North Carolina Baptist Hospital
2005 Community Benefit Report
November 18, 2005
Medical Center Blvd.
Winston-Salem, NC 27157
Organization: North Carolina Baptist Hospital
Address: Medical Center Boulevard
Winston-Salem, NC 27157
Telephone: (336) 716-3089
Contact: H. Gregory Bray, Controller
For Fiscal Year Ending: June 30, 2005
1. Statement of organization’s mission and commitment to community health improvement.
See Attached
2. Describe geographic service area and target populations for community initiatives.
See Attached
3. How are the programs in which you are involved funded?
See Attached
4. Describe your methodology for determining community priorities and how you collaborate with others.
See Attached
5. List current community service programs sponsored or co-sponsored.
See Attached Exhibit C
(Exhibit A)
North Carolina Baptist Hospital
Community Improvement Plan
Executive Summary
1. Statement of organization’s missions and commitment to community health improvement:
NCBH’s involvement in community health initiatives has continued to increase as a result of our ongoing focus on improvement in community health status for the citizens of Forsyth County and the NCBH referral area. Our mission statement, reads “We provide and advance excellent healthcare, embracing the healing presence of God.”
In 1996, NCBH took a major step in moving community health high on its agenda by creating a vice president position for home and community health. In 1997, a community health director position was approved.
The Hospital participates in an ever expanding number of community projects, on a financial and in-kind basis. The in-kind participation may consist of board and committee participation, supplying meeting space at the Medical Center, administrative support, providing office equipment, printing and copying services
2. Describe geographic service area and target populations for community initiatives:
NCBH is a regional health care facility and referral center for the residents of northwestern North Carolina and southwestern Virginia. The Medical Center serves as a regional, national and international resource for medical education and biomedical research.
Many of NCBH’s community health initiatives are focused in Forsyth County, for the medically underserved populations, which are made up, generally, of lower socio-economic groups. An example of community health initiatives include the Downtown Health Plaza, which is a primary care center jointly funded by NCBH and Forsyth County to provide primary and preventive care to the citizens of Forsyth County. A second targeted area includes the counties of Davie and Yadkin, where NCBH, in cooperation with the Ronald McDonald Foundation, Yadkin County Health Department, and Davie County Health Department, has established dental clinics for the underserved populations of those counties.
NCBH also targets populations based upon their ages. School age children and their families are targeted via the Forsyth County School Health Alliance which provides mental health, nutritional, dental and other medical services. NCBH participates with a gift in kind to the Early Childhood Partnership or Smart Start, which funds early childhood education, child daycare and other programs to assist infants and children in preschool programs.
In addition, through our Community Health and Alliance for Health departments, NCBH works collaboratively with other providers throughout our service area to identify other opportunities to meet community health needs.
3. How are the programs in which you are involved funded?
In order to ensure the economic viability of the NCBH, all external funding sources are pursued in support of our various community benefit initiatives, including governmental and private reimbursement, foundation grants and reasonable user fees when appropriate. Some of the outside funding organizations include: Forsyth County, Kate B. Reynolds Poor and Needy Trust, The Duke Endowment, SmartStart, United Way, Winston-Salem Foundation and Wachovia Bank.
In combination with all the above funding, NCBH uses internal resources in support of it Community Health initiatives.
4. Describe your methodology for determining community priorities and how you collaborate with others:
NCBH works and collaborates with a number of community organizations and resources in the establishment of community health initiatives and objectives. The primary source of cooperation exists with the Forsyth County Health Department and other area county health departments, which are required to perform a community health assessment every other year. Some of these assessments are very elaborate and identify targeted populations and diseases where community resources should be devoted. The Forsyth County Health Department, along with other community organizations, including NCBH, worked to form the Healthy Carolinians Coalition, whose primary purpose is identifying the community’s health needs and addressing those needs.
An additional collaboration, the Winston-Salem Foundation, United Way, Forsyth Medical Center, Forsyth County, Davie/Forsyth/Stokes Medical Society and NCBH have undertaken a study over the past year to determine the needs of the medically uninsured in Forsyth County. This was a year-long project in which all the stakeholders came together to address the primary care and maternity care needs in our community and how to best meet those needs in the future.
NCBH supports numerous organizations within the community either financially or through active participation. Please see the attached description of activities. All of the organizations listed have a methodology for determining community priorities through the collaboration of multiple community organizations.
(Exhibit B)
North Carolina Medical Care Commission
Community Benefits Report
(Hospitals)
Organization: North Carolina Baptist Hospital
Address: Medical Center Boulevard
Winston-Salem, NC 27157
Telephone: (336) 716-3089
Contact: H. Gregory Bray, Controller
For Fiscal Year Ending: June 30, 2005
1. Cash Donations $306,899
2. In-Kind donations (estimated) 51,936
3. Non-billed services 1,866,712
(E.g.: free clinics, patient education, screenings, immunizations,
health promotions, support groups, free outreach programs)
4. Subsidized Community Services 5,706,933
(Community Benefits expense “minus” offsetting revenues)
(E.g.: Preventive medicine, community wellness, Hospice,
Medication Assistance, Safe-Kids/Injury Prevention, mobile services)
5. Total Charity Care (Charity Care Charges “times” Cost /Charge ratio) 12,318,723
6. Non reimbursed cost of treating Medicare & Medicaid 53,663,487
Patients
7. Non reimbursed medical education and research costs 36,969,504
TOTAL $110,884,194
(Exhibit C)
North Carolina Baptist Hospital
Community Health Report
Fiscal Year 2004-05
Following is a list of the many community health endeavors North Carolina Baptist Hospital is sponsoring or supporting.
Hospital/Medical Center Community Projects
Ø Acclerated BSN Tract – NCBH has joined with Winston-Salem State University to create a BS to BSN program. This program established an accelerated baccalaureate tract (13 months) for individuals who already hold non-nursing bachelor degrees. NCBH provides full funding of all programmatic costs including tuition, books, academic fees, faculty salaries, and a monthly stipend for living expenses. Approximately 20 students are admitted into the tract twice a year, and the students commit to work at NCBH for three years following graduation. NCBH is completely funding this program for 5 years
Ø Best Health – The Piedmont Triad’s leading resource center for health care information, offering over 650 classes and 40 health screenings each year at its Hanes Mall location. The center includes a reference library for visitors, and is staffed by RNs and health educators.
Ø Health on Call and Physician Access Line Both of these 24 hours a day, 7 days a week call centers provide a link to consumers with health services, not only at the Wake Forest University Baptist Medical Center. General Health Information calls along with information on continuing education programs, research protocols, and updates on new technological advance all benefit the community at large. Only a small portion of these programs have been included in the Community Benefit Report which apply to services that benefit the community in general.
Ø Dental Programs & Center – These services, which were once part of the DHP, are conveniently located near the DHP at the corner of Cleveland Avenue and Fifth Street. These programs were initiated as a result of the need in the community to provide dental services to unserved or underserved populations as determined by the Community Partnership for Dental Health or (CPDH).
Ø Code Blue – A program that is a joint venture between NCBH and other area hospitals that promote knowledge about careers and work paths in the medical field. This program is promoted not only to high school students but also adult workers facing occupational transition.
Ø Forsyth County School Health Alliance – A school-based health program that uses health centers to increase the ability of families to provide mental health, nutritional, dental and medical services to children; to engage students, faculty and parents in creating a healthier school environment; and to expand health education programs to students and families in areas of need. Services are focused at Mineral Springs Elementary and Middle Schools.
Ø Wellness and Prevention Services – The program’s purpose is to promote healthier living through education and to provide health outreach programs that represent the mission of the Medical Center. Services provided include screenings and testing for weight, blood pressure, cholesterol, blood sugar, body mass index and other health education services. Intervention programs include flu immunization clinics, smoking cessation, protecting your heart and weight loss.
Ø The Downtown Health Plaza of Baptist Hospital (DHP) – A primary health care center which provides medical care to the citizens of Forsyth County. As a result of a contract with Forsyth County to be the provider of last resort in our community, it is the site that is used to provide indigent care. Forsyth County provided NCBH $1.5 million in FY2005 to provide indigent care services in our community. The DHP provides coverage in Pediatrics, Obstetrics, Internal Medicine, and many specialty areas. It has a full service pharmacy, along with radiology and laboratory services. Actual visits for FY2005 were 58,427.
Ø School Based Clinics – The funding of nurses in the public school system along with in-kind support of the School Health Alliance (SHA) beings health care to underserved children that would likely have no other care at all. In addition, the SHA offers wellness programs in target schools (Low-income, underserved communities) in an effort to encourage healthy lifestyles in children and thus prevent future health problems and avert unnecessary health care costs. By offering these services in school, parents, many of whom are employed in low-paying jobs and have no health insurance, do not have to take time from work to obtain services for their children.
Ø Donated Medical Equipment – Furniture and medical equipment is donated to educational facilities (Caldwell Community College, Stanly Community College, etc) religious organizations or schools to aid in the education of future health professionals, assist with local or foreign medical missions work and assist with children with special needs.
External Community Project Participation
The Hospital participates in a number of community projects, on a financial and in-kind basis. The in-kind participation may consist of board and committee participation, supplying meeting space at the Medical Center, administrative support and providing office equipment, printing and copying services.
Ø Community Care Center – A free clinic operated by the Davie/Forsyth/Stokes Medical Society and staffed by physicians who are retired or volunteer their time. This facility is located in East Winston-Salem, and does not charge patients for visits. The Center has a dental service which works closely with the dental programs recently established at NCBH.
Ø Community Health Partnership for Dental Health – A group of 25-30 individuals in Forsyth County who are interested in providing dental care to Medicaid, NC Health Choice and needy patients. The partnership has been successful in assisting NCBH in beginning and maintaining all of its dental initiatives.
Ø Crisis Control Pharmacy – The North Carolina Baptist Hospital Endowment supports this service by providing funding for a part-time pharmacist at Crisis Control Pharmacy. The Crisis Control Pharmacy provides over $2 million in prescription medications to the homeless and needy each year.
Ø Early Childhood Partnership (Smart Start) – A group charged with the improvement in the early development of children. Major funding comes from the State of North Carolina through an initiative started by Governor Jim Hunt. The program funds early childhood education, child daycare, and other support programs to assist infants and children in preschool programs.
Ø Forsyth County School Health Alliance – A school-based health program that uses health centers to increase the ability of families to provide mental health, nutritional, dental and medical services to children; to engage students, faculty and parents in creating a healthier school environment; and to expand health education programs to students and families in areas of need. Services are focused at Mineral Springs Elementary and Middle Schools.
Ø Forsyth County Infant Mortality Reduction Coalition – A community partnership effort to reduce infant mortality by recommending actions, advising institutions, and advocating and implementing change. The Coalition is primarily funded by grants.
Ø Healthy Carolinians Coalition – A state-led public health project which calls on communities and leaders in those communities to join forces to assess community health needs. The Coalition, through community collaboration and goal-setting, then determines which initiatives will improve health status to the greatest degree, and encourages redirection of resources to those areas which will have primary impact on health.
Ø Local Initiatives Support Corporation (LISC) – This initiative assists with community development in depressed areas of Forsyth County. It is currently working with a number of community development corporations to improve living and working conditions in several areas of our community. Forsyth County LISC receives matching dollars from National LISC, and these funds are used to organize community support for community development.
Ø School Business Partnerships – NCBH partners with three WS/FC Schools: Philo Middle School, Parkland High School, and the Career Center. The main goal of this partnership is to interest students in health careers. As part of this program, tours of the Medical Center are given to students, staff visit schools throughout the area to give presentations, and scholarships are offered. Parkland High School offers two $500 scholarships to students going into health careers, and the Career Center offers one $1,000 scholarship and three $500 scholarships to students. All of these scholarships are funded by NCBH.
Ø Safe Communities Coalition – A multi-agency initiative for injury prevention of any kind, but specifically traffic and motor vehicle related injuries. This year’s focus has been on prevention of falls, including educational programs and an in-home safety inspection program.
Ø United Way Medically Uninsured Committee – In collaboration with the Davie/Forsyth/Stokes Medical Society, the United Way, the Winston-Salem Foundation, Forsyth County, and Forsyth Medical Center, NCBH has joined in an effort to study how best our community can meet the indigent care needs of those requiring primary, specialty and obstetrical medical care. The goal of the committee is to organize and develop a system whereby the medically uninsured will be able to gain access to healthcare when appropriate, rather than waiting for problems to become more complex and costly.
Forsyth HealthCare, Incorporated (FHC) was the result of this committee’s efforts. It is the most recent effort to address indigent care in Forsyth County, and is based on the Project Access model in Buncombe County, NC. FHC will focus on recruiting physicians and medical providers to equally divide indigent care among all providers.
The Medical Center is quite involved with the United Way of Forsyth County, with numerous Hospital and School employees serving on various agency boards and the Board of Directors of the United Way of Forsyth County. Additionally, during the 2005 United Way Campaign, the Medical Center raised over $1.0 million in contributions.
NBCH permits solicitation of its employees to raise monies for the support of the Winston-Salem/Forsyth County Arts Council. Employees are encouraged by the CEO, Mr. Preslar, and through internal media (Infinity and the Intranet). The minimal costs of the campaign are underwritten jointly by the Hospital and the School.