Community Health Needs Assessment 2018 Swedish Edmonds
Community Health Needs Assessment2018Swedish EdmondsPhoto by Benjamin BenschneiderEdmonds
TABLE OF CONTENTSCEO LETTER1ACKNOWLEDGEMENTS2CONTRIBUTORS3EXECUTIVE SUMMARY4CHNA/CHIP CONTACT92018 CHNA GOVERNANCE APPROVAL10INTRODUCTION11Mission, Vision, and ValuesWho We AreOur Commitment to Community111111OUR COMMUNITY13OVERVIEW OF COMMUNITY HEALTHNEEDS ASSESSMENT FRAMEWORK15DESCRIPTION OF COMMUNITY SERVED17Community Profile17Population and Age17Race/Ethnicity and Language17Income and Housing17EducationFood SecurityHealth Insurance Coverage171818Health Professions Shortage Area18METHODOLOGY: DATA COLLECTIONPROCESS AND PARTICIPANTS19Collaborative PartnersSecondary DataPrimary DataPublic CommentData Limitations and Information GapsPRIORITIZATION OF HEALTH NEEDSCommunity ResourcesReview of Progress1919192020212121HEALTH INDICATORS22Access to Health Care22UninsuredBarriers to Health CareAccess to Primary Care PhysiciansAvoidable ED Utilization22222222Leading Causes of Death23Life Expectancy23Disability and Disease23DisabilityAsthmaDiabetesHeart DiseaseCancerPregnancy and Birth IndicatorsTeen BirthsPrenatal CareLow Birth WeightInfant MortalityHealth Status and Health BehaviorsPhysical ActivityDiet and NutritionSoda ConsumptionMental HealthMental Health ProvidersMental Health Unhealthy DaysMental Distress, Youth232424242424242525252526262626262727Substance Abuse (Tobacco/Alcohol/Drugs) 27SmokingAlcohol and Drug UsePreventive PracticesImmunizations27272727Flu Shots28Colorectal Cancer Screening28MammogramDental Checkup2828APPENDIX 1. COMMUNITY NEEDSINDEX (CNI) INDEX SCORES FORSERVICE AREA ZIP CODES29APPENDIX 2. COMMUNITY SURVEY30APPENDIX 3. COMMUNITY INPUT:LISTENING SESSION34APPENDIX 4. COMMUNITY RESOURCES35APPENDIX 5. REVIEW OF PROGRESS38
A MESSAGE FROM OUR CEOTo Our Communities:Swedish is proud to be our community’s health care partner, caring for all who walk through ourdoors. We know access to quality education, employment, housing and health care factor into aperson’s overall health and wellbeing.As an extension of our strategic planning process, every three years we participate in a CommunityHealth Needs Assessment (CHNA) survey. This assessment helps identify the greatest needs ofthose we serve. With this information, we can better focus on strategies to address them through ourown programs and services, as well as in partnership with other like-minded organizations with ourcommunity benefit investments.As outlined in our 2018 CHNA, the following social determinants of health emerged across thecommunities of all Swedish locations during the assessment process: mental health, drug addiction,homelessness, obesity, joint or back pain, diabetes, high blood pressure, cancer, and alcoholoveruse. With this understanding, we will develop a community health improvement plan (CHIP)to specifically address many of these barriers to improve health. The CHIP will outline a process ofstrengthening our existing programs, considering new programs that will make a greater impact,and partner with other organizations and providers to collaborate on solutions.This ensures Swedish is centered on the critical needs of the communities in King and Snohomishcounties. With implementation of our strategies, our patients and communities can take comfort inknowing we always work toward making our community a healthier place.R. Guy Hudson, M.D., MBAChief Executive OfficerSwedish Health Services1 CHNA Edmonds Campus — 2018
ACKNOWLEDGEMENTSThis Community Health Needs Assessment (CHNA) was conducted in partnership with the following collaborativepartners. We sincerely appreciate their support and commitment as we work together to improve the health of ourshared communities.American Red Cross – Snohomish County ChapterJamie Gravelle, Disaster Program ManagerEdmonds Chamber of CommerceJan Nichols, Development and Community EngagementCity of EdmondsDave Earling, MayorEdmonds Community CollegeAmit Singh, PresidentCity of LynnwoodNicola Smith, MayorEdmonds LGBTQIA Action GroupFacebook CommunityCity of Mountlake TerraceJerry Smith, MayorPublic Health – Seattle & King CountyAmy Laurent, Epidemiologist IIICocoon HouseErwin Sanchez, Community Engagement OfficerShira Hasson-Schiff, Clinical DirectorSnohomish County Health DistrictGabrielle Fraley, MPH, CHES, Epidemiologist IConcierge Care AdvisorsSylvana RinehartCreative Age FestivalDick Van Hollenbeke, Co-FounderJerry Fireman, Co-FounderSonia Gilman, Executive DirectorTrish Feaster, Co-Founder2 Town of WoodwayCarla Nichols, MayorWashington Kids in TransitionKim Gorney, Executive DirectorCHNA Edmonds Campus — 2018
CONTRIBUTORSThe Community Health Needs Assessment process was overseen by a CHNA team from Swedish. Heidi Aylsworth,MBA, Swedish Chief Strategy Officer was the Executive Sponsor. Sherry Williams, MPA, Community EngagementDirector was the Swedish Project Owner.Project TeamRamirez, Manager of Pathways andPopulation Health, Swedish Medical Group KatarzynaWaghray, MD, Chief Medical Officer, Well BeingTrust, Behavioral Medicine, Swedish Medical Group LynnSchmidt, RN, Seattle University NursingGraduate Student MengistiabFranke, MBA, Senior Quality ProgramManager, Swedish Medical Center Issaquah PaulE. Torrone, Community Health EducationSpecialist, Swedish Medical Center PinkyYamamoto, MHA, Strategic BusinessDevelopment Associate, Swedish Medical Center RobertTorrance, MHA, Senior Business DevelopmentSpecialist, Swedish Medical Center Issaquah SaraMcInerney, RT, Director Women’s CancerCenter Network, Swedish Cancer Institute SarahSherlock MBA, Project Manager, SwedishMedical Center Suzanne Andrea Arpan Ashley Deborah Erin Justin Kaitlyn Karen KaroleKonieczny, MHA, Chief Operations Officer,Swedish Medical Center BallardTissell, Senior Executive Assistant, SwedishMedical Center BallardWoldearegay, Student Intern, SwedishHealth ServicesKilian, MBA, Manager Cancer Control andEducation, Swedish Cancer InstituteHerrera, Community Programs Manager,Swedish Medical Center Seattle (First Hill/Cherry Hill)Housley, MHA, Senior Strategy Analyst, Business Development & Strategy, Swedish Medical CenterBrand, MPH, Program Administrator, AmbulatoryBehavioral Health, Swedish Medical GroupSabalot, MHA, Program Administrator, AccountSupport, Swedish Medical GroupIversen-Holstine, Director BusinessDevelopment Services, Service Optimization andPhysician Relations, Swedish EdmondsSupport and guidance were provided by Providence St. Joseph HealthMcAninch-Jones, MSc, MBA, Director,Data Integration, Community Health Investment MeganF. Gutiérrez, MPH, Director,Community Health Investment VerónicaBiel Consulting, Inc. participated in project planning and completed the Community Health Needs Assessmentreports. Led by Dr. Melissa Biel, Biel Consulting, Inc. has extensive experience conducting hospital CommunityHealth Needs Assessments and working with hospitals on developing, implementing, and evaluating communitybenefit programs. www.bielconsulting.comTo provide feedback about the Community Health Needs Assessments, email Sherry Williams atSherry.Williams@Swedish.org.3 CHNA Edmonds Campus — 2018
EXECUTIVE SUMMARYSince 1910, Swedish has been the region’s standardbearer for the highest-quality health care at the bestvalue. Our mission is to improve the health andwell-being of each person we serve. Swedish is thelargest nonprofit health care provider in the greaterSeattle area with five hospital campuses: First Hill,Cherry Hill, Ballard, Edmonds and Issaquah. Wealso have ambulatory care centers in Redmond andMill Creek, and a network of more than 118 primarycare and specialty clinics throughout the greaterPuget Sound area.COMMUNITY HEALTH NEEDSASSESSMENTSwedish Health Services is an affiliate of Providence St.Joseph Health. Providence St. Joseph Health is a neworganization created by Providence Health & Servicesand St. Joseph Health with the goal of improving thehealth of the communities it serves, especially thosewho are poor and vulnerable.Swedish Medical Center Edmonds Campus is locatedat 21601 76th Ave. W., Edmonds, WA 98026. Thecommunity served by the Hospital is defined by thegeographic origins of the Hospital’s patients whoseconditions require admission to the hospital for at leastone night. Specifically, the Primary Service Area (PSA)was determined by identifying the ZIP Codes for 70%of the Hospital’s patient discharges (excluding normalnewborns). The PSA consists of 5 cities and 9 ZIPCodes. The Secondary Service Area (SSA) was determined by identifying the ZIP Codes for 71% to 85% ofthe Hospital’s patient discharges. The SSA consists of6 cities and 9 ZIP Codes. The service area focuses onKing County and Snohomish County.Together, our 111,000 caregivers (all employees) servein 50 hospitals, 829 clinics and a comprehensive rangeof services across Alaska, California, Montana, NewMexico, Oregon, Texas and Washington. In addition toSwedish, the Providence St. Joseph Health includes:Providence Health & Services, St. Joseph Health;Covenant Health in West Texas; Facey MedicalFoundation in Los Angeles; Hoag Memorial Presbyterianin Orange County, California; Kadlec in SoutheastWashington; and Pacific Medical Centers in Seattle.Swedish Medical Center Ballard Campus has undertakena Community Health Needs Assessment (CHNA). ThePatient Protection and Affordable Care Act through IRSsection 501(r)(3) regulations direct nonprofit hospitals toconduct a Community Health Needs Assessment everythree years and develop a three-year ImplementationStrategy/Community Health Implementation Plan thatresponds to community needs.SERVICE AREAContinued on the next page.Bringing these organizations together increases accessto health care and brings quality, compassionate care tothose we serve, with a focus on those most in need.4 CHNA Edmonds Campus — 2018
EXECUTIVE SUMMARY CONTINUEDSwedish Edmonds Service AreaPrimary CityZip CodeService AreaCountyLynnwood98036Edmonds PSASnohomishCountyEdmonds98026Edmonds PSASnohomishCountyLynnwood98037Edmonds PSASnohomishCountyLynnwood98087Edmonds PSASnohomishCountyMountlakeTerrace98043Edmonds PSASnohomishCountyEdmonds98020Edmonds PSASnohomishCountyEverett98204Edmonds PSASnohomishCountyBothell98012Edmonds PSASnohomishCountyEverett98208Edmonds PSASnohomishCountySeattle98133Edmonds SSAKing CountySeattle98155Edmonds SSAKing CountySeattle98177Edmonds SSAKing CountyEverett98203Edmonds SSASnohomishCountyMukilteo98275Edmonds SSASnohomishCountyBothell98021Edmonds SSASnohomishCountyMarysville98270Edmonds SSASnohomishCountyEverett98201Edmonds SSASnohomishCountySnohomish98296Edmonds SSASnohomishCountyCommunity Needs Index (CNI)The Community Needs Index (CNI) , developed byDignity Health (formerly known as Catholic HealthcareWest) and Truven Health Analytics, identifies the severityof health disparity for every ZIP Code in the UnitedStates and demonstrates the link between communityneed, access to care, and preventable hospitalizations.CNI aggregates five socioeconomic indicators thatcontribute to health disparity (income, culture, education,insurance and housing).5 This objective measure is the combined effect of the fivesocioeconomic barriers. A score of 1.0 indicates a ZIPCode with the fewest socioeconomic barriers, while ascore of 5.0 represents a ZIP Code with the mostsocioeconomic barriers. Everett 98201 is the highestneed area. This ZIP Code scored higher than 4.0,making it a High Need community. Appendix 1 lists theZIP Codes and the associated CNI scores for the totalservice area.METHODOLOGYCollaborative PartnersSwedish Medical Center participated in the King CountyHospitals for a Healthier Community (HHC) as part ofa countywide Community Health Needs Assessment.HHC is a collaborative of hospitals and/or health systemsin King County and Public Health-Seattle & King County.The full report and list of assessment partners canbe accessed at: www.kingcounty.gov/depts/health/data/ healthier-community.aspx.Data CollectionSecondary Data: Secondary data were collected from avariety of local, county, and state sources. Data analyseswere conducted at the most local level possible forthe Hospital’s service area, given the availability of thedata. The primary and secondary service areas (PSAand SSA) were combined for a total service area (TSA).Where available, data are presented for King County,Snohomish County and Washington. The report includesbenchmark comparison data, comparing SwedishMedical Center community data findings with HealthyPeople 2020 objectives.Primary Data: Stakeholder surveys and listeningsessions were used to gather data and opinions frompersons who represent the broad interests of thecommunity served by the hospital.Survey: Swedish conducted a survey to gather data andopinions from community residents, and hospital leadersand staff who interact with patients and families in theER and specialty clinics. The survey used a conveniencesampling method, which engaged persons who wereavailable and willing to complete the survey. Communityorganizations whose scope of services aligned with theSnohomish County Public Health key health indicatorswere asked to distribute the surveys. From July 23 toAugust 22, 2018, 321 persons responded to the survey.Continued on the next page.CHNA Edmonds Campus — 2018
EXECUTIVE SUMMARY CONTINUEDThe survey was available in an electronic format througha SurveyMonkey link and also in paper format. Thehospital distributed the survey link to partner organizationswho then distributed them to community residents andto organizational leaders and staff members caring formedically underserved, low-income, immigrant andminority populations. Paper copies of the survey weremade available at various community locations andevents. The surveys were distributed to persons at theCocoon House, a nonprofit organization that serveshomeless and at-risk youth in Snohomish County.Written surveys were available in English and Korean.The digital and paper survey response collection wasincentivized by entering survey participants in a drawingfor a gift card. Detailed survey information can be foundin Appendix 2.Listening Session: A listening session is an in-personmeeting with members of the community to discusscommunity and health needs. One listening session washeld on August 21, 2018. Two people participated in thelistening session. The listening session was conductedin an interview format by using scripted questions thatwere presented to the participants. The listening sessionwas conducted in English. Detailed listening sessioninformation can be found in Appendix 3.PRIORITIZATION OF HEALTH NEEDSThe 2018-2019 King County Hospitals for a HealthierCommunity collaborative needs assessment identifiedcommunity priorities. A variety of community engagementactivities conducted by community and governmentalorganizations confirmed the themes as priorities andenabled King County residents to elaborate on them.The priorities are: Accessto health careand social determinants of health Housing and homelessness Support for older adults Support for youth and families EquitySwedish Edmonds survey participants were asked toidentify the biggest health concerns in the community.The top five health concerns are mental health, drugaddiction, homelessness, obesity and diabetes.These health concerns are listed in descending priorityorder from the most frequently cited community healthneed to the least cited need. Mentalhealth Homelessness Drug6 addiction Obesity Diabetes Alcoholoveruseblood pressure Joint or back pain Cancer Stroke Smoking Asthma Environmental factors (e.g. Pollution, noise, etc.) Texting while driving Heart disease Teeth or oral issues Age-related diseases Crime Lack of access to medical providers Alzheimer’s disease/dementia Child abuse and neglect Domestic violence Lack of access to needed medications HighResources potentially available to address thesesignificant health needs can be found in Appendix 4.REVIEW OF PROGRESSIn 2016 Swedish conducted the previous SwedishCommunity Health Needs Assessments (CHNA).Significant health needs were identified from theCommunity Health Needs Assessment process.Swedish identified priorities for the Community HealthImprovement Plans associated with the 2016 CHNA.The priority health needs were: access to care, behavioralhealth, and obesity. The impact of actions used toaddress these health needs can be found in Appendix 5.OUR COMMUNITY In2017, the population in the total service area (PSA SSA) was 651,452. 21.8%of the population are children and youth, ages0-17, and 14.1% of the population are seniors, 65years and older. Amongcommunity residents, 65.2% were Non-LatinoWhite, 16.4% Asian/Pacific Islander, 9.6% were Hispanicor Latino, 5.4% were African American or Black, and5.9% were of two or more races/ethnicities and 3.3%were other races/ethnicities.Continued on the next page.CHNA Edmonds Campus — 2018
EXECUTIVE SUMMARY CONTINUED Withinservice area homes, 69.4% of residents speakEnglish only. Highschool graduation rates in King County are 80.5%and in Snohomish County they are 79.5%. These ratesdo not meet the Healthy People 2020 objective of an87% high school graduation rate. In2016, the median household income for the servicearea was 69,208, and the unemployment rate was 6%. 3 .0% of service area households and 9.7% of individualsare at poverty level ( 100% federal poverty level). 1.9%of children and 0.7% of seniors live at or below thepoverty level. Withinthe service area there are 240,144 households.36% of residents spend 30% or more of their incomeon housing, and 7,506 persons live in overcrowded orsubstandard housing. In2017 there were an estimated 11,643 homelessindividuals in King County and 1,066 homeless individuals in Snohomish County. 52.9% of the homelessin King County and 51.7% in Snohomish County aresheltered. 23.8% of the homeless in King County and36.3% in Snohomish County are considered to bechronically homeless. Food insecurity is one way to measure the risk of hunger.In 2016 in King County, 12.2% of the population(254,200 persons) experienced food insecurity. InSnohomish County, the rate of food insecurity was10.9% (82,600 persons). Inthe Edmonds Campus service area, 4.8% ofcommunity residents were uninsured. 63.3% ofcommunity residents had private (commercial)insurance, 19.2% of residents received Medicaid and12.7% of the population were covered by Medicare.Barriers to Health CareSurvey respondents commented on barriers they haveexperienced to access health care. Time Mywith doctor is too short.health insurance isn’t accepted by every provider. Work schedule makes it difficult to schedule appointments Noinsurance and high cost of care. New to area so have not selected a primary care provider.Avoidable ED UtilizationThe top reason patients presented at the EmergencyDepartment (ED) for potentially avoidable reasons wasinfections of the skin and tissue, such as cellulitis, and thesecond most frequent cause was mental and behavioraldisorders due to psychoactive substance use. Thethird most common reason for visit was acute upper respiratory infections, such as the common cold or asthma.Leading Causes of DeathWhile leading causes of death vary by age group, in KingCounty and Snohomish County, the top three causes ofdeath are cancer, heart disease and Alzheimer’s disease.Disability and Disease InKing County, 9.6% of the non-institutionalized civilianpopulation had a disability. In Snohomish County,11.9% of the population was disabled. InKing County, 7% of 10th graders and 8% of adultsreported having asthma. In Snohomish County, 9% of10th graders and adults have asthma. Overa five-year period, the rate of asthma for adults inKing County was 8.3% and the five-year average ratefor asthma in Snohomish County was 9.5%. Onaverage, 7% of King County adults have beendiagnosed with diabetes. In Snohomish County, 8.3%of adults have been diagnosed with diabetes. 2%of Seattle region adults and 3% of King Countyadults have heart disease. In 2013 in SnohomishCounty, 4.3% of adults had heart disease, comparedto 3.7% in Washington. InKing County, the age-adjusted cancer incidencerate was 523.3 per 100,000 persons. In SnohomishCounty it was 547.2 per 100,000 persons. These ratesof cancer were higher than the state rate of 508.7 per100,000 persons.Pregnancy and Birth Indicators In2016, there were 26,011 births in King County and10,045 births in Snohomish County. Birth rates haveincreased from 2012 to 2016. InKing County, the rate of teen births (ages 15-17)was 4.7 per 1,000 females, and in Snohomish it was5.7 per 1,000 females. These rates are lower thanWashington rates (8.3 per 1,000 females).Continued on the next page.7 CHNA Edmonds Campus — 2018
EXECUTIVE SUMMARY CONTINUEDPregnancy and Birth Indicators Continued. Free In FoodKing County 82.6% of women entered prenatal carewithin the first trimester, and in Snohomish County,80.0% of women entered prenatal care within the firsttrimester. These rates exceed the Healthy People 2020objective of 78% of women entering prenatal care inthe first trimester. InKing County the rate of low birth weight babies(under 2,500 grams) is 6.6% (65.5 per 1,000 livebirths), and in Snohomish County it is 5.9% (59.2 per1,000 live births). The rates of low birth weight arelower than the Healthy People 2020 objective of 7.8%of births being low birth weight. InKing County the infant mortality rate was 4.1 per1,000 live births, and in Snohomish County the infantdeath rate was 3.8 per 1,000 live births. In comparison,the infant death rate in the state was 4.7 per 1,000live births. These infant death rates are less than theHealthy People 2020 objective of 6.0 deaths per1,000 live births.Health Behaviors 34%of King County adults are overweight and 22%are obese. In Snohomish County, 36.1% of adults areoverweight and 28% are obese. Among 10th gradersin King County, 19% are overweight or obese and inSnohomish County, 27% are overweight or obese.The Healthy People 2020 objective for adult obesity is30.5% and the Healthy People objective is 16.1% forteen obesity. The area obesity rates are better than theHealthy People 2020 objectives.Survey respondents identified things in the communitythat help them stay healthy. Primary Safecare services and clinicsplaces to walk Cleanair Accessto health insurance Education Healthyfood options Accessto medications Goodpaying jobs Enoughdoctors Caringcommunity Greenspaces/parks Transportation Mentalhealth services Affordable8 or low cost health screeningsbank/meal programs Women HelpInfant Children (WIC) servicestranslating things from English to my language Substanceabuse counseling servicesMental Health and Substance Abuse Theaverage number of mental health unhealthy daysexperienced by adults in King County in the last 30days was 3.2 days. Adults in Snohomish Countyexperienced 3.3 of unhealthy days, compared to 3.8unhealthy mental health days statewide. SnohomishCounty 10th grade youth experienceddepression (36%), considered suicide (22%) andattempted suicide (11%) at higher rates than 10thgraders in King County and the state. InSeattle and King County, 13% of adults are currentcigarette smokers and 14% of adults in SnohomishCounty are cigarette smokers. These rates are higherthan the Healthy People 2020 objective of 12%. 9%of 12th grade youth in King County and 11% of 12thgraders in Snohomish County smoked cigarettes inthe past 30 days. 16% of 12th grade youth in KingCounty and 20% of 12th graders in Snohomish Countysmoked an e-cigarette or vape pen in the past 30 days. Amongadults, 20% in King County had engaged inbinge drinking in the previous 30 days. 15.9% of adultsin Snohomish County engaged in binge drinking.Among youth, 19% of 12th graders in King County and18% of 12th grade youth in Snohomish County hadengaged in binge drinking in the previous two weeks. 25%of 12th grade youth in King County and 27% of12th graders in Snohomish County indicated currentuse of marijuana (past 30 days). The state rate of 12thgrade marijuana use is 26%.Preventive Practices InKing County, 37% of adults ages 18 to 64 and63% of seniors 65 and older received a flu shot. InSnohomish County, 40.5% of adults and 59.5% ofseniors received a flu shot. These rates do not meetthe Healthy People 2020 objective of 70% of adultsreceiving a flu shot. 84.8%of kindergarten students in King County and84.9% of Snohomish County kindergartners havecompleted their school-required immunizations.Continued on the next page.places to liveCHNA Edmonds Campus — 2018
EXECUTIVE SUMMARY CONTINUEDPreventive Practices Continued. Onaverage, from 2011-2015, 78% of women, 50 to74 years of age, in King County had a mammogramin the past two years. This falls short of the HealthyPeople 2020 objective of 81.1% of women to receivea screening mammogram. In 2013 in SnohomishCounty, 82.4% of women had a mammogram in thepast two years. Onaverage, from 2011-2015, 64% of adults, 50 to 75years of age, in King County had been screened forcolorectal cancer. In 2016 in Snohomish County, 66%of adults, ages 50-75, had a screening colonoscopyor sigmoidoscopy. These rates are below the HealthyPeople 2020 objective of 70.5%.CHNA/CHIP CONTACTSherry Williams, MPACommunity Engagement DirectorSwedish Medical ish.orgRequest a copy, provide comments or view electroniccopies of current and previous Community HealthNeeds Assessments: sments-site-list. Amongadults in Seattle, 29% did not have a dentalcheckup in the past year and in King County 30% ofadults did not have a dental checkup in the past year.In Snohomish County, 31% of the population did nothave a dental checkup in the past year.9 CHNA Edmonds Campus — 2018
2018 CHNA GOVERNANCE APPROVALThis community health needs assessment was adopted by the authorized body of the hospital on December 11, 2018.12/11/18R. Guy Hudson, M.D., MBA DateChief Executive OfficerSwedish Health Services12/11/18Michael Hart, M.D. DateInterim Chair Board of TrusteesSwedish Health Services12/11/18Joel Gilbertson DateSenior Vice President, Community PartnershipsProvidence St. Joseph Health10 CHNA Edmonds Campus — 2018
INTRODUCTIONMISSION, VISION, AND VALUESOur MissionImprove the health and well-being of eachperson we serve.Our VisionHealth for a Better WorldOur ValuesCOMPASSION: We reach out to those in need.We nurture the spiritual, emotional, and physicalwell-being of one another and those we serve.Through our healing presence, we accompanythose who suffer.JUSTICE: We foster a culture that promotes unityand reconciliation. We strive to care wisely for ourpeople, our resources, and our earth. We standin solidarity with the most vulnerable, working toremove the causes of oppression and promotingjustice for all.EXCELLENCE: We set the highest standards forourselves and our services. Through transformationand innovation, we strive to improve the healthand quality of life in our communities. We committo compassionate and reliable practices for thecare of all.DIGNITY: We value, encourage and celebrate thegifts in one another. We respect the inherent dignityand worth of every individual. We recognize eachinteraction as a sacred encounter.INTEGRITY: We hold ourselves accountable todo the right thing for the right reasons. We speaktruthfully and courageously with respect andgenerosity. We seek authenticity with humilityand simplicity.SAFETY: Safety is at the core of every thoughtand decision. We embrace transparency andchallenge our beliefs in our relentless drive forcontinuous learning and improvement.11 Who We AreSince 1910, Swedish has been the region’s standardbearer for the highest-quality health care at the best value.Swedish is the largest nonprofit health care provider inthe greater Seattle area with five hospital campuses:First Hill, Cherry Hill, Ballard, Edmonds and Issaquah.We also have ambulatory care centers in Redmond andMill Creek, and a network of more than 118 primarycare and specialty clinics throughout the greater PugetSound area. Swedish’s innovative care has made it aregional referral center for leading-edge proceduressuch as robotic-assisted surgery and personalizedtreatment in cardiovascular care, cancer care, neuroscience, orthopedics, high-risk obstetrics, pediatricspecialties, organ transplantation and clinical research.Swedish is affiliated with Providence Health & Services, aCatholic, nonprofit organization founded by the Sisters ofProvidence in 1856. With more than 76,000 employees,Providence operates 34 hospitals and 475 physicianclinics across five states. Based in Renton, WA,Providence Health & Services also provides strategic andmanagement services to integrated health-care systemsin Alaska, California, Montana, Oregon and Washington.For more information, visit www.providence.org.Our Commitment to CommunityOrganizational CommitmentSwedish has been a partner for health in the communityfor over a hundred years. We’ve resolved to improve thehealth of the region beyond normal patient care. Thistranslates to our commitment to charity care, research,community health and education. We see this service asour responsibility to our community and we take it seriously.Through programs and donations, health education, freeand discounted care, medical research and more, Swedishprovided more than 200 million in community benefit in2017. This included 23.9 million in free and discountedcare, a 12% increase from the prior year.Continued on the next page.CHNA Edmonds Campus — 2018
INTRODUCTION CONTINUEDToday our responsibility to community also includesadditional access to informati
Edmonds Chamber of Commerce Jan Nichols, Development and Community Engagement Edmonds Community College Amit Singh, . care and specialty clinics throughout the greater Puget Sound area. Swedish Health Services is an affiliate of Providence St. . Bothell 98012 Edmonds PSA Snohomish County Everett 98208 Edmonds PSA Snohomish
Introduction: Under the Affordable Care Act, nonprofit hospitals are required to conduct a Community Health Needs Assessment (CHNA) every three years. The steps to conducting a community health needs assessment include: define community, collect secondary data on community health, gather community input and collect primary data, prioritize community health needs, and implement strategies to address community health needs.
Test Name Score Report Date March 5, 2018 thru April 1, 2018 April 20, 2018 April 2, 2018 thru April 29, 2018 May 18, 2018 April 30, 2018 thru May 27, 2018 June 15, 2018 May 28, 2018 thru June 24, 2018 July 13, 2018 June 25, 2018 thru July 22, 2018 August 10, 2018 July 23, 2018 thru August 19, 2018 September 7, 2018 August 20, 2018 thru September 1
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Community health needs assessment (CHNA): A systematic process involving the community to identify and analyze community health needs and assets, prioritize the needs, and implement a plan to address significant unmet community health needs.1 Implementation strategy: The hospital
CHILD & ADOLESCENT HEALTH NEEDS ASSESSMENT 6 . Project Overview . Project Goals . This 2018 PRC Child & Adolescent Health Needs Assessment, a follow-up to similar studies conducted in 2012 and 2015, is a systematic, data-driven approach to determining the health status, behaviors, and needs of children and adolescents in the Omaha Metropolitan .
