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Schedule H, Part V, Section B, Line 3E
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The significant health needs of the community are identified on our CHNA. The methodology to determine the significance of the community health needs and prioritization of the health needs are also described in our CHNA.
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Schedule H, Part V, Section B, Line 5 Facility A, 1
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Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. The Community Health Needs Assessment was conducted to identify priority health needs within each community served by each hospital and to inform development of implementation strategies to address the identified needs selected by each hospital based on their ability to impact them. Additionally, the Partnership focuses collaborative efforts to include the five-county service area of Baker, Clay, Duval, Nassau, and St. Johns. The CHNAs were conducted to respond to federal regulatory requirements and sought to identify significant health needs for geographic areas and populations by focusing on the following questions: * Who in the community is most vulnerable in terms of health status or access to care? * What are the unique health status and/or access needs for these populations? * Where do these people live in the community? * Why are these problems present? * How are disparities based on racial and ethnic inequities affecting health? * What social determinants of health can the health systems significantly address? Primary Data Significant changes from traditional methods of community engagement to virtual engagement platforms were necessary due to the nature of the COVID-19 pandemic. Primary data gathered from various segments of the community with special knowledge and expertise in public health included residents, stakeholder organizations, and hospital staff. The Health Planning Council collected data through (1) virtual key stakeholder interviews, (2) virtual focus groups, and (3) a community survey, in English and Spanish, distributed throughout the service area through online and paper submissions. Around 660 community members contributed their input on the community's health and health-related needs, barriers, and opportunities for Baptist Medical Center Jacksonville's service area, around 865 contributed their input for Baptist Medical Center South, and around 1,390 contributed their input for Wolfson Children's Hospital. The Partnership aimed to solicit input from members of or representatives of vulnerable and underserved populations through key informant interviews and focus group discussions. Baptist Medical Center Jacksonville - Key informant interviews were conducted with 15 community experts who either served or represented underserved communities (such as low-income individuals and groups experiencing disparities in health outcomes or health access). Baptist Medical Center South - Key informant interviews were conducted with 20 community experts who either served or represented underserved communities. Wolfson Children's Hospital - Key informant interviews were conducted with 31 community experts who either served or represented underserved communities. For the focus groups, efforts were made to recruit participants who represent minority, low-income, veterans and medically underserved populations most at risk for health disparities and those experiencing challenges in accessing healthcare. Secondary Data Secondary data used for this assessment were collected and analyzed through universal measures recommended by Healthy People 2030 to evaluate the health status of communities and populations served by the Partnership. Data was obtained from the Behavioral Risk Factor Surveillance System, County Health Rankings and Roadmaps, Florida CHARTS, Florida Department of Health, Local Community Health Assessments, Hospital Utilization Reports, U.S. Census, and the Youth Risk Behavior Surveillance System. Indicators were used to evaluate areas of health and quality of life in the following areas through an equity lens: * Accessing Healthcare Services/Resources * Adolescent Health * Asthma * Cancer * Children's Health * Hospitalization and Incidence Ranking * COVID-19 * Diabetes * Disabilities * Fatal Injury * Health Outcomes * Health Factors * Healthcare Utilization * Healthcare Access * Heart Disease and Stroke * Household Income * Infectious Disease * Leading Causes of Death * Life Expectancy * Maternal and Infant Health * Mental Health * Pediatric Health * Poverty Indicators * Substance Abuse * Veterans' Health * Transportation Indicator values for Baker, Clay, Duval, Nassau, and St. Johns counties were compared to other Florida counties and other U.S. counties to identify relative need. Other considerations in weighing relative areas of need included comparisons to Florida state values and national values. Based on these comparisons in conjunction with primary data, health needs were identified and ranked from high to low need.
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Schedule H, Part V, Section B, Line 6a Facility A, 1
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Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. 12 hospitals: (Baptist Medical Center Jacksonville, Baptist Medical Center South, Wolfson Children's Hospital, Baptist Medical Center of the Beaches, Inc., Baptist Medical Center of Nassau, Inc., Ascension St. Vincent's Medical Center Clay, Ascension St. Vincent's Medical Center Riverside, Ascension St. Vincent's Medical Center Southside, Brooks Rehabilitation Hospital Bartram, Brooks Rehabilitation Hospital University, Mayo Clinic Jacksonville, UF Health Jacksonville, and UF Health North)
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Schedule H, Part V, Section B, Line 7 Facility A, 1
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Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. Public release was held May 26, 2022 with all health system CEOs presenting the assessment methodology, the needs identified in the assessment and the needs prioritized by each hospital. The public release was attended by approximately 50 people including media representatives. Newspaper articles and radio and television stories reported on the assessment and informed community members where they could find each hospital's assessment and implementation plans. Link to story in the Florida Times-Union - https://www.jacksonville.com/story/news/healthcare/2022/05/30/jacksonville-area-hospitals-release-report-community-health-issues/9905670002/
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Schedule H, Part V, Section B, Line 11 Facility A, 1
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Facility A, 1 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Although Baptist Jacksonville can play a direct role in addressing many health-related priorities, others will require the development of strategic partnerships with community service partners or involve the expertise of the hospital's staff in the development of new and effective efforts that will be administered by other local community organizations. Regardless of the role Baptist Jacksonville will play in meeting needs, Baptist remains committed to leading and supporting efforts that increase access to care and engage our patients in improving health and community wellbeing, especially through a health equity lens. All Community Health Plan efforts implemented by Baptist Jacksonville must be measurable, achievable, and financially feasible. This report reflects the goals and strategic objectives identified to address community priorities within Baptist Jacksonville's influence and scope of service. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. Access issues were compiled due to their inextricable nature in impacting health behaviors and health outcomes. As access issues for Jacksonville residents continue to increase, the focus on this priority will occur during the 2022-2024 CHNA cycle Key Issues Identified in the Assessment: * Factors contributing to chronic disease include food deserts, level of access to physical activity, and air quality. - Lack of access to proper nutrition in some areas - food desert designation in Atlantic Beach * Transportation is identified as a need - 91% of survey respondents from zip code 32218 (Duval) indicated they do not have access to public transportation * Duval County 2018-2020 age-adjusted rates of chronic disease: - Asthma: The hospitalization rate was 3.36x higher for Black patients than White patients - Congestive heart failure: The hospitalization rate was 1.95x higher for Black patients than White patients - Diabetes: The hospitalization rate was 2.52x higher for Black patients than White patients - Stroke: The death rate was 1.36x higher for Black people than White people * Cancer is the leading cause of death in the region followed by heart disease. * The three leading cancer incidences are: breast cancer (females), lung cancer (females males) and prostate cancer (males) - Duval County 2018-2020 age-adjusted death rates: Breast cancer: The death rate was 1.55x higher for Black females than White females. Prostate cancer: The death rate was 2.13x higher for Black males than White males and 3.48x higher for non-Hispanic males than Hispanic males Goals: * Increase access to health services for un- and under-insured people in the BMCJ service area. * Increase knowledge of chronic diseases and where to access services. Strategies: * Continue partnering with organizations that provide access to care for Duval residents who do not have health insurance. * Support JaxCareConnect in collaborative efforts to increase access to care, access to interpretive services, and marketing and awareness of services * Continue partnering with organizations to provide referrals for and increase access to smoking cessation classes and assistive medication. * Continue providing screenings and health coaching through Y Healthy Living Centers and JCA Health Connexions. * Provide education and prevention programming in the community. * Implement a falls prevention initiative for Duval seniors Metrics/What we are measuring: * Number of people served * Percentage of people receiving preventative services * Evaluate health outcomes and wellness of participants in diabetes, hypertension and mental health * Evaluate health and wellness of participants * Number of people referred to programs * Percentage of people referred who are participating in classes * Percentage of people completing classes * Number of people receiving screening * Number of people receiving coaching * Evaluate health outcomes * Number of people educated * Evaluation of program satisfaction and health outcomes * Number of seniors participating in education sessions * Number of reported falls by participants before and after sessions. * Death rate from falls for seniors in the county Potential Partnering/External Organizations: * Agape Health * Community Health Outreach (CHO) * Mission House * Muslim American Social Services (MASS) * Sulzbacher Center * Volunteers in Medicine (VIM) * We Care Jacksonville * JaxCareConnect * Agency Health Education Center * Florida's First Coast YMCA * Jewish Community Alliance * Faith Partners Results: Year 1 (October 1, 2021 - September 30, 2022) * Community Health Outreach, MASS, Sulzbacher Downtown, We Care, and Volunteers in Medicine collectively served 5,269 un- and under-insured patients 895 diabetic patients were served, of which 548 were seen at least twice during the 12-month period, and of those, 66% reported reaching within normal levels (HbA1c less than 7% or 8%) 1,739 hypertensive patients were served, of which 1,200 were seen at least twice during the 12-month period, and of those, 54.3% measured less than 140/90 1,042 patients were seen at least one time with a previous or new diagnosis of mental health, of which 594 patients scored a 10 or greater on the PHQ9. 435 were referred for treatment, and 373 (85.7%) participated in treatment Year 1 (October 1, 2021 - September 30, 2022) * Baptist Health funded a facilitator to help the free clinics and FQHCs develop a model to create JaxCareConnect, a system of care led by WeCare Jacksonville As of September 31, 2021, 1,052 referrals for care were received from emergency department social workers, 649 (62%) moved forward successfully towards next steps and of those, 528 (81%) have appointments with a primary care provider within the Duval Safety Net Collaborative clinics. 127 (23%) of active or successfully served clients have been enrolled, or have pending appointments, in private or city sponsored healthcare through the UF Health City Contract Program or the Affordable Care Act Year 1 (October 1, 2021 - September 30, 2022) * 81 patients were referred to AHEC for a tobacco cessation program 32 patients enrolled and 20 (24.7%) of these patients participated in the classes 20 participants (100%) completed the course Year 1 (October 1, 2021 - September 30, 2022) Health Partnerships with the YMCA and JCA served 5,745 lives * 579 patients with biometric screenings * 1,288 1:1 health coaching sessions * Health outcome data is being refined for future comprehensive reporting Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 236 January: Dementia Cognition February: Heart Health March: Colorectal Cancer May: Stroke Awareness July: Diabetes August: Nutrition September: Mental Health 96.3% agreed or strongly agreed that the webinars delivered the information they expected to receive 92.5% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 95.3% agreed or strongly agreed that they plan to apply what they learned Year 1 (October 1, 2021 - September 30, 2022) * Falls Prevention Webinar, June 15 Total attendance: 30 * Age-Adjusted Death Rate from Falls, Ages 65+ (2021), per 100,000 Population Baker: 7.5 Clay: 10.6 Duval: 12.3 Nassau: 10.1 St. Johns: 13.7
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Schedule H, Part V, Section B, Line 11 Facility A, 2
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Facility A, 2 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Mental and Behavioral Health: Mental health is an integral and essential component of health. It is a state of well-being in which individuals realize their abilities, cope with the everyday stresses of life, work productively, and contribute to their community. Baptist Health has made behavioral health services a priority, providing comprehensive inpatient and outpatient services to both children and adults. Mental Health was a priority health need addressed by Baptist Medical Center Jacksonville in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of Jacksonville residents continue to increase. Key Issues Identified in the Assessment * Mental Health was one of the most mentioned health concerns. * Priority issues identified involving mental health include lack of providers; cost; stigma; youth mental health; telehealth; suicide; LGBTQ mental health o The 2020 Duval County age-adjusted rates per 100,000 persons for opioid overdose deaths and drug overdose deaths were highest in Northeast Florida at 51.0 and 58.0, respectively, and higher than the state's rates of 29.9 and 36.0. Goals: * A healthy community with easy and timely access to high quality services when needed: 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) More providers delivering the most advanced care Strong care continuum (enough of the right type of care) Seamless transitions along the care continuum Mental illness decriminalized Stigma eliminated and crises prevented Community advocating improvement Non-medical needs addressed (social determinants of health) * Decrease isolation of seniors Strategies: * Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care. * Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action * Host community-wide conferences on mental health to reduce stigma and barriers to care. * Provide education and prevention programming in the community. * Implement support groups for LGBT+ populations to address addictions, mental health, advocacy, community resources, etc. * Participate in Project Save Lives to provide access to peer support for ED patients with mental health and substance use disorder for the purpose of getting them into treatment. * Friendly callers - seniors developing phone friendships with seniors Metrics/What we are measuring: * 1,500 people trained by 2024 * Evaluate participant satisfaction * Evaluate the impact of each initiative according to its focus * Crisis calls (schools, EMT, police) * Rate of behavioral health ED visits * Number of people attending the conference * Satisfaction surveys * Number of people participating in programs * Evaluate impact of programming on participants * Number of people participating in support groups * Evaluation of quality and outcomes of support groups * Percentage of identified people who met with peer specialist * Percentage of people who enter treatment * Percentage of people who did or didn't consent to services and are readmitted into ED * Number of volunteers in program * Number of seniors in program * Number of phone calls * Total time invested in calls * Quality of phone calls (reported by volunteers) Potential Partnering/External Organizations: * Florida's First Coast YMCA * National Council for Behavioral Health * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU * Community mental health providers * Faith organizations * Universities * Faith Partners * JASMYN * PFLAG * University of North Florida * AgeWell and Baptist Primary Care * Baptist Health Auxiliary Results: Year 1 (October 1, 2021 - September 30, 2022) * 50 Adult MHFA classes were offered in which 624 participants were trained * 83% of participants rated the course as helpful and informative * 13 Youth MHFA classes were offered in which 179 participants were trained Year 1 (October 1, 2021 - September 30, 2022) * Hope Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at Texas Christian University as a Jacksonville city-wide initiative to: (1) foster awareness and culture change; (2) prevent and reduce ACEs and trauma; (3) nurture learning committees. Wolfson Children's Hospital is represented with a member on a Hope Healing JAX Steering Committee to implement these objectives. Year 1 (October 1, 2021 - September 30, 2022) * The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. The keynote address and presentation materials were posted on the Baptist Health Social Responsibility website 100% of survey respondents (n=34) rated the conference quality as excellent or good Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 75 January: Dementia Cognition September: Mental Health 97.1% agreed or strongly agreed that the webinars delivered the information they expected to receive 94.1% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 97.1% agreed or strongly agreed that they plan to apply what they learned Year 1 (October 1, 2021 - September 30, 2022) * Discussions were initiated with Baptist Pride ERG to implement a support group type program. Progress was put on hold due to the transition to the new Epic EHR. Year 1 (October 1, 2021 - September 30, 2022) * There were 726 patient encounters, of which 359 (49.45%) led to a consent to services and 61 (8.4%) led to patients entering treatment (BMC-Downtown/BMC-North) * Readmission counts are currently unavailable due to the transition to the new Epic HER Year 1 (October 1, 2021 - September 30, 2022) * 27 volunteers (2 for BMC Beaches, 9 for BMC Jacksonville, 4 for BMC Clay/South, and 12 team members) * 36 community members * 928 phone calls * 473.1 hours invested in calls * Quality of phone calls (reported by volunteers) - 703 phones calls rated Excellent: 87.34% (614) Pretty Good: 9.82% (69) OK: 1.71% (12) Weak: 0.57% (4) Poor: 0.57% (4)
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Schedule H, Part V, Section B, Line 11 Facility A, 3
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Facility A, 3 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Maternal and Child Health In 2020 17,920 babies were born in Northeast Florida with 12,490 born in Duval County and Baptist Medical Center Jacksonville delivering over 1,900 of these babies. Maternal health refers to the health of women during pregnancy, childbirth, and the postnatal period. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being. Children's health is the extent to which individual children or groups of children are able or enabled to develop and realize their potential, satisfy their needs, and develop the capacities that allow them to interact successfully with their biological, physical, and social environments. Child health is the foundation to adult health and overall well-being. At Baptist Health, we are committed to providing quality care through every stage of life. Key Issues Identified in the Assessment: * The neonatal mortality rate per 1,000 live births in Duval is almost three-times higher among Black babies than White babies. * The infant mortality rate per 1,000 live births in Duval is over two-times higher among Black babies than White babies. * The child mortality rate in Duval (38.3 per 100,000 population aged 5-19) is the highest in Northeast Florida and above the state rate of 26.0. * The Duval County age-adjusted rate for all deaths ages 1-5 is 26.6, higher than the state rate of 24.4 * The rate of children in foster care in Duval is 234.8, higher than the state rate of 220.4. Goals: * Zero preventable deaths. Zero health disparities. * Support parents with perinatal mood disorders. * All children can see Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies. * Expand WELLCome Home initiative to Baptist South in 2023 * Offer classes focused on increasing awareness of safe sleep practices. * Continue partnering with Duval County Public Schools to provide safe sex education through health curriculum * Provide a continuum of care including psychology and psychiatry support on an inpatient and outpatient basis. * Provide education on perinatal mood disorder (PMD) to clinicians. * Provide support groups to new mothers experiencing PMD. * Provide access to screenings, exams and glasses for children in need Metrics/What we are measuring: * Infant mortality * Pre-term births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of participants in class * Number of students participating in classes * Number of participants * Number of people trained * Number of people participating in support groups * Number of screenings, exams and glasses provided * Percentage of students who failed a vision screening, who received an eye exam, and who received prescription glasses * Number and percent of students who fail vision screenings multiple years. Potential Partnering/External Organizations: * Northeast Florida Healthy Start Coalition * Home visiting programs * Florida Department of Health * Duval County Public Schools * University of North Florida * Private OBGYN Practices * Postpartum Support International * Florida's First Coast YMCA * Departments of Health in NEFL * School districts in NEFL * Vision is Priceless Results: Year 1 (October 1, 2021 - September 30, 2022) * 140 mothers referred to Northeast Florida Healthy Start Coalition WELLcome Home visiting nurse 110 mothers consented and participated to the WELLcome Home nurse visit and education (78.6% completion) 110 mothers educated on safe sleep practices and 73 mothers educated on infant and/or maternal nutrition * Northeast Florida Healthy Start Coalition community health workers targeted zip codes 32209 and 32210 as a Fetal Infant Mortality Review action plan to decrease infant mortality. 182 initial intakes completed by the community health workers with pregnant women Community health workers referred 111 mothers to maternal and child health home visiting programs More than 100 cases were connected to a home visiting program from an initial intake * 2021 Infant mortality rates Florida: 5.9/1,000 live births Duval: 6.7/1,000 live births 32209: 12.5/1,000 live births 32210: 6.6/1,000 live births * 2021 Preterm births Florida: 23,179 (10.85%) Duval: 1,518 (12.24%) 32209: 92 (16.64%) 32210: 110 (12.57%) * 2021 Low birth weight babies Florida: 19,211 (8.99%) Duval: 1,306 (10.53%) 32209: 94 (17%) 32210: 123 (14.06%) Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers called after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program. * 132 mothers referred to Northeast Florida Healthy Start Coalition * 71 mothers referred to lactation consultation services * 10 mothers connected to maternal mental health services * Expanded WELLcome Home to include Baptist Medical Center Beaches Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital team members assisted with condom demonstration for 6 school classes education a total of 252 students * Duval County Public Schools discontinued the condom demonstration sexual health education for FY22 Year 1 (October 1, 2021 - September 30, 2022) * From November 2021 through September 2022, 45 participants attended PMAD lectures. Year 1 (October 1, 2021 - September 30, 2022) * 30 clinicians were trained by Baptist Maternal Mental Health Year 1 (October 1, 2021 - September 30, 2022) * 24 New Moms Support Group classes offered virtually for new mothers occurring every other week * 92 mothers participated in New Moms Support Group Year 1 (October 1, 2021 - September 30, 2022) * 30,495 children received vision screenings for the early detection of vision issues * 1,265 (4.15%) of students failed the screening and received comprehensive eye exams while at school * 1,075 (84.98%) of students who were examined, received prescription glasses
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Schedule H, Part V, Section B, Line 11 Facility A, 4
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Facility A, 4 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20 percent of an individual's health outcomes. An individual's habits and behaviors account for about 30 percent of that person's quality and length of life. The social, economic, and environmental factors, also known as the Social Determinants of Health (SDOH) determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around five key domains: Economic stability; Education, access, and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was commonly cited as an inhibiting factor for individuals who have difficulty accessing medical and dental services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance in Duval County. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing in Duval County. Goals: * Address social needs that prevent people from achieving optimal health Strategies: * Increase employment opportunities * Increase access to healthy food * Ensure parks are safe places for children and adults * Ensure seniors have access to in-home and other supports for health and wellbeing including foods * Research opportunities to address housing and transportation * Implement findhelp (Aunt Bertha) referral system for patients and community members Metrics/What we are measuring: * Percentage of people hired in low life expectancy zip codes * Percentage of identified FQHC and free clinic patients screened for food insecurity * Percentage of patients connected with food assistance programs * Number of home-delivered food boxes or meals * Evaluate community response and engagement at targeted park improvements * Evaluate level of programming at targeted parks * Number of meals provided * Percentage of seniors who need food assistance and are receiving meals * Percentage of seniors needing in-home medical services and receiving them * Evaluate organization's ability to address these social determinants * Number of organizations receiving referrals through findhelp Potential Partnering/External Organizations: * CareerSource * Family Links * JaxCareConnect * MASS * City of Jacksonville Parks and Recreation * Jaguars * Lift Jax * Blue Zones Jacksonville * Pie in the Sky * Meals on Wings * Healthcare Anchor Network * Community-based organizations addressing social needs Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with CareerSource to provide job fairs in identified zip codes. Due to unforeseen circumstances with Hurricane Ian, the initiative was postponed to Q2 2023. Year 1 (October 1, 2021 - September 30, 2022) * 1274 families assisted with Supplemental Nutrition Assistance Program (SNAP) * Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital provided emergency food bags to 49 families with identified food insecurity needs * Muslim American Social Services 1,000 out of 1,130 patients (88.5%) screened for food insecurity 353 of non-chronic patients received at least one food packet/voucher (35.3%) 300 chronic care patients were enrolled in the Food as Medicine Program (30%) * JaxCareConnect 1,428 (100%) of clients were screened for food insecurity Of 624 eligible and active clients, 74 (11.86%) referrals were made to food stamps, food pantries, or for transportation to access food Year 1 (October 1, 2021 - September 30, 2022) * Lift Jax is focusing on Flossie Brunson and A. Philip Randolph Parks by upgrading equipment and amenities. Because construction has not finished, the community's response has not been evaluated. * A programmer position is being drafted with the aim of addressing park engagement. Ideally it will align with Blue Zones efforts. Year 1 (October 1, 2021 - September 30, 2022) * Pie in the Sky served 525 low-income seniors to provide fresh, healthy produce. This was 97.2% of identified seniors (540) who needed assistance. * Meals on Wings provided 4,820 meals to Jacksonville patients, and 8,980 meals to around 250 seniors systemwide. About 37,000 meals have been provided to Duval patients since October 2018. Year 1 (October 1, 2021 - September 30, 2022) * Through Blue Zones Jacksonville and the Health Anchor Network, Baptist Health is assessing its ability to play a role in affecting change by reviewing resources that address healthy and affordable housing and economic disparities resulting in limited transportation options. Year 1 (October 1, 2021 - September 30, 2022) * * Implementation of findhelp slowly occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between them from May to September.
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Schedule H, Part V, Section B, Line 11 Facility A, 5
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Facility A, 5 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Needs Baptist Medical Center Jacksonville Will Not Address No entity can address all the health needs present in its community. Baptist Jacksonville is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health. In addition, Baptist Health's Vice President of Community Investment and Impact actively participates in a community effort that includes businesses, city government and funders to end poverty in Jacksonville. Baptist Jacksonville does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus resources on other significant community health needs. Chronic Disease - Baptist Jacksonville through Baptist Health operates 8 Weeks to Healthy Living, a nutrition and physical activity program, in partnership with faith organizations and the YMCA. Baptist Health also operates Healthy Living Centers in YMCA locations in the Baptist Jacksonville service area. Community members, regardless of membership with the YMCA, receive screenings and health coaching through the centers. Also, JaxCareConnect, a collaboration created by the local nonprofit safety net of free charitable clinics to assist uninsured adult Duval County residents find a primary care medical home, is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Last, Baptist Health is a leader and significant sponsor of Blue Zones Jacksonville to increase the health and well-being of Jacksonville residents. The project does not specifically address chronic diseases but does focus on systems level factors to improve the places and spaces people live, work, and play. The prevalence of chronic disease may potentially be impacted by this initiative. Given these long-term investments, the hospital will focus on other significant community health needs, and Baptist Jacksonville does not anticipate implementing additional initiatives to address chronic disease. Transportation - The Jacksonville Transportation Authority, United Way, and other Northeast Florida organizations that Baptist Health collaborates with provide transportation options for residents. In addition, Blue Zones Jacksonville seeks to increase the health and safety of environments to enable residents to enjoy healthier lives. A key component of the Blue Zones work is to address transportation safety. Given this significant investment, Baptist Jacksonville does not have additional resources to commit to transportation needs. The hospital is committed to addressing other social determinants of health. Housing - Baptist Health partners with Habijax to help address housing needs. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Cancer - Baptist MD Anderson Cancer Center is part of the Baptist Jacksonville services and participates in outreach and educational activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist Jacksonville service area, the hospital will focus on other significant community health needs.
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Schedule H, Part V, Section B, Line 11 Facility A, 6
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Facility A, 6 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Although Baptist South can play a direct role in addressing many health-related priorities, others will require the development of strategic partnerships with community service partners or involve the expertise of the hospital's staff in the development of new and effective efforts that will be administered by other local community organizations. Regardless of the role Baptist South will play in meeting needs, Baptist remains committed to leading and supporting efforts that increase access to care and engage our patients in improving health and community wellbeing, especially through a health equity lens. All Community Health Plan efforts implemented by Baptist South must be measurable, achievable, and financially feasible. This report reflects the goals and strategic objectives identified to address community priorities within Baptist South's influence and scope of service. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. Access issues were compiled due to their inextricable nature in impacting health behaviors and health outcomes. During the last three-year CHNA cycle, Access to Care was a priority health need addressed by Baptist Medical Center South. As access issues for Duval and St. Johns residents continue to increase, the focus on this priority will continue into the 2022-2024 CHNA cycle Key Issues Identified in the Assessment: * Transportation is identified as a need - 91% of respondents from zip code 32218 (Duval) 74% from zip code 32086 (St. Johns) indicated they do not have access to public transportation. * Factors contributing to chronic disease incidence are many and inclusive of the presence of food deserts, level of access to physical activity, and indoor/outdoor air quality. * Duval County 2018-2020 age-adjusted rates of chronic disease: - Congestive heart failure: The hospitalization rate was 1.95x higher for Black patients than White patients - Diabetes: The hospitalization rate was 2.52x higher for Black patients than White patients * St. Johns County 2018-2020 age-adjusted rate of chronic disease: - Congestive heart failure: The hospitalization rate was 2.06x higher for Black patients than White patients - Congestive heart failure: The hospitalization rate was 1.59x higher for non-Hispanic patients than Hispanic patients - Diabetes: The hospitalization rate was 3.24x higher for Black patients than White patients - Stroke: The death rate was 1.16x higher for White people than Black people - Stroke: The death rate was 1.22x higher for non-Hispanic people than Hispanic people * Cancer is the leading cause of death in the region, followed by heart disease. The three leading cancer death incidences are: breast cancer deaths (females), lung cancer deaths (females males) and prostate cancer deaths (males). - Duval County 2018-2020 age-adjusted death rates: Breast cancer: The death rate was 1.55x higher for Black females than White females. Prostate cancer: The death rate was 2.13x higher for Black males than White males and 3.48x higher for non-Hispanic males than Hispanic males - St. Johns County 2018-2020 age-adjusted deaths rates: Breast cancer: The death rate was 2.16x higher for Black females than White females Breast cancer: The death rate was 1.27x higher for non-Hispanic females than Hispanic females
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Schedule H, Part V, Section B, Line 11 Facility A, 7
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Facility A, 7 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Access to Care: Goals: * Increase access to health services for un- and under-insured people in the BMCS service area and Every Child in Northeast Florida has Health Care insured people in the BMCS service area. * Increase knowledge of chronic diseases and management and where to access services. Strategies: * Continue partnering with organizations who provide access to care for Duval and St. Johns residents who do not have health insurance. * Support JaxCareConnect to increase access to care. * Continue providing screenings and health coaching through Y Healthy Living Centers and JCA Health Connexions. * Provide education and prevention programming in the community. Metrics/What are we measuring: * Number of people served * Percentage of people receiving preventative services * Evaluate health outcomes and wellness of participants in diabetes, hypertension and mental health * Number of people receiving screening * Number of people receiving coaching * Evaluate health outcomes * Number of people educated * Number of people accessing care Potential Partnering/External Organizations: * Muslim American Social Services (MASS) * Sulzbacher Center * Volunteers in Medicine * The Way * We Care Jacksonville * JaxCareConnect * Florida's First Coast YMCA * Jewish Community Alliance * Faith Partners Results: Year 1 (October 1, 2021 - September 30, 2022) * Community Health Outreach, MASS, Sulzbacher Downtown, We Care, and Volunteers in Medicine collectively served 5,269 un- and under-insured patients 895 diabetic patients were served, of which 548 were seen at least twice during the 12-month period, and of those, 66% reported reaching within normal levels (HbA1c less than 7% or 8%) * 1,739 hypertensive patients were served, of which 1,200 were seen at least twice during the 12-month period, and of those, 54.3% measured less than 140/90 * 1,042 patients were seen at least one time with a previous or new diagnosis of mental health, of which 594 patients scored a 10 or greater on the PHQ9. 435 were referred for treatment, and 373 (85.7%) participated in treatment Year 1 (October 1, 2021 - September 30, 2022) * Baptist Health funded a facilitator to help the free clinics and FQHCs develop a model to create JaxCareConnect, a system of care led by WeCare Jacksonville As of September 31, 2021, 1,052 referrals for care were received and received from emergency department social workers, 649 (62%) moved forward successfully towards next steps and of those, 528 (81%) have appointments with a primary care provider within the Duval Safety Net Collaborative clinics. 127 (23%) of active or successfully served clients have been enrolled, or have pending appointments, in private or city sponsored healthcare through the UF Health City Contract Program or the Affordable Care Act. Year 1 (October 1, 2021 - September 30, 2022) Health Partnerships with the YMCA and JCA served 5,745 lives * 579 patients with biometric screenings * 1,288 1:1 health coaching sessions * Health outcome data is being refined for future comprehensive reporting Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 236 January: Dementia Cognition February: Heart Health March: Colorectal Cancer May: Stroke Awareness July: Diabetes August: Nutrition September: Mental Health 96.3% agreed or strongly agreed that the webinars delivered the information they expected to receive 92.5% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 95.3% agreed or strongly agreed that they plan to apply what they learned
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Schedule H, Part V, Section B, Line 11 Facility A, 8
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Facility A, 8 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Mental and Behavioral Health Mental health is an integral and essential component of health. It is a state of well-being in which individuals realize their abilities, cope with the everyday stresses of life, work productively, and contribute to their community. Baptist Health has made behavioral health services a priority, providing comprehensive inpatient and outpatient services to both children and adults. Mental Health was a priority health need addressed by Baptist Medical Center South in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of Jacksonville residents continue to increase. Key Issues Identified in the Assessment * Mental Health was one of the most mentioned health concerns. * Priority issues identified involving mental health include lack of providers; cost; stigma; youth mental health; telehealth; suicide; LGBTQ mental health * Duval County: o The 2020 age-adjusted rates per 100,000 persons for opioid overdose deaths and drug overdose deaths are highest in Northeast Florida, at 51.0 and 58.0, respectively. * St. Johns County: o The 2020 age-adjusted rate per 100,000 for opioid deaths was 14.3 and drug overdose deaths was 18.3, lower than the state's rates of 29.9 and 36.0 respectively. o The 2018-2020 age-adjusted rate of suicide deaths for White and non-Hispanic populations is higher than state rate overall, with White individuals experiencing the highest rate. Goals: A healthy community with easy and timely access to high quality services when needed: * 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) * More providers delivering the most advanced care * Strong care continuum (enough of the right type of care) * Seamless transitions along the care continuum * Mental illness decriminalized * Stigma eliminated and crises prevented * Community advocating improvement * Non-medical needs addressed (social determinants of health) Decrease isolation of seniors Strategies: * Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care. * Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action * Provide education and prevention programming in the community. * Host community-wide conferences on mental health to reduce stigma and barriers to care. * Beginning in 2022, participate in Project Save Lives to provide access to peer support for ED patients with mental health and substance use disorder for the purpose of getting them into treatment. * Friendly callers - seniors developing phone friendships with seniors * Check in on seniors through healthy food distributions Metrics/What we are measuring: * 1,500 people trained by 2024 * Evaluate participant satisfaction * Measure crisis calls (schools, EMT, police) * Evaluate the impact of each initiative according to its focus * Rate of behavioral health ED visits * Number of people participating in programs * Evaluate impact of programming on participants * Number of people attending the conference * Satisfaction surveys * Percentage of identified people who met with peer specialist * Percentage of people who enter treatment * Percentage of people who did or didn't consent to services and are readmitted into ED * Number of volunteers in program * Number of seniors in program * Number of phone calls * Total time invested in calls * Quality of phone calls (reported by volunteers) * Number of seniors receiving food deliveries Potential Partnering/External Organizations: * Florida's First Coast YMCA * National Council for Behavioral Health * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU * Faith organizations * Community mental health providers * Universities * City of Jacksonville * Gateway Services * AgeWell and Baptist Primary Care * Baptist Health Auxiliary * Meals on Wheels * Pie in the Sky Results: Year 1 (October 1, 2021 - September 30, 2022) * 50 Adult MHFA classes were offered in which 624 participants were trained * 83% of participants rated the course as helpful and informative * 13 Youth MHFA classes were offered in which 179 participants were trained Year 1 (October 1, 2021 - September 30, 2022) * Hope Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at Texas Christian University as a Jacksonville city-wide initiative to: (1) foster awareness and culture change; (2) prevent and reduce ACEs and trauma; (3) nurture learning committees. Wolfson Children's Hospital is represented with a member on a Hope Healing JAX Steering Committee to implement these objectives. Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 75 January: Dementia Cognition September: Mental Health 97.1% agreed or strongly agreed that the webinars delivered the information they expected to receive 94.1% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 97.1% agreed or strongly agreed that they plan to apply what they learned Year 1 (October 1, 2021 - September 30, 2022) * The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. * The keynote address and presentation materials were posted on the Baptist Health Social Responsibility website * 100% of survey respondents (n=34) rated the conference quality as excellent or good Year 1 (October 1, 2021 - September 30, 2022) * There were 726 patient encounters, of which 359 (49.45%) led to a consent to services and 61 (8.4%) led to patients entering treatment (BMC-Downtown/BMC-North) * Readmission counts are currently unavailable due to the transition to the new Epic HER Year 1 (October 1, 2021 - September 30, 2022) * 27 volunteers (2 for BMC Beaches, 9 for BMC Jacksonville, 4 for BMC Clay/South, and 12 team members) * 36 community members * 928 phone calls * 473.1 hours invested in calls * Quality of phone calls (reported by volunteers) - 703 phones calls rated Excellent: 87.34% (614) Pretty Good: 9.82% (69) OK: 1.71% (12) Weak: 0.57% (4) Poor: 0.57% (4) Year 1 (October 1, 2021 - September 30, 2022) * Pie in the Sky served 525 low-income seniors to provide fresh, healthy produce. This was 97.2% of identified seniors (540) who needed assistance. * Meals on Wings provided 3,551 meals to South patients, and 8,980 meals to around 250 seniors systemwide. About 37,000 meals have been provided to Duval patients since October 2018
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Schedule H, Part V, Section B, Line 11 Facility A, 9
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Facility A, 9 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Maternal and Child Health In 2020 17,920 babies were born in Northeast Florida with 12,490 born in Duval County, 2,148 born in St. Johns County, and Baptist Medical Center South delivering over 2,450 of these babies. Maternal health refers to the health of women during pregnancy, childbirth, and the postnatal period. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being. Children's health is the extent to which individual children or groups of children are able or enabled to develop and realize their potential, satisfy their needs, and develop the capacities that allow them to interact successfully with their biological, physical, and social environments. Child health is the foundation to adult health and overall well-being. At Baptist Health, we are committed to providing quality care through every stage of life. Key Issues Identified in the Assessment: * The neonatal mortality rate per 1,000 live births is almost three-times higher among Black babies than White babies in Duval. * The infant mortality rate per 1,000 live births is over two-times higher among Black babies than White babies in Duval. * The child mortality rate in Duval (38.3 per 100,000 population aged 5-19) is the highest in Northeast Florida and well over the state rate of 26.0. * The Duval age-adjusted rate for all deaths ages 1-5 is 26.6, higher than the state rate of 24.4 * The rate of children in foster care in Duval County is 234.8, higher than the state rate of 220.4. Goals: * Zero preventable deaths. Zero health disparities. * Support parents with perinatal mood disorders. * All children can see Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies. * Expand WELLCome Home initiative to Baptist South in 2023 * Offer classes increasing awareness of safe sleep practices. * Continue partnering with Duval County Public Schools to provide safe sex education through health curriculum. * Address SDoH in doctors' offices * Explore offering infant CPR training for new parents * Provide a continuum of care including psychology and psychiatry support on an inpatient and outpatient basis. * Provide education on perinatal mood disorder (PMD) to clinicians. * Provide support groups to new mothers experiencing PMD. * Provide access to screenings, exams and glasses for children in need Metrics/What we are measuring: * Infant mortality * Pre-term births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of participants to class * Number of students participating in classes * Number of physicians participating * Number of patients served * Number of participants trained * Number of people participating in support groups * Number of screenings, exams and glasses provided * Percentage of students who failed a vision screening, who received an eye exam, and who received prescription glasses * Number and percent of students who fail vision screenings multiple years. Potential Partnering/External Organizations: * Northeast Florida Healthy Start Coalition * Home visiting programs * Florida Department of Health * Duval County Public Schools * University of North Florida * AHA * Safe Kids Northeast Florida * Private OBGYN Practices * Postpartum Support International * Florida's First Coast YMCA * Departments of Health in NEFL * School districts in NEFL * Vision is Priceless Results: Year 1 (October 1, 2021 - September 30, 2022) * 140 mothers referred to Northeast Florida Healthy Start Coalition WELLcome Home visiting nurse 110 mothers consented and participated to the WELLcome Home nurse visit and education (78.6% completion) 110 mothers educated on safe sleep practices and 73 mothers educated on infant and/or maternal nutrition * Northeast Florida Healthy Start Coalition community health workers targeted zip codes 32209 and 32210 as a Fetal Infant Mortality Review action plan to decrease infant mortality. 182 initial intakes completed by the community health workers with pregnant women Community health workers referred 111 mothers to maternal and child health home visiting programs More than 100 cases were connected to a home visiting program from an initial intake * 2021 Infant mortality rates Florida: 5.9/1,000 live births Duval: 6.7/1,000 live births 32209: 12.5/1,000 live births 32210: 6.6/1,000 live births St. Johns: 7.2/1,000 live births * 2021 Preterm births Florida: 23,179 (10.85%) Duval: 1,518 (12.24%) 32209: 92 (16.64%) 32210: 110 (12.57%) St. Johns: 210 (8.91%) * 2021 Low birth weight babies Florida: 19,211 (8.99%) Duval: 1,306 (10.53%) 32209: 94 (17%) 32210: 123 (14.06%) St. Johns: 174 (7.38%) Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers called after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program. * 132 mothers referred to Northeast Florida Healthy Start Coalition * 71 mothers referred to lactation consultation services * 10 mothers connected to maternal mental health services * Expanded WELLcome Home to include Baptist Medical Center Beaches Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital team members assisted with condom demonstration for 6 school classes education a total of 252 students * Duval County Public Schools discontinued the condom demonstration sexual health education for FY22 Year 1 (October 1, 2021 - September 30, 2022) * Initial conversations occurred to implement the SDOH System of Care screening pilot at a local OB-GYN's office that services Medicaid and uninsured patients. Due to changes in office staff, implementation was put on hold until further discussion can occur. Year 1 (October 1, 2021 - September 30, 2022) * "First Year Baby Safety Essentials" virtual classes included demonstration of infant/child CPR and addressed choking, first aid, and unintentional injury prevention. There were 8 classes offered to a total of 92 participants. Year 1 (October 1, 2021 - September 30, 2022) * From November 2021 through September 2022, 45 participants attended PMAD lectures. Year 1 (October 1, 2021 - September 30, 2022) * 30 clinicians were trained by Baptist Maternal Mental Health Year 1 (October 1, 2021 - September 30, 2022) * 24 New Moms Support Group classes offered virtually for new mothers occurring every other week * 92 mothers participated in New Moms Support Group Year 1 (October 1, 2021 - September 30, 2022) * 30,495 children received vision screenings for the early detection of vision issues * 1,265 (4.15%) of students failed the screening and received comprehensive eye exams while at school * 1,075 (84.98%) of students who were examined, received prescription glasses
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Schedule H, Part V, Section B, Line 11 Facility A, 10
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Facility A, 10 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20% of an individual's health outcomes. An individual's habits and behaviors account for about 30% of quality and length of life. The social, economic, and environmental factors, also known as Social Determinants of Health (SDOH), determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around 5 key domains: Economic stability; Education access and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was commonly cited as an inhibiting factor for individuals who have difficult accessing medical and dental services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance in Duval County. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing in St. Johns and Duval counties. Goals: * Address social needs that prevent people from achieving optimal health Strategies: * Increase employment opportunities * Increase access to healthy food * Ensure seniors have access to in-home and other supports for health and wellbeing including foods * Implement findhelp (Aunt Bertha) referral system for patients and community members Metrics/What we are measuring: * Percentage of people hired in low life expectancy zip codes * Percentage of identified FQHC and free clinic patients screened for food insecurity * Percentage of patients connected with food assistance programs * Number of home-delivered food boxes or meals * Number of seniors receiving in-home support * Number of organizations receiving referrals through Find Help Potential Partnering/External Organizations: * CareerSource * Family Links * JaxCareConnect * MASS * Pie in the Sky * UNF Meals on Wings * Community-based organizations addressing social needs Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with CareerSource to provide job fairs in identified zip codes. Due to unforeseen circumstances with Hurricane Ian, the initiative was postponed to March 2023. Year 1 (October 1, 2021 - September 30, 2022) * 1274 families assisted with Supplemental Nutrition Assistance Program (SNAP) * Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital provided emergency food bags to 49 families with identified food insecurity needs * Muslim American Social Services 1,000 out of 1,130 patients (88.5%) screened for food insecurity 353 of non-chronic patients received at least one food packet/voucher (35.3%) 300 chronic care patients were enrolled in the Food as Medicine Program (30%) * WeCare 1,428 (100%) of clients were screened for food insecurity Of 624 eligible and active clients, 74 (11.86%) referrals were made to food stamps, food pantries, or for transportation to access food Year 1 (October 1, 2021 - September 30, 2022) * Pie in the Sky served 525 low-income seniors to provide fresh, healthy produce. This was 97.2% of identified seniors (540) who needed assistance. * Meals on Wings provided 3,551 meals to South patients, and 8,980 meals to around 250 seniors systemwide. About 37,000 meals have been provided to Duval patients since October 2018. Year 1 (October 1, 2021 - September 30, 2022) * Implementation of findhelp slowly occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between them from May to September.
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Schedule H, Part V, Section B, Line 11 Facility A, 11
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Facility A, 11 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Needs Baptist Medical Center South Will Not Address No entity can address all the health needs present in its community. Baptist South is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health. In addition, Baptist Health's Vice President of Community Investment and Impact actively participates in a community effort that includes businesses, city government and funders to end poverty in Duval County. Baptist South does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus its resources on other significant community health needs. Chronic Disease - Baptist South through Baptist Health operates 8 Weeks to Healthy Living, a nutrition and physical activity program, in partnership with faith organizations and the YMCA. Baptist Health also operates Healthy Living Centers in YMCA locations in the Baptist South service area. Community members, regardless of membership with the YMCA, receive screenings and health coaching through the centers. Also, JaxCareConnect, a collaboration created by the local nonprofit safety net of free charitable clinics to assist uninsured adult Duval County residents find a primary care medical home, is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Last, Baptist Health is a leader and significant sponsor of Blue Zones Jacksonville to increase the health and well-being of Jacksonville residents. The project does not specifically address chronic diseases but does focus on systems level factors to improve the places and spaces people live, work, and play. The prevalence of chronic disease may potentially be impacted by this initiative. Given these long-term investments, the hospital will focus on other significant community health needs, and Baptist South does not anticipate implementing additional initiatives to address chronic disease. Transportation - The Jacksonville Transportation Authority, United Way, and other Northeast Florida organizations that Baptist Health collaborates with provide transportation options for residents. In addition, Baptist Health seeks to increase the health and safety of environments to enable residents to enjoy healthier lives. A key component of the Blue Zones work is to address transportation safety. Given this significant investment, Baptist South does not have additional resources to commit to transportation needs. The hospital is committed to addressing other social determinants of health. Housing - Baptist Health partners with Habijax and St. Johns Habitat for Humanity to help address housing needs. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Cancer - Baptist MD Anderson Cancer Center is part of the Baptist South services and participates in outreach and educational activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist South service area, the hospital will focus on other significant community health needs.
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Schedule H, Part V, Section B, Line 11 Facility A, 12
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Facility A, 12 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Although Wolfson Children's can play a direct role in addressing many health-related priorities, others will require the development of strategic partnerships with community service partners or involve the expertise of the hospital's staff in the development of new and effective efforts that will be administered by other local community organizations. Regardless of the role Wolfson Children's will play in meeting needs, Baptist remains committed to leading and supporting efforts that increase access to care and engage our patients in improving health and community wellbeing. All Community Health Plan efforts implemented by Wolfson Children's must be measurable, achievable, and financially feasible. This report reflects the goals and strategic objectives identified to address community priorities within the hospital's influence and scope of service. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. By improving access and increasing utilization of primary care services, Baptist Health and Wolfson Children's Hospital can improve health outcomes and reduce preventable ED visits and hospitalizations. Wolfson Children's aims to partner with community organizations in order to ensure that every child in Northeast Florida has healthcare. Key Issues Identified in the Assessment: * Access issues were the most mentioned barriers to healthcare in the following: - Mental healthcare - Healthcare clinics and specialists - Public transportation * Across all 5 Northeast Florida counties, lack of access to public transportation was a challenge for 62% of survey respondents. * Lack of access also consists of inclusive community clinics that accept Medicaid. * Florida has the second most uninsured children in the United States. - Approximately 55,000 children under the age of 19 lost health insurance between 2016-2019. * Social determinants such as economic instability, poor neighborhoods, and lack of access to quality food and healthcare threaten the health and well-being of a significant portion of our most vulnerable populations and disproportionately affect minorities. - There are few nutritious food stores in certain zip codes, while cheap fast-food options are prevalent and convenient. Goals: * Every Child in Northeast Florida has Health Care * All children can see Strategies: * Continue operating health centers in schools in the Ribault and Raines feeder pattern in Duval County. * Provide enrollment assistance to children eligible for Florida KidCare. * Provide asthma education to children diagnosed with the chronic disease. * Partner with Children's Home Society, Clay Public Schools and Aza Health to support health services in the Clay County Community Schools and developing a plan if determined to be feasible. * Provide access to screenings, exams and glasses for children in need Metrics/What we are measuring: * Number of visits * Student health as measured through surveys * Number of children enrolled in Florida KidCare * Pre and post-test for knowledge gains * Number of children/adults educated * Feasibility of offering health services * Number of screenings, exams and glasses provided * Percentage of students who failed a vision screening, then received an eye exam and percentage of students who received prescription glasses * Number and percent of students who fail vision screenings multiple years. * Qualitative information about the impact of vision clinics in classroom behavior and confidence in school Potential Partnering/External Organizations: * Department of Health - Duval * Duval County Public Schools * UF Health Jacksonville * Full Service Schools * Hazel Health * Vision is Priceless * St. Vincent's Mobile Health outreach * Lutheran Services Florida Head Start * Clay County Public Schools * The Way Clinic * Northeast Florida Healthy Start Coalition * St. Johns County Head Start * Duval County Charter Schools * Children's Home Society Buckner Division * Aza Health * School districts in NEFL * Departments of Health in NEFL Results: Year 1 (October 1, 2021 - September 30, 2022) * Provided a total of 196 appointments at the Wolfson Children's @ School Ribault Family Resource Center * 151 sports physicals were conducted for students at the Wolfson Children's @ School Ribault Family Resource Center * R.A.W. (Ribault Access and Wellness) student advisory committee for Wolfson Children's @ School had 26 students participate in activities during the 2021-2022 school year and 33 students participate in the 2022-2023 school year. * 8 events and activities held in the community promoting the health center and student advisory committee, R.A.W. Year 1 (October 1, 2021 - September 30, 2022) * Provided application assistance to 1,651 individuals * Participated in 92 health fairs and events, providing health insurance education to 7,276 individuals * Florida KidCare messaging had a reach of 29,760 total media impressions * Florida KidCare PSA messaging on AM, FM, and Satellite Radio had a total of 1,667 PSA spots from 12/14/2021-06/29/2022 on 16 radio stations and an estimated reach of 338,800 listeners Year 1 (October 1, 2021 - September 30, 2022) * 1513 patients and their families provided with asthma management education * 34 high-risk patients receiving beside education and direction care coordination Year 1 (October 1, 2021 - September 30, 2022) * Wilkinson Jr. High opened a new Aza Telehealth Clinic on campus for students as well as adults who are in the school. * 58 individual appointments made at the health clinic on campus Year 1 (October 1, 2021 - September 30, 2022) * 30,495 children received vision screenings for the early detection of vision issues * 1,265 (4.15%) of students failed the screening and received comprehensive eye exams while at school * 1,075 (84.98%) of students who were examined, received prescription glasses
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Schedule H, Part V, Section B, Line 11 Facility A, 13
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Facility A, 13 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Mental and Behavioral Health Baptist Health has made behavioral health services a priority providing comprehensive inpatient and outpatient services to children. Mental Health was a priority health need addressed by Wolfson Children's Hospital in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of children and youth in the hospital's service area continue to increase. Key Issues Identified in the Assessment: * Mental health services were frequently identified as a priority need. * Priority issues identified involving mental health include lack of providers; youth mental health; telehealth; suicide; LGBTQ mental health * The rate of children ages 1-5 receiving mental health treatment services in all 5 area counties is higher than the state of Florida rate. * About 1 in 16 students in Northeast Florida "seriously considered" suicide in 2019. - Approximately 8% of Northeast Florida high school students reported attempting suicide one or more times during the past year. - Female students and Black students attempted suicide more than other groups of students. Goals: * A healthy community with easy and timely access to high quality services when needed: 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) More providers delivering the most advanced care Strong care continuum (enough of the right type of care) Seamless transitions along the care continuum Mental illness decriminalized Stigma eliminated and crises prevented Community advocating improvement Strategies: * Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care. * Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action * Support implementation of Calm Classroom in Northeast Florida. * Host community-wide conferences on mental health to reduce stigma and barriers to care. * Support implementation of On Our Sleeves to provide free, easy-to-use educational tools and resources to help parents and caregivers start conversations, boost mental well-being, and break stigmas associated with children's mental health. Metrics/What we are measuring: * 1,500 people trained by 2024 * Evaluate participant satisfaction * Evaluate the impact of each initiative according to its focus * Crisis calls (schools, EMT, police) * Rate of behavioral health ED visits * Number of schools and organizations participating in Calm Classroom * Evaluation of implementation and results * Number of people attending the conference * Satisfaction surveys * Number of community partners joining initiative through awareness campaign, employee presentations, and/or support * Number of individual subscriptions to the On Our Sleeves monthly newsletter Potential Partnering/External Organizations: * Florida's First Coast YMCA * National Council for Behavioral Health * Partnership for Child Health * Duval County Public Schools * Clay County Public Schools * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU * Calm Classroom * Early learning centers * Early Learning Coalitions * Public School systems * Private/charter schools * Community mental health providers * Faith organizations * Universities * Community organizations addressing stigma and mental health * Pediatric healthcare providers Results: Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital offered 13 classes for Youth Mental Health First Aid. * 179 adults were trained in Youth Mental Health First Aid, with participants rating high satisfaction with the training quality. Year 1 (October 1, 2021 - September 30, 2022) * Hope Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at TCU as a Jacksonville city-wide initiative to: (1) foster awareness and culture change; (2) prevent and reduce ACEs and trauma; (3) nurture learning committees. * Wolfson Children's Hospital is represented with a member on a Hope Healing JAX Steering Committee and Action Groups to implement these objectives. Year 1 (October 1, 2021 - September 30, 2022) * Calm Classroom implemented within 106 schools in Duval County * 92% of teachers lead or participate in Calm Classroom techniques 1 or more times per day * Of 440 educators surveyed from 24 schools, 90% of teachers report "students seem calmer and more peaceful after practicing Calm Classroom." * Of 440 educators surveyed from 24 schools, 85% of teachers report "students are more engaged and ready to learn after practicing Calm Classroom." * Of 440 educators surveyed from 24 schools, 87% of teachers report Calm Classroom has helped teachers understand the importance of self-care Year 1 (October 1, 2021 - September 30, 2022) * The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. The keynote address and presentation materials were posted on the Baptist Health Social Responsibility website * 100% of survey respondents (n=34) rated the conference quality as excellent or good Year 1 (October 1, 2021 - September 30, 2022) * On Our Sleeves participated in a total of 40 events throughout the community providing awareness for the stigma campaign as well as offered free educational resources promoting children's mental wellness. * On Our Sleeves had a total of 677 subscribers to the On Our Sleeves monthly e-mail newsletter including mental wellness resources and guides for families and children.
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Schedule H, Part V, Section B, Line 11 Facility A, 14
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Facility A, 14 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Maternal and Child Health Each year, approximately 17,500 babies are born in Northeast Florida and 2,000 babies are delivered at Baptist Medical Center Jacksonville. The health and wellbeing of the mothers, fathers and their babies is important to Baptist Health and Wolfson Children's Hospital. This health need continues to be a focus for Wolfson Children's due to the significant number of adverse outcomes in the hospital's service area Key Issues Identified in the Assessment: * Neonatal mortality, infant mortality, post neonatal mortality, and maternal mortality rates in Duval County are all higher than Florida's rates. * The neonatal mortality rate (per 1,000 live births) is almost 3 times higher among Black babies than white babies in Duval County. * The infant mortality rate (per 1,000 live births) is over 2 times higher among Black babies than white babies in Duval County * The child mortality rate in Duval (38.3 per 100,000 population aged 5-19) is the highest in Northeast Florida and above the state rate of 26.0. Goals: * Zero preventable deaths. Zero health disparities. * Support parents with perinatal mood disorders (PMADs). Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies. * Expand WELLCome Home initiative to additional Baptist hospitals * Achieve Cribs for Kids National Safe Sleep Hospital Certification, designated to hospitals that model and teach infant safe sleep best practices. * Offer classes focused on increasing awareness of safe sleep practices to mothers. * Continue partnering with Duval County Public Schools to provide safe sex education through health curriculum * Provide a continuum of care including psychology and psychiatry support on an inpatient and outpatient basis. * Provide education on perinatal or postpartum mood and anxiety disorder (PMADs) to clinicians. * Provide support groups to new mothers experiencing PMADs. Metrics/What we are measuring: * Infant mortality * Pre-term births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of sleep sacks distributed to mothers delivering at all Baptist campuses * Number of caregivers trained in safe sleep education * Number of participants in class * Number of students participating in classes * Number of participants * Number of people trained * Number of people participating in support groups Potential Partnering/External Organizations: * Northeast Florida Healthy Start Coalition * Home visiting programs * Cribs for Kids * Florida Department of Health * The Magnolia Project * Duval County Public Schools * University of North Florida * OBGYN Practices * Postpartum Support International * Florida's First Coast YMCA Results: Year 1 (October 1, 2021 - September 30, 2022) * 140 mothers referred to Northeast Florida Healthy Start Coalition WELLcome Home visiting nurse 110 mothers consented and participated to the WELLcome Home nurse visit and education (78.6% completion) 110 mothers educated on safe sleep practices and 73 mothers educated on infant and/or maternal nutrition * Northeast Florida Healthy Start Coalition community health workers targeted zip codes 32209 and 32210 as a Fetal Infant Mortality Review action plan to decrease infant mortality. 182 initial intakes completed by the community health workers with pregnant women Community health workers referred 111 mothers to maternal and child health home visiting programs More than 100 cases were connected to a home visiting program from an initial intake * 2021 Infant mortality rates Florida: 5.9/1,000 live births Baker: 0.0/1,000 live births Clay: 5.4/1,000 live births Duval: 6.7/1,000 live births 32209: 12.5/1,000 live births 32210: 6.6/1,000 live births Nassau: 2.4/1,000 live births St. Johns: 7.2/1,000 live births * 2021 Preterm births Florida: 23,179 (10.85%) Baker: 28 (8.75%) Clay: 268 (12.21%) Duval: 1,518 (12.24%) 32209: 92 (16.64%) 32210: 110 (12.57%) Nassau: 95 (11.46%) St. Johns: 210 (8.91%) * 2021 Low birth weight babies Florida: 19,211 (8.99%) Baker: 26 (8.13%) Clay: 196 (8.93%) Duval: 1,306 (10.53%) 32209: 94 (17%) 32210: 123 (14.06%) Nassau: 62 (7.48%) St. Johns: 174 (7.38%) Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers called after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program. * 132 mothers referred to Northeast Florida Healthy Start Coalition * 71 mothers referred to lactation consultation services * 10 mothers connected to maternal mental health services * Expanded WELLcome Home to include Baptist Medical Center Beaches Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * Distributed a total of 7 Pack N Plays Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital team members assisted with condom demonstration for 6 school classes education a total of 252 students * Duval County Public Schools discontinued the condom demonstration sexual health education for FY22 Year 1 (October 1, 2021 - September 30, 2022) * From November 2021 through September 2022, 45 participants attended PMAD lectures. Year 1 (October 1, 2021 - September 30, 2022) * 30 clinicians were trained by Baptist Maternal Mental Health Year 1 (October 1, 2021 - September 30, 2022) * 24 New Moms Support Group classes offered virtually for new mothers occurring every other week * 92 mothers participated in New Moms Support Group
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Schedule H, Part V, Section B, Line 11 Facility A, 15
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Facility A, 15 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20% of an individual's health outcomes. An individual's habits and behaviors account for about 30% of quality and length of life. The social, economic, and environmental factors, also known as Social Determinants of Health (SDOH), determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around 5 key domains: Economic stability; Education access and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was a commonly cited concern for medical, dental, and mental health services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance. * Across all 5 counties, those with access to public transportation reported it can be difficult to navigate or prohibitive due to the length of time it takes to get places. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing. * Factors contributing to chronic disease include food deserts, level of access to physical activity, and air quality. * Pedestrian and bicycle safety were also cited as environmental health concerns by respondents. Goals: * Address social needs that keep people sick Strategies: * Increase employment opportunities * Increase access to healthy food * Ensure parks are safe places for children and adults * Research opportunities to address housing and transportation * Implement Fin Help (Aunt Bertha) referral system for patients and community members Metrics/What we are measuring: * Percentage of people hired in low life expectancy zip codes * Percentage of identified FQHC and free clinic patients screened for food insecurity * Percentage of patients connected with food assistance programs * Number of home-delivered food boxes or meals * Evaluate community response and engagement at targeted park improvements * Evaluate level of programming at targeted parks * Evaluate organization's ability to address these social determinants * Number of organizations receiving referrals through Find Help Potential Partnering/External Organizations: * CareerSource * Boys and Girls Club * Feeding Northeast Florida * JTA - Door to Store * Lift Jax - Deb Store * Meals on Wings * Blue Zones Jacksonville * City of Jacksonville Parks and Recreation * Jaguars * Lift Jax * Ability Housing * Jacksonville Transportation Authority * JWB * LISC * Community-based organizations addressing social needs Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with CareerSource to provide job fairs in identified zip codes. Due to unforeseen circumstances with Hurricane Ian, the initiative was postponed to March 2023. Year 1 (October 1, 2021 - September 30, 2022 * 1274 families assisted with Supplemental Nutrition Assistance Program (SNAP) * Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital provided emergency food bags to 49 families with identified food insecurity needs Year 1 (October 1, 2021 - September 30, 2022) * Lift Jax is focusing on Flossie Brunson and A. Philip Randolph Parks by upgrading equipment and amenities. Because construction has not finished, the community's response has not been evaluated. * A programmer position is being drafted with the aim of addressing park engagement. Ideally it will align with Blue Zones efforts. Year 1 (October 1, 2021 - September 30, 2022) * Family Links at THE PLAYERS Center for Health at Wolfson Children's Hospital assisted 15 families with housing needs, such as rent/utilities assistance * 29 public transit bus passes provide to families in need of transportation through Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital * Through the Health Anchor Network, Baptist Health is assessing its ability to play a role in affecting change by reviewing resources that address healthy and affordable housing and economic disparities resulting in limited transportation options. Year 1 (October 1, 2021 - September 30, 2022) * Implementation of findhelp slowly occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between them from May to September.
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Schedule H, Part V, Section B, Line 11 Facility A, 16
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Facility A, 16 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Chilren's Hospital). Needs Wolfson Children's Hospital Will Not Address No entity can address all the health needs present in its community. Wolfson Children's is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health and Wolfson Children's. In addition, Baptist Health's Vice President of Community Investment and Impact actively participates in a community effort that includes businesses, city government and funders to end poverty in Jacksonville. Wolfson Children's does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus resources on other significant community health needs. Chronic Disease - Wolfson Children's through THE PLAYERS Center for Child Health provides developmentally and age-appropriate nutrition education to children in classroom and community-based settings. In addition, Wolfson Children's provides support for the local Play 60 program, the NFL initiative that encourages 6th grade students to get 60 minutes of physical activity a day. To decrease hospital admissions, the Community Asthma Partnership teaches families of children with asthma how to successfully manage the disease. The program also provides other health services, wellness education, and resources for children, families, educators, and health professionals throughout Northeast Florida. Also, JaxCareConnect, a collaboration created by the local nonprofit safety net of free charitable clinics to assist uninsured adult Duval County residents find a primary care medical home, is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Last, Wolfson Children's, through Baptist Health is a leader and significant sponsor for Blue Zones Jacksonville which will be working with schools in Duval County to change their environments to increase physical activity and health eating, and decrease obesity, which are causes of chronic diseases. Given these long-term investments, the hospital will focus on other significant community health needs, and Wolfson Children's does not anticipate implementing additional initiatives to address chronic disease. Transportation - The Jacksonville Transportation Authority, United Way, and other Northeast Florida organizations that Baptist Health collaborates with provide transportation options for residents. In addition, Blue Zones Jacksonville seeks to increase the health and safety of environments to enable residents to enjoy healthier lives. A key component of the Blue Zones work is to address transportation safety. Given this significant investment, Wolfson Children's does not have additional resources to commit to transportation needs. The hospital is committed to addressing other social determinants of health. Housing - Habitat for Humanity affiliates, United Way, and other organizations in Northeast Florida are better positioned to assist residents with housing needs. Wolfson Children's also partners with Jacksonville Area Legal Aid through the Northeast Florida Medical Legal Partnership to address civil legal problems adversely affecting the health of pediatric patients, including affordable housing, safe living conditions, and housing discrimination. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Drug Abuse - While mental health is being addressed by Wolfson Children's, drug abuse is not a specific priority that the hospital has the resources to significantly impact. Baptist Health is an active participant in the System of Care Initiative which coordinates services for children and youth with mental illness and substance use disorder. There are many organizations and addiction treatment centers in Northeast Florida that Baptist Health works with that can provide the support systems the community needs. Cancer - Baptist MD Anderson Cancer Center is part of the Wolfson Children's services and participates in outreach and educational activities throughout Northeast Florida. Wolfson Children's also partners with Nemours Children's Specialty Care to provide top-rated cancer care to children in the hospital's service area. Given these investments, partnerships, and limited resources, Wolfson Children's has determined it is best to use its resources to address the prioritized health needs of Access to Care, Behavioral Health and Maternal, Fetal and Infant Health.
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Schedule H, Part V, Section B, Line 20 Facility A, 1
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Facility A, 1 - Facility A. Charity or Discounted Care posters are located in the Emergency Rooms and Patient Admission areas to inform patients of financial assistance and who to contact regarding financial assistance. AT PATIENT ACCESS POINTS, "GUIDELINES FOR CHARITY CARE ELIGIBILITY" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. All billing statements conspicuously display the phone number, address, and website which directs patients to our financial assistance advocates and contains all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES. All attempts to contact the patient are exhausted before sending to collections. All patients are sent through a system that analyses the financial position of the individual. All patients who are scored a certain number in accordance with our policy and who have not already applied for financial assistance are automatically deemed eligible for financial assistance.
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