - OBESITY - IN UNDERSERVED, ETHNICALLY DIVERSE POPULATIONS BY TESTING THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINO WOMEN WITH GESTATIONAL DIABETES (GDM). WOMEN WITH A HISTORY OF GDM AND WHO MEET THE CRITERIA FOR BEING OVERWEIGHT (BMI ABOVE 25) ARE REFERRED TO SCRIPPS DULCE MOTHERS. CHALLENGES: THERE WAS NO DATA CAPTURED IN FY14, AS DULCE MOTHERS HAD SOME CHALLENGES IN INITIATING THE PILOT PROGRAM. THESE INCLUDED: SECURING COMMUNITY CLINIC PARTNERSHIPS THAT WOULD GENERATE PARTICIPANTS FOR THE PROGRAM IN A TIMELY MANNER. AS A RESULT, DULCE MOTHERS ADDED A SECOND ARM OF THE STUDY-PROGRAM NUESTRA VIDA, GEARED TOWARD 40 MIDDLE AGED WOMEN WHO ARE AT HIGH-RISK FOR CARDIO METABOLIC CONDITIONS. THIS PART OF THE PROGRAM IS BEING ADMINISTERED IN CHULA VISTA. SEE THE IDENTIFIED COMMUNITY NEED OBESITY CHART BREAKDOWN IN DETAILED IMPLEMENTATION PLAN UNDER NUESTRA VIDA FOR RESULTS. DULCE MOTHER'S WAS ADMINISTERED IN NORTH COUNTY (ESCONDIDO) AND BECAME AN ACTIVE OUTREACH PROGRAM IN FY15. IN FY15, THE DULCE MOTHERS PROGRAM CONTINUED TO BE AN INNOVATIVE OPPORTUNITY FOR HIGH-RISK LATINA WOMEN WITH A HISTORY GESTATIONAL DIABETES. THE OBJECTIVE OF THE PROGRAM IS TO PROVIDE THESE MOTHERS WITH TOOLS TO EMPOWER THEM TO TAKE OWNERSHIP OF THEIR WELL-BEING BY ULTIMATELY PREVENTING THE DEVELOPMENT OF TYPE 2 DIABETES FOR THEM AND THEIR CHILDREN; BOTH MOTHER AND BABY ARE AT GREAT RISK OF DEVELOPING THIS CHRONIC CONDITION IN THEIR LIFETIME. SOME OF THE LESSONS LEARNED FROM THIS PROGRAM IS THAT THIS POPULATION IS DIFFICULT TO RECRUIT FOR THE FOLLOWING REASONS: - MANY OF THESE WOMEN DO NOT HAVE TRANSPORTATION - THEIR HEALTHCARE COVERAGE STOPS AFTER THEIR BABY IS BORN MAKING IT DIFFICULT FOR THEM TO OBTAIN FOLLOW-UP CARE OR REACH THEM - MOST DO NOT SHOW UP FOR CARE UNTIL THEY ARE PREGNANT AGAIN AND AT THAT POINT DO NOT MEET THE INCLUSION CRITERIA TO PARTICIPATE IN THE PROGRAM THE SCRIPPS WHITTIER TEAM WAS ABLE TO RECRUIT 27 WOMEN WHO STARTED LATE IN QUARTER 4 OF FY15. THE PROGRAM IS A 6 MONTH INTERVENTION THEREFORE MOST OF THESE WOMEN COMPLETED THE PROGRAM LATE IN 2015 AND EARLY 2016. THE POST OUTCOMES OF THE PROGRAM WILL BE AVAILABLE IN THE FY2016'S Q2 REPORT. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN, SCRIPPS HEALTH WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING CHARITY CARE AND UNCOMPENSATED CARE, PROFESSIONAL EDUCATION AND COMMUNITY BENEFIT PROGRAMS. SCRIPPS OFFERS COMMUNITY BENEFIT SERVICES THROUGH OUR FIVE ACUTE-CARE HOSPITAL CAMPUSES, HOME HEALTH SERVICES, WELLNESS CENTERS AND CLINICS. SCRIPPS SERVES A QUARTER OF THE TOTAL COUNTY POPULATION, CONCENTRATING SERVICES IN THE NORTH COASTAL, NORTH CENTRAL, CENTRAL AND SOUTH REGIONS OF SAN DIEGO COUNTY WHERE SCRIPPS FACILITIES ARE LOCATED. UNCOMPENSATED HEALTH CARE SCRIPPS CONTRIBUTES SIGNIFICANT RESOURCES TO PROVIDE LOW AND NO-COST HEALTH CARE FOR OUR PATIENTS IN NEED. DURING FISCAL YEAR 2015, SCRIPPS CONTRIBUTED $316,033,736 IN UNCOMPENSATED HEALTH CARE, INCLUDING $36,894,588 IN CHARITY CARE, $269,492,715 IN MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS AND MEDICARE SHORTFALL, AND $9,646,432 IN BAD DEBT. SCRIPPS PROVIDES HOSPITAL SERVICES FOR ONE-QUARTER OF THE COUNTY'S UNINSURED PATIENTS. SCRIPPS MERCY HOSPITAL, SAN DIEGO AND SCRIPPS MERCY HOSPITAL, CHULA VISTA PROVIDE 59 PERCENT OF SCRIPPS' CHARITY CARE. THE HEALTH CARE SAFETY NET IN SAN DIEGO COUNTY (SDC) IS HIGHLY DEPENDENT UPON HOSPITALS AND COMMUNITY HEALTH CLINICS TO CARE FOR UNINSURED AND MEDICALLY UNDERSERVED COMMUNITIES. FINDING MORE EFFECTIVE WAYS TO COORDINATE AND ENHANCE THE SAFETY NET IS A CRITICAL POLICY CHALLENGE. WHILE PUBLIC SUBSIDIES (E.G., COUNTY MEDICAL SERVICES) HELP FINANCE SERVICES FOR SAN DIEGO COUNTY'S UNINSURED POPULATIONS, THESE SUBSIDIES DO NOT COVER THE FULL COST OF CARE. COMBINED WITH MEDI-CAL AND MEDICARE FUNDING SHORTFALLS, SCRIPPS AND OTHER LOCAL HOSPITALS ABSORB THE COST OF CARING FOR UNINSURED PATIENTS IN THEIR OPERATING BUDGETS. THIS PLACES A SIGNIFICANT FINANCIAL BURDEN ON HOSPITALS AND PHYSICIANS. DEMOGRAPHIC PROFILE OF SAN DIEGO COUNTY CURRENT POPULATION DEMOGRAPHICS AND CHANGES IN DEMOGRAPHIC COMPOSITION OVER TIME PLAY A DETERMINING ROLE IN THE TYPES OF HEALTH AND SOCIAL SERVICES NEEDED BY COMMUNITIES. POPULATION SIZE, CHANGE IN POPULATION, RACE AND ETHNICITY, AND AGE OF A POPULATION ARE ALL IMPORTANT IN UNDERSTANDING COMMUNITIES AND ITS RESIDENTS. POPULATION: OVER THREE MILLION PEOPLE (3,138,265) LIVE IN THE 4,205 SQUARE MILE AREA OF SDC ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2009-13, 5-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 746 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF APPROXIMATELY 88 PERSONS PER SQUARE MILE. APPROXIMATELY 96.7% OF THE POPULATION LIVES IN AN URBAN AREA COMPARED TO JUST 3.3% LIVING IN RURAL AREAS. POPULATION CHANGE: ACCORDING TO THE U.S. CENSUS BUREAU DECENNIAL CENSUS, BETWEEN 2000 AND 2010 THE POPULATION IN SDC GREW BY 281,480 PERSONS, A CHANGE OF 10.0%.THIS IS SIMILAR TO THE PERCENTAGE POPULATION CHANGE SEEN DURING THE SAME TIME PERIOD IN CALIFORNIA (10.0%) AND THE UNITED STATES (9.7%). A SIGNIFICANT SHIFT IN TOTAL POPULATION OVER TIME IMPACTS THE DEMAND FOR HEALTH CARE PROVIDERS AND THE UTILIZATION OF COMMUNITY RESOURCES. RACE/ETHNICITY: IN THE AMERICAN COMMUNITY SURVEY, DATA FOR RACE AND ETHNICITY ARE COLLECTED SEPARATELY. OF THOSE WHO IDENTIFIED AS NON-HISPANIC (67.7%) IN SDC, THE MAJORITY IDENTIFIED THEIR RACE AS WHITE (70.9%), FOLLOWED BY ASIAN (16.1%), BLACK (7.1%), MULTIPLE RACES (4.5%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.6%), AND AMERICAN INDIAN/ALASKAN NATIVE (0.5%). OF THOSE WHO IDENTIFIED AS HISPANIC OR LATINO (32.4%) IN SDC, THE MAJORITY ALSO IDENTIFIED THEIR RACE AS WHITE (72.4%), FOLLOWED BY OTHER (19.9%), MULTIPLE RACES (5.1%), AMERICAN INDIAN/ALASKAN NATIVE (1.1%), BLACK (0.8%), ASIAN (0.6%), AND NATIVE HAWAIIAN/PACIFIC ISLANDER (0.1%). PLEASE SEE THE FIGURES BELOW FOR MORE DETAILS. SAN DIEGO'S UNINSURED THE LACK OF HEALTH INSURANCE IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. BETWEEN 2010 AND 2013 UNINSURED RATE WAS RELATIVELY STABLE IN THE UNITED STATES, CALIFORNIA AND IN SAN DIEGO COUNTY. IN 2014, THE UNINSURED RATE SHARPLY DECREASED TO 12.3% WHICH WAS THE LARGEST CHANGE IN THE UNINSURED RATE THROUGHOUT THIS PERIOD. THIS DECREASE CAN BE ATTRIBUTED IN LARGE PART TO THE AFFORDABLE CARE ACT (ACA). THE CHANGING LANDSCAPE UNDER THE AFFORDABLE CARE ACT* THE AFFORDABLE CARE ACT (ACA) HAS PLAYED A SIGNIFICANT ROLE IN INCREASING ACCESS TO HEALTHCARE. IN 2014, A NUMBER OF CHANGES TOOK EFFECT IN CALIFORNIA INCLUDING: - THE EXPANSION OF MEDI-CAL TO INDIVIDUALS MAKING LESS THAN 138% OF THE POVERTY LEVEL - THE ESTABLISHMENT OF COVERED CALIFORNIA FOR INDIVIDUALS WHO MAKE UP TO 400% OF THE POVERTY LEVEL TO PURCHASE SUBSIDIZED HEALTH INSURANCE - THE ELIMINATION OF DISCRIMINATION DUE TO PRE-EXISTING CONDITIONS - THE REQUIREMENT TO OBTAIN HEALTH INSURANCE COVERAGE THESE HEALTHCARE REFORMS HAVE RESULTED IN A LARGE NUMBER OF NEWLY INSURED INDIVIDUALS. RECENT DATA FROM THE US CENSUS BUREAU DEMONSTRATES THE FOLLOWING CHANGES IN COVERAGE AS OF 2014: - DECREASE IN THE PERCENTAGE OF UNINSURED OVERALL IN THE US FROM 13.3% IN 2013 TO 10.4% IN 2014 - DECREASE IN THE PERCENTAGE OF UNINSURED CHILDREN UNDER AGE 19 FROM 7.5% TO 6.2% - DECREASE IN THE PERCENTAGE OF UNINSURED ACROSS ETHNIC GROUPS TO 19.9%, 11.8%, 9.3% AND 7.6% FOR HISPANICS, BLACKS, ASIANS, AND NON-HISPANICS WHITES, RESPECTIVELY. STILL, DISCREPANCIES REMAIN WITH THOSE AGED 19-64 LEAST LIKELY TO BE INSURED AND ROUGHLY 1 IN 5 HISPANICS STILL LACKING HEALTH INSURANCE. *SMITH, JESSICA C. AND CARLA MEDALIA, U.S. CENSUS BUREAU, CURRENT POPULATION REPORTS, P60-253, HEALTH INSURANCE COVERAGE IN THE UNITED STATES: 2014, U.S. GOVERNMENT PRINTING OFFICE, WASHINGTON, DC, 2015. THERE ARE THREE INDICATORS DETERMINED TO BE THE MOST POWERFUL PREDICTORS OF POPULATION HEALTH: POVERTY RATE, PERCENT OF POPULATION UNINSURED, AND EDUCATIONAL ATTAINMENT. LOW-INC |
| FORM 990, PART III, LINE 4A (CONTINUED) |
SCRIPPS RECUPERATIVE CARE PROGRAM (RCU) THE SCRIPPS RESCUE MISSION PROJECT PROVIDES A SAFE DISCHARGE FOR CHRONICALLY HOMELESS PATIENTS WITH ONGOING MEDICAL NEEDS. ALL PATIENTS ARE UNFUNDED OR UNDERFUNDED. MOST HAVE SUBSTANCE ABUSE AND/OR MENTAL HEALTH ISSUES. THE LACK OF FUNDING, AND MENTAL ILLNESS, ALONG WITH ALCOHOL AND/OR SUBSTANCE ABUSE, MAKE POST-ACUTE PLACEMENT OF THESE HOMELESS PATIENTS DIFFICULT. RN CASE MANAGEMENT OVERSIGHT IS PROVIDED BY SCRIPPS WITH PHYSICIAN BACKUP TO ENSURE COMPLETION OF THEIR MEDICAL RECOVERY GOALS. SCRIPPS PAYS THE RESCUE MISSION A DAILY RATE FOR HOUSING AND SERVICES PROVIDED TO THE PATIENT. THEY PROVIDE A SAFE, SECURE ENVIRONMENT WITH 24 HOUR SUPERVISION, MEDICATION OVERSIGHT, MEALS, CLOTHING, COUNSELING, ASSISTANCE WITH COUNTY MEDICAL SERVICES, MEDI-CAL AND DISABILITY APPLICATIONS, PLUS HELP FIND PERMANENT OR TRANSITIONAL HOUSING. PATIENT TRANSPORTATION NEEDS ARE COORDINATED AND PROVIDED BY BOTH THE RESCUE MISSION AND SCRIPPS. TO MAINTAIN THE PATIENT'S MEDICAL STABILITY, MEDICATIONS, DME AND OTHER SERVICES ARE PROVIDED BY SCRIPPS UNTIL INSURANCE FUNDING HAS BEEN ESTABLISHED. PATIENTS WITH PSYCHIATRIC DISORDERS ARE ESTABLISHED WITH A PSYCHIATRIST IN THE COMMUNITY AND ALL PATIENTS ARE CONNECTED WITH A MEDICAL HOME IN THE COMMUNITY. IN 2015, 42 PATIENTS HAD A CUMULATIVE 1446 HOSPITAL DAYS OF STAY BEFORE GOING TO THE RCU. THE RCU TAKES MEDICALLY COMPLEX PATIENTS INCLUDING PATIENTS WITH TRACH, TUBE FEEDS, IV ANTIBIOTICS, WOUND VACS, MULTIPLE FRACTURES, SPINAL EPIDURAL ABSCESS, PARAPLEGIA, ESRD ON DIALYSIS, END STAGE LIVER DISEASE, HEART VALVE REPLACEMENT, DIABETES, TRAUMATIC BRAIN INJURY, OSTOMIES, CRANIOTOMY, COMPLEX TRAUMA, CANCER AND HIV. ONE HUNDRED PERCENT OF PATIENTS WERE CONNECTED TO A PRIMARY CARE PROVIDER AT ONE OF THE COMMUNITY CLINICS WITH AN APPOINTMENT MADE. FIFTEEN PERCENT OF THESE HAD VERY SHORT STAYS AT THE RCU AND MAY NOT HAVE FOLLOWED UP WITH THE APPOINTMENTS ON THEIR OWN. 76% OF THE RCU DISCHARGED PATIENTS DID NOT RETURN TO THE STREETS. THEY WENT EITHER TO A RECOVERY PROGRAM OR TRANSITIONAL HOUSING (14%), SRO OR APARTMENT (10%), BACK TO MEXICO (10%), TO FAMILY OR FRIEND (7%), BOARD AND CARE (2%), HEALTHCARE, HOSPICE OR A LOWER LEVEL OF CARE (2%). ONE CLIENT IS DECEASED. THIS YEAR 24 % OF CLIENTS DID RETURN TO THE STREETS. 21% OF THIS YEAR'S CLIENTS ARE STILL ACTIVE PARTICIPANTS AT THE RCU. OF NOTE, 15% WERE HOSPITALIZED, USUALLY VERY BRIEFLY, AT SOME POINT AND RETURNED TO THE RCU. (SPONSORED BY SCRIPPS MERCY HOSPITAL, SAN DIEGO) GRADUATE MEDICAL EDUCATION STAFF SUPPORT ST. VINCENT DE PAUL VILLAGE MEDICAL CENTER AND ST. LEO'S CLINIC THE GRADUATE MEDICAL EDUCATION (GME) PROGRAM AT SCRIPPS GREEN HOSPITAL AND SCRIPPS CLINIC FOCUSES ON PHYSICIAN TRAINING AND CLINICAL RESEARCH, WITH 36 RESIDENTS AND 38 FELLOWS. WEEKLY COMMUNITY CLINICS WERE HELD AT THE ST. VINCENT DE PAUL AND ST. LEO'S CLINICS. STAFFED BY SCRIPPS GREEN HOSPITAL AND SCRIPPS CLINIC INTERNAL MEDICINE RESIDENTS, THESE CLINICS CARED FOR APPROXIMATELY 800 OF OUR COUNTY'S MOST VULNERABLE RESIDENTS DURING FISCAL YEAR 2015. (SPONSORED BY SCRIPPS CLINIC/GREEN HOSPITAL) FIJI ALLIANCE PROJECT IN PARTNERSHIP WITH THE INTERNATIONAL RELIEF TEAMS OF SAN DIEGO AND THE LOLOMA FOUNDATION, SCRIPPS EMPLOYEES, SCRIPPS CLINIC PHYSICIANS AND OTHER SCRIPPS-AFFILIATED PHYSICIANS PROVIDED MEDICAL AND SURGICAL SERVICES IN FIJI. AS ONE OF THEIR ROTATIONS, RESIDENTS FROM SCRIPPS CLINIC AND SCRIPPS GREEN HOSPITAL HAVE THE OPPORTUNITY TO PARTICIPATE IN THESE MEDICAL MISSIONS. THE TEAM PERFORMS PROCEDURES TO REMEDY CLEFT LIPS AND PALATES, EYELID, FACE AND FEET DEFORMITIES, BURN SCARS, BREAST MASSES AND HERNIAS, AS WELL AS PROVIDING DIABETES MANAGEMENT. ALL SURGICAL SUPPLIES WERE DONATED BY PROFESSIONAL HOSPITAL SUPPLY CORPORATION (PHS), THE SUPPLIER FOR SCRIPPS HEALTH. THE SUPPLIES INCLUDED SURGICAL GOWNS, GLOVES, DRAPES, DRESSINGS, BANDAGES, SUTURES, ETC. CARDINAL HEALTH SYSTEMS, WHICH PROVIDES PHARMACEUTICALS AND OTHER SUPPLIES FOR SCRIPPS HEALTH, DONATED ALL MEDICATIONS. (SPONSORED BY SCRIPPS CLINIC/GREEN HOSPITAL) SCRIPPS HEALTH COMMUNITY BENEFIT (CB) FUND IN FISCAL YEAR 2015, SCRIPPS HEALTH CONTINUED TO DEEPEN ITS COMMITMENT TO PHILANTHROPY WITH THE ESTABLISHMENT OF ITS COMMUNITY BENEFIT FUND. OVER THE COURSE OF THE YEAR, IT AWARDED $215,000 IN COMMUNITY GRANTS TO PROGRAMS IN SAN DIEGO (FIVE GRANTS RANGING FROM $10,000 TO $120,000). THE FUNDED PROJECTS ADDRESS SOME OF SAN DIEGO COUNTY'S HIGH-PRIORITY HEALTH NEEDS, SEEKING TO IMPROVE ACCESS TO VITAL HEALTH CARE SERVICES FOR AT-RISK POPULATIONS, INCLUDING THE HOMELESS, ECONOMICALLY DISADVANTAGED, MENTALLY ILL AND OTHERS. SINCE THE COMMUNITY BENEFIT FUND BEGAN, SCRIPPS HAS AWARDED $3.1 MILLION. PROGRAMS FUNDED DURING FISCAL YEAR 2015 INCLUDE: CONSUMER CENTER FOR HEALTH EDUCATION AND ADVOCACY (CCHEA) FUNDING PROVIDES LOW-INCOME, UNINSURED MERCY CLINIC AND BEHAVIORAL HEALTH PATIENTS HELP OBTAINING HEALTH CARE BENEFITS, SSI AND RELATED SERVICES, WHILE REDUCING UNCOMPENSATED CARE EXPENSES AT MERCY. THE PROJECT PROVIDES ADVOCACY SERVICES FOR TIME-INTENSIVE GOVERNMENT BENEFIT CASES. (SPONSORED BY SCRIPPS MERCY HOSPITAL ADMINISTRATION) CATHOLIC CHARITIES FUNDING PROVIDES SHORT-TERM EMERGENCY SHELTER FOR MEDICALLY FRAGILE HOMELESS PATIENTS BEING DISCHARGED FROM SCRIPPS MERCY HOSPITAL, SAN DIEGO. THE PROGRAM IS BEING EXPANDED TO SCRIPPS MERCY HOSPITAL, CHULA VISTA. CASE MANAGEMENT AND SHELTER ARE PROVIDED FOR HOMELESS PATIENTS DISCHARGED FROM SCRIPPS MERCY HOSPITAL. WHILE THESE PATIENTS NO LONGER REQUIRE HOSPITAL CARE, THEY DO NEED A SHORT-TERM RECUPERATIVE ENVIRONMENT. PATIENTS WHO DEMONSTRATE A WILLINGNESS TO CHANGE RECEIVE ONE WEEK IN A HOTEL, ALONG WITH FOOD AND BUS FARE TO PURSUE A CASE PLAN. THE FOCUS OF THE CASE MANAGEMENT IS TO STABILIZE THE CLIENT BY HELPING THEM CONNECT TO MORE PERMANENT SOURCES OF INCOME, HOUSING AND OTHER SELF-RELIANCE MEASURES. THE PARTNERSHIP SEEKS TO REDUCE EMERGENCY ROOM RECIDIVISM IN THIS POPULATION AND IMPROVE THEIR QUALITY OF LIFE. 2-1-1 HEALTH CARE NAVIGATION PROGRAM LOCALLY, 2-1-1 SAN DIEGO WAS LAUNCHED IN JUNE 2005 AS A MULTILINGUAL AND CONFIDENTIAL SERVICE COMMITTED TO PROVIDING ACCESS 24/7. THERE WAS AN OVERWHELMING NEED FOR A DEPENDABLE SERVICE TO HELP PEOPLE NAVIGATE TODAY'S COMPLEX HEALTH CARE SYSTEM, AND SINCE THE IMPLEMENTATION OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), CALLS TO 2-1-1 SPECIFICALLY FOR HEALTH-RELATED NEEDS HAVE INCREASED BY 31%. FROM JULY 2014-JUNE 2015, 2-1-1 SAN DIEGO RESPONDED TO 32,489 CALLS FROM CLIENTS SPECIALLY SEEKING HEALTH-RELATED RESOURCES. IN JULY 2015, 2,549 CALLERS WERE INTERESTED IN SERVICES THROUGH HEALTH LINES, 22% WERE INTERESTED IN OUTPATIENT MENTAL HEALTH RESOURCES AND 19% WERE SEEKING HEALTH SUPPORTIVE SERVICES. IN ADDITION, 1,025 CLIENTS WERE SCREENED FOR BREAST HEALTH NEEDS AND 8,039 WERE EDUCATED ON COVERED CALIFORNIA. THROUGH THE HEALTH NAVIGATION LINE, THE HIGHEST STATED HEALTH NEEDS WAS HEALTH INSURANCE, MEDICAL HOME AND NON-EMERGENCY HEALTH CONDITION. DUE THE COMMUNITY RESPONSE TO INDIVIDUALS HEALTH NEEDS, THE HEALTH NAVIGATION TEAM CONTINUES TO GROW AND ADDRESS THESE COMPLEX ISSUES. (SPONSORED BY SCRIPPS CORPORATE COMMUNITY BENEFITS) AMERICAN HEART ASSOCIATION SCRIPPS PROVIDED FUNDING FOR THE 2015 HEART WALK THROUGH CORPORATE SPONSORSHIP. HEART DISEASE AND STROKE ARE THE NUMBER ONE AND THREE CAUSES OF DEATH IN THE NATION. HEART DISEASE CLAIMS MORE THAN 950,000 AMERICANS EACH YEAR. SCRIPPS PARTNERS WITH THE AMERICAN HEART ASSOCIATION ON ITS ANNUAL HEART WALK TO RAISE FUNDS FOR RESEARCH, PROFESSIONAL AND PUBLIC EDUCATION AND ADVOCACY. (SPONSORED BY SCRIPPS CORPORATE COMMUNITY BENEFITS) BACK PAIN MOST PEOPLE IN THE UNITED STATES WILL EXPERIENCE LOWER BACK PAIN AT LEAST ONCE DURING THEIR LIVES. BACK PAIN IS ONE OF THE MOST COMMON REASONS PEOPLE GO TO THE DOCTOR OR MISS WORK. SOME CAUSES OF BACK PAIN INCLUDE MUSCLE OR LIGAMENT STRAIN, BULGING OR RUPTURED DISKS, ARTHRITIS, SKELETAL IRREGULARITIES AND OSTEOPOROSIS. RISK FACTORS FOR BACK PAIN INCLUDE: - EXCESS WEIGHT OR OBESITY - LACK OF EXERCISE - IMPROPER LIFTING - THOSE WITH PSYCHOLOGICAL ISSUES, SUCH AS DEPRESSION AND ANXIETY (REASONS UNKNOWN) DISPARITIES IN THE UNITED STATES (NHIS, 2010): - ADULTS WITHOUT A HIGH SCHOOL DIPLOMA WERE MORE LIKELY TO HAVE LOWER BACK PAIN. - ADULTS IN POOR FAMILIES WERE MORE LIKELY TO EXPERIENCE LOWER BACK PAIN. - WOMEN ARE MORE LIKELY THAN MALES TO HAVE EXPERIENCED PAIN IN THE LOWER BACK (30.0% VERSUS 26.0%). HEALTHY PEOPLE 2020: - GOAL: REDUCED ACTIVITY LIMITATION DUE TO CHRONIC BACK CONDITIONS. - TARGET: 27.6 PER 1,000. - BASELINE: 30.7 IN 2008 DATA SOURCE: NATIONAL HEALTH INTERVIEW SURVEY, CDC, NCHS BURDEN: - LOWER BACK PAIN HAS BEEN REPORTED AS THE 6TH MOST COSTLY CONDITION IN THE UNITED STATES. - 29% OF ADULTS OVER THE AGE OF 18 HAVE PAIN IN THE LOWER BACK. - BACK PAIN AFFECTS 60% TO 80% OF PEOPLE IN THEIR LIFETIME. DURING FISCAL YEAR 2015, SCRIPPS ENGAGED IN THE FOLLOWING HEALTHY BACK PAIN PREVENTION AND TREATMENT ACTIVITI |
| FORM 990, PART III, LINE 4A (CONTINUED) |
COLORECTAL CANCER NCI DEFINES COLORECTAL CANCER AS ANY CANCER "THAT FORMS IN THE TISSUES OF THE COLON OR RECTUM." MOST COLON CANCERS ARE ADENOCARCINOMAS (CANCERS THAT BEGIN IN CELLS THAT MAKE AND RELEASE MUCUS AND OTHER FLUIDS). OF CANCERS THAT AFFECT BOTH MEN AND WOMEN, COLORECTAL CANCER IS THE SECOND LEADING CAUSE OF CANCER-RELATED DEATHS IN THE UNITED STATES. COLORECTAL CANCER ALSO IS ONE OF THE MOST COMMONLY DIAGNOSED CANCERS IN THE UNITED STATES; AMONG ALL MEN AND WOMEN IT IS THE THIRD MOST COMMON CANCER IN THE US TODAY. CLINICAL SYMPTOMS INCLUDE BLOOD IN/ON THE STOOL, PERSISTENT CRAMPING, PAINS, AND ACHING IN THE STOMACH, AND UNEXPLAINED WEIGHT-LOSS. RISK FACTORS FOR COLORECTAL CANCER INCLUDE: - AGE: 90% OF ALL CASES DIAGNOSED ARE IN PEOPLE ABOVE THE AGE OF 50 YEARS. - INFLAMMATORY BOWEL DISEASE. - A PERSONAL OR FAMILY HISTORY OF COLORECTAL CANCER OR COLORECTAL POLYPS. - A GENETIC SYNDROME OR HEREDITARY NON-POLYPOSIS COLORECTAL CANCER (LYNCH SYNDROME). - LIFESTYLE FACTORS SUCH AS, LACK OF REGULAR PHYSICAL ACTIVITY, LOW FRUIT AND VEGETABLE INTAKE, LOW-FIBER AND HIGH-FAT DIETS, ALCOHOL CONSUMPTION, TOBACCO USE, AND BEING OVERWEIGHT OR OBESE. COLORECTAL CANCER PREVALENCE IN THE UNITED STATES: SEER ESTIMATES THAT 1,140,161 MEN AND WOMEN CURRENTLY HAVE BEEN DIAGNOSED WITH COLORECTAL CANCERS. LUNG CANCER LUNG CANCER IS THE LEADING CAUSE OF CANCER DEATH AND THE SECOND MOST DIAGNOSED CANCER IN BOTH MEN AND WOMEN IN THE UNITED STATES. IN 2008, 14% OF ALL CANCER DIAGNOSES AND 28% OF ALL CANCER DEATHS WERE DUE TO LUNG CANCER. LUNG CANCERS USUALLY ARE GROUPED INTO TWO MAIN TYPES CALLED SMALL CELL AND NON-SMALL CELL. THESE TYPES OF LUNG CANCER PROGRESS IN DIFFERENT MANNERS, AND THEREFORE REQUIRE DIFFERENT COURSES OF TREATMENT. NON-SMALL CELL LUNG CANCER IS MORE COMMON THAN SMALL CELL LUNG CANCER. CLINICAL SYMPTOMS CAN INCLUDE, CHEST PAIN, SHORTNESS OF BREATH, WHEEZING, COUGHING UP BLOOD, CONSTANT FATIGUE, UNEXPLAINED WEIGHT LOSS, AND COUGHING THAT PROGRESSIVELY WORSENS AND DOES NOT SUBSIDE. SOME FACTS ABOUT LUNG CANCER IN 2008: - 208,493 PEOPLE IN THE UNITED STATES WERE DIAGNOSED WITH LUNG CANCER, INCLUDING 111,886 MEN AND 96,607 WOMEN. - 158,592 PEOPLE IN THE UNITED STATES DIED FROM LUNG CANCER, INCLUDING 88,541 MEN AND 70,051 WOMEN. LUNG CANCER PREVALENCE IN THE UNITED STATES: ON JANUARY 1, 2009, IN THE UNITED STATES THERE WERE APPROXIMATELY 387,762 MEN AND WOMEN ALIVE WHO HAD A HISTORY OF CANCER OF THE LUNG AND BRONCHUS -- 178,490 MEN AND 209,272 WOMEN. PROSTATE CANCER NCI DEFINES PROSTATE CANCER AS A CANCER THAT FORMS IN TISSUES OF THE PROSTATE, A GLAND IN THE MALE REPRODUCTIVE SYSTEM FOUND BELOW THE BLADDER AND IN FRONT OF THE RECTUM. WHILE CANCEROUS CELLS WITHIN THE PROSTATE ITSELF ARE GENERALLY NOT DEADLY ON THEIR OWN, AS A CANCEROUS TUMOR GROWS SOME OF THE CELLS CAN BREAK OFF AND SPREAD TO OTHER PARTS OF THE BODY THROUGH THE LYMPH OR THE BLOOD, THROUGH THE PROCESS OF METASTASIS. PROSTATE CANCER USUALLY OCCURS IN OLDER MEN. CLINICAL SYMPTOMS INCLUDE: DIFFICULTY STARTING URINATION, WEAK/INTERRUPTED FLOW OF URINE, PAIN/BURNING DURING URINATION, FREQUENT URINATION, BLOOD IN URINE OR SEMEN, AND UNSPECIFIED PAIN IN THE BACK, HIPS OR PELVIS. NOT COUNTING SOME FORMS OF SKIN CANCER, PROSTATE CANCER IN THE UNITED STATES IS: - THE MOST COMMON CANCER IN MEN, NO MATTER YOUR RACE OR ETHNICITY. - THE SECOND MOST COMMON CAUSE OF DEATH FROM CANCER AMONG WHITE, AFRICAN AMERICAN, AMERICAN INDIAN/ALASKA NATIVE, AND HISPANIC MEN. - THE FOURTH MOST COMMON CAUSE OF DEATH FROM CANCER AMONG ASIAN/PACIFIC ISLANDER MEN. RISK FACTORS FOR PROSTATE CANCER INCLUDE: - AGE: THE OLDER A MAN IS, THE GREATER HIS RISK FOR GETTING PROSTATE CANCER. - FAMILY HISTORY: A MAN WITH A FATHER, BROTHER, OR SON WHO HAS HAD PROSTATE CANCER IS TWO TO THREE TIMES MORE LIKELY TO DEVELOP THE DISEASE HIMSELF. - RACE: PROSTATE CANCER IS MORE COMMON IN SOME RACIAL AND ETHNIC GROUPS THAN IN OTHERS. PROSTATE CANCER PREVALENCE IN THE UNITED STATES: SEER ESTIMATES THAT 2,496,784 MALES CURRENTLY HAVE BEEN DIAGNOSED WITH CANCER OF THE PROSTATE. SKIN CANCER SKIN CANCER IS A CANCER THAT FORMS IN THE VARIOUS TISSUES OF THE SKIN, AND IS THE MOST COMMON FORM OF CANCER IN THE UNITED STATES. THE TWO MOST PREVALENT TYPES OF SKIN CANCER-BASAL CELL (FORMS IN THE LOWER PART OF THE EPIDERMIS) AND SQUAMOUS CELL (FORMS IN THE FLAT CELLS THAT FORM THE SURFACE OF THE SKIN) CARCINOMAS-ARE HIGHLY CURABLE. HOWEVER, THE THIRD MOST COMMON SKIN CANCER, MELANOMA, FORMS IN THE CELLS THAT MAKE THE PIGMENT MELANIN AND ARE CONSIDERED MORE DANGEROUS. ABOUT 65%-90% OF MELANOMAS ARE CAUSED BY EXPOSURE TO ULTRAVIOLET (UV) LIGHT. CLINICAL SYMPTOMS INCLUDE MOLES THAT ARE ASYMMETRICAL, HAVE IRREGULAR BORDERS, UNEVEN COLORATION, EXPERIENCE INCREASES IN DIAMETER, OR HAVE EVOLVED OR CHANGED IN RECENT WEEKS OR MONTHS. RISK FACTORS FOR THE THREE MOST COMMON TYPES OF SKIN CANCER: - SUNLIGHT - SEVERE, BLISTERING SUNBURNS - LIFETIME SUN EXPOSURE - TANNING MELANOMA OF THE SKIN PREVALENCE IN THE UNITED STATES: SEER ESTIMATES THAT 876,344 PERSONS CURRENTLY HAVE BEEN DIAGNOSED WITH MELANOMA OF THE SKIN. SCRIPPS HAS DEVELOPED A SERIES OF PREVENTION AND WELLNESS PROGRAMS TO EDUCATE PEOPLE ABOUT THE IMPORTANCE OF EARLY DETECTION AND TREATMENT FOR SOME OF THE MOST COMMON FORMS OF CANCER. AT SCRIPPS CANCER CARE IS MORE THAN JUST MEDICAL TREATMENT, AND A WIDE ARRAY OF RESOURCES ARE PROVIDED SUCH AS COUNSELING, SUPPORT GROUPS, COMPLEMENTARY THERAPIES AND EDUCATIONAL WORKSHOPS. HERE ARE A FEW EXAMPLES OF SCRIPPS CANCER PROGRAMS DURING FISCAL YEAR 2015. SCRIPPS CANCER CENTER DIRECTORY OF COMMUNITY RESOURCES SCRIPPS COLLABORATES WITH THE COMMUNITY AND DEVELOPS A CANCER DIRECTORY OF A COMPREHENSIVE LIST OF RESOURCES AVAILABLE FOR CANCER SURVIVORS, THEIR FAMILIES, AND THE COMMUNITY. (SPONSORED BY SCRIPPS GREEN CANCER CENTER) SCRIPPS GREEN HOSPITAL CANCER SUPPORT GROUPS SCRIPPS GREEN SUPPORT GROUPS OFFER CANCER PATIENTS THE OPPORTUNITY TO EXPRESS THE EMOTIONS THAT COME WITH A CANCER DIAGNOSIS AND HELP THEM COPE MORE EFFECTIVELY WITH THEIR TREATMENT REGIMENS BY THE SUPPORT GROUPS NURTURE THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING. CLASSES AT SCRIPPS GREEN HOSPITAL, SUCH AS THE FREE CANCER WRITING WORKSHOP, WHEN WORDS HEAL, USE EXPRESSIVE WRITING TO HELP PATIENTS NAVIGATE THEIR JOURNEY WITH CANCER. (SPONSORED BY SCRIPPS GREEN CANCER CENTER) FIREFIGHTERS, LIFEGUARDS & COMMUNITY SKIN CANCER SCREENINGS A TOTAL OF 263 FIREFIGHTERS AND LIFEGUARDS OVER A TWO DAY SCREENING (AUGUST 10TH AND AUGUST 14) WERE SCREENED. IN ADDITION, 102 PATIENTS WERE SCREENED AT AN OCEANSIDE SKIN CANCER SCREENING ON JULY 27, 2015 (SPONSORED BY SCRIPPS MARKET OUTREACH) PROSTATE CANCER SCREENINGS PROSTATE CANCER IS THE SECOND-LEADING CAUSE OF CANCER DEATH IN AMERICAN MEN, BEHIND ONLY LUNG CANCER. SCRIPPS HEALTH OFFERED FREE PROSTATE CANCER SCREENINGS DURING THE SAN DIEGO PADRES' SEPTEMBER 3RD, 2015 GAME AGAINST THE LOS ANGELES DODGERS AT PETCO PARK. THE SCREENINGS WERE HELD IN CONJUNCTION WITH SEPTEMBER'S NATIONAL PROSTATE CANCER AWARENESS MONTH. SCREENINGS WERE MADE AVAILABLE TO MALES BETWEEN THE AGES OF 50 AND OLDER (OR AGE 40 AND UP FOR THOSE WITH A FAMILY HISTORY OF PROSTATE CANCER). TOTAL SCREENINGS CONDUCTED WERE 63 AND 7 ABNORMAL RESULTS. (SPONSORED BY SCRIPPS MARKET OUTREACH) HEALTHY WOMEN, HEALTHY LIFESTYLES: SCRIPPS MERCY BREAST HEALTH OUTREACH AND EDUCATION PROGRAM A PROMOTORA-LED HEALTH AND WELLNESS PROGRAM THAT AIMS TO IMPROVE THE LIVES OF WOMEN IN SAN DIEGO'S SOUTH BAY WITH BREAST CANCER EDUCATION, PREVENTION AND TREATMENT SUPPORT. PROMOTORA'S TEACH BREAST HEALTH TO WOMEN WHO HAVE LIMITED OR NO ACCESS TO HEALTH CARE. PROMOTORA'S TEACH WOMEN IN THEIR NATIVE LANGUAGE WITH SENSITIVITY TO A WOMAN'S ETHNIC AND CULTURAL NORMS. THE PROGRAM MODEL INCLUDES A PROMOTORA, CANCER SURVIVOR AND A NURSE NAVIGATOR. THE PROMOTORA HAS KNOWLEDGE OF BREAST CANCER, OFFERS EDUCATION AND EMOTIONAL SUPPORT. SHE ALSO PROVIDES REFERRALS IN A CULTURALLY APPROPRIATE AND LANGUAGE SENSITIVE WAY. A BREAST CANCER SURVIVOR AND VOLUNTEER STRENGTHENS THE BENEFITS OF BREAST CANCER EDUCATION AND PREVENTION BY TALKING TO SOMEONE WHO HAS BEEN THERE AND CAN PROVIDE INSIGHT AND SUGGESTIONS, AND IS LIVING PROOF THAT THE DISEASE IS NOT FATAL. WORKING HAND-IN-HAND, THE PROMOTORA AND VOLUNTEER PRESENT A VERY STRONG FRONT FOR BREAST CANCER AWARENESS AND A FULL SUPPORT SYSTEM FOR THOSE ALREADY DIAGNOSED. MOREOVER, THE FACT THEY ARE BI-LINGUAL LATINAS LENDS AN AIR OF AUTOMATIC TRUST AMONG THE HISPANIC COMMUNITY AS THEY CAN CONNECT WITH THE RESIDENTS ON A CULTURAL LEVEL. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFITS.) SCRIPPS MERCY HOSPITAL, CHULA VISTA: BREAST HEALTH CLINICAL SERVICES A TOTAL OF 1,369 WOMEN WERE REFERRED TO CLINICAL BREAST HEALTH SERVICES AT COMMUNITY AND SCRIPPS MERCY HOSPITAL, CHULA VISTA RADIOLOGY SERVICES. A TOTAL OF 3,420 SERVICES WERE PROVIDED, INCLUDING TELEPHONE REMINDERS, OUTREACH AND EDUCATION, CASE MANAGEMENT AND A VARIETY OF PRESENTATIONS. (SPONSORED BY |
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SCRIPPS POLSTER BREAST CARE CENTER (SPBCC) SCRIPPS POLSTER BREAST CARE CENTER (SPBCC) SPONSORS THE YOUNG WOMEN'S SUPPORT GROUP WHICH PROVIDE A VENUE FOR WOMEN UNDER THE AGE OF 40 TO COME TOGETHER, DISCUSS ISSUES RELATING TO DIAGNOSES AND RECEIVE SUPPORT. THE GROUPS ARE OFFERED TO WOMEN IN THE SAN DIEGO COMMUNITY. TOPICS RELATED TO BREAST HEALTH ARE ALSO OFFERED TO THE COMMUNITY. (SPONSORED BY SCRIPPS POLSTER BREAST CARE CENTER.) AMERICAN CANCER SOCIETY (ACS) MAKING STRIDES AGAINST BREAST CANCER SCRIPPS HEALTH PARTICIPATES IN THIS FUNDRAISING EVENT TO RAISE MONEY FOR BREAST CANCER RESEARCH. SCRIPPS ALSO PARTICIPATES IN HOSTING LOOK GOOD FEEL BETTER CLASSES PUT ON BY THE ACS. (SPONSORED BY SCRIPPS CORPORATE) SUSAN G. KOMEN RACE FOR THE CURE SCRIPPS HEALTH PARTICIPATES IN THIS FUNDRAISING EVENT TO SUPPORT BREAST CANCER RESEARCH AND LOCAL BREAST HEALTH INITIATIVES. THE KOMEN RACE FOR THE CURE SERIES RAISES SIGNIFICANT FUNDS AND AWARENESS FOR THE FIGHT AGAINST BREAST CANCER, CELEBRATES BREAST CANCER SURVIVORSHIP AND HONORS THOSE WHO HAVE LOST THEIR BATTLE WITH THE DISEASE. (SPONSORED BY SCRIPPS CORPORATE) NINE GIRLS ASK (FOR A CURE FOR OVARIAN CANCER). SCRIPPS HEALTH PARTICIPATES IN THIS FUNDRAISING EVENT TO SUPPORT OVARIAN CANCER RESEARCH AND INITIATIVES. (SPONSORED BY SCRIPPS CORPORATE) CANCER AWARENESS AND EDUCATIONAL EVENTS A SERIES OF EDUCATIONAL EVENTS ARE COORDINATED WITH AMERICAN CANCER SOCIETY AWARENESS MONTHS. THE EVENTS FOCUS ON VARIOUS TYPES OF CANCER, INCLUDING BREAST, LUNG, CERVICAL, COLORECTAL, SKIN, OVARIAN/GYNECOLOGICAL AND PROSTATE. A REGISTERED NURSE CLINICIAN ANSWERS QUESTIONS AND PROVIDES EDUCATIONAL MATERIALS. (SPONSORED BY SCRIPPS MEMORIAL HOSPITAL LA JOLLA CANCER CENTER.) HEALTH EDUCATION AND SUPPORT GROUPS EDUCATION AND SUPPORT GROUPS ARE PROVIDED TO SAN DIEGO COUNTY RESIDENTS FOR A WIDE VARIETY OF HEALTH CONCERNS. TOPICS INCLUDE FAMILIES WHO HAVE EXPERIENCED THE LOSS OF A CHILD, CHILDREN WHO HAVE LOST A PARENT TO CANCER, INFERTILITY, PARENTING TWINS, IMPROVING CHILDREN'S READING ABILITIES, HUNTINGTON'S DISEASE, PARKINSON'S DISEASE, MENTAL ILLNESS, OSTOMY, POSTPARTUM ISSUES, GYNECOLOGICAL CANCER, CHRONIC PAIN AND MULTIPLE SCLEROSIS. (SPONSORED BY SCRIPPS MEMORIAL HOSPITAL LA JOLLA, COMMUNITY BENEFITS.) CARDIOVASCULAR DISEASE CORONARY HEART DISEASE AND STROKE ARE THE NUMBER ONE AND THREE CAUSES OF DEATH IN THE NATION. HEART DISEASE CLAIMS MORE THAN 950,000 AMERICANS EVERY YEAR. STROKE KILLED 137,119 PEOPLE IN 2006 AND IS A LEADING CAUSE OF SERIOUS, LONG-TERM DISABILITY. THE WORLD HEALTH ORGANIZATION DEFINES CARDIOVASCULAR DISEASE (CVD) AS A GROUP OF DISORDERS OF THE HEART AND BLOOD VESSELS THAT INCLUDE CORONARY HEART DISEASE, CEREBROVASCULAR DISEASE, PERIPHERAL ARTERIAL DISEASE, RHEUMATIC HEART DISEASE, CONGENITAL HEART DISEASE, DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM. CORONARY HEART DISEASE IS THE MOST COMMON FORM OF HEART DISEASE. HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, AND SMOKING ARE ALL RISK FACTORS THAT COULD LEAD TO CVD AND STROKE. ABOUT HALF OF AMERICANS (49%) HAVE AT LEAST ONE OF THESE THREE RISK FACTORS. RISK FACTORS FOR CARDIOVASCULAR DISEASE: - BEHAVIORS: TOBACCO USE, OBESITY, POOR DIET THAT IS HIGH IN SATURATED FATS, AND EXCESSIVE ALCOHOL USE. - CONDITIONS: HIGH CHOLESTEROL LEVELS, HIGH BLOOD PRESSURE AND DIABETES. - HEREDITY: GENETIC FACTORS LIKELY PLAY A ROLE IN HEART DISEASE AND CAN INCREASE RISK. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN THE UNITED STATES. - HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR PEOPLE OF MOST RACIAL/ETHNIC GROUPS IN THE UNITED STATES, INCLUDING AFRICAN AMERICANS, HISPANICS AND WHITES. - BETWEEN 70% AND 89% OF SUDDEN CARDIAC EVENTS OCCUR IN MEN. - ABOUT TWO-THIRDS (64%) OF WOMEN WHO DIE SUDDENLY OF CORONARY HEART DISEASE HAVE NO PREVIOUS SYMPTOMS. PREVALENCE DATA: IN 2010 4.1% OF ADULTS LIVING IN SAN DIEGO HAD EVER HAD CORONARY HEART DISEASE. IN 2010 3.6% OF ADULTS LIVING IN CALIFORNIA HAD EVER HAD CORONARY HEART DISEASE. DURING FISCAL YEAR 2015, SCRIPPS ENGAGED IN THE FOLLOWING HEART HEALTH, CARDIOVASCULAR DISEASE PREVENTION AND TREATMENT ACTIVITIES. AMERICAN HEART WALK IN ADDITION, SCRIPPS EMPLOYEES VOLUNTEERED THEIR TIME TO COORDINATE WALKER PARTICIPATION AND FUNDRAISING EFFORTS. THE SAN DIEGO HEART WALK RAISED MORE THAN $1.3 MILLION. IN 2015, MORE THAN 2,300 SCRIPPS HEART WALK PARTICIPANTS - EMPLOYEES, FAMILIES, AND FRIENDS - WALKED TO HELP RAISE MORE THAN $158K. ADDITIONALLY, SCRIPPS REACHED OUT TO THE COMMUNITY AT THE EVENT AND PROVIDED HEALTH EDUCATION MATERIALS AND GIVEAWAYS. (SPONSORED BY SCRIPPS CORPORATE, COMMUNITY BENEFIT SERVICES.) COMMUNITY HEALTH EDUCATION PROGRAMS THE COMMUNITY HEALTH EDUCATION PROGRAMS COVER A WIDE VARIETY OF TOPICS ON DISEASE MANAGEMENT, HEALTH CARE UPDATES AND PREVENTION. THE PROGRAMS COVER HYSTERECTOMY, STROKE, STRESS, VARICOSE VEINS, INFERTILITY, CARDIAC, DEPRESSION, MACULAR DEGENERATION, MEMORY, BRAIN, ORTHOPEDIC CARE, ROBOTIC SURGERY, SKIN CARE, BACK CARE, MIGRAINES, KNEE PAIN, PELVIC FLOOR INCONTINENCE, SAFETY AND FALL PREVENTION, BLADDER HEALTH, HEALTHY DINING, EXERCISE, VOICE, FLU PREVENTION, SLEEP DISORDERS, NUTRITION, HYPERTENSION, FOOT CARE, SPINE SURGERY, JOINT REPLACEMENT, BREATHING, PAIN MANAGEMENT AND MEDICATION. (SPONSORED BY SCRIPPS LA JOLLA COMMUNITY BENEFIT SERVICES) CPR CLASSES FOR PATIENTS AND FAMILIES OF THE CARDIAC TREATMENT CENTER CPR CLASSES ARE OFFERED FOUR TIMES A YEAR TO CARDIAC TREATMENT CENTER PATIENTS AND THEIR FAMILIES. THE PROGRAM IMPROVES COMMUNITY HEALTH BY INCREASING KNOWLEDGE OF CARDIOPULMONARY RESUSCITATION PRACTICES. (SPONSORED BY CARDIAC TREATMENT CENTER AT SCRIPPS MEMORIAL HOSPITAL LA JOLLA) CARDIAC TREATMENT CENTER GROUP EXERCISE PROGRAMS CARDIAC TREATMENT CENTER GROUP EXERCISE PROGRAMS INCLUDE TAI CHI, OFFERED TWICE WEEKLY; CLASSES TO DECREASE STRESS AND IMPROVE BALANCE, STRENGTH AND FLEXIBILITY; RESTORATIVE YOGA, OFFERED THREE TIMES A WEEK; FIT BALL, OFFERED TWICE A WEEK; CLASSES TO IMPROVE STRENGTH, POSTURE AND CORE STABILITY; YOGA FOR CANCER RECOVERY, OFFERED WEEKLY; CLASSES TO DECREASE STRESS, IMPROVE CIRCULATORY FLOW, AND EASE TENSION DURING HEALING; CLASSES CENTERING ON BALANCE, OFFERED WEEKLY; CLASSES TO BUILD BALANCE, POSTURE AND COORDINATION; POWER YOGA, OFFERED TWICE WEEKLY; CLASSES TO IMPROVE STRENGTH AND FLEXIBILITY; WEEKLY PILATES CLASSES, YOGA FOR MULTIPLE SCLEROSIS, OFFERED WEEKLY; CLASSES TO PROMOTE HEALING AND IMPROVE STRENGTH AND FLEXIBILITY; AND WEEKLY MEDITATION CLASSES. (SPONSORED BY THE CARDIAC TREATMENT CENTER, SCRIPPS MEMORIAL HOSPITAL LA JOLLA) STROKE CARE PROGRAMS SCRIPPS SPONSORED A WIDE VARIETY OF STROKE-RELATED EDUCATION AND AWARENESS PROGRAMS. (SPONSORED BY SCRIPPS MERCY HOSPITAL STROKE PROGRAM) HEART HEALTH, SCRIPPS HOME HEALTH SERVICES SCRIPPS HOME HEALTH PROVIDED COMMUNITY EDUCATION TO PROMOTE INDEPENDENT CONGESTIVE HEART FAILURE (CHF) MANAGEMENT TO PREVENT EXACERBATIONS AND HOSPITALIZATIONS. PATIENTS RECEIVED INFORMATION ON WHAT CHF IS, MEDICATIONS, DIET, WEIGHT AND EXERCISE. (SPONSORED BY SCRIPPS HOME HEALTH SERVICES.) EDUCATING WOMEN ABOUT HEART HEALTH TOGETHER WITH WOMENHEART NATIONAL HOSPITAL ALLIANCE, SCRIPPS CARDIOVASCULAR DEVELOPED A WOMEN AND HEART DISEASE EDUCATION PROGRAM. THE EFFORTS EDUCATE WOMEN ON THE IMPORTANCE OF HEART HEALTH, PROVIDE SUPPORT GROUPS AND ADVOCATE FOR RESEARCH FUNDING AND POLICIES. (SPONSORED BY SCRIPPS WOMENHEART PHYSICIAN ADVISORY COUNCIL) THE ERIC PAREDES SAVE A LIFE FOUNDATION EACH YEAR, 7,000 TEENS LOSE THEIR LIVES DUE TO SUDDEN CARDIAC ARREST (SCA). SCA IS NOT A HEART ATTACK - IT IS CAUSED BY AN ABNORMALITY IN THE HEART'S ELECTRICAL SYSTEM THAT CAN EASILY BE DETECTED WITH A SIMPLE EKG. UNFORTUNATELY, HEART SCREENINGS ARE NOT PART OF A REGULAR, WELL-CHILD EXAM OR PRE-PARTICIPATION SPORTS PHYSICAL. THE FIRST SYMPTOM OF SCA COULD BE DEATH. SAN DIEGO ALONE LOSES THREE TO FIVE TEENS FROM SCA. AS A SPONSOR FOR THE ERIC PAREDES SAVE A LIFE FOUNDATION, SCRIPPS HAS HELD MORE THAN 15,000 FREE CARDIAC SCREENINGS TO LOCAL TEENS, INCLUDING THE HOMELESS, UNINSURED AND UNDERINSURED. IN 2015, SCRIPPS MADE A $15,000 DONATION TO HELP PAY FOR THE SCREENINGS. IN 2015, SCRIPPS SUPPORTED SCREENING EVENTS AT AREA HIGH SCHOOLS AND SCREENED 4,138 TEENS, IDENTIFYING 61 WITH ABNORMALITIES AND 26 WHO WERE AT RISK. (SPONSORED BY SCRIPPS MARKETING DEPARTMENT.) SU VIDA, SU CORAZON/YOUR HEART, YOUR LIFE, YOUR HEART COMMUNITY INTERVENTION TO IMPROVE EDUCATION AND AWARENESS OF HEART DISEASE HEART DISEASE IS ONE OF THE MOST WIDESPREAD AND COSTLY HEALTH PROBLEMS FACING OUR NATION, EVEN THOUGH IT'S ALSO ONE OF MOST PREVENTABLE. HEART FAILURE AND STROKE ACCOUNT FOR MORE THAN $500 BILLION IN HEALTH CARE COSTS PER YEAR. HEART FAILURE IS A PROGRESSIVE DISEASE, PRIMARILY CAUSED BY HIGH BLOOD PRESSURE, HIGH CHOLESTEROL/LIPIDS AND DAMAGE TO THE HEART MUSCLE FROM CORONARY ARTERY DISEASE. SCRIPPS HEALTH ADDRESSES THIS HEALTH ISSUE THROUGH A FIVE-WEEK EDUCATIONAL BASED COMMUNITY INTERVENTION PROGRAM TO SUPPORT IMPROVED QUALITY OF LIFE FOR PATIENTS DIAGNOSED W |
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DIABETES THE 2014 NATIONAL DIABETES FACT SHEET (THE MOST RECENT YEAR DATA IS AVAILABLE) ESTIMATES 29.1 MILLION CHILDREN AND ADULTS IN THE U.S., THAT IS ABOUT 1 OUR OF EVERY 11 PEOPLE ARE LIVING WITH DIABETES. EIGHTY SIX MILLION PEOPLE, THAT IS ONE IN THREE ADULTS IN THE U.S. ARE PRE-DIABETICE AND HAVE NO IDEA THEIR HEALTH IS IN DANGER. MORE THAN 90 MILLION AMERICANS (33 PERCENT) LIVE WITH A CHRONIC DISEASE. WHILE THERE ARE MANY DISABLING CHRONIC DISEASES, DIABETES HAS BEEN IDENTIFIED AS ONE OF THE PRIMARY CHRONIC CONDITIONS IN SAN DIEGO COUNTY. THE DIABETES DEATH RATE WAS 17.4 PER 100,000 IN 2009. THERE ARE THREE MAJOR TYPES OF DIABETES: TYPE 1, TYPE 2 AND GESTATIONAL. ALL THREE TYPES SHARE SIMILAR CHARACTERISTICS - THE BODY LOSES THE ABILITY TO EITHER MAKE OR TO USE INSULIN. WITHOUT ENOUGH INSULIN, GLUCOSE STAYS IN THE BLOOD, CREATING DANGEROUS BLOOD SUGAR LEVELS. OVER TIME, THIS BUILDUP DAMAGES KIDNEYS, HEART, NERVES, EYES AND OTHER ORGANS. TYPE 2 DIABETES, ONCE KNOWN AS ADULT-ONSET OR NONINSULIN-DEPENDENT DIABETES, IS A CHRONIC CONDITION THAT AFFECTS THE WAY YOUR BODY METABOLIZES SUGAR (GLUCOSE), WHICH IS YOUR BODY'S MAIN SOURCE OF FUEL. WITH TYPE 2 DIABETES, YOUR BODY EITHER RESISTS THE EFFECTS OF INSULIN - A HORMONE THAT REGULATES THE MOVEMENT OF SUGAR INTO YOUR CELLS - OR DOESN'T PRODUCE ENOUGH INSULIN TO MAINTAIN A NORMAL GLUCOSE level. IF LEFT UNTREATED, TYPE 2 DIABETES CAN BE LIFE-THREATENING. CLINICAL SYMPTOMS CAN INCLUDE: FREQUENT URINATION, EXCESSIVE THIRST, EXTREME HUNGER, SUDDEN VISION CHANGES, UNEXPLAINED WEIGHT LOSS, EXTREME FATIGUE, SORES THAT ARE SLOW TO HEAL, AND INCREASED NUMBER OF INFECTIONS. TYPE 2 DIABETES HAS REACHED EPIDEMIC PROPORTIONS, AND PEOPLE OF HISPANIC ORIGIN HAVE DRAMATICALLY HIGHER RATES OF THE DISEASE AND THE COMPLICATIONS THAT GO ALONG WITH ITS POOR MANAGEMENT, INCLUDING CARDIOVASCULAR DISEASE, EYE DISEASE AND LIMB AMPUTATION. IN FACT, IT IS ESTIMATED THAT ONE OUT OF EVERY TWO HISPANIC CHILDREN BORN IN 2000 WILL DEVELOP DIABETES IN ADULTHOOD. THIS IS ESPECIALLY TRUE IN THE SOUTH BAY COMMUNITIES IN SAN DIEGO. SPECIFICALLY, THE CITY OF CHULA VISTA IS HOME TO 26,000 LATINOS WITH DIAGNOSED DIABETES AND TENS OF THOUSANDS MORE WHO ARE UNDIAGNOSED, HAVE PRE-DIABETES AND AT HIGH RISK OF DEVELOPING DIABETES. SOME ALARMING FACTS ABOUT TYPE 2 DIABETES: - WITHOUT WEIGHT LOSS AND MODERATE PHYSICAL ACTIVITY 15-30% OF PEOPLE WITH PREDIABETES WILL DEVELOP TYPE 2 DIABETES WITHIN 5 YEARS. - DIABETES IS THE LEADING CAUSE OF KIDNEY FAILURE, NON-TRAUMATIC LOWER-LIMB AMPUTATIONS, AND NEW CASES OF BLINDNESS AMONG ADULTS IN THE UNITED STATES. - DIABETES IS A MAJOR CAUSE OF HEART DISEASE AND STROKE, AND IS THE 7TH LEADING CAUSE OF DEATH IN THE UNITED STATES. SOME RISK FACTORS FOR DEVELOPING DIABETES INCLUDE: - BEING OVERWEIGHT OR OBESE. - HAVING A PARENT, BROTHER, OR SISTER WITH DIABETES. - HAVING HIGH BLOOD PRESSURE MEASURING 140/90 OR HIGHER. - BEING PHYSICALLY INACTIVE-EXERCISING FEWER THAN THREE TIMES A WEEK. DIABETES PREVALENCE: U.S. AGE-ADJUSTED PREVALENCE RATES FOR ADULT DIAGNOSED DIABETES FOR THE YEAR OF 2010 WERE 8.7%, AS COMPARED TO A RATE OF 3.7% RATE IN 1980. THE STATE OF CALIFORNIA REPORTED A RATE OF 8.9% FOR THE SAME YEAR. MORE THAN SEVEN MILLION AMERICANS ARE UNAWARE THEY HAVE DIABETES. THE COMPLICATIONS RELATED TO DIABETES ARE SERIOUS AND CAN BE REDUCED WITH PREVENTIVE PRACTICES. DIABETES IS A SERIOUS COMMUNITY HEALTH PROBLEM, LEADING TO SCHOOL AND WORK ABSENTEEISM, ELEVATED HOSPITALIZATION RATES, FREQUENT EMERGENCY ROOM VISITS, PERMANENT PHYSICAL DISABILITIES AND SOMETIMES DEATH. DURING FISCAL YEAR 2015, SCRIPPS SPONSORED THE FOLLOWING DIABETES MANAGEMENT INITIATIVES. PROJECT DULCE A COLLABORATION BETWEEN THE WHITTIER DIABETES INSTITUTE, THE COUNCIL OF COMMUNITY CLINICS AND COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP), PROJECT DULCE IS A COMPREHENSIVE, CULTURALLY SENSITIVE DIABETES MANAGEMENT PROGRAM FOR UNDERSERVED AND UNINSURED PEOPLE IN SAN DIEGO COUNTY. THE PROGRAM IS TEAM-BASED AND INCORPORATES THE CHRONIC CARE MODEL. PROJECT DULCE HAS BEEN ACTIVE IN COMMUNITIES ACROSS SAN DIEGO FOR THE PAST 18 YEARS, PROVIDING DIABETES CARE AND SELF-MANAGEMENT EDUCATION. NURSE-LED TEAMS STRIVE FOR MEASURABLE IMPROVEMENTS IN THEIR PATIENTS' HEALTH; NURSE EDUCATORS LEAD MULTIDISCIPLINARY TEAMS THAT PROVIDE CLINICAL MANAGEMENT; AND PEER EDUCATORS FROM EACH CULTURAL GROUP, KNOWN AS PROMOTORAS, PROVIDE PUBLIC AND PATIENT EDUCATION FOR THEIR COMMUNITIES. THIS INNOVATIVE PROGRAM COMBINES STATE-OF-THE-ART CLINICAL DIABETES MANAGEMENT WITH PROVEN EDUCATIONAL AND BEHAVIORAL INTERVENTIONS. IN FISCAL YEAR 2015, PROJECT DULCE PROVIDED 7,671 DIABETES CARE, RETINAL SCREENINGS AND EDUCATION VISITS FOR LOW-INCOME AND UNDERSERVED INDIVIDUALS THROUGHOUT SAN DIEGO AND ENROLLED MORE THAN 1,284 NEW PROJECT DULCE PATIENTS. THE PROGRAM ALSO INITIATED FOUR NEW PROJECTS: PREVENTION FOR WOMEN WITH A HISTORY OF GESTATIONAL DIABETES, REPLICATING PROJECT DULCE IN TIJUANA, DIABETES PEER CARE COORDINATION AT SCRIPPS MERCY HOSPITAL, CHULA VISTA AND THE DIABETES GENE BANK PROGRAM. (SPONSORED BY SCRIPPS WHITTIER DIABETES INSTITUTE) DULCE MOTHERS IN 2013, SCRIPPS DIABETES CARE EXPANDED THE PROJECT DULCE PROGRAM TO CREATE A PREVENTION-FOCUSED ARM OF THE MODEL: DULCE MOTHERS, A PILOT STUDY SPECIFICALLY AIMED AT REDUCING TYPE 2 DIABETES AND CARDIOVASCULAR RISK AMONG LOW-INCOME, SPANISH-SPEAKING LATINA WOMEN THROUGH A CULTURALLY TAILORED CURRICULUM. THE PROGRAM INCLUDED 84 PARTICIPANTS BETWEEN THE AGES OF 18 AND 45 WITH A HISTORY OF GESTATIONAL DIABETES MELLITUS (GDM). THESE WOMEN UNDERWENT AN EIGHT-WEEK, PEER EDUCATOR-LED DIABETES PREVENTION PROGRAM GROUP INTERVENTION THAT EMPHASIZED THE IMPORTANCE OF BEHAVIORAL AND LIFESTYLE CHANGES. IN ADDITION TO ASSESSING THEIR KNOWLEDGE, ATTITUDES AND HEALTHY FOOD CONSUMPTION NEEDED TO PREVENT DIABETES, THEIR RISK FOR CARDIO METABOLIC CONDITIONS (DIABETES, HYPERTENSION AND CARDIOVASCULAR DISEASES) WAS ASSESSED IN PARTICIPANTS AT THE BEGINNING OF THE STUDY, AND AT THREE AND SIX MONTHS. THE RESULTS HAVE BEEN EXTREMELY POSITIVE, WITH THE WOMEN SHOWING SIGNIFICANT IMPROVEMENTS IN LIPIDS, BLOOD PRESSURE LEVELS, PHYSICAL ACTIVITY AND DIETARY FAT INTAKE. A KEY FACTOR IN THE PREVENTION OF DIABETES IS WEIGHT MANAGEMENT, THEREFORE AN ADAPTED VERSION OF DULCE MOTHERS IS CURRENTLY PILOTING. THE PILOT ADDED AN ADDITIONAL 4 SESSIONS, FROM THE ORIGINAL 8 WEEK PROGRAM, FOR A 12-WEEK PROGRAM THAT WILL TEST THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINA WOMEN WITH A HISTORY OF GESTATIONAL DIABETES. A SECOND ARM WAS ADDED TO THE PILOT CALLED NUESTRA SALUD/NUESTRA SALUD. THIS ARM/COHORT REACHES MIDDLE AGED PREDIABETES, PREMENOPAUSAL LATINA WOMEN, WITH THE GOAL OF PREVENTING THE DEVELOPMENT OF TYPE 2 DIABETES IN THIS HIGH-RISK POPULATION. (SPONSORED BY SCRIPPS WHITTIER DIABETES INSTITUTE) THE WHITTIER DIABETES INSTITUTE PROFESSIONAL EDUCATION AND TRAINING THE WHITTIER DIABETES INSTITUTE PROFESSIONAL EDUCATION TEAMS PROVIDE STATE-OF-THE-ART EDUCATION AND TRAINING FOR PEOPLE WHO WISH TO INCREASE THEIR DIABETES MANAGEMENT KNOWLEDGE AND SKILLS. WITH THE RISE IN DIABETES, MEDICATION UPGRADES, NUTRITIONAL ADJUSTMENTS AND CHANGES IN DIABETES-RELATED DEVICES, THERE IS A GREAT NEED TO EQUIP CLINICIANS WITH THE LATEST INFORMATION AND CLINICAL SKILLS. THE WHITTIER INSTITUTE'S PROFESSIONAL EDUCATION PROGRAM IS LED BY A TEAM OF EXPERTS, INCLUDING: ENDOCRINOLOGISTS, NURSES, DIETICIANS, PSYCHOLOGISTS AND OTHER DIABETES SPECIALISTS. THESE INDIVIDUALS TRAIN PRACTICING PROFESSIONALS TO DELIVER THE BEST POSSIBLE CARE FOR THEIR DIABETES PATIENTS. COURSES RESPOND TO THE NEEDS OF ALLIED HEALTH PROFESSIONALS SEEKING TO UNDERSTAND NEW AND COMPLEX CLINICAL TREATMENT OPTIONS FOR TYPE 1, TYPE 2 AND GESTATIONAL DIABETES. PROFESSIONAL EDUCATION WAS PROVIDED FOR 331 PEOPLE ON INSULIN MANAGEMENT, INCRETIN THERAPY, THE DIABETES DIET AND DIABETES BASICS. PARTICIPANTS CAME FROM LOCAL HEALTH INSTITUTIONS AND THROUGHOUT THE UNITED STATES TO LEARN FROM THE WHITTIER INSTITUTE'S MOST EXPERIENCED DIABETES EXPERTS. OVER THE LAST FISCAL YEAR, THE WHITTIER INSTITUTE'S PROFESSIONAL EDUCATION DEPARTMENT PROVIDED 12 SEPARATE PROGRAMS FOR PHYSICIANS, NURSES, PHARMACISTS, DIETITIANS, MIDLEVEL PROVIDERS AND SOCIAL WORKERS. SKINNY GENE PROJECT THE CITY HEIGHTS WELLNESS CENTER IS A PARTNER WITH THE SKINNY GENE PROJECT TO PROVIDE THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) DIABETES PREVENTION PROGRAM. THE GOAL OF THE PROGRAM IS IN PREVENTING THE ONSET OF DIABETES BY PROVIDING AT-RISK INDIVIDUALS WITH SCIENTIFICALLY PROVEN, NUTRITION-BASED THERAPIES, AND CREATING A SUPPORTIVE COMMUNITY CULTURE THAT SUPPORTS THE ADOPTION OF A HEALTHY LIFESTYLE FOR THE UNDERSERVED POPULATION OF PEOPLE WITH PREDIABETES. (SPONSORED BY CITY HEIGHTS WELLNESS CENTER) RETINAL SCREENING PROGRAM IT IS ESTIMATED THAT EVERY 24 HOURS, 55 PEOPLE WILL LOSE THEIR VISION AS A RESULT OF DIABETIC RETINOPATHY. WITH EARLY DIAGNOSIS AND APPROPRIATE TREATMENT, 95 PERCENT OF DIABETIC BLINDN |
| FORM 990, PART III, LINE 4A (CONTINUED) |
COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP) AND RESIDENT LEADERSHIP ACADEMY MODEL SCRIPPS IS A PARTNER WITH CHIP AND COLLABORATIVELY WORKS ON A RESIDENT LEADERSHIP MODEL THAT HAS EMPOWERED 700+ CITIZENS ACROSS THE COUNTY (AND BEYOND) TO AFFECT CHANGE IN A WIDE RANGE OF COMMUNITY HEALTH AREAS SUCH A PUBLIC SAFETY, ACCESS TO HEALTHY FOODS, AND INCREASED OPPORTUNITIES FOR PHYSICAL ACTIVITY. DEMENTIA AND ALZHEIMER'S DISEASE DEMENTIA IS A CLINICAL SYNDROME OF DECLINE IN MEMORY AND OTHER THINKING ABILITIES. IT IS CAUSED BY VARIOUS DISEASES AND CONDITIONS THAT RESULT IN DAMAGE TO BRAIN CELLS AND LEAD TO DISTINCT SYMPTOM PATTERNS AND DISTINGUISHING BRAIN ABNORMALITIES. ALZHEIMER 'S DISEASE (AD) IS A PROGRESSIVE BRAIN DISORDER THAT GRADUALLY DESTROYS A PERSON'S MEMORY AND ABILITY TO LEARN, REASON, MAKE JUDGMENTS, COMMUNICATE AND CARRY OUT DAILY ACTIVITIES SUCH AS BATHING AND EATING. ALZHEIMER'S IS THE SIXTH LEADING CAUSE OF DEATH IN THE UNITED STATES. - AD IS THE MOST COMMON FORM OF DEMENTIA ACCOUNTING FOR 70% OF ALL CAUSES OF DEMENTIA. - CURRENTLY 60,000 SAN DIEGANS ARE ESTIMATED TO LIVING WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS (ADOD). - MOST PEOPLE WITH AD ARE DIAGNOSED AT AGE 65 OR OLDER. IN SAN DIEGO COUNTY, THOSE 85 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP, PROJECTED TO INCREASE BY 40% BY 2030. - WOMEN ARE MORE LIKELY THAN MEN TO HAVE ADOD. - PEOPLE LIVING WITH DEMENTIA ARE AT GREATER RISK FOR GENERAL DISABILITY AND EXPERIENCE FREQUENT INJURY FROM FALLS. - OLDER ADULTS WITH DEMENTIA ARE 3 TIMES MORE LIKELY TO HAVE PREVENTABLE HOSPITALIZATIONS. FINANCIAL BURDEN: - IN 2012, THERE WERE 137,000 UNPAID CAREGIVERS, OR 2.3 CAREGIVERS FOR EACH OF THE LOCAL 60,000 RESIDENTS LIVING WITH ADOD. DUE TO THE NEGATIVE EFFECTS OF CAREGIVING ON THEIR OWN HEALTH, THE COST OF PROVIDING HEALTH CARE TO THESE RESIDENTS IN 2013 WAS APPROXIMATELY $75.4 MILLION. - AT THE NATIONAL LEVEL, PAYMENTS FOR ADOD CARE ARE ESTIMATED AT $200 BILLION IN 2012 WITHIN THE UNITED STATES. PREVALENCE: - THERE ARE MORE THAN 5.2 MILLION PEOPLE IN THE UNITED STATES LIVING WITH ADOD. AS THE POPULATION AGES THE NUMBER IS EXPECTED TO TRIPLE BY 2050. - IN CALIFORNIA THERE ARE 588,208 PEOPLE 55 YEARS AND OLDER LIVING WITH ADOD. ONE TENTH OF AD PATIENTS LIVE IN CALIFORNIA. - IN SAN DIEGO COUNTY, THE NUMBER OF THOSE 55 YEARS AND OLDER WITH ADOD IS EXPECTED TO INCREASE BY 56% BETWEEN 2012 AND 2030, FROM 60,000 TO NEARLY 94,000 RESIDENTS. CURRENTLY, THE EAST COUNTY REGION HAS THE GREATEST NUMBER (14,765) AND PROPORTION (12.4%) OF RESIDENTS 55 YEARS AND OLDER WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIAS. THE REGION WITH THE LARGEST ANTICIPATED INCREASE IN ADOD IS THE NORTH CENTRAL AREA, WITH A PROJECTED INCREASE OF 76.8% FROM 2012 TO 2030. HOWEVER, IT IS ESTIMATED THAT BY 2030, NEARLY ONE OUT OF FOUR SAN DIEGANS 55 YEARS AND OLDER WITH ADOD WILL LIVE IN EAST COUNTY. DURING FISCAL YEAR 2015, SCRIPPS ENGAGED IN THE FOLLOWING ALZHEIMER'S AND DEMENTIA PREVENTION AND TREATMENT ACTIVITIES. SENIOR HEALTH AND WELL-BEING PROGRAMS THE GOAL IS TO INCREASE HEALTH CARE, INFORMATION AND PREVENTATIVE SERVICES FOR SENIORS/OLDER ADULTS IN THE SOUTH BAY. EACH MONTH A VARIETY OF SENIOR PROGRAMS ARE HELD AT LOCAL SENIOR CENTERS, CHURCHES AND SENIOR HOUSING. SOME OF THESE ACTIVITIES INCLUDED DEMENTIA, ALZHEIMER'S AND PAIN MANAGEMENT, AND SPONSORSHIP OF THE ALZHEIMER'S ASSOCIATION CAREGIVER CONFERENCE. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFITS) THE ALZHEIMER'S PROJECT - SAN DIEGO UNITES FOR A CURE AND CARE THE ALZHEIMER'S PROJECT IS A COUNTYWIDE INITIATIVE AIMED AT ACCELERATING THE SEARCH FOR A CURE AND HELPING THE ESTIMATED 60,000 SAN DIEGANS WITH THE DISEASE, ALONG WITH THEIR CAREGIVERS. PARTICIPANTS BEGAN MEETING IN IN EARLY 2014 TO CRAFT A REGIONAL ROADMAP TO ADDRESS THE DISEASE, FOCUSING ON CURE, CARE, CLINICAL, AND PUBLIC AWARENESS AND EDUCATION INITIATIVES. THE BOARD OF SUPERVISORS APPROVED THE ROADMAP IN DECEMBER 2014 AND LATER VOTED IN SUPPORT OF AN IMPLEMENTATION TIMETABLE. DR. MICHAEL LOBATZ FROM SCRIPPS HEALTH IS A LEADING PARTICIPANT OF THIS INITIATIVE AS A CO-CHAIRPERSON OF THE CLINICAL ROUNDTABLE AND IS A MEMBER OF THE STEERING COMMITTEE. ALZHEIMER'S ASSOCIATION CAREGIVER CONFERENCE IN THIS FREE HALF-DAY CAREGIVER CONFERENCE ATTENDEES HAD AN OPPORTUNITY TO LEARN MORE ABOUT ALZHEIMER'S AND DEMENTIA FROM EXPERTS AND GET QUESTIONS ANSWERED. TOPICS INCLUDED: UNDERSTANDING THE BASICS OF ALZHEIMER'S DISEASE, HOW TO PARTNER WITH YOUR DOCTOR TO GET A DIAGNOSIS, ADDRESSING BEHAVIOR THROUGH COMPASSIONATE COMMUNICATION. OBESITY OBESITY IS A MEDICAL CONDITION IN WHICH EXCESS BODY FAT HAS ACCUMULATED TO THE EXTENT THAT IT MAY HAVE AN ADVERSE EFFECT ON HEALTH. OVERWEIGHT AND OBESITY RANGES ARE DETERMINED USING WEIGHT AND HEIGHT TO CALCULATE A NUMBER KNOWN AS "BODY MASS INDEX" (BMI). AN ADULT WITH A BMI BETWEEN 25 AND 29.9 IS CONSIDERED OVERWEIGHT, WHILE AN ADULT WHO HAS A BMI OF 30 OR HIGHER IS CONSIDERED OBESE. FOR CHILDREN AND ADOLESCENTS AGED 2-19, OVERWEIGHT IS DEFINED AS A BMI AT OR ABOVE THE 85TH PERCENTILE AND LOWER THAN THE 95TH PERCENTILE FOR CHILDREN OF THE SAME AGE AND SEX, WHILE OBESE IS DEFINED AS A BMI AT OR ABOVE THE 95TH PERCENTILE FOR CHILDREN OF THE SAME AGE AND SEX. IN SAN DIEGO COUNTY, ACCORDING TO THE 2009 CALIFORNIA HEALTH INTERVIEW SURVEY, 22.1% OF ADULTS AGED 20 YEARS AND OLDER WERE OBESE (BMI 30.0 OR HIGHER) BASED ON THEIR HEIGHT AND WEIGHT. SOME FACTS ABOUT OBESITY IN THE UNITED STATES: - IN 2009, MORE THAN ONE-THIRD OF U.S. ADULTS (35.7%) WERE OBESE AND 16.9% OF CHILDREN AND ADOLESCENTS WERE CONSIDERED OBESE. - OBESITY-RELATED CONDITIONS INCLUDE HEART DISEASE, STROKE, TYPE 2 DIABETES AND CERTAIN TYPES OF CANCER, WHICH ARE SOME OF THE LEADING CAUSES OF PREVENTABLE DEATH. HEALTH CONSEQUENCES DUE TO OVERWEIGHT AND OBESITY: RESEARCH HAS SHOWN THAT AS WEIGHT INCREASES TO REACH THE LEVELS OF "OVERWEIGHT" AND "OBESITY," THE RISKS FOR THE FOLLOWING CONDITIONS ALSO INCREASES: - CORONARY HEART DISEASE - TYPE 2 DIABETES - CANCERS (ENDOMETRIAL, BREAST, AND COLON) - HYPERTENSION (HIGH BLOOD PRESSURE) - STROKE - LIVER AND GALLBLADDER DISEASE - SLEEP APNEA AND RESPIRATORY PROBLEMS - OSTEOARTHRITIS OVERWEIGHT AND OBESITY ASSOCIATED COSTS: IN 2008, MEDICAL COSTS ASSOCIATED WITH OBESITY WERE ESTIMATED AT $147 BILLION; THE MEDICAL COSTS FOR PEOPLE WHO ARE OBESE WERE $1,429 HIGHER THAN THOSE OF NORMAL WEIGHT. DULCE MOTHERS PILOT PROGRAM IN FISCAL YEAR 2014, DULCE MOTHERS WAS PILOTED WITH THE GOAL OF DECREASING THE INCIDENCE OF TYPE 2 DIABETES BY MANAGING A MAJOR DIABETES RISK FACTOR - OBESITY - IN UNDERSERVED, ETHNICALLY DIVERSE POPULATIONS. THE PROGRAM CONTINUES TO TEST THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINO WOMEN WITH GESTATIONAL DIABETES. (SPONSORED BY SCRIPPS WHITTIER DIABETES INSTITUTE) COMMUNITY HEALTH IMPROVEMENT PROJECT (CHIP) AND CHILDHOOD OBESITY INITIATIVE THE SAN DIEGO COUNTY CHILDHOOD OBESITY INITIATIVE (INITIATIVE) IS A PUBLIC-PRIVATE PARTNERSHIP WITH THE MISSION OF REDUCING AND PREVENTING CHILDHOOD OBESITY THROUGH POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE. THE INITIATIVE IS FACILITATED BY COMMUNITY HEALTH IMPROVEMENT PARTNERS. CORE FUNDING FOR THE INITIATIVE IS PROVIDED BY THE COUNTY OF SAN DIEGO, FIRST 5 COMMISSION OF SAN DIEGO COUNTY, THE CALIFORNIA ENDOWMENT, AND KAISER PERMANENTE. SCRIPPS IS A STRONG PARTNER WITH CHIP AND THE OUTCOMES OF THIS INITIATIVE HAVE SHOWN A DECREASED CHILDHOOD OBESITY FROM 4% FROM 2005-2010, THE LARGEST DROP IN SOUTHERN CALIFORNIA (MANY AREAS HAVE SEEN INCREASES). PROMISE NEIGHBORHOOD INITIATIVE SCRIPPS ALSO ADDRESSES CHILDHOOD OBESITY AT THE HIGH-SCHOOL LEVEL IN SAN DIEGO'S SOUTH BAY COMMUNITIES THROUGH ITS PARTNERSHIP WITH THE PROMISE NEIGHBORHOOD INITIATIVE, WHICH IMPLEMENTS ACTIVITIES RELATED TO THE NATIONAL 5-2-1-0 CAMPAIGN. THE PROGRAM ENCOURAGES: EATING FIVE OR MORE FRUITS A DAY; LIMITING TV SCREEN TIME TO TWO HOURS; ONE HOUR OF DAILY PHYSICAL ACTIVITY; AND DRINKING 0 SUGAR-FILLED BEVERAGES. SCHOOL ADMINISTRATORS AND STAFF ARE CLOSELY INVOLVED IN THE PROGRAM, WHICH INCLUDES FIVE EDUCATIONAL SESSIONS, A HEALTH ASSESSMENT SURVEY AND HEALTH PLAN, AND SUPPORT TO HELP THE STUDENTS PASS THEIR YEARLY PHYSICAL EDUCATION REQUIREMENTS. SINCE 2013, MORE THAN 400 CHILDREN AND 100 PARENTS HAVE PARTICIPATED IN WELLNESS ACTIVITIES ON CAMPUS - AND RESULTS SHOW A 50 PERCENT INCREASE IN THEIR PHYSICAL ACTIVITY, AND FRUIT AND VEGETABLE CONSUMPTION. NUTRITION IN COOKING CLASSES, A LOCAL INTERVENTION AT TWO ELEMENTARY SCHOOLS (FAMILY MEDICINE AND COMMUNITY BENEFITS COLLABORATION) STUDENTS OF SOUTHWEST HIGH SCHOOL AND THEIR PARENTS ARE TAUGHT PRACTICAL SKILLS TO PLAN AND PREPARE HEALTHY, COST-EFFECTIVE, CULTURALLY-RELEVANT MEALS IN A WEEKLY THREE SESSION HEALTHY EATING AND COOKING CLASS. THE PURPOSE OF THE STUDY IS TO UNDERSTAND IF THIS INFORMATION TRANSLATES INTO BEHAVIOR CHANGE FOR STUDENTS AND THEIR PARENTS. PARTICIPANTS IN THE PROJECT LEARN FROM MEDICAL RESIDENTS ABOUT THE CONNECTION BETWEEN HE |
| FORM 990, PART III, LINE 4A (CONTINUED) |
MATERNAL CHILD HEALTH & HIGH RISK PREGNANCY MOTHERS, INFANTS AND CHILDREN MAKEUP A LARGE SEGMENT OF THE U.S. POPULATION AND THEIR WELL-BEING IS A HEALTH PREDICTOR FOR THE NEXT GENERATION. THERE IS TREMENDOUS FOCUS ON MATERNAL ILLNESS AND DEATH, AND INFANT HEALTH AND SURVIVAL, INCLUDING INFANT MORTALITY RATES, ACCESS TO PREVENTIVE CARE, AND FETAL, PERINATAL AND OTHER INFANT DEATHS. MATERNAL AND INFANT HEALTH ISSUES INCLUDE: - ALCOHOL, TOBACCO AND ILLEGAL SUBSTANCES DURING PREGNANCY, WHICH ARE MAJOR RISK FACTORS FOR LOW BIRTH WEIGHT AND OTHER POOR OUTCOMES. - VERY LOW BIRTH WEIGHT ASSOCIATED WITH PRETERM BIRTH, SPONTANEOUS ABORTION, LOW PRE-PREGNANCY WEIGHT AND SMOKING. - INFANT DEATH RATES ARE HIGHEST AMONG INFANTS BORN TO YOUNG TEENAGERS AND MOTHERS 44 AND OLDER. BEING PREGNANT, OR TRYING TO BECOME PREGNANT, IS ONLY A SMALL PORTION OF A WOMAN'S LIFE. UNINTENDED PREGNANCY, EITHER MISTIMED OR UNWANTED AT THE TIME OF CONCEPTION, ACCOUNTS FOR AN ESTIMATED 49 PERCENT OF PREGNANCIES IN THE U.S. THESE PREGNANCIES ARE ASSOCIATED WITH INCREASED MORBIDITY, AS WELL AS BEHAVIORS LINKED TO ADVERSE HEALTH. WOMEN WHO CAN PLAN THE NUMBER AND TIMING OF THEIR CHILDREN EXPERIENCE IMPROVED HEALTH, FEWER UNPLANNED PREGNANCIES AND BIRTHS, AND LOWER ABORTION RATES. HIGH RISK PREGNANCY HIGH RISK PREGNANCY CAN BE THE RESULT OF A MEDICAL CONDITION PRESENT BEFORE PREGNANCY OR A MEDICAL CONDITION THAT DEVELOPS DURING PREGNANCY FOR EITHER MOM OR BABY AND CAUSES THE PREGNANCY TO BECOME HIGH RISK. A HIGH RISK PREGNANCY CAN POSE PROBLEMS BEFORE, DURING OR AFTER DELIVERY AND MIGHT REQUIRE SPECIAL MONITORING THROUGHOUT THE PREGNANCY. RISK FACTORS: - ADVANCED MATERNAL AGE: INCREASED RISK FOR MOTHERS 35 YEARS AND OLDER. - LIFESTYLE CHOICES: SMOKING, ALCOHOL CONSUMPTION, USE OF ILLEGAL DRUGS. - MEDICAL HISTORY: PRIOR HIGH RISK PREGNANCIES OR DELIVERIES, FETAL GENETIC CONDITIONS, FAMILY HISTORY OF GENETIC CONDITIONS. - UNDERLYING CONDITIONS: DIABETES, HIGH BLOOD PRESSURE AND EPILEPSY. - MULTIPLE PREGNANCIES. - OBESITY DURING PREGNANCY. UNITED STATES GENERAL STATISTICS: - THE NUMBER OF BIRTHS DECLINED BY 3% FROM 2009 TO 2010. - GENERAL FERTILITY RATE ALSO DECLINED BY 3%. - TEENAGE BIRTH RATE FELL 10% FROM 2009 TO 2010. - THE BIRTH RATE OF WOMEN AGED 40-44 YEARS CONTINUED TO RISE. - CESAREAN DELIVERY RATE WAS DOWN FOR THE FIRST YEAR SINCE 1996, TO 32.8% - IN SAN DIEGO COUNTY, THE INFANT MORTALITY RATE WAS 4.4 DEATHS PER 1,000 LIVE BIRTHS IN 2009. SCRIPPS HEALTH CONTINUED TO ENHANCE PRENATAL EDUCATION FOR LOW-INCOME WOMEN IN SAN DIEGO COUNTY IN FISCAL YEAR 2015. THE FOLLOWING ARE SOME EXAMPLES. SCRIPPS MEMORIAL HOSPITAL LA JOLLA COMMUNITY BENEFIT SERVICES - OFFERED MORE THAN 1,000 MATERNAL CHILD HEALTH CLASSES THROUGHOUT SAN DIEGO COUNTY TO ENHANCE PARENTING SKILLS. LOW-INCOME WOMEN IN SAN DIEGO WHO WERE ELIGIBLE ATTEND CLASSES AT NO CHARGE OR ON A SLIDING-FEE SCHEDULE. - MAINTAINED EXISTING PRENATAL EDUCATION SERVICES IN ALL REGIONS OF THE COUNTY, ENSURING THAT PROGRAMS CONTINUED TO DEMONSTRATE A SATISFACTION RATING ABOVE 90 PERCENT. - PROVIDED AND SUPPORTED WEEKLY BREASTFEEDING SUPPORT GROUPS AT SEVEN LOCATIONS THROUGHOUT SAN DIEGO COUNTY, INCLUDING TWO WITH BILINGUAL SERVICES. - OFFERED A MATERNAL CHILD HEALTH EDUCATION SERIES IN NORTHERN AND COASTAL SAN DIEGO COVERING DOGS AND BABIES, SAFETY, GRAND PARENTING AND BABY SITTER SAFETY. - OFFERED MATERNAL CHILD HEALTH CLASSES AT THE THROUGHOUT THE COMMUNITY, SUCH AS BASIC TRAINING FOR DADS, GETTING READY FOR THE BABY, INFANT CPR AND SAFETY, PARENT CONNECTION PROGRAMS AND REDIRECTING CHILDREN'S BEHAVIOR. - OFFERED THE DOGS AND BABIES PROGRAMS QUARTERLY, WITH MORE THAN 40 ATTENDEES. - OFFERED WEEKLY MOMMY AND ME YOGA PROGRAMS FOR NEW PARENTS. - OFFERED A PRENATAL YOGA PROGRAM FOR EXPECTANT WOMEN IN SAN DIEGO COUNTY. - OFFERED A PREGNANCY NUTRITION PROGRAM QUARTERLY AT SCRIPPS MEMORIAL HOSPITAL LA JOLLA. - OFFERED CLASSES IN PELVIC FLOOR AND PREGNANCY CHANGES FOR EXPECTANT FAMILIES AT SCRIPPS MEMORIAL HOSPITAL LA JOLLA. - OFFERED CLASSES IN PELVIC FLOOR AND POSTPARTUM CHANGES FOR NEW MOTHER'S THROUGHOUT THE COMMUNITY. (SPONSORED BY SCRIPPS MEMORIAL HOSPITAL LA JOLLA, COMMUNITY BENEFITS) FIRST 5 AND PROMISE NEIGHBORHOODS MORE THAN 350 SERVICES WERE RECEIVED FOR FIRST TIME MOTHERS INCLUDING: HOME VISITS, REFERRALS RECEIVED, DATA ENTRY, FOLLOW UP PHONE CALLS, PARENTING CLASSES AND OTHER SUPPORT SERVICES. A TOTAL OF 284 PARENTS PARTICIPATED IN PARENTING CLASSES; 241 SESSIONS PROVIDED.(SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFITS) SCRIPPS MERCY'S SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) SCRIPPS MERCY HOSPITAL IS ONE OF FIVE REGIONAL ORGANIZATIONS THAT ADMINISTER THE STATE-FUNDED WIC PROGRAM. THE PROGRAM SERVES SIX LOCATIONS CONVENIENTLY SITUATED NEAR COMMUNITY CLINICS AND/OR HOSPITALS IN CENTRAL SAN DIEGO AREA. WIC TARGETS LOW-INCOME PREGNANT AND POSTPARTUM WOMEN, INFANTS AND CHILDREN (AGES 0 TO 5). SCRIPPS MERCY WIC SERVES APPROXIMATELY 7,500 WOMEN AND CHILDREN ANNUALLY, 44 PERCENT IN THE CITY HEIGHTS COMMUNITY. IN CITY HEIGHTS, CLIENTS ARE 91 PERCENT HISPANIC AND INCLUDE PREGNANT AND POSTPARTUM WOMEN (24 PERCENT), INFANTS (20 PERCENT) AND CHILDREN (56 PERCENT). IN FISCAL YEAR 2015, THE PROGRAM PROVIDED NUTRITION SERVICES, COUNSELING AND FOOD VOUCHERS FOR 86,117 WOMEN AND CHILDREN IN SOUTH AND CENTRAL SAN DIEGO. THE SCRIPPS MERCY WIC PROGRAM PLAYS A KEY ROLE IN MATERNITY CARE BY REACHING LOW-INCOME WOMEN TO PROMOTE PRENATAL CARE, GOOD NUTRITION AND BREASTFEEDING. NUTRITION STAFF EDUCATE WOMEN ABOUT THE IMPORTANCE OF BREASTFEEDING DURING PREGNANCY AND OFFER LACTATION SUPPORT (ONE-ON-ONE AND GROUP), AS WELL AS SUPPLIES - PUMPS AND BREAST PADS - DURING THE POSTPARTUM PERIOD. (SPONSORED BY SCRIPPS MERCY HOSPITAL, SAN DIEGO) SCRIPPS FAMILY MEDICINE PROGRAM AT SCRIPPS MERCY HOSPITAL, CHULA VISTA RAISING HEALTHY FAMILIES AND CARING FOR THE NEXT GENERATION OF SAN DIEGANS - BEFORE THEY'RE EVEN BORN - HELP CREATE A HEALTHIER COMMUNITY FOR YEARS TO COME. THE SCRIPPS FAMILY MEDICINE PROGRAM AT SCRIPPS MERCY HOSPITAL, CHULA VISTA, IS PROVIDING ACCESS, EDUCATION AND CLINICAL SERVICES TO NEARLY 200 PREGNANT WOMEN IN SOUTH SAN DIEGO COUNTY. THE GOAL OF THE PROGRAM, "IMPROVING PERINATAL CARE FOR UNDERSERVED LATINA WOMEN - HEALTHY WOMEN, HEALTHY BABIES," IS TO PROVIDE ACCESS TO PERINATAL CARE FOR UNDERSERVED LATINO WOMEN IN ORDER TO IMPROVE BIRTH OUTCOMES. WITH FUNDING FROM THE MARCH OF DIMES, THE PROGRAM APPLIES THE PRINCIPLES OF THE CENTERING HEALTHCARE INSTITUTE AND FOCUSES ON CHANGING THE WAY PATIENTS EXPERIENCE THEIR CARE THROUGH ASSESSMENT, EDUCATION AND GROUP SUPPORT. CENTERING PREGNANCY IS THE INSTITUTE'S MODEL DEVOTED SPECIFICALLY TO IMPROVING MATERNAL AND CHILD HEALTH, AND HAS BEEN SHOWN TO RESULT IN INCREASED PRENATAL VISITS, GREATER LEVELS OF BREAST FEEDING AND STRONGER RELATIONSHIPS BETWEEN MOTHERS AND THEIR HEALTH CARE PROVIDERS BEFORE, DURING AND AFTER PREGNANCY. THE RESULTS ARE PROMISING. WOMEN WHO GAVE BIRTH REPORTED AN ENHANCED PRENATAL EXPERIENCE, GAINED LESS WEIGHT THROUGHOUT THEIR PREGNANCY AND SHOWED IMPROVED HEALTH CARE KNOWLEDGE. AS THE PROGRAM CONTINUES, PATIENT NAVIGATORS WILL FOLLOW-UP WITH PARTICIPANTS TO GAUGE OTHER IMPORTANT FACTORS AND HELP THEM MAINTAIN HEALTHY LIFESTYLES. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA COMMUNITY BENEFITS) UNINTENTIONAL INJURY AND VIOLENCE IN CALIFORNIA, INJURIES ARE THE NUMBER ONE KILLER AND DISABLER OF PEOPLE AGED 1 TO 44 (CDPH, 2010). UNINTENTIONAL INJURIES OCCUR AT HOME, AT WORK, WHILE PARTICIPATING IN SPORTS AND RECREATION, ON THE STREETS AND AT SCHOOL AND ARE ASSOCIATED WITH MOTOR VEHICLE ACCIDENTS, FALLS, FIREARMS, FIRE/BURNS, DROWNING, POISONING (INCLUDING DRUGS AND CAUSTIC SUBSTANCES), ALCOHOL, GAS, CLEANERS AND MANY OTHER CAUSES. THE DEATHS ASSOCIATED WITH UNINTENTIONAL INJURIES ARE SIGNIFICANT, YET REPRESENT ONLY A SMALL PART OF A MUCH LARGER PUBLIC HEALTH PROBLEM. HOSPITALIZATION DATA IS A BETTER MEASURE OF THE INJURY PROBLEM THAN DEATH DATA ALONE. IN SAN DIEGO COUNTY DURING 2009, THERE WERE MORE THAN 949 DEATHS, MORE THAN 21,149 HOSPITALIZATIONS, AND NEARLY 150,000 EMERGENCY DEPARTMENT VISITS FOR UNINTENTIONAL INJURIES. THE NUMBER OF UNINTENTIONAL INJURIES TREATED IN PHYSICIANS' OFFICES AND CLINICS, WHILE UNKNOWN, IS LIKELY MUCH HIGHER THAN THE NUMBER OF EMERGENCY DEPARTMENT VISITS. UNINTENTIONAL INJURIES ARE ONE OF THE LEADING CAUSES OF DEATH FOR SAN DIEGO COUNTY FOR RESIDENTS OF ALL AGES, REGARDLESS OF GENDER, RACE OR REGION. FALLS WERE THE MOST COMMON CAUSE OF UNINTENTIONAL INJURY IN 2009, FOLLOWED BY MOTOR-VEHICLE INJURIES. THE FOLLOWING ARE A NUMBER OF SCRIPPS HEALTH PROGRAMS THAT ADDRESSED UNINTENTIONAL INJURIES AND VIOLENCE FOR FISCAL YEAR 2015. AARP DRIVER SAFETY PROGRAM AN EIGHT-HOUR DRIVER IMPROVEMENT COURSE ESPECIALLY DESIGNED FOR MOTORISTS AGE 50 AND OLDER. THE COURSE HELPS DRIVERS REFINE EXISTING SKILLS AND DEVELOP SAFE, DEFENSIVE DRIVING TECHNIQUES. OPEN TO AARP MEMBERS AND NON-MEMBERS ALIKE. (SPONSO |
| FORM 990, PART III, LINE 4A (CONTINUED) |
BEACH AREA COMMUNITY COURT PROGRAM THE PROGRAM IS AN EDUCATIONAL PROGRAM FOR FIRST TIME OFFENDERS FOR QUALITY OF LIFE CRIMES. THIS IS A COLLABORATION WITH THE SAN DIEGO POLICE DEPARTMENT, PARKS AND RECREATION, DISTRICT ATTORNEY'S OFFICE AND DISCOVER PACIFIC BEACH. EDUCATION IS PROVIDED TO THE PARTICIPANTS REGARDING THESE QUALITY OF LIFE CRIMES AND THEIR EFFECTS ON THE COMMUNITY; THE EFFECTS OF SMOKING AND ALCOHOL CONSUMPTION AND THE RULES AND REGULATIONS FOR THE BEACH COMMUNITY. (SPONSORED BY SMH LA JOLLA, TRAUMA DEPARTMENT). HEALTH AND WELLNESS, SCRIPPS HOME HEALTH SERVICES THIS PROGRAM EDUCATES SENIORS ABOUT FALL PREVENTION (THE PRIMARY CAUSE OF FRACTURES) AND FIRE SAFETY. HOME HEALTH NURSES ALSO TEACH SENIORS AND THEIR FAMILIES ABOUT CONTINUUM-OF-CARE OPTIONS. (SPONSORED BY HOME HEALTH SERVICES) SAN DIEGO FALL PREVENTION TASK FORCE THIS COUNTY HHSA-AGING AND INDEPENDENCE SERVICE-SUPPORTED TASK FORCE SEEKS TO REDUCE FALLS AND THEIR DEVASTATING CONSEQUENCES. THE TASK FORCE INCREASES CONNECTIONS BETWEEN PHYSICIANS AND OTHER COMMUNITY FALL PREVENTION SERVICES, AS WELL AS INCREASING AWARENESS AMONG OLDER ADULTS. SCRIPPS MERCY HOSPITAL TRAUMA CENTER PARTICIPATES IN THIS TASK FORCE. (SPONSORED BY SCRIPPS MERCY HOSPITAL) HEALTH AND WELLNESS, SCRIPPS HOME HEALTH SERVICES THIS PROGRAM EDUCATES SENIORS ABOUT FALL PREVENTION (THE PRIMARY CAUSE OF FRACTURES) AND FIRE SAFETY. HOME HEALTH NURSES ALSO TEACH SENIORS AND THEIR FAMILIES ABOUT CONTINUUM-OF-CARE OPTIONS. WEIGHT STATUS, NUTRITION, ACTIVITY AND FITNESS THE NUMBERS SPEAK FOR THEMSELVES - 63 PERCENT OF AMERICAN ADULTS ARE EITHER OVERWEIGHT OR OBESE. NATIONALLY, THE PREVALENCE OF OBESE ADULTS (THOSE WITH A BODY MASS INDEX (BMI) OF 30 OR MORE) HAS INCREASED BY 68 PERCENT SINCE 1995, FROM 16 PERCENT TO ALMOST 27 PERCENT. DURING THIS SAME PERIOD, THE PREVALENCE OF OVERWEIGHT ADULTS (BMI BETWEEN 25.0 AND 29.99) HAS INCREASED BY ONLY TWO PERCENT, FROM 35.5 PERCENT TO 36.2 PERCENT. SAN DIEGO COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA FOR 2009 INDICATES THAT ALMOST 59 PERCENT OF ADULTS ARE CONSIDERED EITHER OVERWEIGHT OR OBESE. SINCE 2005, THE FIRST YEAR BRFSS DATA WAS REPORTED FOR SAN DIEGO COUNTY, THE PREVALENCE OF OBESE ADULTS HAS RANGED FROM 20 PERCENT IN 2005 TO 26.7 PERCENT IN 2006, WITH THE MOST CURRENT MEASURE AT 21.6 PERCENT. SINCE 2006, THE PREVALENCE OF OVERWEIGHT ADULTS IN SAN DIEGO COUNTY HAS INCREASED SLIGHTLY FROM 36.5 PERCENT TO 37.7 PERCENT. AT THE NATIONAL, STATE AND COUNTY LEVELS, OBESITY PREVALENCE RATES AMONG LATINOS AND AFRICAN-AMERICANS ARE SIGNIFICANTLY HIGHER THAN THOSE FOR WHITES. OBESITY RATES BY GENDER ALSO VARIED SIGNIFICANTLY IN THE 2007 CHIS, THE MOST RECENT COUNTY DATA BY GENDER, WITH 25.4 PERCENT OF MALES AND 18.1 PERCENT OF FEMALES HAVING A BMI 30 OR HIGHER. MALES WERE SIGNIFICANTLY MORE LIKELY TO BE OVERWEIGHT THAN FEMALES, 40.5 PERCENT AND 25.8 PERCENT, RESPECTIVELY. CAUSES MANY FACTORS PLAY A ROLE IN OBESITY, MAKING IT A COMPLEX HEALTH ISSUE TO ADDRESS. FACTORS INCLUDE (DH&HS, 2010): - GENETIC PREDISPOSITION - BEHAVIOR (DIETARY PATTERNS AND PHYSICAL ACTIVITY) - ENVIRONMENTAL INFLUENCES - CULTURAL INFLUENCES - SOCIOECONOMIC STATUS TO IMPLEMENT PREVENTION STRATEGIES, IT IS IMPORTANT TO UNDERSTAND THE EFFECT EACH OF THESE FACTORS HAS ON OBESITY AND WHICH CAN BE CHANGED. THE FOLLOWING ARE SOME EXAMPLES OF SCRIPPS PROGRAMS THAT ADDRESS THESE HEALTH ISSUES. NUTRITION SERVICES AND PHYSICAL ACTIVITY ACCORDING TO THE 2009 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA FOR SAN DIEGO COUNTY, MORE THAN 59 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. OBESITY INCREASES THE RISK FOR HEART DISEASE, TYPE 2 DIABETES, HIGH BLOOD PRESSURE, STROKE AND SOME FORMS OF CANCER. THE NATION'S LOW-INCOME, MINORITY POPULATIONS ARE AT EVEN GREATER RISK. IN AN EFFORT TO ADDRESS THIS CRITICAL HEALTH CONCERN, STAFF MEMBERS AT THE CITY HEIGHTS WELLNESS CENTER HAVE ESTABLISHED A VARIETY OF NUTRITION EDUCATION PROGRAMS TO MEET THE NEEDS OF LOW-INCOME, MINORITY POPULATIONS. THE CENTER USES A COMBINATION OF APPROACHES TO ADDRESS A BROAD ARRAY OF COMMUNITY HEALTH PRIORITIES, INCLUDING NUTRITION, ACCESS TO SERVICES AND COMMUNITY ENGAGEMENT. THE GOAL IS TO PREVENT DISEASE BY STRENGTHENING COMMUNITY PARTNERSHIPS AND LINK EXISTING SERVICES TO PROVIDE CITY HEIGHTS' RESIDENTS WITH OPPORTUNITIES TO BECOME MORE INVOLVED IN MANAGING THEIR OWN HEALTH. THE "HUB" OF THE WELLNESS CENTER IS THEIR TEACHING KITCHEN - A HANDS-ON INTERACTIVE SETTING FOR COOKING DEMONSTRATIONS, WEIGHT MANAGEMENT, MEAL PREPARATION, NUTRITION EDUCATION AND COUNSELING. THE CENTER, WHICH SERVES MORE THAN 18,000 CULTURALLY DIVERSE FAMILIES A YEAR, IS BASED ON THE BELIEF THAT KEEPING PEOPLE HEALTHIER IS ONE OF THE MOST EFFECTIVE WAYS TO REDUCE HEALTH CARE COSTS. THE CENTER STRIVES TO BE THE HUB OF HEALTH EDUCATION ADDRESSING NUTRITION, HEALTHY LIFESTYLE BEHAVIORS AND CHILDHOOD INJURY PREVENTION THROUGH A VARIETY OF HEALTH AND WELLNESS PROGRAMS. THE CENTER HAS EARNED A REPUTATION FOR BEING (1) A SAFE PLACE TO COME AND SEEK HELP FOR A VARIETY OF HEALTH AND SOCIAL NEEDS; (2) A RESOURCE FOR OBTAINING EASY ACCESS TO INFORMATION ABOUT HEALTH AND COMMUNITY RESOURCES; (3) A FLEXIBLE MEETING PLACE THAT HAS THE CAPACITY TO BRING PEOPLE TOGETHER AROUND COMMUNITY HEALTH ISSUES, ESPECIALLY FOOD AND NUTRITION. (SPONSORED BY SCRIPPS MERCY HOSPITAL, SAN DIEGO COMMUNITY BENEFIT SERVICES) LIVE HEALTHY FAMILY NUTRITION PROGRAM USING THE COOPERATIVE EXTENSION'S RESEARCH-BASED CURRICULUMS AND BILINGUAL STAFF, A REGISTERED DIETITIAN IMPLEMENTED WEEKLY NUTRITION EDUCATION CLASSES IN SPANISH. THE PROGRAM TARGETS LOW-INCOME PEOPLE WHO USE FOOD STAMPS AND OFFERS A SERIES OF EIGHT WEEKLY CLASSES. THE PROGRAM INCREASES RESIDENTS' KNOWLEDGE, SKILLS AND MOTIVATION TO HELP THEM PRACTICE HEALTHY EATING AND RELATED BEHAVIORS. CLASSES FOCUS ON NUTRITION, PHYSICAL FITNESS, FOOD SAFETY, MEAL PLANNING AND FOOD SHOPPING. (SPONSORED BY SCRIPPS MERCY HOSPITAL, COMMUNITY BENEFIT SERVICES) COLLABORATE FOR HEALTHY WEIGHT THIS ADVISORY GROUP MEETS MONTHLY. DRS. SERPAS AND BRANDSTEIN ARE THE LEADERS OF THIS COLLABORATION. COLLABORATE FOR HEALTHY WEIGHT IS A PROGRAM OF THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AND THE NATIONAL INITIATIVE FOR CHILDREN'S HEALTHCARE QUALITY (NICHQ). THE SHARED VISION IS TO CREATE PARTNERSHIPS BETWEEN PRIMARY CARE, PUBLIC HEALTH, AND COMMUNITY ORGANIZATIONS TO DISCOVER SUSTAINABLE WAYS TO PROMOTE HEALTHY WEIGHT AND ELIMINATE HEALTH DISPARITIES IN COMMUNITIES ACROSS THE UNITED STATES. ALL THREE SECTORS MUST COLLABORATE, USING EVIDENCE-BASED APPROACHES, TO REVERSE THE OBESITY EPIDEMIC AND IMPROVE THE HEALTH OF OUR COMMUNITIES; 120 MEMBERS. SEVERAL MANUSCRIPTS ARE UNDER DEVELOPMENT. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFIT SERVICES) CHULA VISTA PROMISE NEIGHBORHOOD (CVPN) SCRIPPS MERCY HOSPITAL CHULA VISTA WELL-BEING CENTER AND SCRIPPS FAMILY MEDICINE RESIDENCY ARE PARTNERS IN THE CHULA VISTA PROMISE NEIGHBORHOOD (CVPN) EFFORTS FUNDED BY THE DEPARTMENT OF EDUCATION. CVPN BRINGS TOGETHER A COLLABORATION OF PARTNERS FOCUSED ON FAMILY, EDUCATION, HEALTH AND COMMUNITY TO PROVIDE CHILDREN AND FAMILIES IN THE CASTLE PARK NEIGHBORHOOD WITH OPPORTUNITIES THEY NEED TO EXCEL IN SCHOOL, GET INTO COLLEGE, FIND GOOD JOBS AND LEAD HEALTHY LIVES. TOGETHER, THE SCRIPPS FAMILY MEDICINE RESIDENCY AND THE SCRIPPS MERCY HOSPITAL CHULA VISTA WELL BEING CENTER IMPLEMENT HEALTH AND WELLNESS ACTIVITIES AT CASTLE PARK ELEMENTARY FOR THE STUDENTS AND THEIR PARENTS FOCUSING ON THE 5210 MESSAGE IN AN EFFORT TO PROMOTE HEALTHY LIVING IN THE CASTLE PARK AREA. THE 5210 MESSAGE EMPHASIZES TEACHING FAMILIES ON EATING MORE FRUITS AND VEGETABLES, LIMITING SCREEN TIME, INCORPORATING ONE HOUR OF PHYSICAL ACTIVITY A DAY AND PROMOTING ZERO SUGARY DRINKS. (SPONSORED BY SCRIPPS MERCY HOSPITAL CHULA VISTA WELL BEING CENTER) MENTAL HEALTH AND ILLNESS MENTAL HEALTH IS DEFINED AS "A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, AND NOT MERELY THE ABSENCE OF DISEASE". MENTAL ILLNESS IS DEFINED AS "COLLECTIVELY ALL DIAGNOSABLE MENTAL DISORDERS" OR "HEALTH CONDITIONS THAT ARE CHARACTERIZED BY ALTERATIONS IN THINKING, MOOD, OR BEHAVIOR (OR SOME COMBINATION THEREOF) ASSOCIATED WITH DISTRESS AND/OR IMPAIRED FUNCTIONING". DEPRESSION: - DEPRESSION IS THE MOST COMMON TYPE OF MENTAL ILLNESS, AFFECTING MORE THAN 26% OF THE U.S. ADULT POPULATION. - IT HAS BEEN ESTIMATED THAT BY THE YEAR 2020, DEPRESSION WILL BE THE SECOND LEADING CAUSE OF DISABILITY THROUGHOUT THE WORLD, TRAILING ONLY ISCHEMIC HEART DISEASE. DISPARITIES: - MALES COMMIT SUICIDE FOUR TIMES MORE THAN FEMALES. - YOUNGER AMERICAN ADULTS, AGED 18-24 YEARS, SUFFERED THE MOST MENTAL HEALTH DISTRESS. - ADULTS WITH THE LOWEST INCOME OR EDUCATION REPORT MORE UNHEALTHY DAYS THAN THOSE WITH HIGHER INCOME OR EDUCATION. - MENTAL ILLNESS IS ASSOCIATED WITH CHRONIC DISEASES SUCH AS CARDIOVASCULAR DISEASE, DIABETES, AND OBESITY. PREVALENCE: - ABOUT 25% OF U.S. ADULTS HAVE A MENTAL |
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SUICIDE AND SUICIDE ATTEMPTS SUICIDE IS A MAJOR COMPLICATION OF DEPRESSION AND A LEADING CAUSE OF NON-NATURAL DEATH FOR ALL AGES IN SAN DIEGO COUNTY, SECOND ONLY TO MOTOR VEHICLE ACCIDENTS. IN 2010, 372 SAN DIEGANS DIED BY SUICIDE, A RATE OF 11.5 PER 100,000. THIS WAS HIGHER THAN CALIFORNIA OVERALL (9.9 PER 100,000) AND SLIGHTLY LOWER THAN THE NATIONAL RATE (11.9 PER 100,000). SUICIDE DEATHS ARE ONLY PART OF THE PROBLEM; MORE PEOPLE SURVIVE SUICIDE ATTEMPTS THAN DIE. THOSE WHO ATTEMPT SUICIDE ARE OFTEN SERIOUSLY INJURED AND REQUIRE MEDICAL AND PSYCHIATRIC CARE. BETWEEN 2000 AND 2008, 2,896 SAN DIEGANS DIED FROM SUICIDE. ON AVERAGE, ONE SUICIDE AFFECTS THE LIVES OF AT LEAST SIX PEOPLE, CAUSING CONSIDERABLE GRIEF, SOCIAL STIGMA AND, IN SOME CASES, ELEVATED RISK OF ADDITIONAL SUICIDES. IN 2010, THE COUNTY OF SAN DIEGO HEALTH AND HUMAN SERVICES AGENCY (HHSA) LAUNCHED A SUICIDE PREVENTION PLANNING PROCESS, WHICH WAS INFORMED BY THE NATIONAL STRATEGY FOR SUICIDE PREVENTION AND THE CALIFORNIA STRATEGIC PLAN ON SUICIDE PREVENTION. SCRIPPS IS A MEMBER OF THE COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP), WHICH COLLABORATES WITH THE COUNTY ON THIS INITIATIVE. SCRIPPS OFFERS BOTH INPATIENT AND OUTPATIENT ADULT BEHAVIORAL HEALTH SERVICES AT SCRIPPS MERCY HOSPITAL, SAN DIEGO. THE BEHAVIORAL HEALTH PROGRAM AT SCRIPPS MERCY ALSO SUPPORTS COMMUNITY PROGRAMS TO REDUCE THE STIGMA OF MENTAL ILLNESS AND HELP AFFECTED INDIVIDUALS LIVE AND WORK IN THE COMMUNITY. SCRIPPS HEALTH BEHAVIORAL HEALTH INPATIENT PROGRAMS INDIVIDUALS SUFFERING FROM ACUTE PSYCHIATRIC DISORDERS ARE SOMETIMES UNABLE TO LIVE INDEPENDENTLY OR MAY EVEN POSE A DANGER TO THEMSELVES OR OTHERS. IN SUCH CASES, HOSPITALIZATION MAY BE THE MOST APPROPRIATE ALTERNATIVE. THE BEHAVIORAL HEALTH INPATIENT PROGRAM AT SCRIPPS MERCY HOSPITAL HELPS PATIENTS AND THEIR LOVED ONES WORK THROUGH SHORT-TERM CRISES, MANAGE MENTAL ILLNESS AND RESUME THEIR DAILY LIVES. CHALLENGES - LIKE MANY BEHAVIORAL HEALTH PROGRAMS ACROSS THE COUNTRY, FUNDING IS DIFFICULT, AS PAYMENT RATES HAVE NOT KEPT PACE WITH THE COST TO PROVIDE CARE. - IN 2015, THE SCRIPPS MERCY BEHAVIORAL HEALTH PROGRAM LOST $4.4 MILLION. - IN 2015, 3.2 PERCENT OF PATIENTS IN THE INPATIENT UNIT WERE UNINSURED. SCRIPPS HEALTH BEHAVIORAL HEALTH OUTPATIENT PROGRAMS SCRIPPS MERCY PROVIDES COMMUNITY-BASED ADULT PSYCHIATRIC TREATMENT AT SCRIPPS MERCY HOSPITAL, SAN DIEGO. THE INTENSIVE DAY PROGRAM HELPS PARTICIPANTS REDUCE THEIR SYMPTOMS WHILE THEY CONTINUE TO LIVE IN THE COMMUNITY. THE OUTPATIENT PROGRAM OFFERS PATIENTS ONE TO FOUR TREATMENT DAYS PER WEEK. MENTAL HEALTH OUTREACH SERVICES, A-VISION SERVICE PROGRAM BEHAVIORAL HEALTH SERVICES AT SCRIPPS MERCY HOSPITAL, IN PARTNERSHIPS WITH THE SAN DIEGO MENTAL HEALTH ASSOCIATION, ESTABLISHED THE A-VISIONS VOCATIONAL TRAINING PROGRAM (SOCIAL REHABILITATION AND PREVOCATIONAL SERVICES FOR PEOPLE LIVING WITH MENTAL ILLNESS) TO HELP DECREASE THE STIGMA OF MENTAL ILLNESS. THE PROGRAM PROVIDES VOCATIONAL TRAINING FOR PEOPLE RECEIVING MENTAL HEALTH TREATMENT, POTENTIALLY LEADING TO GREATER INDEPENDENCE. THIS YEAR, BEHAVIORAL HEALTH SERVICES CONTINUED PARTICIPATING IN THE A-VISIONS PROGRAM. SINCE ITS INCEPTION, 93 CLIENTS HAVE BEEN SERVED, AND 46 ENROLLED AT SCRIPPS, INCLUDING 3 AS VOLUNTEERS AND 23 AS SCRIPPS MERCY HOSPITAL EMPLOYEES. CURRENTLY, THERE IS A TOTAL OF 26 ACTIVE CANDIDATES, 23 EMPLOYEES AND 3 VOLUNTEERING WHICH ARE PARTICIPATING IN SUPPORTIVE EMPLOYMENT. A-VISIONS PARTICIPANTS HAVE BEEN EMPLOYED ON A PER-DIEM BASIS BY SCRIPPS IN ENVIRONMENTAL SERVICES, FOOD SERVICES AND CLERICAL SUPPORT FOR HEALTH AND INFORMATION SERVICES, EMERGENCY SERVICES, NURSING RESEARCH, HUMAN RESOURCES AND PALLIATIVE CARE SERVICES. PAID A-VISIONS CANDIDATES TYPICALLY LIMIT THEIR WORK TO EIGHT HOURS PER WEEK, WHICH ALLOWS THEM TO MAINTAIN ELIGIBILITY FOR THE DISABILITY BENEFITS, MEDICATIONS AND ONGOING BEHAVIORAL HEALTHCARE THAT SUPPORTS THEIR WORK. THE TOTAL EXPENSE FOR THE A-VISIONS PROGRAM FOR FISCAL YEAR 2014 WAS $90,902 (SPONSORED BY SCRIPPS MERCY BEHAVIORAL HEALTH DEPARTMENT) INCREASING AWARENESS OF MENTAL HEALTH AND GERIATRIC PSYCHIATRIC ISSUES IN FISCAL YEAR 2015, SCRIPPS BEHAVIORAL HEALTH SERVICES IMPROVES AWARENESS OF MENTAL HEALTH AND GERIATRIC ISSUES BY PROVIDING INFORMATION AND SUPPORTIVE SERVICES FOR MORE THAN 1,000 PEOPLE AT COMMUNITY EVENTS. DEPRESSION SCREENINGS IN OCTOBER 2015, SCRIPPS AGAIN PARTICIPATED IN NATIONAL DEPRESSION SCREENING DAY, AN ANNUAL EVENT AIMED AT HELPING PEOPLE IDENTIFY THE SIGNS OF DEPRESSION AND PROVIDING RESOURCES TO ASSIST THOSE AT RISK. IN THE PAST TWO YEARS, SCRIPPS HAS EXPANDED THE AVAILABILITY OF FREE DEPRESSION SCREENINGS BY MAKING THEM AVAILABLE IN THE COMMUNITY IN A PARTNERSHIP WITH THE YMCA'S. THE SCREENINGS ARE OPEN TO ADULTS OF ALL AGES ON A WALK-IN-BASIS AND INCLUDE REFERRALS TO MENTAL HEALTH PROFESSIONALS, AS WELL AS LITERATURE THAT CAN BE SHARED WITH FRIENDS AND FAMILY MEMBERS. IN 2015, SCRIPPS STAFF CARED FOR MORE THAN 114 PEOPLE AND CONDUCTED 72 DEPRESSION SCREENING SERVICES AND INFORMATION IN BOTH ENGLISH AND SPANISH. (SPONSORED BY SCRIPPS MERCY BEHAVIORAL HEALTH DEPARTMENT) COMMUNITY HEALTH IMPROVEMENT PROJECT (CHIP) AND SUICIDE PREVENTION COUNCIL SCRIPPS IS A STRONG PARTNER OF CHIP. CHIP TRAINED APPROXIMATELY 8,000 COMMUNITY MEMBERS IN SUICIDE PREVENTION TO HELP ADDRESS RISING RATES OF SUICIDE IN THE COUNTY. GUIDING VETERAN'S TO MENTAL HEALTH SERVICES SAN DIEGO IS HOME TO MORE THAN 250,000 VETERANS. A SUBSTANTIAL NUMBER OF OUR SERVICE MEMBERS HAVE SUFFERED OR ARE STRUGGLING WITH POST-TRAUMATIC STRESS DISORDER (PTSD), DEPRESSION, ANXIETY AND OTHER PSYCHOLOGICAL CONDITIONS RELATED TO MILITARY SERVICE AND REPEATED DEPLOYMENTS. PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS, SCRIPPS IS ACTIVELY WORKING TO ASSIST THESE VETERANS THROUGH INFORMATIONAL SESSIONS DESIGNED TO IMPROVE KNOWLEDGE OF VETERANS' MENTAL HEALTH ISSUES AND ACCESS TO COMMUNITY-BASED SERVICES. LAST YEAR, SCRIPPS PERSONNEL SPOKE WITH MORE THAN 150 INDIVIDUALS INVOLVED IN VETERANS' HEALTH CARE. MENTAL HEALTH SUPPORT SERVICES AT LOCAL SCHOOL-BASED CLINICS SCRIPPS FAMILY MEDICINE RESIDENCY AND THE SCRIPPS MERCY HOSPITAL CHULA VISTA WELL-BEING CENTER HAVE PARTNERED TO OFFER CLINICAL TRAINING OPPORTUNITIES FOR MASTER SOCIAL WORK STUDENTS IN TRAINING FROM SAN DIEGO STATE UNIVERSITY AT SOUTHWEST AND PALOMAR HIGH SCHOOLS. THESE STUDENTS WORK WITH LOCAL FACULTY TO ENGAGE HIGH SCHOOL STUDENTS IN COUNSELING AND REFERRALS TO PSYCHIATRISTS AND OTHER PROVIDERS THAT ADDRESS THE MENTAL HEALTH NEEDS OF VULNERABLE ADOLESCENTS. A VARIETY OF MENTAL HEALTH ISSUES ARE PRESENT FOR LOCAL HIGH SCHOOL STUDENTS. MANY OF THESE ISSUES INCLUDE DEPRESSION, ANXIETY AND SUICIDE RELATED CONCERNS. THE PROGRAM WORKS TO IMPROVE OVERALL MENTAL HEALTH CARE FOR LOCAL STUDENTS THROUGH A SCHOOL-BASED CLINIC. THERE WERE A TOTAL OF 1,085 MEDICAL VISITS AT THE SCHOOL BASED CLINICS AND ONE THIRD OF THESE WERE MENTAL HEALTH, 400. (SPONSORED BY SCRIPPS MERCY HOSPITAL CHULA VISTA WELL-BEING CENTER) VOLUNTEERS OF AMERICA (VOA) THROUGH A CONTRACT WITH THE VOLUNTEERS OF AMERICA SCRIPPS PROVIDES SAFE DETOX UP TO FIVE PATIENTS PER WEEK WITH CASE MANAGEMENT FROM THE SCRIPPS DRUG AND ALCOHOL RESOURCE NURSES TO HELP THEM INTO COMMUNITY BASED PROGRAMS. THE GOAL IS TO INCREASE THE ABILITY TO PROVIDE TREATMENT TO THOSE WHO ARE UNFUNDED OR UNDERFUNDED. (SPONSORED BY SCRIPPS DRUG AND ALCOHOL DEPARTMENT) LATINOS Y LATINAS EN ACCION LATINOS Y LATINAS EN ACCION IS AN ORGANIZATION THAT WORKS WITH THE LATINO COMMUNITY THROUGH EDUCATION ON RIGHTS AND HEALTH OPPORTUNITIES. THE NEED FOR MENTAL HEALTH COUNSELING WAS IDENTIFIED IN THE LATINO COMMUNITY SO A SERIES OF CLASSES WERE FORMULATED TO MEET THE IDENTIFIED NEEDS OF LATINOS IN CENTRAL SAN DIEGO. THE SERIES WAS CALLED "EMOTIONAL HEALING TO MAINTAIN EMOTIONAL HEALTH." THE SIX WEEK SERIES INCLUDED THE FOLLOWING TOPICS: ANXIETY, DEPRESSION, STRESS, CO-DEPENDENCY, EMOTIONALITY, AND QUALITY OF LIFE. (SPONSORED BY CITY HEIGHTS WELLNESS CENTER) ACUTE RESPIRATORY INFECTIONS/PNEUMONIA RESPIRATORY DISEASES, SUCH AS ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), ARE A SIGNIFICANT PUBLIC HEALTH BURDEN IN THE UNITED STATES. ASTHMA AND COPD ARE AMONG THE 10 LEADING CHRONIC CONDITIONS THAT RESTRICT ACTIVITY. AFTER CHRONIC SINUSITIS, ASTHMA IS THE MOST COMMON CHRONIC ILLNESS IN CHILDREN. DEATH RATES FROM COPD HAVE DECLINED FROM 2000 TO 2009 AT THE NATIONAL, STATE, AND LOCAL LEVELS. INFLUENZA, ALSO KNOWN AS THE "FLU", IS A CONTAGIOUS RESPIRATORY ILLNESS CAUSED BY INFLUENZA VIRUSES THAT INFECT THE NOSE, THROAT, AND LUNGS. IT CAN CAUSE MILD TO SEVERE ILLNESS, AND AT TIMES CAN LEAD TO DEATH. COMPLICATIONS OF FLU CAN INCLUDE BACTERIAL PNEUMONIA (PARTICULARLY FOR OLDER AND IMMUNOCOMPROMISED INDIVIDUALS), EAR INFECTIONS, SINUS INFECTIONS, DEHYDRATION, AND WORSENING OF CHRONIC MEDICAL CONDITIONS, SUCH AS CONGESTIVE HEART FAILURE, ASTHMA, OR DIABETES. CLINICAL SYMPTOMS INCLUDE FEVER, COUGH, SORE THROAT, CHILLS, MUSCLE AND BODY ACHES, RUNNY OR |
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ASTHMA ASTHMA IS A CHRONIC BREATHING CONDITION DUE TO INFLAMMATION OF THE AIR PASSAGES IN THE LUNGS. ASTHMA AFFECTS THE SENSITIVITY OF THE NERVE ENDINGS IN THE AIRWAYS CAUSING THEM TO BECOME EASILY IRRITATED. DURING AN ASTHMA ATTACK, THE LINING OF THESE PASSAGES SWELL CAUSING THE AIRWAYS TO NARROW THEREBY REDUCING THE FLOW OF AIR IN AND OUT OF THE LUNGS. ASTHMA ATTACKS CAN RANGE IN SEVERITY FROM MILD TO LIFE-THREATENING. CLINICAL SYMPTOMS INCLUDE COUGHING, SHORTNESS OF BREATH, WHEEZING, AND TIGHTNESS OR PAIN IN THE CHEST. IN 2009, 12.3% OF SAN DIEGO COUNTY RESIDENTS REPORTED EVER BEING DIAGNOSED WITH ASTHMA. THE COUNTY AGE-ADJUSTED ASTHMA RATES DECREASED SLIGHTLY BETWEEN 2001 AND 2004, BEFORE INCREASING AGAIN IN 2005. IT THEN DECREASED AGAIN IN 2006 AND HIT A NEW LOW IN 2009. TRIGGERS OF ASTHMA ATTACKS INCLUDE: - ALLERGENS (LIKE POLLEN, MOLD, ANIMAL DANDER, AND DUST MITES) - EXERCISE - OCCUPATIONAL HAZARDS - TOBACCO SMOKE - AIR POLLUTION - AIRWAY INFECTIONS - SOME RISK FACTORS FOR DEVELOPING ASTHMA INCLUDE: - DEMOGRAPHIC VARIABLES SUCH AS GENDER, AGE, RACE/ETHNICITY - EDUCATIONAL LEVEL - INCOME LEVEL - SMOKING - OBESITY SCRIPPS BELIEVES THAT HEALTH IMPROVEMENT BEGINS WHEN PEOPLE TAKE AN ACTIVE ROLE IN MAKING A POSITIVE IMPACT ON THEIR COMMUNITY. FOR THIS REASON, SCRIPPS SUPPORTS VOLUNTEER PROGRAMS FOR SCRIPPS EMPLOYEES AND AFFILIATED PHYSICIANS WHO WANT TO MAKE AN EVEN LARGER IMPACT ON THEIR COMMUNITY. THE SCRIPPSASSISTS EMPLOYEE VOLUNTEER CLUB IS ONE WAY SCRIPPS MATCHES THE TALENTS AND INTERESTS OF EMPLOYEES AND PHYSICIANS WITH COMMUNITY NEEDS, SUCH AS MENTORING PARTNERSHIPS WITH LOCAL SCHOOLS AND PROVIDING FREE MEDICAL AND SURGICAL CARE FOR PATIENTS IN NEED. IN ADDITION TO THE FINANCIAL COMMUNITY BENEFIT CONTRIBUTIONS MADE DURING FISCAL YEAR 2015, SCRIPPS EMPLOYEES AND AFFILIATED PHYSICIANS DONATED A SIGNIFICANT PORTION OF THEIR PERSONAL TIME VOLUNTEERING TO SUPPORT SCRIPPS-SPONSORED COMMUNITY BENEFIT PROGRAMS. WITH CLOSE TO 7,737 HOURS, THE ESTIMATED DOLLAR VALUE OF THIS VOLUNTEER LABOR IS $364,388.81*, WHICH IS NOT INCLUDED IN THE SCRIPPS FISCAL YEAR 2015 COMMUNITY BENEFIT PROGRAMS AND SERVICES TOTALS. PROFESSIONAL EDUCATION & HEALTH RESEARCH QUALITY HEALTH CARE IS HIGHLY DEPENDENT UPON HEALTH EDUCATION SYSTEMS AND MEDICAL RESEARCH PROGRAMS. WITHOUT THE ABILITY TO TRAIN AND INSPIRE A NEW GENERATION OF HEALTH CARE PROVIDERS, OR TO OFFER CONTINUING EDUCATION TO EXISTING HEALTH CARE PROFESSIONALS, THE QUALITY OF HEALTH CARE WILL BE GREATLY DIMINISHED. MEDICAL RESEARCH ALSO PLAYS AN IMPORTANT ROLE IN IMPROVING THE COMMUNITY'S OVERALL HEALTH BY DEVELOPING NEW AND INNOVATIVE TREATMENTS. EACH YEAR, SCRIPPS ALLOCATES RESOURCES TO ADVANCE HEALTH CARE SERVICES THROUGH CLINICAL RESEARCH, MEDICAL EDUCATION AND HEALTH PROFESSIONAL EDUCATION. DURING FISCAL YEAR 2015 (OCTOBER 2014 TO SEPTEMBER 2015), SCRIPPS INVESTED $26,184,190 IN PROFESSIONAL TRAINING PROGRAMS AND CLINICAL RESEARCH TO ENHANCE SERVICE DELIVERY AND TREATMENT PRACTICES IN SAN DIEGO COUNTY. THIS SECTION HIGHLIGHTS SOME OF OUR PROFESSIONAL EDUCATION AND HEALTH RESEARCH ACTIVITIES. HEALTH PROFESSIONS TRAINING: INTERNSHIPS SCRIPPS' COMMITMENT TO ONGOING LEARNING AND HEALTH CARE EXCELLENCE EXTENDS BEYOND OUR ORGANIZATION. OUR INTERNSHIP PROGRAMS HELP PROMOTE HEALTH CARE CAREERS TO A NEW GENERATION, SHAPE THE FUTURE WORKFORCE AND DEVELOP FUTURE LEADERS IN OUR COMMUNITY. INTERACTING WITH HEALTH CARE PROFESSIONALS IN THE FIELD EXPANDS EDUCATION OUTSIDE THE CLASSROOM. SCRIPPS EMPLOYEES PLAY AN IMPORTANT ROLE AS PRECEPTORS BY INVESTING THEIR TIME TO CREATE A VALUABLE EXPERIENCE FOR THE COMMUNITY. IN FISCAL YEAR 2015, SCRIPPS HOSTED 2,488 INTERNS WITHIN OUR SYSTEM AND PROVIDED 356,474 DEVELOPMENT HOURS SPANNING NURSING AND ANCILLARY SETTINGS. COLLEGE AND UNIVERSITY AFFILIATIONS SCRIPPS COLLABORATES WITH LOCAL HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO HELP STUDENTS EXPLORE HEALTH CARE ROLES AND GAIN FIRSTHAND EXPERIENCE AS THEY WORK WITH SCRIPPS PROFESSIONALS. SCRIPPS IS AFFILIATED WITH MORE THAN 110 SCHOOLS AND PROGRAMS, INCLUDING CLINICAL AND NONCLINICAL PARTNERSHIPS. LOCAL SCHOOLS INCLUDE, BUT ARE NOT LIMITED TO, POINT LOMA NAZARENE UNIVERSITY (PLNU), UNIVERSITY OF CALIFORNIA SAN DIEGO (UCSD), CALIFORNIA STATE UNIVERSITY SAN MARCOS (CSUSM), SAN DIEGO STATE UNIVERSITY (SDSU), UNIVERSITY OF SAN DIEGO (USD), MESA COLLEGE, SAN DIEGO CITY COLLEGE, GROSSMONT COLLEGE, PALOMAR COLLEGE AND MIRA COSTA COLLEGE. SCRIPPS IS REGULARLY ACCEPTING NEW PARTNERSHIPS, BASED ON COMMUNITY AND WORKFORCE NEEDS, AND ESTABLISHED AN AFFILIATION AGREEMENT COMMITTEE TO REVIEW ALL REQUESTS AND PROVIDE A SYSTEM WIDE APPROACH TO SECURING NEW STUDENT PLACEMENTS. THIS INTERDISCIPLINARY COMMITTEE REPRESENTS EDUCATION AND DEPARTMENT LEADERSHIP ACROSS THE SCRIPPS SYSTEM, ENSURING A PROACTIVE APPROACH TO BUILDING A CAREER PIPELINE FOR TOP TALENT. RESEARCH STUDENTS SCRIPPS SUPPORTS GRADUATE RESEARCH FOR MASTERS AND DOCTORAL STUDENTS AT UNIVERSITIES WITH AFFILIATION AGREEMENTS. SCRIPPS CENTER FOR LEARNING & INNOVATION OVERSEES THE STUDENT PLACEMENT PROCESS. NON-PHYSICIAN STUDENTS WHO CONDUCT RESEARCH AT SCRIPPS REPRESENT A VARIETY OF HEALTH CARE DISCIPLINES, INCLUDING PUBLIC HEALTH, PHYSICAL THERAPY, PHARMACY AND NURSING. IN FISCAL YEAR 2015, SCRIPPS RESEARCH INCLUDED STUDENTS FROM USD, WESTERN GOVERNORS, SDSU, PLNU LOMA LINDA UNIVERSITY AND POSTDOCTORAL PHARMACY RESIDENCY PROGRAMS, INCLUDING THE PGY1 PHARMACY RESIDENCY PROGRAM. COLLEGE COLLABORATIONS SCRIPPS PARTNERED WITH PLNU TO CREATE HEALTH CARE FOCUS COURSES, INCLUDING HEALTH CARE FINANCE AND HEALTH CARE OPERATIONS. PLNU STUDENTS (NON-SCRIPPS EMPLOYEES) MAY ELECT TO TAKE THESE COURSES TOWARDS THEIR MBA. HIGH SCHOOL PROGRAMS SCRIPPS IS DEDICATED TO PROMOTING HEALTH CARE AS A REWARDING CAREER, COLLABORATING WITH A NUMBER OF HIGH SCHOOLS TO OFFER STUDENTS OPPORTUNITIES TO EXPLORE A ROLE IN HEALTH CARE AND GAIN FIRSTHAND EXPERIENCE WORKING WITH SCRIPPS HEALTH CARE PROFESSIONALS. HERE IS A SUMMARY OF THE HIGH SCHOOL PROGRAMS SCRIPPS MADE AVAILABLE TO THE COMMUNITY. SCRIPPS HIGH SCHOOL EXPLORATION PROGRAM AND HEALTH AND SCIENCE PIPELINE INITIATIVE (HASPI) THIS PROGRAM REACHES OUT TO SAN DIEGO HIGH SCHOOL STUDENTS INTERESTED IN EXPLORING A CAREER IN HEALTH CARE. IN FISCAL YEAR 2015, SCRIPPS HIRED 25 STUDENTS TO PARTICIPATE IN THE PROGRAM. DURING THEIR PAID FIVE-WEEK ROTATION, THE STUDENTS WORK IN DIFFERENT DEPARTMENTS, EXPLORING CAREER OPTIONS AND LEARNING VALUABLE LIFE LESSONS ABOUT HEALTH AND HEALING. |
| FORM 990, PART III, LINE 4A (CONTINUED) |
UC HIGH SCHOOL COLLABORATION UC HIGH SCHOOL AND SCRIPPS PARTNERED TO PROVIDE A REAL-LIFE CONTEXT TO THE SCHOOL'S HEALTH CARE ESSENTIALS COURSE. FOR FISCAL YEAR 2015, SIXTEEN STUDENTS WERE SELECTED TO ROTATE THROUGH FIVE DIFFERENT SCRIPPS LOCATIONS, DURING THE SPRING SEMESTER, TO INCREASE THEIR AWARENESS OF HEALTH CARE CAREERS. UC HIGH STUDENTS VISITED SCRIPPS CLINIC TORREY PINES, CARMEL VALLEY, RANCHO BERNARDO, MERCY SAN DIEGO, SCRIPPS MEMORIAL HOSPITAL LA JOLLA AND GREEN. THE STUDENTS WERE ABLE TO VIEW SURGERIES AND SHADOWING HEALTHCARE PROFESSIONALS IN THE EMERGENCY DEPARTMENT, ICU, PHARMACY, URGENT CARE, INTERNAL MEDICINE, PEDIATRICS, AMBULATORY SERVICES, REHAB THERAPY, PATIENT LOGISTICS, LAB AND TRAUMA. YOUNG LEADERS IN HEALTH CARE AN OUTREACH PROGRAM AT SCRIPPS HOSPITAL ENCINITAS, YOUNG LEADERS IN HEALTH CARE TARGETS LOCAL HIGH SCHOOL STUDENTS INTERESTED IN EXPLORING HEALTH CARE CAREERS. STUDENT'S GRADES 9-12 PARTICIPATE IN THE PROGRAM, WHICH PROVIDES A FORUM FOR HIGH SCHOOL STUDENTS TO LEARN ABOUT THE HEALTH CARE SYSTEM AND ITS CAREER OPPORTUNITIES. THIS COMBINED EXPERIENCE INCLUDES WEEKLY MEETINGS AT LOCAL SCHOOLS FACILITATED BY TEACHERS AND ADVISORS, AS WELL AS MONTHLY MEETINGS AT SCRIPPS HOSPITAL ENCINITAS. THE PROGRAM MENTORS STUDENTS ON LEADERSHIP AND PROVIDES TOOLS FOR DAILY LIFE CHALLENGES. YOUNG LEADERS IN HEALTH CARE ALSO INCLUDES A SERVICE PROJECT TO MEET HIGH SCHOOL REQUIREMENTS AND MAKE A POSITIVE IMPACT ON THE COMMUNITY. THE PROGRAM CLOSES THE YEAR WITH A PRESENTATION ALIGNED WITH THE YEARLY FOCUS. MORE THAN 100 STUDENTS, COMMUNITY MEMBERS AND HEALTH CARE SPECIALISTS ATTENDED THE YOUNG LEADER IN HEALTH CARE FINAL MEETING, CULMINATING WITH STUDENT PRESENTATIONS ON SPORTS INJURIES AND PREVENTION. STUDENTS THAT PARTICIPATE IN THE PROGRAM ARE ELIGIBLE TO APPLY TO THE HIGH SCHOOL EXPLORER SUMMER INTERNSHIP PROGRAM. SCRIPPS HEALTH GRADUATE MEDICAL EDUCATION FOR MORE THAN 70 YEARS PHYSICIANS IN SCRIPPS GRADUATE MEDICAL EDUCATION PROGRAMS HAVE HELPED CARE FOR UNDERSERVED POPULATIONS THROUGHOUT THE REGION. SCRIPPS HAS A COMPREHENSIVE RANGE OF GRADUATE MEDICAL EDUCATION PROGRAMS AT SCRIPPS MERCY HOSPITAL, SCRIPPS FAMILY PRACTICE RESIDENCY PROGRAM AND SCRIPPS GREEN HOSPITAL. SCRIPPS GRADUATE MEDICAL EDUCATION PROGRAMS ARE WELL-RECOGNIZED FOR EXCELLENCE, PROVIDE A HANDS-ON CURRICULUM THAT FOCUSES ON PATIENT-CENTERED CARE AND OFFER RESIDENCIES IN A VARIETY OF PRACTICES, INCLUDING INTERNAL MEDICINE, FAMILY MEDICINE, PODIATRY, PHARMACY AND PALLIATIVE CARE. SCRIPPS HAS A PHARMACY RESIDENCY PROGRAM WHICH TRAIN RESIDENTS WITH DOCTOR OF PHARMACY DEGREES. IN 2015, SCRIPPS HAD A TOTAL OF 131 RESIDENTS AND 36 FELLOWS ENROLLED THROUGHOUT THE SCRIPPS HEALTH SYSTEM. MORE DETAIL ON THESE PROGRAMS IS INCLUDED IN THE COMMUNITY BENEFIT REPORT. UCSD/SCRIPPS HEALTH HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM IN 2015, SCRIPPS CONTINUED THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM. THE UCSD/SCRIPPS HEALTH HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM IS A ONE-YEAR PROGRAM DESIGNED FOR PHYSICIANS WHO WISH TO BECOME SUB-SPECIALISTS AND HAVE A LONG-TERM CAREER IN HOSPICE AND PALLIATIVE MEDICINE. THIS IS A UNIQUE PARTNERSHIP IN WHICH UCSD AND SCRIPPS HEALTH SHARE RESPONSIBILITY FOR THE FELLOWS, WITH TRAINEES SPENDING EQUAL TIME IN BOTH INSTITUTIONS WITH ALL THE BENEFITS OF BOTH INSTITUTIONS. THE PROGRAM PREPARES TRAINEES TO WORK IN A VARIETY OF ROLES, INCLUDING LEADERSHIP POSITIONS WITHIN THE FIELD. GRADUATES HAVE SUCCESSFULLY BECOME HOSPICE MEDICAL DIRECTORS AND PALLIATIVE MEDICINE CONSULTANTS IN OUTPATIENT AND INPATIENT SETTINGS ACROSS THE UNITED STATES. THE PROGRAM IS A CONTINUATION OF THE LEGACY OF THE SAN DIEGO HOSPICE AND THE INSTITUTE FOR PALLIATIVE MEDICINE FELLOWSHIP PROGRAM, IN WHICH BOTH SCRIPPS MERCY HOSPITAL/SCRIPPS HEALTH AND UCSD PLAYED INTEGRAL ROLES TO GRADUATE MORE THAN 80 FELLOWS. FELLOWS WHO COMPLETE THE UCSD/SCRIPPS HEALTH PROGRAM ARE WELL EQUIPPED TO PRACTICE IN DIVERSE SETTINGS, INCLUDING: ACUTE PALLIATIVE CARE UNITS, INPATIENT CONSULTATION, OUTPATIENT CONSULTATION, PATIENTS' HOMES, AND LONG-TERM CARE FACILITIES. THERE ARE CURRENTLY FOUR FELLOWS AND FOR THE 2015-2016 YEAR THE PROGRAM WILL GROW TO SIX FELLOWS. |
| FORM 990, PART VI, LINE 11 |
990 REVIEW PROCESS WITH THE GOVERNING BODY THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE SUPPORT OF THE CORPORATE FINANCE TEAM WITH INPUT FROM HUMAN RESOURCES, FOUNDATION, AND THE LEGAL OFFICE. THE FORM 990 WAS REVIEWED BY THE PRESIDENT, LEGAL COUNSEL, CHIEF FINANCIAL OFFICER, AUDIT COMMITTEE, HUMAN RESOURCES AND COMPENSATION COMMITTEE PRIOR TO FILING. IN ADDITION, A FULL COPY OF THE 990 WAS PROVIDED TO THE BOARD OF TRUSTEES VIA EMAIL IN ADVANCE OF FILING FORM 990 WITH THE IRS. |
| FORM 990, PART VI, LINE 12C |
COMPLIANCE POLICY MONITORING WITHIN 60 DAYS OF HIRE AND ANNUALLY THEREAFTER ALL SUPERVISORS AND ABOVE; ALL EMPLOYEES IN THE SUPPLY CHAIN MANAGEMENT DEPARTMENT, AUDIT & COMPLIANCE SERVICES DEPARTMENT, AND CASE MANAGEMENT DEPARTMENT OR FUNCTION; AND ANY OTHER EMPLOYEE WHO IS IN A POSITION TO REFER PATIENTS THAT ARE FEDERALLY FUNDED HEALTHCARE BENEFICIARIES TO OTHER PROVIDERS AND SERVICES; AND OTHERS AS DETERMINED BY THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE WILL BE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST COMMITMENT DISCLOSURE FORM. IT IS THE RESPONSIBILITY OF ANY EMPLOYEE WHO HAS A CHANGE IN OUTSIDE PROFESSIONAL ACTIVITIES, SIGNIFICANT FINANCIAL INTERESTS, OR POTENTIAL OR ACTUAL CONFLICT OF INTEREST, OR COMMITMENT SITUATIONS THAT ARISE DURING THE YEAR TO DISCLOSE THE INFORMATION TO THEIR SUPERVISORS AS SOON AS THE EMPLOYEE BECOMES AWARE OF THE POTENTIAL OR ACTUAL SITUATION CREATING A POSSIBLE CONFLICT OF INTEREST OR CONFLICT COMMITMENT. SUPERVISORS WILL ASSESS THE SITUATION AND REFER TO THEIR BUSINESS UNIT MANAGEMENT AND/OR THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE, AS APPROPRIATE. IN ADDITION, EACH PERSON ENTRUSTED WITH A POSITION OF RESPONSIBILITY IN THE GOVERNANCE AND MANAGEMENT IS REQUIRED TO COMPLETE AND SUBMIT DISCLOSURE STATEMENTS AS FOLLOWS: 1. INITIAL CONFLICT OF INTEREST AND 990 TAX RETURN DISCLOSURE STATEMENT (INITIAL DISCLOSURES) 2. ANNUAL CONFLICT OF INTEREST AND 990 TAX RETURN DISCLOSURE STATEMENT 3. SUBSEQUENT OCCURRENCES REPORTING UPON THE OCCURRENCE OF ANY NEW POTENTIAL CONFLICT OF INTEREST ACTUAL OR POTENTIAL CONFLICT DISCLOSURES REGARDING EMPLOYEES ARE REVIEWED BY THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE. DISCLOSURES REQUIRING MITIGATION ARE DISCUSSED WITH THE BUSINESS UNIT CHIEF EXECUTIVE AND EMPLOYEE'S SUPERVISOR. LEGAL COUNSEL REVIEWS EACH BOARD OF TRUSTEES MEETING AGENDA PRIOR TO THE MEETING AND POTENTIAL CONFLICTS OF INTERESTS ARE IDENTIFIED, CONSIDERED AND AN APPROPRIATE COURSE OF ACTION IS DETERMINED BY THE MEMBER AND LEGAL COUNSEL WITH THE INVOLVEMENT OF THE PRESIDENT AND BOARD CHAIR, WHERE APPROPRIATE. COURSE OF ACTION MAY INCLUDE THE CONFLICTED BOARD MEMBER RECUSING THEMSELVES, ABSTAINING FROM VOTING AND/OR READING A STATEMENT INTO THE BOARD MINUTES REGARDING SUCH CONFLICT. AS IT RELATES TO BOARD OF TRUSTEES, WHEN A DETERMINATION IS THAT AN ACTUAL CONFLICT OF INTEREST EXISTS AND A COVERED INDIVIDUAL IS AN "INTERESTED PERSON" UNDER CALIFORNIA LAW, THE TRANSACTION BEING CONSIDERED WILL COMPLY WITH APPLICABLE STATUTORY REQUIREMENTS TO AVOID PARTICIPATION IN THE DECISION MAKING PROCESS BY THE COVERED INDIVIDUAL. THE MINUTES OF BOARD MEETINGS SHALL DOCUMENT ALL RECUSALS FROM DISCUSSION AND VOTING. IT IS THE RESPONSIBILITY OF ANY EMPLOYEE WHO HAS A CHANGE IN OUTSIDE PROFESSIONAL ACTIVITIES, SIGNIFICANT FINANCIAL INTERESTS, OR POTENTIAL OR ACTUAL CONFLICT OF INTEREST, OR COMMITMENT SITUATIONS THAT ARISE DURING THE YEAR TO DISCLOSE THE INFORMATION TO THEIR SUPERVISORS AS SOON AS THE EMPLOYEE BECOMES AWARE OF THE POTENTIAL OR ACTUAL SITUATION CREATING A POSSIBLE CONFLICT OF INTEREST OR CONFLICT COMMITMENT. SUPERVISORS WILL ASSESS THE SITUATION AND REFER TO THEIR BUSINESS UNIT MANAGEMENT AND/OR THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE, AS APPROPRIATE. |
| FORM 990, PART VI, LINE 15A & 15B |
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN PURSUANT TO PROCEDURES REQUIRED BY TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1983 (TEFRA), SCRIPPS HEALTH'S PROCEDURES ARE AS FOLLOWS: THE BOARD OF TRUSTEES REVIEWS EXECUTIVE COMPENSATION FOR OFFICERS AND ALL KEY EMPLOYEES ON AN ANNUAL BASIS UTILIZING COMPARABILITY DATA OBTAINED BY AN EXTERNAL CONSULTANT. IT IS THE PHILOSOPHY OF THE SCRIPPS BOARD OF TRUSTEES TO COMPENSATE THE CORPORATION'S EXECUTIVES FAIRLY RELATIVE TO THE MEDIAN COMPENSATION OF PEER ORGANIZATIONS, CONSIDERING AND MAKING APPROPRIATE ADJUSTMENTS FOR THE COST OF LIVING IN SAN DIEGO, CALIFORNIA AND OTHER RELEVANT FACTORS. TO ACCOMPLISH THIS, THE BOARD HAS ADOPTED A PHILOSOPHY OF TARGETING EXECUTIVE SALARIES AT APPROXIMATELY THE 65TH PERCENTILE OF A NATIONAL PEER GROUP OF ORGANIZATIONS AS DETERMINED THROUGH AN INDEPENDENT OUTSIDE CONSULTANT ENGAGED BY THE BOARD AND WILL RELY ON THEIR RECOMMENDATIONS USING A DATABASE OF INDEPENDENTLY COLLECTED DATA. THE PHILOSOPHY STATES: - FOR PURPOSES OF EXECUTIVE COMPENSATION COMPARISONS, SCRIPPS WILL USE A NATIONAL PEER GROUP OF MEDICAL DELIVERY SYSTEMS OF SIMILAR REVENUE SIZE AND COMPLEXITY. THE PEER GROUP WILL BE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. - SALARIES ARE TARGETED AT APPROXIMATELY THE 65TH PERCENTILE OF THE PEER GROUP AND WILL REFLECT THE PERFORMANCE OF THE INDIVIDUAL. - TOTAL CASH COMPENSATION IS POSITIONED AT APPROXIMATELY THE 75TH PERCENTILE OF THE PEER GROUP WHEN MAXIMUM LEVEL INCENTIVES ARE PAID FOR ACHIEVEMENT OF MAXIMUM LEVEL OF PREDETERMINED OBJECTIVES AGREED UPON BY THE BOARD. - THE BOARD SELECTS THE 65TH PERCENTILE FOR BASE COMPENSATION OF PEER GROUP ADJUSTED FOR COST OF LIVING OF URBAN WEST COAST MARKET AT THE 50TH PERCENTILE (I.E. THE 50TH PERCENTILE OF CALIFORNIA MARKET IS THE 65TH PERCENTILE OF NATIONAL PEER MARKET AS OUR EXECUTIVE RECRUITMENT MARKET IS NATIONAL). - ANNUALLY, TOTAL CASH COMPENSATION FOR EACH POSITION WILL NOT EXCEED THE BASE SALARY ESTABLISHED FOR THE PERIOD PLUS THE MAXIMUM INCENTIVE PERCENTAGE PAYOUT ALLOWABLE AS DETERMINED BY THE SCRIPPS MANAGEMENT INCENTIVE PLAN APPROVED BY THE BOARD OF TRUSTEES FOR THE RESPECTIVE POSITION. THE REPORT FROM THE EXTERNAL CONSULTANT ENGAGED TO REVIEW EXECUTIVE COMPENSATION IS PRESENTED TO THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ON AN ANNUAL BASIS AND THE MOST RECENT REPORT WAS REVIEWED ON MARCH 25, 2015. REVIEW AND DISCUSSION OF SUCH REPORT IS DOCUMENTED IN THE MINUTES. |
| FORM 990, PART VI, LINE 16 |
JOINT VENTURES SCRIPPS HEALTH HAS MAINTAINED A LONG STANDING PRACTICE OF REVIEWING ALL POTENTIAL JOINT VENTURE OR SIMILAR ARRANGEMENTS TO ENSURE THAT CONTRACT TERMS ARE CONSISTENT WITH THE PROTECTION OF ITS TAX-EXEMPT STATUS. |
| FORM 990, PART VI, LINE 19 |
AVAILABILITY OF DOCUMENTS TO THE GENERAL PUBLIC FINANCIAL STATEMENTS ARE POSTED QUARTERLY ON THE DAC (DIGITAL ASSURANCE CERTIFICATION) WEBSITE AND THE MUNICIPAL SECURITIES RULEMAKING BOARD'S (MSRB) ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE IN SATISFACTION OF CONTINUING DISCLOSURE REQUIREMENTS RELATING TO THE ORGANIZATION'S TAX-EXEMPT DEBT ISSUANCES. THE AUDITED FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THIS FORM 990, IN ACCORDANCE WITH THE IRS INSTRUCTIONS. SCRIPPS HEALTH'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 |
OTHER CHANGES IN NET ASSETS CHANGE IN VALUE IN DEFERRED GIFTS (824,157) JOINT VENTURES DISTRIBUTION 2,530,664 OTHER CHANGES IN FUND BALANCES - IHS 35,972,066 OTHER (1,635,251) ---------------- TOTAL $36,043,322 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PHYS FEES-PROVIDER SVS AGRMENT TOTAL FEES:XXX-XX-XXXX |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:OTHER PURCHASED SVS - NON MED TOTAL FEES:61501551 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PHYSICIAN FEES TOTAL FEES:56244986 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PUCHASED MEDICAL SERVICES TOTAL FEES:25003824 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:ALL OTHER FEES FOR SERVICES TOTAL FEES:34506446 |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.