Hospital Consortium Of San Mateo County

Programs: Fall prevention 2016-2017 program:the mission of the coalition: to prevent falls among older adults living in our community through collaboration, education, resource development, and advocacy. Accomplishments: 1) direct contact to 4578 smc residents, a 16% decrease over, since the health educator was consumed with teaching stepping-on classes (see below) and a reduction in funding. Key partnerships to reach residents:a. Board of supervisors" safe driving seminars for older adultsb. San mateo county health system emsc. San mateo library systemd. Multiple older adult residences and centers2) website utilization (page views): 5891, 16% increase over last fiscal year. Facebook reaches were 7428, 197% increase over last fiscal year. Twitter impressions are at 13,757, 102% increase over last fiscal year. Increase in facebook and twitter due to collaboration with san mateo county health dept. 800 nofalls #: 337 calls, same as last year. 3) a fall prevention coordinator and health educator (consultant) continues in her role at about 20 hrs. /month. 4) ed writes all requests or grants for funding with corresponding reports. 5) fall prevention month (sept. & oct. ):a. Used ncoa's byline: ready, steady, balance: prevent falls in 2016b. Bos proclamation, sept. 6. 2016c. Library outreach: smc fp and steadi brochures, magnifiers and posters at the following: sm main; rwc main, hmb, pacifica (terra nova), millbrae, epa, belmont, san carlos, burlingamed. Placemats given to 500 meals on wheels and congregate meals clientse. Article in san mateo county medical association september newsletter by dr. Morrow f. Coalition meeting: learning how to do social media postsg. Lectures: 90 aarp members and 40 belmont library attendeesh. Rebuilding together: four home safety checks by health educatori. Daly city walk-a-thonj. Commission on aging presentation, october 17, 2016, 18 attendeesk. Seniors on the move presentation, october 25, 2016, 750 attendeesfall prevention month social media posts in concert with smc health system communication office a fall prevention coordinator and health educator (consultant) continues in her role at 15 hrs. /month. Grant funding pays for her monthly fees

health community collaborative (hcc):conducting triennial community health needs assessment (chna-2016) comply with state and federal regulations to determine community health indicators for non-profit hospitals. Utilize chna to drive community benefits projects in the hospitals. Accomplishments:1) executive director (ed) facilitates the hcc meeting; serves as the fiscal intermediary for the chna fund; serves as the liaison with the consultants and each hcc member. Ed facilitated lengthy discussions regarding county-wide endeavors to meet the required mandate and determine identified health needs for chna 2019; discussions were focused on quantitative vs. Qualitative data. Ed conducted ongoing communication with the consultants regarding desired outcome and end-product. 2) rfps submitted to professional research consultants for the quantitative and to applied survey researchers and actionable insights for the qualitative components. 3) hcsmc board agreed to conduct the primary quantitative data as done in the past. 4) worked with smc health dept. In the development of the quantitative primary data collection and survey process. 5) ed developed schedules for consultants' fees and participants' assessments and chna timing.

miscellaneous projects:premanage ed, ed nurse mgr. Mtg annual, and stroke conference1) premanage ed: investigated a regional system to track ed high utilizers through collective medical technologies: two meetings with collective medical technologies (cmt): coordinated two meetings, hcsmc bod and ed staff and mds, re: premanage ed/edie product. Facilitated ongoing communication with hospitals and cmt re: transition to premanage ed/edie, and discussions among the hospitals. Two hospitals have contracts; other hospitals investigating. 2) stroke educational outreach & conference: participated in national stroke day by working at hillsdale train stations handing out stroke cards in collaboration with psa, ems, and the hospitals. Ensures that stroke cards are distributed at appropriate lectures/health fairs whenever the hospital consortium is asked to be in attendance to conduct other community education. Conducted a stroke conference survey to the smc hospitals' stroke coordinators to determine need for annual smc stroke conference. All hospitals responded that a need still exists to provide this annual stroke conference. Smc ems, the hospitals (stroke coordinators), and the hospital consortium hosted the eighth annual stoke symposium on october 18, 2016 at the foster city crowne plaza. 110 attended. Evaluations were very favorable. This is a breakeven event and assists the hospitals to meet jc education requirements. The hospital consortium oversees registration, supports in the event planning and registration, serves as the fiscal administrator for this event, and signs the contract with the hotel. Transitioned from working with smc ems to working with american heart association to co-host october 26, 2017 conference. 3) ed nurse manager mtgs & communication: multiple telephone conference calls were conducted with smc ems and the ed nurse directors to address how to handle surge issues. Current systems reviewed: emsystems, mci polling, havbed polling, daily census polling, cedocs, and nedocs were reviewed. The ed directors/managers recommended the following:- this added capability may not help right now as most eds do not use emsystems when they are busy, thus it would not be a great value for the eds. - reinforce use of internal surge plans which includes many actions including notifying the supervisor and/or aoc, and possibly the cno, who may choose to initiate inter-facility communication to do further problem solving. Ongoing communication with ems staff re: ambulance pt. Offloading time (apot), new ems communication system (reddinet), no-diversion policy, lack of clear, transparent, and ongoing communication between ems and hospitals re: new and ongoing endeavors. Following presentation to ed managers:a. Behavioral health and recovery services re crisis services b. Elder abusec. Human traffickingissues discussed in ed managers mtg:a. Surge and inter-facility communicationb. 5150c. Inebriate policyd. Ems communication systeme. Diversion policyf. Sharing of best practices