Table of Contents

Introduction

Community Outreach (Part 1)

Community Outreach (Part 2)

Community Outreach (Part 3)

Fitness & Health Fairs

Montana’s Youth

Women’s Health

Special Populations

Seniors

Community Services Report
2001 - Spring 2002

Community Outreach (part 1)

Social Accountability

In an attempt to meet the health care needs of the community, Holy Rosary Healthcare has worked hard to stay in sync with evolving trends in health care. Strong emphasis is being placed on prevention and educational activities to improve the overall well being of the community. This is what is known as social accountability.

A social accountability report is the process used in planning and reporting community benefits. A social accountability report helps document and reinforce the tradition of providing Christian health care to those in need. Compiling the information includes not only charity care and other services for the poor and underserved but for the full range of community-oriented efforts that have been part of the traditional mission of the not-for-profit ministry.

Social accountability is divided into two categories: quantifiable and non-quantifiable benefits. Quantifiable benefits are those upon which monetary value can be placed. Expense and revenue numbers are used for services considered quantifiable. Non-quantifiable benefits are those for which expenses and revenue amounts are unavailable.

A summary of quantifiable benefits was compiled by collecting information on community services provided by Holy Rosary.

Central Montana Medical Center’s Safe Sitters Class in action.

Traditional Charity Care is free or discounted health care services provided to persons who cannot afford to pay and are without adequate insurance or because care provided is beyond their financial capability to reimburse.

Nonbilled services are activities for which no bill is rendered, no revenue is captured and no deduction from revenue is taken in the traditional revenue and expense report. Generally, these services are not expected to be financially self-supporting.

Unpaid cost of Public Programs is the “shortfalls” created when payments received are below the costs of treating public beneficiaries. Education and training of Health Professionals are activities for medical residents, nursing students and students in allied health professions.

Subsidized Health Services are services that generate a low or negative margin for our facility; however, are still offered due to the need in the community.

Cash and In-kind Donations are donations made by Holy Rosary on behalf of the poor and the community, including contributions to community agencies and to special funds used for charitable activities.

Services to the Poor
Charity Care: $453,465

Council on Aging Taxi Tickets: Each month, Holy Rosary Healthcare provides taxi tickets to the Council on Aging to assist seniors in their transportation needs to their medical appointments. In FY’01, Holy Rosary provided 926 rides at a cost of $2,084.

Assisting the Custer County Food Bank in their Mission: the Custer County Food Bank is an important part of our community. Holy Rosary Healthcare sponsored food drive within the facility throughout the year and provided taxi rides to those needing to get to the food bank but who had no transportation. In FY’01 Holy Rosary provided 390 rides at a cost of $973. In June 2000, the Custer County Food Bank also received a $15,000 grant from the Sisters of Charity of Leavenworth Health System Mission Fund.

Taxi Tickets for Patients: There are times when patients need a ride to the facility for their medical appointment or to get home from a visit to the Walk-In Clinic or Emergency Department. Holy Rosary often provides taxi tickets so patients can get home and begin their recuperation time. From June 1, 2000 - May 31, 2001 Holy Rosary provided taxi tickets to 245 customers at a cost of $691.

Mission in Motion

The Ronald McDonald Care Mobile, which provides health care to those in need, is our Mission in Motion. In June, St. Vincent Healthcare received one of the dozen CareMobiles provided by Ronald McDonald House Charities. The national CareMobile program was started because statistics show over 1,300 babies are born every day in the United States without any type of healthcare coverage. In Montana, 20% of children are uninsured.

The CareMobile will make it possible for children of limited income to access free wellness and primary medical care. This clinic on wheels will reach uninsured youngsters in Yellowstone County. Already, organizations such as Headstart, Deering Clinic and Lockwood Schools have inquired about using its services.

Community Service

Across the country, numerous perception studies have been conducted to gauge the public’s opinion of America’s health care system and the role local providers play in serving community health needs. The results consistently show that, in general, people are unaware of the myriad of benefits above and beyond the provision of general acute care services provided by not-for-profit community health organizations. Beartooth Hospital and Health Center is committed to serving the health care needs of our community. To fulfill this mission, Beartooth Hospital and Health Center operates a wide variety of community services and programs.

Early pregnancy and childbirth education classes to prepare expectant parents for pregnancy, labor, and delivery, and infant care are offered three times a year by BHHC nurses, physicians, anesthetists and physical therapists. These classes are held in cooperation with the Carbon County Healthcare Association and each class series lasts six weeks. The Obstetrical Department also provides hearing screenings for all newborn infants.

Beartooth Sports Medicine Program provides a variety of services aimed at injury prevention education and conditioning for athletes of all ages and encompassing a wide range of the sporting spectrum. Physicians, physical therapists and athletic trainers provide weekly visits, event coverage, and sports physicals to area schools and arena coverage for professional and amateur rodeos both inside and outside Carbon County. Beartooth Sports Medicine coordinates ski patrol conferences with Red Lodge Mountain and Red Lodge City Ambulance to improve emergency response time and patient care. Beartooth Sports Medicine plans, coordinates, and conducts the annual Coaches Clinic educational seminar offered statewide to coaches and teachers for state approved continuing education credits.

Beartooth Hospital and Health Center provides an annual Health Fair each fall for the residents of Carbon County. BHHC health professionals along with local physicians and staff from Mountainview Clinic, Red Lodge Clinic and a wide variety of health care related vendors provide health screenings and health information to the more than 250 participants that attend the Health Fair each year.

Beartooth Hospital and Health Center’s mission to provide wellness services and health education spans the county. Monthly foot and blood pressure clinics are provided free of charge to several Senior Centers throughout Carbon County. In addition, BHHC medical professionals coordinated and instructed pediatric and adult first aid classes to community members and child care providers.

Deaconess Billings Clinic Cares for Community

St. John’s Lutheran Hospital’s Health Fair - a big hit!

As a community-owned, not-for-profit health care organization and one of the largest employers in Yellowstone County, Deaconess Billings Clinic is strengthening the health and future of our local and regional community.

With nearly 600,000 patient visits to Deaconess Billings Clinic physicians and more than 12,000 patients served in our hospital in the past year, we share responsibility for quality health care and community health.

In 2001, Deaconess Billings Clinic provided $22 million for rural outreach programs, subsidized patient care, education, research, and donations, including the following:

Teaching future health care professionals.
DBC contributed $732,000 in staff time and monetary support to train physician residents, physician assistants, nurses and health care students in programs such as the Rocky Mountain College Physician Assistant Program, Montana Family Practice Residency Program and MSU-Billings Nursing Program.

Educating health care consumers.
More than 15,000 people attended free DBC health education classes, health fairs and support groups.

Researching new medical therapies.
DBC’s Research Division conducted 35 studies over the past year, ranging from osteoporosis to heart disease.

Reaching rural areas.
DEACARE provided emergency air transportation and trauma services for 650 patients from remote communities. Nearly 13,500 residents of Montana and Wyoming were served by Eastern Montana Telemedicine Network programs, such as one-on- one mental health care and diabetes education using video conferencing.

Providing a safe place for teens at risk.
The Deaconess Billings Clinic Foundation donated and renovated a home on the DBC campus for Youth Dynamics, Inc., which will provide mental health services and a safe place stay for teens in need.

Giving charity care.
More than 2,400 uninsured or underinsured patients in financial need received more than $4.5 million in financial assistance for medical needs.

Subsidizing government health programs. Deaconess Billings Clinic had a shortfall of $11.8 million in unreimbursed costs to provide health care services to government-sponsored patients.

Building stronger communities.
DBC employees contributed more than 15,000 hours of community service for organizations such as Family Services, The Arthritis Foundation, American Diabetes Association and Head Start. More than $112,000 was raised from DBC employee donations to support community programs during the annual United Way campaign.

Providing flu shots to high-risk populations. DBC vaccinated 23,000 local and regional community members against influenza and its complications, especially among highrisk populations such as the sick, elderly, family caregivers, nursing home residents and health care workers.

Hospital to Provide Free Services at Scobey’s Pioneer Inn

Daniels Memorial Hospital (DMH) will begin providing some new services to area residents at the Pioneer Inn of Scobey next month.

On the second Tuesday of each month during lunch the health care facility will be sponsoring Valarie Stepp, Nurse Practitioner at DMH, to speak at the Senior Citizen Center. She will speak on subjects such as medications, diabetes, high blood pressure, stroke, and much more. Those attending can also suggest to Stepp subjects they would like to hear about. This is open to the public.

On the second Thursday of each month a social worker will visit the Pioneer Inn to answer any questions the residents may have, questions concerning living wills, Medicare, and the like. The social worker will be available from 10 a.m. to 12 p.m.

The service is free and those wanting to take advantage can sign up at the Senior Citizen Center.

Christmas Cheer

Some Havre doctors are providing Christmas cheer to their employees and to local businesses - to the tune of $56,300.

The 23 doctors associated with Northern Montana Health Care purchased $56,300 in Havre Area Chamber of Commerce gift certificates to give to their employees. As a result, the 600 or so employees of the hospital, clinic and Care Center and in the doctors’ offices each got gift certificates worth $100 Wednesday with their paychecks.

Dr. Dan Marino said that because of the economy downturn in the national economy since Sept. 11 terrorist attacks, the doctors thought they should do something to help the community. Marino is president of the Integrated Service Providers, the group that includes most doctors in Havre.

“ Our Havre merchants kind of take it on the chin,” Marino said. “Our merchants in this town are always stepping up to the plate to help and the physicians wanted to do the same.”

The certificates were distributed to all who work regularly at the units of NMHC, Marino said, ranging from nurses to office workers, from ground workers to cooking staff. The certificates are in addition to any regular pay or bonuses.

(Excerpted from Havre Daily News, Dec. 6, 2001)

Community Services Report

This past year, St. Peter’s Hospital has been very active in community activities as outlined below:

• A wide range of community education programs was offered for free or reduced cost.
• the hospital provided resources for recruitment of physicians in specialties needed by the community, work to retain current physicians.
• St. Peter’s supported community schools by contributing computers to area schools and supporting wellness programs at C.R. Anderson and Smith Elementary School as school/business partners.
• The hospital provided more than $100,000 in cash and in-kind donations to community health, cultural, educational, and economic development needs.
• Supported the Cooperative Health Center through financial and in-kind donations, reduced lab, imaging fees. Assisted the clinic with physician recruitment and retention. St. Peter’s also assisted Lincoln’s Cooperative Health Clinic by providing about $30,000 of support.
• St. Peter’s contributed more than $60,000 in staff and materials to community health fairs and wellness activities, including: For Women Only; School District Shape Your Future Fitness Day; Women & Heart Disease Event; Race for the Cure Sponsorship and Pink ribbon Month Forum; Governor’s Cup Health Fair; Senior Health and Fitness Expo; and Governor’s Conference on Aging.
• Provide, free comprehensive health information resource for consumers and physicians through Laurus Health, a link on the Hospital’s web site. A virtual nursery was also launched. Since adding these new links, visits to www.st.petes.org have increased from 250 a month to more than 4,000.
• Employees and volunteers this past summer planted 30 trees, 120 shrubs, and a variety of flowers for a new, quarter-mile American Disabilities Act compliant walking trail on undeveloped land south of the hospital’s parking lot. Staff conceptualized the project with the goal of promoting outdoor physical activity by creating a pleasant area for patients and their families, senior groups, and the public.
• The Well Now! Health Awareness Program was actively involved in improving the health status of the community. The Program reached the school district, state government, post offices, banks, small businesses and other organizations. St. Peter’s contributed staff, supplies, and travel associated with providing low-cost health screening throughout its service area.
• St. Peter’s staff donated time, materials, leadership to more than 30 community groups including Helena Healthy Community groups, including Helena Healthy Communities, the Helena Area Chamber of Commerce, Habitat for Humanity, Food Share, Gateway Economics Development, and the United Way.
• Sixty Plus staff and volunteers provided information and referrals to about 750 seniors monthly. St. Peter’s also contributed staff, supplies, and travel associated with providing and maintaining a total of 222 Lifeline units and equipment at people’s homes.
• As a charitable nonprofit institution, St. Peter’s Hospital also provided charity care, that is service for which it received reduced or no reimbursement. The unreimbursed dollar value of this care amounted to $2,087,002 in FY 2000. Care is provided to individuals who have exhausted third party resources, do not qualify for Medicaid, or who have insufficient incomes.
• Provide minimum of 30 Continuing Medical Education credit courses for area practicing and retired physicians through the University of Washington Medical School.

Marcus Daly Memorial Hospital

Marcus Daly Memorial Hospital is pleased to offer to its community, health education and awareness classes. Some of the programs that are offered by Marcus Daly Memorial Hospital are:

Breast Health Clinics
Ergonomic Evaluations
Incontinence Clinics
Osteoporosis Education/Clinics
Pneumonia/Flu Vaccination Clinics
Nutritional Counseling
Blood Pressure Clinics
Health Fair
Childbirth Education Classes
Diabetic Education/Support Classes
CPR Instruction
FACTS - CPR and First Aid Classes
Super Sitter Classes
School Nurse Assistance

Introduction

Community Outreach (2)