Redlands Community Hospital

THE HOSPITAL'S MISSION, VISION AND VALUE STATEMENTS ARE INTEGRATED INTO THE HOSPITAL'S POLICY AND PLANNING PROCESSES INCLUDING THE COMMUNITY BENEFIT PLAN. A PART OF THIS PLANNING PROCESS WAS TO INCORPORATE COMMUNITY BENEFITS IN THE HOSPITAL'S STRATEGIC PLANS. OUR MISSION IS TO PROMOTE AN ENVIRONMENT WHERE MEMBERS OF OUR COMMUNITY CAN RECEIVE HIGH QUALITY CARE AND SERVICE SO THEY CAN BE RESTORED TO GOOD HEALTH BY WORKING IN CONCERT WITH PATIENTS, PHYSICIANS, RCH STAFF, ASSOCIATES AND THE COMMUNITY.

SCHEDULE O FOR UNREIMBURSED MEDICAL CARE DESCRIPTIONUNREIMBURSED MEDICAL CARE: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. COST OF CARE FOR PATIENTS THAT MEET THE CHARITY CARE POLICY OF THE HOSPITAL ARE CLASSIFIED AS CHARITY. RCH HAD 2,237 INPATIENT/OUTPATIENT CHARITY ENCOUNTERS, 1,365 MEDICARE DISCHARGES AND 2,406 MEDICAID AND COUNTY INDIGENT DISCHARGES. THE TOTAL ESTIMATED COST OF CHARITY CARE SERVICES AND UNPAID COST OF SERVICES ASSOCIATED WITH MEDICARE, MEDICAID AND COUNTY INDIGENT PROGRAMS AS WELL AS THE ESTIMATED COST ASSOCIATED WITH UNCOLLECTABLE ACCOUNTS WERE $62,537,000.

SCHEDULE O FOR HOSPITAL'S FAMILY CLINIC DESCRIPTIONAN ON-GOING GOAL OF THE HOSPITAL'S FAMILY CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS TO HEALTH CARE, WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE OR PSYCHOLOGICAL BARRIERS. EQUALLY IMPORTANT IS THE DESIRE TO PROVIDE DISEASE SPECIFIC PATIENT/FAMILY EDUCATION, WITH EMPHASIS ON PROMOTING HEALTH AND WELLNESS AND THE SUPPORT NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISION MAKING. THE REDLANDS AND YUCAIPA FAMILY CLINICS AND THE COMMUNITY BASED PERINATAL SERVICES PROGRAM (MATERIAL INFANT HEALTH) SERVE THE COMMUNITIES OF REDLANDS, LOMA LINDA, SAN BERNARDINO, HIGHLAND, YUCAIPA AND MENTONE, SUPPORTING THE HEALTHY START PROGRAMS IN THE REDLANDS UNIFIED SCHOOL DISTRICT IN ADDITION TO PROVIDING AN OPPORTUNITY FOR LOW-INCOME, THE UNINSURED AND UNDERINSURED TO RECEIVE PRIMARY AND PREVENTIVE CARE, EARLY MEDICAL PROBLEM IDENTIFICATION, TREATMENT AND ASSISTANCE WITH THE APPLICATION PROCESS AND OBTAINING OF ELIGIBILITY FOR PUBLIC ASSISTANCE PROGRAMS. GOALS AND ACCOMPLISHMENTS IN 2021: 1) ENHANCED PRIMARY CARE SERVICES, 2) PROVIDED AND FACILITATED COMMUNITY EDUCATIONAL OFFERINGS AND HEALTH CARE SCREENINGS, 3) PROVIDED NO-COST SEASONAL FLU VACCINATIONS TO THE COMMUNITY, 4) EXPANDED AWARENESS OF THE SERVICES PROVIDED BY THE FAMILY CLINICS, 5) SUPPORTED REDLANDS UNIFIED SCHOOL DISTRICT BY PROVIDING EMPLOYEE TB SCREENING. FOR FISCAL YEAR 2020, REDLANDS AND YUCAIPA FAMILY CLINICS HAD 10,372 VISITS AND PERINATAL SERVICES HAD 2,974 VISITS.

SCHEDULE O FOR DESCRIPTION OF SERVICES THE HOSPITAL PROVIDESFOUNDED IN 1904, REDLANDS COMMUNITY HOSPITAL IS A NON-PROFIT, 229-BED HEALTHCARE FACILITY LOCATED IN THE EAST SAN BERNARDINO VALLEY OF SOUTHERN CALIFORNIA. THE HOSPITAL OFFERS ACUTE HEALTHCARE, DIAGNOSTIC AND HOME HEALTHCARE SERVICES. AS A COMMUNITY HOSPITAL, WE TAKE PRIDE IN OUR PERSONAL CARE AND COMPREHENSIVE, HIGH QUALITY SERVICES. OUR COMMUNITY SERVICE NURSES, EMERGENCY DEPARTMENT, FAMILY CLINICS, PERINATAL SERVICES PROGRAM, AND SEVERAL OTHER DEPARTMENTS THROUGHOUT THE HOSPITAL ARE INVOLVED IN OFFERING A VARIETY OF COMMUNITY SERVICES AND CHARITY CARE. PEOPLE FROM THROUGHOUT OUR LARGE SERVICE AREA DEPEND ON US FOR 24 HOUR EMERGENCY CARE, PROFESSIONAL HEALTHCARE AND A VARIETY OF COMMUNITY SERVICE OUTREACH PROGRAMS. ADDITIONALLY, RCH IN PARTNERSHIP WITH TWO LOCAL MEDICAL GROUPS, CONTRACTS WITH VARIOUS HEALTH PLANS TO PROVIDE FULL-SERVICE HEALTH CARE TO APPROXIMATELY 63,000 COMMUNITY MEMBERS ON A CAPITATED BASIS.

THE COMMUNITY CASE MANAGEMENT PROGRAM ADDRESSES THE NEEDS FOR AT-RISK, UNDERINSURED AND COMPLEX HEALTHCARE ISSUES AS WELL AS EDUCATION ON DISEASE MANAGEMENT AND COMMUNITY RESOURCES. THE PURPOSE OF THE COMMUNITY CASE MANAGEMENT IS TO PROVIDE HIGH-QUALITY SERVICE TO PEOPLE WHO DO NOT KNOW HOW TO NAVIGATE THE HEALTHCARE SYSTEM DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. AN EQUALLY IMPORTANT FOCUS IS EMPOWERING THE PATIENT AND FAMILY WITH DISEASE SPECIFIC EDUCATION EMPHASIZING PROMOTION OF HEALTH, WELLNESS AND THE TOOLS NECESSARY TO PROMOTE INDIVIDUALIZED HEALTH CARE DECISIONMAKING.GOALS AND OUTCOMES ACCOMPLISHED IN 20211. REFERRALS INCREASED BY 15% OVER THE PAST YEAR DUE TO THE COLLABORATIVE EFFORTS BETWEEN RCH AND EPIC MANAGEMENT JOINTLY FOCUSING ON IDENTIFYING AT RISK PATIENTS: OVER 128 PATIENTS WERE INVOLVED IN OUR COMMUNITY CASE MANAGEMENT PROGRAM.2. MET/EXCEEDED PATIENT EXPECTATIONS ESPECIALLY IN THE AREAS OF FACILITATING REFERRALS AND SECURING APPOINTMENTS, IN ADDITION TO ASSISTING THE PATIENT/FAMILY TO NAVIGATE THROUGH OUR HEALTH CARE SYSTEM.3. INPATIENT DAYS AND/OR EMERGENCY ROOM VISITS HAVE DECREASED SIGNIFICANTLY FOR THOSE PATIENTS WITH A HISTORY OF FREQUENT HOSPITALIZATIONS AND/OR EMERGENCY ROOM VISITS: OF THE 128 PATIENTS FOLLOWED, 33 WERE HOSPITALIZED ACCOUNTING FOR 339 TOTAL INPATIENT DAYS PRIOR TO COMMUNITY CASE MANAGEMENT INTERVENTION. POST INTERVENTION, TOTAL INPATIENT DAYS DROPPED TO 51 DAYS, A 66% DECREASE. IN REGARDS TO THE EMERGENCY ROOM VISITS, 38 OF THE PATIENTS WERE SEEN IN THE EMERGENCY ROOM ACCOUNTING FOR A TOTAL OF 80 VISITS PRE INTERVENTION. POST COMMUNITY CASE MANAGEMENT INTERVENTION, THE TOTAL NUMBER OF EMERGENCY ROOM VISITS DROPPED TO 32, A DECREASE ALSO OF OVER 60%.4. MONITORING OF OUR CONGESTIVE HEART FAILURE PATIENTS FOR ONE MONTH POST DISCHARGE VIA WEEKLY PHONE CALLS TO PROVIDE SUPPORT AND EDUCATION TO ENSURE PATIENT'S UNDERSTANDING OF THE PLAN OF CARE WITH THE GOAL BEING PATIENT COMPLIANCE, THEREBY DECREASING THE EMERGENCY ROOM VISITS AND/OR READMISSIONS.5. MONTHLY MONITORING AND EVALUATION OF OUR MEDICARE READMISSIONS TO IMPROVE COMMUNICATION AND CARE COORDINATION EFFORTS WITH DISCHARGE PLANNING.6. DISEASE SPECIFIC RESOURCE LISTS ARE AVAILABLE FOR PARTICIPANTS.PASTORAL CARE SERVICE PROGRAM ADDRESSES THE SPIRITUAL CONCERNS OF RCH PREOPERATIVE, AS WELL AS OTHER PATIENTS WHO REQUEST PASTORAL SUPPORT. THE CHAPLAIN ALSO SERVES AS A PART OF THE ICU CLINICAL TEAM, PROVIDING PROFESSIONAL SPIRITUAL ASSESSMENT AND SUPPORT FOR PATIENTS AND FAMILIES. THE CHAPLAIN ALSO RESPONDS TO REFERRALS FROM HEALTH CARE PROFESSIONALS THROUGHOUT THE HOSPITAL TO ASSIST WITH ADDRESSING LIFE THREATENING ILLNESSES, END OF LIFE CONCERNS AND ISSUES OF SPIRITUAL DISTRESS.GOALS AND OUTCOMES ACCOMPLISHED IN 20211. PROVIDED ON-GOING PURPOSE DRIVEN SPIRITUAL CARE.2. CONTINUED AND GREW THE "HELPING HEROES" PEER SUPPORT GROUP IN COLLABORATION WITH SOCIAL WORK.3. STAFF UTILIZED THE CHAPEL FOR SPIRITUAL REFLECTION DURING THE PANDEMIC AND CONTINUES TO DO SO.4. INITIATED DEPARTMENTAL SUPPORT GROUPS COLLABORATIVELY WITH SOCIAL WORK.5. PROVIDED CONTINUED ENGAGEMENT WITH PASTORAL CARE VOLUNTEERS.6. FREQUENT VIRTUAL AND IN-PERSON ROUNDING IN DEPARTMENTS AND NURSING UNITS TO PROVIDE SPIRITUAL SUPPORT FOR EACH AREA, WHICH LEAD TO MULTIPLE IN-PERSON GROUP AND INDIVIDUAL MEETINGS WITH STAFF EXPERIENCING SPIRITUAL DISTRESS.7. PROVIDED SPIRITUAL CARE TO SURGICAL PATIENTS PRIOR TO THEIR SURGERY - UPON REQUEST.BEHAVIORIAL HEALTH PROGRAM: THE COVID-19 PANDEMIC HAS STRAINED HELATHCARE RESOURCES, CHANGED THE DYNAMICS OF GROUP THERAPY AND INCREASED STRESS FOR BOTH PATIENTS WITH MENTAL ILLNESS AND THE STAFF WHO CARE FOR THEM. MODERATE-TO-SEVERE ANXIETY AND DEPRESSION HAVE INCREASED SIGNIFICANTLY DURING THE PANDEMIC. THE HOSPITAL OFFERS THREE LEVELS OF BEHAVIORAL HEALTH CARE: 1) INPATIENT RECOVERY-ORIENTED THERAPEUTIC CARE, 2) PARTIAL HOSPITALIZATION DAY PROGRAM (PHP) OF PERSONALIZED GROUP THERAPY AND 3) INTENSIVE OUTPATIENT (IOP) PROGRAM, A STEP-DOWN TO A PART-TIME INTENSIVE SCHEDULE THAT INCLUDES INDIVIDUAL AND GROUP THERAPY.HOMELESS PATIENT DISCHARGE PLANNING PROGRAM: DURING FISCAL YEAR 2021, REDLANDS COMMUNITY HOSPITAL IDENTIFIED AND OFFERED SERVICES TO OVER 744 HOMELESS INDIVIDUALS WHICH INCLUDED ASSISTANCE WITH MEDICAL EXAMINATIONS AND SCREENING, MEALS, TRANSPORTATION, CLOTHING AND PRESCRIPTIONS FREE OF COST. HOSPITAL EMPLOYEES ALSO PARTICIPATED IN COMMUNITY HEALTH FAIRS, FREE FLU SHOTS, COMMUNITY HEALTH EDUCATION LECTURES, AND FUNDING TOWARD SENIOR CITIZEN HEALTH NEWSLETTERS.