2013 Community Benefit Report: The University of Chicago Medicine

11111111111111111111111111

AT THE FOREFRONT OF OUR COMMUNITYThe University of Chicago Medicine’s 2013 Report to the Community

44218_UCM_CBRFY13_Draft.indd 1 10/14/14 12:21 PM

2

We are proud to call the South Side of Chicago our home. We value its collection of culturally rich neighborhoods. We are grounded by its history and lifted by its people. At the same time, we are reminded on a daily basis of the complicated public health challenges faced by the more than 800,000 people who live on the South Side.

Rates of diabetes, obesity, heart disease, asthma and cancer rank poorly compared to the rest of the nation. These are conditions that can be prevented or treated with appropriate interventions. Unfortunately, access to medical care is a challenge for people on the South Side. Since 1988, seven area hospitals have closed, reducing the number of available beds by about 60 percent.

This challenging environment has led the University of Chicago Medicine to strategically choose the areas on which to focus its eff orts to best meet the needs of the community. Thus, we have performed a rigorous Community Health Needs Assessment to obtain input on top health issues. We were told the biggest concern is access to high-quality medical care. Additionally, UChicago Medicine has prioritized diabetes, childhood obesity and asthma, as well as cancer —particularly breast and colorectal cancer.

UChicago Medicine, a national leader in each of these fi elds, is deeply committed to providing services to address these concerns.

But we cannot address these serious issues alone. To improve the health outcomes of a group of individuals, we must act collectively and intentionally. We must help assemble and organize resources by collaborating with community groups, residents and other health care providers to expand our reach.

We hope this report will provide interesting and important insights into our programs that benefi t the health and well-being of our community.

Kenneth S. Polonsky, MDDean and Executive Vice President for Medical Aff airs, University of Chicago

Sharon O’KeefePresident, University of Chicago Medical Center

LETTER TO THE COMMUNITY

Sh O’K f

Kenneth Polonsky, MD, left, helps to make way for a children’s garden at Bright Star Church in Bronzeville during the 12th annual Day of Service and Refl ection. Sharon O’Keefe, right, meets with young pageant winners at the 2014 Bud Billiken Parade.

44218_UCM_CBRFY13_Draft.indd 2 10/20/14 8:36 AM

1

COMMUNITY BENEFITS AND SERVICES

$153.6 Million Total Uncompensated Care

$65.52 Million Medicare Program Losses:Support to make up for Medicare and Medicaid reimbursement rates, which do not cover the cost of care. Medicare is a federal health insurance program for people 65 and older and those with certain disabilities.

$50.1 Million Medicaid Program Losses:*Medicaid is a federal-state program forthose requiring fi nancial assistance.

$25.7 Million Charity Care:* Cost of providing free or discounted services to qualifi ed individuals.

$12.3 Million Unrecoverable Patient Debt: Amount absorbed when a hospital cannot collect expected payment for services.

$78.9 Million Medical Education:Cost to teach and train future health care professionals not covered by tuition, grantsor scholarships.

$48.3 Million Medical Research:Funding to investigate ways to better prevent, detect and treat disease, as well as advance patient care.

$1.24 Million Uncategorized Community Benefi ts:Includes support for health improvement services, community activities, volunteers and language assistance.

$968,000 Cash and In-Kind Contributions/Donations:*Gifts to community groups for health-related activities.

$283 millionIN FISCAL 2013

*An IRS-defi ned category of community benefi t. Components of community benefi t for fi scal 2013 (measured at cost). Data prepared based on the Illinois Attorney General’s and IRS guidelines for fi scal year ending June 30, 2013.

1 Figures based on 2014 University of Chicago Employment Impact Report. www.uchicago.edu/community/economic_impact/uchicago_local/

22.5% of $1.26 billion in total operating expenses, an 11% increase from 2012

THE UNIVERSITY OF CHICAGO CONTRIBUTES TO THE ECONOMIC VITALITY OF THE REGION

EMPLOYMENT IMPACT 1

The University of Chicago, including the University of Chicago Medicine, is the largest employer on Chicago’s South Side. Combined with its vendor network, the university signifi cantly impacts the community and regional economy through the employment and personal income of employees.

11,884Total staff employed by the University who reside within the city of Chicago

1 IN 3University staff members who reside within the South Side

$579,658,912Total wages paid out to staff who reside within the city of Chicago

$230,085,725Total wages paid out to staff who reside within the South Side

34

5

6

2

1

1

5

2

6

3

7

4

8

7 8


2

HEALTH PRIORITY: ACCESS TO CARE

South Shore native Alpha Shaw considered herself fairly familiar with her community’s many off erings. But during arecent visit to Komed HolmanHealth Center her doctor,Doriane Miller, MD, handed her a list of health-related services near her home. Two programs she hadn’t been aware of caught her interest.

“I think there’s a few things here I might try for nutrition and exercise,” she said.

Shaw is one of more than 43,000 residents to leave a South Side health center, clinic or emergency department since last spring who have been provided with a personalized printout called HealtheRx.

The program connects patients with community-based health and wellness resources that are aligned with their individual needs.

South Siders are learning more than ever about accessible health care allies that, unbeknownst to them, are right around the corner—from fi tness programs to wellness support groups to nearby sources of fresh produce.

These lists, or “prescriptions,” for neighborhood resources are part of an innovative program called CommunityRx, which was developed under the South Side Health and Vitality Studies (SSHVS) at the University of Chicago Medicine. The eff ort is also funded by the U.S. Department of Health and Human Services.

The program, which launched in March 2013, isis aimed at creating critical links between health care and social resources in communities, so people can better manage their health between medical appointments. The backbone of the initiative is a continuously updated electronic database of community assets that’s merged with electronic health records. Together, they generate custom referrals for social services, community businesses and local organizations that are most relevant to a patient’s health status.

“Research shows that the vast majority of physicians view patients’ social service needs as important to address as health needs,” said Stacy Lindau, MD, MA, CommunityRx director and SSHVS principal investigator.

“CommunityRx makes it exceedingly easy for physicians and other health care providers to identify relevant community resources and inform their patients. People then use these referrals to be well, manage disease and live independently.”

Doriane Miller, MD, speaks with Alpha Shaw at the Komed Holman Health Center. After her visit, Shaw left with a list of health-related services near her South Shore home.

*April 2013 – June 2014.Grant Number 1C1CMS330997-03-0000 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services.

HEALTHERX’SREACH*

95,000HealtheRx “prescriptions”

generated

43,000+South Side residents

served

20Clinical sites, including 15 federally qualifi ed health

centers


3

SUPPORT FOR FREE CLINICS

CommunityHealth West Town 2611 W. Chicago Ave. | 773.395.9900Faculty and medical students support a weekly clinic at this facility.

CommunityHealth Englewood641 W. 63rd St. | 773.994.1515Volunteer physicians and residents from UChicago Medicine provide much of the careat this clinic.

Washington Park Children’s Free Clinic 5350 S. Prairie Ave. | 773.924.0220 ext. 110From 5:30 to 7:30 p.m. each Tuesday, medical students and faculty provide acute medical care, social services and referrals for children.

Maria Shelter Clinic 7320 S. Yale Ave. | 773.994.5350 Medical students and an attending physician provide care at this facility for homeless women and their children.

The Chicago Center for HIV Elimination (CCHE) seeks to eliminate new HIV transmission events by 2041 using network science to target and integrate prevention while creating structural, community-specifi c interventions.

The Repayment for Education to Alumni in Community Health (REACH) Program provides a stipend to graduates of the Pritzker School of Medicine who complete a residency and return to practice medicine at a Federally Qualifi ed Health Center (FQHC) or a community hospital on Chicago’s South Side.

PEDIATRIC MOBILE MEDICAL UNIT

UChicago Medicine’s Pediatric Mobile Medical Unit provides a safety net of primary medical services to Chicago students, elementary through high school, many of whom face challenges obtaining health care from other providers.

Pediatric Mobile Medical Unit Stats *2012/2013 school year

CommunityRx is one of several UChicago Medicine programs primed to boost access to health and wellness services by lowering structural, social or cultural barriers. Inventive collaborations and outreach initiatives bridge traditional and unconventional health care settings to off er more people an entry to high quality care. Here are some of the other ways UChicago Medicine is working to improve health care access for residents of the South Side:


The University of Chicago Medicine resident Nikhil Narang, MD, treats a patient at a CommunityHealth clinic in Englewood.

123 VISITS to 28 schools

and 9 health fairs

950 medical service

encounters

706 SCHOOL

PHYSICALEXAMS

ASTHMA CARE FOR 66

STUDENTS

101 STUDENTS received care for obesity-related

health issues

759VACCINATIONSADMINISTERED


4

13 Chicago Family Health Center - South Chicago

9119 S. Exchange Ave. 773.768.5000

14 Christian CommunityHealth Center

9718 S. Halsted St. 773.233.4100 15 Christian Community

Health Center1701 W. Monterey Ave., Suite 2 773.233.4100

16 Community Health641 W. 63rd St.

773.994.1515

17 Friend Family Health Center - Ashland4802 S. Ashland Ave. 773.376.9400

18 Friend Family Health Center - Beethoven 25 W. 47th St.

773.536.4879

19 Friend Family Health Center - Cottage Grove 800 E. 55th St.

773.702.0660

20 Friend Family Health Center - Pulaski

5635 S. Pulaski Rd. 773.585.3900

21 Friend Family Health Center - Western

5843 S. Western Ave. 773.434.8600

22 IMAN Health Clinic 2744 W. 63rd St. 773.434.4626 23 Mercy Family Health

Center at Lower West 1713 S. Ashland Ave.

312.746.4025

24 Mercy Family Health Center at Oakwood Shores

3755 S. Cottage Grove Ave. 773.451.0460

25 Mile Square Health Center at Bishop Plaza

4630 S. Bishop Plaza 312.996.2000

26 Mile Square Health Center at Englewood

641 W. 63rd St. 312.996.2000

27 Mile Square Health Center at South Shore

7131 S. Jeff ery Blvd. 312.996.2000

28 Cottage View Health Center of Near North Health Services Corp.

4829 S. Cottage Grove Ave. 773.548.1170

29 Komed Holman Health Center of Near North Health Services Corp.

4259 S. Berkeley Ave. 773.268.7600

30 Reavis School-Based Health Center of Near North Health Services Corp.

834 E. 50th St. 773.358.6767

31 TCA Health, Inc. 1029 E. 130th St. 773.995.6300

FREE CLINICS

32 CommunityHealth: West Town2611 W. Chicago Ave. 773.395.9900

Faculty and medical students support a weekly clinic at this facility.

33 CommunityHealth: Englewood641 W. 63rd St. 773.994.1515

Volunteer physicians and residents from UChicago Medicine provide much of the care at this facility.

34 Washington Park Children’s Free Clinics

5350 S. Prairie Ave. 773.924.0220 x 110

Medical students and faculty provide care, social services and referrals for children during a weekly evening clinic.

35 Maria Shelter Medical Clinic

7320 S. Yale Ave. 773.994.5350 Medical students and an attending physician provide care for homeless women and their children.

36 New Life Volunteering Society

2645 W. Peterson Ave. 773.275.8630 Medical students and faculty provide care once a week at this facility.

37 IMAN Health Clinic 2744 W. 63rd St.

773.434.4626 Special Services: Family

Medicine, Pediatrics, TB Testing, Women’s Health.

1 ACCESS Ashland Family Health Center

5159 S. Ashland Ave. 773.434.9216

2 ACCESS Auburn-Gresham Family Health Center

8234 S. Ashland Ave. 773.874.1400

3 ACCESS Booker Family Health Center

654 E. 47th St. 773.624.4800

4 ACCESS Brandon Family Health Center

8300 S. Brandon Ave. 773.721.7600

5 ACCESS Grand Boulevard Health and Specialty Center

5401 S. Wentworth Ave. 773.288.6900

6 ACCESS at the Illinois Eye Institute

3241 S. Michigan Ave., 2nd Floor 312.949.7770

7 ACCESS located at Holy Cross

2701 W. 68th St., 3-South 773.434.4040

8 Beloved Community Family Wellness Center

6821 S. Halsted St. 773.651.3629

9 Chicago Family Health Center - Chicago Lawn 3223 W. 63rd St.

773.768.5000

10 Chicago Family Health Center - East Side10536 S. Ewing Ave. 773.768.5000

11 Chicago Family Health Center - Pullman

570 E. 115th St. 773.768.5000

12 Chicago Family Health Center - Roseland

120 W. 111th St. 773.768.5000

University of Chicago Medicine Campus

Western A

ve.

Foster Ave

W Bryn Mawr Ave

W Peterson Ave

S H

alsted S

t

The University of Chicago Medicine is committed to caring for our neighbors who live on the South Side of Chicago. Through the South Side Healthcare Collaborative, we support more than 30 community and free clinics, many of which off er primary care services. This network helps improve the health and well-being of residents across the city.



5

HEALTH PRIORITY: CANCER CARE

African-Americans carry a heavy cancer burden, with a death rate for all cancers that’s nearly 25 percent higher than that of their white counterparts.

Meanwhile, the Hispanic population has a high rate for liver, stomach and cervical cancers, and Asians/Pacifi c Islanders are twice as likely as whites to die from liver and stomach cancers.

The University of Chicago Medicine is in a strong position to reduce these inequities thanks to its world-class cancer research and proximity to underserved neighborhoods. The University of Chicago Comprehensive Cancer Center Offi ce of Community Engagement and Cancer Disparities (OCECD) was formed to address disparities and understand the needs of the community.

Linking Patients to CareThe OCECD works to remove barriers to getting care. In 2012, it began a two-year partnership with the American Cancer Society to participate in a statewide initiative to increase colorectal cancer screenings. In 2010, only 60 percent of Illinoisans 50 and older were screened for colorectal cancer, which is among the most preventable, yet deadly, cancers. Rates were even lower in minority populations. Since then, UChicago Medicine has provided almost 200 colonoscopies to uninsured South Side residents.

Engaging the CommunityThe Walk Though Program is one of the OCECD’s culturally tailored educational eff orts aimed at reducing cancer disparities. This experiential learning eff ort familiarizes community members with diagnostic, treatment and survivorship services at UChicago Medicine by bringing participants from the Asian-American, Hispanic and African-American communities to UChicago Medicine. During a walking tour of breast cancer care, participants learn fi rst-hand what it’s like to be in the procedural rooms for mammography, radiation therapy and chemotherapy.

Emphasis on EducationOne of OCECD’s major initiatives has been increasing the number of underrepresented minorities from South Side communities in the health care workforce. The Mentored Education Now Taking on Research (MENTOR) program provides local public health graduate students with hands-on experience in health disparities research.

MENTOR scholars work under the guidance of UChicago faculty to plan, implement and evaluate community-based research projects addressing cancer disparities. These projects entail working side-by-side with community members to transform knowledge into action.

The University of Chicago Medicine Comprehensive Cancer Center Offi ce of Community Engagement and Cancer Disparities held a multiethnic fashion show for cancer survivors in November 2013 to show minority communities that cancer is a beatable disease. Local personality and TV show host Jacinda Lockett emceed the event, while translators were on hand to tell survivors’ stories in Chinese and Spanish.


6

Two programs supported by the University of Chicago Medicine are helping South Side residents manage diabetes while learning more about their own communities.

Diabetes has a disproportionate impact on African-Americans and Hispanics in Chicago, compared to the general population. The South Side Diabetes Project helps African-Americans manage this chronic condition, while the bilingual Picture Good Health/Imagínate una Buena Salud assists Mexican-Americans in the Little Village and South Lawndale neighborhoods.

THE SOUTH SIDE DIABETES PROJECT

Led by Assistant Professor of Medicine Monica Peek, MD, MPH, and Professor Marshall Chin, MD, MPH, the South Side Diabetes Project collaborates with health centers to deliver innovative and evidence-based diabetes care at six locations. Patients attend diabetes empowerment classes and take part in programs and activities emphasizing healthy eating and exercise. Project partners include the 61st Street Farmers Market, Walgreens, Save-A-Lot Grocery Stores, the K.L.E.O Community Family Life Center and the Greater Chicago Food Depository.

The project’s Food Rx initiative provides coupons for fruits, vegetables and other healthy groceries. The Community Fitness Passport Program awards fi tness bags and pedometers for physical activity at certain South Side exercise locations.

“Several participants told us they continue coming because of the friendships they develop and the social support they receive,” said Nora Geary, one of the project managers. “It’s an amazing program.”

PICTURE GOOD HEALTH/IMAGÍNATE UNA BUENA SALUD

The program gets its name from an innovative technique called photovoice. That’s where individuals use cameras to document their experiences living with diabetes. During weekly educational sessions in English and Spanish, participants use their pictures to spark discussions about problem solving and self-empowerment.

Because churches often play important roles in many cultures, Assistant Professor of Medicine Arshiya Baig, MD, MPH, and her team established partnerships with St. Agnes of Bohemia and Our Lady of Tepeyac, and held focus groups with Mexican-Americans in the two Little Village churches to learn more about the community’s needs.

“We learned that people want to know how to manage diabetes, how to change their lifestylesand how to prevent complications,” said Baig.

“There was defi nitely a thirst for knowledge.”

Soon after, Baig’s team established the Little Village Community Advisory Board along with the churches and other community partners. Members include leaders from both congregations, Esperanza Health Centers, Walgreens and Taller de Josè, a social service agency that helps people connect to community resources and navigate the health care system. Both programs hope to expand.

“Health doesn’t just happen in the clinic or with the doctor,” said Geary. “It happens at home and in the community.”

HEALTH PRIORITY: DIABETES

The South Side Diabetes Project hosts tours of the 61st Street Farmers Market to help people learn about quick, healthy and aff ordable fresh food choices. Okra and tomatoes are just some of the vegetables available at local markets.


Left: Fitness walker Yvonne Gregwor carries trekking poles as she walks at the Museum of Science and Industry.

Right: Arshiya Baig, MD, MPH, right, greets community members at a Picture Good Health/Imaginate una Buena Salud event in the Little Village neighborhood.

Fitness walker Hazel Colar smiles as she walks the 1/4- mile loop at the Museum of Science and Industry.

Donna Christian-Harris, RN, FNP, participates in a cycling

fi tness class during the African Festival of the Arts.

28,000 AFRICAN-AMERICANS18 years and older have diabetes

in the area served by the South Side Diabetes

Project.

Community Fitness Program Marks 25 YearsFor the past 25 years, determined fi tness walkers have arrived at the Museum of Science and Industry three mornings a week with a single goal: stay in shape. The Community Fitness Program began in 1989

as part of the University of Chicago Medicine’s outreach to older adults. Today it involves a daily crowd of as many as 100 walkers who range in age from 45 to 90. Some use canes or walkers to lap around the museum’s 1/4-mile balcony. The walkers often supplement their

workouts with aerobics classes twice a week.

Zumba Keeps the South Side MovingThe sound of rhythmic, percussive dance music increasingly means a

popular aerobic workout called Zumba. Donna Christian-Harris, RN, FNP, an advanced practice nurse at UChicago Medicine, teaches Zumba at locations

on the South Side. In each hour-long workout, she demonstrates dance moves that can be performed by anyone, regardless of their fi tness level.

“Everyone has their own style,” Christian-Harris says.

“I am completely in awe and inspired by what I see.”–Community Relations Coordinator Walidah Tureaud

“The important thing is to

have fun and keep moving.”

–Zumba Instructor, Donna Christian-Harris, RN, FNP

9.3%OF AMERICANS HAVE DIABETES

(more than 29.1 million

people)


8

Childhood obesity in America has more than doubled in the past 30 years, according to the Centers for Disease Control and Prevention. Meanwhile, asthma aff ects more than 9 percent of U.S. children. This pattern is concentrated on the South Side of Chicago. By reaching out to our surrounding neighborhoods, the University of Chicago Medicine is hoping to reduce these numbers.

CHILDHOOD OBESITY

More than 40 percent of children on the South Side are overweight or obese, compared to one-third nationally. UChicago Medicine is working with schools and the community to engage children to practice healthy eating and good exercise habits.

Chicago White Sox and Woodlawn Community School: UChicago Medicine has teamed up with these two partners to teach families how to make healthy lifestyle choices using its Power Up Program. During fi scal 2013, the White Sox visited the Woodlawn school’s pep rally about healthy nutrition and held a baseball clinic for 90 students. The team also hosted fi elding and pitching practice for three hours one morning. At U.S. Cellular Field on “Family Sundays,” families are encouraged to bring their children for an afternoon of fun activities, such as dancing, jumping rope, hopscotch and even hula-hooping. Children can also participate in an online Kids Club, and if they complete it, they are entered into a lottery to throw the fi rst pitch at a Sox game.

Namaste Charter School: Founded in 2004, this Southwest Side public charter school is focused on health and wellness, as well as exceptional academics. UChicago Medicine helps to support the school’s programs, which incorporate good nutrition and daily exercise and include yoga classes and confl ict resolution—even at the elementary school level.

HEALTH PRIORITY: CHILDHOOD OBESITY AND ASTHMA

Eduardo Martinez, 6, eats lunch at the Namaste Charter School. The school on Chicago’s Southwest Side gets support from the University of Chicago Medicine.


9

Namaste provides students, at no cost to their parents, healthy breakfasts and lunches that exceed the USDA gold standard.

Chicago Run and Curtis Elementary: More than 3,500 Chicago Public School students, their families and staff took part in a one-mile fun run in Washington Park in June 2013. The celebration of health and fi tness included children from Curtis Elementary School, which participated in the Chicago Run program after UChicago Medicine donated money to sponsor the school. Curtis is located in the Roseland/West Pullman neighborhood, an area that’s included in the focus of the hospital’s Urban Health Initiative.

Direct sponsorship by UChicago Medicine allowed Curtis to participate in Chicago Run, which incorporates running into elementary students’ school days. The children run, jog or engage in other physical activities for at least 15 minutes, three to fi ve days a week. Then the young runners track their mileage and use the cumulative data to map how far they’ve traveled.

CHILDHOOD ASTHMA

Nearly 17 percent of children living in neighborhoods near UChicago Medicine have asthma. This condition is among the leading causes of school absenteeism and hospitalization. In response, the Comer Children’s Hospital has made a commitment to boosting resources dedicated to improving asthma outcomes for South Side youth through individualized clinical care, research, education and community outreach.

The heart of Comer’s eff orts is its Asthma Care Coordination Program, which is designed specifi cally for children who’ve recently been to the hospital’s emergency department, been hospitalized for asthma or generally had diffi culty controlling the disease. A team helps educate children and their families about the condition, along with medications and strategies that can be used to reduce exposure to allergens or other triggers. The hospital also works to coordinate with primary care providers, school nurses and others who may be involved in a child’s asthma care.

HEALTH PRIORITY: CHILDHOOD OBESITY AND ASTHMA

White Sox director of conditioning Allen Thomas shows Langford Community Academy students his favorite moves during the second-year kickoff of the team’s partnership with Comer Children’s Hospital to fi ght childhood obesity.

The Comer Children’s Hospital Pediatric Mobile Unit made 123 visits to 28 schools and 9 health fairs during the 2013 fi scal year. During that time, it provided medical service encounters to nearly 1,000 children.


26,089ADMISSIONS

261PEDIATRIC TRAUMA

ADMISSIONS

582AVERAGE BEDS IN

SERVICE

302BURN ADMISSIONS

120SOLID ORGAN TRANSPLANTS

22,975INPATIENT AND OUT-PATIENT SURGERIES

10,176EMPLOYEES

914ATTENDING PHYSICIANS

939RESIDENTS &

FELLOWS

1,800NURSES

75,887ER VISITS

790NICU ADMISSIONS

*Acute care days provided to patients where Illinois Medicaid is the primary insurer, excluding normal nursery, psychiatry and rehabilitation days

Source: Illinois Department of Healthcare & Family Services, Medicaid cost reports fi led for the state fi scal year ending June 30, 2013

1. The University of Chicago Medicine

2. Rush University Medical Center

3. Advocate Christ Medical Center

4. Lurie Children’s Hospital

5. Northwestern Memorial Hospital

6. Loyola University Medical Center

7. Advocate Lutheran General Hospital

8. Mount Sinai Hospital

9. Sts. Mary and Elizabeth Medical Center

10. Advocate Illinois Masonic Medical Center

44,613 29%

37,831 26%

34,389 19%

34,316 52%

33,064 14%

22,218 18%

22,009 18%

21,726 39%

18,593 36%

16,064 29%

MedicaidDays

Percent ofTotal Days

MEDICAID ACUTE CARE DAYS FOR PRIVATE HOSPITALS IN METRO CHICAGO*

IN FISCAL 2013

5841 S. Maryland Ave.

Chicago, IL 60637

On the cover: Children line up after recess at the Namaste Charter School. The school, on Chicago’s Southwest Side, gets support from UChicago Medicine.


Documents

2013 Community Benefit Report: The University of Chicago Medicine