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Schedule H, Part V, Section B, Line 3E
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A single Schedule H, Part V, Section B was completed for facility reporting group A. The following hospital facilities are included in facility reporting Group A: (1) Children's Hospital Colorado (CHCO) - Anschutz (2) CHCO - South Campus In 2021, Children's Hospital Colorado conducted a Community Health Needs Assessments (CHNA's). A joint assessment was conducted for licensed hospital facilities in the Denver Metro area, which included CHCO -Anschutz Medial Campus, CHCO - South Campus. The CHNA was approved by the Children's Hospital Colorado Board of Directors on December 16, 2021. Children's Hospital Colorado included in the CHNA report a prioritized list and description of the community's significant health needs identified through the CHNA process. The Anschutz CHNA' child mental health emerged as the top community concern through every method of data collection included in the assessments. Children's Hospital Colorado will address this community driven priority through a commitment of resources with specific programs and services as outlined in the corresponding implementation plans. "2021 CHNA's: https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/"
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Schedule H, Part V, Section B, Line 5 Facility A, 1
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Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. Facility reporting group A, facilities 1 (Anschutz/Aurora) and 2 (South Campus/Highlands Ranch), for our 2021 Community Health Needs Assessment (CHNA) we collected input from persons who represent the broad interest of the community by engaging in community outreach to assess the interests and concerns of caregivers with children in the home who live in the 4-county area (counties of Arapahoe, Adams, Denver, and Douglas). Through our primary data collection approaches, which included surveys, interviews, and community meetings, we were able to gain the input of 408 respondents to our caregiver survey, 22 stakeholder interviews with community-based organization leaders, 94 respondents to a healthcare workers survey, more than 30 data sources queried, and 6 community meetings were held to prioritize findings. We also sought expertise from partners with special knowledge and expertise in public health, including the Center for Health Progress who facilitated four meetings with community members, one meeting with leaders of community-based organizations, and one internal meeting with the CHCO Team Member Resource Groups to discuss the assessment findings and identify priority needs from the community's perspective. To promote language justice, translation services were made available so that community members were able to participate in their preferred spoken language. Another organization we partnered with who are experts in public health is the Colorado School of Public Health, who facilitated meetings with groups of students enrolled in a Community Health Assessment course to assist with stakeholder interviews with organizations focused on food insecurity and to research existing and new, more holistic methods to screen for and measure food insecurity in a household.
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Schedule H, Part V, Section B, Line 6a Facility A, 1
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Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 6a APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. Facility reporting group A, the CHNA for facilities (1) and (2) were conducted together as they share the same definition of community.
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Schedule H, Part V, Section B, Line 7 Facility A, 1
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Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7D APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. The CHNA is posted on the hospital's external facing website and is made available upon request either digitally or written format. As part of the CHNA communication plan, results of the CHNA and the subsequent implementation plan are shared at various stakeholder meetings and community forums with the goal of identifying opportunities to engage in collaborative efforts to address areas of need. A dedicated community benefit email also provides an opportunity for input and questions. In 2019, the State of Colorado enacted HB19-1320, Hospital Community Benefit Accountability. A pivotal requirement of the legislation is an annual community benefit public meeting. The purpose of the public meeting is to inform the community of the hospital's community benefit expenditures, provide an opportunity for the community to learn about the most recent CHNA and the strategies that address the identified priority needs. The community is also provided the opportunity to advise on health and social service needs that continue to be of concern for the community.
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Schedule H, Part V, Section B, Line 11 Facility A, 1
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Facility A, 1 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL FACILITIES INCLUDED IN GROUP A. Facility reporting group A, facilities 1 (Anschutz/Aurora) and 2 (South Campus/Highlands Ranch) for our 2021 Community Health Needs Assessment (CHNA) we took a holistic approach to addressing child mental health, which is our primary priority need identified in our CHNA. Our approach will focus on four areas: 1. Direct services and supports to prevent or address mental health conditions, 2. Advocating for improved systems of care for mental health, 3. Reducing stressors that may impact mental health, and 4. Engaging community to inform and shape our priorities. These strategies occur at various levels: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. Together, these areas will comprehensively work to address mental health needs among children and youth. CHCO recognizes that the public health needs of the community are extensive, and many needs are not explicitly addressed through our priority and goals. Access to health care, including mental health services, and several social determinants of health were identified as top needs by the community and within the data, such as food insecurity, housing, access to benefits, mother and infant health, and economic issues. While mental health will be our primary focus for the next several years, many strategies in this plan are connected to priorities identified in our needs assessment. Specifically, this plan includes strategies to improve access to health care and mental health services and address social determinants of health, both of which can improve mental health for children and youth. GOAL 1: Improve mental health awareness and reduce the risk of suicide. ACTIVITY: Provide training and implementation support to meet mental health needs of students (e.g., dialectical behavior therapy (DBT), suicide intervention and postvention protocols). OUTCOME: In 2023, we partnered with a subject matter expert to update the DBT series, now with three different focuses - elementary, middle and high school. We also created 19 short videos to support the learning experience. In 2023, we trained 345 school professionals through our DBT series. ACTIVITY: Provide training and implementation support to help clinics implement youth suicide prevention care pathways using evidence-based approaches (i.e., Ask Suicide-Screening Questions (ASQ) Suicide Screening, Brief Suicide Safety Assessment, and PracticeWISE MAP). OUTCOME: We offered Zero Suicide training to 232 medical professionals working in community primary care clinics (1,088 contact hours). We also provide more than 20 hours of content in partnership with Colorado ECHO. ACTIVITY: Provide suicide prevention training and education with community members (e.g., Question Persuade Refer (QPR), Applied Suicide Intervention Skills Training, Youth Mental Health First Aid). OUTCOME: 68 community members attending QPR training in 2023; all participants demonstrated an increase in knowledge across all measures. About 4% of participants were from rural or frontier communities. ACTIVITY: Expand Existing suicide ideation and depression screening to other clinical settings for patients aged 12 years and older. OUTCOME: In August 2023, universal suicide and depression screening has been implemented across all in-patient units and a few outpatient settings, with an overall screening rate of 73%. ACTIVITY: Host educational presentations by physicians, nurses, and other health care experts for community organizations and schools. OUTCOME: In 2023, we provided mental health educational and access information at 31 community-based events, in 331 media stories, and our mental health educational webpage reached 45,416 users. GOAL 2: Improve systems of care and access to mental health services. ACTIVITY: Strengthen the youth mental health system by, 1. Fighting for kids to get their fair share in the annual state budget, and 2. Strengthening the accountability and unity of the mental health system for kids with the new Behavioral Health Administration and the next phase of Colorado. OUTCOME: At the state level in 2023, Children's Hospital Colorado coordinated testimony from 28 experts on pending legislation at committee hearings, and actively tracked 176 bills. We activated our grassroots network on multiple child health policy topics, generating hundreds of messages to state and federal lawmakers on youth mental health. Top priority bills relevant to community benefit included advocating for youth mental health. We established a new Children, Youth and Families Mental Health Coalition in January 2022 and as of December 2023, we had 80 individuals and organizational representatives of diverse interests represented including schools, treatment providers, child abuse prevention advocates, mental health policy experts and more. Major community health priorities included a bill to increase access to mental health services for children under age 21 who are insured by Medicaid without the requirement for a mental health diagnosis. This expands access to integrated care and provides care to children and youth in need who may otherwise have barriers to access. We worked on two proposals this year to establish eating disorder prevention programs at the Colorado Department of Public Health and Environment and a bill to increase access to treatment for individuals with disordered eating by prohibiting health plans and Medicaid from utilizing body mass index to determine access to treatment. Additionally, we led an effort to support additional investments in community-based residential treatment capacity for children and youth with complex mental health needs and to require hospitals and counties to report to the state the number of patients with mental health conditions who were boarding or staying for extended periods of time beyond clinical need due to lack of intensive community-based treatment options. ACTIVITY: Support policies that address social determinants of health, including supporting funding and policy decisions that prioritize housing, economic security, and food security to reduce risk factors and promote the health and well-being of kids and families. OUTCOME: In 2023, we led a coalition to expand access to community health workers, where research has shown that access to community health workers can improve patient health outcomes, address health disparities and reduce healthcare costs while also expanding and diversifying the healthcare workforce. The legislation will enable community health workers to be paid for their care by Colorado Medicaid. We also worked on a number of proposals related to housing stability and nutrition, two of the most commonly identified needs among our patient population when we use our psychosocial screener. ACTIVITY: Advocate for healthcare financing models that provide better care for individuals with mental health conditions, including the integration of physical and mental health. OUTCOME: We work to expand the number of underinsured and uninsured children who can be served by Children's Hospital Colorado and other pediatric providers in Colorado and improve access to care and equity between private and public coverage. Serving as a bridge between patients, advocacy, providers, and the State, we engage deeply with behavioral health reform, as well as Medicaid, indigent care programs, and the Children's Health Insurance Program, among others. GOAL 3: Promote protective factors and reduce risk factors for mental health conditions. ACTIVITY: Address social needs of identified patients through the social needs screener and increase health navigation referrals. OUTCOME: Our health navigation teams play a critical role addressing needs such as housing, food, benefits, transportation, etc. Universal social needs screening has been occurring in our primary care settings since 2016 and was launched for inpatient units in August 2023. In 2023, our health navigators served more than 8,300 unique patients in inpatient and specialty clinic settings and 5,360 unique patients in primary care outpatient settings. ACTIVITY: Resource Connect and its partner organizations will increase families' access to health-related social supports.
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Schedule H, Part V, Section B, Line 11 Facility A, 2
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Facility A, 2 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL FACILITIES INCLUDED IN GROUP (CONT.). OUTCOME: Resource Connect is a physical suite of offices in the Children's Colorado Health Pavilion where we host community-based organizations who help us respond to the social needs of our patient families and provide wraparound care and support. In 2023 our partners were: Denver Human Services (Public Benefits Technician); Arapahoe County Women, Infant and Children program; Energy Outreach Colorado; Spectrum Advocacy; Adams County Workforce; A Precious Child; and internal partner programs: Colorado Medical-Legal Partnership; Healthy Roots Food Clinic; and Injury Prevention (car seats and infant cribs education and distribution). The services provided in Resource Connect promote equitable access to the resources that all families, including families of color and families with low-income, need to improve their comprehensive picture of health and well-being. In 2023, Children's Colorado providers and other team members referred 2,077 families to Resource Connect; of those referrals, 681 were for the Healthy Roots Food Clinic, 357 were for assistance with public benefits, 232 were for legal services, 77 for WIC, 166 for housing navigation, and 165 for energy assistance. ACTIVITY: The Food as Medicine (FAM) team, who lead the Health Roots Food Clinic (HRFC), will increase families' access to healthy food and provides education to families about health eating, food preparation, and behavior change to encourage children to eat more fruits and vegetables. OUTCOME: In 2023, the Healthy Roots Food Clinic received 681 referrals from primary care clinics in our Health Pavilion and served 4,248 people (2,165 children and 2,083 adults). Most of these referrals came from social needs screening within our Health Pavilion's primary care clinics which provides comprehensive, team-based, family-centered primary care in a medical home model to more than 12,000 children annually from birth to 18 years, regardless of their ability to pay. Additionally, our Healthy Roots Garden produced over 1,230 pounds of fresh produce that was distributed in our food clinic. ACTIVITY: The Injury Prevention team will promote safe sleep through the distribution of portable infant cribs, in collaboration with the Community Health Navigation team, show families how to use them as a safe sleep option. OUTCOME: In 2023, we provided more than 100 portable infant cribs to families in need and provided them safe sleep education. ACTIVITY: The Injury Prevention team will provide child car seats and education on proper car seat installation. OUTCOME: In 2023, our Injury Prevention completed 550 car seat and booster seat checks, providing 406 child restraints to families in need. We provided car seat education with the support of in-person and virtual interpreters in 13 languages this year. We provided training and certification for 31 Child Passenger Safety Technicians (CPST) from Children's Hospital Colorado and surrounding community partners including law enforcement, healthcare, fire rescue, DHS workers, and more. In October, we trained 11 CPST's in our community to work with adaptive car seats for children with medical needs. ACTIVITY: Improve health outcomes for African American and Black mothers by addressing social isolation, health and community resources, anxiety and depression to improve perinatal health outcomes and decrease infant and maternal mortality through Kindred Mamas mentorship model. OUTCOME: In 2023, we supported 16 new mentors and paired them with 9 new mentees. ACTIVITY: Provide cultural responsiveness training for healthcare providers in partnership with community-based advocates and organizations through the Center for Advancing Professional Excellence (CAPE) simulation education training. OUTCOME: In 2023, we trained 53 providers (MD's, PhD's, PA's, APN's, MSW's, and medical residents), and 63 community advocates (BS, BA, RN, MSN, MS, MPH). ACTIVITY: Engage team members in the Experience Difference programming to practice and model inclusive behaviors, promote the tenants of health equity, and help create an organization that intentionally values difference. OUTCOME: In 2023, our Diversity, Health Equity, and Inclusion team launched the seventh cohort of the Captains of Inclusion program, training a total of 50 new Captains. ACTIVITY: Increase workforce diversity to be reflective of the community we serve. OUTCOME: Our Human Resources department is leading efforts to increase the diversity of leadership within our system; this work is ongoing. For this measure our definition of diversity is a "person of color", and our definition of leadership are roles who have direct supervisory responsibilities. In 2022, our benchmark was set at 17.02% of our leadership team identifying as a person of color, and that increased to 17.8% in 2023. ACTIVITY: The Team Member Resource Groups (TMRG) will support hospital-wide diversity and inclusion efforts, serve as a source of educational and professional development opportunities, and maintain an open forum for the exchange of ideas. OUTCOME: In 2023, the TMRG's consulted on 66 hospital policies and conducted 76 educational events within the organization. ACTIVITY: AsthmaCOMP (Colorado Comprehensive School-Centered Asthma Program) works with students, families, and school staff to improve school-based asthma care and pediatric asthma outcomes. Health navigators assess caregiver mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services as necessary. OUTCOME: In the 2023 school year, this team completed 295 visits with students in 20 elementary schools. ACTIVITY: Just Keep Breathing (JKB) provides home visits to patients with high-risk asthma, improving outcomes through asthma education, environmental assessments and remediation, care coordination, and patient navigation. Health navigators assess caregiver mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services as necessary. OUTCOME: In 2023, 325 eligible patients were approached, 71 patients were active in the program, and the team completed 143 home visits either virtually or in-person. ACTIVITY: Disparities Elimination through Coordinated Interventions to Prevent and Control Health and Lung Disease Risk (DECIPHeR) is expanding school-based asthma care into communities across Colorado with a focus on local adaptation led by cross-sector Community Advisory Boards. OUTCOME: In 2023, we conducted 11 community advisory board meetings. ACTIVITY: An inpatient asthma navigator for asthma patients and families transitioning from the inpatient setting to home, ensuring they are connected to follow up care and providing resources for identified psychosocial needs. OUTCOME: In 2023, our inpatient asthma navigator served 104 patients. ACTIVITY: The School Health team will develop a strategic plan that will implement systematic training, professional development for nurses, education to students and families, and support for school nurses and childcare health consultants around behavioral health and how to access additional resources for students with 504, individualized education programs, individual family service plan, or care plans. OUTCOME: In 2023, Children's Colorado's team of 33 School Nurse Consultants (SNCs) served over 250 school and childcare sites touching 62,000 children's lives in the Denver Metro area. Also in 2023, our School Health team created an online resource hub for any school in Colorado to access and download student care plan templates for 16 different health conditions: https://www.childrenscolorado.org/community/community-health/school-health/school-nurse-resources/ ACTIVITY: PMHI is partnering with schools to train school personnel how to lead Unstuck and On Target, a community-based curriculum for students, focused on cognitive behavioral techniques to promote executive functioning and students' success, including making goals and plans, balancing others' needs, and regulating emotions. This program will expand to the schools who receive training to lead the curriculum in their schools and classrooms. OUTCOME: In 2023, there were 27,525 visits to the website; 36,542 people received executive functioning resources; and 1,255 people enrolled in the program. ACTIVITY: The School-Based Dental Clinic team will provide dental hygiene services in schools in order to prevent caries and increase access to dental services.
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Schedule H, Part V, Section B, Line 11 Facility A, 3
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Facility A, 3 - THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL FACILITIES INCLUDED IN GROUP (CONT.). OUTCOME: In 2023, our oral health outreach program provided preventive oral health services to children in various school settings outside of a traditional dental clinic. Through collaborative efforts with Aurora Public Schools, 15 school dental screening events occurred, with a focus on schools in north Aurora. Over 700 students (preschool to 3rd grade) received a dental screening and 235 students were identified as having dental needs, of which approximately 20% were urgent (rampant decay, pain, systemic infection). Every student screened was provided with an oral hygiene kit (i.e., toothbrush, toothpaste, floss, etc.) and those with dental needs were referred for care. GOAL 4: Promote community voices and engagement to inform, advise, and shape mental health priorities and systems of care. ACTIVITY: Children's Colorado's Government Affairs, Medicaid Strategy, and Partners for Children's Mental Health (PCMH) teams will lead and participate in community coalitions and continue to cultivate a statewide network of child health advocates and encourage Coloradans to voice their views on the importance of child and youth mental health in public policy. The PCMH Youth Council, led by 14 youth from across Colorado, will shape how PCMH plans, develops, and executes initiatives. The PMHI Youth Action Board (YAB), a program with up to 18 youth from 30 schools in the Denver metro area, will continue to promote ways to reduce stigma and raise awareness about mental health issues. OUTCOME: In 2023, 251 Child Health Champions trained and 232 community resident training on child advocacy. PCMH's youth engagement work was revamped to create the Youth Council on Mental Health (YCMH). The new structure was built for youth, by youth. Over 43 Colorado youth applied to participate in the YCMH. The council holds 22 Colorado youth and two boards: Community Action Team and the Program Innovation Team. These boards meet monthly to discuss mental health initiatives in schools and youth-led resource development (social media guide for teens). ACTIVITY: Engage and collaborate with community-focused public organizations in order to offer guidance, support, and/or feedback on shared strategies and goals aimed at mental health and/or contributing factors. OUTCOME: We participate with and/or lead more than 30 community-focused organizations/coalitions. Some key efforts include leading the Colorado Alliance for School Health, leading Safe Kids Colorado, and we activity participate in the Colorado Blueprint to End Hunger, Metro Denver Partnership for Health, the Aurora Health Alliance, Future of Charitable Food, Resident Leadership Council, Child Fatality Review Boards (Adams, Arapahoe and Douglas), Colorado Department of Education, Aurora Public School District, Colorado Association of School Nurses, Colorado Department of Public Health and Environment, Colorado Perinatal Care Quality Collaborative (CPCQC), Families Forward Resource Center, Food Bank of the Rockies, Hunger Free Colorado, and more. ACTIVITY: Provide a defined avenue for families, youth, and community through Family Advisory Councils (FAC) and Resource Connect Governance Council to advocate, engage, and educate Children's Hospital Colorado to improve the system of care and health outcomes for children and families receiving care. OUTCOME: There are 13 Family Advisory Councils representing a variety of affinity groups, such as the Hispanic FAC and the African American FAC, in addition to may FAC's specific to a medical condition (i.e., mental health, cancer, prematurity, etc.). These groups each meet 11-12 times per year, and they consulted on more than 100 hospital policies in 2023.
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Schedule H, Part V, Section B, Line 3E
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In 2021, CHNA was conducted for the CHCO - Colorado Springs hospital, licensed in 2019. This meets the requirement that newly licensed hospital facilities complete a CHNA by the last day of the second taxable year. The CHNA was approved by the Children's Hospital Colorado Board of Directors on December 16, 2021. CHCO - Colorado Springs CHNA prioritized a list and description of the community's significant health needs identified through the CHNA process. Colorado Springs CHNA reported child mental health as the top community concern through every method of data collection included in the assessments. CHCO - Colorado Springs will address this community driven priority through a commitment of resources with specific programs and services as outlined in the corresponding implementation plans. "2021 CHNA's: https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/"
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Schedule H, Part V, Section B, Line 5 Facility , 1
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Facility , 1 - CHCO - COLORADO SPRINGS. We engaged in community outreach process to assess the interests and concerns of caregivers in the neighborhoods and counties that the hospital serves. Through our primary data collection approaches, which included surveys, interviews, and community meetings, we were able to gain the input of hundreds of people. There were 90 respondents to our caregiver survey, 32 stakeholder interviews with community-based organization leaders, more than 30 data sources queried, and 1 community meeting was held to prioritize findings. We also sought expertise from partners with special knowledge and expertise in public health, including the Healthy Community Collaborative (HCC), who is a community stakeholder group formed in 2011 to address the health and social needs of El Paso County residents. The HCC consists of over 60 representatives from schools, hospitals and health systems, non-profit organizations, city and county government agencies, public health, medical providers, and interested citizens. We collaborated with the HCC in two ways: first, to provide feedback on our secondary data collection process and second, to prioritize the health needs of the children and youth in the El Paso County community. We partnered with UC Health system to prepare and collect stakeholder interviews. Our teams met weekly to strategize our stakeholder interview approach and outreach to shared stakeholders in El Paso County. We co-created data one-pagers for stakeholders to review prior to the interview. Another organization we partnered with who are experts in public health is the Colorado School of Public Health, who facilitated meetings with groups of students enrolled in a Community Health Assessment course to assist with stakeholder interviews with organizations focused on food insecurity and to research existing and new, more holistic methods to screen for and measure food insecurity in a household.
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Schedule H, Part V, Section B, Line 7 Facility , 1
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Facility , 1 - CHCO - Colorado Springs. The CHNA is posted on the hospital's external facing website and is made available upon request either digitally or written format. As part of the CHNA communication plan, results of the CHNA and the subsequent implementation plan are shared at various stakeholder meetings and community forums with the goal of identifying opportunities to engage in collaborative efforts to address areas of need. A dedicated community benefit email also provides an opportunity for input and questions. In 2019, the State of Colorado enacted HB19-1320, Hospital Community Benefit Accountability. A pivotal requirement of the legislation is an annual community benefit public meeting. The purpose of the public meeting is to inform the community of the hospital's community benefit expenditures, provide an opportunity for the community to learn about the most recent CHNA and the strategies that address the identified priority needs. The community is also provided the opportunity to advise on health and social service needs that continue to be of concern for the community.
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Schedule H, Part V, Section B, Line 11 Facility , 1
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Facility , 1 - CHCO - Colorado Springs. For our 2021 Community Health Needs Assessment (CHNA) we took a holistic approach to addressing child mental health, which is our primary priority need identified in our CHNA. Our approach will focus on four areas: 1. Direct services and supports to prevent or address mental health conditions, 2. Advocating for improved systems of care for mental health, 3. Reducing stressors that may impact mental health, and 4. Engaging community to inform and shape our priorities. These strategies occur at various levels: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. Together, these areas will comprehensively work to address mental health needs among children and youth. CHCO recognizes that the public health needs of the community are extensive, and many needs are not explicitly addressed through our priority and goals. Access to health care, including mental health services, and several social determinants of health were identified as top needs by the community and within the data, such as food insecurity, housing, access to benefits, mother and infant health, and economic issues. While mental health will be our primary focus for the next several years, many strategies in this plan are connected to priorities identified in our needs assessment. Specifically, this plan includes strategies to improve access to health care and mental health services and address social determinants of health, both of which can improve mental health for children and youth. Many of our goals and activities are intended to serve communities within and beyond the primary service area of the specific facility location; for example, much of our community work is conducted at the systems-level or statewide. Unless a specific geography is noted in the activities and outcomes below (i.e., Colorado Springs) the activities were carried out in a way that was inclusive of all our facility communities and/or statewide. GOAL 1: Improve mental health awareness and reduce the risk of suicide. ACTIVITY: In Colorado Springs, provide 1:1 coaching for youth with an assigned health coach who assists the students in identifying areas to build resilience, utilizes motivational and strength-based techniques, and provides support where needed. Offer and provide peer coaching to give students the ability to strengthen their own resilience with their peers. Lead, engage, and participate in community collaboratives that aim to decrease youth suicide, decrease utilization of crisis services, and promote preventative services. OUTCOME: During the 2022-2023 school year there were approximately 2,700 individual student coaching sessions were conducted within 24 middle schools in Colorado Springs. ACTIVITY: Provide training and implementation support to meet mental health needs of students (e.g., dialectical behavior therapy (DBT), suicide intervention and postvention protocols). OUTCOME: In 2023, we partnered with a subject matter expert to update the DBT series, now with three different focuses - elementary, middle and high school. We also created 19 short videos to support the learning experience. In 2023, we trained 345 school professionals through our DBT series. ACTIVITY: Provide training and implementation support to help clinics implement youth suicide prevention care pathways using evidence-based approaches (i.e., Ask Suicide-Screening Questions (ASQ) Suicide Screening, Brief Suicide Safety Assessment, and PracticeWISE MAP). OUTCOME: We offered Zero Suicide training to 232 medical professionals working in community primary care clinics (1,088 contact hours). We also provide more than 20 hours of content in partnership with Colorado ECHO. ACTIVITY: Provide suicide prevention training and education with community members (e.g., Question Persuade Refer (QPR), Applied Suicide Intervention Skills Training, Youth Mental Health First Aid). OUTCOME: 68 community members attending QPR training in 2023; all participants demonstrated an increase in knowledge across all measures. About 4% of participants were from rural or frontier communities. ACTIVITY: Expand Existing suicide ideation and depression screening to other clinical settings for patients aged 12 years and older. OUTCOME: In August 2023, universal suicide and depression screening was implemented within all the inpatient units of the Children's Colorado system; in 2023, we screened 4,271 patients for suicide and depression in Colorado Springs. ACTIVITY: Host educational presentations by physicians, nurses, and other health care experts for community organizations and schools. OUTCOME: In 2023, we provided mental health educational and access information at 31 community-based events, in 331 media stories, and our mental health educational webpage reached 45,416 users. GOAL 2: Improve systems of care and access to mental health services. ACTIVITY: Strengthen the youth mental health system by, 1. Fighting for kids to get their fair share in the annual state budget, and 2. Strengthening the accountability and unity of the mental health system for kids with the new Behavioral Health Administration and the next phase of Colorado. OUTCOME: At the state level in 2023, Children's Hospital Colorado coordinated testimony from 28 experts on pending legislation at committee hearings, and actively tracked 176 bills. We activated our grassroots network on multiple child health policy topics, generating hundreds of messages to state and federal lawmakers on youth mental health. Top priority bills relevant to community benefit included advocating for youth mental health. We established a new Children, Youth and Families Mental Health Coalition in January 2022 and as of December 2023, we had 80 individuals and organizational representatives of diverse interests represented including schools, treatment providers, child abuse prevention advocates, mental health policy experts and more. Major community health priorities included a bill to increase access to mental health services for children under age 21 who are insured by Medicaid without the requirement for a mental health diagnosis. This expands access to integrated care and provides care to children and youth in need who may otherwise have barriers to access. We worked on two proposals this year to establish eating disorder prevention programs at the Colorado Department of Public Health and Environment and a bill to increase access to treatment for individuals with disordered eating by prohibiting health plans and Medicaid from utilizing body mass index to determine access to treatment. Additionally, we led an effort to support additional investments in community-based residential treatment capacity for children and youth with complex mental health needs and to require hospitals and counties to report to the state the number of patients with mental health conditions who were boarding or staying for extended periods of time beyond clinical need due to lack of intensive community-based treatment options. ACTIVITY: Support policies that address social determinants of health, including supporting funding and policy decisions that prioritize housing, economic security, and food security to reduce risk factors and promote the health and well-being of kids and families. OUTCOME: In 2023, we led a coalition to expand access to community health workers, where research has shown that access to community health, we led a coalition to expand access to community health workers, where research has shown that access to community health workers can improve patient health outcomes, address health disparities and reduce healthcare costs while also expanding and diversifying the healthcare workforce. The legislation will enable community health workers to be paid for their care by Colorado Medicaid. We also worked on a number of proposals related to housing stability and nutrition, two of the most commonly identified needs among our patient population when we use our psychosocial screener. ACTIVITY: Advocate for healthcare financing models that provide better care for individuals with mental health conditions, including the integration of physical and mental health. OUTCOME: We work to expand the number of underinsured and uninsured children who can be served by Children's Hospital Colorado and other pediatric providers in Colorado and improve access to care and equity between private and public coverage. Serving as a bridge between patients, advocacy, providers, and the State, we engage deeply with behavioral health reform, as well as Medicaid, indigent care programs, and the Children's Health Insurance Program, among others.
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Schedule H, Part V, Section B, Line 11 Facility , 2
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Facility , 2 - DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUE. GOAL 3: Promote protective factors and reduce risk factors for mental health conditions. ACTIVITY: Address social needs of identified patients through the social needs screener and increase health navigation referrals. OUTCOME: Our health navigation teams play a critical role addressing needs such as housing, food, benefits, transportation, etc. In 2023, our health navigators in Colorado Springs completed screening for 3,398 inpatients among 1,981 unique patients. ACTIVITY: Health Navigation will help families to navigate systems and connect them to community resources to meet families' social needs. OUTCOME: Health Navigators in Colorado Springs made 1,530 referrals to community resources. ACTIVITY: The Injury Prevention team will educate families/caregivers on appropriate steps to take when an infant is crying, calming techniques, and coping mechanisms to manage stress to prevent Shaken Baby Syndrome (SBS) through virtual classes and provided resources. OUTCOME: In Colorado Springs, we continued our free 1-hour virtual education class, 'Crying Happens. What's Your Plan?', in partnership with UCHealth Memorial Hospital, a main birthing hospital in the area. The class teaches about Shaken Baby Syndrome (SBS) prevention and has interactive questions for participants on frequency, causes, and how to make a plan. The course reached 33 caregivers and each participant who completed the post-survey reported having learned something new about SBS. ACTIVITY: The Injury Prevention team will provide car seats and education on proper car seat installation. OUTCOME: In 2023, we expanded our community outreach in Colorado Springs to increase injury prevention efforts with an equity lens. We continued providing 1-on-1 car seat checks by appointment and also partnered with the Colorado Springs Fire Department, Fountain Fire, and Colorado Springs Police Department to hold 11 monthly car seat check events in the community. Through these seat checks and car seat educational classes at the local Lutheran Family Services Refugee and Asylee program, we educated 238 caregivers on proper child restraint use, checked 206 car seats and boosters and corrected over an 80% misuse rate, while also providing 82 reduced-cost car seats and booster seats to families in need. We continued conducting appointments in English and Spanish while utilizing interpreters for families who spoke Dari, Arabic, and Swahili. We conducted 8 total in-person car seat safety presentations for expecting families at Peterson Space Force Base and the United States Air Force Academy, reaching 54 military parents and caregivers. We continued our child passenger safety program in the hospital, providing 43 free car seats to patient families in need along with printed materials on southern Colorado inspection stations and handouts with installation videos, Colorado law and best practices. Additionally, we created a program to be responsive to disparities in motor vehicle collisions (MVC) for Hispanic and Latino individuals, who have a 50% higher rate of death compared to non-Hispanic white adults in El Paso County. Also in Colorado over a 4-year period, a higher percentage of Hispanic and Latino children who died in MVCs were improperly restrained compared to non-Hispanic white children (72.3% vs. 46.2%). In wanting to intentionally address this, we identified the need to bring child passenger safety education to the part of our community with higher percentages of Hispanic or Latino families and reduce the geographic barrier of driving to our hospital location. We also partnered with Peak Vista Community Health Center's First Visitor program, which serves over 800 families yearly, 73% of which are Spanish speaking. As a result, in 2023, we held 6 Child Passenger Safety classes in Spanish at Peak Vista's location, reaching 21 caregivers and providing 31 reduced-cost car seats and boosters, each which is checked for proper installation after each class. We also held two Child Passenger Safety Technician (CPST) certification courses, training over 35 Children's Hospital Colorado and community members as CPSTs, and held one Safe Travel for All Children (STAC) adaptive child restraint course, training 11 Children's Hospital Colorado and community members. ACTIVITY: Provide cultural responsiveness training for healthcare providers in partnership with community-based advocates and organizations through the Center for Advancing Professional Excellence (CAPE) simulation education training. OUTCOME: In 2023, we trained 53 providers (MD's, PhD's, PA's, APN's, MSW's, and medical residents), and 63 community advocates (BS, BA, RN, MSN, MS, MPH). ACTIVITY: Engage team members in the Experience Difference programming to practice and model inclusive behaviors, promote the tenants of health equity, and help create an organization that intentionally values difference. OUTCOME: In 2023, our Diversity, Health Equity, and Inclusion team launched the seventh cohort of the Captains of Inclusion program, training a total of 50 new Captains; 10 of which are based in our Colorado Springs locations. ACTIVITY: Increase workforce diversity to be reflective of the community we serve. OUTCOME: Our Human Resources department is leading efforts to increase the diversity of leadership within our system; this work is ongoing. For this measure our definition of diversity is a "person of color", and our definition of leadership are roles who have direct supervisory responsibilities. In 2022, our benchmark for the system was set at 17.02% of our leadership team identifying as a person of color; in 2023, our Colorado Springs performance was 19.6%. ACTIVITY: The Team Member Resource Groups (TMRG) will support hospital-wide diversity and inclusion efforts, serve as a source of educational and professional development opportunities, and maintain an open forum for the exchange of ideas. OUTCOME: In 2023, the TMRG's consulted on 66 hospital policies and conducted 76 educational events within the organization. ACTIVITY: The School Health team will develop a strategic plan that will implement systematic training, professional development for nurses, education to students and families, and support for school nurses and childcare health consultants around behavioral health and how to access additional resources for students with 504, individualized education programs, individual family service plan, or care plans. OUTCOME: In 2023, our School Health team created an online resource hub for any school in Colorado to access and download student care plan templates for 16 different health conditions: https://www.childrenscolorado.org/community/community-health/school-health/school-nurse-resources/ ACTIVITY: PMHI is partnering with schools to train school personnel how to lead Unstuck and On Target, a community-based curriculum for students, focused on cognitive behavioral techniques to promote executive functioning and students' success, including making goals and plans, balancing others' needs, and regulating emotions. This program will expand to the schools who receive training to lead the curriculum in their schools and classrooms. OUTCOME: In 2023, there were 27,525 visits to the website; 36,542 people received executive functioning resources; and 1,255 people enrolled in the program. ACTIVITY: Behavioral Health Navigators, as part of the Building Resiliency for Healthy Kids program (in several Colorado Springs school districts) will support school health coaches, provide 1:1 behavioral health services when additional care is needed for students, and connect families to community resources when appropriate. OUTCOME: In Colorado Springs schools, behavioral health providers (licensed clinicians) delivered therapeutic services to 354 students in their school settings. GOAL 4: Promote community voices and engagement to inform, advise, and shape mental health priorities and systems of care. ACTIVITY: Children's Colorado's Government Affairs, Medicaid Strategy, and Partners for Children's Mental Health (PCMH) teams will lead and participate in community coalitions and continue to cultivate a statewide network of child health advocates and encourage Coloradans to voice their views on the importance of child and youth mental health in public policy. The PCMH Youth Council, led by 14 youth from across Colorado, will shape how PCMH plans, develops, and executes initiatives. The PMHI Youth Action Board (YAB), a program with up to 18 youth from 30 schools in the Denver metro area, will continue to promote ways to reduce stigma and raise awareness about mental health issues.
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Schedule H, Part V, Section B, Line 11 Facility , 3
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Facility , 3 - DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUE. OUTCOME: In 2023, 251 Child Health Champions trained and 232 community residents training on child advocacy. PCMH's youth engagement work was revamped to create the Youth Council on Mental Health (YCMH). The new structure was built for youth, by youth. Over 43 Colorado youth applied to participate in the YCMH. The council holds 22 Colorado youth and two boards: Community Action Team and the Program Innovation Team. These boards meet monthly to discuss mental health initiatives in schools and youth-led resource development (social media guide for teens). ACTIVITY: Engage and collaborate with community-focused public organizations in order to offer guidance, support, and/or feedback on shared strategies and goals aimed at mental health and/or contributing factors. OUTCOME: We participate with and/or lead more than 30 community-focused organizations/coalitions. Some key efforts include leading the Colorado Alliance for School Health, leading Safe Kids Colorado, leading Safe Kids Colorado Springs, and we activity participate in the El Paso County Public Health Healthy Communities Collaborative, El Paso County Public Health Tobacco Free Alliance, El Paso County Public Health Youth Suicide Prevention Workgroup, Colorado Blueprint to End Hunger, Colorado Department of Education, Colorado Association of School Nurses, Colorado Department of Public Health and Environment, Colorado Perinatal Care Quality Collaborative (CPCQC), and more. ACTIVITY: Provide a defined avenue for families, youth, and community through Family Advisory Councils (FAC) and Resource Connect Governance Council to advocate, engage, and educate Children's Hospital Colorado to improve the system of care and health outcomes for children and families receiving care. OUTCOME: There are 13 Family Advisory Councils representing a variety of affinity groups, such as the Hispanic FAC and the African American FAC, in addition to may FAC's specific to a medical condition (i.e., mental health, cancer, prematurity, etc.). There is also a FAC specific to Colorado Springs. These groups each meet 11-12 times per year, and they consulted on more than 100 hospital policies in 2023.
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Schedule H, Part V, Section B, Line 3E
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Facility reporting; CHCO - NORTH CAMPUS IN 2022, CHILDREN'S HOSPITAL COLORADO CONDUCTED THE FIRST COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR FACILITY (4). THIS MEETS THE REQUIREMENT THAT NEWLY LICENSED HOSPITAL FACILITIES COMPLETE A CHNA BY THE LAST DAY OF THE SECOND TAXABLE YEAR. THE CHNA WAS APPROVED BY THE CHILDREN'S HOSPITAL COLORADO BOARD OF DIRECTORS ON DECEMBER 15, 2022. CHILDREN'S HOSPITAL COLORADO INCLUDED IN THE CHNA REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH INCLUDE CHILD MENTAL HEALTH AS THE TOP COMMUNITY CONCERN THROUGH EVERY METHOD OF DATA COLLECTION INCLUDED IN THE ASSESSMENTS, FOLLOWED BY ACCESS TO CARE AND FOOD INSECURITY. CHILDREN'S HOSPITAL COLORADO WILL ADDRESS THIS COMMUNITY DRIVEN PRIORITY THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES AS OUTLINED IN THE CORRESPONDING IMPLEMENTATION PLANS. 2022 CHNA: https://www.childrenscolorado.org/community/community-health/community-health-needs-assessment/
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Schedule H, Part V, Section B, Line 5 Facility , 1
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Facility , 1 - Schedule H, Part V, Section B, Line 5. Facility 4 (North/Broomfield) we engaged in community outreach process to assess the interests and concerns of caregivers in the neighborhoods and counties that the hospital serves. Through our primary data collection approaches, which included surveys, interviews, and community meetings, we were able to gain the input of hundreds of people. There were 314 respondents to our caregiver survey, 33 stakeholder interviews with community-based organization leaders, more than 30 data sources queried, and 2 community meetings were held to prioritize findings. We also sought expertise from partners with special knowledge and expertise in public health, including the Adams County Health Alliance who we partnered with to present findings and have a community prioritization meeting with members of the alliance; Broomfield Public Health and Environment, who we partnered with to join the Broomfield Community Services Network for a community meeting and to identify community partners to engage in stakeholder interviews and assist with distributing the caregiver survey; Broomfield Community Services Network, who partnered with University of Colorado Health (UCHealth) and Centura Health System to have a joint community prioritization meeting with; and, the Colorado School of Public Health provided a graduate intern who helped to conduct, transcribe and synthesize findings from key stakeholder interviews.
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Schedule H, Part V, Section B, Line 11 Facility , 1
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Facility , 1 - CHCO - NORTH CAMPUS. Facility 4 (North/Broomfield) for our 2022 Community Health Needs Assessment (CHNA) we will take a holistic approach to addressing child mental health, which is our primary priority need identified in our CHNA, along with access to care and food insecurity. CHCO recognizes that the public health needs of the community are extensive, and many needs are not explicitly addressed through our priority and goals. Several health and social needs were identified as top needs by the community and within the data, such as maternal and infant health, child abuse and neglect, oral health, and affordable housing. Children's Colorado realizes the health and social needs for children and youth in our communities are vast. We aim to meaningfully advance child health and achieve more impact by focusing on our top three priority areas, rather than extending too far across domains and limiting our ability to improve health in any one area. Mental health, access to care, and food insecurity will be our primary areas of focus for the next several years for Broomfield and Adams counties. To impact mental health, our approach will focus on four areas: 1. Direct services and supports to prevent or address mental health conditions, 2. Advocating for improved systems of care for mental health, 3. Reducing stressors that may impact mental health, and 4. Engaging community to inform and shape our priorities. These strategies occur at various levels: individual child or youth, caregiver, healthcare provider, school, community, or at the system and policy level. Together, these areas will comprehensively work to address mental health needs among children and youth. To impact food security, our approach will focus on three areas: 1. Strengthen supports for families experiencing food insecurity by promoting our Food As Medicine (FAM) program by increasing access to healthy foods, health education and behavior change to promote healthy lifestyles and improve access to food supports; 2. Raise awareness of the health impacts of food insecurity by promoting food assistance and education programs in schools, primary care, and communities to increase enrollment in food-related benefits and access to food; and, 3. Promote community partnerships in support of food security. Many of our goals and activities are intended to serve communities within and beyond the primary service area of the specific facility location; for example, much of our community work is conducted at the systems-level or statewide. Unless a specific geography is noted in the activities and outcomes below (i.e., Broomfield or Adams County) the activities were carried out in a way that was inclusive of all the communities of our Denver Metro facilities, and/or statewide. MENTAL HEALTH GOAL 1: Improve mental health awareness and reduce the risk of suicide. ACTIVITY: Provide training and implementation support to meet mental health needs of students (e.g., dialectical behavior therapy (DBT), suicide intervention and postvention protocols). OUTCOME: In 2023, we partnered with a subject matter expert to update the DBT series, now with three different focuses - elementary, middle and high school. We also created 19 short videos to support the learning experience. In 2023, we trained 345 school professionals through our DBT series. ACTIVITY: Provide training and implementation support to help clinics implement youth suicide prevention care pathways using evidence-based approaches (i.e., Ask Suicide-Screening Questions (ASQ) Suicide Screening, Brief Suicide Safety Assessment, and PracticeWISE MAP). OUTCOME: We offered Zero Suicide training to 232 medical professionals working in community primary care clinics (1,088 contact hours). We also provide more than 20 hours of content in partnership with Colorado ECHO. ACTIVITY: Provide suicide prevention training and education with community members (e.g., Question Persuade Refer (QPR), Applied Suicide Intervention Skills Training, Youth Mental Health First Aid). OUTCOME: 68 community members attending QPR training in 2023; all participants demonstrated an increase in knowledge across all measures. About 4% of participants were from rural or frontier communities. ACTIVITY: Expand Existing suicide ideation and depression screening to other clinical settings for patients aged 12 years and older. OUTCOME: In August 2023, universal suicide and depression screening was implemented across all in-patient units and a few outpatient settings in the Children's Colorado System. At our North Campus in Broomfield, we screened 4,567 patients for suicide and depression in 2023. ACTIVITY: Host educational presentations by physicians, nurses, and other health care experts for community organizations and schools. OUTCOME: In 2023, we provided mental health educational and access information at 31 community-based events, in 331 media stories, and our mental health educational webpage reached 45,416 users. MENTAL HEALTH GOAL 2: Improve systems of care and access to mental health services. ACTIVITY: Strengthen the youth mental health system by fighting for kids to get their fair share in the annual state budget, and strengthening the accountability and unity of the mental health system for kids with the new Behavioral Health Administration and the next phase of Colorado. OUTCOME: At the state level in 2023, Children's Hospital Colorado coordinated testimony from 28 experts on pending legislation at committee hearings, and actively tracked 176 bills. We activated our grassroots network on multiple child health policy topics, generating hundreds of messages to state and federal lawmakers on youth mental health. Top priority bills relevant to community benefit included advocating for youth mental health. We established a new Children, Youth and Families Mental Health Coalition in January 2022 and as of December 2023, we had 80 individuals and organizational representatives of diverse interests represented including schools, treatment providers, child abuse prevention advocates, mental health policy experts and more. Major community health priorities included a bill to increase access to mental health services for children under age 21 who are insured by Medicaid without the requirement for a mental health diagnosis. This expands access to integrated care and provides care to children and youth in need who may otherwise have barriers to access. We worked on two proposals this year to establish eating disorder prevention programs at the Colorado Department of Public Health and Environment and a bill to increase access to treatment for individuals with disordered eating by prohibiting health plans and Medicaid from utilizing body mass index to determine access to treatment. Additionally, we led an effort to support additional investments in community-based residential treatment capacity for children and youth with complex mental health needs and to require hospitals and counties to report to the state the number of patients with mental health conditions who were boarding or staying for extended periods of time beyond clinical need due to lack of intensive community-based treatment options. ACTIVITY: Support policies that address social determinants of health, including supporting funding and policy decisions that prioritize housing, economic security, and food security to reduce risk factors and promote the health and well-being of kids and families. OUTCOME: In 2023, we led a coalition to expand access to community health workers, where research has shown that access to community health workers can improve patient health outcomes, address health disparities and reduce healthcare costs while also expanding and diversifying the healthcare workforce. The legislation will enable community health workers to be paid for their care by Colorado Medicaid. We also worked on a number of proposals related to housing stability and nutrition, two of the most commonly identified needs among our patient population when we use our psychosocial screener. ACTIVITY: Advocate for healthcare financing models that provide better care for individuals with mental health conditions, including the integration of physical and mental health. OUTCOME: We work to expand the number of underinsured and uninsured children who can be served by Children's Hospital Colorado and other pediatric providers in Colorado and improve access to care and equity between private and public coverage. Serving as a bridge between patients, advocacy, providers, and the State, we engage deeply with behavioral health reform, as well as Medicaid, indigent care programs, and the Children's Health Insurance Program, among others.
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Schedule H, Part V, Section B, Line 11 Facility , 2
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Facility , 2 - CHCO - NORTH CMAPUS. MENTAL HEALTH GOAL 3: Promote protective factors and reduce risk factors for mental health conditions. ACTIVITY: Provide cultural responsiveness training for healthcare providers in partnership with community-based advocates and organizations through the Center for Advancing Professional Excellence (CAPE) simulation education training. OUTCOME: In 2023, we trained 53 providers (MD's, PhD's, PA's, APN's, MSW's, and medical residents), and 63 community advocates (BS, BA, RN, MSN, MS, MPH). ACTIVITY: Engage team members in the Experience Difference programming to practice and model inclusive behaviors, promote the tenants of health equity, and help create an organization that intentionally values difference. OUTCOME: In 2023, our Diversity, Health Equity, and Inclusion team launched the seventh cohort of the Captains of Inclusion program, training a total of 50 new Captains. ACTIVITY: Increase workforce diversity to be reflective of the community we serve. OUTCOME: Our Human Resources department is leading efforts to increase the diversity of leadership within our system; this work is ongoing. For this measure our definition of diversity is a "person of color", and our definition of leadership are roles who have direct supervisory responsibilities. In 2022, our benchmark was set at 17.02% of our leadership team in the Denver Metro area identifying as a person of color, and that increased to 17.8% in 2023. ACTIVITY: The Team Member Resource Groups (TMRG) will support hospital-wide diversity and inclusion efforts, serve as a source of educational and professional development opportunities, and maintain an open forum for the exchange of ideas. OUTCOME: In 2023, the TMRG's consulted on 66 hospital policies and conducted 76 educational events within the organization. MENTAL HEALTH GOAL 4: Promote community voices and engagement to inform, advise, and shape mental health priorities and systems of care. ACTIVITY: Children's Colorado's Government Affairs, Medicaid Strategy, and Partners for Children's Mental Health (PCMH) teams will lead and participate in community coalitions and continue to cultivate a statewide network of child health advocates and encourage Coloradans to voice their views on the importance of child and youth mental health in public policy. The PCMH Youth Council, led by 14 youth from across Colorado, will shape how PCMH plans, develops, and executes initiatives. The PMHI Youth Action Board (YAB), a program with up to 18 youth from 30 schools in the Denver metro area, will continue to promote ways to reduce stigma and raise awareness about mental health issues. OUTCOME: In 2023, 251 Child Health Champions trained and 232 community residents training on child advocacy. PCMH's youth engagement work was revamped to create the Youth Council on Mental Health (YCMH). The new structure was built for youth, by youth. Over 43 Colorado youth applied to participate in the YCMH. The council holds 22 Colorado youth and two boards: Community Action Team and the Program Innovation Team. These boards meet monthly to discuss mental health initiatives in schools and youth-led resource development (social media guide for teens). ACTIVITY: Engage and collaborate with community-focused public organizations in order to offer guidance, support, and/or feedback on shared strategies and goals aimed at mental health and/or contributing factors. OUTCOME: We participate with and/or lead more than 30 community-focused organizations/coalitions. Some key efforts include leading the Colorado Alliance for School Health, leading Safe Kids Colorado, and we activity participate in the Colorado Blueprint to End Hunger, Metro Denver Partnership for Health, the Aurora Health Alliance, Future of Charitable Food, Resident Leadership Council, Child Fatality Review Boards (Adams, Arapahoe and Douglas), Colorado Department of Education, Aurora Public School District, Adams 14 School District, Kids First Healthcare, Colorado Association of School Nurses, Colorado Department of Public Health and Environment, Colorado Perinatal Care Quality Collaborative (CPCQC), Families Forward Resource Center, Food Bank of the Rockies, Hunger Free Colorado, and more. ACTIVITY: Provide a defined avenue for families, youth, and community through Family Advisory Councils (FAC) and Resource Connect Governance Council to advocate, engage, and educate Children's Hospital Colorado to improve the system of care and health outcomes for children and families receiving care. OUTCOME: There are 13 Family Advisory Councils representing a variety of affinity groups, such as the Hispanic FAC and the African American FAC, in addition to may FAC's specific to a medical condition (i.e., mental health, cancer, prematurity, etc.). These groups each meet 11-12 times per year, and they consulted on more than 100 hospital policies in 2023. ACCESS TO CARE. To impact access to care, our approach will focus on three areas: 1. Improve systems of care and access to healthcare services by partnering with primary care practices, payers, and lawmakers to identify opportunities to improve access to healthcare services for children and families; 2. Promote navigation supports to increase access to social services and supports that affect access to care; and, 3. Promote community partnerships in support of access to care. ACCESS TO CARE GOAL 1: Improve systems of care and access to healthcare services ACTIVITY: Advocate for policies that improve insurance coverage and quality, build and strengthen provider networks, and improve health care financing, particularly for health-related social needs. OUTCOME: We work to expand the number of underinsured and uninsured children who can be served by Children's Hospital Colorado and other pediatric providers in Colorado and improve access to care and equity between private and public coverage. Serving as a bridge between patients, advocacy, providers, and the State, we engage deeply with behavioral health reform, as well as Medicaid, indigent care programs, and the Children's Health Insurance Program, among others. ACCESS TO CARE GOAL 2: Promote navigation support to increase access to social services and supports that affect access to care. ACTIVITY: Address social needs of identified patients through social needs screening and increase health navigation referrals. Health navigation will help families to navigate systems and connect them to community resources to meet families' resource needs. Explore health navigation expansion at North Campus to provide resource referrals. OUTCOME: Our health navigation teams play a critical role addressing needs such as housing, food, benefits, transportation, etc. Universal social needs screening was implemented at all inpatient units in the Children's Colorado system in August of 2023. At our North Campus facility in Broomfield, we screened 675 inpatients in 2023 and 88.9% of people who wanted help, got help (referrals). ACCESS TO CARE GOAL 3: Promote community partnership in support of access to care ACTIVITY: AsthmaCOMP (Colorado Comprehensive School-Centered Asthma Program) works with students, families, and school staff to improve school-based asthma care and pediatric asthma outcomes. Health navigators assess caregiver mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services as necessary. OUTCOME: In the 2023 school year, this team completed 295 visits with students in 20 elementary schools. ACTIVITY: Just Keep Breathing (JKB) provides home visits to patients with high-risk asthma, improving outcomes through asthma education, environmental assessments and remediation, care coordination, and patient navigation. Health navigators assess caregiver mental health using the Patient Health Questionnaire-4 (PHQ-4) and work to connect caregivers to community mental health services as necessary. OUTCOME: In 2023, 325 eligible patients were approached, 71 patients were active in the program, and the team completed 143 home visits either virtually or in-person. ACTIVITY: An inpatient asthma navigator for asthma patients and families transitioning from the inpatient setting to home, ensuring they are connected to follow up care and providing resources for identified psychosocial needs. OUTCOME: In 2023, our inpatient asthma navigator served 104 patients.
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Schedule H, Part V, Section B, Line 11 Facility , 3
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Facility , 3 - CHCO - NORTH CAMPUS. ACTIVITY: The School Health team will develop a strategic plan that will implement systematic training, professional development for nurses, education to students and families, and support for school nurses and childcare health consultants around behavioral health and how to access additional resources for students with 504, individualized education programs, individual family service plan, or care plans. OUTCOME: In 2023, Children's Colorado's team of 33 School Nurse Consultants (SNCs) served over 250 school and childcare sites touching 62,000 children's lives in the Denver Metro area. Also in 2023, our School Health team created an online resource hub for any school in Colorado to access and download student care plan templates for 16 different health conditions: https://www.childrenscolorado.org/community/community-health/school-health/school-nurse-resources/ ACTIVITY: PMHI is partnering with schools to train school personnel how to lead Unstuck and On Target, a community-based curriculum for students, focused on cognitive behavioral techniques to promote executive functioning and students' success, including making goals and plans, balancing others' needs, and regulating emotions. This program will expand to the schools who receive training to lead the curriculum in their schools and classrooms. OUTCOME: In 2023, there were 27,525 visits to the website; 36,542 people received executive functioning resources; and 1,255 people enrolled in the program. ACTIVITY: The School-Based Dental Clinic team will provide dental hygiene services in schools in order to prevent caries and increase access to dental services. OUTCOME: In 2023, our oral health outreach program provided preventive oral health services to children in various school settings outside of a traditional dental clinic. Through collaborative efforts with Aurora Public Schools (which covers portions of both Adams and Arapahoe counties), 15 school dental screening events occurred, with a focus on schools in north Aurora. Over 700 students (preschool to 3rd grade) received a dental screening and 235 students were identified as having dental needs, of which approximately 20% were urgent (rampant decay, pain, systemic infection). Every student screened was provided with an oral hygiene kit (i.e., toothbrush, toothpaste, floss, etc.) and those with dental needs were referred for care. FOOD INSECURITY GOAL 1: Strengthen supports for families experiencing food insecurity. ACTIVITY: Screen for food insecurity in the inpatient setting. Explore expanding community health navigation to North Campus to provide resource referral for benefits. OUTCOME: We have a dedicated health navigator at our North Campus in Broomfield who responds to identified social needs. In 2023 social needs screening was implemented and 670 patients were screened for food needs; of those who were screened, 88.9% of those who identified a food need and wanted help, got help. FOOD INSECURITY GOAL 2: Raise awareness of the health impacts of food insecurity. ACTIVITY: Partner with schools and community-based organizations to identify opportunities to promote access to high-quality nutritious food and education. OUTCOME: Our Food As Medicine Team is actively partnering with the Adams 12 School District's 5 Star Education Foundation to coordinate efforts. Our partnership will transform their existing food pantries into food clinics by adopting Food as Medicine principles. Children's Colorado will provide the technical assistance to do this, and we are actively partnering on grant funding proposals. FOOD INSECURITY GOAL 3: Promote community partnerships in support of food security. ACTIVITY: Coordinate with partners on existing strategies and opportunities to promote food security. Participate in Metro Denver Health Beverage Coalition, Blueprint to End Hunger Coalition and national-level efforts to promote food security. OUTCOME: Our Food As Medicine team is actively collaborating with the Blueprint to End Hunger on strategies to address the food pantry desert in Adams County. We are also advocating on behalf of the Adams county area for Food Bank of the Rockies to increase access to charitable food in the area.
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Attach to Form 990 or Form 990-EZ.